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What causes numbness in left side of thigh, bikini area, lips, cheek? | Patient: I have numbness in my left thigh and left side bikini area following a laproscopy and DnC last thursday. I just spoke with Gyn who did my procedure and he says no connection I should call my internal medicine doctor. I also feel numbness in my lips and cheek left side. i had Iv anesthesia followed by morphine torodol and benedryl. Doctor: This is mostly simple systemic allergic reactions which not related to laparoscopy. This is mostly due to drug allergy or anaesthesia allergy. Start taking oral H2 inhibitors and topical cortisone derivative cream on affected sites 3 times daily for one week. | 131,068 |
Suggest treatment for body ache and chills | Patient: Hi..my daughter is away at college and for the last week on and off has gotten body aches and chills and had a weird feeling and has passed out a few times....the aches were bad..:so much that she couldnt do much but cry...no fever but says that when she takes advil it helps with aches ..when she eats feels better for like an hour then starts too get achey again....and has occasional tightness in chest....went to hospital and they took blood ,urine test, nothing was irregular but white blood count was up....they said she had flu....does this sound right to you Doctor: Hello, As per your history, it may be due to viral infection. For further assessment, you may require complete hemogram, urine analysis, peripheral smear for malaria parasite, dengue NS 1 after physician consultation. Till then for fever, you can take tablet acetaminophen. Keep your self hydrated. Treatment mainly depends upon the underlying condition. You may require antibiotics like cefixime after consultation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician | 122,652 |
What causes severe fatigue along with yeast infection and anxiety? | Patient: I ve been feeling very tired I m under a lot of stress overload of it. I drink a lot of milk non fat or 1% I eat good food not a lot of bread drink water but yet I m feeling overwhelmed an exhausted all the time. I ve developed a yeast infection which I haven t had in years I went an purchased AZO an Monistat cream I ve been using since Sunday. I m feeling that s getting better but this pepper taste is new 2 days now an anxiety I haven t had in yes but it s back since my overload or stress an worries came about . Any suggestions I would truly appreciate sincerely Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If along with fatigue and stress you are having symptoms like feeling low all the time, loss of interest in previous pleasurable activity, crying spells, feeling lonely, change in appetite and sleep, low in energy, confidence, hopeless, helpless, worthless feeling and sometime even suicidal ideas then you might have depression. Few or all of them can be present at a time. Depression can affect anyone and you can overcome it completely. Depending on the severity your treatment will be decided. Symptoms worsens with time so it is advisable to take help from mental health professionals as early as possible. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rohit Kothari | 204,246 |
Suggest treatment for elevated creatinine levels after renal transplant | Patient: I am a renal transplant patient. Surgery done 6 months back. After transplatation I used to take immuno suppresents like Pangraf, Cellcept and Prednisolon. Immediate after surgery my S.Creatin levels were 1.4, 1.3, 1.2 then 1.5 etc..After one month of when I checked my Tac level it was very high ie, 14.4. Then Pangraf dosage reduced for next one month.But there was no significant reduction in Creatin and then checked Tac level it shows 14.1. At that time S.Creatin was 1.7.Then stopped Pangraf and started Certican .25. A sudden increase in S.creatin and it became 2.6. My Biopsy shows ATN+ and other readings were quite normal. My Potassium and RBS are quite normal. Then started Neoral 50mg and tried 25mg, but again S.creatin level gets increased and now it is 3.6. My Doppler test parameters are normal. What would be the remedy on this problem??How it is happened like this? My donor is my brother. I am 42 Years old. Doctor: Hi, This may be due to the rejection of the kidney or other causes damaging the kidney. First complete evaluation for the cause is needed and then appropriate treatment should be given. Please consult your nephrologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammad Mostafa Ansari Ramandi, Cardiologist | 45,704 |
What causes pain in breast after removal of lump? | Patient: i had surgery last week to remove a 7cm lump in my breast. they went in on the side and is healing well. but i am having sharp pains through my breast and is causing me to stop what i am doing because it is painful. I dont know what it is but it hurts more than when i had the tumor in. Doctor: Hi, dearI have gone through your question. I can understand your concern. You had surgery on your breast. So post operative pain is common in that area. You should take pain killers as and when required. Go for examination of operative site. Don't worry. It will be cured within few days. 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. | 67,698 |
Multiple rashes on body, looks like shingles, spreading in nature. What kind of rash is this? | Patient: I have multiple rashes on my body and they are not hives, the look like shingles but don't hurt at all. I first noticed them a week ago on my bottom; I did not pay attention to it because I thought that it was only a heat rash but tonight I noticed that it has spread and worsen, and also is now on both of my arms; What could this rash be? Doctor: HI Thank for asking to HCM Such kind of rashes is more common in viral infection waite for few days if it is viral infection then will go away and if it is not the viral infection then you will have be examined, but before that you can try some anti allergic medicine and the second generation antihistamine ( Levocetrizine ) would be best try this I think it will be lright no need to worry hace nice day. | 15,096 |
What causes high pulse rate in a child? | Patient: Hello, took my 15 year old boy to get a Fisical for sport at school, and they did more than 6 EKG and they came out that his pulse was between 115 and 130 and he was send to make and appointment with a cardiologist how worry should I be he does not have any simptom or feel anything and how dangerous is this. Doctor: HI HAVING HIGH PULSE RATE WILL BE DUE TO VARIOUS CAUSES. YOUR CHILD MAY BE ANXIOUS AND RESULTING IN HIGH HEART RATE.IT MAY ALSO INCREASE WITH INCREASED PHYSICAL ACTIVITY.EXAMINING THE SLEEPING HEART RATE AND RHYTHM, CHARACTER IS IMPORTANT.HOPE IT ANSWERS YOUR QUERY | 174,372 |
Suggest remedy for hard heart beat and tiredness | Patient: Hello, I've been having trouble with heart palps, my doc said it was due to anxiety which may be some of it, but since i've gotten off my birth control they've stopped. I've had all my heart tests done and they are fine...but now im noticing a really HARD heartbeat and i feel tired during it...what could this be? Doctor: Hi ThereI understand your concern and would like to tell you that predominantly your symptoms are of anxiety disorder. if your heart tests came out normal then you can take anxiolytics SOS if symptoms bothers you much. You can start doing meditation that will also help you in controlling your symptoms.Hope to have been helpfulKind Regards | 19,602 |
What are the symptoms and treatment for brain hemorrhage? | Patient: My husband has a 49cm brain hemmorage he is experiancing vision loss and loss of motor functions he was in the hospital they did a few ct scans gave him pain meds and checked his blood sugar levels they sent him home without any meds,does this sound right or should more be done he is scheduled for another ct scan in a month Doctor: Brain hemorrhage... Bleeding into the brain..the bleeding is from the arteries supplying the brain.These arteries are very small and effected by many factors which damage the wall of arteries like diabetes ,hypertension etc.Once these artries are ruptured then the particular site of the brain lost its function e.g vision loss,sensory loss ,motor loss and ....eventually death.Well there is no specific treatment once the area of brain is damaged...the Nimodipine, a drug name is prescribed to avoid the spam of ruptured artery to avoid further damage.Your husband only need supportive treatment I.e sideways nursing to avoid bedsores and aspiration pneumonia and healthy diet. | 146,301 |
Missed birth control, spotting, periods. Normal symptoms? | Patient: Hi, I missed one of my birth control pills but carried on taking them the day after i missed it and have been now for nearly 21 days (I have three left to take) so that i can come on my period. About 2 weeks ago i spotted once and now it seems i am on my period. Is this normal? I have missed a pill in the past and this has never happened. Doctor: Hi,If you made up for the missed pill by taking two on the next day, you are amply protected. If not, you are at risk and the cause of the spotting you had can be attributed to a breakthrough. This could also be the reason for the early onset of the period. I would suggest in the current scenario, an estimation of the serum beta-hCG titre as a home pregnancy test may not be of much value so soon. Also, see a specialist for a proper appraisal of the situation and further management. Take care. | 224,898 |
What are the possible ways to avoid masturbation? | Patient: I am 38 year old. I do excessive masterbation.8-9 times a day. i am addicted to porn.sex chats, video chats. This is killing me. I want to leave excessive masterbation. It all started when i was 6 year old and it never stopped. I am very attracted towards breasts.During my sex with my wife i ejaculate prematurely. I am fedup with this addiction and want to leave it any cost. please help i am dieing because of this. I have become more aggresive in my moods and i have become very short tempered. My social life is almost zero. every time i have PC i land up watching porn or sex chats. I have made many mistakes in my life because of this addictions which i can't correct now. But i know if i dont stop now it will ruin my life.Pls. help Doctor: See everyone make mistakes but it is the one who never repeats it will win ultimately. I am happy that u want get rid of the habit and u are aware of its consequences. U are suffering from OCD which needs to be treated .the most important thing is to follow the advice of the psychiatrist without break.do take help from friends or family members to get rid of this disease.I hope you will certainly win over it and write back to me.life is full of colors and enjoyment,emotions outside ur PC,once u start observing the real life,u will never go back.life is so interesting and mystic and it requires a person like u to explore its vastness. So immediately refer to a psychiatrist. | 199,583 |
Tiredness, unconsciousness, biting lips and tongue, pulling hair, random talking. Treatment? | Patient: Dear Sir/Madam : I'm fromAfghanistan I want ask any doctor that can give me information on , my sister she is 19 years old she has a sickness that sometimes when ever she get upset , tired or frustrated she gets unconscious and she bite on her lip's and tongue sometime she pull her hair out too and she does random talking ,it mostly happens when ever she sit to eat we have met with plenty of doctors some of them don't even understand some of them give's out medication that doesn't help and some say it's possessed by jins ,in my country the medical treatment isn't that improved if there's any specific medication or treatment ways that can help us will be highly appreciated ,not to forget some physician said when she marry she will not suffer from this any more please help me find a way for her treatment it bother my whole family every single moment thanks best regard Hamza Doctor: Hi, Thanks for writing to health care magic. When she falls unconscious does she pull her hair? Part of the description provided by you is suggestive of seizures. But if she pulls her hair or talks abnormally during the period a seizure mimic should be ruled out.Marriage is not a treatment for any medical illness and further evaluation of your sister is required. You should consult a psychiatrist for the same.Continue to ask further queries as required. Hope this helps. Take care. Dr Y V Siva Sankara Murty M.D.(Pediatrics) Associate Professor of Pediatrics | 211,877 |
What is causing diarrhoea and pain in right upper abdomen? | Patient: Having a gallbladder attack I have been diagnosed as having gallstones yesterday I had a bad attack and went to the er they gave me pain medcines there and sent me home all day I ran a fever of 101 which finally broke threw the night last night now I have violent diaherrea that is yellow and burns like bile with still a aching pain in my right upper quadrant should I return to the er ? Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.Your symptoms are suggestive of acute cholecystitis and you should see doctor promptly and due ultrasound and lab findings too see inflammatory markers. In this case you should be treated with antibiotics or even surgery if there is severe inflammation. So I suggest to see doctor.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.DR. Ivan Rommstein | 53,891 |
Unable to conceive, all tests normal, egg size vary. Not interested in IUI. Treatment? | Patient: hi, i m riya i m pregnent from last three years but i didnt conceive, i go through all tests blood , harmons and tube test as well its all clear. my husbands (simens analysis) is also ok. but sometimes my egg size is large and some times its small. we consults many doctors they said that u now go for IUI but i am not interested to go for that. what u will suggest for me. Doctor: Hello thanks for your query. Please consult a proper infertility specialist for further treatment. As all your tests are normal, which you have mentioned, then IUI ( intra uterine insemination ) seems the best way for you. The major cause of infertility is unexplained infertility, in which no definite cause can be found. In such cases, sometimes, there might be some local or cervical factor, which can be overcome by IUI. As such, by wasting time without treatment, your age would increase and age related problems would arise. You should definitely try to go for IUI, if you have already spent three years trying to conceive naturally. take care. | 43,807 |
How to get rid of depression? | Patient: I've been majorly depressed on and off since I was about 13. It's getting in the way of my jobs, relationships and general day to day activites. The depression can last from a few hours to several months and as I'm getting older, it's getting more and more severe. I also have times when I'm very over-excited, speaking before thinking, and generally act embarrissingly or irritatingly. I asked him to help me, and he gave me some anti-depressants. I think it may be a little more serious than that. What do you think? Doctor: HiI understand your concern.Depression can cause impairment in daily routine , social life and economical situations.The only way is to get treatment.Yes there are many antidepressant avilable in market and it will improve your condition.It can be only given after proper evaluation.So consult psychiatrist and get proper treatment.This kind of condition usually can be treated with SSRI and it will start improve your symptoms within 1 month so consult and get well soon.Thank you. | 207,859 |
What causes severe stabbing lower abdominal pain while sneezing or coughing? | Patient: I get really sudden severe stabbing pain in my right, lower abdomen (right above the hip bone) when I cough or sneeze. It aches right through to my back and the pain is slowly getting worse over a few days. I also feel like I have a cold or flu coming on. Throat kind of hurts and just kind of don't feel good. It's a vague feeling of being unwell. Less hungry too but still some appetite. Oh ya - it hurts when I push to have a bowel movement too. Doctor: Hi,Good Evening,Thanks for your query.I studied your query with all the details and understood your health concerns.-In my opinion-the cause -of the severe stabbing pain in lower abdomen,-with referred pain to back -and that pain worstening over few days- is due to the -Inguino-scrotal hernia mostly-as you have to push up when sitting for the bowel movements.-Referrence of pain to back-is due to the spermatic cord and testicular compression and stretching.All this has increased and precipitated due to the URTI with acute rhinitis with sneezing and coughing.-Lack of appetite is due to the URTI and not due to herniation.So this would help you to understand the worries you had with this lower abdominal pain.Hope this would help you to plan the treatment with ER surgeon.Wishing you early recovery.Wellcome to HCM for further query in this regard.Good night from INdia.- | 86,406 |
What does this MRI report indicate? | Patient: my impression from my mri of my left hand states minimal muscle edema thenar eminence and second metacarpal flexor digitorum musculature the area of minimal muscle edema does correspond to the reported palpable abnormality. the is minimal spurring at the first and fifth metacarpophalangeal joints with prominence of the distal firth metacarpal possibly related to spurring versus osteochondroma or exostosis. no evidence for acute ossesous , tendinous or ligamentous abnormality and no focal mass is seen Doctor: Hi you appear to have a swelling on the palm of your hand.This is from edema or swelling of the small muscles of the hand possibly from injury.The MRI also shows some arthritic changes at the joints between the thumb and little finger and the the bones of the palm called metacarpals.In addition the bone in the palm connecting the little finger has a small bony outgrowth which could either be due to arthritic bony extension or a harmless bony outgrowth called osteochondroma. All these are not very significant except for the muscular swelling which by itself is not serious. | 128,143 |
How to treat a leaking abscess? | Patient: I have an abscess that was opened when I was 17 now it came back in may and the ER opened it again. Just this week it came back and i went to the ER but they did nothing but give me antibiotics and Motrin, now 2 days later it is leaking. What should I do? Doctor: Hello!Thank you for the query.Treating abscess with antibiotics only is a mistake. Please note that abscess is filled with dead cells and bacteria. There is no blood circulation inside the abscess so antibiotic can not reach it.That is why, abscess needs to be incised and drained. Otherwise it will be recurring.Hope this will help.Regards. | 69,464 |
What causes severe lower back pain spreading down the legs? | Patient: back in october of 2010, i suffered from a lower left back pain shooting down to my legs..any type of movement will a shooting pain..was on medication and chiro (both helped), however mri did not reveal anything..i am 80 % healed but i am noticing pain now aroundmy period..pls help... 36 yrs old, 140, 5 '4..athletic build Doctor: Hello, I have studied your case.Gyaenacological reasons may also lead to back pain but first you need to correct structural problems if they are present.You may need blood and ultrasound check up of uterus.Medication like methylcobalamine and analgesic will reduce pain; you can take them consulting your treating doctor.Some exercises which can be done after pain has reduced include- Spine extension exercises, lying on your stomach flat lift leg 6 inches from ground, do it for other leg.Now lift both hand and leg simultaneously, 6 inch off the ground and stayPosition for around 10 breathes. Core stabilizing spine exercises will help.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion.Take care. | 109,938 |
How to treat bleeding and pus discharge from the toe nail? | Patient: I stubbed my big toe last night and my nail came up but is not completely detached. I washed it with hot water and let it soak for a few min. It was immediately bleeding and pussing. The bleeding has stopped but it is continuing to pus a clear liquid. What would you recommend for treatment and do I use a bandage or does it need to breath? Doctor: Hi..Thanks for the query..Due to traumatic injury there is partial separation of the nail plate from the nail bed and due to soft tissue injury there is bleeding.Clear fluid discharge can be inflammatory fluid due to injury.So my suggestion is to clean the toe with antiseptic solution and apply antiseptic ointment over it..Cover it with a bandage to avoid further injury and also protect the toe from fungal infection that is common after toe injury..Change the dressing daily and see if it improves..You should let the nail grow and gradually cut off the separated toenail..Hope this helps..Regards. | 29,323 |
Numbness and pain in left toe. Family history of peripheral neuropathy. How can I stop further nerve damage? | Patient: About two years ago I started getting numbness and pain in my left toe . Spoke to my GP and he thought as I had knocked it badly I could have damaged the nerve and that it would take up to 18 months to repair. Non that time the pain in the toe went just leaving the numbness but the pain and numbness started in the right t Big toe over time the pain went just leaving numbness now in both big toes. The pain and numbness started in my left thumb and mentioned it to my GP as my father has peripheral neuropathy which has caused him to loss feeling in his legs now to mid thigh. He is in his lat 80 s but I am concerned this might be affecting me. The GP thought it could be a problem in my neck . I am 57 female, not diabetic in good health but over weight. Can you give me advice as to whether I should ask to be referred on to get things checked or if it is neck problem how can I stop further nerve damage? Doctor: HiThank you for your question.There are several kinds of peripheral neuropathies and yours seems to be progressive. It would be very important to know what is the cause of peripheral neuropathy. Please consult a neurologist who can investigate this further. The pattern of progression of symptoms is not very typical of spinal cord problems in the neck though it is possible.I would suggest consulting a neurologist, obtaining EMG/NCV which is a test to assess the peripheral nerves and finally MRI of the neck.Please let me know if I can be of further assistance. | 149,530 |
Infections from stents in kidney, infection in kidney after removal of stents. Not recommended transplant. Guide | Patient: I have a 20 year old girl who has had kidney problems since she was 11. Doctors say it was in development, but she has been in and out of hospitals for years. She has had stents put in and they cause infection, they take them out and her kidneys back up and cause a different infection. They say they can't do a kidney transplant until it quits working and causes the other one to start having problems that would cause her to have dialysis. Please help Doctor: Hi, you have 20 year old girl. got kidney problem since she is 11. doctors put stents they got infected, removed and got another infection, doctors denied transplantation till both kidneys are effected. Even one kidney will be sufficient for peace full life,You can give an option to remove the diseased kidney and discuss the pros and cons of it. Thank you. | 50,699 |
What causes me get angry very easily? | Patient: hi i don't know what is up with me but i et angry very easily and for no reason its been happening for years now and also i get very paranoid like say if someone i don't know speaks to me i just starts worrying and get very embarrassed then start going very red. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Anger is a reaction, emotional outburst. Body removes the emotional problem through anger. Such an emotion happens due to so many factors like disappointment, irritation, lethargy etc. If you try to find out the reason for being angry, you yourself can use preventive measures. In any case, instead of treating anger, we should address our perceptions to given situations or the anger causing elements. Changing your attitude towards anger causing elements is important.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | 208,223 |
Suggest treatment for depression and alcohol abuse | Patient: Hi there Dr. Rynne , I am a 45 yr old female, w/ genetic genes w/ mental illness mostly depression, and BP. I have never had many problems w/ over the years, I was adopted as a baby and nvr knew of my grandmother, biological suicide overdose they think was cause. That was on bio-fathers side, she had mental, illness, my bio-father who was 16 when had me ended up being a recovered alcoholic...Ik one of his natural daugters he has now as adult is having trouble w/ alcohol abuse. The other side of bio-family my mother being a twin, both her and sister both have some form of drug abuse, I feel due to mental depression or BP never being diagnosed and them self medicating. The mother on that side perfectly fine mentally that is, and the father as well, and their a third sister who is very bright, & does quite well for herself, & has made a very successful life for herself... My question is ik some of this depression or BP illness that the Dr s suspect I may have, which I had depression, that I could not deny if wanted to, its kind of attn. stealer & hard to miss! haha! Now that Im coming out of a 2 yr struggle w/ what I thought was just depression due to genetics and the other part of my story is the family I was adopted by also added a environment very ideal for depression to grow, such a molestation by adopted father when 7, 8 yrs old, and others relatives trying but I avoided their ploys to do just that...also a lot of very intense fighting btwn parents all the time very dysfunctional although did feel loved at times, had horses, pool, vacations 3 brothers that I love, and are the only ppl in the family that stay in each others life both, the mother and father, are not involved in any of their kids lives, b/c of their inability to see anyone but their own pride, and my children wouldn t recognize grandfather who lives 2 miles away if he walked passed. I forgave him for wht he did, yrs later the rest of family found out, by accident thru a good friend I had shared that private info w/ told them, my mother decided to answer to finding out about the incident: Well why didn t u report if that was actually happen and that was her only response and acted as if we were discussing a recipe I lost or something, no other questions were asked, ie..who was it when did occur nothing! I forgave her too and cont a relationship it was not her fault but her saying things like figments of what occurred in my childhood were the reason for our family fragmented and falling apart, which is not tru, she has always had trouble w/ whole family and there has no thing that has ever been easy w/ this woman EGO is her name being right is her game, and ik she too must have some sort of mental illness b/c Ive never seen or dealt w/ anyone close to her, she has never said sorry to me or anyone she has many problems very intelligent works at University at age 72, moves every few yrs...dragged us kids around to different states when she was feeling not satisfied w/ my dad she go somewhere and enroll in a college to earn another degree has several so not an unintelligent person so wondering am I destined to have problems due to the amount of mitigating factors in my life, Ive tried to turn to Lord for guidance and I def take med the Dr. s recommend but isn t there better test to see exactly what ur dealing w/ as far as just depression or if its a more serious condition that has to b so closely maintain as far as ur sleep, diet, exercise, taking medicine and then still struggle to feel normal sense of well being after following all those guidelines is there any other things ud suggest to findout exactly what it is BPII would b fine if that is indeed wht I have its the unsure testing being used thatleaves me feeling like what else could b lurking around corner for me...Ive taken all blood test that the dr. recommended but why hasn t anyone came up w/ a brain scan that shows wht ur particular wiring is defaulting on and how they can fix it w/o being on medication for rest of life...Do u know of any advances in fixing the willy nilly way they diagnose these illness and the way Dr.s really just try different cocktails that a lot of the times makes u must worse than before taking...There has to be research being done, for better methods to help ppl struggling everday w/ this...Can u tell me wht u kno or any advice u have on this matter? I thank u for ur time and what a lovely service u provide thank u! Thanks for Caring...all the best! terri :) Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the drug therapies then there is also an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.Ones depression settles down, alcohol abuse will also come down. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | 205,813 |
What is the cause of paralysis below waist after corpectomy? | Patient: i had a c5- c6 corpectomy. post op i woke up paralyzed from the waist down. ssep were done thoughout the case without evidence for decrease in signal strength. blood presuer throught the surgery was within normal limits. i have no problems with my arms. how can this happen? Doctor: Hi, thanks for asking from HCM.I can understand your concern. The weakness after C5-6 corpectomy in postoperative period could be due to - Postoperative hypotension and ischemic damage. If there was significant blood loss and hypotension in postoperative period, it can cause ischemic damage to spinal cord. It can be confirmed by seeing the records of BP monitoring and MRI of cervico-dorsal Spinal cord.- Low hemoglobin is another cause of weakness. If there is significant fall in hemoglobin level (Hb level lesser than 8gm%), it can cause hypoxic damage to spinal cord. Postoperative hemoglobin level helps in determining the cause. There are chances of good recovery if blood transfusion is done on urgent basis.- Postoperative hematoma or compression from bony pieces/Instruments - It is another cause. Delayed bleeding or broken bone pieces/Instruments compressing over spinal cord can cause postoperative weakness. MRI cervico-dorsal spinal cord will help in finding the cause. Immediate decompression can help in regaining the functions. - Anesthetic drug side effect - Sometimes toxicity to aesthetic drugs can cause damage to nerves or spinal cord. It can be confirmed by nerve conduction velocity/nerve biopsy if there is confusion. You need to discuss all the possibilities with your spine surgeon. MRI cervico-dorsal spine is must investigation to confirm the cause. You can also send me the reports. I can help you further after seeing your MRI report.Hope it will help you. Thanks. Take care.Dr Ishu Bishnoi | 143,003 |
Have missed period and pregnancy. Why is there lower abdominal pain. What caution can I take? | Patient: sir let me be more clear... I got married on Aug 26th. I think I am pregnant now, having missed my periods. I had my last periods on Aug 29th. Based on the number of days past without my periods I am judging tht i am pregnant. I used the pregnancy test kit.. it shows slightly and i may have to wait for a few days more to confirm. But nowadays I am having lower abdominal pain .. say one or two times a day..lasting 2-3secs. is it ok? or does it need caution? awaiting ur reply rgds poojaynair Doctor: hi, congratulations.. mild pain is Ok during early pregnancy, if it is severe pain with any discharge from vagina calls for emergency to rule out ectopic pregnancy. what i suggest go for Serum HCG levels. wait for 2 more weeks for ultrasound examination. see your obstetrician if pain is very severe. all the best. | 93,287 |
What causes tightening pain in mid spine postpartum? | Patient: I get these tightening pains (reminiscent of active labor) the start about mid-spine and often feel like they wrap around my rib cage. It s like a giant vice is constricting all my muscles around my ribs/back. I get them sporadically, sometimes not for weeks and sometimes 3 nights in a row. The pain builds quickly within a few minutes from discomfort to pretty damn near a 10 on the pain scale. These episodes last from 45 min to 3 hours. Hot showers, heating pads, stretches, and pain meds (Norco and I uprofen) do nothing to help. I ve been to the ER, but my episode was done by the time I got there. They did a chest x-ray and saw nothing and my EKG was normal, so they don t think it s clots. I have more x-Rays scheduled and possible MRI, but I m nursing and they say that s a last-resort. These episodes started mid-pregnancy just in my back and now that I m 3 months post-partum are still happening in back and rib cage. Also, I realize it s not genetic as far as anyone knows, but my grandmother had Stiff Person s Syndrome if that matters. I m 31 years old with a 3 year old and 3 month old at home and can t keep dealing with this and taking care of them. Doctor: hiThank you for providing the brief history of you.A thorough neuromuscular assessment is advised.as you have pain which is like tingling pain and stiffness of muscles, I will advice you to undergo the physical therapy as it is totally non invasive and also by therapeutic ultrasound therapy and TENS therapy your pain and stiffness will come down.Also, to ask a question here is about, what type of surgery you have undergone for delivering the baby? normal or c-section? Now, with a thorough neuromuscular assessment the physical therapist will be able to help further with even the exercises which helps you improve your flexibility and muscle strength as well.In my practice I have seen females with both normal and c-section delivery. They complain similarly and I advice them to undergo physical therapy and it has helped them in 2-3 weeks of time.I am sure you will also be benefitted.In case you need additional information/any doubts/any further assistance I will he happy to help you.RegardsJay Indravadan Patel | 133,782 |
How can ear infection be treated? | Patient: I have ear infection and was prescribed amoxicillin since Friday and today is Monday but I have not seen improvement in the treatment. I still feel as if my right ear has some water inside. I was earlier given Zithromax that is when the problem started. should I continue taking the antibiotic until I finish the dose maybe I will get some relief? Doctor: Hello,It looks like there is an ear infection and it is the cause of fluid formation behind the ear drum leading to the feeling of water inside the ear. You should continue taking the antibiotics as it is must to reduce infection and it will further help in reducing the fluid accumulation as the infection will subside.You should also start using a decongestant nasal spray like Xylometazoline as to reduce the congestion and clogged feeling in ear. In case if the condition does not resolve, then at times you might need manual drainage of the ear so that the fluid is drained off and if needed pressure equalization tubes can also be placed.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora | 29,002 |
Suggest treatment for child suffering from coughing during night | Patient: hello doc,my 3yr old child ve been suffering with coughing since 3day mostly in night?i ve given him allopathic med(dextromorphen n cpm hvig cough syp)ayurvedic med(shitophladi churn with honey) but recovery is not so good.so pz suggest me proper line of Rx? Priyansh Doctor: Hello, Please don't get panic. I would like to suggest you pay attention to the following points : 1. Monitor temperature 4 hourly. If there is No Fever then need not to worry much. 2. Give lukewarm water and vegetable soups also at regular intervals. This will sooth the throat of the baby and brings down the frequency of cough Bouts. 3. Clean nose & mouth with Luke warm water 3-4 times a day. 5. Rx, Syp. Tixylix 2.5ml bd shall be helpful. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ajaygupta009, General & Family Physician | 161,847 |
Is inflammation in the cervical disc a matter of concern? | Patient: I have inflamed disk 5 and 6 on back spine. Just found out. I am having a hard time moving my neck and it is very stiff. I had numbness in both Ares for about two week. I am on a fishing boat unable to get off at this time. If there any concerns I need to be aware of ? if this get worse. Anything I should be doing . I am on a storied my doctor gave be before I got on the boat and I have a MRI scheduled for when I get home (in 14 days ) thanks for your help Doctor: Answer: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This pain is related to pinched nerve in the corresponding disc damage.You can take an anti inflamatory treatment Naproxen once daily for the pain and the neck stiffnes relief, and also acetominofen for some days.Hope I have answered your query. Let me know if I can assist you further. | 127,503 |
Does radiation for brain tumor cause lose of short term memory? | Patient: I am trying to find out more info on my son in laws brain tumor. He has a grade 2 stage astrocytoma brain tumor. He has already had one surgery but they didn t get it all and now is facing another surgery shortly with radiation and chemo after. Will the radiation make him lose his short term memory? Doctor: Hello. I have been through your question and understand your concern.There are two types of radiotherapy. Whole brain radiotherapy which has some memory impairement as a possible side effect and stereotactic radiosurgery which does not have. In your case I think they will opte for the second option.Hope this helps. Please feel free using MHC again | 145,161 |
How to cure lower back pain due to an injury? | Patient: I am a professional bmx rider and I happen to fall on my bike during a riding session and hit my lower back really hard! I can walk and bend over and back. But it is swollen really bad and pains a lot I only got it tonight but should I worry about anything or see a doctor? Thanks in advance! Doctor: Yes, I would suggest you to take advice from a doctor. You will also need to get a x ray of your back to make sure that nothing has happened to your bones. At present if you want pain relief than you can start taking muscles relaxant like myoril or myospaz. Also try to use ice at your back local application of diclofenec ointment will also be helpful. | 111,741 |
What could redness in eyes with lack of sleep in infants suggest? | Patient: my 7 month old baby is really poorly at the moment he is off of his food he has red circles under his eyes he is burning a temperature and everything he eats he cant keep down he is on antibiotics but it doesnt seem to be helping. he is having very disturbed sleeps. Doctor: Hi,He has a fever, anorexia, vomiting, red eyes and some irritability. These symptoms usually suggest a viral fever, and need only supportive treatment. He will be fine in 3-5 days. Just continue the medicines as advised. Give paracetamol 3-4 times a day. Give syrup ondansetron (2mg/5ml) 2.5ml 2-3 times a day for vomiting. Give feeds more frequently in small amounts- this will increase holding down.Take him back to doctor if symptoms are not coming down after 72 hours, he becomes very lethargic, or not at all taking feeds. Until then, you need not worryTake care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician | 160,394 |
What does the MRI of left knee indicate? | Patient: HI, I have twisted my knee while running and fall down because of which I broke my left fore arm and got operated with implants.Now I have got my MRi done for left knee and found full thickness tear of the anterior cruciate ligament near femoral attachtment, Contusion near femoral attachment of posterior cruciate ligament posteriorly,minimal marrow edema in medial tibial plateau,subtle contusion in posterior horn of medial meniscus,marrow edema/contusion in medial tibial plateau,Intra articular effusion. I don t want to go for surgery of my knee also want get fit to play cricket in next 4 months.Kindly help with your valuable suggestions.Thanks Doctor: HelloThe MRI resul clearly shows the need for arthroscopic or open repair of ACL and aspiration of effusion and protective knee brace for 6 weeks. Sooner it is undertaken, earlier the rehabilitation and healing, possibly playing may become possible.Full thickness ACL tear has no other option but a repair.Consult an arthroscopic Knee surgeon if it is possible without open surgery | 134,922 |
Radiating pain in abdomen, fever, tonsil stones, tender lymph nodes in neck, rash all over body. History of kidney cancer. Infection in abdomen? | Patient: Hi, I've had a low grade fever for four days then developed tonsil stones . The lymph nodes on the left side of my neck are tender. I developed a rash (red and prickly) all over my body , it has now gone away and looks like sunburn. I have had radiating pain all over my abdomen. It waxes and weans. Are the tonsil stones relates to to any infection in the abdomen. It concerns me because I had kidney cancer 3 yrs ago. Doctor: Hi welcome to Health care magic forum. Thanks for choosing H.C.M.Forum. You had fever since 4 days, and also tonsillolith, (tonsillar stones) They may not be harm full but they are a nusence. Abdominal pain may be secondary to indigestion of the fever. Cancer of the kidneies may not have any relation with the present condition, but if streptococus infection is there kidney may be infected, but the symptoms will be different. I advise you to consult an E.N.T.surgeon for diagnosis and treatment. Wishing for a quick and complete recovery. Best regards. | 93,671 |
Does a bruised and sore gum require medical attention? | Patient: I was eating chips the other night at a party and the chips were pretty hard and the corners were sharp that when I would chew it would hit my gums I should of stopped but the tortilla chip was the only thing I could eat at the time so it's been 3 days since the party but my gums are sore and it's hard for me to chew anything else, I checked it with a mirror and it looks a bit bruised up. I was wondering if this is a serious case or will it heal eventually? Doctor: Hi,With your query, Nothing serious it will take 7-10 days to become normal till then kindly avoid too hot fluids so that you feel comfortable and if you have any uneasyness you v an use mucopian/dologel for symptomatic relief.Hope this helps you.DO NOT SMOKE/ DO NOT CONSUME ALCOHOL. | 185,055 |
What does my follicular study suggest? | Patient: Hello doctor, My age is 30 years, I have never conceived. I had a follicular study. The reading as follows. From fourth day of my cycle I had taken Adova tablet for 5 days (twice a day) 11 day ROF measured 16 X 17 mm & ET was 7 mm. Advised to take Optithick & endothick tablet for 3 days (twice a day) 13 day ROF measured 20 X 17 mm & ET was 8mm. Take HCG 500 units injection. please let me know is there any chances of getting pregnancy? Doctor: Hello dearI understand your concernYou have 20 X 17 mm follicle and it will release best quality egg.You already take HCG injection.It will help in rupture of ovarian follicle. Its effect will occur in next 24-36 hours.Unprotected sex for next 2-4 days after ovulation is must.Hope for best. There us high chance of pregnancy.You can also ask of progesterone pill after ovulation.It will help in implantation and support early pregnancyAvoid stress, take healthy diet, drink plenty of water, do regular exercise.Hope this may help youContact further if follow up neededBest regardsDr. Sagar | 2,412 |
Ramsay Hunt Syndrome, vertigo and balance disorder. MRI said chronic microvascular ischemia. Suggestions ? | Patient: On the result of a MRI , under the section called Impression , the following was typed Curvilinear enhancement within the right 7th nerve intracanicular component as well as horizontal segment and genu, which is a nonspecific finding and certainly may be inflammatory in nature but follow up MRI in 6-12 months is recommended to assess for resolution of this finding. Multiple punctate foci of chronic microvascular ischemia throughout the centrum semiovate bilaterally. I had this MRI as a result of a diagnosis of Ramsay Hunt Syndrome . That was on May 22. I am still having trouble with vertigo and balance disorder . Doctor: Microvascular ischemia refers to areas of decreased blood flow in the brain. The commonest underlying reason for this finding is hypertension (high blood pressure). Please consult a neurologist for detailed evaluation. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Health City, Hyderabad | 151,451 |
How can abdominal pain be treated? | Patient: Pain in abdoman for 3 days First day Pantodac inj and boscopan inj No relief Second day metrogyl iv dns iv pantodac inj ceftrioxzone salbactum No relief Then test cbc normal Sgot 45 Sgpt 75 Bile normal Urine ok Them oral medicine Cef oz Sporlac Panto dsr No relief What to do now Still pain Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. What other symptoms do you have? Nausea vomiting change in bowel habits fever etc? And how is your pain? What cause increase in pain and what relieves it? How do you feel? Is it dull or stabbing or sharp pain? Where exactly this pain occurs or is it radiating somewhere? Had you done ultrasound abdomen? Answer to all these questions are needed. For symptomatic relief, you need to take boscupon or nospa or duragesic (combination of pain killer and spasmolytics). Hope I have answered your query. Let me know if I can assist you further. | 86,081 |
Suggest ways to manage high liver enzyme count | Patient: I have been trying to cut back on some of my medications -- because I have been having an increasingly high liver enzyme count. I have Narcolepsy w/ Cataplexy, so I do have to take lots of medications, therefore my Doctor has me do bloodwork every three months. But, then I started having increased pain in my abdomen, vomiting bile, upset stomach, and severe burning! After many tests - they found that I have gall bladder polyps / not stones! And my liver is swollen and is probably the reason for all the pain (right side, under my breast area, sometimes radiating to my back, under my shoulder blade.) I have been taking atenolol for years now...for mitral valve prolapse with regurg,(but I ve cut back on it this week, since I ran out...can that affect nothing significantly?) I had stopped taking Diazide for a while -- because I kept becoming too dehydrated / and passed out! But I have that under control now -- drinking tons of water! And I also take AdderAl for Narcolepsy. I take Synthroid for hypothyroidism. I recently started taking proton is for the stomach pain and acid, as well as Carafate for the burning (just took my last one)! I had an upper gi -- they found H-Pylori, I took all the strong medications to treat it & completed the course! I it helped for about 2-3 days, and as soon as I had something acidic to drink, the pin started all over again! I also have ulcers, which have been bleeding from time to time (throwing up blood & in bowel movements). My urine and bowel movements are very yellow...I guess from all the bike! For about three months I was throwing up bile every day...and about 2-3 weeks of non stop vomiting...no matter what I ate or drank! I have been taking atenolol for years now...for mitral valve prolapse with regurg..., but I ve been out of it for about a week, so should I start it back up...or just wait? Additionally, I have had severe head trauma in the past from all of my falls / accidents / injuries -- from the narcolepsy! I m concerned -- because I seem to be falling allot more than normal lately -- and I keep injuring myself! Last year I broke 4 vertebra in my back (rising my horse), I fell they a porch the other day, and have bruises everywhere & think I broke my toe! Then two days later, while working in my closet, I went to turn / after being on a ladder, and fell, catching my big toe on the other foot - and I m sure I broke it as well! What the heck is up with all of this!???? Plus, I m having in going headaches every day (I ve had migraines in the past too). What do you think of all of the confusing issues / meds / symptoms / etc? Thank you for your response! Glenda Hunter James DOB 5/7/55 Doctor: Hello! Welcome to HealthcareMagic! Better you have to take Ayurvedic medicine which are safe. I will suggest you take : 1) Tab Agnitundi Vati 2 tablets, 3 times. It cures your liver and gall bladder problem. 2) Tab Gokshuradi Gugglu 2 tablets, 2 times daily for hypothyroidism and swelling. 3) Tab Arjunadi Vati 2 tablets, 3 times a day for heart and blood pressure problems. Thank you for contacting us. Hope this clarifies your concerns. Take care Regards, Dr. Naser Jani, Ayurveda Specialist | 52,660 |
Suggest remedy for lumps | Patient: Today I have had a brown lump come up on my inside of my left bum cheek. It is not like piles, as I have had them before they are near your anus, this is actually on the bum cheek. It was large but has gone down a bit, but it is painful to sit down on. What do you think it maybe ? Doctor: Hello! Welcome to HCM.This can be due to infection causing inflammation & swelling.Do you have fever?If yes, then this may be containing pus, which should be drained early by your doctor.This can also be a lipoma or an infected implantation dermoid.. benign tumors.Local examination by your doctor is necessary for diagnosis & appropriate treatment.FNAC - fine needle aspiration cytology may also be advised for confirmation of diagnosis if in doubt clinically.Hope this information is useful.Wish you healthy life.Thanks.Regards. | 69,194 |
Pink eyes, sneezing after taking Epilive for seizures. Will this medicine suit me in the long term? | Patient: iwas taking the lamtec 50 BD,cloba 10mg BD. valproate 200 BD from 10 months but my (JME) seizerd was not controlled so for the purpose of change the medicine my Dr starts EPILIVE 500 BD,from last 10 days but after taking EPILIVE 500 BD i HAVE REACTION IN MY EYES are pinkish ,elergy in the eyes, and tear the water from the eyes. and nose is blowing and sneezing badly so now i can not sleep well in the night but my seazer are control with EPILIVE 500. sO PLEASE ADVISE ME THAT THIS MEDICENE SUIT ME IN FUTURE ARE NOT AND SIDE EFFECT CONTROL ARE NOT WHAT IS BEST TREATMENT FOR THESE SIDE EFFECTS AND (jME) Doctor: THE BEST WAY IS TO CHANGE THE SALT OF THE MEDICINE IN CONSULTATION WITH THE DOCTOR THERE ARE SO MANY SALTS WE CAN COMBINE IF THE ONE SALT DONOT SUIT YOU THE OTHER WAY TO ADD AN NONSEDATING ANTIALLERGIC(SO THAT IT CANNOT REACT WITH YOUR OTHER PROBLEM)FEXOFENADINE 120 MGM DAILY APPLY NEOSPORIN H EYE OINTMENT IN THE NOSE TWICE A DAY THIS ANTI ALLERGIC CAN BE TAKEN FOR LONG TIME | 105,298 |
Why is my blood pressure slightly higher? | Patient: I just took my blood pressure and it's at 113/72. I usually run a bit higher than that (closer to 120/80). I visited my cardiologist last week for a stress test and had a top number of 90. The nurse thought it was so low because he had taken it while I was lying down. I am 30 years old, weigh 154 lbs and am 5 feet, 7 inches tall. Doctor: hi, blood pressure 113/72 is not higher at all. no need to worry. just relaxed. if ever you feel symptoms then go to the cardiologist. right now you have no any high blood pressure.thanks for using health care magic. | 117,773 |
Is there a chance of breast cancer affecting the foot? | Patient: In 2001, I was healthy 42 year old female. Routine exam and mammogram resulted in biopsy and diagnosis of breast cancer. Treatment included biolateral mastectomy and TRAM reconstruction. In 2005, I had first colonoscopy that revealed pre-cancer polyps removed. in 2009 I had second colonoloscopy that revealed precancer polyps removed. April 2011, I am 51 yr old female, 5'5", 220 lb. Saw my podiatrist for routine appt for pain in left foot. He immediately noticed a change in a lesion on the top of right foot. I thought the lesion was part of the incision that never healed flat like the rest of the scar. Dr insisted he performed immediate punch biopsy. My breast surgeon has found a palpable lump above the mast/recon incision. My next appt I expect will be an excisional biopsy. I am so anxious ... I can't sleep, even with taking 2 sleeping pills. I wonder if my breast cancer has recurred, if it's metastisized, and how my foot is involved. How concerned should I be? I'd appreciate any words of wisdom. thanks. Doctor: Hi,Thanks for writing in.Breast cancer might metastasize to any part of the body but a lesion in the foot is rarely a metastasis from breast cancer. I have served in a cancer institute for few years and never came across a spread of breast cancer to the foot.However, it is important to do a excision biopsy urgently to rule out a cancer spread. A histopathological diagnosis is the confirmation of a spread and biopsy is recommended. The cancer cells move from one part of the body to another mainly through blood and lymphatic fluid. Direct spread is to surrounding organs. Please do not worry. | 153,411 |
Need insight on MSF | Patient: Good morning Doctor, As per OV study, on 17th day of my cycle Rt ovary- MSF, lt ovary-12.8mm, Endometrium -10.8mm. I have been told to undergo this test because my first child has autism. Plse tell me what is the fullform of MSF and your over all conclusion and advise. Doctor: Your results seem consistent with PCOS. I assume "MSF" stands for "multiple small follicles", which means you don't have a dominant follicle that grows and matures for ovulation. The only thing that throws me off, is the "14*14" on day 16. If this is a follicle then maybe you did in fact ovulate this month (it is gone again by day 19), but it seems weird that they wouldn't have seen this follicle on day 12. It is very unusual not have a dominant follicle by day 12. But either way, the microprogesta is a progesterone supplement that will help sustain a possible pregnancy if you did in fact ovulate; and if not, it will probably trick your body into thinking you ovulated so you can start a new cycle. Will you be going back in to your doctor after the 15 days are up? Reply to me | 172,846 |
Any suggestion for having catarrh and mucous in lungs and chronic cough? | Patient: I have had catarrh and mucous in my lungs and chronic cough for 9 months now. Started with a virus 9 Months ago. With shortness of breath episodes. Where I feel like I am getting no air at all. Some crushing In middle of chest. Sometimes not all. Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of post infectious bronchitis is more in your case. Bronchitis is common after viral infection and you had it 9 months ago. Your all symptoms like cough, phlegm and shortness of breath etc are suggestive of bronchitis only. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray 3. PFT (Pulmonary Function Test). Chest x ray is needed to rule out other lung conditions. PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright, first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. | 78,796 |
What causes burning sensation along with ulcers on the tongue? | Patient: I am a 50 yr. old female who has experienced a burning tongue accompanied by tongue ulcers that come and go for the last 2 years. Also experience a lump in the throat feeling always on the left side. Often I wake up during the night because I the airway feels blocked for a second. Just recently, when I swallow my left ear hurts a bit. Should I be concerned? Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain burning sensation of tongue along with recurring eruption of blisters over the tongue and also feeling of lump in throat with breathlessness at night can all be related to Acid reflux in which there is reflux of acid from stomach to throat and mouth leading to following symptoms..Other causes of mouth ulcers can be Stress, Nutritional Deficiency [Iron, Vitamin B12 and Folic acid] , hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, uncontrolled diabetes and other immunocompromised conditions etc..You should consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like oral swab culture, laryngoscopy, upper G.I Endoscopy etc can be done to rule out the cause and then only a proper treatment can be done..In case of acid reflux you can be advised to take Proton Pump Inhibitors like Omeprazole or Pantoprazole..Take antacids like Milk of magnesia..Avoid spicy food and drink plenty of water..Always take walk after meals and take your dinner atleast 2 hours before sleep..You should sleep with head slightly raised as compared to feet..As of now to relieve the mouth sores you can start gargling with a numbing mouthwash containing Lignocaine to relieve the symptoms.You can also take a multivitamin tablet daily..You can take anti inflammatory painkiller like Ibuprofen..Suck ice and do cool water rinses..Avoid spicy food..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.. | 181,255 |
TTC second child. Have thyroid and PCOD with irregular periods. First conception through treatment. Please advise | Patient: i m lakshmi 31 ,i have a baby by treatment 2010.now i went for follicle study for sec baby(LMP = 26.9.13).with hcg injection on 14th day i got rupture on 16th day and had regular contact.but i got my periods on 26.10.13.i hav thyroid problem,pcod irregular periods. my husband had 60% motility on test for first baby and took tablet and i went follicle study and got first baby by treatment.now is need for my husband also to test . say a clear way to get my sec baby. Doctor: Hithanks for your question.yes i would recommend your husband also has test so that we look at his sperm motility and compare with past results. Based on the results the dose of medication may need to be adjusted. Hope i answered your question. | 4,716 |
What causes increased heart rate? | Patient: I am a 29 female. My heart rate speeds up then returns to normal. I have what seems to be heart spasms. Also they come more often and last longer now. Yesterday for an hour. WIth this comes my heart pumps very hard and is visibly noticable. It feels as though like I have 2 seperate heart beats sometimes. It is so loud sometimes that it makes my ears hurt. Headaches are also in the picture. Doctor: Do you have any chest pain or breathlessness?Thyroid problem?Get your ECG,Echo and thyroid profile done. | 21,873 |
What are the symptoms of chronic obstructive pulmonary disease? | Patient: please tell me if profuse almost nightly night sweats are a symptom of copd...emphysema? My guy has copd but has bad night sweats and bad dreams...not restful. Please help...he also wheezes during the night and coughs in the morning...He is trying to quit smoking - down to 3-4 daily. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, night sweats, bad dreams and wheezing are symptoms of COPD. But better to rule out heart diseases and depression as both of them can cause night sweats, bad dreams and both are seen in COPD patients. So get done ecg and 2d echo. Consult him to psychiatrist and get done counselling sessions. He may be need anti depressant drugs too. Smoking cessation is the priority. Inhaled treatment (formoterol or salmeterol or tiotropium) are treatment of choice to control COPD. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your guy. Thanks. | 74,060 |
What causes crackling sound in lower jaw while eating or yawning? | Patient: hi .my name is omar i am 20 years old my height is 176 cm and my weight is 74 kilograms . i have a problem with my lower jow i feel like it is crackling in many times during eating or yawning .somtimes i feel like it is not fit in it's place when i sleep on any side of my face or even when i am just sitting doing nothing . i have this problem for about 6 years . i have no other medical problems except for being nervy that somtimes causes an increase in blood pressure . Doctor: Reading your query it seem u might be suffering from Temporomandibular disorders (TMD). The cause of TMD is not clear, but symptoms arise from problems with the muscles of the jaw or with the parts of the joint itself.Injury to the jaw, temporomandibular joint, or muscles of the head and neck -- such as from a heavy blow can cause TMD. As u suggested of being nervy that is being stressed u might be grinding or clenching the teeth, which puts a lot of pressure on the TMJ and can cause dislocation of the soft cushion or disc between the ball and socket also the Presence of osteoarthritis or rheumatoid arthritis in the TMJ can cause a person to tighten facial and jaw muscles or clench the teeth. As there are many reasons to get a TMD problem u need to get it checked clinically, radiographically and blood testing to cum to any diagnosis.... visit your dentist soon Regards Dr Rakesh Mishra | 183,387 |
What causes erection problems? | Patient: I am 29years old.I musterbate 2-3times in a week.but since 3-4 month my penis does not response properly when I am mentally exited.and my penis would not strong at that time and spurm come out without being strong my penis.is it symptom of reducing sex power?what my problem?I am very tensed about it.pleas give me solution. Doctor: DearWe understand your concernsI went through your details. Please understand masturbation cannot result in sexual problems of health problems. But if done more than specified, it can provide you with unnecessary anxiety.Please introspect. I think you are anxious about your sexual performance. Most of the erectile dysfunction are due to the fact that the person is anxious about sexual performance. Please consult a psychologist for counseling.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | 200,626 |
Suggest treatment for pyloric erosion and fatty Liver | Patient: I am suffering from Pyloric Erosion and Fatty Liver as reported by Doctor attending me after doing Endoscopy and prescribing me Pre & Pro Biotics Cap., Rablet-D Cap, TRIBS-D (for 10 Days). Kindly suggest whether the Prescription is correct or need changing ? Doctor: Hi, dearI have gone through your question. I can understand your concern. You have pyloric ulcer and fatty liver. You should take Proton pump inhibitors like rabeprazole or pentoprazole and a course of antibiotics. Avoid oily and spicy food. Take low fat and higj protein diet. Your doctor prescribed you correctly. 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. | 56,430 |
What causes weight loss while having stage 4 lung cancer? | Patient: My husband has stage 4 lung cancer weight lose is rapid the last 2 week and sleep more then awake i keep telling his dr normal he says but he is telling me to no travel for my job but when i ask him if i should get hospice involed he says not yet am somixed up Doctor: Hi, dearI have gone through your question. I can understand your concern. He has lung cancer with stage 4. So severe weight loss and more sleep is very common. Treatment will not help you much. Despite of any treatment prognosis remains poor. Life expectancy is not good. According to my opinion he should take symptomatic treatment only. Consult your doctor and plan 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. | 154,092 |
Stone in ureter. Placed stent. Burns on urination, pain, mucus discharge. Normal, what to do? | Patient: Hi im 20 years old and i was found with a kidney stone in my right side its stuck in my ureter its 6cm and i got a stent placed because my kidney was getting swollen. Now im in medication it dont seem to help when i go to urine it burns and also i get a sharp pain in my side ive just noticed two days ago i staryed haveing some mucous discharge is this normal or should i be concerned . IM waitin for urologist apptment but i get really bad pain that i just feel like going to the ER. Help me please tell me what i can do Doctor: Hello you are getting infection in the urinary tract. which causes burning during urination and mucous like discharge. It is very common to get infection in the urinary tract with there is stone. it is quite necessory to consult to a urologist till you can take analgesic and urinary alkalizor by prescription from your doctor ok Take care | 50,805 |
Is pain from the neck to the shoulder after tooth extraction a sign of an infection? | Patient: I had a tooth pulled on the lower right two weeks ago. I’m currently taking antibiotics and have a small thick spot on my lower jaw where the tooth was pulled. Tonight I am having some pain in down the right side of my neck and into my right shoulder and upper chest area. Is this a sign of infection. Doctor: Hi, From your explanation it looks like the pain in the shoulder, upper chest and neck does not appear to be due to the tongue and can be related to excessive gas formation or other causes. So my suggestion is to consult an Emergency and get evaluated so that appropriate diagnosis can be done and accordingly treatment can be planned. For a thick spot at the extraction site, it can be due to hematoma formation that will get resolved gradually. For now, do alternate warm and cool compresses over it. Do warm saline gargles. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora, Dentist | 180,393 |
How to cure strain in internal/external abdominal muscle in left hip? | Patient: I went to an Orthopedic Dr two days ago and they think I have strained the internal/external abdominal muscle in my left hip. I started physical therapy yesterday, but I am feeling a burning/stinging sensation that runs on the front of my pelvic bone (I have also been using a heating pad). I have also been taking a prescription anti-inflamatory. It is hurting just to wear pants since they rub on that spot. They took an x-ray and there is no fracture. What can I do for the pain? Doctor: Hi.Thanks for your query.You have got a typical sensation called ''parasthesia''.This can occur due to entrapment of the serves supplying this particular area. I would advise you to undergo the MRI of the area as suspected by your Orthopedic Surgeon and also of the Spine to rule out any disc or related problems.You can request for the gabapentin like medicines for this type of pain; plain anti-inflammatory medicines may not work in such cases. | 90,459 |
Suggest treatment for panic attacks along with headache | Patient: My son has episodes of what seems to be a panic attack with headache and other symptoms. Thanksgiving day he experienced one and had to go home. He said he could feel something coming on...he experiencedheadache, and he said he felt like he wanted to scream of blurt out something. He is still not 100% and still has a headache. What do you think? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Your son is school going. His case should be different than other adults. Panic attacks always happen due to underlying anxiety. Therefore you must address the underlying anxiety first. Please understand anxiety and related problems. Once you understand your anxiety, you will be able to keep yourself away from panic creating situations. Therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. Start slowly, progress gradually, attain neatly. Ask your son to understand anxiety and address it. Consult a psychologist if need be.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | 205,952 |
Taking clomid and duphaston. Fever cold and cough. Will these affect my chances of conception? | Patient: From the 2nd of my period i took Clomid 50 mg for 5 days as prescribed by doctor. Ovulation occurred on day 13th. Doctor has then asked me to take Duphaston 10 mg for 10 days. I am taking the medicine but I am having fever as well as cough and cold. Will this cause problem in getting pregnant. What are the chances of me getting pregnant in this cycle. Doctor: Hello, Thanks for the query, Cough and cold may be due to decreased immunity. Boost your immune system by eating a healthy diet, including plenty of fresh fruits and vegetables. Too much stress is known to weaken the immune system. So avoid stress, Avoid taking cough syrup for relief as it contains caffeine. alcohol. High fever is known to cause miscarriage. Get treated for fever with antipyretics, Hope this helps,regards, Dr NILOFER | 5,766 |
Liver enlargement with decreased SGPT | Patient: Due to the jaundice in the younger stage,i have elivated liver enzymes for the last many years.around 2003,my SGPT & OT are 128 and 48.now its reduced to 60 & 26.Now my problem is my last ultrasound scan ,it is seen that span of liver has increased from 15 to 16.5 cms.earlier in 2007,2008,2009 scan it has shown as 15 cms.spllen,gall bladder etc are all shows normal.why its increased its span now? Prakash,Hubli Doctor: hello welcome to health care magic u need not to worry every thing is fine n if u find any symptom then u consult ur doctor | 60,594 |
Suggest medication for a skin infection on the stomach | Patient: . I am type 2 diabetic and gave my self a shot before bed. Woke up with a blister on my lower stomach right side. Felt it sore in the middle of night. Went in to urgent care and Docter lanced it. He burned my skin. Since than I have returned 3 times. It seemed to be healing but now it is purple around and cheesy looking in the middle. I have been swimming the last cole days. Doctor: Hi, Perhaps the skin there has got infected. Central yellowish looking floor and surrounding redness are signs of it. Uncontrolled diabetes predisposes to skin and soft tissue infections. I suggest you to use an OTC topical antibiotic, e.g., either Neosporin Ointment or Mupirocin 2% ointment, twice daily for a few days. In addition, I suggest you to take an oral antibiotic e.g., either Amoxycillin or Cephalexin, thrice daily for a week. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kakkar S. | 13,900 |
What are the symptoms and treatment for mold exposure? | Patient: My two year old daughter and husband were exposed to bad mold from a bad leak under my sink. My husband cleaned it up about 4 hours ago and 2 hours kater he started feeling neausa and cramps. My two year old just woke up and vomited 4 times. Could this be from the mold exposure? Doctor: Hi. See history taking is the best way to diagnose.if u are saying the history if mould exposure then yes what u said, it can be a symptoms of allergic reactions due to release of certain substances into skin by mould.U can take oral antifungal drugs or topical antifungal creams or ointments with symptomatic treatment but only after dermatologist consultation. U can take your 2year daughter to a pediatric doctor. | 99,665 |
Could pressure on chest and tiredness be due to exposure to heat? | Patient: my mother in law is feeling a lot of pressure on her chest and tiredness and feels weak. she was exposed to high temperatures over the weekend. are these symptoms of serious heat exhaustion? and should she seek treatment now? please advise. thank you. Doctor: thanks for asking your question yes, she should consult a physician who can examine her and may request for some investigations like ecg and other investigations if needed to evaluate the cause and reach to a certain diagnosis thanks | 79,226 |
What causes high TSH value in new borns? | Patient: Hello. My new born s original TSH test came back elevated at 32.29. The normal max is 30. We are in close contact with our pediatrician and are awaiting the second test. My question is whether it matters how close the results are to the normal range? Or is the fact that it is elevated the only factor? Doctor: Hi.... I understand your concern.You are very much right. As the text value is just above the upper limit of normal you need not panic. I do not think your pediatrician would have started thyroid supplements.Probably this is the reason why he is also waiting for the second test because the range is just above the upper limit of normal. If I were your pediatrician I would repeat the test in another 7 days and if the trend of the TSH is rising then I would prefer to start the child on thyroid supplements.Regards - Dr. Sumanth | 167,891 |
Suggest treatment for continuous pain and swelling after accident | Patient: My wife fell down from bike in the month of june 2010 and later on due to contineous pain and swelling a MRI was done and the report says 1. partial tear of enterior cruciate ligament. 2. Focal horizontal tear of posterior horn of medial meniscus. 3. Mild femoral peri condylar bursal effusion. 4. Depression of the lateral tibia plateay noted - post traumatic sequalae with adjacent fluid collection Please advise treatment. Doctor: Hi and welcome to HCm.it is hard to find appropraite treatemnt after such long period but she should consult orthopaedic surgeon for further advice. Wish you good health. Regards | 96,748 |
Cause for continuous chest pain? | Patient: I have chest pain that goes to my arm and feel exhausted all the time. Shortness of breath if I do anything and feel like I can t breath. The chest pain is almost contiuous but at times feels worse or more painful than at other times and often wakes me up in the night. I am a 40 yr old female Doctor: Hello Continuous chest pain may be due to many reasons.It is important to rule out cardiopulmonary reasons.You need proper clinical examination and routine investigations.Investigations include routine hemogram,random blood sugar,lipid profile,liver function test,renal function test,chest X-ray (PA view)ECG in all leads,TMT,ECHO.Further investigations can be done if needed.It is also important to exclude musculoskeletal causes of pain.Proper treatment depend upon findings.Take CareDr.Indu Bhushan | 81,205 |
Have respiratory/ sinus infection | Patient: Hello, I have been sick for about three weeks with a respiratory/sinus infection and have been on an antibiotic for 5 days now but my main issue is that I have been suffering with the chills for over a month, sometimes every day, at any time of the day. My concern is that I have smoldering myeloma and have had ovarian cancer of which was surgically removed in 2010 and I do recall having the chills pop up every once in while since 2007 of which, was the year I found out that I had MGUS and pre-diabetic. My MGUS has progressed to Smoldering Myeloma and seems to be stable. Should I be worried? Doctor: HIThank for asking to HCMI really appreciate your concern, you need to worry what ever condition you have because this seems very much stable and now lets hope for the good that these wont give any trouble in future too, stop taking anti biotic this has got no role in sinusitis, this can be managed without antibiotic with the following drugs only1) Tab Acetaminophen three times in day 2) Tab Loratidine three times in daysteam inhalation would be good for this, hope this information helps you, have good day. | 40,315 |
Face tingling, shaky vision, stomach pains, numbness in legs, back pains post eating outside, diagnosed to be anxiety. Guidance? | Patient: Hi I have been feeling tingling on my face and pressure like someone is pushing it down and pressure that runs from the back of my ear and makes my Vision shaky I feel out of it also fell like a weird tast in my mouth from time to time. Also fell like I can t breath like some one is taking my oxygen from my body it makes my body fell frustrated and anxious. Fell shaky and my eyes fell a burning sensation. Stomach pain have to go urinate really fast. Numbness in my legs when I am asleep and my back hurts like a burning sensation. This all happend after 5 mint of going to eat at a restaurant. I went to the hospital they told me it was something that did not set well with my stomach and it had caused me to get a anxiety attack. But I think it might have somthing to do mercury . Can this be? its been a mouth in a half no more anxiety just all these symptoms. And if it could be well they do a test at the hospital? Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. It is likely that the symptoms which you are experiencing are anxirty-related. It is important to understand that anxiety can present with not only psychological symptoms but also with physical or somatic symptoms. Shakiness, burning or tingling sensations, breathing difficulty, etc. are symptoms which are commonly seen in anxiety disorders. It is possible that you could have had a panic attack initially and the present symptoms are residual symptoms of anxiety. It is an unlikely clinical possibility that your symptoms could be due to mercury toxicity. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist | 212,734 |
Lupus, severe rash. Tooth surgery on hold, waiting for blood work, high chances of clots, stroke, death. Treatment for rashes? | Patient: my daughter is 14 was diagnosed with lupus in 2002 she has this severe rash & she was up all night crying in severe pain . shes to have teeth out on the 17th of july & they told me its on hold due to her blood work came back with extreme high level of fibragen that shell bleed out & or clot & & stroke & die what other option are there to rashes Doctor: Rashes need proper treatment both topically and orally because they are a sign of active lupus. | 83,093 |
Reason for pain and tingling in the lower legs and hands? | Patient: I travelled to asia Jan 2013 symptoms stared feb 2014. i feel like i have an infection of some sort that has affected my nerves. I have pain and tingling in my lower legs and hands on and off and muscle twitches all over my body. Every now and then i fell feverish but it goes away it is not continuous. What do you think this may be?char Doctor: hisince your symptoms began after more than a year its unlikely you contracted any infection in asia as most of communicable diseases are manifested after incubation period. which may be less than 3 months in most of the diseases..in any case, you may consult a clinICS for evaluation by a physician to check for any liver, spleen or lymph nodes enlargement and a blood test for complete blood count, blood smear examination for malarial parasite or microfilaria and inaddition other confirmatory tests for detection of any kind of malaria, dengue or viral fevers..and also for tuberculosisthanksbest wishes,Dr sunil srivastava | 132,378 |
What is the permanent cure for treating mental imbalance ? | Patient: Hi All, My sister is suffering from mental imbalance(she speaks some thing differently compared to normal situation, which is irrelevant).It happened three times in one year. First time we took her to psychiatrist near home town, he prescripted some medicines, she used them for more than 5 months then stopped.It got cured in first 2 weeks, but we make her to use medicines as precaution. Later almost after 9 months, in recent february same thing happened.Used same medicines and its got cured temperorily.Once again in last week its got repeated. Just want know the permenant solution for this. Please suggest the way. We live in Guntur,Andhrapradesh,India. Thanking you in advance. Regards CBR Doctor: hi its psychiatric problem and not a infection. so if u want to cure it ,then u must motivate and guide ur sister to be positive and normal. this type of illness require more care ans courage from family person. dont ignore her in any way. try to understand it and why she behave like this. if she have any problem try to solve it she need to take treatment for long time even she get better. | 213,748 |
What type of physician to visit for moveable lump along the jawline? | Patient: i have a small moveable lump along my jawline on right side. it doesn t hurt, no other symptoms in my mouth or no flu like symptoms, nothing. if you look at my face straight on, you can see a slight swelling in that area, but not too noticeable until I tell someone to look and then they notice. recently I ve had what I think is a pinched nerve in my neck/shoulder area on right side as well. My lymph node in my right armpit swells from time to time but goes away. I am starting to think they all might be related, but maybe its just me being paranoid. I am a 40 yr old healthy, active woman. What type of physician would be best to seek out for this lump in my jawline? thank you. Doctor: Welcome to health care magic. 1.The moveable lump along the jawline - most possible cause is dilated ducts / salivary glands due to calculus / stricture in the ducts. Sailoadenitis.2.The next possible cause could be lymph nodal enlargement, along with the neck lumps - which are seen in case of nay infection / inflammation can be localised or systemic.3.Confirmation of the both can be done by an ultrasound scan -that will evaluate the nature of the lump and its source and extensions.4.If mass lesion and lymph nodes an FNAC - fine needle aspiration cytology will help to evaluate the cause.5.So suggest to get an appointment get needful investigation with the help of your GP and further surgeon will be appropriate person too treat. Good luck.Hope i have answered your query.Any thing to ask do not hesitatehttp://doctor.healthcaremagic.com/doctors/dr-ganesh/62888 Thank you. | 68,296 |
What causes constant abdominal pain while breathing? | Patient: I started having abdominal pain to the right side of my belly button about a year ago and Right Lower abdominal pain also. They checked my appendix and said it was fine and sent me on my way. My stomach has hurt in that are every time I lay on my stomach. for the last couple days the pain as been constant and hurting when I breathe in. it has moved more toward the upper right abdominal pain about six inches from my belly button Doctor: Hi! Good morning. I am Dr Shareef answering your query.If I were your doctor, after a clinical examination of your abdomen, I would advise you for an ultrasound of the abdomen to rule out calculi in the biliary tree and to know the status of the pancreas. I would also advise you for some blood tests like a CBC, blood glucose, KFT, LFT, a serum amylase and a serum lipase test, a routine stool test for ova and cyst, and routine urine test. Till then I would advise you to avoid any alcoholic beverages or smoking, and go for a proton pump inhibitor along with an anti spasmodic if need be for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | 86,741 |
What is the treatment for numbness , fatigue and lower back pain? | Patient: hello! i have been having low back pain for quite sometime now, and i think its getting worse. The pain is no longer confined to the back area (right side), but i felt like its radiating to the right abdominal area too. The pain can be described as if the muscles are very fatigued. i have not felt any numbness. I find it difficult to find a comfortable sleeping position. I have a moderate lumbar scoliosis, and i noticed that pain started when i started gaining weight..please help. Doctor: Dear- thanks for using our system and will give you my medical opinion about your problem. Low back pain is one of the most common causes of visiting the doctor . Most of the time is related to spinal stenosis,arthritis and bulging disc.Overweight aggravates it due to the pressure over the nerve and vertebrae. In addition to this,you have scoliosis that makes it difficult to find a comfortable position. I recommend you to loose weight,start exercise that will improve muscle strength of the back, use an orthopedic or hard mattress and a back support if lifting heavy things. If it doesn't improve, you might need an MRI of lumbosacral for further evaluation of your problem.Dr.Sara | 107,721 |
What does presence of RBCs and WBCs in semen indicate ? | Patient: Presence of 22 wbc and 8 rbc in semen Doctor: HI Welcome to HealthcareMagic You have genital tract infection for which you need to take course of antibiotics. Use barrier method (condom) till the time infection is completely cured. Treatment of infection will further improve sperm count and motility. consult your doctor for management. | 44,819 |
What causes severe itching in ears with swollen glands in neck? | Patient: Hi, may I answer your health queries right now ? Please type your query here...Hi i have had a long problem which started with my ears being ichy and the problem just stayed there even with alot of visits to my doctor with alot of different answers and now i my glands in my neck are up and have been for a long time but not sure if they have been up since the problem started with my ears. It has worried me but im not one of the best people that can explain to a doctor what is going on with me. the other problem i have had with my ears is they make like a thumpping sound in my ear on the left when i hear a high pitch sound like when im making myself a drink and sturring my drink in a mug and the spoon hits the mug making a high pitch chime. I dont feel ill i feel fine but am confussed and worried i am still seeing my doctor about this but they do appear to be at a lost i am yet to ask to see a ear nose and throat specialist. just wont another insight into this.Regards Ian Doctor: Hi Dear ,Welcome to HCM,As per your query you have severe itching in ears with swollen glands in neck . Well there can be many reasons for itching like slightest accumulation of debris, even a dead hair, may be felt as an itching sensation ear canal dermatitis , otitis media , lymphadenopathy and wax buildup . Allergic reaction can also be one of the reasons.I would suggest you to consult ENT specialist for proper examination . Doctor may order CT scan and examine with otoscope . Doctor may prescribe antibiotics gentamycin for a week along with corticosteroid ear drops , anti histamine and may remove wax . For now you can put 2 drops of olive oil once a day to prevent dryness and cover your ear while bathing . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 30,698 |
What causes pus filled spot on scrotum? | Patient: On my scrotum there is what appears to be a puss-filled spot, although it's solid. There are one or two of these - close by there is a much larger blister like version that isn't white capped as if it had puss in. In no way does it seem to be connected to the testicle. Doctor: Hello, Please visit a general surgeon/urologist for the opinion. You may be having a sebaceous cyst on your scrotum area. this needs to be surgically removed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr SHOBHIT KUMAR PRASAD, Psychiatrist | 193,838 |
Dark spotting and abdominal cramping after having birth control shot. Worried | Patient: I received a birth control shot about a month ago because I am sexually active and don't want to become pregnant. The doctor had told me that there would hardly be any blood with periods and the cramps would almost be nonexistent. All of yesterday I had horrible cramps, the blood was a bit darker than usual, and there was what looked like a piece of skin with the blood. This has never happened to me before, and I was wondering what it could be. Doctor: Hi.Thanks for asking in Healthcare Magic.The main mechanism by which an hormonal injection acts is through suppression of ovulation. An ovulatory cycles are painless and that's why your Dr has said so. Generally it takes some time for the hormones to act as they are administered externally and the body takes some time to get adjusted to this hormonal imbalance. So, they may not be effective in preventing the ovulation in the very first month. If the ovulation has occurred already, then hormone injection will not prevent the fertilization but will certainly prevent the implantation. The tissue you saw could have been the expelled fertilized ovum. Also heavy bleeding and delayed periods are common in the initial few months. If your period had been a little delayed following the hormone shot, then the tissue could be endometrium which is thickened when there is delayed period. If the bleeding persists and if you pass a lot of clots, then you should seek your treating Dr's opinion. Otherwise, the heavy bleeding may be because of the hormonal imbalance due to the injection. I hope this is useful to you. | 226,117 |
Is there any problem in masturbating without ejaculating? | Patient: I am in my seventies and love to masturbate. If I ejaculate I do not feel like it again for about 3 days so mostly I masturbate for about 15 or 20 minutes and stop before ejaculating. In this way I can enjoy it much more often. Is there any harm in doing this? I probably ejaculate every 3 or 4 days but can masturbate during this time for several hours. Doctor: Hello, You are practicing ejaculation at every three or four days. So no need to worry. If you are not doing ejaculation for more than 3-4 weeks than aseptic prostate inflammation or vesiculitis can occur in a few patients, not in all. So you need not worry at all as you are regularly doing the masturbation and ejaculating your semen. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician | 193,530 |
Could liver cirrhosis be cured permanently? | Patient: Respected Sir,I am from Nepal. My mother has liver cirrhosis. She is 50 years old.and she has the weight of 55. Doctors in Nepal has called it as a result of the long use of drugs. She used to take some psychiatric medicine since 10 years. Could liver cirrhosis be cured permanently? How much does it cost? There are no hospitals in Nepal for the patient of liver cirrhosis. What can I do? Is CMC vellore is best place to treat? Sir, to whom I have to consult? Doctor: Hi I can understand your concern...The cause for cirrhosis many...Here it seems to be by chronic drug ingestion...Let me know you permenant treatment for cirrhosis is liver transplantation...Here for cirrhosis take low salt diet to avoid edema ..If edema present diuretic can be given...Your mother might have portal hypertension also for which beta blocker can be given...Take high protein diet....Take good food for liver like...../carrot/Indian gooseberry/avocados/spinach /dandelion/grapes, papaiya /lemon juice etc.....If immediate liver transplantation not possible TIPSS like less invasive procedure might helpful ...You can consult gastroenterologist for your mother condition...Take care | 54,206 |
Suggest treatment for sharp pain near the heart | Patient: I had a sharp pain near to heart !! it was paining about 12 hours after that it was quite well!! again by night it was paining during moving my body or taking breathe hardly!! about 3 days slowly its gone!! and sometimes i am feeling like some what paining!! what is it? Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that your symptoms do not seem to be related to any cardiac disorders. A musculo-skeletal pain could be the cause of your complaints. The fact that the chest pain is triggered by deep breathing or body movements is indicative of a musculo-skeletal pain. Coming to this point, there is no need to panic!I would just recommend avoiding straining physical activity and take acetaminophen or ibuprofen to help improve your situation. Hope you will find this answer helpful!Kind regards, Dr. Iliri | 18,797 |
Swelling in inguinal region. Appendix surgery done. Treatment? | Patient: hello,want to consult u,my son is 22 yrz old n he is suffrng pain n swelling in inguinal region,he had a history ov appendix sugery a few yrz bck,he had also swelling in inguinal region a few monthz bck .tat tme it vold b overcome vd antibiotc nw he is sufferng again kindly email on my id,wt should i do.wt traetment u advise Doctor: Hello! Pain and swelling in inguinal area (or better pain and some kind of lump) may be caused by inguinal hernia. Especially when it hurts during coughing. In inguinal area there are also lymph nodes which can be painful and enlarged when inflammation process is in this lymph nodes area. It can be located on same side leg for example. If your son is having a fever this diagnose is more probable. One more thing - by inguinal region I understand a region where an abdomen ends and a leg begins. If the pain is a little bit higher, there is a need to look for a disease in abdominal cavity. If it`s a right side where the surgery was performed, intra abdominal adhesions are possible, and intestine partial obstruction must be ruled out. Also there is always a probability of post-operative hernia. What should be done is: blood tests for inflammation signs, ultrasound of abdomen and inguinal area and if lymph nodes will turn out enlarged, biopsy is necessary. Take care | 94,897 |
Does having Psoriasis effect my job ? | Patient: hi doctor my problem is that i have Psoriasis . will it cause me medical unfit for police or amry jobs Doctor: hi u need to get it under controlled. it can cause u unfit. better to consult dermatologist and get it treat. u need to get information from authority about in under RTI act | 12,626 |
Will HPV cause abdominal pain? | Patient: for no reason my lower abd will swell up like I am 9 months preg. and will do so in 5-10 min time span and is very painfull. no one can figure it out. It will not go down for 1-2 days. This has been going on for months. I have had abnormal paps. The drs say its nothing to worry about. I finally found a dr that said I have HPV and did a biopsy yesterday. could that be the cause od my abd pain? Doctor: Thankyou user for your queryKindly mention you age, also you can get vaccinated for HPV 16 and 18 virus.For HPV you need to consult a gynaecologist as she will let you know about what to do further. Your history is not clear also. Are you having loss of appetite, weight loss, bleeding or leaking per vaginum?Kindly get in touch with all the symptoms clearly, as for the time being you can go ahead to seek gynaecologist advice.God Bless | 87,908 |
Suggest treatment for baby having low hemoglobin count/high pressure in lungs | Patient: Hi, I have a new born kid of 42 days old. He is having problem of 1. Lungs pressure is high average 60 to 70 - could not trace the basic cause 2. Low haemoglobin count - which is 7 currently We are based in Kerala and have consulted in Amratha Hospital. Please advice as we are worried. Doctor: HelloWelcome to health care magicis there any breathing problem in new born baby? is there any bleeding from any site?wether baby is sick or active.it may be physiological anemia of infancy | 164,629 |
What causes tightness in the cheek during 30 weeks of pregnancy? | Patient: Hi for a couple of months now on and off I ve been getting this tight/stiff feeling in my right cheek. No numbness or anything like that just feels like my muscle has been winded tight and I m waiting for the tightness to subside. It s just a weird uncomfortable feeling. I have no slurred speech or blurred vision. No unusual headaches and also I m 30 weeks pregnant. Thanks in advance Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.Please do not panic.Please ensure adequate water intake , 8 to 10 glasses in a day.Include plenty of fruits and vegetables in the diet. I will suggest Tab Neurobion Forte 2 times a day for 10 days.Please keep watch on your blood pressure at regular intervals.Wish you a healthy pregnancy outcome.I hope my answer helps you.Thanks.Wish you good health.With regardsDr Purushottam | 221,110 |
Suggest treatment for body tremors caused by severe depression | Patient: Hello, im a male 32 years of the age . Im facing some problem since 2009 after the death of my father . The problem is related to my sleep . Whenever i M falling asleep some weird things happens in my body .. Like choking and waking up , feeling of heat attack or vibrations starts in my body and then when i wake up and sit down it vanishes.. These things really doesn t allow me to go off to sleep but once i go off to sleep nothing bothers.. These episodes doesn t happen every time it happens mostly when im tensed or worried the entire day .. In 2012 i had some severe vibrations starting from my back and then every where including my head whenevr i try to fall asleep .. It lasted for 4 days..thn I visited a neurologist he gave me. Etizolam and revotril .. Asked me to take those med for 3 months but made me very slow and Sleepy that after a week i left them and fortunately i didnt experience any kind of trouble for a year .. On and off the episode happened after a year but not that often.. But now for past few months im constantly worrying about something and these things hs started again from last 8-10 days Whenever im falling asleep vibrations and twitching in my body starts and doesn t allow me to sleep .. I started etizolam .25 mg again for 3-4 days i didnt experience any thing but last nite i had the med around 1 and slept aroun 3 but couldn t sleep as i had some thoughts n my mind and then the vibrations started .. Please let me know the cure and is this any kind of disease im suffering from? Thank u Doctor: HelloWhat you are describing seem to be panic attacks that feel like bouts of anxiety, palpitation, breathlessness and a fear that something bad is going to happen. The anticipation of these attacks causes further anxiety. If these attacks are very distressing I would advice you to start a SSRI preferably Paroxetine (Pari CR 12.5 mg) at bed time and continue it for at least 6 months. It can be increased further with a psychiatrist advice. You shouldnot take Etizolam unsupervised for so long. Also get one ECG and TSH done to rule out any other physical cause of anxiety. Hope your query is satisfied. | 205,398 |
Suggest treatment for a painful lump on the calf | Patient: my mom is 84 and tripped and fell on her tile floor. I am concerned because their is some brusing and swelling although the swellling has gone down since last night but their is one area on her calf tha felt hard at first but is much softer now and is about 3 inches long. She has shooting pain at night. worried about possible blood clot. Doctor: Hi,Dear,Good evening.Thanks for your query to my virtual HCM Clinic.I studied your query in-depth.In My opinion-diagnosis is-Resolving -liquified hematoma-which might be getting- infected.Diabetes needs to be ruled out-as the hematoma-has become painful since last night and is now 3 inches long,soft-YOur worry for the blood clot with complication of ? infection is right and you need to get ER Surgeons opinion and needful treatment of it.Treatment-would be-a-Rest and Elevation of leg,b-Tb-NSAIDs,c-Antibiotics would relieve the lump in a day or 2.d-If no relief in painf of the lump, Incision drainage would be needed.Hope this would resolve your worrying query.Wellcome for more query from you.Good day. | 64,619 |
What causes severe itching on my palms? | Patient: Mid afternoon yesterday I experienced severe itching on my palms and sides of hands. I work with fabrics, mostly imported and assumed it was a contact dermitis problem. When I came home later in evening, itching completely stopped. Went to bed about 10:30 PM. Experienced some inner ear and throat itching. Dismissed it as normal allergies. Around 12:30 PM, I awoke and had extreme swelling in my lower lip and chin area. I immediately took Benadryl and ice pack treatment. Continued this until approx. 4 PM. Swelling is very minimal now. Should I be concerned? Doctor: Hi, your history signifies a late phase allergic reaction. Need more investigations and history. If it happens again. Get yourself evaluated. | 101,012 |
Can Clindamycin be taken for tooth infection? | Patient: I hope you can answer my question. I have a tooth infection and was wondering if Clindamycin HCL 300 would be ok to take for the infection? I'm going June 30 to have all my teeth pulled so I'm not going to a dentist till then. Can you help me please? Thank you Doctor: HI...WELCOME TO HEALTHCARE MAGIC.CLINDAMYCIN CAN USE TOOTH INFECTION BUT WITHOUT ORAL EXAMINATION BY DENTIST AND WITHOUT ANY SUGGESTION NOT USE..MENTION A COMPLAIN WHICH IS RIGHT NOW PRESENT..CONSULT YOUR DENTIST FOR FUTHER DIAGNOSIS.I HOPE MY GUIDANCE HELPFUL TO YOU.THANK YOU. | 181,077 |
Had LASIK, headache, occipital lobe pain, neck stiffness, eye pain. Occipital neuralgia? | Patient: Hi, I had lasik 6/19/12. During the Alegretto procedure, I did not feel anything until the flap was being smoothed back in place on my right eye. I could feel pain with the pressure (5 out of 10). When I went home to rest (I was told to just take a nap) I had significant pain to my R eye. About a 7.5 out of 10.(counter intuitive to napping) I phoned to see if this was normal, and was told it was. I felt pretty pain free until about a month later when I started getting headaches . . . I still get them about once a week. I was told they are cluster headaches. (very painful) I will be having an MRI next week to help R/O other etiologies. I do not have facial pain, or nausea with the HAs. I have been reading about occipital neuralgia . I feel these are the symptoms I am having. Especially with occipital lobe pain, neck stiffness/pain, and R eye pain. Is it possible the doctor could have damaged my occipital nerve pressing on my newly fried eye during lasik? And maybe I didn t feel pain the first month as the nerve was healing . . . . I dunno . . . what are your thoughts? This is all new for me. I rarely even got garden variety HAs before lasik, and now I have these horrible episodes which have literally changed my life. (had to quit job) And furthermore I am back in glasses d/t unsuccessful outcome. Doctor: Hi, I can understand your discomfort because of repeated headaches and the unsuccessful outcome of LASIK. However, I would like to reassure you that the chance of any nerve damage during LASIK is remote. Also, the fact that regular headaches started almost a month after the procedure rules out any role of eye procedure in causing the headaches. Headaches are unrelated to the eye problem/procedure and could be due to migraine/cluster headache. I hope your MRI comes as normal. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior consultant Neurologist Apollo Hospitals, Hyderabad | 151,274 |
Is conceiving possible while on treatment for PCOD and hypothyroidism? | Patient: My wife is recently dignosed for PCOD with Hypothyrodism. And she is taking the prescribed tablets of Thyronorm. She is been advised to take these tablets life long. She is also taking some meditions for PCOD also. We are planning on a baby since we get married, no sign of concieving. 1.) Are we still able to make baby along with the treatment my wife is undergoing? 2.) But after Three weeks she started taking the thyronorm tablets, she is complaining about her breast pain. The pain is lot. Can tell me the reson? Doctor: Hi dear,I have gone through your question and understand the concerns.1. Both hypothyroidism and PCOS are causes of anovulation and hence inability to conceive.Therefore, if these two conditions are properly treated, then the chances of conception are increased. You can try to conceive with these medications.2.Breast pain is unrelated to the thyroid medication. It can be due to fibroadenosis. Consult a surgeon for proper examination and treatment accordingly.Hope you found the answer helpful.RegardsDr Deepti VermaOBGYN | 528 |
What causes lower abdominal pain and a fever of 102? | Patient: My husband felt sick Wednesday night. He was having lower obdominal pains and trouble using the bathroom. He went too the bathroom and passed out as he was gettinng up. Since has had a hugh baw movement. Currently he is running a fever of 102 and loose baws. Gave him Tylenol dropped to 101. Doctor: Some kind of infection probably, give him sporolac and light diet and get the investigation done if relief in two days | 90,375 |
Suggest remedy for itchy,painful white bumps on tongue | Patient: Hi I get white bumps on my tounge all the time that come and go. They are very itchy and I tend to end up scratching them with my teeth. Sometimes it will just be one white bump other times it will be a big patch of white bumps from the tip of my tounge all the way along the side. They are always only along the edge and never in the center. They are normally there for a week or two and then they go away for a two to three months and then come back. I have been getting them on and off like that for many years now. They are very painful and I was wondering if you have any idea what it is and what I can do about it cause I can t afford to go to a doctor. Thanks Doctor: Hello,Thanks for consulting HCMRead your query as you have painful itchy white bumps on tongue this can be due to enlarged papipllae due to inflamation , or can be symptoms of geographic tongue . Dont be worried so much these symptoms are seen in patients with nutritional deficiency , vitamin B deficiency . I will suggest you to take proper nutritious healthy diet , you can take vitamin B supplements by consulting with your doctor . Consult oral surgeon for visual examination of tongue .Hope this will help you. | 182,905 |
What causes heart palpitations, swelling of face and pain in joints? | Patient: I think I have Cushings. But would heart palpitations be involved with that? I can not see a doctor until next week but I ve been to hospital once already thinking I having a heart attack and I was fine. Except my face is VERY swollen, I m in pain and my joints hurt. ? Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, cushing syndrome can be present with palpitations, but it is very rare. Most likely your palpitations are because of heart involvement. Joint pain and swollen face are all characteristic side effect of cushing syndrome. However, for palpitations I would advice you to avoid caffeine, nicotine, alcohol, or illegal drugs such as cocaine and amphetamines. Get your thyroid levels checked up. Other useful tests include:Electrocardiogram (EKG): This can be done while you’re at rest or exercising. The latter is called a stress EKG. In both cases, the test records your heart's electrical signals and can find unusual heart rhythms.Holter monitoring : You’ll wear a monitor on your chest. It continuously records your heart's electrical signals for 24 to 48 hours. It can identify rhythm differences that weren't picked up during an EKG.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rishu Saxena | 22,700 |
Suggest treatment for back pain due to gas formation | Patient: dear doctor my father is suffering from acute pain in the back and right hand probably due to gas formation.. however it has been four days since he acwuired the pain.. we consulted our family doctor who gave some medicines however he is still in pain what should we do? Doctor: helloYou have not mentioned about medicines prescribed by doctor.If i were his treating doctor i suggest to take tablet -triphala guggulu 1 tab 2-3times a day after food.( for pain)-Dashamoolarista 2-3 tsp twice a ay with water.As this is prescribed medicine consult to doctor at ayurvedic hospital for proper examination and treatment. | 109,324 |
Can ovarian cysts prevent pregnancy? | Patient: I m 30yrs i m married for 2yrs. v r trying for baby since 1yr but no success till date. i've a problem of ovarian cysts once got laproscopy surgery done at the age of 21yrs & got removed 3cysts (2 on left ovary & 1 on right). Now also i m having cysts in both d ovaries. I have taken lots of medicine for cysts but most of gynae's suggested me to get married as hormonal changes after marriage is good for cysts. But nw wen i m planning to hv baby i m nt getting it, its really very frustrating. Is it because of these cysts i m not getting pregnant? Please answer i m really worried. Doctor: Hi, I think you should go for evaluation first. do a thyroid profile and prolactin levels and a ultrasound for your uterus and ovaries. You can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Dr khushboo | 907 |
What causes severe abdominal pains from pelvic area to chest? | Patient: Hi, may I answer your health queries right now ? Please type your query here...my daughter is 14 and has been having severe adominal pain that seems to move about her lower pelvic area and up into her chest for about 6 months now, we have had blood tests which all came back normal. We have also went as far to have an endoscopy and a colonoscopy, do you have any ideas on what may be causing this pain? Doctor: Hi, welcome to HCM,First of all I would like to know that if your daughter gets stressed on small things or something bothering her psycologicaly.As when no cause of pain is known despite of undergoing different investigations.It can be functional pain which is common in teens because of stress and anxiety.You may try symptomatic treatment for few days for example tab esmoprazole 10 mg two times a day.start exercising, avoid spicy and heavy food.And may need counselling if she is going through some stressfull situation.Regards,Dr.Maheshwari | 88,283 |
What causes shoulder pain after the removal of spur and arthritic bone? | Patient: I previously had arthroscopic subacromial decompression withe distal clavicle resection and remove of one spur and arthritic bone from collarbone on myour left shoulder. Now my left shoulder hurts badly after sneezing. I am a 33yr old female and do have osteoarthritis. What could cause this issue? Doctor: Hi welcome to HCmI have gone thru your query regarding pain after the removal of spur and arthritic bone .I can understand your concern It is very natural to feel pain & inflamation around the actual part , for quite sometime , after a surgery , major or minor .Pain is not always in the body . A lot of it happens in the mind, and due to your depressed state , your pain cannot be resolved by surgery or medications. I would like to suggest you learn to be active with pain, reduce your drugs and stay more on your will, regular exercise schedule is a must, and staying busy is the key. meditation gives you mental strength .Take a level spoon of Turmeric powder with a cup of hot milk in BF and at bedtime , helps alley pain and inflammation Application of Hot pack or hot water bottle wrapped in a towel on painful part helps alley your pains .water intake is very essentialAvoid constipation , sleeplessness ,stress ,tea ,coffee , smoking ,alcohol A drop or 2 of Ruta with 4 spoons of water .It is advised to see your doctor for further guidance .Hope this helps solves your query .Take care , All the best .Wish Get well soon .Don't hesitate to get back tf have any further query . | 137,534 |
Can I take aspirin while suffering from COPD and severe stenosis of bicuspid aortic valve? | Patient: I'm a 58 yo male with COPD and severe stenosis of a bicuspid aortic valve. Thanks Dad! Cholesterol is 4.7, with no indication of other abnormalities, nor atherosclerosis.As of 16th January, area was 0.40 cm² and gradient was 136mm Hg.I'm on a beta blocker and a statin, plus aspirin and have an angiogram booked for Tuesday, which will mean leaving home at 6am.The housing Association I rent from, has offered me a new flat (apartment), so long as I move in on Monday. They are fully aware of my condition.Much as I want to get out of my present (shared) flat, the symptoms have recently become more pronounced and I therefore suspect the stenosis may now be critical.What kind of risk factor would I be facing if I accept the move?TIA,Dave Doctor: Yes, you can take aspirin, but only if your physician prescribe it for you.The valvar area and the gradient described are related about a critical bicuspid aortic valve stenosis. The worsening of symptoms that you reported confirms the severity of stenosis.Aspirin is used for some pathologies like coronary arterial disease or atrial fibrilation and others. I don't know if you have some this conditions. Furthermore, aspirin can worsen symptoms of copd. So, only your physician could answer this question.I do not have subsidies to opine if you have accept to move from your flat. But any physical effort that you make can be dangerous, with the risk of sudden death.In my opinion your doctor should consider an intervention in the aortic valve briefly.Hope I have answered your question. If you have any further questions I will be happy to help | 25,501 |
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