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What causes poor memory and sleeplessness? | Patient: Dear Doctor, I lately noticed a sharp decline in my memory. Let me tell you afew things about me. 1. I have a very hard time falling asleep and lately I felt very weak, so my doctor prescribed me Trazadone to help me fall asleep and it is helping me sleep/ 2. I am on Zoloft for the last 40 years. 3. I am 65 years old. 4. I Have very bad knees. I have an apt. for a knee replacement in July, but I am not sure I can wait so long, because the pain has gotten much worse lately. 5. I often take 2 motrins or 2 extra strength Tylenol for pain. I usually take it lately almost every day, once. Thank you very much for your help. I am waiting to hear from you soon. Gitel Jakobovics Doctor: Hi, I understand your concern and would explain that your symptoms could be related to depression and the lack of concentration. Trazodone can also influence in the memory problems. For this reason, I recommend discussing with your doctor on the possibility of switching to Mirtazapine. It is also necessary consulting with a neurologist for a physical exam, some cognitive tests and a brain MRI. Hope I have answered your query. Let me know if I can assist you further. | 141,130 |
What to do for the muscle knot in the calf? | Patient: I have a muscle knot in my calf. The pain started in my buttock, but really doesn t hurt much there anymore just my calf. Feels better when sitting or laying down. Bother me when standing. I twisted something in my back while golfing a couple weeks ago. Not sure if this what triggered it. The calf isn t red, hot or swollen. Just hurts in a small area, not the entire calf. Doctor: hiDo some hot fomentation and apply anti-inflammatory gel locally two three times daily.Also do gentle massage of calf.it will settlebest wishes | 136,204 |
Is there any cure for hbs ag positive ? | Patient: hello dr. this is satish iam 24 years old and i am hbs ag +ve and hbe ag +ve. i dont knot when it attacked, two years back i was tested by blood its hbs ag +ve at that time i dont know about this disease . few months back i met an accident i tested my blood and doctor told me that its hbs ag+ve. and he said there is no cure. sir i want to know what will happens with this disease, and when will i effected ? and is there any cure in medical science or in ayurvedic treatment any thing else so please guide me Doctor: Hi, satis, It seems that you have got chronic hepatitis B virus infection which is very common at young age, Due to parenteral route like injection,sexual transmission you might got it. At present you are carrier of the virus. No specific treatment but can be prevented by vaccination to your surrounding people. ok and bye. | 51,589 |
Suggest treatment for cough and cold in a child | Patient: Hi, My 3 year old son has frequent problem of cold and cough. Is it fine to give him citrizine syrup and Asthalin for the same as soon as the sympton appears. For how long, the same can be given. Does it have any affect on future immunity of the child. My doctor says the cough effect remains for 10-15 days, after the child is cured. In this period, should Asthalin or Actifed be given .Please advise Doctor: It depends on what kind of cough your son has. If there is wheezing and it is an allergic cough, Asthalin might be better. If it is an irritatory cough with dry mouth and no phlegm, asthalin will not function. In such a case, Actifed D will be a better choice. | 171,913 |
Suggest remedy for continuous discomfort around my ankle and back of leg | Patient: One week ago I had a Microlumbar discectomy on 4-5, My biggest concern before surgery and now after is the continually discomfort around my ankle, and back of the leg. It is less now than it was before surgery; however is still there. Is this normal? Or might it be a different issue? I do have an Autoimmune disease. Doctor: Hi there, thanks for your question at HCMIt is not uncommon to have ankle and back of the leg discomfort after L4 L5 discectomy. It does give get better as time passes, usually relieved by 3 rdmonth. So it should not concern you at present. However it needs to be looked into if you start getting pain or numbness in a different part of your leg, or the intensity keeps increasing or its persists beyond 3/months.Hope this helps..All the best, with regardsDrSBK | 136,616 |
What causes irregular heartbeats? | Patient: Hi I have irregular heartbeats I've done a stress test and been on a 25 hour heart monitor. Now I am having these irregular heartbeats more often and minor head pains could this be serious. Also, I have been suffering from mild anixety attacks since September of last year. With the anxiety attacks will i ever get over them and what would you reccomend me to do Im 24 years old and dont want to turn to meds. What can i do to get back to myself. Doctor: hello,Irregular beats occurs due to atrial fibrillation, so this diagnosis must have been confirmed on holter monitoring. After diagnosis is confirmed, you need to be started on medicines which will maintain you in regular rhythm. So I need to know some details like report, ecg etc so as guide you further. | 22,225 |
Lower back pain, period cramps, weakness, discomfort, diarrhea, pink mucus, excessive sleep. What is the cause? | Patient: Hello, I m Nola ~ I m 48 yrs., not pregnant & while shopping yesterday I developed a severe lower back pain, cramping like period pain in lower bowls or female area (not period), pain in between my legs. At this time I tried using the bathroom with no luck. So I tried to continue shopping & got water (I m abnormally thirsty) to drink, couldn t bear drinking because I started to get super weak, my face felt hot & flushed. My heart was throbbing so hard I could feel it in my neck & face (cheeks); even my arms became so very week I couldn t hold on to the shopping cart. The Manager & Pharmacist assisted me & wanted to call Paramedics, but I needed to get home to my daughters, so they wheeled me to my car. Now, upon arriving home I needed help once again & I went to bed....Woke-up this A.M. & still in great discomfort & very weak I tried to cook brunch for my girls but kept burning the food (I d like to think that this is rare for me)! After my attempt I had great sharp pains in my back & gut & then had diarrhea (just a little bit) & it was pink mucus & further into it, it had gotten a bit brighter & a little more red in color, no odor.....I was so weak & panting & my lower back was screaming in pain & my pelvic & lower right abdomen aches! As I ve been writing this; it seems after half a word to a few words I keep fallllllling asleeeeeep!!! Not liiiiike me at all.....And it s taken me a few hours to complete this note to you! Ridiculous! Thank you in advance & any thoughhhhhhts would be great! Sincerely, Nola Mumzeeeee Doctor: Hi Nola,Welcome to HCM.I am suspecting a gut infection based on your symptoms. Infection of gut might have caused abdominal pain, diarrhea, and dehydration. Sometimes this pain can radiate to the back and upper thighs.I suggest you get a stool exam done for microscopy and culture to rule out infection. Mean while I suggest you take Tab Buscopan twice daily after food. Drink adequate water. Take fluid diet for the next few days. Rest as much as possible.If stool exam shows infection, get in touch with your GP for a prescription of appropriate antibiotics or antiparasitic medications.Thanks. | 112,271 |
How to treat persistent skin allergy with irritation? | Patient: sir i am suffering skin allergy with irritation since 3 month,i have consulted more than 4 Doctors mainly 2 general physicians and 2 skin specilaist ,i am following all the instructions as per doctors ,finally i took medicine contnoiusly 2 month also made the blood test for chlestroland and glucose test for sugar ,i got result for high cholestorl in my blood upto 220 level and aslo i have 157 sugar level ,i have been cotinuing the medicine till now but not yet cured my problem ,i haven't eat any sea food /oil food /and fried items since when i got this issue i want to know reason of this this problem and what is the solution ? Doctor: Hi, 220 S.cholesterol and 157 blood sugar is considered high but they are not such connected to allergy,as u said u have skin allergy with irritation but what kind of symptoms, what type of skin appearance is that u haven't mentioned, may be its contact dermatitis but as u consulted 2 dermatologists and still u have no diagnosis then only u can find out on your own by what food/ vegetables/dust particles on skin causes this allergy,See by taking history is the only method to diagnose allergy although there are laboratory food allergic tests available but they are not reliable. Some dermatologist recommend immunoglobulins course to combat this kind allergy. | 99,720 |
Headaches with dizziness. Taking paxil for migraine. No sinus. Ear nose throat irritation with asthma. Help? | Patient: I have been experiencing headaches with dizziness for about 6 mo. Dia. Migrane I am currently taking 10mg Paxil and 5mg Xanax daily. My Neurologist gave me a presc for amitriptyline. I am already on an anti-depress / anxiety med that works. I actually think I have sinus/allergy symptoms. Went to ENT specialist. All is normal & healthy. MRI & blood work came back normal /great. Ear-nose -throat irritation with asthma my self - diagnosis I have a dog & two cats. Non smoker -menoposal 50YR w/ high stress job & marriage. Doctor: hello dearthanks for your query at HCMear , nose throat irritation can be due to dust and pollution,sometime pet animals can cause allergy.1 drink plenty of water2 avoid cold things like ice creams, cold drinks3 drink slightly hot water4 avoid pollution and dust5 take tab levocetrizine 5 mg in the night that will decrease allergic symptoms.hope i solved your queryregards | 103,024 |
Suggest treatment for landau kleffner syndrome in 8 year old | Patient: Hi, may I answer your health queries right now ? Please type your query here...DEAR SIR , MYSON AGED 8 SUFFERING FROM L.K.S. (LANDAU KEFFLER SYNDROM. HE LOST HIS SPEECH AND UNDERSTNDING. HE HAS BEEB TREATING WITH VALPORATE 100MG PER DAY AND OXITALXR 300MG PER DAY.IN THE BEGINNING HE TREATED WITH WYSLON AND RECOVERED ALMOST.BUT AFTER STOPING WYSLON HEAGAIN LOST HIS SPEECH SND UNDERSTANDING . CANYOUHELP ME IN OVERCOMING THIS SYNDROM Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Treatments for this condition include: -anti-seizure medication(as he has been receiving). Prednisone improves seizures and language skills. -A relatively new surgical approach is called, "Multiple Subpial Transections." The (pediatric)neurosurgeon makes many small cuts into the brain's outer layer. This has helped a small number of children and is under evaluation. -Speech therapy. -Sign language. Hope I have answered your query. Let me know if I can assist you further. | 162,850 |
Suggest remedy for pain in head | Patient: my son just hit his head on the side of a pool. He was jumping in and decide to enter with a flip. His calculations were way off and he was too close. He bumped the back of his head on the way down & in. I'm keeping it iced. What else should I do? Tylenol for pain. Doctor: Hai. It looks like a local haematoma, due to trauma.u coan continue the same for pain. Just watch for level og consciousness, vitals, (bp, heart rate), , headache, nausea and vomiting. If all these things are normal u don't have to worry | 217,840 |
Abscessed tooth, tingling in the face. Taking clindamycin. Will it recover fast? | Patient: My lower right tooth ..is abscessed the dentist has put me on clindamycin ..i started it friday...my lower jaws hard as a rock..almost feels like a small ball in my jaw to chin ..i am getting the tooth extracted as soon as the infection is gone. I am also experiencing tingling inin my face. My question is will all this clear soon or are the meds not working..thank you Doctor: hi brittany reading your query i will suggest you to drain your abscess asap else it will get worse and will lead to tissue space infection. use antibiotic augmentin 625mg thrice a day,along with metronidazole 400mg twice a day for one week and a painkiller once infection subsides go for root canal therapy or extraction according to condition. thanks | 189,580 |
Can IV globulin treatment reduce WBC? | Patient: I ve had CLL for the past 12 yrs. My WBC have been between 18,000 & 22,000. On June 2012, it was 21,000. I had a bad upper respiratory infection in Oct 2012. My PCP put me on antibiotics. He also recommended that I have a full blood test. My results showed that my WBC spiked from 21,000 to 30,000. He ordered another test and was tested 6 days later and my WBC went to 35,0000. He recommended that I see a Hematologist and referred me to the Norris Cotton Cancer Center in Manchester, NH. This hematologist is one of the best in NH and he has also done a lot of research on his own. The hematologist ordered a complete blood test of my blood. My WBC spiked to 51,000 from Dec. 18 to Jan 2nd. . The hematologist concluded that my globulin level was low and that was why my WBC spiked and are keeping rising. I m starting treatment next Thursday with IV globulin treatment. He s recommending that I have 6 treatments. I m relieved that s it s not chemotherapy. I would like to know if I have to change my lifestyle during the treatment, is it going to affect my work, and or sports? I don t have any ailments from CLL, like lymph swelling, fever or anything like that. The only thing I know is that my counts are high and are increasing. Otherwise, I don t have any symptoms. I would also like to know if this treatment will reduce the WBC. I m under the impression that because my globulin levels are low, it s causing my WBC to rise. Also, once I conclude this treatment, are my WBC go back to normal? Please advise. Thanks. Doctor: Dear ,Thank you for genuine query. Normally CLL does not require any treatment until it is symptomatic. Blood counts do go up when there is reduction in the body immunity which is a common problem in CLL. In the infective stage it is not the lymphocytes but granulocytes which increase in number to be verified by DLC. Immunoglobulins will definitely increase your immunity to infections and WBC count may fall if it is infective nature but if your counts still go up you need to undergo proper management.Dr. J. Ticku | 157,059 |
Suffer from bronchial asthma, thyroid problem and osteo arthritis. Have high serum creatinine due to pneumonia. Treatment? | Patient: My mother is 65 years old with one kidney. She had donated her kidney to her brother 15 years back. She is bronchial asthamatic, has thyroid problem and has osteo arthiritis. She has a Serum creatinine of 3.6 which had gone up to 5 a fortnight back due to pnemonia. She has been advised Erythropoietin injection. Is it alright for her to take these injections. Due to all other complications. Please advise ASAP. Can Serum creatinine levels be reversed by diet control...Please advice am really worried. Doctor: HiThanks for the query.Serum creatinine levels often increase during an episode of acute illness like pneumonia. However if her creatinine is persistently elevated she needs to see a nephrologist.He/She will do further blood tests and imaging to determine the cause of this and then prescribe appropriate medications.Erythropoietin injections are used for the treatment of anemia (low hemoglobin) in patients with kidney diseases.Diet control can help in delaying the progression of the disease but has to be combined with other measures for which a nephrologist can guide you.Hope this helps.Good luck. | 50,533 |
What does the presence of epithelial cells and amorphous urrates indicate? | Patient: hi doctor i 42 years old and im 7 weeks pregnant i went for a urine an blood test and i just got my results back it s say microscopic-examination ans the results is as follows ...Epithelial cells (++++) what does that means and the i got Crystals Amorphous Urrates(+)and in my blood the results is as follows HAEMOGLOBIN 10.0(66%)CAN YOU EXPAIN IT TO ME IN NORMAL english please Doctor: hiI have understood your concern.Hemoglobin is red color of the blood. You need to improve it by taking Iron and folic acid supplements.Urine examination, suggests that Uric acid crystals are getting excreted in urine and they are dragging cells of the urinary tract.For that I will suggest you to drink plenty of water and avoid any kind of meats, alcohol and nuts in diet.Please do not panic, get repeat urine check up after 2 weeks.I hope this answer helps you.Thanks Dr Purushottam | 219,733 |
Discoloration spots on lower back, under breast. Reddish first then turn to light brownish color. Suggestion? | Patient: Hi I have notice skin discoloration spots on my lower back & side. I'm not sure how long they've been there I recently noticed a new one in a new spot under my right breast. There's a big patch right on my tail bone & other spots spread out up my right side. They're kind of reddish at first & then turn to a more light browinsh color. What could this be linked to? Doctor: Hi,It seems that you may be having most probably tinea versicolor.It is caused by yeast ...melassezia furfur.Antifungal tablet like ketoconazole for 2 to 3 weeks may be taken.Antifungal cream like ketoconazole cream may be applied.Antifungal shampoo containing ketoconazole may be done.I think you might improve. However, you consult dermatologist.I hope you got my answer.Thanks.Dr. Ilyas Patel MD | 15,216 |
Can disc protrusion only be fixed with surgery? | Patient: Here s what my MRI showed; C4-5posterior midline annular tear, broad based central disc protrusion which indents the ventral thecal sac and minimally indents the ventral spinal cord. at C5-6 mild disc narrowing with mild anterior and posterior endplate spurring and broadbased posterior disc bulding which effaces the ventral thecal sac w/o spinal cord compression. Bilateral uncovertebral joint spurring worse on right with mild neural foraminal stenosis bilaterally. at C6-7 there is a large left paracentral disc herniation. Disc material migrates caudally posterior to the C7 vertebral body mildly indents the left ventral spinal cord. Is surgery the only hope of fixing this? Doctor: Hello, As a first-line management nonsurgical options like analgesics and physiotherapy can be attempted. Other options like steroid injection can also be tried. In severe cases, surgical correction may be required. Consult a spine surgeon and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 139,675 |
Huge hole on head due to scraped skin for mohs surgery. Suggested radiation for basal cell cancer removal. Radiation necessary? | Patient: i had mohs surgery 2 wks ago and they had to stop after 2 layers of skin scraped (on my forehead) I now have a HUGE HOLE in my head and was told to get radiation for the rest of the basal cell cancer removal. My question is WHY do the radiation at all? This is supposed to be a non-mastisising cancer and non-lethal so why do radiation then? Doctor: Hi and thanks for the query,Basal cell carcinoma is a very aggressive tumor, and care must be taken, and all options and possibilities drawn to the patients side, to avoid any spread or consequences of tumor spread. A clinical review by your doctor first to ascertain that other structures like the lungs, bone and liver have been touched. based on this review, the decision to associate radiotherapy involves a deep clinical judgement, and if there is spread or not. I do think if your doctor proposes this, these have certainly been taken into consideration. I do think it is important to consider radiotherapy early, especially if complications are to be avoided. thanks and kind regards. | 157,655 |
What causes chest pain after hitting the ball? | Patient: i got kneed in the chest by mistake while playing beach volleyball last night and i have sharp pain right in the middle of my chest. it hurst when i open my arms wide and it feels like i bruised a bone or something. could this be something serious or just a temp pain from the hit? Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. You are having blunt chest trauma. And possibility of musculoskeletal pain is more in your case. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant drugs. Apply warm water pad on affected areas. You will mostly improve with all these. But after 7-10 days, if you still feel pain, cough, shortness of breath than get done chest x ray to rule out internal damage. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 79,080 |
What causes sharp pain on right middle side just below the ribs? | Patient: Hello- I have had an ache in the right middle side front for months. The severity comes and goes, but is always in the same spot, just below my ribs and slightly inside. I haven t noticed anything like foods that make it worse, if I have a drink of alcohol or not enough water that seems to heighten the pain. It aches at various times, I even notice while I m sleeping. A couple of days ago it was the worse I ve felt it with a sharp stabbing pain that was painful to touch. I m trying to get in to see a Dr. Meanwhile should I be concerned, is there anything I should do, or specific symptoms I should watch for? Thanks! Doctor: Hello. thank you for writing us here.its most likely to be costochondritis which is the inflammation of the rib (cartilage of rib more precisely). it could be bacterial or viral which could only be diagnosed with proper examination and investigations.I suggest you to see a doctor for correct diagnosis and the treatment accordingly. They're most likely to ask you to go for a xray and ultrasound and provide you with the proper medications.Best regards,Dr Gunjan | 132,531 |
Have mild sleep apnea, forgetting to breathe. No help from any doctors. Suggest | Patient: Hi Doctor I have had GURD/mild Sleep apnea for a number of years and have had several incidents where I seem to "forget" to breath-this happens when I am awake. Someone suggest it could be some form of Panic attack but it has never happened when I'm feeling anxious. I just suddenly find I'm not breathing, then struggle to "remember" how to do it-it's very strange. I've mentioned it to various doctors but not one has ever commented on it. Doctor: Hi, sleep apnea means that there is dyspnoea while sleeping, and you have to take a deep breath, after waking up, and has to move up from the bed and walk few steps. This usually happens due to hypertension, or some other cardiac problem. So i advise you to consult a cardiologist for diagnosis. Thank you. | 211,663 |
Suffering from hyper pigmentation problem in cheeks and upper arms and back. Effective solution to solve the problem? | Patient: Hi, I m a 14 year old black girl . I used to have acne for 2 years but it has gone now but I have been left with hyperpigmentation on my cheeks, upper arms and upper back. I am currently using Lush products (only cleanser, toner and moisturiser) which have been working well. However, I would like a very effective solution that would hopefully solve my hyperpigmentation please. Thank you. Doctor: Hello thanks for using Health Care magic . I would be pleased to answer your question For the hyperpigmentation , the best option is to get your skin exfoliated by a better method like a glycolic acid peel done every 15 days . A better option for you would be to visit a Dermatologist to avail of these peels . Alternative peel treatments like trichloroacetic acid are also very useful . i would suggest you get your skin examined by the dermatologist . for a home based treatment , Application of Vitamin C based serum can be safe over long run. Thanks and take care . | 11,931 |
What causes lump like knots on the neck and the head? | Patient: I have a medium to large size bump on the back of my head almost near my neck on both sides. I have not hurt myself in any way and i have had them for almost a month now. I am now also beginning to get knots in my neck and only had one but now another one has shown up. Some days they hurt very bad to like move my neck or lean my head back. Other days i dont notice them at all. Any ideas? Doctor: Welcome to healthcare magic for your health concernsI am Dr Fahim and I will be looking into your problem I have gone through your question and understood your problem and concerns. It appears to be lymph node enlargement of the occipital region and now lymph nodes of the neck as well. These group of lymph nodes drain lymphatics of the head, neck and throat. It appears to be some kind of infection is going in this region. Have you taken any empirical medication for it? If does not respond to empirical antibiotics therapy then it might be some other pathology. You need to see a general surgeon, who might carried out excision biopsy of the lymph nodes and send it to histopathology to get a definitive diagnosis.I hope my answer will help you. Do rate it if you like it.Regards | 64,240 |
Can more than 2 trelstar injections be taken for prostrate cancer? | Patient: Hi I am dignosed of Prostrate cancer. I have been injected with 2 trelstar injections 11.25 mg/2 mL at an interval of three months.Starting with one in July 2013 and another in Nov . Please let me know if I can use another trelstar injection once more? Doctor: Trelstar is a form of hormone therapy that is given for the treatment of prostate cancer. It is a depot injection that is given every 3 months and needs to be repeated till it stops having any effect. The effect is monitored by measuring serum PSA which should be normal. There is no use of giving the injection earlier than the 3 months. | 155,252 |
What causes pain in body? | Patient: Hi, I m a 43 year old female experiencing achiness in my body. My muscles feel weak and my hands are noticeably shaking and I feel my body shaking as well. I get about 7 hours of sleep each night but I do know I don t drink enough water. My mother has Mytonic Dystrophy and Fibromyalgia and my sister has MS. Should I be worried about this? I kinda feel run down but if I get to sleep in I don’t feel any better. Any suggestions? Thanks, Christina Doctor: Here you have family history of muscular dystrophy, fibromylgia and MS. So yes you need to be careful. This all condition are genetically derived once it's there in family history. But triggering points will be too much of physical stress, mental stress, improper sleep, improper lifestyle as well food habits. So I suggest you need to get checked properly if you also have feeling of generalize body weakness. For all this kind of my patients I strongly recommend the antioxidant supplement like vitamin c and vitamin e, along with omega 3. Because all this together helps to heal your body from inside as well also helps for prevention of it with its natural anti degenerative and anti inflammatory effect. As of now you can take rest properly but still if you are feeling weak then consult your doctor. Early prevention is better then cure. Take care | 217,236 |
Suggest treatment for severe lower back pain | Patient: hi im denis joy from kerala.im suffering severe low back pain.im not able to sit without chair and i cant bend or do any activities depend on back pain.doctor said it's disc problem but im not sure.im only 17 years old.im so desp now.what should i do.please help.please..... Doctor: HiThank you for asking HCMI have gone through your query.Your problem is most likely due to lumbar disc herniation.A physical examination with an Orthopedician will give clue for that and an X ray followed by MRI if needed should be done to confirm that.For my patients with such condition i advise muscle relaxants like Thiocolchicoside NSAIDs like Aceclofenac and neurotropic drugs.I send them to physiotherapy along with this.Wearing a supporting belt is also helpful.If no improvement after this then a surgical correction can be considered.Hope this may help you.Let me know if you have any further query. | 110,695 |
Why am I unable to conceive when everything is normal in me ? | Patient: actually i after rupturing also i have relationship with my husband continously as per my doctor said but still is not happening .i am trying for last three months.i have already one child of six yrs old.now i am planning for second child, my periods are irregular but after i have started medicine periods are regular even eggs are forming as per follicle study and rupturing also at correct time.i am a 31yrs old.even for first child i have treatment then after i have concived .i am getting pregnant . Doctor: hello, ya. there is good chance of conceiving.try to maintain sexual relationship during ovulation period for atleast 2 days.dont miss that period. | 6,836 |
How to treat recurrent UTI s and kidney infections? | Patient: I am a 43 year old female with a history of recurrant UTI s and kidney infections. I have recently treated a urinary tract infection several times and still have problems. I am nauseated, fatigued, unable to gain weight and my urine smells like hot dogs and it hurts to pee. Both my parents are diabetics and I may be there. I have decreased the amount of protein in my diet, increased water intake and take a cranberry supplement. What else can I do? I have no job or health insurance. Doctor: Hello and welcome to HCMI have read your queryI hope this will helpRecurrent UTI is a common problem especially in females.You should have a URINE culture sensitivity test and ABDOMINAL ULTRASOUND.As your parents are diabetic you should be investigated for diabetes. As diabetes is commonly associated with recurrent UTI.Meanwhile keep on using cranberry juice and once reports are available discuss with your physician to prescribe you appropriate antibiotic according to the C/S report for at least 2 weeks.I hope I have answered your queryRegardsDr faeza | 47,145 |
Suggest remedies for high blood pressure | Patient: My blood pressure has been 180/100 for two days .I have not been diagnosed with hypertension before.I am 280 pounds.I exercise rigorously every day swim bike run play tennis.I have no food or drug allergies. I have no other history.I took 10 mg of lisinopril five hours ago yet my pressure remains at 180/100 can I safely take another one right now? Doctor: Hi, dearI have gone through your question. I can understand your concern. Your blood pressure is very high. Life threatening complications like stroke or coronary events can occur with this blood pressure. So you should take urgent treatment. Don't take lisinopril tablets without asking your doctor. Consult your physician and take treatment urgently. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 114,740 |
What causes lactation from both the breasts? | Patient: Hi doctor,i m 26 year man and married last month.my wife is 24 yrs old.last night i found my wife lactating while i was having oral sex with her.though the quantity is very small and minimal,but i m still worried.its from both of her boobs.anything serious Doctor: get her prolactin levels checked and could possibly due to a prolactinoma a pituitary tumour ,be careful as it can lead to infertility | 222,500 |
Suffering from asthma and allergy. Blood report shows "1410(AEC) absolute eosinophil count". What is the preventive action? | Patient: hai doctor myself shashi kumar from bangalore I hav a one quarie. my mom was suffering from asthama nd allergy from past 2years.I tried consulted many doctors nd had lots of medicine their is no result. and nw she went nddone the blood check....in the report it is showing 1410(AEC) absolute Eosinophil count......bt actuall count range is from 40 to 440......... so culd u please advice on this report wat is the preventive action to be taken Doctor: HIThank for asking to HCM I really understand your concern for your mother, now it is not the question for preventive measure but now time to go for curative measure, because your mother must be having severe allergic condition of lungs, If I would be her Doctor then I would surely treat her with,,,,,1> antibiotic Erythromycin 500 mg thrice in day for 10 days ,,,2> Bronchodilator (Etophylline +theophylline 1 tab. three times in day ) and ,3> Diethylecarbazine 100 mg three times in day, if she did not respond to this treatment then the next step would be x-ray of chest and other routine blood work, but I am sure this will give good results have nice day and take care of your mother | 102,824 |
Have hepatitis C genotype 3A. Elevated liver enzymes. USG showing mildly coarse liver. Took ribavarin. Have pedal edema. Advice? | Patient: I am 38 years old. I gad hep c genotype3a. Elevated liver enzymes. Normal bilirubin,albumin and INR. USG suggested mildly coarse liver. I took six months course of peg ifn n ribavarin. Viral load decreased five logs after 4 weeks but it is not negative at end of treatment. Now two months after end of treatment i m having pedal edema. Please suggest. Doctor: Hi, I have gone through your reports fully. I like to say that you have taken the appropriate treatment and follow up. Your worry is the results are not negative and you have pedal edema. Pedal edema is usually associated with your problem. I like to explain certain world statistics about the prognosis. Out of the 190 patients, 155 (81.6%) achieved End of Treatment Complete Response (EOTCR) whereas 35 (18.4%) were nonresponders (NR). These 155 patients, who showed complete response were followed for six months after the treatment to assess sustained viral response, which was seen in 112 (72.25%) patients whereas 43 (27.7%) were relapsers. So a periodical consultation + symptomatic treatment is advised. Best wishes Hepatitis C virus (HCV) is leading cause of chronic liver diseaseThe relative prevalence of HCV genotypes varies with the geographic area but genotypes 1, 2 and 3 have worldwide distribution. HCV 3a has been the predominant genotype (causing disease in 62% - 70% patients) in Pakistan based on the last ten years data | 59,108 |
What causes difficulty in the intake of oxygen? | Patient: Started lifting again after a 3-4 month break. I noticed today that from beginning to end I was feeling moderately winded. Like I was breathing fine but felt like I wasn t getting enough oxygen or something. Didn t feel dizzy but I did feel a bit cloudy. This happened last time I lifted but managed to become more sporadic the more i worked out, where I would have great days and bad days. Did some research on pulmonary hypertentison, not sure if that s the culprit. I just turned 23, I weigh 125lbs, I ve always been mostly active, eat plenty of fruits and veggies. Was diagnosed with allergy induced asthma last year, but during these breathing episodes I m not wheezing at all. Just increased heart rate and the feeling that I m breathing fine just not getting the oxygen. Any ideas? Thanks in advance Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Since you are having allergies, possibility of early bronchitis is high in your case. Untreated allergies can cause airflow limitation. And this is the main cause for bronchitis and feeling of not taking enough oxygen. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is must for the diagnosis of early bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. | 79,433 |
Why don t i remember anything after recovered from pneumonia? | Patient: I had pneumonia I don t remember going to the doctors or being admitted to the hospital, I got transferred to another hospital but don t remember anything. I had chest tubes and thorasic surgery, don t remember any of it. Could you please tell me why I don t remember anything. I didn t have a fever. I was in the hospital for 21 days. Doctor: u seems to have amnesia for events happened during ur hospitalizations. we call it encephalopathy..cause in ur case may be infection itself or electrolyte disturbances.....whatever may be the cause....but as u r normal now......indicates total recovery.....so don't worry.....regards.. | 143,950 |
Is there any chance for me to conceive if my rub my vagina to the penis ? | Patient: i have a problem. while me and my boyfriend were alone, i sat on top of him and rubbed my vagina on his penis from the base to just below the tip. but i cant be 100% sure i didnt accidentily rub on the tip of his penis. im a virgin, but im terrified i might be pregnate. can u help me please? Doctor: Hello, Most probably you are not pregnant. But please avoid taking such risks in the future. If you need more help, you can visit: www.med50.blogspot.com | 6,835 |
Is a bruise and discomfort in leg serious? | Patient: Hi, I have always brusied easily and have had countless blood tests and everything comes back fine. Whilst sitting on my bed working 2 nights ago, I felt this really weird sensation in my left leg, just below my knee, I had not bumped myself or anything and I watched as a bruise/blood pool appeared. Is this serious? I have had 2 blood blots in my right leg (1st was in 2007 and the other was in Feb 2013). It is quite painful when walking and even sitting I can feel it. Should I get this looked at? Doctor: Hi, Welcome to Health care magic forum. It appears to be the utricaria due to some allergy to some thing like food, cosmetics, soap, clothes, or wool. or it may be due to the deep vein thrombosis. I advise you to consult a physician for diagnosis and treatment. You may need to have a color doppler for diagnosis . Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have a healthy tissues. Wishing for a quick and complete recovery. Thank you. | 118,482 |
Frequent itchiness inside chest, lower portion of esophagus, eases with antihistamines and inhaler. Any ideas? | Patient: Hi, the inside of my chest, seemingly in the lung , and the lower potion of my esophagus is itchy more frequently than not. It has become increasingly worse, I don t know if it s from the extreme cold or if it s an unknown allergy . This has occurred for the past month and I have no definite idea why. Taking antihistamines have helped along with an inhaler . Doctor: this is food allergy which can cause oesophagitis may be milk stop taking milk and diary it wii cure you take antihistamines and antacid for 3 week see result | 104,358 |
What causes cramping and pain in joints/muscles while using udo s oil? | Patient: I am a 55 year old women, in very good shape but with some joint wear and tear from competitive sport in my youth. I started taking udo s oil a month ago and due to joint pain, hip shoulder and back and think that I feel worse, have had muscle pain and cramping. Can it be the udo s oil? Doctor: Hi, I had gone through your question and understand your concerns. Do please mention your medical history, is it an arthritis or a meniscal tear or a ligament tear.. Well i don't think oil can cause it. Considering your age and the information provided by you ,the causes can be the past medical history,lack of hydration,problems with nutrition,side effect of medications,not stretching enough,overexertion,poor circulation, wrong shoes etc.hope this helps. | 133,524 |
What causes uncontrollable twitching in the lower back? | Patient: I recently began experiencing a mild uncontrollable twitching in lower area of my back. The twitch has no real pattern such as after a meal or physical exertion. Twitch is located lower right and feels within the tissue under back side of rib cage. black Male 55yrs bp under control cholesterol in bounds. under VA care past 10 years. been smoking but not a chimney. what could it be? Strange symptoms kidney issues not part of family history. Not lactose intolerant. Doctor: Twitching in the lowerlimbs or upperlimbs is common, but not in the lower back. Might be postural also. Try lying in flat hard couch with pillows resting underneath ur thighs n knees. Avoid strenous activities for 2 weeks. how about ur appetite n numbness/weakness of lowerlimbs? If ur appetite s good n symptoms persists even after 2 weeks, it s advisory to take MRI to rule out tuberculous spondylodiscitis. Thank u | 107,705 |
Are Meftal P and Paracetamol the right medication for fever? | Patient: Hello Doctor. My son is 6 years old, weighs 22.8 kgs. He has fever from last 4 days which is varying 100 to 104 deg , along with dry cough and wheezing. He has been prescribed Paracetamol and cough syrup (Ambroxol + Guiafenasin + terbutalibe) with cefoprox 100 mg twice. Since fever is touching 104 deg twice or thrice in a day, can I give him Meftal P thrice daily keeping 3 - 4 hours gap with Paracetamol? Can I give him Doxofylline - 100 mg and omnacortil 5 mg twice as he has history of asthmatic wheezing ? Please advise. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes Meftal and Paracetamol are the right medications for fever, continue using them along with prescribed medications with out adding any additional medications. Hope I have answered your query. Let me know if I can assist you further. | 162,906 |
Are symptoms of vertigo, dizziness and itching in body common when suffering from urticaria? | Patient: I m a 35 year old female. I had an unusual episode of vertigo for a week 2 years ago - woke up running into walls, dizziness & nausea. It finally passed after a week, so this may be unrelated to present. 10 months ago I developed a sudden subtle itching in my scalp. It then moved to severe itching in my hands & feet, then torso, back & finally arms, legs. The itching comes on worst at night. Went to multiple drs. & was finally told I have dermatographism/chronic pressure urticaria with an unknown idiology but was an auto immune response. About 2 months ago I started feeling deep in my right ear like I was going to get an ear infection when I laid down to go to sleep but I never woke with one. Both ears started to take turns sharing this sensation at nights. Then, 3 weeks ago I woke up with the sensation radiating down my jaw on the right. I figured I had finally gotten the ear infection. I went to the dr. & he said ears were fine but throat looked like had infection. I did not have a sore throat, sinuses or any issues to suggest this. I was put on augmentin. 2 days later I started spiking 104+ fevers & got very weak barely able to walk/talk & got rash on legs. Went back to dr & tested positive for strep & mono both & antibiotic was switched to azithromycin & our on methylprednisolone & told to keep temp down for next 24-48 hours to reduce infection risk. 2 days later fever was gone all day. Around 9pm I laid down to watch a movie & immediately felt like I was burning up from the inside out, not like a typical fever. I became concerned because did not feel right. I made some calls & was told was just infection & to take ibuprofen & go to sleep. I woke with itchy legs at 4am, which I was used to with the urticaria. Itched it out & went bsck to sleep. When I woke up in the morning, my cheeks were flush, skin was bright red & hot & had a rash all over my body. Went back to dr & was told had scarlet fever. Antibiotic was switched for a 3rd time. After ther steroid, the radiating feeling down my jaw stopped, but the ear pain is constant in one or both ears still & ranges in severity. There has been a lot if light tingling in my temporal area, left side of cheek more than right, top of head to the point I became concerned again & went to ER. Blood tests had some low/high levels but not enough to be remarkable. MRI was done & my braces threw artifact on the scans so difficult to read. Frustrated, felt dumb & still had no answers. A couple days later I had ringing in my right ear a few times for a few seconds then light drumming in my left ear once for a few seconds. I went to ENT-pa last week, recited whole story, checked ears, nose, throat & stated all clear must just be the alignment of my jaw. This did not sound right to me as only effected my jaw once for a few days. Left frustrated again. My ears sensations are getting worse when I lay down it seems. I have also had an area in my right side in the same place & 2 areas on my left side that have had twinges of pain on & off but not severe. I did have a few days of high stomach pains that would last 30-60 mind but hen go away. I noticed tge past couple days tiny muscle spasms in my left hand, left leg & right foot. My neck on both sides has had little twinges of pain but not severe & comes & goes. My heart has started to feel discomfort past couple days, especially if I try to lay on my left side. Tonight, I m just afraid to go to sleep & developing a light flushing in cheeks it feels & little rashes that come & itch then fade some but still have a speckle presence. No fever. I. Really tired & want to go to sleep & just feel something is wrong but cannot get any answers. I need help to crack this & get to the bottom of why this is all happening & symptoms are building but I cannot get any answers that make sense? I hsve had so much normal bloodwork. I don t even know what tests to ask for?? Thoughts??? Doctor: Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints.As per your history, Please find my advice below-:1)Do correct your iron and B-12 by taking injection weekly 3 upto one month and then once in a month2)Check fasting blood sugar ,renal & liver function test3)Do full blood count with differential 4)Do a stool exam(RE/ME)First do all these things if done then nothing to repeat once again.Do not worry at all and it is a minor problem.I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks, | 30,076 |
Suggest treatment for recurrent MRSA infection | Patient: I ve had mrsa infections on and off for about 8 yrs. A year ago I learned I have hepatitis c. Six weeks ago I had pyelonephritis, kidney infection. And now at two and 1/2 weeks ago I had mrsa infection that s not completely gone. What am I supposed to do wait for the infection to come to a head again or go to the ER for testing to see if it s the same infection or a new one? Doctor: Hello,As per your clinical history is concerned, please follow like this:1) Do a physical examination by your family Doctor and to confirm do few investigations like [CBC with differential and culture of tissue samples or nasal secretions].2) Your Doctor will add specific antibiotic for the infection and sometimes no antibiotics are required only draining is required.Do follow lifestyle modifications like this:1) Wash your hands. Careful hand-washing remains your best defense against germs. Scrub hands briskly for at least 15 seconds, then dry them with a disposable towel and use another towel to turn off the faucet. Carry a small bottle of hand sanitizer containing at least 62 percent alcohol for times when you don't have access to soap and water.2) Keep wounds covered. Keep cuts and abrasions clean and covered with sterile, dry bandages until they heal. The pus from infected sores may contain MRSA, and keeping wounds covered will help keep the bacteria from spreading.3) Keep personal items personal. Avoid sharing personal items such as towels, sheets, razors, clothing and athletic equipment. MRSA spreads on contaminated objects as well as through direct contact.4) Shower after athletic games or practices. Shower immediately after each game or practice. Use soap and water. Don't share towels.5) Sanitize linens. If you have a cut or sore, wash towels and bed linens in a washing machine set to the hottest water setting (with added bleach, if possible) and dry them in a hot dryer. Wash gym and athletic clothes after each wearing.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Uday Nath Sahoo | 29,077 |
What causes neck and back pain? | Patient: pains I am having. I was recently in a wreck an have been having back problems due to the wreck. I have been going to a physical therapist to help my back and neck get better. This past Wednesday I went to my physical therapist to do exercises I normally do there and my neck and back were hurting a little bit. We stopped doing neck exercises because it was hurting. I did a back exercise and noticed it hurt to do it so he had me not do so many. I didn't hurt right when I left there but when I went into work later that day I started having bad lower back pain and both sides of my abdomen have been hurting badly. The past two days it has hurt to walk and do stuff at work and nothing seems to make it feel better. I am not sure if I am having muscle problems or if it has to do with me being a little lactose intolerant. What could be causing my pains? Doctor: Hello, Thanks for your query.There are numerous causes and conditions that produce neck pain as well as back pain. An MRI scan of the concerned spinal columns will help in establishing the proper diagnosis. I suggest you not make any delay in approaching a doctor as it is definitely abnormal to have neurological problems with weakness in the limbs at your age.The treatment for your problem will depend on the condition diagnosed. Generally, with early diagnosis and early treatment, one can expect favourable outcome after treatment. Temporarily, please follow the below mentioned measures to get some symptomatic relief -- avoid any movements that produces pain- do not use bulky pillow underneath your head while sleeping as this position will produce more compression of the nerves- Use a Soft collar which allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods of time, because long-term wear can decrease the strength of neck muscles.- Analgesic (diclofenac & lornoxicam) and muscle relaxant (thiocolchicoside) combination medicines will provide symptomatic relief from pain & muscle spasm. Neurotropic vitamins like METHYLCOBALAMINE (activated Vit B12) or PREGABALIN will help in alleviating the neuropathic pain.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | 110,992 |
What causes white patches on head of 7 month baby? | Patient: My daughter is 7 months old, since 10 days we are observing while patche on her head,and on that patch dandruff kind of stuff is there,even though we are clearing/cleaning dandruff kind of stuff daily,but still we are seeing dandruff kind of stuff daily on that patch. Doctor: Hi, I had gone through your question and understand your concerns. There is not much reason to worry at this moment. Patch dandruff are commonly observed in patients with cradle cap or seborrheic dermatitis, or seborrhea . If such a patient comes to me in my clinic I would suggest:1. Washing your baby's scalp daily with mild shampoo to remove the scales.2. Apply oil and comb her hair with thin scallop.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and your baby good health. | 173,149 |
Is travelling safe during 32nd week of pregnancy? | Patient: Hello Madam,My Sister,Sapna,32 yr. old, completed 27 weeks of her first gestation without any complication. she has hypothyroidism since 2 yrs. for which she is taking levothyroxine 100, as prescribed by doctor.she has all routine checkups & investigations which are normal.now she want to travel 12 hr. journey by train at her 32nd week, is it safe for her & baby? or she should travel earlier? please help me to come out.thanking you. Sourabh. Doctor: Hello dear,I understand your concern.It is good to know that she doesn't have any complications.In my opinion it is always better to do the long journey during 2 nd trimester ie.,13-28 weeks.Rail journey is preferred to road journey.And air journey is best of all.If inevitable air journey is preferred.If that is not available rail journey is done.Dont restrict for food or fluids during the journey.Avoid outside food to avoid stomach infections.But anyways restricting the long journey to 2 nd trimester as I said above is always advisable. Take fluids upto 2-3 litres per day to prevent dehydration there by decreasing the chance of urinary tract infections.Hope this helps.Best regards... | 220,683 |
Suggest treatment for Hypogammaglobulemia | Patient: Hello,Since being diagnosed with Hypogammaglobulemia @ 53 yo , I'm trying to figure out the cause: Chronic pylonephritis resulting in nephrectomy 20yrs agoFocal segmental glomersclerosis in remaining kidneyAnkylosing Spondylitis + (spinal stenosis)FibromyalgiaOsteo-Arthritis (hands, feet, knees, etc...)Any ideas? Doctor: Hello and welcome to HCM,Gamma globulin is a protein produced by the liver.Hypogammaglobulinemia can be congenital or it can be acquired.Congenital hypogammaglobulinemia is due to congenital absence of production of gamma globulin and acquired can be due to liver disease.All the diseases mentioned by you- chronic pyelonephritis, glomersclerosis, ankylosing spondylitis, fibromyalgia and orthoarthritis are not directly responsible for hypogammaglobulinemia.Treatment consists of replacement with gammaglobulins.Thanks and take careDr Shailja P Wahal | 116,048 |
Can nebulizer ease the suffering from breathlessness and discomfort? | Patient: Hi This is Gopinath. My wife is suffering from breathlessness and not able to lie down. She was treated with Nebulizer and was feeling comfortable. the same issue came next day also and was provided with the same treatement. Is there any permanent solution or therapy to prevent. Doctor: hello,thanks for ur query, medications with nebulizer for asthmatic, goes directly into lungs and will instant relief. but c to that what medications she is getting.it could be given 4-6times,depending on d breathlessness.i think ur already on antibiotics and sopportive medications.continue same treatment.all d best.take care. | 101,834 |
Heart rate 106, good BP. Intake of protein bars, on stress due to refusal to take plasma donation. Reason? | Patient: hy my name is jared an my wife was wanting to donate plasma but couldnt .they told her her heart rate was 106 . she waited awhile an they checked it again. it was 103 .she has good blood pressure . but could not understand what the big deal is.think the blood pressure would be the only concern.she was under stress though because they told her she didnt eat enough to give.when che ate two bagel halves with peanut butter on them an one of those special k protein full bars . think that wd have been enough .but no they told her to eat a burger of all things an come back . so she did .and her heart rate went up. sounds stupid to me .an she weighs 227lbs by the way. Doctor: Hello, Thanks for the query to H.C.M. Forum. History of illness is very ambiguous . Only heart rate 106 and weight 227 lbs, so this is clear that elevated heart rate is due to tension and weight ( over). Nothing is abnormal , so upload , what do you want to know about your wife. Good luck. Dr. HET | 118,762 |
What could the growth near the frontal plates be? | Patient: I cant open my jaw more than an inch after i had 2 seizures recently, I am waiting for a neurologist to see me. EEG and ct scan clear , but ct just has a small bony or soft tissue growth near the frontal plates not putting any pressure on brain. Rest is unremarkable .Thanks Doctor: Hello,It is necessary consulting with a dentist, in order to exclude possible temporo-mandibular joint dislocation or injury, probably caused by the repeated seizures. There is no neurological disorder that can lead to inability to open the jaw.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | 120,227 |
How can left kidney removal be avoided? | Patient: Dear Doctor, My baby (age 7 years) is suffering from kidney problem. Doctor diagnosed it a case of Left PUJO with pyonephrosis. Then Doctor has done PCN (Percutaneous nephrostomy) on 30.10.2010. On 28/11/2010 her (DTPA) Renal study has done and results- Right kidney 90% normal functioning, Left kidney 10% gross parenchymal insufficiency. Doctor is continuing the pcn tube for February first week and then he wants to remove the left kidney if the kidney function is not increased more than 10%. Please advice me what will I do. Could it possible to preserve the left kidney by any better treatment from you if available without removing the kidney of the patient? If you reply me with your kind opinion I will be ever grateful to you. Doctor: Hi, If you leave the kidney alone, which is functioning only 10%, in future it may leave the kid with uncontrolled hypertension. Your doctor is right in removing it. Hope I have answered your query. Let me know if I can assist you further. Thank you. Regards, Dr. Sumanth Amperayani Pediatrician, Pulmonology | 161,828 |
How to treat microscopic spot of blood in stool in infants which leads to lot of crying? | Patient: My granddaughter is 3 weeks old and has cried excessively at random intervals that last anywhere from 2 to 8 hour periods. Her mother is nursing her but was told to stay off dairy. The infant was taken to the pediatrician 2 weeks ago and was told there was a microscopic spot of blood in her stool. The baby has very occasional times where she looks peacefully about and seems pleasant and will suddenly scream in agony; dreadfully, the crying process begins. She has been given gripe water, milocon. Any suggestions would be gratefully appreciated. Doctor: hi,sorry to hear about your grand daughter.but this is what 90% of babies go through during first 3 months of life.ask your daughter to stay of milk and nuts.when the episode starts put the baby prone over your lap.sometimes if it is due to gas the crying stops.take the baby to a aerated spaces.avoid cellphones and tv or internet during feeding the baby.ask mother to be relaxed and take plenty of water and fresh fruits.hope she gets fine.good day | 171,467 |
What are the red bumps on my tongue near the tonsil? | Patient: I have a reddish color of bumps near my left tonsil on my tongue that hurts badly when I move my tongue. Near that area, I have a messed up tooth, maybe that could be causing this bump thing but I am not sure and I am very afraid... what could this be? Doctor: hellogone through your query.did you get this swelling recently or is it from long time.it may be an enlarge adenoids.rinse with lukeworm saline water.take a course of antibiotic .if it persists then u ll have to get it checked from a dentist.hope this ans helps. | 186,022 |
What is the reason for abdomen pain? | Patient: hi I m have pain in my lower left abdomin but it doesn t hurt when I push in or let go. only when I lay back or lift or when I m exercising. which thats how it began. the exercises I was doing were planks mainly or mountain climb positions & pushups. so a lot of my workout was on the floor. two days of that & my stomach pain start. its happened twice. the first time I waited a week to rest & heal. now I m having to do the same. I m walking only. nothing else. my husband thinks I may have a muscle tear. but I don t know. thanks for any advice. Teri Doctor: Hi Teri. Thanks for your query and an elucidate history. Yes, your history is suggestive of lower abdominal wall muscle strain.I would advise you the following:First of all stop straining these muscles till you are cured of the problem.Avoid all the activities giving a pull or push on these muscles.Take an anti-inflammatory medicinesConsult a General Surgeon, get examined, also go for high resolution ultrasonography of the abdomen to rule out any internal problem and of the abdominal wall to see for potential tear or hematoma formation. | 88,221 |
Is folic acid advisable while trying to conceive? | Patient: Hello Doctor I m 27 years old n I m slim in physic I weigh around 41 kgs n I got married on 16 may 2010 should I plan for child now or later on My doctor prescribe me to take folic acid she told this is b complex tablets which contains nutrients shall I take or not kindly suggest Doctor: Hello, and I hope I can help you today.Folic acid is an essential B vitamin your body uses for many purposes. It is healthy to take as a supplement even if you are not pregnant.Certain kinds of birth defects, called neural tube defects, which can cause malformations of the brain and spinal cord can be associated with a lack of folic acid.So we generally recommend that all women planning pregnancy take as least 400mg of folic acid daily so they are taking it from the moment of conception.So I agree with your doctor that you should take the vitamin supplement as ordered, as it will help you have a healthy pregnancy.I hope I was able to adequately answer your question today and that my advice was helpful.Take care, Dr. Brown | 222,586 |
What causes prolonged stomach pains in a child? | Patient: Hi, my daughter is 7yrs old and has been getting stomach pains for a while now, I would say off and on for two yrs now, she complains like... sharp stabbing pains in the belly! I try to rubb he tummy and give he pain reliever! I have taken her to her doctor and she didn t seem to concerned? But why does she still get these pains? Could it be anxiety?? Doctor: Dear Parent,Functional abdomen pain that is pain in abdomen without any medical explanation can occur in children and anxiety can be one of the caused. I suggest that you maintain a diary as to when the pain occurs. I am glad that you have taken your child to pediatrician to evaluate her abdomen pain. If you are not satisfied with your pediatrician's assurance, I would suggest that you take a second opinion to confirm that nothing is wrong with your child before giving her pain relievers. | 165,193 |
Suggest remedies for stomach pains and cramps | Patient: I am experiencing a little stomach pain and cramps, I believe I have had an ulcer for a few months, a couple of days ago, I started throwing up alot, with alot of lower back pain! I went to the ER and they gave me something for nausea but thats not only my problem? Doctor: HIThanks for posting your query to Healthcaremagic. Your stomach pain could be due to Ulcer itself as you have not got a proper treatment for that. I would recommend you to get Ultrasound Abdomen to rule out other causes of Stomach Pain like Gall Stones , Pancreatitis , Indigestion etc. If nothing is found in Ultrasound then it means your pain is due to Stomach ulcers and you need to be put on proper medications . In that case I advise you to consult a Physician or Gastroenterologist. You will be put on 2-3 weeks course of a medicine called Proton Pump Inhibitors and also Antibiotic course to cover Stomach Infection ( by H.Pylori ) Hope this information was useful to you. Any clarifications feel free to ask . Regards. | 87,553 |
Infant having cough, cold, sound while breathing, nebulized 4 times a day, prescribed hicet and telekast. Asthma? Side effects? | Patient: Hi , Sir my baby is 7months old. He s having cough and cold . we used to nebulize for last 3 months 3days 4times per day using asthalin 0.3mg with ns 2mg. But still have cough and veezing and little sound taking breeth. our pediatrician yesterday prescribed hicet 2.5mg and telekast-4 half tablet for 30 days. is it safe to gve thiss tablest for what reason he suggest this tablet. is the babby have asthma are any other problem. is the tablet have any side effects . please guide me. Thanking you Doctor: THINK OF MILK THEORYA CHILD NEED BREAST MILK FOR 2 YEARS AND NO MILK AFTER 2 IF WE ADD MILK AND DIARY MANY CHILDREN DEVELOP ALLERGY ASTHMA AND OTHER DISEASESWITHDRAW MILK AND DIARY FROM DIET OF HILDADD CEREALS FRUITS VEGETBLES AND OTHER THINGS IN FOODMILK HAS ANIMAL PROTEINS AND THEY ARE NON COMPETIBLE WITH HUMAN PROEINSAFTER WITHDRAWL CHILD WILL STA RECOVERING IN 3 WK AND HE WILL BE FIT IN 3 MONTHS TILL THEN YOUCAN CONTINUE WITH SUPPORTIVE THERAPY | 103,668 |
Suggest treatment for a muscle sprain in the chest | Patient: hello I got a collision with the bus rod when I was getting into it on my upper part of my right side of the chest. Initially I thought that I may have hit my ribs but after consulting with my physician he told that it is just a muscle sprain and blood clot. So what is the cure for this. Doctor: Hi, Any muscle injury will take about 3 weeks to heal. In the meantime, take pain killers and avoid putting strain on the chest muscles .Local Heat therapy may also help. Don't forget deep breathing exercises to keep lungs in healthy condition. Hope I have answered your query. Let me know if I can assist you further. Thank you. Regards, Dr. Gopal Goel Orthopedic Surgeon | 123,037 |
Does frequent urge to urinate and enlarged prostate gland indicate cancer? | Patient: Hello there! My name is Phillip in New Zealand. I have been suffering from prostate problems like an urge to urinate more often, using the rest room more especially in the evenings, enlarged prostate gland some times through out the day/evening etc. Are those symptoms of prostate cancer please? I am 51 years old right now & turning 52 in November 2014. I have a family history of cancer in my family.. Phillip Longley. Doctor: Hi, dearI have gone through your question. I can understand your concern.Frequent urge to urinate, difficulty in urination, gland enlargement are seen in both benign prostatic hyperplasia and prostatic cancer. In old male benign prostatic hyperplasia is very common. However you should go for PSA level to rule out prostate cancer. If your PSA is normal then no need to worry, just take treatment of benign prostatic hyperplasia. If Your PSA is high then you should go for biopsy to rule out cancer.Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | 154,797 |
Suggest treatment for dark color urine, foul smell and rashes on neck and back | Patient: My 2 yr old daughter had dark colord urine and its very foul smelling alsi she also had a rash in her belly neck and back of her neck and then she had 2 very red eyes that had discharge and the swelled a little abd she had some pain with it YYYY@YYYY Doctor: Hi....by what you quote I feel that it could be a vasculitis causing this red urine or hematuria and also rash over her torso. Vasculitis can sometimes be very rapidly progressive. I suggest you take her to the nearest emergency room and get her evaluated including a blood pressure check....as red colored urine signifies a glomerular or kidney disease.Regards - Dr. Sumanth | 172,106 |
What causes upper abdominal pain after eating? | Patient: This started about a week ago and started happening everyday. I would eat something and then about 15-30 min later i would feel this ache in my upper abdomen or stomach. This would then lead to a feeling of needed to go, and sometimes I actually do go. Most of the time I would just be able to feel something moving in my bowels, I'm sure you all know that feeling. Doctor: Hi ! Good morning. I am Dr Shareef answering your query.If I were your doctor, I would advise you not to eat from outside if you do as intestinal infection could creep in from outside. If yes, it could be the feature of amebiasis, a common infection for those who eat from outside, which is never so hygienic. I would advise you to go for a routine stool test for ova and cyst and get it treated which would relieve your symptoms. Till then, you could go for a proton pump inhibitor along with a probiotic for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | 89,075 |
What causes episodes of blurred vision, tachycardia and sweaty palms? | Patient: Today was my 4th episode, in one year, of sudden blurred vision, tachycardia, ans sweaty palms. This time the vision was only blurred in my right eye. I breath deep and try to remain calm and it usually goes away in a minute or so. Once one eye actually went partially dark. Now an hour later I am still tachy, BP is 140/98 and I just feel icky.... Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may mimic this clinical situation: - epilepsy seizures - cardiac arrhythmia - transient ischemic attacks (TIA) - panic attacks, etc. For this reason, I would recommend performing some tests: - a resting ECG and a cardiac ultrasound - thyroid hormone levels - blood electrolytes - an EEG for seizures - a Doppler ultrasound of the carotid arteries for possible narrowing - an ambulatory 24-48 hours ECG monitoring for possible cardiac arrhythmia. A brain MRI may be necessary. Hope I have answered your query. Let me know if I can assist you further. | 18,739 |
What causes bump on face? | Patient: Hi. Several months ago I got a large bump on my face...Like a zit but much bigger. I squeezed it a lot and got a lot of pus out of it but it still hasnt gone away completely. I try to squeeze it but nothing really comes out but my fingers stink after sqeezing on it. What could cause this? (I am 23 years old, 5 1 and 90 pounds.) Doctor: This was an infected sebaceous cyst that got drained upon squeezing and is now quiescent. It will not go away unless it is surgically excised. May I assure you that it is a benign condition. | 64,612 |
What causes continuos panic attacks? | Patient: Hi my names Anne, I am experiencing post acute withdrawals, and my family dr prescribed me zoloft and itook it last night for first time, and had panic attacks continuing for 3 hours and and fell asleep at 2am, woke up at noon, panic and heart palpations came out of nowhere, is this normal from the medicine? Doctor: Hi Welcome to HCM.I understand your query and concern.Panic attacks in your case could be related to stress and anxiety.Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way.Few drugs like beta blockers are certainly known to reduce the heart rate.I advise you to have a complete 24 hour holter ECG which can accurately determine the cardiac conduction abnormalities. Monitor your blood pressure and heart rate.Drugs like amiodarone can also help to minimise the rhythm irregularities.A 2 Dimensional echocardiography will help to assess the functional reserve of the heart ruling out organic heart lesions.Electrophysiological study and Radiofrequency ablation will be helpful once any abnormality detected.Meditation and yoga will be helpful.Consult your cardiologist for expert management.Post your further queries if any,Thank you. | 28,115 |
Are lower back and abdominal pain with gas troubles signs of appendicitis? | Patient: Hello doctor,i have been having lower back pain,with slight pain in right lower abdomen.The back pain is more severe than the abdominal pain.This is accompanied by gas problems as well,and slight fever on and off.Can this be ruled out as appendicitis? Doctor: Hi.You are right in suspecting this problem as appendicitis. This may be in a retro-cecal position meaning behind the cecum, a part of the large bowel giving rise to backache more than the abdominal pain. The best investigations is CT scan to get a proper diagnosis and if present , get it operated. The gas problem may be due to this only. | 88,676 |
Suffering from rhinitis allergy and asthma from childhood. Using seretide discus, nasal spray. Suggest effective medication? | Patient: Hello, my name is sony. i am 34 year old. i have rhinnitis allergic and asthma since 4 years old until now. i regularly using seretide discus and avamyst nasal spray to control my disease. is there effective medication for this dissease? what is effective medication and uptodate medication for my problems? Thanks for your heping. Doctor: Hello dear,Asthma is caused due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma)Management consists of:1. Asthalin inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, you can use it whenever you are having an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.3. Antihistamines can also be used to provide symptomatic relief.4. Protect yourself from exposure to cold, dust or other allergens.If symptoms still persist, it will be better to consult a Pulmonologist & get a proper physical examination done.So that appropriate management steps could be taken.Wishing you a Good Health.Thanks & take care. | 103,266 |
What causes intermittent severe pain in the lower abdomen and taking medications for Kidney stones? | Patient: It s been 5 days i m getting a pain in my lower abdomen.I ve also had 2 weeks medicine for kidney stones.The pain is severe when i try to poop and pee.The pain comes in very sharp and twisted and then goes away.It pains when i walk,move,laugh and cough and i can t evrn pass out gas.My tummy has grown bigger.The doctor said i ve got bladder infection and i m having antiobiotics.It s been 3 days now but still the pain hasn t gone.Please help me.... Doctor: HelloThanks for query .Intermittent severe pain in abdomen is mostly due to presence of impacted stone either in kidney or ureter and needs to be investigated .Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvisIn the mean while take broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report.Get the prescription of medicines from your family Physician.Ensure to drink more water .To keep your urine dilute This will help to control dysuria.Further treatment will depend upon result of these tests and final diagnosis as regard size of the stone ,site of the stone and degree of obstruction it has caused .Dr.Patil. | 47,708 |
Suggest next course of action after two failed IUI procedures | Patient: Hi Sir,I am a 32 year old man and have been married for 3 years now. My wife has undergone two IUI tests sofar but because of her hormonal imbalance the tests are failed. Kindly guide us what to do now. I live in bangalore and my number is 0000 Doctor: HiWelcome to healthcaremagic.I have gone through your question.For hormonal imbalance you should get treatment for it first acoording to my advise.As hormonal imbalance will interfere in fertilization,implantation and in pregnancy also.Contraceptive pills are prescribed to regularize the cycle.So consult gynecologist and take his/her advise for it.Hope i answered your question.Would be happy to help further.Take care. | 41,824 |
What might cause snapping of thumb? | Patient: Hello, my right thumb snaps when I open and close it. Sometimes it feels like it is dislocated then snaps back. Last night in the middle of the night I woke up and could not close my thumb. I had to massage it for a few minutes before it would close again? Doctor: Hello I have studied your case,There is possibility of injury to ligament of metacarpal or phalangeal joint of thumb.If you are having swelling and pain you can strap your finger to get proper rest to joint. Use ice packs to reduce swelling, inflammation and pain.For early healing you can take Tab celin [vit C] and antioxidant with anti-inflammatory [Tab enzomac plus ].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. Wishing you good health.Take care | 136,680 |
What causes difficulty in keeping blood sugar levels under control? | Patient: My husband has type 2 & is having trouble keeping his sugar below 200. I try to watch everythinghe eats & does. He takes 4 units of novalog before each meal & 18 units of lantus at night. It was doing fairly well before this past wk. Called doc. & he raised the evening one fr 14 to 18.Why can t we keep it below 200. Doctor: Welcome to ' Ask a doctor ' service .I have reviewed your query and here is my answer .Please ask your husband to go for morning or evening walk at moderate pace atleast for 30 minutes daily .As this walk will reduce his weight and insulin resistance and help control sugar .I hope I have solved your query .Let me know if I can assist you further in this query .With regards dr varinder joshi . | 191,297 |
Suggest treatment for tachycardia and atrial fibrillation | Patient: i have tachycardia have had atral fibulation im constantly run down with virus or just not 100 percent ive now developed bruising ten or more in a cluster on each top thigh although have not bumped or banged myself what could be the cause my spleen level was low on results of a blood test Doctor: It seems there are three questions, atrial fibrillation, a general sense of fatigue and bruising.One and two may go together and I generally start my investigation along those lines. Sleep apnea is a common problem. It is often present in people who are overweight, particularly those who snore. If you are very tired in the morning, sleep easily during the day and snore loudly, you may have sleep apnea. Sleep apnea may cause or worsen high blood pressure. Outside of underlying heart disease, Sleep Apnea is one of the most common causes of atrial fibrillation. Discuss this with your doctor and consider having a sleep study.The bruising requires more information than we can get here. We can't count your spleen but we can measure blood counts and clotting proteins. That is the place to start. | 20,308 |
Extreme abdominal and lower back pain. Hiatal repair and reflux surgery done. Suggestion? | Patient: I had a hiatel repair and reflux surgery oct 3 2012 three weeks later I started have extreme abdominal pain and lower back pain so that I have been hospitilized 11 times. I have had all the test and they found nothing and put me on morphine and lyrica but I still have constant gnawing painm and sometimes the pain increasing and i have to be rused yo hospital or call ambulance because my blood pressure goes to over 200 the top number and the bottom 100 and above and i need iv pain medicine. I have times when I cant eat I have been put on Tpn several times in hospital or on and all liquid diet. I never experience so much pain except when I had partial hysterectomy in July 2007 I had 6 grapefruit size fibroid tumors removed. I only had uterus removed. The pain had me going thru depression due to I'm in constant pain and the doctors keep saying we can't find anything wrong and I know it's something wrong because I did not have this pain until after the surgery in October 2012 and its been downhill since I have been in the hospital and er so much my veins are shot and I have had so many pic lines I had to have a power port put in in march 25, 2013 and on April 15 had a severe asthma attack plus severe abdominal pain went to er was admitted to hospital for asthma and I had Pnuemonia and 3 days later they found I had a staphe infection in my port had to be moved acute care center for a month they treated my staphe not my abdominal pain they just gave me Dilautin every 4 hours and narco every 6 and I still was having break thru pain with that which would bring pressure up and then they had to give me IV pressure medicine to bring it down. I am a severe asthmatic, have copd ( never smoked copd cause by my severe asthma), sleep apnea, diabetes (take pills), high blood pressure, over active thyroid, and irregular heartbeat. So being on narcotics is not good for me with my asthma because my breathing is already compromised and the pain medicines I take all or not recommended for people with my health problems so it scares me to deth but I can tolerate the pain so I have no choice. I have been told by some doctors it could be Adhesions and some doctors say I can't get adhesions because I have no uterus but I have read that's not true. Some of the test have found they I don't digest food well and I have bile left in my stomach but I was not given any medicine to treat that and thet say my food digest slow.I really need someone who can help me I'm sure the doctors I have seen have done the best they can but I know it's something wrong going on in my body and I will take any risk to find out because the pain is unbearable and I know the narcotics are dangerous for me with asthma. I want off the pain medicine you don't know how many times I have been to er and they have humiliated me and say you need to find out where the pain is coming from because secant keep giving you pain medicine especially when they do ther routine cat scan and X-ray and find nothing. I have sat in er screaming and crying from the pain, urinitaing on myself waiting to be seen. I hope you can direct me to a doctor who can help me I will travel even out of Texas to another state if a doctor feels he can help me that how desperate I am.June Doctor: IN THIS CASE FOOD THEORY COMES AS STOMACH IS INVOLVEDALLERGY CAN DEVELOP AT ANY TIME AT ANY AGE BY ANY SUBSTANCETHE MEDICINES USED IN AFTER AND BEORE SURGERIES DECREASE THE IMMUNITY AND ANY SUBSTANCE START REACTING WITH BODY CAUSING ASTHMA AND STOMACH PROBLES AS THE STOMACH IS INVOLVED ANY FOOD CAN BE REASONMOSTLY MILK AND DIARY WITHDRAW ALL MILK AND DIARY PROTENS COMPLETELYGET BLOOD SERUM TESTS FOR SPECIFIC ANTIBODIES FOR MILK WHEAT CHANA POTATO RICE NUTS EGG OR OTHER FOOD YOU TAKE DAILY WITHDRAW THEM FRM DIET YOU ASTHMA AND STOMACH PROBLEMS WILL BE GONE IN FEW WEEKYOU CAN ALSO GET POLLEN TESTS IFYOU SUSPECT AND TREAT ACCORDINGLY | 112,722 |
Suggest treatment for hand tremors | Patient: my daughter who is 40 years old is shaking she is so cold her hands are freezing she is an attorney so free of drugs obviously she is so cold she is shaking its 74 degrees in the office she has lost close to 85 pounds in the last year she has polyovarian syndrome which made the weight loss so hard. Doctor: Hi, Consult a neurologist and get evaluated. It is important that we have to rule conditions like early onset Parkinson’s symptoms. Hope I have answered your query. Let me know if I can assist you further. | 141,084 |
Suggest remedy for irregular heartbeat while on BP medication | Patient: My question is about skipping heart beats .. A year ago I felt the same then it was gone now a week ago it started again skipping ..It worries me not knowing whether it is dangerous or not ?.I take high blood pressure medicine Atacand & bisoprolol as well as synthroid & all kinds of vitamins.. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Skipping beat in hypertensive patient can be due to arrhythmia (rhythm disturbances in heart). You had similar symptoms 1 year ago, so we should thoroughly investigate this because if not treated promptly, arrhythmias can be life threatening. So consult cardiologist and get done ecg, 2d echo and Holter monitoring (24 hour continuous monitoring of ecg).You may need anti arrhythmia drug on the basis of reports. Don't worry, you will be alright. 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. | 25,504 |
How to reduce depression? | Patient: 19 yr old patient with great medical history except optic nerve atrophy felt dizzy for few days and seemed little isolated and sometimes saying strange things.Then one day feels so dizzy, rapid heartbeat, faints, feels like she is dying.She regains consciousness very fast and recalls everything that happened when she fainted and in the ambulance.Then randomly she got dizzy for a few days and switched between 2 personalities.One remembered fainting details and height, weight, close family members but not their own name and refused to remember things in their history such as what high school they attended.Maybe when she is more dizzy she switches to someone religious and starts saying prayers for dying and prayers you say to make you a good person and claimed that god told her to say.She denies the major issues we think that could cause her anxiety but she name off smaller issues that bother her.Says she can prevent fainting now.When asked what she feels traumatized from she said she cant tell us almost as if she was possessed and she would get in trouble if she told us but when asked a few times she spelled it h-i-g-h s-c-ho-o-l. Claims no major traumatic abuse type thing happened.Says she has been holding onto feelings from h.s.that felt good at the time but are causing depression cuz she wants to let go.She graduated 1.5 years ago from h.s. very happy and absolutely no sign of anything bothering her.She got married 8 months ago and knows her husband loves her and she wants to give him her full love but sometimes feels like she is afraid to make that deep of a connection. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. You had panic attack. Panic attacks always happen due to underlying anxiety. Therefore you must address the underlying anxiety first. Please understand anxiety and related problems. Once you understand your anxiety, you will be able to keep yourself away from panic creating situations. Therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. Start slowly, progress gradually, attain neatly.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | 206,084 |
Suggest treatment for discomfort in the groin area | Patient: I have a recurring gurgling sensation in my groin on the right side and the outside of my ribs on the left side. It sometimes occurs in other areas of my body and although it doesn’t hurt it is rather disconcerting. I can feel it with my hand when pressed upon the gurgling area Doctor: Hi, It may be a pulled muscle or something. As the first line of management, you can take analgesics like Ibuprofen or Diclofenac for pain relief. If symptoms persist, better to consult an orthopedician and get an MRI scan done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | 126,535 |
Microcytic anemia, fatigue, leg swelling, shortness of breath. Ultrasound of kidneys shows cortical cysts, punctate cysts. Cause of concern? | Patient: I have been suffering from microcytic anemia , fatigue , leg swelling, shortness of breath, and moderate to severe low, left sided back pain. An ultrasound of my kidneys revealed essentially normal ultrasound without hydro nephrotic . Probable punctate exophytic left cortical cysts with possible punctate right cysts. Should I be concerned. With this finding? My H & H was 8.7 and 27, Doctor: Hi Debraecho80. Thanks for your question. You have microcytic hypochromic anemia that means you have iron deficiency anemia and fatigue due to this anemia.Now about the leg swelling it may be effect of some drug that you take everyday but you don't mention any of this drug,some female have bilateral pedal edema without any causer called Idiopathic pedal edema, but another cause is that heart failure if anemia persist for long then it predisposes to heart failure and shortness of breadth and pedal oedema both due to this heart failure.So please do a urgent ECG & ECHO with colour doppler to know ejection fraction if if more than 60-65% then there is no heart failure.Also examine your routine blood count,TSH,STOOL FOR ROUTINE SERUM IRON PROFILE,PERIPHERAL BLOOD SMEAR,IF FAMILY HISTORY POSITIVE THEN A HB ELECTROPHORESIS AND LASTLY BONE MARROW all this should be done to know the cause of anemia and after that go to your physician and a cardiologist with ECG AND ECHO report and go according to their advise. Regarding back pain nothing to be worried,it is common in Indian woman,take rest for 2 weeks,exercise,physiotherapy,NSAID OINTMENT apply locally and if needed some oral NSAID and if pain persist after that do a xray of L-S spine and consult a orthopedics. Best Wishes, Dr Sourav Ganguly | 51,393 |
How long does bilirubin level take to become normal? | Patient: Hi Doctor, I had severe sepsis and pneumonia and my bilirubin went up to 32 then down to 26 the next day. then 8 days after I had another blood test and my bili went down to 1.5 which is slightly elevated if you look at the normal range of =1.0. So another LFT was done after 1 month and my bili is still 1.5. I just want to ask you why it doesn t go down to normal level. Doctor: Hi, 1. Bilirubin level may be elevated due to a lot of causes like: infection, liver failure and medication. 2. I need to know about your liver test like transaminases ( AST and ALT). If they are elevated too than you need to be treated for hepatitis. Otherwise, bilirubin level 1.5 is slightly elevated and it will need more than 8 weeks to be normalised. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Klerida Shehu, Gastroenterologist | 52,396 |
What causes pain in groin area on leaning forwards? | Patient: good afternoon I am a 63 year old white male in generally good health. If I push or bend forward or simply set up, I feel a (sharp) pain in my left groin/hip area. doesn t seem to be the testicle, but to the left of penis and on front of body.there is no bulging - hernia,so I am not too sure what this could be thanks for your time YYYY@YYYY mark Doctor: HiWelcome.I have gone through your query.It is difficult to comment on it without examination, so I would either suggest you to see doctor for examination and for exact diagnosis or upload the pictures here, I'll go through them, and provide you with specific advice.This might be due to hernia, it need to be examined to confirm. It is better if you see general surgeon for examination and to confirm diagnosisHope this helps.Take care | 197,607 |
What is the life expectancy of 90 year old lady with stage 3c rectal cancer? | Patient: My mother is 90 has.stage 3c rectal cancer, crossed over to the bladder and four lymph nodes. They re suggesting chemo, radiation, and surgery to remove the tumor once (if) it shrinks. She s had four strokes, doesn t walk and has high blood pressure, and very frail. What would be her life expectancy . Doctor: Hi and welcome to HCM. It is always hard to predict such things but considering her diagnosis and age,prognosis is poor and it may be up to several months. Thanks for the query. Wish you good health. Regards | 156,680 |
Is rheumatic fever curable with pencom taken for 5 yrs? | Patient: HI,My name is Dilip and i am 29(M) now.I have got rhenmatic fever on 2009 and consulted doctor he suggested to take Pencom 12 for 5 years span with every 21 days ....is it curable if i continue for 5Years and i also feel breathing problem slightly..pls advice Doctor: Hi,welcome to HCM..Thanks for writing to us.Following are the recommendations regarding prophylaxis by Pencom 12 in case of Rheumatic Fever: 1.use PLA 12 upto 5yrs after the last attack. 2.use PLA 12 indefinitely(preferably upto 50yrs) in case of established heart diseases. 3.use PLA 12 in patients who are exposed streptococcal infections and are difficult to moniter. Considering the above recommendations you should first go for Echocardiogram,to rule any valvular heart disease.If the ECHO report reveals presence of any valvular abnormality, you have to continue Pencom 12 atleast upto 50 yrs of age.Hope I have answered your query.Stay fit,good luck. | 25,169 |
Rashes on groin, limbs. Itchy, burning. Not allergy, STD. What could it be? | Patient: I have rashes that appear at random times on my underarms, groin , forearms (about an inch from wrist to an about a half-inch from elbow, location varies), hands, and feet. They tend to itch and burn, and eventually blister, peel, and fissure . I ve had several allergy and STD tests with no definite results for allergies, and all clear on any STDs. Doctor: hello welcome to healthcare magic forum even after doing all the blood test we can not find the cause or diagnosis then biopsy is the best way to find it out better to consult dermatologist and get biopsy done it may be dermatitis or vascultitis . apply good moisturizer over skin never scratch the lesion and take antihiataminic tablet for itching i hope i answered your question | 15,991 |
Suggest treatment for water filled stomach and breathing problem | Patient: my father has problem of cancer disease in gall blader after the endoscopy by apollo hospital doctor's due to problem of blockage in liver and gallbladder after doing the stunting in liver blockage is removed but problemwith stomach ,now stomach is filled with water nd problem to take breathe please help me sir Doctor: The meaning o d the water in stomach must be for ascites. This is due to cancer which must have spread to the whole abdominal cavity. The treatment is Chemotherapy. Consult your Oncologist for further management. This is a last stage disease so discuss in details with the Doctor and your family members too. | 89,566 |
Suggest treatment for high BP | Patient: hello i am overwieght and i do smoke regually but my blood pressure have never got over 140/90 now today i have been sick all week and i worked all day long when i go home my face started getting really hot and i started getting really tired. i took my blood pressure and it was 151/85 on right arm pluse 97 the 174/102 on left arm with pulse 108 then i took a shower and it was 182/112 pulse 118 then 166/96 pulse 120 left arm i have been really panic over the first time i seen the first one and i am just wondering if there is something i can do now to help lower it real quick and then make an appt with my family doctor or is this emergency room. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. You will have to start anti hypertension drug because 1. Your blood pressure readings are suggestive of hypertension 2. Active smoker 3. Over weight 4. Your symptoms like tiredness, flushing of face etc. So you have to consult your doctor and start antihypertensive drug. At present, you should do following things to lower your blood pressure. 1. Weight reduction. So avoid oily and fatty food. Do regular aerobic exercise like running, cycling, swimming etc. 2. Quit smoking as soon as possible. 3. Strict salt restrictions in diet. Along with these lifestyle modifications, you have to start antihypertensive drug. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 24,527 |
What causes nausea and pain in the left shoulder blade, back and side? | Patient: Hello im expiriencing a lot of things latley but no doctor has been able to help Ive been feeling pain in my left shoulder blade, side pain, back pain, a bit of nausea sometimes, a bit of phlegm, I would like to know possible causes of why im expiriencing this thank you. Doctor: Hi, there!Its possible that Your symptoms are related to neck muscles, cervical vertebrae.I guess that cervical blood vessels need to be investigated by duplex-sonography to confirm vertebral artery syndrome.Other causes can be - disbalance of neck muscles, deformity of cervical vertebraeI hope this helps | 107,331 |
Suggest treatment for having granuloma and adrenal adenoma | Patient: I went to the hospital because I crashed with my car , and they did a full scan to my body to see my chest and in the random finds , they say that I have this three things , 1.Spotted three nodules in the lower lobe,probably granuloma . 2.Incidentally bladder 1,5 cm diaphragmatic fate in the liver . 3.Adrenal adenoma 0.5cm . I did a small research in the web and I found out that this are common things and nothing to be scared with. But I’m really worried. I am 47 years old and was the first time that I did a CT . Can you please tell if I need to be worried for any of this ? Can I take some treatment to smaller them ? And are they going to stay in this size or there going to grow , and if yes how long does it take ? Is it a problem that I have them all together? Please if you know , tell me so I can stop worrying . Thanks in advanced . Doctor: Hi, The management of the condition depends upon the presenting symptoms in that stage and the reports are only supportive to co-relate. Kindly consult in follow up with all the details of symptoms which you are having at present, as the mere report values are not enough to figure out patient management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Purva Patel, General & Family Physician | 28,542 |
What causes jawbone to be very large and will surgery rectify this? | Patient: I know a child who has a very large jawbone. It is a student I taught whose jaw was 4 or 5 times as large as a normal one. Is this some form of elephantitus? What causes this and what can be done about it? Is surgery an option? The boy s teeth are constantly exposed and are rotting with decay and odor. Doctor: Hello, It can be a proganathism. Other possibilities like admantinoma also be ruled out. Consult a maxillofacial surgeon and get evaluated. A CT scan is required to assess the severity. Surgical correction is possible in most of the cases. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain | 120,710 |
How to treat feel of heavy pulse all over the body? | Patient: hello. i have been sober for about 2 years now but my body has not been the same since. i feel like it is doing more work than it should. i cannot be at ease. especially around people. i can always feel a heavy pulse all through out my body. is there any thing that could help me? Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that it is necessary to investigate for the possible causes underlying your troubles. That is why I would recommend consulting with your doctor for a careful physical exam and some tests: - a resting ECG- a chest X ray study- complete blood count for anemia- thyroid hormone levels for thyroid dysfunction- blood electrolytes for possible imbalance. If all these tests result normal, you should consider anxiety as the main cause of all this clinical scenario. In such case, consulting with a specialist of this field would be the right step to follow.Hope to have been helpful!Kind regards, Dr. Iliri | 21,168 |
Pregnant, having asthma. Feeling dizzy, cramping, nausea, vomiting and shortness of breath. Is this normal? | Patient: I just found out I m pregnant... I may be 3 to 5 weeks pregnant. Before I found out on the 8th of June I had drank quite a bit and stressed out a lot. Recently I ve been feeling dizzy, getting slight hot and cold flushes, mild cramping with some popping feelings here and there above my belly button and i get some nausea feeling with slight vomitting, also I want to know why my body is aching bad almost like a flew symptom but i know its not that i can still eat and hang out and I have asthma too and I already took my inhaler but it doesn t seem to be working because I have shortness of breath and must keep breathing deep. I just want to know what s going on and are the symptoms normal? Doctor: if you aree asthmatic that increases in pregnancy if not asthmatic you can get it by calcium,bcomplex vitamins and iron which are given during m pregnancy if not getting relief by inhaler u can add tab montelucast 10 mgm in bd dosages and get it checked for the reasons i wrote | 105,603 |
Having noticed a enlarged white colored swelling on the lip | Patient: My boyfriend had a boxing spa-ing match with a friend and and was punched in the mouth, it looked like his top front tooth may have split his bottom lip, this happened Saturday night. The spit has closed in but is a white colour the lip is still enlarged and very painful it is bruised. Should he see the doctor to get it checked and have antibiotics??? Doctor: Hi! Welcome to Healthcaremagic.I read your query. As you mentioned there was trauma to lip from upper tooth. This takes time to heal and goes through a series of stages while healing. The white colour is of traumatic ulcer which has pus accumulation in it. That is why lip may be slightly swollen as well. This may take 2-3 weeks for healing.I suggest you to take multivitamin tablet one per day for 2 weeks. Tablet Tylenol or Ibuptofen can help in pain relief. Apply Lidocaine gel before eating, this will reduce burning sensation. Do warm compressions from outside. Avoid spicy and acidic foods and beverages.Maintain good oral hygiene. Hope the answer helps you. Thank you! | 186,675 |
What should be done for precum coming very fast while sex? | Patient: hI am a 20 year old male, while we doing sex with a girl & we can t comfortable like my cum can easily & fast coming in her p***y. I can cum fast while we have sex it s so frustrating for both me and her is their something wrong with me?!?!?!?!please give us suggestion what we do ?? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Sex is to be counted as a divine act. It is a meditation. During sex you forget yourself throughout the period of sex and that is real enjoyment. Sex should not be performed in a hurry, laklusturely, when you or your partner is tired, when you do not have the sexual urge etc. Go through the above and see what is your problem. Unnecessary tension and anxiety can also lead to premature ejaculation. In any case, I donot think that you are suffering from some sexual problems. You are just 20 and don't be so eager in sexual matters. life is not only sex. Concentrate on education, career and future.Hope this answers your query. Available for further clarifications.Good luck. | 203,670 |
Suggest treatment for swollen occipital and retroauricular nodes | Patient: I have had very swollen occipital (on left side) and retroauricular (on right side) nodes for about a week. They are very painful and seem to grow. For about a month prior to this my left and right (one side at a time) sternoclidomastoid was swollen and painful. Doctor: steroids and NSAiDs may help with pain. however, before managing symptomps, understanding what is causing your problem is mandatory. I suggest to you to undergo tests as blood exams (blood count, lactic dehidrogenase, CRP, ESR) and a head CT, eventually followed by lymphnode biopsy. check for possible causes:infections (also in tissues surrounding your teeth) and neck masses | 137,281 |
Suggest an effective morning after pill | Patient: I was due to begin the pill after my next period. I am ovulating and had intercourse and am looking to use the pill in the form of a morning after pill today. I was given Nora Be. Can I use this or should I go purchase Plan B pill from Walgreens? I cannot get pregnant right now!!! Doctor: Hello and welcome to HCM, I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries. It is not advisable to use Nora Be as emergency pill. Please go and get Plan B as soon as possible and take it. Hope this was helpful. Feel free to ask any further queries and I will be happy to help.Thanks for using HCM. Have a good day.Dr Nilajkumar Bagde Consultant Obstetrics and Gynecology | 224,772 |
Can arthritis be caused the tendency of blood flow to lower side? | Patient: My blood pressure tends to be on the lower side, but I feel blood pounding in my face. I suffer from chronic tension headaches, but can have the pounding even when I don t have the headache. I recently was diagnosed with multiple levels of arthritis in my neck, could blood flow be comprised due to this? Doctor: Hello,Your low blood pressure and pounding problem has nothing to do with your arthritis at neck region. Arthritis can restrict your movement at your neck, it can lead to radiation of pain at your arms or at legs (If there is compression of nerves due to bones). Such type of headaches which arises due to arthritis of neck are labelled as cervicogenic headaches. These headaches arise after pain at neck & do not trigger generally with emotional stress. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | 120,222 |
How to treat RLS mediated arm,shoulder and neck pain? | Patient: I have rls going on 15 years, now its so bad it affects my arms sholders and neck when i m at rest, standing sleeping etc. i m on 525 mg. of lyrica, ..75 of mirapex 14 of requip per day and one oxycontin 30mg. 4 months I was tkaking oxycodone 30mg x3 per day for back pain over a two year period and requip 4mg at night and had no problems. As soon as I stop the 30mg oxycontin i dont sleep for 3-4 nights. Im seeing a neroligist and have had a sleep study but he will not give me the oxycontin which works instead I suffer for 2 months and have to take 12 pils instead of 2. Please help Doctor: Hello Several prescription medications, most of which were developed to treat other diseases, are available to reduce the restlessness in your legs. These include: Drugs like, ropinirole are approved by the Food and Drug Administration for the treatment of moderate to severe RLS.gabapentin, may work for some people with RLS.Narcotic medications can relieve mild to severe symptoms, but they may be addicting if used in high doses.Some lifestyle modification are useful for restless leg syndrome like,Sleep better by sticking to a regular sleep schedule. Exercise in moderation. .Cut back on caffeine. .Avoid alcohol and cigarettes. Consider dietary supplements. Check with a doctor or nutritionist to find out if you’re low on iron, vitamin B, folic acid, or magnesium. Deficiencies can bring on RLS. Stress can make RLS symptoms worse. Daily stretching and meditation can promote relaxation and alleviate (RLS).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. Wishing you good health.Take care | 128,055 |
MRI scan of spine shows lumbar spondylosis. Taking calcium and painkillers. Have diabetes | Patient: DEAR DOCTOR, I GOT MY MRI SCAN DONE FOR MY SPINE DUE TO FALL ON 6.12.0000. MY AGE IS 51 YEARS. MALE. * IMPRESSION OF SCAN REPORT; WEDGE COMPRESSION FRACTURE OF D10 VERTEBRAL BODY. *THE FRACTURED D10 IS MILDLY COMPRSSING THE THECAL SAC . * SPINAL CANAL AND CORD ARE NORMAL. *MILD CHANGES OF LUMBAR SPONDYLOSIS AT L4-L5; L5-S1 MY SPINAL PAIN STILL EXIST SINCE 5 MONTHS. I HV USED CALSIUM TAB FOR 40 DAYS AND PAIN KILLERS FOR 15 DAYS. I AM NOT ABLE TO SIT FOR LONG TIME. KINDLY ADVICE ME SUITABLE MEDICINE. I AM ALSO DIABETIC. REQUEST YOUR QUICK ADVISE. THANK YOU AND REGARDS. SURESH/ INDIA. MY MOBILE NO; +91 0000 Doctor: Hi Suresh, If you are interested in taking alternative treatment like Homeopathy you can express your interest by contacting me through this site.Calcium and painkillers only will not help in all the cases more so in a case liek yours. Homeopathy is a painless, harmless and effective form of treatment especially where the conventional system seems to have failed. Regards | 150,741 |
Suggest treatment for kidney stones | Patient: Hi I had been to the hOspital they said I have kidney stones but they haven't giving me any exam besides bloodwork and urine test, I have little pain in right side area and back right side, peeing alot, very tired all the time and also headaches,is this signs of kidney stones? Doctor: These symptoms are common in stone disease. But these symptoms are also common in urine infection and some other conditions. ultrasound or CT diagnose stones. If your stone is confirmed, then you should drink plenty of water 6ltr/day..low salt diet and syp citralka. All the best. if you have any questions feel free to contact me. | 46,773 |
How to treat Manic depressive bipolar disorder that hasn't improved despite Clonazapam, Hydroxyzine and Zoloft tablets? | Patient: I am manic depressivebipolar andtrying to be treated by my physician.Clonazapam for axiety then hydroxyzine as an added. also on Zoloft first day on zyprexa. They r not working. I have no insurance so do not know whre to turn to?The clinics in our area can not see me until ovtober. Doctor: Dear User,Thanks for using health care magic.For the treatment of bipolar depressive episode you need mood stabiliser along with zoloft. AS this is the first with Zyprexa wait for about 10 days. Hopefully you will recover with these two drugs.If you do not show improvement with these drugs contact me. I will tr to help you.'Hope I have answered your query. If you have any further questions I will be happy to help".Thanks | 211,115 |
Suggest remedy for hard lump where my ring finger meets my palm | Patient: Hi, I have a hard lump where my ring finger meets my palm. Feels like a bone and it sometimes feels like burning needles prickling in it if I try to apply pressure. If I try to move it one way it doesn t hurt, but if I try to move it the other way (sideways) it feels very uncomfortable. Not so much painful but uncomfortable. Any suggestions? Should I worry about it? Doctor: hi.based from your description, it could be a cystic lesion (a ganglion or a tendon type). it is best if you consult with a doctor, preferably a hand or an orthopaedic surgeon, for clinical evaluation. management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye | 62,586 |
What causes breathing difficulty and heavy chest? | Patient: hi, for the past few months, it has been difficult to breathe, my chest feels really heavy and i find myself gasping for air a lot of the times. and recently, little pimple-like spots appeared on my hands, are the 2 symptoms linked? if so, what is the cause? and if not, what are the causes? Doctor: Thanks for your question on Health Care Magic. I can understand your concern.Breathing difficulty with heaviness in chest since few months is mostly due to either Pulmonary (bronchitis) or cardiac (heart failure) causes. Bronchitis is mostly due to viral infection. You are also having skin lesions on hands. Viral infection can cause skin lesions. So we need to first rule out bronchitis in your case. So get done PFT (Pulmonary Function Test). If PFT is normal, get done ecg and 2d echo to rule out heart failure. So your chest symptoms and hand lesions can be due to viral bronchitis. But we need to rule out cardiac diseases as well. So consult doctor and discuss all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. | 79,060 |
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