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What does a bump on upper forehead indicate? | Patient: Hi, my name ie Mary,44 years of age,born with deformities on both legs and both hands,I,m a double amputee,had several surgeries ,on hands and legs,four c sections,about seven or so ago,I started to form a bump on my upper forehead,and I know it is my bone ,because it does,nt move with my skin,it is growing from my skull,but is small and slow growing,grows only a little spec a year..should I be concern,the doctor dis xray today and said he can see it ,but needs to get someone to read the xray,and said I might need a scan of my brain,I have to wait over two weeks ,because he,s leaving for vacation,can you give me any clues ??thank you.. 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.it might be folliculitis or sebeceous cyst or dermoid cyst need to be examined to confirm.Hope this helps.Take care | 61,663 |
Suggest treatment for Hepatitis B | Patient: Hi Doc, I just had a bliood test a few days back and my doctor confirmed to me that i have Hepatitis B, and its in its early stages, he recommended an HBsAg test to be conducted. can you tell me more about this test and any symptoms that i need to worry about that may affect me badly in the future and please also tell me if there is a cure available Doctor: Welcome to HealthCare Magic. Thank you for posting your query.I can understand your concern.Any kind of hepatitis presents with 1. Pain in right upper abdomen2. Fatigue3. Loss of apetite4. Yellowish discolouration of eyes and urine5. nausea and vomitingWithout a blood HBsAg or Hepatitis B surface antigen , a diagnosis of Hepatitis B is hard to make.I would suggest you to get - blood Liver function test done- HBsAg doneEven if it comes out to be positive ,there are plenty of drugs available like INTERFERON to treat hepatitis due to Hepatitis B virus.Do not panic.Hope this helps.Have a nice day.Regards. | 34,478 |
CT scan says mild cerebral atrophy, mild cognitive impairment after trauma. Brain deteriorating? | Patient: CT report: Brainsteam, cerebellum , 4th ventricle are satisactory appearance. Supratentorially 3rd and lateral ventricles are prominent. There is low attenuation area in the right frontal lobe and posterior left frontal lobe due to small area of encephalomalacia. No acute infarction, hemorrhage, midlind shift or extra axial fluid collection Sulci and sylvian fissures are prominent. This Ct was for male, 63 years old with mild cognitive impairment after head injury 5 yrs. ago. Reports all say mild cerebral atrophy. Does this report indicate brain may be deteriorating? Doctor: Hi, Let me see if I can explain this report for you a bit. That may help you understand what is going on."There is low attenuation area in the right frontal lobe and posterior left frontal lobe due to small area of encephalomalacia."This is the line that must be bothering you. What it means is that both of the frontal lobes have lost alot of the neurons that are supposed to be there. This changes the density and appearance on CT scan. This is known as Encephalomalacia.To answer you more directly, yes, these are the typical findings in cerebral atrophy. I can't tell if the process is ongoing or has halted from any of the findings given here. I would need an earlier scan to look at the changes through time. Though unfortunately, most cases of cerebral atrophy will progress with age.I hope this helps. If you would like a more personalized discussion, you can use our "Ask a Specialist" services and we will get back to you right away.Take Care, Vinay | 147,584 |
Why do dentist not cure Periodontal disease instead of pulling the teeth off? | Patient: Why do dentist not cure periodontal disease in the first place instead of not curing the P.D. And then keep on pulling people's teeth. And then when the people with P.D. get really sick from the P.D like heart attacks, CANCER again the doctors keep silent about what is causing all the problems.Larry Doctor: Hello, thank you for sharing your problem with healthcaremagic. I don't think that this is true because if a patient is having a periodontal problem it is treated and the removal of teeth is done only when there is severe loss of bone, which is incurable. And if you were having any doubt you should have consulted another dentist for the problems which shouldn't have lead to these kind of problems. | 188,103 |
What should be the normal value for the CEA level? | Patient: I just had a blood test and the CEA level is 2.7. I was told for a non-smoker the normal is 2.5, so I am over borderline. I was also told that some lab determines 3.0 is normal so it that applies, my 2.7 is still within the normal range. Should I be concerned about this number? Doctor: Hi, dearI have gone through your question. I can understand your concern.Your CEA level is within normal limit. No need to worry about that. It is a marker of intestinal carcinoma. But in smoker the level of 2.7 is common. Just be relaxed. However you should go for repeat test after 3 months.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. | 114,996 |
Suggest remedy for wheezing, constant coughing and chest heaviness in elderly | Patient: Hi Sir, My mother is 68yeasr old, and from very recently from 1year she got into wheesing and continious coughing, feeling chest heaviness, my mother had check x-ray and PFT which is normal, and she is been adviced to take omnacartil medicine but with this medicie she getting very week. is there any other medicine to get rid of this wheezing and couphing problem... she is also taking Asthalin nebulisation but this was giving her a temporary healing and again the cough and wheezing is back... please suggest Doctor: Thanks for your question on HCM.In my opinion you should start oral bronchodilators.There are many good oral bronchodilators available. 1. Theophyllin derivatives like acebrophyllin, doxophyllin etc2. BambuterolYou can also try antiallergic and antihistamin tablet once in night.Better to give her LABA (Long Acting Beta 2 Agonist) and ICS (Inhaled corticosteroids) as they are long acting and gives relief for almost 12 hours , while asthalin gives only relief for 3-4 hours. | 82,354 |
What causes low BP and high heart rate after infection in blood stream? | Patient: my mother who is 73 yrs old was septic last week with infection in bloodstream. off antibiotics and out of hospital one week today and she is very weak. blood pressure is 102 and 62, heart rate is 104 yesterday and today. Blood pressure and heart were good before that. could this just be the anemia? Doctor: HiWhile this could be from anemia it could also signal dehydration. You should let her doctor know about this | 24,965 |
Suggest remedy for hair fall | Patient: Hi Doctor,I am Sachin from India bangalore. My Age is 26, Height is 5 feet 11 inches. My weight is 68kg.I am loosing my hairs very fast and also some of my hairs already became gray. How to stop hair fall and becoming gray.? Is it possible to convert gray hairs to black hair again. Waiting for your reply Doctor please... Doctor: Hi! Thank you for your question.I would like to know more or less which is the amount of the hair that you loose in a day, because it is normal to lose up to 100 hairs daily and 200-250 hair the day of shampooing.Hair fall may come for different reasons, such as anemia, low levels of iron, high fever, different illnesses, hormonal imbalance, emotional stress etc. Have you recently had any of these or any other health problem?While the main reason for the grey hair is genetic. Vitamins and minerals especially vit B12, zinc and cooper are responsible for the proper nourishment of the hair, also if the body is suffering from the lacks of vitamin C and E than hair turns into gray very normally.If you want to avoid premature graying of the hair try to fill your diet with these substances also try to take some daily supplements that contain the vitamins mentioned above.Also you can try the Phyto Phytocyane shampoo twice a week and ampoules Phytociane 1 ampoule 2 times per week.Sometimes it`s totally possible that gray hairs turn into black hair.I wish you good health!Please feel free to contact me again if anything is unclear.Dr. Migena GEGA | 10,772 |
What could headache, pain in joints causing limited mobility mean? | Patient: I have been attending gp since February with headaches, aching joints & limited mobility. I have spells of smelling smoke even though no one else does. I am getting very frustrated, MRI is clear I am now waiting on further blood test results. What could this be? Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.There are two disease in my mind. First you can have vitamin D deficiency. You can get vitamin D level and if found low you can take supplements of vitamin D3. Second possibility is osteoarthritic as you are also having limited mobility. You have not mentioned your age so if you are more than 50 years of age then you are more likely to be having osteoarthritic. Its treatment is glucosamine and analgesic such as ibuprofen for pain relief. If you are younger then possibility of rheumatoid arthritis is there. You can get rheumatoid factor test and ESR for getting a clue to your diagnosis. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. | 139,000 |
Prurigo nodularis on lower legs, on homeopathic treatment, taken cortisone injections, had urticaria. Advice? | Patient: I am suffering from prurigo nodular on lower part of both legs from last 8 years. I have taken allopathy treatment earlier which includes injections of cortisone as well. Presently I am taking treatment fro batras homeopathy . I was also suffering from urtcaria but now having relief. May I request for an advice so that I get relief from itching & scars/bumps. Doctor: Hallow Mr M thanks for using heath care magic ,prurigo nodularis is a hypersensitivity reaction to insect bite usally ,you may opt for allergy test to know exact cause ,ointments contains momentasone with fusidic acid ,antiallergic like fexofenadine 180 at night .for scars consult your dermatologist for scar reversal . thanks Dr Prakash roy | 97,960 |
Suggest remedy for getting pregnant | Patient: hi! I am 30 years and was diagnosed by PCOS at age 18. My cycles are from 30 to 60 days. From Last 2 years I am trying to conceive. I have done all my test which are in normal range. My HSG showed that my Fallopian tubes are clear. I took FSH injections on day 3,4,5 and then got 3 good mature follicles. I took HCG trigger shot on day 12 and proceeded with timed intercourse.I had found Polymerase-chain reaction (PCR) was positive for mycobacteria complex and my doc want me to put on treatment.My Question is that how reliable this test is ? Also My HSG says that I have clear tubes , should I carry on with FSH injections to conceive or take the TB treatment first ? Doctor: Hi, As PCR test is positive it is highly sensitive, but what you can do is that you can try 2- 3 cycles of fsh injections. if it doesn't work out then you can go for antituberculosis treatment.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya | 2,818 |
What causes baker s cyst behind each knee, pain in leg and foot? | Patient: I was researching the following symptoms that I have, and this popped up! I have a baker s cyst behind each knee, continual pins and needles, and aching legs from my rear-end down to my foot. I m trying to figure out what might be wrong. Osteoarthritis perhaps? Thanks, Heather Doctor: Hello, As bakers cyst are formed in the popliteal fossa which contains the blood vessels and nerves passing from there this cyst may lead to malfunction in the vascular and nerve function. We need to take up an MRI of the knee and see if the cyst is compromising the normal functions of the veins and blood vessels. If so an orthopedist opinion might be needed. Physiotherapy plays a key role in the rehabilitation of the baker's cyst. And sometimes with exercise, the cyst gets vanished on its own. In my clinical practice of over 12 years, most bakers cyst patients have actually vanished the cyst from the region just with exercise. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 123,928 |
When should i go for a pregnancy test? | Patient: i think i missed 3 cerezette pills over xhristmas, the days on pack were not matching up so i took the 3 right away that morning i realised i may have missed then and then got back on track after that. the morning i thought i missed them my partner and i had sex... i took a preg test but so far negative how long to wait to take another one? my period is not regular on my pills at all... shall we use a condom even tho i am back on track with the pills? Doctor: Hello,Cerazette is a progesterone only pill. It is common to have an irregular period on this. The protection continues as long as one takes the forgotten pill within twelve hours of forgetting it. The chances of falling pregnant increase if there is a delay of more than twelve hours from when it was due to be taken. Up to two tablets can be taken together if one misses on one day. However, missing 3 tablets puts one at risk of becoming pregnant. It is recommended that one uses emergency birth control measures in such a situation. You could repeat the pregnancy test two weeks after the test that you have taken and tested negative. Or else do a blood test to check for pregnancy hormone level, if you are really worried. Emergency contraception is the other course of action if you realize you have had unprotected intercourse. It could give you 95-99% protection of pregnancy if taken with 72 hours of unprotected sex.Hope I have answered your query. Let me know if I can assist you further.Regard, Dr. Sabina Hussain | 223,191 |
Can tooth in children rot within months? | Patient: Hi, may I answer your health queries right now ? Please type your query here... My 6 year old's dentist said that my son needs a baby root canal and a silver cap on his back molar. He was just at the dentist 6 months ago and nothing was seen. Could his tooth really have rotted that badly in 6 months? Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain a healthy tooth generally does not get decayed within a period of 6 months to the level that it needs a root canal treatment and the possibility is that the decay might have been missed to be detected in his last dental checkup and the decay kept on progressing that has finally involved the nerves..At times if the oral hygiene maintenance is very poor then the tooth can even decay in a period of 6 months..However if there is such an excessive decay then Pulpectomy or Root Canal treatment is the only option left..I would also suggest you to get an x ray of the tooth in question done and send me by asking a question by clicking on"Ask me a question button" on my profile page so that I can tell you by looking at the x ray that whether root canal treatment is required or not..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | 167,376 |
Suggest remedy to prevent hair loss | Patient: Hi, My name is salil khurana, 28yrs, M. I have a problem of hair loss. I used to have dandruff problem but now its over. My scalps center portion has heavy loss of hairs. Could you please suggest if it can be cured with some medicine or i should go for hair transplantation. Please advise a good clinic in delhi to consult specialised doctor for this problem. Regards, Salil khurana Doctor: loss of hairs over the crown area in adults without any illness points towards androgenic alopecia...its is a progressive condition and medical treatment would just slow down the process...yes hair transplantation is better option and also your age is appropriate for the same..there are many good hair transplant centers in delhi like eugenix, panacea global hair services etc. | 10,708 |
Suggest treatment for lung infection | Patient: Hi, may I answer your health queries right now ? Please type your query here...an 82 year old lady hospitalised for a lung infection,for over a month.We brought her home as doc says we can do nothing more, he has advised ciproflaxin,what else can help us in india...? Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* First of all we have to understand the statement of doc saying they can do nothing more , for which one has to undergo detailed case history with co relation of the available data & finding the root cause of the agony .* So after going through this , we can be in some position to complete the query .Hope this will help you .Regards . | 73,624 |
What can i do for my 2 year old baby having stomach pains ? | Patient: i took my 2 year old to the emergency room cause she kept saying her belly hurt. She stayed in the hospital for three days she wouldnt pass her bowels and she wouldnt eat the doctor said it was gastroitis. Doctor gave her an enema and observed her for the remainding of her stay she is still complaining of belly pains what can i do Doctor: Hi,thanks for query.As your child has already been to hospital and remain under observation major things are ruled out.Give her plenty of fluids,light diet to ear,and give antispasmodic drugs as and when required up to 3 times in a day.She will be fine.buy. | 95,954 |
Suggest remedy for cough | Patient: Hi,I have had a chesty cough fo 2 weeks now,It started wheezy at first but now I can easily bring up mucus when i cough,I have no pain,I feel fine in myself,but the mucus is so embararasing as the it comes into my mouth,It isnt coloured its only thick spittle.my husband has it now,do i need antibiotics or is this the tail end of it. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. By your history and description, possibility of post infectious bronchitis is more likely. Bronchitis causes bronchospasm and this in turn causes wheezing, breathing difficulty, coughing, expectoration etc. Usually post viral bronchitis is self-limiting in 2-3 weeks.Since your wheezing and breathing difficulty is reduced, your mucus will also subside by its own in 1 week time.Just drink plenty of fluids orally and do warm water gargles 5-6 times a day. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 72,694 |
What are the chances of pregnancy after unprotected intercourse while on Primolut N? | Patient: I was on primolut n on and off to delay my periods from 26th july to 7th August. Missed a few doses and got periods from 8th August till 11th. Resumed primolut n from 12th of August. Had unprotected sex on the 13th of August. What are my chances of pregnancy? Can I take plan b? Should I continue taking primolut n? Doctor: Hi, If you have started with a fresh pack of Primolut from 12th & are taking it regularly without a break or irregularity in consumption time. You need not worry, you are fully protected, so need not take plan B. You should continue the Primolute pills regularly as prescribed & enjoy freedom from fear of conceiving. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale | 218,316 |
What is the treatment for pain in the upper buttocks? | Patient: Hi. I have been experiencing some pain in my upper butt crack. This started about a week ago during a shower when I was sitting down and I thought I d just torn the skin a bit while adjusting my position (scrubbing my feet). I get slight tears in any of my soft tissue or cracks quite often, so I thought that this was the same case here and figured it would as it usually does, just go away after a while. However, the pain has been getting worse not better. I have Crohn s disease because of the types of vit deficiencies that I suffer from most, is why I say that I get tears often and I also get ulcers sometimes pretty bad in my mouth, throat, and once in a while I even get them vaginally. Sometimes if I am shaving and I move wrong I will tear the skin between my pelvic area and upper leg. Probably not describing it correctly. And maybe this happens to lots of people sometimes, however when I do tear the skin even just a little it tends to take sometimes up to months to heal. That is why I didn t think about this one too much. Until tonight I decided to take a close look, I expected just to see a red mark in between the crack but instead I found what look like small lesions or ulcers or whatever they might be. I will say right now that I am free and clear of any STDS, I do know this for a fact as I have been married for 10 yrs and due to my current health conditions even if he were cheating on me we aren t currently active together so that is not a possibility. Besides I m routinely tested anyway just because I have moved a lot lately and any Doctor I see tends to want to rule that out. The redness starts at the top of my crack or right at tail bone and goes down probably about 2 inches. It s pretty skinny, doesn t span more than a half an inch width wise. Most of it is just red and looks irritated almost like a diaper rash. There s just a small section about the size of a quarter that has what look like as I said before lesions or ulcers. They look a lot like the ones I get in my mouth just smaller. They re roundish to oval shaped and it s white in the middle like it s puss but I don t know if that s what it is or not. I have been suffering from Crohn s since 2005. before that I was diagnosed with cancer rhabdomyosarcoma at age 4, I am almost 31 now. I ve seen a lot of stuff with my health and been through a lot. This is new to me. It s got me concerned. I just moved so I don t have a new DR yet and I don t want to go to ER over this unless I really think I need to. I m a little lost. Doctor: Hi, At this area, it may indicate several issues and most common are a pilonidal cyst or perianal abscesses. These are inflammatory processes in the sacral and perianal area usually manifested with pain, redness, swelling, fever and pus discharge. Cellulitis is less common and may be present in the sacral area as well. This is mostly caused by beta-hemolytic streptococcus and it necessitates antibiotic treatment with Augmentin, or combination of ciprinol+ metronidazole. You should also, apply cold compresses, take nonsteroid painkillers such as ibuprofen 400mg and rest. If there is no improvement within 2 days, you should see a doctor and have intravenous antibiotics. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon | 215,358 |
Suggest treatment for acute bronchitis | Patient: Yes thank you. I have been with my family doctor and diagnosed with acute bronchitis. One week later and after being on prednisone, ceftin, and robitussin ac, I am not any better. I have a severe cough that doesn t allow me to get any rest, maybe 2 hrs sleep a t a time and then I,m up. The cough is that bad that disgusting as it sounds I have pushed my hemmroids out and they bleed at times. I think I need a stronger antibiotic, ceftin never worked for me but the doctors just don t listen to me. Also I had a lot of thick green mucous but that is the only thing that has cleared up some. Does this sound like lung cancer? Doctor: Thanks for your question on HCM. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PFT ( Pulmonary Function Test ). Infection is the most common cause for attack of bronchitis. So proper control of infection is must.Since you are having greenish mucus, even after antibiotic, we need to rule out lower respiratory tract infection ( LRTI ) first.So chest x ray is needed for this. And if consolidation is seen on x ray then sputum culture and sensitivity is needed to guide antibiotic therapy. PFT is needed to diagnose bronchitis. This will also tell you severity of the disease and for treatment severity is necessary. You may need inhaled bronchodilators like LABA ( long acting beta 2 agonist ) and inhaled corticosteroids ( ICS ). So better to consult pulmonologist and discuss all these. | 81,691 |
What causes pain in the lower back? | Patient: i am using a binder for a large ventral hernia while waiting to have surgery i now have low back pain like spasms and have trouble getting up and down. I lie down a lot to keep my hernia from hurting and hanging out. Any suggestions? Would buying a firm mattress help? Doctor: hi sir/madam,Let me advice you for your problem.Low back ache may be a pre-monitory (prodromal) symptom in fistula in ano, sciatica, gouty arthritis, hernia, emaciation disorder etc. Pain is confined to lower part of the spine (back bone) especially lumbar region or lumbo-sacral area (rarely sacro-iliac region also). If it is secondary, earlier history of fall or injury may be associated. Rarely, radiating pain may be complained by the patient towards lower limbs. But it is quite common in low back aches if the defect is in the discs between vertebrae (back bones). Often the movements of lumbo-sacral region like flexion and rotation are hampered either partially or completely.Low back pain may be found in mild form in case of anemia, sciatica, rheumatoid arthritis, hemorrhoids, urinary calculi, uterine disorders etc also.Line of treatment as per Ayurveda:-The general principles of treatment of vata dosha are adopted in case of katishoola (low back pain). It includes various measures to suit its varied clinical entities, stages and associated complaints.1. Snehana (oleation) – by sneha dhara (pouring oil), abhyanga (oil massage), avagaha (tub bath with oil or oleaginous medicaments), kati basti (retaining medicaments on the back) etc.2. Swedana (sudation) –avagaha sweda (sweating treatment with tub bath), pizichil (kayaseka), nadi sweda (sudation through a tubular device – local sudation), panda sweda (sudation through medicated paste or powder) etc.3. Mridu Samshodhana -mild purgation.4. Basti (medicated enema) like eranda basti, vaitarana basti, pippalyadianuvasana basti etc.Formulations indicated in Low back ache as per Ayurveda:-1. Dashamoola kwatha.2.Maharasnadi kashaya.3. Rasnaerandadi kashaya.4. Sahacharadi kashaya.5. Gandharvahastadi kashaya.6. Trayodashanga guggulu.And for local application these oils will help:-1. Ksheerabala tail.2. Mahanarayana tail.3. Dhanwantaram tail.4. Maha narayan tail.Avoid these for better results:-1.Bitter, astringent and pungent food2.Cold water3.Fear4.Exhaustion5.Standing6.Driving7.Cold food and beverages etc.Hope i was helpful.Have a healthy day. | 107,028 |
What casues soreness around gums? | Patient: I have two sores around my gums at the present. I finished taking cipro for ten days and am taking Culturelle to prevent a yeast infection. I also use a synsidyne toothpaste. Could these combinations cause soresness around the gums? I have never had problems with my gums. Thanks, YYYY@YYYY Doctor: HiPlease don't use self medications. It's for a simple reason that their will be deposits on and around teeth. Get your teeth cleaned and take multivitamin tabs. Consult periodontist Get well soon | 181,908 |
Child having increase in intensity of epilepsy, multi- focal seizures, taking oxetol, torleva. Advice? | Patient: my son is suffering from epilepsy and the doctor has put him on oxetol 450 and torleva 500 twice daily - one in the morning and one before going to bed. He is always in a bad mood ...depressed and sleepy. His seizures which used to come once in three to six months have intensified. Earlier they were only twiching of the lips but now it is multi focal. The whole face shakes, his tongue protrudes out and his eyes turn upwards. This lasts for atleast three to five minutes and then he goes off to sleep. Does this mean his medicines are not working on him? Everytime I take him to the doctor he only increases the dosage. He is on these drugs for the past two and half years. We began with oxetol 150 once a day to oxetol 300 twice a day and now for almost a year it is oxetol 450 twice and torleva 500 twice daily. Please advice...his age is only eight years and I feel the poor child is over dosed. Doctor: Hello Dai, Welcome here on hcm. Everytime you sun has attack you should immediately contact your doctor so that he can increase medicine in time so early controll can be achieved. Thanks | 151,638 |
Dental check up showed dark spot on the roof of mouth. Sent biopsy for analysis. What could be wrong? | Patient: I went for my 6 mo. routine dental checkup today. The hygenist noticedb a dark spot on the roof ofmy mouth. The dentist used a light instrument to determine the character of the spot, photoed it to show me and took a biopsy to send for analysis. He said that he had the equipment to remove it based on the results. This office is state of the art, but I know that he does not hesitate to refer if necessary. Can you tell me what to expect?Thank you,Carolyn Doctor: Hi,Without doing any guess work, wait till report comes.There might be a simply a dark point or it might be some growth.If you are a smoker or having habit of chewing tobacco then it matters.Nothing to worry, let report comes.Ok and bye. | 188,988 |
Delayed periods. Home pregnancy test positive. Any other test to be done to confirm? | Patient: Hello Doctor. My last period was on 10th April 2013. Although my periods are not regular (30-35 days), this month I still didn't get my periods. I did the pregnancy test this morning and the result was positive. But to confirm, I did it again with new test kit and found positive results. Should I consider that I am pregnant? or is there any other way to confirm the same? Appreciate your help,Regards,Vaishali. Doctor: Hi,You have confirmed pregnancy. As you do not get regular periods, you should see a gynecologist for an evaluation and get a trans-vaginal sonogram to get a proper gestational age as your date of ovulation cannot be predicted exactly as with a regular cycle. Hope your query is answered. You may contact if you need further clarifications. Wish you good health. | 5,271 |
Does Nano-Leo help with sperm morphology and low sperm count? | Patient: We went for fertility issues. Doctor prescribed me Nano-leo even though I don t have ED problem or low testosterone problem. My issue is more with sperm morphology (2% strict kruger) or lowish count (40m/ml) but according to the info on web Nano-Leo does not help with that. Should I still take it? Doctor: Hello, it is not a good option and thus you need to get proper hormone profile done and then take necessary hormones and drugsIn case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain | 41,065 |
Elevated bilirubin, normal US scan and KUB x-ray. Can I take Liv52? | Patient: hi, i have taken LFT test, my bilirubin level elevated to 2.1 mg/dL in total and 1.9 mg/dL in indirect bilirubin. I have taken US scan and KUB x-ray , all reported as normal.i consult an Gastroenterology specialist, she told me that it is Gilberts syndrome , no need worry about it and no medication required for this. can i take liv52 to reduce the bilirubin level in blood. Doctor: Hi, Welcome to healthcaremagic.com Gilbert's syndrome is a very mild disease and generally causes no symptoms or any long term problems. Liv52 was earlier thought to be a useful drug is not considered very helpful in many recent trials and studies. As the disease you have is very mild and requires no treatment there is not need for taking Liv52 for the problem. I would advise against it. Hope I have answered your query. If you have any further questions I will be happy to help Regards Dr. Om Lakhani | 59,597 |
Suggest treatment for a blood disorder | Patient: My Blood report says : 1) RBC : are normocytic normochromic WBC : are normal in total number with a relative increase in lymphocytes. PLATELETS: are adequate in number. IMPRESSION:NORMOCYTIC NORMOCHROMIC BLOOD PICTURE WITH RELATIVE LYMPHOCYTOSIS. 2) TRIGLYCERIDES - SERUM 186.00 3) ALBUMIN:GLOBULIN (RATIO) - CALCULATED 1.2 what does these mean and why they have been marked as Red ? Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Normocytic normochromic blood picture indicates normal picture. Lymphocytosis indicates increased lymphocytes count and it could be normal unless you have a chronic infection.2. Any variation is marked red. Not to worry.3. Triglycerides and albumin globulin ratio are within normal range. Do not worry. All are within normal limits.Hope it helps.Any further queries, happy to help again | 116,560 |
How is skin rash and bruising treated? | Patient: Hi, my son has a rash that was all over his body. The pedi said that it maybe an allergic reaction. I went to the dermatologist and she gave him a steriod cream. But the rash looks almost like its in the skin (kind of like it dirty) . He bruises easy and always feels hot.. He is 2 years old 32 pounds and is 36 inches Doctor: Thankyou for this nice and important QuestionBrief....highly recommend genetic tests to rule out Wiscot Aldrich syndrome or clotting factor 8 or 9 deficiency..Detail...as above mentioned diseases are X linked diseases (means transmitted from mother and shows symptoms in male child). female children are usualy asymptomatic...Wiscot aldrich syndrome can cause these symptoms.. and other cause can be degiciency of clotting factors..As both diseases are genetically transmitted so needs to be evaluated by genetic tests..For more detail you should visit. an immunologist..plz dont hesitate to ask further. hopefully my answer will be helpfull for you.Dr.Maheshwari | 14,585 |
What causes elevated levels of GGT and ALT in liver test? | Patient: Hi, my husband went for his medical tests for insurance upgrade. Test results as follows: GGT, 181 AST, 29 ALT,94. The GGT and ALT is above the level. What can be the possible cause for this? How can he lower the levels? He doesn't have any medical problems. Doctor: HiThis needs further study with a screen for hepatitis and a liver ultrasoundThe elevations may be from alcohol use if he drinks or use of NSAIDs or Tylenol, but it could mean fatty liver disorder or hepatitis | 54,644 |
What can be done to increase the sperm count? | Patient: hello i am 28 years i got married since august 2017 but still not concieved in december i got pregnanat but misscaried now i took medicine aromek and duphaston but not concieved yet i did semen analysis of my husband he has low sperm count 6 million and 00% rapid linear progression.. please suggest what to do..... Doctor: Hi, In your case semen sperm count is very low so here you need 1) A healthy diet including fruits and green vegetables containing antioxidants. 2) Tab Co Q once a day for at least one month 3) Tab vitamin E once a day. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Minakshi Biradar, OBGYN | 40,446 |
Suggest remedy for pain and swelling in finger | Patient: hello doctor, I got injury on my left hand small finger.My finger upper portion got bent forward towards palm and i am not able to bring it back on right position.If I move to right place by external agent,then again it bent foward by its own. There is very little or no pain and little swelling. i couldn t able to erect it to right position. Please help. In xray ,my bone is not broken. Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have pain and swelling in finger . Well there can be many reasons for symptoms you mention in query like arthritis , osteoarthritis , rheumatoid arthritis , gout , psoriasis or bone fracture . In your case there is probable chances of joint dislocation . I would suggest you to apply ice pack for first 48 hours and then apply warm compresses and consult orthopedic surgeon for correction . Doctor may order X-ray to confirm the diagnosis along with physical examination . Doctor may reduce the joint and correct the condition and give plaster along with splint in severe damage . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 135,314 |
Had unprotected sex couple of days after taking birth control post periods. Will I get pregnant? | Patient: I just started taking birth control not that long ago. And ive been hearing that if you take the pill while your on your period it works immediately. But if you tooken it after your period you should use a condom for the first month cause you could get pregnant. I tooken mine after my period and waited couple of days to have unprotected sex. Is there a chance i could be pregnant? I took a test but it said negative. But ive been feeling sick and sharp pains in my upper to lower part of my stomach . Please help. Doctor: Hi,Dear.Welcome to HEALTHCARE MAGIC.If you have just started taking the pills then for the first 7 days of taking the Pill,one should use an additional form of contraception, such as condoms, to prevent pregnancy. After 7 days of taking the pill regularly you don't need any other method of contraception. As from your question i am not able to appreciate the exact number of days after which you had unprotected sex.So i am not able to tell you that there are chances of getting pregnant or not. And the nausea and sickness may be due to the pills because you will be having these symptoms due to taking the pills initially. If you do not get your periods on time then go for a pregnancy test after 7 days of missing your periods because before this the test is not much confirmative. Hope fully you will be getting your periods within 28 days of starting the pill. 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. | 225,199 |
What causes swelling in the groin area? | Patient: My goin is swollen i recently been treated for syphillis and i recieved penicillin in my buttocks.Its been a week now my groin swelling has went down but i still can feel the lymph nodes and my groin still a little swollen.I recently had to go to the health department and they swabbed my penis,anal,and tonsils.THey found bacteria in my penis and couldnt label it clamydia or ghonnorea but the gave me two pills to take today and im really hoping thats why my groin is still swollen....do this sound like it cold be HIV? Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.No, it wont look like HIV but it is surely a some STDs, Screening is essential as treatment can only be possible after the appropriate diagnosis.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | 199,515 |
What causes stomach pain with dizziness and shortness of breath? | Patient: My stomach is hurting and I feel dizzy my head hurts I also feel like I be out of breath sometimes like I m breathing different as if I don t have enough oxygen and my nipples are really soar I honestly don t know what s wrong with me , can I have some help please ? Doctor: hello dear. i think you are suffering from GERD. which can cause pain in upper abdomen, breathlessness due to microaspiration of gastric contents and dizziness. kindly go for upper GI endoscopy. | 87,249 |
Suggest treatment for swollen papillae of tongue | Patient: my mom is having pain in mouth for 10 days .she couldnot sleep wit mouth closed due to pain . today i saw about 8 swelling with maximum diameter around 0.5 cm on posterior 1/3 of her tongue in the region of circumvalate papilae.is it infection or allergy due to erythromycin she took 10 days bach or any specific lesion . can u please guide us sir regarding further evalvation and treatment Doctor: Hello,Taking anti-inflammatory medication or anti-histamine can help reduce swelling and offer relief. One Advil and one Tylenol can be very effective for pain relief and offer anti-inflammatory benefits. Benadryl is a beneficial anti-histamine that helps with reducing allergic reactions. I recommend warm salt water rinsing, stay hydrated and avoiding irritants. Practice good oral daily hygiene including gently brushing the tongue. A tongue coating and tongue soreness can indicate a fungal infection. This can be a reaction to recent antibiotic treatment. An anti-fungal prescription medication can be required to treat an oral yeast infection.Severe swelling with risk of breathing difficulties should be treated at an emergency room. Followup advice will be provided to assist you on which doctor to consult.I would need more information including a complete dental and medical history. I suggest consulting the doctor that prescribed the erthyromycin and report all occurrences. What was the condition that this medication was prescribed for? Consult a dentist to examine the tongue if this condition does not improve or worsens. Your dentist can treat an oral yeast infection with Nystatin. Prescrition rinses with a combination of medications can often be prescribed.Thank you for your inquiry. I am glad to assist you further. | 183,022 |
How can hip muscles be reduced? | Patient: Hi Dr ... I have this problem since longtime and it really affected my life badely , I m man with normal male shape except my hips ( with puffy shape to the back) bigger than normal size , I hate my look trying to hide them and trying to find some special clothes to hide their shape, I have visited a plastic surgery to do liposuction, but he told me this area has more muscle than fat , I m really feeling disappointed and bad ...is there any way to reduce the muscles of my hips and get male shape, I really will appreciate your advice . Thank you . Doctor: hi,why don't you try doing some specific hio exercises which focus mainly on gluteus muscle. apart from it you can even try some isometrics of the hip which will help it reduce faster and tone it so you will feel better altogether. | 134,472 |
What causes sharp chest pain ? | Patient: Im 17 years old and i just took a pre work out drink, Hemo rage ultra. And after about an hour of working out i got a pain in the lower left side of my chest and when i tryed to continue working out it got worse. I stopped then but it still hurt and got worse when i took a deep breathe or pushed on the place where it was sore. What is this ? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Possibility of musculoskeletal pain is more. It is just co incidence that pain occurred after drinking that drink. In my opinion, you are mostly having musculoskeletal pain due to work out. So better to avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Avoid movements causing pain. Take painkiller and muscle relaxant drug. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 77,009 |
Can something for a person who is mentally stressed for taking treatment for a long time for prostate cancer? | Patient: My son was treated for prostate cancer 8 years ago. He is going from doctor to doctor looking for where the cancer may have gone to, becoming more and more anxious, from test to test, doctor to doctor. He saw a psychologist a few days ago who suggested he exercise, that he was a class A personality and depressed and scheduled an appointment two weeks from now. I am afraid he is going to be unable to function at all. What can I suggest he do? He is looking for reassurance and as soon as a test is fine, the spiral begins again and it is heightening to the point he wants to see a doctor practically daily. Doctor: Dear,Thanks for your querry,ask your son to be happy as long as there is no symptom related to prostate or any bony pains which occur due to metastasis.Only one test that is serum PSA level is the indicator if the cancer is static or it is progressing.you are lucky that other than finding out at what stage the cancer is your son has no problem. so be happy and convey your son the same.Truly,Dr. j. Ticku | 157,060 |
What causes abdomen pain during bowel movement? | Patient: my 9 yr old boy has been having sever pain attacks in his abdominal area around his belly button area when he has to have a bowel movement. He is taking different meds for gas and acid and also an antispasmatic med and nothing is helping. Any suggestions....he has had blood work, stool labs, colonoscopy and endoscopy Doctor: hi! if I were the treating doctor I would like to look for any urinary problems because a ureteric stone may present in the same way. I would suggest you give him lots of water which will help clear any small calculus if any. also talk to your doctor about the possibility.also deworm your child | 167,522 |
What causes tingling, tension and hot flashes? | Patient: I've had tingling, dizziness, tension and hot flashes throughout my body all day, feeling similar to when I've experienced lack of oxygen. I drank about five beers last evening and have eaten and drank a considerable amount of water today. Other than these odd-feeling symptoms, I feel okay. Is this something I should be concerned about? Doctor: My dear you may be having alcohol withdrawal symptoms characterized by hot flushes;anxiety, sweating;feeling thristy. All these are due to autonomic arousal and dehyration. Take rest and fluids. You will fine soon. | 209,271 |
What causes numbness and pain in legs and arms? | Patient: My right leg has been going numb quite a bit! It only happens when I sit. I feel as if the pain is starting around my hip and working its way down my leg all the way to my toes. It is also very painful! I also have this problem with my arms also, but not as much! I am only 27 yrs old and have no idea what is going on! Please help! Doctor: Hi,Thank you for posting your query.I have noted your symptoms. These are suggestive of sciatica, or nerve compression in the lower back region due to slipped disc in that location.Disc prolapse leads to compression of the nerves, resulting in low back pain, leg pain and tingling. Symptoms may increase on walking.The diagnosis can be confirmed by doing MRI scan of the lumbo-sacral spine.Good medical treatments are available for this condition.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in | 147,193 |
Can blood pressure rise temporarily due to high sodium intake? | Patient: just got a call from a friend (43 year old male) his blood pressure is 170/110 (at home BP tester). He has a history of high blood pressure.Should he go immediately to Dr? We stuffed our faces last night with pizza. Could it be a temporary rise in BP ue to the the high sodium intake? Doctor: Hello, Thanks for posting your query on Healthcare Magic...* Brief Answer:Too much salt intake may cause temporary high blood pressure .*Explanation: My opinion is that high blood pressure on many occasions is an indication for control .That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure.Then ,Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that dose not help, medications are a must .That is usually decided by your doctor according to your condition and comorbidities .Some drugs that are perfect for patients are not necessary good for others.Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started.I suggest my patients the following low salt n diet and avoid excessive salty food or caffeinated drinks.The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other blood pressure readings and personal data like height and weight and other comorbidities.*Conclusion: I suggest your friend to moderate his diet to a more healthy less salty. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish your friend good health. | 20,140 |
Shaking, twitching in hands. Could it be early sign of Parkinson's disease? | Patient: hi, I am located at a remote place in africa and for the last 1 month i have been experiencing shaking and twitches in my hands. I have checked on the internet and most of the articles suggest that i could be early sign of parkinson s disease. I am only 34 years old. as not much medical facility is available over here, this thought is freaking me out and put me in the state of stress and anxiety . kindly suggest... Doctor: Hi Mr Gaurav Sharma, Thank you for posting your query. I would like to reassure you that it is unlikely that your current symptoms are due to Parkinson's disease (PD). In PD, in addition to shaking of hands, there would be slowness of movements, stiffness of limbs and postural imbalance. Also, the symptoms would worsen over time. It is very uncommon to see PD in people less than 40 years of age. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected] | 150,651 |
What causes lip swelling? | Patient: From time to time, my upper left lip will get puffy and feel tingly. It s a very small spot on the inside of my upper left lip. It will become slightly swollen, like i bit it or something, and within a few hours it goes back down. Should I be concerned? Doctor: It could be because of some allergic response to something you're allergic to. You can go for a tab levocitrazine for 5 days twice a day.-Dr Gunjan | 134,149 |
What causes small white spots around black spots after mosquito bite? | Patient: My son got black spots after mosquito bites on the legs so we consulted a skin specialist. He advised to use Momate. after 5 months of its use itching n spot got lighten but now he has small small white spots around d black spots. im very much worried now. plz help. Doctor: HiThanks for writing to us.It is becauseof allergic body responseTHe histamine release causes redblack spots and white spots is because of altered pigmentationWill settle soon, try repellant ointments Wishing your child speedy recoveryRegardsDr Arun | 179,826 |
How to take birth control pills? | Patient: If someone misses 4 days of their birth control pills and they get their period on that day... what should they do? Take the rest of the pills and skip the ones they forgotten? Take a new set of pills? Take the pills they ve missed (2 a day) till they catch up? What s the right Thing to do.. it s never happened before until I started getting very busy Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I can advise you to start the new package since the new cycle started. Hope I have answered your query. Let me know if I can assist you further. | 223,182 |
How can you help for the anxiety problem having weird adrenaline rush and shaky voice along with weird tremors? | Patient: i have an anxiety problem. at times i have this weird adrenaline rush which looks like im on an attacking mood when talking to people. i cant keep calm at these times and cant control or even think straight about what im saying. this weird rush occurs many times. i need your help . and at times this also affects my talking cuz my sound becomes shaky and i get weird neck tremors Doctor: HI, I have read your query and according to me you should start meditation and be relax .You also start mild antianxiety and antidepression. | 211,126 |
Does marijuana have an affect on depression treatment? | Patient: I am a daily marijuana user and have been for years. I am diagnosed as bipolar, although I have many more problems with depression than mania. I have tried almost every antidepressant out there and am currently on Nortryptiline (just started) and lithium. At our last appt. my doctor said I have treatment resistant depression and wants to try ect. Do I need to quit any of these drugs before I try ect? Doctor: Marijuana itaelf causes depresaion and mania.So better to stop them first.Tab escitalopram will be better to ovwrcomw depression.Sideby side counselling is must. So dont worry. Hope my suggestions helpful and thankful to you. Take care. Don't forget to give ratings. | 206,916 |
Suggest treatment for a swelling in the feet | Patient: When my daughter was born, one of her feet was swollen. The doctors said it was probably due to the umbillical cord wrapped around her ankel while I was still pregnant with her. I was also told it could just be fatty deposits in her foot. Regardless, I was reassured the swelling would go away once she started to walk. My daughter is almost 15 months and has been walking for about 4 months and running for one of those months. The swelling is still the same, no worse, no better. Any idea what this could be? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You have waited long enough. It is important to find out what is causing the swelling. Methods to learn this are imaging studies(ultrasound, MRI, CT), excision (where all of the tissue is removed), or biopsy. Talk this over with your daughter's pediatrician. My opinion is that a pediatric radiologist and a pediatric surgeon ought to be involved. I hope this helps points you in the correct direction. Hope I have answered your query. Let me know if I can assist you further. | 163,027 |
Suggest treatment for elevated TLC after DJ stenting | Patient: sir My mom blood ureia count is above 100 and creatinine level is above for. They done pcn and dj stanting.after that my mothers both came done but tlc is increasing.....they giving all kind of medicine....i just wana know is there any other treatment is best and my mother is patient of ca carvix and what should i give to eat Please sir help me Doctor: HelloThanks for query.Your mother has cancer of Cervix with involvement of Ureteric Orifices and DJ stent have to be placed to deobstruct her kidneys.Her raised TLC is mostly due to UTI that she has due to obstructive uropathy.Please get her routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.Please give her broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report. Please ensure she drinks more water.Dr.Patil. | 48,171 |
Will HRT cause cancer? | Patient: I am 62 years old and have Empty Sella Syndrome. My doctor took me off of Hormone Replacement Therapy because she is afraid I will get cancer. I feel miserable and I know I need HRT. I went to an endocrinologist and all he did was experiment on me. Some medications were too weak and others too strong. Will HRT cause cancer and where do I go to find a doctor with knowledge of ESS? I live in Daly City, CA and use doctors at Mills Peninsula Hospital. Doctor: The longer one person takes HRT the more their breast and ovary cancer risk increases. But there was only an increased risk after 15 years use for hormone sensitive breast cancers (oestrogen or progesterone receptor positive) and after 20 years use for all types of breast cancer. The researchers say that the risk of breast cancer after 20 years use is about 40% higher. So, in women taking oestrogen only HRT for 20 years, these researchers expect that 49 women would get breast cancer out of every thousand. In women not taking HRT, 35 out of a thousand would be expected to develop breast cancer.RegardsDR De | 156,273 |
How can infertility be treated? | Patient: Hello Doc, am 33 years old and have one son by Caesarean section who is 4 years old.one of my tube was blocked during my c/s due to bleeding at the fimbrial end, so left with only one tube. And have tried several means of getting pregnant but not occur. My doctor diagnosed me of cyst and have treated it now scan shows cyst 3 by 1.5size. Can I use parlodel to get a chance of having twins. I need it seriously. Please kindly help me. Doctor: Hello,When you have tubal block on one side the first step is to confirm the patency of the other tube by either HSG or diagnostic hysterolaparoscopy.After confirmation of the patency you need to be ideally put on ovulation induction medication and need follicular monitoring.The problem here is the chances of pregnancy would be higher only if follicles develop in the ovary on the side where the Fallopian tube is patent.If the follicles r growing in the other side the chances of pregnancy are relatively less as transmigration of oocyte is less common and if this does not work or if both tubes are blocked, then I would suggest you to go for IVF (In Vitro Fertilization).Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Avanti Sathineedi | 40,566 |
Is it normal to have a green color discharge out of the burn ? | Patient: I had septic shock which burn my upper lefs and arms, but I wanted to know since I am applying silverdeane there is drainage coming out which is the color green is that normal Doctor: hi i think you have confused septic shock is term used for severe infection which needs high dose of antibiotics. i guess you have got burns. greenish discharge is indicates there is bacterial infection which is not responding to drugs which you are taking now yous have to change antibiotic consult near by surgeon | 16,504 |
Suffering from Asthma, Using Fullform 200. Is Formonide better than Fullform? | Patient: Hi,I live with asthma for past 15Yrs. I have been asked to use Full form 200 daily by doctor. Though I couldn t use daily, I use whenever I feel asthma symptom. Recently my doctor asked me use formonide 200 instead of Fullform.I feel Fullform is better than Formonide. Can you suggest which one is better? Manikandan.G, Chennai Doctor: Hello Manikandan.G 1. Full form 200 contains Beclomethasone (a cortico steroid) + Formoterol (a broncho dilator). 2. Formonide contains Budesonide(a cortico steroid) + Formoterol (a broncho dilator). Both the preparations act in the similar way to provide relief in Asthma....i.e. by reducing the inflammation & causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs. However, if you feel that you get better relief with the use of Fullform, then you can consult your treating physician & discuss regarding this matter. Wishing you a Healthy Life. Take care. | 104,597 |
What causes a cluster of pea size lumps on the inside of the elbow? | Patient: I am a 59 year old woman who is healthy 5 2 and 130 lbs. I have found cluster of pea size lumps on the inside of the elbow, just above the crease of the inner arm. Holding the left arm out stright, palm up, closest to my body. Any thoughts on what this might be? Doctor: Hi,Dear ,thanks for the query to HCM. I studied your query in-depth.In my opinion -diagnosis is-Lipomatosis ? spider bite papular lumpy-rash ? or bed-bug bite papular lumpy rash.Consult your ER doctor who would take care of it with proper medicines -like -Tb NSAID,Tb cetrizine , or if lipomatosis-being benign one should neglect-if worrysome-excision biopsy is done.Hope This would resolve your query.Well come again for any more query. | 64,710 |
Suggest treatment for posttraumatic stress disorder | Patient: I have been diagnosed with PTSD. I truly believe when I was shot in 1998 I obtained my ptsd form that incident. From 1998 to the present my life has been a down ward motion. I was divorced in 2013. she blamed it on my depression. I had been diagnosed with ptsd in 2012. During the separation I was then diagnosed with depression. My job states that I had depression and that was the cause of the divorce. I disagree. I had symptoms of ptsd for a very long time. I have had meetings with lawyers saying that it has been to long to be use on my injury. One attorney said that I would have to take a retirement but he could get me a good settlement. all I want is my treatment paid for and get my 980 hours of sick time back that I used during the divorce proceedings. Doctor: you have to consult psychiatrist for detail evaluation and treatment.do not take retirement unless advised by psychiatrist.as per u r description, u r problem is severe enough.because of psychiatric illness, u are suffering fromsocial ,occupational impairment.i can not comment on reimbursement a it is very difficult.many mediclaim / insurance does not cover psychiatric illness. | 206,493 |
Have palpitations and migraines afterward. Is it an epilepsy? What can I do? | Patient: Hi, for the past year and a half Ive been having these events-they last only a few mins max, im still fully conscious, and its like a de ja vu feeling..it causes heart palpetations and a migraine afterwards..Ive seen a neurologist at the hospital and he seems to think its epilepsy , however the heart halter monitor test, ecg , eeg and sleep deprived eeg tests were all fine, and i think its definately something else, not epilepsy...what other causes could this be? could it be a result of blood sugar by any chance? today i had one thismorning after i got up and it was before breakfast, and ive just had another one after ive eaten lunch.. Thanks for your time, Sarah. Doctor: Dear Friend, Either these are panic attacks or seizure episodes . If eeg is normal then nothin toworry , Try few antianxiety medications after consultation with your doctor. If sugar levelf fall rapidly these can also mimic these symptoms but you need to confirm that by getting sugar levels documented during these attacks . Regards Dr. Vineet Saggar (MCh) Neuro Surgeon / Spinal Surgeon Chandigarh, Mohali - Ivy Hospital Sector 71 Mob. No.:- +91-9855990990 http://neurosergeonhead.blogspot.in/ http://www.facebook.com/neuro.surgeon.7186 http://www.linkedin.com/pub/dr-vineet/56/2a9/863 https://twitter.com/drvineetsaggar [email protected] | 151,310 |
Suggest treatment for cramps in the stomach | Patient: Hi. I am a 30yr old male with a complicated past. I am 5'9", about 260lbs, obese. I have had 4 abdominal surgeries and my intestines has been cut 3 times. I am trying to strengthen my abdominal muscles, but when I do crunches, my entire abdominal region goes into painful abdominal cramping. Also, when I bend over by the abdominal region to pick things knee high or on the floor, the cramps starts. What can I do? Doctor: Hi.Thanks for your query and an elucidate history. Due to multiple surgeries on your abdomen and obesity you have , the muscles go into fibrosis and weakness. If you want to be really fit, I would request you the following:First of all get a high resolution ultrasonography of the abdominal wall for studying the status of all the muscles , scars, any possibility of hernia and so on. Then consult an Orthopedic Surgeon and a Physiotherapist so that they can evaluate your problem and can guide you the best. Reducing obesity is a must if you are really interested in fitness and have painless abdominal wall. | 87,917 |
Suggest treatment for calcification of arteries in the neck | Patient: Hi, my partner got a call from his dentist last night after looking at a MRI xray of his teeth. He was very concerned as he noticed he had calcification of his arteries in his neck. He is going to see a Dr regarding it next week, but just wondered what the treatment is for this sort of thing? He wanted him to go out straight away and get some cartier. Doctor: Hello,Thank you for your inquiry. I understand your concern and agree that any calcifications in the neck are of great concern. If the carotid artery is suffering from stenosis, there is a risk of less oxygen going to the brain. The diameter of the blood vessel is reduced. A cerebrovascular accident or stroke is possible. Quick action is necessary.Lifestyle changes and medications will be considered. Cholesterol reducing medications and blood thinners are common medications prescribed. If your condition is severe, immediate surgery such as a angioplasty to widen the blood vessel may be needed. A balloon widens the artery and a mesh placed in the artery keeps it open. If a vessel is more accessible, surgery to remove the calcifications can be performed. If your symptoms include severe headaches, dizziness, numbness, speech difficulties, or confusion, this may indicate a greater threat of a stroke and seek immediate care. You are fortunate that your dentist has advised you of this condition and you may be treating the condition before any severe symptoms put you at a greater risk. Plan to share your MRI with your doctor.Thank you for your inquiry. I hope you feel better soon. | 184,106 |
Suggest treatment for itchy and red rashes on body and scalp | Patient: Hello! Two mornings ago i woke up with an extremely itchy scalp. Throughout the day I began to get these itchy, red, blotchy rashes which have continued to spread to different parts of my body. The rashes are also quite warm and are accompanied by a pins and needles sensation. Any idea what this could be? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You seem to have Hives/ Acute Urticaria. I suggest you to take an oral antihistamine e.g tablet cetrizine 10mg once a day for a few days. If this is not effective as desired then I would suggest adding a short course of an Oral steroid like prednisolone. In addition you may apply a soothing lotion e.g calamine lotion to calm down the rashes. Hope I have answered your query. Let me know if I can assist you further. | 14,119 |
Suggest remedy for hair loss | Patient: Hi, I am 32 years old and have been having profuse hair loss. It seems to be hereditary. I visited a specialist and he has asked me to take Ova Care ( A + B) daily for a month. Its a year since I am married and I am trying to conceive. I have been having an irregular menstrual cycle and had been diagnosed with 2 cysts. Please let me know if these tablets will be harmful in any way. Thanks. Doctor: Hi, Ovacare is helpful in ovulation assistance and it is not harmful so you can continue taking the same. As far as hair fall is concerned it can be hereditary as well as a hormonal imbalance can also lead to hair fall. You can consult a Trichologist and get evaluated. For now, apply Minoxidil lotion over the scalp. Apply onion juice over the scalp twice a week. Massage the scalp with warm coconut oil. Take the nutritious diet and drink plenty of water. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora, Dentist | 9,948 |
What is the treatment of pain while breathing ? | Patient: Hello. I have been having sharp pains when breathing. I think I may have bruised my sternum, but I m unsure. I was walking down a muddy hill, slipped, and fell on my butt. I haven t read anything that says you can bruise your sternum by falling that way, but my symptoms pretty much match. Any ideas? Doctor: Thanks for your question on HCM. When you fell on your butt suddenly, there is definitely strong jerk in the chest and ribs. And this can cause pain on breathing. Possible complications are1. Rib injury2. Muscular injury3. Pulmonary contusions. So get done chest x ray to rule out all these. If chest x ray is normal than no need to worry much. You are having muscular pain mostly. So try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movement s causing pain. 4. Start good painkiller and muscle relaxant. 5. Apply warm water pad on affected site. | 81,585 |
What causes dizziness, vomiting and shivering? | Patient: My mom has in recent 6 months facing problem of untimed dizziness with vomiting and shivering.She gets sweaty and suddenly she feels cold.Her body parts are in some parts cold and in some parts hot.This remains for few hrs we have to rush to the hospital whenever this happens as she cant bear it. Taken all the possible tests but everything seems to be normal. What could be the reason.She has gas issues yes. Doctor: Hello, The symptoms are highly suggestive of a possible drop in blood pressure. It is called hypotension. In this, all your reports except the BP would be normal. You need to check the BP as soon as possible when the episode occurs. It may be better/corrected by the time you reach the hospital. So get someone to check BP at home when this happens, and as soon as possible. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Saumya Mittal | 139,529 |
How to get rid of lump on right middle finger? | Patient: I have a lump of skin on my right middle finger, in the corner of my nail under my cuticle. At least I think it's skin, it could be a wart, that's what I always got told. It's been there for a few years now, it has never bothered me or seem to get infected. It does bleed if it's ever cut open. I've attempted to remove it with finger nail clippers, but it's painful if I try to cut it too deep. I've been putting wart remover on it for the past few days, and the skin has been flaking. Is this working? What is it, and how can I get rid of it? Doctor: HI,Dear, Thanks for the query from you for your painful lump of skin on rt middle finger, which you thoght it to be a wart , and was there for few yrs,which hurts with deep removal attempts.1-I am happy that you are serious to know why this painful warty swelling on the rt middle finger in the corner of the nail is bleeding with pain when deep removal was attempted.?2-In my opinion this painful warty? lump at the corner of the nail of the rt middle finger is -in actual a -" Neuro-vascular Sub-ungual Corn" caused by the chronic infected repetative-nail injury to rt middle finger nail.3-I would advise you not to attempt the incomplete removal -with the wart remover-as its not helping for its removal from the root.4-I would suggest you to go to ER Surgeon for the "proper debridement of the nail-plate bed along with the removal of the corn from the root in the chronically infected nail -plate.-AS such this painful warty bump is the "Corny subungual lump-arising out of the chronic repeatative injury tothe infected nail-plate of the middle nail finger.5-So debridement under antibiotic cover from ER surgeon is the advisable treatment.6-Hope this would resolve the causative worry of the patient in question .7-If treated on this line, the fearing patient , should not worry you much.8-Hope this would solve your worry of the painful warty lump in the corner of the nail of the rt middle finger.9-So urgtly take -the advise from the ER Surgeon.10-Wellcome to HCM for any more query. | 64,898 |
What causes variation in eosinophilia content in blood? | Patient: Hi, I am confused. I have ataxia, not just gait, but limb and trunkal as well. On one of my tests, I was shown to a a high blood level of eosinophilia. This was done 4 years ago. My lastest blood test shows normal level of eso. This was done in 2009. Is this something to worry about? Thank you, Sara Doctor: HIWell come to HCMI really appreciate your concern, if this is high count of eosinophelia in blood, this is nothing to take with ataxia, there are numbers of reason behind this but most common is chronic allergic condition, (Tropical eosinophelia ) absolute eosinophilic count is advisable if not done, hope this information is helps take care ( Clinical condition need to be correlated ) | 115,747 |
What causes delay in periods despite taking Mifegest tablets? | Patient: Hi what happen if mifegest tkn twicely regularly actually I hd mifegest in the month jan after dt I get periods heavily but in the month of Feb I hv not any periods then in the first week of March I tk megigest so yet mine periods hv not start I feeling scare what it will happen to me ..m feeling low and giddy ,nausea type pls doc help me Doctor: Hello,Thanks for writing to us. I would like to know why you used the medication repeatedly, whether to induce an abortion after confirming a pregnancy or simply to induce a delayed period. Whatever it may be, you should not self-medicate with such a medication. Please see a specialist as early as possible to get a complete appraisal of the situation and plan further management. A sonogram of the pelvis, preferably in the trans-vaginal route is needed to clarify the situation. Hope this helps. | 223,422 |
Is it normal to have bluish colored vulva in vulva cancer ? | Patient: I have vulva cancer . Why is my vulva bluish color Doctor: Hi, Thanks for query, If there is cancer in vulva,lesion is vascular causing appearance of veins giving bluish color. Ok and bye. | 160,084 |
What causes fluid in lungs on chest x-ray and swollen neck lymph nodes? | Patient: Hi, my husband has been though much testing in the past 2 weeks. It all started with a swollen supraclavicular lymph node. Then a week later one on the other side became enlarged. After a week, he went to the doctor who put him on amoxicillin. During this stage, he got extremely tired, and began running low grade fevers. After the 10 day regime with no results, he went for blood work, which all came back normal. Next, a chest xray, which showed fluid in his lungs and something in his chest. A ct scan revealed the swollen lymph nodes in his neck and either a mass or swollen lymph nodes in his chest. He went to get the fluid drained off his lung. They took a gallon off and said they would take the other gallon within a week (he has an appt. Monday). This fluid was tested and lymphocyte cells were present. He had a biopsy of the first swollen lymph node a couple of days ago and they said the results would be in within 7-10 days. The doc. said something about a type of lymphoma after the initial look at the biopsy. We now have an appt. with an oncologist this week. I feel like we are not getting enough info. They say whatever is in his chest is pushing on an artery, which is causing the fluid. I don't understand why no one knows what this is. If this is lymphoma, is there any insight as to what type it might be? Is this something where he will need his lung drained every week? He has been feeling short of breath with back pain due to the fluid. He is 32 years old and other than this has always been in great health. Any detailed info. would be appreciated. Thanks Doctor: Hi Dear !! Thanks for your query to HCM .Read and reviewed your query and health concerns. IN the given situation, You seems to have suffered from-NHL Lymphoma with Mediastinal Lymph nodes with supraclavicular nodes first on one side and then on the other side.Other possibility could be-TB lymphadenitis with glandular lymphdadenitis / and Sarcoidosis.But in view of the lymphocytes in the pleural effussion, chances of NHLymphoma and or TB Lymphadenitis.Chances of NHLymphoma are more in view of the supra-clavicular lymphnode swellings.Hope this would help you to plan further of this complex illness of yours.If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.If you want to update more details and ask more update queries ,You are most Welcome herewith !!Good Day!!Wishing Good Healthy Life in time to come!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | 76,172 |
What causes low libido, hair loss and premature ejaculation? | Patient: Hi i am 22 year old , i have masturbation practice since i was 11 year old , weekly 3 times ......, Now i have side effects ,,,, There are ... visible vein on penis , shrinked penis , Premature ejaculation , low libdo , low and thin sperm........sperm in urine when i leave that for 10 days ,,,....... Weak bones , memory loss,hair loss, fear, lack of confidedent and concentration...... Can u suggest some medicien or herbals to cure a above problem....? Can i cured , and would my penis and reproductive system gets normal over the year when i stop masturbating...... Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Though masturbation has no side effects but since you have many other problems get semen analysis done. You may need some vitamin supplements and lifestyle changes may be helpful too. Switch to healthy food habits, exercise and get rid of any addiction that you may have. No worries. Get your semen analysis done and get treated well. Hope I have answered your query. Let me know if I can assist you further. | 195,676 |
Intense pain right on the spine, numbness and tingling. Can this pain cause blood in urine ? | Patient: Can upper mid back pain . cause. Visable. blood in urine I think its too high up to be related to kidneys. I have had.issues in my lower back with disks I am thinking maybe the disk may have herniated. I have intense pain right on the spine and numbness and tingling Ness with loss of feeling to touch in some areas. Doctor: Hi Thanks for the query. Common causes of blood in urine include stones, infection and tumours. If you have persisting blood in urine it's best to get urine analysis and culture exam and an ultrasound of the abdomen and then see a nephrologist. From the description of the symptoms of back pain it does not appear to be related to the blood in urine. Hope his helps. Good luck. | 51,112 |
What causes severe pain while passing urine and stool? | Patient: Hi my ultrasound report indicated dense fluid in POD and my doctor prescribed me antibiotics and till date m taking the antibiotics but my condition has not improved. At present m having problem severe pain while passing urine and stool. It has been around 20 days pain is not subsiding and every 10 minutes I have to pass urine. Plz help Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You are having PID( pelvic inflammatory disease). There is inflammation and fluid collection on your pelvis and it compress your urinary bladder and rectum. That’s why you are experiencing pain while urination and passing stool. Consult a gynaecologist and start antibiotics. Nothing much to worry as it will respond with antibiotics. Hope I have answered your query. Let me know if I can assist you further. | 215,919 |
What causes pain in hands and frozen shoulders? | Patient: I am suffering from frozen shoulder since six months. Also taken best physiotherapy. But there is n0 relief in pain. It s growing towards. After suggestion of seven Elopathic doctor, ( three months)three Homiopathic Doctor,(one month) l go to Aurvedic doctor (two months)and got relief with taking To Yograj Googool and Rasnadi Quath. Now pain is moreless but continue.After six month it s continue ( right hand)and frelingpain in left hand also.My test report is _ ANA, RNA, A S O tiger CRP Negetive. Other all test are negative. All are repeated monthly. Only b Blood Suger is detected single time on Borderline. Now question is what happening in going with me and why?( I am fully vegetarian and on healthy and balance diet. Weight is 69 K.G.Height is 5 4 . On job I sit continue 5 hours.)I m taking forming plus since 2 months. Doctor: hello sir,i had gone through your history and when i found such type of patients in my clinic, i was treating as following treatmentfirst of all, irrespective of pain please go to the physiotherapy clinic and start treatment again until the full range of motion will be fully regain. take mobilization treatment at grade 1 - it will increase the range of motion and pain relivertake diathermy for ten days for twenty minutestake ultrasound therapy for 8 days at pain site for 8 min with 1 mhztake myofacial release which relaxes the tight tissues and give u reliefthese all treatments are available in physiotherapy clinic onlysteam therapy is also usefuloil massage is also beneficialthanks i think this may help u | 136,043 |
Hoe can erections that last for only about 5 seconds be cured? | Patient: Hi. My penis is like a small kid. And cannot maintain erection for more than 5 sec. I don t drink or smoke. And don t have habit of too much masturbation. What is wrong with me. I am too much worried about it and now always feel headache thinking about it and my future life. Doctor: Hello dear, Thank you for your question. Erectile dysfunction (ED) is a common problem that affects the life of many men. It is of crucial importance that you understand ,that not every problem with erection, is necessarily a definitive case of ED. Factors that can cause the problem you have been experiencing may include the following:1- Conditions like: Diabetes, High Blood Pressure etc. 2- Psychological circumstances like: stress, anxiety, extended use of pornographic materials etc.3- Certain drugs: like ant-depression drugs, some anti-hypertensive drugs etc. 4- Age is another factor as ED is common among elderly people. 5- Hormonal changes: thyroid disease, low levels of testosterone etc.Psychological stress is a common cause among young males. There is a simple way to differentiate if your problems come from stress. If your morning erection is preserved (erection when waking up in the morning), there is a high probability that your problems come from psychological factors. A consult with an urologist can give a more specialised insight for the causes of your condition. He/she may ask you to run some tests and/or an ultrasound of your penis in order to establish the cause of your problem. Some causes are perfectly treatable and you can regain your sexual health (ie if you have low levels of testosterone, substitute therapy will resolve your problem) There are many therapeutic options for the treatment of ED:1- Drugs like Viagra, Cialis,Levitra etc that you take before you are planning to have sexual intercourse. These type of drugs are perfectly safe to use and have minor side effects like: headaches, dizziness etc which tend to abate in time. You need a consult with your doctor to find out if the are suitable for you.2- Vacuum devices that create a mechanical pressure to give you an erection. They are very easy to use but may cause some discomfort, bruises etc.3- Penile prosthesis when all the above measures are not effective in taking care of your problem. I hope this helped.Don't hesitate to contact me, if you have any further questions.All the best. Dr. Alma | 194,939 |
How can ADHD be treated? | Patient: I have a son, age 45. He had problems in school with not getting homework, etc. and as he became a teenager, he drank alcohol, used some drugs, without my acknolagement, when it was done! In college it even got worse, with the abusment of drugs and booze. He always starts things like classes with loans, really going to do class this time , but just doesn t finish. He can talk to you, and you think he really is going to do what he says this time, he starts, never finish. He just got his drivers license back in November. Got picked up for drinking again. He has been in many classes, nothing helps. He only told me about being told he had adhd about 3or 4 years ago. I thought he was just with the wrong crowd when he was younger, didn t know anything was wrong. I want to know how he can get help for the ADHD. Doctor: Hello,You need to observe for mood symptoms like irritability, aggressiveness, over-talkativeness, decreased sleep to rule out mood symptoms. He needs treatment with antipsychotics and mood stabilizers.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Soujanya | 204,640 |
How to get rid of the excess saliva in mouth? | Patient: I have got a challenge of excessive saliva and it is very embarassing when you interact with your companions at work or elsewhere. I am a professional and work with clienst and other professionals and, my work also includes lot of public presentations. I need your opinion and medical advice. regards Ruth Doctor: hello thanks for consulting at hcm,,four main methods of managing saliva control problems:1. Conservative methods-It is important to assess for underlying problems that may be aggravating the saliva control problem, for example, the presence of nasal obstruction, dental disease or the use of medication that may be contributing to the problem. IT includeS behavioural approaches and techniques to improve sensory awareness.2. Appliances SUCH as vestibular screen.3. Drug therapy-Anticholinergics particularly Benzhexol, Benxtropine and Glycopyrrolate are successful in drying the secretions in some people,but has some side effects..and has tobe taken under the prescription of a treating physician,,4.Surgical-The range of surgical options include denervation of the salivary glands,removal of salivary glands, ligation of salivary ducts and relocation of ducts.eithr ways plz consult a endocrinologist ad dentist for appliance..if saliva control clinic is there in ur vicinity visit them,,hope it helps,tc | 186,522 |
Treatment for viral Hepatitis and grade III Fatty Liver | Patient: I am 33 years old, height 5 7 and weight 82 kg. I have been diagnosed with viral hepatitis due to elevated liver enzymes. 2 tests of dengue and malaria were negative. In the second test my platelet count was low and wbc and lymphocytes were elevated. Also a scan showed grade III fatty liver. Yesterdays test showed only elevation of SGPT to 219. I did have low-grade fevers last week and severe headaches with bleeding gums and fatigue for about 3 days. Now I show no symptoms at all. I do not drink or smoke. I did take 3-4 dolo-650 during my fevers. Awaiting your esteemed opinion as to my condition and treatment plan. Doctor: Hello,Welcome.Avoid alcohol and fatty diet.Do fresh fruits and juices.Do some exercise.Take care.... | 56,679 |
Suggest cure for an intense stomach pain | Patient: I have been having intense stomach pain that comes and goes for almost 12 hours now. It started in the middle of the night and it was so bad I couldn't get up or move until it stopped a few minutes later. I made it to the bathroom and had diarrhea that was green and thought that the problem would go away once that happened but it has not. I don't feel like vomiting or eating, and when I try to move too much I double over in pain. The pain is right around my bellybutton and it's sharp and burns. Sometimes it's more intense and last longer and other times it's short and goes away quickly. I don't want to go to emergency if it's just cramps but I don't want to ignore if my appendix could be about to burst. Please help me! Doctor: Hello!Thank you for the query.This can be appendicitis indeed. For sure such pain can not be ignored and ER visit is necessary. It may be also a partial bowels obstruction, bowels ischemia, stomach perforation.All this diseases needs to be ruled out. Abdominal ultrasound, abdominal X-ray, blood work, urine analysis should be done at first.Some surgical help might be necessary.Hope this will help.Regards. | 87,748 |
What are the symptoms of autism? | Patient: I have a female member of my family who is staying with us because her mother lost thier home. She is 34 .She repeats other things that people say, can t do any math.She speaks very loud. Has great hearing,her arms and hips are very large compared to the rest of her body. Was born this way. Took a long time to learn how to speak. Does she have autisum. Doctor: DearWelcome to HCMWe understand your concernsI went through your details. The given symptoms are possibly due to developmental disorder. Autism is one of the prominent childhood developmental disorder. I agree. The person is 34. She could be under the treatment of some neurologist or psychiatrist for these developmental disorders. The possibilities include autism and ADD and even psychoses. In any case you should consult a psychiatrist or neurologist for diagnosis and further treatment. With the help of diagnosis and proper treatment, many developmental disorders can be managed. Please do not waste time.If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care. | 144,536 |
What causes appetite loss, fever, chills, diarrhea, shaky after diagnosed with melanoma? | Patient: My 80 year old father was diagnosed with melanoma on arm between his wrist and his elbow. He had surgery to remove the cancerous melanoma Feb 2013 and went through a series of radiation treatments. He has been taking, since October 2013, 150 mg tafinlar twice daily plus one 2mg Mekinist. He was doing very well until the last two weeks. He started experiencing fever and chills, loss of apetite, and in the last week he has experienced severe night sweats, occasional diaherrea and has began to exhibit shaking in his arms that looks like parkinsons and walks somewhat unsteady. Other medications he is taking is for high blood pressure. His blood pressure the last two weeks has been low... around 120/62 with a pulse of 122 to 126. Doctor: Hello dear. I have gone through the details. The cause of fever with shaky chills and diarrhea is most likely an infection. He needs urgent evaluation and treatment with antibiotics. Loss of appetite, night sweats suggest that his disease now may be progressing. Please consult your physician for further evaluation. Hope you understand. Take care | 152,991 |
How to stop skin from getting scaly and darker after continuous masturbation? | Patient: I masturbate for 5-6 years now, my skin become more and more scale,it grew some brown spot, dry , become darker. It appear on side arm and leg, it happen where hair grow out. I cant stop masturbating and every time i do it , it seem to grow more more. Help me!!! Doctor: HIThank for asking to HCMJust control your thoughts, stop doing this, if you are facing such health problem then it is better to stop this act, your problem will rectify soon, hope this information helps you, take care and have good life. | 203,277 |
What causes brown semen discharge with burning during ejaculation? | Patient: I'm Recovering from a Kidney infection and find since that infection that My sperm is light brown and watery. It also burns some when I ejaculate. The ER gave Me fluids and Antibiotics through IV and put Me on Cipro twice a day. The Infection has cleared up but having this problem with Semen Now. What do You think? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It could be due to the infection you are having. Since I don't have the details , difficult to comment.I think if you continue to masturbate it might clear up. But please discuss with your urologist before doing that. Hope I have answered your query. Let me know if I can assist you further. | 195,776 |
Suggest natural treatment for painful piles | Patient: Hi, may I answer your health queries right now ? Please type your query here...I am suffering piles from since last 8 year please write here what is the natural treatment for piles my piles is very painful and blooding can you write me immediately I am waiting for your answer Doctor: Thank you for contacting HCMI am sorry to hear that you are suffering from piles. Piles are also known as external hemorrhoids. These are veins that are enlarged around the rectum. hey are caused from straining and pushing with having bowel movements. Once they are present I strongly recommend that you use either stool softeners or fiber laxatives to make the passing of stools easy. Any straining will cause them to reappear. You can also use over the counter creams like preparation H to help reduce the pain itching and swelling. Keep the area clean with wiping after each bowel movement with wash cloth or baby wipes. I hope this helps reduce your pain and improve your hemorrhoids. Remember any straining will aggravate the condition | 214,429 |
What is the interpretation of my Hepatitis test report ? | Patient: Plese give good adivse my future. I am 34 years indian. Recently I have tested my blood and found it Hbsag positive, SGPT Alt -18( cut Cuts and puncture wounds of value 40) Hbeag nagative (p.value 0.09) ( cut Cuts and puncture wounds of value 1.00). When my wife tested she got hbsag negative. What is my status. What treatment is required or suitable? how long will i live? I had no symptoms up to detected the disease. When detected, I got shocked and stated symptoms like neassea, threast, fitigue etc., Please give me good answer as early as possible. What is mean of p.value 0.09 and sgpt Alt -18 please explain? Doctor: Dear welcome to healthcaremagic Please build up confidence, you lft report suggest the condition of liver but i can be visualised by USG only..Nothing to worry i suggest you following alternative medicine Ayuveda medicine are best option for treatment of Hep B There are lots cases which has been succesfully treated by Herbal medicines Best hepatoprotective and antiviral property drugs increase immunity is necessary for you you can be back in your normal world soon Contact your nearest Ayurvedic physician for detail and follow him or write me [email protected] Thanks | 60,297 |
Why does my face along the jaw line feel swollen and tingly? | Patient: my face feels swollen and tingles (just on the left side, under cheek bone anong jaw line). There is no rash, fever, doesn t look any different than my other side. Pulled a muscle in my neck several weeks ago and I have been going to physical therepy. Woke up a couple days ago with new face sympton. Desperate for answers and out of options went to the chyro. and xray showed 3 verta. out of alignment. Got adjusted and still no improvement. Regular doctor told me to take ibuprofen. Go for MRI tuesday. What could this be? Doctor: Hello,Your symptoms seem to be related to the pulled muscle. I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplement. Gentle stretching exercises can also be helpful.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 121,789 |
What causes recurring fever with ESR 52 | Patient: i had fever25 days before took antibiotics fever came down but i still continue to have fever low grade 99 99;2 took tests my esr is 52 tlc 9000 neutrophil46lymphocyte 52 what is the reason my xray is also normal no typhoid no other complication please advice me thank u Doctor: HiLow grade recurrent fever , elevated Esr & lymphocutosis indicate chronic infectious / inflammatory disease.complete evaluation is important to come to correct diagnosis .so please consult physician .Thank u | 55,511 |
What does a large lump on neck indicate? | Patient: My mom discovered a large lump on her neck yesterday morning and has no idea how long it has been there. It is towards the side of her neck on the left side. If you were to draw a line from her chin to the side of her neck (just past the middle of her neck), it would be about 1 inch below that line. The lump feels about 1.5 inches. It is firm, and she said that she feels as though it doesn't move much if she feels it. It is causing her some tenderness when touched, and also causing her some discomfort in the back of her head (sore) about 3 inches directly above the lump. She found it because she had a couple pimples on her scalp which were bothering her, then noticed the sore spot on her head and eventually found the large lump. It is visible when I look at her, but normally her hair would cover it up so she has no idea how long she's had it. Should she be concerned about cancer? Could this be a lymph node or a mass that developed? Any info would be appreciated. Doctor: Hello!Thank you for the query.If she smokes, she should be afraid of the cancer in this area. Otherwise, it is not cancer related. And yes, this sounds like a lymph node. It can be present due to some infection in the surrounding area. Lymphoma can also cause lymph nodes enlargement, but usually it occurs in many different areas.I suggest her to do not ignore it. She should consult a doctor and have an ultrasound of it. If it is a lymph node, biopsy should be considered.Hope this will help.Regards. | 69,463 |
On nebulizer course for asthma attacks, had ear infection, advised steroid, inhaler, no improvement. Solution? | Patient: I was using my nebulizer for my asthma as directed by my doctor when it caused me to have an asthma attack. The side effects of the treatment have been getting progressively worse over the past couple times. My mom had to unplugs the machine because I was shaking and not breathing. It stopped after about a minute of being off the nebulizer and breathing (trying to) deeply. Over the past month I ve had an ear infection , been on two different antibiotics and just finished an round of steroids to try to stop my coughing. My doctor has been trying the aggressive method to combat this by giving me the steroid, taking my ProAir inhaler 4-6 times every 4hours, a Flovent inhaler twice a day, along with using a nebulizer once a day. I haven t gotten any better and this method I ve been using since Monday...I was told I was supposed to feel much better by now. I feel the same and am extremely exhausted. What else should I do? Doctor: ASTHMA IS ALWAYS ALLERGIC WHEN IT IS NOT UNDER CONTROL IT MEANS IT IS DUE TO FOOD PROTEIN MAY BE MILK POTATO WHEAT YOU GET BLOOD SERUM TESTED FOR MILK AND WHEAT TILL THE TESTS I ADVISE YOU TO TAKE TAB SINGULAR 10 MGM TDS SY VENTROLIN 1/2 TSF TDS SYP TOSSEX 1/2 TSF NIGHT AND INHALER SOS DO FOR 3 WEEKAND CAN POST AFTER TESTS | 105,190 |
Why my wife is vomiting blood? | Patient: Helllo MY wife is 30 years old...She had TB before our marriage and was under treatment and she even got Ok....but few days back she had complaint of pain in back of upper shoulder,no fever nothing..Dr.advised to do Xray and they told that it has been relapse n she was given medicine but now she is vomiting pure blood....no cough,no fever.. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, she is having hemoptysis (blood from the lungs). Since she is suffering from tuberculosis (relapse), hemoptysis is not a good sign. Hemoptysis is suggestive of drug resistance tuberculosis. Drug resistance tuberculosis is commonly seen with relapse cases. So better to consult pulmonologist and get done sputum AFB culture and sensitivity report. This will diagnose if drug resistance is there or not and sensitivity report will guide about effective anti tubercular drugs. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further Wishing good health to your wife. Thanks. | 75,800 |
How to treat frequent urge for urination with burning sensation? | Patient: I have had the strong urge to urinate and when I go to the bathroom only a trickle comes out and it burns this seems to be a pattern since last night and I've found myself running to the toilet every 10 min or so, I drank a whole bottle of water and that let me urinate a little more but still I feel like I have a full bladder. I thought my period was over two days ago but the last time I went pee there was bright red blood on the tissue , is there something wrong with me that I need to worry about ? Also I have had this feeling in the past (but always thought it was due to sex , but I haven't had sex in about 2 months) but the blood is a new thing please help Doctor: Dear madam, your symptoms are suggestive of probable urinary tract infection or stone in urinary tract. Better to get urine analysis, urine culture and sensitivty and uitrasound abdomen and pelvis. These tests will help us in coming to conclusion. Depending on these, treatment can be started. Better consult nephrologist/urologist. Hope u find this informative. | 49,143 |
Will the hard rigid band around the shaft disappear after a circumcision? | Patient: Hi, I was wondering if you could help me please. I had a circumcision 3 weeks ago and all the swelling seems to have gone, but I have a hard rigid band around the shaft where the scar line is. Will this dissapear in time ? Or will it stay there? Thanks Doctor: Hello Thanks for query.You have undergone circumcision very recently and have noticed hard band at the site of suture line .This is normal scar that will get resolved within a period of three months as the inflammation gets resolved gradually.Dr.Patil.. | 199,084 |
Suggest treatments for lump on the upper arm and elbow | Patient: Hi I am a 30 year old female.. I have found a lump on my upper arm right side about a year ago it is about the size of a pea.. here recently about 6 month ago I found anoth on my right arm forearm just below elbow tonight I found another close to the one by my elbow ....should I call my dr? my uncle had lymphoma just not sure which kind and there are other forms of cancer in my family as well...should I be worried? Doctor: Hi, thanks for writing to HCM.From your given description, I don't think that the swellings are of malignant nature. If the swellings are rapidly growing with change in colour and consistency, then they need to be investigated for any possibility of malignancy. Tissue biopsy and histopathological examination will confirm the nature of the swellings.To be on the safer side, I suggest you to consult your family physician for a detailed clinical examination and further evaluation,if needed.Hope this information is helpful. Good day | 157,232 |
I have been suffering from chronic Urticaria/ atopic dermatitis, kindly advice | Patient: I am 62 yrs old(Male). I have been suffering from chronic Urticaria/ atopic dermatitis since 4 yrs. I am taking levocetirizine tab for 3 yrs. How long can I continue to take this tablet ? Doctor: Hi welcome to HCM forum Tablet levocetrizine is safe medicine. But all medicine has some side effects So longterm continuation of medicine is not recommended. And you can consult your dermatologist for newer medicine. Thank you | 106,060 |
Why do I have high hemoglobin level and hematocrit level as shown on blood work? | Patient: I am a 26 year old female whose blood work has come up with some things that have me worried. My RBC, Hemoglobin, & Hematocrit are all high. My MCHC is low.My WBC Esterase is 2+ abnormal, my WBC is 6-10 abnormal,and my Epithelial Cells (non renal) is >10 abnormal. I have a lot of history in my family with cancer. What does all of this mean and should I be worried? Doctor: hi, its all depend on your hb and rbcs level. how high is the level. and there are many cause other then cancer also which leads to high hb and hematocrit level. even simple dehydration can lead to that. and some serios disorder like polycythemia vera may be there. if your hb level remains persistently high then you should consult hematologist and take treatment accordingly. go for regular check up and take treatment accordinglt if needed.thanks for using health care magic. | 117,722 |
Suggest treatment for low heart rate | Patient: I have been experiencing a low pulse rate of around 42 beats per minute, I am 58 years old have a history of High blood pressure, never a pulse rate problem until about 3 weeks ago, since then it s been ongoing, I am aprx. 30 pounds over weight, but am working on it, I have always watched my salt intake and drink very little caffiene. Doctor: Hello, I would explain that this heart rate is indicative of bradycardia. For this reason, I would recommend performing a resting ECG and cardiac ultrasound. Other tests to consider would be thyroid hormone levels for possible thyroid gland dysfunction and an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm trends for a prolonged time. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | 17,134 |
Suggest treatment for guillain barre syndrome | Patient: I was was told that I have Gillian barre syndrome. Apparently I ve had it for several months. By the time I was finally diagnosed, my symptoms are starting to lessen. I still have weakness , pins and needles, pain, walking problems and fatigue. What treatment do I need? Doctor: Guillian barre is an acute condition which fastly progresses ,within days it progresses,it starts from Toes and proceeds upwards ,so it can cause respiratory paralysis. Also sensory reflexes are gone.it is ascending type of paralysis.patient is admitted and treated with immunoglobulin and plasma exchange.But from ur history nothing can be made out to fit into this diagnosis.U may be having some other neurological disorders,which musted be tested laboratorially. Or it can be metabolic where blood testing can help .Kindly refer to neurologist. | 145,153 |
What causes reddish rash under eye in children? | Patient: My 2 year old boy developed redness under his left eye earlier in the day. By tonight the area below right eye became red too. No tearing or discharge, no fever, other rashes, or cold symptoms. Eating well, had a hard time goung to sleep but is sleeping now. Any suggestions and recommendations? Doctor: Hello, I have gone through your complaints and it seems to be eczematous in nature. I would recommend you to apply topical steroid like cortisone cream on the affected areas twice daily for 1 week. This should resolve it. Hope I have answered your query. Let me know if I can assist you further. | 13,954 |
What causes abdominal pain and constipation? | Patient: My 4 year old child, weighing 15kg has abdominal pains has abdominal pains on and off especially when feeding. She takes long when she goes to poo and at times nothing comes out. The initial poo is hard but the remainder isnt and is not bloody. Her doctor has been treating her for constipation with no much improvement. Any other possible causes Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your child have symptoms of abdominal pain and constipation. Well there can be many reasons for symptoms you mention in query like food poisoning, inadequate fibres in diet, lactose intolerance, intestinal Ileus or due to electrolyte imbalance in body. Need not to worry. I would suggest you to consult gastroenterologist for proper examination. Doctor may order stool test , ultrasound , endoscopy along with that take history. Doctor may prescribe laxative , ornidazole or albendazole along with ranitidine. For now eat light and non spicy. Avoid spicy and sharp food and keep your head elevated while lying down. Drink plenty of fluids and take diet rich in multivitamins.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 169,721 |
Should Carbimazole be discontinued by me to conceive ? | Patient: I want to be pregnant ,yet i am on carbimazole. Should i stop the medication or it doesnt matter? Thank you. Doctor: hi sammy, welcome to health care magic, you need to shift to propylthiouracil a relatively safer anti thyroid drug in pregnancy.so once your pregnancy is confirmed stop carbimazole and get your thyroid profile done and start propylthiouracil in the lower doses.consult a physician who will tell you the exact dose as per your thyroid profile. | 7,045 |
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