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Severe allergy to insects. Can I be allergic to just a few insects and not others? | Patient: i was told by our local allergist ( im in montreal quebec canada) that despite my severe allergy to horsefly bites, spider bites and mosquito bites that it does not prove i am allergic to bees, Is this true? Because i am thinking the venom from a bee is much worse than that of a mosquito and when i get bitten each bite swells to the size of a softball and when i was bitten by a horsefly on the back of my calf my entire lower leg swelled to the size of my thigh. Is it possible i am only allergic to the above mentioned insects without being allergic to bees, wasps etc? I do not carry an epipen because the allergist told me there was no need ( he did not test me for a bee allergy he just told me i wasn t). Thank you. Sincerely, Terry T. Doctor: WITH MY EXPERIECE YOU CAN BE ALLERGIC TO ANY INSECT THE PROTEINS OF DIFFERENT INSECTS IS DIFFERENT AND IT IS THE PROTEIN WHICH REACT YOU CAN GO IN FOR ALLERGY TESTS FOR THESE INSECTS BEFORE ANY DECISION | 105,311 |
What is the treatment for diarrhea in a baby? | Patient: my four month old baby has diarreha with mucous in it....he has no other symptoms other than being hungry alot.....could it be jus a virus or more of a cause for concern....but with that being said...he has had issues since birth with projectile vomiting and all of the doctors we have seen has said that it is jus a virus and he will get over it...please help as i am a mother of 7 beautiful children and never have experienced anything like this before.... Doctor: Hi, Look if your baby is having 6-8 loose Stool episodes in 24 hours and he is not dehydrated then it's fine. No need to worry much. You need to ensure exclusive breastfeeding. And monitor if the baby is feeding well n not going into dehydration then it's fine. Treatment wise you should start giving: Susp. Zinc Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ajaygupta009, General & Family Physician | 161,905 |
What is a stress thallium test? | Patient: I am 54 female, tmt result shows positive all other test normal when i went for through medical test. Advised for 'stress thalium test". want to know more about this before going for the test. I am hypothyroid patient for 20 years and taking eltroxin 100mg Doctor: Hello, Thanks for posting a question.This is a special type of test we use to check the condition of heart arteries to see if there is a blockage or to see abnormalities that may be present in the heart. Warm regards | 21,358 |
Are sore throat, neck pain and earache symptoms of throat cancer? | Patient: i have had a sore throat for over 2 months, also neck pain, and earaches. A doctor i saw 2 weeks ago thought it was sinusitis, prescribed a antibiotic which did not help. I am very concerned that i have throat cancer. My sore throat gets worse then better, even in the course of a few hours but never leaves. Doctor: If you are having fever and a throat swab test as well as a sputum culrture test is required. If not meet a surgical oncologist and get a consultation . he/she can decide the need for aa endoscopy of you air passages. | 156,027 |
What could hard breathing while being on Daliresp suggest? | Patient: yes I have been on Daliresp for 8 days now and my breathing is still heavy but the little pulsometer shows my oxygen level improving is that a good thing even though i am still breathing hard when walking/also is it safe to have a beer or wine once in awhile with this medication? Doctor: Thanks for your question on HCM.In my opinion you should consult pulmonologist and get done1. Chest x ray2. PFT (pulmonary function test) to rule out chest infection and bronchitis.Even after treatment for 8 days, you still feel hard on breathing, so better to rule out above possibilities first.You may need inhaled bronchodilators too.And don't drink wine or bear with medicines.It is not a good habit. You should quit all your habits.So consult pulmonologist and discuss all these and start treatment accordingly. | 81,256 |
What to do for the liver damage due to alcohol? | Patient: Hello, I had mildly elevated liver enzymes last summer. On a two week recheck one was back to normal and one was just out of range. Then, two weeks ago, for a 6 month recheck, both were right in the mid range of being normal. After 3 years of drinking wine rather heavily, I can't let it go that somehow my liver is damaged. I took 5 weeks off from any alcholic beverages in October and November and now I am trying to be more moderate. Anytime I think anything is different with my body, though, I will always worry that I have cirrhosis. If my doctor does not think so, should I just let it go and believe him? Doctor: hello dear,please forget the apprehension and relies on your doctor.when you stop using alcohol the level of liver enzymes comes to normal.cirrhosis is long term sequence of alcohol consumption and you will have jaundice along with increase liver enzymes, ascitis, hepatomegaly, spleenomegaly and blood in vomiting.rely on your doctor. but still you not satisfied then go for Fibroscan technique to know fibrosis of liver nonivasively.thanks | 56,577 |
Is slight ST depression in an ECG report a cause for concern? | Patient: My daughter, 31, is 5 3 , 100 LBS AND EXERCISES DAILY. Her EKG last year showed a slight ST depression with no recommendation for any follow-up. She just had an EKG (routine) in December and the ST depression was negligible. Recommended having an echo. All else was normal. Any reason to be concerned? Doctor: Hi, a slight ST depression is NOT a cause for concern for a young 31 year old.In this situation, I suggest my patients a exercise electrocardiography to confirm the goodness of this change. However, the conduct to wait a few months and repeat the exam is also right.I believe the echocardiogram would serve to rule out a mitral valve prolapse as the cause of this change on the electrocardiogram.Hope I have answered your question. If you have any further questions I will be happy to help you. | 25,496 |
What could vomiting after eating with pain in both kidneys indicate? | Patient: I had eaten chicken had a soda. Also some banana bread about 20 min ago. When I was trying to eat I began to cough really bad to the point I began to throwing up. I ran to the bathroom. I also notice when I eat late at night I throw up during the early hours in the morning. Between 12 and 2am in the morning. Also I've been having some kidney pains. My pains are really bad. Both kidneys. Both sides. What do u recommend? Doctor: Hi,Vomiting indicates either a local or systemic problem. With pains in the kidneys that really hurts much could be a kidney's infectious or inflammatory problem. Proper diagnosis of what could be wrong with the kidneys is important. Thus getting some first standard profil examination of the abdomen and urine to know what to do. | 49,285 |
Is Isosorbide an effective alternative for Diovan? | Patient: my doctor prescribed isosorbide MN 30 Mg for high blood pressure 1 x daily. I have been taking Diovan which has little or no effect on my BP. Can I take Isosorbide 2 x a day instead of the Diovan as the Isosorbide works immediately to lower my BP? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I don't think that Isosorbide is an alternative for Diovan, in treating chronic high blood pressure. There are many other drugs that can low the blood pressure like Irbesartan and Hydrochlorothiazide combination, Lercanidipine, etc. Isosorbide may be used in patient taking some other medications for high blood pressure, that can cause an episode of high blood pressure despite taking other medications (only one take, not chronic), not for chronic use in treating high blood pressure. All the best! | 18,624 |
Suggest treatment for hydronephrosis with dilated renal pelvis in an infant | Patient: hi my name is suresh from kathmandu. my son is 3 months old. his weight is 6.5kg. recently i have done USG. the report shows that the size of R kidney is 6.2cm and L is 8.7cm. left kidney is grossly hydronephrotic with a thin cortical shell of 4mm. the renal pelvis is dilated. the upper ureter is not dilated, so what is the solution Doctor: Hello Suresh and welcome to HCM.As an Urologist, let me assure you,the left kidney is hydronephrotic. The kidneys now need to be checked for individual function, by doing a diuretic isotope scan.That will confirm the diagnosis,as well as,help in deciding further treatment.If the kidneys show good function, it should be operated by 6 months age.If the isotope scan shows poor function(You may send your doubts, as a direct question to me,for an expert opinion.Dr.Matthew J. Mangat. | 47,353 |
95% brain cancer removed through surgery, relapsed on other side. Two tumors, non-responsive, sleeping a lot. Is it coma ? | Patient: Hi Doctor, My father has had brain cancer since 2009. 95% of it was removed through surgery but it has since come back on the opposite side of his brain (the left). There are currently two tumors, which add up to 9cm. He is sleeping a lot and not very responsive. He does not wake up easily and has sudden movements sometimes. I wanted to know if these are signs of him slipping into a coma? Doctor: Dear friend, welcome to HCM. yes, he has worsening grades of consciousness, progressing toward coma. with recurrence , the outlook may noty be great, of course it depends on many factors. pl. get him checked up and undergo appropriate treatment. take care and keep me posted on your progress. | 159,654 |
Why is friend having inflamed lymph nodes between his sternum and belly button? | Patient: was just looking on line regarding lumps. my daughters boyfriend had one on his chest that was diagnosed as an inflamed lymph node & nothing to worry about. now he has one between his sternum & belly button. he & my daughter are very concerned. he is sched for an ultrasound this week and an appointment with a surgeon next week. causes? Doctor: Hello and welcome to HCM,Lymph node enlargement occurs due to infection, inflammation, or neoplasm.An enlarged lymph node between chest and belly button can also be due to infection, inflammation or neoplasm.Ultrasound of the abdomen will help to know the site of lymph node and its relation with surrounding structures.If the lymph nodes are superficial enough, aspiration cytology of the lymph nodes can be done under radiological guidance (ultrasonographic or CT scan).In aspiration cytology, material is aspirated from the nodes, spread on glass slide, stained with appropriate stains and viewed under microscope.Further management will depend on the result of the investigations.Thanks and take careDr Shailja P Wahal | 117,389 |
What is the treatment for neck pain? | Patient: I am a computer professional of age 45 working computer field for the last 20 years. I am suffering from neck pain for last 5 years. Done treatment mainly tab and ointment (flexinol tab, neurobion tab and Volini gel). This was before 3 yrs. please give you valuable advise. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment.Type of painBurning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain.Location of painThere is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it "hit a nerve" would be a possibility. Sick nerves are MULTIPLE areas and tend to be the TIPS of the nerve not the whole nerve.What hurts?Moving a particular way that triggers the pain tells what is hurting. Specifically it can distinguish outward structures like skin, muscles, tendons, joints from deep structures like organs and nerves.Having a diagnosis leads to a choice of medicine for the pain. Inflamed outer structures respond to treating inflammation. Inner structures need diagnostic tests because something internal is broken.Computer professionals tend to get neck problems from position. Putting the screen so you look up instead of down and getting a neck brace and working on overall neck flexibility would often be recommended.Hope I have answered your query. Let me know if I can assist you further. | 216,106 |
Suggest remedy for perineal abscess near anal opening | Patient: hi. age 24/F. wt. 55. i ve got a perineal abcess 3*3cm in size near anal opening. i shaved the area 2 weeks ago n after that developed itching and now for the last 3 days pus collection. i ve started taking augmentin, chymerol forte n brufen from yesterday but the pain is severe. what is the clear indication of incision n drainage? can i get it resolved by medication only? n how about Rx pain? Doctor: Hi,If there is formation of abscess with cellulitis and swelling then there are chances of resolving the abscess with use of medicines you are using.If pus is already formed, it is to be excised and pus should be drained.Continue with same medicines for 2-3 days, induration and swelling might subside.For pain take NSAID like Ibuprofen or Diclophenac with paracetamol medicine as needed.Ok and take care. | 35,176 |
What does a painful indentation on left tibia indicate? | Patient: I m a healthy 29 year old female with a history of histiocytosis x as a child. I ve had an indention on my left tibia since I was a child and it has increasingly gotten bigger and is now painful at times. X-rays don t show any abnormalities. Any thoughts? Doctor: Hello, It could be a harmless contracture or calcification. Consult an orthopaedician and get evaluated. An X-ray is required for further assessment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | 124,566 |
What is the medication for panic attack before a surgery? | Patient: Hi my name is Darin. I am having surgery on my nose Thursday. They are doing several procedures. I also have 4 bulging discs in my lower back and I take Percocet 10 daily for chronic pain. My surgeon said he was aware that my immune system was down to Percocet because I have taken it for so long. He said he would take care of me....do you know what he might prescribe me? I have panic disorder and I am almost crippled with fear of hurting and the pain killer not working. Doctor: HiThanks for using healthcare magicPercocet contains oxycodone and it does not effect on immune system. It is a pain killer and like other pain killer, you can take. If your surgeon wants to change it, then it is difficult to judge which pain killer he would prescribe you. For panic disorder, you can take antidepressant with low dose benzodiazepine. You can also try some relaxation exercise. In case, you need further help, you can ask.Thanks | 209,258 |
Are huge puss filled painful spots on inner thigh after being in a water park serious? | Patient: i went to a theme park 3 days ago and while i was there i get extremly wet as i went on loads of water rides, when i got home i saw that i had to giant rash type things on my inner theighs and it was extremly painfull, i just ignored it but when i got up the next mourning i saw that the rash had gone but instead there where these giant pus fill spots,would you please tell me why this has happened as the spots are so painful i can walk properly Doctor: HIWell come to HCMI really appreciate your concern, it must be dermatitis with infection initially it can be managed with "Povidone Iodine" cream can be applied locally if this fails to respond then oral antibiotic can be tired and best drug would be Tab erythromycin 500 mg three times in day hope this information helps. | 31,145 |
How to get rid of stomach ache and backache? | Patient: Had a TAH OCT.17, 2013 I thought I was healing well but for the last 8 i have been running back and forth to hospital taking care of my mom now Im hurting in my back and stomach and feeling pinching pulling and tugging , could I be having a setback? Doctor: It could be due to improper, and irregular food habits and lack of rest, since u r often going to hospital for your mom. All these compounded with stress could be taking a toll. So relax , have proper seating position during driving , seating etc. Regular food with lots of fluids is helpful. Take time out and relax. | 111,708 |
What does this LFT result while on Crestor indicate? | Patient: I was diagnosed with a fatty liver over 20 years ago. My enzymes are up and down. A couple of years ago I went off Lipitor. My enzymes went back to normal. The last 3 years I have been on Crestor. I just got my blood work back. I am going off Crestor but wanted to see what else it could be. Alkaline Phosphate 161,AST 65, ALT 140. Any thoughts Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The present enzyme status is almost normal and doesn’t indicates any liver related illnesses. As of now treatment is required. You can continue Crestor or any other statins. Avoid hepatotoxic substances like alcohol and other substances. Do six monthly ultrasound and liver function test. Wishing you good health. Thanks. | 52,495 |
How to calculate exact date of conception? | Patient: I was recently at my first sonogram saying i conceived on the 10th of july and my due date is april 2nd. My boyfriend and i have sex and he always cums inside me....recently i had a new partner and we had intercourse on the 14th of july....he did not cum inside me.....with my conception and due date should i be worried it was the guy i slept with on the 14ths child? Doctor: HelloWelcome here.As the second guy did not cum inside you, there are no chances of pregnancy with that intercourse. Do not worry about it.Hope this helps.Thanks. | 220,046 |
Low potassium levels led to fluid filled abdomen and pressure on ribs. How to treat this? | Patient: My upper abdomen is swollen like i am in my 3rd trimaster of pregnancy which cant happen cause i had a hysterectomy also i am not constipated. I went to the ER because i had pnemonia and to have them check out my stomach my potassium was low so they put me on that and said my abdomen was full of fluid it puts pressure on the inside of my ribs. What can i do to get rid of the fluid? Doctor: Hello there! Thank you for asking. If you have abdominal fluids / Ascites you need to sort out etiology for it. If obesity is an issue treat it reduce weight, If liver issues then treat them using Lactuloses, Spironolactones, Rifaxamines etc, If Fluids bother you you can always try an ascitic tap fluid will be drained out of your under continuous hemodynamic monitoring.If the problem persists see the gastro enterologist for work up. So much Ascitic fluid with out an etiology is not possible. Seek the Evil And nip it from the Bud.now low potassium. Use some potassium supplements and foods rich in potassium like bananas etc. Drink Orange juices you will restore them soon, Avoid Diuretics Except potassium sparing they are good rather useful in your case.Seek the Specialist help for further managementGood Luck S Khan | 92,490 |
CT shows 30% stenosis in carotoid, MRI shows ischemic lesion in cerebral white matter, basal ganglia, Thalami. Any good treatment ? | Patient: Hi Dr , My father is 60 years old had a head ache few days before and was admitted to hospital in india. They did a CT,MRI etc. CT shows: 30% stenosis in the carotoid. MRI shows: tiny acute (1cm) in the right frontal lobe& right parietal white matter .Mild diffuse cerebral atropy with multiple patchy/Diffuse areas of ischemic lesion in Cerebral white matter, basal ganglia & Thalami. No major stenosis or no aneurysms.No hemorrhagic sreas. BP WAS: 170/100 at the time of hospitalization. He is thyroid patient_Well controlled. Cholesterol was just above boder line. They put him on aspirin, statin and amlodipin. Please help me to know his risk for stroke and what he should follow to be on abetter life style. Is the treatment good.. Any other plans would help him. Doctor: Hi,Based on details your father 's MRI brain and CT scan brain revealed multiple lacunar infarcts in brain with mild cerebral atrophy.Risk factors of stroke in his case are uncontrolled hypertension, atherosclerosis of carotid's, and deranged lipids. Subsequent stroke — an estimated 30 percent of survivors of an initial ischemic stroke will have a subsequent stroke within 5 years, 18 percent of which will be fatal.Continue with aspirin, statins and amlodepine. He also requires peridopril plus indapamide combination for preventing reccurence of stroke ,along with thyroid correction.He should drink 3litres of fluid per dayRegardsDr Sandhya ManorenjNeurologistHi Tech city Hyderabad | 149,910 |
Married, infertility, erectile dysfunction. Semen analysis, testosterone report done. Causes for infertility? | Patient: Dear Sir, I am 30 years old, I marry about 5 months ago, but still i haven t pregnant my wife. My Semen Analysis Report is as follows:- Volume : 1.5 ML Color : Gray White pH : 8.5 Viscosity : Thin Total Sperm Count : 125 Million Motility : 80% Normal Morphology : 85% Red Blood Cells : OCC Pus Cells : 25-30 I have also Erectile Dysfunction Problem but some time. my testosterone Report is as follows:- Testosterone : 9.02 NOML/L LH : 7.39 MIU/ML Plz Help me to know what is the problem. Doctor: Hello Saa, Weclome here on hcm. You can pregnat your wife with time and with correct timings and procedure. This will need a great discussion with me. Thanks | 44,433 |
Suggest remedy for loose motion | Patient: My son is having loose stool and since evening he is not comfortable to sit and lay down. Doctor suggested to use ofm along with nutrolineb and ors as he might be having some tight contractions with his intestine.Do you suggest anything else to use?He is 2years old Doctor: hi, Thank you for posting your question.Since your child has complains of loose stools, the most probable cause I would think of is viral diarrhea. In that case I would ask you only to take care of his hydration, which can be done with ORS. Apart from that probiotics e.g. nutrolin b which was given to you would also be useful. Any zinc supplement may also be helpful to recover the zinc lost in stools. This could be done after consulting your doctor. For the pain and discomfort that your child is experiencing any anti colic drug could be used. Also look for peri anal redness which could also be the cause for his discomfort.Unless your child has any symptoms suggestive of bacterial diarrhea such as blood in stool, high grade fever or toxic look, I would not recommend using an antibiotic i.e. ofm. In loose stools the most important aspect of management would be monitoring his hydration status. Hence keep a watch mainly on the no. of times he passes urine and his mental status( whether very irritable or lethargic) and consult your doctor as and when required. Do reply back if you have any more doubts. | 179,144 |
Suggest treatment for tenderness in the stomach and excessive sweating | Patient: Hello, my mother has many health issues, andhas had since she was born with colitis. However, recently she has been getting periods of profusely sweating, followed by the chills, and her abdomen is severely tender to the touch. these hot flashes have been getting increasingly worse and now the bottom of her feet are even sweating. I mean, one minute she is dry, and the next she is soaking wet and has to change her clothes. Doctor: Hi.Thanks for your query.Oh, This may be a serious matter.Colitis since childhood, and nor the profuse sweating, chills and severe tenderness in the abdomen are suggestive of a condition called septicemia and can be due to severe infection in the abdomen, related to the previous problem of colitis.This may be in the form of Diverticulitis, perforation or anything which is an emergency. I would advise you the following:Take your Mother to the ER or the nearest hospital.Do not give anything orally.She needs to be clinically evaluated, investigated and treated.She needs:Tests of blood, urine and stool.Standing X-ray of the abdomen for gas under diaphragm, intestinal obstruction.CT scan of the abdomenShe will be started on medical management but be ready if emergency surgery is needed. I hope this answer helps you and your Mother. | 86,590 |
Suggest treatment for loss of memory | Patient: I HAVE HAD SEVERAL TIAS BEFORE THE AGE OF 40 AND JUST RECENTLY I HAD DIFFICULTIES ORGANSIZING MY THOUGHTS AND THEN TRYINGTO SAYING WHAT WAS IN MY BRAIN HAPPENED APRIL 15 AND THEN THE NEXT DAY WHEN I ANSWERED THE PHONE WERE I VOLUNTEERED IT HAPPENED AGAIN; I COULD NOT SAY GOOD AFTERNOON SHIRLEY SPEAKING HOW MAY I HELP YOU. ANY SUGGESTIONS WHAT I WAS EXPERIENCING? Doctor: Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.Q1 : ANY SUGGESTIONS WHAT I WAS EXPERIENCING?A1 : This is probably Multi Infarct DementiaFurther Course of Treatment depends on Clinical Examination, Fundus Examination, MMSE, Radiological Evaluation. Please Consult a neurosurgeon in person Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care. | 142,979 |
Is creatin level rise for a person with one kidney and renal stent a cause for concern? | Patient: Creatnine level rose from 2.2 to 2.67 in person with one kidney and one renal artery stent. Is this cause for concern? At what level is dialysis indicated? 76 year old male 5'4'' 154 lbs. Parkinsons Disease since 1992, Pacemaker, High BP under control, some low BP sudden drops due to Parkinsons Doctor: Hello and welcome to HCM.As an Urologist,i fully share your anxiety.You must understand that, more care is needed in case of single kidney.A rise in creatinine from 2.2. to 2.67, is definitely significant.You must check with your Nephrologist, regarding dialysis, which is usually done, when potassium levels go high,urine output is very low,patient develops fluid retention,etc.But renal artery stent narrowing, is also possible,which can be tested.If you've any other doubt,you may send a direct question to me.Dr.Matthew J. Mangat. | 47,157 |
What does lump in nipple indicate? | Patient: hi i am 26years old i have three children and just the last day or so i have noticed a lump attached to my nipple and its in my nipple, its a different colour to the rest of the nipple. at first i thought it was dry discharge so i tried to pull it out and now it really hurts as its obviously attached. i also have one on my left nipple too but its not as big,, i dont have any history in my family of breast cancer but im very worried about this. any indications as to what this could be? it doesnt really hurt or anything but my breasts do feel larger too the last few days...thanks Doctor: Welcome to Healthcare magicI am Dr Fahim and I will help you with your queryI have gone through Question. It appears to be papilloma of the nipple. Its a not a breast carcinoma as presentation of breast Ca is quite different. Its treatment is simple and complete. If such a patient walks into my clinic I offer him two options. One, excision with a tiny disc of skin and the other one is tying the base of the papilloma and it will fall off spontaneously in few days.I hope my answer will help you with your query. Do rate it, If you like it.Regards | 64,694 |
Suggest treatment for swollen and bruised leg after injury | Patient: I fell one week ago, hit the edge of the brick step , falling forward, all my weight hit the bone of my left leg right below the knee. It bruised and swelled up and feels like a knot, It does not hurt when I walk, but it does swell more if I do a lot of walking. It does hurt if I touch it, just wondering if maybe I fractured a bone or something Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that due to trauma there has been injury to the soft tissues leading to inflammation to the tissues leading to accumulation of the inflammatory exudate in the soft tissues leading to swelling..In case if you are able to walk well there does not seems like fractured bone..In case if the soft tissues are inflamed and if you do excessive exertion there can be increased swelling..I would suggest you to take anti-inflammatory painkiller like Ibuprofen..You can do cool compresses over the swelling 2 to 3 times a day..You can also apply analgesic gel over the painful and swollen area..You can apply Heparin gel for faster fading of the bruising..You can also elevate your leg while lying down.In case of no improvement in a week consult an Orthopedician and get evaluated and he can do a clinical evaluation and also advise x ray to rue out the exact cause and treat accordingly..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | 135,215 |
MRI shows moderate anterior subluxation of L5, chronic bilateral spondylolysis, severe foraminal stenosis with nerve root compression. Indications? | Patient: hello, I Just today went back to the dr. to find out the results of my MRI... So here goes. Findings: there is mild-morderate anterior subluxation of L5 relative to S1. Chronic bilateral L5 spondylolysis with mild secondary hypertrophic change. There is a mild annular dis bulging extending into the neural foramina. mild ilateral S1 nerve root impingement within the lateral recesses. No central stenosis . Severe right and moderate-severe left L5 foraminal stenosis with some nerve root compression. There is mild apophyseal joint hypertrophy at the contigous L4-5 level. The disc is essentially normal. Higher levels are virtually normal in appearance, mionor chronic degenerative change at L1-2 conus positioned at T12. Paraspinal muscauature symmetric. Impression: Bilateral L5 spondylolysis with grade 1 isthmic spondylolisthesis. Annular Bulging or wide base protrusion extending into the neural foramina. Moderate-severe L5 foraminal stenosis and nerve root compression greater on the right. Only mild encroachment of the S1 lateral recesses. mild facet arthropathy At L4-5. No significant finging at the higher levels otherwise. I would like to know your opion. Also what treatment would you recomend. Thanks 435 Doctor: Hi, Thank you for posting your query. MRI findings report suggest lumbar spondylosis, bulging of discs (soft tissue located between the backbones) at a few places in the lower back, and mild pressure on the lower back nerves. Treatment depends on the symptoms that you have. If it is back pain and leg pain, then medications such as pregabalin or gabapentin are useful. In addition, physiotherapy such as IFT/ultrasound and back extension exercises are also useful. Best wishes, Dr Sudhir Kumar MD DM (Neurology) [email protected] | 151,157 |
What could explain excesive hunger in a child? | Patient: is it normal for my 3 yro to always be hungry? she eats breakfast, but then says she is hungry. the past few days she has been eating 3-4 apples and bananas because she keeps saying she is hungry, she can finish a meal and then 5 mins later say she is hungry again. is this normal? could this be a growth spurt? Doctor: It is normal.Kids grow and they will feel not hungry when they are overload stomach. Give to you child tea after meal,stomach will full and baby will not be hungry. Follow also proteins diet.Hope it helpsWish your baby good health | 173,023 |
What causes sudden stress, agitation, frustration and anxiety? | Patient: i have a question It seems that often i become increasingly agitated and stressed out to the point that i become ill. It happens at work, while driving, even when i am alone i tend to become frustrated with myself while trying to do things. i dont know if its anxiety, or what, but my heary rate will increase and i tend to clench my teeth and fist. its not like this all the time, sometimes i am the most passive and easygoing person you could meet. Doctor: HiI understand your concern.Sudden agitation and irritability suggest mood swings.Moods change with stress can be due to underlying depression.Need to evaluate properly about your mental status and thought processes.Psychological evaluation can give better idea about your proper diagnosis.It can be treated with low dose anti depressant with anxiolytic medication.Exercise and meditation can help.Relaxation exercise like deep breathing can make you less stressful.Ensure proper diet and sleep.I hope i have answered your query.Happy to help you.Get well soon.Thank you. | 207,280 |
Suffering from jaundice, can u help me | Patient: my husband is suffering frm joaundice can u help me Doctor: you need to do his blood tests and consult a MD physician.jaundice is a symptom,not itself a disease.you need to find root cause of jaundice. meanwhile let him drink lots of water and you can add glucon d if he is not diabetic.avoid alcohol,nonveg and fatty spiake carecy food.t | 60,563 |
What causes yellow stuff on hair under ball sack? | Patient: i am wondering why i have yellow stuff on the hairs under my ball sack I am 35 about 160lbs and about 6ft tall i just stayed in a not so nice hotel and was wondering if i got it from there. I have also been under a lot of stress. I just want to make sure it wont spread or be contagous. Doctor: It seems that you are having fungal infection. The yellow crusty material would be the evidence of that. Have you taken any medication in the past to treat the same. I suggest that you need to consult a dermatologist to understand the details of the infection better. | 195,965 |
What is the treatment for erectile dysfunction and premature ejaculation? | Patient: I am Mr.Ranjan Banerjee 43 age,height 5ft2" and weight60.I am married. I am married before three yars.I am suffering eractile disfunction and premature agaculation. I can not satisfation my wife. At the time very depresed. I have no issue.plese I am Mr.Ranjan Banerjee 43 age,height 5ft2" and weight60.I am married. I am married before three yars.I am suffering eractile disfunction and premature agaculation. I can not satisfation my wife. At the time very depresed. I have no issue.plese helpe me. Doctor: Hello, Erectile dysfunction and premature ejaculation are usually due to psychological reasons unless you have thyroid problems, diabetics, high blood pressure etc. Get yourself checked for these. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist | 194,197 |
What are the side effects of Colimax? | Patient: hi i have a baby girl 2 mnths old on exclusive breast feeding shes been very irritable through out the day not getting better with colicaid so i am giving her colimax and i have read through d side effects on net i have given her just now also what do i do Doctor: Hi, I had gone through your question and understand your concerns.Usually not give below 6 months , you have not mentioned doses given , may cause constipation and sedation , I do not think it is going to cause any major side effect ( except in high doses ) , if have done self- medication , stop it and consult your paediatrician. Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.*Always check for history of allergy before taking any medicine.• DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination | 178,893 |
Is betamethasone, effective for phimosis? | Patient: My son had balenopostahlis and after that he is suffering from phimiosis he is 10 years old and has been given Tennovate cream in one month his glans are showing up and little slit is visible, please advice if betamethasone will be a better option and is there any exercise. Doctor: Hello, Betamethasone can provide symptomatic relief only. You can apply anesthetic creams like lignocaine and gently move the foreskin multiple times. If phimosis persists, surgical correction like circumcision may be required. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 192,677 |
What causes palpitations and swollen feet/ankles? | Patient: My feet and ankles are swollen, I have a swooshing feeling on the left side of my chest under my breast (46yr male) and I am urinating 2-3 times per night. I have palpitations from time to time sometimes very bad for hours at a time. The swelling has been coming and going for about a year. But is not going as much as it used to. What on earth is going on.? Doctor: Hey,The swelling below the breast can be a breast lump or it may be because of some cardiac enlargeyment. U are also having palpitations, so please get a baseline ecg and echo done to rule out any such thing. Try to get a ecg done at the time of palpitations which is very important.Frequent urination during night time can be because of simple urine infection. So first get cardiac workup done and if that is normal than consult a surgeon for the lump and drink lot of water to eliminate uti.Wishing you good health.Dr Sameer | 23,802 |
What causes nodules in lungs seen on a CT scan? | Patient: I have a curiosity question. I just had a CT scan and was told I have nodules in my lungs. Is there an easy explanation as to what that means? I just had PE s in both lungs which are now dissolved. No mention of nodules were made prior to the current CT. WOndering what causes them. t Doctor: Thanks for your question on HCM.Since you had pulmonary embolism with new developing nodules on CT thorax, we need to rule out following possibilities.1. Connective tissue diseases (CTD)2. Malignancy3. Tuberculosis4. Sarcoidosis.So better to consult pulmonologist and get done bronchoscopy and BAL (Bronchoalveolar Lavage) analysis to rule out above mentioned causes.If everything is normal then get done repeat scan after 6 months to see whether nodules are increasing, static or decreasing in size. | 81,514 |
Is there any treatment for small pimple on chest grown to big muscle bulge detected as celloid? | Patient: hello sir, i am vikram from india,i had a small pimple like on my chest and now after 10years it has incresed to be a big muscle bulge on my chest,it does not pain but itches and i think its still growing,i had been to severel doctors they say its a celloid and cant be treated,is there any treatment for it...? Doctor: hi dear thanks for query on HCMit is a keloid.you need to visit a plastic surgeon.it is a difficult lump on treat.you need patience and time to treat it. minimum of 9 months.there are many treatment modalities, simple being a injection to site to intralesional excision. they may suggest pressure garment in addition.show at the earliest.thank you | 65,443 |
What causes pus to come out of pierced ear? | Patient: My 7 year old had her ears pierced 6 weeks ago. She was able to change her earrings this past Sat and now there is puss with a little blood in it. I put the posts in neosporin and have been cleaning her ears with peroxcide but is not getting better. what is your advice? Doctor: Hello,Welcome to HCMAs the pus is coming out of ears,it seems to be infected.So,keep applying the topical antibiotic ointment,along with it take full course of antibiotics like amoxclavulanate orally.Keep the area clean and dry.Wipe it with antiseptic solution and warm water with dry cotton.Hope you are happy with the answer.Thank you | 39,488 |
Can a dialysis patient taking warfrain for atrial fib cause inaccurate reading on a breathalyzer? | Patient: I am a dialysis patient and I am also on warfrin at 8mg a day because of atril fib. I recent blew fail on a Approved Screening Device and read fail after only two glasses of red wine Can warfarin along with a patient that is on dialysis with no kidneys, that cannot produce any urine cause a inacurate reading on a breathalizer.? You can email me at YYYY@YYYY Doctor: hi welcome to our siteread your querythat is a very significant questionand i appreciate your problemi will try my best to answer your queryit is very unlikelythat the kidney disease will mix up a breath analyzerand still i would have liked to know more about your condition and kft and sugar statuswine is metabolized via livernot kidneys you seeand with kidney dysfunction and atrial fibrillation andon dialysis, two glasses of wine is not really advisablei hope this helps youinform the reports mentioned above (if any)so i can be of help furtherbest of luck(please do understand that some problem remains as online texting cuts down history and examinationthereby reducing the effect and efficiencyand increases reliance on tests)(If the answer has helped you, please indicate this)[email protected] | 49,399 |
What does SGPT level on liver function report reveal? | Patient: Hi Doctor, I'm 29 years old and my SGPT level in the Liver Function test report is 1380 which is way to high than the normal ? My Bilirubin level is 5.2 however i'm too much concerned with the SGPT level. Please help in understanding the cause and severity of it. Doctor: Hi thanks for contacting HCM...Noted you have jaundice with high sgpt....Do you have alcohol habit???If yes then over drinking of alcohol can lead hepatitis....and so these values...Avoid alcohol if having habit....Second if you are obese and no alcohol habit then non alcoholic steatohepatitis might be the cause .USG done for it....Thirdly for rule out viral hepatitis viral marker study like HBSag detection done by ELISA....As you have jaundice you definetly having one of the above liver cause....If no cause identifiable and if sore throat with lymphedenopathy present then CBC done with serological study to rule out infectious mononucleosis....Consult gastroentetologist for detail examination.....Take care.Dr.Parth | 54,486 |
Wheat complexion, scar on right side burn, due to scratching, white mark, removal by laser treatment ? | Patient: Hi All, I have wheatish complexion and I got a scar on my right sideburn 7 months back that cause due to nail scratch and that has been heeled however, it left a white mark on the effected area and which didn t mixed up with my skin color tone. Could you please advice if I can get rid of the white spot by undergoing any sort of laser treatment? Thanks! Best Regards, Edwardo Doctor: Hi...dear sweet.., Thanks for choosing HCM.., Scar on right side burn.., not respond to conservative treatment..., So go for surgical or Laser procedures.., Surgical...good respond .,but recurrence is more.., 1) Chemical peels., 2) Microdermabrasion., 3) Resurfacing and skin grafting.., But these are effective only by skilled and trained dermatologist.., But Laser...give best results..., FRACTIONAL ERBIUM -YAG Laser.., Excellent safety., minimum down time..., Now with VSP... Variabe Sqare pulse...technology available in market.., It is marketed by....Fotona Dualis XS.., Here change the LASER parameters according to severity of scars.., Consult good Cosmetologist ....thanQ | 8,737 |
Can a BP reading of 130/90 cause dizziness? | Patient: hello, I have been getting dizzy between 3 to 5 minutes in the last several days. I recently bought a blood pressure monitor and it seems that I am not feeling well and getting dizzy when my blood pressure rises above 130/90 and pulse increases to about 90-100. My blood pressure is in the normal range when I am laying down. Is there something wrong with me. Doctor: Hello, Its highly unlikely for this bp to cause dizziness. Other cause if dizziness should be considered in you like from ears, neck. Many times, they originate from internal ear, which is a common cause of dizziness . This occurs due to age related changes leading to abnormalities in balancing system of ear which leads to this. Do they get aggravated with head movements or associated with imbalance, hearing problem, if yes they further support the cause or even without these also. The treatment, is medicine like Vertin 16 mg upto three times a, if not responding then tab Vertigon 25 mg upto three times a day. Also, ent specialist will teach exercises for this which can be done at home. Do you also have neck pain, tingling, burning sensation in arms, if yes they are likely originating from neck. Hope this helps you and get back if you have any doubts or if have more information to share. | 19,376 |
Suggest treatment for fluctuating BP levels | Patient: My blood pressure was high last evening for several hours...158/97, 151/95, 150/98; this morning it was 131/89 and then back to the normal range. (due to stressful situation last night). Should I monitor for several more days before going to my gen MD? Doctor: Its just an elevated blood pressure due to stressful condition...you need to monitor your blood pressure alittle more, to decide weather you need a treatment or not | 20,963 |
Suggest treatment for blockage in arteries | Patient: i am taking nikoran 10,one tablet in the morning and one each of Nitrofix S R 30 &clpidogrel and aspirin tablet.my ECG and Angiograplhy was done.Some blockcage of arteries were indicated.Is the treatment on right path? My email is as below:- YYYY@YYYY YYYY@YYYY Doctor: hello,I have gone through your query.Thanks for using HCM.I would like to know exact percentage of blocks in arteries.If the blockage is more than 70% you may need angioplasty with stent or bypass.But if block is less than 70% you may continue same medicataiton ,but you must add statin group of medicine irrespective of severity of blocks,My best wishesDr.Rajesh Teli,MD. | 26,042 |
Pale yellow face, pain around kidneys, kidney infection, frequent sickness. Treatment? | Patient: i have a pale yellow face, i am very ill alot, i feel sick constantly and i have such a horrible pain around my kidneys? i have been to the doctor and they want to run tests, have i a got kidney failure? or am i worry to much? also i have had this pain for an ongoing period since Christmas after i had, had a kidney infection . it has suddenly gotten worse and is preventing me from doing my normal everyday things because i feel to ill and in to much pain. Doctor: Hello. Please let me know your investigations. Before getting results, you should not think about bad diseases. Good luck. | 50,062 |
Suggest treatment for small nodular density in the right upper lung | Patient: Hello. My mom had a chest xray yesterday that showed small nodular density in the right upper lung . The radiologist recommended another xray done with more oblique views, which she did today, to see if this may be an artifact, and again, it showed the same thing. Her doctor now recommends to have a CT scan. Will CT differentiate between benign and malignant process? Is it better to have it with contrast or without? Thank you! We worry what this density could represent. Oh, her last xray for comparison was in 2003 and was completely normal... Doctor: Hello dear, thanks for your question on HCM. Right upper lobe lesion can be due to any of the following. 1. Tuberculosis2. Pneumonia3. Lung cancer. So CT thorax should be done.It should be done with contrast. Contrast is must to diagnose cancer and infection. And yes, CT thorax is much more informative then chest x ray in determining following details about lesion.1. Exact size of the lesion.2. Margins of the lesion. 3. Necrosis or calcification present or not.4. Involvement of surrounding areas5. Mediastinal lymphnodes involved or notAll these points are important in differentiating between benign and malignant lesion.So CT thorax with contrast is must. | 80,654 |
What else besides Rogaine and Propecia is expected to help dryness and discoloration? | Patient: I am a 23 year old male. I currently have a problem with very dry and discolored patches on my skin. They are mostly on my lower back, stomach, and under my arms. I also have started lose my hair and my scalp is very dry. It is thinning out very rapidly. Could these two things possibly be related? What can I do to solve it? I have tried Rogaine and Propecia for the balding with minimal results. Doctor: hi,dry and discolored patch on lower back, stomach other places is asteatotic eczema. thinning out of hair is androgenetic alopecia, both thing qre different and can be treated effectively.for hair loss rogaine and propecia is good medicine, it takes time. hair fall stops in 3 months and it takes further 3-4 month to grow terminal hair.add tab biotin 10mg+PABA once daily.rinse your hair with volumizing shampoo.asteatotic eczema can be effectively control-Treatments include:Moisturizers, especially creams or lotions that contain urea and lactic acidTopical steroids -- for areas that get very inflamed and itchy.reventionDo not expose your skin to water more than needed.Use cool bath water.Choose gentle skin cleansers that are free of dyes and perfumes. hope this is helpful.thanks | 9,294 |
Suggest treatment to re attach an achilles tendon | Patient: I have had Achilles surgery on 5/11/2017 and had a revision again on 10/30/2017 because the first one failed. I had a 3rd surgery on 4/05/2018 because of an infection I developed and now I am told there is nothing more they can do to reattach my Achilles tendon. Do you know if there may be any other options available to me for a successful reattachment? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If the tendon is completely detached then only surgical repair can help. Hope I have answered your query. Let me know if I can assist you further. Regards, Regards, Dr. Praveen Tayal | 127,547 |
Why is sinurest drops not relieving a child from cold? | Patient: Hi, My daughter is 1year 8 months old. she is having cold with running nose since 4 days, We have been giving sinurest drops since 4 days,but still cold persists, Could you please let us know if we need to go to hospital or if there is any alternative treatment Doctor: Hi I did review your concern.If sinurest drops are not relieving your childs cold I would recommend you give nasal steam inhalation with mild vicks or menthol added in it.DO keep the child away though from the hot steam source. Also nasal saline drops works wonder in these cases.If you find that the cold does not go away or there is yellowish discharge or high grade fever then I would recommend that you take him to doctor and get his nose examined and probably start him on antibiotics.I hope this helps.Wish you all the best.Thank you for choosing healthcaremagic. | 173,952 |
I m very disturb by my body odour | Patient: Hi I am rohit I m very disturb by my body deodrant Doctor: Are you saying about the deo that you use? or are you asking about your body odor? If you are asking about your deo, please change it to AXE. If you are asking about your body odor, take bath twice a day with Lavender oil and Tulsi in it. What do you say? | 96,413 |
What causes a discharge from a 10 month old s ear? | Patient: Hi My name is ml,lu. My Baby is 10 months old now.She has got the problem of discharge from her left ear for 2 or 3 days. Earlier around 1 month before she had the same problem and had been given Amoxicyllin which settled the problem for a few weeks and now it restarted again. We are worried about the discharge. Also after seeing the doctor today she is very unsettled and had been given Amoxicyllin again. We are worried about it whether this is because of her ear damage or some brain , head problems. Also she had been suffering from running nose and cold both occasions Doctor: Hello,Ear, nose, pharynx are connected by Eustachian tube and hence infection in nose or throat can lead to ear infection and discharge. Problems in the brain usually do not lead to ear infection. You should continue antibiotics and decongestant. In case not relieved, you may consult ENT specialist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad | 165,444 |
Can uterine cysts be treated by placentrex injections ? | Patient: hello doctor, Iam married since 8 months & trying to concive. I have consulted the gynaec , she advised me to take 10 placentrex injections evry alternate days. Hw much this will help in getting pregnant. All my report are normal. only some cyst have foundin my uterus . pls advise Doctor: Hello. Thanks for writing to us. Mild cysts in the uterus are not likely to affect the uterine function. Placentrex injections have a generalized role in enhancing the fertility and quality of the eggs. You can take these as advised to you by your gynecologist. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected] | 44,236 |
Weight gained, stomach bloating, urge to urinate, blood in urine. Advised tests. Symptoms of ovarian cancer? | Patient: Hi, I am a 52 year old female. I have had a hysterectomy @ 36 years old, still have my ovaries. I have my menopause ( I take the natural tabs which are Black Cohosh for hot flashes) and have gained 2 dress sizes in the past year. I have never had a weight problem prior to this past year. In the last 4 weeks or so I have had stomach bloating (no pain, just fullness and swelling) a lot (I look 5 months pregnant), as well as the need to urinate during the night, then the past few days I have had frequency to urinate up to 7 times a day and big amounts. I went to the GP today who said that I had large amount of blood in my urine and has ordered a blood test ASAP and an abdomen ultrasound (she mentioned she wants to check out my gallbladder ) plus a pelvic ultrasound to check out my ovaries. I am concerned that I may have early symptoms of ovarian cancer . Thank you for considering my question. Doctor: Hi, are you on hormone replacement therapy? this is to be mentioned. bloody urine may be due to urinary tract infection. it is better to go for an abdominal contrast enhanced CT scan. and urine routine and microscopic examination needed.your symptoms are vague. definite diagnosis ca not be done. so go for the imaging as early as possible.take care. | 159,264 |
Suggest cause for hair loss | Patient: hi,have been to my doctor for test and all the blood test have come back ok exepct the iron my iron was 5 have been given tablets but still losing a lot of hair which leaves patches here and there have also done a urine sample thats come back no growth repeat test,one doctor thinks it all has to do with iron other says hormones have given birth 9 months ago when will the hair stop? Doctor: Hello,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.From your description, it seems you might be having Telogen Effluvium, which is hairfall secondary to any form of stress like low iron or recent pregnancy.If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc and recommend some basic investigations like CBC,blood sugar,Thyroid function test.Some other special investigations like trichogram and dermoscopy and further aid in diagnosis and prognosis.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda | 11,184 |
What is the treatment for severe abdominal pain and loose motion? | Patient: hi doc,i think i m in gr8 problm,i havin pain in abdomn thats for mensuratn n havin food poising think soo,i drank 2 hrs ago d redbull n few aftr few mins i drank a glass of milk,n now havin pain in both lowr n uprr stomach,n loose motn for 20 tyms,i m nw havin ors bt it didnt help..wht cn i do?? Doctor: HI.Thanks for your history in a proper way. 20 loose motions ?? Rush to ER / Hospital'Get vitals checked, get admitted for intravenous fluids for correction of dehydration, get proper intravenous antibiotics and supportive medicines. Add on probiotic and activated charcoal tablets, bananas and curds. You may need investigations:Blood for infection,Urine and stool.Ultrasonography if needed. Do not be in a hurry to go home until the emergency is completely over. | 88,249 |
Suggest medication for Familial spastic periphrasis which impacted bottom 3 disks in back | Patient: Hi, I was diagnosed with Familial Spastic Periphrasis in 2009 after I blew out the bottom 3 disks in my back. I had been walking with one can for a little while before and walked with a limp in my left leg, my left foot was turning in. Now, I have been to Mayo Clinic, took every possible test they had, I went to Midwest Spine Clinic in Mn where I had an EMG that is where I got the real diagnosis of H.S.P. / F.S.P. I do not seem to be getting any worse. It seems to have stopped progressing as that is a great thing! I do however still get horrible cramping in both of my feet, my calves sometimes and my lower back is always tight or cramped. I have been on more meds than I can count. Both muscle relaxants and pain killers. Currently I walk with two canes or a power chair in my home. Is there anything new that might be able to help me or to get me up and walking again? I have tried Baclofin, Cyclobenzaprine and numerous other meds prescribed by my Dr.s. I have also been through horrible anxiety still today that I see a counselor for and now I have mild depression. I was severe as suicidal Sept and Nov. I am through this now! I am not suicidal at all any more. Do you have any suggestions as something new I can do to help me with this disease and control my mind again? Thanks for listening. Doctor: Hello, The impacted three discs in the back can be best be fixed surgically. This will prevent further deterioration also. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | 125,488 |
What causes wheezing and difficulty in breathing? | Patient: I have been very sick with an asthmatic type illness. I am a substitute teacher and had to leave school on Monday, due to feeling as though I were going to throw up when I bent over, not being able to breath,upper respiratory especially and nasal region. I took Benedril liquid, what I had left, have run out of my Zyrtec and get more tomorrow, am extremely weak and asked other subs to cover the rest of the week for me. I cough continually and am very weak. When I visited an doctor for allergies, her told me I was extremely allergic to Elm trees which are all around the back yard. I ride a lawn mower with a mask that usually works. This began to happen on Saturday with sneezing 9-10 times each and I rested, hoping I could work on Monday. My allergist it may also be dust and pet dander. When I mow there is a lot of dust and I do have two dogs and a cat who are my only family. I have rested now for two days and am not much better. I have been wheezing with strange noises coming from within my chest. I did not go to the emergency room, nor the same doctor because I feared it would be the identical respond as previously. I was just watching the news and heard about this virus that has affected many throughout the nation. I seem to have the same symptoms and they keep reoccuring, which cause me to be unable to sub. I could use the sub money, since I only have Social Security to live on at this point. I have been a Superintendent of Schools in SC and my friends can tell you that I am not over reacting or a hypocondriac who may think he/she has everything that comes along. I really need help and everywhere I turn, I hear you just have allergies like everyone else. My throat closed the other night and I had to drive to my neighbors and wake them up to help me. I could not speak to tell them what was wrong. They finally figured it out, knowing my situation. I see that there are no doctors available in WV where I live, but I could drive to Alexandria, VA if necessary. Could you help in anyway? I do not have a credit card to pay today, but could get one tomorrow at a convenience store and will continue to chat. Please tell me what to do? Doctor: Hi,Welcome to health care magic,I have read your whole query.From which it seems that you might be having allergic asthma due to elm tress or dust.Now,Asthma is itself a allergic disease due to cold or dust or pollens or grass etc irrespective of the triggering factor.You can go for pulmonary function tests if not done.Treatment is mainly symptomatic which might require inhalational steroids,beta agonists,anticholinergics as MDI or rotahaler as a regular treatment.To decrease the inflammation of bronchi and bronchioles,you might be given oral antihistamines with mast cell stabilizers(montelukast) and steroids (prednisolone) with nebulization and frequently steam inhalation.The best way to cure any allergy is a complete avoidance of allergen or triggering factor.Consult your pulmonologist for thoroughly clinical examination and treatment.Regards, | 99,111 |
What is the cherry sized lump in the back of my knee? | Patient: I had a lump like a size of cherry in the back of my knee- Sunday morning.A few hrs later it moved down to the middle of my lower leg. It is not very painful, but weird. I con find it, but not visible.Had osthearthritis in that knee for a while I am 68. Doctor: Hi, thanks for writing to HCM.Well, If I were your treating Doctor for this case of a cherry sized lump in the back of the knee, I would come up with three possibilities, these include: 1. an inflamed bursa2. The second possibility is of irritative or reactive pathology like synovial effusion! 3. The last possibility is of a dilated vein or thrombosed vein!I suggest you to go for ultrasound with doppler of the lump for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | 66,296 |
Cancer of the urether and bladder, had kidney removed. Done chemotherapy. Suggest? | Patient: CANCER OF THE URETHER AND BLADDER ,IN REMISSION,DO I GO BY LIFE EXPECTANCY? KIDNEY WAS REMOVED HAD A 4%FUNCTION.TOO FINE OK CHEMO CISPLATAN,COULD NOT TAKE IT PLATELETS COMPLETELY DOWN,A LESS TRATMENT,I DID NOT TAKE WHY GO THEOUGHT THE AGONY.RECEIVED 6 BSG;S.WENT ON DR BUDWIG;S THERAPY AND I DO FINE WITH SCOPING AND MRI URIGRAM. Doctor: Hi, You have got two different cancer. I do not know the cause of kidney removal. Anyway, your bladder cancer stage should be mentioned. As you have received 6 cycles of BCG ( BSG ??) probably you are in early stage because at early stage only BCG are prescribed. To give an idea about life expectancy and further treatment more detailed information regarding staging and other medical comorbidities are necessary. Consult your oncologist. | 158,982 |
hair removal from my private parts | Patient: hey friends i am a 18 years old girl pls tell me how to remove hairs from my private parts? is their any product for that? pls tell somthing affordable?? Doctor: Hi...dear Bhavana.., Thanks for choosing HCM., Don't remove Ur hairs on genital area..., Bcoz during shaving, it will cut follicles of Hair buds (More ., prominent in genital regions...) produce irritation and infection.., So hairs should be trimm with trimmer only...,ok.., If coming to Hair removal side...any cream will give irritation ..., and produce IRRITANT DERMATITIS., So don't use those creams., Keep that part always dry (By using Dusting powders...Clotrimazole).., and hygienic ok...good luck.., | 8,814 |
What could sharp back pain with bladder fullness suggest? | Patient: I am 26 years old, I am experiencing upper left quadrant pain that puretrudes into my back it is a constant sharp pain. I have difficulty emptying my bladder completely. Ill empty then about 5-10 min later i have to go again, The pain began about 24 hours ago and still wont go away, I have tried tylonel and the heating pad, i don't eat spicy or greasy foods, i tend to eat very small meals, or twice a day atleast. This pain is so uncomfortable! Doctor: Hi,From history it seems that there might be having urinary tract infection giving this problem.Youmight require one course of antibiotic like Ofloxacilin for 5-7 days.Take antispasmodic like Meftal spas or Cyclopam for pain.Take plenty of water.Ok and take care. | 108,824 |
What causes high pressure along with nausea and stomach ache? | Patient: My husband just took his blood pressure at home. It was sorta high (don't know the number), but then he took it again and said it was 187/90. He's headed out to the VA but of course, it will be long time before they yet to him. He also has nasious stomache, but that could be attributed to his hernia. (forgive the spelling). Should we be overly concerned? I'm at work, about 60 miles away. Doctor: Your patient is having exceptionally high bp which needs to be adressed as soon as possible so take him to the nearby doctor and get his ecg done and start antihypertensive medication too | 20,604 |
What causes feeling disoriented, excessive sweating and lack of memory? | Patient: I have been having for the last 10 years a monthly stage of sweating, chills, a little confusion, memory issues (momentary); no pain. No one seems to be able to see what s going on. Every month around this time, this effect occurs. I am looking for suggestions. Doctor: Hello!Welcome on Healthcaremagic!Your symptoms could be related to different possible issues : a metabolic disorder like thyroid dysfunction, chronic inflammation or anxiety. A hormonal imbalance, can not be excluded either, especially considering the fact that your symptoms repeat each month at the same time. I would exclude any neurological disorders possible related to this clinical situation. Coming to this point, I would recommend consulting with your doctor for some tests: complete blood count for anemia, blood electrolytes, PCR for inflammation, thyroid hormone levels for electrolyte imbalances, sex hormone levels, fasting glucose. If all these tests result normal, it would mean that nothing serious is going on. Hope you will find this answer helpful!Best wishes, Dr. Aida | 142,582 |
What causes lump on right side and pain in lower part? | Patient: My niece hugged me with her arms just below my breast. She then decided to lift me off of my feet. When she did this I was unable to breath. I now have a lump on my right side and pain in the lower part of my right breast that shoots around to my back. I m having a hard time reaching, pushing. Doctor: hi.it is best if you consult with a physician and have a complete medical and physical examination done. diagnostics (such as chest/thoracic cage x-ray and breast ultrasound/mammography) and management (medical or surgical) will be directed accordingly.pain reliever, such as NSAID, is suggested if pain is not tolerable.hope this helps.good day!!~dr.kaye | 63,250 |
How to treat enlarged papillae ? | Patient: i think i have an enlarged papillae on my tongue. how can i treat it? Doctor: my advise would be to stop treating ur self as a specialist an consult a dentist first who may refer u to a specialist according to ur condition ...seriously avoid any home remedies and make sure u dont try to scrap it of cause it may further complicate ur condition,, it may just be a inflammed pappila to somethg as serious as a oral cancer plz consult a dentist as soon as possible | 191,086 |
What is the treatment of fever if have kidney infection ? | Patient: Hi, I was diagnosed with a kindey infection today and am taking anti-biotics. I was told to go to the emergency room if I developed a fever or nausea. My temperature is bouncing between 100.6 and 99.8, after taking aceteminophen. Do I need to go to the hospital? Doctor: HIWell come to HCMIf this is pure infection of renal origin then this needs to be treated with Tab Ofloxacine 400 mg twice in day for 7 days, if still the symptoms does not improved then condition need to be investigated, hope this helps. | 48,819 |
My right testicle is larger and harder than my left, please suggest | Patient: Hi, my right testicle is larger and harder than my left and I have been reading about this and testicle cancer keeps coming to mind it has been like this for4/5 days now and I am too emberassed to tell anybody should i be worried about this Doctor: U should be worried regarding this.... .Visit some good pathology lab and get you following blood levels done.... 1. Alpha Feto Protein 2. Beta HCG........ both are markers for testicular tumors.......As u are giving history of 4-5 days and hard swelling... IT MAY BE SOME MALIGNANCY.... Examination by some good oncosurgeon and blood levels i suggested and incisional biopsy is necessary to arrive at conclusive diagnosis.........Immediately consult an oncosurgeon... | 160,293 |
What can help pre-ejaculation? And suggestions for long sex life? | Patient: Gd afternoon doctor. am dinesh kanna from chennai am 35yrs old and and got married in 2009 and i have no child and i face problem during sex where am facing Pre ejaculation problem , can u pls guide me on this sexual issue for long time sex and my infertility issues too... Hope i may get some solutions through this mail, my mail id ( YYYY@YYYY ).. Thanks Doctor: Hi, You can prolong your sex by pressing urethra just before you feel like ejaculating. Also its better to consult specialist doctor. For infertility you both (you & your with) need to be investigated. Till then simple option is to take semen in syringe & inject in vagina. | 44,054 |
What to do for the infection in the toe due to pedicure? | Patient: Hello - my teenage daughter had a pedicure a week ago and has symptoms of an infection on her right big toe. She told me the technician dug along my toenail for an ingrown nail . There was visible swelling and redness the first day. A day or so later the redness and swelling remained, as well as a white area. My daughter poked at the white area and puss drained from it. There continues to be redness and puss draining from the area. Does she need to see a doctor? Doctor: Hi,It seems that she is having nail bed infection and need to consult a doctor.she might require one course of antibiotic medicine course.She might require regular dressing preferably by a doctor so that he can clean the wound properly and do dressing.Ok and take care. | 37,248 |
Does the swelling and indents on the cheeks remain for a log time after a root canal treatment? | Patient: After my root canal my cheek was swollen to the extent that my natural "cheek" dimple (actual dimple i was born with) was gone. A week later it has started to appear. Now however, I have two small indents that move like dimples on my smile line close to the tooth that was worked on....Is this permenant? what is causing it and how how long will it last/can I treat it? This is almost week 3 post surgery.Feeling self conscious. Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have swelling on cheeck after Root canal treatment even after 3 week it may be due to Periapical infection or due to periodontal problem . Dont worry consult your dentist again and go for investigations IOPA XRAY of there is periapical infection go for Re -.Rct if there is periodontal infection then go for Currettage . Do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health. | 187,267 |
Sonographic findings shows enlarged liver, grade 2 fatty changes. Is this critical? | Patient: Sonographic findings: Lever is well visulasied.it is enlarged in size.It measure 13.5*15cm.Far beam attenuation is seen in the liver suggestive of Grade 2 fatty change in the liver.Echo texture is normal .No evidence of any focal massis seen in the liver. Is it critical ?Could you suggestIs me treatment and precautions? Doctor: Hello, Fatty liver is commonly associated with alcohol or metabolic syndrome (diabetes, hypertension, obesity and dyslipidemia), but can also be due to other causes like various types of hepatitis. Untreated fatty liver may cause hepatitis and may lead to cirrhosis. Fatty liver is a common condition. No drug has been approved for its treatment. The best approach is to do the following: Quit alcohol completely. Maintain your weight at normal level, in required range of your BMI Regular exercise (e.g., brisk walk for 1/2 hr, 4-5 times a week) Maintain your blood glucose and lipid levels within the normal range. take a super B complex vitamin having 800 mg VIT E and 1000 mg VIT C take green leafy vegetables and fresh fruits Avoid junk foods like maggie,pasta,burgers,pizzas,colas etc. Avoid sweets and deep fried items. Thanks | 59,514 |
What does this semen analysis report indicate? | Patient: Sir...I am 27yrs old & I have bilateral varicocele...My sperm count is 60million/ml (motility: active :45%, progressive 25%, dead sperms 30%) (morphology Normal: 60%, abnormal 40%) I have severe pain on both sides since last 8 months..Please suggest me what to do now. Than you in advance sir. Doctor: Hi, Your semen analysis is near normal. However, if you have pain due to the Varicoceles then you should undergo Surgery to treat them. This will improve your sperm function and decrease your pain. So please see a good Surgeon or Urologist and get operated for the Varicoceles. Take care, Dr Rishi, New Delhi, India | 201,577 |
What causes lower back pain on the right side? | Patient: Yes, please. I have had a pain in my lower back right side. I know I have back issues but this is different. I had a severe blood infection in 2014 and it was eating up two bones in my back I had IV infusions every day (in hospital) for six weeks. This feels like a kidney thing?! Doctor: in my opinion you need an x ray on first instance followed by opinion of orthopaedic surgeon to see your spine bones along with clinical examination as any spinal nerve compression has to be ruled out | 107,254 |
What are the chances of a man passing cancer cells to a woman? | Patient: Can a man pass cancer cells to a woman? My recent marriage is to a man that has lost 2 wives to cancer. One to lung cancer the other to breast cancer. I am concerned now since I am 55 and post menopause. Did not have a period for 2 years then had one recently. Went to Dr. Had sonogram done, found cyst Doctor: Its not possible to transmit or contract cancer / cancer cells from person to person. Only virus which increase risk of cancer can be transmitted.Both lung and breast cancer dont have virus as a risk factor.Dont worry.Meet a gynecologist for a complete local examination if possible a colposcopy. | 156,054 |
Does valley fever cause shortness of breath? | Patient: For 3-4 weeks I have been experiencing shortness of breath. I live in Arizona. Have just had a arteriogram that shows not blockages in my heart. My cardiologist is going to refer me to a pulmonary doctor next week.I am 70. Is a symptom of Valley Fever shortness of breath? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Valley fever is type of fungal infection, mild type is not associated with breathlessness, severe type may experience shortness of breath. Commonly seen in immunocompromised or elderly patients who travel to endemic areas. If any recent travel and more than 60 years need to meet the physician as per the guidelines (Mayo Clinic). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nataraj Naidu R | 70,954 |
Increased WBC count. Suffered with tooth problems. Cancer? | Patient: I live in Canada so my numbers might be different from the US standards. My last CBC blood test came back that my white blood cell count was 12.7 (doctor said likes to see it below 11). She says this indicates cancer (did I mention her bedside manner sucks?). I have been having problems with a couple of teeth for the last 4 months and have had several procedures done on them and I am going back again this week. Seems coincidental that my WBC was high the last two times and fits in to the time period of the tooth problems. I should mention that I smoke which probably doesn't help. This is the first time I have had a high WBC without a valid reason for it (i.e. sinus infection, diarrhea etc.). Should I be freaking out? Doctor: Hi! Welcome to HCM! The normal total leukocyte (white blood cells) count ranges from 4000 to 11,000 per microlitre in an adult.White blood cells help protect the body against diseases and fight infections. There are numerous causes for increases in neutrophils, lymphocytes etc. but the most common cause of Leukocytosis is secondary to infection (localized or generalized)or tissue necrosis due to any cause,in your case it can be due to infection in your teeth. The degree of leukocytosis depends upon several factors like its cause, severity of the infection, resistance of the body, localization of the inflammatory process (greater neutrophilic leukocytosis is produced by a localized disease process rather than a generalized one) and modification by treatment.your WBC count is only slightly raised so dont worry.A course of antibiotics will bring it down. take care! | 157,869 |
Prognosis of brain cancer with problems breathing, coma, collapsed lung? | Patient: Hi, my name is Tina. My nephew is only in his 20 s and has brain cancer and has gone through 2 surgeries. He was admitted into ICU with problems breathing. He was put into a coma & the doctor had to paralysis because his lung collapsed. He has pneumonia & the flu. What do you think the prognosis will be? Doctor: sorry to hear about ur Nephew.prognosis in brain tumour depends on type of tumour and it's stage. Some pts do well after surgery while other need radiotherapy or chemotherapy.Let him come out of current stage. Pneumonia will take more than usual time to recover. Long term prognosis also depends upon location. Posterior fossa tumours like medulloblastima have poor prognosis. | 143,899 |
Can treated tuberculoma still have traces in the lymphatic system? | Patient: My question already having brain tubercloma and treated with suitable medicines after one year that tubercloma is out in that area and incubate in lymphatic system in the supraclavicular nodes region is affected now and Drs are suggested surgical removal on that area . Is it incubate in the blood streams always ? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If this is the tuberculoma so it has to be surgically removed. Even if you are taking the treatment for it or have taken it, it is not the case or something like that it incubate in the blood stream. It is not the pathophysiology. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Akhtarhusain | 141,653 |
Burning sensation while urination. Had a spinal surgery in the past for difficulty in urination. High urea levels. How to lower this? | Patient: HELLO SIR, MY DAD HAS GONE THROUGH A SPINE SURGERY 6MTHS BEFORE DUE TO THE REASON THAT HE COULD NOT URINATE NORMALLY. AFTER A LONG TIME NOW HE CAN URINATE BUT WITH BURNING SENSATION. HIS CURRENT BLOOD TEST SHOWS THAT CREATININE LEVEL IS 1.6MG & UREA IS @ 36 PLEASE GUIDE ME FURTHER WHAT CAN BE DONE TO LOWER DOWN HIS UREA LEVEL Doctor: Hi and welcome to HCM. I am not sure why most questions are asked to male doctors only??? There are a lot of good female nephrologists and other specialists who might take offence if you guys keep addressing questions with 'Sir'!!! Jokes apart...... You have only given me a small bite of information which is insufficient to give any opinion. Only careful study of your dad's previous investigations and post op investigations will help us advice you the best course of action. Most importantly I need to know how well the bladder is emptying now which can be assessed by a blddder ultrasound scan pre and post void of urine. This is just one of the tests that will help me in giving you an advice. Best wishes, RB | 50,070 |
How can atrial fibrillation be treated? | Patient: My husband, 75 years old, had by pass surgery in 2014. At that time it was discovered he also had afib. Each time we see a doctor, not a heart doctor, he is in active afib. What should be done about this? The cardilogist says a pacemaker is not needed. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through your medical query I understand your concern for your husband’s health and I would like to tell you that atrial fibrillation generally do not require any pacemaker if not associated with life threatening cardiac arrhythmias. To avoid complications of atrial fibrillation he needs to take a blood thinner along with other cardiac medicines. Warfarin or Debigatren is the choice of drug and you need a medical prescription for this. So, kindly consult a Cardiologist personally for further management. Hope I have answered your query. Let me know if I can assist you further. | 18,599 |
Suggest remedy for severe pain in the shins and leg muscles | Patient: Hello Doctor, I have started jogging 10 days ago.. But for the last 3 days I have been experiencing a severe pain on the lower portion of shin bone of both legs and the muscles associated with it.. I cannot even walk or squat without pain.. I have used a couple of oils and ointments but all in vain.. I just want to know whether or not it is a serious issue... Thanks.. Doctor: Hello,I have studied your case and I can assure you that it is not a serious issue. It is quite common in people who start running without any preparation. You need to properly train your self before running. Though it is not a serious problem. You should first increase your exercise stamina by walking and than gradually increasing speed. Also if it is painful than you should take Pregabalin M one daily. Also regular calcium and vitamin D3 will be helpful. I hope this treatment will be helpful for you. Let me know if there is any other followup questions.thanks | 138,406 |
How can hair loss with scalp itching be treated? | Patient: Hi, my name is Shauna i am 24 years of age i am 6 1/2 stone i have kidney problems and bladder problems. I have recently experienced problems of hair loss. It stared with my hair gradually falling out when i washed it. Now my scalp itches everyday and my hair is falling out more. I have notices red spots on my scalp and behind my ears. I have tried loads of different shampoos like head and shoulders and tea tree and polytar but nothing is helping. my GP even put me on demotive scalp lotion but that didnt work either i dont know what to do. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You seem to have seborrheic dermatitis of the scalp. I suggest you to use a ketoconazole based shampoo, every alternate days. In addition I suggest you to apply a topical steroid lotion e.g mometasone furoate lotion, twice daily. Regards, Dr. Kakkar S., Dermatologist | 10,423 |
What causes pain in the upper back/neck after head injury? | Patient: weight fell on my head and from this I have some pain in my shoulder blades or middle of my upper back and depending on the position of my body its hard to take a deep breath. funny thing is before this I seemed to always have pain in back of my neck shoulder and head but now its gone Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. It could be muscle sprain or fracture.2. Get an x-ray of neck done to rule out any fractures. If no fractures, you might require a cervical collar support for few days. Later on physiotherapy and neck exercises are necessary.3. If pain is severe, you can take NSAID pain killers.Hope it helps.Any further queries, happy to help again. | 109,776 |
What causes lung pain with dizziness and nausea? | Patient: I am a 24 year old female. For the last 2 days I have been experiencing pain in my lungs while breathing, random dizziness/nausea, my entire body turned bright red, and I have been experiencing exhaustion when trying to climb stairs or do anything that involves physical activity. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Your symptoms, shortness of breath, chest pain, Redness of the body, nausea etc are seen with asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose asthma but also tell you about severity of the disease and treatment is based on severity only. If PFT is normal then consult psychiatrist to rule out stress and anxiety. Don't worry, you will be alright with appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 74,057 |
What is the treatment for plantar fibroma in both feet? | Patient: Hi I am a 49 year old female with planter fibroma in both of my feet. My left foot being the size of a golf ball.Walking is very painful and I am on a large amount of pain relief. My specialist has sugested that I have chemo and ray treatment. Have you heard or seen anyone else that has had this treatment? Doctor: Hello, If the fibroma is malignant the chemo and radiotherapy may be advised. But need a biopsy to be done before taking up the call. In most cases, the fibroma is non-malignant so chemo and radio might not be advised. I will recommend to have a discussion for the same with the respective doctor and figure out if it's malignant or non-malignant. If non-malignant than trying out physiotherapy will be of benefit. Doing exercises of the foot, mobilization, MFR, TENS therapy, etc would give good results. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 123,554 |
What causes lump on upper thigh, burning and numbness in right knee? | Patient: I have a small lump on my upper right thigh, it seems in increase in size a fair bit, however I get a burning, numbness and pulling into my right knee, it recently started pulling around my outer knee. I also have lower back pain and on my feet all day. What is this? Doctor: Not to worry much about this this is nothing but a neurofibroma or a bursa like inflammatory condition.Please go for an FNAC test to relieve your tension.All the best and regards, | 66,667 |
Small, skin colored bumps on shoulders, spreading to back, chest, stomach. Dust allergy? | Patient: i noticed just a couple of very small skin coloured bumps (likegoosebumps) on my shoulders a week or so ago,it has since been spreading slowly i now have them on my back, chest and a few appearing on my tummy. i began to get a little itchy today. i dont frequent the ocean or pools. i did handle very dusty christmas ornaments (i was setting up the decorations for a small mall and was scratched by thema fair bit). an d wehave stayed at a hotel recently, my husband has nosymptoms at all . Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. Your rash-like skin eruptions could possibly be due to an allergic reaction or a heat rash (if you are living in a tropical country or exposed to heat / sun). I would suggest the following remedial measures: - you can take an anti-histamine (anti-allergy) medication like Pheniramine or Cetrizine (which should be available over the counter) - you can apply an emolient like calamine lotion to soothen the skin and relieve the itching - avoid sweating or dirt accumulation by taking frequent baths - avoid exposure to dust or irritants - avoid perfumed or strong soaps, perfumes or lotions If the rash is worsening or you develop any other complications, please see a doctor for further evaluation. Wish you all the best. Regards, Dr. Jonas Sundarakumar | 104,831 |
Is cosmelite safe for skin pigmentation ? | Patient: Hi, I m 25 years old male....I has black spot on my nose....as it seems hyper pigmentation....one of my friend suggested cosmelite so from last 4 weeks I m using the same and it works.....but then my anther friends suggested to stop using as it harmful to skin....can u pls suggest what would I do?? Shall I continue or stop using?? Doctor: Hi. Thanks for posting your concern at HCMCosmelite cream contains Mometasone, tretinoin and Hydroquinone. It is usually prescribed by dermatologists for Melasma and Pigmentation over face.Usage is limited to 2-3 months because prolonged use can lead to steroid related side effects like acne, photosensitivity, skin thinning and telangiectasis, facial hair growth specially in females.It should always be used under the supervision of a dermatologist and that too for not more than 2-3 monthsI would advice that you visit a dermatologist who might ask you to use a triple combination cream like 'cosmelite' initially for 2-3 months but after that usage of a cream containing ingredients like kojic acid, glycolic acid, arbutin, tetrahydrocurcumin, magnesium ascorbyl phosphate OR liquorice extract is advisable which are safer to use in long term.Use a Broad spectrum sunscreen, which is a must throughout the day.take careregards | 11,625 |
How to get rid of the dizzy feeling that persists after going on roller coasters today ? | Patient: I went to a rollercoaster park and went on roller coasters today and now im trying to sleep for some reason when i lay down and close my eyes i get the feeling that i am on the rollercoaster and i get all dizzy and just feel awful please how do i get rid of this Doctor: You should make sure you are getting enough liquids and food to avoid these possible factors in dizziness. I would also avoid rollercoasters until your dizziness resolves. You may have a sensitivity to the rapid movements involved in riding a rollercoaster. See a neurologist if the dizziness does not go away. Thank you. | 144,957 |
What is a natural alternative to ferrous sulfate? | Patient: hello, I got diagnosed with anemia. My hemoglobin dropped from 12 to 9.4 in a year, and my doctor prescribed me ferrous sulfate. However, I don't like taking medication. So I was wondering if I can substitute it with naturally occuring iron form vegetables, fruits and so on. Thank you Doctor: **1. since your doctor prescribed you with ferrous sulphate, which means that he must have gone through other causes for decrease in hemoglobin, if not check with second opinion regarding thorough examination and investigation,PS. i.e. whether anemia is due to i. body producing fewer red blood cells [Nutritional deficiency/inflammatory bowel disease/worm infestation]ii. they are destroying faster, or [any hemoglobinulopathies]iii. there is any hidden/chronic blood loss. [peptic ulcer/piles]PS. Before starting on any medicine it is very essential to find the exact cause of low Hemoglobin. 2. . Stop the intake of coffee and tea because caffeine is the major culprit which stop the iron absorption into blood.. Iron is best absorbed when taken empty stomach. . avoid initially high fibre diet (salad) as it interfere with iron absorption. . check with Iron level, regularly as unnecessary intake will result in iron overloading. absorption of iron requires Vitamin C, thus amla is best/idealPS. It will be more beneficial and diagnosis will be early if you visit to Hematologist.3. use green leafy vegetables,eat carrot,beet, dates, papaya, pomegranate,stop fast food , fried stuff and go for regular walk .4. Medicines You can use is/are: Amala, Ashvagandha,Shatavri, navayas churan,lauha assav, punarnava mandur, arogya vardhini vati, manoll malt [charak] | 214,709 |
What are the symptoms and treatment for bipolar disorder? | Patient: I am a 34 year old male who has symptoms of bipolar disorder. I observed while on a low carbohydrate diet that all of my bipolar symptoms seem to have gone away. I am having troubling excepting a diagnosis of gluten intolerance or diabetes since my blood sugars are not remarkable or irregular. I have read about some fungus and other diseases which may attack the CNS by exploiting the sugars from carbohydrates. The manic episodes from the carbohydrates are GONE (no racing thoughts) please help me I am a school teacher who is unemployed now because the only medicine which allowed me to control the racing thoughts was lithium. It is hard to be effective when medicated to such a degree. Please share any thoughts or suggestions. Doctor: Hi.I had gone through your query.Bipolar disorder is defined by sudden changes in mood along with irritability.It has two phase. 1. Depressive phase. 2. manic phase.Line of treatment is different for both phases.Diet like you mentioned has very limited role. It has no effectiveness as medicines.Lithium is gold standard molecule that working in both phase of bipolar disorder.Mood stabilizer is the choice of medicines in this conditions.It can be treeated with medicines like lithium/sodium valporate/lamotrigibe/olanzapine but choice of drug depends upon clinical presentation.So consult properly and get further help.Thank you.I hope i have answered your query. | 206,129 |
What causes pain on right lower rib cage? | Patient: During the last trimester of my first child I experienced pain at my right lower rub cage. 14 years later I am still having this pain and discomfort. It is like I have a bruise on my rib cage, it is extremely uncomfortable to sit and tender to touch. Doctor: Hello,I have studied your case and I think that it can be stress fracture. This is due to low vitamin D or calcium. Some time it can be due to injury during labour. I would recommend you to get digital x ray of the ribs to confirm the diagnosis. If there is any fracture then you need to increase your calcium and vitamin d 3 intake. Also injection of partharmone taken for six wees may be helpful.I hope this answer will be helpful for you. Let me know if there is any other followup questions.thanks | 137,841 |
What does' parasites a)vegetative-nil b)entamoeba hystolytica-1-2/hpf c)ova-nil'indicate? | Patient: Hello , yesterday i went to a dr for my allergy issue, he Asked could me to have 3 tests first , urine d/r , stoolr d/r and hematological test, u plz tell me what my stool d/r report indicates , and if there is something i should be worried about ; Stool d/r report A-PHYSICAL Color->brown Consistency-> soft Mucous->nil Blood->positive Worms->nil Reaction-> acidic B-MICROSCOPIC RBCs-> 0-1/hpf PUS Cells->6-8/hpf Macrophages->nil Undigested food(if excess)->nil Epithelial cells->nil /hpf Fat globules->nil Bacteria-> more than normal PARASITES a) vegetative.... Nil b) CYSTS..ENTAMOEBA HISTOLYTICA.. 1-2 / hpf c)OVA...Nil Doctor: Hi,From your stool report it indicates that you might be having mixed gastro-intestinal infection.You are having amebic and bacillary dysentery germs in your gastro-intestinal tract.Consult your doctor for the treatment.Ofloxacililn, tinidazole combination medicine course will give you relief.One of the reason of your allergy might be this.Ok and take care. | 102,473 |
What causes pain in the upper chest and back along with nausea? | Patient: Since last night, pain started in my upper chest area and upper back, if I try to eat I get sick, it is a heavy feeling in the chest area and if I turn my body to the right or left it gets worse. The shoulder blade pain is just a achy sharp pain that will not go away. I have taken tums just in case it is heart burn but now I am nauseous and it is making the pressure in my chest and back worse Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Can be due to gastritis or hiatus hernia. Antiemetic and antacids can help. I hope this information has been helpful for you. Regards, Dr. Praveen Tayal . | 106,647 |
Suggest treatment for mental disturbance after Vyvanse overdose | Patient: My brother took too much of his Vyvance (ADHD medication) two days ago. He said he was very very anxious and freaking out, but the side effects are gone. But it has been almost 48 hours since he has taken the meds and he says his head feels weird, like mentally. He suffered fom a pretty bad case of depression about 5 years ago, and i am worried this has triggered it again. Can you give me any advise on what he needs to do. Doctor: Hii had gone through your query.ADHD means attention deficit hyperactive disorder can be treated with multi modality approach.vyvanse is amphetamine derivatives and now a days it is not a choice in ADHD.It is psycho stimulant can cause many mental disturbances including psychosis and hallucinations.So Go for better alternative is good treatment.There are many alternatives like methylphenidate, clonidine etc.So discuss with treating doctor and get advise.Thank you. | 206,270 |
Trying to conceive, ovulation in both ovaries. Chances for twins? | Patient: i am 27yrs old. before 1.5yrs i got married but i have not yet a any child.in last 2 follicular study an egg is develop only right ovary ,but this month in June my both ovaries have an egg, in right ovary 15mm on 13th day and in left ovary 11mm on 13th day. i want to know is there a twins chances or only one egg fertilise? Doctor: Hello. Thanks for writing to us. Usually the dominant follicle develops in both the ovaries but only one of them ruptures to release a mature ovum. In your case too, the chances of having a twin pregnancy are not more then 2%- same as with other population. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected] | 6,247 |
How can a deformed finger be corrected? | Patient: hello I have a friend who just gave birth to a baby girl with deformed finger. Instead of a normal formed finger pad for one finger, this little girl is borned with a squarish finger pad and a protruded finger nail at the side of the affected finger. Is this a birth defect and what causes it? Can this be corrected and when can this be done? Doctor: HiWelcome to the HCMThe reason can be congenital or intrauterine growth defect. Don't worry as it can be easily treated by plastic surgery once she grows up.Hopefully it will be of help.Take care | 170,292 |
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