tgt
stringlengths 0
320
| src
stringlengths 72
18.8k
| id
int64 1
226k
|
|---|---|---|
What else besides sereous carcinoma can cause vaginal discharge and endometrium thickening ? | Patient: I am a 59 year old female, post menopausal, with vaginal discharge, thickness of endometrium is 11 mm - my older sister was diagnosed last year with clear cell and sereous carcinoma. I have not taken any harmone replacement therapy and my obgyn said my hormone levels are almost at zero. Scheduled for D & C this week, what else besides cancer could be causing the discharge and the thickness of th lining? I am slim, do not smoke, eat very healthy my cervix has grown closed. Doctor: First of all, it is uterine cancer that causes endometrial thickening and not ovarian cancer. However, there are other non-cancerous conditions that can cause thickening and discharge. These are benign endometrial hyperplasia and endometritis. These will become clear after the D&C report comes. | 155,265 |
Can pregnancy happen with non penetrative sex? | Patient: This is not easy for me to ask but i fear the worst.Recently myself and my girlfriend were fooling around and she was masturbating me until ejaculation. We wiped hands on mattress. They were dry but my sperm was just above her vagina entrance. She then wiped it up. I then proceeded to masturbate her. My self and my partner are fearing the worst her period is not for 3 weeks. is it possible to become pregnant? Please help. we are scared Thank you. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Sperm transfers through liquid media. Sperm cannot transfer through clothes. It has to enter the girl’s vagina, cervix, and still up in the fallopian tube to fertilize ova.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal | 273 |
Can Gynecomastia be completely cured? | Patient: nipples 101 Q: I'm a male, 25 years of age. My nipples are enlarged. Whenever i wear my t-shirt my nipples are very clear and visible. I'm ashamed because I'm a guy and my nipples were bulging.. Please advise me about its cure and what to do. Thank you. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Only nipped enlarged is not much problem. Your physical examination done to check whether truly it is gynecomastia or not. The underlying causes include Hormonal imbalance, certain drugs, liver disease etc. So underlying cause should be treated. If needed surgical treatment can be done for that. Consult surgeon for examination. Hope I have answered your query. Let me know if I can assist you further. | 195,726 |
Can sinus infections cause tooth and lower jaw pain? | Patient: hi I have unbearable tooth pain on my right lower jaw radiating particularly from one tooth. the only thing that helps is holding a toothbrush behind it and pressing outward at a specific angle. I also have a sinus infection, could that be causing this? is there another issue? Doctor: Hi Dear,Understanding your concern. As per your query you have symptoms of tooth and lower jaw pain which does not seems to be due to sinus infection as chances of tooth pain due to sinus infection is there mainly in upper quadrant only. It seem sto be due to tooth infection in posterior tooth region. Need not to worry. Visit dentist once and get it examined through IOPA(intraoperative x-ray). Start treatment as per infection. If it is superficial go for tooth filling and if it is deep go for RCT. Take soft and liquid food substances and avoid chewing from that side. Do warm saline gargles. Maintain hygiene and get cleaning done.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 180,934 |
Are light headedness, weakness and sore arm symptoms of bronchitis? | Patient: Ive had bronchitis since Friday. Chest is clearing now although I am still wheezing and feeling "thick" in one place i my right lung which traditionally is the same part that feels sore when I smoke (ex/heavy smoker who, for the last few years has smoked intermittently, around 1 or 2 a day). Haven't smoked for two weeks. I am sore under my right arm and side of right breast. Still congested in my right sinuses and light headed and lacking energy, occasional pain in diaphragm but that could be acid reflux or it could be the bronchitis. Should I visit my doctor? Doctor: Hello,Yes, you should definitely visit your doctor. Since, you were smoker and you were had bronchitis, you are more prone for lung infections like pneumonia.Your symptoms are more suggestive of right sided pneumonia. So, it is better to consult pulmonologist and get done clinical examination of respiratory system and chest x-ray. Chest x-ray is must for the diagnosis of pneumonia.You will also need antibiotics, mucolytic and expectorant drug.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar | 71,524 |
What does this MRI of lumbar spine indicate? | Patient: My Neurosurgeon appointment to go over my MRI isn’t for 2 weeks. Can you explain the following impression from my MRI of the Lumbar Spine W/WO Gadolinum Enhancement:1. A transitional vertebra is demonstrated. For the sake of this interpretation, the transitional vertebra is designated as S1 and the vertebra above the transitional vertebra as L5.2. There is mild hypertrophy of ligamentum flavum at L4-L5 level bilaterally.3. There are hypertrophic changes at facet joints of L4-L5 level bilaterally. This level shows moderate degree of stenosis of the thecal sac secondary to hypertrophic changes at facet joints, hypertrophy of ligamentum flavum and a posterior cystic lesion on the right side causing pressure over the thecal sac and right S1 nerve root. This cystic lesion has a bilobed configuration, part of it is within the right lamina of L5 measuring about 11.05mm x 6.1mm and second component, which is interspinal, which measures about 8.7mm in diameter. This lesion has a central non-enhancing area surrounded with a thick layer of enhancement. It certainly does not have the appearance of a simple cyst such as a synovial cyst. The fact that there is an interosseous component and shows considerable renal enhancement raises the possibility of an inflammatory or less likely neoplastic nature. Biopsy and decompression of this area is advised. Doctor: Hi, your MRI report tells that there is some degenerative changes in the joints of your spine, and that is causing some what narrowing of the canals through which the nerves comes causing compression, there is also some cyst type lesion, and that they suspect to be infection more likely to tumor, but have advised you Biopsy to ascertain the nature of the tissue.Does that help.Take care. | 138,899 |
Suggest treatment for lump on neck | Patient: my husband found a lump on his neck, under his ear...it's painful when he presses on it...no other symptoms with it...I am very concerned it could be serious, he's making an appt. with his doctor...for the past few days, he's had bad headaches...could he be fighting something: Doctor: Hi,Dear,Good evening from INDIA.Thanks for the query to HCM.I studied your query in details and understood your concerns.@My impression of your case -is-mostly -Parotid tumour?or Parotitis ?or could be a-benign Pleomorphic Adenoma of Parotid (BPAP)Suggested Treatment-a-Consult ER Surgeon and CT study of the lump to fix the diagnosis with FNAC Biopsy.b-Surgical Excision-of the lump / Partial Partotidectomy of the BPAPThis would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query.Welcome for any further query in this regard,and would love to help you to resolve this problem till it is solved to your satisfaction.@I would take opportunity to request you to Write strong recommendations promoting my services for the benefit of my new and old patients at HCM clinic.Wishing you fast recovery..!!Have a Good Day.With Regards ,Dr.SAVASKAR M.N.Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures. | 63,943 |
How can sciatic pain in the lower back be treated? | Patient: i have sciatic nerve pain in lower back i have been in er twice they give me an injection of turoson.it numbs the pain but comes back fast when the shot wares off. back meds prescribed to help dont do a thing for me heat pack didn, t work butt ice pack seems to give me temporary relief. but why does the medicine work and what is the best methoed of remedy for this pain in the back Doctor: Hi, I had gone through your question and understand your concerns.With such presentations in my clinic, I would first reassure my patient ,I suggest doing MRI FOR LUMBOSACRAL spine to search for any cause of radicular sciatic pain and I prefer using certain medications:-Pregabalin 150 mg once daily to relieve numbness.-Thiotic acid containing medications twice daily.-NSAID and muscle relaxant. | 107,136 |
What could cause a periodic twinge of pain in the rib cage? | Patient: I have a periodic twinge of pain (similar to the feeling you might get in your elbow if you hit your funny bone) about 2-3 inches below my right breast under the rib cage. It started about a week ago, only happening once or twice last week, but several times yesterday. I feel it less this morning, but can feel it slightly when I twist my torso. Doctor: Hello, It could be costochondritis. As of now you can use analgesics/anti inflammatory combination like Aceclofenac/Seratiopeptdase for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best. Regards, Dr. Shinas Hussain, General & Family Physician | 122,303 |
Recovering from tumor after after chemotherapy and radiation. Suffer from heartburn, hypertension. History of heart attack. Advice? | Patient: My grandmother is 66 years old and finished up her chemo and radiation treatment about 3 or 4 months ago. Since she s finished she has had a very hard time. Thetumor has shrunk and is not currently getting bigger. But she has not been able to eat because she gets heartburn and acid build up, she has been having trouble with her blood pressure , she gets very worn out by the end of the day and just usually feels like crap. 3 weeks ago she suffered a heart attack and has been in and out of the hospital for the past month. Tests are always ran and more prescriptions subscribed but never a fix. I dont know what to do? Doctor: As you might be aware conditions such as cancer, hypertension, heart attacks need long term management and review. It is good news that the tumor has shrunk. You can give her some antacids an hour before meals and this would help the acidity. The blood pressure needs monitoring and her drugs for it need to be reviewed and adjusted to prevent an increase. As she begins to eat, she may feel better. Hope this helps. | 158,914 |
What is the treatment for cough , cold and influenza? | Patient: Hi, I have had a pretty bad cough and cold, possibly flu for the best part of a month now, which has pretty much resolved, but I now have a pain on the left side of my back, level with the lower part of my scapula. This is worse when I cough or breath in and seems to be going into my left arm. I don't feel as if I pulled anything whilst coughing. Any ideas what this could be? Many thanks, Wendy Doctor: HiThank you for asking HCMI have gone through your query. Possibilities for your problem can be muscle strain from excessive coughing or irritation in lungs. Better to do a lung auscultation to rule out any problems relating to lungs. If that is clear. Then taking cough suppressants , antihistamines and local hot fomentations will be helpful to clear your problem. In case of any positive lung signs on auscultation then chest x ray will be required.Hope this may help you. Let me know if anything not clear.Thanks. | 30,304 |
Suggest treatment for back pain | Patient: I quit taking my Norco pain killers after being on them since mid 2008. I had to take more than prescribed to get any relief so this time when I ran out almost two weeks before my next Dr. visit I planned to be sick for a few days until the withdrawal was tolerable. Now a week since my last pill I am experiencing the actual back pain that drove me to the Dr. in the first place. This pain has been with me since I was 14, literally 30 years. I have tried chiropractic services, acupuncture, and was hospitalized with autoimmune hepatitis after taking diclofenac with tylonel because alone it did nothing for the pain. I was even on MS Contin ER for 18 months with the Norco and decided to quit them cold turkey in early 2012. My question is, what are my options? I do not want a narcotic pain reliever and I am susceptible to depression especially when the back pain remains, well, chronic. Doctor: Dear friend,first of all thank you for your consultation.I have read your case history very carefully.it seems that you are suffering from back pain for quite a long time.in my day to day practice I have seen people with severe pain and I advised them to take narco or pain relieving medicine.but I believe that taking these drugs for a long time has its side effect and people become tolerant to these needing more drugs to get relief.so I tell my patients to go for a regular home regimen of physiotherapy.I am telling you to start back muscle strengthening exercise like vertebral extension and flexion exercise.also make some change in your lifestyle like making it a point not to sit in a chair or stool for a long time .try to avoid bending forwards and never lift heavy objects.I sincerely believe you will feel much better if you follow this and you will start leading a healthy and happy life.thank you. | 107,787 |
Taking ipill, unwanted every month after sex. Periods have reduced to 2 days. Will this affect my future pregnancy? | Patient: , I am a 21 yr old female. I am in a committed relationship for 5 yrs. I have a couple of questions, Pls assist. 1. I would like to know what if iI and my partner have indulged in an unprotected sex ones every month ? And take ipill or unwanted after sex wat harms can i have using these pills regularly once a month? 2. My periods are regular. Infact i get them 3-4 days earlier than the previous time. But the flow I get is very light. My periods last for only 2 days that also not with a heavy flow. I experience bloting on 3 n 4 day. I would like to know does the flow of periods matter in future pregnanacy. Will I have probs conceiving as we plan to get maried next 3 year. 3. I and my partner had an unprotected intercoure on the 10th (sunday). I have taken an i pill on the 11th. I had previously taken an i pill last month. I would like to know whether taking an i pill in such time difference is safe or not? ALSO DOES I PILL OR UNWANTED 72 RESULT IN INFERTILITY LATER OR CAUSE COMPLICATIONS WHEN I WANT TO CONCEIVE. An early revert is appreciated! Thank you. Doctor: Hello,thanks for using health care magicIpill is a progesterone based medication and it is effective iin preventing pregnancy when taken within the recommended time period of less than 72 hours following intercourse.Ipill being a progesterone, has the potential of altering menstrual flow both by volume and duration. However, this is just temporally and gets regularized after a couple of cycles.Occasional in take of Ipill has no effect on fertility. However, persistent in take for years could suppress ovulation that would take a long time say up to six months and even above one year before coming back. With absence of ovulation, you will definitely be unable to get a pregnancy.Unprotected intercourse is a risk factor for sexually transmissible infections such as HIV, herpes, , hepatitis B virus and HPV which is associated with cervical cancer.Hope this helps you.Best regardsDr Achuo | 226,111 |
Can Hydrocodone be taken for severe pain due to disc herniation? | Patient: My doc prescribed tramadol 50 mg for what I consider to be sever pain for a bulging disc. I ve been taking it for three days and getting almost no relief. Can t stand, walk, sit or lay down get any comfort. I just found a prescription that I had been given for a gall bladder removal a few months ago for hydrocodon acetaminophen and never felt the need to use. Could I use it for my current problem? It s Saturday night and I ve shaking from the pain in my back, hip, and leg. Doctor: Hi, Taking narcotics without letting the doctor know about it is a red flag for the development of addiction. You should be monitored for that even on Tramadol and the Hydrocodone if it is in your system will prompt a serious discussion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | 215,729 |
What causes chest pain with fingers tingling and numbness? | Patient: my boyfriend is suffering with problems just below where his heart is... he sometimes gets pains in the right side of his chest which makes his fingers on the right side tingle and go numb.... also recently his chest just below where his heart is has started making a funny and very loud noise (which happens every so often), but he can feel it all the time... He has been to the doctors and they said he has just tweeked a nerve, but i feel that it is a bit more than that... after hearing the sound that it makes (like a bop sound... i would say as if two wet things are sticking together (really hard to explain) i think that it may be more than that... hope that you can help me... my boyfriend is only 18 years of age... Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that his symptoms are not indicative of any serious medical disorder. A musculo-skeletal pain or a pinched nerve could explain all this clinical scenario. Anyway, if his problems persist, I recommend consulting with his doctor for some further tests: - a resting ECG- a chest X ray study- a nerve conduction study to examine his nerves- a cervical spine X ray study to investigate for a possible disc herniation. Hope you will find this answer helpful!Wishing all the best, Dr. Iliri | 20,030 |
Rough, dry patches on knuckles, elbows, using hand lotion which gives short time relief. Indication of disease? | Patient: I have rough dry patches on my knuckles. most of the times it is confined to the pinky finger knuckles but sometimes it is on my other if not all of the other knuckles. I also have very dry rough elbows. I put hand lotion on these areas all the time but it only helps for a short time. Is this a symptom of a larger condition or just a case of dry skin? Doctor: Hello. Thanks for writing to us. From your description, eczema seems to be a likely possibility. It is not a serious problem and most of the times a good massage daily with moisturising cream helps. You can use exfoliating creams also before taking a bath. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected] | 9,597 |
What could be the reason for pain in the lower back radiating to the right side? | Patient: I was sweeping this morning and i IMMEDIATELY FELT A PAIN ACROSS MY LOWER BACK AND RADIATING ROUND MY RIGHT SIDE. i HAVE HAD THIS A YEAR AGO, AND IT DID GET OK WITH TIME. I DO HAVE A BAD BACK ALL YEAR ROUND BUT JUST A TWINGE, BUT LAST TIME I HAD THIS I COULENT WALK OR STAND UP STRAIGHT THIS TIME IM NOT THAT BAD. THANKING YOU Doctor: Hello, I have studied your case. Due to compression of this nerve root there is pain in your back.I will advise you to do MRI spineFor these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Ultrasonography abdomen and pelvis will help to rule out other pathology leading to pain.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | 111,994 |
Suggest treatment for anxiety disorder | Patient: Hello, I was wondering if you could recommend an over the counter cream that is like silvadene? I suffer from anxiety and haven t been able to leave the house since I got out of the hospital. I had cellulitis with sepsis and they gave me silvadene,but its gone now. I finished antibiotics and am just try to find something to help my leg wound heal safely. Doctor: Thanks for your concern about your leg.The anxiety you are experiencing is due to genuine concerns about the wound in your leg. You feel that it may get worse, or it is causing you physical discomfort. This is making you anxious. You have a right to be anxious, in this situation at least.If you experience pain or fever (increased body temperature), then I'd ask you to immediately go to the hospital and get yourself examined. They will probably give you an over the counter medication like Tylenol (Paracetamol) or they might prescribe you some Advil (Ibuprofen).Silvadene (Silver Sulphadiazine) is a cream used to deal with these issues, and if, as you say, even after finishing the antibiotics, your wound has not yet healed, then you might seriously want to visit the hospital or a local doctor to attend to your wound till it heals. Your anxiety is your mind's way of reminding you that you have not addressed certain issues in your life.If on the other hand you are house bound, and cannot go outside of the house to seek medical help, or are fearful of situations in which you have to mingle among crowds of people, or are fearful of open spaces, then I would seriously suggest that you see a counselor or a therapist as regards your fears and anxieties. Please do not take medicines for "anxiety" that you might find on the internet. Also do not take any illegal substances ("drugs") for your "anxiety".It will lead to your anxiety blooming and increasing. It's always a bad idea. I hope this helps. | 205,762 |
How to heal turning mediated knee pain post knee cap surgery? | Patient: I shattered my knee cap in march 2013. Since then I have had 4 surgeries. The last one was to smooth out the back of the knee cap and to remove scar tissue and to tighten the meniscus that was loose. I was doing OK until I went to turn around and heard a popping sound followed by extreme pain for about 15 seconds. Since then every time I turn I have cramping and pain in the knee. My surgery was only 4 weeks ago. My surgeon said to wait 4-6 weeks to call if I am still in pain. The pain has got worse since the popping sound.. I am not sure if this was just normal healing or if this is something I should call the DR. about. Doctor: In my opinion your rotation made meniscus loose again i think you should call him , he might suggest no loading or manual repositioning of your meniscusGood Luck | 131,000 |
Why does child wake up during sleep? | Patient: hi my name is Sara and my 2 yr old son use to go to bed no problem and sleep through now he screams when me or his dad leaves the bedroom and then wakes in the night and can be awake for about an hour and half. when i go into the room he gets out of bed and stands facing the wall really close and wont let us comfort him. his bedtime routine has not changed could he be waking up with nightn terrors? Doctor: Hello,Night terrors are frightening for a parent to witness. The child appears agitated and panicked and confused and dazed and may have his eyes open. At the beginning of the night terror, he can cry or scream. He may mumble, is often clumsy, and push a parent away. The child is unaware of what he is doing and has no memory of these events when he wakes up. He might become more upset if you attempt to calm him down. He may seem to be awake but is actually asleep. A night terror occurs within 1-2 hours after falling asleep. Duration: a few minutes to an hour.Night terrors often run in families. Can occur during naps, as well. Usually, require no treatment; however, if there is injury, violence, or serious disruption to family, then speak to his doctor. Another possibility to consider is night walking in which the child learns to need something(being rocked, fed, blanket) in order to fall asleep at bedtime. This same need can be present in order to fall back to sleep when waking during the night. When the child's needs are not readilyavailable during the night(being held, having a parent present) prolonged night walkings can occur. Here are a few tips to reduce night walkings:- Make the bedroom the same at bedtime as it is throughout the night(lights, music).- Put your son to bed drowsy but awake.- Check on him on a schedule according to his temperament and parents' tolerance for crying. The goal is for him to fall asleep independently.- Respond to the baby as usual(rocking, soothing) following nighttime awakenings. The self-soothing skills(falling asleep easily, quickly) that he develops at bedtime are likely to generalize to self-soothing during the night.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Arnold Zedd | 163,113 |
Suggest treatment for lump on arm with itching | Patient: I'm a 21 yr. old female and for the last couple of months. I've had a hard like bump on my upper right arm. It doesn't seem to go away, and I find it itching.. It's about the size of a pea. I thought it would go away, but it doesn't seem to have decreased in size at all. Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some enlarged axillary lymphnode. It can be due to reactive hyperplasia. Or you may have some cyst or soft tissue tumor. You should go for fine needle aspiration cytology or excision biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 63,720 |
What causes pain in the swollen lower leg and ankle? | Patient: Pain began about 2 weeks ago on the inside off my right knee at night when I had just gone to sleep. ibuprofen and icing relieved the pain and I could sleep. Tonight I have pain in my swollen right lower leg and ankle. An area 6 above the ankle has many bright red blotches on the inside of my leg. I have had varicose veins for decades. I have worn support stockings for 22 years. July 11 I had a repeat cardiac ablation. I am on eliquis, diltiazem and recently went off sotalol. Since going off sotalol 2 weeks ago I have felt great and been very active doing hours of yard work, taking class in tai chi and chi gong. Should I go in to see my internist? Doctor: Hi, Consult an orthopedician and get an MRI scan to look for any possible contusion or fracture. As of now, you can take analgesics/anti-inflammatory combination like Aceclofenac/Serratiopeptidase for symptomatic relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | 126,272 |
Why am i having a hard time in focusing and concentrating on things? | Patient: Hi there, I have a hard time focusing. I am making lots of mistakes and it just feels like my head isnt right. I have a hard time focusing and concentrating on things. I cant even have a conversation with a person because I cant focus on what they are saying to even comphrend what they are saying. Doctor: Hi,Thank you for posting your query.I have noted your symptoms. There could be various possibilities that could explain your difficulty in concentration. These could include electrolyte imbalance such as low sodium, low sugar, etc. Also, lack of blood flow to brain (ischemia) could be the underlying cause. We should also rule out stress or anxiety.A detailed neurological examination would be helpful.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/ | 147,412 |
Back pain. Normal test results. Reason not found out. Any ideas? | Patient: my dad is in hospital at present and we don't know what is wrong. they have checked him for urine infection,gaul and every thing has come back clear. he is 73 but has been complaining of pain in his back lately. after 2 days in hospital he is no better and seems confused and doesn't even know he is there. any ideas.thank you Doctor: Hello, I have studied your case. There can be possibilty of malignancy or metastatic lesion leading to disorientation and confusion.I will advise to do MRI spine and brain, and urine ben jones protein,and electrolyte.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care | 112,426 |
Suggest medicine for penis enlargement | Patient: Hello, I am 22 and looking for a way to gain length in my penis size. I have seen Companies that sell pills that claim they are the best. I want to know if they work at all? if they do, what brand would you recommend. If they do not, what other option is out there? Doctor: Dear, We understand your concernsI went through your details. There are no tried and tested penis enlargement products or supplements which will provide you with dream sized penis. There are no medicines or pills for that. You should not go behind those cheating people who give colorful advertisements to get your money.If you want to improve your penis size effectively, you should work out every day. When you do physical exercise, your body will be in good shape, your self-esteem is also improved. Whenever you feel good, you will feel more satisfied about sex, and you will increase penis size accordingly. 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. | 197,868 |
Could fever in toddler be due to swelling of adenoids? | Patient: my three year old child has had fewer three times in the past one year and two times we were told by our doctor that it was due to swelling of ADENOIDS. can you please clarify more. why does this do occur . how to take preventive measures and what should be the diet followoed during such perriod Doctor: Hi, if you want me to answer your question directly if adenoids can cause fever I would say yes because they can be a nidus of infection. But at the same time, the most common cause of fever in young children is not adenoidal hypertrophy but it is a simple viral illness. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | 161,587 |
What causes severe pain in the arm? | Patient: Had a labrum tare repaired in my right shoulder two months ago and going though physical therapy now. my right arm feels like a truck is running it over. Pain is getting worse. My orthopedic dr says he dont know why and its nothing. Its even making my pinky and ring finger draw up on my right hand should i see a new dr? Pain is getting almost un barrable Doctor: Hi,Thanks for your query.Due to compression of nerve root in cervical spine there is tingling numbness and pain associated with it.I will advise you to MRI cervical spine for better diagnosis.For these symptoms analgesic and neurotropic like pregabalin and methylcobalaminmedication can be started consulting your doctor.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | 138,954 |
What is the suggested treatment for swollen ankle and bruises on knee after falling down? | Patient: Hi, So, I m in track. Earlier today I fell on a hurdle. I face planted onto the ground. I have a bruise on my knee with multiple purple dots. On my left leg my ankle is swollen almost double in size. Whenever I stand up my ankles feel like I just jumped of something tall. I m only 15. What should I do? Doctor: hi dear hope this msg finds u in good health. u seem to have strained ur soft tissues or boneu should get an xray done immediately to find out whats wrong if its normal..u just need rest..analgesics and bandage if required when needed, feel free to consult me anytime thanks Take care god bless | 132,914 |
Diagnosed with sinus, bronchitis, asthma, has difficulty in breathing, on steroid pkg and antibiotics. What can be done? | Patient: My friend works outside in north carolina recently diagnosed with a sinus infection, bronchitis and asthma . Patient is on an inhalor. Patient is unable to catch her breath, but her 02 sats are 99%. She has been on 2 different steriod pkgs, and antibodic, but she is still having a hard time to breath, Please advise, she went to urgent care they did nothing. Doctor: THESE TYPES OF ALLERGIES ARE DUE TO FOOD MOSTLY MILKIF NO MEDICINE WORK WITHDAWL OF MILK AND DIARY PROTEINS WORKCOMPLETELY WITHDRAW MILK AND IARY PROTEINS FOR 3 MONTHSNO NEED TO USE ANTIBIOTICSADD MONTLUCAST 10 MG TDS AND BRONCHODILAOR SP AND ANTACID SYP TDSSTEROIS CAN BE CONTINUED BUT TAPERING OFF AS THE MILK WITHDRAWL EFFECT COMEAPPLY NEOMYCIN H EYE OINTMENT IN NOSE BDSEA WATER 2 DROPS IN EACH NOSE AT NIGHTCOMPLETE 3 WKAND MEAN WHILE GET BLOOD SERUM TESTED FOR SPECIFIC ANTIBODIES FOR FOODS PROTEINS YOU EAT DAILY AND WITHDRAW THEM SHE WILL BE FINE | 103,618 |
What causes shoulder pain and vomiting? | Patient: my 11 year old daughter has had shoulder pain for some days and last night vomited after going to bed. She feels fine today, tired, but she still looks peeky. There are no spots on her chest or back, but I just have niggling feeling about shoulder pain and vomiting... Doctor: Hello,The shoulder pain does not seem to be related to the vomiting. It could be a viral infection, which is causing both muscle and joint pain coupled with indigestion. For this reason, I recommend having some rest and taking plenty of fluids. If this situation persists, I would recommend consulting with her doctor for a physical exam and some blood lab tests.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | 119,886 |
What causes right side of mouth to droop? | Patient: Hi Doc -- my husband who is 65 years old, had a bad case of the flu about two weeks ago. He recovered in 3 days without taking any medication. Now (3 days ago), 10 days after getting the flu he has lost his taste. His tonge is slightly numb and right side of mouth is slightly droopy. Upon noticing the droop we immediately did the FAST test to check for stroke. He did well. Today his sense of taste seems to be coming back a bit but the slight droop (better in the morning) around the mouth still lingers. Could this be Bell s Palsy from the viral attack of flu? Doctor: Yes.this is a case of bells palsy due to viral infection which lead to inflammation of your facial nerve.you should take steroids for 28 days.it will be back to normal but it takes time.need facial exercise. | 146,195 |
Suggest treatment for constant back pain | Patient: Hi i had bone Tb in my spinal code when i was 2.5 yrs old. and did poperation at the age of 16 because the doctor who did my treatment took wrong decition and my back bone band that time my paraents told doctor and he told that after operation it will be ok. but my parents took me to india and did operation. but band back bone not remove. the problem is that i am having continous back pain. Doctor: Hi welcome to HCMThe spine, a row of 26 bones in your back, allows you to stand up straight and bend over. The spine also protects your spinal cord from being hurt. spinal stenosisis caused by narrowing of spinal canal . Spinal stenosis is most common in men and women over 50 years old. Younger people who were born with a narrow spinal canal or who hurt their spines may get spinal stenosis. constant back pain | 109,098 |
Suggest treatment for old diabetic person with cardiac problem | Patient: Dear Sir, My father has complained of dryness in chest and breathlessness. We have admitted him in hospital where doctor has diagnosed his with cardiac problem. My father age is 74 Years and he is chonic Diabities Patient but not on insulin. Please find attahed report and discharge summary and suggest future course of treatment. Doctor: Hello,Your reports are not available here, you need to re upload it. There is probability of heart failure is there and he should limit his fluid and salt intake. He 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. Get your lipid profile tested once. Avoid sweets and refined food. Regular sugar monitoring and hba1c should be in a range of 6.5 to 7 or maximum 7-7.5.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode | 22,277 |
What is the treatment for high fever in a child? | Patient: my 7 year old son is having high fever early in the mornings for the past few days. But he do not have fever during the day time. He had high degree fever two weeks ago. After a week he was ok. Now we is having fever during early in the mornings. Please advice what should i do, Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Fever for few days without any localizing signs could be a viral illness. Usually, rather than fever, what is more important is the activity of the child in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will be there for 4 to 7 days. So, do not worry about duration if the kid is active.Paracetamol can be given every 4 to 6 hours that too only if fever is more than 100°F (37.7°C). I suggest not using combination medicines for fever, especially with Paracetamol.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani | 165,537 |
Suggest treatment for nightfall | Patient: good noon sir/mam i am suffering from a nightfall problem from last five year but i think that it is a normel act but now a days it happens so many time even sometimes 7 days a week so i am felling very tired and uncomfertable because of that pls suggest me a bst solution 4 this prblm.my age is 19 years and my weight is 56 kg. Doctor: Hello, The nightfall is common at such a young age. However, if you are feeling excess nightfall then try to watch fewer porn videos and magazines if applicable. You can try yoga and meditation. You can focus more on the study. So night fall is not the disease. But you can follow above measures to prevent it. If no improvement then consults nearby sexologist or psychiatrist for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician | 193,822 |
Suggest remedy for gallstone pain | Patient: I have gallstone pain i am taking prescription painkillers i am hungry and cant afford to loose weight can i eat pistachios ? The pain made me cry earlier I have indegation constantly and wind but im not yellow shall iwait for my scan next thurs i can bear the pain if i contantly take painkillers Doctor: hi.noted history of gallstones with intake of medications. in early stages of gallstone formation, it is possible for the sludges or smaller stones to dissolve with the medication intake. but if it's already big and is numerous, the chance for it to dissolve is less, causing the symptoms to ensue despite medication intake. if the symptoms are bothersome, persistent, or increasing in frequency of occurrence, it is best to consult with a doctor with urgency, preferably a general surgeon, for physical examination and clinical evaluation. diagnostics (such as ultrasound, blood count, liver function tests, etc.) and management (medical and surgical) will be directed accordingly. cholecystectomy (surgical removal of the gallbladder) is the definitive treatment, which could be done laparoscopically (goldstandard) or thru open technique. low fat diet is also recommended.hope this helps.good day!!~dr.kaye | 55,176 |
How long is shingles infection contagious? | Patient: I am about day 14 of a shingle outbreak . I baby sit a 21 month old who is not vaccinated for chicken pox and his Mother is 3 months pregnant R but thinks she has had chicken pox. Am I still contageious to them while I did not have a lot of pox they appear scabbed over however I still have residual nerve pain. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In theory, shingles would be contagious until the vesicles are scabbed over which is the case with chicken pox. In reality, there are not reports of spread of the herpes varicella zoster virus from people who have shingles like there are when people have chicken pox, which can be spread by respiratory secretions even before erupting in pox. So it should be ok for you to be around the baby and his pregnant mom. Residual nerve pain can unfortunately persist even after the skin is completely clear, but does not indicate contagiousness. If you were able to get on an antiviral within 72 hrs or so of the eruptions, the chances your nerve pain will resolve without issue are very good. Hope I have answered your query. Let me know if I can assist you further. | 28,734 |
Will ova set tablets help me in conception? | Patient: am a mother of three year old kid and am trying for second baby from past one year and there is no positive result so i consulted gynaec she suggested me to have a tube test and for my husband to have sperm test his test was normal and my tube test also but while doing tube test doctor had told me that while doing surgery for my first kid doctor have pulled t uterus so the cervix position is not in good position so they have said try for three months with ova set tablets if u cant conceive we need to inject sperms directly to your uterus please suggest me regarding this on my mail id YYYY@YYYY Doctor: HAI WELCOME TO HCMyou can take ovaset tab.ovulation induction with follicular monitoring will help you conceive soon.IUI WILL INCREASE your success rate. | 42,874 |
Took Registrone to conceive. Helpful? | Patient: hi, i am trying to have baby & visited to doctor for the same also she gave me some madicins for 1 month then after thet my due date of periods was 28 which is not come till 2nd so i visited to doctor again she checked pregnancy through kit which shows negative. so she advised me Registrone 5 mg . do this will help me if i am pregnant since i have still not got my periods. Doctor: hello, There are several reasons of delayed/missed period like hormonal imbalance,stress/anxiety,ovarian cyst/PCOD,thyroid problem,wt gain/extreme loss,irregular eating habits etc. Need to investigate properly to rule out underlying pathology by USG lower abdomen,Thyroid profile, LH/FSH etc.You may clear doubt by doing blood test for B-hcg to exclude pregnancy. Tab Regestrone is a progesterone tab and helpful in regularize period or commencing withdrawal bleeding within 7 days of stopping. To conceive,do unprotected sex around ovulation time for highest possibility of pregnancy.Ovulation occurs approx 14 days prior to due date. Use Ovulation Prediction Kit to predict ovulation time and prepare for that. Avoid stress,take healthy diet with Vit-E & Folic acid supplements in preconception period at least 3 months,control body wt by regular exercise and need proper sleep. Be well. | 5,832 |
Suggest treatment for pleural effusion | Patient: hi , m suffering from pleural effusion since last six months. i took rcinex , combutol and pyrazinamide for 2 months and rcinex and combutol till date. Still there is 300 ml fluid in my left lung. is this the best treatment or should i change the medication. please advice Doctor: Hello,It is the correct regimen, so no need to worry. Some patients need a longer duration of treatment for complete resolution of pleural effusion. So in my opinion, you should continue R-Cinex and Combutol for two months more. Also, take multivitamin tablets and protein powder. It will heal your residual effusion. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Kaushal Bhavsar | 71,621 |
Is there any chance of pregnancy by having intercourse 6 days before ovulation ? | Patient: Hello I had unprotected sex with my husband 6 days before my ovulation day what are my chances of getting pregnant Doctor: Hello Thanks for your query. unprotected sex 6 days before ovulation has very negligible chance of pregnancy ,as lifespan of ova is less than 36 hours & sperm is not more than 72 hours. ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and trouble free speedy recovery” | 7,077 |
What causes green colored stool after eating ragi porridge? | Patient: Hi, I feed my 8 month old son raggi porridge quite often. I noticed that he poops soon after he eats raggi and the poo is green in color. Does that mean raggi doesn t suit him. Please advise. I also sometimes mix a spoon of banana powder with raggi powder to make porridge. Thanks Doctor: Hello. I just read through your question.It is most likely that the ragi is causing his stool to be green. This does not mean it doesn't agree with him. The green stool is nothing to be concerned about. As long as his bowel movements are comfortable, there is no need for worry, regardless of the color. | 176,639 |
Need medication for high BP | Patient: My mother is 80 years old and suffers from high blood pressure. She has been having Angizaar h for this condition for many years. Today her bp was 180 by 110 and the doctor has prescribed Nicardia Retard 20 mg to be had in addition to the Angizaar. Is this safe? Doctor: Hello. Thank you for your question and welcome to HCM. I read your query and understood your concern. These are very high blood pressure figures for a person who is under treatment to control it. Blood pressure at this age should be kept under 135/85 mmHg, assuming that she does not suffer from other co-morbidities. There is nothing wrong with this combination, it is a safe and effective combination. If I would be her doctor, I would suggest a beta-blocker more than a calcium channel blocker with a slow release. Beta-blockers are effective in lowering the blood pressure and reducing the heart workload. I also would suggest a visit to the ophthalmologist (the eye doctor), since a fundoscopy test should be in place. Also, I recommend running some liver and kidney fuction tests: urea, creatinine, AST, ALT, total cholesterol and LDL-cholesterol. These suggestions are more to follow to wich grade is the harm done by long-standing hıgh blood pressure. I hope I was helpful with my answer. Feel free to contact again. Take care, Dr. Meriton | 26,942 |
How effective is radiation for killing cancer of the lymph nodes? | Patient: How effective if radiation for killing cancer of the lymph nodes. I had nueroendrocrine cancer and finished chemotherapy treatment in Oct of 2013. After my CT scan there were no signs of cancer. Now 4 months later I have two lymph nodes that are cancerous. What are my options Doctor: HIThank for asking to HCMI can understand your query, you do have a history of malignant disease and now again you have lymph node and according to you this could be a malignant one, in my opinion it is better to see the oncologist to get this confirm and that is the only option you have, hope this information helps you, have nice day. | 156,806 |
Suggest treatment for heart palpitations in a child | Patient: My son is 13 years old and complaining of his heart "feeling "funny"...has been saying this for a couple of weeks at different times. I am an RN, trying not to panic. It bothers me that he feels it. It is not palpitations, or rapid beat... It is like an extra beat at different intervals and he feels it. Doctor: HelloThe symptoms you mentioned is suggestive of premature excitation.This Premature excitation may be arising from ventricle or atria.I would suggest you to get an EKG done when he is symptomatic or else get a holter monitoring(ambulatory 24 hour EKG) done if it is infrequent.He may also need an Echocardiography to rule out any congenital or acquired heart disease.Medications like calcium channel blocker or beta blocker may be needed after reviewing the report.Regards | 174,961 |
Not able to conceive due to blocked fallopian tube. Have symptoms of pregnancy. Test is negative. Why? | Patient: I was told 9 years ago I could not have a baby naturally as I have only one ovary I was told that the only Fallopian tube I have is blocked however I am around 2 and a half weeks late Last night I did a pregnancy test which showed negative but I still have not come on ! I have symptoms of pregnancy Could I still be pregnant? Doctor: Less likely if the pregnancy test is negative but you can still wait fir a day or two and repeat a pregnancy test with early morning first urine sample which is most accurate. Delayed period could be due to variety of reasons like stress hormonal imbalance,change in weight suddenly etc,so if pregnancy test comes negative consult your doctor once to get the reason for delayed period and appropriate medication for same. | 5,782 |
Black skin rashes around the nose and mouth. Tried fungal infection creams. Need permanent cure | Patient: i am 22 yrs old i have some rashes (black in colour) around the nose & mouth(beard) pealing like white scales, suffering form more than 5yrs, consulted more than 10 doctors but this infection was temperorely cured , all suggested some fungal creams but no use it was temperory , i need a permanent cure, any way..? and suggest me a best fungal cream & medication . Doctor: .black skin rashes around the mouth and nose can be seborrhic melanosis.use a moist and keto-b in the morning and melaglow can cure it.use supplementation of biotin and b12 tablets which permanently cures it | 15,424 |
What does low albumin level indicate? | Patient: i received a call from my son's skin doctor that his Albumin levels were low. Unfortunately, the office is presently closed so I can not ask why they may be low. He had his monthly blood test that is give for his Accutane use. Should I be concerned? Is it related to the drug use or is there potentially another cause? Does it effect physical as well as mental.... Doctor: thank you for posting your query.further evaluation needed but maybe low albumin is caused by Accutane use.Hypoalbuminemia ( low albumin in blood) has many causes. Common causes are chronic hepatitis caused by Hep B, Hep C, alcoholism, drug toxicity, wilson disease, hemochromatosis.what is the age of child? has he been tested for viral hepatitis profile?if there is a NEW onset and after the use of Accutane , then most likely this drug is the cause.visit your treating physician OR gastroenterologist at earliest.any further queries, feel free to post @HCMHealth professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish the kid good health.regards,DR Tayyab Malik | 54,587 |
Have occult primary cancer. Removed lymph nodes, had chemo. Ribs pain. Should be concerned? | Patient: Hi my name is Pam and I have an occult primary cancer, removal of 37 lymph nodes left side of neck, had chemo and 35 radiation treatment - completed september 2012 My blood count continues to go down - white cell count 3.0, lymphocytes 0.5 - lymphopenia and slight anaemia I know have pain under my left ribs - abdo area - is this an area of concern Doctor: Hi and welcome to HCM. If you think of cancer metastasis it is always possible,but isnt usual in this place. IT can be basal pulmonary infection(esepcially considering your low WBC) or stomach and spleen issue. Also chemo and radioth have effect on many organs including spleen and liver.I suggest to do abdominal ultrasound and chest xray and everything will be clear. If you have reathing difficultis,vomiting or sharp pain around heart and left shoulder you should go to hospital as soon as you can. Wish you good health. | 158,868 |
Is high live enzymes a symptom of alcohol poisoning? | Patient: high liver enzymes, CK levels 3108, I experience rabdomylysis with any strenuous physical activity, undigested food, frequent blood in stool, negative for celiac disease, lactose intolerant. cant eat anything with vitamins, wheat and any fats are really toxic they cause the numbers to go real high!, fruits, vegetables, juice . I feel like I have alcohol poisoning and have for 8 years. problem has got worse with time. any of these foods make it worse. I can only eat fish rice and chicken without fat and water. Cant concentrate hear or see right. sometimes bed ridden, doctors don t know why. GGT has been high on couple of occasions too. Thank you Sincerely Doctor: Hi thanks for asking question.Noted you are drinking alcohol since 8 year.Your liver enzymes elevated.So yes you might have chronic liver disease induce by alcohol.Do serum albumin and PT along with USG examination for cirrhosis.....Here you are also having alcohol induce severe gastroenteritis.so blood in stool.Consult doctor for proper treatment...Meanwhile now you have to stop alcohol gradually Fruits eaten more.Green leafy salad taken.For few days take soft and bland diet ..One tsp cumin seed with water taken daily.As you have lactose intolerance Avoid dairy product....You might need an antibiotic if needed.Take care....Dr..Parth | 54,790 |
Could swollen gum, ear pain and headache be due to wisdom tooth coming in? | Patient: Behind my molars the gum is swollen. My ear has been hurting for a couple of days. I have also had a stuffy nose and slight headache. Behind the molar were it is swollen i can feel a hard bump. Almost like a tooth. I was wondering if this was my wisdom teeth coming in and do i need them removed? Doctor: Thanks for using Health Care Magic.Read your query.Yes ,The hard feeling in the mouth behind the molars can be due to the erupting third molar.It is not compulsory to get them removed.Wait until they are erupted and if after erupting they are not in correct position or if it has no place to come out(impacted) then you can get them out.For the pain you can take ibuprofen (if you are not allergic) .Do warm saline gargling.Keep the area clean as any food debris staying behind will aggravate the condition.Thanks and regards. | 185,217 |
What should be the normal value for semen analysis? | Patient: Dear Sir please advise about my semen report "Liquefaction time 30 min, Appreance grey white, volume 4.0 ml , pH 8.0 Motility a) Rapid Progression 50%, b) slow progression 05%, c) Non Porgoressive 15%, d) Immotile 30% Agglutination positive, Count /ml 39 million, Morphology Normal 15% Abnormal 85% Pus Cells 4-5, Thank Doctor: Hi,I read your query and I understand your concerns.Following is my reply:1) Your semen paramaeters are normal.2) No need to worry.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol | 42,251 |
Can you suggest me a painkiller which is soft on liver? | Patient: mY AGE IS 47 YRS. i HAVE LOWER BACK ACHE NOW AND THEN. tODAY MORNING IT HAPPENED . I TAKE PAIN KILLER LIKE mobizox containing diclofenac sodium, paracetemal and chlozoxazone. But it affects my liver. Can you suggest me a painkiller which is soft on liver. Doctor: Hi, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to done MRI to rule out other causes.Back exercises, neurotropics such as mecobalamine and analgesics give relief.You want to know analgesic soft on liver, tramadol is safest on liver but it causes acidity and nausea. It should be taken after meals.Take omeprazole before meals to prevent acidity caused by it. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is low than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily.You can discuss with your treating Doctor about it. I do hope that you have found something helpful and I will be glad to answer any further query. Take care. | 109,979 |
Suggest treatment for peritonitis | Patient: Hello. Can you please help me understand the way in which actor Rudolph Valentino died back in 1926? I realize this is silly, but I m in love with him and I would like to fully understand what happened to him. Some say it was a perforated ulcer others say peritonitis and that as his condition grew worse, he developed pleurisy. I don t understand. Please help, if you have the time.Thank you. Doctor: A perforated ulcer causes peritonitis which gradually involves all intra abdominal organs. Fluid gets collected and infection sets in. This causes increased intra abdominal pressure. Ultimately the diaphragm gets involved making the infection reach pleural cavity and in turn causes pleurisy which is infection of pleura. As a result septicemia sets in and the patient dies.This could be a probable cause of Rudolph Valentino's death. Good to see such an ardent fan!! | 90,337 |
What causes bloating, pain under left breast after diagnosed with kidney stone? | Patient: ive been diagnosed with kidney stone in left kidney.....am gassy, bloated & having pain under my left breast in stomack area....hurts when i want to pass gas and try to laugh.....i still havent passed the stone.....i was diagnosed by catscan 1 mth ago? Doctor: Hi,Usually kidney stones cause pain when they enter pelvis (the exit pathway for urine from kidney) or ureter (tube connecting pelvis of kidney with bladder).If the size of stone is small (less than 10 mm) and the obstruction is mild (assessed by ultrasonogram or CT scan), it is managed medically (using alpha-blockers) as long as the patient is asymptomatic (up to 4 weeks). I would like to know some more details regarding your problem:What is the size and location of your stone?How much is the swelling in your left kidney?Are you taking alpha-blocker drug - e.g. tamsulosin?What is your serum creatinine level?Since you are having pain and it is already one month, it is advisable to get re-assessed by a Urologist and plan for stone removal. Stone removal can be done by lithotripsy or ureteroscopy, depending on the size and location of the stone.Meanwhile, keep yourself hydrated (drink at least 3 liter fluid everyday) and take tamsulosin 0.4 mg once a day (you need to get the prescription from your physician).I am available to guide you further. Please get back to me with the above mentioned details along with your age, sex and associated medical conditions.Wish you a speedy recovery,Dr. Raguram. | 49,182 |
What could be the lump on my thigh that come back often? | Patient: Hello, I keep getting. A sore lump on the inside of my thigh close to my knicker line, it comes back every so often, uusually around my period time, sometimes it catches or gets to big it burst and fluiand little bloodd seeps out, this is a reccurong problem have u any idea what it could be? Many thanks x Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have some enlarged inguinal lymph nodes. It may be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health | 65,944 |
How to get rid of dizziness and floating feeling? | Patient: My age is 26.since 1year I am poaasing from many difficulties.one morning I wake up with dizziness,fast heartbeat,palpotatipn,shaky hands and feet,sweat,and feeling that I will die.from that day inwards I am feeling the same.I couldn t understand what is going on with me.gaia become white.and from the help of entrnet found that its qnaxiety which makes me fear n stressed all the timen from this feeling I got the floaty feeling which is very horrible.I feel that my body is moving or I will fall down.please help me out from floating feeling.any exercise or therapy to reduce this feeling.iwill be very thankful to u if my floaty feeling ends Doctor: Hello, This free floating anxiety present always without any reason may be due to generalized anxiety disorder.I think you should start taking tablet paroxetine.Also, you can try making daily anxiety diary in which you can write the things which provoke anxiety, what are timings which you get most anxious. This help you in identifying and dealing with the precipitating factors appropriately.Thanks. | 207,040 |
What is the small but painful lump behind the ear of a child? | Patient: my seven year old daughter has just shown me a lump behind her left ear that is the size of a five cent peice and about 5 to 10 mm high, it isnt overly painful and is not a different colour from the surrounding area. i will get her to a doctor in the morning or does it require more urgent attention.Thanks in advance for your help. stuart Doctor: Hi dear ,The symptoms you mention can occur due to two things .First it can be sebaceous Cysts . This type of cyst develops around the sebaceous gland, which is responsible for producing oil that lubricates your skin and hair.Secondly it can be acne Vulgaris . Acne is a common skin condition that occurs when hair follicles in the skin become clogged. Dead skin cells and oil can clog the follicles. As a result, pimples and bumps may develop.In both cases there is nothing to panic you can easily wait till morning . Doctor may prescribe antibiotics like clindamycin for 5-7 days and rule ou the causes like otitis Media or lymphadenopathy .Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 63,552 |
What is the treatment for dropped head with excessive sweating and hand pain? | Patient: I am suffering from Dropped Head since last 8 months. I cannot keep my head strait. I can’t walk normally. I have pain in neck if I want to keep up my head. I require support when I walk. SWEATING aftr 5 mnts walk. Pain in right hand. SEVRE NECK AND BACK MUSCLE WEAKNESS Doctor: Hello, As there is no head control we need a neurological examination under a neurologist. Maybe an MRI spine and brain will be required to rule out the possible causes. Usually, in such cases, physiotherapy is advised as the muscles need retraining of the same. With stabilization and strengthening exercises, there will be changes on the head control and overall gait mechanism. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 123,528 |
What causes rashes on body after taking asthma medication? | Patient: my son is 3years 8months. he is told that he is having mild Asthma and whenever he gets i give Asthalin spray 3 times a day and budecort100 spray i am giving and is advised to give budecort100 for 3months. after using this my son is getting rashes on the body. is it safe to give these inhalers Doctor: Hi...I don't think the rash is related to Budecort inhaler. Asthalin should not be given 3 times a day. It should be given 2 puffs every 4-6th hourly that too only if there is wheeze or cough disturbing sleep.I think the rashes could be recurrent or chronic allergy. By what you quote it seems rather like a skin allergy which is unlikely to be food allergy or drug allergy. I have some questions and some suggestions for you.Questions:1. Is there any family history of similar allergies or skin rash?2. Is this rash associated with severe pain in the stomach?3. Is it associated with blood in the stools or black coloured motion?4. Is there any blood in the urine?5. Has his blood pressure been monitored in these 5 months and is it normal?6. Are there any bed bugs in her cot or in his school seating arrangements - kindly enquire.7. Does his hands and feet and face swell during attack of allergy or does he have any noisy breathing during high severity?I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696 | 177,311 |
What causes mucus deposition in eustachian tube opening? | Patient: A week or so after I was born I had to go back to hospital to get my long last I ve emptied of mucus phlegm stuff that is in your lungs you are in the womb . Even though my lungs were emptied all my life I ve constantly get a mucus phlegm sort of thing in my eustachiean tube opening (or around that general area, it is not in my throat) Why is this? Doctor: Hi welcome to health care magic ...Mostly according to history you are having post nasal drip mucus.... It could be allergic or rhinitis or some form of chronic sinusitis.... Your work up needed with.... -Auscultation -Physical examination -PNS x ray if needed -CBC etc... According to cause further treatment can be guided... You can take benadryl like decongestant drug for relieving congestion... Drink more water and avoid smoking.. Excess fried food avoided... If count high with neutrophilia than suitable antibiotic given... Take careAdvise : Physician consultation for examination... | 75,463 |
High BP, cholesterol, osteoporosis. MRI shows white matter disease. Treatment? | Patient: Hi Doctor XXXXXXX My wife who is 70 years of age,about 105 pounds in weight and five foot and two inches in height.She is on medication for high blood pressure, high cholesterol and oesteoporosis.She has mobility problem dawdling. An MRI scan shows some areas of "white matter disease". Waiting to see the consultant.Please tell me Is there any treatment for this illness? and what causes this illness.Many thanks. Srinivas Doctor: Hi,Thank you for posting your query.I have noted that your wife's MRI brain report has shown features of white matter disease.White matter disease in brain is usually due to reduced blood flow to the brain.In her case, it is most likely due to her high cholesterol and high blood pressure.Treatment consists of using blood thinners such as aspirin, and controlling the risk factors (high cholesterol and blood pressure in her case).There is no need to worry, as she would improve with proper treatment.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/ | 146,884 |
Why am I having stomach pains and greenish, black stool? | Patient: Hi, may I answer your health queries right now ? Please type your query here... I am 37 years old with history of fatty liver and gastric problems, and take Omez 20 sos, I have suddenly developed stomach pain all around a little more in the middle and towards right with greenish / Black stool I am now prescribed rabeloc, levo gastrol, qure 02 and velgut. Doctor: hi.thanks for posting query.strictly take your medications.wish you good health.if symptoms do NOT improve with 3 to 5 days, then visit a gastroenterologist and undergo endoscopic examinationregardsDr Tayyab Malik | 53,229 |
Suggest remedy to prevent hair fall and low hair density | Patient: hello sir i am anil.i have lost my 30 to 35% hairs via recceding hair line and top of head.now i m using mintop forte from last two months.but it seems density is reduced further.i start mastrubating at 14.now i m doing it once a week.my hair falling is not so large but still my hairs are not growing and density is further reducing. my age is 26.what u will suggest me? Doctor: Hi.As per your case history of hairfall.My treatment advice is – 1. Take good nutritious diet full of green leafy vegetables and milk.2. Use a good herbal shampoo and coconut hair oil for regular use.3. Take an iron supplement once daily and vitamin b12 supplement once daily for 3 months.4. Other treatment options are topical minoxidil, oral finasteride and mesotherpy done by a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL. | 10,633 |
What do bright red rashes around the groin mean? | Patient: I have a very bright red rash around my crotch area. It's not on my penis or testicles, just in the area surrounding them (upper, inner thigh mostly). When this problem started, I also had very itchy bumps on both of my hands and had a fever...both of which have since gone away. Doctor: Hello,It may be due to fungal infection. For that you may apply ointment containing clotrimazole. For itching you can take tablet loratidine. Maintain proper hygiene.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician | 192,187 |
What causes chest pain and backache while on treatment for lung infection? | Patient: I started this med for a lung infection that showed up on a lung scan. After a week l was so sick. Flu like symptoms my doctor told me to stop. I m still feeling very sick after stopping it for a week, nausea, chest pain, back pain etc Is this normal? YYYY@YYYY Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Backache can be associated symptom with lung infection or pneumonia. Chest may also occur in lung infection. These symptoms should subside after resolution of your lung infection. sometimes there may be fluid collection around the lung (inside the pleura-layer covering the lungs) which can cause chest pain. You must consult to the treating physician to rule out definite cause of such pain. Hope I have answered your query. Let me know if I can assist you further. | 28,637 |
Suggest remedy for headache & stiff neck | Patient: Hi I am a 45 year old female who was diagnosed with Chiari 1 about 5 years ago. I am now having pain in the back of my head (base of my skull) when I sleep and it is hard to turn and move. My neck is stiff as well. Could there have been a change? I also got hit in the back of the head with a door the other night. Could that have caused something to happen that I need to worry about? Doctor: Hello,The symptoms can be related to a strained neck muscle. I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using Magnesium supplement for muscle relaxation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 119,742 |
Is an SPGT level of 110 dangerous for the liver ? | Patient: MY HUSDAND S SPGT LEVEL IS 110. HE IS TAKING ATORVA 20 FOR LAST 3 YEARS. IS THIS SPGT LEVEL DANGEROUS FOR LIVER Doctor: this mld rise of SGPT may be due to fatty liver disease or use of atova 2omg itself if he is not jaundiced.consult with a doctor nearby. | 60,323 |
Will cyst affects to conceive? | Patient: I have a 160 mm cyst on my left ovary, i went to the doctor and he said to take 4 Lutofolone ampulla shots for 2days to induce my period then the cyst might go on its own, if not then there is other shots that can get rid of the cyst. If the cyst remained as big then surgery. I want to know is any of these can affect being pregnant? My period is late now for 11 days. Doctor: HIThank for asking to HCMI really appreciate your concern looking to given here I would like say that if you do have a cyst then this may not interfere with the pregnancy but if this is big enough and symptomatic then it is advisable to remove this, still the gynecologist is the best judge, hope this information helps you, take care and have a nice day. | 4,131 |
What causes pain and swelling in knee after an injury? | Patient: I was hit in the knee by a softball tonight. It now has a big red ring and inside the ring is a yellowish color. Has some swelling and is pretty painful. I was rubbing it to see if I could feel a Crack or anything and I felt an indention at the exact location where the ball hit. Is that something serious? If I bend my knee very slightly, there is not much pain. But if I straighten it or bend it, the pain is much worse. I can walk on it with a heavy limp. Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern. This is hematoma collection. It will gradually reduce during due course of time. Analgesic and rest is treatment required. Thrombophobe gel without rubbing with help in resolving it gradually.You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. | 135,967 |
Suggest medication for cold and cough | Patient: i have had a cold for a week now and my nose is a little running but i have been coughing and spitting out the cold or mucus constanly and if i swallow it, it won't go down...i lost 10 pounds and get headches and get dizzy when i am standing up or walking Doctor: Hi,Welcome to health care magic,Cough with sputum,cold,runny nose and headache with dizziness on standing or walking are mostly due to viral infections of upper respiratory tract (pharynx,sinus,larynx, epiglottis, bronchi) and should be given some medical attention.However,some times it could be due to bacterial infection also but here in your case,it is highly unlikely.Your 10 pounds weight loss has no clinically significance,so there is no need to be worried about it.You should go for routine blood count and sputum examination and X-ray chest to rule out infective pathology of lungs and to be in a safer side.You will require antibiotics (quinolones or macrolides) to prevent super infection with pain killers (paracetamol) and anti-inflammatories (ibuprofen), antihistamines (cetrizine) with other supportive treatment.Avoid cold water and cold products further,since doing so may cause further inflammation in throat.Nebulization and steam inhalation 2 to 3 times daily will also be helpful.With all above medication,you will start improving in 2 or 3 days and in case,if not then consult your local doctor or GP for further advise.Hope this helps.Regards, | 31,834 |
First child conceived by taking clomid. PCOS, low sperm count. Trying IUI. Chances of conceiving? | Patient: I am 32, My husband is 38. We have a daughter that we conceived while taking Clomid . However, since her birth my husbands sperm county/ motility has drastically went down. I have PCOS and so we tried IUI two times but were not given great odds since his post wash was only 3 million. So we are doing our first cycle of IVF with ICSI in a few weeks and I was wandering what chances I am looking at? We both desperately want baby #2! Also, Is Follistim the drug of choice most of the time? I am currently on bc pills and will be taking follistim, ganirelix, and pregnyl. Doctor: HelloThanks for your query.Follistim is not the drug of choice.Your stimulation protocol depends on your individual parameters and is tailormade for each patient.With 3 million count, chances in ICSI are pretty good, if you produce good eggs, and do not have any complications such as endometrial pathology, uterine fibroids etc.Wish you luck.Do not stress yourself unnecessarily. | 43,407 |
How to control snorting? | Patient: My husband, age 55, emits a very forceful snorting sound at the end of each breath, at the end of words, while eating, all the time. The only time he doesn t make this sound is when sleeping. He was told in the past that he had a very large uvula and I don t know if he is snorting it out of the way when breathing. I also thought it was VPI. Sometimes he snorts four, five, or six times in a row. He can control it for a few minutes when confronted but most of the time, he just continues making it. I don t know if speech therapy would help him breathe and control this sound. Doctor: Hi, The reason underlying sounds to be hypertrophied turbinates, uvula obstruction or else. The surgery of underlying pathology correction would be the only way to control the issue surely. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon | 70,805 |
What is the treatment for cirrhosis? | Patient: Hello, My mother has lived with me for the past 4 years. She was diagnosed with cirrhosis 15 yrs. ago at the age of 60, even though she didn t touch any alcolol until the age of 45, when my father died. She was never a heavy drinker, but was extremely obese and ate tons of white sugar right out of the bowl. She had a gastric bypass in 1986, and now weighs a svelt 225 lbs., down from 325. She was in a serious car accident 5 years ago, broke her pelvic socket, crushed her right hip, etc. (she d been having TIA s before the accident) and is now in a wheelchair. She has since been diagnosed with kidney disease and CHF, although no on has ever told us specifically. I ve made copies of her records in between transporting her from the hospitals and rehab facilities, due to falls and now cellulitis flare ups. She s had ascites on her legs for 4 yrs., and probably her abdomen (she s so heavy it s hard to tell). The muscles in her hands have atrophied, and her extremeties are now a deep red. Her sleeping habits are all over the place, and she is constantly falling asleep, and seeming confused consistently. I have given up work to care for her, but am also married, and raising a 13 year old daughter. I would truly appreciate some honesty regarding how much longer I ll have to endure caring for her. I have POA, and my 3 siblings have pretended that we don t exist for the last 4 years because they don t want to deal with her health issues any further. Despite all my negativity, I would like her to pass away in my lovely home, rather than a nursing facility. She s so fussy, I know that no on would provide her with the empathy that I struggle to continue to give. Your response is most appreciated. Doctor: Hello, Sorry about your mother's health condition. She is suffering from CKD with cirrhosis of liver with hip fracture with cellulitis of limbs with altered sensorium. This condition you may just take supportive care. 1. Check urine output regularly. 2. Use antibiotics and diuretics to reduce edema and cellulitis. 3. Reduce fluid intake 4. Check serum electrolytes for altered sensorium. 5. Give low salt diet. 6. Check her seum creatinine at least two times in a week. 7.Physiotheraphy may useful. Please post me follow up reports will guide you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Penchila Prasad Kandikattu | 52,154 |
Diagnosed with hyperthyroidism & noticed dizziness & shortness of breath | Patient: hi over 7 years ago i was diagnosed with hyperthyroidism. it cleared up using neomarcazole (carbimazole). ive recently had a baby and just over the past few days i have had a lot of heart palpitations and feeling dizzy and short of breath. could this be my thyroid again should i get a blood test. Doctor: Hi, I had gone through your question and understand your concerns. Irregular heartbeat, dizziness an shortness of breath can be complications of Graves' disease. I suggest:- to check TTH,T3,T4;ECG;- getting diet with proper amount of calories, calcium, and sodium;- taking vitamin D and calcium supplements during treatment-Shelcal 1 tablet daily;-Ashwagandha 1 capsule daily for 1 month.Please let me know if you have further questions before meeting your primary care Doctor. | 172,610 |
Suggest treatment for shortness of breath | Patient: My daughter is 27 years old and has been told she has a lazy heart in one chamber. Last year she had a hole in her heart repaired with that mesh thing. Sorry I don t remember exact terms. She had a test done today to make sure the repair from last year was still good and it is. She has shortness of breath often. Any ideas? Doctor: Hi....By what you quote I feel what your daughter is having is asthma.I have a few questions and suggestions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she exercises?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?Suggestions:1. There are certainly effective management therapies in allopathy now a days. medicine has advanced a lot and not asthma is 100% controllable.2. Inhalers are the newest management strategies for this.4. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ un-cleaned a/c vents/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - best person is the parent.regards - Dr. Sumanth | 176,417 |
What are the side effects of Primolut depot during pregnancy? | Patient: hi, i am 20 weeks twin pregnant by ivf i was till now taking progestrone soft gelatin capsules 200mg now my doc has asked me to stop n go for a weekly shot of primolut depot, i read its got side effects i need some urgent suggestions as i m not at all comfortable reading the articles about primolut depot side effects Doctor: Hi there,,Primulot depot is absolutely safe and can be taken to prevent preterm labour in pregnancy. It is considered as effective way of giving progesterone and taking it once weekly is very convenient. You need not worry about it, it does not have many side effects and is very safe.Hope this helps.Regards. | 221,263 |
Diagnosed upper tract urethral carcinoma, spread to lymph nodes, chest and throat pain. Any thoughts for cure ? | Patient: Hi, I live in Calgary Alberta. My dad had a cancer tumour in his kidney. I believe the cancer is referred to as "upper tract euretherial carcenoma". the kidney was removed, however; the cancer has spread to his lymph nodes. Subsequently a year later it has now shown up in his chest. He was just recently hospitalized June 8th complaining about chest pain and difficulty swallowing. Note that a few months ago he lost his voice due to the lymph nodes encroaching on his voice box. On June 12th he had an episode where he had some issues breathing and his oxygen levels were low, but subsequently he ended up doing better now. They put him on antibiotics and steroids and they told us that he got pneumonia due to aspiration. They said that the cancer has caused complications in that he has a possibility of aspirating at anytime and has been put on a thickened food and fluid diet. We are trying to get a certain ENT doctor to check him to see if anything can be done with his throat larynx to help him, but the initial ENT that was there a few days ago was not very helpful. I suspect that all of the doctors are not putting in much of an effort because they feel he is pretty much done and it’s not worth doing anything. I suspect that it may be due to the fact that my father’s goals of cares status was put as an M1 although we initially had him at R1.During his hospital stay (he is actually still in the hospital but this Wednesday we have a mtg with the staff, unit nurse, some doctors etc regarding the next steps) my dad has had a ct-scan of his chest and it would appear that the lymph nodes are still growing at a rate of about half a cm per every 6 weeks. It is referred to as mediastinal lymph nodes in his chest. I think the lymph nodes are around 3 to 3.5 cm (they have not done a bronchyoscopy due to the high risk factor according to the doctor) I just spoke with my dad’s medical oncologist who says that he is definitely not fit enough for chemo and doesn’t feel like a crio therapy or crioabration is the solution since it is too deep and is not isolated to a specific node but several in the chest area. Another Dr. that saw my dad was a little more optimistic than the rest. He looked at his charts and couldn’t understand why he looked this bad. He said that the lymph nodes in his chest are growing and there is cancer there, however; the rest of his body is ok. He blood tests are ok, the cancer has not spread anywhere else whatsoever. What I am seeking are some suggestions. Some alternatives, or other procedure that may be feasible. I am seeking something more specific such as including names of Doctors if there is a specific procedure only certain doctors do. So their contact info if possible. My oncologist is giving me very little info or ideas to work with.I Find most of the Doctors here in Calgary to be doom and gloom but I am not ready to give up on my father. Doctor: Hi there, Tom Baker cancer centre in Calgary is a famous one and I'm sure you will get authentic and realistic advise from the doctors there. Renal cell carcinoma is a notoriously resistant disease to any form of treatment and only the minority of cases in which surgery is able to remove the tumor completely, we see good results, Rest of the cases eventually metastasise and we loose them. I'm sorry but there are not much options in modern science for this situation apart from palliation and keeping him comfortable. Take care | 158,351 |
What could frequent diarrhea with upper respiratory problems in a toddler indicate? | Patient: my two year daughter has loose stools very frequently and peadilyte has to be administered regularly , as frequent as three to five days per week. she also suffers from upper respiritory problems very frequently, we have stopped giving her milk and milk based products and soy milk but to no avail, what could be the problem. Doctor: Frequent occurrences of both respiratory and GI infections do point to something unusual. You should get her investigated for an immunological problem. One of the most common among these problems is common variable immunodeficiency (CVID), which can be easily managed with gamma-globulin infections and a few other interventions.If her immune functions are normal, you can still try some things like greater attention to hand-washing, giving her multivitamins and a protein-rich diet, avoiding going to crowded places, avoiding a creche or a day-nursery where she is in constant touch with other, better-abled children, and so on. Dr. Taher | 171,940 |
Friend in an abusive relationship, feels everything is her fault, always feels she is over reacting. Suggestions? | Patient: Hello, my friend is in an abusive relationship and i am afraid i do not have enough information to help her! She believes she is the problem and she just needs to try harder and it is all her fault. She also believes that she is ment for a relationship with obvious abuse and she feels she is over reacting. Is there something i can have her read or any other resources i could use to help show her what i dont have to words to do? Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. I appreciate your concern for your friend. Some people can have dependent personality traits which could be making it difficult to stand up for themselves, and so, have a tendency to kep accepting and tolerating abuse in a relationship. Sometimes, a chronic depression (dysthymia) can also result in negative thoughts and low self esteem. I think that your friend needs professional help. I would advise you to take her to a psychiatrist or a psychologist for a detailed psychological assessment and further management. There are effective counselling and psychological techniques which can help her overcome her difficulties. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist | 212,747 |
Suggest treatment to improve motility | Patient: Volume (ml) 1.8 ml Ph 8 Viscosity Normal Total sperm concentration 51.5 Mill/ml Progressive motility (grades a+b) 14.50% Non progressive motility (grade c) 9.00% Immotile sperms (grade d) 76.50% Semen Morphology (calculated normal morphology, WHO) 19.30% Progressive motile sperm concentration 7.5 Mill/ml Functional sperm concentration 2.9 Mill/ml Sperm Velocity (average path velocity) 7.0 micron/sec Sperm motility index 33 Total sperm number 92.7 Million Total motile sperms 21.8 Million Total functional sperm 5.2 Million WBC (pus/epithelial cells) (June 14) Present [+] Agglutination (July 12) REMARKS (June 14) ASTHENOSPERMIA WITH INFECTION I am on medication taking C0Q 300mg & Tamoxofen cirrate. Unfortunately Progressive motility (grades a+b) decreased from 25 * to 14 % and Immotile sperms (grade d) increased from 55% to 76% after medication. I am worried about motility. Suggestions please. Doctor: Higreetings. I can understand your concern regarding your semen analysis. You are having isolated asthenospermia. Your sperm density and morphology is very much within the normal limits according to the latest WHO guidelines. Only option is to find out any gonadotoxic factors like 1.infections in your testis ,epididymis or prostate2.varicocele3.working in high temperatures,chemicals or paints factory4.Addictons ..smoking and alcoholIf any of the factors are there then treating or modifying them will improve your motility modifying life style by exercising daily and eating healthy food also will help you.Hence consult an andrologist or urologist and get yourself examined.Hope my answer helps you. Regards | 197,554 |
What causes numbness in finger after getting a cut on it? | Patient: About a week ago, cut my left index finger on sheet metal while working on a farm. It was a medium-depth cut (perhaps quarter of an inch), and about 2 inches long, going from just above pointer finger fingerprint diagnolly along the outside (right, with palm facing downards), and ending about an inch back from the right side of nail. It bled a lot during the initial cut, but hasn t since. I ve been using antibacterial salve and gause/tape to keep it wrapped up. At the moment, the cut itself is completely closed... But from where the cut is, upwards towards the top middle of finger is swollen a little, as well as numb. I can feel pressure, but there is no sensation at all. Is this normal, and is feeling/sensation likely to return, or did something bad happen and I m likely to not get sensation any longer? Doctor: Hi there. Thanks for the query. Due to the wound and swelling on the finger the nerve endings may be injured. It can also happen due to the injury. I advise you to get the wound dressed and apply ice and avoid lifting weights. | 144,793 |
What causes numbness and tingling in hands and feet with paramedian C6/7 disc extrusion? | Patient: Medical problem of 54 yo female in San Antonio, Tx Prior medical conditions -Injured L-3/4/5, S-1 Dec 2003 -Degenerative disc problems since + muscle/nerve pain, weakness -Fibromyalgia, sleep apnea, urinary urgency, hypereflexia Current medical condition -Injured neck Aug 2013 (don t know how, although I did go to fitness conference around this time) -numb/tingling hands/feet since Aug + stiffness with neck pain (dull ache) -lost strength in left arm/shoulder (thought was due to shoulder - maybe related to neck) -Cervical spine MRI 10Jan14 shows large Lft+Cntr paramedian C-6/7 disc extrusion compressing Lft side spinal cord Neurologist referring me to Neurosurgeon. I picked up copy of MRI just in case I need it. Neurosurgeon s office has not scheduled appt since I was referred last Wednesday...should I be concerned? I may be getting ahead of myself. However, I do not want discectomy with fusion. What else may be done? Artificial disc, Dynamic Stabilization (flexible fusion)? Doctor: Hi,Thank you for posting your query.I can understand your concern about your condition, as you have not been able to consult your neurosurgeon.First of all, let me reassure you that there is no need to get concerned about these findings.The decision to surgery depends on the symptoms. If you have severe leg pain, which does not get better with medications and physiotherapy, then, operation may be needed.Medications helpful to relieve the nerve pain are pregabalin and gabapentin capsules. Physiotherapy includes IFT, ultrasound and back extension exercises.The choice of surgery can be made after seeing you and your MRI reports.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in | 148,186 |
Need medicine for pain in the arm and elbow with a history of radical mastectomy | Patient: I underwent a radical mastectomy 31 years ago. The lymph glands were removed at that time. I have not had any trouble with my arm until recently when it began to ache. Even my elbow felt like maybe it was a horrible case of arthritis. My age now is 62 and I an in great health as far as I know. High blood pressure but that is really the most serious thing going on. I control it with medication. Doctor: Hi Hope this message finds you in good health.I have gone through your query in detail and understand your concern.you can take safer analgesics like tramadol, paracetamol or piroxicam.local gel and hot fomentation will help.Hope your query has been answeredNothing to worry about, You should eventually get back to normal.Get back to me for any FOLLOW UP QUERIES anytime.Kind Regards,Dr Mahaveer Patil...(MBBS,MS,Mch) | 132,335 |
What causes staph infection on nose and cheek? | Patient: 49 yr old female, 5'9" 155, healthy active no illnesses. Have a staph infection on my nose, very swollen red painful. Saw dermatologist, cultured, no results yet. On bactrim for 36 hrs, no improvement, small spread to left cheek below eye. Kind of freaking out, shouldn't it be improving by now? Doctor: Hello.I have not seen how does it looks, but, ig there is no improvment in 48 hours, maybe you should check your doctor again.Klindamycin is a bit better choice of antibiotics for this kind of skin infection. Sometimes even given intravenously. I would suggest to visit your doctor again and discuss about recovery process.All the best. | 34,034 |
Is flying safe while suffering from nsip? | Patient: hello i am a 43 year old woman who was diagnosed with NSIP, as a side effect of prednisone my pottasium depletes and i have to take 4x sando k daily , once my pottasium level was 2.1 which we think triggered off an AF episode , and i ended up in hospital , i am on 5mg bisoprolol , my question is that i have plucked up the courage to go on holiday and i am going to fly for 5 hours, how safe is it ? also i have regular palpatations and sometimes they last for half an hour continuously ... thank you Doctor: HelloI understand your question and will try to help you.NSIP (non specific interstitial pneumonia) is a chronic lung diseases that as treatment has corticosteroids as you explain.If you do not have need for excessive oxygen in your treatment i mean you feel good no dyspnea in rest do not worry about the flight.What about the AF.I would recommend you for safe reasons to do an EKG and to consult a cardiologist before the flight.May be in your condition the heart specialist might add something else in your treatment or increase the doses of bisoprolol.So good flightThank youDr.JolandaPulmonlogist | 75,260 |
Are strong palpitations leading to dizziness a cause for concern? | Patient: Hi I am a 31 yr old, healthy and active female. For the last few weeks I have been getting strong palpitations ans they started on the evenings, and now I am getting them in the daytime and they are really strong and sometimes last for a couple of hours and make me feel really dizzy and light headed. I am a smoker, I smoke around 8-10 cigarettes daily. Do I need to go and see my GP about this? I do have a lot of family members especially my mom who has heart problems? Doctor: Hello understand Ur concern... AS repeatedly if palpitations causing dizziness. Then definitely I will advice u to undergo tests.. Ecg and echo will show baseline heart function .. Holter will help to detect heart rhythm problem . When u have Palpitations if possible go and take ecg... From that we get idea why palpitations coming... And decide further treatment... Other problem like anxiety... heavy smoking and caffeine also increase heart beats and leads to b palpitations.. Take care... | 24,393 |
Having heavy growth of E.coil. Sperm motility less. How to cure it? | Patient: please, Dr i have a case of heavy growth of E coli and the medical report says that my sperm motility is not up to the required percentage and oxflocism tabs was giving to me for a week. Does it mean that i can not impregnate a woman again.Is there treatment to cure it. symtoms. stomach ace, bloating , erectile weakness, headache . Doctor: HelloThanks for your query,based on the facts that you have posted it appears that your seme analysis has revealed E-Coli infection with Asthenospermia .Please get semen culture done to find out the appropriate antibiotics to which they are sensitive to so that the infection can be controlled .As regards Asthenospermia and other varied symptoms Following measure will help you to boost up your confidence , improve your general health and improve sperm motility to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..There is no reason why you should not impregnate your wife .Dr.Patil. | 202,912 |
What causes blue lips and pain in lower back/ribs? | Patient: I have a 16 year old daughter who went to softball practice tonight. While she was warming up throwing the ball she turned pale and lips turned blue. She said her lower back and ribs are hurting. Is this a sign that she is getting sick or that there is something more serious going on? Doctor: She needs an urgent Xray of chest and LS spine to be sure about the actual diagnosis. after the Xray has been done, than accordingly treatment can be initiated. for the time being, give paracetamol tablet 1 gram per oral (to be swallowed) wtice daily. and give her rest and mental support. | 109,393 |
My mum suffers with ostreoarthritis, help her please | Patient: My mum suffers with ostreoarthritis and cant do normal day to day life activities i know there is bound to be depression along with this but its that bad she wont go out any more i dont live with her but even have to help her out of bed in the mornings . i can see the hurt in her eyes and was just wondering if some one could help me to bring her out of the hole she is in???????????????/ Doctor: really osteoarthritis is very painful problem..first she needs a supportive therapy as anti inflammatory drugs in long run leads to peptic ulcers.give her cold and hot alternative hydrotherapy for 10 times in morning and evening,then knee massages with herbal warm oil will help her to reduce her pain and knee join excercises ..along with physiotherapy will heal the problem and try to be relaxed as stress will increase the stiffness in joints so practice meditation,deeper relaxations to release the endorphins from the body to relax the stiffend tendons ,muscles in the joins .keep her busy always with her freind encourage walking daily., along with good sleep. Give her aloevera juice every days 2spoons daily morning and evening.ayur medicne narayana guggulu 2 tabs twice daily will really gives good reslt and you can try for acupuncturetreatment.regards dr.bharathi Ms. | 213,918 |
Is skin pigmentation problem hereditary ? | Patient: I have a dark circle in my cheeks; I thought it was due to skin problem But even my son ( 5 month old) is having similar problem, which i am able to observe Is it hereditary? pls help to know how to get clear of it. Doctor: hi many skin condition are heredity in nature as u have problem ur child has more chance to have it avoid sun exposure use sun screen twice a day there are creams that can be taken after dermatologist prescription | 11,990 |
Have numb feet, pain butt to leg, done lateral spine view, advised MRI. Treatment, precautions? | Patient: Lateral spine view: there is a 6-7 mm subluxation of l4 and l5. Narrowing of the disc space. Also narrowing of the l3 l4 space and minimal retrolisthesis of l3 with respect to l4 approx 5 mm.MRI recommended...would that show anything different than above?Can this cause my feet to be numb and sciatic area pain from buttocks to legs?What is usual treatment? What should I avoid doing? (until I talk to dr.) Doctor: Hi, Yes, an MRI would definitely be indicated in your case and you should probably get one done. X rays show only the bony abnormalities and do not tell us anything much about nerve root compression which is the cause of sciatica, numbness, weakness, etc. An MRI would give these details. Subluxation indicates movement of one vertebra over the adjacent (I'm assuming it is anterior subluxation of L4 over L5) and retrolisthesis means backward movement of the vertebra over the lower one (L3 over L4). These are usually due to break in the posterior vertebral portion (lysis) or due to facetal arthropathy, both of which are not mentioned in your X ray report. Subluxation/listhesis often leads to compression of nerve roots and needs to be operated if symptoms are severe. You would need to meet an orthopedic surgeon to discuss your options. Till then, avoid lifting heavy objects, doing heavy work, etc and wear a lumbar support (belt) if you have one. Sincerely, Vamshi | 150,434 |
Suggest remedy for lumps in the groin area | Patient: Hi, I have 6 lumps. 2 hard lumps in my groin area, as well as 2 on my waistline.. They are sometimes very painful. I also had 2 more that were full of puss. I've been treated for mesa and now they have me on a stronger pennicillian.. What's wrong. Why wont this go away? Please help Doctor: Hi! thanks for sharing your problem with us!After going through your description, if I were your treating physician for this case of painful groin / waist-line lumps, I would like to have a culture sensitivity report first of all before anything else as it is very necessary to first identify the offending organism and I would like to consider following possibilities:1. tuberculosis of lymph nodes2. atypical tuberculosis3. acute suppurative lymphadenitis4. boils, syphilis, chancroid5. lymphomaA simple needle biopsy can also help in this case; therefore please see a surgeon for a definitive diagnosis and to discuss the possible line of treatment as this could be antibiotics with or without surgical debridement / excision of the lumps;regards! | 65,850 |
What are the side effects of chemotherapy? | Patient: i have been off chemotherapy for about 2 months and have all sorts of aches n pains.. Is this just my body getting back to normal and is this usual as hospitals only ever give you side effects of being on chemotherapy not side effects of coming off it!! Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have side effects of chemotherapy. Chemotherapy is very toxic drugs. It destroy malignant cells but along with that it destroyed some normal body cells also. So it leads to weaknesses, pain, low blood count, hair loss, frequent infection etc. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then feel free to ask me. I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 154,272 |
Can medications help cure kidney stones? | Patient: Pin hole surgery done on 11aug 14 at Apollo hospitals chennai for removing 22mm stone from right kidney.after 8 months for checkup one usg done and found that again 2nos stone devolap in the same kidney size 7mm &10mm. Now what shall l do . Is it recovery with medicine? Doctor: HelloThanks for query .Based on your statement your mother has recurrence of stones in her Rt kidney of a size of 7mm and 10 mm as revealed in Ultrasound Scanning .Since the stones are located in kidney they can be fragmented by a procedure called Extra Corporeal Shock Wave Lithotripsy (E.S.W.L.).Send the fragments of the stones for analysis so that necessary dietary measures can not be taken to prevent the recurrence of stone.Ensure she drinks more water .Dr.Patil. | 47,386 |
Can drinking cranberry juice cause green bowel movement during pregnancy? | Patient: Hello I'm 15 weeks pregnant and iv been having green poop I did have some cranberry juice and I eat still oatmeal with black berries and cranberries in it can this make my poop green I also have had my gall bladder removed and only take a folic acid pill Doctor: Hello dear,welcome to Ask a doctor service. I reviewed your query and here is advise.No cranberry juice nor oatmeal or black berries cause green stools. Green stools are caused when your food passes rapidly through your system with some indigested fibres. Also a diet rich of fibres as yours may cause green stools. Nothing to worry about. Hope I have answered the question. Let me know if I can assist you further. | 218,381 |
Suggest treatment for pain due to bruised tailbone | Patient: hi, I slipped and fell on some ice last night and landed on my lower back, just above my tailbone, of course today im in pain and its really sore, im assuming its bruised, but I woke up with a headache too.. should I use any kind of heat or is cold better for it? I have been taking ibrophin(motrin) its not helping. Doctor: Hello,I think you should use cold therapy to avoid swelling of that part of the body. You should worry if you see blood in the stool that means that the tail bone is fractured and dislocated and has damaged the rectum (the end part of the bowel). If that is the case you should go to ER to see the doctor.Otherwise, you may be sore for few weeks in buttocks when you sit. You may use pillows to sit and take Ibuprofen and Tylenol combined together.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Edvin Selmani | 129,356 |
Does Amway have any product that cures chest, nose and throat infections? | Patient: Hi. I have been told by my ent dr that I have an allergic reaction to dust mites and that has caused an infection in my chest nose and throat. I ve been on antibiotics for the past 3 weeks. Does amway have any products that can relieve me from my problem as a long term remedy. Tq Doctor: hello,welcome to healthcaremagicsee the main concern for you to get the right medications either from amway or not.i do not know whether amway has any medication or not but i will help you with the proper treatment for your ailment.since your GP told you you have an allergy to dust mites. best treatment in allergy is AVOIDANCE of the antigen(in your case-dust mites)try to avoid the antigen as much as possible.if you ever develop the contact and thus the symptoms, following is the treatment-tab levocetrizine 5mgHStab monteleukast 10mg HSif required steroid spray should also be prescribed depending on your symptoms.hope this helpsthank you | 29,915 |
What is the purpose of this medicine and how many doses are required? | Patient: I took af kit tablet as prescribed by my dermatologist . i had some allergic reaction to candid vaginal tablet, and due to which i m having rashes and itching. Can you please tell me why he has given af kit tablet one dose? how many dose are required? Doctor: Hello. Thank you for writing to us.The kit that you have prescribed is an Oral antifungal i.e fluconazoleClotrimazole vaginal tablets may not be completely effective in a vaginal fungal infection.Oral antifungals are faster acting and therefore preferred.Single dose of an Oral antifungal is recommended for vaginal candidal infections and is sufficient in eradicating the infection and that is the reason that you were given just one dose.It is important to avoid sexual contact for a week and also treat a sexual partner if symptomatic.Regards | 14,417 |
Does mintop 5 help with hair growth? | Patient: dr. i m using mintop 10 from last 3 months and it is very effective new hair grows, now one of my friend is using mintop forte 5 and his hair problem is almost solved, please suggest me is it ok if i also use mintop 5 instead mintop 10 please help me...viki Doctor: Hello. Thank you for writing to us at healthcaremagicMinoxidil is a hair growth promoter.It is commonly indicated for hair loss conditions like androgenetic alopecia, telogen effluvium etc.The results would vary from individual to individual, though, 10% Minoxidil is stronger as compared to 5% minoxidil.Minoxidil is a prescription product and therefore I would suggest you to visit a dermatologist and use it under your doctor's advice, rather than using it on a friend's advice.Another reason for visiting a dermatologist being that besides Minoxidil, oral treatment like Finasteride, Biotin etc are specifically indicated for hair loss conditions as well, particularly androgenetic alopecia.Using just minoxidil may not work as well as compared to both topical and Oral treatment.These are all prescription drugs and therefore it is important to get a correct diagnosis of your hair loss condition before trying these.Regards | 11,238 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.