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Have rash with puss on chest, lower abdominal pain. Had high risk encounters (gay)
I have had high risk encounters (gay) and have a rash with puss all over my chest does not itch but have had itfor about two weeks now. Also have this pain in my lower abdomin on the right side and left side, it moves from side to side. The pain seems to be worse in the early morning and at bed time. I'm married and worried as hell. I do not have sex with the wife but worried that I could pass something on to her or some one else. Help! | Hello, Thanks for the query to H.C.M. Forum.I would come up with these possibilities for this type of purulent discharge from the chest, these includes.1 Gonorrhea , diagnosis can be confirmed by gram stain & culture from purulent discharge.2 Syphilis tertiary stage, as you didn't mention the exact history so very difficult to say some thing . Diagnosis can be confirmed by treponamal test.3 Side by side pain in lower abdomen and more in the morning and evening is also due to s t d , as genitals may have involved.Diagnosis can be confirmed by V D R L test .4 May be pemphigus , diagnosis can be confirmed by C B C and physical examination by a physician.In my opinion get in blood for V D R L , c b c & esr and deal accordingly.Good luck. Dr. HET | |
What is the remedy to get a clear skin?
hello Doctor, I hv many more small holes and 3 big hole on my face bcoz of this my face looking dull and not good but my facecut beatiful please I humbly request u to give me a solution with natural way which I can do in my home itself and make my face ski clean and clear | **1. get yourself examined with relevant investigation, because appropriate treatment demands accurate diagnosis and diagnosis needs physician consultation. [In best Interest it will be wise to see a Dermatologist for proper evaluation and management and/ or with hormonal disturbances]2. stay away from the sun during peak hours [11 AM to 4 PM] or ensure a good sunscreen applied on the area to limit damages.. wash your face with Besan and luke warm water after coming from outside (best natural bleaching agent), removing excess sebum and dead skin cells, and acts as a deep cleanser.3. Potato acts as a very good bleaching agent, this would lighten the marks.4. Take two spoonful of gram flour, add a pinch of turmeric, few drops of lemon juice and make a paste with a spoonful of curd. Apply this pack regularly and you will notice drastic changes.5. Make a mixture of tomato juice and lemon juice, apply this mixture daily with a cotton ball. It lightens the skin tone and marks.6. i. Use fresh vegetables and fruits, stay hydrated (drink 10-15 glasses of water/ day)ii. Avoid: Sugar (in any form), caffeine, cheese, oily-spicy-dry-fried food, chocolates, cakes, iodized salt, soft drinks.iii. Avoid exposure of the skin to severe climatic conditions.PS. . take a proper guidance and follow up with a good dermatologist, get your vitamin B12 level checked, as its deficiency can cause darkening of skin. . To get proper result, you are suggested to use any cream for 3 to 4 months. You may ask for Prescription Drugs, maily: aloe vera cream, kumkumadi oil, khadira arishta,saariva assav. | |
Suggest treatment for coughing and loose motion
my son is having loose motion and around 7 yr in age i gave him emeset syrup in the morning but still loose motions are there as after an hour he is going to the loo . please advice as we are far away from good medical facilities only chemist shops are near by also coughing is there for the last many days. | The cause of vomiting and diarrhoea does not need to be treated. Continue Emiset. Give ORS to correct dehydration that can occur.For the cough, giving steam inhalation would provide relief by diluting the cough. Adding an antiallergic like levocetirizine would have been helpful. | |
Is lower back pain and blood in urine sign of cervical cancer?
i had a pap smear about 3 mths ago and it came back with an unusal reading. ive also has a tiny bit of blood in my urine at times just recently. i was admitted to hospital in nov last year with severe back pains, a uti and bad fevers. they did a cat scan and everything seemed to be fine at the time. They kept me in hospital for a week because i had such low blood pressure and the infection pretty much taken over my entire body. Ive been making trips to the doctor ever since for kidney pain and uti's. i am on my ninth course of antibiotics. When i am on the antibiotics i feel better but all the sysmptons come back usually within a week or two at the most. no one can tell me whats going on yet. i am on antibiotics now, taking cranberry juice etc and cannot sleep for the pain in my lower back on one side (kidney) have a bad feeling that i may well have cervical cancer? would this have shown up on the cat scan? what's your opininion? | Hi, dearI have gone through your question. I can understand your concern. Your back pain is due to urinary tract infection. You should go for culture and sensitivity test and take antibiotics accordingly. It will help you to eradicate infection. Your pap result is unusual so you should go for cervical biopsy. Ct scan can not detect early stage of cervical cancer. However your symptoms has no relation with that. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Is there any cure to Asthma ?
Sir, Is there any cure to eradicate ASTHMA permanently.If so how ? | no cute to asthama it can only be controlled and not eridicated | |
Can i use glyco with mela glow
Hi I am using melaliteXL cream for the last one year on the suggestion of one doctor,I am applying it alternate days in night time,I had become fair and till now i didnt face any problem,but after reading the reviews that melaliteXL is not at all a gud cream and also if we stop the cream usage skin becomes the worst i am afraid even to stop,please suggest me how to avoid this cream,also the same doctor had suggested me to use BAN A TAN cream in morning times,is it a good cream?? | HI, risk of cancer with melalite XL is very low ( basically due to its hydroquinone content). this problem has been over emphasized in medical literature. I have not seen any case in my experience. But yeah there may be other problems like ochronosis due to prolonged usage and also rosacea (as pointed out by dr chawda). you have done the right thing by stopping melalite XL. it a drug and should not be used just for fairness. Now you can use a sunblock cream/lotion/gel twice daily and melaglow at night. ban a tan is Ok but has a camphor like smell and may a litlle irritant to the skin too. As for your query regarding using glyco A and melaglo simultaneously, the answer is yes you may use it, but I do not see any need for it. use wither of the two at night. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Could rectal bleeding, stomach pain and nausea be due to endometriosis?
My 15 year old daughter has had bleeding twice in toilet around the stool but not in it. I think she possibly has endometriosis because her past symptoms as well I have it. She has had pain in her stomache nausea with her period right before and after since age 12 before puberty. I took her to the er yesterday and they just labeled it gastroenteritis because they found no blood with rectal exam. Any idea? I and my sister have endometriosis. Tina | Hi dear,I understand your concern. If she doesn't have hemorrhoids and fissure of anus,then perform ultrasound of ovarium and uterus to rule out endometriosis. Hope I answered your question. Don't hesitate to write us,I always happy to help.Wishing your daughter good health | |
Will muscle twitches and joint pain make me paralyzed?
I am 47 y.o.lady-MRI results 2010 indicate:L2-L3 mild broad-based disc bulge w/central annular tear/L3-L4 same,no tear/L4-L5mild broad based disc bulge,right distal foraminal annular tear w/superimposed focal disc protrusion-which does contact the L4 nerve root.I am now weak in my legs,my leg muscles twitch,my lower back is in horrible pain,hips ache and my knees,even elbows pop.I am afraid will I become paralyzed.I am chronically fatigued.What should I do? | Hello, Your symptoms could be related to L4 root compression. For this reason, I would recommend consulting with a neurologist for a physical exam and performing nerve conduction studies. Surgery may be needed. In the meantime, I would recommend holding a lumbar brace when walking and having some rest. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ilir Sharka, Cardiologist | |
How can nose bleed along with headache and fever in a child be treated?
My 4 year old has the following symptoms. Nose bleed, head ache , fever right now Over the last couple weeks she has had , a throat infection, yellow puss from her eye, fever , vomiting, hives head to toe! | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You need to visit a doctor to eliminate causes like nasal polyps. Nasal pack might be needed. The cause needs to be identified. Hope I have answered your query. Let me know if I can assist you further. | |
What is the treatment for swollen and painful knee?
I am 46 years of age, 5 ft 3 in tall and am in good overall health. Approximately two years ago, I was at the beach coming out of my room, located on the 3rd or 4th floor, I was stung by something and immediately turned around and went back to the room. The sting or bite was painful, swelling up to my knee. I was bit or stung on my left foot leaving a three-prong bite or sting mark on my foot. I immediately put benedryl creme on my foot up to my knee. Some of the swelling went down after an hour or so. But it was still painful and swelled. I was ok for the rest of the trip | Hi, The effect of sting or bite remaining for 2-3 years is not possible, these are usually antecedating event which leads to unmasking of underlying pathology cause for knee swelling and pain may be infective or inflammatory in origin. You need to get a complete blood count along with arthritic profile, and if required after the results of blood tests knee aspiration and testing to be done furthermore to make a diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon | |
Q. Ever since I got the Nexplanon implant, I have two periods every month. What to do?
I’ve been on nexplanon for a year after my first baby. Every since the implant I have 2 periods every month. Before I started birth control I was regular. I knew exactly when I was starting my period. Recently my doctor told me to take birth control pills while on nexaplanon to see if it would decrease my periods. I’ve been taking the pills for a week straight and my period has been on for 8 days which isn’t normal. My period is heavy, light, it’ll stop, then start again. I don’t know what I should do. I just want my period to go back to normal | dear welcome to iclinq. com Implanon is associated with altered bleeding patterns. generally it settels by a year time... 15 to 17 percent may continue to have very heavy n long cycle after implanon( this is becos of the progestronic effect on endometrium) ... do take hematinics as heavy bleeding may result in anemia.. 1) continue the pills as advised by your gynec for a month and see for changes in pattern 2) If it does not reduce even after pills support you need to meet your gynec for alternative methods of contraception after removing it.. Regards due to the hormonal( progestronic) effect of nexplanon on the endometrium 1) reassurance,2) hematinics, 3) To continue pills plus nexplanon ,x 1 month... 4).. Think about removal if it's too cumbersome.. | |
What is the stinging like pain in the place of the heart?
Hi I have been experiencing a stinging like pain in the area of where my heart is for a while on and off and recently it has been happening more often throughout the day. It can come at any time, eg when driving, cooking or just watching tv? Was wondering if should go to the doctors? I have low blood pressure. Thank you. | Hello!Welcome and thank you for asking on HCM!I read your question carefully and understand your concern. It is important to perform a differential diagnosis between different causes of chest pain related to the heart, chest, muscles, soft tissues, bones, gastro esophageal junction etc. Is this pain triggered by respiration or body movements? This would indicate a musculo skeletal pain. What are your heart rhythm values? How long does this feeling go on? I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest X ray study and some blood lab tests (complete blood count, PCR, sedimentation rate, kidney and liver function tests, blood electrolytes, etc.). A fibrogastroscopy may be needed to exclude possible gastroesophageal reflux, is suspicions are raised. If all the above mentioned tests result normal, you should take into consideration anxiety as a possible cause of these troubles. Hope to have been helpful!Greetings!Dr. Iliri | |
Suggest alternative medication for cancer in lymph nodes
Hi, may I answer your health queries right now ? Please type your query here... dear dr. sir, i was affected by periampullary adenocarcinoma (grade II - III) underwent surgery during january 2007. whipple pancreatico duodenctomy. chemo was given in march 2007. radiotion given on dec 2007. now pet ct shows: impression:consistent with active metastatic lymphnodal spread.CA 19.9 increased from 80,116, 143now. what to do sir.which alternative medicine best other than allopathy. | HiAs the cancer is metastatic in nature my suggestion is to stick to allopathy as no other pathy has documented proven cure of the metastatic cancers. | |
Could sharp pain in the ribs along with constipation be related to liver disorders?
Every so often, I get a sharp, intense burning pain on my mid, right side, below my ribs. It only lasts a few seconds, but happens about 3 times in a short period of time. I do drink alcohol, but not everyday. (weekends or socially) I do notice the pain the following day after I drink wine. Maybe 2 glasses. Not sure if related or coincidence. I also am constipated or go very minimal frequently. Just curious if this is my liver? no fever or other symptoms. (45 yr -female) | Hi, dearI have gone through your question. I can understand your concern. You may have some liver disease. Specially if pain is precipitated after drinking of alcohol so it suggest some liver problems. Ypu should go for complete liver function test and ultrasound abdomen. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Q. Are there any treatment options available to stop the progress of cataract ?
Hi doctor, My mother is suffering from rapidly progressive kidney disease, for which she is on Prednisone for last 4 months. As a side effect of the drug she is developing cataract in her eyes. She usually wears prescription glasses but recently her eye sight improved and upon examination her doctor said she is developing cataract although it is minor at present. They prescribed some eye drops and watch for any changes to see if she would require any surgery. Are there any treatment options available to stop the progress of cataract or treat it without the surgery? Thanks. | Hello. I understand your concerns. 1. Age related. 2. Side effects of drugs (steroids). Wear glasses at present. Revert back with the photographs to an eye care ophthalmologist online.---> | |
What does liver of metastatic adenocarcinoma indicate?
I m 39 yrs old, 4 11 in height and 113.8 pounds with biopsy result in my liver of metastatic adenocarcinoma and positive of hepatitis B. recieved the result of my LDH is 371.0 and CA 125 is 16.80. what is your empression about my LDH and CA 125 result? | Hi there,Thanks for posting in HCM,Your LDH is on the higher side. The CA 125 is not significantly raised.Metastatic adenocarcinoma in liver means, you have a cancer elsewhere and it has spread to liver. Since the cancer is an adenocarcinoma, the most likely site is colon from where it would have spread to liver. You can get a colonoscopy test done to look for cancer in the colon.I hope that answers your query.Regards, | |
Suggest treatment after dog bite
Hello, I got a minor dog bite this evening its just like a finger nail mark but a little bit deeper under my chin where I had previous stitches from a dog bit when I was 2 years old ( 18 years ago) . Its hurts around it but the bite itself is tingling and numb on and off since. Not sure if I should be worried or if its just because its fresh , I have put polysporn on it and a bandaid. | HIThanks for posting your query to Healthcaremagic. First issue is whether you should get Rabies Vaccination or not ? Was it a pet dog or a Vaccinated Dog ? Can you observe the dog for 10 days. If the dog is vaccinated or if nothing happens to the dog in 10 days then no need for Rabies Vaccination. But if the dog dies within 10 days then you need to get Rabies Vaccination for you. Also get a Tetanus Shot for yourself . Hope this answers your query. Hope you find this information useful.Any clarifications or Queries feel free to ask. Happy to help you. Regards. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
How to treat urinary tract infection?
i have been suffering from urinary tract infection from the past two weeks.my doc had prescribed some cream based tubes for application but they did not help.i have an increased need to urinate and also have a strange burning sensation all the time,could you advice some antibiotic tablet for easy cure,im in a lot of distress. | Dr. Hanif warmly welcomes you!Thanks for consulting at my virtual clinic. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns.Stop using creams. Its not needed at all.If I was your treating physician I would have prescribed you Nitrofurantoin antibiotic if not allergic to. Plus Cranberry juice for relief of burning sensation.You need prescription after an in office visit to your physician for the same.Hope I answered all of your questions. In future, if you need further, detailed and quick assistance on any health issue, feel free to ask me a question by writing my name as a reference in the start of your question. I will get back to you right away. Have a wonderful time ahead.Regards!DR. MUHAMMAD HANIFUSA | |
Should i meet doctor for small hard lump on foot of a 4 year old?
My 4 year old has a small hard lump, almost wart like on the side of his foot. Tonight he has jumped off his bed and taken the top off it which bled profusely. We have managed to stem to bleeding and wrapped it up, should we take him to the doctors? | Hello. I just read through your question.It's a good idea to have your doctor look at it. Depending on what is seen, there are treatments for various types of skin lesions. | |
Suggest treatment for immobility in legs after an accident
Hi three month ago I had a car accedent and my tow year child injored and brook his right leg from upper his knee and now his leg is ok but he can not move his booth leg the doctor saye he has problems in breath after espanding more money no good result what can I do? I have medical report too | hi.sorry to hear about your son.by 3 months the broken bones would have got repaired.but you say he still not moving his legs.do he have any nerve injury.if he has any problem with sensation below knees.try to consult a orthopedician and neurologist.they may rule out other problems and may suggest physiotherapy.good luck to you | |
What causes red bumps on the buttocks of a child?
My 3.5 yr old - who is potty trained for some time now, has red pimples like bumps on her bum cheeks that will not go away., They have been there for weeks now, I have tried polysporin type creams & nothuing seems to help. They are not painful, they do not have fluid in them, they aren t itchy, but they will not go away. I don t know what it is???? I haven t changed detergents, no new oods, no different panties..... any thoughts? | Hello, Possible causes like molluscum or acne must be ruled out. It will be better if you attach a picture in the follow-up query. Generally, the lesion will settle by itself. If lesion persists better to consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Q. What can be done to cure joint pain with muscle tenderness?
Hello doctor, I am a 26-year-old female. I have joint pain in widespread bilaterally in elbows, knees, and ankles. I also have muscle tenderness on my neck and shoulders and back pain from a herniated disc. I take Diclofenac 75 mg PRN for pain. I have had laboratory work done and I have seen a rheumatologist. My initial labs: ANA positive 1:160 speckled. CRP was elevated. My anti-DS DNA, CCP and RA factor were all negative. Secondary lab work through ELISA showed negative ANA and all other autoimmune laboratories were negative except for positive anti-phosphatidylserine/Prothrombim A at 44 units. Slightly low vitamin D but I take supplements. I eat a plant based diet and exercise twice a week. My other medical history includes depression and anxiety for which I take medication. My question is despite my labs being negative, why do I still have joint pain and muscles aches? | Hi. I would like to ask you a few more queries: 1. Is your sleep pattern fine? Morning fatigue? 2. How frequently are you taking Diclofenac? 3. Any hair fall/oral ulcers/dry eyes/dry mouth? 4. Any recent irritability or forgetfulness? 5. How much was the level of CRP you had mentioned? 6. A personal question: But is there a particular reason for the depression? Any family history for endogenous depression? There can be many reasons of pain. We need to distinguish if it is inflammatory or non inflammatory. Alone ANA positive may not imply much here. We have to see if it is impacting your system as well. | |
What cause congential polycystic disease?
I am having flank and back pain on my right side. I had both an abdomen MRI and ultrasound done last week. The MRI showed a 1.8cm complex cyst mass with hemmorrhage and proteinaceous debris. It also said unspecified congential polycystic disease. What should be my next steps? I have had this cyst for almost two years now. In March of 2010 it was said to be an irregular renal mass. I also have from ultrasound, a 5mm polyp on gallbladder. Is this causing the pain? Thank you, | further evaluation of these are essential with corelation to clinical symptoms, confirmation with FNAC/biopsy.The specialist surgeon might then treat accordingly-Depending on pathology surgical removal may be asked for.some more tests like upper gi endoscopy,urine, stool examination for any blood may also be needed.So get appoint with surgeons | |
What does cutaneous T cell lymphoma looks like?
I was wondering if there is a site I can go to, to view pictures of what cutaneous T cell lymphoma looks like. I have some marks on my stomach that I think are suspicious and they itch and never go away. Recently they have increased. I d like to see some pictures of what plaques look like so I can compare it to what I am experiencing. | Hi,Thanks for writing in.The two common forms of cutaneous T cell lymphoma are mycosis fungoides and Sézary syndrome. The clinical features in this condition might vary. In mycosis fungoides, there is nonspecific dermatitis, patches on lower trunk and buttocks; minimal itching, however there can also be plaques that are intensely itching. Sezary syndrome can cause edematous skin with reddish discoloration of the skin.You must consult a dermatologist immediately to confirm your condition. Pictures can overlap in many diseases and to the untrained eye this can lead to confusion. Please do not rely on making a self diagnosis with pictures. Early treatment should not be ignored if your condition involves a serious illness like malignancy of cutaneous T sell type. Please do not worry. | |
Suggest treatment for cough problem with blocked nose in children
My daughter Avani is having cough problem with blocked nose in the night mainly. She also feel itching in her nose. Since last three months she is having this problem every month and now her doctor is saying that she is asthematic and she has been prescribed ventorlin. | I understand your concern. If there is no relief with ventorlin I would consider allergic cough especially as she had nose block and itching. My suggestion is to start her on a Levocetrizine and montelukast syrup or pediatric tablet based on her age and weight. As you have not mentioned the condition after using ventorlin I cannot draw a definite conclusion. IF there is relief with ventorlin at night the cough is cough variant asthma which is common in many children called Hyper reactive airway disease. Otherwise it can be allergic cough which I have seen responding well to montelukast and cetirizine combination. Regards and get back . | |
What is the best cure and exercise for a woman suffering from L4 and L5 dislocation?
what is the best cure and exercise for a woman suffering from L4 and L5 dislocation..she can t walk and not able to stand on her own..she also have diabetes .. | Hi, L4-L5 spondylolisthesis with neurological deficiet, As in your case , needs spinal fixation & decompression. Get operated as soon as possible, delaying it will compromise result. Contact me at drsssoni@gmail.com | |
Suggest remedy for itching and soreness in scrotum and white spots at the end of foreskin
Hi I am 15 years old and 3 days ago my scotum felt itchy and the next day a wee bit sore and itchy then I decided to look at it and on the left and bottom part of the scotum were it was there was a red circle about the size of the thumb fingernail. At first i just thought it was a rash but then the next day it was just sore and I took a better look at it and there is tiny tiny deal red spots inside the circle and in the middle there was a tin tiny darky yellow coming outwards. None of it's like pimples or anything I see on images. At the moment it's quite sore if I touch it help me please I am embarred to ask my parents about it, is there another solution. Also I have really tiny White spots on the end of my foreskin and no where else they aren't sore or anything but they are really noticeable when I pull the foreskin back. I've had that for about three quarters of a year now thinking it will go away but it hasn't please help. | Hi, I have gone through your medical history carefully and understood your concern. The itchy and sore scrotum with red dots with darky yellow discharge coming out are suggestive for possible bacterial infection. You can ask a premium question and send to me a photo of your scrotum for a more specific opinion. I advise to:- keep good local hygiene- wash with warm water and soap- do not scratch- do not share your utensils with other's- apply anti-bacterial lotion you find OTC at your local pharmacy mixed with hydrocortisone medicationIf no improvement within a few days, should consult with dermatologist as you might need specific evaluation and treatment. Wish fast recovery!Dr.Albana | |
Suggest treatment for sacroiliac joint dislocation
My chiropractor says my sacroiliac is out of place on my right side with pain reaching around to my hip and abdomen. Chiropractic adjustments have helped a bit but after 5 of them in 6 days I usually would feel better. What else can I do to heal or put the joint back in place? | hiYou should be consulting an orthopedic surgeon and have an MRI done for exact diagnosis and position of sacro-iliac joint.Dislocation is rare but happens mainly after severe trauma.This should be diagnosed as early as possible and treatment depends on exact finding on MRIthanks | |
Suggest treatment for cough in infant
6 months old male infant, presenting with cough of a week duration. cough worse at night but does not disturb sleep. Nil any other symptoms or sign. Immunization up to date aside from receiving BCG a bit late (6 weeks of age) following which he developed an abscess at the injection site which resolved spontaneously without treatment. healthy with a left arm BCG scar. all systems essentially normal. What advise would you give the parents | Hi,Welcome to HCM.I have read your question in detail and i know that you are very concerned about your child but don't worry.Since, child has only cough and no other symptom, it looks like a viral infection or URTI (upper respiratory tract infection.In my opinion, you should give cough and cold drops like asthakind-p 0.5 ml three times a day for 3 days.If cough is not improved in 48 hours or child has fever or fast breathing, then probably the child needs to be given antibiotics.Review after 2 days.I hope this will help you.Take care. | |
Suggest treatment of frequent incomplete urination
hi i'm getting urine problem feels like I always have to pee and seems like at the tip of my clitoris is always holding onto some pee so bad that when I push to release the sensation inside my clitoris is strong not painful but very very overwhelming sensation and even after peeing feels like I have to pee in seconds and my right side is in pain about where my kidneys would be I have been getting chills for a couple of days this has been happening going on third day now please help | hifrom the symptoms you have mentioned above you need to get a urine test done to rule out an infection and also get a blood sugar done to rule it out.you may require to be on a course of antibiotics to sort out the problem after doing a urine test.hope to have answered your query.thanking you. | |
What causes shooting pain in back and lower abdomen while bowel movement?
It seems I hurt my back yesterday. It didn't start hurting until later in the night with spasm like occurrences in my lower back. But my real concern are 2 things..... when I have a bowel movement the pain is unbearable and I getting shooting pains in my back and lower abdomen. No pain when urinating although I can still feel the back pain slightly. Also, my left leg has been going numb for about 3 weeks now. It just started out of nowhere. It usually happens when I am on my feet in the standing position for more than 15 minutes. The numbing does not usually occur when walking. Also, the back pain is more prominent when lying down. It goes almost unnoticed when walking as well. I don't have insurance so I haven't been to the doctor. Any thoughts? | HI NOt having insurance can not be an excuse not to get investigated and treated. Who else other than you should be responsible for your problems- only you. Well, coming tto the problem you have- this looks to be a case of inter-vertebral disc problem that is causing increased problem on BM, as the muscles go into action and then spasm at every BM as a normal phenomenon , but in your case due to spasm you get pain. I would advise you to go for MRI of the spine to find out where the disc is as you have problem with the lower limb as well and then decide what is the best treatment | |
Is shivering sensation in thighs, legs and arms side effects of Amlong and Rivotril?
I am taking Amlong 5 twice a day along with Rivotril at night say since last 45 days.I am not monitoring my BP now. Sometimes i get the shivering like sensation in my thighs,legs and arms for sometime and then disappear suddenly which never happened prior to taking the tablets.Is it normal? please answer. | Hi,Clonazepam is generally used in treatment of seizures, panic disorders, anxiety and also in treatment of sleep disorders. Unsteadiness, trembling, or other problems with muscle control or coordination can occur as a side effect or also as a withdrawal effect in some patients on stopping the drug. You can discuss with your doctor for a change of drug if these symptoms are troublesome.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician | |
Is Meftal and Calpol, effective for fever in children?
hi doctor,iam from QATAR.My son4yr.6 months having fever since morning 38.5 degree.given calpol syrup 10ml at 5.30pm but still fever same and he had meftal tab 250mg(1|2tab)at 2pm .can i give now any medicine for him and meftal and calpol same content | Hi, Please don't give Meftal and Calpol alternatively. Meftal causes interstitial nephritis. Calpol is a paracetamol, you can give that but should be given once every 6 hours. If fever is not reducing, get blood investigations on 3rd day of fever to look for viral illness, bacterial or urinary tract infection. Calpol overdose can cause acute liver failure. Please be careful with medications to reduce fever. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prasanna Lakshmi, Pediatrician | |
What causes little bumps on penis after unprotected sex?
I m 20 year old male married never cheated on my wife one night after unprotected sex I awoke and found littke bumps on my penis they don t hurt or amything a day later they had scabs on them I m wondering is this an std I went to the doctor before and was treated but was never told anything | HelloThanks for your query,based on the facts that you have posted it appears that you have developed infection of the glans penis .This is most likely to be due to allergic reaction to acidic vaginal secretions of your wife who is likely to have vaginal infection.(Vaginitis)Please get her examined by qualified Gynaecologist and treat her as per his/her advice.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil. | |
What is the treatment for a child suffering from sore throat, cough and fever?
My 4 year old has had a low grade fever for 5 days now. It did spike to 103.1 on Sunday so we went to the ER (due to the holiday her pediatrician's office was closed). She's also complained on and off with a sore throat and she's had a slight cough. They did a strep test and a chest x-ray. The strep test was negative and the x-ray looked great. They said it was viral. They did give an antibiotic just in case, but we haven't given it to her since she's playing fine, she just lies down when the fever gets to 100. My 2 year old also started running a fever and is now a little hoarse so I do assume it is a virus, but just wondered if it's normal for the low grade fever to continue. My 2 year old only had fever for 2 days and then it seemed to pass. | Hello. I just read through your question.Though fevers due to viral illnesses typically last 2-3 days, they can continue for longer periods of time. As long as your daughter is otherwise well, there is no need to be concerned. | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Done abortion. Prescribed Femilon. Scared that it will cause problems conceiving
I am married for 1 year.In January I had unwanted and unplanned pregnancy so we got it aborted within 44days only. After that everything was checked and was normal. Doctor suggested me Femilon but I am scared that after this abortion and then using Femilon as oral contraception will I have any issue in conceiving may be after an year | Hello mam, femilon or rather all oral contraceptives are safe against abortion but at times ovulation is delayed for another 3-6 months even after the drug is stopped. But that is not in all the cases. In my opinion you can opt for it because it is one of the safest and sure method of contraception. All the best. | |
Having shoulder pain, should I avoid lifting weights?
hi I have very sore shoulder pain...........I am on a statin at a high level............I work out 2 times a day............either gym at noon and hockey at nite,,,,,,,,,,,,my right should is really sore...........I am 53 with a history of two hearth attacks............should I avoid lifting weights......or just certain types of weights............ | Hi. Sorry to hear about your problem. As far as your question is concerned. Perhaps you know the answer already. Yes if you are having some thing wrong (infection/inflammation) with your shoulder joint, it is a wise choice to give some rest. Its better that you should visit a local orthopaedic surgeon (for investigations for confirmative diagnosis of shoulder joint pathalogy and an appropriate prescription most probably of anti inflammatory agent). Also you mentioned two episodes of having heart attack. So as being a cardiac (ischemic heart disease) patient, its better to refrain youself from vigorous exercises (hockey) and heavy weight lifting. Such type of activities can provoke further cardiac event. I would suggest to have some brisk walk rather than these excercises. Hoping these few lines might help you. Wishing you best of health. Regards. | |
What causes recurring fever in a child?
My son is two and four months old. From last one month he is getting recurring fever after every fortnight which stays for two days to three.Had got his urine test done. Routine shows 2-4 h.p.f pus cells and a few epithelial cells.waiting for the culture report. | Hi Dear,Welcome to HCM.Understanding your concern. As per your query your son is having symptoms of recurring fever which is due to impaired and reduced immunity of body. Presence of pus cells in urine is clear indication of infection to child. Need not to worry about it. Avoid cold carbonated beverages. You should get stool culture done as well. Take diet rich in fruits and multivitamins. Visit pediatrician once and get it examined to find out the cause of fever after thorough investigation. If required request your physician for any lab tests which may be required and start treatment as per that. You can take Crocin as well every 4-6 hrly. If symptoms still persists go for blood tests and then start treatment as per that. Take antipyretic drug such as paracetamol and along with that do tepid sponging in between depending on intensity of fever. Hope your concern has been resolved.Get Well Soon.Best wishes,Dr. Harry Maheshwari | |
What causes soreness and heaviness in the arms?
My arms are feeling sore like I have worked out or something. They have started now feeling like they are heavy just to pick up something or even to get dressed. I do work with my hands all day at work but have been doing the same job for over 4 years and have been out of work the last week so it's not work related. | Hello,The symptoms seem to be related to muscle overuse. I suggest to use a muscle relaxant such as Baclofen three times a day. I also suggest using a magnesium supplement for muscle relaxation. I recommend to avoid activities that can trigger the symptoms.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Is conception possible while suffering from cold and fever?
Dear doctorMy period date was on last month sixth..after that I tried to get concieved..but got stuffy nose and small fever and had one calpol one day,and one dolo 650 for two days..fever occurred during ovulation time but we intercoursed..will this affect the embryo if am concieved..next sixth is my period date.. | Hi there,I will suggest you the best possible treatment options.First of all do not panic.As such there is no gross adverse effect of fever on the conception.Secondly, tablets that you have taken contain plain Paracetamol, which is proved safe drug. As you are about to get your next menses,I will suggest you to wait for the same. If you happen to cross your dates, please get urine pregnancy test done on morning's first sample of urine. In case of any doubt, blood beta HCG test and USG will be of help.Please start on Folic acid and vitamin B 12 supplements as you are planning to conceive.This helps prevent various complications during pregnancy and delivery and fetal anomalies.I hope this answer helps you.Thanks.Dr. Purushottam Neurgaonkar | |
Suggest treatment for flushing of face,neck and upper arm with hereditary hemochromatosis
I am a 42 yr old female 5ft 1in and 145lbs. I was diagnosed with hereditary hemochromatosis about 2yrs ago, and did blood letting for 6 months until i was taken to an anemic state. i have had flushing on my face,neck,chest and upper arms and this horrible strangling feeling when the flushing happens, which is about 6 to 15 times a day. i am so tired and losing hair. i also have a moderately elevated white count and platelet count of unknown cause. wbc 14.9 platelet of 451,000. i have been checked for lupis,carcinoid syndrome,hystamine reaction and porphyra. please help, this has been going on for 7yrs | Hi, dearI have gone through your question. I can understand your concern.Your flushing of face may be due to your hemochromatosis. Phlebotomy is the treatment of choice. It should be done on regular interval to reduce the iron load,. Iron chelator like deferasirox is useful to reduce iron level. You should also go for ultrasound abdomen and liver function test. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
Suggest remedy for dog bite
Hello sir A stray puppy i adopted him I vaccinated only distemper and parvo vaccine not rabies vaccine.vet has given 25 day due date for rabies vaccine.. puppy is around 3 to 5 months scratched me on my leg when he was exited .i went to doctor after 3 to 4 days . The doctor gave me tt injection and anti rabies vaccine...After 2 days puppy jumped at me bit me in stomach with teeth the wound is not deep only nip mark No blood flow. Do I need another anti rabies vaccine....? Help me I m in confusion. .. | Hello,Welcome to HCM,Dogs are known reservoir of rabies virus and can transmit to human beings by biting. Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment.As there is no bleeding from the bite site, according WHO categorization it is categorized into Cat II. So cat II bite should receive following treatment.1.Wash the wound thoroughly with soap and water.2.Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3.Inj TT, 0.5 ml, IM4.A course of Antibiotics like Tab Augmentin, twice daily for 5 days.As you have been given Inj TT and started anti rabies vaccine continue the same.Thank you. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Q. What is the treatment for alcohol and smoking addiction?
Hello doctor, My husband is addicted to alcohol and smoking. What treatment is recommended? | Hi. First of all, treatment for alcohol addiction and smoking is a self-decision and self will. If he is willing to stop, then you can take help from de-addiction centers for medicines. To reduce alcohol craving, I would suggest Acamprosate along with Etizolam for withdrawal symptoms. For smoking cessation, Buspirone can be helpful. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Again the only concern is that the person should be willing. For more information consult a neurologist online --> | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
What causes sweating with blurred vision and fainting?
hi i woke up in the middle of the night needing a wee so i got up and went to the toilet by the time i had got to the bathroom my legs had gone wobbly, so i sat down on the toilet to have a wee, and started sweating and my eyes where going blurry, stood back up pulled my trousers up then i woke up layed on the floor not knowing where i was, with a headache, now i feel sick and still have a headache as i hit the back of my head, this is not the first time i have passed out | Hello,thank you for your question.i am very sure what your problem is with the detailed information you provided.You have Orthostatic Blood Hypotention.That is low blood pressure immediatly after chanching position from laying dow to standing. That casuse rapid decrease of blood pressure that afects you brain and you faint and lay down. Propably you hited the head on the floor and that is why you have head ache.To avoid this problem you should not raise or stand immediatly but first stay in sitting position for few minutes until your body adapts with this position and then you can stand.Also you should drink a lot of water or liquids during the day so your blood pressure increases. Coffee and cola have cafeine that helps to increase blood pressure.i hope with this new advice your problem will not occurr again. | |
Can pregnancy happen after having unprotected sex?
hello me and my girlfriend had unproductive sex yesterday for the first time , i don t thing i cum in her but i i am fearing that will she will be pregnant , i am thinking to give her an ipill so she can avoid pregnancy , her period time cycle is 30 days and she had last period on 2nd of this month and she told her next period may come after 1 week ....... are there any chances to her to get pregnant | Hello dearI understand your concernIf you have dis sex before the 7 days of the period then there is no chance of the pregnancy. ( as it has 30 days regualr period).In regular period, ovulation is occur at the 14th to 16th date.But you have sex 7 days before the expected period date.At this time there is no ovulation and so no fertilization will occur.I do not think there is any need of the I pill.Avoid stress, take healthy diet, drink plenty of water, do regular exercise.Use condom in future to prevent the unwanted pregnancy.Hope this may help youContact further if follow up neededBest regardsDr. Sagar | |
Why do I have a light coloured discharge even after pregnancy test shows negative results ?
\ hello i have a question, i had abortion dec 29 i bleed until sumtime in feb. then i been haven periods its seem twice amonth MARCH I GOT IT ONE DAY WHICH WAS THE 16TH .in apirl my period came on the 17th. last month i got my period on the 21th and then again on the 30th the one on the 3OTH WAS BROWN/BLACK DISCHARGE NOT ENOUGH FOR A PAD OR A TAMPOND I TOOK A PT TEST AFTER AND IT WAS NEGATIVE. THIS MONTH ON THE 7TH I GOT LIGHT PINK DISCHARGE FOR TWO DAYS CAN U PLEASE HELP... | hello miracle, welcome to hcm generally it is common and normal to have intermittent bleeding or brown discharge for weeks to months after the Abortion .but its above 5 months now.is it associated with foul smell and pain? you need a detail medical evaluation by your gynecologist. take care | |
What causes sudden pain in foot without any injury?
all of a sudden I started getting pain in my feet few days back. I had no injury or accident which causes these pain. the pain stays for a couple of days in the knee then it moves to some other location in the feet or arm. Recently there is a straight red patch in my leg which causes pain upon touch | Hello, As the pain is moving in nature and off late it has led to a red patch, which is painful I think a blood test is advised to rule out any infection causing this symptom. Due to infection there will he change in the blood test which may lead us to help with the medication. Also, consuming hot water, modification of the diet and simple general exercises should be also helpful to reduce the infection and avoid pains. Get a blood sample test done. 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 | |
Suggest remedy for hair loss
Hi I am suffering from hair loss for 2 to 3 years and have frontal hair loss. I have been suggested with VB7 hair tablets, Hair for u 5% lotion for scalp and triclenz shampoo. Please advice me if I can use them for now or is there any better lotion than Hair 4 u,,, I have severe hair loss... | Hi..Hair 4 u lotion contains minoxidil 5%. Keep applying it 1 ml twice a day. It will really stop your hair loss and help you gain newer and thicker hairs. VB7 hair tablets will act as supplements. You can take them for about 2 to 3 months and then stop. Triclenz shampoo can be continued twice a week. This is a very good treatment if you follow it sincerely. I hope this helps. Take care. | |
What is the treatment for night fall?
Hi I'm 27 years old, I've nightfall almost regular for 3days or sometimes gap of 7 days,become very weak, pain in back bone, penis shape has been changed. when my penis touch my bed, during errection in night its ejaculate even i awake some time, please save my life what to do? | Hello, The nightfall usually doesn't cause weakness. The semen discharged usually after few days because new semen constantly form in three to five days. So you may need not to worry about semen nightfall. It might happens because you might not practicing masturbation. You can investigate with CBC, serum TSH estimation and serum calcium estimation for further workup. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician | |
Planning for baby. Getting light period. Ultrasound reports normal. Taking M2 tone. Will it create any problem in conceiving?
this month and last 2 mnth before my periods are not so much in flow,this month also it happened only for 1and half day and then also the flow was not very high.what is suggested in such a situation,my ultrasound report is completely normal and internal ultrasound too is normal,i am also planning for pregnancy.I have also started taking M2 tone,will this problem can create any problem in conceiving or what is suggested. | Dear Meenu, As long as you are having monthly bleeding its normal, even if you bleed only for 1-2 days and soak 1-2 pads per day. Try unprotected intercourse for a year and if don't conceive after that, then consult a doctor for tests. With regular intercourse you will be able to conceive easily. You can continue taking M2 Tone. Hope for the best. | |
Could feeling of passing out, pressure in ear, pain in ear, head and neck be due to high BP?
HI DOC I WAS RECENTLY DIAGNOSIS WITH HIGH BLOOD PRESSURE .i AM 50 YRS OF AGE BUT WHAT I AM EXPERIENCE NOW IS FEELING LIKE I AM PASSING OUT ,PRESSURE AND FULLEST IN MY EAR .STUFFY EAR PAIN IN MY HEAD DOWN TO MY NECK ESPECIALLY AFTER FEELING LIKE I AM ABOUT TO PASS OUT AND THIS ALWAYS LAST FOR ABOUT 2 TO 3 MIN. | Helloyou r having ACUTE ANXIETY which is causing these symptoms...kindly mention ur bp readings n what medicines r u taking at present ???? | |
What is the treatment for constrictive pericarditis?
Hi, my father is 60 years old and has constrictive pericarditis. It was a result from Dressler sindrome which started after he had a valve replacement. Now the pericardium has gotten thicker and they will have to operate next friday to remove it. Do you know if there are any experimental treatments with stem cells or anything other than cirgury. Thankyou very much. | no currently surgery is the effective treatment of choice .there is no experimental treatment available which u have mentioned. | |
Is increasing swelling on the tongue after a bite a cause for concern?
Hi....I got a small ball kind of outgrowth on front side of my tongue..I got it one year back when by mistake I bit my tongue with teeth while having dinner..It was small before but from last 2 weeks size increased little bit..Please suggest do I need to go for a minor surgery to remove this...Is this serious or not? | Hello,Lump on the tongue after teeth biting is due to hyperkeratosis of skin from continued irritation and continuous accumulation of plaque-like material in the oral cavity. You should visit an oral physician once and go for biopsy as this type of lump can occur due to diseases like lichen planus or to rule out some more serious problems like a cyst of the tongue. Usually, the condition goes away on its own. Maintain completes oral hygiene and do warm saline rinses.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari | |
Why is a B Torch test done?
hi, iam 39 year male and wife age is 36. I got baby girl in 2001. after such a long period recently my wife got pregnant in Sep2013 and on 20 Dec13 she got miscarriage. My doctor asked me to have a B Torch test. What is the test about and how it is useful. please advise. | Hi,Torch test means T for toxoplasmosis, R for rubella cytomegalo virus and H for herpesabortions. For the treatment of these active infections, doctor advised this test.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sujata Kute | |
Blood in urine, kidney stone, test report normal
I have moderate blood in my urine for more than 1 year I have seen urologist and nephrologist and I have had ultrosound but htey coudn t find anything. I have history of kidney stone for many years ago ( 12 years ago). | Hi, Blood in urine always a sign of underlying disease. Ultrasound is not enough to diagnose the cause of haematuria. Since u had stone previously, stone could still be the possibility. You have not mentioned your age. CT Urography ( CT Scan) is the best investigation to diagnose. Also you need urine examination and kidney function tests. Please check with your urologist. | |
What does semen analysis suggest?
hi im 32 years old. today i examination of my SEMEN ANALYSIS . The report is Motility 30%, Normal Morphologies 19%, Motile sperm concentration 7.8, Total Functional sperm Concentration 2.6, Sperm Motility index 73, pH 7.6, What can i do now , i m very upset please help me. | your problem is mainly in the low sperm count.. you need to stop smoking cigarettes or weeds if you do.. an IVF cycle is always an option to have children but after a year of unprotected regular intercourse that couldnt lead to Conception.. | |
Undergone tooth canal, pain in gums with pus formation. Taking antibiotics. Suggestions?
My mum has history of decayed tooth in almost all of them (all are black and eroded), she used to chew clay pots in early days and used tobacco based Red tooth powder. She brushes regularly but doesn't use any mouthwash, Few days back we figured out a severely damaged tooth and visited dentist, he had root canal of it and suggested that we should go for tooth cap as nothing is left in it. Since that root has been done My mum has regular pain in gums of next tooth in the area she had RTC of, and few days back gum had a pus formation, antibiotics are already going on but pain is unrelieved. please suggest | Hi, Thanks for asking the query, According to your clinical history i suspect that you mother is having generalised infection in her teeth. Pian in the root canal treated tooth can be due to re-infection or spread of infection to the adjacent tooth leading to abscess formation. I would suggest you to take an OPG radiograph to determine proper diagnosis and appropraite treatment plan. If required rct has to be performed in the adjacent tooth also. Stop the use of tobacco based tooth powder. Use a soft bristle tooth brush and desensitizing tooth paste. Use antiseptic mouthwash rinses. Maintain a good oral hygiene. Hope this helps out. Regards..... | |
Should I take rabies injection after scratched by dog?
hi doctor i m 23 yr old yesterday i m standing with my frnd all of sudden 1 dog came near me nd put his foot on my foot and ran away but there is no bleeding on my foot near small finer of my foot there is scratch i dont know whether is this dog scratch or any other scratch on my foot how to know which scratch is this dog or any other scratch pls help i should take rabbies injection or not | HI, thanks for using healthcare magicRabies can be transmitted by contact with different animals though dog and bat transmission are more common.As it relates to dogs, transmission is via a bite or deep scratch.Since there is no bleeding and no evidence that there was any deep scratch then it is unlikely that you are at risk for rabies.Normally the injection if needed has to be taken from the first day of contact.I hope this helps | |
What causes irregularity in getting erection?
Hi, i am 30years old.my weight is 75kg.nd height 5.9.nd i have problem i try 2 sex with prostitute ,bt my cock is not erection .bt when i am sex with my girlfriend quickly my cock is erection.jt she only touch.may i knw why it is happen.?i am feel now when i will marry,may i can't perfom well. | Hello, You are getting an erection when you are with your girlfriend. That is a good thing. Then why do you want to go to a prostitute? Avoid sex workers. You can contact me for treatment options. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist | |
Q. What is the treatment available for eye floaters and halos around the lights?
Hello doctor, I am suffering from eye floaters, halos around the lights, photo after image, ghost image. First floaters started two years ago, then after 6 to 7 months later. I started seeing halos around the light then ghost image and three months ago, I started seeing photo afterimage. I am really scared of this. Please help me to cure this. | Hello. Floaters, photo after-images, ghost images are usually seen in disorders of the retina. Halos are indicative of corneal edema due to various reasons. There are a lot of diseases which can cause such a picture. At the same time, if you only experience these problems once in a while and have no problems with vision, you could actually have no treatable problems. The best and only way to confirm it for sure would be to visit an ophthalmologist. I would recommend an urgent visit in case you have pain, a sudden drop in vision, part of the image you see cannot be visualized or redness, watering, discharge from the eyes. In case you do not have any of the above, I would say a non-urgent visit would suffice. | |
What relieves the pain and burning sensation in the right arm due to the pinched nerve in the neck?
I have a pinched nerve in my upper back/neck and it has caused a burning sensation in my right arm. I have done stretching exercises gone to a chiropractor and massage, it gets better for a couple of days then my arm starts burning again, its been about two months, what can I do to relieve the pain? | In my opinion you need to permenantly fix your round shoulder , strenghth your shoulder retractors and strech your pectoralus muscles , once round shoulder is fixed you problem will be permenantly fixedGood Luck | |
Should we opt for IVF since 4 IUIs done with injections and medicines failed?
Hi there, I am 33 years old female and my husband is 36 years old. We are trying for almost 2 years to have a baby. I took fertomid 50 mg for initial 6 months and then tried naturally. Nothing worked than I did one IUI , that did not work , this was in Jan 2013. My doc asked me to do HSG and both the tubes came blocked and suggested laproscopy. We did lap in feb 2013, left tube was corrected but right was already ok so nothing done. We did 2 IUI in May and June 2013, My husband's report was not ok during this time, he has kept on medication for few months, his numbers improved. We did 2 more IUI's in the month of oct and dec 2013, sperm count and other things were good and follicle size was good too but IUI was not sucessful. I would like to know shall we be trying more IUI's or IVF should be thought next? My last 4 IUI's were with injections and medicine.Can IUI work in our case? or it is not a option for us now? | Hi. If everything is fine and you both have been worked up properly, then IVF is a good option.You are already 33 and slowly after 35, ovarian reserve also starts going down. If you have not succeeded by 4 iui's, may be there is still some problem in tubes, like some adhesions or improper tubo-ovarian relationship or any hidden cause which has not allowed iui to be successful. You may take a chance for 1-2 times more and it also depends on affordability for IVF procedure. There also result is not 100%. So you both have to decide and take chance. Good Luck and thanks. | |
Abdominal pain, have chronic pancreatitis, cysts in stomach, stent in pancreas. Take pain relief?
I have chronic pancreatitis and I have 3 cysts in my stomach, I have recently had a stent put in my pancreas for a few weeks, then removed. I have been getting severe abdominal pain since, and at the moment I have severe lower left side abdominal pain. I can do very little, and will be going to see the surgeon in out patients this week. I would like to know what to ask him, considering he thinks that there is not much more he can do for me. I need some kind of pain relief. | Hi.It is true, pancreatic conditions are quite complicating to begin with and treatment is slow and not always successful. The pancreas is an important organ and removal is not contemplated unless conditions become extreme.In the given circumstances pain killers would be advised, but from personal experience with a few patients, they only provide temporary relief and patients come back in no time asking for stronger ones.My advise would be techniques to take your mind off the pain, mild forms of exercise and a strict diet regimen which would prevent from stimulation of the pancreas, that could hopefully result in reduced levels of pain.I am sorry the options are limited, but given the condition, it all depends on how you respond and decide to tackle the problem.Wishing you lots of luck and more.Best wishes. | |
Got four wisdom teeth's pulled out. Feel spinning when wake up or go to bed.
i got four of my wisdom teeth pulled out, the dentist didnt day much but that they had to come out first were my top left and bottom left the week after were my top right and top right it has been a week and now every time i go to bed i feel like im spinning and when i wake up or get out of bed i feel the same way it only last for about 5 seconds im not sure why but i have heard that its from blood lost i have donated blood before but dizziness did not last a week | Hi,Thanks for asking the query,Dont worry it is common after wisdom tooth extraction.The symptoms will last for sometimes and subside by its own.You follow the post extraction instructions given to you properly.Take complete course of antibiotic and analgesics.Take lukewarm saline and antiseptic mouthwash rinses.Take care! | |
Which is a better cream for the face among Hyclean and Melalite?
hi sir hru this is shuja ali from qatar sir im useing hyclean cream on face sence 1 month now im useing melalite xl which one is good last 2 month ago i visit in hyderabad Dermatologist dr sukla she prescrab me right now im useing melalite xl plz till sir im suffaring .thanks | HIThank for asking to HCMI really appreciate your concern and looking to the history given here I would say that if you do not have any skin problem then why to use such thing, it is not advisable to use any cream or lotion without any reason, if you are using this for fairness then this wont helps any more, take care and have a nice day. | |
Q. Other than alcohol, what is causing my AST to ALT ratio abnormal?
Hi doctor, I am 33 years old male. I am 270 pounds. I have elevated liver enzymes (ALT 389 U/L and AST 194 U/L). I had a liver biopsy done before four months, and the doctor told that I have a healthy liver. I read that the AST to ALT ratio is 2:1 which usually indicates alcoholic liver disease. I do drink, but my AST to ALT ratio is opposite (1:2). Will I have any other cause other than alcohol? I take Keppra 2000 mg daily along with Oxcarbazepine 900 mg and Belviq. | Hi. Have you undergone a test for hepatitis B, hepatitis C, and any other infectious panel? Have you seen the ultrasound of liver? The first possibility is steatohepatitis or commonly called as fatty liver. Ultrasound and other enzymes like alkaline phosphatase, and GGT (gamma-glutamyl transferase) will help in diagnosis. Also, alcohol will indirectly contribute to the damage, by increasing fat. So, you should have a healthy lifestyle and try to achieve weight loss. For more information consult an internal medicine physician online --> | |
Hard lump on lower right jaw region
my 1 1/2 yr old just develop a hard lump under her lower right back jaw area. Could it be dental related since her molars haven t come in yet or is it more of an issue with her lymph or salivary gland(infection)? | hello, continue the given antibiotic upto the date doctor mentioned if there is no progress its better to visit a pedodontist as soon as possible and treat early.. take care. | |
Facial palsy attack, stiffness near chin, eyes shrink, discomfort in the teeth
Hello Doctor, I sufferred a facial palsy attack 2 yrs back, though looks recovered yet i feel a sort of a stiffness near the chin and the eyes shrink when i look at the other persons face and talk. i feel a dis comfrot in the teeth too. did a dental check up and they said nothing noticiably found as a fault inn the jaws............ | hi welcome to h.c.m.forum. as you said there is posibility of some fraction of the numbness. according to your statement it is 2% some people will have upto 25%. you need to use neurotropic injections. altermate days forten days. multi vitamin tablets for long time. jucy fruits frequently. thank you. | |
Treating genital warts with homeopathy medicines, all tests negative. Can it be treated with Ayurvedic medicines?
I am 29 years old.Before 3 years back i interacted with my girl friend, Before 2 years back i observed genital warts (after that i never and ever interacted with anyone).I went to dermatologist .He asked to go for HIV , HbsAg ,VRDL blood test. Reports Hiv (negative),HbsAg(negative),VRDL (non-reactive) ...Dermatologist started the treatment ie freezing warts.But occurrence exists. Then i started Hemeopathy medications for more than 1 year 10 months..I got cured almost 80%..But still some warts are remain in the gential area. Here i want to cure remaining 20% gential warts can i get using Ayurvedic medications. Again I went for blood test again .My god s grace got same results ..(all are negative only) .Now can you please suggest Ayurvedic medicines which can cure remaining 20% gential warts. Thanks. | HI YOU Know very when 80% wart had gone by homeopathic treatment.why not you can have patience.remaining 20 % would also treated by homeopathy.you can take some intercurrent medicine even booster dose which enhanced the medicine response with help of good homeopath. o.k bye dr neeraj gupta | |
What causes upper abdomen pain, nausea and weakness?
My 11 year old daughter has complained about abdominal pain for several months. Her doctor first diagnosed her with constipation. This has been resolved for a month, but the pain continues. She claims it is in the upper portion of her abdomen, dull, and squeezing. She sometimes has nausea and weakness with the pain as well. Her bowl movements are now regular and she says they are normal. She does not have pain when she uses the bathroom. | Did you hear about irritable syndrome? Can be! The pains just relieve when a person goes to the bathroom. Did you try change her food habits? Reduce liquid and carbohydrates can help too. | |
Suggest treatment for large blood clots with chest pain
What else can I tell you? alot actually starting with some sort of undiagnosed blood parasite. I mean we know that its there we have seen it but as to what it is exactly we have not figured it out. I do know that I have large blood clots that no one wants to treat and I went in to cardiac arrest a year ago that left me in a coma for about 12 hours. follow ups said no heart problems. I have chest pains all the time though and chew an aspirin when it occurs and get immediate relief. Ive gained about 20lbs that I cant seem to lose. my teeth have been affected and have lost several. | Hello dearWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* Kindly mention the site of blood clots for further assistance .Welcome for further assitance .Regards . | |
Have jaw pain, ear pan, swollen tonsil. Wisdom teeth coming in. Took antibiotics for sinusitis. Is pain due to wisdom teeth?
My wisdom teeth are coming in on my right side. My jaw hurts, ear pain and I have a swollen tonsil/gland all on my right side and neck pain. It doesn't hurt but sometime feels awkward swallowing. Initially the doctor said that it wasa sinus infection or allergies but it has been like this for going on three months. I went on antibiotics and allergy medication and I still have the swollen gland/tonsil at the back of my right throat. Could this all be due to the wisdom teeth? I'm getting them removed in a few weeks. I've also been in a lot of stress at work. | Hi, Thank You for contacting with us. the type of problem you are mentioning it can be because of your wisdom teeth only, because some times the wisdom teeth are impacted means they are placed inside the bone and they create similar problems. To get it confirmed it is better to get an x-ray done. Visit your dentist and get it removed as soon as possible. | |
Why is the AST and ALT elevated?
Hi Dr. My AST and ALT are 311 and 215! WHY! My Dr. was concerned and wants me to stop all meds and take another Hepatic Panel Blood Workup in a few weeks. I have just take 50000 Units of Vitamin prescribed by my Gyno and I take a 500 mg of hydrocodone per day (some days only one or none) because of surgery for a Right Calcaneous Heel Fracture 8 months. I am 62, have Osteoporosis and am taking PremPro - that is it. Except for occasional valium for chest pains on my right breast/chest bone! Already had a chest xray and mammogrophy - both are normal. Thanks Petra | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.AST and ALT are sensitive indicators of liver damage or injury from different types of diseases or conditions and medications are possible cause of it as you have mentioned. . So the next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis,cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionaly done and then appropriate treatment can be started.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | |
Suggest remedy for lumps in skin shaft
I am 27 and had a circumcision 6 days ago. The healing is moving along well but I have noticed 3-4 lumps on the shaft under my skin. They are the size of a pea. The lumps are about half an inch away from any of the area that was cut.Please advise me? | Hi.These lumps after circumcision can be due to small hematoma and will resolve on their own , you can continue the anti-inflammatory medicines till they are resolved . | |
How can i avoid intaking bad things in abcessed tooth?
Hello, I have an abscessed tooth, I went to the dentist yesterday and have been on antibiotics since yesterday afternoon. This evening the abscess ruptured a little on it's own. I'm doing my best to not swallow anything that comes out of it is there anything else I should be doing. I'm very nervous about this as I never had an abscess leak like this and have heard horrible things can happen if you swallow the pus | thanks for your query, nothing to worry about the pus discharge..you can gargle with saline and clear it..try to apply pressure over the swelling and drain the pus.. take a course of antibiotics..this will take care of the infection..i hope my answer will help you.. take care | |
Does flucloxicacillin cause pain in groin with inguinal ligament damage?
Does flucloxicacillin cause inguinal ligament damage. My husband took them for a toe infection and within days was in extreme pain in the groin/testicle area which also radiated down his thigh. Waiting for an orthopaedic assessment but the pain is wearing him out. | Hello, There are no evidence-based studies that flucloxacillin can cause inguinal ligament damage. This antibiotic can cause nausea or diarrhea as common side effects. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Numbness in whole hand on walking, back to normal on stopping. Ultrasound normal. Reason?
When I walk more than 20 minutes my (Left hand ) hand starts to go numb , then my wrist and slowly my whole arm will go numb. Soon as I stop walking the feeling returns to my arm. My doctor did a UltraSound on my arm for blood clots but nothing. He says maybe its the way I walk but I dont swing my arms any different than anyone else. Basically I cant walk more than 20 minutes without my arm going numb. Its always my Left Hand and arm. No problems with my legs. My doctor did an echoardiagram and I have no problems with chest pain or shortness of breath. Anyone ever heard of this symptom and any ideas?? | hi thanks for ur query its a difficult qn i must say to answer i think ur doctors assumed the best possible diagnosis feeling numbness in left hand after 20 mins walking is unusual i think it has no relationship with ur walking,,,u interpret it during walking or may be some postural problem btw u should go for a nerve conduction velocity for left upper arm for sure with that u should also check ur hb that also may be a reason abnormal posturing in cervical rib may give rise to that kind of problem so u may also have an mri of left shoulder joint u must consult a neurologist thank u | |
How long is the life expectancy of my father diagnosed with liver cancer and jaundice?
my dad has been diagnosed with secondary liver cancer and there is no treatment available he is too frail. He is jaundiced and sleeps all the time although when awake is lucid and will hold a conversation. He has no appitite and eats very little - how long can i expect to have him around? | This is something that no one can truly predict. But the 6 month survival in these situations in very low. What I suggest is that you make his remaining days as comfortable as possible. | |
Q. How can I correct my eye ogling while talking to someone?
Hello doctor, During childhood days I was a bit introvert but used to enjoy a lot by playing all sorts of indoor and outdoor games apart from studying. During college days also no issues were there as such. But while joined in a metro city as my first job felt bit awkward that I was not able to mingle with all people in my colony. I used to avoid social activity a bit. After that posted in a remote area where stayed for five years and enjoyed a lot mixing and partying with all sort of people. Then I was posted to my home place where one influential boss wanted to keep me in his section but due topressure from higher up he had to give up his idea, but directly or indirectly he was harsh. That was the beginning I feel. Along with that during that posting, I used to travel a lot, worked almost day and night just for my good name, that people will appreciate. Got lots of appreciation but these process initiate. During initial days after few hours of conversation people used to know about my eye ogling issue but now I feel within few minutes they can make out. Please help. I want to change it at any cost. Sometimes doing exercise, yoga but not so regular. My sleeping is very good, after going to bed, within a few seconds I used to sleep. Previously during any stomach ache, hand pain, headache for any reason, I used to think I will die very soon for that cause. What will happen to my family and so on. Although in my family, my wife has a good job and have only one child. But during last few months, much of change was going on in a positive way. During any farewell or any party if any photography will be there then my face will be in very much in tension. So nowadays during the photography session, I am avoiding that and instead, take photographs of all. Slowly and steadily I want to change eye ogling issue. My eye ogling look is like someone is surprised to see something strange. I know I can change but an efficient or proper support is needed. Never taken any medication. For blood pressure taken Repace 25 initially two years back. From mid of last year taken Repace 50. And later started taking CTD T 6.25/40. Felt many a time to stop this CTD T due to no such tension except eye ogling. | Hi. Tension or stress is different from hypertension or high blood pressure. BP (blood pressure) medications will not help with the psychological tension you are describing. Social avoidance is another problem you have described. You are mostly disturbed about a preoccupation with eye ogling. And you have had panic related to normal bodily symptoms like stomach ache, headache, and hand pain. I think you are having anxiety issues. Consulting a psychiatrist would be my advice. I would suggest taking tablet Nexito 5 mg once a day after breakfast. It starts to have an effect on anxiety and social avoidance after at least 15 days of taking it. There are no side effects in the long term but in the initial two weeks, you may experience gastric trouble or bloat and initially increased anxiety. If they happen, start with a half tablet of Nexito 5 mg. You might need a prescription for this medication. For more information consult a psychiatrist online --> | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Acne vulgaris on chest, back, neck, itching, scabs, orange pus. Treatment?
Hello, I m a 16 year old male and I ve got a severe case of acne vulgaris . It s all over my chest, back, and the nape of my neck, and it hurts! It s super itchy and I can t help but scratch them, tearing the scabs off in the process. They re probably really infected because the pus is a little orangish in color. So I d just like to know the easiest ways of curing this problem. | Hi Dear Thanks for your query Dont worry too much .... Do not squeeze or scratch the pimples.Keep your skin clean,Have healthy diet & lots of fluids.Avoid too much oily foods.Apply topical Clindamycin gel over the pimples for a month.You can use topical tretinoin over the comedones [ but be careful as sensitive persons develop burning sensation and redness after application]..and use oral Isotretinoin for 4-6 months [but always under supervision of your dermatologist] Hope this helps you. Stay in touch with your dermatologist. Take care :) | |
Suggest remedy for fever and headache
Hey Doctor my five year old daughter went to school on today upon her arrival home she told her mom that she has a headache. Her temp was taken and it read 102.4. She has no difficulty in breeding we give her childrens motrin. It is now 9:51 p.m. in Houston, Texas I just took her temp and it read 101.6 her wt is 56 pounds and sheis 3foot 6 inch | Hi.....if your kid is normal in between fever episodes in a single day...I don't think you should worry as its only 2nd day of fever. Danger signs include breathlessness/ rash/ low urine output/ seizures/ unconsciousness/ blood in motion. Don't worry if these are not there & the kid is active.She can be given 500mg Paracetamol if temperature is more than 100F every 6th hourly.Dr. Sumanth MBBS., DCH., DNB (Paed) | |
Q. My biopsy report shows low grade squamous intraepithelial lesion. Please help.
Hello doctor,My doctor did a biopsy and the result showed a low grade squamous intraepithelial lesion (LSIL). Acute inflammation and associated reactive change are also noted. Kindly advise. | Hello. In your report (attachment removed to protect patient identity), they have found inflammatory changes at the cervix and a low-grade intraepithelial neoplasia as well. For that, you need a colposcopy. Conservative treatment by ablation or excision of a transformational zone to send it to histopathology laboratory or close recurrent follow up without treatment. If colposcopy evaluation by endocervical biopsy and curettage is done completely and the doctor might recommend you excision, then further follow-ups by recurrent pap smear and maybe biopsies can be done, if needed. It is better to have treatment now rather than wait further to have a more complex disease. It would be better if you could send me your description in detail with your previous medical, surgical, gynecological and obstetric history. Just word operation is not a complete description of your doctor's advice. He or she might have explained you excision or ablation of the affected area and I think you should have treatment with proper, recurrent and regular follow-ups to prevent your disease to the more advanced stage. For more information consult an obstetrician and gynaecologist online --> | |
What is the next step after chemo for treating prostate cancer?
my father in law had a heart transplant 4 years ago...now his test results came back saying he has prostate cancer , and has tripled in 6 months. She said he's already on a chemo med once a week now...what do you think there next step options are? and how can I prepare them? Thank you for your time | Hello dear, thanks for your question on HCM.I can understand your situation and problem.Since he is heart transplant patient , surgery is contraindicated in his case for prostate cancer.So chemotherapy is the only option he is having.Prostate cancer is having very good prognosis and it responds to chemotherapy well.So standard, timely chemotherapy will improve his outcome. Radiotherapy is also an option. But it is indicated only when chemotherapy is not responding.So better to consult oncologist and discuss all these. I prefer chemotherapy for him. | |
What to do for a child with g6pd?
Hi doctor, I have 1 year old son and he is positive of g6pd. I want to know what is the best and safe vitamins for my son, and the right food. I m really worried to my son, specially in medicine, and also for food. And now he has a skin rushes its like a chicken fox. Please doc. Help me some the right way. Thank you so much | hello, welcome to this forum, I understand your worry. you must be already having an idea what is G6PD deficiency. One has to basically avoid the triggers so as to avoid a hymolytic crises. The trigger could be mostly as listed below. AGENTS PRECIPITATING HEMOLYSIS IN GLUCOSE-6-PHOSPHATE DEHYDROGENASE DEFICIENCYMEDICATIONSAntibacterials likeSulfonamidesDapsoneTrimethoprim-sulfamethoxazoleNalidixic acidChloramphenicolNitrofurantoinAntimalarials like PrimaquinePamaquineChloroquineQuinacrineOthers likeAcetanilideVitamin K analogsMethylene blueProbenecidAcetylsalicylic acidPhenazopyridineCHEMICALS likePhenylhydrazineBenzeneNaphthalene2,4,6-TrinitrotolueneMethelene blueILLNESS likeDiabetic acidosisHepatitisSepsisThis is just a representative list. Fava beans are to be avoided in food category. Multivitamin which does not contain any of above substances can be administered. Thank you | |
What causes fluctuating BP after hernia surgery?
A frienn just had hernia surgery as an outpatient but his blood pressure keeps fluctuating so the doctor won t release him yet. What causes the BP to fluctuate? The hrnia had grown into the scrotum and the Dr. said he practically had to pull out the hernia. | Hi ThereI have read your query and understanding your concern for your friend.I want to tell you generally there is no relation between hernia surgery and blood pressure. But in some patient there can be high or low BP post operatively. It will stabilize itself if there is no underlying high blood pressure issue before the surgery.So you need not worry and wait for some more time and talk to attending surgeon. Hopefully I answered all your queries.Good Luck | |
Suggest treatment for kidney stone
Hi I a prosecute for kidney stones on July 24 the n had a stent in until Friday Aug the 25 the. I started having blood n my urine a few days before the stent was removed . I passed several stones over the weekend n haven t passed any for a few days . But every time I pee there is fresh blood in it. Wi had a prodcesurehy n should it be happening . Prodecure | Hello, Since you are passing blood in urine, you have an infection in the UTI along with kidney stones. Kidney stones pass out by themselves through the urine but the symptoms have to be managed. You are suggested to visit ER if required get admitted. You may need injectable anti-inflammatory medicines for pain & infection control. In case of impaired kidney function or risk of excessive bleeding, your treating doctor may suggest Lithotripsy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician | |
Why does her vagina pain while doing sex after IUI treatment?
Hello Doctor, Iui treatment were done to my wife in 2 cycles On 17th and 18th feb 2011 respectively in a famous hospital but on 18th & 19th of feb 2011 onwards she gets pain in overy (Sex point) why doctor? | Hello Dinesh;welcome to HealthcareMagicThe common cause of pain during sex following a IUI procedure can be infection in vagina and pelvis or inflammation of pelvis.To find the cause it is better to get examined by the doctor (Gynaecologist )who did the IUI and get a ultrasound of pelvis done to find if there in internal inflammation.Let the doctor examine her and he/she will treat her.Thanks | |
What precaution should be taken in terminal lung cancer?
my mother has terminal lung cancer metastized to her brain and other organs. She at home and can't move, talk or eat. lately she can't even hold her own head. My father insist in giving her showers and transfering her from her bed to the chair which involves pulling her arms and her neck being push back when he does it. the last time he did it she had two convulsions, I personally feel she should be taking sponge baths. Am I right? | Hi Welcome to HCMThis is Dr Suchda Naturo path - Homeopath - MagnetoTherapist taking your query and felt concerned about the sufferings your mother & family are facing.I will not ask her medical history . Only thing I want you to do is to give her some solace .Dear this is the time you have to face with courage & patience .I fully agree with you that she should be given sponge bath as she is completely dependent and should not be pushed to more miserable condition by pulling and pushing .I would like to suggest some magnetic treatment if you are interested .A set of two Sum 1000 guass , if applied on effected parts ,and North pole water orally prepared on North pole magnet may give her strength and prolong her life for some time .I am not sure what is her situation internally . Only god knows . we should try to help her whatever we can . Rest leave to god If have any doubt or any further query ,don't hesitate to get back .Take care god bless you | |
Lump near spine. Experiencing weight loss, lower back ache. What could this be?
Hello, I am 18 male, i discovered a rock hard ball or lump near my spine over a year and half ago just about when i got a back tattoo over my spine and back it did not bother me at first however now a year and a half later the lump still seems to be there i experienced weight loss of about 12 kilos in a span of 2 months however i ate as much and did no drastic change to my diet or exercise, now i have lower back ache quiet often more when i stand too long or sit for too long, the pain usually does not go away immediately however sitting on something soft and moving the spine around seems to help slightly also putting pressure on my lower back. What could this possibly be ? | Furk - Thanks for posting your question. Its extremely difficulty to give you a diagnosis based upon your question. I don't think it has anything to do with your tattoo, but I would definitely see a physician soon, rather than later. You don't want to miss something serious like a cancer growth that could be picked up very easily with an MR spine and treated. Best of luck and stay well! | |
What causes abdominal pain extending towards the back?
Hi, I have been having lower abdominal pain, left area for about 7 days now. Transvaginal and pelvic ultrasound were normal. CA12=34. I have Hashimoto s. I have not gotten my results from my pap. Found a lump in my right breast. Awaiting a breast ultrasound to be done in 2 days. Just had an abdominal ultrasound without any results yet. pain goes to right lower abdomen and also shoots to the back left. Triglycerides=315, cholesterol 220. 20 lbs overweight. 39 years old. 2 kids. No complications. No other health issues. Xray was negative for a stone. | Hello!Thank you for the query.Such symptoms are most likely caused by urinary tract infection. Due to bacteria presence in the urine you get lower abdominal pain, back pain. You should also have frequent urinating, burning while urinating. Fever can appear.Please consult your doctor and have urine analysis done. If bacteria will be present, antibiotic treatment is necessary. You should also increase mineral water intake and start cranberries supplementation.Hope this will help.Regards. | |
Suggest treatment for kidney infection
Hi. my sister has been having health issues she was told she has kidney infection .her urine showed proteins +++ when she did the blood test nothing was seen.again she did urine tesr the proteins had reduced to +.so on Saturday she fell ill and she was diagnosed with too much malaria in the system she was put on quinine injection and given droxyl 500g.however she stopped yesterday after realising its antibiotic . can she go ahead with it?? | HIWell come to HCMI really appreciate your concern, if this the case of proteinuria so underlying cause is matter of concern and further investigation is must some systemic disease may the cause of this as long as the differential diagnosis are concern that all need to be ruled out right from infection to endocrine dysfunction, hope this information helps, take care and have a nice day. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
What is an alternative for stent surgery?
What is something helpful to do for someone who has heart blockages that can t be repaired by stinz (Spelling?) or surgery? My husband has had open heart surgery, then had to have stenz, but 2 arteries were too small to fix. Do you have any suggestions? | Hello ...not understand questions fully...but as u told after cabg two stent put...if no major blockage remaining. Then nothing to be done ...only medicine suffice ...u can send me report detail so I can help u more | |
Q. Will quitting Topomax result in regaining of lost weight caused by Mirtazapine?
Hi doctor, I am a 30-year-old male and I have been on Cipralex 20 mg for my depression for more than a year now. When I started Cipralex 10 mg I was fine. However, when my depression worsened I was given Mirtazapine 30 mg and my weight increased like hell. I gained 15 kg in three months, mostly around my belly and hip. I consulted you and my medicine was changed from Mirtazapine 30 mg to Topomax 100 mg. I lost 10 kg in three months with Topomax and stopped it eventually. Nevertheless, my weight has started increasing drastically around the belly and hips. I feel bulky and the tummy is growing out. It is so embarrassing as I am a lean guy and with a belly protruding out. I am going low on confidence. I cannot leave my depression tablets but I cannot ignore my increasing weight either. Could you please let me know what should I do to lose this excess weight and get back to shape? I cannot walk as I have a slipped disc problem. I cannot go to the gym either as it is not recommended by doctors. If on leaving Topomax, I am going to gain weight again. Then it is only a temporary solution. Further, in spite of taking Cipralex 20 mg at night, I am extremely sleepy and feeling tired all day. I fall asleep unconsciously even while driving and working on the computer. I have disturbed sleep at nite and the weight gain is another trouble. I still feel I am depressed and Cipralex is not doing all it can. I need your help to tackle my depression, sleepiness, tiredness, and my increasing weight. Please help. | Hello. Stopping Topiramate is not the reason for weight gain in your case. Topiramate resulted in weight loss and the drug is also a good mood stabilizer drug. This helps in stabilizing the mood and supplements the antidepressants. So stopping Topiramate probably result in worsening of depressive symptoms and thus altered food intake which consequently resulted in weight gain. In my opinion, you can start Topirmate again and this will help in controlling the weight gain. The drug will help in improving the depressive symptoms too. So there is no harm in restarting the drug. Apart from this please change your dietary intake. Avoid any foods with refined sugars and high fat. Take high protein diets rich like meat, and animal food. Avoid fried food totally. Lime juice in an empty stomach daily without sugar should be included in the diet. Please take at least a cup of green tea which will help to dissolve the belly fat. This will help in making you fit again. If you are feeling sleepy and tired then drugs like Modafinil can be added to your prescription. Modafinil will help in improving alertness and will reduce your tiredness. This will help in improving the depressive symptoms too. So you can make these changes and you will definitely come out of depression. |
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