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Have dizziness, cough, taking AB phylline, montek, took deriphyllin injection. Have COPD, seroflo, butadine inhaler when difficult breathing | Patient: Hi, I am 60 years old and have COPD. I have been taking butadiene inhaler whenever I have difficulty in breathing and seroflo once in the morning. Two weeks back, I had difficulty in breathing and took deriphyllin injection, when I was prescribed AB Phylline (Acebrophylline) - 100mg and Montek LC. I took 7 tablets of AB Phylline and 5 tablets of Montek. After the intake, I had symptoms of dizziness and severe cough. Doctor: Hi, dizziness may be due to some side effects of medicines. COPD is a serious disease if not treated well, so first of all increase your stamina slow and slow so that lung capacity will increase in your chest. Mind it this is not a treatment but supportive therapy. Montemac and levocetrizine both are anti-allergic so might produces some dizziness. If acerophyllin is not working properly change it after the advice of doc. Coffee is also a bronchodilator ,so in emergency it can be used for time being.Good luck | 104,054 |
What does "fluid with fine echoes seen in the right scrotal sac" mean? | Patient: hi doc got hurt in my testicles by a cricket ball. my report says fluid with fine echoes seen in the right scrotal sac (vol 101 cc).& physiological hydrocele seen on left side.volume 1.0cc is it complicated or have to be operated to remove fluid? pls let me no m worried Doctor: HelloYour findings suggests gross right hydrocele.It is most probably due to trauma and fine echoes may indicate blood components inside it.1.0 cc fluid in left T-V sac is acceptable.You may need definitive treatment for right sided gross hydrocele.You may need eversion of sac in right side.It is a small operation and recovery is very fast.Get well soon.Take CareDr.Indu Bhushan | 198,630 |
Does a 40 mg tablet cut into two equal half act as 20 mg each? | Patient: My doctor prescribed to take 20mg Micardis every morning. However no 20mg tablet is available in the country, 40mg is the lowest dosage. Can I cut the 40mg tablet in half to take 1/2 and save the other 1/2 for next day dosage? There is no line one the tablet to indicate where to cut. If yes, how should I store the other 1/2 of the tablet? Thanks Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes half tab of 40mg serves as 20mg. So you can cut the tab into two halfes and both will serve as 20mg each. You can store the half tab in same container as it was earlier. Hope I have answered your query. Let me know if I can assist you further. | 18,487 |
Is Lichen planus pigmentosis hereditary ? | Patient: Hello sir, I had one more query .... is Lichen plasus pigmentosus hereditary??? or is it a genetic disorder??? Is it transmitted to next generation???? Also is it caused by exposure to sunlight???? Doctor: hi exact cause of it is still not clear. but heredity play major role sunlight is the big factor in contribution. use good sun screen and avoid direct sunlight. | 12,025 |
What is the treatment for abdominal pain and nausea while suffering from cyclic vomiting syndrome? | Patient: My wife has been diagnosed with cyclic vomiting syndrome..........Is there anything we can do for the chronic stomach pain ...........She goes through vomiting attacks, with bouts of diarreha or constipation, sweats, severe stomach pAIN......Right now she has severe stomach pain and nauseau wityh vomiting..........She is 55... Doctor: HI. Associated diarrhea or constipation needs more attention than the vomiting as the root cause can be in the intestines giving vomiting as a reflex mechanism. I hope she has been well investigated for the intestines too. I would suggest to undergo such patients Contrast Ct abdomen, endoscopies ( camera endoscopy if available) , Enteroclysis if needed. It would be better f you consult a Gastro-Surgeon. | 92,207 |
What severe nausea and headache be due to amoebic liver abscess? | Patient: Hi, recently I was affected by amoebiasis along with blood in the stool and my doctor prescribed me Ornof, Bestozyme and 3 doses of Zentel. After that, blood in the stool has stopped, however, I am having pain on the right side of stomach, right chest and lower abdomen. Also, I am having severe nausea and headache. Could this be amoebic liver abscess or any other complication due to amoebiasis? Doctor: Hi thanks for contacting health care magic.....Noted you had amebic dysentery and given correct treatment for it.....As dysentery leads to ulcer in colon , so right side pain can be there ....If Colitis is there by ameba then also pain can occur....As the pain is on right side rule out amebic secondary liver abscess ....USG abdomen useful for it.....Complete the course of antibiotic.....Soft and bland diet taken....Excess spicy foods avoided....Fried food less.Fruit juice more.....Small meal taken with frequent interval...If still condition worsen even after completion of antibiotic course then consult physician for further examination and accordingly investigation....Take care.....Dr.Parth | 54,270 |
What could cause a irritating tight stomach feeling accompanied with bloating feeling? | Patient: Hello, I am feeling like tight stomach & Some king of irritation on left side rib towards billy from last 3 days . I have suffering with bloating also. Please advise the mediation. Now I am using ULGEL-A . I got quite relief now. Can I use this further 2 to 3 days? Doctor: hi,if you are getting relief with ulgel you can use. i suggest you should get investigated with ultrasound to rleuot gallstone& endoscopy to rule out acidpeptic disease | 91,718 |
What causes dizziness during pregnancy? | Patient: Dear doctor, I am now 6 months pregnant and suddenly feeling so full of myself. I ate well yesterday but suddenly after about 4 hrs i threw up everything. I hv noticed neusia late night when i wake up to drink water. I feel also mild headache and dizziness, baby s movements are alot is all ok? Doctor: Hello!Welcome on Healthcaremagic!I understand your concern and would explain that your symptoms are quite normal during pregnancy. They do not indicate any serious medical disorder. The nausea after eating could be related to abdominal distension or gastro-esophageal reflux. The headaches and dizziness could be explained with the low blood pressure, which is a common finding in pregnant women. For this reason, I would recommend you to eat more frequently, in small portions and avoid large meals. It is also necessary to monitor your blood pressure values. Hope you will find this answer helpful!Best wishes, Dr. Aida | 142,584 |
What causes throat irritation with unproductive cough? | Patient: i HAVE A SCRATCHY, SLIGHTLY TENDER THROAT, WITH A DRY COUGH AND A HEADACHE. I FEEL LIKE I HAVE AN EXTRA WEIGHT ON MY CHEST AND I AM VERY TIRED. IS THIS JUST A COLD OR SOMETHING MORE? I DON'T HAVE A FEVER BUT THE SUDDENESS OF THIS ILL FEELING HAS GOT ME A LITTLE WORRIED. Doctor: Hello,Thanks for query.I have gone through your brief history and I can understand your concerns.All the symptoms you have mentioned suggestive of pharyngitis(inflammation of your throat) which is commonly called as sore throat or strep throat.It could be followed after an episode common cold. I have seen many similar cases in my clinic, you don't need to worry regarding this since it can be cured completely with timely treatment.I suggest you to consult a nearby general practitioner and get the following things done:-(1)- A short course of antibiotic is necessary. You can go amoxicillin which is quite effective against the streptococcus bacteria causing the illness.(2)- You can take acetaminophen or ibuprofen fore pain and fever.(3)- You can also have a over the counter expectorant cough syrup. It is better to avoid codeine containing as it can cause complications.(4)- Do warm saline gargles or gargling with a numbing mouth wash to get relief from scratchy throat.(5)- Avoid cold and spicy food.(6)-Drink plenty of oral fluids to keep yourself hydrated.Most cases improve with this measures,if symptoms persist despite all these additional investigations like throat swab and basic blood routine are needed.Hope I have answered your query.Regards.Dr.Shinas Hussain | 29,794 |
Is hemadialysis safe for hepatitis B? | Patient: Greetings. I have creatinine 5.4 not diabetic but have extreme anemia and have hepatitis B . Bp 140/80. I m getting ready for dialysis. Will I get any side effects after going on hemodialysis. Since I have hepatitis B? How big of a chance will I die during a dialysis section? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Dialysis doesn't cause any harm to a hepatitis B patient. The matter of concern is that the machine has to be sterilized thoroughly as it can transmit hepB to other person using the same machine. Hope I have answered your query. Let me know if I can assist you further. | 52,528 |
What is the treatment for severe hair loss? | Patient: Hi I am 39 year old female , havin g lot of hair loss problem some what say 3 years back I have the problem of Jaundice and typhoid ..... where for 7 days I go for alopethic treatment and then for ayurvedic treatment .....last year I gor the problem of mild para typhoid and Dengue......are those problems cause my hair loss OR My hair style for last many years I used to tie my hairs very tightly now form last 2-3 months I have changed my hair style......Now My hair line have decreased on frontal part and top of the head the hairs are very thin ......From last 3 months I am taking treatment from dermatologist he have suggested solution like tugain 2%, entic lotion and plantur 39 daily with Iron and Trichoton ,complamina tablets is the treatment proper or I have to change my doctor as after treatement has started my hair fall have increased...Kindly suggest something. Doctor: hello, welcomei explain everything about hair loss in point wise manner1. 100-150 hair fall every day is very normal. So should be consider hair fall if number of hair more than this.2. Generalized hair fall in female is mostly due to stress, poor sleep, poor nutrition and excessive blood loss due to menstruation3. Stress alopecia is also common in which female keeps their hair very tight in certain manner which creates tension in root and cause hair fall.4. Straightening and other procedure also cause weakness of root5. Other condition like fever, ptyphoid, maleria, thyroid, etc also cause hair fall( less common)Treatment1. Have good sleep. food., green vegetables , fruits2. Take iron and multivitamines like follihair atleast 3 month.3. Check you blood hemoglobine if it is less iron and folic acid supplements should start.4. Check thyroid and diabetes to rule out other cause | 10,859 |
What is the prognosis for Grade 2 fatty liver disease? | Patient: Sir, I have grade2 fatty liver but otherwise I am active with good apetite . dr has told me to abstain from Alcahol and prescribed me medicine Heptral for 4 weeks. Is this cureable and how long can I survive if I totally avoid alcahol and fatty food? thanks Doctor: Hi,Don't worry about fatty liver condition, it is not life threatening condition. Follow below advise for fatty liver.- Avoid alcohol drinking - reduce weight if obese - regular exercise - refined good and fatty foods restricted very less - use less Pol in cooking and sunflower like good oil used - cheese, burger, pizza, fried non veg etc restricted very less - good food for liver like carrot, onion, Indian gooseberry, lemon juice, fruits, avocados, spinach etc consumed more - udiliv 300 mg tablet taken two times a day - vitamin E tablet also can be prescribed Gradually fatty liver will improve in few months. Regular follow up done. Consult gastroenterologist for examination and discuss treatment plan as I suggested.Hope your concern solved. I will be happy to help if you have further queries.Regards,Dr. Parth Goswami | 53,327 |
Suggest treatment for cough ,cold and wheezing in a child | Patient: Hello Doctor, My name is Srikanth.We have a 16 months old son and he was very healthy till his 11months.After that very frequently he is suffering with cough,cold and wheezing but no fever.One Doctor daignoised n said that he is suffering with bronchiolitis n gave him lc kid for 1 month n few other drugs for 5 days..And now finally we came to know that he is allergetic to all kinds of cold things..If the cold,cough n wheezing starts sometime we r doing nebulizing n syrup for cold n cough n he is coming back to normal within 2 days.I have read so many blogs n so many docs were saying that this is normal condition untill 6yrs..But i am scared that my son might have any other chronic disease like T.B or any other lung diseases.Please suggest me do we need take him for any tests?? Thanks and Regards.. Doctor: Hello,Thank you for asking at HCM.I went through your son's history and would like to know more about him as follows:a. What is the frequency of his wheezing? Any seasonal variations?b. What are his nose symptoms - running nose, congested nose, sneezing, etc?c. Does he cough more during day or night?d. Does he vomit or nauseate often?e. Does he have gastric disturbances like constipation, frequent stomach pain, frequent diarrhea, etc?f. Did he have any skin problems/allergies since birth?g. Does any of his family member have allergies?Above details would help me to know more about his health and therefore to make suggestions more specifically for him.At present, from your provided details, I would like to make suggestions for him as follows:1. As long as Tb and other chronic lung diseases are concerned, I would think about them only if he is almost always sick, he does not respond to nebulization and other medications, he has serious weight loss, etc. If he does not have above features, I would not think of any serious cause.2. Wheezing is very common in this age and there are many causes like allergies, viral infections (including bronchiolitis), gastroesophageal reflux disease (GERD), childhood asthma (non-allergic), etc. So detailed history is important before suspecting a particular diagnosis and suggesting any investigations.3. I usually prescribe my such patients regular montelukast + levocetirizine which helps for most symptoms. If he develops wheezing, I suggest them nebulization with salbutamol or levosalbutamol on as-and-when-needed basis.4. Cold air, cold drinks and cold foods should be avoided in general, especially if they are aggravating his symptoms.5. Also, please avoid exposure to dusts, smokes and air pollution as much as possible.6. It is usually true that around 70-80% of the children improve by the age of 6-7 years.Hope above suggestions and information will be helpful to you.To summarize, if your son does not have any of serious symptoms mentioned in point 1, I would suggest you not to worry. Of course, precautions related to diet and environment are important for maintaining health and improving immunity.Wish your son the best of the health ahead.Thank you & Regards. | 175,565 |
Suggest treatment for joint pains, spine problems and weight gain | Patient: Joint pains, spine and digestion problem, foot swelling, increasing weight. No improvement with Ayurveda, physiotherapy, accupuncture. What other forms should I try? Doctor: Hello, Consult a spine surgeon and plan for an MRI scan to rule out spinal deformities. In severe cases, surgical correction might 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 | 123,591 |
What is the treatment for depression and insomnia? | Patient: For about two and a half years, I had SEVERE depression, but I think there may be a larger psychological issue. It came out of nowhere and left the same way. No traumas that would have been a trigger. Here are only a few of the symptoms: SEVERE depression Talking to oneself Weeks of insomnia at a time Issues with food (signs of ED) Inability to function Inability to remember or retain information Complete isolation and distrust of people Numerous panic attacks (sometimes more than one day) Very paranoid Periods of inability to cry Graphic nightmares Both restless and fatigue This was the scariest thing I have ever been through in my life and I am afraid that it is going to return and be even worse. I have no clue what caused this, why it lasted so long, nor why I got better. Any thoughts on what this may be or feedback would be helpful Doctor: Depressive disorder is a medical condition that has psychological symptoms. 1. It may at times be precipitated by a stressor. However, often there is no psycho-social stressor.2. An episode of Depression may last from weeks to years. It is not possible to predict the length of episode unless there is a clear pattern in the past (even then one can't predict for sure).3. Episodes of Depression are often self-limiting. One recovers on one's own.4. It is possible that you may never have another episode all your life in future. However, if you do get the symptoms you describe in future, you should consult a psychiatrist.If Depression is treated, one can recover much earlier. Another reason, why one should treat Depression is that medicines that are successful in treating earlier episodes often work in the future episodes. The chances of future episodes being longer and more severe increase and the chances of response to medicines decrease if earlier episodes are not treated with antidepressants.Combination of antidepressants and therapy such as behavioral or cognitive behavioral therapy gives best results. | 207,722 |
What causes difficulty in conceiving? | Patient: Hi I am Stella Mary,23 yrs female.weight -60 kg.height-165 cm. I got married 11 months back. for the fist 9 months my husband and I were not planning to have a baby and we avoided by using condoms and safe period. Now for the Past two months we are planning to have a baby but i didn t conceive. My problems are: 1) i never attain orgasm during sex even after 15-20 min,though my husband attains. but i always attain orgasm if i masturbate. -Is this a problem with me or my husband fails to stimulate me? -though i don t attain orgasm with him,i feel satisfied and it gives me a pleasure.but Can i get pregnant only if i attain orgasm? 2) my cycles are mostly regular-30 to 32 days(since i attained menarche),normal flow,no dysmenorrhea.Occasionally when i am deeply emotionally stressed periods gets delayed further by 2 or 3 days,but never more than 35 days.all my cycles are initially slightly painful(not severe dysmenorrhea).i have mid cycle pain,irritability and breast tenderness just before my periods. -am i suffering from PMS? - can i assume that i am ovulating because of all these?or should i get tests done? -it has been just two months since we are planning for a baby.so should i wait more or can we consult a doctor after a month,since it is one year after marriage? THANK YOU Doctor: Higreetings. you are absolutely normal as far sex is concerned. There are more than 40 %of women who will not get orgasam during intercourse and they need to be stimulated.You both can involve in foreplay for more than 15 to 20 min and masterbating by clitorial stimulation will definitely reach orgasam for you.since females can have multiple orgasam intercourse can be immediately followed by your orgasam. So that both of you will be satisfied.coming to fertility.your husband can get a semen analysis done from a very good laboratory who are familiar with semen analysis as there are lots off fallacies with semen analysis.If it is normal you should be having daily intercourse from 10 the day of your cycle for 10 to 12 days continuously. usually ovulation happens 14 days prior to expected date of menses if your cycles are regular. since it cannot be predicted it is better to start intercourse from 10th day.You can try for 3 months like this if semen analysis is normal. still no pregnancy it is better to get it evaluated. day 2 hormone analysis ,ultrasound scan etc .hope you are convinced. Regards | 40,908 |
Ho to get rid of lump in my breast without surgery? | Patient: hi i am . i am 26yrs. i have a lump in my breast and after monography my doctor said this is not a cancer . she gave me evion 400mg capsules for three months and after one month she will check me again . i dont want to remove this lump . suggest me what i have to done for avoid this sugeory process.. Doctor: Hi ! Good evening. I am Dr Shareef answering your query.Even though the lump might have come as benign in mammography, if I were your doctor, I would advise you to get it removed or atleast get it confirmed as a benign one by FNAC (fine needle aspiration cytology). Then you could keep it under regular check up and observation.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | 69,157 |
Lower back pain, leg pain. Done physiotherapy. MRI shows protruding disc. What should I do? | Patient: Hi, I am 23 yrs old and I am having continuous back pain in lower back area from past 1.5 yrs. There is also pain in my left leg . I have consulted many doctors but couldnt get any permanent cure. I even undergo physiotherapy for around 5 months. MRI reports show that I have a protruding L4-L5 disk. Recently a doctor advised me to go for a surgery . What should I do? Doctor: Thanks for the query. In case of disc herniation at L4-5 level, it usually causes low back pain and leg pain. Initially it is treated with pain medicine and physiotherapy sometimes nerve root block is tried for pain relief. However if pain persists for months ( as in your case) and if your MRI findings and clinical findings match then surgery usually gives definitive and permanent cure to this problem.Thanks. | 113,440 |
Will ketones during a pregnancy cause a baby to have low IQ? | Patient: I am 37 weeks pregnant and I have had Gestational Diabetes - this morning I found a large amt of keytones in my urine- this would be the first time- I am very concerned since I have read that having large amts of keytones can cause a very low IQ in babies later in life- should I be concerned? I have a call in to my endocrinologist- Doctor: Hello,I have gone through your query and understood the concern. The effects of ketonemia on the unborn fetus are not clearly known. Though it has been stated that there can be low IQ in the babies born after maternal ketone bodies are high, it is suggested that the actual reason behind this finding is the inability to maintain the insulin levels that could be causative. To this effect, maintenance of an effective diet is helpful to control the ketone bodies. Moreover, since you had only one episode and also as the baby is term, you need not worry. Hope this helps. | 219,279 |
What could cause cream colored sputum and on and off blood in cough in the mornings? | Patient: sir i have facing a problem of having semi solid cough in the morning....with some white/cream colored sputum...some times in extreme conditions like heavy smoke etc i also see some blood particles in the cough but only in the morning.i do not smoke!! Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. Lung infection and bronchitis are the most common causes for cough, expectoration with on - off blood. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray 3. PFT (Pulmonary Function Test). Chest x ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You may need antibiotics, antihistamines, inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright with all these medicines. Hope I have solved your query. Wish you good health. Thanks. | 78,498 |
What causes episode of dizziness and cold sweats? | Patient: My husband just had a sudden case of dizziness and cold sweats. He's an otherwise healthy 57 year old. This happened to him about a month ago and just out of the blue. He said he wasn't feeling any nausea, just dizzy and light headed. I'm worried about him because this is most unusual. Doctor: Hi,These symptoms generally occur when bp is either high or low.So please check his bp during such episodes.ThanksDr Sameer Maheshwari | 23,207 |
What does lump on stomach indicate? | Patient: hi what could my fried who is 22 yrs be hahing.she is having a painless lump in her stomach.a scan has bee done on her and she is told she is pregnant howeever she has been receiving her monthly periods as ussual.the lump has bee there for close to one year now. Doctor: Hi,please mail the report -as your lump is for 1 yr story.If its pregnancy-would like to continue-if its normal baby-I will revert with the solution to the painless lump...after I get the -1-report of the Scan done-2-And photocopy of the abdominal-scan.Thnks Wellcome for the followup queris to fix the issue. | 65,045 |
Suggest treatment for a lump on the forehead | Patient: Hi, i just notice a lump that developed on my forehead directly above my nose and is an inch above my eyebrows so on my upper forehead. I have only noticed this one other time and it went away within a day. It does not hurt to touch, i did not bump my head, i do not have any allergies or take any meds. Doctor: Hi.Thanks for your query. No other lumps than the allergic also called as urticarial can come and go in a single day. From the description you have provided, the lump you noted looks to be an urticaria. I would advise you to take an antihistamine like cetirizine and see the results . If there is no response, you can always have a consultation of a Doctor as a detailed history by a Doctor and examination give you a confirmatory diagnosis and treatment . | 67,234 |
What causes chest pressure after mitral valve repair? | Patient: I had a mitral valve repair in July of 2009. Last Wednesday at my annual physical my PCP said I had an abnormal EKG ( he said it showed a possible problem with the right side of my heart ). I have felt pressure in my chest especially when I exercise & just a little bit when at rest for about the last 6 weeks which I ignored until my EKG result. I have an appointment with my cardiologist in 9 days. What do you think are the possibilities? Thank you in advance for your thoughts. Howard Watt Doctor: Hello ,More and exact information about the status of mitral repair and the right heart will be available as we get a 2 D echocardiography done . The cause of the same depends on the reason why mitral valve repair was done . Generally the possibilities are 1) Higher lung pressure causing right valve leak , dilatation or decreased pumping 2) The repair has lived its time as its 7 years , and the disease might have progressed 3) Any new mitral disease 4) In previous era , tricuspid valve was not repaired even if it had moderate to severe disease considering its self healed after mitral repair. So the same may have progressed 5) Fall in function of left beart post mitral repair . There can be hundred assumption, an 2 d echo and examination by your cardiologist would help get to exact diagnosis. The treatment for the same is based on etiology . Regards Dr. Mody | 20,706 |
What causes recurrent fever after a fall? | Patient: My son fell from bed heads on, and didn t vomit or pass out. However, we put him to sleep as this was his sleep time. After two hours he woke up, and we felt he had a fever. We gave him brufen. He got well and played, walked and watched what he likes. He is 13 months old. After 6 hours he had again a fever of around 100F. Could it be consussion and should he be taken to a doctor Doctor: Hi, according to me I think since the kid fell and did not have vommiting, indicates there is no concussion. The fever is incidental , which can occur after a fall. This is normal. Give the kid paracetamol, probably every 6 hours once. If even after two days fever does not subside, kindly visit your paediatrician....Take care. | 177,286 |
Suggest treatment for low blood pressure | Patient: Hi, may I answer your health queries right now ? Please type your query here... Yesterday an elderly lady passed out on me in the shower. She had a blood pressure of 40/110. She ended up having blood as her hemaglobin was 80. Today I discussed this with my uni tutor she said no way could she have bp that read that. She told me I was wrong. Could the BP be correct Doctor: Hi, The correct interpretation of this BP is 110/40 mmHg and yes, that is possible and in fact, we do see this in a lot of our admitted patient. This reading of BP can cause loss of consciousness, giddiness and the patient should be given fluid with some salt temporarily before taking her to a medical facility. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameer Maheshwari, Cardiologist | 17,285 |
What is the cause of dropping energy level? | Patient: 46 yr old male always been very active have just lost my energy level. I find it hard to get things done I need to get done at home in great shape and no health issues .health check up every year. tried everything just can't put down smoking cigarettes. even sex drive has dropped Doctor: DearWe understand your concernsI went through your details. You are sure that you have no health issues and health check ups are done every year. You are 46. Everyone has phases of low energy when we just want to veg out on the couch. But prolonged mental and physical fatigue and chronic low energy can be a sign of serious health problems. One of the possible reasons for your low energy, at your age group, could be a significant drop in testosterone levels which can result in a reduced sex drive as well as fatigue. Hypothyroidism, or low levels of thyroid hormone, can also wreak havoc on your energy levels. Your fatigue may be due to a lack of sleep or poor sleep quality. Other possible causes could be depression, anxiety etc.I suggest you to consult a physician for detailed investigation. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | 198,519 |
Are lumps on the face and shingles related to lupus? | Patient: I have small fluid filled bumps on my face and neck. They almost look like chicken pox.Sometime they look like a blood blister. I have had shingles running from my hairline,down my left shoulder. I also have lupus. Is any of this related? and what can I do? When they do rupture they look like a pox mark. Scab over then go away. Doctor: Dear Sir,There may be a possibility that you may be having subcutaneous lupus and discoid lupus lesions .Dr. Shruti | 82,848 |
Suggest remedy for soreness and pain in chest | Patient: I have a sore painful chest for last four hours I am tired and had a stressful morning at work but I ve no shortness of breath and I m sitting quite for last hour . I do have high blood pressure.and take medication .should I take extra as I only take 10mg daily. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. No, don't take extra antihypertensive drug by your own. This may cause hypotension and other serious complications. So don't take extra antihypertensive drug. In my opinion, we should rule out heart diseases first. So get done ecg and 2d echo to rule out heart diseases. If all these are normal then no need to worry for heart diseases. Control of hypertension is needed. Don't worry, you will be alright. But don't take drug by your own. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 77,271 |
Suggest cure for a spine condition | Patient: i had spine tb and l1 l2 got totally destructed. While mri shows total resolution of tb and it is 2 months my drug is over and i am hvg side efffects of medicines like spine is not taking my weight, palpitation inthe different places, is it possible to talke on phone, please give my mobile is 0000 rgds amarjit Doctor: Treatment of potts spine is long term at lest 12 to 18 months. It's unusual to get potts spine cured with just 2 maths of therapy with such a destructive lesion as u have mentioned. Anyway....continue ATT and wear limbo sacral corset. Consult neurosurgeon for opinion regarding surgical intervention.Hope my advice will help you. Take care. Don't forget to rate me. | 146,626 |
Diagnosed with brain atrophy. Inserted feeding tube. How does brain atrophy occur and what is life expectancy? | Patient: My mother inlaw was just diagnosed with brain atrophy . They have inserted a feeding tube since she cannot eat on her own. Previously to this, she fell and broke her hip. She had surgery to repair her hip and was in physical therapy at the hospital. She was then moved to the VA hospital where my father inlaw is and she started undergoing physical therapy. She stopped physical therapy and started to decline. The VA sent her to the hospital to see if they could help with her eating and memory . She would talk nonsense over the phone about people she knew in her past that are no longer alive and would talk gibberish. How does brain atrophy occur and what is her life expectancy? She is 80 years old. Doctor: Hi,Thank you for posting your query.I have noted the symptoms of your mother in law.She has features of dementia, most likely caused by Alzheimer's disease (AD). AD is a condition, where there is cerebral atrophy (shrinkage of brain), leading to loss of brain functions, including memory.The exact cause is not known, however, it is a degenerative disease.As of now, there is no cure for AD. However, with proper care and nursing, life expectancy can be almost normal.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in | 147,668 |
What could it be if there is bone in the socket after lower molar extraction? | Patient: Hi Dr, I had a lower molar.pulled 6 days ago due to infection. In was taking amoxicillin for 2 days prior to the extraction and all seems to be okay. however I just noticed what looks like bone in the socket...there is no pain, just wondering what it could be....thanks for your time. Doctor: Hello, Welcome Thanks for consulting HCM, you said that you feel bone in the socket after extraction it is normal not to much worry about it but for this you go to your dentist and tell him about what you feel bone in socket treatment for this is filling should be done after extraction that is alveoloplasty. | 187,757 |
Suggest remedy to cure recurring breathing problems | Patient: Hello Dr, I have 7 yrs old son, he had Adenoid and tonsil problem, when he was at 4 , he underwent surgery in Bangalore as suggested by ENT specialist , After that surgery , he is 50% ok now, that means, he can easily breath, before surgery he was having the breathing problems. Now the breathing issues starts again whenever he got affected by cold even normal time also, during at night time he is struggling a lot. It’s nightmare, we have waited so far by giving suggest nostril drops , as the surgeon suggested that he will become normal at age of 6 or 7. But we are not seeing any progress nowadays. I have the following questions; please give me your valuable answer and suggestions 1. Through test needs to be done why / what is the reason again he’s facing this similar problem, 2. What kind of treatment is required to get complete cure from this breathing issues ( please suggest without surgery ) 3. Whom we need to contact regarding his treatment , best hospital and famous specialist 4. Often he is having Ear pain, that also need to be treated I would like to get an appointment in last week of September or first week of October 2011 Doctor: Hi Dear !! Thanks for your query to HCM .Read and reviewed your query and health concerns. IN the given situation of Yours,Your son seem to suffer from-Unremoved but hypertrophic Adenoids obstructing posterior nasal air passage,with accompanied Eustachian tube infections causing earpains along with cold attacks from bacterial/viral infections.I would suggest Consults with Second ENT Surgeon and get physical examination and investigation for other causes unresolved breathing obstructive difficulties-like DNS(Deviated Nasal Septum) with recurring Paranasal Sinus infections from bacteria / TB infection/ fungal infections,before starting any definitive treatment accordingly.CT Para-nasal sinuses for cause of repeating breathing problems would be needed along with clinical assessment of your son's case.Specific replies to your queries are as follows-1. Through test needs to be done why / what is the reason again he’s facing this similar problem,-Ans-1-Yes,for this I would suggest you to Consult with new ENT Surgeon for 3rd party assessment of the reasons for recurring breathing problems in your son's case.2. What kind of treatment is required to get complete cure from this breathing issues ( please suggest without surgery ) Ans-2-If proper assessment is done,it would repeated infections could be kept to minimum by-giving healthy food with citric fruits and vegetables with high proteins and plenty of fluids, along with timely medicines to restrict infections when it occurs.Surgery could be kept away, unless its a dire need as such.And this is possible if meticulous care of nasal passage is taken with soft nasal filters/nasal masks are used , ultimately preventing infections to minimum.3. Whom we need to contact regarding his treatment , best hospital and famous specialist Ans-3-Its any good family doctor/paeditrician / and ENT Surgeon working together to keep your son's general and nasal and para-nasal sinus health at its best, on the principles discussed above.A timely care from parents and right medicinal approach from your family physician would be enough,than a famous hospital and this can be easily controlled.4. Often he is having Ear pain, that also need to be treated Ans-4-As briefed above,the earpain is result of obstructing enlarged infected adenoids,which need to be kept under control with full course of antibiotics at right time,with anti-allergics like Loratidine and monteleucast , with Multivitamins and decongestants with NSAIDs in right combination, for right time period by proper follow ups under right specialist,as suggested herein above. Hope this would help you to plan further of this complex illness of yours.If need be, update any health issue 24 x 7 by a direct question tod ME, at following HCM link-Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.If you want to update more details and ask more update queries ,You are most Welcome herewith !!Good Day!!Wishing Good Healthy Life in time to come!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | 76,224 |
Can HIV be transferred through non-sexual methods? | Patient: sir, 2.5 year ago i escorted by one women, she gave me the massage to my penny with her breast for 30 to 60 seconds, then i prevent her to do so, i hv not kissed her, no viginal ses, no oral sex, no anal sex. even she was only topless and i pressed her boobs only...........i ejaculated my self with my hand as i erect....also put condom while mastuburation......sir pl let me know i should get tested for HIV....as my wife fertilty treatment is going on ....for that, i scare when i remebered this inccident Doctor: Hi, Welcome to Health care magic forum. As you describe it is not at all harm full.If you are frank enough. If some thing happen also, don't worry, and you can get examined,and exclude any possible infection.If you hide it it will be problem for both of you. You are in a dilemma of if some thing has happened, so it is better to consult a physician for diagnosis and treatment. Take more of green leafy vegetables. pulses, sprouts, and protein rich foods,to have blood, and resistance. Wishing for a good health . thank you. | 203,163 |
Taking petogen shots. Trying to conceive. How long does it take to be out of the body? Prescribed with ovral to regularize periods | Patient: how long does petogen get out of ones system. ive started since march 2012. and am planning to discontinue. i had my last injection on july the 7th 2012. my next appointment is october 2012. but i am planning not to continue with it anymore. my son is turning 4 and am planning to have a second child. soon. plus i have been on my periods since i got my second injection. in july. and they have prescribed ovral. to regulate my periods. but its not a heavy flow, Doctor: Hello, Menstrual disturbances are an associated feature of depo usage. The drug is supposed to stay effective in the body for 12 weeks. Pregnancy may be delayed by 6 months to one year after the last injection. Oestrogen containing tablets are used to treat the menstrual irregularities. I advice you to see your gynaecologist for further treatment. Wish you good luck. | 6,075 |
Suggest treatment to conceive after failure of IUIs | Patient: i conceived naturally three times. and it all went to a miscarriage. after two amd half years im trying for pregnancy by doing IUI. I did it on previous two cycles. but im not getting pregnant. and my doctor recommended me to do one last IUI..why am i not getting pregnant now!!! im realy concerned Doctor: Hello, it is very hard to have this all on your body but definitely at least 3 IUI are done before recommending higher treatment.In case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain | 41,202 |
Suggest remedy for fever with painful legs in children | Patient: Hi...My son is of 3 yrs..last week he was having mild fever for 2 days and during that when he woke up in afternoon he was complaining about pain in left leg and he started keeping his left leg tilt towards left...and now his leg is not paining but he is not walking properly and continued keeping his leg tilt towards left....pls guide Doctor: Hi,There are number of questions I want to ask. I would like to gather the week-long history.Was there any injury or illness at the onset? Has the fever continued? How high was it? Is he limping?When he complained of leg pain, was it localized? Has pain been in both legs? Has his activity been altered? Has his general health been good?If your son's pain returns or he continues not to walk normally, you need to take him to his doctor right away.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Arnold Zedd | 163,136 |
Is surgery and biopsy needed for hard, painful lump on big toe pad? | Patient: I have a hard lump under the top of my big toe pad. You cant see it, but can feel it and manipulate. It is painful to touch. My doctor wants to remove it with outpatient surgery and biopsy it. Does this sound correct? Shouldnt I get a steroid shot or see if it aspirates Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some benign mass or cyst. You should go for excision biopsy. It will give you exact diagnosis. Aspiration or steroids will not help much. So go for surgery. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 63,761 |
suffering from sore stomach, painful, nausea. Remedy? | Patient: Hi Dr, I have been suffering from a very sore stomach for the last three days, bowel movements normal etc, but tummy feels very heavy, possible trapped wind? It s very painful and has woken me through the night. I m not nauseas at all. I ve tried all trapped wind remedies, peppermint tea , hot water, hot water bottle etc. finding it hard to walk. Not sure what to do next. Doctor: Hello, Thanks for the query to H.C.M. Forum. This type of the pain may be due to .1 Renal stone on both side , diagnosis can be confirmed by ultrasound of both kidneys .2 Amoebic colitis , diagnosis can be confirmed by physical as well clinical examination by a physician . As in most cases of this type of pain usually large intestine palpable . 3 Hyper acidity and indigestion is the another cause . Diagnosis can be confirmed by complete history of illness by a physician . Antacid and enzymatic preparation will provide you some relief . In my opinion consult a physician and get his opinion. Good luck. Dr. HET | 92,644 |
Suggest remedy for inadequate sperm count | Patient: hi i wanna ask the problem of my husband.. about hid problem on his sperm motility which is he has sperm count about 24 million it is ok.. but his rapid linear progressive is only 10%. can i get any suggestions if there is any medicine for that or what is the solution for this..waiting for your reply thanks a lot.. Doctor: Hi,Thanks for writing to HCM .Your husband sperm count is good but motility is less. Sadly medicine has not come with such a drug which have dramatic effect on sperm motility .Only multivitamin with zinc combination drugs are used which have shown some improvements. I suggest your husband should start them and also he should make some life style modifications like-reduce weight and do excercise. -avoid caffeine and stop alcohol and smoking. -healthy diet and ware loose under garments.-avoid trauma to testicles.Repeat semen analysis after 3 months. I would suggest you to discuss about IUI with your doctor . It is intrauterine ingestion of sperms . Here sperms are washed and processed and healthy sperms are placed in uterus . This will increase chances of pregnancy. Hope I have been helpful .Regards Dr.Deepika Patil | 42,730 |
How to treat pernicious anaemia/megaloblastic anaemia? | Patient: I am a 42 year old female who was diagnosed 15 months ago with pernicious anaemia/megaloblastic anaemia. I was having horrendous heart palpitations and breathlessness. An ECG showed i have RBBB. Does the PA exacerbate the heart condition, or could there be an underlying heart disease quite separate to the anaemia? Doctor: Hi, dear. I have gone through your question. I can understand your concern. You have pernicious/ megaloblastic anemia. For that you should take imjectable vitamin B12 therapy. Your heart disease is totally separate conditions for that consult your physician and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. I | 117,023 |
How to treat throbbing pain under left arm? | Patient: Burning throbbing pain under left arm and left shoulder blade. Upper rib under left arm too painful to touch! Like a very bad bruise. Sometimes aching in upper left arm to elbow. Headaches frequent. Feel breathless with slightest exertion. YYYY@YYYY Doctor: Hello, Most probably it could be an inflammatory pain arising out of ligament sprain or contusion. As of now you can take analgesics like tramadol or aceclofenac for pain relief. If symptoms persists you can consult an orthopaedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | 125,555 |
Is it safe to leave an wound open after the stitches did not hold? | Patient: so the story is that I fell on the way from school and got injured, got 7 stiches. Yesterday got the stiches removed, and the doc said it didn't stick and it was still open (don't know how, I didn't see it), because it got contaminated. It is pointless to sow it again since it is contaminated and something like that. You should leave it open and clean, clean, clean, clea, clean it a lot; don't cover it (only when going outside) it will take time to heal but eventually. So I was told, but I have an uneasy feeling about leaving it uncovered and the injury open. I wouldn't have such an uneasy feeling if it was a scratch or a cut, but its a hole! about the size of a marble Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain in case if there is a hole at the site of wound and the stitch is fallen off then there is a possibility that the area is infected and it is true that stitching it again is not required and you should keep cleaning it atleast 2 times a day with antiseptic solution and apply antibiotic ointment over it..It has to be left open and it will help in drying and healing of wound faster..But in case if there is a hole in the area the it will although heal slowly but will definitely heal completely but can leave a depression in that area..You should also take a short course of antibiotics for faster healing and a Tetanus Toxoid injection should also be taken..Hope this information helps..Thanks and regards.Dr. Honey Nandwani Arora. | 32,112 |
How to treat severe heart pain and numbness and being diagnosed with epilepsy? | Patient: I am a 17 year old girl,i am 5 7 and 130lbs..who also has epilepsy, and I ve been having these awful heart pains. It literally feels like a stitch across my heart. It lasts for a few minutes at a time and when i breathe in, while it hurts, the pain increases and feels 10x worse. During the pain theres also a weird achy pain too, and my heartbeat increases. Ive also been getting stabbing pains in the ribs and numbness in random parts of my body, like one thigh or right arm (it varies) They come at random times, and the heart and rib pains last a few minutes at a time. While the numbness can last longer. Never have i heard that epilepsy has ever caused things like this before, and ive had epilepsy since i was 8 months and these pains have been for over a year only.Is any of this normal? Or what could be causing this? Doctor: HIWell come to HCMI really appreciate your concern, for the epilepsy you will have to take medicine for long time, the disease may have some functional elements or the personality changes but you could come out of this, try to build up your confidence, now for the pain it may not be heart related pain but most probably it is the pain due to acidic phenomenon and it can be well managed with Tab Omeprazole 40 mg once in day, try to way from the stress, avoid eating spicy food hope this information helps. | 20,404 |
What could be the reason for having back pain? | Patient: Yes, I am 25 I recently about two months ago noticed my back started to hurt. I then felt along my spine where the pain is and its right in the middle of my spine. Its hurts chronically like a dull pain all the time. It look like it sticks out more as well Doctor: Hello,I had gone through the case and found that you must go for MRI of spine and Vitamin D3 blood test.After the report take proper treatment and Vitamin D3 once a week.Avoid forward bending and lift heavy weight. Do back and leg exercise.Hope my answer will be effective for you.Thanks | 111,127 |
What causes vomiting for the last one month? | Patient: My niece s son has been waking at 5:30am every morning for the last month, vomiting. He is a pre-teen in middle school. He has stopped eating because he doesn t want to vomit anymore, and is losing weight. His doctor has not found a cause for this. His grandfather, my younger brother, died of a brain tumor, a glioma. Is it possible for the grandson to have one also? My daughter had one removed several years ago, also a benign glioma. She was told that they run in families. Doctor: Hi, Yes, there is a possibility, is he having a headache, personality changes, or visual disturbance also? MRI BRAIN can be done to find out the diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. SHEHLA USMAN, Pediatrician | 162,178 |
Taken Taxol for perineal carcinoma. Mass in ovaries. Life expectancy? | Patient: My mother recently diagnosed with metastized cancer stage IV. Primary perineal carcinoma . She is 77 yrs old and came through surgery well. During test for pleural effusion they discovered huge mass in ovaries uterus fallipean tubes and abdomen area. All just removed and she had her first of chemist TX today. Taxol by vein . She lives skin in Florida and I am her only daughter. Absolute eosinophils is high @ 837. 15. 500. How soon would you estimate her length of life so I can begin setting up my home here in North Carolina? The doctors are illusive and non comital but I just need an estimate. She also showing spot on liver and lung. Her fluid also drained 2x before surgery. No filling now and she has no pain. Please be direct with me so I can best help and plan for her care in my home. Doctor: By your description, your mother is suffering from last stage primary peritoneal carcinoma which has spread to her lungs and liver. She is 77 years of age and cannot be as aggressively treated as a young patient. She does not seem to have any immediate threat to life by your description. The life expectancy of your mother if further chemotherapy is given is around 3-6 months.This is if all goes well and she does not develop any sudden complications related to her disease or chemotherapy, in which case it will be even less. If she is unable to take chem, it will be 1-3 months. Hope that helps.Take care | 157,951 |
Suggest remedy for loose motion | Patient: My son is 22 months and has had diarrhea for two weeks now. Currently, I change 15-20 diapers a day. His stool ranges from liquid to super soft. He also has been having a lot of mucos in the stool. I ve also noticed tiny, soft gel looking like pellets in his stool. In addition, when his stool is on the soft side versus running, it is brownish, reddish. Doctor: You need to describe what treatment he is getting for his diarrhoea. Unless you tell us that, it would be impossible to guide you. I would say that he has probably acquired a secondary bacterial infection after his original virus went away. He will need antibiotics specially meant for gut infections. A visit to his pediatrician and a stool examination in a lab are the right way to go. Dr. Taher | 171,924 |
What causes left side chest pain while having high blood pressure? | Patient: I have chest pains only on the left side. sometimes dull and sometimes sharp. sometimes I have pain in my left underarm and arm and in my neck. It use to occur when lying down so I sit sitting up, now it occurs during the day. I am 45 years old. I have high blood pressure and I weigh 109 pounds. I have a family history of heart problems and high blood pressure. Doctor: Hi,This is Dr Sameer, cardiologist.Pain in chest due to heart disease is non localized, squeezing type & increase on exertion. Still i will advice you to do a ECG & stress echo for cardiac evaluation as you have associated risk factors like hypertension & family history.Chest pain can also be simple muscle pain or costochondritis(inflammation of joint between bone & cartilage of chest wall). Both are treated with pain killer.Thanks | 21,565 |
What causes mild chest pain and numbness in arm and neck? | Patient: I am 26, I had my gallbladder removed in May. My symptoms before surgery mimicked a heart attack and I haven't had any of these since the surgery until last night after having a pizza. Tonight I had pasta and a salad. I don not have much chest pain but my left arm, neck, and shoulder feel numb. Is there an explanation for this? Doctor: This is probably due to spinal problems. it occur due to compression of nerves in the nerve. Tu you should one x-ray cervical spine Ap/lat. You can visit local orthopedic surgeon who can get your problem fixed. You can ask your physician for nerve vitamin like neurobion forte and nerve stabilizer tablets like pregabalin 75mg once bedtime. | 22,927 |
Itchy skin rashes on arms, legs. On Ideal Protein diet, successful weight loss. Rashes due to diet? | Patient: I have been on the Ideal Protein diet for 13 weeks and have been very successful. I started this week with a skin rash that itches. The rash appears on both of my arms and a few spots on my legs. I see on line that the rash can be from a diet high in protein resulting in a vitamin deficiency. I was going to check with the doctor and counselors on Monday but I came across this website so I thought I would ask. Doctor: HI ,Thanks for writing in.The condition can be xerosis, pellagra ,deficiency dermatitis due to vitamin deficiency.A good quality moisturizer application twice a day would be helpful.For itching I usually prescribe tab.Cetirizine twice a day.A visit to your dermatologist or physician would clarify the diagnosis.RegardsDrSudarshanMDDermatology | 15,197 |
Suggest treatment for low sperm count | Patient: hello doc, i am 36 year old, wt is 100kg, height is 6ft. i did a pemen analysis and found that i have a low sperm count on which less than 40% active and diagnosed to have staphyloccosus which was treated with rocephin inj and oral augumentin tab.what treatment will you recommend for the low sperm, cos i want to have a baby. thank you Doctor: HelloThanks for query.Your semen analysis has revealed your sperm count to be low with staphylococcal infection which was treated with antibiotic .Truly speaking there are no medications that can increase sperm count .However following general measures do help to increase sperm count . 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking.Taking Clomiphene Citrate once daily for five days in a week is advised by many Physicians and they claim it to be effective to increase sperm count .Dr.Patil.. | 196,961 |
Suggest remedy for pain in the center of chest | Patient: Hi There About a month ago I started to get a pain in the centre of my chest comes in a wave like feeling for a second and then goes again. I have been getting it quite a lot since and presumed it was indigestion but I've never had indigestion for a month. sometimes it happens if I bend over any ideas? I am a 42 year old women, not overweight excercises frequently, I don't smoke, don't eat any meat purely vegetarian and I do drink wine? Any advice would be greatly appreciated. Wondered if it would be connected with going through the 'change' Many Thanks Tracey Doctor: hellothanks for posting here. your symptoms seem non specific for heart disease. chest pain originating from the heart comes and remains for a while.. it wont come for a second and go away. it can be relatrd to hyperacidity, indigestion. please take a course of antacids for two weeks. if still symptoms don't improve then go for a treadmill test which will help to rule out a probable heart disease. thank you | 21,130 |
What are the symptoms of narrow angle glaucoma? | Patient: I am a 66 yr old lady. I have narrow angle glaucoma. At present my blood pressure was 155/101 this morning. I took 2 pressure ease tablets, 1 in the morning, and 1 2 hrs ago. Now my pressure is 122/76. I have had my blood sugar tested. I would please like to know what is the ideal level. My legs are sometimes itchy, as well as my face and ears. Is this a sign of a blood sugar problem. If so, how can the problem be handled, preferably without medication. I am on Lumigan for eye pressure, but it feels as if there are tears in my eyes, and they burn and feel as if there is sand in. Before Lumigan, I used Xalatan, but I felt it made me depressed. Please advise if possible. Thank you Loretta Roux Doctor: Good morning Mrs. Loretta, I read your query and noted the contents.The ideal BP should be less than 140/80. Your pre-meal blood sugar should be less than 130 mg/dl (The symptoms of narrow angle closure severe eye pain that comes on suddenly, blurred vision, bright halos appearing around objects, eye redness, tenderness, and hardness, feeling nauseated and vomiting.Hope this helps. Please feel free to let me know if there is any more information you need.Take care. | 191,933 |
Is Coverit effective for hair loss? | Patient: hi doctor, i am 27 yrs old and i my hair volume has become less on the middle of my head and in that front there are baby hairs which doesnt grow at all, a doctor has suggested me to apply coverit solution along with Andoanagen tablets. will this really work. Doctor: Hi.As per your case history of hairfall.My treatment advice is – 1. Take good nutritious diet full of green leafy vegetables and milk.2. Use a good herbal shampoo and coconut hair oil for regular use.3. Take an iron supplement once daily and vitamin b12 supplement once daily for 3 months.4. Other treatment options are topical minoxidil, oral finasteride and mesotherpy done by a dermatologist.Coverit solution and andoanagen tablets cannot be taken without consulting a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL. | 10,580 |
Can i take progynova 1mg and dubagest 200mg at same time ? | Patient: can i take progynova 1mg and dubagest 200mg at same time hi iam 23 years old i have pcod iam taking progynova 1mg and dubagest 200mg at same time Doctor: Hello.Welcome.This treatment for PCOD seems somehow wrong.Better take ehanyl estradiol along with ciperoterone acetate and metformin under doctor's guidance.Good luck. | 44,950 |
What is the suggested medication for severe muscle and joint pain? | Patient: hi, im a 49 year old woman and ive been experiancing horrible muscle ache and joint pain all over my body, even my feet! Ive had bursitis in my hips before and i have degenerative osteoarthiritis. I take mobic and am on loritab for pain. But about 2 months ago i noticed that i was having more extreme stiffness, muscle ache and joint pain. It is almost debillitating. Doctor: HiThank you for asking HCMI have gone through your query. Possibility of rheumatologic problems should be ruled out as you have systemic manifestation of symptoms. In routine blood test there can be increased ESR and anaemia in such case. ANA profile and rheumatoid factor should be checked and a consultation with rheumatogist should be done. A proper drug therapy, follow up and exercises will be helpful to normalize your condition. Hope this may help you. Let me know if anything not clear. Thanks. | 132,404 |
How can I confirm pregnancy in case of missed period? | Patient: hallo sir! my lmp is 10th may 2012, i am trying to 2nd praganancy. pragnancy result in 40 days from lmp is nagative and yesterday also 47days nagative.still no periods . am i prganant or not? how to conform it? (my first baby confirmation was 80days by scane.) Doctor: HIWell come to HCMI really appreciate your concern, two methods are there one is if you are in hurry to know this then you can go for ultrasonography test this is accurate test, would make no mistake, second if you are not in hurry then wait for some physiological sign or physical sign, hope this information helps, take care | 3,827 |
Suffering from depression after mothers death. What should I do? | Patient: I found my mom dead on Jan 9 on my sisters birthday my mom was every thing to me I cant quit crying I cant help my husband and son I need my mom I listen to tapes with her voice I want to be with her so bad I cant stand the pain in my heart she lived with me for the last ten or so years and I loved that lady so much and I don t know how to live with out her Doctor: Hello and welcome, Thanks for writing to us. I understand you have suffered a great loss. And the grief can take over everything in your life and make everything else seem less important. But, it is how we deal with this grief and come out smiling and successful is when we can say we have won one of the battles that life forced us to face. Before anything else, I would like to ask you one question. How far did your mother go to make you happy as a child? How far out of her way did she go to get you something that might have brought a 2 second smile on your face? Did she do things on a daily basis to make you happy, to see to it that you don't get hurt? I am guessing, always!! What was the purpose of this? Well, there can be only one. To see to it that you are happy always, that nothing should sadden you. Right? Well, if she were given a chance to ask you for something before she left, what do you think it would be? She would want you to always be happy. Always smile. There is a famous saying in my part of the world, "When I am gone, do not cry. Think of me, and all the beautiful memories we shared, and smile" I am sure she would want you to be happy always. And I am sure you can do that for her. Face your grief, don't just think about her passing away. But, think about all the times she was happy when she was around. I know this is not going to be easy, but this is something you will have to do for her. Why did she love you so much? Why were you so attached to her? It is because she kept her child (you) before everybody else, and you will have to do the same. Without her, your family wouldn't have lasted a day, in her prime. Follow the examples she has left for you to learn from. Your immediate family needs you. And you need to prove to everybody that, although you may never fit into your mothers shoes, you certainly are her daughter, and will live life with the same principles and love for people, that she had. Dealing with grief is greater than just losing a loved one, it is how you show your respect for the departed and how you register every lesson that person has taught you during their life time. I am sure you would want to make her proud, and better than anybody else, you know how to do that. My condolences and best wishes to you and your family. You can always write back to us/me for any assistance you need. Best wishes. | 212,714 |
Have sneezing, blocking of nose with mucous. Using nasal sprays. Alternative way to cure nose allergy? | Patient: hi sir, i am suffering from nose allergy since 6 years. serious sneezes, blockage of nose with mucous are the major symptoms throughout the year. when i consulted an ENT specialist , he suggested me nasal sprays like metatop, nasocom. he suggested me to spray this medicine into the nose twice a day.i am using this medicine since 2years.Now iam feeling very comfortable with this medication .what are the effects of long term use of this metatop nasal spray medicines. can i use this spray for long term. is their any alternative way to cure my nose allergy without using these nasal sprays. Please help me. Doctor: Dear sir,Avoid any trigger that can lead to precipitation of allergy . You can try yoga exercises , tai chi exercises .Dr. Shruti | 102,937 |
Suggest remedy for dizziness, pain in chest and numbness in foot | Patient: Lately I even having horrible memory loss, yellow and watery stool, with breathing problems. I get dizzy easily and bruise easily, my left foot randomly goes numb and I have frequent migraines. The right side o my chest has horrible pain. What is wrong? Doctor: HIWell come to HCMI really appreciate your concern, you have got the multiple complaints, for the watery stool it is self limiting most of the time but hydration need to be taken care, for other all the complaint that may not be due to any illness or pathology, it may be functional in origin, for to confirm the disease CT of brain can be done, blood pressure may be matter of concern, here the age and gender really matters the great and it is not being given here, try to control your thoughts hope this information helps. | 133,563 |
Is enlarged heart at the right ventricle of an infant concerning? | Patient: Is an enlarged heart at the right ventricle something to worry about? Just found out that my 18 month old has this through an echocardiogram and I do not see the Dr until Dec. The nurse at my pediatricians office spoke to me before the Dr read the results from the cardiologist office and is having me go back in 8 weeks to see the cardio Dr. What would the wait be for? Doctor: Hello, It the pumping function is within the normal range, only follow up will be enough. Consult a pediatric cardiologist and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family Physician | 161,050 |
What shall be ESR and LHD? | Patient: HELLO DR KRUGER.MY MOTHER HAD OPERATION 2 YEARS BACK DUE TO CA STOMACK.EVER 6 MONTH SHE HAS CHECK UP.HER LAST ESR IS 55NOW IS 66(AFTER 6 MONTH)HER LHD 375 TUMOR MARKERS IS NORMAL CEA CA 19-9.PA X RAY OF LUNG NORMAL.I WANTH TO ASK YOU IS IT PROBLEM IF ESR AND LHD IS HIGH .WHAT I CAN TO DO?THANKS DR NIGAR Doctor: Hello,Thank you for contacting HCMI understand your concern, I am Dr Arun Tank, Infectious Disease Specialist answering your query.ESR is erythrocyte sedimentation rate, and LDH is lactate dehydrogenase.ESR is the marker of the nonspecific inflammation, as you have CA stomach it may be raised because of the inflammation associated with it.Some tumors produce LDH, it is a one type of enzyme which arises from the cancer producing cells.So once you get treatment for the cancer, this marker will start disappearing.X ray are normal but cancer producing cells are much smaller and cant be detected in the x ray. That is why your X ray is appearing normal.You can ask for further queries here on bit.ly/DrArun.Thank you,Dr Arun TankInfectious Disease specialistWe wish you a best health at health care magic. | 115,620 |
Suggest treatment for severe pain under the rib cage | Patient: I have a pain under my bottom right rib. It s a dull pain. It hurts worse when I push on it. I ve felt some pain there for a few weeks, but it s significantly worse today. Could this be the pancreas? If not does it sound worrisome? I hate going to the doctor, just to find it s nothing series. Doctor: Hi,Thanks for your query.The pain at the bottom center of the rib cage on the right side could be due to a renal infection or a stone if the pain does not seem to be muscular in nature. This can be ruled out after getting an ultrasound scan done.If the pain is aggravated with deep breathing or coughing then a rib injury or a muscular sprain is likely.The other causes that need to be ruled out include lung infections like pleuritis. Stopping smoking might help in reducing the symptomsI do hope that you have found something helpful and I will be glad to answer any further query.Take care | 137,637 |
Suggest remedy for pain in chest | Patient: Hi I have pain at the right side below my chest but it very hard at the time of motion/toilet.It increases when I made pressure for toilet. I know the pain started before 2-3 days when I seemed to nausea/vomiting and I tried for it.No vomiting but feeling like that. please suggest me Doctor: Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.I understood your health concerns and feel Concerned about them.Based on the facts of your query, you seem to suffer from-IBS C with GERD.Dear,You need to have physical check ups from Surgeon.Get EGD(Esophago-Gastro Duodenoscopy) to assess the Gatritis and vomitting in your case.Also assess for other causes of dypepsia -like Gall stones/ appendicitis which could cause such complaints.Remedy-Check up with Surgeon and get proctoscopy and rule out any Piles / proctitis / and fissure in ano and treat it accordingly with medicines and surgical care.Bland Diet with non fried / non spicy liquid diet for 3-5 days Skimmed Butter Milk.Rice soup / porridge x 3 days time would recoup from the Constipation and imbalanced fluid balanceCap Sporlac Ds- a probiotic-1 x 2 times a day x 2 weeks PPI like- Pantoprazole Domepridone- 1 x 2 x 2 weeks.Gradual changeover to solid food would recoup the present problems of hardness at motions.For to recover hard motions- Dulcolax suppositories.Acute nausea with right abdominal pain and right chest pain would be relieved once constipation gets relieved .Hope this would help you to solve your health issues in the best way possible.Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | 77,568 |
What could cause a WBC count of around 23,400 ? | Patient: Hi Doctor, My son is 7 years old. He was complaining about severe stomach pain for two days. Doctor prescribed Ofloxasin for two days. 3rd day, he complained about severe head ache. he was havin a fever of 103 when he complained about headache. Doctor prescribed Amoxilin syrup. He is fine after two days. During that time his blood test was done and his WBC count was showing 23,400. Even though my kid is playful, he sometimes complaints about stomache ache. We are confused? and don't know what caused his head ache/ stomache ache.. Doctor did eye test to check Meningetis and confirmed no issues? What is the reason for high WBC count? can anyone help? Doctor: Hellohigh wbc count at such age can be due to - ● INFECTIONS● BLOOD CANCERGet his detailed evaluation from a hematologist | 116,162 |
Should i ask my doctor to test me for STIs and STDs? | Patient: i have epididymitis with no pain urinating, no discharge, no sharp pain. i am worried that it could be caused by unprotected sex.. but the last time was almost 9 months ago. have no blood in my urine or my semen. my Dr. prescribed ciprofloxacin for 10 days. 500 mg. as i understand this medicine is for bacterial infections.. should i still ask my doctor to test me for STIs and STDs Doctor: Hello,Welcome to HCM,As you are not having the symptoms painful micturation, itching, foul smelling discharge and bleeding there is no point in testing for STIs.The symptoms are suggestive of urinary tract infection for which your doctor has prescribed the course of antibiotics and this will settle your symptoms.If you develop any of the aforementioned symptoms then you have to think about the lab investigations to confirm the presence of any STIs.Thank you. | 40,103 |
What causes a lump in my under arm? | Patient: i have a bump the size of a nickel under my arm, its not red it dont itch, i read that people have "popped" them and fluid came out but mine is deep into my skin. i dont like going to doctors i just wanted to know what it could be. i am scared since i lost my father 4 months ago to a number of different cancers Doctor: hi.based from your description, it could be an enlarged or an inflamed lymph node especially if you had a recent infection in the upper respiratory tract. it could also be hidradenitis suppurativa, a common underarm infection, especially after shaving or plucking hair in the underarm. it is best if you have it clinically examined by a doctor, preferably a general surgeon. further diagnostics such as ultrasound and management (medical and/or surgical if indications are found) will be done accordingly.hope this helps.good day!!~dr.kaye | 62,798 |
What causes occasional stretching pain in liver? | Patient: Sir iam male 44 years old.I have gilbert syndrome, diagnosed 24 years ago.now I have fatty liver I used to drink alcohol till I found I got fatty liver. I only had 5 time alchol taken for the past 18 months.now I stopped. 6 months ago I had accute hepatitis e. And I revoverd from that .I had hepatitis b and c checked found negative. I have taken hepatitis b vaccine taken.but no antibody check done. Now for the past 3 years Ihave occassional stretching pain on my llver.other wise iam fine. Is it a worrying situation.pls answer me. Many thanks. Doctor: Hi welcome to HCM.I understand your query and concern.The occasional stretching pain in your case is linked to multiple liver pathologies,but all having one thing in common that is stretching of the liver capsule due to associated enlargement of the liver parenchyma.This pain can be a predominant sequel to acute hepatitis E which you earlier had.Since you had vaccination against Hep B,you need not worry about it.Alcohol intake can also worsen liver pathology by causing enlargement and thereby contributing to pain.Abstinence from alcohol is also strongly needed.Regarding Gilbert syndrome,there is a possibility of liver pain,but in majority of cases it usually poses no problems,when medications are timely taken.This pain usually subsides in 6-8 weeks after the resolution of the acute hepatitis phase.Right Now i advise you to have a detailed ultrasound examination of your liver along with complete liver functional test.If these are are found abnormal then further interventions are needed.Avoidance of fatty foods is strongly recommended.In Majority of cases this pain will gradually subside with good dietary pattern alone.Discuss the above with your Gastroenterologist.Post your further queries,if any.Thank you. | 56,705 |
What causes lump on the armpit? | Patient: good afternoon my question is regarding lump in armpit, i have had for several years, i did not think much of it. I think it started after my first pregnancy. whenever i wear a sleeveless shirt it can be noticed and, it does not hurt, but i just wanted to know if there is a solution to this problem Doctor: Hi,Good Morning-from INDIA.I am Dr.Savaskar M.N.here to take of your health query from HCM virtual Clinic. Thanks for your Health-query to HCM Clinic.-I studied your query in-depth and I understood your concerns.-Its a Normal -Breast Tissue -in Axilla-also known as -Axillary Tail of the Breast Tissue and is the normal extension of the Breast tissue.-The prominence after the pregnancy is -due to the Spert in Hormonal activity after Pregnancy,which is a normal hormonal response.This starts from Puberty,increases after delivery-for lactation,and reduces after menopause-along with the normal recession of the other breast tissue-pectoral part.-So dont worry -this axillary breast is NORMAL.-Still if it worries you, Consult your family doctor or Surgeon which would re-assure you of the Normal Breast.Hope this would help you recover fast out of the Breast Lump anxiety.Wellcome to HCM again for better Health and Living. | 64,389 |
What causes heart fluttering,dizziness and numbness in arms? | Patient: I'm a healthy 39 year old woman, 5'7, 138lbs. I do not smoke or do any type of drugs or drink. In the past I have had little heart flutters, but last week my heart fluttered more severely, I got very dizzy and the room started to go black. I did not pass out but did get very close. This week, my heart has fluttered a few more times & have a little numbness in my hands/arms, not terrible but as though they are between normal and asleep. Any thoughts as to how urgent this is - or If I should just mention it the next time I'm at the dr.? Doctor: hello,I have gone through your query.Thanks for using HCM.you have been having this fluttering since long though mild,in recent days it has increased in frequency.so you must not wait but make an early appointment with a physician for primary heart check starting from ECG.you may some arrhythmias responsible for your symptoms which may need holter monitoring.But first get a resting ECG and then plan further work up as per guidelines by your treating doctor.If you send me reports i would be glad to guide you furtherMy best wishesDr.Rajesh Teli,MD. | 25,991 |
Have pain in abdomen. Taking birth control pill. Have problem with uterus. What to do? | Patient: I just got started on the birth control pill again after a year, and now I've been having sharp random pains in my lowers stomach. Never happened before. I was also told a few months ago that my uterus isn't form completely so i have a low chance of getting pregnant or even being able to carry a child. I would like to know what this is. I am 16 years old. Doctor: Hi welcome to Health care magic forum. thanks for calling H.C.M.Forum. After 1 year you have started taking pills, you got sharp pains in the lower stomach, Some one told you that your uterus is small and there are less chances of getting pregnant. You told that you have started again after one year means you have used it previously. The pain may not have relation with the womb, it appears to be the pelvic inflammatory disease, urinary tract infection, or stones in the urinary tract. It also may be the gastric pain due to irritation of the tablets , if taken on empty stomach , refered to lower stomach and felt so. I advise you to consult a surgeon for diagnosis and treatment. You may need to have M.R.I.besides other routine tests. Wishing for a quick and complete recovery. Best regards. | 93,613 |
What causes swelling inankles and feet? | Patient: I have recently been placed on blood pressure medication, about 4 months ago. Starting about a month ago my ankles and feet have been swelling by the end of the day, almost double. Sometimes they go down by morning and other times they don t. What could be going on? Doctor: Is the anti hypertensive medication a calcium channel blocker like amlodipine? Calcium channel blockers have a side effect of causing pedal edema. If you're using it please consult your physician and consultant will stop the drug and switch to some other medication. Caution to be kept in mind as it is not the only cause of swelling it could be due to hypertensive nephropathy or other diseases affecting kidneys which has to be evaluated. | 136,882 |
Does siphene 50 and diane help in getting pregnant ? | Patient: HI , i had pcos issue and my doctor had asked me to take diane for 2 mths and then cme on my second day of my periods in the second month, when i visted the doctor she gave me siphene 50 mg tablets and asked me to take it for 5 days starting from second day of my period, and then come on my 10th day for a scan to check which egg is producing and stuff, but i have a doubt as to whether i can have intercourse during this 10 day period before going for a scan or not, and also let me know if this tablets could help me in concieveing Doctor: Hi, As you are having PCOS, hyperinsulineamia along with irregular periods will be there. If insulin sensitizers like Diane are used it will control the condition and improve fertility. Siphene is brand name clomifene tablets which will help in inducing ovulation. You can have inter course in first ten days. But if you maintain abstinence two days before your ovulation, the sperm count will be good and chances of conceiving will be more. Means in regular 28 days cycle the ovulation will occur around 14th. So, maintain abstinence on 10th and 11th day. From 12th to 16th day you be together, at-least on alternate days. After your doctor examines you she will suggest according to the condition of the ovum when to plan intercourse to increase the chance of pregnancy. take care | 6,340 |
How can sperm count and motility be treated? | Patient: hi, i am 30 yr male and i just married last 4 months and with no luck in having a child, i did a semen analysis and found 15million/ml,20%active motile,70%normal morphology,30%slugiesh,50%non motile,and finally i did x-ray on testes and found vericocuel in both left and right on left testes it was 5.2mm,right 3.0mm.and i did the operation to remove them last month, i am under treatment with Speman, and multivitamies now for one month i did other analysis(i know it is still early)and i found count has no change but the motility is enhanced and improved somehow ( 25% before it was 20%). i just need advice shall i talk other medicen like L carnatien? My wife is a doctor and she has a good helth and she did a check up found fine.Thanks for your time. YYYY@YYYY (Kuwait) Doctor: Hi welcome to healthcaremagic.I have one they your question.Your motility and count is below normal.You found with varicocele and surgically treated and now on medications. So wait for 3 months to get the result of medicines. Aa spermatogenesis is 76/80 day process to get mature.Hope i answered your question.Would be happy to help you further.Take care. | 41,769 |
Which is the best form of treatment for facet joint dysfunction? | Patient: hi my name is Lorraine and I have had a vaginal hysterectomy 3 months ago when waking up after surgery I had sciatica I have always had a good back before surgery and now I am in pain every day my physiotherapist says I have facet joint dysfunction and I was just wondering what the best form of treatment is and whether this is going to be a chronic problem I will not take medication as I am scared of being hooked on pain killers and I am open to suggestions I have had to stop work due to pain Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In facet joint dysfunction, various forms of treatment may help you like exercises (extension and rotating). Manual manipulation, heat therapy, activity modification, adding frequent breaks, and avoiding lifting heavy weight. Chriopractic therapy may help you a lot. Steam bath also will be helpful with NSAIDS medication may work wonders. Do reach back to us again with MRI reports.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harsh Swarup | 130,781 |
What causes fever with lower abdominal pain? | Patient: My husband has been running a fever of about 101 degrees for two nights. Today he started hurting in his right flank area (from his abdomen towards his bladder) He went to the doctor today and they did a urinalysis which showed no red or white blood cells. They gave him an antibiotic and sent his home, but no answers. His fever is back up tonight and he is still hurting. Any ideas what might be the cause? Doctor: Hi.Thanks for your query and an elucidate history.The type of the pain you explained and fever can be due to right sided kidney infection and if there is an obstruction to the urinary outflow due to stone or so , the urine analysis can be negative as the infected urine will not reach the bladder. The best way is to go for ultrasonography to confirm or rule out certain problems.Continue the antibiotics as he has fever. Give paracetamol for the fever. At the same time the possibility of appendicitis , right sided colitis has to be kept in mind. Ultrasonography may help to an extent for this too . | 90,794 |
Bitter taste in tongue, nausea, sever pain in lower abdomen. Suspected appendicitis. Possible reason ? | Patient: Hi my name is Sabina , I am 16 . I have a bitter taste at the back of my toungue I ve had that for about two days now and t is getting a bit worse which causes me to feel noushias . A few days ago I expireanced a strong pain in my right lower abdominal I felt like vomiting couldn t move out of the the bed and the pain would get worse when I move it was so bad I cried ... I ve had that before two times now and doctors suspected appendicitis at first so they did an ultrasound but the placement of my appendix makes it really difficult to see so they could only see a bit of liquid or something around that area the. A few days later they let me go caused was all better , it happened second time and they said I had no infection (inflamation) in my blood ( the first time I had a bit of it ) so they said it is probably some feminen problem it is okay and normal .... Could the bitterns have something to do with it and what is it ??? Thank you in advance Doctor: Hi Thanks for your query. Sever pain in the right lower part of abdomen may be due to Acute appendictis,Right ureteric stone,Twisted Right ovarian cyst etc. Appendicitis cannot be clearly diagnosed with Ultrasound abdomen always.It will be confirmed by Ct scan abdomen. I am very sorry that you have cried due to pain.It shows the severity of the condition. Please consult your Surgeon immediately and get CT scan abdomen done with his advice,so that any disease in the abdomen will be confirmed Wish you good health Regards | 94,488 |
Is Flomist a steroid and what are its side effects? | Patient: RECENTLY MY WIFE SUFFERED A MILD ASTHAMATIC ATTACK AND HAD TO BE TAKEN TO HOSPITAL DOCTOR AFTER FIRST AID PRESCRIBED FLOMIST NASAL SPRAY,MONTEC LC,COMBIMIST SPRAY. I WANT TO KNOW IF FLOMIST IS STEROID AND HOW LONG IT CAN BE SAFELY TAKEN WITHOUT ANY SIDE EFFECTS. DOES SHE NEED ANY SUPPORT DRUG TO COUNTER THE EFFECT OF STEROID Doctor: Hello,Thank you for asking at HCM.I went through your wife's history and would like to make following suggestions to you:1. Yes, Flomist contains a corticosteroid - Fluticasone propionate.It is very important to remember that there are so many types of corticosteroids available. Corticosteroids in nasal sprays mostly act locally and only tiny amounts get absorbed into blood hence do not significantly produce general side effects caused by corticosteroid tablets/injections.2. Common side effects of intranasal corticosteroids are local - burning in nose, dryness of nose, sometimes small bleeds. 3. Intranasal corticosteroids should be used with proper technique (please consult your doctor for learning the proper technique) to minimize side effects.Especially, the spray should be directed towards side-roof (alae) of the nose, not towards the middle membrane (septum) of the nose. If used for long time with directing towards septum, there is a rare possibility of perforation of septum of the nose.4. Regarding duration, it should be determined by patients symptoms, not by time. All the medications can only control allergy symptoms, they do not "cure" it. So as long as your wife needs them, they should be continued. The decision to stop medications is best taken by her treating doctor. In general, once symptoms are under control with other medications, life style measures and environmental control, they can be slowly reduced and stopped under doctor's guidance.5. From your history, I would agree with most of the treatment for your wife. I would also suggest her daily breathing exercises and a healthy diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) for a better recovery.6. I would also suggest her allergy testing which will help her identifying the substances causing troubles to her and also to know how to avoid them.7. Please avoid exposure to dusts, smokes, fumes and air pollution to her as much as possible.Hope above suggestions will be helpful her.Should you have any further query, please feel free to ask at HCM.Wish your wife a quick recovery and the best of the health.Thank you & Regards. | 100,859 |
Will medications for high blood pressure cause heart palpitations? | Patient: What are the most common causes of heart palpitations? Mine only began a few weeks ago. They get better for a few hours during and after I exercise, but then they come back. I am taking medications for high blood pressure and have changed them recently - could that be it? a Doctor: Hello, A most common cause of palpitation is anxiety, panic attacks, cardiac disease. I would advise you not to exercise during an episode of palpitation, instead of a rush to the hospital to get urgent ECG (electrocardiograph ). It will help you to find out the cause of the palpitation. A proper evaluation to find out the cause of palpitation is very important. Goodnight eight hours sleep, healthy nutritious diet, and adequate water intake and mediation along with your blood pressure medicine should help you. Also, since you are hypertensive, decrease salt intake in your diet. Keep yourself engaged with your favorite hobby instead of worrying about palpitation. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Aparna Amritsagar | 19,085 |
Pain in back below rib cage. Should i get my kidney checked? | Patient: since last week of march 2013, i am experiencing pain in my back that is right below the rib cage. I did lot of travelling in the last week of march and first week of april 2013. I just thought the pain in the back is due to travelling. however, i haven't travel at all since the first week of april, still the pain is persisting. i am worried, do i need to get checked my kidney? i need your suggestion. Doctor: Mr..pain in back below rib cage might be due to renal calculi ..I suggest you to consult urologist and get a x ray kub nd usg abdomen done ...which could clear your doubts thank you | 50,571 |
Suggest treatment for bleeding from navel post gall bladder surgery | Patient: I was told I had a hernia because my naval kept bleeding where I had to place a pad on it.. I just had Gall Bladder surgery and the doctor when through my naval instead of another spot. I was told that I will bleed every month when I get my menstruation and there is nothing that can be done. I have pain and a very foul odor coming from my naval. Please tell me what I can do. Doctor: hi.it is best if you have it checked by a general surgeon for clinical evaluation. was it laparoscopic cholecystectomy that was done to you? there are incidents wherein post-surgery, this things happen in the previous naval port area of the patient. also, doctor's evaluation is needed to rule-out urachal cyst problems which might be causing the foul smelling discharge and infection. diagnostics and management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye | 55,386 |
We are trying have kids from 2 1/2 years. has my husband is not able to ejaculate .Suggest us | Patient: we have a problem doctor we have been trying for a child for 2 & half years in vain. my bubby normally normally take long to ejaculate or sometimes the fluid coming out after ejaculation is watery,ofcourse me i have a child which i got before i married my hubby Doctor how can you help us? Doctor: hi, check your partners semen analysis. Also do your ovulation study.Rule out the causes. consult your gyneac, for other test also.If you are overwieght the loose your wt. | 7,084 |
Is severe headache, fatigue, dizziness and sore throat symptoms of mono? | Patient: I'm 14, and have been diagnosed with mono twice in the past two years. My symptoms include severe headache, fatigue, dizziness, sore throat, feeling of swollen neck, and much like mono, my energy decreases with any sort of physical activity, including standing up. Does this seem like mono? Doctor: Hi dear! A throat culture maybe taken to rule out a strep throat, which has similar symptoms. Monospot test should be done to identify this virus (EBV) which causes mononucleosis. Bed rest, use of acetaminophen ibuprofen and take care with periodical controls at your doctor are my advice | 31,230 |
What causes sharp pain on right lower abdomen? | Patient: I ve been having a consistent sharp pain in my right lower abdomen. It s not super painful, its more uncomfortable than anything. Also my stool has been thin and soft like I have diarrhea. I ve been feeling very constipated as well, I kinda have to strain to use the bathroom. My stomach also been making a growling noise almost all the time as well. I m a 17 year old male Doctor: Hi,From history it seems that you might be having some gastro-intestinal infection giving this type of problem.In my opinion you might require a course of ofloxaciline, tinidazole combination medicine course for 3 days.Take some antispasmodic medicine like Meftal spas to get relief from pain.Take light diet.Avoid junk food.Ok and take care. | 87,679 |
What does a spongy lump above the temple indicate? | Patient: Hi my son is 14 and he has a spongy lump on the right side of his head, just above his temple. He complians of feeling tired alot (although he is going through his exams at the moment). The lump has been there for a few months at least now. Any ideas? It doesn't hurt when you touch it. Doctor: Hi,Dear,thanks for the query to my HMC- virtual Clinic.I studied your query in depth.IN My opinion -it is mostly-a haemangioma of the temple muscles-growing lately.Hope this would resolve your query.I would love to help you for more queries.Good day. | 64,667 |
What is the cost and side effect of plastic surgery ? | Patient: .i am 26 years old . i have burnt in my back and in front of my body .i hate my self because of this burnt scure in my body.i want to make plastic surgery or transplant my skin .what is the sideeffect of this treatment and how much it cost.unfortuantlly i wii get married sooner but how can i dress weddingdress.please help me . Doctor: hi u need to consult plastic surgery if more skin is involved then skin grafting is difficult cost depend upon size of area. it will take time to heal and get result,at least 6 month. | 8,912 |
Suggest remedies for prolonged swelling of knees | Patient: Both ankles have been swollen for the last 5 days. I did take a long car trip but stop to get out an walk around everuy 2 hrs. I ve taken long road trip before and this has not happen before. Once I go to bed for the night the swelling is gone when I arise in the morning. But by late afternoon they are swollen again and feel very tight.......should I take an over the counter diurectic? Doctor: hiYou may try short course of otc dieuretic. Keep legs elevated, dohot fomentation, and do active/passive ankle exercises without weight bearing.Seee a physician if this doesnt help for some tests like serum creatinine,sodium,pottassium,GFR (kidney functions tests)Commonly , in abscence of any disease, it is gravitational swelling and nothing to worry on that, only avoid prolonged standing or long uninterrupted walksbest wishes | 135,712 |
Liver transplant, history of anal cancer. How many chemo treatments can the body survive? | Patient: Liver transplant patient ( out 6 Years). In 2111 had anal canal cancer. Radiation , Chemo . Successful, but meanwhile a cell escaped to new liver. Half consumed ( squammous cell ) Back in Chemo toshrink , if possible. First treatment, low platelets requiring two units. Red cell to 6 , 2 units. I wish someone would give me at least some kind of prognosis since he has 5 more chemo treatments scheduled, and I know this happens every time. How many times can the human body take these counts, withour death? Doctor: Hi there, The benefit versus toxicity of chemotherapy is always a debatable and difficult situation and naturally brings anxiety to care givers and physicians alike. If we were to not give chemo then disease will progress relentlessly and he would be suffering from disease progression. Chemotherapy may cause low red cells and low platelets but thankfully we have medical measures for them and can support the body Also according to side effects, oncologists would adjust the dose. No one can tell how much chemo human body can take as many times patients are given third line or fourth line chemo, it really depends on the bone marrow reserve and the general condition of the patient. Have a clear discussion witn your oncologist and be realistic. Regards | 158,405 |
Suggest treatment for fibromyalgia | Patient: I am looking for a doctor that is accepting patients in the Abbotsford area. My doctor just up and left with no notice to her patients or clinic. I have Fibromyalgia and some othe health issues so I am looking for someone who has a little bit of knowledge in this area. Doctor: hi,thank you for providing the brief history of you.As you have mentioned about fibromyalgia, i have personal experience with cases of fibromyalgia and have found 99% success rate in them.Since you have fibromyalgia, the understanding of the condition will help to deal with it. Fibromyalgia is the pain in the fibres of the muscle, for which the implementation of breathing exercises will help improve the oxygen in the blood cells which is the major source of the energy for cellular functioning. Performing meditation will help control the emotional factor of the pain and weakness. Later on performing exercises will help further to improve the strength in the muscles and improve the metabolism of the muscles by which the pain in the muscle fibers will be reduced.I will recommend to follow this protocol -MeditationBreathing exercisesPhysical therapyRegardsJay Indravadan Patel | 134,005 |
Is surgery advisable for recurring sinus infection in a child? | Patient: hi, im a family medicine physician and my 1 yr old daughter have been having recurrent preauricular sinus infection. i have used Co-amoxiclav, Cefuroxime & Clindamycin in separate occassions.. the pus would go away in just 1 to 3 weeks... then it just comes back again... so i decided to see an ENT ... the 1st ENT prescribed antibiotic cream with no effect... the 2nd ENT prescribed Cloxacillin oral & mupirocin ointment (and I m already in 3rd day use still pus comes out) & said surgical removal can be done only once my child will be 5 yrs old... that s 4 yrs from now... I m really really worried... can you please help me??? Doctor: Hi....this is a recurrent discharging sinus by definition and is recurrently getting secondarily infected. Surgery is the curative and best option. But age is often taken into consideration as the facial bones would still be growing.Regards - Dr. Sumanth | 176,058 |
Does I-pill cause heavy bleeding, if taken 4 hours after intercourse? | Patient: I had protected sex with my boyfriend on the 6th day of my period which was on 3rd of august... i took an ipill within 4 hours of intercourse 4 days later that is on the 8th of august i started bleeding like on periods... what is the cause ? Please revert. Doctor: Hi I think you can be having a withdrawal bleeding after taking emergency pill. It is common to have early bleeding after taking I pill. So, don't worry about it. Don't take emergency pill frequently as it can have side effects on ovarian function. Hope it helps. | 218,814 |
What causes the size of red blood cells to increase? | Patient: My doctor just sent my blood test results and stated Your blood count is normal except for increased red blood cell size . When I researched what this meant, it stated that it was a sigh of alcohol use. However, since I had fasted 20 hours before the best and I seldom drink alcohol - probably not more than 5-7 bottles in a year. So is there another reason it would show this? Jana Doctor: Hi, dearI have gone through your question. I can understand your concern. Your red cell size is increased. Don't worry. Alcohol can increase the size but not in that small amount what you are taking. But there is other more common cause of increase red blood cells size. It is Vit b12 deficiency or folic acid deficiency. So you may have that. Don't worry just consult your physician and go for vit b12 level if needed and then take treatment accordingly. Thanks for using health care magic. Wish you a very good health. | 117,258 |
Been diagnosed with breast cancer, had tumor taken out, need to remove a node. What now? | Patient: Thank you. I have been diagnosed with breast cancer . Small, the tumor was taken out, was oridinally DCSI, with a small invasion about the size of a period at the end of a sentence. My surgeon wants to get a node under the arm . I say no because I ve seen far too many problems it presents with removing a node thru surgery. Other than a needle biopsy , or the type of seeing if there is any more cancer, is to do die in the veins and so on? Is there any other way besides these ways to get a node? I DO NOT want a surgery proceedure to remove a node. Doctor: dear there, i respect your concerns but if it is smaller tumor then still i think that you should get a minimal invasive procedure called sentinal node biopsy in which we take out single node after injecting dye to see if it is involved and practically there is no morbidity after this procedure and it helps to deliver apprpriate treatment for your disease.i think you should proceed with this procedure thanks | 159,370 |
What causes itchy penis and discomfort feeling while urinating? | Patient: Hi! Basically the last time I had sex was last month, 2 days ago I masturbated then all of a sudden my penis inside started to itch then the next after that, semen would come out and when I urinate it would feel awkward. I m very scared what does this mean!? Doctor: HiI appreciate your concernLOOKING at history it seems to be UTI urinary tract infection or an inflammation due to masterbation with pressure on shaft of penishave plenty of fluids tab ibuprofen consult your doctor for examination and urine testHope this helps youthanks for your questionhave a nice day | 200,075 |
Should i start birth control tablets after my periods due to Plan B? | Patient: Ok so I took plan b on Monday and 2 days after that I had an appoiment to get birth control so I went to get the pills and I told my nurse taht I had taken plan b recently and she told me to wait until my next period starts which wasn t until 3 weeks and then she told me to start the pills after my period was over.its been 3 days since I got the pills and I ready got my period which is an effect of plan b. So do I go ahead and start taking the pills after its done or should I wait until my period is back on cycle Doctor: Hi, I think you can start the birth control pills from day 1 to day 5 of your periods now. You need not wait for the next periods. Hope I have answered your question. | 223,507 |
What causes severe back pain and nausea? | Patient: Hi have had labour like pains all day since 4am. Lower back pain accompanies these pains like when I was in labour with my boys. I have had 2 successful pregnancies (one is 5 the other is 3.5 years old) and periods have been normal since I stopped bfing my youngest. Severe labour like pains as if I was in labour, but I am not pregnant. With all this pain all day long, my back is tender to the touch. What could this be? Oh and I have been neauseas this am and have VERY bad diarrhea - it runs out like water. What could this be??? Doctor: Hello I have gone through your question and appreciate Your concern. Severe back pain and tenderness need to be investigated. I advise you to visit orthopaedic spine specialist And Get Mri ofSpine done .Dont neglect it.Do u have radiation of pain to your lower limbsDiarrhoea may be sometimes due to irritation of nerve roots.General measures to improve back pain areAvoid bending forward and lifting heavy Weights Lie on hard bed.Muscle relaxants and analgesics will help. Local Analgesic gel for local application. Hot fomentation thrice a day. Muscle strengthening exercises will help in long term. Thanks.U can write me back for any query. | 108,066 |
Suggest remedy for muscle spams | Patient: I have had problems with back and neck for several months. Recently I have had increased headaches. In the last two days, I have had a constant headache I at first contributed to possible sinus pressure. I have some pressure at the base of my skull. Today I had an episode of dizziness, muscle contraction, inability to move arms, hands clasp shut but not in a fist. Feet & hands become numb with a tingling sensation & it is very painful. I have had one other episode like this a couple months ago when I had a stomach virus. My hands are clinch so tight I can not open them & my husband could barely open them. Muscle spasms are extremely painful. I draw into the fetal position. Last 5-15 minutes. Any suggestions? Doctor: hi,since you mentioned muscle spasm in the neck and lower back region. I will initially ask you to use some hot fermentation so that the muscles can relax.then we need to wait and see for a week if along with hot water fermentation and rest the pain and stiffness subsides.also you mentioned the symptoms of painful movements , tingling sensation, weakness.I feel that it might be related to a nerve getting trapped based on your complains. Usually due to prolong weakness of the muscle there is a chance of the spinal column going weakness.you can undergo an MRI scan of cerical and lumbar to see the soft tissues in that area as it will help to make the treatment more precise.What you can do in the mean time is working out behind the neck and lower back muscles to strengthen them. Also the core strengthening exercises are of due importance. Incase if the symptoms are more than meeting a physical therapist and undergoing few sessions of ultrasound therapy and TENS will help reduce the muscle spasm and pain radiating symptoms.to look forward now, exercises helps 99% of cases if done under supervision and learnt well. post that one need to needs to keep continuing the exercises to keep the spinal muscles stronger. Weakness of spinal muscles will lead to damage to the spine soft tissues. So I Advice to be focused on this.I have seen many cases and i have only found 100% success in them and all are able to perform the best functional activities. I am hopeful that I will hear from you soon that post doing all the exercises for spinal muscles strengthening and core stability you will have a pain free life and the best functional outcome score.Regards | 134,204 |
What causes bleeding during orgasms and urination while diagnosed with malignant carcinoma? | Patient: Hi my name is phillip im a 48 year old male was diagnosed with cancer a few years ago they called it malignant carcinoma, they went in on my left side and took 3/4 of my kidney i also have cancer covering half of my other kidney . When I fist got the operation it was very painful to have sex now when I have an orgasm I bleed bad can you tell me what this might be also when I urinate i also bleed. thank you for your help. Doctor: HiVery possiblly the blood is comming from the kidney cancer , irrespectively of orgasm or urination . Kindly follow up with medical records for specifics | 152,758 |
Suggest remedy for abdominal and chest pain | Patient: My nearly 20 year old sister had a root canal and her wisdom teeth pulled last week. She has been on a regiment of vicodin, oxycodone, acetometophine, advil, and antibiotics every since. Now she is up at 1:00 am complaining about abdominal and chest pain. She thinks that it could be from overdoing it with her liver. Do you have any advice? Doctor: Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.The abdominal and chest pain could be due to gastritis and acid reflux. This may be due to taking painkiller medications like advil.She can take prilosec and antacid gel. If there is no relief, take her to ER for medical attention.I hope that answers your question.Regards. | 89,171 |
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