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What causes a raised bruise around the outer corner of the eye? | Patient: Hi, My 3 year old just developed a Red raised buepm aroud the outer corner of her left eye( on the skin) as if she had bumped her face against some thing. It doesn t hurt to palpation and that s what concerns me( the fact that it doesn t hurt to touch and pressure) Doctor: Hi....by what you quote I feel that the kid might be having a bleeding disorder, either congenital or acquired... Mostly congenital, considering the age of presentation. The bluish discoloration you are noticing is a subcutaneous bleed or bruise and the small lump you are able to palpate is a subcutaneous blood clot.Your child needs evaluation and I suggest you take her to the nearest emergency room as soon as possible. This I am suggesting because - if the kid has a spontaneous bleeding like this internally, as she might require emergency blood products.Regards - Dr. Sumanth | 164,182 |
What is the procedure for test tube baby? | Patient: Hi,myself shahnowaz from kolkata.I wanted to a baby.i am 34 yrs old.I need a test tube baby.every test was done regarding this matter.report is well unless my misses thyroid. Please tell me the expenses regarding this baby.Thanks.shahnowaz YYYY@YYYY Doctor: Hi,I read your query and I understand your concerns.Following is my reply:1) It involves giving hormonal injections and taking out eggs.2) The eggs are fertilized outside body after mixing with sperms and embryos are formed. which are transferred into your womb after about 3 daysLet me know if you have anymore questions.Regards,Dr. Mahesh Koregol | 42,949 |
What should be folicle size inorder to get pregnant? | Patient: What should b a perfect size of folicale to get pregnant ? I m on IVF n it s day 11 but the size of bigger folicale is just 15mm n my doc told me it should b 18 at least ... So I get injected on day 11 again of IVF 150iui... N day after tommorow a repeat ultrasound is asked to perform So plz tell me what are my chances ? Doctor: Hello dearI have undergone through your concern and understand your concernSorry to hear about your problemI have seen lots of case like you in my practice.Follicle size between 18-21 mm release quality egg and it has high chance of pregnancy.You have 15 mm follicle size and get injected on 11th day.Injection effect will seen with in 24 hour and if ovum will rupture then you have high chance of pregnancy.Along with this Endometrial thickness of 7 mm and above is ideal.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you all the bestBest regardsDr. Sagar | 1,961 |
Have mouth issues causing stress, pain and sensitivity in teeth. Taking anti depressant and anxiety medicines | Patient: I have had mouth issues that cause stress and pain and sensitivity of my teeth. I have been to Dentist, I have been to an Autoimmune specialist and autoimmune disease has been rules out. I have had a couple of years of alot of stress due to work and personal financial problems. My primary care doctor believe that after alot of blood work and doctors visits that I my have depleted the hormone in my brain that handles stress I am on anti depressant and anxiety meds during the day. I used to grit my teeth so much I thought I would go crazy the meds prevent me from doing that anymore but I still have the stress at times in my mouth and I can always feel discomfort. And I also have fatigue but not as much as I did before medication. What do you suggest Doctor: HiThanks for using healthcare magicI think, you may have obsessive compulsive disorder. For that you should consult a psychiatrist to get yourself properly evaluated and get proper treatment for it. In antidepressant, you need anti-obsessional drugs like fluoxetine or fluvoxamine. That would help to control these symptoms. Thanks | 210,727 |
Is viral gingivitis the cause of sore gums and throat? | Patient: My grandson is 7 and has had a temp for 6 days. His throat is red & has sores. It is not strep or mono by tests performed. The fifth day his gums are fire red & really sore. The doctor said it is viral gingivitis and said to stop taking antibiotic since it is viral. They got an ointment prescription to rub on his gums. Is this accurate (viral gingivitis)? I looked online & am only finding poor dental health gingivitis. Grandma Doctor: Hello MamThank you for your query, I will try to give my best advice regarding your problem. I have thoroughly gone through the things you have mentioned.Herpetic gigivostomatitis (you may call it Viral gingivitis) is commonest cause of such problems in this age group. I also agree to your doctor's view. Most probably your daughter may be suffering from herpetic gingivostomatitis, which recovers without any treatment within 10 days.Along with the ointment, I am suggesting few things which will provide more symptomatic relief to your grandson.• Avoid hot food and beverages• Give him plenty of fluids to drink.• Rinse his mouth with chlorhexidine kids mouthwash(Thermokind-F kid) twice daily(preferebly in morning and in night before going to bed) for 10 days.Do not give him anything to eat or drink for 30 minutes after using mouthwash and gel.• If he is experiencing more pain, you can give him Ibuprofen kids tablet (Ibugesic kid) 1 tablet thrice a day after meals for 3 days.Hoping for his fast recovery. Most probably he will recover soon.Hope this will help you. If you are having any more query regarding this, feel free to ask anytime.Take CareRegards | 185,608 |
Suggest treatment for pain due to prolapsed disc | Patient: Hello I HAVE ANNULAR TEAR ON MY S1 AND ALSO HAVE A DEHYDRATED DISKS SHOWING SIGNS OF DEHYDRATION IN ONE OF MY DISKS. I ALSO HAVE A PROLAPSED DISK L4 &L5 i AM IN A LOT PAIN MOST OF THE TIME. i AM DESPERATE TO GET OUT OF THIS NIGHTMARE. please CAN YOU HELP ME Doctor: hithese conditions wht you are suffering are really very painful, also with radiating pains.relaxing physiotherapy exercises will help you a lotinitially these acute neuropathic pains can be controlled with pregablin or gabapentin on regular doses added with methylcobalamine.(like pregablin -m)interval pain can be controlled with tramadol 50 or 100mgs which has a mild opiod property.these are all kidney safe drugs in mild to moderate doses.please do not lift weights or strain your back.all the best take care | 217,443 |
What is the appropriate age for girls to start shaving arms and legs ? | Patient: what would be a good age for a girl to start shaving her legs and arms i m 13 but my mom says it will grow back thick and course since i have thick hair Doctor: Hello ; welcome to HealthcareMagic There i no perfect age to shave arms and legs but better to do it after 16 yrs of age as by that time the development is complete.Also keep in mind that your mother is right in saying that the hairs will grow thick.So instead of shaving you need to try other options like hair remover cream;waxing etc.Presently at 13 it will be better for you to avoid being conscious about the hairs on arms and legs. Take care. Thanks | 8,878 |
What treatment to be taken for the large, red growing cyst? | Patient: I had a cyst that became a chlyson (sp?) I saw one dr who said to apply heat. I refused tobradex because I get fever blisters. It went away after 4 weeks - well it went down to a small cyst from a large, red bump. But now it is growing again. I applied heat -- anything else to do? Doctor: Hi, dearI have gone through your question. I can understand your concern. You should search the cause of cyst. Which kind of cyst is there. Then you should take treatment accordingly. You should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment according to diagnosis. Surgical excision is the treatment of choice for most of the benign cyst. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 66,104 |
How long does a heart attack normally last? | Patient: How long does a heart attack normally last?I am 70 years old and have no reason to believe I am having heart problems eg. Bp normally 115 to 120 over 65 to 75 however I have had 3 episodes of severe chest pain. Last nite the worst lasting about 15 min. I broke out in a sweat and felt dizzy. I had been reading quietly when it started. I felt it had to be indigestion as I had been been to a movie and had soda and popcorn. I would appreciate your input as I do not want to over react.Thanking you in advance.Glenkkl;/whm.te YYYY@YYYY Doctor: Hi,Thanks for your question.After going through your question, I would like to advise you-1) Do not neglect these symptoms. - It is most likely due to heart problem.2) Heart attack is due to sudden decrease in blood flow to heart. - Young persons usually do not tolerate heart attack well without treatment as there is lack of collateral blood flow to damaged heart muscle. - In older person when there is usually development of collateral blood flow to heart. So symptoms of heart attack usually aggravated when there is increased oxygen demand of heart as in any type of physical or mental exertion.3) With every episode of heart attack there is permanent damage to heart muscles and there is progressive decrease in pumping capacity of heart. So you should not neglect these symptoms.Seek immediate medical attention.Heart attack can be confirmed by doing ECG, Heart enzyme test (Trop T/ I, CPK-MB usually immediate after episode) 2DEcho of heart which can help in determining pumping capacity of heart.Most definitive way to determine percentage of occlusion of blood supply to heart is coronary angiography.Hope this helps you, if so do vote helpful. | 27,363 |
Is Depo provera effective for stopping periods? | Patient: I took one shot of depo provera last october; but I didn t get the other scheduled shot (for january 20, 2012) The problem is, I took DP in order to stop my period, however I have been bleeding ever since I got the injection and I am still bleeding now, is there anything that I can do to stop this? Doctor: Hello, I think you may wait for some more days and the bleeding will stop. If you will still be bleeding visit a gynaecologist to give you even progesterone pills. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Olgeta Xhufka | 83,669 |
Is there any problem for giving maftal p along with calpol for fever? | Patient: sir my 8 years old daughter suffering from sever fever (upto 104.5 F) since Tuesday night. Doctor prescribed the calpol 250 mg suspension but it can not effected. Now he suggested that i can give a dose of maftal p between the dose of calpol 250 mg. Can it ok Doctor: Hi,Usually, calpol is the safest drug to reduce fever in young children. However, if fever does not subside even after taking it, then meftal-p can be given to the young children along with calpol syrup.But remember meftal-p (mefenemic acid) is a non-steroidal anti-inflammatory drug which can cause gastritis that can be avoided if it is given after the meals. Along with the medicines, tepid sponging should be done to lower the raised body temperature and give her plenty of fluids to maintain hydration.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | 84,005 |
What cause severe palpitations of the heart with high blood pressure? | Patient: Hi I'm 25 years old and I had some high blood pressure for the last month which my doctor give me Bystolic .5 mg to take. Ones a week ... But suddenly after a month I reduce my dose to half of it cause he told me to... But today ate work I star feeling this weird pump on my heart.. That is very hard and comes back n for every. 5 min lik if I touch my left side of my chest I can feel it ... More lik a pump feel lik a muscle on my heart lik a contraction ... What could that be ... I'm scare ;( Doctor: Hello,This may be due to reduction of the dose, no need to worry. This will resolve in a day or two. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode | 22,410 |
What is the treatment for severe knee pain? | Patient: Hi doc, I am 55 yes pre menopausal and have had a Tkr. Now the other knee is causing pain. I am taking Throx 25 , Pantocid on empty stomach. Other medicines are Kondro OD, Absolute Woman, Fibator 5,Collaflex. Am doing physiotherapy and walking 1km every day. Due to retinal wall thinning I put SYSTANE Ultra drops. I would be grateful if you could suggest relief from knee pain. I am a professor but don t stand more than 20 min at a time. Stair climbing is a problem too. Doctor: Here your knee pain could be due to multiple resion like vitamine D and calcium deficiency , it can be osteo arthritis of knee, it can be only knee cap movement disorder, or it can be combination of all above.Now what ever is the cause of knee pain I suggest you should visit a ortho and physio for proper check up and examination. Do needed test like knee x-ray and MRI scanning if needed. Now plan your treatment as per the diagnosis. For minor to moderate problem doctor will suggest for physio and medication. This will help you to get pain relief. Also do regular knee strengthening exercises as per suggested by physio.For major damage in knee doctor will suggest for surgery only it can be corrective or replacement of knee joint. Again the physio has to be continued for further rehabilitation.Here I suggest one more thing avoid weight bearing exercises like walking, stair climbing and standing for long time. And focus more on exercises. You can also do cycling as a exercise to burn calories and improve cardiac endurance.Also use hot and cold pack frequently for some more pain relief.It will be helpful for you if you follow guideline step by step.Take care. | 138,637 |
On Implanton. Causing irregular cycles, dark discharge during periods. Solution? | Patient: I had the implanton put in three years ago, I know it time for it to come out, just haven t had the money to do it without insurance. Every since i ve had it, it has made my cycle unnormal. My cycle just went off two weeks ago, and it has return, but this time it s not that normal. For one I only see it when I have been on my feet for a long period of time, and second it s dark in color. Please tell me what I need to do. Doctor: hi,thank you for your query.what you are experiencing are the side effects of implanon.it has run out its usage period of 3 yrs.Women using Implanon who have higher circulating estradiol levels and ovarian follicle activity may be at greater risk of such abnormal patterns of bleeding.Women using progestin contraceptives who have abnormal uterine bleeding have elevated levels of endometrial enzymes, such as matrix metalloproteinases and neutrophil elastase, that prevent epithelial tissue repair.hence the darker blood.the common side effects include periods that may be early or late, shorter or longer, heavier or lighter than normal. You may also have some spotting between periods, especially during the first several months of use.If bleeding is prolonged (more than 8 days) or unusually heavy, contact your doctor. If you miss 2 periods in a row, contact your doctor for a pregnancy test.thank you,wishing you good health | 225,790 |
Suggest pain management medicines for Lupus caused joint pain | Patient: A blood test just revealed I have Lupus. I cannot get an appointment with a Rheumatologist until August. I am having extreme pain in my hands, shoulders, and elbows. I become partially paralyzed due to the pain. At times I cannot even wash my hands or squeeze a tube of toothpaste because of the pain. What type of lupus do I have, and what can I take besides Aleve for the pain? I am in desperate need of help. Thanks in advance for any help you can offer. P.S. I am currently taking Citalopram (20) mg. daily and Bupropion (150) daily. Doctor: hi first you need to rule out rheumatoid arthritis, in this disease, test for lupus can comes positive. but as per your history, it seems that you have either RA or lupus related arthritis. see your physician | 82,792 |
What causes loss of voice with sore throat and heart congestion? | Patient: I was treated for brest cancer 4 years back by following a surgery and chemo therapy. Yesterday suddenly I lost my voice (2 times in same day), I do not have any cough, sore througth before. But after this I have sore througth and feel little blockage near the chest. Doctor: HiI would advise you to do ct scan of chest.For sore throat you can take paracetamol tablets twice daily.RegardsDr de | 155,241 |
Is Entamizole an antibiotic? | Patient: Is entamizole an antibiotic ? Or doctor gave my 20 month daughter an entamizole and bismol combination it is safe?? She become dehydrated due to watery loose motion and she can t take o.r.s so what can I give her ? Suggest any medicine for fulfil her important minerals in body .. Doctor: Hello,Entamizole is an antibacterial combination (Diloxanide and Metronidazole) used to treat loose stools (diarrhea) associated with a stomach infection, intestinal infection, antibiotics, and other conditions.Bismol (Bismuth sub-salicylate) is used to treat stomach upset, indigestion, heartburn, and diarrhea. Entamizole plus Bismol combination can be given safely to your daughter. If she can not take ORS, then the dehydration needs to be corrected by giving her intravenous fluids by her doctor.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Mohammed Taher Ali | 29,026 |
Recommended IVF due to failure in normal conception, ultrasound shows hydrosalpinx, advised laparoscopy. IVF without laparoscopy? | Patient: Dear Dr. Malpani, I have been advised to do an IVF as normal fertiity is not possible. Apparently my ultrasound of the pelvis shows that I have tortuous cystic structures closely related to the ovary and appear to be hydrosalphinx. Since it is hydrosalphinx situation, I have been advised to do a laproscopy to detach both the fallopin tubes and then go for IVF. My question is: is it important to do a kaproscopy to detach the fallopin tube, if yes will I have any compkication. Or I can go ahead with IVF withour laproscopy. Thanks and Regards Anandi Doctor: Can try some specific Ayurvedic treatments for that.Wish you all the best. | 44,066 |
What is the dosage for cephalexin pills for infection? | Patient: I was recently prescribed cephalexin pills for a pilonidal infection, at 500MG, 4 times a day for 10 days. I started taking it this morning, but I m a little unsure about how the dosage works. I m a little paranoid about taking it too often. I can t see being able to take the dose every 6 hours, otherwise one would be in the middle of the night, but I don t want to take all 4 doses within the 16 or so hours I m awake as that would only be every 4 hours. How often can I take each dose in a safe manner? Doctor: Hi, Cephalexin is commonly prescribed to treat skin and soft tissue infections like pilonidal sinus caused by susceptible bacteria. Its recommended dose for adults is 250 to 333 mg every 6 hours. Since it seems to be inconvenient for you it may also be taken in the dose of 500 mg every 12 hours. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali | 83,500 |
What causes blood in stool and back pain after urination in child? | Patient: Hi my 4 year old son has been complaining about back pain for the past few days. It comes on suddenly and sometimes stops him in his tracks. We have noticed it usually happens shortly before or after urination. It lasts for a few minutes and then he is fine. Also about 3 weeks ago there was some blood in his stool. I called our pediatrician and said to keep an eye on it. He had no other problems until now complying about back pain. Doctor: Hi,From history it seems that he might be having renal colic giving this problem.There might be having urinary tract infection or renal stones.Go for urine check up for pus cells and red blood cells.If require go for ultra sound of abdomen.Passing blood in stool might be due to absolute constipation as while passing hard stool might give soreness in lower rectum producing blood.Give him plenty of water.Ok and take care. | 177,815 |
Have epilepsy, body swelling, hair loss, weight gain, mood swings. On levipil. Help? | Patient: I am 29 years old female, having a problem of epilepsy , getting first attack in 1999 and took eptoin for 3 years after 99 now got attack on 24th jan 2013, I deliver baby on 18th oct 2012. Doctor start the medication with oxetol-300 mg and lobazam 10 mg after 20 days lobazam stopped. but as a side effect my SGPT/ SGOT increased and whole body swelling. Now my doctor asked to change the medicine from oxetol to Levipil-500. Want to know is Levipil safe for breast feeding. I am also checking on net and come to know that levipil is having a common side effect of hair loss , weight gain and mood change. Please suggest. Doctor: Hi,Thank you for posting your query.Anti epileptic drugs would be required for long time in your case. All medications have side effects, however, levipil (levetiracetam) has very few side effects. It is among the safest drugs for treating epilepsy. So, I would suggest you to continue using this drug, and do not get worried by information on the Internet. If you have any more doubt, please ask us.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist,Apollo Hospitals, Hyderabad | 149,941 |
Suggest treatment for small, hard and round growths in my neck | Patient: I have two small, hard, round growths (smaller than peas) on my neck behind my left ear right next to the mandibular joint. My neck muscle is stiff along that side and it is soreto the touch, but no stabbing pain-- just a dull ache. Growths are below the surface, not above like a pimple or wart. Can be felt below surface and do not move when touched. Note: I am on Sodium Alendronate for osteopenia. I am 53, overall good health, no history of any illness except Lyme Disease and no known cancer risk or history. Doctor: Welcome to healthcare magicI am Dr Fahim, and I will help you with your query . . .What i gather from your question are- two small, round growths- behind left ear, next to mandibular joint- dull ache with stiff neck muscle- growths are below the surface- can be felt and dont move when touchedBased on the information provided it appears to slightly enlarged posterior auricular lymph nodes which are usually two in size. it enlarges in response to any infection in the ear and throat. You might recall some mild sore throat, flu or ear infection. Hopefully it will settle down itself. You might need to take paracetamol as analgesics. I will need your attention if it enlarges in size in more than 1cm and persist for long time.I hope this will help you with your problem. Please do rate my question if you like it.Regards | 65,300 |
What causes dizziness while looking up, bending down or when in bed? | Patient: I am a 5'7 tall, 214 pound, 39 yr old women, my BP is normal, recently I've been getting dizzy when I look up, when I bend down to tie my shoes, and when I put my head on the pillow to go to sleep and when I get up in the morning. Its really bad when I am in bed because I feel thowing up, and even thow I close my eye I still feel the dizzyness Doctor: Dear user, Thank you for your question, there are two possibilities here that from your description i cant decide which one to talk about but i will tell you about both, either vertigo and here you feel the world spins around you and this could be due to middle ear problems. or orthostatic hypotension meaning you feel dizzy when your blood pressure suddenly changes due to abrupt movements like getting up from bed. nevertheless if this persists refer to your doctor. hope this was informative enough please rate as 5 if you think so.Best regards,Dr. Nazzal | 146,826 |
Does spasmo proxyvon have serious side effects? | Patient: from my childhood I was prescribed Spasmoproxyvon for my periods stomach pain and I m 34 now and still taking it when the pain is unbearable which is most of the time. I hear that this medicine has lots of side effect. Is it true? What s the best medicine for periods stomatch pain if I need it almost every month three to 6 times Doctor: Hello, First , you should know that any drug would have side effects , and drugs should be used only when required. Second , you should get evaluated by a good specialist gastroenterologist for your stomach pain and consuming other drugs blindly would not be the solution for the problem. Its not always the doctor would treat you with medications, sometimes , dietary and life style changes would solve your problem. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. MOHAMMED ASHRAF | 83,278 |
What causes lymph nodes in the neck with fever? | Patient: My kid has fever for past 8 day and was taking Azthiromycin for past five days .She developed lymph nodes in her neck after which doctor had asked us to start with Omnicef.She is taking omnicef for past 3 days.I see no difference. She gets fever after 12 hours of Ibugesic.Kindly help Doctor: Hi,Thank you for asking question on health care magic.Any infection of the scalp will develop enlarged lymph nodes in the neck.Nonspecific infection, tuberculosis, leukemia and lymphomas may cause enlarged lymph nodes.Thorough investigation is needed to arrive at a diagnosis.Better consult pediatrician.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 | 180,278 |
What causes a piece of top layer of gum to come out? | Patient: I have been on diet for the last month and while I was eating a cracker with a little cream cheese on a little while ago, a small piece of the top layer of my gum came off. Its on the top left hand side on the inner side of the teeth. Could it perhaps be the diet? If so what am I lacking? Doctor: Hello and welcome.Thanks for sharing your concern.Gum pieces chips of due to fragility of mucosa.it appears that you have deficiency of vitamin B as well as vitamin C in your body.Therefore please take these supplements for a month.Meanwhile apply dologel on the affected area.Hope it helps.Thanks.Take care.t | 186,682 |
Can laminectomy back surgery cause gout? | Patient: Hi About 8 weeks ago I had a laminectomy in lower back. A few weeks later I had to go to the urgent care for an appointment because my wrist pain and swollen fingers and hand were unbelievable. That MD diagnosed gout and put me on colchicine which helped the enormous pain within a couple days. I still am unable to open water bottles etc. I had blood tests the next day and they were all normal including uric acid. I went to my regular MD a couple days ago and he has put me on prednisone as pain started up again. The wrist and pain feeling a little better. Could my laminectomy surgery be causing these brand new episodes of gout? I am a female who is 62 5 feet 5 163 lbs otherwise healthy . I will be seeing my back surgeon again in a couple weeks. At onset of first attack my daughter called him, sent him blood tests and she was very concerned. I had an X-ray recently and it showed a little arthritis and a cyst on a bone. Please advise. Thank you so much for your time. Be well Deb Corona Doctor: hi DebIt is unlikely that laminectomy may have anything to do with gout or arthritis of wrist.Rise of uric acid may sometimes happen with certain drugs like aspirin, dieuretics and anti-hypertensives.In your case, since you are not a hypertensive or taking dieuretics, pain medicines containing aspirin may have a chance iff were taken for pain relief after operation or before for back problem.You must avoid foods like red meat,beef,lamb,pork and soft drinks rich in sugars like fructose, alcohol and beersosteoarthritis in wrist and feet also predispose to goutRegards | 108,222 |
How to stop bleeding from Heparin injection spot? | Patient: Hi Dr Grief, My name is Sarah. I have been in the hospital the last three days and have been give Heparin injections. My last injection was this morning and I am continuing to bleed from the site. How can I stop this? I have applied multiple band aids and it soaks through and onto my clothes. Thanks, Sarah Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that heparin is anticoagulant and should not be taken if the bleeding is continuous, I advice you to take consultation with your doctor and stop the heparin. Heparin has action of thinning the blood.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic. | 116,737 |
What causes positive HBsAg in blood? | Patient: sir i am siju 29 year 90 kg weight 6ft hieght . sir before 1 year i take medical to going abroad that time in my blood hbsag is positive i taken homeopathy medicine after that i checked again after six month that time dna pcr value going below 5 and hbeg negative , before both are positive. now also my hbsag showing positive, doctor if there is any other treatment plese give me reply Doctor: Hi!Welcome to HCM!Presence of HBsAg also called as surface antigen in the blood indicates that you have viral hepatitis infection caused by Hepatitis B virus.In adults with healthy immune systems, approximately 95 percent of acute infections are self-limited, with patients recovering and developing immunity.Regards! | 35,515 |
What causes green anal discharge during pregnancy? | Patient: I m 13 weeks prego and Ive been throwing up but its at night around 3 in the morning, I can t sleep, I get huge headaches and today I went to the bathroom today (did a number 2) and wipe myself, green stuff came out. It was gel type and liquid. what should I do, or should I worried? I don t take anything, no diet, no vitamins, nothing green today! Doctor: Hallow Dear,This symptom of green stools with mucous discharge is highly suggestive of amoebic dysentery. You may get stools examined from the laboratory; else you may start treatment for amoebiasis. Metronidazole is the medicine of choice for this condition; however, considering 13 weeks pregnancy, you may opt for secnidazole instead of Metronidazole. In addition, please avoid spicy food, have plenty of fresh home made yogurt (curds). Avoid any food from outside, drink boiled and cooled water. hygienic practices of eating are most important. Please report to your Obstetrician before you start any medicine since you are just 13 weeks pregnant. I hope this helps you.Dr. Nishikant | 220,290 |
Have abdomen pain. Suffering from indigestion. Suggest | Patient: Hi I have had upper abdomen pain for about the past 10 days. It started on Saturday a week ago when I woke up in the middle of the night thinking it was just gas. I took something for it but made no difference. It then eased a bit but is still there all the time just like indigestion. It does get more sore when I eat. It is more of an uncomfortable feeling and can be more sore sometimes. Doctor: Hello, Thanks for posting your query, Because indigestion is a symptom rather than a disease, treatment usually depends upon the underlying condition causing the indigestion.Often, episodes of indigestion go away within hours without medical attention. However, if your indigestion symptoms become worse, you should consult a doctor. Here are some helpful tips to alleviate indigestion:Try not to chew with your mouth open, talk while chewing, or eat too fast. This causes you to swallow too much air, which can aggravate indigestion.Drink fluids after rather than during meals.Avoid late-night eating.Try to relax after meals.Avoid spicy foods.Stop smoking.Avoid alcoholic beverages.If indigestion is not relieved after making these changes, your doctor may prescribe medications to alleviate your symptoms.Regards,Dr.Sharmila | 93,586 |
What are the success rates in IVF? | Patient: Hi i m 30 and hub7 32, I sufferd mised abortion 1-1/2 yr back due to chromosomal abnormabilty in fetus v being normal , there after v r trying anxiously, 3 IUI have been failed , husbands chromosomes show low count < 30 million each time of IUI , I recently tested my harmone, i m low in FSH , High in prolactin and AMH 0.09 . I m on thyronorm 50 mg past 1 yr and now switched to 75 mg . Doc advised me fetisure and DHEA sure , CAPGoline ,n asked to try naturally for two months . V r not very regular also in trying as my husband gets stressd out from wrk . Is IVF option better for us and what are chances of sucess in IVF in first go itself with this harmone profile of mine Doctor: Hi,I read your query and I understand your concerns.Following is my reply:1) Success rate in IVF varies between 10 to 60 percent and it differs in each person.2) You can try another 3 cycles of IUI in a different IVF centre. If fails go for IVFLet me know if you have anymore questions.Regards,Dr. Mahesh Koregol | 42,999 |
What cause lip discoloration for 7 month old baby? | Patient: My 7 month old baby girl had a blackish blue color to her bottom lip only in the middle... This happened about 3 weeks ago I thought it was from her biting on the ear of a stuff tiger which was new and the ear was black... But today I just noticed it again ... What is this from ? Doctor: Hi,Thank you for asking question on health care magic.Bluish black discoloration in the center of the upper lip that too at times you are noticing.Most probably it is staining from foods or other articles she is biting as these babies are in the habit of putting everything in their mouth.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 | 173,914 |
Noticed a strong pulse under the ribcage | Patient: I have a strong pulse right under my ribcage, directly in the middle to be exact. When press on it hurts a little I had an abortion October 1, 2013 I m not sure if that s a factor. I m also gaining a bit a weight.. I have gained 15 pounds in the past 6 months. Doctor: thanks for asking your question I completely understand your problem a pulsation in the middle i mean on the abdominal area is quite normal because heart lies just above the epigastrium.if you have any other issues you can get to a pulmonologist or a cardiologist and get his opinionthanks/ regards feel free to ask more questions may god bless you with good health | 79,764 |
How to overcome small pimples with white fluid on my skin ? | Patient: I am female, age 33 married, i am having dead skin spots on my butts, small pimples are appearing with white fluid my skin is dry, how to overcome this issue Having heavy periods always, no other problem butts are having dry wrinkle patches and pimples Doctor: hi apply venusia lotion in morning for dry and dead skin apply clindac a solution at night for pimple. you develop this due to hormonal imbalance,which cause u heavy periods | 8,898 |
How can psoriasis be cured ? | Patient: I have psoriasis , but I dont have the monet to see a doctor . I have been using clobetasol propionate for a few years and it works better than anything i ve used before. I have found legitimate places to buy it online, but is that legal? If so, what else can i do? Doctor: Hello; welcome to HeathcareMagic Psoriasis is a autoimmune disorder of skin and has its relation to the mental status of the person like if you are under stress then your problem will increase and if you are a bit relaxed you feel better.The treatment available is limited so if you get good relief with clobetasol the it is fine and you can use it whenever required.But as clobetasol is a steroid use it properly and if you need to discontinue then do not stop it abruptly and try to slowly go off. Thanks | 12,600 |
Is Myxoid change, a degenerative change caused by aging or cause due to trauma of the knee? | Patient: My son, age 44, injured his left knee. MRI revealed myxoid degenerative change v. tear of the anterior horn of the lateral meniscus and posterior horn of the medial meniscus. What is a myxoid change? Is it a degenerative change caused by aging? Or can it be caused by trauma to the knee? Doctor: HIThank for asking to HCMHere the history it self suggestive of trauma, the changes of knee joint could be due to trauma it self and not because of ageing, the knee joint is very fragile joint particularly, meniscus this is very vulnerable to injury, better to have a opinion form the orthopedic surgeon, have nice day. | 147,493 |
Can soreness in buttocks be due to an allergic reaction? | Patient: My daughter 8yrs old complained of a sore bottom before bed. I checked her backside and found that she had a very bright red ring around her anus. Now she has had nothing to eat out of the norm and no severe bowl movement infact she does not remember going today. I am concerned due to the pain and lack of possible allergic reaction. Her brothers both have diaheria from a stomach bug they are combating. Ben 3 is pretty much better but Miles 9mos is going on 4 days or so of diaheria. Could this be related? Doctor: HelloThank you for posting on HCMFrom your description, it seems you have got candidial intertrigo, a sort of fungal skin infection.I would recommend you consult a dermatologist for proper management.I generally recommend proper course of oral antifungal drug like fluconazole along with local application of sertaconazole or luliconazole cream over affected areas.Take oral antihistaminics for itching as required.Maintain hygiene and avoid use of tight and synthetic undergarmentsHope this will take care of your problemThank youDr Hardik Pitroda | 101,705 |
What causes frequent urination and leg ache after a rotator cuff surgery? | Patient: I just had a rotator cuff surgery. when I got home, from the outpatience hospital, I notice that I have to use the bathroom more than the norm. In Addition, when I sit down on the camoe, and get up, I get an excruciating pain on my left leg. I am not sure what is happening. I was not experiencing this symptom before the procedure. Please advise what is going on Please confirm Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. A urinary tract infection is a common cause of frequent urination and this is the first thing to think of. An overactive bladder is another common cause but usually seen on elderly,although it may be seen in youngs as well. Overactive bladder is usually a collection of symptoms that can lead to frequent urination. These include: urinary urgency, or the sudden urge to urinate, caused by muscle contraction, urge incontinence, or loss of bladder control. Excessive caffeine, nicotine, and alcohol may also irritate the bladder walls and can worsen frequent urination symptoms. Treatment for frequent urination depends on the cause. Your doctor will first treat the primary disease responsible for frequent urination, such as diabetes. If an infection is at fault, your doctor will prescribe antibiotics for getting rid of the infection. Medications that control the muscle spasms in the bladder can help reduce urinary incontinence, or loss of bladder control. Your doctor also may suggest doing pelvic exercises, such as Kegels or bladder retraining exercises, to help delay urination. Hope I have answered your query. Let me know if I can assist you further. | 127,555 |
What causes low BP? | Patient: my daughter said that she felt light headed and I checked her blood pressure. First one was 88/62 with pulse rate of 62, second was 87/59 pulse rate of 61. I told her to walk around for a moment and checked it again after she sat down for 5 minutes. this time it was 100/62 pulse 68. she is 23 and is 5'1" around 105 lbs. Should i be concerned about the low bp? Doctor: Hello,Thanks for writing to Health Care Magic, I am Dr Muhammd Ahmad, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.Low BP is not a concern in this age if she has no problems like vomiting diarrhea diebetes, usually young people don't take much fluid and salts in their food , they usually take fizzy drinks etc, with which they lose further quantity of fluids.When ever your daughter feels any problems like that you should check her blood pressure if its above 90/60 then no worries if below than you can simply give her a couple of boiled eggs with salt sprincled on them and she should drink much fluid at that time.If she frequently gets this problem she can just increase her salt and fluid intake and everything will get fine with time.There is nothing to panic in this case.I hope this answered your question, if you have any queries feel free to ask.Regards.Dr.Muhammad Ahmad.General and Family Physician.. | 24,064 |
What could cause sharp pain in abdomen like muscle tear while sneezing, sitting and standing? | Patient: Hi Doctor.I have a sharp pain in my abdomen which started 2 days ago. It feels as if there's a muscle tearing. The pain started when I was sneezing and I felt some sort of muscle tear instantly in my abdomen. When I sneeze, attempt to do sit ups or after standing for long, the pain is worsened. What could this be and what can I do about it? Doctor: Hi.You look to be right in your diagnosis.Please get this confirmed by a clinical examination by a Surgeon and confirmed by high resolution ultrasonography. Id there is collection of blood in small amount, it can be left alone as the body will absorb it. If large this can be aspirated for an early recovery by the Surgeon. Rest will be of an utmost importance as is control of sneezing by antihistamine tablets and laxatives to avoid constipation - you have to avoid any movement that will strain the already ailing part. The Surgeon would also advise you to take some anti-inflammatory medicines. If the tear is large , it may be necessary to repair it. Take care. Recovery now will help a better prognosis. | 91,607 |
Bumps on penis, syphilis, no pain | Patient: I think i masturbate two Saturday ago and when i did...i injured my penis now i have 2 red spots..look like bumps.i went to the emergency room and they think said it was syphilis ...they gave me shot and pills to take for 14 days...a day later...2 small bumps with a clear raise and the next day i was working and it pop with clear fluid ...i didn t hurt or anything..and after several day its still their..i need help Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have developed two fluid filled bumps on your penis after masturbation and have been diagnosed to have acquired syphilis .Please note that one can acquire syphilis only if one has sexual intercourse with a woman known to be positive for STD .The bumps that you have on penis may be due to dry rough handling of the penis duering masturbation .You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil. | 202,860 |
Is Pradaxa recommended for patients with fibrillation caused by leaky valves? | Patient: Hi…..I saw an ad for Pradaxa, but they specifically said it’s NOT for a-fibrillation caused by leaky valves. They said it more than once very clearly, while then going on to explain all the benefits over warfarin, including no blood tests. So I don’t know if mom (84 yo, leaky valves, pacemaker for 5 years) could ever take it…..?? Doctor: Unfortunately no...she could not take it...please let her take the usual medication she is on..it can cause harm if she use it | 23,564 |
How to cure dizziness and concussion after minor head injury? | Patient: I currently have a concussion from a car accident wich occurred a month and a half ago. I accidently hit the top front part of my head on the wall today while lying down on the ground and wanted to get comfortable and did not realize how close to the wall I was and hit my head. I now have increased dizziness which I had before from my concussion and a pressure in the area I hit. Could this cause a second concussion? Doctor: You can concern and seek for medical consultation if your dizziness and headache get worse over time and if you have new symptoms like vomiting, loss of consciousness(disorientation, confusion), seizures, vision problems or changes, speech changes. | 145,587 |
What causes swollen painful lymph node under right arm? | Patient: I have had a swollen painful lymph node under my right arm for 3 months. It enlarges and is painful about 1 week after my period and then subsides until the next month. I am 51 yo female going through peri menopause still having regular periods, other menopausal symptoms such as night sweats, hot flashes, etc. I had a mammogram 2 weeks ago and had an ultrasound today on axillary area. Don t have results yet but very worried its cancer. What do you think I should do next? Biopsy? Doctor: thanks for sharing your health concerns with us!well, it seems that it could be some inflamed and enlarged lymph node or could be some cystic / inflammatory changes in the axillary tail of mammary tissue!it could be tuberculosis...........if you are worried much an FNAC TEST IS THE BEST WAY TO CONFIRM IT! but not to poke it as it can be infected......... all the best......! | 66,776 |
How can a painful temple lump be treated? | Patient: I was wondering, I have just noticed a lump on my temple starting. It s a not big maybe the size of a finger tip. It hurts to touch but doesn t give me a headache. When I bite down it hurts aswell. I do a lot of strenuous work but I m not sure if that would have anything to do with it or if I should see a doctor? Doctor: Hello!Thank you for the query.This lump is most likely a local skin infection. It may be caused by hair follicle inflammation, sebaceous cyst or any other skin problem. It has nothing to do with your work. As it is painful, pus is most likely inside. That is why I suggest you to consult general surgeon with this issue. The lump should be incised, drained and removed. Please do not ignore the infection in this area as from temple to the brain is very close and such infection can spread to the brain.Hope this will help.Regards. | 67,864 |
Rashes in the creases of the body, bunches of red bumps, intense between the legs. What treatment should be taken? | Patient: i get really bad rashes between my legs, armpits, and any other crease on my body. The rash between my legs hurts more than it itches and is more than heat rash, however, the rash between my armpits and any other crease is a bunch of red bumps that look like heat rashes. The rash between my legs bothers me the most. It becomes swollen and red and sometimes becomes a really dark red. It is not a bunch of little bumps, it becomes one big swollen rash. your help would be greatly appreciated. I need some treatments! Doctor: yhis is allergic ungal or mixed you need to consult to know its cause by getting consultation from allergeologist any hing can react at any age with any part of bodyit can be medicines used for other ailments can be oils shampoo creams ointments and body applicationmaterials it can be food or pollenstempyou can use anti allergic antifingal tab with local ointments ans powders to control | 15,181 |
Suggest treatment for BPD | Patient: Dear Dr.Gautham my sister is 24 year old. She is under treatment for last six years .various specialist treated her .But 4 of them daigonised her disease in different manner. first they told bi polar depression. then told its due to some chemical changes in brain. finally they are saying that its borderline personality disorder.hope you understood her symptoms now. is there any correct way of determination of the illness in psychiatric medicine. many of them applied ect on her for several time. a total of 25 ects in 6 years. from my experience with these doctors i understood that psychiatry is a medical branch which treats the patients with only 9 medicines.and from the patients i met in these hospitals i understood that the mental illness cant be cured completely. the episodes came once in a year for the life time. Am asking you for a complete advice. And my question is Wat is the solution for the complete curing of BPD . Pleas help me. Doctor: Let me explain clearly.She is having borderline personality. Diagnosis is bipolar dissorder with depression. In which chemical changes as neurotransmitters like dopamine and serotonin levels changes.Borderline is a typeof personality. Its not a disease.Treatment is valproate she have to take for. Go side by side counselling to prevent relapsing.So dont worry. Hope my suggestions helpful and thankful to you. Take care. Don't forget to give ratings. | 206,959 |
What causes night fall? | Patient: Hi I am Jaison. I used to masturbate from the early age of 15 until age 27 almost every day. I have stopped masturbating for 2.5 years now. I have started doing excersise recently and now I am getting my sperm ejaculated in sleep atleast twice a week due to unwanted dreams. I will be getting married soon. Please suggest if this can have any harm for future.My age is 30, my height is 164centimeteres Doctor: Hello, Wed dreams/ nightfall called Nocturnal Emission is normal. It can be due to increased erotic stimulus mentally or physically or visually without sex or masturbation. Since you know the cause treating is easy. Reduce the frequent Erotic stimulus or masturbate/have sex. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | 194,368 |
Best gynecologist for PCOS | Patient: hello Doctor , Iam looking for Best Gynic who can treat me on PCOS ...I am suffering with PCOS. Doctor: In herbal medicine we use ashoka arisht and dashmoola arisht mixed together and taken 2 tsf bd with tab aloes compound and kanchnar guggul and punarnava guggul | 45,328 |
What is the treatment for stress and depression? | Patient: Hi My brother is 28 years old living in patna. A week ago he told me about follwing symptoms: 1. He thinks everyone is watching him 2. Even if two strangers are tlking, he thinks they are tlking about him only and criticizing him 3. He is vey sensitive to any scolding or harsh talks 4. When ever he talks to someone apart from family members, he becomes very stressed. it is evident from his face. 5. He has not much control on his mind. Some days he will be fine. other days he will be totally stressed out. cant study, cant do nay thing. I want to know what are these sysmptoms for. Is it lack of confidence, self esteem. And what are the cure for these things Doctor: Hi,Thanks for writing to healthcaremagic.Here ,you haven't mentioned the exact duration of symptoms. What you have described suggest that he has delusion of reference and may be delusion of persecution.These symptoms can be present in various kind of disorders per say , schizophrenia , schizoaffective disorder , schizophreniform disorder ,major depressive disorder with psychotic features ,bipolar mood disorder etc.So you should take him to psychiatrist as early as possible for treatment. He can be given antipsychotics for his symptoms but long term treatment plan needs detailed history.Hope I have answered your query, | 207,191 |
How to heal swollen lymph node on left gum along with tonsils even after wisdom tooth removal? | Patient: Hi, back in the beginning of November I had an infected wisdom tooth. It caused the left side of my face to swell. I saw an oral surgeon who gave me antibiotics to clear it up until I could get an appointment to get them removed. The swelling went away but also at this time I noticed my lymph nodes under the left side of my jaw were larger than the other side. They cause no pain but you can definitely tell a difference. I read that that sometimes occurs with wisdom teeth infections. A week or two later I had all four wisdom teeth removed and everything went fine. I didn't take the recovery seriously due to the fact I only took my antibiotics for a week until the pain went away instead of finishing out the bottle. So here it is in the beginning of February and I notice my lymph nodes on that side are still swollen and within the last week I've noticed my left tonsil is swollen more so than the other. Again, it causes no pain however when I swallow I do feel a little discomfort. I believe a lot of it might be psychological now because I've been worrying myself about it so much. I'm just curious if this is something you have ever heard of and if you might know what I should do. Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as u have mentioned that you have undergone extraction of wisdom tooth now still you are feeling swollen lymph nodes , it can be psychological also, for that you shouldgo to dentist for check up, Do warm saline gargle 3 - 4 times a day , make sure that you have done course of antibiotics given after extraction, as it was given for healing of socket, and infection. Wish you good health Hope this will help you. | 187,677 |
Suggest treatment for severe hair loss inspite of having basal cell carcinoma | Patient: I am 69 years old and have high blood pressure that I have been taking meds for since I was 25. both parents had it as well as my brother. it is well controlled at this time. I have no other serioud medical conditions at this time except for a basil cell carcinoma on my neck that was just diagnoised this week .my concern at this time is about hair loss.. about 3 weeybe ks ago my stylist ask if I had noticed my hair coming out more than usually and I had. the past two weeks it has gotten really bad and coming out by small clumps. I have always had very thick hair so I am very concerned. can you maybe give me any reasons for this Doctor: Hi welcome to HCMI have gone thru your query about hair loss which is a matter of concern .As you have mentiond that you have been taking meds for since you were 25. Medication for long time , distress , worry ,lack of intake of proper nutrition ,hormones are one of the biggest reasons women lose hair. The sources include pregnancy, birth control pills, hormone therapy, and thyroid hormones , your Basal cell carcinoma and age is also prominant factor to cause hair fall .For your info our body acts as a unit .If one part gets diseased the whole bodyis affected . So you have to treat the body as a whole so that you don't fall sick Dear in fact,Your body is always fighting something -- an infection, a toxin, an allergen, a food or the stress response -- and somehow it redirects its hostile attack on your joints, your brain, your thyroid, your gut, your skin, or sometimes your whole body. Your immune system is your defense against invaders .But when the immune system becomes weak, the disease cells can grow out of control , the disease overpowersSo you should not ignore other possibilities , that can be constipation , mental stress , worry , anger . All affect our health badly .So regular exercise and Balanced diet containing essential nutrients as fiber , fruit ,green veges vitamins and minerals in natural form - fish, lean meats, cheese, eggs, spinach, and soy. Coconut water ,lemon juice with water , nuts , almonds , and supplements full of antioxidants as Aloe vera juice + Amla juice 2 spoons , A level spoon Turmeric powder + Almond oil is very important for our sound mental and physical health and strengthen immune response naturally .To build collagen, a protein critical for hair growthFor proper blood circulation. exercise ,yoga , Kapalbhatti pranayam -deep breathing ,Anulom Vilom , Bhramari are help ful for soothing nerves inducing sleep and eliminating toxins from our body and help the natural hormones work, leading towards healthy life . Make sure that you get enough sleep every night. Meditation also helps sooth the mind helps in detoxifying and strengthening the immune system to enhance resistance from diseases and pave way for healthy disease free life .Take Homeopathic Acid Phos 6 & Calcarea Phos 6 / alternately / 2 times each . Take 3 hourly . Repeat for 15 days .Apply Til oil on your scalp Hope this helps solves your query .Take care .All the bestDon't hesitate to come with further query if you have any . | 155,502 |
What tests are needed at early stages of pregnancy? | Patient: HI; DR.I.WAS SUFFERING FROM INFRTILITY LAST 9YRS.SHE WAS CONCEIVING 1YR BACK BUT FOETUS WAS NOT DEVLOPING ANY LIMBS.DR ADVISED HER FOR ABORTION.2ND ABOR.TION DONE 3M BACK[MEDICAL ABORTION].BECAUSE FHS NOT FOUND IN USG.SHE AGAIN CONCEIVE DURING THIS MONTH.POG 6WKS. ADVISED HER ING. HYDROXYPROGESTERONE/ ECOSPRIN 75 .USG AT 7WKS.AND SOME TEST ALSO TORCH, ACA,APA ANA.DR RX IS WRITE OR STATISFACTORY. Doctor: Hi.Of course the doctors treatment is good, and even excellent in my opinion, do not doubt your doctor for even a second. Many doctors wouldn't do as much as your doctor is doing. She is making sure there is no stone unturned, and for your wife to end up with a healthy baby in the most normal, safe and healthy manner possible.Best wishes. | 219,525 |
How to treat calluses on the bottom of the foot? | Patient: Yes thank you... I have painful callouses on the bottom of my feet... They are not a usual callouse such as are common with shoe wear etc... They feel like they are the result of slivers.. They feel like they have the silver still inside when I apply direct pressure on them. I am able to occasionally remove them by prying them out with my thumbnail....especially...when I soak my feet... and the callouse comes out like a small kernel..... I have been to a podiatrist twice... and have gotten no explaination or treatment.. this has been going on for years ... any idea you may have I appreciate ... Thank you ... Doctor: Brief answer:Consult Dermatologist and go for cautery..Detailed answer:Hi.. Thanks for asking us..Dont worry.. Its usual for calluses to grow underneath skin surface just like a carrot.. With time depth of underneath extension increases.. They are caused by pressure of foot wear, sometimes genetic tendency where you can see callus with no reason.. It may be a type of wart looking like callus which is viral infection..Dont use nails to peel it off which may infect callus..Consult a Dermatologist and go for Cautery.. it can cause electrical burning of callus with its blood supply making sure callus doesnt grow again from its remaining.. its not painful as local anaesthesia will be given.. Dont get panic with word electrical burning :) It can put full stop for your years of suffering.. | 30,009 |
What causes shoulder pain after getting hit by a basketball? | Patient: Last night I was taking down my grandsons basketball down. Its an official size you fill with sand or water. It came down and hit my head then shoulder then hit the ground. My head seems fine, my shoulder hurts more. Should I get an x-ray to make sure there is no internal bleeding? Doctor: Hello, Your symptoms seem to be related to the injury. I suggest to use anti-inflammatory medications such as Ibuprofen to relieve the pain. I also recommend using cold compresses and maintain the area elevated. If the pain continues you can do an X-ray for further evaluation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 122,176 |
What causes on and off middle back pain and pain under breasts? | Patient: I have had terrible middle back pain for years off and on. It is accompanied by pain around my rods and right below my breast bone. It also hurts in those areas when I take deep breaths during these episodes. It hurts no matter what position I am in.... standing, sitting, laying down, fetal, etc. Doctor: Dear- thanks for using our service. Pain under the breast bone could be secondary to costochondritis,which is an inflammation in the rib cage that can get worse when take deep breath due to enlargement of the thoracic area when we do that. It can come sometime and get better with anti-inflammatory and analgesics. Another possibility is due to an inflammation of the pleura which is the membrane that covers the lung. The treatment is also anti-inflammatories as ibuprofen . It hope that my advise has been helpfulDr.Sara | 107,634 |
What causes a swollen lump on the left rib? | Patient: I have a soft swollen lump on my left ribs towards the separation of the two. And it is numb and tingles off and on. I work for a chiropractor and he though maybe I had ribs out and adjusted me but it did nothing but got worse... help? Oh, and there is no redness or rash on the area. Doctor: Hi, dear I have gone through your question. I can understand your concern. You may have some soft tissue mass. First of all you should go for x ray chest. It will give you idea whether it is bony origin or soft tissue tumor. Then if needed you should go for fine needle aspiration cytology or biopsy. It will give you exact diagnosis whether it is bone tumor, lipoma, neurofibroma, dermatofibroma or some other mass. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 63,187 |
What does it mean for a child to be drooling white foam while suffering from congestion and cough? | Patient: Hi, my daughter is going to be nine months in about a week 1/2 she s been a little congested and had a cough yesterday and earlier today. She is now asleep and has been drooling and I noticed some white foam. What can this be? She also has a tooth coming in. Could this be the cause to all of this? Doctor: hello and thanks for writing in.drooling of saliva feverfacial rashesIrritabilityDiarrheathese are the most common symptoms of teething. i think your baby is also facing that.for cough and congestion an antibiotic syrup can be given.don't worry and take care.hope this answers your query.RegardsDr. Shesh | 177,314 |
Can rifampicin and isoniazid cause my skin dry and itchy ? | Patient: rifampicin and isoniazid cause my skin on face super dry and itchy? Can rifampicin and isoniazid cause my skin super dry and rushes, itch occured on my face? pls help Doctor: Yes, as INH and Rifampicin are powerful antibiotics requiring prolonged use, they may cause skin problems. Especially when you move out in sun (photosensitivity). You may use a B-COMPLEX with VIT. A and VIT. E. Also you may use some moisturizer. Avoid going out in harsh sunlight for the duration of theraphy. | 9,691 |
Suggest treatment for upper abdominal pain, lower back pain and liver cyst | Patient: dear sir i am a medical persons my mothers have a upper abdominal pain bodyache and low back pain .on ultrasound report have simple liver cyst and rt cortical renal cyst .what cn i do sir please give me an appropriate way for treatment . Doctor: Hi,These conditions might really not be related and need a keen review. Liver cysts are treated depending on the cause. They could need drugs if they are infectious and at times might require surgical treatment. Upper abdominal pain could be due to gastritis or pancreatitis or some medical or surgical. In case these symptoms have been going on for a long time, the opinion of a gastroenterologist, coupled with an abdominal ultrasound and Ct scan would be helpful to guide diagnosis and treatment. Kind regards | 90,716 |
I have psoriasis and am experiencing a burning sensation | Patient: I have psoriasis and am experiencing a burning sensation/pain on every swollen lesion is this a normal syptom of psoriasis and what can I do to releive the pain ? Doctor: Hi! mariek, Welcome to HealthcareMagic forum, Psoriasis means "to itch"...normally you should not have pain..but if there is any secondary infection then it can lead to pain....Usually there is joint pain in psoriasis.Consult a dermatologist for proper diagnosis. take care, Dr.chawda | 12,633 |
Suggest treatment for painful swelling on the hand | Patient: My son has a lump Or swelling in his hand which looks like it could be the pisiform. He said he hurt it when a rope got caught around it during swimming. His left hand doesn t have a lump but his hand is painful of he shakes hands. Do you know what it could be? Doctor: Hello,I have studied your case. It can be soft tissue injury or swollen wrist. It can be pisiform also. I would suggest you get an x-ray of the wrist joint to see if there is any hairline fracture or any bony problem is not there. In case any bone fracture is there then he might need splinting. Apply ice and do not do any massage. Rubbing will increase problems. I hope these steps will be helpful for you. Let me know if there is any other followup questions.Thanks | 129,974 |
Is it ok to do skydiving after stroke? | Patient: My husband had a stroke last year but is doing well now and wanted to join friends skydiving this weekend. His blood pressure is in the normal range now and is taking plavix, lisinopril, carvedilol and crestor daily.Is it okay for him to do skydiving? Doctor: Hi ThereIt's advisable to consult your treating neurologist before making a decision as low pressure at high altitudes can cause injury to nervous tissue as he is also on PLAVIX.If I'll be his treating doctor I would not advise to go for it, nothing is more important than a healthy life without disabilty.I wish him good health | 21,615 |
What causes erectile dysfunction? | Patient: I am 28 year old unmarried man, my parents want me to get married but I am really scared about my sexual powers, I am masturbating from the age of 15 years, infact I still use to masturbate daily, few years ago I went to prostitute with my friends but I didn’t got erection but when I came back home and started masturbating thinking about her I got hard on and same thing happened next three times , I am scared now I may not satisfy my future wife or what will happen if I don’t get hard on or erection after marriage? On internet I read that those people who masturbate heavily turns impotent, am I impotent? I was unemployed for three years and in those days I was working from home in online marketing at that time I got addicted to watch porn movies and read sex stories and every time I use to watch porn or read story I was habituated to start masturbating I was unable to control myself, and when above mentioned incidences happened at those times my masturbation increased a lot sometimes I used to masturbate 7-8 times in a day, now my parents want me to get married I am scared and confused I will be very embraced if same thing happen in front of my wife, I really don’t want to ruin her life for my social status , it is getting difficult for me to handle this stress I do want to have normal married life, is it possible? I read different blogs and sites most of them say heavy masturbators don’t get erection at time of sex, what should I do, should I simply refuse to get married? Doctor: Dear user,Thanks for writing to HCM.I can understand that you are going to marry and worried about your future sex life with concern about perceived effects of masturbation.Masturbation is a normal part (healthy part) of sexual activity.Masturbation is similar to sexual intercourse. What penis does in partner's vagina during sexual intercourse, same it does during masturbation in your folded palm!Sexual intercourse does not cause weakness or any harm, so how masturbation can do! It is a rampant myth that masturbation causes impotency.Erectile dysfunction is due to anxiety about semen loss. (Psychological).Sex is largely what happens between two ears and not that happens between two legs. An occasional episode of erectile failure due to functional or situational reasons like fatigue, tension or own ''pressure to 'perform' rather to enjoy'' is very common. This diminishes arousal level and hence erection too.This 'failure' of erection makes one feel 'I should perform best' and he 'tries to erect’. This in turn further leads to lack of erection.I suggest you to see a psychiatrist before going for marriage.You can definitely come out of the stress.Wish you good health. | 196,790 |
Headaches, seizures, drowsiness. Abnormal EEG, MRI, CAT scan normal. Treatment? | Patient: Hi. My son who is ten years old has been having headaches with what he calls de ja vu. He has been on seizure/headaches meds since since he was 8. When he gets these episodes they are 15 to 20 days apart. He has had 2 seizures in the last 2 years. To me the de ja vu looks like seizures they make him very sleepy for the rest of the day. Just wondering what u think and get your opinion. He has had EEGS they show eizure activity. Has had MRI and Catscans they came back normal Doctor: Hello, I would agree with your thought that these episodes are seizures. After starting medications full blown attacks may not come and such aborted attacks may occur. However these episodes also need to be controlled for a good epilepsy management. Either current medications have to be hiked up or additional drugs have to be added to control these attacks also. Since EEG is abnormal so possibility of seizures is high. MRI and other scans may come normal in many epilepsy patients. Good luck. | 151,015 |
Any suggestion for tuberculosis? | Patient: My daughter is 23 years old. She was having long period influenza. Now she is feeling pain in neck right part. According to ENT there are 12 small glands/nodes/lymphats at her right neck. The doctor suspects tubercular. FNAC test has been given. Heaglobin is 8. She is very thin, please suggests suitable remedy. Doctor: Hello, Welcome to HCM, As your daughter is known to have extra pulmonary tuberculosis like TB Lymphadenitis it has been classified as Cat I under RNTCP guidelines.The treatment for this Cat includes intensive phase of 2 months with drugs like rifampicin, isoniazid, pyrazinamide and ethamabutol, the treatment should be taken on alternate days.This should be followed by continous treatment for 4 months with drugs rifampicin and isoniazid on alternate days.These medications will improve your daughter condition. Thank you. | 40,050 |
Diagnosed PCOD, prescribed MET-500, APCOD and Menoreg. Scan showed polycystic ovaries. Further? | Patient: Hi,I m 25 year old. Diagnosed PCOD. Prescribed MET-500,APCOD, AUTRIN ,Aloes Compound& Menoreg.. recent Scan report shows Bilateral polysystic ovaries. My mensturation cycle is regularly for every 28 days, body weight -48 kg. April month i missed period ,took 3 test as negative,so we consult doctor ,she said "it is not pregnancy"after scan. Scan Report indicates- Left ovary appear enlarged in size with multiple small folicles,no evidence of any cyst .& Moderate free fluid in Pouch of douglasthen may month period came.. i m taking medicine from may month ,How long time will take to cure PCOD.& get conceive??? Doctor: Hello,All above drugs are quite effective in facilitating your conceiving chance and these should be continued for at least 3-6 cycle.As you have regular period, you have to regular unprotected sex for 6-12 months close to ovulation day (approx 14 days prior to next period) or fertile days (12th to 18th day of each cycle) to maximize the chance. You can use ovulation prediction kit or LH kit. Along with, you must take folic acid & vitamin-E supplement with balanced diet.If you fail to conceive, basic fertility tests like husband semen analysis, tubal patency test, hormonal assay, cervical factor, follicular study etc are needed to carry out to rule out exact cause. Treatment is required on the basis of test result. Good luck. | 43,259 |
What causes dark seminal fluid? | Patient: I have unusually dark seminal fluid that ranges from a dark tan to brown color. Would you be able to give me some idea what my be causing this? I ve had some sensitivity around the glans area of my penis and the foreskin does not retract without a lot of pain and some tearing of the tissues as if it has shrunk over a period of time. What is going on? Doctor: hiwelcome it is difficult to comment on it, you need to be examined. Go for semen analysis, which will provide vital information. as you have mentioned that the fore skin can not be retracted, it might be due to phimosis. that requires examination to say whether it is possible to correct with medication or it requires a surgery.hope this helps.take care | 197,612 |
Can long time smoking cause cancer? | Patient: I had a CT lung scan yesterday. I am a long time smoker. I was called today to set up an appointment for another CT scan- this time of the chest. Does his mean that they probably saw signs of cancer and want to see how far it has spread.? It was after hours and I can t get hold of my doctor. Doctor: Hi thanks for your question.There is no doubt that cigarette smoking causes cancer, besides many more problems, But ordering for repeat CT scan doesn't means cancer. There could be many more reasons for which your physician wants to repeat the scan. May be he/ She wants more description of the findings for which CT was ordered or he wants some missing details to be looked into and finally he wants contrast study of the disease, in which scan is done after injecting a dye to confirm or rule out cancerHope this answers your question | 156,258 |
How do I ease the pain in the jaw after dental treatment? | Patient: My daughter had an allergic reaction to epinephrine at the dentist today. The reactions have subsided for the most part, but she s still in pain, especially her jaws. She takes topiramate as a maintenance med to avoid migraines, and since she took 50 mg of it this morning, she s not sure what she could take, or do, to ease the pain in her jaws. Doctor: Hello, Well the pain can be due to the dental problem causing radiating pain in her jaws. So in order to relieve pain she should consult an Emergency room and get evaluated. A painkiller shot can help in severe pain, however oral painkillers can also Be advised to relieve pain. She can take Acetaminophen to relieve pain and along with it do cool compresses over the jaws. Take soft meals and avoid excessive mouth opening. Also in future if she needs anesthesia shots she can be advised an Epinephrine free anesthesia. Also if the dental treatment is due she should get it done soon. Hope I have answered your query. Let me know if I can assist you further. | 180,412 |
Suggest medication for cough and fever | Patient: My 2 year old son has been excessively crying for the last week or so because of not wanting to take a bath, etc. He has developed a hoarse cough. He hasn t had a cold recently or a fever or anything for a long time, so it couldn t be croup? Or could it be? The hoarse cough has just started a couple of days ago and he is breathing ok. Just wondered what I should do about it. Doctor: Hi...Thank you for consulting in Health Care magic.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.Regards - Dr. Sumanth | 170,785 |
What causes left-sided body pain while having gallbladder dysfunction? | Patient: I was in hospital in July and told I need to have my gallbladder removed. I am recently experiencing painful spots all along left side of body; bottom of foot, cyst on left ovary, sore left breast and just today de eloped a bulging area on left side of neck that hurts. Could these things be related to my gallbladder? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is not related to gall bladder and might be due to some other causes. Consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. | 52,571 |
What causes difficulty in walking while having episodes of seizures? | Patient: I had episodes of seizures in Feb 2016 I have been doing fine until lately when I woke up o bathroom floor ,not sure how I got there .amb crew got me up but I was OK by then .I now feel fine most days but some days have problems walking and feel really bad some days Doctor: Hello!Welcome on Healthcaremagic!The difficulty walking could be related to a partial paralysis after the seizure (which is quite a common phenomenon). Confusion after the seizure could also explain the gait difficulty. Anyway, I would recommend performing a brain MRI in order to exclude any possible brain lesions, which can lead to seizures and gait disturbances. You should discuss with your doctor on this test. Hope you will find this answer helpful!Best wishes, Dr. Aida | 142,166 |
What could severe pain between gums of lower teeth and inside bottom of lower lip indicate? | Patient: The space at the bottom of my mouth between the gums of my lower teeth and the inside bottom of my lower lip is becoming very painful as if there is a cut or a canker sore down there. It has lasted about 2 weeks now. What is it and how will I be able to get rid of it? Doctor: hiwelcome to HCMthe lesion seems to be either granulation tissue. you should visit dentist to know if the lesion is benign or malignant. Get the biopsy done to reveal the perfect diagnosis. dont take it lightly and get the infected tissue remove. dont touch that part. take care while brushing.thank you | 187,493 |
How to treat infection in a 10 months old child? | Patient: my first child is infected with mucolipidosis type 1. she is 10 monts old. now my wife is 6 mon pregnent. she had an ultrasound last day. They told me that they found edema in child forehead and her intestine is polyechogenecity. could you please tell me is there any chance of mucolipidosis for the second child Doctor: Hello, I have gone through your question and I understand your concerns but this is not due to infection this is due to a genetic metabolic error.. consider ICSI with a selection of disease-free embryos. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Salah Saad Shoman, Internal Medicine Specialist | 162,117 |
Verbal communication is affected due to closed concussion | Patient: I am a 56 year old exceptionally fit male. I hit my head hard to unconciousness on the ice yesterday. the CT scan showed a closed concussion. I am having cognitive issues, mainly getting my speech out as usual and stuttering, I do not have control of this. I am gernerally well read but can not read aloud properly as usual. My verbal communication skills are affected seriously in my opinon. Do you recommend further testing or will this go away over time? Doctor: I absolutely recommend further testing, with a definitive consultation with a Neurologist to do the specialized testing and recommended treatment. I also recommend immediate treatment with occupational, physical and speech therapist as to maintain if not improve the deficits you describe early. Your Primary Care Physician and or Neurologist will be able to refer you to these forms of therapy, and such may indeed be covered by insurance or your carrier based on what you described to me; but I would look into it nonetheless. In summary, the symptoms you are experiencing can be temporary and you can indeed 'possibly' return to normalcy with no intervention; depending on the particulars of the situation, which sitting here responding to your case I cannot access at the moment. Nevertheless, I personally would not risk patiently waiting, and would want to get such symptoms checked out and dealt with early as to not ensure permanent issues. Therefore my recommendation is to stay healthy, keep practicing your speech, and challenge your cognition with mental tests as self therapy (the more you challenge your brain the quicker it heals), and at earliest convenience schedule an appointment with a Neurologist. :) I hope my recommendation has helped. | 143,423 |
Suggest treatment for flattening of the chest on the right side | Patient: my right hand side chest part look flat compare to the left side. i can feel the slope in bone wmy right hand side chest part look flat compare to the left side. i can feel the slope in bone when i touch to my chest. it seems right hand side part hasn't develop... Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Flattening of one sided of chest wall is seen in 1. Lung conditions like fibrosis of lung, collapsed lung, maldevelopment of lung etc. 2. Maldevelopment of intercostal muscles and ribs. 3. Vertebral deformity etc. So better to consult doctor and get chest x ray, x ray of lumbar spine and MRI spine if required. These reports are needed to rule out above mentioned conditions. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 78,278 |
Suggest treatment for muscle spasms and cramps caused due to spinal fusion | Patient: I am a 58 year old woman. I have a spinal fusion from T2 to S1. T10-12 are no longer fused. I am experiencing major muscle spasms all over my back but the worst is in the thorasic area. These spasms are like huge contractions and stop me in my tracks. I can t breathe during them. They wake me during the night an often prevent my getting to the restroom before an accident. No medication seems to help. After a bout of these cramps I am sore for days. I have noticed I stand bent forward & to the right. what could be causing this? I have an internal spinal chord stimulator, but it seems to make things worse, Doctor: Hello, I have studied your case.You may need to do MRI spine again to see for nerve compression Muscle relaxant like baclofen can be started consulting your doctor.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and TENS therapy will helpI will advise to check your vit B12 and vit D3 level.Continue gabapentin consulting your doctor.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | 128,213 |
What causes ankle pain? | Patient: My ankle for a number of weeks has been hurting when I put weight on it.I am very active.I weight lift and play football.For weight lifting I did not go over board to injur it, but during football with all of the footwork we do, it really bothers me.I dont think it is sprained, or broken, but i am not a doctor. Doctor: Hello, As this sounds be instability of the ankle joint. Ligament weakness and muscle imbalances may lead to recurrent ankle pain while in sports. Doing balance board training will help improve the stability of the ankle joint and also improve muscle imbalances. While playing sports please use ankle brace to control the stability of the joint. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 123,434 |
Pernicious anemia in line with intrinsic factor. Had a gastric bypass surgery. Is it megaloblastic anemia? | Patient: hi there, I'm in pharmacy school working on a Case Study and I am slightly confused. Our "patient" had a gastric bypass surgery. His current iron levels are higher than the normal range. His b12 though levels are low. Since pernicious anemia is in line with Intrinsic Factor, would this case be clarified as pernicious or simply megaloblastic anemia? Doctor: Hello,In gastric by pass surgery,a major portion of stomach is bypassed which results in formation of just a pouch which acts like a funnel to transit your food.This bypassed portion of stomach makes the intrinsic factor and since food doesn't go into that area,the person develops a VIT B12 deficiency.In essential this condition is a megaloblastic anemia,since you are not deficient in intrinsic factor as present in pernicious anemia.Thanks | 118,634 |
What causes an enlargement of the left kidney? | Patient: I have a son who is twelve years old. He started having back pain. Incidentally upon making an MRI for the back, we found that his left kidney was slightly enlarged. We have done an ultrasound and also found that both the left kidney and a part of the pelvis are enlarged. He is not complaining of any pain currently and there has been no sign of blood in his urine. What is your advice? Doctor: Hi and welcome to HCM.As an Urologist, i can understand your anxiety.Enlargement of a kidney may occur by birth.The MRI scan will confirm this finding.The difference between the two kidneys size,shouldn't exceed 2 cms.As he's not having any symptoms,you don't need to worry about it.If you've any other doubts,send it as a direct question in my name.Dr.Matthew J. Mangat. | 46,337 |
What causes tingling of left hand and chest pain? | Patient: Hi this is 23 year male from bokaro getting my left hand tingling and heart side pain. I have completed all the related test but i don't get single result positive. I consulted to doctor he gave a medication of blood pessure still not getting any relief. Suggest me better as possible. Doctor: HIWell come to HCMThank for asking, I really appreciate your concern, the symptoms of tingling may not be due to hypertension or heart disease but it is more seems to be due to cervical spine disease (spondylitis) and it should be ruled out I would suggest to bet done the MRI of cervical spine if anything turn marked positive then you need to see the neurophysician or orthopedic surgeon else antihypertensive medicine will not work here, second thought it may be due to some local nerve compression because of uneven posture clinical examination will clear every thing suspected hope this information helps. | 141,964 |
What causes low volume of seminal fluid at ejaculation? | Patient: HI.. I have extremely low volume of seminale fluid at ejaculation. It feels like something is actually blocking the flow. I have been to uroligists to no avail. I have a vasectomy 24 years ago, so not sure if that has anything to do with it. Doctors seem to scoff at my bringing it to their attention. They have said if it feels good that everything is ok. I am 57 years old... Doctor: Thanks for asking in healthcaremagic forumIn short: 1-5 ml of seminal fluid at ejaculation is normalExplanation: You have undergone vasectomy is well and good. Usually bulk of the seminal fluid is from seminal vesicles and prostate not sperms. So, your vasectomy had not affected your seminal fluid volume much. As I told you 1-5 ml of ejaculate is normal. So stop thinking of volume unless you have problem in erection or orgasm. Enjoy, good luck. | 201,059 |
Abdominal pain. CAT scan showed no kidney stones. Heartburn, belching, sore throat. What to do? | Patient: HI docotor.. Earlier in June i was suffering from right lower abdominal pain.. As i was diagnosed with kidney stones, doctor asked me to go for CAT scan.. I took a scan and the doctor said there is no stones and send me to internal medicine... The doctor saw the scan and all my organs (stomach, pancreas and so) are structurally good.. no need to panic... he didnt gave any tablets too... I have a bad habit of very sensitive nature... I started to think about it more... Then heartburn comes after two days... one of my friend said as you are so sensitive, the stress factor caused you heartburn.. He is right and am thinking all the time about it... After eatng, when i belch i started to feel the food coming back... I have a sore throat because of this.... Please help me, what should i do? I am sure all these symptoms are stress induced.. sometimes traces of blood in saliva too... not always.. my doctor friend said, this is because of the stomach acid.. help me... Doctor: Hi there, Right lower abdominal pain and heart burn are 2 different entities.As your CAT scan is normal any significant pathology for the cause of right lower abdominal pain is already ruled out.So,there is no need to worry on this.Now coming to heart burn,its true that it can be stress induced.Some other habits can also contribute to this like irregular food habits,excess coffee,smoking,alcohol,high spicy food etc.Heart burn is due to to reflux of acid from the stomach upward into the esophagus.This can cause congestion in the larynx,which may be the cause for the sore throat that you are experiencing.Firstly try methods to reduce your stress,Secondly avoid food and other habits that increase stomach acidity and thirdly take antacids for 3-4 weeks.If you still dont feel the difference further evaluation in the form of endoscopy may be required. | 93,030 |
Took Ovafar 50. Did follicile scan. Follicile size not increasing. Suggestions? | Patient: I am 35 and had ovafar 50 twice a day between 3rd and 7th day of my cycle for the last two months. On the 11th day of my cycle this month I went for follicle scan and found that my right ovary had following follicle sizes 12x12 and 10x10 (2). I went back for another follicle scan on 13th day and I was told that the follicle sizes have remained the same and has not grown further. Now I am again asked to come back on 18th day of my cycle. I am really worried. Will I ever get to have an health ovum. Doctor: Hello,You are 35/F. I went through' your report. You have problem in follicle development. For which you are using Ovafar, a drug which has no proven efficiency. You have not revealed about your menstrual history (regular or irregular) and any USG scans report done to assess the uterus and ovum. Considering everything is normal, except the follicle size the drug of choice will be Clomifene 50 mg from the 2nd or 5th day of your menstruation for 5 days and doing a follicular study from the 9th or 10th day of your period. This will clearly indicate the development of follicles and release of the egg cell. Only one ovum will be released either from the right or left in one cycle. Depending the report we can increase the dosage of tab or change from tab to injection in the next cycle.If your cycles are regular 28/30, Ovum will be released from the developed healthy follicle approximately around the midday of the menstrual cycle.Consult a proper gynecologist and get proper medicine to improve the follicle development.I hope you understand that.Best wishes for you | 43,402 |
Taking ace inhibitors for renal disease. How to develop the ESRD level? | Patient: MY CREATININE IS 2.3 AND BLOOD UREA IS 60 MG/DL.GFR 30 HOW LONG WILL IT TAKE TO DEVELOP ESRD.my age is 50 years i am taking ace inhibitors to retard the disease.but are they able to stop progression Doctor: Hello, End stage renal disease (ESRD) is the last stage (stage five) of chronic kidney disease (CKD). This means kidneys are only functioning at 10 to 15 percent of their normal capacity. When chronic kidney disease develops into ESRD, dialysis or a kidney transplant is necessary to stay alive. Since you are already having GFR of 30 ,it indicates a stage 4 CKD. What can be done to either delay the progression of disease or, in many instances, prevent it? 1... Control your BP meticulously with either ACE inhibitors or ARB's 2...Control excess body mass 3..If it is deemed safe by your physician, low impact exercise for 20 to 30 minutes a day may be beneficial. It is certain to improve the quality of life and well-being 4...Controlling Lipids 5...Refraining from Cigarette Smoking 6... Avoiding Drugs Known to Damage the Kidneys like pain killers and antibiotics like gentamicin At the end I would like to mention that you can simply try to postpone the event of ESRD but you can not totally stop this event. Thanks | 51,047 |
What causes bald patches on the left side of the head and migraine? | Patient: I have noticed two bald patches on my head. One is about two inches in diameter. They are both on the left side of my head. I have also been experiencing pain in my neck when I turn my head suddenly in either direction. I have had severe migraines that usually end up with me vomiting. I am normally healthy, 48 and female. I had one episode of a black out when I came to I was on the floor on my back. I am seeing my family doctor tomorrow what should I be asking him? Doctor: Hello, I had gone through your history.You have 2 different problems - your patches are due to alopecia area for which you should consult dermatologist .secondly ,you have migraine with neck pain due to cervical spondylosis .For this , I advise you to take migraine prophylaxis and analgesics for neck pain and physiotherapy.You should also go for exercise and yoga to relieve stress as stress is also aggravating factor for migraine and cervical spondylosis.Thanks | 142,381 |
Congenital positive Hepatitis B, taking entecavir, Liv 52. Am I eligible to work in a pharma company or go abroad? | Patient: sir i am hepatitis b positive fom my birth my mother had it unnoticibly noticed at hospital so i also checked for it i also have same problem my mother is inactive so doctor had not prescribed medicines to my mother but i also diagnosed from abott laboratories and found hbeag as0.48 and hbeab 2.69 high viral load of 0000 copies so doctor prescribed entecavir 0.5 mg daily for 1year and himalaya liv52hb 4capsules daily recently after 6months doctordiagnoised again my liver enzymes normal hbeag 0.034, hbeab0.281,viral dna copies less than 10copies iu/ml is problem decreasing i am b.pharmacy final year am i eligible to work in any pharma company or not or i have any chance togo abroad my hbeab got negative in reference with500 reference range and hbeag with100 reference range positive i am still under medication from december2011 reply me Doctor: Hello,Your laboratories say that your disease is well under control, Hepatitis B Virus spreads by direct contact of your bodily fluids with the other, so travelling and living with some person will not transfer the virus, as you are already on entecavir, you should be on regular follow up with your doctor abroad for follow up scans, liver tests and viral tests, if your treating doctor and the university you are going from gives you a pass, then it is no problem I believe , please consult your treating doctor. Hope I could help you.Thank you. | 56,960 |
Is CEA value of 31.37 ng/mL a cause for concern? | Patient: Hi..good morning to all.. Dear Doctor, My mom s CEA value before starting treatment WITH FOLFOX was 418.7 ng/mL, after completing 6 cycles it is 31.37 ng/mL.. Although it has reduced, kindly give ur views on it..What will be next action plan. Regards Vandana Doctor: complete 6 more cycles of FOLFOX. yes your disease is responding .so complete the whole course of treatment | 152,718 |
What are the symptoms of vertigo? | Patient: I was diagnosed with vertigo in early june..although I am much better than I was I still have a spinning room when I lay down and sit up in the am.if I look up too or reach up too long I can feel the dizziness coming on. Same with leaning over.i seem to loose my balance easily. Can this be something else and should I see someone? Doctor: Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryThis sounds very much like Benign Positional Vertigo. In this, if you change the head position suddenly and quickly, you will develop the vertigo.You need to be careful to change the position of the head slowly so that you do not have the sudden vertigo.The medicines are always there and are quite effective especially betahistidine. However taking medicines for a long time is not always a good way.I suggest you attempt to learn the Brant Daroff exercises, which are very effective in healing and improving the vertigo.An MRI brain would be good to make sure there is no intracranial or brain problem.I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. You can upload them on the site.You can upload them with the query, or if you have a problem, send them to [email protected] with Sub: ATTN 'Your Name'. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me.Please do understand that some details could be extracted from a detailed history and examination.Please click on Thanks/Helpful if found useful.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this by clicking on HELPFUL)Best of luck.Dr Mittal.MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology) | 144,915 |
Why does my groin area hurt while wlaking? | Patient: I have had 3 stents put instents ther had to be cleaned out on May 19th . have been doing good. up until 2 days ago. th groin area is hurting especially when I Walk. I have tried heat and ice. there is no swelling or knot, could there be something else going on or has it not had time to heal? Doctor: HelloThis pain w ill subside after few days.You may have good relief with physiotherapy like IFT [Interferential therapy] and TENS[Transcutaneous electrostimulation] along with ultrasound.So if possible you can start that.You can wait for a week more and then you may consult your doctor.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | 133,078 |
What causes sudden outbreak in hives with sore throat? | Patient: Is there a connection to high cholesterol and hives? I have both. A blood test for allergies shows a reaction to dogs, but I have had then my entire life w/o a problem. Just wondering if there is another cause for the recent and sudden outbreak in hives with a sore throat besides allergies. Doctor: Hi, Hives also called urticaria may be multifactorial. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. Investigations including allergy tests may be done. Dog dander may be responsible. Besides that many allergens... dietary,contactants and inhalants may be the triggers of urticaria and sore throat.I would suggest...- elimination and avoidance of food,contactant and inhalant allergens- antihistaminics like fexofenadine- doxepin - if needed short course of steroid - subcutaneous injection of Histaglob at regular intervals I hope this would help you.Thanks.Dr.Ilyas Patel MD | 14,307 |
What causes excess sweating and trouble with memory? | Patient: my 36 year old son in law is physically fit-has a very high stress job-has been told he needs to keep check on thyroid. Lately he has been having memory problems-excess sweating-hunger (but he is not overweight)-he also has to urinate about two times each night. Doctor: Hi dear,having memory problem with excess sweating and hunger and two to three times urine may be due to Thyroid dysfunction or may be due to anxiety so first of all do Thyroid function test with empty stomach.High stress job also may result in depression and also anxiety so this may be one of reason for that.is your sleep adequate ?Thyroid dysfunction also cause psychiatric illness in the form of depression and anxiety.consult psychiatrist.Thank you | 208,783 |
Could TB test cause grand mal seizure to 5 year old? | Patient: My 5 year old son went to the doctor for a physical, he recieved a tb test we were leaving the doctor and i put him in his car seat, he began to have a seziure. he has had seziures in the past but not like the one he had at the doctor. the seizure lasted for 25 mins. his normal seziures are absent, this one was a grand mal seizure. I want to know if the tb test could be the cause if the grand mal seizure? His weight is 41 lbs Doctor: Hi,Thanks and welcome to healthcare magic.As far as I know there is no reaction to TB testing and grandmal epilepsy.If he suffers from TB meningitis he may go into seizures.Hope this answer clears your doubt.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam. | 173,201 |
Is it normal to have lower abdomen pain after a embryo transfer? | Patient: Hi I'm on the 8 days after embyro transfer, my first try was 4 years ago it was a successful one but this time I have very different symptoms. Is it normal the lower bowel is pain and my result is still negative when i tested yesterday (pregnancy test at home). Is it means I'm not pregnant? Very worried. Doctor: As you had implanted an emryo in your uterus , which takes time for your body to adapt as for your body is a foreign body.If your embro is viable then gradually you will see a change in your body. 7 days after you tested for pregnancy test and is negative , then you consult your gynecologist for d same. He/she is the right person to guide you further. | 41,976 |
Does lump on the forearm needed to be biopsied? | Patient: I have had MGUS for two years, with mildly high calcium levels, also two painless lumps for two years in lymtph nodes in my groin, I have had a lytic lesion on my humerus in my left arm and recently, three weeks ago developed a golf sized lump on my forearm bone which is mildly painful. My doctor put the arm lump off as a bone spur but she did not have my medical records yet and didn't know I have had MGUS for years, Do you think this is anything I should have biopsied? Doctor: Hi, dear. I have gone through your question. I can understand your concern. If you have mugs from many years and recently develop lytic lesion and some lump then you have very high chance of developing multiple myeloma. You should go for protein electrophoresis and biopsy of lump. If needed also go for bone marrow examination. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 68,162 |
Is small spot with white dot at the tip in mouth a sign of cancer? | Patient: Hi have a very small what seems like a spot in the lower part of my mouth in front of my front lower teeth. It is not painful in any way and comes to a point when i can pop it. It gets small but wont completely go away! I keep touching it with the tip of my tongue which I probably shouldn't do but I am starting to worry about it :/ When I pop it sometimes a bit of blood comes out. It has a ting white dot at the tip. Is it signs of cancer! I am worried!! Thanks Hayley Doctor: thanks for your query, i have gone through your query. the white dot could be a frictional keratosis or it can be a canndidiasis. nothing to worry the white dot could not be a cancerous lesion. consult your oral physician and get your oral cavity examined and rule out these lesions. if you have the habit of smoking stop it. do not keep touching with the tongue. i hope my answer will help you. take care. | 156,651 |
What is the cause fluttering in heart and chest pain? | Patient: my heart has been fluttering alot lately to the point to were my pulse rate goes really high when all i'm doing is sitting. I'm a 23 year old female and last saturday I experience some really bad pain in the chest that shot from my chest to my shoulder then to my elbow it was horrible I have extremely low calcium D levels and I was wondering if maybe that could have been the cause or Maybe a possible heart attack. Doctor: it may be angina ..u may ne having CAD coronary artery disease or AORTIC stenosis ...please go for ECG...CHEST X RAY AND echocardiography as soon as possible ...donot ignore it | 19,654 |
What does tender finger nails in children could be? | Patient: Hi, i have a question from a friend of mine. She have a 2 year old daughter that suddenly starts so loose her finger nails. Sha been at her family doctor but he couldn t say what it was and will send her to a specialist. Do you know what it could be? I found something on internet called twenty nail disease, do you think it can be that? Thanks :-) Doctor: Commenting this problem without examining patient will be improper... Kindly visit local skin specialist for more info... | 170,605 |
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