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Are diarrhea and vomiting side effects of taking I-pill? | Patient: I took i-pill last Thursday after 3 hours of intercourse but since then I m suffering from loose motions and vomiting at night continuously.....is it a side effect of i-pill or can itbe normal food poisoning...n if it is side effect then how long would it go...can I take medicines prescribed for stopping loose motion n vomiting....?? Doctor: Hello, Diarrhea and vomiting are not side effects of the I pill. So, the symptoms are probably related to gastroenteritis. I suggest using over the counter option such as Imodium three times a day. I also suggest using daily probiotics. I recommend to eat a healthy diet. Hope my answer was helpful. If you have further queries feel free to contact me again. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 85,788 |
What causes twitching in wrist and small finger? | Patient: Hello Doctor,My wrist and pinky area has started to twitch for the last few weeks. I was diagnosed with epilepsy 6 years ago. With in the last 7 months I did not have any episodes of seizures, then 2 weeks ago I had 2 mild episodes out of the blue. could the twitching be from the seizures?? Doctor: Hello!Welcome on HCM!Regarding your concern, I would explain that these twitching could be small partial seizures. I would like to know the description of your previous seizures? How did they start? Did you have hand twitching during the seizure? Did you lose conscience?Are you taking any anti-epileptic drugs? Which of them?An electrolyte imbalance could also explain these troubles. Coming to this point, I would recommend consulting with your doctor for a physical check up and some tests: - complete blood count- blood electrolytes- thyroid hormone levels- kidney and liver function tests. A new EEG may be needed. You should discuss with your doctor on the above issues. Kind regards, Dr. Aida | 143,353 |
What causes burning senstion on head,in mouth and runny nose during winters? | Patient: For the last few winters I always have this problem My head is burning, my mouth burns, my nose runs constantly (clear not at all infection) my nose is ice cold as are my feet. I know if I would set in a hot tub of water, it would clear up for awhile. I am wondering if I am allergic to something. Doctor: Hello, Welcome to HCM,The symptoms which you are having during the winter season suggest me that you may be allergic to some allergen.I would advice you to test your blood sample for absolute eosinophil count to know the presence of any allergic reaction in the body.You have to undergo skin prick test for the most prevalent allergens like dust, mite, pollen and food to identify the allergen causing these symptoms and then you can avoid those allergens or you can go for treatment like immunotherapy. Thank you. | 102,141 |
Can Metrogyl 10 mg arrest the loose motions? | Patient: Hi doctor, my 7 years old daughter was initially suffering from fever . we shown her to doctor and she diagnosed her as viral fever and prescribed combiflam 10ml after 8 hours, till fever subside. After two dosage fever subside but lose motion started with the frequency of 6-7 a day, initially semithick and later watery motions. Now doctor has prescribed nor metrogyl 10 mg for twice a day. Kindly suggest Doctor: Below 12 yrs it's dose is 10 to 15 mg/kg/day in three divided doses and in amoebic dysentery can be given upto 35 to 50 mg/kg/day in three divided doses..give pre - pro biotic and zinc with this ..It will enhance recovery...and ors | 179,355 |
Suggest treatments for B.U.Z. Fibrotic Koch's | Patient: My X-ray report says I do have B.U.Z. Fibrotic Koch's and I have been said to be UNFIT for the job in Oman. But I had never been diagnosed for T.B. I am 50 now. I do not have any problem at present. I had Pneumonia in 1973 and after that I am suffering from Asthma. What is the solution to remove these spots in my X-ray? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some healed Koch's lesion in your lung. It gives that spots in x ray. You can not remove that spot. However it is not a reason for unfit. Consult your doctor and talk with your company for that. Thanks for using health care magic. Wish you a very good health. | 116,407 |
What causes drastic fluctuations in WBC? | Patient: Good afternoon, My WBC has fluctuated over the past few months. Below please find the most recent history along with previous counts. Blood results as follows: WBC (x10^3/uL) 3.30 L RBC 3.29 L HGB 11.70 L HCT 33.10 L MCH 35.60 H MPV 7.20 L LY % 52.00 H Neu # (ANC) (x10^3uL) 1.30L March 25, 2010 â?? 4300 â?? April 10, 2010 â?? 3500 May 7, 2010 â?? 4300 May 28, 2010 â?? 3300 What could be causing drastic fluctuations in my WBC? Also, I am very prone and susceptible to colds, flu, etc. since I have had the leukopenia. I am at the point where I have to spend most of my time at home to prevent illness. (HIV has been ruled out.) Gender: Female Age: 35 I thank you in advance for taking my question. Your assistance is greatly appreciated. Respectfully, Elena Doctor: Hi, dearI have gone through your question. I can understand your concern.You have leukopenia. Most common cause is viral infection. You are susceptible to viral infection because of low immunity. However if you have persistent leukopenia then you should go for bone marrow examination once. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health | 115,768 |
What causes abdomen ascites fluid with pain and fullness? | Patient: I have ascites fluid in my abdomen and was drawn and came back with cancer cell and i have been having these pain and fullness and also i am having pain where the needle was inccerted to draw the fluid i have been taking antibiotic and i am still in pain Doctor: Hi, dearI have gone through your question. I can understand your concern.You have cancer cells in ascitic fluid. You should go for ultrasound or ct scan of abdomen. It will give you exact details about your primary cancer. Then you should take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | 153,559 |
Suggest home remedies for puffy eyes and blurred vision | Patient: I took my kids to a public pool and my sons eyes are really puffy and blurry vision. His checks r even red and swollen. Is there anything I can do to help comfort him at home? It's done it before and it went away the next day but all I did was put a cool towl on his eyes. Doctor: HelloThank you for contacting HCM.Most probably your son is suffering from allergy due to some source in the pool. It could be an insect bite or anything else. I won't be able to recommend you medicine as you have not mentioned age of your son. One thing that you can do is that heat some cloth on flame so that it becomes slightly warm, then place it over the eye. It will give soothing effect. Repeat 3-4 times a day.Visit hospital if :> IF condition persists for more than 2 days.> If any other symptom appears.> If child becomes lethargic, drowsy or difficulty in breathingHope he get well soon.Thank You | 214,441 |
What causes body chills, weakness and persistent headaches? | Patient: I've been prescribed two different types of antibiotics but still dealing with the symptoms of lack of ability to stay warm without additional neck and head covering (chills). Tired and weak, after work I sleep my off hours until returning back to work. Persistent headaches. Doctor: Hello Dear. You might be having tension headaches and stress. Your symptoms look more of mental stress than any physical problem. Also you may have migraine at times. For headache you can take Tab Paracetamol or Dolo-650. Some lifestyle tips you need to followSome lifestyle alterations might help reduce migraine frequency. These include:1. Getting enough sleep2. Reducing stress3. Drinking plenty of water4. Avoiding certain foods- oily, spicy5. Regular physical exercise.6. Avoid- smoking, alcohol and other stimulants7. Learn meditation techniquesHope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the bestWith warm regardsDr Sanjay Kini | 29,725 |
Suggest treatment for severe pain and numbness on the toe | Patient: I am a 54 year old female. I had a closed fracture of my left tibia and fibula 10 months ago. I was non weight bearing for 4 months with an external fixator. My toes are still numb and it is quite painful still to walk on my left foot. My fracture is healed, but the bone is crooked, but within acceptable limits according to my orthopedic surgeon. He said there was probably damage to the peritoneal nerve. Will this numbness go away or will it affect my ability to walk from now on? Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.Probably you got injury to perineal ( not peritoneal) nerve. You are likely to recover gradually as other nerves took function of this nerve. Mecobalamin can be helpful in recovery. This should not be doing any harm in walking and I think you can walk normally. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. | 136,040 |
Should i be worried about my child putting marker in his mouth? | Patient: My 2 year old son got a hold of a sharpie permanent marker, Despite the obvious Marker on everything, he also appears to have gotten it in his mouth(according to the calligraphy on his tongue) and even though he seems to be fine( acting normally) should I be concerned? Doctor: HiWelcome to the HCMInks contain dyes, some alcohols and a chemical called glycol or glycol ether. Glycols and glycol ethers can be toxic in larger amounts, but the quantity in a pen or marker is very small, to the point of being insignificant. The main issue is usually the cosmetic staining of the skin or tongue, which may last for several days. Ink can also cause mild stomach upset rarely.So don't worry. For any further questions, do contact us. | 174,255 |
What causes loss of taste after using Dettol for gargling? | Patient: Hello Dr I happen to take it upon myself to gargle with dettol. I had a sore throat coming on and thought with my smart self it will kill it in its track. I didn’t swallow just gargle for about 1 to 2 minutes. After that I wash my mouth and gargle with mouth wash. An whala I lost my sense of taste. Everything I try to drink or eat taste like nothing. I am very concern now because it’s been more than 24 hours. Will I get my taste back? Did I damage the senses on my tongue forever? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Loss of sense of taste seems probably due to burning of the taste buds with excessive use of dettol followed by mouth wash. It is probably temporary and will return as the taste buds heal.So my suggestion is to stop using dettol or mouthwash completely. Take Becasule tablet daily. Avoid spicy foods and do warm saline gargles. Just have patience, the taste sensation will gradually return. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | 180,590 |
What causes high fever going low on taking Advil and high back again? | Patient: toddler has high fever for week now. went to 2 docs and er. got antibiotics, but er thinks its viral. no other symptoms. fever was getting to 105 between meds, but now we are alternating tylenol/advil as per the er s instructions and giving him the dose per his weight, not the amount on the bottle. he is dipping really low 4/5 hours after the dose of advil (like 96.5) in the ear, and sweating. but he is still having the fever. is that low ok? the temp is in the ear. and he is very healthy otherwise, acting fine, eatting and drinking. it has not quite been 48 hours on the antibiotics. Doctor: if he still have fever despite taking advil means1)either the dose is not enough and you need to increase the dose 2) the intervals between the doses needs to be shortened | 167,045 |
Suggest treatment for bronchitis and reflux | Patient: Hi good afternoon. I am coughing main at night,it is a dry cough. My Dr. said that it is a bronchitis and reflux. it was treated a bit but then I stop taking Nexum because I ve had a muscle pain so bad. After 3weeks here I am suffering again. I am taking razit 20 similar to nexum and cough syrup linctus. But early this morning 1am to 6.30am it seems the medicine not working, coughing so bad, then I started a chest pain, and headache. I drink a teaspoon of bicarb soda that help abit. Doctor: hello, actually in this scenario I would like to know ur smoking habit's and if u smoke please quit smoking.this ll help you a lot. and as for nexium ,u can change it over to pantaprazole 40 mg once daily before breakfast. if cough is due to reflux this will resolve.you hav to restrict on spicy and oily food. regarding bronchitis I ll have to see a chest xray. | 79,834 |
What is the treatment for severe hemorrhoids , abdominal pain , back pain and heartburn | Patient: Hi, just finished my third round of chemo for breast cancer. Caught early stage but hi recurrence score. This past week, have had very painful hemorrohoids and abdominal pain, back pain, hearburn. Are these related to treatment? Did a round of flucanozole anitfungal after first round of treatment due to thrush and fungal infection. Could the problems I have now be related to fungal infection? Doc wrote me a 2nd script for the antifungal in case I needed it. Should I use that or go back? Have had other complications too. Doctor: Problems mentioned now are not related to fungal infection. Though chemo courses may manifest such complications sometimes.You have the option to get herbal Ayurvedics to correct these problems better irrespective of chemo. Your doctor has given II course of fungal saying ' if need be'. You may skip it.Pl find some Ayurveda doctor to address hemorrhoids etc mentioned by you. Back pain may be treated externally if there is no disc problem...that may beanaged by Lumbo-sacral support.Hope it helps. | 107,608 |
What causes sexual anorexia after age of 50? | Patient: I am female. Late 50's. I still love my husband of 25 years. Over the last 10 (or so) years sexual intimacy has diminished and now disappeared. I thought that this was a natural adjustment, especially for my husband, at this time of life. 3 years ago he resumed a relationship by phone and letter with his girlfriend from school days, arriving at the point where he was convinced they were in love (again) Although painful (for both of us) I saw it through on the understanding that there was a definite element of mid-life crisis going on. As we talked I was able to regain hope of the possibility for finding renewed love, openness and intimacy. However, during this time he turned to self gratification via pornography on the internet. I have endeavored to be patient and understanding whilst also making sure that my own desires and needs are recognised. I have tried everything I can think of from humour to love to opening my heart to tears to seduction. Nothing works and my husband will not open up or let me in on what is going on for him. Perhaps he is at sea himself and yet I do feel let down that he cannot make some effort for my sake. I know the behavior is not in the 'normal' spectrum of behavior. Looking back I can see that although my husband has shown love and affection to me in many ways, I do not think he has ever found it easy to be truly intimate. I could say the same for me to some degree and have tried to acknowledge my own insecurities but I do genuinely think that the lack has been rather more on his side. Even in early courting he would rarely hold hands and he has never really wanted to engage in kissing or caressing or to engage in pleasant shared activities such as sharing a bath (for example) This has in turn restricted my own responses or ability to take initiative as I have felt like I was trying to push something that wasn't required. This goes to the deepest core of my being and who I am. Now I feel I'm getting on a bit and find it increasingly hard to know what to do or to expect from our relationship. I try and stay positive but sometimes I just cry myself to sleep. Sometimes my husband hears it and does nothing. Then I feel bereft. I recently heard the term 'sexual anorexia' used. I'm not particularly keen on labeling but thinking about it,from what is said, many factors seem to make sense. Is this a good way to seek to understand the problem? How can I find support and the best way forward? Can you help me? Thankyou for listening. Doctor: Hi, First, let me tell you that sexual anorexia is a term where sexual appetite has lost due to fear of sexual activity. In your case, as your husband met his girlfriend and then established relationships. I think it's emotional anorexia as he is not taking care of you and not emotional attachment with you. So it can be solved with a calm and cool approach. You should not behave and act but listen and have time to spend with him. Have a conversation of past happy and romantic time spent together. Also, talk to him about your great trips to gather etc. This will encourage him to again bound with you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirav Nimavat, General & Family Physician | 194,686 |
Suggest treatment to increase the penis size | Patient: I am 31 years old married as well I have two problem one I am not happy with my penis size because I tuink is 4.5 inch I want to increase but I don t know how I have been tried (vimax and rexion 500) pills but nothing change I just want to know how I can increase size and 2 problem is that when I make mind for sex I got hard but after few minutes it s gone soft so when ever I do sex before I use Viagra pills so tel me what I need to do for both problem please help me I live in London Email me YYYY@YYYY Doctor: HelloThanks for query.The size of the penis in flaccid state has no significance at all .It is the hardness of the penis on erection that is important for sexual satisfaction of both the partners.The size of the penis of 4.5 inches in length is normal for your age .Please note that there are no medications that can increase the length or girth of the penis.There are many devices or products being sold on online market but none of them have any scientific data to prove their usefulness neither these products are approved by WHO. Many a time there are disastrous complications of these unscientific devises and products.So better refrain from using these devices or products.You can continue using Viagra to get good hard erection till you achieve erection without using it.Dr.Patil. | 199,259 |
Had liver transplantation. Can the medication be changed? | Patient: Hi,My mother (56 years old) was diagnosed with decompensated liver cirrhosis in Sep'12. She was hospitalized for 3 weeks and then she is currently taking diuretics, lactulose medicine & low sodium diet. She has certainly improved but doctors are saying she has to undergo liver transplant as her liver is damaged and the improvement is not so good. She is in regular medical check up and the stage of liver cirrhosis is Child C - MELD 11. As liver transplant is a complicated one, my family is worried about her condition. We were looking for an alternate medicine and we have just come across this in internet (link below). It is very encouraging and give a new hope as they promise good results without any side effects. Can someone suggest me if we can go for these tablets, will it be a good idea at this stage? Please give your opinion on this. WWW.WWWW.WW WWW.WWWW.WW Thanks. Doctor: Hello, I can understand your enthusiasm since you are encouraged to hear about such a medicine which can repair the damaged liver.But the fact is that there is no such FDA approved medicine which can make a damaged liver normal. There is lot of claims of these herbal or non herbal medicines,regarding their liver healing capabilities,but there is no scientific data available suggesting that. It is always better to abide by your doctor's instruction and you should think in terms of getting a liver transplant for your mother.lest it becomes very late. Once the condition deteriotes,then it may be too late even for the liver transplant. I hope it helps. Thanks | 59,214 |
What does a painful lump on spine between shoulder blades indicate? | Patient: my daughter has a lump on her spine between her shoulder blades....she complains abt pain when it is touched or when leaning against something.Notices a few weeks ago but it is getting alittle larger and she complains of pain.....could this be a cyst ? Doctor: Hi am Dr Fahim and I will help you with your problem I have gone through your question and understood your concerns. It appears to be a Sebaceous cyst which usually present like this after getting infected. However, clinical examination is required to rule out other differentials. If such a patient walk into my clinic, after clinical examination and establishing my diagnosis. I prescribe tab augmentin (co-amoxiclav) 625mg 1+1+1 and Paracetamol 500mg 2+2+2 followed by excision of the sebaceous cyst under local anaesthesia and daily dressing. Since these are prescription drugs and there is a procedure involved, you need to see a general surgeon.I hope my answer will help you. Do rate it, If you like it.Regards | 64,237 |
Suggest a confirmatory pregnancy test | Patient: Ive been have signs of being pregnant. Its been about 3 weeks since i last had sex. Ive taken tests they all come back negative . But ive looked it up and it might be to early im supposed to be starting my period this week i just dont know whats going on and would like for someone to help me understand. Doctor: Hello, Thank you for your query. Yes it is too early to think of pregnancy. Premenstrual symptoms can mimics early pregnancy symptoms. One sign of pregnancy is a missed period. If you have missed your period, take a home pregnancy test. If negative and still no period, repeat pregnancy test after a week.If still negative wait for another week and see your OBGYN to check for ovarian cysts or other hormonal imbalances. Thyroid abnormalities, stress, sudden weight changes, major lifestyle changes, illness, travel across time zones can all cause delayed periods. A blood beta hcg level will confirm if you are pregnant or not sooner. Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health | 218,952 |
Is there a risk of toxoplasmosis after being scratched and bled by a cat? | Patient: i was scratched by a not so healthy looking cat this morning and it drew blood. I am 5 months pregnant. i cleaned the wound immediately and put on disinfectant...is there a large risk of toxoplasmosis? also, i have to bike on a pretty bumpy road to get to town, is this safe? Doctor: HI, thanks for using healthcare magicIt is understandable to be concerned but toxoplasmosis would be spread by contact with cat feces (stool).Because this is the normal way of transmission then your chance is very very low.In terms of the bike riding on a rough rode, if this can be limited or eliminated then this would be best.I hope this helps | 36,293 |
Suggest treatment for psoriasis on scalp and abdomen area | Patient: hi I have two issues to ask about. One for myself and one for my daughter. 1.) I have been suffering from a rash for a while and have been to dermatologist, who gave me different creams and nothing has worked. This now have extended to psoriasis on my scalp and my abdomen area. Is this stress related 2) My daughter is 18 and she is suffering from ear problem which is a combination of dryness and release of oily liquid in the ear which causes a lot of itchiness. She is currently using dermotic oil. Doctor: Hi,You said that you suffer from psoriasis. Kindly confirm the diagnosis after consulting the dermatologist. He may give methotrexate in proper doses or acitretin cap. This may be taken for long time. And regular blood tests may be done. Steroid cream , combined steroid and salicylic acid ointment or calcipotriol ointment may be applied. Tar containing shampoo may be used to clear scalp psoriasis. It is an autoimmune chronic and relapsing disease. So, you should take long term treatment with patience.Your daughter is probably having otitis externa. Kindly consult ENT surgeon for the firm diagnosis.Antibiotics,antihistaminics and steroid in tapering doses may be considered. Antibiotic with steroid ear drops may used. I hope you got my answer.Thanks.Dr. Ilyas Patel MD | 12,256 |
Why causes my heart to pound and make me breathless? | Patient: hi my heart pounds, i feel breathless the get a pounding head ache. This can happen whilst watching tv, or lifting items, walking the dog. It is also becoming more often and lasting longer too. is it anything to worry about, i keep leaving it , with it getting more often !!!! Doctor: Hello!Thank you for asking on HCM!I would like to know your age. Do you have any family history for cardiac disease? Your symptoms may be related to a cardiac arrhythmia. Anxiety can not be excluded as a possible cause. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x ray and some blood lab tests (complete blood count, thyroid hormone levels, fasting glucose, kidney and liver function tests, blood electrolytes, etc). An ambulatory 24-48 hours ECG monitoring is necessary to rule in/out a possible cardiac arrhythmia. Further tests like a cardiac ultrasound should be done if the diagnosis of cardiac arrhythmia is confirmed. If all the above tests result normal, the most probable cause of your symptomatology would be just anxiety. Hope to have been helpful!Best regards, Dr. Iliri | 26,683 |
Suggest treatment for lump in the breast | Patient: I am going to a doctor on Tuesday, but am going out of my mind thinking about this...maybe you can help. I used to have a small lump in my breast that seemed to go away (this was about a year ago) A week ago it seemed to have returned, only now, it hurts and is a lot bigger. Nothing is excreted and it is located behind my nipple. I went into the shower today and noticed that there was a lump of some sort (maybe just like a pimple but a bit bigger) under my arm which popped but still is hard, raised and red. What are the chances of someone that is about to turn 27 (who has had 4 children) having cancer? is it true that if it were cancer it would not hurt? Doctor: Welcome to health care magic. 1.If you are my patient i would have examined first and ask for a ultrasound examination of the both breasts.2.Ultrasiund will assess the nature of the lump and its sours and where all its extending ( like solid, cystic, ductal)3.According to the findings an mammogram would be helpful for things which can not be seen on the ultrasound, like calcifications.4.In your case i suspect ductal dilatation, the scan will help to determine.5.Chances of cancer is less at this age, it progress differently in different individuals. Good luck.Hope i have answered your query.Any thing to ask do not hesitate. Thank you. | 68,386 |
Suggest treatment for cyst on right kidney, bad ache and high BP | Patient: I have just had an ultrasound that came back saying I had a4.5x 4.8 cm sepsptated cysts on my right kidney... My Bp has been quite high lately and I have had a really bad Bach ache for some time. Any idea what I am up against?????i have to have a Ct scan I am quite scared Doctor: Hello and welcome to HCM.As an Urologist, i can fully understand your concern.Cysts in the kidney are actually quite common.You haven't mentioned your age or gender.B.P.can be easily controlled,with medication, after a basic check of your ECG, TMT,and Echo scan, if advised. But a septated cyst in the kidney, needs to be investigated further with a CECT.( contrast enhanced CT). Your B.P.,may be related to the cyst.You may send the reports to me for an expert opinion.Dr.Matthew J. Mangat. | 47,679 |
What are the other medicines besides advil that can help neck, arm and hip pain? | Patient: I've had on and off for a few years pain that starts in neck goes down left side into my arm and down to above my left hip. I'm at computer most of the day and the pain usually gets worse. I get episodes about every few months and they last from a week to longer. I'm taking Advil but seems not to work sometimes. It's not heat attack so please don't tell me to call 911. Last couple of days very painfully. Sometimes I ice that area sometimes moist heat. I would like pain to go away but doint like medications. The last episode a osteopath completely helped. I have called an osteopath and a local neurologist foe appt but in the meantime I'm interested in an opinion on what to take for pain besides 3 Advil a couple of times a day. One more thing sometimes I have days with no pain at all. Like every other day. Why is that? I'm a healthy senior female age 76. Eat good and exercise. Is it nerves or arthritis? Doctor: Hi,I have read your problem.You should not sit in front of computer for more than one hour i.e after every one hour you should take a walk for 10 mins.I am very much impressed to know that you work at 76.You may have nerve compression.You must get x-ray of cerivcal spine in AP and Lateral view and x-ray lumbosacral spine in AP and Lateral view done. Send us report or discus it with your doctor.Apply hot packs in neck and lower back for 30 mins in morning an evening.Alone advil will not help you. You may discus your doctor for lornoxicam and muscle relaxants.I hope you have get your answer.Thanks. | 112,044 |
How to cure wet dreams? | Patient: I started getting wet dreams since i was 15. I am now 27 .I still face the problem.To avoid wet dreams i masturbate frequently. would this create a prolem in my sexual life when i get married? is ther a cure for wet dream n how do i control my masturbation? Plz help Doctor: Hello, A NIGHT FALL / nocturnal emission / wet dream or involuntary leakage is an involuntary ejaculation of semen that occurs during sleep or along with urine while urination. Studies show that approximately 83% of men experience a nocturnal emission or leakage at some point in their lives. There is nothing wrong with a person if he or she experiences a nocturnal orgasm or nocturnal emission or leakage, as they are normal and healthy experiences. If you have experienced a wet dream, you should not feel ashamed. There is no way to prevent nocturnal orgasms or emissions from happening. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist | 192,882 |
Suggest treatment for persistent pain in waist | Patient: Hi. I have a continuous ache on the right side of my waist. Its most prevalent when I lie down or sit down. I have put on quite a lot of weight recently, with a lot of it deposited around my stomach so I m wondering if this might be putting some strain on the muscles? Doctor: Thanks for contacting healthcare magic. According to your complain you have problem of pain in waist region that may because of muscle or ligaments strain.If it is muscle strain than cold than heat application reduce a pain.Arthritis may cause this type of symptoms. Lumbar vertebre problem may cause pain problem. Herniated disk cause pain at back region.Lumbar vertebre slipage may rule out. Nerve compression also cause pain at waist area.Consent a physician for diagnosis.X ray is helpful to rule out a problem. MRI is helpful for further diagnosis. I hope my guidance is helpful to you. Take care. Thanks. | 216,501 |
What causes swelling and tiny bumps under lips? | Patient: hi i am a 24 year old girl, i had this sudden swelling below d skin of my lower lip n it was painful. i thought it was herpes since my boyfriend had acold sore at d time. i was afraid i was infected n took acyclovir cream although we din really kiss during d period. but now d swelling is there for alomost a month n there r also slight swelling nat d edge of myleft lip. with slight painful tiny bumps. now although d pain comesn n goes at times my swelling is still there. pls help Doctor: Hi, your swelling may have superinfected since 1 month had been passed. Go for an antibiotic ointment like soframycin with pain killer nimegesic for 5 days. If not healed consult dermatologist. | 33,061 |
What causes pain and a lump on the buttocks and left leg? | Patient: Knot in center of left buttock with dull ache down my leg. Is this a pulled hamstring or sciatic nerve issue? This has bothered me of and on for 8-9 months. I started a statin drug around this time as well, but this is the only muscle ache I'm currently having. Thank You Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* This seems from pathological lump in the gluteal region with underlying nerve compression giving muscle cramps in the leg .* Needs MRI evaluation to get the diagnosis and management further .Hope this clears your query .Welcome for further guidance .Regards . | 61,360 |
Had two periods after stopping birth control, tiredness, chest heaviness. Related to birth control? | Patient: What should my married, 31yr old daughter do? She has taken birth control pills for 3 years and stopped taking them 6 weeks ago. She has has two periods since she stopped the pills. She now feels extremely tired and has a heavy feeling in her chest , like she is congested, but she does not have a cold or anything like that. Are these somewhat normal symptoms for someone stopping the pills? Doctor: I want to know what pill has she taken? I suggest she should go to the doctor who prescribe this pill for a discussion, and find the root cause of problems. | 224,199 |
What does low blood platelet count suggest? | Patient: My friend has had a blood test and the blood plaitlets (is that the red blood cells?) was 120, then another test and it went down to 85. Another test and it went up to 125 ( this was 3 days after the last one). Is this a problem and should she have a regular check. What does low blood plaitlets mean, please Marilyn Doctor: Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. Low platelet count suggests an increased risk for bleeding- skin bleed/ mucosal bleed/ bleeding in deeper tissues. 2. Count of 125 is acceptable, however if it reduces then he needs to be evaluated for the cause of decreased platelet count and treated accordingly. Hope it helps.Any further queries, happy to help again. | 117,407 |
Pap test done. Noticed blood and mucus. Am I at risk for cervical cancer? | Patient: I had a pap test today and my doctor said that he noticed blood and mucus , however, I am in the middle of my cycle, therefore am not due to start my period for a week and a half. Is this anything to worry about, as I have read that cervical cancer causes blood after sex, pap smears and douching. your advice is appreciated Doctor: Hello and welcome to HCM Its true that symptoms of cervical cancer are bleeding after having sex. However, blood and mucus on Pap test have different meaning. Actually, what a pathologist looks in a pap test is the change in the morphology (size, shape and various characteristics of cells lining the cervix) of the cervical cells. On the basis of these features the cells are labelled as normal, dysplastic, pre-cancerous or cancerous. Presence of only blood and mucus is an unsatisfactory smear/ test. You will have to get the test repeated. Blood in the test is due to procedure and mucus is normally present in the cervical canal. The material which was required has not been sampled. Thanks and take care Dr Shailja P Wahal | 159,405 |
Suggest treatment for canker sores on lip and molars | Patient: i have two canker sores, one on my gum line by my lip and another by my back molars, my jaw just feels very heaving and like it is going to fall off, and my teeth hurt.i also think that my lymph node is swollen, a ballish right under my jaw line? what can i do? i cant even eat anything and my grad party is tomorrow? Doctor: Thanks for your query, I have gone through your query.The canker sores on the lip or the buccal mucosa could be because of the stress. You can use topical anesthetic and anesthetic like Anabel gel(3-4 times daily before food).. If the ulcer does not heal then you can take topical steroids like 0.1%triamcinolone acetonide(3-4 times daily after food). Do saline gargling. Do not take tension. The enlarged lymmphnode could be secondary to the inflammation due to ulcers.I hope my answer will help you, take care. | 184,431 |
Can sensitive and tingling nipples heal naturally? | Patient: im 20 years old and a male. about 2 years ago i squeezed on my nipple too hard and felt something pop. ever since then that nipple is lower than the other one and has become pretty sensitive to the point it tingles even if nothing is touching it. is there anything permanently wrong with it or is there anyway it could be treated or does it heal naturally over time? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You may me damaged nerve endings at nipples so they become open or irritated lead to sensitivity. Avoid tight clothing during exercise and physical activity. Use b12 and Pregabalin tablet to relieve sensitivity. If symptoms not improved please consult your neuro-physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. | 195,320 |
Should an orthopedic surgeon be consulted for swelling along with wear and tear on the ankle bone? | Patient: I had a rod in my leg 20 years ago after getting hit by a semi-truck while being a pedestrian I did not rehabilitate properly after this surgery or I was afraid of being immobilize permanently the screw and my ankle has always been bent upwards over the past couple of years I have been having numbness and it s been harder to walk over this past month or two I ve had severe tingling and numbness in my ankle it has been turning blue a lot more then it was call my insurance I cannot afford proper Medical Care I have a doctor that does not want to refer me orthopedic surgeon I can feel the screw in my knee I feel wetness on the ride just tonight I felt like water was running down the ride it scared me and it scared me I just got x-rays done the doctor said that it showed swelling and wear and tear on my bone my question to you is do I have reason to be concerned enough to see an orthopedic surgeon the doctor was unwilling to refer me it s only got results from the X-ray and he said he seen swelling and wear and tear on the bone couldn t that mean serious complications? Doctor: Hi, You can consult an orthopaedician and plan for an MRI scan. The symptoms may be due to osteoarthritis and can be managed by an orthopaedic. As of now you can take analgesics and calcium supplements for pain relief. Hope I have answered your query. Let me know if I can assist you further. | 127,008 |
Can massive varicocele in LT side be the reason for me not getting pregnant ? | Patient: hello Dr ,am 34 yrs i have a problem for massive varicocele in LT side, till now i have no baby, if you suggest me doctor for vellore Doctor: welcome to healthcaremagic varicocoel is known to cause oligo asthenospermia resulting in infertility for male factor get check up with surgeon and get operated continue treatment for infertility along with your wife .she also requires a work out if not already done | 7,196 |
What are the early signs and symptoms of pregnancy? | Patient: yes want to some of the signs to early pregnancies i guess am pregnant but am not certain because i was on pills to avoid pregnancies and also had my menses again in two weeks after the actual date and since then i have been having regularly want to know the cause Doctor: Hi there, I have gone through your question, and I think I have understood your concern. . I will suggest you the best possible treatment options. 1 ) First and foremost symptoms of the pregnancy is a missed period. If you are not using any protection and you have unprotected sex act, then you stsnd a chance to get pregnant. 2 ) other symptoms of early pregnancy are - nausea, vomiting, breast pain, frequent urination, dizziness, mood change, you can get any of these. In case you feel that you are pregnant, I will suggest you to get morning's first sample of urine tested for pregnancy. I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar | 220,142 |
Lower back pain. MRI showing slight arthritis. Fever, pain while urination, numbness in the toe. Need help | Patient: I have low back pain , MRI only shows slight arthrisis in L4, L5 and s1. I thought I had a UTI . Because I am running a low fever , and my pilvic bone or just above it, hurts when I go to urinate, I have suddeny pain to go. and running a low fever.This has been going on for about 8 weeks. The pain in my legs, I have a line of pain going down the back outside of both leggs that goes into my heels, also I have a line of pain going down the inside of each leg, that goes in to the arch of my feet , and my big toe , hurts or feels numb. the pain goes into hips, through my butt checks, also my tail bone hurts and feels sore. my legs are both week. the pain consumes them sometimes,( always when going up stairs), all the way up and down it will just be pain. Can t set long, cant walk long, when I move in certain ways my back will take my breath. I have been to Drs. off and on for about 8 years. The fever is new, also the peeing stuff has been about 2 mts. Help no dr here will!!!! Doctor: Kindly submit your past medical records as a summary for review before I can make further comments.Also are you a male or a female by gender? In males prostate gland poses similar problems,arthritis is unlikely to cause UTI , may be an asociated finding | 113,166 |
Can zinconia be substituted for nutrolin-b for loose motion? | Patient: Hi, I am staying in mumbai for summer vacation I come to Odisha . My son is six years old.He is suffering from loose motion from two days.I am giving him Zinconia with Nutrolin-b,but Nutrolin-b is not available in Berhampur. My question is instead of Nutrolin-b what i can give to my son with Zinconia ? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Please give him Oflox OZ 10g/kg divided into two dosages for 3 days, Vizylac 1 capsule daily for 1 month. Keep your child hydrated with plenty of water and ORS.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Svetlana Shrivastva | 172,535 |
4 bulging discs in lumbar area. Options other than surgery? | Patient: I have 4 bulging discs in my lumbar area. After having an MRI, my general practice doc told me to find a neurosurgeon that my insurance would cover. Do I need to start with a surgeon or a neurologist? I don't want surgery, if I don't have to. I'm trying to decide which kind of doctor to see . Can you help me know where to start? Doctor: Hello.The doctor recommended to treat your bulbing discs is the neurosurgeon.In the treatment of bulbing discs initially are used conservative methods (drugs, physiotherapy, local injections).If conservative treatment is not effective, surgery is indicated but tell you that the current surgical techniques are with minimal incision, less discomfort and fewer days of hospitalization.I wish you good health.(If the answer has helped you, please indicate this) | 149,243 |
Is bilateral hilar prominence in the chest a matter of concern? | Patient: Hi,My mother had her radical nephrectomy done 2 years back to remove one of her kidney.She was advised for USG-Abdomen and X-Ray Chest every year to check if there is any re-occurence of the tumor.This year,while.the USG showed everything normal,the X-Ray Chest says "Bilateral Hilar Bronchovascular Prominence" is observed.Rest lungs fields is clear and every thing else is clear/normal.Should I be worried,for a re-occurence ? Should I go for any further test for conclusion?Or could this be a normal thing ? Doctor: Bilateral hilar prominence is seen with: 1. Heart failure 2. Bronchitis 3. Lung mass 4. Normal X-ray. So in my opinion she should definitely get done ECG, 2D echo and stress test to rule out heart diseases and PFT (Pulmonary Function Test) and CT thorax for bronchitis and lung mass. If all these are normal then no need to worry for major heart and lung diseases. Hope I have answered your query. Let me know if I can assist you further. | 70,980 |
How can asthma with cold and cough be treated? | Patient: My child Abhimanyu Kundu,1yr 1mn, suffering sardi-kasi for a long days. I am from malda, W.B. I am continuing his treatment in Malda. But here Doctors' are telling me that because of my Asthama problem, there is no chance to cure my baby....... I want your suggesionb. I agree to come in Kolkata...... Doctor: Hello,Thank you for asking at HCM.I went through your child's history and would like to know more details about Abhimanyu such as - Since when he has problems? Does he have more of nose symptoms or more of chest symptoms or both? Does he have any skin allergies like atopic dermatitis? Does he have any food intolerance/allergy?From your given history, I would like to make following suggestions to your son:1. Were I treating him, I would suggest him regular montelukast and levocetirizine for at least 2-3 months, which will improve his symptoms.2. Should he develop breathing difficulty in between, I would suggest to consult a pediatrician who will examine his chest and may suggest nebulization.3. I would suggest him allergy testing which will help you identify the substances/foods causing trouble to him. Avoidance of the substances/foods causing allergies is the best strategy for allergy/asthma.4. Please avoid exposure to dusts, smokes and air pollution to him as much as possible. A diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will help him in a long run.I would like to mention here that although asthma in parents make a child more prone to develop asthma, childhood asthma behaves in a different manner as compared to adult asthma. With proper use of medications, nutrition and environment changes, it can be very well controlled.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish your son the best of the health and bright future ahead.Thank you & Regards. | 100,861 |
What causes dizziness when i stand up? | Patient: over the last few months i have been feeling dizzy when i stand up . It was ok if not a little annoying but now I have to grab onto anything to stop myself from falling over and I have to say this is getting a little scary now. I do not jump up so it is not a rush to the head any ideas thankyou Doctor: Hi and thank you for asking!You are experiencing dizziness when you stand up, which may be related to:- Anemia- Heart failure- Orthostatic hypotensionThis is why i would like to recommend to do the following exams:- Blood work- CARDIAC ECHO- TILT TESTINGHope this will be of help!Wish you health! | 26,433 |
What causes a protruding vein on the temple and mild eye pain? | Patient: I am looking for information about the brain and a definitive explanation of aneurysm how it occurs and what are the triggers. Is it stress, or something more? Symptoms are bulging vein at temple and dull pain behind eyeball with occasional tearing of the eye...thanks! In Service, Doctor: Hi, Brain aneurysms are formed mainly because of high blood pressure. Genetic factors that result in weakened connective tissue also contribute to aneurysm formation. Symptoms you describe are not typical for a brain aneurysm, these symptoms indicate more a type of primary headaches (cluster headaches) Hope I have answered your query. Let me know if I can assist you further. | 141,117 |
What causes abdominal pain? | Patient: I'm having horrible pain in my lower abdominal, very low...and when I have to go pee the pain escalates, & I have to push & push so hard to get it out. I also have a rectal prolapse, & when I wipe, there's also a lot of blood...any suggestions to help me? Doctor: Hello! I read your question and understand your concern. Your symptoms seem to be related to an urinary infection and hemorrhoids. I recommend you to perform a routine blood test, an urine analysis, an abdominal ultrasound. I would also advise you to consult with the proctologist for the rectal prolapse, to examine better the region for hemorrhoids and prescribe the proper treatment. Hope to have been helpful!Greetings! Dr. Iliri | 86,448 |
Is multivitamin A to Z right medicine for mouth pain ? | Patient: my mouth is not fully opening due to chewing toboaco from last 22 year but still i have no cancer because i have consulted to dentist he suggest me to take Betamin mouth wash and tablet multivitamin A to Z with offoloxin 200 and tab paracitamol twice in a day, i am using it last 10 days and i am feeling better so now i want to know that is it right dosage and how long i should to take it or what medicine i should take.email: YYYY@YYYY Doctor: Hi! Welcome to Healthcaremagic.I read your query. Your problem of reduced mouth opening is due to building up of fibres in oral mucosa due to long term use of tobacco. For this, foremost thing required is immediate quitting of tobacco use. Without doing that, no treatment will work. A to Z is a multivitamin tablet which releases free radicles and help in breaking up fibres. It is taken once a day. Along with this take healthy diet, lots of fluid. Do mouth opening and closing exercises 5-6 times daily.If mouth opening reduces critically, then you need to visit an oral surgeon.Hope the answer helps you. Thank you. | 186,782 |
Suffering from weight loss,stomach pain & peripheral neuropathy | Patient: hi I HAVE BEEN SICK FOR ABOUT 31/2 MONTHS. 18 LB. WEIGHT LOSS, STOMACH UPSET,ALLERGIC REACTING TO EVERYTHING .PERIPHERAL NEUROPATHY SLIGHT TREMORS MUSCLE TWITCHE IN CALFS SINCE 3-11-14. RED FLUSHED TORSO AND NECK ALOT SOME LITTLE RED BUMPS,TORSO AND BACK, NO FEVERS. HAD B-12 LEVEL OF 1500 AND FOLATE 25.80 3/18/14. RECHECKED 4/14/14. B-12-1100 AND FOLATE STILL 25.80.NAY IDEAS OF SYMPTOMS WHY I FEEL SO SICK Doctor: such a significant weight loss occurs usually in cancers, t.b or aids. In picture of other symptoms I will give a strong advise to visit a physician as soon as possible.You might not be having all the above disease but it's always better to search for life threatening disease first.wish you a gud luck | 128,626 |
How can i get pregnant while suffering from endometriosis and PCOD? | Patient: hi i am 27 years of age, i have been trying to concieve for a child for around 7 years now. my doctor has diognosed me with endromitrosus and pco. he has prescribed me with medroxyprogesterone tablets which i will have to take everyday for a whole year. i have had numerous amounts of test but still no result as such. could u please advice me if i am on the right track? or do i need some other treatment? Doctor: Hi there, I have understood your concern. I will suggest you the best possible treatment options First Of all get laparoscopy and hysteroscopy done. This will help to know the extent and severity of endometriosis, also ovarian volume reduction cam be done to relieve PCOS condition. Also any corrections to be done for the problem of endometriosis can be done with laparoscopy. If relationship between tubes and ovaries is found to be disturbed, then also you can get pregnant using IVF technique. If tubes and ovaries are not disturbed, then you can go ahead with IUI, intra uterine insemination. AAlso, for PCOS, please opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Drink plenty of water in the day . Avoid deep fried foods, bakery products and refined sugars. Avoid substance abuse if any. Start on Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar. | 2,562 |
Are there any side effects of taking Montair-5 and metatop? | Patient: My daughter is now 5 years. She is allergic rhinitis. Before 2 years, she was given asthafen and privent for 3 months. But, she has recurrent rhinitis. Now, she has nasal polyp also. Doctor said that she has adenoid. She has now cough and that comes out the mouth(mucous) during two weeks. no chest congestion. Doctor prescribed montair-5 and metatop. Sir, is it has any side effects in the future and whether it will permanently cured from the illness? thanks in advance. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Montair is having montelukast. It is anti allergic drug. Metatop nasal spray is having mometasone. It is inhaled corticosteroids. Both are drug of choice for allergic rhinitis. Both are safe for long term use. For nasal polyp, surgical removal of polyps is an option. But you can wait for this. Give montair and Metatop for 6-8 months and recheck polyp size. Sometimes with anti allergic drugs, these polyps regress in size. So no surgery is needed. But if they persist even ulster treatment then surgical removal is the option. Don't worry, she will be alright. No long term side effects of these drugs. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks. | 76,683 |
Breast cancer stage 1, gastritis, esophagitis, hiatus hernia, cysts in liver. MRI done. Will it confirm cancer mets? | Patient: hello, I am a breast cancer stage 1 her2 idc clear nodes and multifocal in both breasts 3 years ago. I have gastritis, esphophigitis and a hiatus hernia diagnosed 2 weeks ago, my oncologist then ordered a ct of liver and it found 3 lesions one of which is a cyst, the other two were about 2 cms each. I then had an mri and am awaiting results. My question is; will the mri be able to confirm cancer mets or not? Doctor: Hello, I hope my answer can assist you.The MRI is better than CT and ultrasound in determining if the liver cysts are Metastatic lesions. If the MRI is inconclusive (rare); histology and/or needle aspiration may be required. | 158,543 |
Suggest remedy for severe back pain | Patient: I have severe lower back pain. It radiates down sciatic in right leg making leg weak non stop pain. 10 yrs ago had radio frequency to kill nerves coming out of facet joints it worked. It s back. Could Celebrex help? I walk 5 miles a day try to keep weight down eat healthy diet low carb no sugar etc had performis syndrome Nuerosurgeon removed performis it was pancaked with sciatic nerve. Pain in buttock area on right side constant Doctor: Dear patient it seems you are dlsuffering from radicular pain in the right lower limb most likely due to nerve Compression in the lbar spine. Diagnosis needs to be confirmed by doing MRI of the lumbo sacral spine with screening of whole spine. Please get it done from radiology centre nearby you. Meanwhile start tab pregalin x 75 mg one at bedtime. You need to consult spine surgeon with report. Avoid forward bending and weight lifting. | 216,185 |
Suggest cause for cough with chest pain | Patient: Hi, I am a 23 year old asthmatic. I've been having my typical asthmatic barking cough the past few days (I chalked it up to the extreme heat and lack of AC and allergies) but the coughing has gotten worst and my chest hurts when I swallow liquids. I've also been waking up wheezing. I've been using my inhaler. I have a nebulizer should I try that before seeing a doctor? Is this more then allergies if its causing my chest to hurt when I swallow liquids? Doctor: Hello and thanks for writing.I can understand your concern and would try to help you in the best possible way. Your problems may be related to excessive coughing as you are having an asthma flareup.You may try steam inhalations to get you airways humidified to reduce your cough. However consult a doctor as you are having night time flare ups of asthma. You may need a short course of steroids to control this episode. Also it is a good time to adjust your asthma medications as these false ups have to be minimised. | 27,011 |
What causes random movements in the pelvic area? | Patient: For the past few days I have had random pulling movements in my pelvic area. Its painless and like a thump, only inward. You can see my stomach move inward quickly and then return to its normal level. This can happen 2-3 times in a minute but then go many hours before another thump happens. Doctor: Hi.Thanks for a good history. This is suggestive of an intestinal obstruction of sub-acute variety and you need to get investigated in the form of Standing X-ray Abdomen and enteroclysis if required. You may need to know the diagnosis to decide whether you need an medical treatment or surgical exploration. | 89,701 |
Are spherical and cylindrical power curable in children? | Patient: Hi Doc,My son is 5.5 yrs old. Last year we saw the water coming out of his eyes and so we took him to the eye specialists. Both of them recommended +1.00 Cylindrical Power Lenses for both RE and LE. Now recently I got him checked again and to my surprise this time they told me that the the previously mentioned glass is not appropriate and this time the power is +1.75 for RE Spherical, +1.00 for LE Spherical, +0.75 for both RE and LE Cylindrical. My query is that is that by what age we can get his final power? Is this spherical and cylindrical curable so that he does not have to put on the glasses and what are the other options that can be explored to get this corrected? Are there any preventive actions as well that we need to follow to keep his eyes intact? Doctor: eyes grows with body till age of approx 18 year.so lens power may change till the age 18 year. refractive surgery(lasik ) remove glasses both of cylindrical and spherical number. but surgery is done when eye grow full (18 year). there are no othere option available for lens removal. to keep eyes intact give balance diet which contain vit a like carrot, grean vegetables, milk . curd. and egg if u take non veg | 173,907 |
What causes cough, cold and diarrhea in a 16 month old? | Patient: my son is 16 months old now. he has cough, cold and loose motion. cold and cough habeen there for 1 week but motion started 3 days back. he is paasing about 3 to 4 times a day. today i saw a hint of blood too. what do i do. he is generally playing around and is happy. Doctor: Hello,Does your baby have a temperature? Passing more than 3 times a day is diarrhea. Since, you have noticed blood better so do feces analysis. Give your baby soups with rice, and also banana that are good choices for diarrhea. Get the baby hydrated. Have you used any medicine for your baby? I suggest you to visit a pediatrician in order to do a physical examination of your baby.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Emilda Belortaja | 165,491 |
How can severe anxiety and panic attack be treated? | Patient: Hi, I am a first year graduate students and I have a huge qualifying exam in three days. For about a week, I have been experiencing periods where it feels like my throat is closing up and I am about to pass out. They normally last an hour, maybe two, but I don t actually have any trouble breathing or swallowing, it just feels like I do. I think I am just having panic attacks, most of my family struggles with and is medicated for various types of anxiety disorders. I guess I am just looking for some confirmation that this is most likely what is going on. The last time it happened I was drinking coffee, and this time I just ate some peanut m&ms s. The overactive brain inside me is convinced I m going into anaphylactic shock, but I ate peanut butter every day last week, and nothing happened, and I don t have any known food allergies, so I feel like that s pretty unlikely. Thank you Doctor: Dear userWe understand your concernsI went through your details. PANIC ATTACK a sudden overwhelming feeling of acute and disabling anxiety. Panic disorder is different from the normal fear and anxiety reactions to stressful events. Panic disorder is a serious condition that strikes without reason or warning. Symptoms of panic disorder include sudden attacks of fear and nervousness, as well as physical symptoms such as sweating and a racing heart. Panic attack always happens due to an underlying anxiety disorder. So you need to treat anxiety disorder. Anxiety disorder is treated with the help of counseling and psychotherapy. You should consult a psychologist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | 204,816 |
History of reacting to antibiotic, allergic reaction to yeast and fungus. Relief with mycostatin | Patient: I have a history of reacting to antibiotic by developing a strong reaction of allergy to yeast and fungus. Normally Drs in the past prescribe for me Mycostatin and that works succesfully. Unfortunally last time I forgot to mention this to the Dr. at the emergency outfit that I went so I have develop a rash so bad , and is extending tgrough my body. I have talk and consult several DRs who don t believe me, they give me steroids(they don t work) also vicoden and tramadol they don t worlk . I don t take opiates since I m allergic to them. Can you help me?. All I need is a prescription for Mycostatin. I do not have diabetis, renal or liver problems or high blood pressure, I m very healthy . Can you give me a prescription for mycostatin or the name of a Dr who will listenj tol me Thanks. Doctor: Hi, Welcome to HCM.It is not clear whether you are allergic to antibiotic or that you have a yeast infection. Doctors will prescribe antifungal medication if they suspect any kind of fungal infection. You have to trust your treating doctor here. If you have developed an allergy to some antibiotic ,then you have to take anti allergic medication rather than antifungal medication. Please follow your doctor's orders and do not try any self medication.Thanks. | 102,921 |
8 weeks pregnant having blood in stool and urine with abdominal pain. What could be the reason ? | Patient: my wife,26 yrs, 8 wks pregnant with no segnificant medical or surgical history now c/o bleeding in stool and urine for last 1 month.she has also on off abdominal pain .also c/o burning pain on both breast nipple.drug history only include tab folic acid. Doctor: Please report this to your gaynecologist.The cause could be piles,or fissure which can lead to blood in stool.For blood in urine she also needs some investigation like urine examination and ultrasound.This may lead to low hemoglobin level and will lead to slow or reduce growth the child inside.talk to your doctor and do accordingly. | 95,411 |
Suggest Meftal dosage for frequent fever in baby | Patient: Dear Doctor,My daughter is 6 months old has fever since 36 hours. Doctor suggested Meftal for high fever. She has 103.4 F max temperature Weight 7 Kg. Fever goes after 1.5 hour and comes back in 5th hour of med given. Dose is 10mg every 8 hours by doctor.Can I give meftal more frequent? Doctor: HI having high grade fever in small kids needs evaluation if persists for more than 3 days.YOU can give paracetamol drops 4-6 th hrly for fever along with sponging.If still fever persists, then give a dose of meftal as prescribed by your doctor, not every time. Give plenty of fluids also. | 174,048 |
Suggest treatment for penile infection | Patient: Hi I m Steven I m a shamed to admit but I masterbate somewhat often and afterwords my penis is sicky And kinda smells a little how can I prevent this problem.. On a separate issue I have a dry scalp and it bothers me especially when I wear my fitted hate and I like wearing my fitted hats is my hats the problem or is something else is Doctor: There is nothing wrong with it .people have some odour due to prostatic secretions or seminal secretions .sometimes bad odour may be due to urinary tract infections .if there are any associated symptoms, then it is probably due to infections.Regd. dry scalp,avoid tight hats and have personal grooming of your hair ,use conditioners and oil. | 199,578 |
Is itchy hives with chest pain a side effect of albuterol? | Patient: I AM A FIFTY YEAR OLD MALE I HAVE ASTHMA AND COPD I TAKE ADVAIR CAUSE MY INSURANCE DOES NOT COVER SUPREIVA I HAD AN ASTHMA ATTACK THIS MORNING AND TOOK ALBUTERAL AND HAD SYMPTOMS OF ALLERGIC REACTION HIVES ITCHING REDNESS CHEST PAIN AND TIGHTNESS I AM FEELING A LITTLE BETTER BUT WOULD LIKE TO KNOW IF THIS WILL SUBSIDE OR SHOULD I GO TO THE EMERGENCY?> Doctor: HelloAlbuterol or salbutamol is one and same thing and this is a most potent drugs used in asthmatic patient . First of all I will try to explain the side effects of this drug.Tremors, hypokinesia, nausea, vomiting , headaches , hypokaelimia, throat irritation , tachycardia, arrhythmias ,muscle cramps & palpitations.But you are having hives, itching, redness, chest pain and tightness but after the use of albuterol .All these symptoms mentioned by you are due to bronchospasm ( bronchoconstriction caused by your asthmatic allergic attack , so need not to consult a specialist , rather take your medicine for asthma as advised by your doctor.Hope this information will help you. | 101,485 |
Nausea, vomiting, abdominal pain, bleeding, taken antibiotics for UTI, flutters and pressure in abdomen now | Patient: Hello... 27 year old female .... Around feb 4 I was feeling nauseous and had few episodes of vomiting . I thought it was normal premenstrual signs.... I began to have a sharp deep pain in my lower right abdomen . It was very painful . I went straight to the er. I began bleeding . They performed numerous test. Vaginal and abdominal ultrasound different labs and a ct w/ contrast . They sent me home with antibiotics because of a Uti . The doctor said the bleeding was a period. Since then I ve only had one period that started on April 19.it lasted for about 8 days . Normally my period last for about three. The problem i having is feeling flutters and pressure in my lower abdomen.It feels like the first movements when I was pregnant with my daughter. No + hpt Doctor: Hi, you are having irregular periods . Please consult gynecologist and get an U S G pelvic organs done . Get a check up and take treatment as required | 94,971 |
What is the home remedy for skin burn due to kerosene? | Patient: Hello, My boyfriend has accidently got some Kerosene on his legs today while working. It has burnt his skin and is starting to blister. The only things we have to treat it tonight are Dettoll Antiseptic cream or Vaseline petroleum jelly. Which would be the best option? And what is the best way to treat it when we are able to go to the shop tomorrow? Doctor: Hi dear i hv read ur problem so pls follow this- Wash the affected area with soap n water then put the vaseline cream over it.Then buy mometosone oinment or clobetsol GM oinment and apply it over the affected area for a week Then after a week use vicco turmeric cream on the affected area as this wil dimnish the scar Drink milk adding a spoon of turmeric powder in it everyday till the skin becomes normal.Do this n come back to me if u feel anything to ask ...i will be happy to help u...good wishes ....thanks dear. | 214,790 |
Suggest treatment for lump inside the neck | Patient: I have this lump inside my neck on the lower right side and its been there for about a year. A few years ago I had something similer but on the other side and it went away. It causes me no pain but it feels like its getting bigger. I had it looked at during my last physical and was told it was just a cyst. I also have a bump on the back of my head close to my hairline at the bottom. Its about the size of a penny and very hard. Ever since I discovered it a few weeks ago it has only gotten bigger and now it is very sensitive.I am a very healthy and fit teenage girl who is 5 7. Please any information would be helpful! Doctor: Hi,Good afternoon from India. T-Thanks for your query to My-HCM Clinic.-I studied your query in depth.I understood your concerns.-My opinion -You have 2 lumps-a-neck lump-which is mostly-Sebaceous Cyst.b-hard penny sized ,which increased in last few weeks and now bigger and sensitive-mostly-this lump is -a boil with cellulitis-in hairline on the back of head.Treatment-Consult a Surgeon who would treat it with-a-Neck lump-being sebaceous cyst-is Excision and Biopsy. Cure -is by-Surgical Excision Biopsy by ER Surgeon.b-Lump on back of Head-being -a Early un-ripe boil-which would regress after Antibiotics and Tb NSAIDs.-Hope this would help you to recover from worry-some query.Wish you a Fast Recovey.Wellcome to HCM again. | 64,358 |
Suggest treatment for bluish red swollen gums | Patient: my grandaughter is 3 and she has bluish red swolen gums , fever and druling because it hurts for her to swallow and apparently her 2 year old cousin had the same thing about 5 days ago and they were sharing drinks according to her mother while they were on vacation. what could it be? my daughterinlaw thinks it might be some form of herpes. Doctor: Hello, Thanks for consulting HCM, Read your query, bluish red swollen gums can be due to viral stomatitis as she had history of viral fever so it can be Herpes gingivostomatitis . Dont be worried so much I will advise you to consult dentist and go for examination of gingiva , inmeantime you can apply ointment Acivir on gums by consulting with your local doctor.Hope this will help you. Wishing her good health.Regards, Dr. Priyanka tiwari | 184,243 |
What is the cause of the bump on the chin? | Patient: My 3 year old fell on her chin about 3 weeks ago and there is a small bump under that hurts when she presses on it. It bled slightly when she fell. She was standing and she fell asleep and fell to the ground. Should I be concerned that it still hurts a bit? Doctor: Hi, there!Its possible that subcutaneous haematoma was present after chin injury pressing nerve endings and causing pain.If the pain slowly goes away, theres nothing to worry about.I hope this helps | 129,774 |
What could be the non itchy red dots on chest and back? | Patient: Last night I noticed little red dots on my daughter s chest and back. She is 13 months and just had her vaccinations 3 weeks ago. But she dosent itch or seem odd. I haven t changed anything in her diet or laundry soap. This is my first child so I just need some answers. I won t be able to get her in until tomorrow, unless it needs to be addressed to the E.R. thanks Doctor: HI...ti could be viral exanthem or insect bite allergy like a simple mosquito bite also. But skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. But I can assure you one thing. If the kid is her normal self and playing around, you need not worry and can be rest assured.Regards - Dr. Sumanth | 177,829 |
How to get rid of dark black hair on the forehead of an infant? | Patient: My daughter is 8 months old. She has fine dark black hair on her forehead which looks odd. She was not born with hair but they grew when she was one month old and are as it is till date. I do not want to try traditional method of hair removing by using gram floor and olive oil. Please suggest me something. Doctor: Hi...dark hair on the forehead of the infant abnormally is a peripheral marker of hypothyroidism. If the kid also has constipation, the possibility increases. I suggest you get her thyroid status checked and then proceed further. If it is hypothyroidism as I suggested, treating it will take off that hair. Otherwise if it is not then you need not worry, as this could be physiological and it will reduce by itself as she grows up.Regards - Dr. Sumanth | 178,029 |
What is causing uneasiness in abdomen near heart. How to get rid of it? | Patient: Hi my name is susan and im 32 years old.I am in cyprus now and i ve been feeling uneasyness on the left part of my abdomain near heart for some days.It is because of the wrong style of sleepiness or something else?so would you please tell me what could be the reason and what should be done to get rid of this problem?I would be appreciate to know the answer. Thanks Doctor: hi susan welcome, this may be due to 1. due to the indigestion and gas formed will be disturbing to the diaphragmatic area or 2.some sort of early gastritis any way you do take some warm water for drinking, sleep properly, avoid ice cold items and fried items take only light food which will easily digested thanking you [email protected] | 94,995 |
How to overcome the problem of having discharge from my penis? | Patient: hello docI recently started noticing discharge from my penis although I only sleep with my wife , I have seen a doctor here and did a urine test and nothing showed up all negative and I was priscribed anti biotics still after to repeats nothing changed Doctor: Hello,I have gone through your query and understand your concern.I suspect it to be due to fungal infection like candidia.That is why antibiotics are not helpful and also routine urine tests were negative.You may need antifungals like fluconazole.Another possibility (that is less likely) is that you are having unprovoked prostate discharge (where semen is produced)But this is normal and nothing to be concerned.If it is found to be due to infection, Your partner also need to get treated.Hope this helps.Please write back for further queries.Wishing you good health. | 203,157 |
Can vertin cure dizziness? | Patient: Hi doctor i am suffering from this dizziness problem for past 6 months. This problem started when i had begin my first job working in front of system for 9 hrs daily. Nowdays i continuously feel giddy and am taking vertin 16 tablet. Will this curely me completely from this problem. Sometimes i fell less dizzy and at night times i feel like moving inside when i dont myself move physically. Please advice. Doctor: Hello,I think it is better you get yourself investigated for the cause behind dizziness and not just rely on symptimatic managment with vertin.You should get blood pressure recording, An X Ray neck. If there is any disturbance there, it should be treated.Till then please avoid bending neck and making sudden neck movements. If the reports are normal, you might need an ENT check up as dizziness can be due to ear problems as well.So, though vertin helps in dizziness but it is a symptomatic treatment. One should investigate and treat the root cause where ever possible.Wish you good health.Dr. Manisha Gopal | 208,910 |
Suggest treatment for nausea due to iron supplements | Patient: i'm on iron supplements 50mg three times a day and 1mg of folic acid for iron deficiency anaemia, i feel sick 15 to 30 minutes after i take them. not taking any tea. i feel like throwing up and week and keep producing lots of saliva. have tried different brands now but i keep getting the same reaction. Doctor: Hello and welcome to HCM,Iron supplement is known to cause side effects like nausea, vomiting etc.The best way to avoid side effects is taking iron supplements at night after dinner and before sleeping.The other supplements should not be taken empty stomach.Take the other two doses after taking breakfast and the second after taking lunch.Thanks and take careDr Shailja Puri | 115,566 |
Suggest remedy to prevent breathing from mouth in sleep | Patient: sir, I am suffering from mouth breathing during sleeping as well as day time when I am unconscious about breathing. It creates a pychological disorder and my whole day goes in vain. sir Please give me advise either to follow surgerical method to correct the disorder. If there is a solution then give us also a contact No. & address of doctor/ Clinic/ hospital in bhopal (M.P.) to sort out my problem. Doctor: probably you have nose problem may be deviated nasal septum or turbinate hypertrophy with allergy go to ENT specialist | 71,951 |
Can prolonged use of Dicorate ER cause any side effects? | Patient: hi doc, This is ram , past 9 year i m taking Dicorate ER 500 (divaproex drug )for mild fits ....my question is , it cause any side effect for me in future & if its affect my generation , if yes what are the remedies i should do.kindly Please give me answer to my question waiting for your reply .Thanks Ram Doctor: Hi, It causes birth defects, but only if you are female and pregnant on it. It doesn't have that many long term toxicities. Maybe dental, so periodic dental visits are a good idea in any case. It certainly is likely to have both the previous condition re emerge and probably some withdrawal if stopped so, this should only be done gradually and with supervision. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | 85,334 |
What causes persistent high fever? | Patient: Hello my younger sister is 8 years old, she weighs about 70 pounds, she has been having high fevers up to 103 for al most 3 days now, we took her to her primary care doctor and she saw the inside of her ear red, but my sister doesn t complain about any ear pain. She received an antibiotic for an ear infection the high fevers only go away with Advil for children which is an ibuprofen it only takes the fever away for the 6 hours and then she starts getting high fevers again. The doctor also gave her a cough medicine to help with the congested nose, is it normal her whole body is hot and her feet are very cold? Is a 3 day fever normal? What should we do? I repeat she doesn t complain about any ear pain what could be wrong? Doctor: Hi, I had gone through your question and understand your concern. You should be worried but not too much. It seems she has viral infection; the fever can be till 5-6 days in this case. Another causes- infectious mononucleosis, sinusitis, UTI infection. I suggest you to perform blood and urine tests.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 your sister speedy recovery and good health. | 173,371 |
Severe back pain, had several back surgeries, having pain blocker in back. Dont prefer taking medication. Suggestions? | Patient: i am 50 and have had several back sur. i have been on all sorts of pain relievers nothing is helping the pain i have a pain blocker in back have been told by my doc that continue swapping around meds or sur is my only options don't like taking meds and dont like the side affects they cause have heard that taking thc by pill has little side effects stops pain and little or no buzz dont want buz just pain releaf Doctor: Hi,As you are 50 years and having backache indicates that you might be having some degenerative changes in your lumbo-sacral spines.Go for x ray lumbo-sacral region.Take calcium. vitamin A and D supplements.Go for physiotherapy like back extension exercise.consult orthopedic surgeon for expert opinion.Ok and take care. | 112,569 |
What causes red spots above breast while having skin cancer history? | Patient: I had skin cancer before, about 2 years ago, I had some removed from my neck. A few weeks ago, I am finding red spots above my breast, and between my brest. The one above my breast got bigger, I am 72 years, 115lbs,5ft 2 inches, I work out every day, I also have white spot all over my legs, and thighs, and I don't know what to do. Doctor: Hello dear, thanks for your question on HCM.In my opinion you should consult dermatologist and get done clinical examination of red lesions and if needed biopsy from the lesion to rule out relapse of skin cancer.Your skin lesion can be due to skin cancer. Other possible causes are1. Viral infection2. Irritation from the clothes.3. Cutaneous bleeding and rashes 4. Insect bite etc.So clinical examination and biopsy is needed to establish the diagnosis and rule out or confirm skin cancer.Consult dermatologist and discuss all these. | 155,232 |
What are the after effects of a herniated disc at C-7? | Patient: How dangerous is it to live with a herniated disc at C-7? I have had DDD for over 20 years and x-ray shows disc at c-7 is obliterated almost fusing with the next vertebra, c-8. I don t want surgery with such a weak spine, so to speak. I have pain and weakness on the right shoulder and arm. Take Dexamethasone once or twice a year x 10 years, to control pain. Is there any real danger of just living with the pain unless it becomes unbearable? Doctor: Hi Welcome to healhcaremagic After going through your query I concluded that you are having cervical spondylitis with degerative disc disease. You are not willing to undergo surgery. You can take conservative treatment such as Diacerine and glucosamine. Analgesic such as ibuprofen for pain relief. If you have persistant neurological such as severe weakness of upper or lower limb and numbness in limb then you should undergo operation. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Take care. | 109,428 |
Does scarlet fever cause weakness and low energy levels? | Patient: Scarlet fever as an 8 year old. Ran track and always had to lay down after a race. My whole life, doctors said I had a heart murmer . Had a bad episode while in an airport overseas and spent time in a hospital where the doctors said I had atrial flutter. Treated by ablation. Now I am weak and lack energy. Was scarlet fever the cause? Doctor: yes scarlet fever causes weakness.you might have anemia.check your hemoglobin levels.consult a physician | 29,159 |
What causes swollen lymph nodes in neck and groin? | Patient: well I am a 15 year old male , I have 2 Swollen Lymph Nodes In My Neck And Groin I Am Frighten And I Dont Know What To Do , I Need To Hear From A Professional , Will I Be Ok ? I ve Searched Online And It Says Its Normal In Young Adults But I Still Have Second Thoughts. Help : ( Doctor: Hello,Your symptoms seem to be related to reactive lymph node. The enlargement of the lymph node can be related to the presence of an infection in the system. I suggest to do a complete blood count and consult an ENT specialist for a physical examination.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 119,736 |
What does this USG finding of uterus indicate? | Patient: Hi ,In my sonography report on 19 week of preagnancy .USG finding reveal as below.PLACENTAL LOCATION : Posterior , extending upto the os . please guide me what precaution I have to take . from pari Doctor: Hi there,It is seen in approximately 15-20% of pregnancy that the placenta is low lying and reaches the os at less than 20 weeks. A repeat scan at 32 weeks most of these placenta move to the upper segment and do not cause any problems to the mother or the baby.In a few women they may still remain low and then the mode of delivery may have to be decided by the obstetrician and the women. She is more likley to bleed during delivery, and blood needs to be arranged and kept ready if required for transfusion.Also some women require caesarean for delivery if it covers the os.But all this would depend on location of the placenta at 32 weeks. Is this your first baby?Have you had a caesarean before?Hope this helps.Regards. | 219,409 |
How can foot infection with swelling and pain be treated? | Patient: yeah I had foot surgery about a month ago bunion removaland I am still suffering with an infection in my foot and they said itwas hear infection celluliitisin my second toe is very painful always swollen and almost feels like into antibiotic still not feeling like I go back to my foot doctor tomorrow what do I do Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, your infection is stubborn due either to your weak immunity or infection with an organism that is resistant to the present antibiotics you are on, share this concern with your doctor and he will help you out. I hope that answers your query. If you want any more clarification, contact me back. | 138,568 |
Suggest treatment to cure painful bump on shin caused by an injury | Patient: Good afternoon , about a week ago I tripped while walking And took a pretty hard fall ... I bruised both shins And my left shin has a bump that is numb when I touch it . However when I rub against something or sit with leg under The pain is excruchiating . I don't know if I should see a doctorOr not . Doctor: Hello and welcome to HCM,Trauma usually leads to hematoma formation or blood collection.Th hematoma usually resorbs after a couple of days.Formation of a swelling after trauma which is numb suggests nerve injury.Nerve injury can lead to altered sensations or decreased sensations.Associated pain is again suggestive of nerve injury because nerve injury can also lead to pain.A clinical assessment of the painful lump is required to diagnose the condition.I would suggest you to consult an orthopedician for clinical assessment.Thanks and take careDr Shailja P Wahal | 68,845 |
What causes bruising of chest and ribs with blood in stool? | Patient: I was in a car accident two days ago and got pretty banged up but no broken bones but my ribs and chest are bruised I have blood bright red in my stool but a lot of blood and when I pee I wipe front to back and there is fresh bright red blood coming out of behind.should I go to er Doctor: Yes yu shud definitely go to the hospital firca check up. You will need an external and internal examination followed by an imaging if the abdomen and pelvis.... Usg and CT scanning. Don't take it lightly please! | 134,782 |
What causes pain in left side of chest with BP level of 118/70? | Patient: blood pressure was initially 160/105. Doctor said I had hypertension. I was given atenolol and HCTZ and it came down to 130/90. I then changed my lifestyle and started exercising, avoiding canned food, stopped taking table salt, added plenty of fruits and vegetables in my diet. I now take HCTZ only and my latest blood pressure over two weeks was 120/80 and recently 118/70. However I sometimes have pain on the left side of my chest which can be for a whole day despite the lower blood pressure. What may cause the pain? When should I stop medication? Doctor: muscle cramps, muscle pull, nerve irritation- etc- we call this collectively as musculoskeletal cause of pain- not at all related to heart. | 19,938 |
Taking Adderall. Changed dosage ,increased exercise ,pulse gone up. Is it normal? | Patient: I have been taking Adderall for several months and it is just recently that my pulse has gone up. I just changed the dosage around a bit from taking 20mg XR in the morning and 15mg IR in the afternoon, to taking 25mg XR in the morning and 10mg IR in the afternoon. I have also increased my exercise regime from 4 days to 5 days. Normally, my pulse has been between 76-80 on or off the adderall. Now, it is between 85 and 95. Do you think I just need to adjust to my new medication switch? I m not taking any more than I was before, just at different times. Doctor: Hello knfleshe Adderall is a stimulant drug and its an amphetamine. It increases heart rate and over all cardiac output. So the increase in heart rate in you is due to increase in dose in morning as previously you were taking 20mg extended release which is long acting and now its 25mg, so due to this dose adjustment HR has increased. As immediate release dose has nothing to do much because its short acting only and its decrease just will not affect much. Hope I solved your query. Thanks Take care | 212,547 |
What causes sudden knee pain? | Patient: Pain in my right knee came on suddenly. Behind the knee, the muscle on top of the knee, the inside of the knee. I do have osteoarthritis, have had two arthroscopies. Has been pain free for the last 4 years. I did nothing that would have brought on such sudden pain. Can a cold or infection settle in my knee? I have had a very bad sore throat the past 3 days. Doctor: Hello,It looks that you are afraid of arthritis pain. As recently you are having sore throat, in that case it can be associated arthralgia with sore throat. In good percentage of cases there is associated joint pain in sore throat. You need not to worry about that this will go away in next 3-5 days. Meanwhile, you may have a good analgesic like ibuprofen for that. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | 120,839 |
What does elevated bilirubin level and low lymphocyte level indicate? | Patient: Hi Doctor, I have slightly elevated bilirubin levels (Bilirubin-Total by Diazo metho : 1.4 of which Bilirubin-Direct: 0.2 and Bilirubin-Indirect- Serum: 1.2). Also, i have low lymphocytes(18.0 as against normal range of 20.0 to 50.0 %). What could this be an indication of? Doctor: Hi thanks for asking question.Your lymphocytes are only very slightly depleted .Need not much concern.Your bilirubin mild high with increase indirect bilirubin.Here first rule out hemolytic jaundice .For it estimate serum LDH , Retic count and peripheral smear study ..If hemoglobinopathy suspected in smear electrophoresis can be done.Secondly rule out fatty liver by USG as it can elevate liver enzyme and bilirubin.If you have alcohol habit then also such finding can occur.Meanwhile if you develop anorexia , muscle ache, joint pain , headache with fever viral marker done to rule out viral hepatitis.I hope your concern is solved regarding cause for increase bilirubin.Take care....Dr.Parth Goswami | 54,999 |
What does RBC in semen analysis indicate? | Patient: Hi I underwent a semen anaysis and I am 26 years old.I contracted mumps last year. Volume:4.0, viscosity- decreased,pus cells-2-4,rbc-2-4, actively motile-37%,sluggishly motile_ 18%, morphology normal -97%.sperm count-18.6M. Is rbc in semen indicates something?Is my RBC result normal?thank you.Can i still father a child? Doctor: Hi, More than 2 to 4 RBC in semen or urine indicate infection, pus calls more than 1 to 2 and RBC in semen indicate infection. Since you can both increase. We need to rule out infection. Doing urine complete and urine culture sensitivity will help you diagnose. Yes, you can father a child, its a minor issue. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist | 194,200 |
Suggest cure for lower back pain | Patient: My 17 year old daughter started complaining of lower back pain at 4:30. She said it has moved to the middle of her abdomen and is a 7 with 10 being top pain. she has been fighting chills and hot flashes all day. she just vomited. is this the flu? gas pain? Doctor: hiIt coud be symptoms of a Flu with mild gastritis, bodyache and fever.Plenty of water orall and acetaminophen (tylenol) tabs twice a day may help.give her liquid dietcomplete bed rest and reassurance be givenNo panic it would subsideSee a GP if necessary | 108,031 |
Why am i not getting pregnant? | Patient: Hi , im 18 years old and i bearly started having this odor like smell in my vagina it smells like blood, and im a bit worry . I have a clear discharged from my vagina too, well all this fear builds up because me and my boyfriend are trying so hard to have a baby and still dont get an answer. I also have a cyst in my left ovary i think thats the problem? I dont know but i really want a baby and im afraid what if i cant? Doctor: Hello,Do USG once and send report. Do serum TSH and prolactin. Go for follicular study if cyst resolves after Clomiphene. For early results do IUI after rupture all under gynecologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Sheetal Agarwal | 238 |
What causes sudden onset of pain in lower back and buttocks? | Patient: Quite suddenly, my lower back and butt hurt, and I thought it was a sciatica issue. Now my left arm feels as though someone is forcefully pressing his large thumb on my bicep. ANd my ear oddly aches! All this today. What could possibly be the matter? I am 39 year old female...do not exercise enough but not really overweight. At home with toddler but I don't carry her a lot. Doctor: HiThank you for asking HCM. I have gone through your query. Your problem can be due to repetitive stress injury or fibromyalgia. A physical examination with an orthopedician should be carried out to rule out the condition. In such case i advise NSAIDs like aceclofenac and muscle relaxants like thiocolchicoside. Gels with combination of capsaicin and nimusulide for local application also will be helpful. Hope this may help you. Let me know if anything not clear. Thanks. | 109,069 |
Suggest treatment for swollen and painful calf | Patient: My daughter went to the ER with calf pain and swelling and they took blood . Her D dimer was elevated but the dopier showed not clot. She also has SOB and chest pain complaints. What should be done now? What Doctor should follow up with her? Family history: I have had two blood clots and had a PE. They did DNA testing and I have a Factor 2 Mutation. My father did in 1959 with massy blood clots. Doctor: Hello,Welcome to the magical world of health care, I went through your query, and let me inform you that elevated D dimer means greater propensity to develop clot and not the fact that clot as big which can be identified by doppler has formed. But your daughter will need to take therapy to reduce formation of clots in the blood. see your doctor for that I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.I hope a 5 star rating if you feel guided in your treatment,Thanks. | 138,427 |
Stage 4 Renal Cell Carcinoma, fluid in stomach, legs, feet and groin area | Patient: My friend has just been diagnosed with Stage 4 Renal Cell Carcinoma . He is retaining alot of fluid in his stomach, legs, feet and his groin area. He is starting to have a hard time breathing and he gives out really fast. How long will he have to go through this? His doctor told him he will only be with us for about 3-4 more weeks. Does this sound accurate to you. Doctor: I am very sorry to hear about your friend. His cancer has metastasized (spread) to many areas of his body and the symptoms he is suffering from can be explained because of the spread of the cancer. It is very hard to tackle with such problems and I would suggest that all of you should support him through this tough phase (Im sure you must be doing that at present as well). It is very difficult for one of predict the time he is going to live but what is important is that he should be made as comfortable as possible. | 159,793 |
Do the medicines take time to lower blood pressure? | Patient: My husband just had back surgery. He was prescribed Amlopdipie besylate 50mg. Hes blood presuure is still high at 188/123. no nausia, no dizziness. At the hospital, he was not released until his BP was below /100. Not sure if it is normal to take some time for the medicine to work. He was released 2 days ago. Doctor: Brief answer :You need to see your doctor to change or to add any other medication to get a normal blood pressure.Detailed answer:You are right on making this question. Thank you. The blood pressure of 188/ 123 mmHg is really high and has to be treated.Amlodipine besylate is a good medication in his conditions , but seems it is not enough, for the moment. It takes at least 8 hours to reach the peak level in blood , and 3 -4 days to stabilize the blood pressure. So for this 3-4 days after admission from the hospital, he has to add any other blood pressure medication that acts fast, for example Vasotec (enalapril) 10 mg once a day. It begins to act in 20 minutes and has less side effects.If after 4 days the blood pressure is not yet stabilized , then you need to see your doctor to review the treatment.Please feel free to make any other question you need.Kind Regards ,Dr. Juarda | 24,944 |
What is the treatment for cardiac murmurs? | Patient: Hi Sir ! I am male, 22 years from India ! I have been Selected for Indian Army but i have been rejected in view of Cardiac Murmur (causing by Mitral Valve Prolapse). Sir i want to know about the severity and whether i am permanently unfit for armed forces. I have done Echocardiography test and the results shown everything normal except the MVP.Thank you. Doctor: Hi,Since you have a murmur then it must of moderate severity at least and this condition is permanent, only treatment is valve replacement. This will be done when it's become severe and you become symptomatic. So will probably remains unfit for army. You should get regular Echo done to monitor the condition.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sagar Makode | 22,520 |
What causes lumps on the knee while suffering from non-Hodgkin lymphoma? | Patient: I am non-hodgkins lymphoma patient. I ended my initial treatment over a year ago and now am feeling these weird "bumps" around my knees and in the front of my feet. I am concerned of a possible recurrence. What is the possiblity that lymph nodes that were not the original site of the infection of my cancer now be infected and me have a recurrance of my cancer? Doctor: Hi,Thanks for writing in.Lymphoma is a malignancy of the lymphatic system and might affect any region of the body. If you are having lumps in different areas of the body then please consult your doctor immediately and get a complete clinical examination done.Recurrence of cancer is more common if there are lumps in various places. It will be important to do an assessment of the entire body by imaging methods like ultrasound scan abdomen and CT scan of the chest to be sure that other groups of lymph nodes or the spleen is affected or not. Bacterial infection will usually give rise to acute signs of inflammation. It is unlikely that you have an infection if there are no features of inflammation. | 153,229 |
Pain , swell since lymphatic system got shut down. Had biopsy on wrist,thigh, suspect cancer. Lymphono cancer? | Patient: My lymphatic system shut down about 6 yrs ago. I have a lot of pain and swelling. Saw a dermatologist last week and she did skin biopsy on my wrist and inner thigh- suspects cancer. I had mascetomy in 1999. Is lymphono cancer one of my symptons. I don't have anything to help fight infections. Could these signs be lymphono cancer?I'm scared because since having breast cancer I have not had any energy, stay tired all the time. Any info. would be appreciated. Doctor: Hi and welcome to HCM,thank you for your query.It may be lmyphoma but it have to be confirmed by biopsy. you didnt mention what exactly this previous biopsy showed. if this is just skin cancer then I don think this is related to your risk of lymphoma. So your lack of energy probably isnt sign of new cancer.it can be sign of various other diseases. Lymphomas can be also ruled out by certain blood tests and sternal punction.Wish you good health. Regards. | 157,753 |
Suggest remedy for severe coughing,sore throat,headaches and body aches | Patient: hiya 2 weeks ago i had tonsillitus and was on pencillion for a week taking 8 tablets a day since then i have been suffering with a very bad chest and yesterday was really sick today i have a sore throat again and coughing very bad with bad head and aching all over. the cough i have i have had since i was very young and seems to be getting worse and since december i have had tonsillitus 4 times is there something seriously wrong do i need to visit a doctor please can you help me? Doctor: dear patient you are suffering from bronchitis,a chest infection caused due to recurrent sore throat and tonsillitis.you need to improve your bodys immunity. as decreased body defenses leading to recurrent sorethroats and tonsillitis.take high amounts of proteins and a tab of limcee everyday.get a chest x ray done and start a course of antibiotics by consulting a pulmonologist personally.I advice you to get your tonsils removed as they are the primary source of your epeated infection. undergo tonsillectomy.best of luck, take care. | 30,772 |
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