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What causes loose motion with fever in 11 months old? | Patient: Hi this is Manisha. My son is 11 mths. His wgt is 9.2 kg. He is passing loose motion since last two days nd also he is having mild fever 99.5-100• we r giving paracetamol fr fever & vezylec for motion. Is it ok to proceed with this & what could be d reason. Plz suggest Doctor: Hi ManishaWelcome to the HCMMost common reason for diarrhoea in this age group is Viral gastroenteritis. It needs symptomatic treatment and proper rehydration. I would recommend you to give him paracetamol only in case the fever spikes are more than 100 degrees Fahrenheit. Below that you may use only cold sponging to relieve the fever spikes. Also, start giving him oral rehydration therapy such as lemonade, buttermilk, ORS available OTC to prevent dehydration. If there is no mucus or blood in stools, then start Racecadotril granules and Zinc syrup such as ZnD or Zinconia as they help in early relief. No need for any antibiotics as present. Continue Vizylac as its a good probiotic. Hopefully this will help. I would be glad to help you in any further questions. Take care | 172,388 |
Why is my urine dark yellow in color? | Patient: hi! i am 23 weeks pregnant and felt that my urine is dark yellow in the morning and than normal during the day. I was told to get a urine analysis done and following is my test result..... Color â?? yellow Appearance â?? hazy Sp. gravity - 1.015 pH - 8.0 Glucose - negative Protein â?? negative ketone â?? negative blood - ++ urobilinogen â?? normal urnine nitrite â?? negative leucocytes / pus cells - 25-30/hpf red blood cells - 15-20/hpf epithelial cells - 4-6/hpf bacteria - +++ casts - negative crystals - negative i am told that i have a UTI and have been given the below mnetioned medication for 5 days.... 1) Oricitral :- oricitral systemic alkalizer 2) surbex xt 3) phexin bd 375 mg (cephalexin long acting tablets) i am afraid if this is not a kidney infection as i have read that during pregnancy if there is kidney infection it leads to preterm labor and underweight baby Doctor: Hello!I have been through your question.Related your concern I think this is urinary infection based on urine test(bacteria +++ and 25-30 leucocytes) and the color change of urine is because of the infection. Usually UTI can be a common infection during pregnancy. Most of these infections are limited to the bladder and urethra,but sometimes they can lead to a kidney infection. If they do, UTI may lead to preterm labor. What I suggest in this situation is doing a urine test (as you have done),urine culture to see what kind of bacteria is, and full blood count and azotemia /creatinemia(renal function) to exclude a kidney infection. For the moment,you should taking antibiotic as above mentioned (usually I prescribe ampicillin or amoxicillin during pregnancy), drink a lot of water and after you finished the antibiotic should do an other urine test to see the improvement. I hope my answer help you. I wish a quick recovery. | 46,336 |
Is it a sign of cancer that doctor didn t get into uterus? | Patient: After experiencing post menapausal bleeding, it was recommended that I have a hysteroscopy and uterine biopsy. However the doctor was unable to insert the scope past the cervix. He also tried to do a biopsy, but that came back as not enough tissue to determine if cancer is present. Is it a sign of cancer that he was not able to get into my uterus? Doctor: Thanks for your question on HCM.In postmenopausal women due to hormonal imbalance, uterus, cervix and vagina tend to show atrophy and dryness. So due to this reason, doctor was not able to pass scope. But we can not deny possibility of malignancy at the same time. So detailed evaluation is needed.I advice you to get done CT scan of lower abdomen to rule out uterine cancer.Also get done multiple biopsies from cervix. This will give more yield than single biopsy.So discuss these things with your gynecologist. | 155,669 |
What could itchy spots on face and arms indicate? | Patient: Hey there . Im suffering from itches over my body but not much. ive got chickenpox 4 months before but it was a minor once. do u think its again the chiken pox its only on my face n left arm like small pimples and even i have a lil itch in my hair too Doctor: Hello it might not be chicken pox it could be acne or shingles if you can upload me a photograph or complete medical history i will be able to guide you better In my opinion you should consult a dermatologist for examination you can apply calmine lotion and decongestant like tab levocetirizine for itchingkeep it clean by washing with soap and water maintain good hygienebest regards | 34,619 |
Is it safe to undergo urostomy when suffering from quadriplegia? | Patient: Hi.I have a son that is a quadrapeligic. He is considering a urostomy after several problems with the draining tube he has coming from his stomach. He was concerned with the urostomy since it is so final of an operation. Are there any complications that people have experienced and what they are? He has been told he needs this but we decided he needs a second opinion to make sure its the right thing to do. Please give me any info that might be helpful at this point. He has been injured for 27 yrs. thanks, Mom Doctor: Hi,Thank you for posting your query.It is unfortunate that your son is quadriplegic and has no control on urination.This requires certain procedures to drain the urine. The simplest procedure is to have an indwelling urinary catheter (Foley's catheter), but that is also a source of infection, and can not be kept for long.Other option is to learn CIC-clean intermittent catheterization. This can be done by people who have good strength in the arms and hands. However, as your son is quadriplegic, he would have arm weakness also, and he would not be able to f=do the CIC.So, the best option for him is to go for urostomy or a suprapubic cystostomy. Even though it is a surgical procedure, it is safe and can be easily done.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 | 147,985 |
Suggest treatment for swelling in the legs when diagnosed with toxemia | Patient: I have some concerns I know it s normal to be swollen... but I m very swollen in my legs an feet an face an also my hands an it hurts... I ve heard of toxemia an stuff an I feel as if something is wrong. I m 36 weeks an I have a pacemaker. I don t know what to do really. Doctor: You should hurry to the hospit immediatly.This is emergency case and if you can call your cardiologist , this will be better. Your swelling peripheries mostly due to infection of pacemaker. This may lead to death. Go quikly to save your self. | 131,300 |
Does my cold and cough have any relation to pain in my chest and armpit? | Patient: I have had a heavy cold for the past two weeks, now am left with a slightly blocked nose and a horrible cough. Last night I started to get pains in my armpits and across the top of my chest. Although it is less sore this morning it is still there, is this something I should get checked out or just part of this awful cold/virus leaving my system? Doctor: Thanks for your question on HCM.I can understand your situation and problem.In my opinion, we should first rule out lower respiratory tract infection (LRTI)- pneumonia first in your case.Because viral infection, sometimes can lead to pneumonia. And pneumonia can cause similar kind of pain you are having.So better to consult pulmonologist and get done1. Clinical examination of respiratory system2. Chest x rayIf you are having consolidation on chest x ray, then you may need antibiotics and other supportive medicines.So better to first rule out pneumonia. | 80,980 |
Suggest remedy for swelling & pain in knee | Patient: Hello... My husband knelt down today at work, and felt a sharp pain in his knee. It has since swollen up some, and is causing him allot of pain. He was perfectly ok before it happened. What could have happened so quickly and out of the blue like that? Doctor: dear madamIt seems that he has synovitis and may have strained one of the ligaments in the knee, it is advisable to put a compression bandage on the knee and take some over the counter painkillers for the time being and see an orthopedician ASAP to rule out any major issue. | 135,521 |
Should I be worried over bilateral basal ganglia calcifications? | Patient: I had a ct scan of the brain yesterday because I have been having headaches, lightheadedneses, flu like symptoms nausea, anxiety, belching/hiccups for over a month and also I cry when watching a show or movie with no apparent reason. CT scan showed bilateral basal ganglia calcifications, should I be worried? Doctor: It is not a dangerous. Feature that you have bl basal ganglia calcification. You may feet headache n fatigue. But overall there is nothing more to do for this. Take symptomatic treatment only. | 146,198 |
Suggest treatment for breathing difficulty and chest pain | Patient: hi. im not sure if i have food stuck in my wind pipe or epiglottis, but everytime i burp or just sit food comes up, but it won't come out. i've tried to cough it out and even tried to make myself throw up. how can i get rid of this? it's causing a little breathing problems and chest pain. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. By your history and description, possibility of GERD (gastroesophageal reflux disease) is more likely.GERD is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause burping, chest pain, breathing difficulty etc.So avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Avoid stress and tension, be relax and calm. Loose weight if you are obese. Take pantoprazole and levosulperide combination on empty stomach twice daily. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 72,750 |
What could be the soft lump on the back and top of my calf? | Patient: I've had a painless, soft lump on the back and top of my calf for a few months. I can only see it when I'm standing. I thought maybe it was part of what appears to be a vericose vein developing. I don't feel anything out of the ordinary when I press on it. What could it be? Doctor: hi.The lump which is at the back of calf area and seen only if you stand up is definitely a large varicose vein. Another possibility is herniation of the calf muscle.Confirmation can be made on clinical examination and by color doppler examination. | 69,831 |
Could hot flashes be a result of hernia surgery? | Patient: I am experiencing hot flashes but beyond menopause I think, age 63, total hyst at age 52, just had hernia surgery in gut, found out by liver biopsy my liver is very diseased, no path report yet but previous CT scan said possible cirrhosis, could these evening hot flashes be at all tied to liver disease? Doctor: so its well beyond when menstruation finishes and it started suddenly after treatment. main mechanism of hot flushes is vasodilation of small blood vessel. may be some vasodilating drugs are acting as a side effect. so it would be better if u come out with the drugs name next time. | 90,684 |
What to do for the severe back pain? | Patient: sir i have a back pain from almost 1year..it started during journey( and also was in depression from 2 months before it) when i wa sleeping, i thought it was normal one and would reduce after some time so i went to gym and did some exercises normally like every day..but it didnt reduce from then till now...i am 23 years..i went to so many doctors and all of them said its normal seeing my x ray...plz tell me wat is my problem...i want my life to be normal again Doctor: Hello, I have studied your case.Most probable reason for your symptoms could be postural problem as you may be sitting for long time and working on computer/table for long time.When such patient comes to my hospital we usually take if required MRI to see for any nerve compression.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.Some exercises which can be done after pain has reduced include- Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg.Now lift both hand and leg simultaneously, 6 inch off the ground and stayPosition for around 10 breathes. Core stabilizing spine exercises will help.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion.Take care. | 108,994 |
Suggest remedy for cough | Patient: I have a cough that is caused by the feeling of a dust particle in the back of my throat. I cough to clear the throat . It is a dry cough. But one cough often leads to more immediate coughing for 6 to 8 coughs. Sinuses are clear, no mucous. Very irritating. Age 67, no allergies, and in good health. Normal weight. Doctor: HelloAs you mentioned that you are having "dry cough " and feels that something is stuck in throat . This means either some sort of allergy or throat infection . When such type of patient visit I usually advise them to take dextromethophan + chclopheniramine maleate + guaiphenesine cough syrup ( 2-3 T S F three times in day).Take some dextromethorphan lonzges for throat clearance . Take some antibiotics like amoxy clavulanic acid three times in day .This treatment will cure within 5-7 days . Avoidance of dust , mite , pollen , molds will help . Hot coffee also provide relief .Hope this will help you.Still no relief within 7 days , consult a physician and get his opinion. | 101,344 |
Hard ball in abdomen, painful, trouble breathing, had anal prolapse, bladder infection. What can help? | Patient: I am a caregiver with a client that is a quad.He has for sometime now felt as thou there is a"hard ball" in his abdomen that causes alot of pain and makes breathing dificult. tests have been done but nothing shows up. He has anal prolapse that comes and goes.It is what I would consider severe and every day for past week has included lots of blood loss. two days ago he showed up at his friends house not knowing where he was or who his friend was. This has happened once before. He currently has a bladder infection which he gets frequently. I've asked other Drs. if the anal prolapse is possibly the reason he feels pain in his abdomen but, none have been able to say one way or another. He is very insistant on not going to hospital and feels like his Drs. just ignore or dont follow up on his complaints of this pain. I am at a loss as to what to do for him. Doctor: Hi, it appears that he has urinary tract infection, or may be stone in the ureter. Anal prolapse is going in side by its own means that the all the connections are correct and there is no tears. He is bleeding as well means there could be external piles, which is causing pain. so i advise you to consult a surgeon for diagnosis and treatment. Thank you. | 92,779 |
What are the causes and consequences of white and black spots present on brain? | Patient: Hello, my 14 year old daughter had an MRI with a contrast yesterday, she suffers from daily headaches and migranes, the found white and black spots on her brain, they said it could be a stroke, inflamation, migranes or MS. How come they can't tell what it is? Is any other test that can be done? What about a PET scan? What are the consequences of these spots on her brain?? I am going crazy, I live in Utah. The doctors did not want to do an MRI I had to get upset and I just don't understand why not? Doctor: Hi,Thank you for posting your query.First of all, I would like to reassure you that there is no need to worry about the MRI findings of your daughter.The findings of white and black spots (technically hyperintense and hypo intense lesions) are non-specific and one specific diagnosis can not be made only on the basis of MRI findings.The MRI findings need to be correlated with symptoms and examination findings. In your daughter's context, the most likely cause could be migraines.Your neurologist would be able to sort this out.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 | 148,488 |
Medicine for mild mitral valve prolapse with no MR | Patient: Am 19 years old i performed an echo an it showa everything normal but with mild(benign) mitral valve prolapse with no MR but i have some palpitations that increases after exercise and it becomes annoying so is dangerous and what may be the complications and is there any medications although my doctor prescriped B blockers but am not persuaded....any help? Doctor: hello thanks for writing,MVP is not a serious condition , it is not life threatening as such but in some people it may cause tachycardia, in those patients doctor prescribes medications like beta blockers, I would suggest you not to panic, if you have frequent episodes of palpitations you can use the blocker regularly if you do not have regular palpitations you can just use the medication when ever you have the problem of palpitation. everything seems to be fine.Best regards.Dr.Ahmad | 23,409 |
Suggest remedy for sharp pain above right ear and sensitivity in scalp | Patient: Hello, I am a 47 year old male and I am experiencing an intermittent sharp pain above my right ear in conjunction with a sensitive scalp that feels sore to the touch. The sensitivity is most notable above my right eyebrow and forehead all the way to the crown. I flew cross country a couple of days ago and thought maybe the change in pressure might have something to do with it, but now I m not sure. Any ideas or should I be concerned? Doctor: Hello!I read your question and understand your concern.In my opinion I think your symptoms go for a trigeminal neuralgia affecting the ophthalmic branch of this nerve. I would like to know if the pain is worse when you move your eyebrow or when you touch that part of your face.It may happen without a specific cause but it may be caused also by a structural problem, a brain vessel, a tumor, etc.I would recommend you go to the doctor and have a brain MRI to rule out the cause.In the meantime I would recommend treatment with carbamazepine or gabapentine for the pain.Hope to have been helpful.Thank you for using HCM!Best wishes Dr. Abaz | 145,450 |
Are multiple hepatomegaly and multiple mesenteric lymph nodes in a child with abdominal pain a concern? | Patient: Multiple Hepatomegaly and multiple mesenric lymph node s. Mantoux test result is 14mm.positively diagnosed for my 7 yrs child.. He has acute abdominal pain all the time 24×7. Medicine are not working. Is this very serious. How and where he be treated. Any advice for his pain relief. Doctor: welcome to hcm...your child is suffering from abdominal TB ..he needs antituberculosis drugs ..please talk to your local doctor..if you are in india these are given free of cost at all govt health centres ...usually drugs are given first and and are effective in maojirity of patients but surgery is needed in a few cases ..for pain higher painkillers and antispasmodic may be used as diclofenic tramadolol buscopan drotoverine ...as these are prescription drugs please contact your local doctor he will prescribe some.. | 162,443 |
How to treat cold in a 2 years old child? | Patient: Hellow Doctor, I have 2 yers old son he is suffering from cold if once the cold comes it will stay 40-50days.We are using so many medicins but still that problem is there so can you sugest me how to take care and give the olution for this. Thanks, Pavitra Doctor: Hi Dear welcome to the HCM,Improve his immunity with supplementation with iron and multivitamin.High protein dietFeeding hygiene to be strictly observed,Avoid contact with persons who are already infected with viral RTI.Hope the query is answered.thanks | 175,448 |
Numbness of both hands, hair fall, depression , body ache. Vitamin and B12 dose taken. When I stop the medicines? | Patient: hello doctor, i am 33 yr old female. i started getting tingling and numbness in my both hands since last year.i am having severe hairfall problem, bodyache, calf muscle pain, irritability and depression. at times i am confused and not able to take decision.( this was never before) i checked my b12 and vit d levels they are 155 and 16 respectively.i want to know the injections to be taken for the same , the detailed course with dose and tablets to be taken thereafter.i want to come to my normal course. i am a vegeterian. waiting for your reply. Doctor: Hi,Thanks for using healthcare magic.I have gone through your history.There is no fixed dose schedule for vitamin injections.I usually follow vitamin B 12 injections initially on alternate day then gradually reducing its frequency to once a month.It also mainly depends on your symptoms, work, lifestyle factors and tolerability.You should consult tour doctor to decide exact dose requirement in your case.You may re check vitamin B 12 level after certain period of time as advised by your doctor to have further guidance regarding dose frequency.I hope It will help you.Thanks. | 211,864 |
How to treat back pain? | Patient: I have been having oboes with the right side of my body. I have a stabbing/ cramping pain lower right side of my back. I also have a tingling sensation on the right side of my face and my ear feels although it is blocked. I am very healthy And have never had problems before so I am a little concerned about this. Doctor: Hello,I had gone through the case and found that there might be nerve pressing which causes numbness.Go for cervical x- ray and emg test.Take meganeuron od plus once a day and do neck and hand exercise.Hope my answer will be effective for you.Thanks | 111,178 |
When does to get pregnant after a miscarriage? | Patient: At last I got my first prega news on 30th march 2014.im happy.but after 10th week pregnancy I see in ultrasound that my baby has no heartbeat. Unfortunately I had got missed abortion on 4th may 2014.and now aftrer 15th day I want ans from you for help.so pls give me an ans for my question.now! Which time is safe and good for i got my next healthy pregnancy.when should I trying to concive.because the next time I want a perfectly healthy pregnancy.. Doctor: Hallow Dear,After abortion, theoretically, the egg release may start anytime after 5 weeks. However, whether to go for next pregnancy so immediately is a question; particularly when you had missed abortion. I feel primarily after any type of abortion, due time of about 3 months should be given for the organs and tissues of reproductory system to regain normalcy. After that pregnancy may be attempted. However, since you had missed abortion, I would advise you to consult a foetal medicine specialist to find out the probable cause behind the missed abortion. May be both of you might have to get your chromosomal study done. If any cause is detected and is curable, first get it treated before you attempt next pregnancy. Right from now, in the preconception stage, start taking Folic acid tablets daily and high protein diet also. This will help release of healthy egg and healthy implantation of fertilized ovum. Please consult your Gynaecologist before attempting the pregnancy. Dr. Nishikant Shrotri | 3,362 |
Does eating lot of pound cake raise triglyceride? | Patient: Will eating lots of pound cake and angel food cake with crushed strawberries sweeten with stevia and sugar and being medicated with Ativan ,rednisone, and Lipitor and three glasses of wine while preparing and eating dinner raise my alt and triglyceride .? Doctor: For sure not just a lot, but even' little 'of all what you prepared will increase your triglycerides because it contains simple sugars and fats (cream) which is easily absorbed . Lastly the reason why your ALT went up might be lipitor and the wine (if taken on Daily basis) . Now according to guidelines if your alt is substantially high you would need to decrease the lipitor dose for time being till it resolves. Regards Dr Priyank Mody | 26,615 |
What causes red bump on vagina? | Patient: Hi, I jyst noticed a red bump on the left side if my vagina becaused i scrached and i think i picked it while doing so, a kind of clear red stuff came out and i put some cold water and tissue on it, its not itchy or anything but i am freaking out, please tell me i dont have a std. Help! Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, in my opinion you are mostly having benign cyst in your vagina. Vagina is very rich in glands and secretions. So cysts are commonly seen in vaginal mucosa due to enlargement of glands. Usually no treatment is required because these cysts are small, painless and non itchy. Surgical excision is needed if these cysts become painful, enlarging or infected. So, in your case, no treatment is required. But better to get done clinical examination by gynecologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 64,911 |
What causes high blood pressure after taking ceruvin-A and rozat-F? | Patient: 60 yrs old hardworking diabetic, started tribet 2 since 3 months. contracted hiv thru blood transfusion.diagnosed in may 2011.on Viraday since then. CD4 increased above 200 about 2 months back. wife passed away in may 2011 and also lost grandchild 2 days later during delivery. I suffered a shock (may be a stroke) and was not able to focus properly and admitted to hospital for 2 days in may 2011. Since then diagonosed with small clots in brain (right occipital lobe) thru brain mri since feeling numbness in left half of body. now taking ceruvin A, rozat f. 25% improvement. but after starting ceruvin A and rozat F for 2 weeks i am now suddenly suffering from high blood pressure 190/100,180/100 etc. I did not have high bp.taking staml 5 and losar h once in morning. What could have caused high BP? (Ceruvin A , Rozat f ????) Whats your advice please? Doctor: Hi , Ceruvin A and Rozat f that you use for preventing further blood clot and stroke does not increase your blood pressure . In fact many studies show that they reduce blood pressure.There are 3 possibilities to your recent rise in blood pressure1. A new onset renal failure either dur to HIV or blood clots in your renal artery or vein. You will need to do bloods for creatinine and urinalysis and also doppler of renal artery and vein.2. There could be a new valvular heart problem that comes with age called aortic stenosis so you will need to evaluated by physician for the same . He/She may want to do Echocardiography for the same.3. There is also a possibility that your blood vessels have become stiff with age called arteriosclerosis and thus causing hypertension.While you will need to continue your medications you will also need evaluation to find the cause for the same.Will be happy to review further . | 23,799 |
What is the cause of ring like patches on the body? | Patient: hi doc i have been taking unienzyme for the past 3 months but i have of late started developing or rather experiencing complications like itching inside my asshole and ring like patches on my body so whats the way forward should i continue with the drugs or what because am still left with a packet for one month Doctor: Hello, Unienzyme is not related to anal itching and ring like patches on the body. You can continue with the drug. There is likely a parasitic infection which is causing itching and patches. A dermatological review is necessary for clinical examination. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Loveleen Sharma, General & Family Physician | 85,619 |
Can Norflex be taken for severe body ache? | Patient: My husband hurt himself lifting heavy object this week he is in much pain 8-9 level he took celebrex this morning, hoping it would hel he can t really walk or sit right now there is major snow storm outside so I don t want to take him out can he take norflex (200mg) to help reduce the spasm until it stops snowing and we can get to urgent care? Doctor: Hello, Yes, you can take Norflex as it seems a muscle stiffness by your history. Visit the hospital as soon as possible. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Rohit Kothari , Psychiatrist | 215,720 |
How to get rid of canker sore on bottom of tongue? | Patient: Hi this week sometime I noticed what felt like just a regular canker sore on the bottom of my tongue but as i looked closer at it, it is a what appears to be a small piece of skin (small hangy ball looking) hanging from the bottom of my tongue. it is painful and i feel it on my teeth when i talk or eat. any idea what this is or how to get rid of it? Doctor: Hello thanx for consulting at hcm..the small hanging ball like skin could be fibroma which might be due constant micro-trauma caused by sharp teeth surface touching surface of tongue.. Treatment involves firstly trimming of sharp teeth surfaces,if any..secondly you could go for excision of that growth,since it is painful and is troubling you during day to day activities..please consult a oral physician for checkup and treatment..hope it helps...take care... | 184,744 |
Suggest therapy for asthma | Patient: Im 36 have asthma and BP lately is 138/98 Im on Lasix due to recent CHF due to Asthma. Dropped to lasix daily and BP up again 138/98 and having wet cough again and shortness of breath. WHy on lasix BID was i ok BP was normal no issues and now daily having symptoms again? Doctor: Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would like to know about your symptoms, medications, tests, etc in great detail as the provided details are confusing.2. It is unusual to have CHF with BP 138/98 that needs daily Lasix unless there is some defect in heart function/structure. I would suggest you to get Echocardiography (Echo) and Electrocardiogram (ECG) done and get reviewed by an experienced cardiologist.3. Your cough and breathlessness could be due to asthma also. I would suggest you Chest X-ray and Spirometry with post-bronchodilator reversibility testing to know your lung capacity and identify the type of lung disorder you may have.4. If such investigations, especially those related to heart, are not done, it is difficult to conclude why are you getting regular symptoms, why you need daily Lasix, what is causing breathing difficulty, etc. Asthma and CHF are very different entities and need thorough evaluation to identify the cause. 5. Usually, 138/98 is not a greatly elevated BP that causes significant problems, CHF, etc. Such BP can be managed/controlled by salt restriction, life style modifications, relaxation, etc, in most common circumstances. This is the reason I am emphasizing the importance of identifying the cause of your symptoms.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. | 99,805 |
What causes numbness in the buttock and left leg? | Patient: Hi, I was hit by a car 3 weeks ago. My butt goes numb, and my left leg feels like it going to sleep. My Doctor is working on that. My question is why do I feel nauseous with constant head ache, sometime severe. Now a new symptom, my ears started ringing really bad. Any ideas. I don t have a neck injury . Doctor: Hello,I think you have both, a spine problem (in view of the leg symptoms) and a brain problem (in view of the headache, nausea and tinnitus-the ear problem).I think you should be taken up for MRI of the brain and spine. The former may show some contusions in the brain as a result of coup countercoup injury. The latter may show a nerve root compression.Unfortunately, Treatment cannot be suggested without knowing the reports. So, do let us know the reports for further suggestions.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Saumya Mittal | 141,782 |
Suggest treatment for nausea and pain in testicles | Patient: Hello, I have a Tramatic Brain Injury, I just let you know that because it may have to do with my question. This morning when I woke up and ate, my right side of my testicles hurts after I eat it hurts even more later that day. I recently caught broncitis and have been sick for the last two weeks. Throwing up, coughing and my body felt worse at times. I does feel alot better still a little affected, but no where close to what it was. I do normally workout but have stayed away from the gym because of sickness. I still take a multi vitimin, fish oil, calcium once in the morning for all three.I do feel alot better and can deal with the sickness the prescibe a anti body and nausea med for sickness. I am just wondering if sickness or treatment may be why my testicle is hurting it is not unbearible, just want to be sure and do not want to go to doctor office unless needed. Thank you for your response and I look forward to it. Doctor: Hi, Consult a general surgeon and get an ultrasound scrotum done to rule out conditions like torsion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | 194,875 |
Blood tests show elevated MCV. Is this the cause of irreversible liver disease ? | Patient: hi 3 months ago my partner had a routine set of blood tests taken and all normal with exception of mcv which was elevated to 109 he has had a repeat teast done after 2 months and levels reduced to 104vAlthough he is not a heavy drinker he does have over the recommended levels by approx 50% ie 30 - 35 units a week During the 2 months he did reduce these levels a bit and mcv reduced to 104 He has now reduced his levels significantly as the tests have shocked him and made him look more honestly at his intake. Is it likely that with these results he will have irreversible liver disease or with consistent reduction are matters likely to resolve Doctor: Hi Ruth. There are more specific tests for liver function such as liver enzymes and bilirubin. MCV tells us more about red blood count. ALso liver ultrasound should be done to see is there any sign of liver cirrhosis. I am sure it will resolve because liver is an organ with the highest potency of regeneration and only cirrhosis is irreversible,but onlx exscssive drinking for more than 10 years leads to it. It doesnt mean that he can still drink. It is bad for whole oragnism, not just for the liver. | 59,448 |
Consume alcohol. Tests showed NHALD. On METFORMIN, UDILIV. Suggestions on medicines and health improvement | Patient: iam consuming alcohol for more than 5 years.. 180 ml per day.. Recent tests showed NHALD. dOCTOR PRESCRIBED METFORMIN 250 MG AND UDILIV 300 EACH PER DAY..IS THIS CONDITION SO SERIOUS...WILL THIS MEDICATION BE HELPFUL.. DOCTOR ASKED ME NOT TO STOP THIS MEDICATION.. WILL THAT HAVE ANY SIDE AFFECTS.. NOW I HAVE COMPLETELY QUIT ALCOHOL FOR ALMOST ONE YEAR.. REQUEST ADVICE TO IMPROVE MY HEALTH AND CONDITION OF LIVER.. Doctor: Hello! Thanks for putting your query in HCM. I am a GastroenterologistSince you have stopped taking alcohol since last 1 year. i will like to advise you to get liver function tests (SGOT/SGPT, S.ALBUMIN, PT/INR, AND SERUM BILIRUBIN), blood sugar and lipid profile along with ultrasound abdomen mentioning liver size and echotexture, spleen size, portal vein diameter, any ascitesPlease get these tests done upload the reports before any advise. Also mention your body mass index. Please remain in touch. Waiting for the feedback | 58,757 |
What causes delay in periods? | Patient: My wife and I are trying to have a baby since last year. So we meet a gynac and he started folicale test. First time we missed and my wife ovary didn't show any growth. So he prescribed Goodova which showed a good result and the ovary showed a tremendous growth. Then he gave "hgc 10000" injection to my wife on 7th day and asked us to have relation between 2nd and 5th of Jan 2014. My wife had minor bleeding on 16th Jan. Now her periods are lat by 10 days but UTP results are also negative. So we visited our doctor again and now he gave Deviry 10mg tablet. We are confused. Can some one tell me for what purpose this tablet is used. Whether it will postpone the period or it will regularize it.Please help. Doctor: it appears since there is no pregnacy test positive at this time. the periods are alte by 10 days. the medication probably given to bring on the period so called withdrawl bleeding which may help to regularizeit. | 219,996 |
Sleeping a lot, want to stay isolated. What is wrong with me? | Patient: Lately I have been getting easily irritated with only my family. Everything they do annoys me, mainly because of the fact they are so predictable. I want to isolate myself from everyone and stay in my room to either be alone or fall asleep from boredom. I get more than the recommend amount of sleep, I normally sleep for 11 hours a da, not including naps. Recently I went Vegan, and I feel what I have to eat does have a connection with everyhing. My Mom does all the shopping and buys me junk food that is still techincally vegan..I try to explain to her I need healthy, whole foods, but I still receive fast, easy to make meals.I used to be positive and humble, now I am the opposite. What is wrong with me? Doctor: Hello.......... Thanks for your query. Excessive sleep (hypersomnia) and irritability can be a symptom of atypical depression. Hence, a thorough psychiatric evaluation including mental status examination is required before deciding on management. Anti-depressant drugs and psychotherapy are the available options. In addition, hypothyroidism needs to be ruled out as it can present similarly. Regards Dr Sundar Gnanavel Psychiatrist | 212,873 |
Suggest remedy for hair loss | Patient: Hi, I'm 25 years old and am loosing hair rapidly, specialy towards the front of my head. I've been taking a lot of vitamins D,B,A,Iron, a good multiple, but I'm still loosing hair. I want to have tests done and get a definet dianoses. I want to have my hormones checked out, and also to get a biopsy done on my scalp, to rule out any kind of fungus. Do I need to contact a hair specialist or can I go to any doctor for the scalp biopsy? Doctor: Hi Dear,Understanding your concern. As per your query you have symptoms of hair loss known as alopecia problem which can occur due to genetic factor, fungal infection, covering head with cap and hormonal changes . Stress is additional factor to your condition.Need not to worry. I would suggest you to consult dermatologist for proper examination. Doctor may order skin patch test , blood test and physical examination . Doctor may prescribe you drug like finpecia at least for 3-4 months or anti fungal treatment along with minoxidil spray. Wait for scalp biopsy. You should start taking supplements like Vitamin A ,Omega-3 and Vitamin E. Take Indian gooseberry powder ( half spoon ) with water once a day and use almond oil.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari | 9,862 |
What causes frequent chest infection? | Patient: I have Crohn s disease and I am on infliximab and azathioprine. Last year I had a chest infection and it took 12 courses of antibiotics. This year I have another chest infection and I have already had 3 courses of antibiotics. Each time it gets better and when I stop it comes straight back. I am already over due my infliximab infusion and my bowels are starting to play up and arthritis in my hand has flared up. My doctor does not seem to know how to treat the infection do you have any suggestions Doctor: HIThanks for posting your query to Healthcaremagic First thing you need to know is infliximab and azathioprine are immuno suppressant medication, their use suppresses body's immunity and the body becomes susceptible for Infections . The frequency of infections increases also the severity and it becomes difficult to treat even simple infections as Antibiotics needs body's immune system to work . So as much as possible ask your doctor treating Crohn's to look for alternative medicines or at least reduce the dose of Azathioprine . You should also maintain a healthy life style which prevents you from contracting infections . And once you get any infection however mild it may be kindly consult your doctor and get treated properly . Hope this information was useful to you. Any clarifications feel free to ask . | 37,025 |
What causes chest pain? | Patient: am 22 yrs old and i have been having chest pains 4 about a year now and just recently i we to a privet doctor for help and he asked me to take tests for my liver and colestrol levels thn he said they seemed fine.i also had an x-ray done for my heart and he said i was fine.the thing is my chest still hurts and he gave me tablets of Eldervit and i dont know how its surposed to help. Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. Since you are young and your reports are normal, no need to worry for major heart or lung related diseases. In my opinion, you are mostly having stress and anxiety related chest pain. Stress causes gastritis and this can cause chest pain. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors and prokinetic drugs.Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. Wish you good health. Thanks. | 78,842 |
Suggest treatment for headache after masturbation | Patient: Hi doctor, I just want to know if masturbation have any effect on the body especially the head,because I usually have headache like migraine and I think my head swells after that. I feel depressed after that and I stay indoor for some days. I need your advice doc. Doctor: Hi.I had gone through your query. Masturbation is normal physiological function. It doesn't have any side effects on body.Headache after masturbation or sex called sexual cephalgia.It occurs in small population. But do not have any serious issues.It can be treated with medicine like analgesic. Paracetamol and diclofenac will useful.Medicines like propranalol before masturbation or sex can prevent headache. But before taking any medicine you have to consult doctor and take advise. I hope I have answered your question. Happy to help you. Thank you. | 201,689 |
What causes inverted T waves and high heart beat? | Patient: A paramedic ran an EKG on my 15 year old daughter and said it was abnormal with slightly inverted T waves. She is in good shape, excellent weight. When she does aerobics, her heartrate gets over 200. She has been feeling tired. What are the possibilities? Doctor: Hello,I have gone through your query.Thanks for using HCM.well many a times inverted t waves may be non specific at young age,but heart rate going upto 200 is bit unusual .so i suggest you to get her Echocardoigram done.This will rule out any structural defect in heart.If this turns out to be normal you can safely rule out any serious problem with heart.MY best wishesDr.Rajesh Teli,MD. | 26,828 |
Suggest treatment for wrist pain due to an injury | Patient: My wrist has been hurting on the pinky side for about three weeks. It hurts the most when i put pressure on it and move toward that direction. It started hurting after i slid into third base in softball (i sometimes drag my hands) i think this could have hurt it. What should i do? Doctor: Hi Hope this message finds u in good health.I have gone through ur msg and understand your concern.U SHOULD GET AN XRAY DONE TO SEE IF THERE IS ANY BONY INJURY. 3 WEEKS IS A LOT OF TIME TO HAVE HEALED UP TILL NOW.TAKE ANALGESICS, COMPRESSION BANDAGEGet back to me for any FOLLOW UP QUERIES anytime.Regards,Dr Mahaveer Patil...(MBBS,MS,Mch) | 132,370 |
Laproscopic surgery,bleeding ovarian cyst,appendix removal | Patient: Hi, I had laparoscopic surgery on Tuesday (5 days ago). The reason of the surgery was bleeding on my ovarian cyst . Furthermore, they took my appendicitis . Now I use two antibiotics, one is aksef (Sefuroksim Aksetil) and the other is Biteral (Ornidazol). They will cease tomorrow morning. Today I want to smoke marijuana. Is it dangerous for me? Doctor: I do not believe that there is any interaction between marijuana and the medications that you are on. Also, assuming that you just had a routine laparoscopy with no concern regarding infection within the pelvis (i.e. it was just a bleeding ruptured cyst), then there is no reason that you should still be on antibiotics. The standard of care is to just give you one dose within 30 minutes of the start of the procedure. I hope this helps! | 95,107 |
What can be done to cure holes on my skin caused due to acne and pimples ? | Patient: hello sir, i have little holes on my cheeks due to acne and pimples . so what can i do to get rid from that.write now im taking homeopathick medicine plz kindly suggest me . Doctor: hi welcome to hcm.there are some home made medicine like1) cucumber + lemon juice which combine lighten the face marks. 2)sandalwood +gram powder in water and apply on face for 1 hrly. 3)gen tally massage with olive or almond oil. 4)rubbing face with lemon juice. also you continue homoeopathy which give you good result for your acne.our preparation like echinesia Q 10 drops in some water which is good blood purifier.avoid spicy food plus drink plenty of fluid. thanks dr.dhara [email protected] | 7,751 |
How to increase hemoglobin level in blood? | Patient: hello, my boy friend vishal gurao, age 25 has been admitted in the hospital from last 30 days as his WBC count was 300. Doctors dont know why his count was not incresaing but now as the count increased, his HB is very low. Doctors are not getting why and how it is happening. His Blood cancer report is negative. He is now on ventilator. Now doctors of life care hospital, nagpur saying that his got some problem with liver. I feel that they are not treating him properly. please help me. plz tell me what should i do? Doctor: hi, your wbc count is very low just 300, and hb is also very low. you need to cunsult and take opinion of hematologist. there are many causes of that. ha may have aplastic anemia, some other serious problem. first you need to search the cause and then take treatment accordingly.thanks for using health care magic. | 117,757 |
What causes pain, tingling and itching sensation on arms and shoulders? | Patient: At first, about a month ago, the muscles in my arms & up my shoulders hurt, joints too, now they have been itchy & tingly, as well as other places in my body. Now inflamation has set in, Itches on both sides of my neck too, and I have vertigo which I take meclizine 12.2 for and helps a lot. Dr gave me some Naproxen 375MG, which helps with the inflamation & tingling, but now it seems I m feel like I have a fever, low grade at times, & sweaty, nauseous & where my liver & pancreas area are feels inflamed. I m am at my wits end and scared to death. I ve been looking up so many scary things it could be, but I need help! Don t seen my dr for several more days. Maybe I should go to the ER? Thank you for listening and would appreciate what you have to say. Doctor: Hi,Regarding your concern, I would explain that your symptoms are not concerning about any serious medical disorder. The joint pain in different joints, indicates an inflammatory disease like arthritis. Fever may be part of generalized inflammation. Coming to this point, there is no need to go to the ER. I would just recommend consulting with your family doctor for a physical exam and some tests:- complete blood count, PCR, sedimentation rate- liver and kidney function tests- blood electrolytes- Rhematoid factor- ANA, ANCA for possible autoimmune disorder Hope to have been helpful. Let me know if I can assist you further.Kind regards,Dr. Aida | 143,263 |
Rash on thigh, hospitalized for internal bleeding. Taken Nexium. Could this be heat rash? | Patient: I got this rash on the outer layer of both my thighs about 8 years ago, after I was hospitalised for internal bleeding (due to black colour tarred stool, but then it is not). Some Nexium was injected into me before the CT scan , and a day later, this rash developed. At first, I thought that it was some kind of drug allergy . I have been to the skin doctor for drug allergy testing, and the result was negative. However, the rash is always there, and is worse after exercising (coz of sweat) and also after shower etc. Can this be heat rash and is it permanent? I am a 36 year old female, with slim (average size body build), and healthy body fat level. Doctor: Hi,Thanks for writing in.The rash after sweating and shower can be due to cholinergic urticaria.It is due to allergy only.Allergy can be related to many factors such as temperature,cholinergic urticaria etc.Evaluation for physical allergies like pressure,cold,cholinergic urticaria is must.Hope this helps.RegardsDrSudarshanMD | 15,151 |
What causes paralysis after removing the clot from spine? | Patient: my brother-in-law has just undergone emergency surgery where a clot was removed from his upper spine. it appears that he has some paralysis in his arms and legs... has only regained limited function of one hand. my sister mentioned that he has already begun physical therapy (surgery was just yesterday) ...does something like this usually result in some kind of permanent disability? (she said at this time he can't even answer a phone) Doctor: The paralysis can come from the compression of the spinal cord from the blood clot.This can cause the spinal cord to have a "stroke", and can cause damage to the spinal cord.There can be some improvement over the first few weeks and months, up to a year after surgery, so rehabilitation is important. | 141,693 |
Suggest remedy for dry, red, itchy and bumpy skin | Patient: I am 12 years of age. Every year I go up to a place named Lake Tahoe where the air is very dry and I am always in the sun. My skin gets VERY dry, red, bumpy, rashy, and I get twitches of itching every 5 seconds. I am miserable. I havent slept for the past 4 nights. HELP!! I have eczema. Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have symptoms of dry, red, itchy and bumpy skin which seems to be due to hair follicle infection leading to folliculitis and it is due to excessive exposure to sunlight which removes natural moisture from skin. Need not to worry. You should avoid touching or pricking bumps. I would suggest you to apply topical antibacterial ointment. You should apply betnovate ointment on them 2-3 times a day. You should take course of oral antibiotics. Maintain complete hygiene. You should avoid exposure to sunlight and cover your skin always with moist cloth. Visit dermatologist once if symptoms keeps on persisting. Start treatment after complete examination and proper prescription. You should get skin patch test and allergy test done to find out exact cause of disease and start treatment accordingly.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 9,184 |
What causes stomach ache in a child? | Patient: my 4 year old daughter has been complaining of a tummy ache since yesterday morning. She has had a lot of gas since yesterday morning also. This morning she woke up with a cough and a temp of 100.0. I gave her some tylenol and the temperature came right down and stayed down but she still has the tummy ache. Doctor: A gastrointestinal infection could be the cause of the tummy ache. To be able to determine the actual cause of the pain and fever, your child needs to be evaluated clinically and I would suggest you to visit a doctor. However, you have done the right thing by giving her tylenol. | 175,168 |
What can i do to get pregnant as soon as possible? | Patient: hi dr.mia , i am soooo sad actually because i think i have a problem ,i am 3 months off microgynon contraceptive pills , i was taking them for 12 months ,now i had first mensis by 35 days next 31 days than this month it was 39 days what can i do to get pregnant as soon as possible ??please help me Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Probably you have a case of PCOD. You should get your serum TSH and serum prolactin done. Then you can start taking clomiphene from day 2 of the period after TVS and go for follicular study.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal | 308 |
Is donor embryo transfer a better option? | Patient: Hello doctor. I'm 38 years old and suffering from some medical problems. Though I am married for 11 years pregnancy was contraindicated in me all these years and now i have been given a green signal. I prefer to go for a donor embryo transfer inview of my age, husband's count on the lower side. Both of us are doctors and I specialise in gynaecology Doctor: As you are by self in gynaecology than there should not be much, i can advice you. but yes what is the medical problem than pregnancy was contraindicated i want to know. Second yes if your age is more that does not mean you can not ovulate.If you are ovulating than go for embryo transfer of your own. because for ivf what is needed is your ovum and a sperm which can be retrived from your husband. If you are not ovulating than you have a option of ovum donor and semen of your husband and embryo transfer.if your husband semen does not contain any viable sperm and also you are not ovulating than and than complete embryo donor is option.So firstly consult a infertologist with all your reports. and have a detail counselling session about what are the options you have and what are the chances of success with every one and what are the pros and cons with every one. than get one decision. | 644 |
What causes rapid eye movement and muscle twitching in arms post EEG test? | Patient: I just had an EEG and after the strobe lights and heavy breathing part of the test, I was asked to relax. During this time I began to experience rapid eye movement that I could not control and involuntary muscle twitching in my arms and upper body. Is this normal and does this indicate anything in particular? I am being tested for Epilepsy. Doctor: Hello ! Thank you for your question ! I understand your concern. I think you might have been experiencing a specific kind of Epilepsy seizure( probably partial complex occipital lobe Epilepsy) during the EEG . The heavy breathing you have done before this happened , has excited your brain, so that a seizure occurred. This is a normal procedure during EEG . The hiperventilation is commonly used to excite the brain, so the full pattern of the disease comes out in the EEG tracing. I am sure the doctor has understood this and has localized dhe problem in your brain. Hope to have been helpful!Thank you for using HCM Best wishes, Dr. Abaz Quka | 145,673 |
Suggest treatment for throat pain,swelling and spots in gums | Patient: For a week now I have had problems with my mouth. My throat hurts everytime I swallow. I also have something hanging off my left tonsil. My gums are swollen. the top of my hard palate is all shriveled and raw. I have all these spots in my gums that are painful which prevents me from chewing and eating. what do I have and what can I do to make it better? Doctor: hiwelcome to HCMyou must be suffering from throat infection for that you can start with azithromycin Once a day for 5 days. For swollen gums, spots all over mouth and shriveled palate can only be diagnosed after reviewing throughly and might be your throat infection is a part of that.you may be suffering some infection or lesion so, better to consult a dentist.meanwhile you can have antioxidants once a day.hope it will help you | 187,792 |
Throat irritation with slight thread like phelgm when exposed to cold weather. Diagnosed allergy. X-ray clear. Intake of rotocaps or vizinil safe? | Patient: Hi, A year back I had developed cough and cold problem which later went but had very bad cough for month my doctoer suggested me to take seroflo by taking it my cough however reduced. I have consulted many doctors for this because since then I still suffer from mild throat iritation with a slight thread like flame and this happens only when Iam exposed to cold whether , dute or sit in air conditioner. Doctors say that I have an allergy.My chest is howeevr clear in X ray taken. What should I do to feel better or have this completly go. Is it safe to take Rotocaps nor an allegra or Vizinil table, which amongst these are safe to take Doctor: symptomps are of allergy which increases in cold or hotyou may also be having sinusitis which is allergic causing pnd in throat causing irritation in throatneed to get xray pns waters view and treat in consultation with allergy doctor who will treat on allergy guidelines for cough sinuses and chronic throat irritationsget blood serum tests fr specific antibodies for various allergens and treat with immunotherapy | 103,181 |
What are the rashes my grandson is having on his face and torso? | Patient: My baby grandson appears to have two different rashes on his face an torso. Started with what looked kike nappy rash. Then developed red blotches on his toso. This was followed by what looks like nettle rash. He s no sick but obviously uncomfortable and not sleeping well. Doctor: Hi.... I love to see the photographs and then answer you queries more precisely. If you can kindly upload the photos on this website and I would get back to you. By what you quote at this point of time, I suggest he might be having - 1. Infantile eczema.2. Erythema neonatorum3. Nettle rash.I wish your grandson a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696 | 180,153 |
What causes pain in lower abdomen and testicular region? | Patient: Sir 3 days back I have done ultrasound and report suggest that I have 3.5 mm stone in left kidney and antibiotic and neeri but last night I had pain in lower abdomen just above penis and in testicular region I done testes ultrasound it's normal what can be the in right kidney and also cystitis doc gave some medicine including reason please help Doctor: I have gone through the details. You are probably suffering from urinary tract infection (UTI) of which cystitis is a part. You are more susceptible to such infections due to the kidney stone. Such an infection could be the cause of pain in lower abdomen and testicular region. Your doctor probably has given you antibiotics to treat the infection. Please drink plenty of water as that will help in flushing out the infection and would give you relief. | 88,590 |
Need treatment for severe cough | Patient: I have had a severe cough for 3 weeks. Coughing up mucous (green/yellow). Now i have a horrible pain on upper right side (rib?) what can i do? I have already taken a whole thing of cough syrup.. did not help any. i also took tussalex cough pearls.did not help. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description possibility of either lung infection or bronchitis is more. In both these conditions, cough with expectoration is seen. And you are not improving with routine cough syrups. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test). Chest x ray is needed to rule out lung infection - pneumonia. PFT is needed to rule out bronchitis. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 79,517 |
Suggest safe treatment for cold, cough and fever in child | Patient: HI DOCTOR, MY CHILD IS 15MOMTH OLD.HE IS SUFFERING FROM COULD COUGH,AND FEBER.BUT NOW NO FEVER AFTER TAKIG MEDICINE OF ASTHALIN,PIRITON,OMMACOTIN AND ZEDOCEF..I JUST WANTED TO KNOW WHY HE DULL AND ALWAYS SLEEPING.HE IS ALSO NOT YAKING FOOD MUCH THAN EARLEIR .WHAT COULD BR THE REASON? Doctor: It is not unusual for children not to eat properly when ill. The excessive sleepiness is probably a side effect of the antiallergic medication (piriton) but you need not worry about it. It is a known and widely tolerated side effect. About the reduced intake of food, remain in follow up of your doctor and since the medicines have already been prescribed, I would not be concerned at the moment. | 177,430 |
What causes high fever while treating ear infection? | Patient: Hi my two year old daughter is getting over an ear infection (7th day on antibiotics) and fever shot up to 102 out of no where. Simultaneously she also buckled her knee jumping on a trampoline Agee hours before fever jumped up. X-rays were fine and just got an email with her esr rates and they are 67. Is this bad? Won t hear back from her doctor until tomorrow Doctor: Hi. A high ESR is suggestive of an ongoing infection like an ear infection in your daughters case. The fever spike might be due to the ongoing ear infection. Severe pain also is found to cause fever at times. Follow your doctors advice on the antibiotic course. A dose of paracetamol can be given in case of high fever and severe pain. I wish your daughter a speedy recovery :) | 31,263 |
What causes stiffness and pain in legs in a child suffering from chesty cough? | Patient: My child has been suffering from a chesty cough for a week now. This morning he woke with painful legs and looks very stuff when we tries to walk. There is no discoloration, no bleeding, no signs of blood clots or signs of inflammation and his legs do not feel hot to touch. They do feel cool. Would could this be? Doctor: Hi... I feel that your kid might be going through a viral illness which initially involved the lung and later on is spreading on to cause systemic manifestations. I feel that it would be better if he is examined by a physician or pediatrician. It could also be an infection due to an atypical organism like Chalmydia or Mycoplasma. he needs work up for this and antibiotics too.Regards - Dr. Sumanth | 175,104 |
Narrowing of arteries in brain stem and brain. Prescribed Lipitor. Blood test normal. Worried | Patient: Today my doctor told me that I have a narrowing of the arteries in my brain stem and brain. He prescribed Lipitor. My other blood tests reveal perfect results so far. He found out about the arterial problem from an MRI that was done last year as a result of a concussion. Now I am really scared! I am a very active 65 in good physical condition. Lipitor's side effects make me very nervous, but I do not know what to do. Is this a death sentence or what? Doctor: Hi and sorry to hear about the narrowing of theses arteries and the troubling thoughts that this and the prescription and lipitor have caused you.There are many people out there who take lipitor and don'thave any of these side effects. You could be one of those lucky ones. Don't be scare but be brave to face them with a positive mental attitude.If the narrowing of these arteries was diagnosed a year ago, I will suggest that you get the MRI repeated and confirm that these findings are actually permanent or were simply changes associated with the brain concussion and also because you have no symptoms.Lipitor would be a good choice if there is already any narrowing and your doctor decides to get very aggressive at maintaining good blood lipid levels despite the considered normal values in individuals with not problems.Hope you find this helpful and informative. If you have more questions, I have answers, keep them coming. I wish you well and success with your treatment.Dr. Ditah, MD. | 149,728 |
How to cure sore left testicle and lump on vein after vasectomy? | Patient: Hi,I had a vasectomy 6 weeks ago and after four days, I had an infection. This was treated but on Christmas Day, I had a sore left testicle and now I feel a lump on the vein below my left testicle. I am waiting for an ultrasound but the hospital will not return my calls about when the date is. It is very uncomfortable and I have sharp pains from time to time on my left testicle. Doctor: HIThank for asking to HCMI really appreciate your concern, this is very common complication being noted in vasectomy, due to the loose skin the infection parts spreads up very quickly and became painful, if I would be your doctor then I would treat you with Ibuprofen with Acetaminophen" three times in day, I usually prefer Boric acid powder for fermentation, this is to be mixed in hot water (Boiled then bring the temperature at suitable level ) the boric acid about 5 gram should me mix with one and half litre of water then pour the water on swelling part, this also give quick relief, have nice day. | 203,774 |
Could leg pain and cold feeling be a sign of blood clot? | Patient: Hello, My husband is a type 11 Diabetic , he is going to have Surgey on his Torn Aorta next month, suddenly today he right leg started hurting with pain and now it feels cold ,with a small amount of whitish color , his left leg is normal , could this be a possible sign of a blood cot ...???:( Doctor: Hello!Welcome on HCM!I understand your concern and would explain that his symptoms may be related to peripheral arteriopathy. An arterial thrombosis could not be excluded too. I recommend going to the ER for a careful physical examination , a Doppler ultrasound of the leg vessels and some blood lab tests (complete blood count, PCR, sedimentation rate, D-Dimmer, blood electrolytes). If an arterial blood clot is diagnoses, a vessel interventin should be performed urgently. Hope to have been helpful!Feel free to ask any other questions whenever you need!Greetings!Dr. Iliri | 25,877 |
Can lumps on ear, be related to calcium deposit? | Patient: My son had a depressed skull fracture 2 years ago, there were always 2 little bumps by his ears that were looked at earlier, now he is complaining it hurts behind his ear. these 2 bumps are now biggger and bulging out. Any ideas what this may be....... Part of his skull, or a calcum deposit? Doctor: Hi, dearI have gone through your question. I can understand your concern.You have bumps behind the ear. It can be due to sebaceous cyst or some other benign lesion or infectious cyst. You should go for examination and if required go for excision biopsy. It will give you exact idea. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health. | 61,638 |
Suggest treatment for lumps in the breast | Patient: My granddaughter white female, 24 yrs old is schedule for breast surgery on June 1, 2010 @ UVH in Charolesville Va. Pre-op Dx. - 3 cyst on right breast = 2cm. 3cm. 5cm. One cyst has gotten larger within a 2 week period. Cyst sense to touch, deformed and noticeable lumps on right breast. Was dx with fibroid cysts at 16 yrs. Dr. stated that "I have a concern possible cancer. Operation - removable of cysts. I have a concern of cyst being cancer. Doctor: hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a cyst, a benign breast lesion. it could also be a fibroma or fibrocystic lesion. other tumor types such as malignancy must also be ruled out (hence, the need for a tissue diagnosis thru a biopsy). these lesions are best evaluated clinically. further diagnostic examinations, such as breast ultrasound and mammography and biopsy (needle or open biopsy), will be requested as needed. regular breast examination and follow-up with your doctor is highly recommended in these cases. management (medical and/or surgical) will be directed accordingly.hope this helps. good day!!~dr.kaye | 62,332 |
Family history of renal failure. Have kidney, liver problem. Blood pressure. On Hydrochlorothiazide. Had blood transfusion. Treatment? | Patient: Hi I'm a 64 year old black women. My grandfather, aunt and brother died of renal failure and other related illness. In 2003 I was told I too and a kidney and liver problem. My kidney's at this time are okay put my liver has started to enlarge again I was once told it was around 138 and that it had gotten better it was at 78 ( I can not remember what I was told these figures mean). Since July my blood pressure has been 173/154. 69 129/89. 72 last week I went to the clinic it was totally perfect. My medicine is Hydrochlorothiazide 12mg I was give 20mg and it took me down to 69/69 65 I told the doctor and I stopped taking them. I feel light headed when I wake in the morning my stomach feels sick and if it does not go away then I am like that for most of the day. I have started to feel tired I am working on my master degree and I don't have time for this. I also have hype C believe I got that maybe in 1966 or 1968 I had blood transfusion after child birth or in 2000 when my brother bite me and I did not know he was infected back then. Thank you for listening Doctor: HI, thanks for using healthcare magicHepatitis infection can cause only acute changes in the liver or be associated with chronic liver disease.It may have contributed to the increase in your liver enzymes (those are likely the values you were quoting).High blood pressure increases the risk for kidney disease and if you are able to maintain it within a normal range it would reduce the chance of renal disease.If you have any additional risk factors such as diabetes , it would be important to control these as well.The low blood pressure readings may cause the lightheaded feeling.Nausea can be due to different causes such as :a side effect of medication, infections, alcohol,migraine, vertigo, liver disease,kidney disease.You should consider visiting your doctor for an assessment regarding the persisting nausea.Hope this helps | 49,991 |
How can neurofibromatosis and bed wetting be managed? | Patient: Hello I am a 48 year old female with an extensive medical history ie NF 1. I have defuse nerve root thickening all down my spine from it. I also have many other medical problems stemming from NF. I suffer from +depression and anxiety. The problem is that I wet my pants all through the day instead of going to the toilet. It is like something takes over me and I forget to go or what the signal means until I am either wetting myself or have just completed I also wet my bed. This has been going on a long time. Then I have great difficulty getting out of my bed when I have wet it as it makes me feel safe. And that no one will hurt or get to me. I was sexually abused and was physically and emotionally abuse by my mother. What is going wrong. Despite all this I do work. Doctor: Thanks for your question dear friend your skin problem you should have consult with dermatologist and urine problem and memory loss you should have brain ct plain to rule out hdrocephalus | 142,733 |
Suggest treatment for blurred vision , headache and high blood pressure | Patient: 25yo I started feeling very tired and shaky. My vision was not 100% but I have never had high bp diagnosed ( I do not see a regular MD) I checked my bp on a feeling and it was 183/100. The machine looked old so I don t know how well it works. I have since started to get a headache but do not feel as short of breath now Doctor: All your symptoms mentioned are due to high blood pressure, u would request you to visit a doctor soon, as they do fit into hypertensive urgency, also your age mentioned is too young to have this pressure and so all reversible causes should be addressed and you should avoid anything that may increase your pressure. Regards Dr Priyank Mody | 26,749 |
What causes itchy rash on face and around eye? | Patient: I have a rash on my face which is very itchy, it started around my left eye about a year ago and has spread to my eyebrows and down the sides of my face. It gets worse before my period. I have been to my GP and a dermatologist, have had antibiotics, and topical lotions to no avail. Now have to have a biopsy. I am 47, never had problems before now face is horribly marked and feels rough, Doctor: Hi,Itchi rashes on face could be due to irritant dermatitis, allergy hives,eczema,fungal infection or during menstruation etc.It can be diagnosed only by clinical examination in most of cases but scratch tests,patch tests or microbiologic culture of skin to rule out infection or allergy etc.Treatment is entirely depend on the cause,so if your doctor's are suggesting then you can go for biopsy or above mentioned tests. | 99,562 |
How to treat TB in abdomen? | Patient: Hi sir ...I m 23 yr old.and suffuring from TB In abdomen last 1 yr.. I did course of 9 months in mumbai.. But right now I m in Varanasi. I m not able to go mumbai for checking.. So I want contact with u.my doctor was Dr Akshay Kothari (general physician). Pls guide me.. vikas upadhyay0000 Doctor: Hello Vikas As you mentioned that you took anti tubercular treatment for abdominal tuberculosis for 9 months. All patients should receive conventional anti tubercular therapy for at least 6 months, including an initial 2 months of rifampicin, isoniazide pyrazinamide and ethambutol.There after rifampicin+isoniazide for 4 months and the cure rate if 99 % according to WHO study.As you mentioned that you took 9 months treatment ,so there is no question of any further treatment from anywhere.If you have any problem related to tuberculosis in abdomen or elsewhere in body upload all reports and we will advise .I think , if you have no problem , no need of any consultation.Good luck. | 36,635 |
What causes heaviness on chest while on MS medication? | Patient: Hi, I have MS and am taking meds for it. But for the past several months I have been in exterme pian when I wake up each morning. I fell like a have a very HEAVY weight on my chest and arms. I can barely get out of bed i am very very weak all day long?? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. You are already suffering from Mitral stenosis (MS). This can cause cause congestive heart failure (CHF) and this can cause cause heaviness in chest, weakness etc. So better to consult cardiologist and get done 1. Ecg 2. 2d echo 3. Stress test (trade mill test). You may need diuretics and other cardiac supportive drugs. In severe cases of MS, surgical correction into the form of valve replacement is needed.So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 76,179 |
How can depression be treated? | Patient: My father used to take LAMP PLUS Tablet due to depression since 10 year Now there is no such depression he wants to stop talking this but can t What is the process to stop taking this Since 1 week he didn t take but every day say that he needs this Plz elaborate process of remediation Doctor: HelloIt's a habit forming drug combination. He can first reduce the dose to half, take it for 15 days. The take half dose every other day and then can stop.All the best. | 205,046 |
Suggest treatment for dry cough and wheezing during pregnancy | Patient: hi...im isabel im 23 weeks pregnant,im having a dry cough now and i heard wheezing when breathing..i had a history of asthma. can you please advise me any cough medicine to reduce my coughing so that i can have a comfortable sleep especially at night. thank you. Doctor: Hello dear,I understand your concern.In my opinion the cough syrups can give symptomatic relief.But as you have history of asthma you might need physical examination to know the severity and treated accordingly.The asthma might or might not get effected during pregnancy.So relax.Avoid stress.Consult a pulmonologist and take a opinion.Best regards.. | 221,563 |
Suffering from severe acne | Patient: Sir, Myself Anuj Agrawal from Jagdalpur, Chhattisgarh! Sir i am suffering from severe acne problems! Sir there are a lot of pimples on my face and it is increasing day by day! Sir my age is 18! Sir i request you to help me as early as possible! Doctor: getting pimples in the growing age, that too in teen years is common, due to hormonal changes. Maintain good hygiene..and do not pick on them..read up on how to avoid them and the facts about them..I read them here on this site in the 'health articles' section about 2 months back..I have been following what they suggetsed..and now my pimples are so much in control..I was fed up when i came across the tips on ance here and the facts that made me understand and follow what to do. | 7,483 |
Root canal done, tooth cap fell off, pain in tooth, facial swelling, eye soreness. Medical attention needed? | Patient: I had a root canal a few years ago. Since then the cap fell off and I dont have insurance. the past couple day it has been very sore. today i woke up and the whole right side of my face is hurting, even my eye is sore. also my face is very red and a bit swollen. Is this very serious or something that may go away on its own? Doctor: hello, the sore/pain of teeth is due to exposed dentin during crown cutting while placing crown. there is also chance of secondary infection on root canal treated tooth. visit your dentist ,get x-ray of tooth. if necessary,re-rct has to be done and after that crown has to be placed. take complete course of antibiotics prescribed by your dentist. regards dr.bindiya | 189,998 |
Yellow skin on roof of mouth, low resistance to hep B. Off crestor intake, took hep B shot, on vit D. Anything else to get health back? | Patient: I was turning yellow skin only also the roof of my mouth , as well I had low resistance to hepatitis B .I,ve now stopped my Crestor intake for four months and would like to know how to I go about getting my health back ? I've had an added hepatitis B shot and have started taking vit D ,is there more I should be doing ? Please , I need to know .should I be on some other meds ?? Doctor: Hello,Yellow skin on roof of mouth can occur either due to intake of too much of spicy,acidic foods or due to ulceration of oral mucosa as a result of periodontal infection or deep caries resulting in drainage of abscess.Get a thorough evaluation by a dentist.Based on the causative factor,treatment has to be planned.Meanwhile,maintain oral hygiene well.Gargle frequently with chlorhexidine mouthrinses.Decayed or periodontally infected tooth has to be root canal treated and abscess has to be drained.Take care. | 58,155 |
Suggest remedy for coughing fit, tight ribs with history of being diagnosed for pneumonia | Patient: Please excuse my writing skills as I am a construction worker and truck driver. I am off a recent bout with pneumonia and plurasy (no idea how to spell that) I was in the emergency room three time in jan with both lungs spotted with pneumonia and could not breath deep could not stop coughing its april now and just went back to work concreting and lost my breath very fast and powered through it but had a coughing fit and it feels like I have been kicked in the ribs, its in one spot on the bottom in the back on the right what can I do. it hurt before and was better but never comfortable. I hope this makes sense and thank you for reading Doctor: Hello dear, thanks for your question on HCM. I can understand your situation and problem. Travelling is a risk factor for pneumonia. So in your case, since you are still having coughing and chest pain, better to consult pulmonologist and get done1. Repeat chest x ray2. PFT ( pulmonary function test ). Repeat chest x ray is needed to rule out worsening of pneumonia. PFT is needed to rule out bronchitis as this is common after pneumonia. You may need inhaled bronchodilators and antihistamine drug. So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright. | 80,660 |
After surgery on s1 nerve root and still have pain in left buttock and leg and foot | Patient: had surgery six weeks ago yesterday on s1 nerve root after surgery still have pain in left leg Hi had back surgery six weeks ago on s1 nerve after surgery still had pain in left buttock and leg and foot as well had a nerve block injection a week after surgery still no releif went back to nerosurgen and he said when he operatored that the nerve was very sensitive and he had to give me a muscle relaxent during the operation and he put me on nerotin 600mg per day i still had no releif so went back to see him again told him still having same syptoms so he sent me for another mri on tuesday phone his office yesterday and they said that they still had not received the results as yet i had phone call today from my doctors secrectary and she said that my doctor said that i have inflammation and that he was organising a nerve block injection and not to worry there are no other problems i am very frustrated i have 3 children to support and i need to get back to work i have no income at the moment can not sleep because constanly worried about my back please help Doctor: welcome to healthcaremagic hope you will be all right soon if it is simple oedema it will subside with rest and medicines nerve block will help you to cope with pain have patience and do not get depressed continue with physio therapy while getting nerve block talk to your doctor and know about the prospects | 114,066 |
What causes illness, tired, sore throat, lack of energy after typhoid medication? | Patient: I was diagnosed by typhoid as I am feeling giddy and vomits and shivering .I did not have fever, I got fever 5 days before. Doctor gave me 5 days oral medicines and stopped after that. But I am still feeling like ill, tired , sore throat, lost of energy. Is it normal??? Doctor: HIThank for asking to HCMI really appreciate your concern if you are in convalescence (recovering from the disease) and it was the typhoid infection then in the convalescence such symptoms of tiered, weakness is likely but this would come around in few days no need to worry about this take care for hydration, hope this information helps you, have nice day. | 39,782 |
Suffering with renal carcinoma, low appetite, back pain, advised spasmoproxyvon, Pan D tablet and Digin. Any other medicine? | Patient: Hi My father in law is a renal carcinoma patient. and they have suggested Votrient (800mg). He was ok with that drug but for the past three days he is complaining that he is having a very bad back pain . when we called the doctor they asked him to take spasmoproxyvon , Pan D tablet and Digin. Please do let me know if any other medicine can help him from the pain since his food intake has also reduced Doctor: Hi , welcome to HCM, In case or renal cell carcinoma, metastasis in bone specially in the spine is most common. So, the back pain you told is particularly a bone pain. Spasmoproxyvone is a drug which is famous for its anti- smooth muscle pain action. It does not have any effect on pain causing due to disease in bone. Now, in this condition consult with your treating doctor for adding a centrally acting pain inhibitor like tramadol group of drug. And consult for investigations to detect any bony lesion. Thats all. | 159,550 |
stomach problems | Patient: my stomach is making all kinds of nosies and its because i am hungry but i make noises at the upper part and lower part of my stomach and i have constant gas Doctor: Having some movements and some sounds on empty stomach is normal,they are known as hunger contractions.Pain in lower abdomen and gas may be result of your food habits.once in a while it is ok,but if you are regularly having this problem first watch out for your food habits,you should be avoiding heavy foods,junk foods etc.have something regularly throught the day.Avoid too much of tea,coffee or cold drinks they will make you bloat a lot and will kill your appetite.And try to walk for 10-15 minutes after dinner daily that will increase digestive juices and improve your digestion power.buy | 96,325 |
How can a tooth abscess be treated? | Patient: What should I do? I m afraid to become antibiotic resistant and afraid this infection might spread {I m assuming I have a tooth abscess? That has spread to a few teeth because again I waited a week to go see her due to personal reasons} . I ll be seeing my dentist this Wednesday she wasn t in when I called Saturday and Sunday nor Today she works in certain days. Anyways my mother threw away my antibiotics because my doctor diagnose me with an allergic reaction to Amoxicillin based on asking me questions and checking my outer cheek. I believe it s from Listerine ZERO Total Care which cause me to have slouging inner cheeks but the doctor wouldn t let me speak. Then again I told him it can also be the antibiotics since one side my face was swollen and my neck on the same side felt a bit swollen up as well. After I stop taking my antibiotics which I was force to since I have no authority over my parents on my 6th day {had to take them for 7 days} and I had 4 pills left. As I said I miss most of my doses now and the swelling of my cheek had slowly started to go down and now I might be suspecting it could have been the antibiotics but I m not sure so that s the reason why I m going Wednesday which is the day she works, the reason why I don t have her phone number is because the receptionist didn t even have it. The swelling had subside before I even took my methylprednisolone which I have started today. I also wonder if I get another course of antibiotics which I assume is shorter. Which antibiotics are fine to take with methylprednisolone? Doctor: Hello,First of all, if the swelling is subsided after stopping antibiotic then it was probably an Allergic reaction to Amoxicillin only. So, if the swelling is subsided now then you need not to take Methylprednisolone for the swelling.As far as another antibiotic is concerned then you should consult an Oral Physician and get checked and take the antibiotic according to the need as you have already taking sufficient dose.If you are allergic to Amoxicillin, then you can take other group of antibiotics like Cephalexin, Clindamycin et cetera. So, once consult an Emergency room or Dentist and get a prescription of antibiotics.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | 180,761 |
What causes peeling skin inside nose? | Patient: I had my nose cauterized 3 months ago from a horrific nose bleed. I have had an infection since then. I am on Bactrim and bactroban. Why is the skin inside my nose peeling? The pustules inside are not yellow anymore but now are white. Will 2 weeks of antibiotic kill this"? Doctor: HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that during the healing phase of the mucosa of nasal wall such whitish peeling is possible and this is nothing to worry and better to keep applying the local ointment what ever given to you, hope this information helps you, take care and have a nice day. | 39,266 |
Should a patient suffering from pseudogout be put on Allopurinol or Colchicine to prevent its reoccurrence? | Patient: My husband has had two attacks of Pseudo Gout in the last six weeks which his Dr. has ordered a Medrol pack. Yes that has helped. He is watching his diet very well. He has CHF and is on strong diuretics, which I understand could be a contributing factor. Should he not be put on Allopurinol or Colchicine, to help avoid reaccrances? Doctor: Hi, It depends on his uric acid levels. As he is also suffering from CHF it is advisable that he takes Allopurinol if his uric acid levels are high. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammad Mostafa Ansari Ramandi, Cardiologist | 126,675 |
What causes dizziness and tender area on chest between breast and collarbone? | Patient: I have been suffering from moderate dizziness for some time now but it comes and goes. This last week it has been rather continuous. I am only 34 and have not been on any medications for at least 6 weeks if not more. Before that i was on Wellbutrin, and Prozac very low doses. My tongue and lips go numb anytime a dizzy spell comes on. I find it rather difficult to talk at times. In the last 2 weeks I have noticed a very tender area on my chest between my left breast and my collarbone. Any ideas? I don t know which doctor I should try to see and I am getting very concerned. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Heart diseases can cause similar symptoms like left sided chest pain and dizziness. So better to consult card and get done1. Clinical examination of heart. 2. Blood pressure monitoring. 3. Ecg 4. 2d echo. 5. Stress test. If all these are normal then no need to worry for heart diseases. Sometimes stress and anxiety can cause similar symptoms. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright. But first rule out cardiac diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 78,248 |
What does sore nipples and stomach cramps along with spotting post IUD indicate? | Patient: I had my IUD in for about a month. The first few days was slight spotting, a cramps for one day. Now, a month later, I am experiencing very sore nipples although my boobs in general seem fine. I have not had a period yet, but normally, I do not experience any symptoms when my period is about to come. Doctor: Welcome to HCM.I understand your concerns.The symptoms are due to IUD only.You did not mentioned what type of iud you had.Usually merina iud contains progesterone which May cause some changes in the glandularity of breast.Do not worry,slowly all symptoms will come down.Just have a check for any palpable lump.Take vitamin E tablets and food rich in vitamin E like Seafood.Hope this will help you.Thank you. | 41,044 |
Suggest treatment for infertility problem | Patient: Hi, may I answer your health queries right now ? Please type your query here...sirs, my semen obtained by copulation was examined by a lab technologist yesterday and in the result, my semen was found viscid with 3.0ml voluime, 37 million per ml sperm count, 3-4 lhpf Pus cells, 80% normal cells with 70% actively motile. Am presently 36 yrs plus. Pls, what drug can I take or what is the solution to my infertility. Thanks. Doctor: HelloWelcome here.I can understand your concerns.In my opinion, the semen analysis is almost normal, except the counts which is slightly low. I would suggest you to take tablet paternia twice a day for 3-6 months. This is claimed to be effective in increasing sperm count.Also, quit alcohol and smoking if you do.Never wear tight underpants.Take fruits and green vegetables in your diet.Vitamin E and C supplements can act as antioxidants and may help you.Wish you good health.Thanks. | 41,409 |
Severe pain and weakness. Increased WBC. Is it leukemia? | Patient: My son had an increased white bloodcellcount 0000. They thought he had MS or. LeUkemia. After complete emg test and seeing several different kinds of des. No solution had been found.COUNT went down to 0000 then back up to 0000. He has been suffering with severe pain and weakness all over his body. Next step is to see a neurologist. Do you have any answers? Doctor: hello, i think the next step for you is to see a hematologist who will evaluate him and make a definite diagnosis. thanks | 158,528 |
What causes palpitations and irregular heart beats? | Patient: I am 73 woman diagnosed with high bp; doctor prescribed lisinophil (water) 12.5 and 50 mg er metopholol. Have taken for about 2 months; about 3 weeks ago started having palpitaions during the night with irregular heart beats; some nites kept me awake; the palpitations happening sometimes during daytimes. Last few nights the palpitations and irregular heartbeats have come not as bad but I want to get off this metropolol for tiredness and low bp readings 90/60 110/70 106/66, etc. Have to take this pill for two more nights before I can see the doctor and am feeling very scared for the palpitations and irregular beats at night about 20-30 min after I take the pill... help. Doctor: Hello, This can be a cardiac arrhythmia like atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one can have dizziness, fainting, blackouts, sometimes syncope. Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holter monitoring. So visit nearby cardiologist for these investigation. Also, hemoglobin and thyroid test should be done. Is there any stress or anxiety associated, as it can lead to palpitations. Also, Rather than stopping, metoprolol dose can be decreased to 25 mg or better option, you can ask to decrease the dose of lisinopril. Stopping metoprolol can cause increase in palpitations. The decision will be taken after seeing the ecg, as what the cause of palpitations and all. If bp goes down, you can have salt and sugar water whenever needed basis. | 22,055 |
How should hair fall be treated? | Patient: my hair is falling during 4 to 5 months. my friend suggest to me , use a "MINTOP FORT" product of Dr. reddy's. I have used one month. I have not get any positive result and falling rate of my hair increases. sir please suggest any medicine Doctor: Hi.As per your complains first we need to diagnose the hair-fall condition.Using mintop forte in androgenic alopecia (hereditary hair-fall) is advisable .If cause of hairfall is different it wont work.And it takes about 3 months to get significant results by mintop (Read drug information booklet in the pack)So it is advisable to consult a dermatologist and sort out the problemI hope this will help you.ThanksDr.Harshit bhachechDermatologist | 10,749 |
Suggest treatment for swelling of face and tooth ache | Patient: My boyfriend was complaining that his partially capped front upper tooth was hurting him the other day. He said cold makes it feel alot better. We noticed a little swelling in his upper lip last night. Today he woke up and his upper lip is now severely swollen along with the left side of his face from his lip up to just under his left eye. He said his tooth still hurts alittle but not a ton. He is having trouble chewing. I saw pictures of a abcsessed tooth and dont see any signs of one on him. He is also not allergic to anything that we kno of and hasnt eaten, drank, or taken anything odd. Doctor: hi,I have gone through your query , you confirmed that their is partially caped tooth. Can I know ?? For what reason caping was done? as you described of swelling with little pain this case seems of Periapical Abscess with related to the tooth. you should take antibiotics as early as possible other wise your problem will increases by time.Thank youDr. Hariom Sharma MBBS, MS | 182,538 |
37 yrs old female experienced slight palpitation. Why it is happening & what is the treatment for it ? | Patient: Name: Liza Gomez Age: 37 yrs old 5 2 58kg Female I experienced slight palpitations only. sometimes at 6 pm or anytime of the day. No problem except for this. No history or no treatment. Why ? Doctor: , palpitation itself is not a disease but it may acciotated with several factor .If otherwise normal then no need to worry. thanks | 215,016 |
What causes low sperm count? | Patient: Hello, I have been having a problem with my testicles. As I did noticed from the age of 14yrs that one of my left testicle is larger than the right testicle. Also my sperm production is very low. I want to know wether the increase in size of testicles can result to any disease and why my sperm production is very low. Doctor: Hello Normally there is difference in size in between two testis.Low sperm count may be due to many reasons like infection,hormonal imbalance,dysplastic testis,varicocele etc.Besides clinical assessment you may need investigations like routine hemogram,random blood sugar,hormone assay,ultrasound of scrotum.Testicular biopsy can be done if needed.You should do exercise and take nutritious diet.Get well soon. Take Care Dr.Indu Bhushan | 199,803 |
What causes pain in leg and bruise behind the knee? | Patient: Was at er couple weeks ago with chest pain. After some test found out heart is great. Found out I have hypothyroidism. They also thought I had blood clot in leg because of some blood work. I was and still am having leg pain. It comes and goes but is worse when I am on my feet. I also woke up with a big bruise behind my knee. Leg is swollen just a bit. Should I seek medical attention? Oh doctors did ultrasound and didn't find a clot.Deanna Doctor: hihypothyroidism itself is a cause for all the pains, generalised weaknessthis bruise can be due to some unknown trauma what may be unnoticedplease check for your sugar & blood pressure levelskeep the limb elevated when you are resting or lyingapplication of crepe bandage will do wonders by increasing the bloodsupplyif not reduced please meet an orthopaedician or a surgeon for further evaluationtake care | 217,594 |
Suggest medication for stomach pain and diarrhea | Patient: My 4yr old daughter had fever with stomach pains specifically in the belly button area, diarrhea and we re kinda concerned on the color of the stool which is iced tea color . For 3 days she had slight fever but her stomach pains persist and stool color is the same although she is still playful. What do you think is she suffering? Doctor: hi, stomach pain and diarrhoea in a 4 year old child can occur due to stomach infection due to acute gastroenteritis. It usually occurs when child eat something from outside. Fever can also be present. The main thing that we have to take care in loose motion is dehydration so you should give more Fluids to child. Give ORS solution so that hydration can be maintained. prebiotic like enterogermina ampule should be given once a day for 3 days to increase intestinal immunity. Curd is a natural prebiotic and it also helps in increasing intestinal immunity. if loose motion persist then antibiotic needs to be started. An examination by doctor should also be done so that we may not miss any important finding. I hope this will help you. Wishing your child good health. Take care. | 166,185 |
What is the cause and remedy of sensations in head ? | Patient: had strange sensations in left upper side of head, doc ran a blood test and called today saying something was elevated and had temple vein and wants me to get a bioposy of the temple vein? I do not know what they are talking about or what they are looking for? any information before I allow this done? Doctor: Hello,You might have a temporal arteritis (also called giant cell arteritis). It is an inflammation of the artery which supplies blood to the head and brain. The disease presents mostly with tenderness in the upper ear zone (temporal zone) and headaches. Also it might cause fever, muscle pain, joint pain, and jaw pain after chewing. The condition is diagnosed by blood test initially (measuring erythrocyte sedimentation rate) and confirmed by biopsy. Treatment should not be delayed. Initially your doctor prescribes high dose steroids to prevent eye complication. The dose will be subsequently decreased. You might also prescribed aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs). During the treatment you should have follow up eye exam. Best regards, | 142,602 |
How to treat hematuria while on microgynon 30? | Patient: hi, I have been in microgynon 30 for 5 years with no problems, however today after I urinated, I found a dark browny blood on the tissue, but not in my underwear or urine, and only after I pee. any ideas on what this could be? I m not due on my period for 2 weeks. Doctor: Hello welcome to healthcaremagic.I can understand your problem. Common causes of hamaturia are :-1) urinary tract infections2) bladder stone3) bladder or renal infection4) injury5) after genitourinary surgeriesyou can take tab. oflox oz 200 mg, syp. cital, tab. urikind 200 mg. Drink lot of fluids. Keep yourself hydrated. Do ultrasound abdomen and pelvis. Maintain proper hygiene. Treatment depends upon underlying conditions. I will suggest you to follow up with detailed history or consult with urologist for detailed examination.I think this will clarify your concerns. Thank you. Take care. Regards, Dr Shyam Kale Family and general physician. | 45,997 |
Is pregnancy possible after unprotected intercourse while on birth control pills? | Patient: Hi, I have been on the pill for about 7 months now. I always used a condom but during the placebo pill week and after I was done with my period (I was not bleeding anymore) I had sex with my boyfriend. He did not ejaculate inside me. Is there still a risk of pregnancy? Also, during this past month I missed the pill once. Thank you for your help Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Even with regular combined oral contraceptive pill use there is 6% failure rate. You missed one of your pill, so actually it should be immediately taken as soon as you remember followed by the next dose at its usual time. As ejaculation didn't take place the chance of pregnancy is less. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Madhuri | 218,554 |
Are burning sensation in throat & indigestion side effects of akt4 intake? | Patient: hello doctor am sindhu, am taking akt4 daily after my dinner,from the day i start using that am feeling burning sensation in my throat and indigestion in the nights ,i dont know why it is happening should i take any another tablet for this or what,please tell me the remedy for this problem................ Doctor: Hi,Yes, these are suggestive of the side effects of AKT-4 tablet. Based on the history you seem to be suffering from stomach acidity issues apparently caused by the anti-TB medication AKT-4. Take AKT-4 tablet 2 hours after the first meal and using pantoprazole plus domperidone can relieve these side effects.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | 84,365 |
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