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What causes pain in heart? | Patient: hello, i am concerned because a few months ago i requested a heart test the ekg because my father has a history of heart disease and now has a pacemaker in place. well my ekg was normal but i am still having some pains around my heart region especially when my children need to be scolded i feel it. is this just stress or should i ask for further testing Doctor: Hello, I would explain that your symptoms do not seem to be related to a cardiac disorder. Anxiety seems to mimic this clinical situation. Anyway, I would recommend performing an exercise cardiac stress test just to be sure that everything is OK. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | 16,880 |
What could this thin worm with an unusual movement be? | Patient: I found a red very thin worm about 1 1/2 long in the shower after my kids took a shower?? It looked as if only the head of this worm was really moving, sort of dragging the rest of its body. Do you know what kind of worm this is? Does it come from humans or pets? Doctor: Hi,It seems that your child might be having worm infestation, mostly round worm.worms might have come out and moving round about.Go for stool test for ova and cyst.If require go for one anti worm medicine like Albendazole.Keep his nails well cleaned and well cut.Ok and take care. | 177,641 |
Can tonsillitis be caused by any kind of STD? | Patient: Hi,I have tonsillitis and I was not sure if this is a gonorrhea throat? I had an aggressive kiss a year a go but rather than that I haven t had another sexual contact of any kind. Is it possible that I have gonorrhea throat? Is it possible to get HIV through kissing? Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain Tonsillitis is most commonly seen due to bacterial or viral infection in throat leading to inflammation and swelling of the tonsilis..As far as Gonorrhea is concerned, it is a sexually transmitted infection and is mostly transmitted via oro-genital contact.As you kissed on year ago and has no other exposure after that therefore chances of gonorrhea or HIV are negligible and it can be most probably bacterial or viral throat infection leading to Tonsillitis..I would suggest you to consult a General Physician or an ENT expert and get evaluated and a thorough clinical evaluation and investigations throat swab culture can help in ruling out the exact cause of the infection and treatment can be done accordingly..In case of bacterial infection antibiotics like Azithromycin or Augmentin can be advised along with anti inflammatory painkiller like Ibuprofen, doing warm saline gargles, steam inhalation and use a humidifier in your room..Chew a Vitamin C pellet daily..Suck throat lozenges..Avoid spicy and chilled foods..Sip plenty of warm water..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | 31,043 |
Is Endura mass effective in increasing height without side effects? | Patient: hello sir i am 21 years old male my weight is 64 and height is 5 7 .sir i ve seen that many of my friends who consumed endura mass have increased there height and i also wish to to increase my height would it be helpfuland does it have any side affects? Doctor: HiIncrease in height is not only dependent on diet and nutritional supplements but also on age and genetic factors.You can take the supplement after ruling out allergies to any of the ingredients present.Restrict to one or two spoons of the powder to avoid any side effects.Even protein taken in excess dose can cause side effects.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | 83,727 |
Can meditation cause mental illness? | Patient: Sir/madam,<My brother in law was joined in a meditation centre in few yrs back (at his 25th age). After that he changed lot. He don't speak to any one and live separately in a room, dont bath, throw all his things etc... V enquired about that centre they did sum mesmerisem like that.... then v gave treatment in Chennai. He recovered, just few mths only. then go back. Now v need gud hospital in Chennai reg. his problem Pls reply us asap sir... Doctor: Hi dear. I understand your concern. Meditations directly do not cause illness but execessive involvement in spirtual program or fixed belief toward anything might be precipitate illness.Or it may be just co incidence. But proer evaluation and treatment is must.Psychological evaluation and diagnosis about his thoughts processes will give more brief idea.Symptoms that have you ddescribed broadly indicate psychosis or psychotic illness like schizophrenia. Anti psychotic medicines like olanzapine/risperidone etc will help but take opinion of his treating psychiatrist. Consult same psychiatrist that he took treatment earlier. Still if you have a query then feel free to ask. Happy to help you further. Thank you. | 206,832 |
Could excruciating pain after lymphadenopathy biopsy in abdomen direct to a bladder issue?? | Patient: I am scheduled to have a Lymphadenopothy extraction/biopsy on the left side of my lower abdomen. I have excruciating pain especially when I bend down to pick something up. My pain is constant and especially at night when I am sleeping. I have been involved in two very tragic rear ends in my car while at a dead stop. The first, I was hit by a car travelling 65mph and the second a car was travelling approximately 45mph. My pain has increased double since the second accident. Could this be my bladder that is the problem or a lymp node? Doctor: Hi. This looks to be a problem with the lymph nodes. I hope ultrasonography has shown the problem. It is good that you are going for a biopsy. | 92,105 |
Will i get a baby after marriage as i am masturbating a lot? | Patient: hi doctor, am 25 yrs old male, working in an IT company, I mastrubate once in two days, and now days its quite more comparing to my college days.. am scared will it loose off my nerves and makes body stamina less..! pls clarify, will i be able to get a baby after marriage...! Doctor: HelloMasturbating is normal phenomenon which every male do n its a requirement of body. Dont worry it will not effect your future and surely you can have baby in future. This will not harm your nerve or nothing to do with pregnancy of your future wife. Just be careful not to be harsh with yourself. Enjoy youe lifeThank u | 203,179 |
Pregnant. Done C-section, had polyhydromniosis, have epilepsy. Attempt VBAC? | Patient: Hi, My name is Lana. I am 30 years old. I am currently 36 weeks pregnant with my second child, EDD: 3/23/13. I gave birth to my son in June 2010 via emergency C-section secondary to PROM, polyhydromniosis, and head being very high when doctor broke water. I currently want to attempt a VBAC . I have monthly ultrasounds because I am a high risk pregnancy (have epilepsy and taking lamictal- also did that with first pregnancy). Anyone, my most recent ultrasound said my AFI was a 22. I do not know what my levels where last time but no one mentioned I had polyhydromniosis until after delivery. My question to you is how likely is it that I will have prolapsed cord again? What should I do if water breaks at home? Last time was a very traumatic experience for me. Would you recommend I still attempt a VBAC or elect to do a RCS? Would appreciate your feedback. Doctor: Hello,Welcome Healthcaremagic.It is better to go fro Elective Cesarean section.Because you have high risk pregnancy 1. History of epilepsy2. Previous Low segment cesarean section3. Previous history of cord prolapse 4. History of Polyhydramnios.These all increase your risk of present pregnancy.If membrane ruptures in home, Do not worry. Just go to ER. C- section is advisable, even if membrane ruptures.Hope this helps.Take care. | 149,733 |
How to control masturbation? | Patient: Hello sir I am 19 years old I hv pain in my testicles during strong erection also I feel pain wen I go through gas trouble.... I went through scanning before 3 months doctor told I am going through anxiety...... plz help me!!! I was mastrubating a lot and now I hv controlled myself but not fully..... wt should I do control mastrubating Doctor: Hi, Thanks for posting your query..Masturbation is nt a bad activity bt in excess it really causes harm u probably lose ur energy everytime n u cudnt concentrate.If u realy want to stop it thn u shud b determinant to it try to engage urself in sum other activities more like reading or get engage with ur studies or carier.Try to make urself busy as much as possible tht is d only way to control it bcos being lonely makes u think in masturbation only.Take care | 203,286 |
What causes pain in wrist while applying pressure or bending? | Patient: Hello, I have had a pain in my wrist that s been so painful it brings me to tears. It only hurts if I bend it or put pressure on it. If I use my hand it doesn t hurt that much. It hurts so bad it wakes me up at night. I don t remember hurting my wrist so I doubt it s a fracture or sprain. I went to the hospital and they said it was tendinitis but I honestly do not think so. I am not sure on what else to do. Thanks, Dee Doctor: Hi there.You could be suffering from De Quervain's tendinitis which aggravates on twisting and turning movements of the wrist. Take Tablet Ibuprofen 400mg twice a day. Apply pain killer gel and ice over the painful region for relief. If this does not resolve in 15 days, you can get a Steroid shot which will offer relief for about 3 months. | 136,620 |
Suggest treatment for paranoid schizophrenia | Patient: i am diagnosed with paranoid-scyzophenia and they just starrted me on taking 5mg s twice a day, alsomwith cogentin twce a day I don t like it;toomany side effects and cause tardive diskonesia. what is the safest drug for my disorder that doesent have dyskenesia side effects? I am on cogentine to help neutralze this brain disorder? thanks... Doctor: Hello! Welcome to HealthcareMagic! I have gone through your question and understood your concerns. As per your history, given presently, your suffering with schizophrenia with drug induced tardive dyskinesia(TD). TD occurs in 5% patients treated with anti-psychotics. If I were your treating psychiatrist, I would advise you to: 1) Stop present anti-psychotic completely. 2) Continue tab Cogentin. 3) Start anti-psychotic with less or no TD : my first choice would be Clozapine. After Clozapine, Quetiapine or Aripiprazole are the next choices. Hope that clarifies your concerns. Thank you for the query. Take care Regards, Dr. Bhagawan Rajana, Psychiatrist | 204,775 |
What is causing chronic spasms in back with swelling in disc and pressure in ear? | Patient: Hi I had chronic spasms in my back and chronic pain went to er could not stand up right had xrays done and MRI doneit showed trouble WITHTHEL4 AND L5 DISIC. and swelling put have pain in my neck and pressure in my ear on the right side and terrible headaches what is causing this Doctor: Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryI would have preferred if you had mentioned the report of MRI as it was stated. Then we could have probably interpreted better. Now all we know is that there i some problem in L4-5.I am assuming, looking at the symptom complex you have mentioned that there is some pathology in the cervical spine as well, probably of the same etiopathogenesis, as you lumbar spine. And this is causing you the symptoms.An MRI of the cervical spine can confirm this diagnosis. You may need physiotherapy of the neck with possibility of a prescription of pregabalin/methylcobal (depending on the report).I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.Please do understand that some details could be extracted from a detailed history and examination.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. | 111,424 |
What causes burning sensation under the testicles? | Patient: for past 5 year under my balls i am this burning feelings. i dont know what to do i when to doctors checked everything.But i think this problem was because i thought about to much now i dont know what to do to fix it. i am getting unhappy with my life.help me thanks Doctor: Hello, If your ultrasound report of testis and physical examination is normal than you may need not to worry. It might be due to overthinking about focusing over testis. However kindly attach your usg report if done to check it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Parth Goswami, General & Family Physician | 192,789 |
Does taking Vioxx slows down the heart rate? | Patient: I was diagnosed with SDS, high vTach and low Brac Tach in 2005 after being on Vioxx for a long period of time. After being taken off the Vioxx my heart went down. I have had 1 full heart abaltion and four attempted abalations to fix the problem. After all said and done a on demand pacemaker had to be installed, due to synescope and high Vtach. I am now 53 and noticed I am slowing down and getting exhausted very quickly and get dizzie when I lay down. I have no known heart problems Valves are good no blockages but get fatiqed very fast. Doctor: Sir you need to get a good medical check up done. The exhaustion could be simply due to age or there might be underlying medical problem. If you feel it's not just age related, Anemia usually presents with such symptom. Or any problem in your pacemaker could affect the pumping capacity of your heart leading to less supply of blood to organs. Hence the early exhaustion. I recommend you to get a thorough medical examination done. | 21,173 |
Is diffuse bulge with minimal compression of the thecal sac with hypertrophy of the ligamenta flava a serious concern? | Patient: in my mri diffuse bulge with minimal compression of the thecal sac with hypertrophy of the ligamenta flava and posterior articulating facets in levels L2-3 level ,L 3-4, L 4-5 and L1-i have back surgery in 2012 and neck sugery in 2013. what can be done? Doctor: Hello dearWelcome to Health care magic family .I have evaluated your concern in depth .@ MRI report suggests moderate level lumbar spine compromise .@ As already operated in 2012 , if symptoms are not that severe , first opt for medicines with physiotherapy component sincerely for minimum of 3 weeks period & further management guidelines according to the response of the same .Hope this will help you .Feel free to ask any further questions .Thanks for evaluation of my answer .Regards . | 140,888 |
What is the treatment for swollen liver? | Patient: My sister is 33 years old. she was having Malaria one month back after that she was alright, but again before this week she was again having fever with no shewring and pain in the abdoman. After the sonography it was known that their a liver swelling i.e. 25 cm, and also doctors inform us that she is having spin and pancears infections. Her all pathology report are normal and also she is not having any dycentry or vomiting please tell what it is that ismaking pain in her abdomen Doctor: Hello , thank you for your question . If you were my patient i would strongly suggest you to be hospitalised , if thinking of pancreatitis . The main reason in women for pancreatitis in women is gallblader stone e.g. cholecystitis due to the common lymp system . The necrotic form of the pancreas infection has around 85% death rate . I think that the doctor has diagnosed mild pancreas infection . I would strongly suggest you to see a doctor and get some blood tests and ultrasonography to find the reason for the infection of the pancreas . Till then recommend your sister to stick an diet 1a and check her temperature twice daily . Best reggards | 53,103 |
what are the possible treatments to improve ALT ref range ? | Patient: I recently had a panel done. my ALT ref. range is 30-65 and I received a 14. Why is the ref. range so different on laboratory tests? I am concerned that the medicine I am taking may be affecting my liver. Should I seek my doctor's advice?Thank you.Kim Doctor: Dear KimALT level 14 is not a problem. Please bare in mind that we worry when Alt is high.With regards to your treatment, most of the medicines affect the liver. please can you prescribe you medicines?I would be glad to assist you further.Dr.Klerida | 57,930 |
Can multiple nodular densities in both lungs cause shortness of breathe? | Patient: Hi, I am a 62 yr. old female. I have been troubled with respiratory problems for the last four to five years. My Dr. says asthma, Several times in the last two yrs. I narrowlly escaped hospitilization. I almost always have shortness of breathe and at night when I exhale I can hear wheezing. A year ago after a scan I was told I have multiple nodular densities in both lungs. Could this be the cause of my problems? My father passed away from emphysema as did several of his family members, my mother from auto-immune hemolytic anemia. Could there be a genetic component for the lung disease? My physician has taken a wait and see stance. I have never smoked, however I was exposed to second hand smoke. Thanks, Mary Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Yes, multiple nodular opacities in both lungs can cause breathlessness. Actually, possibility of interstitial lung disease (Pulmonary fibrosis) is more in your case. It causes breathlessness, wheezing, nodular opacities in lungs and it do have genetic predisposition. So better to consult pulmonologist and get done clinical examination of respiratory system, PFT (Pulmonary Function Test) and lung biopsy to confirm Pulmonary fibrosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 77,795 |
Suggest remedy to prevent allergies | Patient: Hi I m asif. I have allergy since 4 years only in uae when I m in my home country I don t have any problem. I m using since long time deproforce injection witch control one month only Is there any way I can make safe my self. Thx diprofos injection diprofos injection Doctor: see, what kind of allergic symptoms u are facing u hav not mentioned here and u r taking diprofos injection on your own is not good at all although steroids are the powerful drugs to combact any allergic symptoms.but it must be taken after appropiate doctor's consultation.one more thing,if one is having allergy to any thing the best way of treatment is to avoid contact with that rather than taking drugs. | 99,713 |
How can the paternity of the fetus be determined? | Patient: Alright then. On June 6th I had sex twice and the guy pulled out both times...well on June 13th I decided to get back with my ex whom I had been with and had sex unprotected with before but never got pregnant and we had sex everyday unprotected after June 13th....well on September 1st I took a pregnancy test and It was positive...on September 6th I had my first ultrasound that verified I was about 6 or 7 weeks pregnant and my due date was set for April 27th 2017....is the baby the first guys or is by the ex I got back with? Doctor: Hallow Dear, The successive two intercourses with two different partners are barely a week apart. By date calculations, it is very difficult to derive about the probable intercourse responsible for the conception as the prediction of pregnancy dating varies by few days to a week by ultrasonography in early pregnancy. The due date also is derived by ultrasonography which may have such variation. If your due date is considered as April 27 2017, your last menstrual period date would be 20 July 2016 and intercourse in the first week of August would be responsible for the conception; however, this calculation is again not the perfect one. On September 6th, 2016, your ultrasound has calculated the pregnancy to be about 6-7 weeks duration. This infers that the conception would be due to intercourse around middle to third week of July; however, this is not a perfect calculation due to the variation of ultrasound calculations. However, if your menses are regular, you may tentatively guess about the probable intercourse responsible for pregnancy. The egg is released 14 days prior to the next expected period. Calculate which intercourse was on or nearer to this day. However, this also is not a fool proof method. The fool proof answer to your dilemma would be DNA test which will give you the scientific answer. I hope this helps you. | 219,032 |
Experiencing redness,swelling & itchiness after the bee sting | Patient: I had a bee sting yesterday i did a homeremedy it did swell,red & itches a homeremedy was tooth paste did work however it continue to get red, itchy with the hot weather so i had some triamcinolone acetoniide creme which did relieve itching, redness decreased but wonder if this will take the actual sting of the bee out- toothpaste was to take out the verma- please confirm its on my left arm strated infront of my elbow moved up near under my arm pit- Doctor: Hello,Welcome to HCM,The bee sting is an acute emergency condition which should be treated vigorously and adequately, because it will releases the poison which will cause all these symptoms. It will releases mediators like histamine which will leads to all these problems. The left over sting should be removed carefully with the help of forceps.The symptoms are reduced by1. Parentral Avil2. InJ Hydrocortisone3. Oral Antihistamines4. If there is excess of itching Cold pack over the itchy area.Thank you. | 39,847 |
Suggest methods to increase appetite of a 3 year old | Patient: my son is 3 years old he is not having interest basic food. for a day he takes only one or half roti he is not getting sufficient nutrients for growth. he is getting aggressive day by day please suggest the way he will take his daily basic food(dal,rice,roti ) Doctor: Hi...Thank you for consulting in Health Care magic.I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if he is not eating well. 2. Development of a kid is as important as or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents we need to be more patient and feed than less quantity but more aliquots per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed him calorie dense by adding good amount of ghee to it.PLEASE DO NOT GIVE ANY SO CALLED APPETITE STIMULANTS AS THEY ARE NOT VERY SCIENTIFICALLY PROVEN AND THEY HAVE THE SIDE EFFECT OF EXCESSIVE DROWSINESS.Regards - Dr. Sumanth | 172,592 |
Suggest remedy for getting pregnant | Patient: hi. i am 22 years old and got married 4 months ago. i am trying to conceive. my periods have been irregular since i was 15. my onset of periods was age 14. my period comes one and a half months late but not each month this happens. sometimes they get irregular and come after 45 days-50 days. i made many ultrasounds but the reports remained clear each time.just after my marriage i made an ultrasound and it was forund that there are numerous multiple follicles in my both ovaries suggesting them to be polycystic. my LEFT ovary is enlaged measuring 39mm * 18mm and my RIGHT ovary is measuring 38mm *17mm. no cyst or mass seen in both ovaries. my endometrium measures 8mm thickness. no free fluid seen in POD. my uterous in anteverted in position . no polyp or fibroid seen in uterous.. now i want to know from u that can i conceive and produce baby with polycystic ovaries, with multiple follicles? is there any treatment for it. what should be done then? any precaucians taken? can i get pregnant? Doctor: polycystic ovaries are very common disorder it affects ovulation so you have to take ovulatory drug fertyl 50 mg from second day of menses for 5 days | 2,438 |
Effects of liver cancer? | Patient: My mom is in her last stages of liver cancer. She hasn't eaten in 15 days and is on heavy duty medication. How long does my mom have and how long can your body last without eatingMy mom have a nurse coming in three times a week. Mom can't get dressed by herself or get to the bathroom. All she does is sleep. Please help Doctor: Hi and welcome to HCM. Thanks for the query. Yes,these are signs of terminal malignant disease and unfortunately you should not expect some miracle. Prognosis in such cases is very poor,from few weeks to month or 2. Without eating this is even worse. She may try with parenteral nutrition and rehidromix or similar fluids,but treatment is just palliative. She needs all your support in these difficult days. WIsh you good health. Regards | 156,984 |
What causes stool odor and discoloration despite being off Nystatin? | Patient: my baby is 6 weeks old. he started off with normal stools which were bright yellow, then he got thrush and was prescribed nystatin which he had for 2 weeks. During this time his stools changed from yellow to a horrible grey clay colour and VERY smelly. I thought it might be something to do with the nystatin, but he has now been off this for 2 weeks and still the same grey clay-like stools. I have asked a doctor and they dismissed it as oh it sounds like a little tummy bug, babies can get tummy bugs very easily, dont worry but he has had this for over three weeks now? Should i be worried? should I go to the doctor again? Doctor: Hello, You should ask first for stool analysis to exclude any internal infection, and after that you should seek medical advice. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Salah Saad Shoman | 160,612 |
Does headache have any relation with testicle ache? | Patient: hi, i have a ball ache in my right ball, and have had on and off head aches for the last couple of weeks! Could there be any relation? The ball ache has increased in the last couple of days! I have queried photos of std but cannot find anything similarities so far thankfully? Doctor: Hello,Both are may be different conditions. No correlation between the both. For testicular pain get it done ultrasound scrotum to know the cause. For head ache you may use tablet tramadol with paracetamol twice a day for five days. If symptoms not improved please consult with your physician he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | 192,349 |
How to cure opening under the tongue in baby? | Patient: i am a daycare provider and i have a little girl in my daycare who has an opening under her tongue and it looks like a white ball is inside the opening. she turned 1 in march she doesnt chew her food good either she does eat some table foods but she does better with baby food (strained) what do you think Doctor: Hello,I can understand your concern. What you are seeing might be a salivary stone in the sublingual salivary gland.As kidney and tonsils develop stones, salivary gland can develop stone too which is white colored calcified mass. This mass causes pain at the meal times when salivary glands are stimulated. Thus, it causes pain while eating and otherwise it is painless. Alternatively, it can be a ranula, which is a type of cyst developing under the tongue area.I would advise you to arrange for a consultation with the dentist or pedodontist, a dentist who specializes in dental treatment of children for clinical examination and investigations like x-ray. After the test results, confirmed diagnosis and management can be suggested.I hope this information helps you. Thank you for choosing HealthcareMagic. Take care.Best,Dr. Viraj Shah | 168,100 |
What are the symptoms of bacterial infection in body? | Patient: I have an uncle in the Hosp. They can't find out what is going on. In March he was septic and was in ICU for a week since then he has been on antibiotics off and on and he is still getting sick. He has rigors shakes followed by fever and just feels awfull. CDC has recently got involved no one seems to know what is going on other than a possible bacterial infection somewhere in his body. Any ideas? Doctor: hi welcome to HCMI understand your concern towards your uncle.i think according to the history given by you, he might be having sepsis.that the reason he is in ICU and contineuosly on and off antibiotics.thjere are many reasons for sepsis to develop.it leads to oran failure. As he is in ICU he will be resistant most of the antibiotics. so he should be start with strong antibiotics like 3rd generation drugs like colistin. meropenam etc.thank youtake care | 30,554 |
What causes sharp pain and feeling of pressure in stomach? | Patient: i keep getting short sharp pains in my stomach area its kind of like a stabbing feeling it doesn t last long i also get a feeling of pressure on my stomach enough to make me take a sharp in take of breath but not make me stop what im doing completely i know some of these symptom s are shown in pregnancy but im a virgin so i know its not that Doctor: HI. First of all remember this is not a symptom of pregnancy. This can occur in intestinal infection and also seen in patients with anxiety... Get once checked by a Gastro Doctor and get a few investigations like ultrasonography, X-ray of abdomen and blood , urine and stool tests. Occasionally many major diseases can show minor symptoms , so it is better to get a clear picture and rule out so that the future is trouble-free. | 91,564 |
Should i take fertyl to get pregnant? | Patient: shalom! i'm 35, been married for the last 4 months, my husband is 7 yrs younger... middle built body... 5'3" hgt... 150lbs.. i worried so much since i've taken fertyl for the past 4 months but of no effect... i'ts my day 2 today, should i take another fertyl now? thanks! God bless! Doctor: Hi, you can try with fertyl for 6 cycles atleast. Track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. Regards Dr khushboo | 1,668 |
Can lisinopril cause rashes and hives? Can clonidine be used to revert the effects? | Patient: I have been on lisinopril for over 2 years, is it possible to now be experiencing the side effects of rash and hives?I also take clonidine, for the past several months I've struggling with terrible itching, rashy hive like patches on my entire body. Is it possible that my medications are a cause of this problem?I'm currently unemployed and have no health coverage. I really need some help treating this issue. I have been on both medications for just over 1 year. Doctor: Hello,Rashes and Hives are one of the side effects of lisinopril.Clonidine very rarely cause these side effects.The common side effects of Linisopril areDizzinessHeadacheThe common side effects of Clonidine areDry MouthIncomplete or Infrequent Bowel MovementsDrowsinessDizzinessLow EnergyFeeling WeakThus please change lisinopril to some other anti hypertensive drugs like calcium channel blockers or beta blockers.Hope this helps.Please write back for further queries.Wishing you good health. | 15,017 |
Rash on buttocks. Applying cream, itching and scaling after stopping cream. Any ideas? | Patient: I have a rash on my buttocks that may have been acquired from an infected toilet seat; I have applied anti-fungalcream, cortizon cream, Vitamin A& D ointment; they appear to help in that the scaling goes a way, itchynessgoes away, but discoloration of skin remaines. However, these creams unfortunately do not clear the rashcompletely. Once I stop application, rash is there with discoloration of skin; the itch returns and scaling setsin once again. What do you think might be going on? Doctor: Hi, thanks for your query. It seems you have a fungal infection on your buttocks. For this you need to to take oral anti fungal medicine by prescription along with local application of anti fungal creams. Don't scratch the lesions instead take oral antihistamines for itching. Avoid applying cortizone cream as infection may flare up with a steroid.You may apply vitamin A&D ointment.I suggest you to meet a dermatologist for exact diagnosis and treatment. Hope this helps you. | 15,714 |
Is pregnancy possible after periods? | Patient: i last had sex on 11th may while on holiday, i took my period on 2nd may but i got tablets from my doctor to stop them while i was away, on 11th may when i came home i stopped tablets and took period when i was home, i have then since had a period which i got on 11th june, but before this i have been very tired, feeling sick, constantly want to eat, very sore breasts and swollen stomach and sore back, is it possible to be pregnant, i have done test but was negative Doctor: Hallow Dear,The first cardinal symptom of pregnancy is missing a period. You have got period on 11th June. So no possibility of any pregnancy due to any sexual relation(s) before 11th June. For postponing your menses, you were on hormonal pills. These pills can cause tender engorged breasts, tiredness, nausea and other symptoms. Still, if you want a confirmation, you may opt for pregnancy test on the overnight first morning urine sample after 18th June. I hope this resolves your dilemma. Dr. Nishikant Shrotri | 3,571 |
Stopped Paxil, brain zaps during exertion, tremors, losing erection. Common? | Patient: My boyfriend has been off Paxil for about 5 months. He experiences severe brain zaps when he exerts himself or is emotionally overwhelmed. During sex he gets to the peak of orgasm and instead of the normal end result of orgasm he gets severe brain zaps that usually turn into physical tremors his hands shake it looks like a horror movie where he is hooked up to an electrical torture device. Needless to say he looses his erection and is unable to have that release. It seems to wipe him out so much that he needs to sleep. Is this something that is common? Will it get better? It scares me when it happens because I can clearly see how painful it is for him. It doesn t just happen during sex when he has exerted himself from working out. It s also sometimes when he gets overwhelmed with emotions (good and bad) he gets the brain zaps. How can I be a good partner to him and help him get through this. Doctor: Hi, His current problem can be explained from following reasons: -Anxiety symptoms -Use of paxil -Withdrawal of paxil It is difficult to tell exact cause from your current history. It is better to change Paxil to some other SSRI (selective serotonin reuptake inhibitor) in his case. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com | 213,326 |
What causes pain in chest after lifting heavy weight? | Patient: it was ether tuesdy or wednesday that i went to the store and instead of getting a cart i carried my food and it had to a least 10 pounds of stuff. I got to the checkout and i put my food down and i felt a ache or soreness on my left side of my chest but it wasn't sharp. I have been feeling it sense but it's really really dull now and i only feel it when i move a certain way. I just want to know if i pulled a muscle or is it something else Doctor: Hi welcome to HCM...Here according to history you have discomfort while doing certain movement .....So suggestive of musculoskeletal pain...Here are few advise .....1.Avoid movement causing pain...2.Hot compress can be applied ...3.Avoid strenous work ...4.Avoid heavy weight lifting ....5.Tablet ibuprofen 200 mg can be taken for three days 6.Take sleep in proper posture Take careYou will improve in few days Advise : consult physician for examination and discuss all this | 75,589 |
What are the chances of pregnancy while on birth control injection? | Patient: My girlfriend takes the shot birth control and we have unprotected sex all the time but I have never actually ejaculated in her, I m sure there has been pre cum. She is currently close to a week late on her period or a little longer, she has had 2 shots so far, I heard that it takes a while for the period to set regularly, should we be concerned, may she be pregnant? Doctor: Hi.You should know that menstrual irregularities can ensue as a result of birth control, and so an irregularity could have occurred because of the birth control that your partner is on, so wait for another week or so, and if she doesn't have her period then go ahead with a urine pregnancy test using an early morning urine sample. But in my opinion, it seems unlikely to me.Best wishes. | 219,575 |
Spotting and cramps after 14 days of Embryo transfer | Patient: On my 13th day post Embryo transfer i had spotting very little blood when i just wipe... 14th day having severe cramps and very very light bleeding .. Is this a bad sign.. HAve to go for evaluation tomorrow.. My nurse says chances are very less.. is it true?? or Is there a chance that im still pregnant?? I want to badly take a HPT but terrified... Please advice.. Doctor: hi welcome to HCM read your prob, spottingn abdominal cramps on 3rd wk are not good sign, this is called threatened abortion, bit there are 4 type of this abortion present. in such case if sing of life in fetus present then there is chance to carry it further. this is crucial state. you have to rule out the cause of it by getting blood test n discussing it with your doc. Dr aseem [email protected] | 7,244 |
Can pelvi-ureteric junction cause urine infection? | Patient: my husband is having PUJO in right kidney with BOO. since 10 years as we came to know.he has a history of stone formation as well. from past25 days he is complaining of pus cells in urine..please guide...he is taking antibiotics...can it be due to pujo.....will it be needed to be operated. Doctor: Hello, Pelvic ureteric junction obstruction and stone both predispose for urinary tract infection. So his urinary tract infection could be due to that. He needs to be given antibiotic according to urine culture report. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician | 45,599 |
Suggest medication for high fever, cough and vomitings in a toddler | Patient: Hi, my daughter of 2.5 year old is suffering from high fever at upper part of body, legs are at normal temperature. cough and respiratory voices are clearly heard of. Vometted also. Done some cotton sponge in cold water over her head. she looks uncomfortable...yelling mom..mom..what to do? Doctor: Hello dear!.I can understand your condition at the moment.A detailed history and a physical examination would have helped me more in diagnosing the condition.Probably she is having upper respiratory tract infection most probably pharyngitis.I would advise you to get her a complete physical examination done by a pediatrician or else start some good anti pyretic for fever like syp. Paracetamol 120 mg/5ml5 ml 4-6 hourly(alternate with ibuprofen after 3 hrs interval if fever doesnt settle with one dose of paracetamol).Start syp. Azithromycin 200 mg/5ml (3 ml once daily for 5 days).Hope it will help.Wishing your child good health :-) | 165,700 |
What causes constipation when with cholangiocarcinoma? | Patient: My husband was diagnosed last month with cholangiocarcinoma and is currently going through chemotherapy. He is on extended release morphine sulphate for pain. Initially, he was taking Miralax to fend off constipation, but his doctor changed him to Senna and, unfortunately, is now experiencing constipation . . . the Senna is not working effectively for him and he has not voided his bowels in 3 days. This AM he took Miralax again, but has had no relief. He has taken several short walks, hoping the exercise would help, but nothing so far. What other recommendations might you have for the constipation? Another dose of Miralax? Doctor: Thanks for your question on Health Care Magic. I can understand your husband's situation and problem. Probable causes of constipation in his case are morphine induced and low potassium (hypokalemia). So better to get done potassium level and if low, supplements should be started. Morphine is known to cause Constipation. Fentanyl is newer opioid drug which is having higher pain relieving action with lower constipation. So ask your doctor about this drug. Ask your husband to drink plenty of fluids orally. Start high fiber diet with curd and yogurt to relieve constipation. Hope I have solved your query. Wishing good health to your husband. Thanks. | 153,837 |
Suggest treatment for chest pain | Patient: Hi Doctor, my family phscian sent me to the hospital because I was having chest pains. The emergency Dr. had me admitted due to the fact my blood pressure was 176/100,family history and he said my EKG was not prestine and was not normal. After 3 days of testing I was told not to worry about the EKG and was having coronary spasams and if the chest pain (radiating to my jaw) continues (I have only had 5 in 6 months) I will need a catherization.Should I have had it while still in the hospital? Thank You Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, you should definitely get done coronary angiography while still in the hospital. You are having following risk factors for heart diseases. 1. Hypertension 2. Positive family history 3. Abnormal ecg. So possibility of coronary artery disease (CAD) is more in your case. And undiagnosed CAD can lead to Sudden cardiac death. So better to rule out CAD in your case to prevent future serious complication. So request your doctor to get done coronary angiography while still you are in hospital. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 75,498 |
Suffer from asthma and COPD. Radioactive seeds implanted for prostate cancer. Severe itching on the body. Reason? | Patient: I am a 73 year old male with copd and well I am asthmatic. I had radio active seeds implanted in 2000 for prostate cancer. Presently I'm taking Uniphyl 600mg. at bedtime, Celebrex 200mg daily, Vasotec 2.5 mg daily. As well I use Singulair, Advair and Bricanyl. Lately I have been experiencing a severe constant itch all over my body. My doctor thought it was caused by dry skin and prescribed Hydroval 0.2% to be applied daily. I have been using it for over a week with no success. I now have a few areas where my skin in red with tiny little bumps. Please help, this itch is worse than pain singulai Doctor: YOUR ASTHMA PROBLEMS ARE ALLERGIC ONLY AND AFTER FEW YEARS AS WE ARE TAKING MEDICINES THE OTHER SYSTEMS ARE INVOLVED LIKE SKIN I THIS CASE IT MIGHT BE DEVELOPED ALLERGY OF SKIN DUE TO MEICINES ALLERGY CAN DEVELOP AT ANY AGE AT ANY TIME WITH ANY SUSTANCE FOODS POLLENS DRUGS AND DUSTS OR FUNGI YOU CAN ADD EBASTINE 10 MG OD ALOMG WITH OTHER MEDICINES NO USE OFMUSTARD COCONUT WALNUT GROUND NUT OR ALMONDS SOYA OILS USE OLIVE FOR COOKING AND APPLCATION NON TOXIC SOAPS CREAMS AND SHAMPOO TO BE USED CAN APPLY PETOLEUM JELLY MIXEDWITH DIPROVATE OINTMENT NIGH AND ALSO CAN APPLY MYCODEM POWDE IN MORNING AND EVENING | 103,979 |
What are the tips to get pregnant easily? | Patient: Hello doctor i want to ask you is it necessary to women also got discharged for conceiving ? Nd plz tell me some pills for conceiving faster i have one baby but its now about 4 years dat i am unable to conceive wht instruction we follow during sex if we want to conceive a baby girl ? Doctor: Hi,Thanks for the query. To increase the possibility of pregnancy, you have to track the ovulation and have to plan unprotected intercourse around that time. Ovulation can be tracked by physiological methods like cervical mucus method or by ovulation kit etc. For more details : http://srsree.blogspot.com/2013/10/ovulation.htmlHaving male or female baby is chromosomal dependent and cannot be judged preconceptionally. If you do not succeed with ovulation kit, once consult gynecologist and get evaluated. Go for ovulation induction and follicular study. This will increase the possibility of pregnancy. Start taking folic acid supplementation from nowonwards. Take care. | 4,579 |
Suggest treatment for back pain | Patient: Back pain (SI joint?) to the left of spine at belt level in healthy 26yo male I have had back pain for about two years that seems to be originating at the belt line, just to the left of my spine. Because of that, my whole lower back is tight and painful. The pain is worse with bending (such as to pick something up off the floor) and is pretty well always present. I also have noticed a little bit of numbness in the toes on my left foot, although most of the time it is very minor or undetectable.I'm not sure if any one traumatic event caused the pain. I'm healthy and active. I play softball, volleyball, and I work out. I can still do all these things; it's just the sore back sometimes bothers me or is aggravated if I jump or dive or something. I'm 6'2", weigh 195, and I don't smoke or drink. I had an X-ray of my back which the doctor said was normal. Also, when mentioning the pain to the doctor and describing the area, he mentioned it might be the SI joint. I have tried a handful of stretches and exercises that I have found online for low back pain, but so far. nothing really seems to hit the spot. I can't really afford to get an MRI at this point, which is what the doctor suggested as a next step, so I'm trying other methods to figure out what might be wrong and what can be done to help it heal. Thank you for your time! Luke Doctor: Hi , welcome to healthcare magic.I carefully looked your query. It seems that you might be having prolapse intervertibral disc.Primary treatment of this is Rest and anagesics( diclofenac sodium 50 mg three times a day after meals). It is confirmed by MRI. | 110,385 |
Suggest treatment for dry cough | Patient: I have been coughing for the past 3 weeks. i thought it was a cold at first, but now i am wondering if it is allergies. I am taking Allegra but it does not seem to do anything. My cough is dry and starts around 8pm every night. I have a few coughing attacks and then eventually am able to fall asleep around midnight. Doctor: Hello. Thank you for asking at HCM.I would like to know your age, I assume that you are a young adult or middle aged adult.I would suggest you to take a combination of montelukast & levocetirizine every evening. I would also suggest you to have a light, not too spicy diet in the evening. Avoiding dusts, smoke, cold air & air pollution will also help you.If you are feeling irritation in throat, I would also suggest you to perform regular gargles with warm saline.Hope this will be helpful to you.Wish you best of the health.Regards. | 101,379 |
What causes angioedema? | Patient: I have been diagnosed with angioedema - had to call for ambulance twice as it was so bad I couldn't walk or speak. they just ruled out TIAs - my question - although I have suffered with allergies all my adult life and controlled them through reading food labels and staying away from the culprits, why now is it so debilitating Doctor: You are sufferring from severe kind of allergy give rise to angio edema. It is a serious situation needs urgent treatment. So, don't take it lightly. Find out the reason for this and avoid contact as far as possible. | 98,978 |
Suggest treatment for Leptospirosis and Typhoid | Patient: Sir, I am suffering from fever for the past 1 week. I had blood test done day before yesterdayDoctor says I am infected with Leptospirosis and TyphoidS Typhi o antigen - Positive 1:80S typhi h antigen - positive 1:16 s para typhi ah antigen : negative 1:20s para typhi bh antigen - negative 1:20 MSAT - Positive ++ MAT - positive 1:80 L.Semaranga Is it necessary for me to get hospitalised or can i undergo treatment as out patient ? Doctor: Typhoid test are not very specific test. If you have fever for more than one week and it is not cure by oral medicines. Than you must admit in hospital. Leptospirosis if untreated can be dangerous. So goto your nearest hospital and get admission.you need higher antibiotic. | 36,983 |
What causes pain at the spot of tooth extraction? | Patient: I had a dental procedure approx. 6 weeks ago. It was a wisdom tooth removal done right in the dental office, no sutures were required and I had no complications. I am now starting to get a little bit of a tooth ache feeling in that spot from time to time, its not constant and its not too painful, but its noticeable, and a slight burning sensation. A nurse told me that it could be spasming and healing. Do I still need to be concerned with lockjaw? Doctor: Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain 6 weeks is a sufficient time and pain after this is not a common finding..There can be a few reasons for pain in extraction region now like:1. Due to improper cleaning in that area food lodgment can take place leading to infection and pain..2.There can be left over root piece accidentally during extraction or any foreign body in the socket leading to inflammation and pain..You need not to worry as it is treatable and you should consult a dentist and get a check up done and an X Ray if required..In case of infection antibiotics and painkillers along with warm saline gargles will relieve..In case of root piece or foreign body inclusion removal of the same followed by antibiotics and painkillers will relieve..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora.. | 181,270 |
Should the ER be visited for high BP along with severe headaches? | Patient: hi dr Andrew I hope its free and no charges attached my name is anita kindly answer only if its free yesterday afternoon - I was having severe headache and checked my blood pressure at home and it said 131/97 by evening 10 pm it became - 139/89 and today morning it says 133/ 110 and 75 pulse I was under severe tension for sometime - I did miss taking my tablet 1 day should I go to hospital now Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your BP recordings aren't too concerning. A BP greater than 160/100 would worry more. Your high diastolic blood pressure is a little concerning. This will be brought under control by your medications. If you find that your BP is high as I mentioned above, and you have simultaneous headache, then you should definitely visit the ER. On this occasion, your headache was probably a coincidence. Try and take your medication without missing doses. Hope I have answered your query. Let me know if I can assist you further. | 18,229 |
Why do I suffer from fits of rage and how to control it? | Patient: I am in a great relationship with someone who loves me very much, although I suffer from fits of rage where I hurt him emotionally, and I throw things and want to break anything I can, even though I love him and I have no idea what starts it or why I do this. It is self destructive and I realize this and am so devastated when I do this but I dont seem to have control over it. Why is this? What can make a person do this? What can I do to stop this from happening? When its over I cant ever remember why I did it or what started it. I feel like im going insane, and if i cant get a hold of this I might lose the one person I love the most. Doctor: HiThanks for using healthcare magicI think, either it happened due to underline borderline personality traits or depression. You should consult a psychiatrist to get your mental status evaluated. That would help you to overcome this aggression and control your behavior. You can also take help of psychologist for anger management.Thanks | 210,683 |
What causes fainting along with confusion and memory loss? | Patient: Staying with young woman who I have found 2X unconscious temporarily, grunting/snoring sound, then blank stare, unable to speak, followed by confusion and memory loss. I have suspected this is ongoing an usually while she is inactive. Saw 2X today - suddenly lay down on sofa, goes immediately out and cannot be roused for several minutes, followed by same other symptoms described above. She is now on 750 mg Keppra twice daily and no changes this time. Has yet to see neurologist - resistant or forgets that it is urgent. Need to know what to tell them. Doctor: Hello,In this case, I can suspect either head injury or epilepsy or any other organic causes. I would like to advise you to get CT brain done.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Soujanya | 204,647 |
Burning and pain consistent with UTI, tests show microscopic heamaturia. Prescribed Eogeston. Reasons ? | Patient: Hello, I am a 46 year old women. For the past five weeks I have experienced burning and pain consistent with a UTI. I have had 5 samples taken of my urine and all show microscopic heamuturia but white blood cells have normal blood count. I think the red blood cells were a count of about 10 more than normal for RBC. I have been prescribed two courses of UTI speciific antibiotics, yet the urine test from the lab confirms no UTI (white blood cells normal), Cannestin cream with HC to apply for 3 weeks. Symptons have not improved, yet worsened. Visited GP this morning and requested kidney ultrasound and Cystoscopy. Both have been refused for the time being and I have been prescribed an Eogeston based pessary for Atrophic Vaganitis, even though I have not gone through the Menopause yet. I have a history of pre-cancerous cervical cells. I feel powerless and need some guidance. I am prepared to go private if I need to. Thanks Doctor: hi the presence of persistant microscopic hematuria is not normal. Do you have proteinuria, or high BP ? which may indicate problem with kidneys. Or the problem may be with the urinary tract. Yes you have to do some basic tests like RFT, sonography of abdomen and pelvis, if required cystoscopy in consultation with your Doctor. If there is no apparent problem with urinary tract you may be required to do renal biopsy. Take care | 50,857 |
Suggest treatment for burning and itching sensation on soles of feet | Patient: Sir,I am 40 years old female .The soles of my feet have burning and itching sensation.I am having mild antral gastritis problem , which is usually under control by yoga and proper diet.Besides, I had a sudden weight loss of about 5 kg in the last few months, sudden thinning and loss of hair also .Please advise Doctor: Hi, As per the history of burning and itching feeling in feet, did you try applying the skin moisturizer? Most times it is due to dry skin. But let's look it in other way. Burning sensation can be due to even excess of uric acid. Are you having any burning sensation in the urine? Have you got the uric acid test done? if not please do it so we can rule this out. The third angle happens with the nerve root entrapment in the lumbar spine lower level regions like L5 and S1 which may be the cause of the burning and itching both. It may have additional symptoms like tingling, numbness and pain. Based on the above method of ruling the one by one possible causes we can come to a conclusion. Please try the cream first. if not better then uric acid test. If uric acid test negative then the third call of MRI of lumbar spine to assess the nerve root entrapment. Treatment will be guided accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 124,195 |
What causes soft painless lump on testicle? | Patient: hi i have noticed a lump just above my left testical its soft and painless to touch but has doubled maybe trebled in size in past month its around the tubes in my ball sack which are now painless to touch but they are same as they always have been on the right side and still have feelin on right testical Doctor: HI,Dear, Thanks for the query from you for your soft painless lump above left testicle,which has grown n tribbled in size in past months time and is around the tubes of the ball sack.1-I feel concerned that you are serious to know where from this soft painless lump comes above the left testicle? 2-In my opinion this left supra-testicular soft lump which grew 3 times in last month,with painless tubes on the left side,is of indirect inguinal hernia as it is supra-testicular and has grown around the tubes of your left ball sack which is painless to touch.2-a-Another possibility of Spermatocele /or epididymal cyst-but this is less as it does not increase 3 times in 1 months time , where-as the indirect inguinal hernia could grow 3 times -and is usually above the testes.3-I would advise Surgeons opinion-who would fix the diagnosis by USG/ clinical testing for indirect inguinal hernia-by cough test/.4-Any how your soft supr-testicular lump- is worrysome as else "strangulation risk of indirect hernia"-would increase.5-Hope this would solve your worry of the soft-painless lump above left testicle . 6-Wellcome to HCM for any more query. | 64,792 |
Emergency contraception, on Lutera tabs, two a day. Will it affect my moods? | Patient: I went to my OBGYN for emergency contraception . She gave me Lutera tablets 28 s ( Levonorgestrel 0.1 mg and Ethinyl Estradiol 0.02 mg). My concern is that she told me to take two, but when I research online about the drug everything says take 5 and 5 more 12 hours later. I don t normally take birth control and she knows this because I seem to be sensitive to even low dose pills and react adversely. I don t get sick, but I have severe personality and mood changes. Even taking the two pills has made me feel like a very different person, but I can deal with it because it s temporary. Do you think this is why she told me to only take two? Will it be effective? I don t want to take 5 and OD myself because I am afraid of the reaction I will have, but if it is safe physically I would rather do that than get pregnant. Doctor: Hello,The efficacy of the medication as emergency contraception has not been proven often and hence you have to keep fingers crossed. Perhaps because of the unwanted side effects you have toward high doses of hormone, your doctor may not have prescribed the standard emergency contraception since it contains very high doses of hormone. Another non-hormonal way of emergency contraception is to get an IUD inserted and this serves the dual purpose of long term contraception as well. Hope this helps. | 224,357 |
What causes sporadic weakness in the legs and arms while having high blood pressure and ulcerated colitis? | Patient: Was cleaning not hard work suddenly felt weak in legs and arms and bit dizzy, had to stop and sit down, got some nuts to eat. Have had this happen before and it seems to get better with food, i do have high blood pressure and ulcerated cholitis. I know I should see doctor but not sure why this comes on with no seemingly any reason... Doctor: Hello, I passed carefully through your question and would explain that your symptoms could be related to hypoglycemia (low fasting glucose). For this reason, I recommend consulting with your attending physician and performing some tests: - fasting glucose - blood electrolytes - HbA1C - glucose tolerance test. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | 17,728 |
Suggest treatment for breathing difficulty caused due to chest congestion | Patient: Hello Doctor, am facing difficulty in breathing as flum has increased in my chest. I have got 2 cough syrups, 1) Ambrodyl Syrup and benadryl DR. Could you suggest me the best option ? Also I have fever and cold for that am taking Dolo (paracetomol) and cetzine. Doctor: First of all get ur xray chest and pulmonary function testing done .as you have fever also so there might be some infection you need to take antibiotic also either moxyclav 625 thrice a day or azithro 500mg once a day and syrup ambrodryl-s 2tsf thrice a day | 80,901 |
What causes leg pain, fever and headache? | Patient: My son is four years old and complaining of leg pains.After that he gets a very high fever and complains about his head paining which brings him to tears.Also his nose starts running but the fever gets worse in the night time.What is the cause of thins please advise ASAP. Doctor: leg pains with fever is something serious and that too if it recurs and goes on he needs to be investigated. If it's a single episode, it could be a viral infection with myalgia and with simple paracetamol, he will be alright. | 169,063 |
Is a strong averseness to bathing related to a mental condition? | Patient: my sister insist on not bathing for several days (it s been at least 4 this time) and claims that the horrible lingering odor in the bathroom is from her medication. she does take a variety of medications. i ve looked up some of them and none of the side effects state there could be a change in urine odor. the family feels that she has severe mental illnesses and doesn t want to bathe Doctor: Hi, according to u your description i think your sister have mental illness like either obsessive or psychotic symptoms in which she feels that there is bad odor in bath. start tab.oleanz plus which cover both once at night. | 205,218 |
Suggest treatment for lyme | Patient: Hellow and thanks for your help! I m currently undergoing treatment at sponaugle wellness center for Lyme and its many complexes! I feel like after starting my 6th week what am I getting for 3,000 dollars that is the weekly bill and everything out side I ve drip bags of 2 or 3 ingredients kinda unknown and a needle put in my arm, one visit with a nurse practitioner who won t tell me things as simple as hormon levels I went and paid 500 dollars for labs every week??? This place is so slammed with patients the fire Marshall would shut him down due to the size of the building.??? What s your thoughts on this guy? Where is better help that treats you like a patient? I had to fire my first nurse practitioner due to him telling me LET ME FINISH and tring to talk down to me when I have valid question on my condition! Hope this made since due to my mental state it s hard to add 2+2.............just for now I d like to stay anonymous Doctor: Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you that Lyme disease can be treated at home by taking doxycycline 100 mg for two times a day for a 14 days. You can periodically check for your symptoms. If you find anything wrong immediately contact the concerned physician.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease. | 37,893 |
Lower back pain, no tingling limbs, pain when straightening. Help | Patient: lower back pain - no tingling feeling in legs or arms (I had sciatica many years ago) but extreme pain when trying to get out of bed - cannot straighten up - I have to hang on to back of chair and slowly straighten up. Once I am standing erect, I can take some steps and after a few minutes I walk more or less normally. I feel I may have a slight inflammation in the tissue around my spine in the middle of my back. I am an 84 year old female, who until last week was happily riding her bicycle. P.S. I am hopeless on any computer !! Doctor: Hi,It seems that you might be having osteoartheritis of vertebral spines giving rise to stiffness of muscles giving rise to this problem.It is possible yhat you might be having Sciatic pain as well.Go for x-ray and find out the cause.Consult orthopedic surgeon and get examined.Physiotherapy might help to relieve muscle spasm.Ok and take care. | 112,680 |
I have yellowish liquid with bad smell seeping from my scalp after using hair dye | Patient: Hi... I dyed my hair three weeks ago, and I had a bunch of symptoms occur, so I went to emergency twice now. It s been three and a half weeks, and none of the medication they have prescribed is working to make it better. My scalp is seeping a yellowish liquid that smells awful and it s seeping badly enough that I can feel it running down from wherever it s seeping... That s just getting worse considering it used to only be the back of my head , and now it s everywhere on my scalp. I m a 15 year old girl and when I went to have a bath, I had tons of hair coming out to the point the tub is covered in my hair... And the seeping us bad enoughthat it s noticeable and I ve gone to school... I also habe a rash covering my entire body, and if I m not careful, my eyes turn bright red. Everything is itchy ... My ears are completely crusted over.. My lips are swollen. My lips and throat are also itchy... And I have some chest pains as well as the occasional abdominal pains. I also feel as though I m burning.. The rash is everywhere and it s quite itchy and every once in a while my wrists/arms break outinto hives . Please help.., Doctor: Hi Welcome to Healthcare Magic Forum This is a severe allergic reaction, you need to be in a hospital, before it gets any worse and you start to have difficulty in breathing too. Dont waste time. Takecare. | 106,240 |
Will the sperm count of 20 million and motility 20% be sufficient to impregnate? | Patient: Hi, may I answer your health queries right now ? Please type your query here... Dr I am saravanan age 31 and height 5.8ft , wt 67 kg and just married 6 months before . I have a question for you my wife not conceived yet my sperm count 20 million and active motile sperm 20 % that would be enough to conceive my wife. Doctor: HelloThanks for query.The report of semen analysis that you have posted is incomplete .You have not mentioned whether sperm count which you have stated to be 20 millions is a total count or count per ml of semen ejaculated.If the count that you have posted is total count then it is lower(Oligospermia) than what is required by WHO standards for conception.The percentage of motile sperms (20%) is considered to be normal for effective fertilization but since the total sperm count is low total no of motile sperms available for effective fertilization will be lower than what is considered to be normal .Please repeat your semen analysis and consult qualified infertility specialist for guidance.Dr Patil. | 202,270 |
How to treat for the presence of acid in saliva? | Patient: My dentist told me to see my dr about acid inmy saliva. She noticed tooth enamel was disappearing. Dr put me on Tecta pills. But I told him that since teenage years when I lay in bed in the morning, if my stomach growls it is followed by fizzing in the back of my throat. It doesn t hurt or sting but I can feel and hear it. He says 2 more months of Tecta and if it s not resolved a camera will be put down my esophagus. I just saw that there are lots of forums online that talk about this fizzing, but none give any answers Doctor: Hi,Thanks for posting the query,I would suggest you to continue with the medications.At home take lukewarm saline and antiseptic mouthwash rinses.Take plenty of fluids which are rich in vitamin C.Take multivitmin suplements.Visit to a Gasteroenterologist and get a checkup done.Take care! | 187,322 |
How to cure lump on the groin? | Patient: Hi, may I answer your health queries right now ? Please type your query here... My 3 year old son came home from nursery with a seers bruise to his right upper groin area coupled with a small pea like area. I have been putting arnica cream and the bruising is gradually going down. I did show my GP who said it seems like a nasty knock. The litttle pea like area is smaller but still present. He does not have any pain. I am worried. Doctor: Dear parent,as per your description it seems that the child had injury and slight infection or reaction to wound as a result his lymph gland in groin swelled. But body's natural immunity worked and got over it. the small nodule will disappear with time. Just be patient and vigilant. | 165,084 |
What could a lump with brown discharge near to base of the spine? | Patient: I am 37 years old and female. I noticed a lump near the base of my spine, just above where my butt crack starts. I thought it might be an external hemmroid so I applied Preparation H to the site for 24 hours and got no relief. The next day I was suprised when the site of the lump became wet and discharged a very foul smelling brown mucous/liquid substance. I drained the liquid from it and the pain seemed to subside. Should I go to the doctor? Is this something to worry about? Doctor: Hi.Thanks for your query and an elucidate history.With the history and findings you provided , this is fistula-in-ano unless proved otherwise. Consult a Surgeon who would advise you medical management to start with - then fistulogram and subsequent curative surgery. | 69,614 |
Can i go back to work despite having thrombophilia? | Patient: I ve had a stroke, DVT, and P.E in the past. I have thrombophilia or prothrombin gene mutation G20210A. I m seeking disability because of my reoccurring tendency to clot.My docter hasn t let me work or drive for a year and I have never received benefits. I want to go back to work, is a blood clotting disorder a disability? I understand if I don t maintain my diet and INR checks I could clot again. Doctor: Hello. Welcome to HCM. It's unfortunate that you have been suffering from clotting disorder. Yes. That's true that you should avoid prolong driving or air travel to prevent recurrent thrombosis, but if you maintain your INR between 2-3 then there is less chances of getting again clotting in lungs or veins. So, my advice to you is - You can now start driving for few distance and should also start to work as prolong rest also precipitates clotting. But you have to take anticoagulant medicines for whole life. It's true that if you don't make restrictions in diet and not maintaining INR then you have again chances of clotting but if you maintain proper INR and avoid prolong sitting you will be safe. So, be careful and gradually start your work again. Best of luck for future life. Thank you. | 115,837 |
Suggest remedy for infected lung lobes, difficulty breathing and on steroids and oxygen | Patient: I have been on the lung transplant list at Mayo for 11 months all the lobes are infected copd and emphzema I have been on steroids oxygen 24/7 lately it is so hard to breath I went to mayo recently and they put me a notch down, I m exhausted from trying to breath. Doctor: You are a case of COPD and on transplant list.. As you are already on oxygen and steroid therapy and still feeling breathless then you will benefit from Bilevel ventilation. You have not mentioned anything about inhaler or nebulisation therapy which u might be on. | 80,865 |
What is that whitish melted substance in my eyelid of left eye? | Patient: I had viral conjuctivitis and it took around 2 weeks to clear. I was taking a closer look at my eyes earlier and noticed a whitish-metled cheese looking substance when I pool down my eyelid of the left eye. The doctor mentioned that this may happen. What is this that is occuring? Doctor: Hello,A bacterial infection in your viral conjunctivitis has lead to develment of bacterial conjunctivitis.Nothing to worry as treatment involves putting antibiotic eye drops like gentamicin or oofloxacin.You should be all right in next 4-5 days.Thanks | 35,907 |
Can pacemaker be taken off for 101 year old? | Patient: My mother is 101. She feels that she has lived long enough. She had a pacemaker inserted about 8 years ago. She is asking if the pacemaker is keeping her alive because she wants it to be taken out. We ( the children) have no answers for her but said we would find out. Beris Holding YYYY@YYYY Doctor: hello,I have gone through your question.As a doctor it is difficult to advise that pacemaker can be removed.At the same time i need to know which country you belong to?Because Laws of different country are different.If the law permits such action,then after completing legal formalities you may approach doctors for removal of pacemaker.In my practice of more than 2 decades i have not experience such situation.so please respect wish of your mom only if law permits.I personally am man of science but i believe in spiritual science as well.so i suggest that we should allow nature to take its own course,My best wishes.Dr.Rajesh Teli,MD | 27,859 |
Is it safe to have a circumcision on the foreskin? | Patient: hi sir every man penis at the full erection penis is uncover skin is connected to penis top can I break this connection or not It is right or wrong I think after this connection break penis is can more out and increase the length of penis plz tell me sir can I break or not...... Doctor: hi..I understand your concern.unable to move skin over glance is called phimosis.Phimosis can be treated with circumcision.It is very small operation done under anesthesia and after that you do not have problem in erection.so go for surgeons advise and do according to it.Thank you.Wish you a good health. | 201,685 |
Does smoking weed cause ventricular tachycardia? | Patient: I have just went through ventickular tachacardia I was admitted to a hospital with 271 beats per min and they gave me meds to control heart rate and they installed a difibulator in my chest I smoked weed for 20 years and being told that it has caused this is this possible? Doctor: Thank you for your question.Weed or marijuana has been shown to affect the heart such that long term heavy users may develop heart attacks at a younger age. It may also cause cardiomyopathies that is changes in the structure of the heart muscle. Though I cannot conclusively say that weed is the cause for your problems. My advice would be to stop using weed and to follow a healthy lifestyle including adequate exercise (consult with your cardiologist regarding exercise regimens) and a healthy diet. And please do continue your present medications since ventricular tachycardia can be a serious issue.I hope this has been of help to you. | 27,071 |
What caused my extreme heart burn? | Patient: I am a 52yr. old woman. 5' 1", 150, history of mini-strokes and high blood pressure. Last night I had extreme heart burn in my stomach, chest and back. Lasted all night. Husband gave me Nexium in morning. Helped. Now I am completly wiped out and blood pressure 136/101, heart rate 91. Just don't feel right. Should I be concerned? Doctor: Hello,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.heart burnng can be due to acidity or can be it is due to undelyng cardiac patoogy..if u were my pateint i would like to take teail hstroy that is this heart burn occur ussally n what time it come ,do u have metallic mouth taste esp at early morning to look for is u having GERD,or having heart burn with exercise that sgeest u miht have exertional dyspnea that can be due to underlyng heart ischemia..do detail exam n then run some tests, like do PH 24 hr monitring for GERD,but most of time it is history n examination based dx.... ecg to look for ischmic chnges,if these are present then do cardiac enzymes ,ETT in case of hidden ischemia,c angio if needed n then tx accodrngly onthe line of IHD...for GERD need cousre of PPI n avoid spicy food,lift bed head side 5-6 inches before sleep...I hope this answered your question, if you have more feel free to ask.Regards.Dr.Asad Riaz.General and Family Physician. | 23,816 |
What can cause fatigue and severe pain in the shoulder and arms? | Patient: I have previously been diagnosed with Carpal Tunnel Syndrome in both hands and a pinched nerve in the cervical region of my neck. Lately I have been experiencing severe pain in my shoulder, upper, and lower arm (right side). I am also having some pain in the joints of both my arms and hips as well as extreme fatigue. I am having difficulty with sleep due to the pain. Could this all be due to my previous diagnosis or should I get further testing for other possible conditions? If so, then what are some other possible causes? Doctor: Hi, Your symptoms of right upper limb radicular pain can be attributed to nerve compression at cervical spine. Reason for compression may be disc prolapse or ligamentum flavam hypertrophy. MRI of the cervical spine with screening of whole spine needs to be done to confirm diagnosis. MRI is highly sensitive and specific for diagnosis of spine pathology. Meanwhile, start tab. Pregalin. Visit to orthopedic surgeon with report for detailed clinical Examination is needed. Hope I have answered your query. Let me know if I can assist you further. | 126,951 |
What causes jaw pain with pain in gums? | Patient: i have severe pain on the left side of my jaw. my gums also hurt if pressed. I went to the dentist and it is not a root canal problem. I do not grind my teeth, so it isn t tmj. What type of a dr or dentist should I see? Any ideas of what can be causing the problem? I didn t realize there was a charge. Forget it Doctor: Hello,I can understand your concern. It would have been easier to advise you if you had mentioned the pain is in the upper or lower jaw. I am answering for both possibilities.If it is in the lower jaw, it could be due to an impacted third molar, the wisdom tooth that is stuck in the jaw, trying to come out but probably there is less physical space available for it to come out so it is locked and causing pressure and pain in jaw and gums. To confirm this diagnosis, your dentist can take an x-ray (IOPA) or you can go for OPG (more preferable) that will show all teeth of your mouth. If the pain is in the upper jaw, third molar possibility can be considered for that, too. However, sometimes severe sinusitis can cause pain in upper teeth and gums. Are you having symptoms of sinusitis, like cold, congestion, headache etc? Do u feel pain if pressed in the area below eye and around cheek area on left side? If yes, then this is the possibility, which can be solved by an ENT specialist. Taking a painkiller like Ibuprofen 400 mg or Acetaminophen 500 mg 8-hourly will help till diagnosis is made.I hope this advise helps you. Thank you for choosing HealthcareMagic. Let me know if you have follow up questions.Best,Dr. Viraj Shah | 133,359 |
Dizzy spells frequently, odd smell made dizzy and fade away. Advice? | Patient: hi. at the moment i keep having breif dizzy spells that last for about 5 secs. I ve had at least 4 in the past hour. and the other day I had problems with an odd smell that would hit me and make me a little dizzy. I know the smell wasnt normal because it would hit me..then fade away with in a few seconds and it happend multiple times that day. Doctor: Hi friend Welcome to Health Care Magic There appear to be two different issues? - though they may have a common cause... You have not stated your age or gender.. You didn't say other symptoms like tinnitus. / or associated diseases. Smell has no direct association with giddiness. You ought to see an EAR Nose Throat specialist for favour of further assessment - the mechanism for balance is in inner ear... He can also check the issue of smell You may need MRI of the brain. A NEUROLOGIST may have to see in view of the smell and spell.... Take care Wishing speedy recovery God bless Good luck | 151,232 |
Are heart problems associated with severe back pain? | Patient: Hi, may I answer your health queries right now ? I have been experiencing back pain in the upper left shoulder blade for 2 weeks, pain is now traveling down my left arm and arm is pulsating. I am thinking the pain in from a new workout i started 2 weeks ago (kettle ball) but want to make sure I am not having a heart attach. I have a chiropractic appt tomorrow to work out kinks in back. Doctor: Hi, thank you for posting.I have gone through your query and I understand your concerns.I think that the pain is related to physical exercises, and it's not caused by heart problems.However if you experience this pain for a long period time you should go to the hospital for some tests.The tests you need are:1. Electrocardiogram.2. Vertebral column X-ray.3. Fibrinogen test.4. Complete blood count.5. Urine test.Ask me for anything unclear.Wish you good health.Dr. Behar. | 109,237 |
Suggest treatment for diarrhea in kid | Patient: My son aged 2 and a half years started having diarrhea earlier today. He has had three episodes of greenish yellow frothy foul smelling watery diarrhea. We have not traveled anywhere from where we stay(Gaborone Botswana) but we have had a few other children come to the house Doctor: If it due to viral cause acute watery diarrhoea, only need rice based oral saline, oral zinc. If it is bacterial,need antibiotic like cipro or azithromycin,if protozoal, need metronidazole or nitazoxanide, ORS and zinc with green banana mixed rice. | 174,370 |
Can bed bugs cause rashes on the face? | Patient: my daughter has a few red spots on her face that are very itchy but dont look like bites it happened a few weeks ago iand i took her to the doctors and she said she had bed bug bites. i called an exterminator cleaned out her room throw out the pillows. the dr gave her an antibotic she stayed in my room for a few days. she has been back in her room and a few days later she has the spots again so i dont know where she is getting them from or what it is Doctor: Hi, It seems to be an insect bite hypersensitivity reaction. I would recommend you to apply topical steroid like cortisone cream on the affected areas twice daily and take anti-histaminic like tablet chlorpheniramine maleate 4 mg once daily. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | 12,843 |
Suggest remedy for non allergic rhinitis, headache and dizziness | Patient: Hello, I am a 32 year old female residing in Berrien Springs MI. I just moved to the area from FL. I am 107 lbs and 5.1 tall. I have been diagnosed with non allergic rhinitis. I have had pressure in my head, with some dizziness and sometimes a light headache. My ENT gave a spray but that does not seem to deal well with my symptoms. Are these symptoms treatable at all. They come on and off, and I just feel that they are affecting my daily life. Please help... Doctor: Hi and thanks for the query,You might simple need to get the doses of the drugs changed, or treatment modified. Compliance to treatment remains mandatory for monitoring. Other conditions like nasal polyps and sinusitis must be carefully checked for and excluded. A nasofibroscopy to check for tumors of the ethmoid bone should also be considered. Kind regards | 101,574 |
What causes cold in head and chest ? | Patient: Grandpa had cancer then stroke feeds through tube now has a bad cold what can help Doctor: Hi Food particles or saliva is aspirated into the lungs while tube feeding. This will be unnoticed but can cause serious pneumonia. Your Grandpa who is coughing now may has aspiration pneumonia. Get a Chest Xay and rule out pneumonia. You can prevent aspiration pneumonia. Make him sit upright during feeding and for 1 hour after feeding is stopped. If it is difficult to sit, keep the head of the bed elevated at least 30 degrees. Regards, Dr. Jagdish | 160,285 |
What causes sharp pain and swelling in lower part of back? | Patient: I just noticed swelling at the very lower part of my back just above the center of the top of my butt cheeks. Sometimes I will have a sharp pain in that area when bending over or after getting up from sitting on a hard surface. I just had a baby 2 weeks ago and was in a car wreck 9 months ago. What could this be? Doctor: Dear- thanks for using our service. You might be suffering from sciatic neuralgia, secondary to herniated disc or spinal stenosis. You have been pregnant recently and the weight on your back could aggravated your pain. You should have a MRI of lumbosacral to see what is the level of damage. Antiinflammatories,analgesics and muscles relaxants can help your pain. If no improvement in 2 weeks then consider massage or physical therapy. If no improvement, then epidural block is the next step.I hope my advise has been helpfulDr.Sara | 107,745 |
Advice treatment for heavy cold and cough with fever | Patient: I am having cold and cough regularly . Now I am also having fever for last 2 days . My body feels cold shivering and the temperature rises to 101 degree to 102 degree centigrade . I take crocin the fever subsides . I have severe problem of throat infection with itching in throat and when it further aggravates there is pain in throat . Right now it's cold and cough and fever and I want to know if I can have Droxyl Clav 500 m.g. morning and evening 5 days . The nose is always blocked and I am disgusted with this as it is happening for months . Every alternate week or two week interval I get the infection and I take lots of steam and gargil . I just want to get relieved immediately as it is badly impacting my work . Got Droxyl Clav 500 which was suggested to me by an ENT doctor last year . Can I have now and will it give me relieve Doctor: Thanks for your query.From the history provided by you, it seems that you are having an upper respiratory tract infection (fever, throat irritation, cough). You haven't mentioned you age and gender though.Medications like Amoxycillin, Amoxycillin-Claveulenic acid (625 mg, thrice a day for 5-7 days) and Azithromycin (500mg once a day for 3/6 days) may help (better to take it after a physician examines you). Droxyl clav is composed of Cefadroxil-claveulenic acid which may also be taken. You can take Paracetamol for your fever. For your nasal congestion, a number of commercially available nasal decongestant may help. In the meantime you can continue the steam inhalation (which will moisten your airway).Since you a giving a history of frequent cough/cold/nasal congestion, I would advise you to go for X-ray paranasal sinus, since sinusitis/pansinusitis can lead to these symptoms. Deviated nasal septum, may cause nasal congestion.It would be good if you can contact your doctor/ENT specialist, who can examine you thoroughly and give you the necessary medicines after clinical examination. A total white blood cell count and differential count may be required to rule out severe bacterial infection.Hope this helps you. | 39,661 |
Any suggestion for suffering from vertigo, vomiting after radiation treatment and taking vimpat for low grade glioma? | Patient: my wife has been diagnosed with a low grade glioma. its located in the cerebellum area of brain. near brain stem. she has received radiation treatment and is currently taking VIMPAT. she is experiencing a tremendous amount of vertigo and vomiting. the dizziness and vomiting is daily. Doctor: Hi,Thank you for posting your query.It is unfortunate that your wife has been diagnosed with low grade glioma, a cancer of brain.Moreover, a vital part of brain, near the brainstem is affected.I am glad that she is receiving radiation and VIMPAT. I hope that she shows good recovery.Dizziness and vomiting are related to the tumor, as well as radiation and medications.Dizziness can be relieved with betahistine tablets and vomiting can be prevented with ondansetron tablets.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in | 148,541 |
Can persistent cervical lymph node TB form a malignancy? | Patient: i have finished 6 month ant Tb therapy but lymph nodes stil persist,its abot six month since i complete therapy.Idid biopsy last 4 weeks,Histology of cervical lymph node show mainly extensive central caseous necrosis partially destroying the node architecture,there were many well formed granuloma,epithelial cells and many multinucleated giant cells of langerhans type. what should i do,am i not cured despite treatment? is there a chance to form malignancy? Doctor: dear friendyour cervical lymph node biopsy is typically tubercular picture.Once a node is in this state due to TB the reduction in size does not take place it has to be surgically removed and biopsied.if your other parameters namely ESR and CBC are within normal limits and you have completed the full course of ATT you need not worry.better still check with your treating physician if he/she has any other suggestion,chances of malignancy in this case are negligible | 31,793 |
What could lumps on neck suggest? | Patient: i have noticed 2 lumps on either side of my neck for around 12 months now but forgot all about them until recently, the one on the right is getting bigger...more of a grape in size than a pea. I am a fit healthy 30 year old women, i run alot.I have no pain with the lumps. what could they be?My Granda died of throat cancer and never smoked a day in his life. I do not smoke but just a tad worried Doctor: Welcome to health care magic. 1.The lumps in the neck on bilaterally suggests lymph nodal enlargement at first place followed by thyroid swelling. Followed by any glandular or lipomatous.2.Lymph nodal enlargement is seen in case of any infection / inflammation / malignancy and lymph nodal pathology itself ( lymphadenopathy) 3.The diagnosis can be done with the help of an ultrasound neck, which helps to evaluate the nature of the lumps, its source and extensions.4.For definitive diagnosis - an FNAC - fine needle aspiration cytology will help to evaluate the type of cells involved.5.Sugget to get an appointment with your GP, examined,investigated and treated accordingly.Good luck.Hope i have answered your query,any thing to ask ? do not hesitate to ask.http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888 | 67,970 |
What causes dryness in hands and lips and pain in the wrist and fingers? | Patient: Hi my name is ranveer dosi i would like to say that sometime i got my hands skin dry, lips dry, and little pain in wrist, fingers and i feel warm air from my mouth, breath, my eyes etches and this happen to me about every month, i very tense about this problem. I dont know why this happen to me. please help me. Doctor: As per your symptoms you may be suffering from some autoimmune disorder.You need to get investigated for it and consult a rheumatologist as early as possible. | 132,300 |
Suggest treatment for partially straightened lumbar lordosis | Patient: Hi, My name is sunil tiwari. i have a problem in lumbar lordosis is partially straightened. i already check up in CMC vellore in india. but they said about oppression. i have all report and MRI report and Xray. so please sujjes me. Thanks & Regards Sunil tiwari 0000 Doctor: Treatment is not needed for this issue in itself, unless it is related with bad posture and leg pain / weakness etc. U only need posture training & physiotherapy for back. | 146,193 |
Suggest treatment for rapid breathing while suffering from pneumonia | Patient: Hi my grand baby has rsv and pneumonia, his fever isn’t high like it was in the beginning, but he still has one. We’re trying to give him something to drink, but he only drinks a small amount, then pushes it away. Eats very little and sleeps a lot. He’s been to the ER 3 days in a row. Today is the first day he hasn’t been. But he’s breathing fast is that normal? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The RSV virus occurs is winter and spring most commonly in the first year of life. It cause bronchiolitis or pneumonia, symptoms can include fever, breathing rapidly with the skin between his ribs caving in as he breathes and skin between chest and belly caving in with respirations, cough, wheezing. The normal respiratory rate of awake, well infant between 2 and 12 months of age is 40-45 breaths per minute. Sometimes infants with bronchiolitis can have a respiratory rate over 60. If you grandson is breathing hard like this, then he is working to breathe. Fever also causes an infant to breathe rapidly. You can see why he has no appetite- he is too busy breathing. Still, it is very important to offer him liquids. If he will drink only a small amount of milk, apple juice, or pear juice, then offer what he will take frequently, for example, every five minutes. Give acetaminophen for fever and to make him feel more comfortable every four to six hours. Since there is no medication to treat this virus, your(and your children's) job is to watch that he does not use more and more effort to breathe, his fever is being treated, he is able to take enough liquids to continue wetting his diaper and keep his mouth moist, he doesn't become blue or stop breathing. This is an infection his body has to fight and overcome. It might take a week or so to see improvement in breathing. From what information you have shared with me, you know this is a serious illness, but you are handling the caregiver's part just fine. Hope I have answered your query. Let me know if I can assist you further. | 162,929 |
Trying to conceive. On ovacare and Ovral L. What is the combination of this two pills? | Patient: we are trying to conceive for a year but we can t success, so my dr. gave me ovacare in morning an Ovral L at night. I want to know what is the combination of this two pills ? Doctor: Hello. Thanks for writing to us. Ovral L is an oral contraceptive and is not likely to help you in conception. This is given to regularize the periods ijn case of irregular periods. Ovacare is a general ovarian tonic and helps in increasing the ovarian function. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected] | 5,987 |
What causes high pulse rate after removal of gallbladder? | Patient: I am a 45 year old female and just had gallbladder removed in June 2010...i still experience pain in my chest some-nobody told me the after effects thought that would go away....so now got worried could have heart problems blood pressure seems to be running normal but pulse rate is sometimes over 100.....dont know if because anxiety-blood work was normal... Doctor: Hello, I understand your concern and would explain that the higher heart rate in not related to your gallbladder. The chest pain is quite normal after gallbladder removal, due to indigestion. I would just recommend avoiding spicy food and fat. Regarding your high heart rate, I would recommend performing a resting ECG, cardiac ultrasound and some blood lab tests (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes for possible imbalance). A low dose of beta blocker could help reduce your heart rate. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | 17,726 |
What causes swollen, painful knee joints and tightness in legs? | Patient: For the last two weeks, my knees are swollen, painful knee joints, tightness in legs, weight gain, and spider veins and redness appearing this week inside knees. Legs and knees uncomfortable causing loss of sleep ????? Cannot sleep on side with knees together. Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, you are having all of these symptoms due to incompetent veins of your lower limb, they get filled with blood and swell, leasing to swelling of the limb also, these are varicose veins.Consult a general surgeon to help you out of thisI hope that answers your query. If you want any more clarification, contact me back. | 137,948 |
Suggest remedy for severe bumps on the forehead and neck | Patient: I have many small bumps appearing on my forehead and neck. They appear soft and spongy then get hard and kind of scaly. There is no pain but I am starting to find some on my chest also. I guess I need to visit my dermatologist again. When I had my yearly check up I pointed out one or two but she did not think it was anything to worry about. That was in early spring and I have developed many more. Doctor: Hello dear , hiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with dermatitic eruptions most likely .* Recommendations for better recovery- Fruit face pack wash 2 times a day with gentle sponging , no harsh rubbing .- Avoid exposure to direct sunlight .- Wear loose , clean , cotton clothes .- Tub bath in lukewarm water added epsom salt and lavender oil .- Application of clotrimazole ( 1 % ) as dusting powder 3 times a day .- Consult your doctor for further antibiotic assistance .Wishing you fine recovery .Regards . | 61,234 |
What causes pain in the right lower leg? | Patient: hello, I am having slight pain in lower right leg, skin is pink in color and warm to the touch. blood sugar is normal and I had a blood test last Friday and my white blood cell count was in the normal range. the pain seems to go away when I am up walking. 12-31-2016 I had a left leg bka Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It can be a cellulitis. Other rare possibility is a DVT( very unlikely).Yo have to take an ultrasound Doppler scan to rule out DVT even though the chances are very less.Once the DVT is ruled out, you can start antibiotics like amoxicillin clavulanate combination for five to seven days. Elevate your limbs and apply glycerine to decrease the edema and redness.If symptoms persist for long, you have to consult a general surgeon and get evaluated. Hope I have answered your query. Let me know if I can assist you further. | 127,162 |
What is the treatment for osteoporosis? | Patient: I am in the middle of changing doctors do to the Affordable Care Act. I was seeing several doctors who are not on my list because I had a PPO for the last 30 years as of. What I need to start off with is where is a doctor that could be my primary care physician. I would prefer to have an internist. I have several different issues. I had severe osteoporosis but the doctor that was seeing me is awesome but he is not on my insurance plan.Since then I had a 90% compression fracture at T-11 which because of my condition I had to undergo surgery and the results are less than just okay. When they went in to repair it my two other vertebrates collapsed. I actually need to find someone who can help me because there are other issues; severe migraines lasting at least half of every month. I had broken my shoulder went thru therapy, I no this sounds hard to believe BUT,My therapist over-extended my arm(shoulder) yelled out oh my...I think I tore it tendon. And she was right. AFTER SURGERY a month went by and I started feeling awful. PAIN IN ABDOMEN and not keeping any food down. a few weeks and 2 hospitals later and not getting any better I was diagnosed w/pancreatitis. (AND NO I DO NOT DRINK!) I COULD GO ON AND ON BUT I WON t. Doctor: hi,thank you for providing the brief history of you.A thorough neuromuscular assessment is advised.As most cases with osteoporosis needs attention to strengthen the bond which only can not happen with calcium supplement or Vitamin D3 supplement. In my clinical practice I recommend more of physical therapy as there is a whole lot of physics to understand here in calcium deposition and also the Strengthening in the bones.Also, I recommend physcial therapy with slow and gradual muscle Strengthening first and then gradual weight bearing.Also, the therapist you chose needs to understand your case first and give you priority attention as physics applied to your case should be completely different than what conventional physical therapist applyI have treated similar cases and got the 99% recovery in them with proper and graded physcial therapy. Anything worked out within the physiological limits of the body and assessed from movement to movement can help the recovery.Slow and steady wins the race.. and developing a good physical and functional status is of utmost importance proper implementation of the physical therapy needs to be assured.For any further queries/doubts/rehabilitation related questions you can ask me directly and I will be happy to help you in all possible way.regardsJay Indravadan Patel | 133,791 |
Why do I have forgetfulness? Why are my relationships straining? | Patient: 33 yrs, male, software development (sit long hours and do job), get stressed easily, unable to ignore anything bothering, mostly late by 10 mins in almost everything. Recently I am starting to forget a lot. I even sometime forget the online bank ids temporary one day & remember the other day. I feel others can justify their delay, failure better & I work hard but still could not justify. Could not find the way which makes things look normal. I get the beatings even if I work better. I tend to create acute angle with some & good relation with some. finding difficult to manage people, get ths done from them. Need help in fixing memory loss problem and dealing people. Doctor: hello welcome to health care magic You have depressive symptoms along with obsessions (as per your description). Forgetfulness is a part of your depressive phenomenology. I advise you to consult a psychiatrist for treatment ( Medication as well as psychotherapy). With proper treatment, you will be able to handle your life in a better way. Wish you Good health Thanks | 213,127 |
What should i do for child suffering from fever,rhinitis ? | Patient: A 3yr 9months old male child having fever , rhinitis, epiphora,dry cough,malaise since 4 days.investigations (CBC is normal,ICT -ve,psc is hypochromic,microcytic, urine30.08.2012. wt-15kg,height-98cm. Doctor: Is range of fever is high u may start antibiotics syp augmentine 228 3.5 ml thrice a day for 5 day from today. If fever in not high grade u may weight for 1 more day for spontaneous recovery. | 173,890 |
Suggest treatment for high BP and heart rate | Patient: I am 56 and are on several blood pressure medication, I do not understand that when I do any type of exertion such as walking or anything my blood pressure goes up extremely high and my heart rate sky rockets. I am in cardiac rehab, but yesterday they wouldn't let me participate because of this problem. when I am at rest my bp medcine make me feel as if I'm going to past out. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Elevated blood pressure on exertion is seen with early heart failure, coronary artery disease (CAD) and valvular heart disease. Since you are already having hypertension, possibility of heart failure and CAD is more. So better not to perform cardio rehab. First consult cardiologist and get done ecg, 2d echo, stress test (trade mill test) and coronary angiography to rule out heart diseases. If it is CAD then you will need angioplasty (stenting). You may need diuretics and other cardiac supportive drugs. Don't worry, you will be alright with all these.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 24,437 |
Nausea, lightheadedness, dizzy, gassy, frequent urination. On birth control. History of having sex 10 days after periods. Pregnant? | Patient: My last period was on 8-20-13. I had sex on 9-1-13. I ovulated on 9-3-13. I'm also on birth control pill. I have been extremely nauseated, feeling light headed and dizzy, left pain of and on in my stomach, gassy, peering more, and I was constipated but not anymore. I have also took 2 pregnancy test and they were negative. Am I pregnant? Doctor: Hi,Correlating everything it appears that you may have conceived. It is too early for urine pregnancy tests to come back positive. Please get your serum beta-hCG levels estimated as this gives you definite evidence for confirmation/exclusion of pregnancy. If the pregnancy test is positive or if you miss your next period, please see a gynecologist before you continue the birth control pills. You may also need a trans-vaginal sonogram. Hope your query has been answered. Take care. | 4,896 |
Can excessive consumption of diet coke cause severe stomach pain that cannot be diagnosed? | Patient: Can excessive consumption of diet coke cause severe stomach pain that cannot be diagnosed. Tests have been done to check for complete array of possibilities and now 2 different types of antibiotics have been prescribed and that is not working. Have had a colonoscopy, MRI blood work, prostrate exam and all of these have come back okay. Could the diet coke be causing the problem. I have been drinking them for a long time, I drink at least 6 a day Doctor: Diet Coke contains aspartame, a chemical sweetener that is generally very safe but can have side effects including stomach pain, nausea and diarrhea. Diet Coke also contains caffeine which in large amounts can cause increased bowel motions nausea and pain. 6 Cokes a day sounds like a lot. I would recommend decreasing your intake slowly over a couple of weeks and seeing whether this improves your symptoms.Hope you feel better soon!! | 217,724 |
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