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Can pulmonary hypertension and swelling of ankles and abdomen be related? | Patient: 41-yr-old female; I was recently (within the last month) diagnosed with pulmonary hypertension, including severe swelling of ankles, some in abdomen. I take furosimide and spironolactone and K-dur. For the past week, I have had really odd chest pains and a sharp/dull alternating pain in my right jugular vein. Is this related? Can I take anything for it. It is very scary. Doctor: Hello good observation...as pulmonary hypertension progress it will lead to functioning of right heart chamber gets deteriorated...excess fluid in body get accumulated in leg and abdomen ..need to take less salt ...less water and continue medication...take care | 24,321 |
What complications could arise other than UTI s for the duplex of kidney? | Patient: 4 month old baby girl diagnosis Duplex of the left kidney. At 7 months old we rushed to hospital with fever and after Blood, urine, e-ray,and ultrasound tests we were diagnosed with a UTI. The ultrasound was foggy so a month later after infection subsided we had another ultrasound which shows Left Kidney Duplex. She has been on Septra since the first hospital visit. We are now being referred AGAIN by my family doctor for further testing. She hasnt had any other episodes and seems like she is thriving as well as any other healthy baby. I guess my question is a). In clear terms, what could I expect as far as any complications or other problems that could arise other than future UTI s. And, will she ALWAYS have to be on an antibiotic??? Doctor: Hi... I have just read through your query. Coming to your questions directly - 1. Duplex system means I understand that it is bifid collecting dust or duplex of renal pelvis which could be a normal finding in many kids. We need to worry we only if there is vesico ureteric Reflux (VUR). In other terms the urine which has to come down from the Kidneys might sometimes revert back and flow up wards from the urinary bladder to the Kidneys. This requires daily antibiotic therapy, but duplex system of the renal pelvis does not require antibiotics. 2. If VUR are found out after doing micturating cystourethrogram (MCU) then the kid needs to be on daily antibiotics for at least 2 years of age. If MCU test is normal then antibiotics can be stopped immediately.Regards - Dr. Sumanth | 170,074 |
Suggest remedy for back pain | Patient: sir i had a severe fall with my back facing the ground. at that time there was a little pain and a small bruise outside. now after a year i am getting severe pain every now and then. i used to have normal back pain earlier but it used to subside with some rest.But after the fall it is not so, and i can feel a small bulge near the backbone vertebra. Doctor: Hi,Your problem might be due to some osteo artheritis changes in your affected vertebrae giving this problem.In injured spines or joints there might be early changes of degenerative problem.Go for x-ray lower vertebrae.Go for back extension exercise daily.Avoid heavy weight lifting.Ok and take care. | 108,500 |
What causes high blood potassium levels? | Patient: Greetings ! I am a healthy 55 yr old woman being scheduled for an L-5 , S-1 discectomy in 7 days however , my blood potassium level is slightly elevated & my Dr. is concerned . Also , oddly , my heart is now galloping about & I am scheduled to see a cardiologist tomorrow . I take vitamins ... how did this high potassium level happen & how can I remedy this ? I am rather concerned & VERY surprised at this strange turn of events ! Thank you so much - Carol Doctor: Hi, welcome to HCM. Looking to your history, I as a nephrologist understand your concern. Slightly high potassium level require evaluation first about your diet and any medicines you are taking.check BP, basic urine report, S.creatinine, blood sugar and bicarbonate. Diet restriction and potassium binding resins are usually sufficient for mild elevation. Don't worry. pls mention exact value of potassium. I think this would be helpful to you. You can get back to me with above reports. Best wishes.TCDr Jay Patel. | 47,522 |
Suggest treatment for blood in semen and pain after urination | Patient: I have been doing medical stuff all week for my work. I had an MRI done on my shoulder and they had to put contrast into it before the MRI two days ago.. I am not sure if this is related but now I have a red tent to my semen ..what could cause that. Also it hurts not during but after uranation. Doctor: HelloThanks for query .Blood in semen ( Hematospermia ) that you have is not due to contrast dye injected while doing MRI of shoulder .It is just a coincidence and needs to be investigated .Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Serum PSA.4) Semen examination and culture .Take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac twice daily Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil. | 198,402 |
What should be done for echogenic calculus seen in lumen of gallbladder? | Patient: hi my name is ravinder ,age 56 i have been diagnosed with cholecystitis with cholelithiaisi with ultrasound report saying- Gall bladder distended with bile, wall thickness normal, solitary app 14.6x7.7 mm echogenic calculus seen in lumen of GB. murphy sign positive, no sludge seen. what should i do? Doctor: It sounds you should have surgery sooner o later. I would suggest using a laparoscopic approach as it will speed your recovery | 52,461 |
What do bumps around nipple with soreness in 11 year old indicate? | Patient: My 11 year old daughter is complaing of very sore nipples for the past few days. Today I looked and in her areola are red, almost scabby bumps in a perfect circle around the nipple. She said they are a little sore today but not as bad as a few days ago. What do think? She we go see her pediatrcian? Doctor: hi dear thanks for the query on HCMsore nipples in this age is due to hormonal changes. your pediatrician may suggest a moisturizer cream to apply around the area.hope your query is answered | 65,547 |
Suggest remedy for pain in hip | Patient: Hello, I have had severe pain in the front of my hip for years now. It was presumed that it was arthritis but recent xrays showed small arthritis but dr did not think that was cause. It is getting worse now esp when walking sometimes i have to stop until it 'unseizes'. Could this be a ligament problem? would that last for years? thank you foe advice. Doctor: hello ! there are so many causes of Hip region's pain T.e. joint related, refractive pains ( spinal Neuropathies etc.) and peri articular conditions. Inflammatory and non inflammatory small Arthritis can also cause pain. Detailed Investigations ( MRI, , doppler study, Blood test etc. ) are necessary to rule out the cause. Hope this will help you. Take care. | 217,453 |
Suggest treatment for continuous coughing | Patient: Continous cough. Chest is clear but i still feel heavy. Cough is bad during evening. Thread like flem does come but not to the mouth, i can just feel it in my throat. This has been going on for a month. Anti alergy tablets, cough syrup, salt water goggling all has just shown very little improvement Doctor: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of bronchitis or lung infection is more in your case. It is due to inflammation and edema of airways. Your symptoms like cough (not improving with routine drugs), phlegm and heaviness in chest etc are seen in bronchitisbronchitis and lung infection. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test). Chest x ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. You may need antibiotics, anti inflammatory, inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. | 78,720 |
Is alopecia areata and lichen planus curable? | Patient: Hello Dr.,I have been diagnosed with Alopecia Areata & Lichen Planus. Just wanted more info on the co-existence of these two conditions and whether it is curable. I have hair loss across my body & also patches in my skin which look like it has been burnt.Also, What is Vitilex 150 used for?Regards,Reza (M/34/Hyd) Doctor: hi, welcome to HCM,alopecia areata is a autoimmune disease.etiology of lichen planus is unknown, but it is thought to be a T cell mediated autoimmune disease. but these two disorders are rarely associated.alopecia areata is associated with thyroiditis, diabetes, vitiligo etc.vitilex 150 contains levamisole commonly used to treat parasitic worm infestation. it is also a cellular immune enhancer and this property is utilized in some disease like vitiligo, chronic wound, lichen planus etc.hope this will help you.thanks | 11,133 |
Does Tonoferon increase weight in infants? | Patient: my daughter will turn 4 months old on 10th of this month. She was weighing 5.9 kgs on check up which was done 15 days back i.e when she was 3&1/2 months old. According to doctor she is underweight and the doctor has suggested Tonoferon to her ? will this help her ? I have been giving her Tonoferon since last 10 days but i havent seen any change in her weight also her appetite has not increased . Please suggest if Tonoferon is ok or not? Doctor: Hi,I am not sure whether your doctor has noticed anything abnormal (like pallor indicating anaemia) apart from weight. In my opinion, 5.9kg at 4 months is quite good (>90% of expected weight at this age). We call it under weight when weight is below 80-85% of expected, although we need to consider birth weight also.Tonoferon contains iron supplements, used to prevent and treat iron deficiency anaemia(anaemia can cause poor appetite and inadequate weight gain). If I feel my patients are anaemic, I used to order for a blood count and peripheral smear, to see haemoglobin level before starting iron supplements. You can discuss with your doctor.For your baby, present weight is well and fine- just give him frequent breast feeds. We can monitor weight gain in coming months- usually they gain around 400g / month.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician | 160,752 |
How to cure Aplastic anemia? | Patient: Dear Sir, my name is Sandip Das, my uncle is suffering from Aplastic Anemia, is now under treatment in Bangalore. but Doctors are not saying properly anything about the treatment procedure and the approximate cost. only one doctor from kolkata has told about ATG treatment, but not the money. can you please help me regarding the treatment and the expenditure. Regards, Sandip das Doctor: Hi, dearI have gone through your question. I can understand your concern. Treatment of aplastic anemia is very difficult. You can give external red cell concentrate and platelets as symptomatic maintenance therapy. However it will not cure the disease. Permanent treatment is only bone marrow transplantation. For that you have to search HLA matched donor. It is the only permanent treatment available. It is very costly. So planout accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 116,870 |
What are the itchy rashes on my body? | Patient: hello, i have been trouble with itchy rashes starting first on upper abdomen, then arms, behind knees then thighs now armpits, no one knows what it is. also had a large swollen vein in armpit same time, but has passed now. nothing on mammogram or ultrasound of pit. Doctor: Hi,The itchy rashes on arms,axillae,trunk and thighs may be lichen urticatus or prurigo. There may be some cause. It may be some irritant,allergen,infection anywhere in body or some internal disease. You consult dermatologist. Have investigations to find out systemic cause. You may consult physician,if internal problem is suspected. If some irritant or allegen is found,it may be removed or prevented.You may take antihistaminics like levocetirizine or desloratidine till itch is relieved. Systemic steroids may be taken in tappering doses,if needed. Mild steroid cream may be applied on the affected parts. You might feel better. I hope you got my answer.Thanks.Dr. Ilyas Patel MD | 14,603 |
Delayed menstruation when taking Ovamit. Negative pregnancy test. Normal? | Patient: Good day! I am taking ovamit now for 3 months, during those months i am experiencing delay in my menstruation. On my first month i was delay 7 days, on the second I was delay 1 day and now i am delay for 3 days. Is this normal? Before I have a 28 or 30 days cycle but now, it seems that I had it irregular. I already take a pregnancy test but the result is negative. Is the delay on my cycle normal? Doctor: Hello,Thanks for visiting healthcaremagic,Taking the oral contraceptive pills alter the hormonal level slightly which induces irregular menstration cycle. So need not worry about this. | 226,091 |
Are coughing, spitting up of phlegm and sore throat symptoms of Lung cancer ? | Patient: I am 19 years old. I am very healthy with my eating and very active I am a professional dancer. I have been smoking for 4 months cigarettes only 1-7 a day. I stopped 4 days ago, and am now having a lot of coughing, spitting up flem, scratchy lungs, and sore throat, and low energy. I just want to know is it possible that I have lung cancer. Doctor: HelloThanks for the query to H.C.M. Forum.Cough, scratchy lungs, expectoration ( phlegm) sore throat , 19 years age, smoking history , these symptoms may be due to .1 Asthmatic allergic bronchitis ( smokers cough) , diagnosis can be confirmed by physical examination ( as due to bronchoconstriction there develops whistling sound , tightness in chest ) .Due to allergy to smoke there develops cough with infection causes expectoration.2 Bronchiectasis , diagnosis can be confirmed by X ray chest .3 Tuberculosis , diagnosis can be confirmed by sputum examination with X ray chest.In my opinion this is not a case of lung cancer but deal according to above mentioned reasons.So consult a physician and get his opinion.Good luck.Dr. HET | 154,605 |
What causes chest fluttering? | Patient: I have had on and off chest flutter and arm pain, no shortness of breath normal blood pressure. Lots of burping after I eat. Feels like food got stuck and it's uncomfortable now. No nausea. Have been at gym on treadmill with no issues. I am overweight. Was prescribed Paxil10 mg yesterday for anxiety flutter is gone but the good stuck feeling is there in just one spot Doctor: Hello!Thank you for asking on HCM!I understand your concern and would like to explain that your symptoms seem to be related to anxiety and dyspepsia. These two disorders would explain the burping after eating two. All your cardiac tests have resulted normal, and based also on the nature of your complains, I would exclude any cardiac disorders related to your symptomatology. I recommend performing a fibrogastroscopy to rule out any gastroesophageal reflux, or esophageal spasms. Regarding Paxil therapy, I recommend waiting some days (up to two weeks) to show its complete effects. This is a low starting dose and higher doses may be needed. I am sure that your symptoms will go away spontaneously.I also recommend eating in small meals during the day and avoid caffeine intake or energy supplements. Hope to have been of help!Best regards, Dr. Iliri | 26,879 |
What causes swelling lump in collar right under penis head after intercourse? | Patient: I am a 57 year old male with a monogamous relationship with my wife of 20 years. I am circumsized. We have to use Astroglide for intercourse due to my wife's dryness after a hysterectomy. Lately I end up with an oblong lumpish swelling in the collar right under my penis head where my foreskin was removed. Could this be some latent std? Or possibly a reaction to astroglide on my part? I have extremely sensitive skin. Thank you Doctor: Hi ! Good evening. I am Dr Shareef answering your query. Even though chances of STD are remote because of your monogamous relationship with your wife, I being a doctor would advise you to under go tests for it after getting it physically examined by a dermatologist in your area to rule this out.The lumpish swelling could also be due to friction and the foreskin attachment with the penile shaft being pulled up causing a small hematoma in there. This could be said with certainity only after getting physically examined by a doctor. If you are using astroglide for the first time, sensitivity to this reagent can not be excluded. Whatever it could be, I would advise you to get your self reviewed by your family physician/dermatologist to arrive at a particular diagnosis.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | 203,224 |
What causes a lump and bruise on the forearm? | Patient: I recently had a stent put in my left carotid artery and am on Plavix. I have developed sizable bruise on my forearm which has a hard knot in the center of it. Do I need to see my doctor about this or will it just go away? Could it be a blood clot even tho I am on a blood thinner? Doctor: Hi,Greetings from HCM.Since you had a stent put on your left carotid artery you have to be on a blood thinner medicine like clopidogrel or aspirin which prevent platelet aggregation and clotting.If you have developed a bruise it is due to clopidogrel overdose.If it enlarging in size or if multiple bruises are appearinr you need to cosult doctor and adjust the dose of clopidogrel | 65,631 |
What could be the bump on back of neck? | Patient: I have a bump on my back neck which is the size of a small golf ball, however, every male in our family has had it and got it removed in their 40's and 50's, it is non-cancerous and does not hurt, it does once in a while bother me as it seems when i sit down i can feel an irritation in my back neck, like a pulling in the back of my neck, i am thinking of getting it cut out, or do i really need to if it does not inter fear with every day routines. Doctor: Hi,From history it seems that there might be having chance of Lipoma which is non cancerous.If it gives some problem then you can get it removed.But you may not go removal unless it increases in size or gives some problem.Ok and take care. | 64,614 |
What causes sudden pain in the ear of a 11 year old? | Patient: my son is 11 yrs old, weighs approx 71 lbs, and is in general good health. 5 weeks ago he complained of sudden pain in the left ear. Doc at the walk in clinic diagnosed as ear inf and prescribed amoxycillin. 3 days later with no change, the med were changed to Clarithromycin which he took fo 10 days. Still pain continued, and acute hearing developed - he was on painkillers when the pain was intense, and hence we did not notice any fever. we took him to the children's hospital emergency where they did a CT and said all was fine, incl sinuses were clear. Our family doc checked him and said fluid in the middle ear, so prescibed cortisone ear drops and nose spray. The following week he saw an ENT specialist who checked his ears and throat and said nothing to do with ENT. Hehas pain on the bone behind his let ear, above the ear and on the front of the ear beside the cheek. Our family doc recommended xrays of the ear and skull which have come back clear. He still gets severe pain periodically and needs to take naproxen or ibuprofen, and can't bear any volume of noise, hence cannot attend school. Today he has a dry cough and we have noticed a painful soft small lump on the bone behind his ear Doctor: Hi.... I have just read through your long history. I Understand your concern. I feel that your kid is going into complications of Middle ear infection or suppurative otitis media.The Other possibility is that he could be developIng a cholestetoma of the ear. But this might also be unlikely as the scan and x-rays have come as normal.Regards - Dr. Sumanth | 171,898 |
What causes redness under the skin,atrial fibrillation, bell s palsy with history of MRSA? | Patient: My Nephew has been in the hospital for 3 days and they have not found what is causing these symptoms. He now has A-fib, a redness under the skin which is burning like a bad sunburn, bells palsies, low energy. He recently had MRSA. They thought diabetes, stroke, lyme disease, but then ruled them out. He is home now and miserable. Doctor: Hello!Thank you for asking on HCM!Regarding your concern, I would explain that his symptoms seem to be related to a chronic infection. An autoimmune reaction could also be the cause of his symptoms. I would recommend performing a nerve conduction study to exclude a polyneuropathy and some tests for inflammation (PCR, sedimentation rate, fibrinogen levels). Hope to have been helpful!Kind regards, Dr. Aida | 143,349 |
Red, itchy rash on arms, legs, hands, looks like contact dermatitis. Cure for rashes? | Patient: i have a red itchy rash that comes and goes that s not on a regular basis but it appears on my arms, legs, feet , and hands. I went to the school nurse a few times and they said it looks like contact dermatitis from washing my hands, but i don t wash my legs too. There isn t really any changes in my soaps or lotions anything like that either. I don t know what to do because if i go to the doctors office it is not always on my body. Doctor: Hi, From the description you have given it seems more like urticaria than contact dermatitis. In most of the cases, urticaria has no underlying cause. However worm infestation, particular food intake, foods with preservative like jams pickle and sauce, medicines, infections can cause urticaria. To treat the same, you might require a course of oral anti allergic like fexofenadine or cetirizine for couple of weeks. You can also apply calamine to soothe rashes. Hope that answers your query. Take care. | 16,074 |
How can a fluid filled lump on the cheek be treated? | Patient: sure, I have had a rectangular mass that is about 2.5 in x 1 in that first appeared in my cheek. If pushed on it would just crush like a sponge giving off a burning sensation then it would go back to shape. Now it has moved to under my jawline. Also a secretion seeps through the skin when pressure is applied. What is this? Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This lump indicates abscess formation .* After thorough clinical evaluation , it can be decided whether it can be treated with oral medications or requires surgery of incision & drainage .Hope this clears your doubt .Wishing you fine recovery .Welcome for any further assistance .Regards take care . | 61,153 |
HCV and slightly coarse texture liver, kindly suggest | Patient: Hello Doctor , I am 24 years old. I had HCV which was cleared after I underwent interferon therapy 4 months back. Before I started the therapy my ultrasound showed slightly coarse texture of liver(with all other things normal). I have not undergone any other ultrasound so far. Was that slightly coarse liver texture was something dangerous. I would like to know as After that therapy i have put myself into the normal track of my life.. and now eating everything. like chips and other fried things in my University canteen. also my ALT levels are normal. Doctor: ONCE YOU ARE HCV INFECTED U HAVE TO BE VERY CAUTIOUS ....ALREADY LIVER ECHOTEXTURE IS COARSE WHICH SUGGESTS CHRONIC DAMAGE TO LIVER .... YOU HAVE TAKEN INTERFERON THERAPY . DID YOU COMPLETE THE COURSE ACCORDING TO THE REPORTS ITS IMP TO DO SO YOU MUST HAVE BEEN GIVEN RIBAVIRIN ALSO . DO COMPLETE THE COUSES FOR FULL DURATION AS DECIDED BY YOUR DR BECAUSE HCV SLOWLY DAMAGES THE LIVER IT IS THE MOST COMMON CAUSE OF CHRONIC LIVER DISEASES SIMPLY SGOT /SGPT NORMALIZATION OF LIVER IS INSUFFICIENT | 60,509 |
What causes lump behind the jaw bone along with fever and stomach pain? | Patient: My five year old has a very large lump at the back of his jaw bone, behind the last molar and has developed fever and a mild stomach ache. I ve never seen anything like this, wonder what it could be and whether I should be calling my dr. or dentist. Doctor: Hi....by what you say this looks like a suppurative cervical adenopathy or infection if the neck area lymph nodes. I suggest you consult your Pediatrician as this might require evaluation and antibiotic therapy.Regards - Dr. Sumanth | 165,758 |
Suggest remedies for dizziness and tiredness while on hypertension treatment | Patient: Last week my surgery called me with two cocerns. First my blood pressure was 167/101 and my heamaglobin levels 9 making me anaemia. I have been monitoring my bp at home and have been given iron tablets to take 3x day . I took a couple of days off because I had been feeling very tired. Tomorrow I am returning to work but with temperature in 30 s and feeling sick and a little dizzy wondering if heat will make symptoms worse Doctor: Hello,Please note that Blood Pressure (BP) above 140/90 mm Hg may cause tiredness and dizziness, anemia also causes such symptoms.If you are returning to work in hot area just increase the fluid intake and avoid dehydration. In addition to anemia and BP medicines, take any over the counter multivitamin antioxidant combination once a day.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi | 19,089 |
Rashes on arm and neck and fever blisters on labia. Have HSV 1, tested negative for HSV 2. What is the best to do? | Patient: I HAVE HSV 1 I VE HAD IT FOR Y ears only fever blisters on my mouth I recently had a baby 6 months ago and tested negative for hsv 2 but I ve had a fever blister on mylabia twice since December I also have a rash on my arms legs and neck the obgyn said it was pulps but it still hadn t went away could all of this be hsv2 Doctor: Hello,Thanks for the query,It is true that usually HSV 1 causes oral infection and HSV 2 causes labial infection.However even HSV 1 can cause labial infection occasionaly.Please repeat the test after 3 weeks,You will come to know which strain it is.Treatment aspect of both is same.Please meet a dermatologist for exact diagnosis.Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818Wishing__;!!Mih3wA!SBzm6_kI6hCZ58EPH6N_05MFfiPbxWXT0a2TJCdFQObRWm5mV5ur7hUOMa8clQ$ you a good health.Thank you | 15,052 |
What causes longstanding bumps at ear folds, abdomen and back? | Patient: I have a bump on the left side of my head just at the fold of the ear, it does not hurt when touch. It does bother me however and I ve had it for years. I m currently going through some stress which I think is making it more noticeable. Are these ever removed? I think it s a lymph node that got infected at some point. I also have similar types of these in various place on my abdomen and around my back. suggestions? Doctor: Hi,Dear thanks for the query to HCM.I went through the details of your query.After studying meticulously about the health concerns you have,In my opinion the lump mostly is Post-auricular Lipoma,as you have history of similar lumps on abdomen/back etc.There are other many reasons for such a lump(as Sebaceous Cyst/Chronic lymphadenitis with scalp infection/Chronic Boil /Congenital Dermoid Cyst which need to be ruled out by clinical examination by ER Surgeon,which is advisable in your case too.USG study and opinion of ER Surgeon would be advised for confirming the type of the post-auricular lump in your special case.Hope this would help you to plan treatment with your doctor on your next visit.Write excellent review and hit thanks after reading this,if you find this reply helpful to you,which would improve my rating and would help viewers of the HCM.Welcome for any further query to HCM and to ME.Wish you fast recovery.Have a Good Day.Dr.Savaskar M.N.Senior Surgical Consultant | 63,407 |
Suggest treatment for fever and sore legs | Patient: My 5 year old was running a fever off and on for the 5 days. She has been on antibiotics. She seemed better yesterday but complained of her legs being sore. When she woke up this morning, she is unable to bear weight on her legs. She says her calves hurt too bad. Could this be from the virus or dehydration? Doctor: Hi!Good evening! How are you?From the problems listed in your question regarding the illness of your daughter it looks like she is having dehydration due to perspiration, etc. The muscle soreness is due to salt imbalance resulting from dehydration. Give her some juice containing potassium, lot of oral fluids will definitely improve her condition. | 35,855 |
What could cause flushed face in a 2 years old child? | Patient: My son had a T&A a few days after his second birthday a few days ago. He has been drinking fluids and eating regularly with little complaint. His cheeks are extremely flushed and he feels warm and clammy but has no fever. Should I be concerned about the flushed face? Doctor: Hi..this could occur due to ambient temperature changes also. I dont think this is related to the TA surgery he underwent. The other possibility is that he could be in the initial stages of a starting viral illness. If he develops fever, then I suggest you approach your pediatrician in this regard.Fever of few days without any localizing signs could as well 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 there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth | 174,017 |
Suggest remedy for walking difficulty post broken ankle treatment | Patient: I broke my ankle last year had surgery and physical therapy. But now I am having a problem with putting my feet flat on the ground. When I sit in a chair, my toes or heels are up. I have specially made shoes I wear all the time. My feet don t hurt. But I am worried they will start if I don t get this straightened out. What do I do? Doctor: Hi! I am Dr. Neel Kudchadkar and I will help you with your health issues as regarding your feet. The problem that you are facing post surgery is due to incisions made on the fascia and the tendons of your feet. There is an element of normal post surgical healing in which there is a centripetal contracture and this is called as the third phase of wond healing. I would ask you to kindly feel relaxed and take Serratiopeptidase 50 mg three times a day to reduce the inflammatory response to surgery. I assure you that your feet will not begin to pain and even if they do so, they can be handled with NSAID pain killers and topical aceclofenac or diclofenac gel. I wish you all the best, and you are free to ask me any private questions at www.bit.ly/askdrneel. Have a great day. | 135,062 |
Difference in the size of the renal mass as seen in the CT with contrast and without contrast. Do I need a biopsy? | Patient: Hello, I was found to have a 2.9 x 2.6 cm renal mass on my left kidney after having a US, CT with contrast and another CT w/ and w/o contrast. My Urologist has stated that from the CT w/ and w/o contrast that the imaging went from 20 to 32 but he wants me to wait 4 months and have a MRI. Is that ok? There was another MD in my apt after the scan and he stated that I may have needed a biopsy. Doctor: Generally such masses are consider malignant if not proved otherwise.Studies have shown its better to remove them directly rather than biopsy as biopsy may itself open up the mass leading to spread. Nowadays most urologist if lesion is solid and shown growth favor removing it. At size of 3 cms there are chances that even good part of kidney can be saved.Rather then biopsy opt for PET scan and then decide.Please feel free to get benefits of premium category to get detailed answer. | 49,468 |
What causes shortness of breath? | Patient: sir, i want to know why my yrs old son is having the problem of shortness of breadth after some mild fever with cough .Actully, for the past 2 ,3 days he has some cough and yesterday evening he got mild fever with headech for which i gave apropate dose of nicip plus .and in the morning he got complain of congestion and shortness of breadth with dry cough . hence , seening this i gave him anti biotic medicine such as honitus cough syrip , clavid medicine (combition of amox 250 mg and potassum calvinute75mg). along with vitamin A to Z. two times (Morning and evening) .but the compline of congestion is still having. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, in my opinion your son is having either lung infection or bronchitis. He is already on antibiotics and still feeling chest congestion. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray to rule out lung infection. 3. PFT (Pulmonary Function Test) to rule out bronchitis. He may need inhaled bronchodilators and inhaled corticosteroid (ICS). Mucolytic and expectorant drugs are also helpful to relieve chest congestion. Since all these drugs are prescribed medicines, better to consult doctor. Hope I have solved your. Wishing good health to your son. Thanks. | 79,985 |
What causes Lupus,stabbing pain around belly button and loss of appetite? | Patient: My daughter has lupus and is complaining of severe stabbing pain around the belly button, which extends to her back. For the past two weeks she complained of having poor appetite, and last week she was having severe nausea which affects her ability to eat. What is happening? Doctor: Good evening mam. The kind of pain you are describing is classically seen with pancreatitis. It is condition which causes inflammation of the pancreas organ. It can affect her appetite and it can cause severe pain in the tummy which radiates to the back. Pancreatitis can be seen in lupus due to the disease itself or if she is on medications like Azathioprine or high dose steroids. Do consult your doctor at the earliest. Kindly get Ultrasound abdomen, serum amylase lipase done, but dont ignore. Hope the information was useful. | 82,760 |
Suggest treatment for anxiety , depression and migraine | Patient: I have had depression and anxiety for over 30 yrs it genetic as my mother and brother both had it. Medicare said they did not like migraine for people over 65. I talked ok t over with my Dr and I slowly over 4 to 5 months came off that medicine. I now am now experience anxieties with body shaking and blood pressure is high. I know that I will have to go back now meds and will call my Dr today but is the there a med you would recommend? Impriami worked good for lots of years but don't want to go back on it if it's not good for me in other ways Doctor: DearWe understand your concernsI went through your details. You are experiencing anxiety, hypertension and shaking body. I can understand. For normal anxiety, psychiatrist prescribe anti-anxiety drugs like xanax. Imipramine is an antidepressant medication prescribed for the treatment of chronic pain, depression and bed wetting. In that case, you were treated for depression, not for anxiety.Then the present symptoms suggest anxiety, but you were treated for depressive disorder. The best diagnosis can only be obtained when you consult a psychiatrist. Please consult your psychiatrist.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | 205,701 |
Suggest remedy for persistent cough | Patient: Hi, may I answer your health queries right now ? Please type your query here...HI I quit smoking 8 months ago mainly because of this cough. Well the cough is the same. I have had a ct and chest xray both clear. I also had a PTF also clear. I tried prilosec for about 3 weeks now no change. I have also tried Zyrtec for a week no change. My 6 yr old daughter now has this cough about 5 weeks speratic fits any ideas????" Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Since you are having continuous cough, you should definitely get done fresh PFT (Pulmonary Function Test) to rule out bronchitis.If new PFT shows decline in lung functions as compare to previous PFT then you should definitely start inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Family members are also at high risk of lung disease when they are exposed to second hand smoke.So consult pediatrician for your daughter to find out cause for her cough.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 72,477 |
What causes fever and rashes with pain? | Patient: Hi, may I answer your health queries right now ? Please type your query here...I have an 8 year old daughter with a hot, itchy rash that has presisted for a week with low grade temperatures controlled by nurofin. the rash appears and disappears all over her body. at one stage her hands and feet swelled up. she is now experiencing pain in her wrists and one knee. Doctor: Hi thanks for using Healthcaremagic Please consult a doctor and look for throat infectionRoutine blood tests has to be done including ASO titre,CRP,ESR Streptococcal infection can cause these type of problemsAntibiotics has to be initiated There are some viral fevers which can present like this ..Hence doing a Blood count will give you a clue....Typhoid fever is another possibility ...You can do a WIDAL test usually we do WIDAL test after 7 days of fever....thank you.... | 99,946 |
Why are my testicles of different size? | Patient: hi, My testicles are different in size since 5 years now. the left one is bigger and sometimes I feel some slight itch like feeling on it. I used to wear loose underpants since teenage time, but from last year I am wearing some skin tight underwears. I am unsure if the left testicle has some uneven upper portion which in my case is present, but I am worried that this is not a healthy sign. Doctor: HelloThanks for query .You have doubt about the size of your left is bigger than Rt testicle.I would like to state that the size of the both the testicles is never same in every individual .One is always bigger than its counterpart .More over it has no significance as far as function of the testicle is concerned unless there is vast difference in size of the testicles (One testicle is atrophied due to some pathology)/Consult qualified General Surgeon or Urologist for clinical examination and get Ultrasound Scanning of Scrotum .This will help to allay your anxiety .Dr.Patil. | 197,239 |
What causes abdominal pain and frequent urination while having high BP? | Patient: Hi Doctor, i had hight blood pressure with daily dose of hydrochlorothiazide 25mg daily. I got frequently urination and also had lower abdominal pain in the right side. Now got the lab result of RBC 10-30/hpf, few bacteria, urine cytology negative .What is that problem? Thanks Doctor Doctor: Hello,Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem.You labs show that you might be having a kidney stone or a UTI, this is causing pain in your abdomen in my opinion. Regarding frequent urination , this is common in this condition.1) You are taking Hydrochlorthiazide which is a diuretic and diuretics cause frequent urination.2) UTI or inflammation of urinary tract themselves cause frequent urination which is burning in character usually.I would suggest you to keep monitoring your blood pressure it can be high due to pain and stress condition and meanwhile get your urinary tract problem diagnosed and treated you might need to visit a urologist and he might recommend tests like ultrasound kidney ureter pelvis to diagnose and later treat you. There isn't anything to panic but you should get the work up done to start treatment soon.I hope this answered your question, If you have more queries I am happy to answer you.Regards.Dr.Muhammad Ahmad | 24,043 |
Suggest alternate medicine for blood pressure | Patient: I am takeing Toprol and Losartan/HCTZ my blood pressure is great, almost low. I am 57, 5 6, weigh 226. Blood sugar is high and am on lorazepam and zoloft. Want to get off the Losartan, which I just started 4week ago after not being able to get avalide. Doctor: **1. Under no circumstances you should stop the medicine without first consulting your attending Physician.2. Five step approach to the disease is:i. Exercise: brisk walk for 45 minutes every day, at least 5 days a week along with Yogasanas and Pranayama. avoid complicated ones]ii. Stress Management: Meditation for 15 minutes everyday [positive thinking] with relaxed mind.iii. Low fat Diet:. Avoid saturated oils [coconut oil, dalda, butter,ghee, cream] instead use monosaturated oils [olive oil] or polyunsaturated oils [sunflower, corn oil]. Avoid all deep fried foods, unskimmed milk, and meat.. Increase fibre intake i.e. leafy vegetables, salads, fruits, pulses and legumes.. Use skimmed milk or double toned low fat milk.iv. elimination of known risk factors: Smoking, Weight reduction [if overweight], high blood sugar, mental strainsv. Drugs: Since Hypertension is one example of Psychosomatic Disease, thus treatment of Mind is essential before addressing physical symptoms, thus you can take prescription medicines like: Prabodh Vati, Sarpagandhaghan vati, Brahmi Vati, Tablet Mentat, Ashwagandha Arishta for the same, and Arjuna Artishta, Mukta Vati for high blood pressure.PS. You can start practicing following natural home remedies:. Add 1 spoon smashed fenugreek seeds and boil in 4 cups of water, till 1 cup remains. Filter it and add 4 spoons honey and drink for 1 month.. Mix 1 spoon long pepper powder and 1 spoon jaggery and eat daily for 1 month.. Add 1/2 spoon roasted turmeric powder to 1 coconut water, also add 1 spoon ghee and drink it daily for 1 month [heart ache due to blood pressure reduces] | 97,408 |
Suggest treatment for back pain | Patient: Hi I ve suffered for the past 12years with back problems I ve been told that they cannot do anything for me and they have proscribed oromoph pain killer . I do work and finding it very hard to keep going I m wondering would I be able to go on pernament sick has I have more bad day then good days Doctor: Hello, Thanks for your query.Common causes of low back pain are-Poor postural habitsMuscular strainLigaments sprainHerniated discSpinal stenosisOsteoporosisFibromyalgiaThe first step is to ensure that you maintain an appropriate posture while working on the computer. Take frequent stretch breaks and drink lots of water not diet coke. Discontinue using pillow while sleeping straight. Do not lift heavy objects, especially after bending down. Eat a healthy wholesome meal which should satisfy your minerals and proteins requirement.The most essential and long lasting remedy is exercises. There are certain back strengthening and neck isometric exercises that you must learn from a physiotherapist and perform them at home or work whenever possible. You can also undergo a weeks session of traction at your physiotherapist's clinic. Last but not least, if its unbearable take medications or muscle relaxant prescribed by your physician. And if it has been long standing illness visit your orthopaedician and clinically-radiologically establish a diagnosis to commence definitive treatment.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | 110,712 |
What causes tingling and numbness in left arm? | Patient: Hello Doctor, My left arm is feeling tingly and kind of numb. It has been for two days. I also have a burning sensation on my left side where my upper ribs are beneath my arm. None of it is sharp pain. Do I need to worry? Does this sound like a nerve or muscular issue or my heart? Thank you so much for your help. Doctor: Hello,Your symptoms seem to be related to a pinched nerve. A cardiac issue should be excluded through an electrocardiogram. I suggest to do the EKG as soon as possible for further evaluation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 120,342 |
Do I need to be concerned with another subarachnoid cyst returning after one has been removed? | Patient: Hello, im a 45 yr. old male who has already gone through a subarachnoid cyst removal in 2007. Recently I had a MRI done for them to tell me I have another one which is bigger. Are they known for coming back? and if I have this next surgery,do I need to be concerned with another one returning? Thank you Doctor: Hi,Thanks for writing in.Recurrent sub arachnoid cyst is not unheard of. Cysts can recur when only cyst aspirtation is done and this can cause further development of the cyst even in 6 years after aspiration. Presently the cyst area can be filled with an inert material like teflon and this prevents the cyst from growing again. Another treatment for such cysts is a cysto-peritoneal shunt may be require to definitively treat the cyst. This allows flow of cyst fluid from the cyst into the abdominal cavity, thereby relieving decompressing the cyst and relieving pressure on the surrounding structures | 146,756 |
Is the heartburn and intergestion a side effect of cortisone injection? | Patient: I had 7 cortisone injections last week in my hips and have had a heavy chest since, like heartburn and intergestion. I feel sometimes it is worse after coffee or some foods but the pain is not getting any less, is it part of the side effects of cortisone Trevor YYYY@YYYY Doctor: Hi.Yes, cortisone injection can cause stomach upset.Heartburn (due to acid reflux) and indigestion can occur for a few days following cortisone injections.I suggest you to take a proton pump inhibitor on an empty stomach before breakfast or an antacid to overcome the stomach upset caused by cortisone injections.Hope this will help. | 85,059 |
Will symptoms of erectile dysfunction improve after aortic valve replacement? | Patient: I have been advised to have an aortic valve replacement. My symptoms I can not walk for more than 2 hours and I suffer from erectile dysfunction other than that I feel fine. Do you think these symptoms will improve after the operation.I live in Thailand is there any American hospitals that offer medical tour services that can do this operation? Doctor: Hi, Erection problems can have many causes. These include Physical problems, such as injury to nerves or loss ofblood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, anddepression. Side effects of certain medicines. Stress. Drinking too much alcohol or smoking. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Treatment is based on cause and includes avoiding tobacco and drugs and limiting alcohol. Also, talking about the issue with your partner, doing sensual exercises, and getting counseling may be beneficial. Finding and then stopping medicines that may be causing the problem. In some cases, you can take a different medicine that doesn't cause erection problems. Taking prescription medicine that can help you get erections. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis). In most cases, this is sufficient for treatment but you should just be patient and do necessary tests. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon | 194,207 |
What is the treatment for candida infection and ecoli infection? | Patient: 1. What is the cause and treatment of candida infection? Is this a STD? 2. What is the cause and treatment of ecoli infection? Is this a sexually transmitted disease? Age = 45 Height = 5ft 3inch Weight = 77kg Medical history = okay. Just bouts of malaria from time to time. Doctor: Hello.Candida spp. and E. coli infections are not STD, but can be resault of STD (HIV for example). Antibiotics are obligatory if you have signs and simptoms (fever), but on the other hand, if you have no problems, that might be just colonisation or bad test. If you have any doubts concerning STDs, you should visit specialist and perform HIV test or do it by home OraQuick set. Have in mind, all you mentioned are treatable illneses. Don't worry too much, but take care on your health. | 33,381 |
What to do if lithotripsy cannot break a kidney stone? | Patient: 46 year old male, had lithotripsy on left kidney to break up 4mm stone. Every went fine and urinated fragments out. Two months later had 5mm stone in right kidney lithotripsy didn t break up. Had it lithotripsy done again a month later, again didn t break up. What next? Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have a stone of 5mm size in your Rt kidney and it did not get fragmented even with two attempts of lithotripsy.The stone of a size of 5 mm is likely to be passed down through ureter in to bladder and urethra .You have to ensure that you drink more water to produce more urine to have a diuretic effect.Taking alpha blockers like Tomsulosin will help to pass it down through ureter smoothly .In case if it gets impacted into ureter and gives severe pain it can be fragmented endoscopic procedure called UreteroRenoscopy(URS) .Dr.Patil. | 49,203 |
Will rheumatoid arthritis comes with the fibromyalgia? | Patient: I have Fibromyalgia so I expect a lot of different pain but, for the past few days I have had this serious pain in my left shoulder like it is dislocated but I know that it is not. It hurts all the time but is terrible pain when I try to move my arm. At the same time that this started I also now have a huge red spot on my right hand and it is swollen and hurts to move my hand at all. I have heard that rheumatoid arthritis sometimes comes with the fibromyalgia but am not sure. Help? Doctor: First for your shouler you need cataflam I.M daily for 7 days before you develop a frozen shoulder In my opinion i think you have systemic lupus , i recommend you see a ReumatologistGood Luck | 131,039 |
What causes severe lower back pain despite taking Tylenol and Aleve? | Patient: for the past week i have been having severe lower back pain (buttock area) i can barely put on my socks,the pain is that severe. ive been doing stretches to relieve it but its not helping,also tylenol,aleve,or ibruprofen won t help. what can i do? i don t have insurance :( Doctor: Dear Patient, Pain in buttock on one side may be due to nerve compression at the lower lumbar spine. Since, it is not relieved by routine medications further investigation in the form of MRI of the lumbar spine with screening of buttock area is required to confirm diagnosis. Please get it done from radiology center nearby you. Meanwhile, start tab Pregalin x 75 mg one at bedtime. Take rest on hard bed. Avoid forward bending and weight lifting. You need to consult orthopedic surgeon with report. Take Care Regards Dr. Jayesh Vaza, Orthopaedic Surgeon | 106,913 |
What are the latest treatments for hematological malignancies? | Patient: respected Dr., I wanted to ask that what are the recent trends in hematological malignanciens. i wanted to go for summer research and for that i wanted to know that. i read few articles on google. but if you get time thn please tell me something about that. Doctor: Hi, dearI have gone through your question. I can understand your concern. Treatment of haematological malignancy depends on type of malignancy. Most definitive treatment in most of cases is bone marrow transplantation. Chemotherapy and molecular therapy are the other options. Many newer drugs are available for chemotherapy. But that all depends on type of leukemia. 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. | 153,683 |
Is there any medication that can help in conceiving and reduce weight? | Patient: Hi doc.. I am 26 yrs old house wife. I want to concieve bt m not.. we got married 1 year before... I m taking medicine from doc to.concieve.. will u pls tell me any exercise or something else that will help me to get pregnant .... and 1 more question that I want to lose wait pls suggest me the way... thanx Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would suggest to consult the gynecologist first and undergo USG scan and ovarian follicle study to find any pathology. Drugs like clomiphene, citrate, metformin, progesterone pill will help in conceiving. Clomiphene citrate help in inducing ovulation and increasing fertility. Metformin decrease insulin resistance and maintain glucose homeostasis. Progesterone support implantation and pregnancy. You should take above medicine after proper evaluation. For losing weight avoid high fat diet, fast food, take heavy breakfast, adequate lunch and light dinner. Do regular exercise like running and skipping for 45 to 60 minutes in the morning daily followed by yoga. Take more fresh fruits and green leafy vegetables and drink plenty of water. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar | 2,965 |
How can dyslexia be treated? | Patient: Since the 5th grade school has been very difficult for me and I don't think I can graduate high school or be accepted into college. My school tells me it's my dyslexia but I think it's something more. My school doesn't help me with it besides small group testing and offering some to read questions for me. I can't focus my grade are awful and I it just leads me to think I'm an idiot. I should drop out and work in a fast food restaurant. I'm stressed, I feel at times suicidal. Please help Doctor: Hello, It's true and you are aware of that you are suffering from Dyslexia.... but at the same time you are also suffering from secondary depression.. the rest of the symptoms you have mentioned like sadness, decreased energy, not able to concentrate in studies.. thoughts of suicide.. are all because of depression.. Remember one thing.. depression is not difficult to treat.. Bt living with it without treatment is very difficult task.. for dyslexia you need more efforts to adjust with surroundings with less acceptance from others .this might Precipitate the depressive episode.. please consult Psychiatrist.. start with treatment.. you will definitely feel better.. OK.. | 205,235 |
How to come out of this fear, after releasing semen on person, he will die? | Patient: Hi Doctor;Warm RegardsI had a query ; i am always feeling since quite days that if i by chance threw semen or release semen on any one he will die;this has led to weak mental conditions as it has been hardwired in my brain,i cannot also ejaculate freely of fear of this.I will be getting married ;and thoughts like this come;If i release semen into my wife vagina she will die.I know this is illogical;but something has crept into my mind.I cannot understand why one would die with mere contamination with semen.Please make me understand and help to get over this .. Doctor: hi friend, first let me figure out your prob-----since you are getting married shortly, i think this thought is haunting you and you are fearful about sex. Despite any logic, these thoughts are intrusive and making your life miserable , you cant concentrate at job, confidence lowered, cant sleep, cant relax. it wll be better if you clarify further more about the prob that whether you have a tendency to "doubt" , get occupied by trivial/unusual thoughts/acts, do some rituals/actions to get relief. if so probably you have problems of "obscessive compulsive disorder". learn more about it from authentic websites. get to know how to stay relaxed, how to control thoughts, build up your good habits & hobbies.if your time to get married is very short or you think that your problem is very severe better take help from experts.best wishes | 211,711 |
Suggest diet to be followed after undergoing cholecystectomy | Patient: I am a 24 year female has undergone gall bladder surgery 3 months before. Now I feel better than before. Could you please suggest me the diet to be followed? My doctor advises to take normal diet (including fish, meat, chicken) with limited amount of cholesterol and told to have 2 eggs per week. Nothing more he has said since I was just 24. I have a 10 months old kid now but I have stopped breast feeding after my laparoscopic surgery. I want to know whether will the stones will form even after gall bladder removal. If so what is the way to avoid it. I am very afraid of it. Please suggest. Doctor: Hi,My advice is as below:- If gastritis ( stomach pain experienced) it maybe treated by taking Nexium before breakfast for 1 to 2 months. If pain persists you may need to take Famot for the rest of your life.- Avoid OILY food altogether- Avoid eating stomach full and mouth full- Avoid spicy food - AVOID caffeine, dairy products, greasy foods, very sweet foodsHope I have answered your query. Let me know if I can assist you further. Regards,Dr. Tayyab Malik | 53,394 |
What are the symptoms of Sarcoidosis? | Patient: Two weeks ago I started having numbness superficially on my right upper torso to my waist(didnt hurt myself), reciently I was told I have an enlarged fatty liver and vitamin D deficient, arthritis started 6 yrs ago at 34yrs., and my eyes are itchy watery, and had bladder surgery for a bad infection two yrs ago..with some of this stuff could I have Sarcoidosis Doctor: Hello,Your symptoms are not suggestive of sarcoidosis, because it usually leads to low grade fever and increased lymph nodes. The itchy and watery eyes could be related to an allergic reaction. While the enlarged liver is usually caused by overweight, fatty food and alcohol intake.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | 121,445 |
How to treat an itchy rash on my ankles due to lying on grass? | Patient: I am a young healthy 27 year old, however I do smoke and I drink alcohol on the weekends. I have a itchy rash on my ankles that happend after laying in the grass working on a vehicle. It was more on my left and now it is spreading a lot on my right ankle. It is very itchy to the point where it wakes me up at night. I have tried cleaning it with rubbing alcohol and hydrocortizone cream and it is still itching and spreading. What could it be. Doctor: Hi,It seems that most probably you may be having allergic contact dermatitis on ankles. It might be due to grass. Please have visit to dermatologist and have firm diagnosis and treatment.I would like to suggest as follow..- a short and tappering course of oral steroids- antihistaminics to relieve itch sensation - mild steroid cream may be applied- avoidance of contact with grass and other suspected allergensI hope this might help you...Thanks.Dr. Ilyas Patel MD | 14,410 |
How serious is a grade 4 liver damage? | Patient: My 11 year old granddaughter was in a car accident and damaged her liver. The doctor called it grade 4 liver damage, the most serious being grade 6. They are monitoring her and keeping her in the hospital for 5 days, no sports or activities for 2-3 months. How serious is this? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Liver injuries in children are usually graded by the depth of the injury in imaging investigations. But the decision to operate is always based on the stability of the child and not on the grade of injury. Stability in this context means maintenance of blood pressure, while closely observing for signs of any ongoing bleeding from the liver injury inside the abdomen. Children who cross the initial critical stage usually recover fast and are typically discharged after a period of observation. Activity restriction for a grade 4 injury is usually between six to 10 weeks. Hope your grand kid makes speedy recovery. | 162,834 |
What causes tenderness in the testicles? | Patient: I had a vasectomy 14 days ago. It was a no scalpel coterized open ended type of vasectomy. My testicles are still pretty tender and I must be careful not to bump them with my hand or something as this causes pain. When I am resting, I don t feel any pain. Is this normal after 14 days? Is so, how much longer till this issue goes away? Also, when my ball-sac hangs loose, it looks a bit deflated since having the procedure. Is this normal? Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Pain after vasectomy for such a long period is abnormal. NSV or non scalpel vasectomy will never cause loose or deflated testicles.So pain may be because of the infection or some other thing. I suggest you should examine yourself with the doctor for pain in the testicles. Only visible examination and direct examination can diagnose the condition directly. And can help you cure.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | 199,726 |
Can unprotected sex initiate pregnancy? | Patient: Hi, I had unprotected sex this morning and (idiotically) have left my Cerazette pills at home as I made an impromptu overnight stay with my parents. Am I at risk of pregnancy if I take my pill promptly (not sure if I can make it back in time for the 12hr window) tomorrow? Doctor: hello,Unprotected sex without regular mini pill (like Cerazette) has always chance of pregnancy. Here, you need to take the missed pill at the earliest or take 2 pills on next day and continue the rest pills as earlier. Good luck. | 4,425 |
Is higher dose of Crocin, suggested for fever in children? | Patient: My daughter who is 7 yrs old is running a temperature of 102.7 have given her a dose of crocin n ibugesic plus. I think I have giving a lesser doses of both. Her fever is not coming down. Can I give her another dose of crocin. It s been 6 hrs from d first dose of crocin n four hrs for d ibugesic. Plz advice what should I do. thanks Doctor: Thanks for the query.Dose of paracetamol is 15 to 20 mg per kg per dose every 4 to 6 hrly.You need to give the medicine as per the dose.Giving lesser dose may not reduce the fever and higher dose may cause side effects.I advised you to give syp. Ibugesic plus if fever is above 101F.Dose depends on weight.Hope i helped you. | 177,869 |
What is the use of oligocare tablet ? | Patient: dear sir, please send me oligocare tablet uses. Doctor: hello welcome to health care magic Oligocare is a nutritional supplement use to optimize sperm functions and support normal male fertility.it increase sperm count and its motility and correct nutritional deficiency related to male infertility. dont take any medication/supplements unless and untill prescribed by physician. good luck | 45,120 |
Why does my lower stomach pop while sneezing? | Patient: Hi I am a Male, and when I sneeze(Please note that this has only happened twice, but not often) my lower stomach feels like as if it has popped, or something similar to that, and it s not really painful, but it just feels weird and it has me concerned. What may it be? I m allergic to the white fuzzy floating stuff outside, and I think it s part of it, which causes me to sneeze more than twice, though this hasn t happened before, and doesn t happen often. Doctor: See sneezing and coughing increses intraabdominal preasure ,because of which internal organ may herniate through potential hernial site if its weak,so sometimes when you sneeze something poop up,goes back automaticaly or by just lying down,Please visit a surgeon and get yourself examined,Hope this information help | 90,477 |
Suggest treatment for multi minicore disease | Patient: I have been diagnosed with multi minicore disease, an apparently rare genetic condition. Although I am now 71 years old, this condition was not diagnosed in me until I was in my late 60s when I consulted my GP regarding my sudden inability to hold my head up because of neck muscle weakness. A muscle biopsy was performed in December 2013 resulting in the above diagnosis. I have been trying to locate a neck brace or collar which will allow me to hold my head up in a normal position, as at the present time I must either force my head up by forcing my chin up with my fist or the open palm of my hand. I have tried a Miami J collar which was promising but was damaged to the point of semi-uselessness by the weight of my head causing buckling of one of the side supports. I was given an Aspen collar by the orthotist to whom I was referred, but it is so uncomfortable that I cannot use it for more than half an hour at a time without unacceptable levels of pressure pain along the jaw line and breast bone. I live alone with my 89 year old husband for whom I must help perform many activities of daily living. Any advice regarding a different type of head and/or neck support would be greatly appreciated. (I am an American citizen residing in the UK as the spouse of a British citizen.) Doctor: hiIn britain, it is easier to consult an orthotics expert anfd an orthopedic doctor in a hospital.Four post collar is designed for your purpose which has adjustable screws and may be obtained from rehabilitation centres or prescribed from speiality centres in UK. You GP should be able to guide you better and refer you to an orthotic/orthopedic specialistthanks | 134,692 |
Suggest treatment for hives , cough and congestion | Patient: Hello I ve had hives for a month now went to doctor two weeks ago and he gave me a pred pack which I took and told me to take Benadryl for itch the hives went down a little but never went away. Iam now sick/ cough congestion but no fever. Thought the hives were from an e-cig I was using but haven t used in two weeks. Is hives this long normal Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. No, hives for this long duration is not normal. We need to investigate properly about this. Along with hives you are also having cough and congestion. So possibility of lower respiratory tract infection (LRTI) with pneumococcal or streptococcal infection is high. Because both of these bacterias can cause hives with cough and congestion. So better to get done chest x ray to rule out LRTI. You may need antibiotics, antihistamines and anti inflammatory drugs. Hope I have solved your query. Wish you good health. Thanks. | 79,951 |
What causes excessive sweating while on Losartan for high BP? | Patient: I am taking losartan for high blood pressure - I looked on line and the information I received was that excessive sweating was one of the side effects. Is this correct? and if so what can I do to alleviate the problem? My email address is YYYY@YYYY ... Thank you.... Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I passed carefully through your question and would explain that this is a rare adverse effect of Losartan. Anyway, if these complaints started after starting Losartan, it could be considered an adverse effect of this drug. Coming to this point, I would recommend switching to another anti-hypertensive drug like an ACEI (berlipril, ramipril) or a calcium channel blocker (amlodipine, lecarnidipine, etc.). Hope you will find this answer helpful!Wishing good health, Dr. Iliri | 18,737 |
Suggest remedy for pain in left hand | Patient: I was hit by a car 2 weeks ago. I didn t get any bruises but there was swelling in left hand (below wrist) and left leg s calves. X-ray showed no fracture. Swelling is gone now. But left hand still feels like it is crushed. Can t lift or push anything with it. Doctor: hi,thank-you for providing the brief history of you.As you had a car accident which we call it a RTA - Road Traffic Accident. During RTA there will be a high strain injury to the muscle fibers and that lead to weakness as well. Muscles act by providing the support to the skeletal system and its also acts as protective. This looks like a muscle fibre injury , a deep hurt which has led to weakness in the muscle system. I will advice you to perform some exercises, which are simple to regain the strength of the muscles and tendons wrist and hand should be strong again. This is very common complain I receive in my clinical practice. Most of them respond well to physical exercise.Regards Jay Indravadan Patel | 133,196 |
What is anterior horn cell disease ? How is it treated ? | Patient: hello sir my father is 45 yrs old, he is suffring from horncell disorder from past 2 years. Please tell me some thearpy for the disease Doctor: hello,In the neurological evaluation of weakness, we distinguish between upper motor neuronweakness, and lower motor neuron weakness.The anterior horn cells are somatotopically organized in the spinal cord.Clinically characterized by selective involvement of muscles.Currently there is no cure for MND, however there are medicines available to slow down the progress of the disease and manage your symptoms.Talk to your GP before starting any complementary therapy to make sure that it isn’t harmful and is compatible with any other medicines you’re taking.i hope i have answered your query.take care | 151,779 |
Sore throat, fever, teeth was inflamed and sore, hard to eat. Any suggestion? | Patient: Hey. I have had this flu since last week Thursday. The mild sore throat occurred on Sunday with a fever that continued through to Tuesday evening. Then when I woke on Wednesday morning, I found that the gum on the roof of my mouth behind my front teeth was inflamed and was very sore. Also, my gums at the side of my molars have the same problem. Since then, I have not been able to eat properly especially concerning hard foods and fruits. I know I need my Vitamin C but they just keep stinging! Help!? Doctor: Hi,Thanks for asking the query,According to your clinical symptoms i suppose that you have developed a severe infection in your tooth.A thorough clinical examination and x-ray of the tooth is required.Start with root canal treatment of the infected tooth.Take a course of antibiotics and analgesics and paracetomol for fever.At home take antiseptic and lukewarm saline rinses.Avoid eating hot and spicy foodstuffs.Hope this helps out,Regards.. | 188,379 |
Could slight itching in lip area of vagina be rugburn due to using sanitary pads? | Patient: I believe my sanitary pad gave me a "rugburn", thats the way it looks around the Its not sore though, just sightly itchy, and thats only on that particular lip area, not inside or anywhere else. Im concerened about the possiblity that it might be a toxic reaction or just me getting an yeast infection (and Ive never had one yet in my 20 years so Im not sure what my signs are.)Im not sexually active and havent been for over 2 years, so given that Im deffiantly not concerned with STD's. I have had past issues with pads feeling sore a day after i stopped using them but i just figured it was probably because the material was too harsh on my skin around there. This is the first time I felt itchy instead, its not an overbearing itch but i would like to find way to stop this. Doctor: Hi,Welcome to HCM!We,, there are basically two possibilities - 1. It is a rugburn (as you have said you have experienced it beofre).2. It might be a local fungal infection - more likely as per me.Fungal (yeast) infections commonly present as soreness/red-whitish patches/itching/foul smell).If I were your treating doctor, I'd start you with -1. Fluconazole tablet - one stat.2. Local application of antifungal creams.3. Tablet Cetrizine for relief from itching.3. Keeping the area hygienic, dry and clean.With the application of these, it should take about 4-5 days for it to disappear.Hope this information helps. Feel free to ask if you have any doubts.Wishing you good health.With regards,Dr. Sridhar Reddy | 39,288 |
Suggest remedy for neck and shoulder pain,dizziness and shoulder pain | Patient: hello doctor, what is a treatment for 1. C4-C5 AND C5-C6 Disc bulge indenting on ventral thecal sac 2. type I tear in L-4-L5 disc in posterior aspect with disc bulge indenting on ventral thecal sac with bilateral foraminal stenosis iam suffering from dizziness and vomiting sensation with neck and shoulder pain Doctor: Treatment depemds upon various factors viz. age, duration as well as intensity of symptoms, associated medical conditions. however depending upon the MRI report you have mantiones we can proceed in further manner1) ant inflammatory and muscle relaxants. tablet diclofenac 50 mg and thiocholchicoside 4 mg twice daily2) local application gel3) ultrasound and ift to local pain spot)4 avoiding heavy work and forward bending after relief in pain physiotherapy needs to be startedafter | 134,727 |
Suggest medication for fatigue and lethargy while on medication for high BP | Patient: Am on dialysis (63 year old male). On many meds including hydralazine (50 mg 3 X day), lopressor (25 mg 2 X day) and norvasc (5 mg 1 X day). Blood pressure runs about 128-140 for systolic and 45-58 dystolic with pulse averaging between 57 - 65. I am EXTREMELY tired and fatigued most of the time. Any suggestions on medication adjustments to help with this fatigue? I had a triple bypass in '96 and all grafts are still clean. Also take Prevachhol 10 mg 1 X day. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Your diastolic pressure is too low, possibly due to dialysis. This could be contributing to your fatigue and lethargy.2. Also get you hemogram done to rule out anemia. Patients on dialysis are at increased risk of anemia.3. Nutritional diet is very essential. Control blood pressure within normal range. Continue medications. Not to worry.Hope it helps.Any further queries, happy to help again. | 116,459 |
What is the cause of red bumps? | Patient: I got a tattoo on my chest about 4 days ago, I put lotion on it regularly and wash it with dial soap every single morning and afternoon. But just yesterday red bumps popped up on it like a rash. I didn't know if it was infected or if it was just part of the healing process? Doctor: Hi, Active oozing or bleeding or sore could be a sign of active infection. Do consult your Cosmetologist/Dermatologist to rule out infection as infection can damage your skin further. Hope I have answered your query. Let me know if I can assist you further. | 13,891 |
Is it necessary to take an extra contraceptive pill after vomiting the taken pill? | Patient: Hi, I have a question about emergency contraception. I am currently on the birth control pill Junel Fe and take it fairly consistently (between 12-4) everyday. Unfortunately I was sick this weekend with a stomach bug and threw up once on Friday and once on Saturday. Although I threw up more than a few hours after taking the pill I am worried about the pills effectiveness because while having intercourse last night the condom broke. I am reluctant to take an emergency contraceptive but was wondering if one would be necessary. Doctor: Hi, thanks for posting your concern in the HCM. My understanding is if you have vomited out your pill within 2 hours of intake, you should have taken another at that time. If it is more than 2 hrs, that need not be done. However, as you are on regular birth control pills and the condom ruptured, I need to know what day of your cycle it was (the first day of your current menstrual cycle should be considered as day1).I also need to know whether you have regular cycles and what the duration is for a cycle.If you are in the unsafe period, or you have irregular cycles and you had vomited out the pill within 2 hours of intake you need to opt emergency contraception. More so, because, women on contraceptive pills are more prone to have ectopic pregnancy, if they at all become pregnant and that ectopic pregnancy is an emergency and can be fatal as well.Hope you are satisfied with my answer. If you think I have satisfactorily resolved your query, please rate my answer. In case you have any further query, you can directly ask me questions @ http://www.HealthcareMagic.com/doctors/dr-kaushik-sarkar/68460. I will try my level best to help you.Regards,Dr. Kaushik | 224,553 |
Suggest treatment for lump in the ear | Patient: I have found a hard nonmovable lump in front of ear. Next day a lump in front of other ear was found, it is moveable. Day after that found lump in neck right under ear of nonmovable lump. I've been having headaches and pressure for a lon time but for last wk or so they have been constant and I also have no energy and just don't feel good. My arm on the side with the lump in front of ear and below it also aches sometimes. What's going on with me? Doctor: HI,Dear,Welcome to HCM.Based on the facts and data of your query,You seems to be having Bilateral Mumps or Infectious Mono with Neck and armpit lumps,which may cause debility with aches and not feeling good.Mostly seems to be suffering from Viral infections.Remedy-Steroid response would confirm infectious mono/Mumps.IF need be Painkillers.Bplex and Vitc supplements Plenty of fluidsRest would resolve issue in 1 weeks time.Hope this reply would help you to resolve your sever anxiety.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | 62,432 |
What could cause redness and pain in the joints of the legs in a 58-year-old? | Patient: I have mild renal insufficiency. Rt. Nephrectomy 11 yrs ago I am cancer free. I take furosemide 20-40mg daily. Losartan, just started Fosamax weekly 3 weeks ago. I am having joint pain increased LE edems redness on lower legs, lower legs are tender to touch. I am 58 yrs. Doctor: Hello, It can be an early sign of arthritis. If symptoms persist better to consult an orthopaedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 125,288 |
What causes weird tingling feeling in feet and legs with cancer history? | Patient: Had this weird tingling feeling in feet and legs and tho out my body for about 2 hours I ve had cancer in pass and now they just found a spot on my right kidney but this feeling has been happen about 6 months . When it happens can t do much but lie down Doctor: Hi and welcome to HCM thanks for the query. it is hard to say since these are nonspecific symtoms bu it may indicate some neurologic disorers or legs circulation disorder so these 2 are first that should be ruled out. I don't think that this is related to previous malignant disease.Wish you good health. Regards | 155,857 |
Suggest treatment for bronchitis and heartburn | Patient: Hello I just finished taking doxycycline for bronchitis (wheezing) now i have a feeling that i have never had that i feel is heartburn. The pain feels like i have swallowed a pill that went down wrong and got stuck. I also keep coughing or feel the need to cough. Is there anything to take that will help and how long is too long. It has been persistant especially after eating anything. thanks for your help Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.Possibility of acute gastritis is more likely.Antibiotics like doxycyclin is known to cause drug induced gastritis.So take pantoprazole tablet on empty stomach twice daily for 1 week.Avoid hot and spicy food. Avoid junk food.Don't worry, you will be alright with pantoprazole.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 73,610 |
Suggest treatment for acute abdominal pain and continuous headache | Patient: Hello doctor. From past few days i am having motions with acute abdominal pain and continuous headache at night. Shortly i discovered myself with fever, chills and body ache while the earlier problems still continues. Can you suggest me which disease it is pointing? Thank you Doctor: Hi thanks for asking question.First to rule out different causes do your stool examination and CBC.Here mostly you have infective enteritis.The stool might show parasites egg like that of amebic dysentry or giardiasis trophozoites.The stool also having pus cells if having dysentry like infection.In the CBC if high total count with neutrophilia then infective enteritis suspected.Do your Widal test from serum to rule out typhoid.In between maintain your health with taking semisolid diet with more water and fruits.Avoid excess spicy food.Maintain your hydration.Mostly infective etiology is there so you have to take cefixime like antibiotic to treat it for 6 days.I hope this will help you.Thanks. | 31,522 |
How to treat a lump in knuckle causing hand pain? | Patient: Hello, my name is Meagan and I m not sure if this site is real legit or not. This is my first time on here and I was wondering if you could help me figure out whats going on with my hand. I have this very painful, swollen and weird lump on my knuckle. my middle finger and ring finger can barely move without my whole hand hurting. This has been going on about three days now and it is getting worse and more painful. So i was wondering if you knew what this might be? Please and thank you! Doctor: Hi Meagan, Thanks for your query. This site is indeed legit and meant to serve all your health queries. Now coming to your question, you could be suffering from Web Space infection. You need to take analgesic, antibiotics (penicillin group) and hot foementation. Please check your blood for fasting sugar level and total wbc count. If your condition improves by this , then please continue the treatment for 7 days. Incase, if the swelling persists, then you would require an incision and drainage of the swelling. use arm sling while sitting/standing for the effected arm,and do try to avoid free hanging of the effected limb. Take care and wishing you a rapid recovery | 67,123 |
What does a small lump in the groin area indicate? | Patient: Hi I'm Jacob price and I have a small pea size lump under my skin It's like 4 inches above my crotch it's hard and it moves a little it hearts when I walk. It wasn't there yester day I just noticed when I sat down on the coutch There was a slite pain coming from it and when I breath it hearts a little Doctor: Hi,From history it seems that there might be having enlarged painful inguinal lymphnode giving this problem.There might be having some skin infection in near by area like shaving bump or ingrown hair infection.nothing to worry, gradually it will be subsided.If lump increases then you might require one antibiotic medicine course for 3 days.Keep local hygiene proper.Ok and take care. | 66,029 |
Can urine test reveal Champix in system? | Patient: I work in a place where random urine tests are the norm and we are not supposed to take champix because of the possible side effects, my question is, would champix or it s ingredients show up in a urine test? They test for recreational drugs, and we are barred from taking codeine too. Doctor: Hello, Champix contains nicotine and nicotine will show in your urine for up to 3-4 days after you stop taking it. So you should be careful. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Prabhash Verma, General & Family Physician | 85,026 |
Should i go to ER as i fell down from stairs and have soreness on neck? | Patient: I just fell down some stairs and hit my head in the back and did something to my back. It hurts really bad about mid back on my right side. It also is sore on the back of my neck and down my spine. Should I go to the emergency room or just wait and see if it gets better? Doctor: Hello, Usually, post fall it is advised to take an x-ray to checkout for any hairline fracture. If no feature than there it's a good sign as it will be only a muscle injury. But an x-ray is advised for safety purpose. As there is pain after the fall I will advice to take an x-ray, do hot water fermentation and provide rest to the muscles to heal. Once pain levels come down do simple exercises and breathing exercises to regain the muscle strength and improve the muscle property. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 123,088 |
Pain in wisdom tooth, gums sore. Difficulty in swallowing. Cause of pain? | Patient: Hi, i have since yesterday morning been expiencing pain i my mouth on my right side wisdom tooth , the back gum behind the tooth (sorta like on the jaw line) is completely sore. last night my throat started hurting only on thatright side i left it alone thinking i would possibly feel better in the morning, well now it hurts way more and i can barely close my mouth, or drink anything. Cant even swallow my own saliva ... What would u think this can be?? Oh n also i am 13 weeks 4 days pregnant, thats y i am sooo scared. Doctor: hi.swelling of gum around ur wisdom tooth is known as pericoronitis.take antibiotics and analgesics.if the pain reappears then u can go for opurculectomy(surgical excision of gum around ur wisdom tooth) procedure between 3rd to 6th trimester.take those medications which are safe in pregnancy.wish u good health | 190,679 |
What does bump at injection site indicate? | Patient: Hi,My baby had a BCG injection at 2 months of age. For about two months after the injection, there was nothing visible at the injection site. Then, a little bump formed, which subsequently got red. Over about 6 weeks since the bump appeared, it got bigger, redder and got crusty. Now it looks like there is a yellow spot in it, as if pus is under the skin. Is this an expected reaction? Why did it occur so late? All my friend s babies had a reaction in 4 to 6 weeks after the injection and heals in a relatively short time, not months. Should I be worried? Doctor: Hi...this is an expected but rare reaction to the BCG vaccination. Sometimes there will be pus collection, but no need to panic. If it is causing fever, then you need to see a pediatric surgeon as get the pus evacuated. AS COMMONLY BELIEVED THIS IS NOT TUBERCULOSIS - AND THIS DEFINITELY WILL NOT REQUIRE ANTI TUBERCULAR DRUGS.Regards - Dr. Sumanth | 179,275 |
Can pregnancy occur even after taking Depo shots? | Patient: Hey. I m on the Depo Provera shot, It s my first one, and my fiance and I decided that we want to start conceiving. I am due for another shot late november, early december, but I don t intend on getting it done. Is there any possible way I can get pregnant right now? As in, to make my Depo shot ineffective? Or do I just need to wait? Though I do intend to keep trying. Doctor: Hallow Dear,Since you have already taken Injection Depo Provera, the chances of pregnancy during its action period are very meagre. Now since you plan to go for pregnancy at the earliest, please discontinue the Depo injection from your next due date of injection; i.e. November. You should conceive within few months if there is no other problem. May be you will have to wait for a couple of months for the normalization of your hormonal cycles. Depo being a slow release progesterone, the exact period of complete waning of the hormonal effect may take some time. I hope this serves the purpose. Dr. Nishikant Shrotri | 221,926 |
Have asthma. Getting sharp pain in knee and noticed swelling. Looking for cure | Patient: ok i am a 200lb 36y Latin women i have asthma . Ok about 2 week ago i was getting in the the bed. i bent my leg letting my knee touch the bed first and then i felt a sharp pain. i tought nothing of it at first. but as time go by the pain has increased. it hurts to walk and i now have like a small swelling pouch inside what should i do? Doctor: these are symptomps of trauma and the blood form hematoma below skin causing swelling and pain it may take 3 wk to go take oflox 200 mg bd for 3 days to prevent infection take xyloric bd for 2 wk it might not increase any comlication on asthma this will clear pain and swelling apply sensor oil on the sffected portion and heat therapy by cotton pad it will go slowly when the swelling and hematoma resolves | 103,905 |
How can severe pain in the knees be treated? | Patient: i am a 47 year female with multipke myeloma history i am currently in remission after a stem cell transplant 2 years ago. i am currently experencing severe pain in my right knee to the extreme i need assistance to walk and severe pain in the achiles area of both of my feet. how can i releive the pain Doctor: Hello, Knee pain may be due to arthritis or tendinitis or meniscus tear ligament injury etc.Until examination is done it is difficult to say what it is. Get it done X-ray of knee joint.Take rest, use cold and warm compression. use NSAIDS for pain relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | 125,815 |
Suggest treatment for H pylori infection and heart burn | Patient: my mom has been diagnosed with H.pylori infection....she was complaining about heart burn,endoscopy and an usg indicates she has corrosive gastritis and fatty infiltration of liver...doctor prescribed her satrogyl 300 along with pan 40 and pantocid it...after taking satrogyl 300 for 6 days,she is still complaining about heart burn...what do u suggest? Doctor: DEAR USER,THANKS FOR CONSULTING WITH HCMI UNDESTAND YPUR CONCERN. HOWEVER SATROGYL 300MG CAN BE UED FOR H PYLORI.. WHICH MAY INCREASE THE HEART BURNBUT STUDIES HAVE SHOWN MORE BENIFITS WITH A COMBINATION OF CLARITHROMYCIN AND TINIDAZOLE AND OMEPRAZOLE AND I WOULD HAVE PREFERED THIS FOR THE TREATMENT OF H PYLORI..YOU CAN CONSULT YOUR GASTROENTEROLOGIST FOR THE SAME..HOW EVER THE FOLLOWING MEASURES WILL HELP TO REDUCE YOUR HEART BURN1) AVOID SPICY FOOD AND HOT PREPARATIONS LIKE TEA AND COFFEE..2) USE ATLEAST 2 CUSHIONS AT BED TIME THAT WILL HELP YOU TO REDUCE THE REFLUX3) AVOID SLEEPING WITHIN 2 HRS OF FOODHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS | 23,235 |
4 year old on zyrtec for allergies. Crusting and puffiness on eyes, runny nose, cough. Whitish spots in the throat. Are these allergy symptoms? | Patient: hi, my daughter who is 4 years old has been having allergies all her life. she is on prescription zyrtec and nasal spray and patonol eye drops. the past couple of morning she has been waking up to yellow crust and goop all over her eyes and makes it to where she cant open her eyes making her eyes relly puffy and red. also during the day white goop comes out of her eye and really bad watery eyes. she also has a runny nose , and is starting to cough so i looked at her thoat and looks like she has whitish yellowish spots all over the back of her thoat. she hasnt been drinking and eating as much as she usually does. Is all of these syptoms caused by allergies or should i give her something else? Doctor: Hello dear.. Presence of whitish yellow spots over back of throat indicate that your daughter might be having Pharyngitis. Under such condition, anti allergic medications such as Zyrtec & Patonol won't help much. Management includes: 1. Gargle with warm salt water to relieve throat pain. 2. Analgesics like paracetamol 3. Antibiotics to be started depending upon the result of culture sensitivity report of throat swab. 4. Antihistamine preparations can also be used to provide symptomatic relief. So...it will be better to consult a Pediatrician for further management. Meanwhile...make sure your daughter avoids taking cold food & drinks, maintains adequate hydration & takes soft, non-spicy foods. Wishing her a good health & speedy recovery. Thanks & take care. | 104,734 |
Is it safe to take nuclear stress test in condition of bad mitral valve prolapse? | Patient: Hello Doctors, I am a 48 year old male with 20 plus years of a heart that throws off PVCs and I have a bad Mitral Valve Prolapse. The VA Doctors want me to take a nuclear stress test- I never did it. I am scared that the VA doctors couldn t help me out if I went into sudden Card arrest. They have no qualified surgeons and facilities on hand. Should I ask them to voucher me out to a hospital that knows what they are doing and have complete services to help in event I have problems. I am really scared. Marty Walker YYYY@YYYY Doctor: Hello, But you should know that the probability of sudden cardiac arrest is very low, even in the case of mitral prolapse. And when a doctor see a dangerous arrhythmia, he or she stops the tests before developing life-threatening arrhythmias. And in the worst case, even if they couldn't stop the test before it, all the exam rooms are equipped with necessary devices for resuscitation. So chances are extremely low with the bad outcome. And if the physician performing the test is experienced, I would advise you to undergo the test in that hospital, even if they have no cardiac surgery. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Lilit Baghdasaryan, Cardiologist | 17,008 |
What causes itchy rash all over the body? | Patient: I have a very itchy rash all over my body since July 2011. Raised areas, sometimes vesicular. I also have had rheumatoid arthritis for 32 years. The doctor said I may have a condition that some RA patients get that has something to do with white blood cells. I can't remember the name. Doctor: Hi,There are so many skin diseases charaterised by severely itchy rash like dermatitis herpetiformis,prurigo simplex,prurigo nodularis,atopic dermatitis,neurodermatitis...etc.So, consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to take treatment under observation of dermatologist after confirming the diagnosis..okHope this helps.Dr.Ilyas Patel, Dermatologist | 12,949 |
Discomfort when moving jaw, hearing sound of elastic stretching. Major problem? | Patient: Uneven elasticity in my jaw?Whenever I move my jaw, it feels very awkward and strange. the right side of my jaw moves easily, but my left side has more resistance. Also, I feel as if something had cracked on the right side of my jaw a few times before. also, on my right, I can hear the sound of the elastic stretching. Is this a major problem? Doctor: Dear friend.Thanks for sharing your concern.As per history posted here, it appears that the discomfort while moving the jaw could be due to two reasons.Either, it is due to sub mucous fibrosis or could be due to mild to moderate fracture in the jaw.It could also be related to TMJ (temporo mandibular joint) problems.Therefore, i would suggest you to visit your oral surgeon and get a x ray done.This will help you to locate the exact site of pathology, related to jaw.x ray is helpful in case of bony pathology where as clinical evaluation will be helpful to evaluate clinically about fibrosis.Also, please mention if you have any habits like tobacco chewing or smoking?For further query please let us know.Thanks.Take care. | 188,978 |
Experiencing fluttering of heart & discomfort | Patient: hi my name is maria i,ve experience a breathe taking flutter a few days ago. now i experience sudden heatwave throughout my body and a feeling in the chest not pain but uncomfortable. all centralize in the middle of chest. and i keep taking deep breath. Doctor: Hello Maria!Thank you for asking on HCM!I understand your concern, and would like to explain that your chest fluttering sensation may be related to a possible paroxysmal appearance of a cardiac arrhythmia. A careful medical evaluation should be done, including a physical exam, resting ECG, some blood tests (complete blood count, thyroid hormone levels, cardiac enzymes, blood electrolytes level, PCR, etc). If suspicions are raised a cardiac ultrasound and an ambulatory ECG monitoring test should be done.Only after a thorough evaluation, it would be possible to appropriately address an optimal treatment.Hope to have been helpful! Greetings! Dr. Iliri | 27,106 |
Why the penis is not erecting? | Patient: Hai Doctor,I am 31 old married man,problem with that no good errection.earlier before marriage i have good sex desire and good errection and strenght of penis alos good.Now i worried to stay with wife so i take a tour for last 6 months.Penis is not at all errecting.l lost he sensation in the penies.i worried about my future pls help Doctor: Hello Thanks for the query. Sexual activity depends a lot on desire.Try to improve on your relationship with your wife.Discuss with her about your problem. | 196,291 |
What causes interruption in sleep during the night? | Patient: For a while I was waking up constantly with my hands feeling as though they fell asleep. I would move them and massage and the feeling went away. The last three nights I have had interrupted sleep not knowing what my problem is as in as I type this I have tingling in both arms, my chest feels constricted a little. I have had gastric problems in the past and keep thinking that this might be the cause. I chew Gaviscon nightly and am on prescription drugs Atorvastatin for Cholesterol and Sandoz-Bisopolol(Fumarate) 5mg for lower heart valve flow. I am feeling better as I type and when awake. I have had a back problem for the last 2 1/2 weeks as well. Am I paranoid? Doctor: hiYou may seean orthopedic doctor to assess cervical spine and locate cause of tingling to arms.An xray of spine would be helpful.Treatment will depend on diagnosis.for backpain do fomentation and take advil tabs after meals.best wishes | 136,255 |
How to quit the habit of masturbating? Will healthy diet help to recover health? | Patient: Hi sir, last 5 years, I am masturbating my sperm. In some days I released my sperm 2/3 times in day. Now I am promised that, i never doing this bad habit. sir, can you please Give me advice on this, how to recovery my own health by eating food and how to divert my mind on this bad habit. thanks Susanta Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Masturbation is not unnatural. It is natural and even animals masturbate. Nowhere it is proved that it is unhealthy if done in moderation. Youngsters do masturbate twice or thrice daily. Don't worry.Masturbation cannot harm your health if done once per day. If you do not masturbate you will have night fall because body produce semen when you are sexualy aroused and body should throw it out.Eat health and exercise and stop being anxious about masturbation habit and your health. Concentrate on your studies and career.For sexological and psychological counseling and for different psychotherapy treatments visit http://psychocure.webs.com/Hope this answers your query. Available for further clarifications.Good luck. | 203,443 |
What precautions should be taken to maintain a healthy lung? | Patient: my dad is a really nice person but he smokes and drink alot, he drink alot of back label, i overheard him talkin to my mum about him having lungs of a 70 yr old although he is only 40. also he sd he has high risk, can u please fully explain what is happening, and what small things i can do to chnge this and make him healthier please Doctor: Hi welcome to HCM....Your father having smoking and alcohol history. ....Both are injurious to health .....Esp smoking injurious to lung .....Smoking can lead ......1.Emphysema like obstructive lung disease 2.pulmonary fibrosis 3.Idiopathic interstitial fibrosis These last two are restrictive lung disease. ..So your father might have one of above disease ...Chest x ray and spirometry needed for it ...If needed steroid and bronchodilator like treatment might needed ....Smoking moreover release elastase which damage lung elastic tissue. ...So smoking should be stopped ...Consult him to pulmonologist ....Hope your concern solved ... | 75,852 |
My sgot and sgpt levels are constantly increasing | Patient: My mother is suffering from hcv. her current sgot and sgpt is 95 and 97 respectively. her viral load is 243498IU. doctors said she cannot tolerate interferon therapy as she is also a depression patient. What should I do? Her sgot and sgpt levels are contantly increasing. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.SGOT and SGPT are sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common casue is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis,cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionaly done Then appropriate treatment can be started.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | 52,722 |
Suggest treatment for microadenoma pituitary tumour | Patient: I have a microadenoma pituitary tumour. My last MRI noted it was smaller than the previous 6 months. My neurologist is very concerned that I am taking Hormone Replacement Therapy. I am 70 years old, feel wonderful except when I go off my hormones (Last time was 6 months of hell). Any suggestions? Doctor: Hi, dearI have gone through your question. I can understand your concern. If you have pituitary microadenoma then no surgery is required. Just hormone therapy is adequate. If you pituitary adenoma increase in size and causes pressure effects then surgery is needed. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 155,091 |
What could cause vomit and head spinning? | Patient: sir,recently i got some vomiting and head rotating,After that my stomach complete tight,it continued one week,after that my head burning,eyes r burning,numbness frond side of head,face,pain my hands my age is 42 yrs weight 92, now only 85 kg my blood report showing total cholesterol 208 sonography report showing good, Doctor please tell me why it is coming ,is it because of cholesterol Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that your symptoms seem to be related to an inner ear disorder or a viral infection with vestibular symptomatology. This clinical scenario doesn't seem to be related to your cholesterol levels. I recommend consulting with the ENT specialist and performing labyrinthine tests. Some blood lab tests (complete blood count, PCR, sedimentation rate) would help exclude an infection or inflammation. Hope to have been helpful!Best wishes, Dr. Iliri | 26,357 |
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