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Suggest remedy swollen lymph nodes all over the body | Patient: Hi, may I answer your health queries right now ? Please type your query here... hi i have ms and am very sick righ now. i have some sort of 1 pwe centage who gets this bacterial strp sumthin with pharyn or laryngiti (sorry was aone and shoked cuzz got n 2 days sinc i seen my d last my whole tonsls and thing hat hans in the middle are completely a puss pocket) all my lymphnodes are swollen all over my body and he is doing tests for some lymphnode disease monday (due to my insurance?) anyway im in islolation at home til then and am worried..i have a lump for a couple years i just thought of never really thought important til i stated researching. it dosnt hurt size of a pea but growing bt ive been losing weight so that ould b y it just seems bigger.....ive had mono twice but feel like i have it again but dont..my question is if im in this 1 per centage and isolated ..could lymhnode disease be serious? or just preautionary cuz of the ms? i have lymphnodes balls all over my body and they are from a pencil erasr size to a grape or bigger size. Doctor: Hi, dearI have gone through your question. I can understand your concern. You have respiratory tract infection. You should take antibiotic treatment like levofloxacin,augmentine, azithromycin or cephalosporin. You have multiple enlarged lymphnode all over body with history of weight loss. You may have viral lymphadenopathy, tuberculosis, lymphoma or other pathology in lymphnode. You should go for fine needle aspiration cytology or biopsy of one of the largest lymphnode. It will give you exact diagnosis. Lymphoma is serious disease but chances are low. Go for FNAC or biopsy and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 61,909 |
What causes very bad muscle spasms in legs? | Patient: I get very bad muscle spasms in my legs as well as leg cramps. Mostly when I am laying down for a while and then suddenly get up. Sometimes the leg cramps are pretty extreme and very discomforting and painful. I am not sure if it is because of my back, but I have bad lower back pains as well. The back pains are pretty bad. On a scale from 1 to 10 it is usually a seven or eight. Have you heard of a condition with these symptoms? Doctor: hi,thank-you for providing the brief history of you.yes. there is a possibility that due to the nerve impingement there are chances of the muscle cramps as well. Since it will be a disturbed sensory functions.also, taking an MRI and NCV study will help put more insight to the symptoms. Also, usually with exercise and medicine combination 99% recovery is recorded.with the grace of God I wish you a speedy recovery | 134,138 |
What is the treatment for back pain? | Patient: i have a back pain. mri done and as per report c-2 and c-3 chain having gap and also vitamin d and vitamin b12 content very low so i have taken the injection for increasing the level. physotharipe also done but no result yet get so kindly give me a advice. Doctor: Hello,I had gone through the case and found that the treatment course is correct.But if still having pain then take mild painkiller and do hand and neck exercise.Avoid pillow and long time sitting or computer work.Hope my answer will be effective for you.Thanks | 111,229 |
what is the meaning of free fluid in the pouch of douglas? | Patient: what is the meaning of free fluid in the pouch of douglas,and what is the side effect on me trying to conceive 35,fola,female, My scan shows i have a free fluid in the pouch of douglas,i want to know the meaning,the cause and what treatment measure to take,Dr mohammed Tauseef,gave me a reason to smile when he answered my question. Doctor: Hi.welcome to HealthcareMagic forum.free fluid in pouch of douglas indicate either normal such as after ovulation or some inflammation either in genitals organ or abdomen.most common cause is tuberculosis.but confirmation required before reaching any conclusion.fluid examination solves many issue.you should consult doctor in person. | 45,216 |
Will a kidney fail due to exposure to chemicals? | Patient: Hello...I was diagnosed with Glomerulonephritis in 1992 - no history of kidney disease in family at all - career has been in an office - was in Viet Nam and was exposed to Agent Orange - question: is it at least possible that my kidney failure was caused by exposure to the chemicals found in Agent Orange? Thanks. Chris Boroughs - YYYY@YYYY . Doctor: Hi Chris and welcome to HCM.As an Urologist, i can understand your anxiety.You're right in suspecting chemical agent reaction, leading to kidney failure.You can ask your doctor, if other people have been diagnosed similarly.Chemical agents are known to be toxic and have caused kidney failure.Specific data about Agent Orange, is not reported in Urology studies.So it's difficult to comment,but your doctor should be able to tell you that.Wish you well.Dr.Matthew J. Mangat. | 46,267 |
Taking Lutera, condom broke while having sex. How do I continue with my pack? | Patient: I have been taking Lutera for about 2 weeks, and 2 days ago I had sex. The condom broke, so the next morning I took 5 Lutera followed by another 5 pills 12 hours later (I was informed that this was the same as taking a Plan B pill). How do I continue with my pack? If I wouldnt have taken the 10 pills, I would have had 2 and half more weeks of white pills before the nonhormonal pink pills. Now, I only have 5 days until I take the nonhormonal pills. What do I do? Doctor: Hello and welcome,Please do not worry. If you were already on lutera and taken pills regularly there was no need to use the condom. Even if it broke there was no need for an emergency contraception as you were already on regular contraception. Now since these additional pills have been consumed, it is best to wait for periods and take no pills further. Meanwhile use condoms if there is a sexual contact. Begin a fresh pack of pills from day 1 of the next period and nothing else needs to be done. So do not worry, just wait for your period and then begin a new pack. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri BagdeConsultant Obstetrician and Gynecologist | 224,585 |
How long does burning and itching at an incision on scalp take vanish? | Patient: Had pre cancer removed off of the top of my scalp 4 days ago. Swelling has gone from scalp down forehead and now in eyes. Movement is always creating pain along incision (10 stiches). Burning and itch sensation now. No discharge, just a little blood when it pulls.... How long will burning sensation be? Doctor: These are all normal signs and symptoms of healing of a wound particularly in this area. Due to the dissection that takes place during the surgery, there is accumulation of fluid in the space created and hence the swelling. This is quite normal and will disappear in 2-3 weeks. Meanwhile keep a pillow under your head while sleeping, dont sleep on the operated side and take Tab Chymoral or Tab Disperzyme one tab thrice daily. The burning will go in 2-3 days and be replaced by an itching and pulling sensation which will stay for another 10 days | 155,224 |
Suggest treatment for vitamin D deficiency | Patient: I currently take 50000 unit of vit D once a week and also 3000 daily I would like to know what strengths you can get by prescription so I can get my doctor to give me one that I can take once or twice a week instead of each day as my insurance will not pay for the 3000 units and I can t afford to buy myself Doctor: A weekly dose of 60000 I.U. is sufficient for a case of Vitmin D deficiency.It has to be continued for at least 6 month.then after a revaluation of Vitamin D3 levels the maintainance dose is decided which may be scheduled fortnightly or monthly.or a small daily dose of 1000 to 3000 Iu may be needed. | 115,130 |
What causes lump on the arms with mild pain? | Patient: Hi I m a 38 yr-old female with sarcoidosis. Yesterday I noticed a quarter sized lump in the crease of my left arm. Could this be something to worry about? Its non-tender, however my arm has been falling asleep alot and there is a little pain in my forearm, wrist and shoulder Doctor: HI,Welcome with your query to HCM.Based on the facts of your query,after its review,In my opinion you seem to have Sarcoid lympnode in the armpit/crease,with compression symptoms lower down in that arm.You need to consult Physician and if conservative treatment with steroid does not regress the lower arm compression symptoms,then elective surgery to decompress armpit/crease by Excision of the Sarcoid Adenitis lump in armcrease would resolve your pains in that arm. Hope this reply resolves your worry with your queries.Will appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | 62,683 |
How long do liver problems usually take to heal with Ursocol? | Patient: Hi, I had recently been diagnosed of a lever problem. My SGOt is 85 and SGPT is 133. I used to take alcohol and I have completed stopped now. My Doctor has prescribed me Ursocol 300 for 1 month. I would like to understand how long it would take for the disease to cure? Thanks. Doctor: ursocol is not for every liver problem, it has definite role in only very few liver problems mainly cholestatic liver disease. you will need ursocol only after you have a confirm diagnosis of cholestatic hepatitis. in rest of liver diseases it is not more than a placebo currently. | 52,814 |
Suggest treatment for gum hanging over wisdom teeth causing pain | Patient: Hello. I am a 21 year old Male and have all 4 wisdom teeth in. The bottom right has an issue. There is part of the cheek/gum that still hangs over it and it hurts like sin... I was told it would eventually recede but has not yet. What are my options? Doctor: helloo...after reading ur symptoms i can say that it is pericoronitis(inflammation of pericoronal flap)..but dont worry ..its just usual...u have to do hydrogenperoxide mouthwash twice...take antibiotics(amoxicillin+metrodinadazole) and analgesic(diclofenac)..do warm salt water gargle as many times as possible..meet an oral surgeon and get it extracted(if not errupting)..then it will get healed...hope ur benefitted something from this reply..have a healthy day!!! | 183,504 |
Is elevated blood pressure level after kidney transplantation a sign of organ rejection? | Patient: I had a Kidney transplant 1/27/17. My recovery has been superior. My blood pressure is in the range of 130/75. I take it am and pm pre-meds. Today my pressure is 150/87. Could this be a sign of rejection? All other vitals excellent. No ankle swelling, urine out put and fluid input consistent and retention is excellent. Thank you, Mark Doctor: Hello, It is not a sign of rejection and delayed rejection is very very unlikely. Consult a nephrologist and start on antihypertensives. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | 45,541 |
What causes persistent bloating and pain in the mid abdomen of a 8 year old? | Patient: My 8 year old daughter has moderate GERD per upper GI series and has been on Prilosec for two weeks. She continues to has persistent bloating and pain in upper mid stomach just below sternum. It is worse post walking bending and after eating. Doc thinks it may be gastroparesis viral induced. why is her stomach so tender to pressure and touch and how long could this last? Doctor: you must do endoscopy to know the cause of this tenderness but until do that keep taking good proton pump inhibitors and eating soft food | 165,213 |
What are the possible treatments for Pneumonia in the right lung? | Patient: My dad just got out of the hospital last week. He went in with pnuemonia in right lung, afib and low blood pressure 70/40. Has only 10% lung capacity with copd and something else. He has been complaining of this sweet taste in his mouth since he has been home. He does have diabetes runs about 116 to 156. He doesnt have the fruity smell. and my daughter n law is a respitory therapus. He is on 3 liters of oxygen all the time. is on ameodrone, dijoxen, ditilizem for heart. some med for reflux like omeprizole. Vitamins not sure right now on the rest. was on a lastic med for water, they had hi on 180 milgram at the hospital. and now i think 40 at home. Can you help. Doctor: Thank you for writing on health care magic.I do understand you concern.Your father has been with pneumonia and suffers from COPD and 10 % of his lung capacity is low. By these number and the liters of oxygen being used i presume your father is in stage four of COPD ( or D stage) which is the last stage. COPD is not e reversible disease and the lung function deteriorate with time passing and disease progression.The list of medication is broad but normally patients at these stage have to take these medication.He has taken all the necessary medication for COPD exacerbation. I see he takes amiodarone and digoxin for heart rhythm problem and diltiazem also which i suppose for high blood pressure.It's good that he takes omeprazole for reflux because at theses stage of disease most of the patients have reflux and also helps to heal the stomach from side effects of drugs being taken( for the most prednisone).diabetes has to be good controlled because a bad controlled diabetes lowers the immunity and predisposes to infection and of course a better control makes him feel well and helps him not to get to early the complications of diabetes. The dosage of drugs seems ok.I would suggest to take some drugs with inhalation to help him feel better, you have to use corticosteroids with inhalation( symbicort for example), and long acting beta agonist , and salbutamol. These medications have to be decided by your pulmonary physician.Regarding your question about the possible treatment for pneumonia generally these kind of patients has to be treated with a combination therapy of a cephalosporins 3 grade or more ( ceftriaxone 1 gram twice per day for 7 days or cefepime for example) in combination with a macrolide ( azithromicin 250 mg for 7 days)Don't hesitate to post if you have any other questionWish you good health | 78,415 |
Suffering from acne. Face full of acnes and rashes. Will deriva CMS gel and sotret 20 mg capsules helps to get cured? | Patient: hello i am 20 year old and suffering from acne . lately i had suffered from pox and after recovering from it, my face was full of acnes and rashes . a dermatologist prescribed to me Deriva CMS gel and Sotret 20 mg capsules to be taken after dinner. to what extent will this help and will it cover up the blemishes as well?? Doctor: this will help you. If it doesn't, then you should try alternative medicine. | 7,672 |
What causes shooting pain down the lung? | Patient: 3 days ago i visited my doctor and was diagnosed with influenza, now after taking tamiflu, z-pack and cough syrup with vico, i started to recieve an uncomfortable almost painful shooting pain only down my lung area....whats my next step another trip perhaps? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Yes, you should definitely consult your doctor again and get done chest x ray. Influenza viral infection of lungs can cause pneumonia, pleural effusion, pleurisy etc. And all these can cause sharp shooting chest pain. So get done chest x ray. If chest x ray is normal then no need to worry for these diseases. Take simple painkiller like ibuprofen or acetaminophen. Apply warm water pad on affected areas of chest. Don't worry, you will be alright with all these but first get done chest x ray. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 73,025 |
Suggest treatment for hallucinations and bipolar mania after severe injury | Patient: topic on concussions:My son experienced a concussion in 2008 after being bruttaly beaten up and kicked in the head multiple times with heavy boots. He is experiencing hallucinations getting lower on zyprexa med that he took for bipolar mania after the concussion. Can the visual hallucinations be caused from the lowering of the zyprexa or the concussion? He's also on equetro.Thank you Doctor: Hello thanks for choosing HCM for your health related queriesYour son developed concussion in 2008 and he developed Bipolar disorder and mania after that. He was no Olanzapine and Carbamazapine for that. Now on lowering the doses he is experiencing hallucinations. Serious head injury commonly get complicated in psychotic symptoms. He is having these symptoms because of complication of head injury and reduction of antipsychotic Zyprexa or Olanzapine resulted in relapse of symptoms. I would advise you to consult his psychiatrist again and get him evaluated for evidence of psychotic symptoms.Thanks, hope this helps you | 145,842 |
Can walking pneumonia cause pain around rib cage? | Patient: I ve been suffering for months with this pain around my rib cage when I lay down. I wake up in agony and have to sleep the rest of the night on the couch sitting up. I ve also been struggle with fatigue and weakness, finally got in with the right dr who ran tests. Walking Pneumonia . I don t have a cough though. I asked if the pain in my ribs was caused by it and would it go away with the Pneumonia, she said it may not be the cause, but what else could it be???????? Doctor: pneumonia, when involes the pleura or covering of the lungs causes severe pain but it might persist even after the pneumonia goes, due to pleural adhesions.kindly do a chest X-ray and it will detect the exact cause! | 81,485 |
Suggest treatment for bronchitis | Patient: I have been sick for 1 month now. I had the flu that turned into bronchitis. I was on a zpack. And when I was done taking them and for several days later, there was no sign of really getting better. I don t have any insurance and am broke from being off work so long. Anyways my mom and dad ended up in the hospital and both with the flu, my dad with pneumonia also and my mom with bronchitis as well. She was on a rx that the doctor had told her was for people with pneumonia and they were big guns . She took them for seven days with no sign of getting better. The hospital took her off them and when she came home she to,d me to start taking her meds...I did for no other reason than I was so sick and couldn t afford meds. There are only 5 pills in a box and she has like 8 boxes. I told her on the back of each pill it says to take 1 every week. I to,d her that and she said no...take one everyday. So I have been. It is not an antibiotic like we thought at all. Three days ago was the first day I have felt human but by the evening time, I could not touch my legs from the knee down. There were these red blotches (like when you take a hot shower) all over my lower leg and they felt like the most horrid bruises ever. I have been running a fever since then as well and have a sore throat and a killer headache that feels like my head is being crushed. I feel good during the days but come the night everything comes back. Except the legs...they never stop hurting...tonight we looked at the side effects and it turns out it is fosomax....or actually what ever drug it is that starts with a A but is it s equal. I also take 880 mg of aleve every night because of major arthritis pain...I also have asthma and use an inhaler. It says do not lay down after taking it, I always do....and don t take with aleve...I always do....my lungs also hurt really bad like when you run in the cold....I am worried and don t know what to do. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * As per the description, the skin condition of the lower limbs indicate severe drug induced eruptions. I recommend to immediately consult your family doctor for the same. Hope I have answered your query. Let me know if I can assist you further. | 71,157 |
What causes numbness and soreness of the arm? | Patient: Hi, My right arm has felt lame and slightly sore at the shoulder for over a year now. I can move my arm normally but have to think about it deliberately to do so, and it has less range of motion than normal before feeling stiff at the shoulder. When I reach that point of it feeling stiff the shoulder muscles begin to quiver. Can you offer any opinion? Please and thank you. Doctor: Hello,I have studied your case and I think that you are developing frozen shoulder. In this condition there is pain and stiffness of the shoulder and restricted movements. To confirm the diagnosis I would suggest you to get MRI of the shoulder. If there is any tear in cuff muscles then it can cause frozen shoulder. Also if there is any capsular thickening then it can also cause tight shoulder. In both cases arthroscopy of the shoulder is helpful. During this small procedure we can cut tight band and repair muscles tears.I hope this answer will be useful for you.Let me know if there is any other followup questions.thanks | 134,828 |
What causes episodes of raised heart beats,dizziness and shakes? | Patient: My sister just turned 22. She is 5ft 2inches 105lbs. She had PDA heart surgery at 11months. She is highly allergic to milk n smoke. She avoids both. She looks very healthy n leads a very active life. She has never had any other health problems, loves to workout n takes no meds. But for the past few months she gets shaky, dizzy, breathless n her heart races off n on. Could this be related to her heart?? Do others who have had PDA surgery as babies develop problems later?? I believed after her surgery as a baby they considered her cured. Thank you soo much for your time n help! :) Doctor: Yes it can be related to her heart pda cause left to right shunt iin intial stages but if remain uncorrected for a long time this left to right shunt converts into right to left shunt due to severe enlargement hypertrophy of muscles of right ventricle. 2 d echo of your sister should be done asapits a poosibility that duct became open ,or operation was a partial sucess .all answers to your question lies in 2D echo report | 23,279 |
How long does it take a broken hip to heal in elders? | Patient: i just got word of my 85 yr old mother falling and xrays show a broken hip.. i am a ways away, have sisters and brother following her to hospital.. being transferred for surgery.. she is type 2 diabetic. on blood pressure meds.. had a stroke with little effects about 15 yrs ago.. concerned about anesthesia... she stays quite active.. just concerned... Doctor: Hello dear,I can understand your concern regarding your mother .I will say you have patience ,it usually takes much more time to heal in elderely patients.Since your mother is known case of diabetes type 2 ,it will furthermore slows the healing process .As per Anesthesia is concerned ,I think her anaesthetist must knows about her history ,they will manage it well .please rate my answer if you found it helpful .Best wishes for your mother 's health .RegardsDr.harpreet Kaur | 96,777 |
What is the suggestion for severe shoulder pain? | Patient: Hi, I have servere pain In my left shoulder, I m 50 years and I m unaware of banging or damaging it, start 3 days ago slight ache, now it s unbearable, having strong pain meds and it s not touching it, Tramadol, Oxycondin. I can move my arm, it s just like a throb in the shoulder then goes like a spasm and this is agony. Even hurts when I breathe no pain down my arms, seams to be just coming from inside my ball and socket joint, plz any advice, it will be another night without any sleep, the pain is so bad Doctor: HiIt could be frozen shoulder, a type of periarthritis around shoulder.Avoid opioid but may take traimadol.Do hot fomentation and rest arm in a broad sling for 5 days.Apply voltage gel after fomentation, it will be okConsult an orthopedic surgeon alsoThanks | 131,817 |
Bacterial pneumonia, septic, depression, anxiety, failing of organs, poisoned blood stream. Was on life support. What seems wrong? | Patient: I developed bacterical pnemonia and was sceptic.I was also placed on life support(I have no recollection and also inubated.This occurred in 2008 and I have never felt physically or emotionally healthly since this occurrance. I went to my MD AND REQUESTED A chest e-ray but he stated he didn't hear anything,therfore he refused to provide an exray. I had no idea of how long I was in ICU,and when I did awaken several days later,I had no recall of anything.I was a social worker for many yrs ,soI am very concious of my health. I also was an excellent writer.But shortly after I return home with oxygen,and only weighting 89 pds,I noticed I was and still mispell words or write words backwards. Physically,I never gained weight,Inow weight about 100 pds.I also developed severe depression and exteme anxiety .I was informed that every vital organ was failing.My main question if I had posion in my bloodstream does it remain in my system? And I am very concerned about my writing capabilities. I would appreciate any advice. Thank-you. Doctor: Hi,Thanks for writing in to us.If you have pneumonia in 2008 (5 years back) it will not help doing a chest X ray now, unless you have symptoms of pneumonia or any other chest complaints.The toxins might have been flushed outof your system in 5 years time.For your writing capabilities, I suggest you consult a neurologist. They may ask you to get CT can or MRI scan brain if felt necessary.Hope this helps | 118,621 |
How to treat staphylococcus infection symptoms? | Patient: Hello, I am a 35 yr old male 160 pounds, 15 years ago I had a severe staph infection that left my right groin area sensitive to stress and lack of sleep. I have been experiencing slight tingling in feet and hands. I experience very occasional slight vertigo. My armpits sometimes feel sore, slight tenderness in lymph nodes in groin with no swelling. I also have a slightly swollen lymph node on the left side of my neck and right side of neck is sore with no apparent swollen lymph nodes Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Whole of your problem is not related to the staphylococcus infection.It is the mixture of various problems.I suggest you to take tab. cetrizine and vitamin B complex for tingling and itching. Take betahistine for vertigo, and tab cefixime for infection. Please take the above medication under your doctors guidance.This all drugs gives you a symptomatic relief. But exact cause of all this things should be investigated and treated accordingly.Please do culture and sensitivity from the sore area. Once sensitivity report will come you can take the treatment as per the report. This will make you eligible for change in antibiotics from cefixime to sensitive one.Please maintain good hygiene this will treat you as equally as taking antibiotics.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | 35,473 |
Daily chest pains with increased blood pressure due to Indomethecin | Patient: daily chest pains for the past 2 months, so severe had to call 911. had echo, stress test, ct scan of lungs, cardiac enzymes.. all negative, visited g i specialist and rheumatoid dr.. prevacid daily ordered.. no help, indomethecin ran my blood pressure sky high. still with daily chest pains. nitro doesnt help. please help. Doctor: Thanks for your question on HCM. I can understand your situation and problem. Indomethacin is painkiller and included in NSAIDs(non steroidal anti inflammatory drugs) group. On long run it can cause hypertension and acute gastritis. Since your extensive cardiac work up is normal, acute gastritis is the most probable cause for your chest pain. Along with prepaid (antacid), you need to follow these lifestyle modifications for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Drink plenty of fluids orally. 5. Avoid unnecessary use of pain killer drugs. DDon't worry, you will be alright. | 80,368 |
Lump in cranium near occipital with pain, vision and appetite loss. How serious is this? | Patient: My Husband has a swelling in his cranium started on left side above occipital n now this morning it's on left side as well!! After 12hr work day he came home an straight across from 1side to the other is another Lump laterally?? Pain.vision issues.. No Appetite.. Been going on about 3-4 days !! Should I take him to hospital? Please help.. Ty Dawn ;( Doctor: Hi,Your husband's lump in the occipital region is a cause of concern as there is vision issue and decreased appetite. You should take him to hospital and get the necessary investigations done.Wish for his good health. | 148,764 |
What does ESR indicates? | Patient: I am a female 46 yrs of age and had early menopause 3 yrs back. I did a routine blood check up test and was told that my ESR level is 32 and was told to re do the test. cholesterole 5.7, HDL 1.3 and LDL 3.2. Does the ESR any sign of risk, should I worry and what should I do to lower the level. Doctor: Dear Ma'am, Hi & Welcome.I can understand your concern.The normal ESR for women under 50 years old is less than 20 mm/ Ist hr.It doesn’t diagnose one specific condition.Raised EST is associated with autoimmune disorders ( such as rheumatoid arthritis or systemic lupus erythematosus), chronic infection (like tuberculosis), anemia, thyroid disease, certain medications or cancer.A single elevated ESR, without any symptoms of a specific disease, will usually not give enough information to make a medical decision. If you have any associated symptoms you need to be properly evaluated by a physician to rule out the above listed common conditions.Hope this answers your query.A feed back is appreciated if you are convinced. | 31,284 |
What could lumps in abdomen suggest? | Patient: Hi,I am having lower left abdominal pain since 5-6 days and 2 days back I found lump in the same lower left side of the abdomen.Today I went to do the doctor and I found out that I am pregnant(4 week).they did ultrasound butthe report has not came yet.Is there any matter of concern due to the lump?Thanks Maya Doctor: Hi maya....U have got done ultrasonogram of abdomen...that will detect any other lump if present...So don't worry till report come...and congratulations..... | 67,226 |
What causes testicle pain, gas and abdominal pain? | Patient: AbdoMina pain.TestiCal pain. And lots of gas.Pain like being kicked in testicals. But backward. As if it's coming from stomachs. Awfulness smelling gas and stool.watery stool with undigested fodo. Male mid/late 30. We need help. Doctors found nothing in CAT scan. Overy 1 year in unmanageable pain....comes and goes. Doctor: Welcome to health care magic. 1.Your history and symptoms suggest most possible cause of the symptoms - irritable bowel syndrome with features of gastritis.2.The testicular pain could be due to infection / inflammation which is causing the above symptoms - if its on going issue, an ultrasound examination will help to evaluate exact cause of the pain and discomfort.3.The digestive issues you are facing can be treated with diet control.4.You should first avoid junk,spicy,excess fat contain food, alcohol. Take more of salads, fruits and fibrous diet for better bowel moment. 5.At the same time multiple portions in regular intervals of time - this will help to normalise the bowel habits and gastric issues. Good luck.Hope i have answered your query,any thing to ask ? do not hesitate to ask.http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888 | 88,403 |
Headaches and dizzy spells. I recently had carpel tunnel surgery on both hands but the numbness still comes and goes | Patient: I have a headach and I am tired all the time, Some days my headachs are extreme and the can last for 4 days. My neck is extremely sore to touch and I cant twist my neck very far to the right. When I do turn my neck to the right or look up I get dizzy and blurred vision and can feel clowdy in the head for a couple minutes to a couple of hours. I also on occocasions have pins and needles in my head, arms and hands. I recently had carpel tunnel surgery on both hands but the numbness still comes and goes. Thanks Doctor: according to ayurveda you are having grivasthumbh.as a result you are having following symptom .you are having combination of vat &kaf doshas. you can take ekangver ras 2tab 3time &liq balarista 2taespoon 3time for 3to 6 mth. | 152,226 |
What abnormality and future consequences could be expected from a new born child with hypoxia,convolutions,metabolism(glucose 17),sepsis and lesion mediated brain damage? | Patient: my just born son had infection on 2 days of birth with Hypoxia , convulations , Metabolism (glucose 17) and Sepsis and got fits. He had some leisons on the brain and he has got his brain damaged. Past 2 days he is getting jerks on the shoulder and we have admitted him on 26 jan 2014. The antibiotic treatment was not successful . His brain in second MRI is showed permanant damage. will this lead to any abnormality ? and will he get fits in future ? Doc say likely fits in future and for abnormality wait and see . i am anxious??? Treatment summary This term/AGA, male neonate , delivered on 07/12/2013 , delivered on 07/12/2013 by LSCS (Post datism with oligohydraamnios) , had cried at birth with a birth weight of 2.7 Kgs. Baby was brought on day 4 of life with convulsions and hypoglycaemia and seizures. He was given ventilator support, Fluid boluses was given , followed by maintainace IV fluids with which blood glucose came under control. Baby had increased CRP with decreased platelet count and deranged coagulation profile. Sepsis was suspected. IV antibiotics was given. Baby was also given platelets and FFP transfusion. In V/o Hypocalcaemia, IC calcium was given. Baby had decreased urine output and increased S. Creatinine on admission which improved with IV fluids. With the above management, baby improved and was extubated on day 4 of stay. He required supplemental oxygen for the next few days. In v/o episodes of seizures followed by decreased activity, EEG done, which showed parieto-occipetal discharges. Phenobarbitone was given as per advice of Neurologist, Dr. Shekhar Patil. USG cranium was normal. CSF analysis done after platelet count and coagulopathy normalised, showed increased protein. MRI brain was done which showed bilateral cortical fronto parietal and temporal cortical hyperdeintensities with underlying mild diffuse oedema. There is restricted diffusion seen in the bilateral fronto parietal white matter with restricted diffusion in the corpus callosum. This could represent acute brain injury with cytotoxic oedema. Dr. Shekhar Patil opinion taken, he suggested leukoencephalopathy due to sepsis? Hypoxia? Metabolism. To repeat MRI brain at 6 weeks of Age (01/02/2014). IV antibiotics given for 21 days. Baby’s neurosonography done at discharge was normal. Baby taking breast feed well. Baby is discharged. Doctor: Hi.. I am really sorry to hear that you had to go through such a difficult time with your baby. But now that he has been discharged, it is very important that you maintain a very positive attitude. It is very difficult to predict the extent of neurological abnormality that may occur in a baby with such an illness. So it is very important that you remain in constant follow-up with your doctor. Keep a track of your child's milestones like head-holding, social smile etc and report to your doctor if you feel they are delayed. With physiotherapy and occupational therapy children with such difficulties can be helped. Wish your little one the very best | 148,083 |
Suggest treatment for constipation and insomnia | Patient: I am 50 years old male, pure veg do not eat egg too. I walk up the hills for about 2 kms and walk down 2 kms, do yoga for about half an hour and meditation for half an hour atleat 25 days in a month. I drink lots of water, My problems are frequent constipation, and disturbed sleep. i take anxit 0.5mg every night for the past 10 years. My elder son is autistic and younger one recovered from leukamia. I am 5.7 ft and weigh 73 kgs and i do shoulder stand and headstand everyday. I am not taking treatment for anything right now.I would like to get a free response for this question. Doctor: from your description i my diagnosis would be stress induced vata prakop,satat chinta is a major cause of vayu prokop,the main treatment area for vata prokop is lower part of large intestine so no doubt basti is the treatment,.martra basti would be sufficient.for sleeplessness application of oil to foot soles,drinking of buffalo milk [not hot ] while sleeping,shira dhara ,nasya of medhya shamak dravya siddha ghrut is advised. | 97,544 |
What causes stabbing pain in back and jaw? | Patient: Stabbing sever Back (mid to upper part) Pain last for about 10 minutes & simultanously my right jaw also give slight pain . these attacks are irregular & some times appear within 3 t0 4 months . started 15 years ago & had my heart checked & though I think my be linked to degeneration of my spine discs. No loss of breath but sharp pain internal around the spine . Has this any coonection with heart attak or trapped nerve who should consult heart specialist or nuerologist Doctor: Hithank you for trusting HCMI read your query and understand your concernFirst I am sorry for the symptoms you are suffering but you have to be calm as your symptoms don't lead to any risky disease In my opinion it may be due to any disc herniation at cervical or thoracal spineIt is treatable and isn't riskyYou should consult a neurologist If it was generated from heart 15 years it's a long time and you should be suffering a lot of complications by nowDiscuss with your doctor about my opinionHope I have been of helpWish you good health and fast recovery Feel free to ask for further questions or doubtsBest regardsDr Eris RanxhaNeurologist | 108,300 |
Suggest remedy for large lump low on his neck above right clavicle | Patient: My son has a large (baseball sized!)lump low on his neck right above his right clavicle. He has had a fine needle biopsy and a core biopsy with inconclusive results. Today he had an excisional biopsy. It turned out to be a cluster of many enlarged lymph nodes. The frozen was negative for squamous cell carcinoma. The surgeon feels it is probably a nonhodgkins lymphoma. Do you think we will finally get an answer? He has no symptoms except upper back pain He has had a chest xray and upper body ctscan which were normal except for the mass. What do you think? My son is 27 years old 200+ pounds and 6'1" Doctor: Hi,Your Surgeon is probably right. It could be a Non Hodgkins lymphoma.The biopsy taken by the Surgeon should be the final word. Let the Pathologist comment upon the report finally. Then only can you see a Oncologist and decide upon the treatment strategy. Wait for the report before you can jump to conclusions.You can share the report with us once it is available so we can help you out with the further management. You will need to ask a GP or a specialist query for the same.Dr Rishi, New Delhi, India. | 64,993 |
What is the treatment for fever? | Patient: I'm so afraid, I was put on life suport 5years ago while I was dying on hospice against my d.n.r. I was in respiratory failure and kidneys, we're compensating then couldn't anymore , I was suppose to die, but they did this to me then 2 years after , I was dragged out my bed illeagally by crisis I coded in ambulance heart stop i was dead and against my d.n.r. I was brought back to life. I am so traumatized , I won't let anyone near me , dr. Couldn't fill scripts after I couldn't see him. And finally a nurse came to house she did my medicines and all supply's, but, I have had a fever, over a year now. I tried to explain to her, that my immune system , sucks sinsce I was treated antibiotics so long before ms. Diag. With autonomic complications, as teenager. Then the ALS. Was why respitory failure , that's why I went on hospice. Lot of info sorry. But she never treated my infections properly , only giving me 5 pills of levaquin at time , fever go down to 96. 97 again and then shoot right back up. And the pain my back like my kidneys would get worse , time and time again , now I'm terafied , my temp runs to 99. Pain has spread over the year and is excruciating at times, my entire abdominal area, back has spread and even runs down my ureters , that what feels like dull ache, sharp stabs . Now I'm nauseous , all time, even dizzy. And there has been little yellowish, things stuck in my catheters, and like whitish, gook, on the outside of them. And like gritty, feeling, it sounds, crazy but I been catherizing for 19years and this ain't , normal, it hurt to have my back mostly right side to touch barly bed . I'm in bed all these years , it's like my kidney is hurting that bad pain both sides but can't lean against right side, I think my insides are rotting out, because I shouldn't, be here, I'm just waiting for some kind of justice, all this time, only reason I not pull plug yet , I'm so afraid I'm gonna die again, before I get to tell on them, And I can't go in ambulance , I died in it last time, I'm so afraid of everyone. That p,a, won't come back , cause ins, asked them why I fever, over a year. No one ever came to house for blood or urine, to check, another thing I think is related to this , I get periodic, sores in my mouth, This pain gets so bad , the ventilator can't push the air in , you know the pain when you can't breathe, Can't move at all , And hot flashes soaked then chills , I can't keep doing it, I hurt to much, please if you have any idea , tell me but I have no way to get help, Doctor: Thanks FOR YOUR query on HCM I READ all the problem you are facing ,its really imaginable and miserable but don't worry ,,here I would like to know is there any BP,diabetes ,till now I think you might have used so many drugs which effect on your liver plz check once your blood samples for CBP.ESR, CUE ,,fever profile ,chest x ray ..I CAN RECCOMEND for blood and urine culture to find out the bacterial sensitivity moreeve ultrasound abdomen is also useful plz use the appropriate antibiotic based on culture reports for 7 days either 1v or orally on your famility doctor consultation for sore troat plz take antacids and b complex tabs ,, as you are getting because of decreased immune system appropriate antibiotic ,antipyretics with b caomplex will reduce your problem don't worry it will subside | 32,674 |
Warm feeling in left arm, normally cold. Suffering from raynauds disease. Any ideas? | Patient: I have Raynaud's disease, so normally feel cold. However over the last few weeks I've been getting a warm/hot feeling in my left arm, which is obviously an unusual experience to someone feeling cold. My right arm and both feet also feel warm but it's not te same feeling. I know we're having hot weather but I don't think that's the cause. Doctor: Hi, the disease is usually found in cold climates, the treatment includes vasodialators, to improve the blood flow to the skin. There is possibility that the flow to the surface may cause flush and felt as if warmth is coming. So it could be due to the drugs you are using, if it is troubling you can consult your doctor to reduce the dose. Thank you. | 118,810 |
What causes shortness of breath and pain in chest? | Patient: i am hypothyroid but my blood tests keep giving normal results, i very frequently get palpitations for which i got echocardio, ecg, and holter monitor which was again without any abnormality. Then again i keep getting them, sometimes breatlessness and also some mild pain in my chest should i again get evaluated by cardoologist? Doctor: Hi,This is Dr Sameer, cardiologist.Yes you should be evaluated further as breathlessness on exertion & chest pain could be a sign of heart disease.I will recommend for a test called Stress Echo which is a very good test to rule out any cardiac disease.Thanks & take care | 21,427 |
What causes shortness of breath with high BP and taking Clindamycin? | Patient: i have started taking clindamycin cin hcl my bp is really high i just took it 207/126 63. i initially was on amoxicillin and hydrocodon for tooth sat. sunday i experienced shortness of breath disorientation and i checked my bp and it was off the chart. my wife drove me to emergency rm. was there tot of two days. was released on tues w/ prescription for this clindamycin. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Clindamycin is not causing hypertension or breathlessness. So clindamycin is not a cause for your current symptoms. In my opinion, your breathlessness is due to uncontrolled hypertension. Blood pressure of 207/126 mmhg is considered as very high. And this can cause hypertensive heart failure. This in turn cause breathlessness. So blood pressure control is must in your case today relieve the symptoms of breathlessness. You may need diuretic drugs and additional antihypertensive drug to control blood pressure. So consult your doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 25,511 |
How to treat sharp pain at back of throat after retrieval of wisdom tooth? | Patient: I had my wisdom tooth pulled five days ago, and the dentist warned me I might feel like I have a sore throat throughout the week... but today, I feel a really sharp pain in the back of my throat, like a sharp splinter is stabbing me whenever I speak, and I m worried that this is unusual... Doctor: Hello,Thanks for consulting HCMRead your query, as you have pain in throat this can be due to throat infection dont worry I will suggest you to consult Ent specialist and go for examination of throat and tell him about your past dental history also that you have undergone extraction of wisdom tooth 5 days ago , discuss with your ENT surgeon and go for treatment of sore throat ,take course of antibiotics for extraction prescribed by your dentist and follow post operative instructions given by your dentist . In meantime do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health. | 183,903 |
Suggest treatment for moderate hepatomegaly with grade 2 fatty liver | Patient: I have been diagnosed with Moderate hepatomegaly with grade 2 fatty liver. It has been recommended (by a doctor specializing in Metabolic disorders) that I follow a very strict diet that begins with a liver detox for 6 weeks....and no exercise. Is this a common "treatment" and does it make sense that they want to do blood work every 5-6 weeks as a follow up? Doctor: Hi thanks for contacting HCM.Our main aim in fatty liver is to cutt off oily diet as liver is site for lipid metabolism.In liver detox diet fatty diet avoided and main focus Is providing zinc , antioxidant etc...so to prevent effect of free radical that has role in fatty liver pathogenesis.So yes this liver detox diet can adopted.Meanwhile more fruits with green leafy veg taken.Refined food avoided.Cheese, Burger, meat , baked pestry etc.avoided.In addition crushed carom and cumin seed powder one tsp with water can taken daily.Take care....Avoid alcohol strictly....Regards....Dr.Parth Goswami | 54,991 |
What could it be if having a lump at the right side of neck in the front? | Patient: I am 20 years old and recently I ve noticed a lump on the right side of my neck towards the front. I ve gained about 20-30 lbs since graduating high school. Also, starting last October I started having an irregular menstrual cycle and the past two months I haven t had one at all. I have not been sexually active recently so I know that there s no chance of being pregnant. Doctor: Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of frontal neck nodule, I would come up with three possibilities, these include: 1. lymph nodes due to some chronic disorder like tuberculosis, lymphoma or chronic throat / neck infection or even malignant diseases in elderly people!2. The second possibility is of a colloid cyst of the thyroid or some other cysts like branchial cyst or lymphatic cysts or even palpation thyroiditis! This one is the best possibility in your case! 3. The last possibility is of some ulcer or infection in the innerside of your throatI suggest you to go for an FNAC and USG of the region for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | 66,572 |
What causes numbness after a broken femur? | Patient: i had a major surgery in 2001... the surgeons broke both my femur bones in my left and right thigh and hold the bones together with steel rods. Now that I m older I m getting a lot of numbness in my legs when i sit for less than 5 minutes, what causes that? Doctor: Hi, I don't think this tingling is relevant to the surgeries. It can be as simple as pressure on your arteries and nerves when you sit and it could be related to your back (sciatic or piriformis syndrome). Start with piriformis stretch and cat position stretch. If you feel better then keep it on. If nothing changed then it could be a disc problem in the back. Hope I have answered your query. Let me know if I can assist you further. Regards, Ayman Darrag, Physical Therapist or Physiotherapist | 122,760 |
Lower left back pain, abdominal tightness, hurts to breathe, have herniated discs. Should I go to emergency? | Patient: Hi. I am experiencing lower left back pain about the size of a large grapefruit..shot a pain and tightness into my abdomen ...felt burning pain down by spinal column. very uncomfortable right now...pain in left side back almost brought me to my knees. hurts to breathe. i do have herniated discs c5, c6 and lower lumbar bulging discs. should i go to the er or to a doctor? please and thank you Doctor: Hello,This pain is due to the intervertebral disc bulges.Moreover there is involvement of nerve roots which is producing the shooting pain.You need to consult your doctor for pain management. | 93,263 |
Spondylotic and disc degenerative changes, mild disc bulge, pain from neck to arms and legs. Taking wysolone, voveran. Side effects? | Patient: hello dr, iam nandini 26 yr old . iam diagnosed with early spondylotic and disc degenerative changes with mild disc bulge with right paracentral disc protrusion at c3- c4 section. i was on medication for 1 month. i also wore soft cervical collar . iam having pain from my neck to both arms and legs. the pain shifts alternatively, ie one day its left side, the next day its right side. Now i have been prescribed wysolone 5 mg 3 times a day for 5 days, then reducing it to 2 times a day for 5 days and then once daily for 5 days. also 1 tab voveran sr100 for 15 days. iam taking wysolone for 1 day now and my pain is reduced, but iam worried of its side effects by taking it for the prescribed days. Doctor: Dear Concerned., Thanks for writing to us., The T.wysolone is a potent steroid which can reduce non infective or sterile inflammation of the nerve root in radiculopathy and thatswhy your doctor would have prescribed the same and tapered it.The potential benefits do not overweigh the risks or side effects of this class of medicine. You have to bear in mind that Wysolone causes Gastro intestinal problems such as Nausea/Vomitting/Peptic Ulcers/Osteoporosis/Cataract/Premature onset of Diabetes/Hypertension/Harmonal Imbalance in women/Menstrual Irregularities/ In addition to Wysolone ,you are taking Diclofenac which in turn increases the corrossive effects on Stomach. Kindly avoid this Wysolone in future. Please consult a Neurosurgeon/Spine Surgeon for all your needs. Please Start a Soft Neck collar/Physiotherapy/Neck Extension Excercises and ultimately minimal access Neuro Endoscopic Surgery to Cure the disc lesions. Wishing you a speedy recovery., Best regards, Dr Lt Cdr ASN Bhushan. | 151,194 |
Suggest treatment for a lump on the head | Patient: I have a lumps growing on my head. one is the size of half a golf ball and the others are the size of a nickel or quarter with small lump. they dont hurt but I do worry about them. I have seen several doctors and they seem to think it is just a cyst. what is your take? I want them to be removed is that possible. Doctor: Hi dear thanks for the query on HCMI suggest you get a fnac of the swelling which will give you the pathological diagnosis rather than a speculation. Based on the report you can go ahead for the treatment.Thank you | 65,362 |
Suggest treatment for high systolic blood pressure | Patient: I am 28 y/o. I'm in good health exercise 3-4 days a week. Played sports my whole life. Blood work is good, but I have high systolic BP. Dr. Put me on 10mg Lisinopril, did nothing. I'm currently on 20mg of lisinopril with very little effect. I check my BP at work, it reads 128-156/53-66. Most of the time it starts in the high 140's. The werid thing is I can take it again 10 seconds later, after doing some slow deep breathing, and it will read 128-133/56-62. I don't understand, do I need BP meds or meds to make me relax?? Doctor: hi XXXXXXyou better check your BP when u are relaxing for atleast 10-15 min. whenever u do some exertional work your BP rises little higher than your normal BP . So whenever u check ur BP make sure u have relaxed for 10-15 minThanks | 22,006 |
What causes edema in the legs post a hernia surgery? | Patient: I had umbilical hernia surgery 3 years ago and everything seemed to go fine. now, I have developed edema in my legs and after a million tests, doctors have concluded nothing. My wife and I mentioned the surgery, with mesh of course, after all the stories of mesh failure. None seemed to think that was the issue. Kidney and liver tests were ok, being I am 64 years old, and cardiologist, after echos, said my heart appeared strong. Should I pursue this mesh thing since I would have to be cut open again to see if mesh is bad? Doctor: Hi, During hernia surgery, there is damage to lymphatics because of which fluid retention occurs in lower limbs. So if it not troubling you then nothing to be done and if it's bothering you then we can start diuretics which will decrease your edema. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuj Gupta, Spine Surgeon | 126,325 |
Suggest treatment for flu | Patient: hello doc ,iam 13 weeks preg. few days bak i had cold , sneezing n all doc. prescribed citrizine for 3 days n its gone after 3 days. but again sneezing , cold fever like symptoms arrived. is this swine flu symptoms or due to climate change(iam in pune). is ther any h1n1 shots for preg. women in pune. i am scared of swine flu. pls help me. Doctor: Hello dearUnderstand your concern.There is no any shot avilable for H1N1.For prevention you can take vaccine and antiviral drugYou should also test for swine flu/influenza.And take treatment according to this and keep you in observationFollowing are advice for you.Test for blood: Glucose, LFT, KFT, CBC, ESR, and Smear, throat swabChest Xrayonly symptomatic and/or supportive treatments are used 1. Complete bed rest2. avoid heavy physical activity/ weight lifting3. Paracetamol/ ibuprofen injection/tablet for fever and pain. 4. Oral Prednisone tablet :it is anti inflammatory to reduce symptoms5. Antiviral drug acyclovir: reduce viral sheddings and leading to a significant decrease in the severity of symptoms 6. Antibiotics-levofloxacin 500 mg once daily for 5 days: to prevent secondary bacterial infection7. Drink plenty of luke warm water8. Gargling with warm salted water/betadine 1 % 3-4 times per dayyou can also take tablet strepsils.9. Avoid to go in congested area. use humidifier.Hope this may help you.Best regardsDr. Sagar | 219,124 |
Can Ibuprofen be taken for upper back pain? | Patient: I just moved and spent three days in a car and packing and moving lots of boxes. I strained my upper bac between my shoulder blades. The climate in Kentucky is very different from Texas so that is adding more problems. I m taking Ibuprofen and using the heating pad. If I sit or move things, it acts up again. Should I take the above product that I take for occasional arthritis pain or take aspirin for inflammation? Please help. I Doctor: Dear patient It seems you have sprained your upper back. Ibuprofen is safe and should be taken 400 mg thrice a day. Tab myoril 4 mg twice a day should also be taken. Local measeures such as hot water bag fomentation can be done. Avoid weight lifting and take proper rest. This will resolve in few days. | 107,006 |
Suggest treatment for cough and heaviness in chest | Patient: I work in a nursing home. After housekeeking cleaned a bathroom and used disenfectant spray I went in. I could not breath without my throat burning. After leaving the bathroom I kept coughing & felt a heaviness in my chest. It has been 3 days & my Dr. Put me on prednisone. It is not helping the pain & coughing is not getting better. What can I do for my symptoms? Doctor: Hello,By your history and description, possibility of acute bronchitis due to disinfectant spray and cleaning is more likely. Best treatment for bronchitis is inhaled treatment.Since, you are not taking inhaled treatment, your cough is not improving. So, it is better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only.You will improve with inhaled bronchodilators (Formoterol or Salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar | 71,475 |
Suggest treatment for cold and stuffiness in nose | Patient: My son has a cold, right now it s more of a stuffy nose, his throat hurts and it s coughing often. I have been giving him DayQuil, NyQuil and Emergen-C. The cough it s more now and I m not sure what else to do. I don t like seeing my son sick at all. He s been sick for a few days now. Thank you Doctor: use syp xyzal 2.5 ml once at night along with otrinoz pediatric nasal drops 1 drop each nostril 4 times a day for cough use syp ambrodil s 2.5 ml thrice a day. all for 3 days . if still not getting well consult a pediatrician he will start an antibiotic | 176,440 |
What does the MRI lumbar spine mean? | Patient: Dear Dr Dear Dr, I got my MRI done for Lumbar region and i got following Reports- sacralization of L5 with lumbar spondylosis with diffuse annular bulge L4/L5 I.V disc leading to thecal sac identation with mild Neural formina encroachment. Kindly advise on same. my email id is as- YYYY@YYYY Regards Jitendra Doctor: Hello. I have been through your question and understand your concern.These findings are within normal range and do not constitute any problem at all. These findings are found in most Lumbar MRIs. So these finding might somehow be related to back pain, but do not need any specific treatment other than common anti analgesicsHope this helpsPlease feel free using MHC again | 145,380 |
White patches on my tongue | Patient: My husband has got a white patch on his tongue. It is there from 2 months Doctor: White patch on the tongue can be due to various conditions / diseases. If your husband is tobacco addict (smoking or chewing), it can be leukoplakia, which is a precancerous lesion. Try to scrape this patch with a toothbrush, if it doesn't go it can be any precancerous lesion or precancerous condition (like leukoplakia, lichen planus etc). If he doesn't have any oral habits but his oral hygiene is poor (dirty teeth, swollen gums, foul mouth odor), than it can be a fungal infection called oral candidiasis. If the patch is non-itchy, you can rule out the fungal infection. Moreover, it can be a feature of HIV infection: hairy leukoplakia. This patch looks white with raised scaffoldings which appear like hair on it. Its an oral manifestation of AIDS and it occurs mostly on the side of tongue. Complete clinical oral examination along with required tests is recommended. Its advised not to delay the treatment. A white patch in oral cavity for more than 2 months is something to worry about. | 190,820 |
Why should Duphaston be taken instead of Susten after the rupture of follicle? | Patient: I am Rosy 35 yrs. I am on ovulation induction treatment and on day 20 days post ovulation right now. Today my follicular study report says dominant follicle is ruptured. I was asked to take duphaston tablet twice daily for 10 days. My ques is what is the difference betweem taking Susten 200 and Duphaston. Doctor: HAI WELCOME TO HCM BOTH are same group of drugs contain progestrone.duphastone is having less gastric side effect than susten.you can take duphastone safely in luteal phase. | 42,692 |
Suggest treatment for a tumour in right kidney | Patient: Hi Dr. Rynne, I had a surgery done from removed the Tumor from my right kidney since Nov. 2014 in Bangkok Thailand. I came back here for a while. Lately, I felt so weak and cannot sleep well at night. I need to follow up with the doctor in here or not . May I know? Doctor: Hello and welcome to HCM.As an Urologist,i can fully understand your concern.You should mention your age,stage of tumor and if on any medication.If you've these reports,any Urologist or Oncologist,can be consulted.The following tests will be needed :1. blood routine,creatinine,RBS,LFT and platelets.2. plain CT chest.3. CECT -abdomen.( contrast CT scan).You may send your reports to me,as a direct question.Dr.Matthwew J. Mangat. | 47,064 |
Diagonised with kidney stones. Having abdomen and back pain. How to reduce? | Patient: i m 26 years old male.i have kidney stones . Right kidney: evidence of calculi 3.0mm in upper pole, 4.3mm in lower pole. Left kidney: calculus 3.0mm in lower pole. i have pain in my right part of abdomen and back, what should i do now, now i dont have facility to visit a hospital, what can i do reduce the pain at home. Please help me. Doctor: hi there, the smaller kidney stones that you have talked bout will most probabely be expelled out in urin tho' the 4.3 mm one might be a problem. You may be experiencing the pain in the back and abdomen due to the stone which may be travelling down. You can take plenty of fluids and voveron tablet to ease the pain. Usually stone s of this dimention will pass out on their own in due course of time. If the condition worsens then you will need to visit a urologist and get reevaluated as to the size and status of the stone . Sometimes they may not pass out but get impacted then you might need other interventional treatment. Take care | 51,088 |
Suggest remedies for frequent fever in a baby | Patient: Hi, I have a girl baby. she is 3 yr 9 months, 13.4 kgs weight. She is getting fever very frequently in a period of 18-20 days for last 3 months. before that she got fever every month from her 11 month. we did blood test twice and urine test most fo the times and all were normal. by august 10th also we did blood test and urine test and the results were normal. From last sunday she is having fever again. have given p250 and meftal p alternatively for first 3 days. from wednesday am giving only p250 every 6 hrs. still the fever persist. please help what can be the cuase. she is very active if no fever. Doctor: Hi,It is not clear that what type of blood tests were carried out.Seeing the history it seems that further evaluation of the case is necessary.In such type of case I would prefer following investigations,1, X-ray chest,2, complete blood test like TC, DC, ESR,MP, Hb,3,Montoux test.In this case primary complex and chronic malaria are to be ruled out.Consult pediatrician and discuss about this.Ok and take care. | 176,831 |
What causes allergic reaction after drinking a smootie? | Patient: hi doc. i am a female 27 yrs . i recently had an allergic reaction from drinking a smootie. i had a really bad cough that would not let me eat and breath properly. when i eat i cannot breath good for a while. i went to a doc and got a antihistamine shot with antibiotic to cure astmah . i also had fever and diarrhoea and was given drugs for it. i am feeling better but sometimes i still feel suffocated when i eat. i had a previous allergic reaction to eating an icicle . the doc said a tube was shrunk and i was given drug for it. it went away and i was eating my cold stuff again. right now i sometimes get a little difficulty breathing. any suggestions. Doctor: HI, thanks for using healthcare magicIt would be best to avoid any foods/drinks or other allergens that cause an allergic reaction.If the allergens are continually used then the allergic response would increase and worsen.You may want to consider allergy testing to determine what exactly causes your reaction.I hope this helps | 99,271 |
What causes sudden pulsating, stabbing pain in left testicle? | Patient: Hi Doctors, I am a male 52 yr old living in Australia.. Just wondering if you could please advise on the following. Last night, I was awoken in the early hours by a strange stabbing pain in my left testicle. I thought I may have just laid in a strange position and so rolled over and tried to go back to sleep, but the pain (lasting only a quick second or so each time, at 30-60 sec intervals) was like a painful pulsing sensation or like a quick electric shock to that area.. I took some pararectemol after about 6 hours of trying to wait for the pulsing to stop and then finally it did (not sure if as a result of the tablets or me trying to reduce my anxiety as much as possible). My left testicle is still very tender and sensitive/red today, but the pulsing seems to have moved down my leg now ? Do you have any suggestions as to a cause or diagnosis please ? I am obviously somewhat anxious aboiut it returning back to my testicle at some point and would much rather prevent that from happening as I'm sure you understand. Thank you very much for any assistance, Regards, Jeff Doctor: Hello, 1. Epididymitis – is Inflammation of the tube, back of the testicle that carries sperm. Due to infection ( both sexually and non sexually transmitted ).diagnosed by urine Complete, Ultrasound pelvis. 2. Hydrocele - can cause swelling 3. Hernia – can also cause swelling but it will be an off 4. Kidney stones can cause abdominal pain too 5. Infections – can cause fever, discharge from the penis 6. Testicular torsion- 7. Epididymal Hypertension (EH) – Also called as BLUE BALLS, its caused due to long sex without ejaculation ( delayed Orgasm ). Letting out the sperm by masturbation, oral sex or regular sex will ease out your pain. 8. Urinary tract infection (UTI) 9. Any previous surgical procedure 10. Diabetic neuropathy 11. Benign or malignant lesion Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | 194,342 |
Should I continue taking acetaminophen and sulfameth for dental abssess when only swelling is present? | Patient: Hello my name is Matt, I have recently developed a dental abssess that I believe to be located in the gumline. I'm taking acetaminophen PM for the pain, and at present, it doesn't hurt but swelling persists. I have also been taking sulfameth, although I only had approximately 4 days worth in total when I started. I have enough to last through sunday morning. What is my best course of action, as I cannot get to the dentist at this time. Doctor: Hi and thanks for the query,It i not advisable to take these drugs for a very long time. Acetaminophen really has not got any major effect on swelling. It aids mainly in reducing pain. It is a natural process fr the swelling to reduce. In case you do not have any significant pain, you can stop both drugs and observe. Consult your doctor if symptoms come back or persist. Kind regards | 187,823 |
What causes recurring bacterial vaginosis? | Patient: Hi I have been having problems down there for a while now and at first I was afraid that mayb I have contracted some kind of std but I've been tested multiple times and every time tests come back negative. They told me I had BV and put me on meds for it but it Keeps coming back. The worst part is the pain in my lower right abdomen and the odor in the discharge. I'm starting to get very self conscious and concerned for my long term health. Does anyone have any idea what could be going on w me? Thnx Doctor: Hi and thank you so much for this query.I am so sorry to hear about this recurrent infections. If you feel better after the treatments that are being prescribed, then I think they have made the right diagnosis and treatment decision. However, if you never get better, a different diagnosis needs to be looked into. Possible contributing factors to Bacterial vaginosis is poor hygiene, use of poorly maintained public rest rooms, etc. I will also suggest you see an OBGYN for more insight about this. I hope this helps. I wish you well. Thank you so much for using our services and feel free to ask for more information and clarification if need be. | 39,610 |
Is it okay to take Nordette frequently? | Patient: Hello, i used nordette as ecp sometime sept 20-24, not sure. i had my period sept 9 to 13. I normally have a 33 to 34 day cycle. i had to use it again as ecp last sept 29. Both times i drank 4 tablets, then 4 tablets again. The first time, i took the second dose exactly 12hrs later, the second time, i took the second dose 14 hours later (since i lost track of time). i had withdrawal bleeding for both times. i m supposed to have my period Oct 11, but still no sign of it, no symptoms whatsoever, no breast tenderness, etc. which i usually have. so now im almost a week late. I know it may be because of the ecp, so im trying not to stress about it. am i correct or do you think im pregnant? :( problem two is- now, i need to take nordette again, (this will be the third this month), is it okay? or is it unnecessary? did i ovulate this month? Did nordette stop it or delay it? as much as possible i dont want to take ecp again, so if the pills i took before prevented the whole ovulation phase, then i would not need to take nordette now *fingers crossed* should i take it? i know it may be unsafe. but i just want to know if there is a chance this last time can make me pregnant. i also know its better if i just take regular and more reliable modes of contraception and that is what i am planning to do. i just need to get this problem off my mind before i start taking regular pills on my next cycle :) nordette is the only form of ecp here. thank you so much! Doctor: hello,Frequent or irregular taking of Nordette pill may cause delayed or irregular period. I suggest you to undergo one home pregnancy test 2 weeks after last sexual intercourse. It helps to clear doubt about pregnancy.After that, you must consult with doctor for other relevant investigations like ultrasound scan, hormone test etc. Combined hormonal pill or regular pill is the best choice of contraception to prevent pregnancy (99.9%) and regularize period. Kindly, consult with doctor for complete prescription.Good luck. | 224,769 |
Told to have one damaged kidneys and other has scar. Having icthing all over body, unble to sleep | Patient: a few months ago I was told by the hospital that one of my kidneys was damaged thought being on ante-inflamity tablets for my arturiteus and that the other kidney has a scare on it for weeks now I have been experimenting a lot of icthing all over my body so much so that I am really going mad with this as it is not letting me sleep at all somebody did tell me that this could be connected to the kidney problems can you tell me if this is correct as if so I will need to go and see my gp Doctor: Hi , renal damage causes increased uric acid level in blood which results in Uremia. Increased uric acid level will causes intense itching all over the body. you do a renal function test to make sure whether the other kidney works well and consult a general physician , then follow his words.Get well soon, Dr.Ravindar | 49,830 |
How to overcome homosexual behavior? | Patient: hi,dear doctor from where should I start f do not know............actualy i am suffering with homosexuality and I also done oral sex with two boys and despite of controlling desirous I am not able to control myself............I want to come out of it..............I am in deep agony or depressed..............everyday i weep.............everday I plan to kill myself..............I am 25 years old and a good student and bcoz of this I am spoiling my whole career................Dear doctor I am not able to face society and realy want to come out of it......................plz guide me what should i do...................... I know homosexuality is against the norms of society and want to become a normal guy...................plc help me or suggest me something...................I will be very greatful to u Doctor: you need to understand that you have some sexual desires , you have to identify your needs. what happens when you look at a handsome guy ?? do you want to ride on him or you want him to ride over you?? you have not clearly mentioned your orientation about males?? is there any like for females?? you should understand that for a better persona you need to improve your habits ; you must have some conflicts inside you , which are preventing you to contact girls and diverting you towards boys. this could be a type of obsession. you need to contact a psychologist or a psychiatrist. I hope this answer helps you !! | 206,415 |
Lab report shows extraprostatic extension present. Have Hep C. Options? | Patient: I have a Gleason score of 9 (4+5) post radical prostatectomy, my lab report indicates that the tumor was 25% of the prostate and that I have "extraprostatic extension present," with the margins neg and neg for lymph nodes. I'm 64 yrs old and this is Agent Orange related from my service in Vietnam 68-69. What are my best options now, given that the cancer is still present? Additionally, I have Hep C, also from military service. Doctor: Hello; Welcome to HCM; Be asured that you do not still have cancer.Extra capsular spread means cancer has extended beyond prostate but negative margin ensures that surgeon has removed all of the cancer tissue. Your gleason score is high and you also have Extra capsular spread which are high risk feature.Discuss with your oncologist regarding adjuvant radiotherapy.The decision also depends on PSA levels which you have not mentioned. Wish you a speedy recovery. | 158,832 |
What do fat globules on stool test of an infant indicate? | Patient: Hi, may I answer your health queries right now ? Please type your query here... hi good day,im from philppines i had my baby s stool lab test result yesterday and it says plenty of fat globules he had diarrhea for about 2 days, is it bad for him. thank you Doctor: Hi, Fat globules positive means lipase enzyme deficiency.is your child having other symptoms as failure to thrive or respiratory problems. If so fecal elastase along with sweat chloride test has to be done to rule out cystic fibrosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prasanna Lakshmi, Pediatrician | 161,200 |
Are pain in the shoulder and wrist along with fever symptoms of a viral infection? | Patient: Monday I had neck and shoulder pain and pain in wrist and thumbs. Weird. Tuesday fever went up to 102 but in a few hours with ibuprofen went down to 100 and was gone that night. The muscles in neck shoulder and Hands r much better. Today no fever but know I have bad muscle pain in thighs and calves. Is this a viral infection. Attacking the muscles. .???? Doctor: Hello, As first-line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | 28,520 |
Fits like behavior, MRI normal. Takes Livipil after liver transplantation. Any ideas ? | Patient: sir today all of the sudden my father felt like fitts and went for a doctor and took an MRI and after the reports he said that nothing from MRI side and givven LIVIPIL500mg to use daily morning and evening and there was a surgery of liver transplantaion done on 04-10-2012 and all the reports were normal and this is the first time he got this Doctor: Hi,Thanks for using Healthcaremagic,It seems that your father got fits, but it is good that his MRI report is normal.He is being given anti convulsant Livipil which is Levetiracetam this should continue regularly as per advise of your treating doctor.AS he is already undergone liver transplant care must be taken to monitor his liver functions regularly as the drug itself can cause some derangement of liver functions.One can get fits with normal MRI as there are so many causes for it please consult a Neurophysician regarding this. An EEG can be very useful to know the type of fits he got.Hope this helps.Take care.Good Luck.Dr.Akhilesh Dubey M.D | 58,093 |
Had a nasal bleed due to high BP. On salomax. Suffering from sputum Have pain in chest. X-ray seems normal. Suggestions for sputum | Patient: Last Jan 13 i had a nosal bleed throgh which i come to know that i have a High B.P. As per doctor advice i am taking salomax 50/5 1 tablet daily before going to sleep. I am suffering with balgum after eating from last 2-3 months. I also feel pain in the chest. I have done the X ray of my chest but it is ok as per doctor , now please advice me for this balgum white in colour which is regular after every 1hr.sachin saini Doctor: Hello, Thanks for the query to H.C.M. Forum. Expectoration ( phlegm "balgum") from the last 2-3 months. High blood pressure, Nasal bleeding 6 months back, pain in the chest. Already taking treatment for hypertension. Don't take it lightly. Consult a physician and get in blood examination for C B C, E S R ( infection), Sputum examination, Chest X ray ( once again), ECHO ( HEART). There are so many reasons ,but most common are as,Bronchitis,Bronchiectasis ( huge amount of phlegm),C O P D,Corpulmonale ( if age is around 40 years or more). Smokers cough. Hope I have answered your question. If further any question I will help. Get well soon. Dr. HET | 103,409 |
What causes painful jawbone with normal X ray? | Patient: hello I went to a doctor to day as ive had something under my jaw bone for months its pain full when moving my toung even yarning its quite pain full the doc said I had to go to the dentist but the dentist could not find anything wrong with y teeth so she did a xray theres no absece and no cist but a shadow shes refured me to a hospital what do you think Doctor: Thanks for your query, I have gone through your query.The jaw pain can be because of the myofacial pain dysfunction syndrome or temporomandibular joint disorder. Nothing to be panic, consult a oral physician and get it evaluated. If it is a myofacial pain you need to take an analgesic with muscle relaxant like ibuprofen and chlorzoxazone respectively. If it is secondary to TMJ disorder, then you have to take piroxicam tablet. You should not eat hard things and do not open your mouth too wide.I hope my answer will help you, take care. | 182,139 |
What causes tiny cuts on the back of a 7 year old? | Patient: My 7 year old daughter has 8 little marks (tiny cuts or bites) on her back and neck that are bleeding a little. Most are in spots that were covered by her shirt and she can t reach all of them so I don t think she s scratching. Could these be bed bug bites or flea bites or something else altogether? Doctor: Hi, Welcome to HCM. I have read your question in detail and I know that you are very concerned about your child but don't worry about it. By what you quote it seems that your child probably has got insect bite. In insect bite, there is redness, swelling and slight bleeding at the site. Apply mupirocin cream locally. I hope this will help you. Wishing your child good health. Take care. Regards Dr Deepak Patel, MD Pediatrics | 170,056 |
Swelling in cheeks, unable to chew on the right side, pain. Due to deep cleaning at the dentist? | Patient: The right side of my mouth is swolen well my cheek I noticed is a little fatter than the left and when I feel the back of my gum in the back of my mouth on the right side I felt pain and when I touch my cheek it s hard for me to eat on the right side and I can still laugh and talk a little but not too much, I have no clue what the issue is except for I was suppose to go for a deep cleaning at the dentist because I was told I had plac in my gums so I m not sure if that s the issue but it s been going on day 2 Doctor: hello and welcome, normally,deep cleaning will not cause any kind of pain or swelling over gums and cheek other than sensitivity unless any trauma occured during the procedure while using ultrasound scaler and hand instruments. have you got checked for any decay or impacted wisdom tooth in your right side? without clinical examination,we cannot decide your diagnosis and treatment plan. if you have severe gum infection,or gingivitis, i advice you to take tab.doxycycline.100mg once a day for 3-7 days depending on severity of the problem.please give your medical history like epilepsy,cardiac disease etc. to your dentist so that doctor can give a proper diagnosis. hope you get well soon. | 190,473 |
What causes low BP and headache while on Invokana? | Patient: Hello! Just got diagnosed last year with type 2 diabetes. Was prescribed metformin 2x a day 500m. Blood sugar readings were bouncing between 137-217. My endo perscribed invokana for 30 day trial. I ve noticed my blood pressure drops when I take my meds (also sertraline and Astro for chloresterol). I notice headaches and dizziness sometimes. Is this normal? My sugars are around the 130 s now but don t like the spells I have. Any advice? Doctor: Hi ThereAfter going through your query I understand your concern. I would like to tell you that as you are taking two antidaibetic drugs and possibilities of being hypoglycemic is there and that triggers headache. You require a medicine dose adjustment. Kindly consult with your Endocrinologist for further management.Hope this will help.Kind RegardsDr. Navneet Mahajan | 191,576 |
How to treat pancreatic tumor? | Patient: I have had a pancreatic tumor (head/neck) diagnosed by abdominal CT. Approx. 1.5-2 cm. Also some liver lesions which turned out to negative for malignancy. I meet with oncologist tomorrow. (Past hx of Br CA x 2-18 yrs apart; family hx of multiple cancers including pancreatic). All enzymes normal. CA19-9 = 10. all other blood work nl. My question is: I suspect that I will next have the pancreatic tumor diagnosed to confirm malignancy and cell type. If this is the procedure used (rather than EUS) will it be usual to take samples of the tumor and other surrounding areas to determine if tumor has affected surrounding areas? Also is this procedure more used for this type of situation than EUS-how much difference? Thank you Doctor: Hi,Thanks for writing in.Stage of the cancer is known by the size and extent of the tumor. Techniques like CAT scan and endoscopic ultrasound help a lot in staging of cancers in the pancreas. Since you have no other features of cancer spread other than the mass in the head of pancreas measuring 1.5 x 2 cm hence ultrasound or CT scan guided FNAC or biopsy is a must for making pathological diagnosis.EUS is one of the ways to accurately target the mass and take out the cells. In a transabdominal USG or CT guided procedure also the abjective remains the same. The only difference is that EUS is a minimally invasive technique and transabdominal approach is an external technique. If a tumor is better accessible externally then this approach is used. However if the tumor is thought to be better sampled with EUS then that method is used. You will be given pain relief medications in both procedures.The CA 19-9 level is normal and this means that there is less likelihood of the mass to be a cancer. It is a cancer marker and a high value indicates probability of cancer. However you should discuss the mater with doctors at the cancer hospital and get a biopsy scheduled quickly. This is because a normal CA 19-9 can rarely be a cancer and it must be treated should it be one. | 154,766 |
What are the solutions for lack of hardness in penis? | Patient: Hi,I am Mayur,I have issue related to my sex life.I am 29 and for last 2 years I am facing problem in maintaining my penis hard during sex. At starting it was rare but now it is getting regular and I am worried about it. I make good forplay but when it comes to inserting my penis.....i loose hardness and it worries me more now as i am loosing my confidance.when i watch porn movie i dont feel difficulty in masturbate. I dont have any kind of disease.Please guide me what should be the solution for me?And also want to know if there is any natural way to improve hardness? Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Your condition is we can describe is performance pressure. You are feeling pressure in performance. The very natural way to cure such a problem is self confidence. Please develop good confidence that you are surely going to perform in a good way. Never allow bad thinking to come into your mind.You can get a good counselling from the psychiatrist.Secondly if by chace you are still not able to achieve it than you can take the sildenafile citrate tablet. It is the aphrodisiac and can give you good eraction.Some time this problem can be seen with only single partner in such a case positive counselling is necessary.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM | 200,476 |
Will the radio active iodine increase the chance of another meningioma developing? | Patient: In jan. I had a no cancerous spinal menginomia removed. In march I had my thyroid removed. Papilliary cancer. Now it is May and I am about to have radiaioactve iodine treatment to remove the left over thyroid. My question is will the radio active iodine increase th chance of another menginomia developing? Doctor: Hi, dearI have gone through your question. I can understand your concern. You have papillary carcinoma of thyroid and meningiom.You should take radioactive iodine therapy for your thyroid cancer. It is safe and it is not responsible for meningioma development. Go with your treatment. Consult your doctor and take treatment accordingly. Don't worry about meningioma. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 154,234 |
Nausea, muscular pain and yellowish urine upon taking TB medication. Stopped medication due to liver problem | Patient: Hi i m on TB medication and few days back i was feeling nauseatic,muscular pain n urine was quite yellow and not feeling gud from inside at all.doctor did some blood test as well report says liver z not working well so i stopped taking medicine for now.itz been 9 months i am on this medi and bacteria was resistant to isonizid so i am not taking dat one but rest three i was taking regularly . m so scared what ll happen now? Doctor: Hello, thanks for query. Now a days 9 months treatment for T B chest is sufficient. But before any evaluation we have to note down many things. Fresh cavity in lungs or not. What is the position of E S R. Expectoration or not. Cough,mild chills,fever or not. Loss of appetite or not. Night sweating or not. General condition . This is the good thing that you have completed a full stipulated course. If treatment of T B taken in haphazard manners ( on & off), it may happen a Multi Drug Resistant T B. So please be careful and than proceed. Goood luck for your health.Dr. HET | 59,258 |
What could cause tip of penis burn after urination? | Patient: Why does the tip of my penis burn after urination? Just sometimes, not all the time. It doesn t burn while I m peeing, just after. And sometimes when I stand or about to sit, I feel a sharp pain in my penis. What is happening? Please help. I have no other symptoms. Doctor: it is simply urethritis. microscopic urinetestcan bedone. if there is evidence then culture and sensitivity test may be done. if it is positive then the most recommended anti biotic can be taken. | 202,517 |
Using betnovate for a long time. Itching on the face upon stopping the medication | Patient: I am 33 years old and I used betnovate for the last 10 years on my face to get clean and smooth face. I am aware it's not to be used on face regularly and for a long time but I can't achieve the same result with any other creams...in other word I am addicted to it and I hate my face every time I stopped using it. As soon as I stopped using betnovate my face start to itch, get lots of rush and is discolored. Doctor: hi You have been using betnovate over your face since long,,,and you must have developed side effects of steroid abuse on your face along with dependence....So my advise would be to visit a dermatologist who can assess your skin and treat you accordingly,,,In such cases,usually a less potent steroid is given to the patient for some time before completely stopping it,,,so as to reduce the dependence and to decrease the side effects of sudden withdrawl. Hope it helps Dr Geetika Paul | 8,641 |
Suggest cause and medications for back pain | Patient: My back hurts when I take deep breaths. I thinks it's the "flak" of my bac. My urination is fine have not.seem any big change. This pain has been going on for almost 4 or 5 months. I figured it might be a simple back problem but no I'm beginning to worry Doctor: This still sounds most likely musculoskeletal. But this 4-5 month juncture is probably a good time to see your doctor and at least get an x-ray. Also anti inflammatories and/or muscle relaxants will likely calm the muscles of the back/rib cage. | 111,386 |
What causes tiredness and imbalance issues? | Patient: I am always tired, even after sleep (I sleep well). My balance is getting progressively worse and I use a walker all the time. My left side is getting progressively worse=quickly. I had a stroke 12 years ago, but recovered well. Lately everything is going downhill. I am 77 years old. Before my stroke I was very fit and active. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You may be suffering from gait distrubence it may be due to cerebellar infract the side which your swaying or posterior column spinal cord problems or muscular or vestibular problem. Until examination is done it is difficult to say what it is. Don't walk lonely, do regular physical or vestibular exercises. Use multivitamin and b12 injections, continue anti platelet medication. If symptoms not improved please consult your neurophysician/ENT specialist they will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. | 141,290 |
What is the life expectancy having bowel cancer and tumors in liver? | Patient: i have bowel cancer with liver mets diagnosed last may i have had my colon removed. how long do people in my situation usually live. i have lots of tumors in my liver i just had mri so see if its operable, i was told it would be a radical op if it was possible. Doctor: Hi,Thanks for writing in.Colon cancer is a condition in which there is tumor in the large bowel for which you have got a surgery done. Studies show that half of patients with colon cancer might have spread of disease to the liver and unfortunately you have it. This situation might be managed with care and treatment provided with chemotherapy or TACE and the liver spread might be controlled.Survival of patients in your situation is about 2 to 5 years if proper care is take. Some patients might respond well to treatment and survival is extended. Hope your disease is controlled early with chemotherapy. Please have a well balanced diet to keep yourself healthy. Please do not worry. | 153,453 |
Severe abdominal pain with nausea. CT scan and colonoscopy done. Gall bladder and kidney stones present. Treatment? | Patient: Hi I'm 25 years old, female, for over a year I have been having abdominal pain mainly on the left side it is low and now under rib cage, this along with nausea and sometimes fuzzy head, I have had 3 CT scans a endoscopy and colonoscopy, the only thing has come back is gallstones and 1 left kidney stone, I have also had irregular periods and am tired all the time. Please help I just want to live normally again. Thanks Doctor: Hi and welcome to HCM. Thank you for your query.All this can be caused by gallbladder stones and you should consider cholecystectomy which will definitely bring improvement. Til that you hsould change dietary habits. Eat less fatty food,avoid alcohol and smoking and lose weight if overweight. Wish you good health.Regards | 50,677 |
Chest paining after hitting football with orange poop so should I be concerned? | Patient: Okay so my son was playing football and he got hit in the chest area, he said he has pain on the left side of his chest. He also said that his poop has been red for about 2 days and the day he got hit, his poop was orange. Should we be concerned about this? Doctor: Thanks for your question on Health Care Magic. I can understand your son's situation and problem. Your son is having blunt chest trauma due to football hitting. Usually this does not cause any major internal damage. But since he is having reddish stool, we should rule out internal damage like stomach injury or lung injury. So better to get done chest x ray to rule out lung injury. If chest x ray is normal than no need to worry for lung injury. Get done stool microscopic examination. If it is positive for red blood cells than he needs upper GI scopy for the diagnosis of stomach injury. If stool examination is normal than no need to worry much. Hope I have solved your query. Wishing good health to your son. Thanks. | 78,715 |
Suggest suitable vaccination while traveling abroad | Patient: I have booked and paid for a holiday to Kenya. However I have just found out I am pregnant. I have not yet had the relevant vaccinations. I m supposed to leave on the 23 august. I m now not sure if I should go/get the vaccinations. I ll bexreally disappointed if I can t go, as this was a once in a lifetime holiday. I d be grateful for any advice. Doctor: Hello, and I hope I can help you today. The main vaccines needed for immigration in Africa are yellow fever and typhoid. There are no studies of the use of the typhoid vaccine in pregnancy, but that doesn't mean that it is harmful. Regarding yellow fever, the vaccine has been shown to not cause any major birth defects when given in early pregnancy. In addition, malaria prophylaxis may also be recommended for you. There are types of antimalarials that are safe to use when you are pregnant.I suggest you see a doctor who specializes in travel medicine or infectious diseases. They can administer the vaccines, and if they do not feel comfortable they may be able to sign a waiver for you. I hope I was able to adequately answer your question today and that my advice is helpful. Best wishes, Dr. Brown | 220,254 |
What causes body aches,cough and throat irritation? | Patient: I am a 39 yr female that has always been healthy. I haven't felt good for about 2 months and I went to the doctor Thursday. My symptoms are body aches, tight chest, cough, tingling in the throat and chest, tired. He did a chest x-ray and said everything looked fine and sounded fine. He took 3 vials of blood and I am waiting for the results but definately unnerved about everything. Any suggestions? Doctor: Hi.Welcome to HEALTHCARE MAGIC.I have gone through your query and can understand your concerns..As per your complain body aches, tight chest, cough, tingling in throat and chest can be due to a number of causes like chronic viral infection/upper respiratory tract infection, bronchitis, lung infection, acid reflux etc..I would suggest you to wait for the blood reports as it can help in further diagnosis..You can also go for repetition of chest x ray and also get an upper G.I endoscopy done..You can also get evaluated for cardiac issues and get investigations done like ECG, TMT etc..Treatment will be planned once the diagnosis is confirmed..In case of infections antibiotics will help..Acid reflux will be treated with proton pump inhibitors like Pantoprazole, omeprazole and antacids..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | 31,830 |
PCO. Ultrasound showed inadequate folliculogenesis, hepatomegaly with fatty infiltration. Help? | Patient: Hi, greetings to U. Please explain me abt my 4D ultra sound result. Late Proliferative type of endometrium. Ovaries with some features of poly cystic ovaries . (Hypertrophied & Echogenic stroma) Inadequate folliculogenesis . Antral reserve-good in both ovaries. No uterine/ adexal mass. few nabothian cysts- cervix. No pelvic collections. hepatomegaly (17cms) with fatty infiltration. 3.0 x 3.0 cms hypoechoiec sol with good posterior enhancement and minimal vascularity in th 7th segment of liver -? atypical maemangima normally appearing GB, pancreas, spleen and kidneys. Doctor: Thanks. You need to consult an Endocrinologist and gynacologist for polycystic overies. For liver hemangioma, you can consult gastroenterologist after getting your liver function test. wish you good health. | 50,184 |
What causes pimples on penis foreskin every time after having protected sex? | Patient: when ever i have protected sex wid condom , after few days i develop 1 or 2 pimples on my penis foreskin. those red pimples are little bit itchy..i had done test of HSV and HIV 2 times , every time it shows negitive, can u plz tell me why i m faceing this problem? thank u Doctor: Welcome to healthcaremagic.com and myself Dr. Atishay Bukharia would be answering your questions.. you might be suffering from latex allergy which is the main composition of condom. Try changing the brand and use condom of any non allergic brand. If itching is there then you need treatment with topical steroid.. Hope it helpsIf you have any other question please do not hesitate to contact usRegards. | 196,550 |
What medication is suggested for tennis elbow? | Patient: hi. i have a tennis elbow since 2 months and despite rest and physiotherapy, the pain in my bone at the elbow and pain in the muscles below the elbow hasnt improved much. i have been asked to take an injection comprising of: Dexena, Knenacort & Xyloean. Could you please advice on its benefits and side effects. Thanks. Doctor: Hello, Tennis elbow is arising from inflammation of the tendons. Steroid injection will be the treatment of choice in severe cases dexona and kenacort are the commonly prescribed ones. Nothing much to worry and your treatment is in the right track. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family physician | 121,253 |
Suggest treatment for swelling in stomach when on treatment for copd | Patient: My mother in Law has copd and is on Hospice care at this time. She is swelling around stomach area, and now water is starting to come out of her nose also. She only has 10pct lung capacity at this time, and no pulse oxygen reading on left side. Are her Kidneys filling with fluid and starting to shut down? Doctor: Thanks for your question on HCM.I can understand your situation and problem.COPD is chronic progressive disease.In end stages it can cause systemic complications like Right sided heart failure, left sided heart failure, pulmonary edema,fluid overload,hypotension and renal shut down.So for her symptoms like ascites (water in stomach), water coming from nose and mouth (pulmonary edema) can be due to Either heart failure or fluid overload due to renal shutdown.Since she is already in hospice care,there is nothing much we can do.But these are not good signs for her. She is going towards end stage disease.Better to accept the fate. | 81,332 |
Trying to conceive. Lower abdominal cramps, migraines, frequent urination. When can I take the pregnancy test? | Patient: hi, me and my partner are trying for a baby. i have had multiple negative pregnancy tests over the last month or so, we have been trying for just under 3 months now, i have lower cramps, migraines everyday, going to the toilet more and in middle of the night but still no positive pregnancy test. what can i do to help get pregnant. and when taking a pregnancy test do i have to wait so long till all the sperm is out of my system or will it affect the tests? thank you. Jordan age 21 Doctor: Hello,thanks for using health care magic.Three months is not good enough to be worry about not being pregnant yet. Only a slightly greater than 60% of women with effetive sexual intercourse become pregnant after a year of effective intercourse.You and your partner should be on good diet, good psychological state of mind and practice effective sexual intercourse which is having intercourse at least four times each week (every other day with the days spread out during the week).You might consider meeting your doctor for regular follow up and guidance but for now with only three months of trying, there is no problem per se.Pregnancy test can only become positive after missing a period or around the time you are expecting your menses. It can not become positive immediately after having sex or so unless you were previously pregnant.Lower abdominal cramping and frequent urination could be possible in pregnancy but at a little advance stage and not at an early stage. You should get tested for a UTI.Hope this helps you.Best regardsDr Achuo | 5,229 |
I have light and short menstruations, kindly help | Patient: Since august I have light and short(1-2 days) menstruations.But this month I had heavy menstrual bleeding all five days.My menstruations are so painful. Now im under stress ,I have depression . So doctor, can stress and depression to be reason of heavy menstruation this month? What natural home treatment can you to recommend me for painful menstruation , heavy menstrual period? What natural treatment for depressionn and stress do you know and can to recommend to me ? Thank you for your help Doctor: Take Tab. Restone (maharshi Ayurveda) 1 tab thrice a day Syr. Amycordial 10ml thrice a day for 3 mths Your problems will be solved | 215,119 |
Have psoriasis. Itchiness all over body, cracks on skin of penis. How to get relief? | Patient: I have psoriasis and I ve developed a serious itch all over my body, especially in the groin area. Way worse than I ve ever had. I m developing cracks on the skin of my penis and it itches like crazy. Problem is, ny otherwise perfectly healthy girlfriend has contracted a form of staph or mersa infection which i know is contagion. Im scratching my akin til it bleeds and my groin hurts and itches lime crazy Doctor: hello welcome to healthcare magic forum psoriasis is chronic condition and you should take medicine for it as prescribed by doctor you have generalized dry skin ,it may be related to psoriasis you must consult dermatologist as early as possible as it may be worsen apply good moisturizer cream over full body 4-5 times a day over penis chance of fungal or candidial infection is higher apply clotrimazole cream over it avoid sexual relation till it heal i hope i answered your question | 12,534 |
MRI shows Tarlov cyst. Have pain in lumbar and leg, numbness and tingling | Patient: Hi Dr, I had a MRI done last friday because of a severe pain in my lumbar and left leg, which I feel numb and tingling since last wednesday. The MRI showed a large left subarticular disc extrusion at L5/S1 impinging on the descending left S1 nerve root and also an incidental Tarlov cyst within the sacral canal at the S2 level. I am worried because I dont know if this is serious and I dont feel my leg improving since last week. I would like to know how long will take for my leg to be normal again and what is the treatment for this. Thank you, Julia. Doctor: Hi Ms Julia, Thank you for posting your query. Your symptoms and MRI scan are suggestive of severe compression of the sacral nerve S1 due to a large disc prolapse. Initial treatment is bed rest, use of medications such as pregabalin, and physiotherapy. More than 50% patients may improve with these treatments. Those who do not improve with the above, surgery may be required in them. A consultation with a neurosurgeon would be helpful. Recovery may occur in 4-6 weeks. Wishing you speedy recovery, Dr Sudhir Kumar Md DM (Neurology) Senior Consultant Neurologist | 151,097 |
Why do I have stabbing pain on the upper left side right under my rib? | Patient: I have a sharp stabbing pain on the upper left side right under my rib. sometimes the pain goes to my back too in the same area. it doesn't hurt to take a deep breath, but i sometimes feel like i could throw up. when i sit still the pain decreases, but any movement causes the stabbing feeling to be horrible. Doctor: It can be a rib fracture..if u were been hit or if any other trauma...other factors to consider is your age, any other comorbidities like diabetes, hypertension.. if it is associated with breathing difficulty, or perspiration ,then heart issue should also be solved...so, get ur chest xray & ECG done atleast. | 80,781 |
Could the elevation of IGE test results be due to allergy? | Patient: hi, i have some sking allergy from last 6 month as per my doctor advice i did test of SGOT, SGPT, GGT & IgE IN THIS IgE test shows 3200.0 IU/ml. doctore prescribe me Liveril forte and loratadine tables. I just want to understand what kind of allergy it is? and detail of that test. Doctor: Hi, dearI have gone through your question. I can understand your concern.High IGE levlel is suggestive of some allergic condition. You should check your eosinophil level also. you should also need to go for allergy test to search the cause and 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. | 56,537 |
Chronic back pain, moderate relief with physiotherapy and massage. Effective remedy? | Patient: Hello Sir I am Ashish and i am from delhi i am suffering from chronic backpain since few months but now after some rest physiotherapy iand massage i am feeling better but this pain is still irritating me at times i have a pain in my lower disc l4 l5 please suggest me the needful remedies to get rid of it as i am a marine engineer i need to get back to work soon Doctor: hello, as you have chronic back pain you need to be investigated for slipped disc or sciatica. you might need to be done ct scan of spine if your xray turns out normal. you can take painkillers and apply ointment to alleviate the problem of pain. you can do some back exercises you can be shown by the physiotherapist. apply hot packs before you go to sleep it will give alot of relief. avoid lifting heavy objects and bending alot try to sit properly with your back aligned to the chair use firm mattress when sleeping hope to have helped answer your query wish you a quick recovery. | 113,345 |
What precautions should be taken to get control over high BP? | Patient: Hi doctor i am 58 years recently i hae developed B.P 230/120 and after medication and care under a cardiologist it has come down to 150/90 with the followoing findings FBS - 108 PPBS - 211 HDL - 35 LDL - 160 TG - 178 the following medicines were prescribed T.AAMLONG 5 MG 8 AM / 8 PM T. PREZAR-H 9 AM T. PROLOMETXL 25 MG 8 AM T. ZOLERAB 20 MG 7 AM T. ROSUFIT 20 MG 9 PM WHAT PRECAUTIONS COULD I TAKE TO GET CONTROLL Doctor: Hello dear and thanks for posting your query here.Your FBS is slightly on higher side, so just get it repeated after a week or se and also get HbA1c blood test which will tell you about the long term status of your blood sugars over last 3 months.Also inaddition to ensure to take regular BP medicines, you need to take cert precautions like 1. cutting down your daily salt intake to upto 6 grams2. Daily exercise like brisk walking for atleast 30 minutes (at least 5 days in a week).3. Maintain proper weight for your height that can be calculated from BMI.4. Do meditation and yoga.5. Eats lots of fruits and fresh vegetables. I hope this information would be of help to you.Thanks and all the best. | 19,760 |
Abdominal and chest pain, blood work showed low lymphocytes. History of sinus infection. Any suggestions? | Patient: Iam 36 yo female with 3 kids and husband. live in rural Wyoming. I went to my fnp for a sinus infection Aug 18. Was started on augmentin 10 day course. Still had sinus infection, started z-pack. Experienced diarrhea and abdominal pain . Diarrhea cleared after 5 days but moslower abdominal pain didn t stop. Experienced shortness of breath and abdominal pain that it s constant ache with periods of acute pain. Did xray that showed mild lung fibrosis and shadow if spleen indicating enlargement bowl gasses normal. Had a Ct that said mild splenomegaly of 14.8 with noted paratracheal lymphadenopathy mediating and inguinal lymphadenopathy. Largest lymph node 8 mm. My abdominal pain is worse with full bladder but doesn t change much with bm. It wakes me up at night.I also have chest pain from my right atm put under my breast down to the bottom of my rib cage. Sometimes the discomfort extends to my right chest wall as wwell. My fnp says viral but gave me 10 days of levaquin for persistent sinus infection. Also prednisone taper. Did blood work. All normal eexcept slightly low lymphocytes. Epstein Barr virus negative. I don t feet all well. I hate nwaking up in pain, going to bed in pain and waking in the night with pain but I don t want pain meds I just want to know when relief might start and if there is a possible non-viral cause that might be treatable? I also hate the feeling I physically can t breathe. Any suggestions for my follow up appointment tomorrow or treatment suggestions? Also what does mild fibrosis mean? Doctor: Hi ! Do you have fever of low grade nature ? Is there any history of loss of weight and loss of appetite ? Sometimes unsuspected tubercular infection ( if it is common in your area) can give rise to similar symptoms and radiological findings. I would suggest you to discuss with your family physician on this angle when you meet him next so that further investigations may be done. Wishing you an early recovery. | 93,294 |
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