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What causes pain in area of lipoma on chest? | Patient: I have a lump on on the right side of my ribcage that was diagnosed years ago as a lipoma. Recently for the last month or two I have had very bad pain on the right side in this area and below. The pain is severe but dull, and gets worse at night. It can be relieved somewhat with meds such as motrin. I have had mild night sweats as well off and on. Also I have diarrhea frequently right after I eat. I am concerned about the pain as it is hard to work at the hospital for 12hrs without popping anti-inflammatories just to complete a shift. I am a fairly fit 37 yr old male. Previously in the army I was told my pain ciukd be from costochondritis. Sugesstions? Doctor: Thanks for your question on HCM.In my opinion it is due to infection in your swelling. As your symptoms like pain, night sweats etc are seen in infection.So I advice you to get done ultrasound examination of swelling. This will guide you in infection present or not.If this is normal than Iget done chest x ray to rule out right sided lung diseasea like pneumonia or pleural effusion. As pain and night sweats can be seen in both of these.If this is also normal than it must be musculoskeletal pain.Better to take painkillers and muscle relaxant. | 82,554 |
What causes low hemoglobin levels? | Patient: I have a friend in the hospital that has a blood infection cause ?? has been in hospital for 2 weeks and was recovering slowly and just got a hemeglobin test of 6.1. He has had dialysis at least 3x but none this weekend.What would cause the drop in hemegobin? Doctor: Hello and welcome to Ask A Doctor Service. I reviewed your query and here is my answer.As you said that he is on dialysis so most like the patient has got renal problems which means the patients kidneys are not functioning properly. Due ti which erythropoitin cannot be produced by damaged kidneys which are essential for erythropiosis. This may be the cause of low hemoglobin. But the patients should be tested for other causes of anemia as well. Hope i answered your query. Ask more if u need further assistance. Thanks.Regards.Dr imran zeb.G.P | 114,339 |
What is the treatment for lumps in the neck? | Patient: Hi, I have 2 lumps in back of my neck on on top left one on top right. The one on left is big and tender where the right on is small and doesn't hurt. I have also been feeling dizzy for a month now and last week started to feel short of breath. I am a vagetarian and my gums are white so I think I am anemic, can you help as to what is wrong with me. Thanks Doctor: Hello, Thanks for consulting HCM I have read your query . As far as lump in neck is concerned this can be enlarged cervical lymph nodes due to infection . For this I will suggest you to keep watch on lump . If it increase in size or you have symptoms like pain or fever then you should consult physician for clinical examination of lump and if needed go for investigation like biopsy . Hope this will help you . | 63,502 |
What causes losing sense of touch and taste? | Patient: I m having strange symptoms. I m consistently in a daze, almost like a light high. I sometimes lose sense of touch and taste. I did smoke weed 5 days ago, but is there anyway that can be linked with my symptoms? I did hit my head.. Could it be a mild concussion? Doctor: Hi, If you've not smoked any "weed" since 5 days ago and taken no other type of illicit drug then, I don't think the way you currently feel has much to do with having smoked the marijuana since your high would've cleared out of your system. On the other hand, your concussion or TBI may very well be entering a period during what we refer to as the post-concussive period and so your symptoms may very well be due to this phenomenon. These are usually self-limited over a period of several hours. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist | 140,627 |
Does spider poison cause to behave like mad? | Patient: My husband was bit by a spider in march of this year. He didn t go to the Dr. right a way. I took him to the E.R. two days later because he was very sick. He had 2 surgeries and almost died. His temperament has chanced. He gets mad, has become a bully, has now started saying things he never would have said before. I was wondering if the spider poison could have caused a reaction like this? Doctor: Hello,I understand your concern.I am Dr Arun Tank, Infectious diseases specialists, responding to you.Spider poisoning never causes such a reaction. Spider poisoning only causes like wound swelling. And reaction which are locally seen. It never causes systemic reaction especially not causes nervous system reaction. You have to find out the other causes for such a illness.I will be glad to answer your further query. Thank you for your contact to health care magic.Wish you a best health.Thank you,Dr Arun Tank. | 37,468 |
Wisdom teeth extracted. Dry socket pain packed with gauze. Painful lump inside cheek. What is it? | Patient: I got 4 wisdom teeth extracted 17 days ago, I ve been back and forth to the oral surgeon 5 or 6 times due to dry socket like pain. I never got an answer on whether or not it was dry socket but the area was packed with gauze and clove oil and seemed to relieve the pain. At 14 days post op I had the last packings removed and told the Surgeon I was developing what seemed to be a painful lump inside my jaw/cheek area. The pain is back and worse then ever and the surgeon is calling in antibiotics for me but I can t see anyone til Monday! (It s Friday!) I have no fever or redness inside my mouth so what is painful lump inside my cheek/jaw area?? Thank you for your answer I m advance! Doctor: Hello and welcome, THE pain and swelling is usually associated post wisdom teeth extraction. The lump arised at the extraction socket area may be due to- traumatic extraction. tearing of gingival flap during extraction. dry socket. Alveolar bone which is fractured. I would suggest you to do frequent warm saline gargle. Maintain good oral hygiene. Please do not irritate the area using fingers/toothpicks. pLEse avoid frequent spitting. application of cold packs can be done. hope this helps. | 189,725 |
What causes a large growth around C1 cervical spine? | Patient: My son-in-law has a golf ball size mass wrapped around C1 and his doctor informed him that it is an unknown mass and assembled a group of doctors but they do not know what to do because they have never seen anything like it and it is rare where it is located. My concern is the brain stem. The doctor said that the brain stem is not damaged but how close is the brain stem to the C1 area. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The brainstem and the C1 levels are pretty close, the C1 is the last spinal cord level before it joins the brainstem. However you seem to speak of the mass being around the C1 vertebrae not the spinal cord, in that case it is separated by the spinal cord (and the brainstem naturally) by the vertebral body and ligaments, doesn't seem to originate from the brainstem tissue or represent any imminent threat to compress the brainstem if that's what you mean. Of course it is still a delicate matter since the doctors haven't identified the nature, I suppose they might want to take biopsy material from it to create a better idea. Hope I have answered your query. Let me know if I can assist you further. | 141,415 |
Advise on the pneumonia,pseudomonas and red itchy rash in my groin | Patient: I have just been diagnosed with klebsiella pneumonia and pseudomonas. I presented to my dermatologist with itchy, flaky, very red rash in my groin area and right below my belly button. I do have lupus and diabetes. She has put my on 2 weeks of Levaquin and some creams for the areas. What is your opinion and can you explain the seriousness of this to me. Doctor: Hi,As you described about your health status having different infections, Lupus and diabetes, I think you must be having poor immunity. So, I feel that due to poor immunity, you may be having fungal infection dermatophytosis in groin areas.,, may be called tinea corporis and tinea cruris. For the perfect diagnosis and proper treatment, you must consult the dermatologist. I would recommend you to apply anti-fungal cream like sertaconazole cream, and take cap itraconazole 100 mg twice a day. Tab desloratidine 5 mg may be taken twice day to relieve itching.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist | 12,940 |
What does distended gallbladder mean? | Patient: what does it means gallbladder is fairly distended, measuring 6.8 X 2.9 cm with multiple low to medium level intraluminal echoes measuring 4-5 mm. gallbladder wall is not dilated. common bile duct (measures 4 mm) and intrahepatic ducts are not dilated..do i need surgery? thank you! Doctor: Hi there,Thanks for posting in HCM.Gallbladder in normally distended in fasting state as it stores bile. It is also distended in diseased conditions in which the bile flow is obstructed either in the duct of the gallbladder and in the bile duct. Stones and malignancy can cause obstruction to bile flow.I hope that answers your query.Regards, | 56,153 |
Suggest treatment for hair loss with itchy and dry scalp | Patient: I have really horrible head hair loss, especially when i take a shower and I m shampooing I always tend to scratch my scalp so that I make sure my scalp ends up extra clean, but I don t know if it s really working. Aside from my terrible hair loss, another downside is that it s more difficult to maintain healthy long hair. I feel like I can t grow my hair anymore. My hair strands feel incredibly dry and my scalp feels really itchy during the day. And, I ve also noticed that I have like this white build up substance like powdery stuff all over my scalp too which gets all over my shirt if I scratch. Please, help? Doctor: Hello and welcome to HCM You seem to be suffering from a case of seborrheic dermatitis or dandruff of the scalp along with hair fall. Capsules and hair oil can be started to reduce hair fall and help new hair growth. But the cause of your hair fall must be treated first.For the dandruff, please continue an antidandruff shampoo regularly at least twice a week, such as Arcolane or Nizoral. The shampoo must be continued atleast once weekly even after healing, to prevent it coming back, as your skin is oily and prone to dandruff. It is your skin type and it may reduce with age. Avoid oiling scalp or applying gels, styling products. Keep hair clean and dry and try to avoid pollution. it may also be affected by weather/climate change etc. The white powdery stuff is due to scalp flaking and build up of oil due to dandruff, so use the shampoo regularly.Start with this treatment. Be sure to re check with a doctor regarding the improvement in few weeks, to advise regarding further treatment.Once the dandruff clears, hair fall will also reduce. And treatment for hair fall and growth can be started. You will need a multivitamin capsule like Follihair or Biotee daily. Apply Tress Gro hair serum at night to scalp. Use a good shampoo like Anaphase or Renocia. But first treat the dandruff and continue the antidandruff treatment atleast once in 7-10 days.Oiling the hair may be done only before bath for about 30 mins and wash off. Eat a nutritous diet and get rest. avoid stress. Any other illnesses, medication, low iron, thyroid disorders etc can also cause hair fall so check if necessary.Hope this helps you. | 10,785 |
Had wisdom tooth removed, trouble talking and swallowing, choking. What seems wrong? | Patient: Hi My name is Ashlee and 2day I got 3 wisdom teeth removed while under Anesthesia and asleep. I woke up like choking and asthma and thort sumthing was cawt in my throat I tried to hack it up but it just woodn't come only left over blood from the surgery, I then realised it wasn't anything stuck but my uvula three times it's regular size. I told the nurse I am having trouble talking and swallowing she sed it's just becuz I came out of theatre and my glands and uvula is swollen. I went home and rested but it has now been almost 16 hours since my opp and I am literally and physically can't talk without my uvula choking me what can I do to reduce the size and will it go back to normal ? this has never happened to me b4 and I'm a lil scared , it's SOOO swollen I coodn't eat anything I tried icecream but it stung and burned down on it and down my throat , wat shood I do and wat can I eat without it hurting? Doctor: Hi, Thanks for asking the query, I would like to tell you that wisdom tooth extraction is not a simple extraction and it is often associated with post operative complications like pain, swelling, fever, malaise, difficulty in mouth opening, swallowing. You dont worry about the symptoms as it will subside after sometime. Difficulty in swallowing is due to swelling in the uvula, normally after anesthesia swelling and numbness lasts for about 24 hours, visit to the concerned Oral and Maxillofacial Surgeon if it last for more than 24 hours. Follow the post operative instructions given by the Dentist properly. Take complete rest, take complete course of antibiotics and analgesics. Meanwhile at home go for symptomatic treatment like lukewarm saline gargles , antiseptic mouth rinses. Hope this helps out. Regards... | 189,532 |
What causes constant pain in lower abdomen? | Patient: hi I am 10 year old. my height is around 4'9 and I weight 82 pounds. my stomach has been hurting by the bottom and I think its my period.Every time i run it hurts. When i touch it it hurts too. this started hurting yesturday at night. is this my period or is it something else? Doctor: Hi Thanks for posting your query. It could be your periods as pain and discomfort can happen 1-2 days before starting bleeding. The other possibility is urine infection . If you are having any vaginal discharge the chances of cervicitis . Kindly mention if there is any discharge. I advise you to take anti spasmodic medications . Ask your doctor for prescription. If no bleeding occurs get a urine routine test and revert back with reports. | 89,427 |
How to develop interest in studies in children? | Patient: i am asking this about my son who is studying in KG 1st level his behavior, activities everything is better, but he is not interested in studying, he is careless, he is not listening teachers and parents. he is not trying to do activities, writing by himself. we r asking him to be a good boy, for that he respond in good manners and he is very pleasent Doctor: DearWelcome to HCMWe understand your concernsI went through your details. I can understand your emotions,. But children at the age of 3 or 4 are always like that. That is why curricula is made entertaining and playful. They understand things that are told playfully. If you try to force something, they reject it, if you still force them, they may do it for now but they cultivate an attitude negative to the whole process. Therefore, please tread the path very carefully. A child psychologist can help you with tips and tricks.I can surely help you in this aspect. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | 175,727 |
What is the treatment for aplastic anemia? | Patient: Dear Dr. Krueger,We have just found out that my son-in-law's 21 year old brother has aplastic anemia. I have been reading a lot on this disease and it is very rare. The entire family is in India and they are a very humble family and do not have the means to pay the $20,000 plus dollars that the hospital is telling him that he will need to undergo the bone marrow transplant. I have been trying to find places where I could try to get some funding to help them out. Do you know of any good funding sources that I could try? Thank you, respectfully, Maria Doctor: Hello and welcome to HCM, The treatment for aplstic anemia is bone marrow transplant. For the bone marrow transplant, matched donor is required. Once a matched bone marrow is received, bone marrow transplantation can be done. The cost involved in bone marrow transplantation is quite high. You can get financial help from charitable hospitals and NGOs. You will have to find out the centres which provide financial help for expensive procedures. Thanks and take care Dr Shailja P Wahal | 116,016 |
I was diagnosed with gallstones and i am having a temperature of 98.9 all the time | Patient: I was diagnosed with gallstones and was told to have surgery but I cant afford it right now the ER doctors said to come back if I have a high temperature but the opposite is happening I m always cold and shaky now and my temperature has ranged from 96 to 97 for about a week now when I usually always have a temp of 98.9 is this normal Doctor: Hello. Since you mentioned that you have gallstones, the fever can be due to inflammation and infection of the gallbladder. 98.9 F temperature would indicate that. The feeling of cold and shivering is also part of the infection and would still indicate fever. Consult with your doctor again so that appropriate antibiotic course can be prescribed. Hope this helps. Regards. | 95,767 |
How to treat swollen legs in terminal cancer patient? | Patient: Hi, my mum is 68 and has terminal cancer. Started in breast, lympglands and has it in hips and collar bone and liver. Her feet have swollen badly and has not had chemo since March as she was very poorly with it. Just having a drip for her bones every month (due tomorrow) and may also need a blood transfusion tomorrow. Could you advice why her feet are so swollen now please. She is staying with us and just want to see if I can help her in any way at all. Thank U. Doctor: Thanks for your question on HCM.There are many causes for eg swelling in terminal cancer patients. Common ones are1. Low proteins2. Low hemoglobin3. Lymphatic obstruction due to lymphatic involvement of tumour. (Possibility is high in your mother's case)4. Cardiac failure due to high turnover rate.So start protein supplement and blood transfusion if they are deficit.Start diuretics to remove extra third space fluid. Restrict fluid intake to 2 liters per day.Keep foot end elevated in bed. | 155,808 |
Pain due to stress. Itchinng, burning and sensitivity of skin in right arm with numbness and tingling in hand. Pain in neck, shoulder and chest. Remedy? | Patient: my doctor thinks my pain is caused by stress,,,I have seen my therapist and pyschiatrist...and they don'[t believe this to be true,,however the insistant pain, itch,burn,sensitiviity of skin in my mostly my right arm... that plus numbness and and tingling in my right hand.....the pain I experience is from my neck,back, shoulder...and chest pain under by breast(which I have had on and off for several years..which was said at be a digestive problem and have been taken Prilosec from the time that was diagnosed...it did help and I no longer have heartburn...but the chest pain remains and with the arrival of these other symtoms it seems worse. I have been seeilng my primary doctor for over a month for tryilng to find out if I can get some relief...and now have problem sleeping unless I take Vjicodin...which I do not want to ....due to it's addictive nature. jOh, I have taken 3 advil at a timle and it only give partial relief but for a short time...I am turning 75 this month....I had my yearly check up in July...and all my test were filne...and I have been feeling fine...I care for toddlers 5 days a week for 4 hours each...and have had no problem carilng for them...until last week and athe pain got so bad I couldn''t take it and care for the children as I know I shoul and CAN. If you can shed any light on my dilemna. You can get to feelingpretty desperate. Jane Mulvaney Doctor: Hi from your detail description of the problem, I know you are having a very painful days and nights. I strongly believe that you have cervical spondylosis which is a age related problem due to bones getting thin and pressing on the nerve roots hence causing all types of pain. Along with pain killers (only when pain is severe) you also require physiotherapist and orthopedic opinion. They may take x-rays and MRI Scans to confirm it.. Hope this guides you real ted to your problem and wish you all the best | 211,618 |
Lower back pain. Taking antiinflammtory medicine. No kidney infection. Muscle pull? | Patient: Hi I have had a pain in my lower back spreading to the left side of back for the past 3 weeks and its gradually got worse, I went to my gp she tested my urine for kidney infection but nothing showed up, she is treating the pain with anti inflammatories for one week she Sid it can be common to pull a muscle in this area especially common in women of my age 37.. Is this a correct diagnosis ? Doctor: Hello. Thanks for writing to us. The pain in the lower back could be due to a muscular sprain, wrong body posture, herniated discs, etc. A direct examination and MRI scan will help in diagnosis.I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal ,[email protected] | 112,489 |
Swollen gum, headache, sore throat, swelling in gum. Treatment? | Patient: Hi, the back of my gum is swollen I taught maybe its my wisdom grewing but puss n alittle blood started coming out I have a bad headache n sore throat n my gum is very painful it started swelling yday n I can only go to da dentist in the next 2days due to financial trouble will I be ok 4the next 2days I am 19yrs old n desperate 4help at this point can u please advice me Doctor: Hi,From history it appears that you might be having infected molar and now apical abscess is forming.There is a possibility of having gingivitis as well.These can be very well judged by clinical examination only.Consult your dentist and get examined.One course of antibiotic and anti-inflammatory medicines will give you relief.Do antiseptic gargles.Ok and take care. | 188,434 |
What could be the reason for having a lump under the skin by the side of my eye? | Patient: I ve recently experienced a lump under the skin by the side of my eye where the bone is located. It s pretty sore but not painful . My eye is also watery but it feels kind of oily. I ve also been experiencing sore scalp that is extremely tender is certain places. I moisturize my hair and it s like my hair is absorbing any oil and grease quicker than it usually does. My hair has also grown about 3 inches in two weeks. Aside from that I ve been pregnancy symptoms. Are possibly these pregnancy symptoms as well? Doctor: two possibilities are there: a dermoid cyst or sebaceous cyst and a lacrimal cyst or any benign cyst of the orbitnot to worry much for it; just get an FNAC test for confirmationall the best! | 66,942 |
Suggest treatment for degenerative arthritis | Patient: i have been told two different things abont my back & legs. The problem is getting so bad I fall all the time. In pain all the time & need help very scard of surgery.I know I need it now . I ve been told L6 &L5 disc &bone are degenitve arthis,& disc are pushings into my body. Doctor: Hi i am Dr Ahmed Aly thanks for using healthcaremagic site ,I had gone through your question and understand your concerns .. In my opinion if medical treatment by painkillers , physiotherapy ,topical gels massages , muscle relaxants , steroid injection fail for 6 consecutive monthes i recommend for my patient to try spinal manipulation followed by minor endoscopic interventions to free nerve compression and herniation which maybe enough for some patients others may need spinal fixation and plating surgeries are needed for permenant treatment and to prevent its recurrence . Sometimes early treatment and diagnosis are life saving and doing it earlier is better than doing it after going in an ambulance when no other choices you have soo i suggest you take more than one neurologist opinion for doing a surgery and if you needed it i recommend you go for it and dont worry nowadays surgeons are more developed and such operations are done daily . Please click THANK YOU and consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you,Any further clarifications feel free to ask. | 130,384 |
What causes spasm in chest? | Patient: My wife has been having spasm in her chest for the past one month. Now it has become severe with frequent arresting catches on getting up from a chair or bed. She is 53 just entering menopause. Nusaid-MR was prescribed by her gynaecologist with no eefect. What is wrong with her? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. She might be having muscle spasms which is giving this chest symptoms. But better to first rule out heart diseases because post menopausal women are at increased risk of heart diseases. So get done ecg and 2d echo first. If both these are normal then no need to worry for heart diseases. Post menopausal women are at increased risk of calcium and vitamin D3 deficiency and these can cause spasm too. So get done vitamin D3 and calcium levels. If deficiency then she will need supplements. Don't worry, she will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 76,861 |
Efficiency reduced, cant sleep without taking trika and avil | Patient: I am an addiction for TRIKA.25 with AVIL25 OR 50 .as i feel that my efficeiency is reduces. IF I DONT TAKE THEM , THEN I WLL NOT BE ABLE TO SLEEP .DUE TO SOME RESONS I STARTED THEM TAKING 4-5 YRS. BACK. BECAUSE I WAS NOT CAPABLE OF HANDLING MY STRESS AND TENSION . BUT NOW I HAVE NOT A SINGLE PERSON IN FAMILY SO I HAVE TO COPE WITH MY OWN ,I DON;T KNOW HOW TO COPE THIS MAJOR PROBLEM. KINDLY HELP ME . Doctor: Hello It is really very difficult to leave something suddenly especially if you ate addicted to it for so many years but you have to do it. You reduce the dose,of whatever tablet you are taking,to half initially and continue this for couple of months.You will have problems initially to get sleep but eventually your body will accept this lower dose. Sleep is a natural process and it has to come.Along with reducing the dose,you start doing regular exercises which will help you a great deal. After 2 months you again reduce the dose to one fourth and then after 2 months start taking one forth of drug on alternate days. This will take 6 months and you should be out of your addiction but you must display solid will power to do it. Thanks | 213,587 |
Can any online doctor help me with the following results? | Patient: Hi, Just for clarification, I had received my chest PA yesterday and the impression was, I have active PTB and densities in the right upper lung. What does it mean? Is it a serious disease??? It is transferable by sexual intercourse?? Thank you for your reply. Jaymee Doctor: Thanks for your question on HCM. Active pulmonary tuberculosis on chest x ray means presence of cavitation, infiltration or both. This appearance is seen in active TB infection. Active Tuberculosis means infectious. Tuberculosis spreads by cough droplets. When patient with active tuberculosis coughs or sneezes, tubercular bacilli come out in environment as droplets and these droplets can spread infection. Normal healthy individual can inhale these droplets and may develop TB lesion in lungs.So active tb lesion on chest x ray is infectious. It does not spread sexually but due close contact in intercourse ,can spread through inhalational route in your partner. | 81,917 |
What causes a sebaceous cyst on the abdomen? | Patient: Hi I have a sebaceous cyst on my stomach that was very small to start and now is the size of a half dollar. On 7/21 my doctor gave me a steroid shot because the cyst was red and swollen. The cyst is still red and swollen and the skin is peeling. It also hurts very much. I have an appointment tomorrow to see my dermatologist and I believe he plans on injectiong me with steroid again. I prefer not to have this done as I am concerned about my skin peeling away and the pain. Any other alternatives to this? I have surgery to get it removed on 9/13 but was told inflamation must go down before it can be removed. thanks Doctor: Hi,If there is sebaceous cyst is there, it requires surgery only.Now it looks cyst is infected so it should be removed with sac to get complete cure.Under antibiotic medicine covering go for excisio of cyst with removal of sac.Ok and take care. | 65,665 |
What could be the reason for having pain in jaw, thumb and left chest and numbness in palm? | Patient: Hi, I am 34yrs old.male.Recently I observed that my left hand palm get numb and the thumb gets pain very severe.This happens when I drive the bike and holding any thing for certain time like 1minute or so. the pain is very severe, and it gets off when i make my hand straight. And from the past few days left side chest above the nipple area is paining, Stinging pain, When I press that area hard the left hand gets the shock kind of thing, and the jaw is also paining. Recently 15days back had gone through all the test, everything is normal, ECG is also normal. please help me in diagnosing my problem. Doctor: In my opinion the possibilities could be nerve entrapment in your neck,thoracic outlet ..An xray of cervical spine can show you the diagnosis .NCV test for radial nerve also can help . | 131,062 |
How to correct low Inr when suffered with mitral and aortic value replacement? | Patient: hi my name is chris barker i have suffred with mitral and aortic value replacment since the age of 2 and i have noticed that my inr is very low it is 2.0 i has gone down form 2.3 on wednesday to 2.0 today i am on warrfarina nd due to have a aortic an mitral value replacment could you help me please Doctor: hello Chris,I am Dr.Rajesh Teli,MD.I have gone through your query.Thanks for using HCM.Basically the effect of warfarin is very variable in individual and is affected by many external factors.It is affected by intake of green leafy vegetables,extremes of climate and concomitent medications.That is the very reason you have to monitor PT iNR and adjust the dose frequently to maintain INR around 2.5.As long as it remains between 2 to 2.5 it is reasonable.otherwise you should increase or decrease 1mg on alternate days .If INR less than 2 you increase 1mg on alternate days and if above 2.5 decrease 1 mg on alternate days.Monitor it every 15 days and then every month and then every two monthly once it is stabilised,My best wishesDr.Teli. | 26,817 |
Had stomach cancer. Had chemotherapy. Never had sexual relation. When having he has pain in lower abdomen. How to conceive husband's baby? | Patient: Hi! I am 34 year old female residing in UK. My husband is 36 years old. We got married 4 years back. Before marriage he suffered from stomach cancer and went through chemotherapy. As it was at very initial stage, he could get absolutely fine. Though its love marriage I was not aware of this. We never had sexual relation as he doesn’t feel comfortable. Even if he tries sometimes he gets pain in his lower abdomen just below his naval. Now I am 34 and want a child but it seems just impossible. Please suggest me what can be done how can I be pregnant with my husband baby. I am very worried due to my age factor too. Doctor: Hi, it is an inteligent question, You can have it, by artefecial insemination with the husbands semen . So i advise you to consult an infertility clinic. I advise him to take green leafy vegetables, pulses, sprouts, and protein rich foods. I to my patient with such problem prescribe dicyclomine hydrochloride, mefenamic acid, and alprazolam before one hour of intercourse, for 3 days from 13th day after the period. Thank you. | 4,827 |
Is it advisable to have sex when the vagina is bleeding? | Patient: resp dr we are trying to conceive for the second cycle and charting bbt (biphasic) as we also noticed vaginal bleeding last month we ignored and though it to be normal on 12 13 day near ovulation.now in this cycle vag.bleeding noticed on 6 day of menses again thought it as last day of menses.again last night 11 day we noticed mild ext.vaginal bleeding after intercourse .now this thime again fertile window and we can not miss the chance for conception.pl.advice whether to have sex right now for three days,even if bleeding occurs and also probably the cause, Doctor: Hallow Dear,At the time of ovulation, little spotting for few hours is known. It is called as Mittelschmerz. This is very little spotting for few hours. So after the spotting is over, there is no harm in having intercourse.Bleeding on day 6 of the cycle cannot be Mittelschmerz. It is just an extended menstrual bleeding. During menstrual bleeding, intercourse carries risk of infection since blood is a very good medium for the growth of pathogens. On this day intercourse is futile also since there is no egg present on this day. The fertile period is not around day 6 of the cycle. The egg is released 14 days prior to the next expected menses. The egg has life of 24 hours and the sperms are active for 72 hours. Hence a period of about a week around the day of egg release (ovulation) is considered as fertile period. Those who are keen to have pregnancy should concentrate on this period for sexual relations. You are following further with bbt also to identify the day of ovulation. Now you have more accurate methods available for locating the day of ovulation. Ovulation kits available in the market are good for practical purpose. Ultrasonography ovulation monitoring is a very good method. From day 9 of the cycle, daily ultrasonography informs about the development of follicle & endometrium and the event of egg release also. Follicles which ovulate when they are between 18 mm to 21 mm size have best results of conception and continuation of pregnancy. For successful implantation of fertilized ovum, endometrium of 10 mm or more thickness is lucrative. Considering the life of egg and sperms, you can definitely avoid the intercourse during Mittelschmerz since it is a short phase of the day; and still have successful intercourse during or around the ovulation. I hope this helps you. Dr. Nishikant | 220,197 |
How to determine the skin color of baby? | Patient: My baby ears are dark neither me or her father are that dark what does that mean? How can you tell the completion your baby will be?. How long does it take for there completion to settled. Also while being pregnant my baby mad my completion darker. . Doctor: Hi,Thank you for asking question on health care magic.The complexion of the takes after their grand parents than their parents.Hence the baby's complexion is different from yours.During pregnancy pigmentation occurs due to effect of hormones.Hence your complexion became dark temporarily.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | 179,882 |
Washing hair daily with herbal wash is advisable while suffering from hair fall? | Patient: I am 26 year old unmarried female suffering from hypothriod since two years I am suffering from terrible hair loss and thining from a mont my hairfall is less like fifty strands a day but for me that too is much as I hardly have fourty percent of it left can I wash my hair daily withj herbal wash coz my hai ris too oily and I have a bad danduraff as well Doctor: Hello, the causes of hairfall in your case is both hypothyroidism and dandruff. Now, u need thyroid hormone supplements, if not already started and anti-dandruff treatment like ketoconazole 2% shampoo thrice weekly to control the same..Also, rather than shampoos , conditioners are more important, use a good conditioner like loreal total repair five on your hair for 10 min. after every shampooing, there are shampoos for oily hair, u can go for any.Start with these, over a period of three months, therapies like PRP can be added as per indication.Happy Recovery! | 10,895 |
Are itchy boils and dark spots on the penis a cause for concern? | Patient: Had a boil like pimple on my forehead fit about 3 days before it popped. Yellow pus was oozing out from it. Around the boil was quite a bit of soft tissue swelling which move down to NY left eye. This resulted in a lot of itching there. My penis also started itching about a day ago and now has dark spots around these itchy parts. I saw a doctor before my penis started itching and have been on medication for the boil and swelling and just don t know if the itching is an sheriff reaction? Doctor: Hi, This could be due to fungal or bacterial infection so I would recommend that you apply an antibiotic ointment together with an antifungal ointment containing Nystatin every eight hours. If you are sexually active then this could be due to an STD. Hope I have answered your query. Let me know if I can assist you further. | 195,186 |
Why i am having some wired frequently changing thoughts? | Patient: i dont know what is wrong with me. Im 14 and cut myself sometimes but its only because i put myself down. but then the next minute im happy average. and then I can be extremely hyper and happy but then a simple thing can make me turn the oppisite and want to kill myself. Ive ad suicidal thoughts but i dont think i would ever go through with it. whats wrong with me? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. All these words you are mentioning here like hyper, suicidal thoughts etc are not within your understanding. At the age of 14, you are not matured enough to understand these. Do not mind me saying this because that is the truth.You are having these feelings just because you are disappointed with something. Find out what it is. Talk to your friends, family members. Opening up yourself is the key to relief. Understand please. One counseling session with a psychologist might help. Please do not have rage on me because I told you the truth.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | 209,781 |
Based on the follicular report,are there any chances of pregnancy ? | Patient: Dear Sir After 21 days from the last period , today the right ovarian follicle is got rupture which the size is 1.5 X 1.5cm ,1.2X1.1cm and left ovarian follicle is NIL . Endometrial thickness is 6mm . is it possible to get pregnent , if we keep relationship today . Please advise Regards Govind Doctor: Hello If the follicle has ruptured today,then keep relations for next 48 hrs. | 6,493 |
Can intimating on 15th day of period cycle initiate pregnancy? | Patient: hello,me and my husband were intimated on the 15th day of my mensural cycle.we are always careful during our intercourse. but this day he is confused whether a little of the sperm had entered inside. will i be pregnant. is there any remedies to prevent. Doctor: Hi,If you have a regular 28-30 day cycle, perhaps you had intercourse around ovulation and there is every chance of conception if conditions are favorable. If any protection was being used, chances are lesser. If you wish to prevent any pregnancy, you should get emergency contraception as soon as possible after the act as any further delay would make the medication useless. If it happened more than five days ago, then, the only way out is to wait for your next period and get tested for pregnancy if you miss it and go for a medical abortion under medical supervision. Hope this helps. | 4,433 |
Suggest remedy for a worst teeth alignment | Patient: i have the worst teeth alignment ever!! each one of my teeth is heading in its own direction. i came from over seas with bad dental hygiene but with a scholarship covering all health insurance which includes also dentistry and orthodontics. so basically im looking for the BEST , LUXURIOUS (money don't matter) orthodontic treatment ever ! Doctor: Hello, thank you for consulting with healthcaremagic. For worst teeth alignment you should go for fixed orthodontic treatment, as it will take atleast 1 year for the treatment depending on the condition of the tooth, and after the treatment you have to wear a retainer for sometime and teeth will be properly aligned.Hope it will help you. | 183,154 |
Suggest remedy for the side effects of copper IUD | Patient: Hi, I have the copper IUD as I can t take hormones. I get severely depressed and migraines etc... But I m having terrible side effects with the IUD also. I m scared to have it removed incase I forget to insert a diaphragm or whatever. I don t know what to do. Doctor: HelloHealth care magic user I understood your concern and My opinion is that you can take your tablet for migraine and depression ,there is a no harm in taking that tabket if you are having cu T In situ. so dont worry and be realxI will advise you to remove cu T only if you are having exccesive bleeding/lower abdominal painI hope my answers help you Thanks | 223,866 |
What are these white spots on my waist, hand and underarms ? | Patient: hello sir i have white spots on my hand, waste and in under arms. tis occurs afer applying veet on my hand please tell me now what i do. sir i m 24 yr old. m a female heigh-5.5 weight-60kg. sir m in bangalore. mera tretment patna main chal rha a approx 1 yr se but now it grows slowly slowly. i go married last month. i can tell tis o my husband ell me main kya karu aur iska tretmen kaise karbau? Doctor: Hi ....dr user ., Thanks for choosing HCM., White spots due to veet called ...CHEMICAL LEUKODERMA.., It has very good treatment.., 1) Apply Clobetasol cream on white spots and exposure to.., Sun for 5 mts.., 2) Tab....Methoxasalen morning 2tabs at 9 AM and exposure Sun after .., 2 Hrs..(Apply above cream..,) 3) Tab Betamethasone 0.5 mg 2 times per week for 6 weeks .., will get very good result...ok...good luck., | 16,455 |
Elevated ALT and SLT. Liver biopsy report showing hyperechoic to the right renal, right renal reveals echogenic foci. What does it mean? | Patient: I ve had five years of high alt/slt s. GGT was over 200 (exactly what is GGT?). I went to rehab (wine drinker, but couldn t slack off even after my own doc told me I must after seeing the results of my liver biopsy - just infiltration), So while in Ca in rehab, I had an ultrasound. Met the doctor after that and he just said, just stop drinking and you ll be okay. The results were: Liver appears hyperechoic to the right renal . Right renal appears to reveal two echogenic foci. I ve relapsed, and drinking my chard again. I need to make an appt w my internal doc & gastroenterologist again, I know. But when I saw my IM doc after coming home from rehab (70 days), he just said it s probably kidney stones . I dunno. Just worry about that with my history and I m trying to understand the ultrasound results.... Doctor: you have probably kidney stones but no size mentioned usually you don't need to get treated unless he stones come down unless the stone is very large.you need to stop drinking as high ggt means your liver is damaged. see a urologist for your kidney stones keep yourself well hydrated | 58,809 |
Recommend treatment for hypermobility | Patient: I have Ehlers Danlos, hypermobility type. I am female, 58 years old with a lifelong history of easy bruising -- not too bad. I just couldn t be spanked even lightly as a child or I d be bruised for 2 weeks. I am having ongoing problems with slight anemia. I am vegetarian but eat iron fortified cereal daily, at least 100% of daily requirement plus the iron in a healthy vegetarian diet. My doctor found no sign of intestinal bleeding. I had my last period five years ago and expected my chronic problems with mild anemia to finally go away. The bruising has gotten slightly worse as I get older. I also bleed more easily. I do not ever take aspirin products or other NSAIDS since I had problems with bleeding from even a half a baby aspirin a day in my thirties. My doctor is concerned about the fact that even with supplementation my Fe remains low. Is anemia another Ehlers Danlos thing? Doctor: Hi, I think you've answered your own question. It can be from very small areas that won't show up on tests. There's a simple test of iron depletion that shows if there is chronic bleeding. You can't change someone's genes nor their protein structures from the gene. It's going to be GI tract and checking for polyps and going on a lot of stomach acid medicines to also include ones that coat the lining like sucrafate and maybe misoprol. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | 121,591 |
Is a long lasting Insulin dose for elevated blood sugar levels advisable? | Patient: My sister s Blood sugar is 201.I have given her a long lasting dose if insulin 2 hours ago..Is that still too high and what should I do? Also she has issues with high blood pressure and her heart Her vitals are ad follows 101/71 and her heart rate is 67 Is that ok? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. From your description, I can deduct that 201 mg/dl is not a fasting blood sugar result. (because she had a long lasting insulin injection 2 hours ago.) It is not too high, don't worry. This result is not dangerous for your sister. My advice is to increase 2 UI her insulin doses (you can start tomorrow with the increased dose) and to check her fasting and post prandial (2 hours after meals) blood sugar again. If the result do not return to "normal diabetic range", I suggest to consult her treating doctor because your sister may need to change her insulin schedule to control her diabetes. About her vitals, her blood pressure is "a little bit" low, but is can be normal for the females. Anyway, if she take anti hypertensive drugs, I suggest to lower the doses of the medication. Her heart rate is OK. Hope i have answered to all your questions. If you have other doubts,feel free and ask. | 191,239 |
How protected am i after taking wrong logynon pill? | Patient: Hi, I am on the logynon pill where there are 3 separate colours of pill. Yesterday I took a yellow pill when I should have taken a white one, so today I just took the other pill - the white one (but it should have been a yellow one). Will it affect how protected I am? Thanks Doctor: Hello user.There is a variation in dose between the two pills.still you are protected.but if you cannot follow these pills correctly better use novelon after consulting your gynecologist.Thanks.You can ask if any further query. | 223,286 |
What could vaginal lumps suggest? | Patient: im 26 years old, weighing 61lbs, female,,i noticed a big lump in the right side of my vagina just between my right leg...it hurts so much...and my doctor gave me antibiotics... which he said he will monitor it if the antibiotics will make the lump smaller... i noticed that after 3 days of taking the medicine the lump still hurts and nothing change.what do you think is the possible sign of this...is it a ceist... if afraid its cancerous Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have some benign cyst lie batholin cyst or some soft tissue tumour arising from vagina or vulva. Chances of cancer are less likely. Still you should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | 63,435 |
Is pregnancy possible if semen is pushed out of vagina after sex? | Patient: Hi, may I answer your health queries right now ? Please type your query here... hi!i had unprotected sex with my boyfriend a day after my menstrual period and then after the sex,i pushed the semen out of my vagina,my question is will i get pregnant even though i pushed the semen out after sex? Doctor: Hi there, I have understood your concern. I will suggest you the best possible treatment options. First of all do not panic. As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you happen to have unprotected sex act in the fertile period, then you stand chance to get pregnant . As you have mentioned that you had unprotected sex act a day after your menses, chances of getting pregnant are almost nil. Secondly, when you have unprotected sex act with penetrative sex and semen ejaculation inside the vagina, the actively motile sperms immediately enter inside the womb. So pushing out of semen will not help to prevent the pregnancy, when you are in the fertile period of cycle. So please use suitable contraceptive method like condom to prevent the unwanted pregnancy. Please get proper sex counselling done before hand.I hope this answer helps you . Thanks. Dr Purushottam Neurgaonkar | 1,000 |
What condition of ovaries enables conception? | Patient: In my Ultra Sound Report Right Ovary 59X36X48mm and has central endometrium of 7.3mm no fibroib or gestational sac is seen ovaries right ovary is healthy X 25mm and normal in size and shape and has a small follicle Left Ovary 35X126mm and also has no follicle . i want baby can i have? Doctor: hi healthcare magic user, it is difficult to tell from one ultrasound report whether you can conceive or not. please share your clinical history in detail with period pattern, age any history of previous abortions. any past surgeries. hormonal profile , Fallopian tubal status, husband semen analysis so that I can guide you further. | 3,486 |
What are the symptoms of malaria? | Patient: what are the symptoms of malaria..I have been having high fever since last 4 days and yesterday I consulted my physician..he prescribed ciflan and lariago...every evening body temperature soars upto 102 degrees..I have mild body pains..what am I suffering from..? Kindly advise.. Doctor: Hello,Welcome to HCM,The symptoms of high grade fever and evening raise of temperature along with joint pain and generalised myalgia may be the symptoms of malaria but it should be confirmed by lab investigation. As your treating doctor has advised medications to cover both bacterial and malaria parasite.As your doctor has prescribed the anti malarial drug the lab report may come negative. If you have malaria parasite it will be covered by the antimalarial drug and your condition will improve in 3 days.In addition to these drug l would suggest anti gastric drug.Thank you. | 39,902 |
What is the treatment for severe abdominal pain? | Patient: Pain in the right area of the abomen. Gallbladder ultra sound show nothing. If you press it the pain isn't as bad. But when the pressure is release it gets worse. Making your self vomit makes it feel much better. Oxycondne, and nexium do not make it feel better. The pain comes back every 3 months and last for about 2 weeks non-stop. Doctor: Hi.Thanks for your query..If the ultrasonography is normal for gall bladder does not mean that the gall bladder is normal every time. You have to undergo additional tests of MRCP - MRI cholangiography, Upper GI Endoscopy to find the problem and get treated. The pain int he upper abdomen as you explained can be due stomach Ulcer, cancer or so , liver edema, gall bladder dysfunction, Sphincter of Oddi Dysfunction and so on. If required ERCP also may be needed. | 87,195 |
What could cause dizzy post wisdom tooth extraction? | Patient: Just had my bottom right wisdom tooth taken out on Friday morning. Was prescribed tylenol with codeine but had nausea, dizziness, and vomiting while taking that so decided to stick to regular tylenol. Pain is improving on and off but i feel very dizzy and tired 2 days later. what should i do? Doctor: thanks for your query, i have gone through your query. the dizziness and vomiting could be because of the adverse effects of the drugs like codeine and tylenol. if i am your treating doctor i would have substituted with some other drugs. consult your oral surgeon and get it changed. i hope my answer will help you. take care. | 186,396 |
How to get rid of pneumonia and legionnaires disease? | Patient: In Oct. we went on a cruise to Mexico. When we got off the cruise ship my son was sick with asthma. I took him to the doctor and the doctor said he had pneumonia and legionnaires disease. The pneumonia come back once after he finished his round of antibiotics. He has been on three antibiotics and steroids since Oct. Ever since he was diagnosed with pneumonia he has been having severe asthma. It is like he can not stay well. He is on a nebulizer machine and is taking a steroid inhaler. Is there a specialist that he might need to see. His asthma keeps flaring up. He has missed three weeks of school. He also says sometimes when he coughs it tastes like metal. Thanks! Doctor: Hi thanks for asking question in HCM.Your child have hypersensitivity reaction.If possible search for exaggerating factors that lead to acute attack of asthma.Ex.some have allergy because of dust, some have certain food allergy.Just now according to history given your child should regularly take inhalation steroid by rotahaler or MDI at the suitable dose.Take nebulizer to home .so whenever needed levosalbutamol nebulization can be given.While going to school cover nose with mask if possible.Drink more water.If having seasonal allergy then leukotriene antagonist drug can be given.Mostly with this measures asthma will be under control.I hope my suggestion will help you. | 31,417 |
What causes coccyx pain and feeling of looseness in area when moving? | Patient: Coccyx pain since February. Tried acupuncture, massage therapy, pain still remains. Feeling around the area is sore and when sitting. Although the other night it felt like a bone was loose in that specific area, with a clicky sort of feel to it when moving it, i ve done this a few times now. Doctor: Hello ! Thank you for your question on HCM!Regarding your concern, I think that it may be related to a nerve compression caused by a possible degenerative changes of the bones in this region. I would advise you to have a good physical examination and a CT scan of the lumbo sacral region , to examine better the anatomical structures in this level. For the chronic pain I would recommend Gabapentine , a very effective drug in chronic nerve compression and chronic pain. Hope to have been of help!Greetings !Dr. Abaz Quka | 145,157 |
What causes a lump in the armpit and numbness in arm? | Patient: Good morning, I have a lump under my left armpit for about a month, it started out the size of a pea with alot on pain. Than the pain stopped and it grow to the sizes of a nickel. I have been feeling naseaous for about 4 months, with headaches on the left side of my head only, and my right arm goes num. Can someone plse tell me what this could be.... Doctor: Hi, dearI have gone through your question. I can understand your concern. You have enlarged lymphnode in axillary region. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 65,292 |
What does a negative TMT suggest? | Patient: Sir, i have blood clots in main right artiary and went on angioplasty on 24Nov, 2010. After six months my doctor advised me to have complete heart check up . All Tests were normal like Lipid profile , Blood sugar(Random/Fasting) Eco Test, ECG. But TMT was negative. What is the meaning of it ? Can you advise me ? My Age is 47 (Male), weight 65 Kg Doctor: Dear Sir,Negative TMT means that there was no ischemia during stress test, so no problem with heart arteries. In case of TMT negative is good.Take careCome back if you have any further questions | 23,843 |
Suggest dieting plan for infant child | Patient: My 9month baby is passing creamy textured loose stool 5 times in 6 hrs( not watery). Yesterday i gave him spinach juice concentration and rice dal paste. He was fine till 1pm. Please suggest diet, home remedy. Also tell me if i can give him medarid syrup? Doctor: Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting, you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is a very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your pediatrician). Regarding diet - You can use cerelac; any flavor will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups. Mebarid is ayurvedic preparation and I may not be able to suggest on that. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | 161,848 |
What causes extreme kinds of behavior? | Patient: my husband sometimes acts like 2 different people , when he gets angry he yells and breaks things and tells me how he regrets getting married to me and having kids, and the next day he acts like nothing happened , he laughs , and he treats me like a queen . and when i talk to him about what happened he swears he doesnt remember half of what he did and said ? does he need anger management??? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Such behavior patterns are normal in husbands. You do not need to see bi-polar in these behavior. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Do your husband get angry to circumstances outside your home as he gets angry at your house? his office, bus stand, railway station, neighbors etc. If yes, he might need to get evaluated for anger issues. If NO, just make him understand and compare the two situations and he can be better yourself.If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | 206,923 |
How to cure sore throat,nasal block,dust allergy problems? | Patient: thank you, Dr. i am 61 years old. quit smoking after abt 37 yrs. suffering from chronic one side nasal block, sore throat, dirt and dust allergy, sleep deficit ,pl suggest remedy, i will be ever grateful . K.Kanmani Portko , chennai, tamilnadu, india. my mail id: YYYY@YYYY Doctor: HelloWelcome in H.C.M.Regarding your query for sore throat, one sided nasal block and dust allergy, though you were smoker at the begening but quit the habbit at the age of 37 and now you are 61 years old.Your medical history favors for respiratory tract infection involving nose and sinuse with throat. Here one thing is very important that you are having one side nasal obstruction which is very important from treatment point of view as one sided nasal obstruction may be because of-1- Deviated nasal septum.2- Antero choanal polyp.3- Turbinate hypertrophy.These above may be ruled out by clinical examination and all above may give rise ti recurrent nasal infection with post nasal drip thus throat get involved in infective process. As you said that you are also having allergic symptoms so I would like to say that in presence of infection allergic features always precipitates. So please consult your ENT doctor and get manage your problem.Regards. | 101,939 |
What causes breathlessness and feeling of blocked throat? | Patient: Hello. 35+ yr old male (5'11, 158lb). Following symptoms: 1- suddenly awaking gasping for air (night), 2- sensation of something stuck at bottom of throat (during day). Doc ordered neck and chest CT (DLP 1030) + barrium swallow (few hrs later; 3.5min). I had head CT about 5yrs ago. How badly should I worry now about x-ray exposure (I am terrified!!!)? Thank you. Doctor: Hello,There are many more organic lesions causing said symptoms but your case seems more likely to be of anxiety associated issue. Without worrying for exposure to radiation, go for CT and Barium swallow otherwise, you will be more stressful in thoughts of the diagnosis only because your anxiety is doing more harm to your body than radiation.My suggestions for a better outcome: • Deep breathing exercises 30 minutes/day• Meditations sessions minimum 1 hour/day• Regular exercise, walking in fresh air• Avoid smoking/alcohol/abuse substances used if any• Manage to have sound uninterrupted sleep of 7 to 8 hours• Avoid watching horror shows, movies, laptop, and texting work in mobile before 2 hours of sleep • Avoid late night parties, shouting, spicy, oily, non veg items • Most important above all is self-confidence and be positive must be the agenda of lifeHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel | 74,634 |
Suggest treatment for sharp pains near the heart area | Patient: i recently have been getting sharp pains near my heart area and it is really starting to scare me i have looked it up online and it says agina not really sure what that is im 14male health dont smoke or drink and can it be deadly i also have had mono for the last 4 weeks and terrified of death Doctor: hello,I have gone through your query.Thanks for using HCM.First of all it is very very rare to get angina at the age of 14.You can be sure that your pain is not angina.It must be either muscular 0r due to gas and acid reflux. over and above this , fear factor is troubling you more than pain itself.you may take simple analgesic like Aceclofenac along with Rabeprazole for few days.You should be fine, don't worry.My best wishesDr.Rajesh Teli,MD. | 26,317 |
Is it safe to take forcox for TB treatment? | Patient: dear doctor plz tell me is it appropiate to take forcox daily 2 tablets compared to taking isoniazid rifamipicin and pyrizinamide and ethambutol at different times a day?if it safer or better than why forecox is not yet included in DOTS therapy to increase patient compliance Doctor: Hello there, DOTS is a standardised treatment plan that is followed throughout India as it comes under a government scheme. Therefore it is subsidized. FoRecox regime is similar yet it does not qualify for government of India subsidy. Our aim is to ensure every patient follows the same regime irrespective of which area or social class he belongs to , to ensure the bacteria follows predictable patterns of decline. Secondly since Forecox is a combination drug in a single tablet it cannot be altered as per a patient;s improving health therefore it becomes a liability later on.Hope this helps,Dr Arun A | 35,765 |
How to treat tingling sensation in the lower left arm? | Patient: Hi doctor,For the last few months I have been getting as tingling feeling in my lower left arm as well as an ache in my left arm pit. There is no pattern towards the sensation yet but I do notice that it comes more when i am feeling stressed or anxious. Doctor: Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that your symptoms seem to be related to anxiety. But a nerve compression can not be excluded either (considering the fact that the feeling is radiating in a nerve trajectory). So, I would recommend performing a nerve conduction study and a cervical spine X ray study (to exclude possible bulging disk). But, I don't think that your symptoms are related to any cardiac disorders. So relax and don't worry about it!Best wishes, Dr. Aida | 143,419 |
What causes pain in chest when i blow my nose? | Patient: Hi. I have a problem that started a few days ago. When I blow my nose it hurts really bad in the left side of my chest. It feels like the pain is located maybe around the heart or the top of my left lounge. At first the pain was only there whenever I blew my nose, but now it hurts even when I'm sitting still and breathing normally. I have never suffered from any kind of heart diseases before (that I know of). I'm a 26 year old european woman. What can it be that causes this pain? It has to be said that when I exercise it doesn't hurt. For example, yesterday I went for a run and I wasn't bothered by pain at all. Doctor: I dont think yor are having a heart problem, but it may be a sign of recent chest infection. You didn't tell about any other symptom like cough,fever or increased sputum production. But as you say blowing nose leads you to left sided chest pain, it seems you have increased sputum production. If it is yellowish white in color, most probably a pneumonia or bronchopneumonia with pleuritic chest pain could be the diagnosis. Proceed with an x-ray chest pa view and a complete hemogram. It will lead to a definitive diagnosis. A course of antibiotics will improve your condition but you should meet some local practitioner, as empirical antibiotics differ areawise depending on offending pathogen. | 79,038 |
What causes twitching below calf with history of achilles tendonitis? | Patient: i have a long history of achilles tendonitis, i am a runner and for approx 6 yrs this condition has persisted. i have treated it well with ice/rest/stretches/medication however it returns just below the calf. I have seeked help and discovered that it is a leg length issue as well as poor foot mechanices! My question is why does the area twitch so much? what can i do besides ice to reduce the twitching? if i massage gently i twitches like mad, no pain at all! Doctor: Hello,The symptoms seem to be related to calf cramp which can be caused by many possible causes. One of the common causes are deficiencies of certain nutrients. So, I suggest taking a daily magnesium supplement. Gently stretch and massage the spasmodic muscle. Hold it in a stretched position until the spasms stop. Apply cold to sore muscles or heat to tense muscles. You can also use a muscle relaxant such as Baclofen for relieve.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 121,557 |
Is high sugar,potassium and acid level sign of viral or hepatitis C? | Patient: mine month old, protein A allergy,flu now hospitalized,sugar was high now normal,potassium high now and acid levels in stomach doctor just told daughter had hep c and polio 3 days prior they say viral flu 7 too 10 days holding no liquids in either way " Is there another possible diagnoses " ?? Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.No,these are not typical signs of hepatitis B and you shoould see endocrinologist for further evaluation since this may be sign of hormonal imbalance. Hepatitis can be easily ruled out by doing viral markers.I hope I have answered you query. If you have any further questions you can contact us in every time. | 53,736 |
Could the vomiting be due to feeding burnt carrots to my child? | Patient: I make homemade baby food and today when steaming carrots the water must have boiled off towards the end of the steaming. I didn't really notice but once I puréed the carrots they tasted a little burnt (almost like a marshmallow you toast on a campfire). My 6 month old projectile vomitted tonight- could this have been the cause? Doctor: It is not clear whether the child ingested some pre-formed toxins generated by certain bacteria which could have been in the food that you prepared by boiling. May be the bacteria were killed off by the boiling but the toxins are heat resistant and remained to cause the projectile vomiting that you mention. So, it could indeed have been the cause of the child vomiting. I suggest that you visit a doctor and get the child evaluated without delay. | 174,845 |
What causes persistent pain and tightness in the chest? | Patient: well I dont have any money or else I would go to the doctor...but I have been having constant chest pain like a feeling of congestion behind the sternum like a tightness....but Im not sick and I dont have a cold or anything just get out of breath from brisk walking and minor yard work and that chest pain its not really a pain just uncomfortable sort of Doctor: Hello,The persistent pain and tightness in the chest may be from various reasons- Underlying stress, anxiety - Musculoskeletal - Reflux of stomach acid- Heart-related issues - Other causes.In our clinic, we suggest deep breathing exercises, proton pump inhibitor as omeprazole for 2-3 days along with vital parameters control, later on, if required may undertake an EKG.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Bhagyesh V. Patel | 71,530 |
I am hearing a fluid rushing sound in the back of my neck | Patient: Hi my name is Erica and I am having a really strange symptom and I have been afraid to go to the doctor , but I am hearing a fluid rushing sound in the back of my neck? I was recently diagnosed with Optic Nuritise and a possible MS, do I need to do more test for MS? What is the fluid noise? Doctor: hi welcome to healthcare magic forum it is really strange as there is no such condition it may be due to hallucination or due to anxiety optic neuritis has no direct relation with it echocardiography is better for MS ,it will give much more detail about it . better to consult doctor i hope i have answered your question | 152,098 |
Suggest treatment for swollen and stiff knee after injury | Patient: I am 60, female and have had relatively good health. I just went to my OBGYN Mon. Heart Rate 57, BP 117 over 68. I went for a 6 mile hike in the Mt. Tues. Felt fine, no problems what so ever. I used to exercise 6 days a week stedily17 years. Last 7 hit and miss. Last night when I went to bed my left knee was puffy in 2 places and felt stiff. I ve never experienced that before. I had root beer floats twice in the last week. I never usualy have pop. I wonder if that could have some effect on what I experienced. Its still puffy and stiff today. Dosen t hurt. Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, the symptoms are a sign of exertion of the marginalized knee, the symptoms are coming under control and will get ok with time, but you need to be aware that if you exert in future this may recur.the key to control is regular exercises.I hope that answers your query. If you want any more clarification, contact me back. | 137,945 |
Will continuous masturbation reduce health and sperm count? How to stop masturbation and get long erection? | Patient: Dear Doctors,Greetings,I am male, 26 years old. I masturbate everyday at least once or more than that. Though I don't feel like reduced weight, tiredness, nothing like that. But I am very curious to know if this habit of continuous masturbating will reduce the health level and the count of sperms or semen ? Because of this will I get unhealthy kids or paralised kids ? Please could you advise me on this.Further please give me some tips 1. to get healthy sperm or semen. 2. To stop masturbating regularly. 3. To get a long time erection, so that I can have a long time intercouse with my partner.Also I request you to give food tips to maintain all the above listed points.Best Regards,RJ. Doctor: Thanks for query on HCM.To produce healthy sperm requires good diet,nutritional supplements and avoid frequent masturbation.Frequent masturbation requires extra energy that's why you will feel generalized weakness and easy fatigue gradually.Try to avoid excessive masturbation by keep yourself busy with other activity like sports,music,friends,family.You have to spend more time in foreplay to get long time erection.Eat balance,protein rich diet.Drink more water and other liquids.Go for exercise regularly and start supplement to boost up general health. | 203,848 |
Can consuming savlon cause loose stool in children or is it a stomach bug? | Patient: hello im not sure but i feel my child may have eaten savlon, thinking it were tooth paste, he is having loose poo n been sick though night. i belive it may have happened over the weekend... or as the are lots of bugs going around i feel it maybe just that could you please give me some advice thankyou. Doctor: Hi and welcome to HCMIt can be side effect of savlon but it should last very short in this case. If his symptoms persist for few days then this is probably gastoenteritis and it should be treated with dietary changes and lot of fluids intake. WIsh you good health. Regards | 97,124 |
Having sever pain in lower abdomen, legs, and butt. What to do? | Patient: Hi Doctor, I am having severe pain onthe very low abdomen, right where the legs begin on both sides. It comes along with a pain on butt (tailbone). It feels like I am going to explode, when going to bathroom, when sneeze, when moves, when walks. Literarelly I have to put my hands over to relieve it a little. Ihad the same kind of pain last year without the pain on the tailbone, went to GYN but he did not find any GYN problems, he said maybe a problem with colon. Is that possible, I am hurting really bad. Thanks Doctor: Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. you had pain lower abdomen, where the legs meet on both sides, pain on tail bone, increases while going to bathroom, sneezing, moving or walking.Last year you had the same problem. It appears to be the urinary tract infection, or stone in the ureters, or in the bladder(coccegeal pain usually suggests this)Other causes are infection of the colon or rectum.repeating in every summer, means it might be secondary to the less fluid in the body due to sweating. I advise you to consult a surgeon for diagnosis and treatment. You may need to have M.R.I. besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards. | 93,503 |
Could delay in periods indicate pregnancy? | Patient: HI i am 40yrs old and had 2 m/c at the begining of this year, i got pregnant again after consulting a naturopath whom i have been with since May this year after. the naturopath has regulated my oestrogen and increased my progesterone with natural products, my periods are no longer heavy and i am not bleeding over seven days anymore, i became pregnant at the end of October but I m/c at four weeks, i bled for 18 days finishing on the 3rd of December, i am now up to my 36th day from the day i started bleeding from the m/c i am curious, could i be pregnant again this soon? i am not usually this late with my period even when i had my m/c earlier in the year. mind you earlier in the year my cycle was heavy and i was bleeding up to 10 days. cheers T Doctor: Hi, I think you should do a urine pregnancy test at home. It will tell you if you are pregnant or not. If positive, then do a ultrasound. If negative, wait for your periods. It happens sometimes after abortion. If periods doesn't come in 1 to 2 weeks, then do a test again. If negative, you can take some medicines for inducing periods. Hope I have answered your question. Regards Dr khushboo | 1,496 |
Suggest remedy for fever and soreness in mouth | Patient: My daughter is 4 yrs old, 34 lbs and has had a fever for 4 days. It started on wednesday at 99 and by friday its at 102. I can control it with Motrin/tylenol but it wont go away. Today I see white spots on her tongue and her mouth is red. What is this? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your daughter have symptoms of fever and soreness in mouth which is due to viral infection mainly due to herpes and it is due to poor immunity of body. It could be due to poor oral hygiene. Need not to worry. I would suggest you to apply calamine lotion on these sores. You should take antiviral medication such as Acyclovir. Visit dermatologist once and get it examined and start treatment after examination. Apply dologel for soreness in mouth. In some cases it will develop bacterial infection as well so you should apply mupirocin gel on these sores and take antibacterial medication. You can go for application of tretinoin cream over the affected area with proper medical supervision. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 169,712 |
What causes a lump on tongue? | Patient: Hi I have noticed a lump inside my tongue on the left side about a 3rd of the way back(the widest part of the tongue) It is smooth to feel & can only be felt with my fingers. It feels the size of a large pea but is totally painless. My wife is currently having treatment for breast cancer so cancer is at the forefront of my mind as my wife started with feeling a lump in her lymph nodes. Any advice would be appreciated Doctor: not to worry much as this is benign condition like a cyst or just a fibroepithelial polyp!if really worries you can go for an FNAC test for confirmationall the best! | 66,859 |
What to take for the relief from swelling in knee? | Patient: I currently have a torn acl and miniscus along with a fractured knee, my dr has given me 2 cortisone shots and a symvisc one shot, still no relief and swelling will not decrease. I am icing my leg 20 min. Every hour. I am currently taking 1 Ibuprofen and a half of a oxycodone acetaminophen 5.325. What do you recommend for swelling relief? Doctor: I recommend if you have a torn acl and menisci with fracture you need to follow the guidelines of the Orthopedic specialist. you can surely keep your leg eleveated above the level of the heart. re next step is to perform ankle toe movements, static quadriceps, static hamstrings, straight leg raise. all things should be done with less strain and slow movements. if you are unhappy with your current orthopedic physician you can surely take a cross consultation which will help you. take an advice from a physical therapist as well. he might be of help to you. | 134,567 |
If I get a fever, at what number should I consider taking penicillin? | Patient: Hi. I am 63 years old. About two years ago I had my spleen removed because my body was fighting against itself. If I get a fever, at what number should I consider taking penicillin? My doctor said if it kept going up I should start the pills, but I m not sure how high I should let my temperature go. Thanks. Doctor: Hi, dearI have gone through your question. I can understand your concern.There is no any exact number for taking peniciillin. Its not like that. You have weak immune system against some capsulated organism. So whenever you got infection you should consult your physician and take antibiotics according to need ant type of infection.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | 115,375 |
What is dental plaques & How are they removed ? | Patient: I saw a dentist yesterday and the doctor said that i have dental plaques and it has to be reomoved other wise i will get severe infection of the gums and teeth, Is it true. What are theses Dental plaques. How are they removed. Doctor: hello there , Dental plaque is the soft deposits formed by bacterial colonization in the oral cavity due to poor oral hygiene habits like improper brushing and flossing habits. Accumulation of bacterial plaque deep in the gum pockets and root surfaces of teeth leads to gingival inflammation know as gingivitis. Gingivitis presents with symptoms of redness , bleeding gums , swelling , pain ,recession and sensitivity and even mobility of teeth and exfoliation if not treated in time. It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants ,this will help in resolving the symptoms followed by a course of antibiotic and analgesics. i hope this helps , take care. | 189,171 |
What causes spinning head, lights flashing, side stiff neck? | Patient: I had spinning head, lights flashing one night when I lay on my right side. When I woke in morning I had right side stiff neck and pressure on one side of head like sinus. Next night dizzy when I lied down woke up soaking wet. Dizziness only when I lie down. Pressure only on one side all the time. Had rectocele repair one week ago could it be connected? Doctor: Hi, You are suffering from vertebrobasilar insufficiency - i.e. reduced blood flow in the brain due to certain bad postures. I suggest you get X rays of the neck as the first step and doing neck strengthening exercises. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gopal Goel, Orthopaedic Surgeon | 124,211 |
Is Hair4U lotion effective in preventing hair loss? | Patient: Sir my dermatologist advised me to use Hair4u lotion at night and at early in the morning dose 1ml, does it ok? and how much time i need to wait before rinse it off?? And also my dermatologist advised me to take Cap. proxy daily for 4 weeks?? Please suggest me is it ok , my age is just 25 years now. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my adviceYou seem to have androgenetic alopecia. It is characterized by hair loss and thinning from the front, mid and vertex part of the scalp manifesting as a M shaped anterior hair line and decreased hair volume. The solution that you are using contains Minoxidil. It is an approved medication for androgenetic alopecia in males. Apart from minoxidil, oral finasteride 1mg tablet is also approved for androgenetic alopecia in males. Nothing else is approved. Response is gradual and it may take 3-6 months or even longer for a noticeable improvement. Treatment is life long and the goal of treatment is to arrest further progression.Let me know if I can assist you further. | 10,360 |
Is it possible to get tooth problems from exposure to paint and tint? | Patient: I AM ALMOST 59 exposed to large quantity of paint and tint and maybe other toxins or became more toxic as long standing and not properly kept and almost one gallon and have a tooth problem which i feel was definitely caused by this. is this possible? Doctor: Exposure to toxins from paint/tin will have more systemic problems than dental problems. I suggest you to visit a dentist for your tooth problem asap. | 184,636 |
What caused a lump under my skin on my forearm? | Patient: I have a lump under my skin on my forearm, just below the crease where the arm bends. It's about the size of a quarter. It's not hard. Feels more like a pulled muscle when I use that arm. You can physically see it raised up when I use that arm after exercising or using it for a long period of time. Doctor: It sounds like you have a lump over your elbow crease. It could be anything from a bursa to a cyst to just muscle tendon post exercise. It requires clinical examination to know precise cause. | 65,930 |
What is the right dosage of calcirol for a baby? | Patient: Hi We are giving our baby dosage of calcirol (cholecalciferol granules) as prescribed by the doctor--once a week and denton (camomilla ferrum phos) every day 1 table 3 times a day. baby is 11 months old and has two teeths coming out but very small. Is this right dosage during teething? She is not eating anything and not sleeping at nights looks like she is having headaches. Do we need to give calcariaphos as well or change it to calcariaphose as is being suggested by some people? Doctor: Hi...not eating along disturbed sleep at this age group could be worm infestation. Very unusual to have head aches at this age group. I suggest you continue the same medications but add 2 doses of Albendazole 200mg 10 days apart and see.Regards - Dr. Sumanth | 167,968 |
How to treat epilepsy? | Patient: Hi i had epilepsy when i was ten (five years from now) my doctor said that it was only mild . we had a few eeg and my doctor said its getting lesser then i stoped drinking med w/o her permission and i havent seen her and drinked med for 2 yrs already and no seizure happend .am i cured ?? or it will come back (i only had seizure once) Doctor: Dr. Hanif warmly welcomes you with thanks for a consult! I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns according to the latest medical guidelines.It is least likely to come back if there is no major physical cause related to brain. You only had a single episode so I think it was only temporary problem and less likely to come again.But I will preferably suggest you to at least once see your treating physician to exactly rule out the outcome of the disease and prognosis. Hope I answered all of your questions. Please click on 'I Find This Answer Helpful' and don't forget to add your precious positive feedback to help me able to assist you better in future too.For any disease you have, a timely follow-up regarding the treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow up to see how you doing. Remember to write down my name in the start of your question next time, & I will be with you right away. I am available 24/7 for providing you expert medical opinion on any health issue. Have a blessed time ahead.Regards!DR. MUHAMMAD HANIFUSAFOR DIRECT QUESTIONS: http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70199 | 32,338 |
How to plan a pregnancy? | Patient: Hello doc. im 38 year old healthy female, taking 25mcg thyronorm for the last three years, if i plan pregnancy how do i go about my dosage, is there any way of having only a male child, and what is the latest age to have a healthy child. Thanks. Warm regards. Doctor: Hello dear,I understand your concern.In my opinion there is no way to determine the gender of the fetus before pregnancy.It is all chromosome based and little is known how it happens.Mother contributes two X chromosomes and father X and Y chromosomes.If X from mother fuse with X of father it leads to XX female fetus.If X from mother fuse with Y of father it leads to XY male fetus.After the pregnancy is confirmed thyroid profile is done and dose is adjusted.according to it.The age more than 35 years is considered as elderly pregnant.Best regards...Dr Srilatha | 221,329 |
How can one be pregnant despite getting periods? | Patient: Im 18 years old and have had an irregular period as long as i can remember. I would get it every 2 months sometimes 3 months. Recently i got my period on valentines day then got it a month later and now im pregnant. How does this happen and when would i have ovulated ? Doctor: Hi, Irregular bleeding and spotting can occur during pregnancy. So, one can be pregnant and can have bleeding. The exact time of ovulation cannot be predicted. Hope I have answered your query. Let me know if I can assist you further. | 218,326 |
Teenager. Severe stomach pain. All tests normal. No food problem, diarrhea or constipation. Any ideas? | Patient: My 17 year old daughter has been having severe stomach pain and we have done nearly every medical test known but nothing medically wrong ever shows up. We have seen a chiropractor and he can sometimes make it better. I just don't know how to help her feel better. It doesn't seem to be related to any food issue. No diarrhea and she is not constipated. Any suggestions? Doctor: Hi ! Many times chronic granulomatous condition of the intestines or abdomen continue to give rise to pain abdomen, which is not easy to diagnose even with all the investigations. How is her weight ? Is there any recent loss of weight and associated fever specially in the evenings. You have to discuss with your treating doctor on this issue so that pertaining investigations can be done. Also a serum lipase test may be helpful. There is no harm in giving her a dose of deworming drug even if the stool test is negative. If everything else comes out to be negative, then you may have to consider and give a trial to anti anxiety drugs only after consulting your family physician. Wishing your daughter an early recovery. | 92,887 |
Suggest treatment for bipolar disorder and malaria | Patient: My boyfriend has bipolar disorder and malaria. He's a physician working on an HIV database in the Congo in Africa. Since he's returned he's not the same person. We (the family) have been chalking it up to sleep depravation but I believe it's far worse than that. He has turned from a man who carefully manages his bipolar to someone who appears to be autistic within a week. I'm scared to take him to a hospital because they will label him mental and not look into the deeper problems that have surfaced due to the malaria. His psychiatrist is useless. Doctor: Hello, thanks for the query & I am sorry to hear all your troubles. Briefly, can you tell me what medications he is on for bipolar disorder? considering the change in behavior from cheerful to aloof which is labelled as autistic by you; this might be a new episode of depression triggered due to irregular drug compliance, stress of illness (malaria) or de novo. So we will need to adjust the dose of his mood stabilizer medications for prompt relief from depressive symptoms; Secondly when was he diagnosed as malaria? is there any any documented fever or other symptoms? and whether he is receiving any treatment for same? Considering his recent trip & return from a malaria & other infectious disease endemic area; it will be a good option for a peripheral blood smear (PBS) to identify malaria parasite & start treatment with artesunate, lumefantrine or other appropriate group of antimalaria drug. Lastly, as some of mood stabilizer medications like divalproate sodium, carbamazepine etc. tend to react with medications resulting in change in blood drug levels; your primary health care doctor should be informed about your friends medications of bipolar disorder. If you need any extra help, kindly revert back. Dont worry; act promptly...good luck | 208,589 |
Growling in stomach. Have polymyalgia rheumatica. Taken steroids. What can it be? | Patient: I have been having these growling noises in my stomach and actually coming up my oesophogus into my throat for sometime now and they are getting worse. I am being investigated for lots of different things. I have polymyalgia rheumatica and take steroids together with Adcal Alendronic acid and Lansoprazole . I have blood tests regularly as I have an enormous amount of iron in my body. All this started last year - was perfectly OK before this. I have not got haemochromotosis but the haemotologist said that I am collecting iron because I am unwell! I have multiple urinary infections and have had a daily dose of macrobantin for 6 months but the urologist said come off but the infections have restarted! I thought maybe the noises was that there was a living something in me. I heard of somethinglike that years ago and I remember the girl who had the problem said she thought the worm (whatever is was) was talking to her! Maybe it is that that is causing all my other problems? Doctor: growling noises in stomach are normal . they are caused by the movement of food and gases along the intestinal tract called peristaltic movements. these sounds are increased with increased acidity and increased consumption of fatty food or on taking the medicines causing increased gastric acid production and gastritis. as you are using steroids and aledronic acid for polymyalgia rheumatica ,both of them are known to cause gastritis and esophageal reflux. you can safely use cefexime 200mg for urine infection for 10 days, along with probiotic. forget about worms causinf growling.mean while start gradually deceasing the dose of steroids.use pantoprazole 40 mg daily | 94,421 |
Had liver transplant. Kidney not working properly. Is there any solution apart from kidney transplant? | Patient: My father had Liver transplant last month, after transplant, his liver is functioning fine. But now doctors are saying his kidney is not working fine and needs to undergo kidney transplant. Diebaties is the root cause of Liver & kidney malfunction. Even his heart is effected. My query is: Is there any solution apart from Kidney Transplant? What about Stem Cell therapy for Kidney. What is the success rate & how much does it costs in India. Doctor: Hi, Welcome to HealthcareMagic forum. I have read your report with diligence. I am sorry for your father’s condition. Kidney transplant is suggested when renal functions fall below 20% of normal. If renal functions are above 20% renal functions are usually maintained on regular dialysis. Coming back to stem cell therapy, this is a recent technique principled on the idea that new cells/tissue can be formed from root stem cell taken from embryo. However this technology is still in nascent stages. The success rates of this procedure are yet to be known. It will not be a good idea to try stem cell for progressive medical conditions needing kidney transplant. I would suggest you to discuss with your nephrologists about his current renal functions and plan for transplant as suggested by your doctors. Hope this helps. Regards | 51,364 |
Suggest treatment for pulmonary fibrosis | Patient: I am 39 yrs. young,178 lbs., smoked since i was 16 somewherez, recently quit at about eight months now, was sick this past winter with a cold an coughing up like crazy, had an x-ray done an recently found that i may have mild lung fibrosis, i am scheduled for a Pulmonary Function Test soon. what i want to know is if the term MILD, does it just mean that i am in early stages of pulmonary fibrosis. Now for one, I am not afraid to die but would feel like it would be unfair because i am just trying to get healthy by quitting smoking and drinking alcohol. so, would having mild lung fibrosis also lead to death and roughly how long would i have if thats the case. please answer me truthfully! thank-you very much! Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, mild pulmonary fibrosis means early stage of Pulmonary fibrosis. And in early stages, we can stop progression of fibrosis. So consult pulmonologist and get done PFT (Pulmonary Function Test). This will tell you more about Staging of pulmonary fibrosis. Smoking cessation, pulmonary rehabilitation, chest physiotherapy, deep breathing exercises are non pharmacological measures to halt progression. Perfinodone and N acetyl cystine (NAC) are the newer drugs for fibrosis. So consult pulmonologist and discuss all these. Prognosis is usually good if you follow all these things. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 74,295 |
Removed gall bladder due to issues with liver. Father also has high iron levels, dementia. Hereditary? Problem? | Patient: I recently had my gall bladder out by Dr Slater and there were some issues with my liver (fatty) and also very high iron levels. My gall bladder was very bad she said but I have had no problems since and blood tests done at the time of the outpatient visit showed that the iron levels are down to normal.As my father also has high iron levels and blood tests were done which show that he and I are both haemotomachrosis carriers. My father has quite advanced dementia and it has been recommended to me to start taking Curcumin2K (with Bio Perine Black Pepper Extract)The warning on the bottle however is If you have any history of liver, gall bladder or gastrointestinal problems, consult a health care physician prior to taking the medication.Can you advise me please....Thank you Doctor: HiLiver problems are different from gall bladder.Eventhough gall bladder is removed,it does not have any effect.Liver problems are best diagnosed with liver function tests(LFT).Get them done and rule out any disease.If you do not have vomiting,constipation or loose motions,then major gastro intestinal problems are ruled out.So,consult your doctor,get LFT and proceed with the drug.Wish you good healthRegards | 58,480 |
Can chronic pelvic pain with backache and feverish chills be symptoms of cancer? | Patient: hi, am suffering from chronic pelvic pain for 1.5 years.pain in right pelvic, waist and radiates to leg, lower back. intermittent pain, ranging from mild to moderate, pain increased with period, period is usually late by 5-7 days, heavier than before, but does not last more than 4-5 days. had PID, UTI, during this time. treated with antibiotics , mri of pelvic abdomen and spine, ct scan, usg thrice, cistoscopy colonoscopy- all normal, except bulky uterus, pap-ve, ca124 -ve, but ca 125 has increased from 20 to 29 in one years time. other symptoms are bloated, intense pressure, cramps, uterus feels sore, etc. suspected endo. my gynac give norethisterone 5 mg . taking twice daily since last 10 days. suffering extreme backache, and feverish chills since last few days. feel depressed all the time, fear cancer. Pls help! Doctor: Thanks for your question on HCM. In my opinion you should not worry much about cancer. In my opinion, mostly you are having chronic urinary tract infection , resistant to routine antibiotics. So better to get done urinary culture and sensitivity. If this is normal than lumbar spine pathology can be the cause.May be chronic sacro ilitis or osteomyelitis. So get done MRI of lumbosacral spine.And no need to feel depressed, you will be alright. | 155,549 |
Suggest treatment for persistent asthma | Patient: My daughter is 18 months old and is suffering from asthma symptoms. Last time when she had severe problem breathing, pediatrician has advised to use Kidpred syrup - 5ml for 3days, Montair granules 1 sachet for 30 days and Inhaler: Budate 100mg, 2 times with 12 hour interval, Salbair 3 times with 8 hours interval. We followed all suggestion but discontinued Montair granules after 15 days. Our baby is again suffering from severe cold, cough and asthma kind of symptoms now a month after previous episode. Is it suggested to use the same medication again as used earlier? Doctor: Hi, Since your child was alright after using the treatment, you should adhere to your doctor's advice. It's very difficult to diagnose as asthma at this age. But meantime proper treatment to prevent any symptoms will help in intellectual and physical development. So adherence is must.This may be commo cold or due to asthma. For asthma you can continue montelukast granules once daily and budate. This will help in preventing any further symptoms and salbair to relieve symptoms. I hope this information helps you. Feel free to ask for any further queries. Regards | 101,738 |
Suggest remedy for severe phobia | Patient: Hi my mother n law is suffering from severe phobia where i can consult in guntur!! what will be the treatments!! she is suspecting everyone unnecessarly and thinking something and dreaming which is not happened!! she is fighting with everyone and gets angry all time..for 2days she will be in anger and moody and after that for 2 days she will be happy!! dont know what to do!! pls suggest on this!! Doctor: HiI understand your concern. Need proper evaluation. She has mood features like mood swings and irritability. Anger spell with mood swimg may be due to depression or other psychological stress.Proper diagnosis only can be made by consulting paychiatrist and evaluation of her thought processes.It can be treated with medicine like combination of anti depressant and anxiolytic.I hope I have answered your question. Still if you have a query then feel free to ask. Thank you. Take care. | 207,269 |
On birth control, skipped pills, unprotected sex, taking ampicillin for skin conditions. Should I be concerned? | Patient: If I have been on birth control for 2 and a half years now and accidentally skipped two pills consecutively during end of week 2/beginning of week three of my last pack and have unprotected sex at the end of week one of my new pack which would be the day before my "ovulation day" according to my cycle. Should I be concerned? Also I take ampicillin for skin conditions and have been on it for 4 years now. Does this also affect if I should be concerned? Doctor: Hi, thanks for using healthcare magicSome antibiotics can affect the function of oral contraceptives but this mainly occurs with anti microbials such as griseofulvin and rifampin.Ampicillin would not affect the efficacy of the contraception.Oral contraceptives would not be effective if some of the doses are missed. You may want to consider a pregnancy tests. These can detect pregnancy by day 11 to 14 after conception.I hope this helps | 225,522 |
Is there a chance of pregnancy despite protected intercourse? | Patient: Hi, I am 18 and sexually active. I’ve decided to withdrawal from my Depo shot because recently it has caused my skin to severely break out with cystic acne, I’ve had brown, foul smelling creamy discharge, and awful leg cramps. Because I’m sexually active, is there a high chance that I could be pregnant? Everytime my partner and I have sex, we use condoms, as I was on the shot. We only had sex unprotected one time, and he had pulled out. Doctor: Hello, Using two protection methods the chances of pregnancy are very low. Now that you stopped depo you may consider using pills. Hope I have answered your query. Let me know if I can assist you further. | 218,339 |
Mild pain in liver and gall bladder area, deep dents in forehead, anxiety and sleeping difficulty. Is it related? | Patient: My boyfriend has been having fairly steady but manageable pain in the region of his liver or gall bladder for a couple of weeks but this morning he woke up with two noticeablly deep dents in his forehead that have me concerned. He has also been more anxious and having difficulty sleeping. He refuses the idea of seeing a doctor. Should I be concerned? Doctor: Dear Friend.Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.If your boyfriend consumes alcohol, get his Liver function test.And if not then i advise you to get his ultrasound done.This is my personal opinion based on details available here. If you still have any query you may please ask me.Stay Healthy. Dr Anshul Varshney , MD | 57,457 |
What causes pain between the scrotum and anus? | Patient: My fiance has significant pain along the raphe between his anus and scrotum. it is painful for him to walk at times, and it is painful for him to sit on some surfaces. He notes sometimes the skin feels like it is burning, and at other times, it is like a deep cutting sensation. Doctor: Hi,From history it seems that he might be having developing anal abscess.Forming abscess might be due to ingrown hair follicle infection as well.He might require one course of antibiotic medicine for 5 days.Ok and take care. | 198,451 |
What causes difficulty breathing,headache,chest pain and back pain? | Patient: I tend to be feeling upset and vomit after eating on evenings. I also have a difficult time sleeping at nights. I seem to be feeling a pressure on my chess and I have difficulty breathing properly. I am also getting headaches, neck ache and lower back pain. Can you tell me what's wrong with me. Thank you Doctor: Respected user , HiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with intestine infection with gastritis .* Needs proper clinical assessment , necessary lab tests for proper diagnosis and further management .Hope this will help you for sure .Welcome for any further guidance .Regards dear take care . | 73,301 |
Have exercise induced asthma, had a flutter in chest. Unable to breathe even after using inhaler. Is this asthma ? | Patient: Hi! I m a very active 29 year old woman. I am 5 foot 3 and 158 lbs. I have exercised induced asthma . I haven t had many issues with it lately, but I recently felt a flutter in my chest for about 5 seconds. Then I fainted immediately following. After I came to I felt like I couldn t breathe, even after using my inhaler . I felt flush for a long time after. Is this asthma or something worse? Doctor: Get heart tests done ECG TMT It seems to be Angina Pectoris instead of asthma Get diagnosed between Angina and allergic asthma | 104,458 |
Which home remedies can I take up to avoid tanning ? | Patient: hi i m a 19 years old boy, my problem is that my skin goes on darkening specially my forehead in these summers, so what should i do with household methods because i avoid chemicals Doctor: Welcome to Healthcaremagic forum ! Sun burn can be completely cured through Homeopathy. You need not to worry as homeopathy is the safest medicine known without any side effect. Visit Homeopathy doctor near by you and get treated. Take care | 214,958 |
Suggest treatment for turner s and post polio syndrome | Patient: hi i am both turner s and post polio syndromes. i have sleep apnea and use bi pap with o2 at night. hopeing i can find information on anyone who has both and what symptoms they have. i also have scoliosis now as adult which i did not notice when i was younger. my age 66 and had polio age 5. in iron lung short time and right arm affected by polio. Doctor: hiat 66 years age only supportive treatment for turners like calcium and vitamin D supplements to prevent or control osteoporosis and vertebral collapse.Since scoliosis has developed there should be x rays of spine to determne cause, whether osteoporosis has developed toaccount for loss in height and compression of vertebrae.Visit an orthopeic spine surgeon.Have a good protein intake.Your doctor will advise for osteoporosis with medicines and measures for scoliosis like brace etc.Sometimes androgens may also be prescribed. For poliio affected arm, onlyphysical therapy and orthotics are required depending on deformity.The orthopedic doctor shall take care of itIt is not common to have both turners and polio as etiology is different for both, polio is viral infection, and turners is abnormal chromosome etiology with lack of estrogens ,hormonesdo not worry, at this stage only orthopedic consultation will take carebest wishes | 134,744 |
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