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When will symptoms of rabies appear if bitten by unvaccinated dog?
sir, i was bitten bt a dog 2 years back.... the dog is unvaccined and belong to our neighbour...dog not died in 15 days and lives healthy for 1 years...i m not having any sign of rabies.. but i am afraid of that..can i have rabies vaccine now as i heard one can be treated before its syptomns arise?? | If you have been okay for 2 years after the bite, and the dog remained healthy after a year, then you do not have rabies and do not need the vaccine. The symptoms would have appeared a few weeks to (at most) months after the bite. That is why treatment is given immediately following the exposure, because the infection will start to show very soon. You are okay and do not need to worry about developing rabies any more. Hope this helps. | |
What causes sharp pains in my lower abdomen?
HI Dr. Jain.I have sharp pains by my lower right abdomen which I assume is my right fallopian tube. I am 21 years old and I am curious why I have these sharp pains that come and go. What can I do to prevent this and how can I treat it. I have been told many times its because my feet are always cold but I expect a more logical explanation. Thank you for your help.Best, Marina K | Hi,From history it seems that you might be having chronic appendicitis giving this problem often.Consult your doctor when pain is present and get clinical examination done.Appendicitis can be well judged when pain is there.After examination plan of treatment can be decided.Ok and take care. | |
How to quit masturbation?
hi i am mastrubation victim it all started when i was 12 years andi now i am 19 but i can't quit and i am afraid then i will not get my health back i like sport very much goin to the gym and boxing but this is realy ruin my life my question is there chance to quit it and how long it takes to recover from it | HelloThanks for query.You have been indulged in frequent masturbation since the age of 12 years .Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and reason for sexual problems in future .Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports ,reading ,social work etc so that you will not get free time to masturbate.Dr.Patil | |
Is Atelectasis or fatty infiltration near falciform ligament indicative of liver issues?
my CT scan says I have groundless reticular air space disease in the right lung consider atelectasis or aspiration small focal fatty infiltration near falciform ligament so what does this mean there is an issue with my liver? as well as cecum wall thickening? also mildly prominent right pericecal and mesenteric lymph nodes? | Hello, There is collapse and volume loss in the lung. There is nothing much significant about the liver lesion.Consult a pulmonologist and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain | |
Is the stitch like pain be due to the injury sustained during skiing?
Hi I have a pain like stitch that has developed under my right rib cage, I had a skiing accident 4 weeks ago where I skied into my husband and fell back on my right side banging my head hard ( had helmet on which split ) I had developed whiplash 3 day later which I am being treated for by physio and it s still in its acute stage apparently and is worse on right. My question is this could the stitch like pain be anything to do with the injury I sustained from skiing Many thanks | dear friend I have understood your concern about the shoulder pain, see in acute condition pain may due to inflammation of surrounding tissue so it's in a healing stage. now scar tissue are being formed, and when you do any movement, there will be stretching type of feelings. because tissue may stretch when we move. so don't worry continue with physiotherapy treatment, it's best. ask your doctor to give ultrasound and IFT modalities for pain relief and for scar mobilization. it's just 4week it will take few more weeks to heal properly. I hope you have satisfied with the answer. feel free to ask again. | |
Experiencing dizziness,vertigo & headache
I woke up in the middle of the night on Monday with dizziness...I have had vertigo before and thought that was it, but the Epley exercises are not inducing vertigo and are not helping. I feel very heavy headed, feel feverish but do not have a fever, still feel dizzy often with some episodes of vertigo (room spinning) and I have a headache that starts at the back of my head and neck and goes around both sides of my head to the temples...feels like someone is squeezing my head....also feel like my ears are blocked but do not have any sinus issues or infections | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You may be suffering from something referred to as Vertiginous Migraine which is a form of headache that is a migraine but with symptoms associated of vertigo. The interesting thing about this disorder is that the vertigo and headache are not necessarily present at the same time and can be separated by as much as 24 or even 48 hours, depending upon the frequency of the headaches. In other words, a person could have a severe headache with migraine symptoms, resolve the episode and then, 1 to 2 days later have significant vertigo without the headache component. Or the headache could be present again. The trick is to recognize it more as a form of headache rather than a form of vertigo and to treat the symptoms accordingly. You may wish to consult a headache specialist for this as a possibility or at least a Neurologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi | |
Can thyroxine tablets cause harm to 2 year old child?
Hello Doctor,My 2 year old son weighing 10.5kgs accidentally swallowed 800mcgs of thyroxine tablets (9tablets) this morning.I took him to A&E in the hospital and taken bloodtest (results would be given tomorrow). He appears normal today but am worried about the complications which are life threatening. plz advise .Thanks you very much ,Mrs.Ravi | Hi, Children with thyroxine overdose may have symptoms like fever, flushing, palpitations, increased sweating, tremors, irritability, increased bowel movements and convulsions.Since, your child doesn't have this symptoms you should not worry, but i suggest you to keep a watch for 24 hr and if you think that any of the above symptoms is present then immediately rush to emergency and admit the child. There are no long term complications. Hope this has helped you. If you have any more questions, i will be happy to help you. | |
What are the symptoms of lipoma?
During a routine blood pressure check my doctor noticed a lump on my upper chest, He said not to worry because it was a lipoma. Of course I am very concerned - he said if it did not go away in about 2 weeks to come back and he will get me to a general surgeon. Does this sound correct? I am still very worried even thought all I have been reading says they are not serious and can be removed. | Hi,It seems you might be having Lipoma only.Nothing to worry, it is common and might remain there for pretty long time without increasing size.If size is increases or pain is there, it can be removed with simple surgery.There is no risk of change into cancer.Ok and take care. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
What causes inability to speak,headache and walk?
6 a.m. on Thursday, 7/24/14, 12 year old grandson saw a bat in his room. He and Dad chased and caught it. While doing so Grandson immediately lost all feeling in both hands simultaneously, became nauseated, dizzy, faint, lost his peripheral vision, speech became slowed, and had severe headache. Immediately went to ER, Akron, Ohio Children s Hospital. Peripheral vision and slow speech returned to normal within an hour. All vitals normal, except BP 122/86. Blood work ok (don t know how extensive it was), MRI clear, nothing abnormal, and Neurologist ruled out stroke, brain bleed, meningitis. Started Rabies treatment immediately (first 4 shots). Both hands were fully functional--good grip, could right, feed himself, pick object up. He was talking, happy, felt good, except for no feeling in hands and headache ( 5 on scale of 1-10). By 7:30 p.m., feeling returned to left index finger. Neurologist felt he had a migraine. Never had migraines prior. Neurologist started 2 hour Magnesium IV at 10:00 p.m. 7:00 a.m. next morning, Friday, July 26, 2014, headache became more severe, his speech became slow again (not slurred), nauseated, dizzy. Tylenol didn t help headache pain (8 or 9 on scale of 1-10). While showering 8:00 a.m., feeling suddenly returned to right thumb. By 12:00 p.m., Neurologist started 2nd Magnesium IV, and gave Depakote (don t know dosage). By 2:00 p.m., speech became even more slow and he had to search for words. Started using 1 or 2 word responses instead of sentences. Seemed dazed. Tried to sleep, but kept jerking awake every 5-6 minutes. Could no longer walk, as legs wobbly, and gave out when he tried to stand. Began missing mouth when feeding himself. Neurologist stopped all meds except stronger Tylenol and gave him a glucose IV to hydrate and flush overnight. This morning he was the same. Rabies test negative. This afternoon, his speech isn t quite as slow--but slower than normal. Neurologist seems stumped at this time. Will appreciate any help, suggestions, input. Thank you. | Hi dear, it seems he received strong stress and he has PTSD-posttraumatic stress disorder, he needs psychologist help. They have behavioral methods,eg,they will teach how to relax in situation where lots of bats. Try some sedative -Ashwagandha 2 capsules daily and B complex and give him positive emotions,present,which he wanted for a long time,he will recovery,because he will feel your love | |
Suggest treatment for swollen and bruised lower leg
I hit a small table last night with the front of my lower leg. I have some swelling and a bruise at the site of the hit over my shin bone. The lower part of my leg is painful and aches, more so when I move around. I m unsure if I would have cracked the bone, the hit was very hard I couldn t breathe from the pain, and the ache seems to radiate up my whole leg at times. I am able to bear my weight on the leg but just want to be sure the pain could be just from the impact. | Hello, Your symptoms seem to be related to the injury. I suggest using anti-inflammatory medications such as Ibuprofen to relieve the symptoms. I also suggest using ice compresses in the area of the pain. I recommend using Voltaren gel for local application. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr.Dorina Gurabardhi, General &Family Physician | |
Could slight chest enlargement be the cause of chest pain?
10 years of left side chest pain, front and back . Now I feel very uncomfortable in my left leg and arm. Two EKG result was slight chest enlargement and not the cause of pain and discomfort. What is the cause please? Is it related to my alchohol consumption? | with the history possibilities are many. You will need a detailed examination by a doctor.If you think that the chest pain is hampering your routine activities then it would be advisable to consult a doctor for the same. | |
What is the medication for swelling in the vagina after urinating for 3 year old?
My 3 year-old daughter feel swelling after pee. please guide me what should I do, I am living away from city and at this time I cant go to the hospital. she is complaining of pain in her vagina. but I think this may b swelling. so please tell me how can I give her relief | Hi...this could be a local fungal infection of the vagina or a urinary infection. As per your request you can try over the counter antifungal cream licensed in your country.But my suggestion is to seek medical attention and go ahead with a proper diagnosis.Regards - Dr. Sumanth | |
What causes small lump on side of neck?
19 year old son mentioned small lump on side of neck behind ear , it has gotten bigger and believe to be swollen lymph node. has been having headaches all week. Feels pressure all over entire head. went to dr yesterday, gave antibiotics. mentioned lymes disease... no other symptoms. could it just be siunus infection? however no real congestion | Hi, dearI have gone through your question. I can understand your concern. You have enlarged lymphnode. It can be mostly due to reactive hyperplasia as a result of some infection. Rarely it can be tuberculosis or lymphoma. You should take a course of antibiotics according to advise. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Is discharge from the site of pneumothorax surgery normal?
hello sir, i underwent surgery for numeo thorax, now the doctors are telling me that iam suffering from tuber culisos and a fluid is coming out from the hole they made in right side of my chest.i would like to know the fluid is normal or is there any problem | Hello dear , hiWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* The ICD site leakage may be there for some period around 2 - 3 weeks once the tuberculosis gets under control with anti tuberculous treatment , wound heals from inside and leakage stops Hope this will clear your query .Wishing you fine recovery .Regards dear take care . | |
Suggest treatment for edema in the leg and face
In 2017 june my mother underwent angioplasty,She had a Dx of Hypertension,Pulmonary edema,Acute MI and type 1 DM(25yrs).After 2months again she got admitted in hospital, Dr diagnosed as polymyositis and auto immune hepatitis,Now what happened is having severe leg and facial edema,she is taking steroid,Insulin & cardiac medicines...please clarify doubts | Hi, Edema in the body is usually seen in cases of either cardiac conditions or kidney disease or liver disease. Facial edema is usually seen in kidney disease. So I would suggest you get all fresh blood investigations like KFT, LFT and CBC. Also, regularly measure blood pressure which if high can affect the kidney. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuj Gupta, Spine Surgeon | |
What causes erectile dysfunction while on Sertraline?
I am a 59 y.o. male who is having difficulty achieving and maintaining an erection or reaching orgasm. I take sertraline and bupropion for depression, corvedilol and propafenone for a-fib. I also have had a rather weak urine stream for quite some time. is it just age or are my meds interfering with my sexual problems? thank you | Hi thank you for querry.As you mentioned your symptoms and medicine used,the above mentioned medicine in which carvedalol is a beta blocker which cause erectile dysfunction,alonh with sertaline that also cause ejaculatory disturbances.bupropion increase the libido in some reports and propafenon decrease the libido.the second thing regarding your stream of urine that may be due to enlargment of prostate due to age factor,it also include frequency,urgency,poor stream.if such patient come to me i will advise DRE(digital rectal examination)Urine complete ultrsound especially the size of prostate and residual urine volume.So its bettet to consult a urologist for your symptoms.hope the answer will help you.wish you a good health. | |
Are cramps and nausea due to pregnancy?
i am having irregular periods since beginning.last period was on sep 25.till now dere is no period.we hav been tryin to concieve since 18 nov. don knw wether i hav concieved or not but from last 3 daz i m getting cramps in my lower back n abdomen n a bit of nausea.today had a mild fever.please suggest | Hi there,If you are feeling uneasy and have not had period since September, consider doing a urine pregnancy test, to confirm/rule out pregnancy.If positive get a ultrasound done to date the pregnancy as you have had irregular cycles and the ultrasound will be more accurate in dating the pregnancy than the last menstrual cycle.Hope this helps.Regards. | |
What causes rash, joint pain and swollen area due to insect bite?
hi my name is mike , my day was bite on yhe neck not sure by what we dont know. we live in minnesota he had joint pain now has a rash on left side of face and his head hurts to the toutch on the left side and a tooth hurts also had a sore throt also the bite was on the left side bite was as big a a golf ball | HelloThank You for contatcing HCM.These symptoms are due to allergic contact of fly with your skin. If a patient comes to me with similar symptoms then i would suggest cetrizine 10 mg at night for 5 days & acetaminophen for pain. Apart from that take a cloth piece and warm it over flame and then place it over the area of pain. It will give soothing effect.Report to hospital if:> Condition starts to deteriorate.> Condition does not improve in 2-3 days> Any unusual symptom appears.> There is difficulty in breathing. Hope I have answered your query. If you have any further questions I will be happy to help. If you do not have any clarifications, you can close the discussion and rate the answer. Wish him good health! | |
Done root canal. Swollen and painful gum. Taking Ibuprofen and Tylenol but no relief
hi, i had a root canal a week ago, i still have to go back, as he only removed the root, to remove the pain, he had a cancellation, and i coulnt stand the pain anymore. that tooth is sensetive, which he said would happen, but my gum, i a little swollen, and hurts, i am tking 600 mg of ibuprofen every 6 hrs nd using 1000 mg of tylenol in between. i get pain every 3 hrs so have to use the tylenol too. i am on an antibiotic too, but it doesnt seem to be helping | hello there , Root canal treatment is done on the infected or decayed tooth to remove the infected pulp tissue and to relieve the symptoms of pain and sensitivity permanently by devitamising the tooth. any remnants of the dental pulp or the tooth nerve tissue present in the root canals leads to pain and discomfort. Analgesics like ibubrufen will relieve the pain temporarily , once the root canals are disinfected and filled with permanent canal sealing material and the procedure is completed pain is relived permanently. so get the treatment completed as soon as possible followed by crown coverage of the treated tooth. i hope this helps , take care. | |
Pimple like marks after waxing
hey i got the marks like that of pimples on my upper portion of arm after waxing. 1yr has passed bt marks are not gone . suggest something that really works. | Dear Nancy ,sometimes after waxing the hair root gets inflamed and lead to reaction like this.You need to see a skin specialist for this who can help you get away with this.Without proper examination please do not apply anything.When deeper layer skind gets involved this also can happen. | |
What causes shortness of breath and fluttering feelings in chest?
Hi been having tightness and shortness of breath, I have to yawn at times to catch my breath. Also having flattery feelings in chest. The tightness gets worst after I eat. I feel better when I lay down. My chest gets real flattery when I get mad and upset. | Hi welcome to the health care magic If anxiety, stress history associated then it can lead fast heart beat or palpitations as reflex mechanism.... If you are having gastritis or ulcer in stomach pantoprazole can be prescribed for that... (stress can lead ulcer as well...) I am thinking on stress direction as in history it is written as you are having some mood problem... Still before labelling it as stress related check your blood pressure and investigate with EKG also Take care Hope your concern solved Consult physician for examination | |
Can a person with COPD get better without taking Spiriva?
I have COPD. I have been using Spiriva Handihaler 1x daily for about 10 years now and was doing great. My husband & i retired and our health ins no longer covers Spiriva. There is no way I can afford to pay $450.00 a month for my Spiriva.I have Albuterol inhaler and have been using it. Other than a little more jittery I seem to be able to breathe ok.Am I going to be ok without Spiriva? | HelloI can understand your concern but unfortunately COPD is a progressive disease and I am afraid you need Spiriva.However if you don't afford it than you should talk with your doctor to give another inhaler such as Onbrez.ReDr.Jolanda | |
Any suggestion for having swollen lymph node on left side of neck?
According to my doctor I have a swollen lymph node on left side of neck and a lipoma on my rear neck near the base where is meets my shoulder but I have lightheadedness when I stand and morning headaches and stiff neck. Blood tests for white cell count thyroid and lyme all came back ok. should I get an MRI or Catscan | Hi. Thanks for using health care magic. For the swellings you have in your neck I suggest you to do a Fine Needle Aspiration Cytology of the lymph node and the other swelling(lipoma) separately and you can confirm the nature of both. This is more useful than a CT or MRI for your problem. Thank you. | |
How can infertility be treated?
Hi doctor, Pooja here... Actually i am gonna complete 2 yrs of my marriage in upcoming december but yet i didn t get pregnant after one year i consulted with doctor she suggested me go through follicle study and my report was okay after that i went through hsg en my report told me my both tubes were blocked so i had laparoscopy en luckily my both blockage are opened.. this month we tried to conceive but i got periods.. me en my husband keep losting all hopes to be a parents.. I went to my doctor en she prescribed me oosure m tablet.. Could i be get pregnant with this medicine?? Does it really helps in getting pregnant? | Hello,Thanks for letting us know your health concern. Oosure M is useful in the correction of insulin resistance, folate deficiency and helps to regulate ovulation status. As your difficulty in conception seems to be associated with tubal patency, you may benefit more with ART procedures like IVF. This should be decided by your consultant. Hope this helps. | |
Can soriatane pills be chewed or dissolved ?
My son has been prescribed Soriatane but cannot swallow pills or capsules..can it be chewed or dissolved? | Dear welcome to healthcaremagic Don't crush the pills.Some of them have plastic or sugar coating on them because they are supposed to be digested in your intestines. Ask the doctor for the syrup form.Then it wil be easy for you Thanks | |
Q. I have hearing loss with lump in neck. Is it due to nasopharyngeal cancer?
Hi doctor, I am a 29-year-old female. I have had ear pressure and fullness since may of last year in my left ear only. I had a hearing test that showed mild hearing loss. About a week ago I noticed a small lump (Maybe 2?) in my neck. It feels hard but hurts when I push on it sometimes. I do not have an ENT appointment for a few weeks and I am worried I might have nasopharyngeal cancer. | Hello. The chances for it being NPC is minimal. To rule it out we need to do a nasal endoscopy. What hearing loss came out in the test? Conductive or sensorineural? Did you take any antibiotic to remove the neck lump in case it is due to any infection? I suggest you try a course of Amoxicillin clavulanic acid appropriate for your weight so that the lump goes off if it is due to some infection. If you have the report of audiometry please upload the same. | |
Is it a matter of concern if experiencing numbness in arm after having Implanon?
hi i m 21 and this is the second time i had the implanon. Its been one month with it and im starting to feel numbness in my left arm. Also sometimes my arms starts shacking. I have also been getting symptoms like when i was pregnant. Should i be worry about this? | HIThank for asking to HCMI really appreciate your concern, what the history given here it said that you have device implanted and now you have numbness in your arm, and one more query is you had a somewhat same symptoms when you where pregnant in fact this is just your delusive state of mind otherwise this is nothing to take with your arm and the Implanon, no need to worry about it the numbness may due to some functional elements, hope this information helps you, have a nice day. | |
Lots of chest pain and upper back pain, hurts to breathe and swallow. Any solution ?
Hi. I m having lots of chest pain and my upper back. It starts from my neck and goes down to the middle of my back. It feels like there s something stuck inside or like my back is pinching something inside. It hurts to breathe and swallow . It started early morning and it won t go away. I ve tried popping my back and stretching , but my back is won t pop at all, and Im not as flexible as usual. It feel so tight. | hi tparish it seems that you are suffering from trapezitis. trapezius is a musle connecting skull, neck, shoulder and upper back. it may go in to rigid spasm in conditions like cold atmosphere, continuous working in neck down position you may relief from mild hot water fomentation like hot water bag and application of analgesic gel you have not mentioned the chest pain side left or right. if these pains are not subsided by above means then consult your doctor. wishing you best of health goodbye ... | |
Recurring rash on right foot, blisters which itch. History of heavy drinking. Remedy?
I have a rash that comes up on the bottom of my right foot every now and then but it seems to appear more often recently and now it is three small blister like things that itch somewhat. In the past 4 or 5 years the thing would go away but now it seems to stay around. Also, I have a rash that has come up on my neck and it is there all the time. Is it possible that I have been exposed to hep C? I believe there was a girl in my past that has it now according to rumor. It has been about 10 years since having sex with this girl. I also seem to have tremors where my head shakes a little. I am 50 years old with a history of heavy drinking (alcoholism). | Hi there,you may be having a simple eczema. Apply a moisturizer in morning, a steroiD ointment like fluticasone at night.you can take an antihistamine like cetrizine 10 mg for itching to come Down.To clear your Hep C Doubt you neeD a blood test HCV antibodies.I dont think your current problem is related to your old girl. You can get a VDRL test .hope it is useful to you.wish you gooD health.Dr shilpa bhatBangalore. | |
Child having few small pin prick red spots on legs and arms. Some scabs due to scratching. Is it heat or viral rash?
Hi, my 2 year old came up with small pin prick red spots on his legs on Monday, he has quite a few on his legs and now a couple of arms too - mainly behind knees, inside elbows. They have little scabs on them although he may have been scratching them to cause this. He is overwise healthy in himself from what we can tell. He hasn t been complaining that they itch at all. We have presumed this is viral or heat rash - what do you think? Thanks | THIS MAY BE DUE TO ACIDIC NATURE OF SWEAT SO THESE SPOTS ARE ONLY IN AREA WHERE THERE IS SWEATING JUST KEEP THE AREAS DRY ,LOT OF WATER CLEAN THE SWAT OFF AN ON APPLY ANNTIFUNGAL CREAM MORNING AND EVENING OVER EFFECTED PARTS YOU CAN ALSO USE CANDD B POWDEER IN BETWWEN AFTER DRYING THE AREA WITH TISSUE OR CLEAN SOFT CLOTH HE WILL BE OK | |
What causes soreness in head and neck after a rear end car accident?
my 5yr old complained about a sore head straight after a rear end car accident and couple of hours later a sore neck. due to not hitting head on anything hard i thought its shock related n just got her checked for concusion. she doesnt suffer atm which is 32 hrs later but just wondering if there is any symptoms i need to be watching out for now | Hello,I read carefully your query and understand your concern. The symptoms of your child seem to be related to concussion after the accident.Some symptoms that you should evaluate are:Weakness, numbness, slurred speech.Difficulty with eye movements.Worsening or severe headache.Seizure.Vomiting multiple times.In this case you should go at the emergency room. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
Suggest treatment for peripheral neuropathy in arms and hands
I was wondering if it is possible to experience peripheral neuropathy only in the arms and hands and not legs or feet? I was diagnosed as pre-diabetic several years ago, took medication to control it and then was taken off of it due to my ability to control it on my own. The last time I had a blood glucose test (fasting) I was at 99. I have been experiencing numbness and tingling in my arms and hands though, and my middle finger on my left hand continuously feels a bit numb. There is a history of MS in my family, should I consult a neurologist? | Your complains seems to be involving only upper limbs. Few neuropathy may involve upper limbs first like porphyria, diphtheria, multi focal motor neuropathy with conduction block, vasculitic neuropathy. But definitive diagnosis can only be made on examination And nerve conduction study. Another possibility of Carpal tunnel syndrome should be evaluated as it is more common and symptoms involves thumb, index finger with increasing pain in night. I should recommend you to visit a neurologist for better assessment. Hope you get well soon. | |
What is the treatment for lung infection and why is pedialyte prescribed?
My grandson is 8 months old. He has had a bronchial/lung infection for about a month, maybe longer. His pediatrician's office prescribed Pedialyte for loss of electrolytes. I thought Pedialyte was only for vomiting/diarrea? He has not had those symptoms. He is eating well and they took him off his formula due to mucus buildup. What do you think? Could they have meant to say PediaSure? Thank you for your answer | Thanks for your question on Health Care Magic. I can understand your concern. Lung infection in 8 month of child is known to cause electrolyte disturbance. Acute lung infection causes hypokalemia, hyponatremia, hypomagnesemia etc. Diarrhoea and vomiting are common cause for electrolyte disturbance. But they are not the only cause. Pneumonia is also a common cause. So to prevent this electrolyte deficiency, pediatrician has prescribed pedialyte. So give your grandson pedialyte, it is beneficial in lung infection. Hope I have solved your query. I will be happy to help you further. Wishing good health to your grandson. Thanks. | |
How to treat tight,shiny skin on legs?
My father is 71 years old, post colon cancer pt, (6 yrs clear), had knee surgery a few years ago; skin on both legs is shiny , mostly hairless (below knee) and appears tight . He does not complain of pain, itching or any insensitivity but looks not right . He does take cumidin, lasix and I believe another med, but not recalling what it is; causes? | Hello, The tight and shiny on the legs can happen due to swelling or edema. He needs a few investigations to find the cause of swelling and then get it treated accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon | |
Abdominal pain, back pain. Had gall bladder removed. Tests show fatty liver. Help
I am suffering rom pain in my upper right abdomen, just below my ribcage and pain in my back at about the same height. I have had my Gall Blagger removed last August. Dr. has ran blood tests (all normal including liver), abdomenal CT, Colonoscopy and scoped my stomach. They found nothing of any significance except radiologist noted mild fatty liver. This is affecting my daily life. I squirm around in my chair trying to find a comfortable spot. It seems to ease off if I stand up or push on my bottom rib in a direction around the rig cage? | Hello,Some patients experience pain of this type in the postoperative period.After a surgery to the abdomen there is always chance of adherence of the internal organs during the process of wound healing.This may cause you pain.Fatty liver in most of the cases is asymptomatic.Over a period of time you may be able to overcome the pain if there no underlying causes. | |
Why am I having a bruise at site of back pain?
hi last night I had some back pains and I laid down on the floor to see if that would ease the pain and I couldn t get up off the floor for near enough 45 mins! I had to use a chair to get myself up. I went to get in a bath as I thought that might help, I looked at my back in the mirror and I saw I have a bruise exactly where the pain is. But I haven t banged myself or done anything out of the ordinary! So I m a little concerned on why I have a bruise where my back pain is especially when I ve done nothing to cause it! Could the bruise be caused internally? I m 20 years old so I don t want back problems at my age! Many thanks Reece... | I saw your question, don't get panic and don't worry, you can use hot pack on your back for some pain relief and along with that also take rest for 1 or 2 days. Do apply some pain relieving ointment post hot pack use for further relief. And still if pain is not gone. I would suggest to consult a ortho or physio doctor to evaluate it further. But as per me it will get over and once it gets over you should see a physical therapist and take spinal exercise program so that it can not come back in future if you follow the exercises. If still any question post it again I will be happy to help. Take care... | |
What is the maximum dosage of Glipizide that can be taken while on Metformin?
my doctor has had me on metforim 1000mlg twice a day for over a year now and sugars are running around 190 to 320 he gad 5mlg of glipizide twice daily i now get sugar levels at 145 to 255 i want to ask my doctor what is the most glipizide you cantake in one day? | Hello,The treatment of diabetes contains mainly two components1. Medical therapy either oral medicine or insulin therapy.2. Lifestyle modification 3. Weight loss exercise 4.Low calories diet.But as i understand, you want to know the maximum dosage of Gliclazide is 320 in divided dosage ( but rarely recommended in its kind of high doge).Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kumar Abhishek | |
Do Tripride,Olmezest and Minipress cause edema on legs?
my father is diabetic and hypertensive. He is taking tripride, olmezest AM, and minipress XL for its treatment. since few months he has pitting edema over both legs below ankle. is this edema is sideeffect of these drugs. what shall i do now? do i have to change the drug? | Hi,Yes, Tripride is associated with edema of the legs. Tripride contains glimepiride, metformin, and pioglitazone and commonly prescribed for the treatment of diabetes mellitus. Pioglitazone is known to cause edema of the limbs, thinning of the bones, upper respiratory tract infection, and headache. You should consult your father's doctor for an alternate effective but a safer combination of medicines to control his blood sugar.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
What kind of treatment should b given after analysis from the MRI report ?
Hi, please find below MRI report of my wife. I m worried about her health condition, as she gets pain on her neck quite often. Kindly let me know, what kind of treatment she has to undergo to get cured? IMPRESSION: • RIGHT SIDED DISC-OSTEOPHYTIC COMPLEX AT C5-6 DISC INDENTING THE THECAL SAC AND MILDLY COMPROMISING THE RIGHT NEURAL FORAMEN. NO NERVE ROOT COMPRESSION. • EARLY CERVICAL SPONDYLOSIS. • POSSIBLE TRANSITIONAL LUMBO-SACRAL VERTEBRA. | Hi, Welcome to Health Care Magic. I have gone through your query. Based on the findings your wife is suffering from Cervical spodylosis. You have not mentioned her age and her profession. Cervical spondylosis is a common problem among women. Although seen in all the age groups it is usuallyseen in women above 35 years of age. Your wife's condition is not serious as the MRI is showing early changes. Osteophytes are excessiv bone groth secondary to stress or trauma to bones. It is the pressure of osteophytes on the nerves that causes the symptoms. As per the report they are not compressing neural structures so the problem is severe. There are few precautions which needs to be taken apart from using medicines. Try to avoid too much movement of neck. Do not use pillow while going to bed. Coming to medications- Calcium supplements need to be taken. Along with them Anti inflammatory drugs must be used. Taking Preparations containing Vitamin B12 alone or in combination with Benfotiamine, thiamine and pyrridoxine would help. Few people require Vitamin B12 Injections. If that does not give response you might have to use preparations containing gabapentin have to be used ( Not required for your wife as these are used in severe cases). Get her Hemoglobin, Vitamin D3 and Calcium levels checked. Based on the values treatment can be initiated. Please consult an orthpaedician or a neurosurgeon and take his advice. If you can post the details of your wife's age , comorbid conditions ( Daibetes, Hypertension, thyroid problem or any gynaecological problems) and daily activities she does and profession, I can give you a better advice. Hope you got the Answer you were looking for. Wishing your wife a speedy recovery. Take care | |
Is it safe to give S-26 Gold as milk for a 2 month old G6PD child ?
HI, i m a mother of a 2 months old baby with G6PD....we we re able to determine her condition after the newborn screening....her Pedia knows about it and she recommended to take S-26 Gold as his milk since she was 0 months old until now....but in my researches, i found out that soy lecithin foods must not be taken by a G6PD deficient. Should i stop giving him S-26 Gold? | HelloG6PD enzyme level deficiency can be precipitated by various food products and medications. You can get that list from your physician or from the website .These products must be avoided by the parents and you should also teach the baby about all this as she grows.Soy product is one of those. So I would suggest you to discontinue the present preparation and consult your pediatrician about this matter.Regards | |
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.---> | |
Change in size and shape of forehead. Is this normal?
My Mom have been a nurse over 35 years & I'm 26 yrs old & she said she noticed my frontal lobe/ forehead is getting larger & changing shape for the past year and that she finds this to be very abnormal because I've never done this before & I should go to the doctor & get this checked out. I told her I'm growing so I will be changing. And she said not your forehead & wants me to get it checked out because i take a nap every evening when I get off of work & on the weekends. I think she is reading too much into it. what do you think? | Hi,Thanks for using healthcaremagic.Change in size and shape of forehead is abnormal at this age group.It does not happen usually. It happens in young age when we are growing.After 16-18 years, it is abnormal.Frontal lobe is a part of brain and cannot be seen from outside. Maybe she meant frontal bone. If that's the case, another reason maybe loss of your hair. If you are losing hair it may result in receding hairline and will appear as enlarged forehead.I don't think it is a cause for worry.You can relax and not worry about it. If you are losing hair then you should worry about it and get treated for it accordingly.Hope it sorts your problem Regards,Dr. Pankaj Nagori | |
Suggest remedy for pain and frequent urination due to acute prostatitis
I have been on keflex 500mg. for 5 days and levaquin 750mg. for 14 days with no relief for acute prostatitis diagnosed by hospital er doctor. Constant pain and feel like I have to urinate all the time. What do you recommend, I am miserable and I can t sleep. Also on prednisone for ulcerative colitis and fluconazole for yeast infection from antibiotics. Please help me. | HelloThanks for query .You have been diagnosed to have Acute prostatitis and have been prescribed antibiotics but there is no satisfactory symptomatic improvement even after taking medicines for 2 weks .Ideally diagnosis of Prostatitis needs to be confirmed by series of lab and other tests.Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Semen Examination and culture 4) Swab test of urethral discharge obtained after prostatic massage .Start taking antibiotic like combination of Trimethoprim and Sulfamethoxazole along with anti inflammatory medicine Diclofenac twice daily and later on switch on to appropriate antibiotic as per culture reports Prostatitis takes long time to get cured hence you will need to take medicines for 4-6 weeks ..Ensure to drink more water .Dr.Patil. | |
Suggest treatment for left sided chest pain
Hello, I have been having chest pain on left side just above breast. It is like a jolt of pain and lasts maybe 1 or 2 seconds. It happens about 6 times a day with steady pain all around chest area. I have had it for about 2 months. 2 EkGs 1 normal 1 abnormal Echo was normal. I also have tingling and burning sensation in tongue and hands and feet. Please help. B12 and Thyroid all normal. | Everything sounds like a Neuropathic pain or probably just one bad day where the nerve may get irritated due to some reason.Do a chest xray and see if everything is normal as u have already done a EKG.If the pain doesnt decrease and the Xray is normal, then u need to start a painkiller like Naproxen or Indomethacin for 4-5 days.Kindly vote thanks if the answer was helpful | |
Any suggestion for having ill, platelet count 40, high sgpt/sgot levels, vomiting?
Hello sir,My brother is ill and having and platelets count 40 k and sgpt and sgot levels are high, having fever just thre days, fatigue and vomoting as sypmtoms what it indicates as the doctors are not yet asking for malarial parasite test / dengue test rathr asking for hepataitis B/C Testing. | Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Yes this scenario can occur in acute viral hepatitis, malarial infection and dengue viral infection.But if the fever is of low degree then acute viral hepatitis will be first possibility and if fever is high then malaria or dengue infection will be the first possibilityI hope I have answered your query and this will help you . Wish you a good health | |
How should i treat pain in leg and puss in wound?
my friend fall down and hurt herself.. this happend 3 days ago.. and her wound is pussing. and and her leg is paining.... i gave her first aid treatment by washing it with water and applying dettol and sevlon it still paining and pussing.. what shuld we do? | Hello,Welcome to HCM,As your friend got hurted three days back which has lead severe pain and the pus coming out of the injured area. This history suggest that your friend is having infection of the wound following the injury.As you are friend is having infection of the wound I would suggest 1.Clean the wound thoroughly2.Topical T Bact cream to prevent the infection3.Oral Tab Augmentin, 625 mg, twice daily for 5 days4.Tab Lyzer DThese medications will improve the condition and prevent the further infection of the wound.Thank you. | |
Could the recurring lump on the back of the neck be due to swelling of lymph node?
A few weeks ago I noticed a small lump on the back of my neck right near my hear on the left side, I realized it is back again, same spot, same sensitivity. Could it be a swolen lymph node? I just got my hair bleached and was wondering if that may cause it | HI. There i more chance that this is a sebaceous cyst , small one to start with and might have got mildly infected , It can be a lymph node also if it is just behind the ear .A small course of an antibiotic will solve this. If not solved, please consult a Doctor to confirm what it is ?If possible it is always wise to get such swellings removed and subjected to histological examination. | |
Is there any possibility to increase my penis size?
hello Doc, i am 28 yrs old, when i was in my teenage my penis size was around 8 inch but now it as been reduce to 5inch and just want to increase my penis size atleast by 2inch is there any possiblity to incerase my size, please help in this regard. Thanks in Advance | hello.dont worry.5 inch penis size is very good and so normal.it will give you proper pleasure during intercourse.there is no medication to increase penis size.some opt for steroid treatment but that has serious side effects.hope this is helpful.regards. | |
Does persimmon cause oral thrush?
I ATE A PERSIMMON FOR THE FIRST TIME A WEEK AGO. iT WAS LIKE I HAD THRUSH THE ENTIRE INSIDE OF MY MOUTH PEELED DOWN TO BARE SKIN. MY TOUNGUE, RIDGES ON THE TOP AND BOTTOM GUMS AND BETWEEN MY GUMS AND CHEEKS ARE STILL RAW. MY HUSBAND SAID A WEEK AGO I HAD WHITE ON MY TONGUE. COULD I HAVE GOTTEN THRUSH FROM THE PERSIMMON EVEN THOUGH I RINSED IT GOOD? SHOULD I GO TO THE DR? | Hi..Thanks for the query..It looks more like that you have git an allergic reaction leading to peeling of the mucosa inside mouth and along with it there is raw feeling due to severe inflammation..It does not look to me like Oral Thrush, however a clinical examination is a must to rule out the exact cause.If there is a white coating over tongue then it can be probably thrush and a microscopy of the scrapings from tongue can help in confirmation..If the symptoms are very severe you can consult an Oral Physician or ab Emergency room and get evaluated.A steroid shot and a steroid mouth rinse can help in reducing inflammation and pain..You can also suck ice pops or do cold water rinses..You can gargle with specialised mouthwash like Magic Mouthwash..Avoid spicy, acidic and citrus foods..Take Vitamin B complex supplements..Hope this helps..Regards. | |
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 --> | |
Is there any chance of getting pregnant after an unprotected sex?
me and my gf were doing orgasm. my underwear and boxer was wet with sperm.. then i rubbed it on her vagina..she was also wet and undressed.. i touched my boxer and with that litle bit wet finger... i fingered her..so is there any chance of pregnency??? if so then before how many hour she can consume i pill | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. From your history it is clearly evident that you had just body play and had no insertional peno-vaginal sex. In non penetrative sex, there is no possibility of pregnancy. The semen has to be deposited in the vagina for conception. I-pill like post coital emergency contraceptive pills do give protection against pregnancy if taken within 72 hours of the unprotected sex. Any intercourse after the consumption of the pill is not protected.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Nishikant Shrotri | |
What causes dry skin on the lips?
I am 46 and have had a very small patch of dry thickened skin above my top lip for 5 years. Occasionally it gets thick enough for me to pick off leaving a red patch but the skin always heals back as a rough patch. I am not overweight and do not spoke but in general good health. | Hello,I can understated your concern for dry skin on lips. This can be due to condition known as chelietis. There could be multiple causes of the same and most often due to dry weather or sun induced or nutritional deficiency.I suggest yo to meet a dermatologist to get proper guidance.All the best. | |
What causes fever with body rigors?
My partner has experienced rigors since yesterday , he is now in hospital and is on antibiotics, his temp went to 40 degrees and he was delerious in hospital. He is in the best of care but is there anything else I should know? Can exposure to mould be a contributing factor? He is 60 yrs, 6 foot tall, approx 75kg and is generally well,on a saline drip with antibiotics every 4 hrs. Bloods are ok but inflamitoray marker is high. Would appreciate advice. Thanks Suzi | Thanks to HCM I can understand your concern there are many etiological factors for pyrexia associated with rigors it may be a bacterial,viral or fungal infections.so plz check once all basic investigations like CBP,ESR,LFT,RFT.Widal test for typhoid ,Rapid malaria test .blood culture ,cue,urine culture generally in old age .inflammation over joints leads to high grade fever with chills &rigors as you said serum markers are raised ,plz continue the antibiotics,antiinflammatory drugs antipyretics and if need steroid of low dose required .don't worry it will subside ,take care of dehydration of body drink plenty of liquids and fruits .onemore thing plz undergo chest x ray ,inflammed joints..look for progress of disease .. | |
Is there any permanent cure for parkinsons disease ?
My mom has got Trembling of hands, arms, legs, jaw and face ,stiffness of arms,she is unable to walk properly...we met a neurologist ..he said it is some disease called parkinsons diesaese..and he gave some medictions for that...i want to know she have tolive life long like that..is there any permanent cure?? | Hi, Parkinson's disease can't be cured, but medications can help control your symptoms, often dramatically. In some later cases, surgery may be advised. Your doctor also may recommend lifestyle changes, especially ongoing aerobic exercise. In some cases physical therapy that focuses on balance and stretching also is important Parkinsons disease is degenerative disease of brain and symptoms progresses .There are variety of treatment including dopamine supplementing group of drugs, deep brain stimulator.All these will alleviate symptoms.With the recent development of effective gene delivery systems, gene therapy for the central nervous system is finding novel applicationswhich can cure parkinson disease in future presently it is in phase ! clinical trials | |
What causes headache, muscle pain and hot flashes?
Hi I have noticed for about 2 months now, headaches everyday about mid afternoon, achy muscles and have started hot flahes (yes I am out of shape abit) I am 52 but healthy still no medications, body seems fatigued all the time. Is this normal (the change?) My Dr. recommends more exercise that I have always done except the last year. Life got hectic. Have I just answered my own question? Ha. My email is YYYY@YYYY . And I can not seem to lose the 10# s i have gained!!! | Hello, Consult a physician and get evaluated. You might be benefitted from hormone replacement therapy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family Physician | |
Should radiotherapy treatment be done for the tumor on the cheek?
HaiDoctor, My brother in law 34 year old underwent surgery for tumor in left cheek upto back of left ear now he is recomendedto have radotherapy , now may i know that can he had treatment in adayar centre ,do they do free of cost or is it a paid service. | Hi,Thanks for writing in.Cancer is a difficult condition to treat. It might take months to years for complete treatment and to say that the patient is cured. It is a usual practice to give radiation to a person operated for cancer cheek like your brother.The surgery has been done to remove the bulk of tumor and the radiation is to treat any microscopic cancer cells in the cheek. Radiation is calculated as per the area to be treated and is given with the help of highly precise machines. It will also treat the cancer cells in areas where complete removal by surgery is not possible. Radiation is administered by giving fraction doses over days to weeks. One session can be given over 2 weeks to 21 days with gaps in between.Adayar cancer hospital is a government funded institute and treatment is provided at a nominal low cost to patients. Please contact hospital authorities for exact radiation cost detail. However is is much less as compared to private hospitals. Please do not worry. | |
Circular, red rash on right side of rib cage, itching, gets bigger on scratching. Causes?
Hello, few months back i had a small circular red what looked like a rash on my right side on my ribcage..it would itch ..the more i scratched it it became bigger ...then it went away ....and then i noticed a dime size dark rash under my armpit ....that also itches ..and the more i scratch the more it gets bigger ....what is this? | hi,the skin rash that you have is tinea corporis. armpits and groins are the commonest areas for this fungal infection. you need to apply topical antifungal cream twice a day for around 10-15 days. you can also take antiallergic tablets if there is lot of itching.the armpit area should be kept dry. wear loose cotton clothing to prevent moisture retention in the body folds. feel free to contact for further queries. | |
Does uncontrolled BP cause vertigo?
I was diagnosed today with vertigo and referred the neurological out patient clinic for Vestibular therapy. Medical diagnosis: BPPV All my medications were reviewed and no changes made, told to drink 6-8 glasses of water and take BP 3 times per day because that might be the problem. Does this sound right? eb | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. BPPV is due to a problem in motion sensors in your inner ear usually following mechanical trauma. Vestibular therapy and some drugs will help. High blood pressure is probably an incidental finding. Hope I have answered your query. Let me know if I can assist you further. | |
What causes pulsing and kicking sensation under ribcage?
Im 21 years old, im female and had a child 3 years ago. Im 5ft2 and weigh 9stone. Ive been having a pulsing/beating/kicking sensation on my left side under my ribcage. My friend has also felt it an she said its like mini kicks. But i had my period last month. Theres no way of me being pregnant. Im worried. | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart). Arrhythmia can cause palpitations, tachycardia, pounding heart, kicking sensations etc. So get done ecg, 2d echo and Holter monitoring (24 hours continuous recording of ecg). If all these are normal then no need to worry for major heart diseases like arrhythmia. Sometimes, stress and tension can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm.. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest treatment for Sjogrens syndrome
Hi my name is Nancy. I was diagnosed in 1998 with fibromyalgia. Over those 16 years I have had 2 lumbar back surgeries due to disc deterioration and now need neck surgery. I also had bladder lift and reticele surgery in 2008. I was diagnosed with Sjogren s Syndrome in 2011. Here are the symptoms since that time: eye dry and blurry especially upon waking, tingling and pain in legs and arms, confusion and memory loss, extreme fatigue, insomnia, clumsiness, balance problems, weakness, itching, burning sensations, bladder problems such as emptying and incontinence, severe constipation, muscle spasms in legs, stiffness, very low sexual drive, tremors in hands, etc. | Brief Answer:The treatment of Sjogren syndrome, is complex as the disease is manifested with a wide range of symptoms. You should have a regular follow-up with your dentist, oftalmologyst, and rheumatologist.Detailed Answer:Hello,Thank you for using HCM.The treatment of Sjogren syndrome, is complex as the disease is manifested with a wide range of symptoms.First you need to use artificial tears, ophtalmic lubricating ointments, or local cyclosporine drops to avoid eyes drying. You should avoid some medications (with anticolinergic effects), such as phenotiazine, three cyclic anti depressive drugs, anti Parkinson drugs, antispazmolytics (buscopan), etc. You should avoid smoking.You may use Pilocarpine for your dry mouth. You should drink water frequently during the day, or other beverages, except sweety ones to avoid caries. You should have a regular follow-up with your dentist and oftalmologyst.You can use hydroxycloroquine (Rutor) 200 mg per day, which may help you with myalgias and arthralgias.As you have begin to have bladder problems (extraglandular manifestations), you may need a more specific treatment such as glucocorticoids, or imunosuppressors.You should discuss this with your treating doctor about the dosage, and the follow up plan.Hope this is helpful.Let me know if you need more clarifications. Otherwise please close and rate the answer.Kind Regards, Dr. Juarda | |
Have anaplastic oligodandro glioma. On levipil. Taken radiation and chemotherapy. Worry?
would you please explain me side effects of tablet levipil 500 mg , how long it should be continued after radiation and chemotherapy for anaplastic oligodandro glioma grade 3. The cancer was operated one and half years back and since then the medicine along with zen retard300 is being administered.kindly give me clear picture. Thanking you. | Hi there,The drugs you are on are to prevent you having fits. These are anticonvulsants and have a wide range of side effects, most commonly weakness, loss of appetite, altered bowel habits and eye and liver problems. The duration of treatment is usually decided on case basis as if you had fits recently then they will continue it. In case you previously had seizure but now no seizure for more than a year, many doctors will stop them. In case you never had seizures , better to stop them. But you must understand the final say would be of your operating neurosurgeon or radiation oncologist. These drugs should never be stopped without advise of your treating doctor.Take care | |
What is rash on hand spreading to armpits knee groin?
I developed a rash on my hand that has now spread under my armpits, the back of my leg behind my knee, my arm and my groin area. I'm 30 years old and work in a research lab with know previous problems with a rash. I don't take any prescription drugs or any other drugs either. Does anyone know what this is? | Hello,Thank you for posting on HCM.It seems you are suffering from Tinea cruris and corporis, a kind of fungal infection.I would suggest you to consult your dermatologist for proper management of the condition.I usually recommend proper course of oral anti-fungal drugs like Fluconazole or Itraconazole along with anti-fungal cream like luliconazole for local application at bedtime. You can additionally use antifungal dusting powder containing sertaconazole during day time and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistaminics for itching as required.Maintain hygiene over those areas and avoid wearing tight undergarments.Hope your queries are resolved and wish you best of health.Kindly spare some time to rate my answer and drop your valuable review at the following link: you require any further assistance in future, you can reach me directly through the above mentioned link.Thank youDr Hardik Pitroda | |
Can depression cause body pain, feelings of vibration and mild faints ?
Hi.i know ki i am under depression but how much dat i dont know. I thnk my symptoms ae increasing like body ache specially the legs and backbone. i feel vibration n shaking in my body due to which its difficult to sleep even. Lot of headache ...along wid mild faints. Sort of a nausea but never vomit s along with a kind of fear all the time inside. Is it all coz of depression/stress or something else? i am taking Krislow med right now. pls advice. I am 26...female. | Hello. Most of the symptoms that you have described here suggest a possibility of stress and anxiety. If you also have sadness of mood, apathy, loss of interest in the surrounding, etc., you might consider depression as an additional possibility. The diagnosis of your condition cannot be done online. You can consult a Psychiatrist for the same. We also have a lot of 'depression rating scales' that can determine how much depressed you have. The same goes for anxiety, too. You can ask for those. I could not locate the name of the medicine you have mentioned here. If you have a specific question to ask, you can reply again. Take care. Abhijeet Deshmukh, MD | |
How can I get rid of dark marks on the skin ?
hi i recently use glycolic acid peel on my face it burned my skin and left real bad dark marks on my face on want to know what can i do to get rid of the dark marks its oretty bad thanks | Hi,Goest, Welcome to HCM, Never go for self medication and particularly when face like part is involved. Consult dermatologist and take the treatment. Ok and bye. | |
Suggest treatment for wheezing after inhaling bleach water
I use a cpap at night. I sanitized the heater pot, tube and nasal mask with diluted bleach water last night. I rinsed with water and I shook out the excess and somewhat air dried the parts. (I also went overboard with straight bleach cleaning the bathroom and rinsing with water). I put just a little distilled water in the heater pot, and the odor wasn t too bad when I went to sleep. Note: I usually fill the heater pot, but didn t have a lot of distilled water on hand. I may have put too much in bleach in the water in the bathroom sink with water, but thought I had it rinsed off. Anyway, an hour and a half later, I woke up not feeling right. I felt lightheaded and short of breath a little. I am otherwise healthy 45 y.o. female. I do have mild reactivity to cold air, vigorous exercise and bronchial infections. I used my albuterol inhaler once, then again an hour an one half later with improved flows. No sputum. I napped for another hour and one half (without the cpap). A few hour later, my oxygen level is fine, but I have a sensation in my lungs that don t go away...like the bronchial tree is irritated. I am using my albuterol mdi just six hours later with minimal wheezes and good air exchanged. I still don t feel great overall. I called my doctor s nurse, but she hasn t gotten back with me yet so that I would know whether I need to get additional treatment. Are there any other things I should worry about? When I was cleaning full strength on the bathroom I didn t were gloves and it took multiple hand washings and a few hours for my hands to quit emitting bleach odor. | Hello, According to the history, you provide you should do nebulizer with Albuterol for some days. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist | |
Have high SGPT. What does it mean? Had hemicolectomy and hysterectomy. Need to check thyroid levels?
I am a 51 year old woman weight 64 kg ht 162, with Hb 14.5, fasting glucose 119, glucose after 2 hrs 114, urea 24,creatinine .9, uric acid 5.8,cholesterol 262, hdl 62,ldl 165, triglycerides 170, total cholesterol 4.2,,bilirubin .6,conjugated bilirubin .2,unconjugated .4,protein 7.3,albumin 4.7,globulin 2.6,SGOT 25,SGPT40,GGTP 28,alkaline phosphotase 74.I had a hemiclectomy and a hysterectomy 4 yrs ago.My Qsshould i have statins for my cholesterol? or go on low fat diet and test again after a month?what does elevated SGPT signify?should i test my thyroid levels? | Hi and welcome to HCM. You have slightly elevated sugar and lipids. ANd you shouldnt be worried. Your SGPT is also mildly elevated and there might be some minor liver fatty changes as a part of metabolic syndrome , but this is nothing to be concerned. Other findings are very good. All of these can be treated by changing dieatry habbits and do more exercise. There is no need for medications. YOu can do liver ultasounds to check any liver chanes but there is no ned to hurry. Eat less sugar and fats. and avoid alcohol. This is most important. Wish you good health. | |
Why is ecosprin suggested regularly and does it have any side effects?
Hello Dr. After my pregnancy was confirmed, I ve been asked to take miprogen, Sinate and also ecosprin.. Need to know any side effects on miprogen to myself or my baby? Any reason for ecosprin to take regulary. (Pregnancy was confirmed with Strip and also scan. No other tests) Regds. Devi | Hi,Low dose aspirin (ecosprin) is prescribed to prevent pre-eclampsia. Generally, aspirin is not advised during pregnancy unless you have a history of pre-eclampsia, recurrent miscarriage or certain clotting disorders. It is given between 12 weeks and 28 weeks of pregnancy preferably at bedtime. It is found to be well tolerated and safe for both mother and the growing baby. Miprogen (hormone progesterone) is prescribed to support the pregnancy and to prevent miscarriage. Generally, it is well tolerated during pregnancy however, it is most common side effects include fatigue, sleepiness, headache, stomach cramps, or swelling in the abdomen which subside over a short period of time. It is found to be safe for your baby. Sinate (doxylamine + Pyridoxine) is prescribed to prevent nausea and vomiting during pregnancy and is found to be safe.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Suggest remedy for pain in head
my son just hit his head on the side of a pool. He was jumping in and decide to enter with a flip. His calculations were way off and he was too close. He bumped the back of his head on the way down & in. I'm keeping it iced. What else should I do? Tylenol for pain. | Hai. It looks like a local haematoma, due to trauma.u coan continue the same for pain. Just watch for level og consciousness, vitals, (bp, heart rate), , headache, nausea and vomiting. If all these things are normal u don't have to worry | |
What causes blood in split?
Hi, I am 25 years old. I had cough for few months. I have now stopped coughing but I see blood in my spit in the mornings. Could someone please explain what this could be? I am currently taking Proton pump inhibitors to reduce the gastric trouble i'm having. Thanks.. | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* There are different reasons for the blood in spitting as - lower respiratory tract infection as pneumonia or others - adenoiditis - tuberculosis - others * Needs evaluation with clinical examination , lab tests of sputum and x-ray chest for further management guidelines .Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards . | |
Suggest treatment for chest and back pain with chills
I was pulling heavy carts at work yesterday when I felt something pop in my chest and immediately started having chest & back pains. My chest still hurts today but my back is in really bad pain. I ve also been getting chills all day but don t know if that has any connections with my injury.. Is there any convention? And should I go to a doctor? | Hi while pulling heavy cart you have started back and chest pain and back hurts more.In my practice , with this pic I would suspect vertebral injury and go for an x ray of affected part to rule out any spinal compression fracture . Pain killers , back support , rest and physiotherapy will help relieve the pain and the rest will depend on x rays. Yes you should consult your doctor if the pain does not go away in few days. | |
What causes low calcium levels in body?
I have a calcium level of 52 in my urine test results and had pancreatic cancer with whipple surgery 5 years ago, why is my levels so low, I had a kidney stone in april and possible ones in my kidney now. I was prescribed calcium supplement but most thing do not digest and absorbe in my system due to the surgery | Calcium is one of the most difficult mineral to get absorb from digestive system. And for this you need to have enough of vitamine D also in your body. Vitamine D helps for absorption as well as for metabolism of calcium in body. I suggest to take a calcium from natural organic supplement source so that bio availability will be good comparing to allopethic calcium tablets.Also have a good vitamine D with either direct exposure to sun light early morning or as a supplement again.I also suggest to have enough of milk, egg, banana in your diet to have good calcium availability from your food.One most important thing is do not take much of allopathic calcium because you already have kidney stone issue also. In today's fast life we do not concentrate much on what we eat as well food quality is also not so well. Along with this we are not regularly expose to morning sun light. All this together will result in low calcium in body.I am sure this all information will be useful for you if you follow properly.Take care. | |
Suggest treatment for erectile dysfunction
My problem started about one and a half years ago. My normal six inch erect peanus ,will barely get hard and now is 3 to 4 inches with a large curve to the left. There is no pain, but intercourse is almost impossible.lm 65 years old ,single and my interest in wemon because of my problem. I m desperate to still enjoy sex. Can I be cured? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Erectile dysfunction has multiple causes, whenever a patient comes to me with erectile dysfunction i get certain labs done in order to rule out other causes of erectile dysfunction for example I would order serum uric acid levels, fasting lipid profile, hbA1c levels if any of the test shows any abnormality I would treat it first. So I would advice you to get these labs done and if they come out to be normal then you can be started on medications that deals with erectile dysfunction. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest remedy for bartholin cyst
I get frequent cysts in the labia major and minora region sometimes before and sometimes after menustration. I tried many medications but no response. The doctor diagnosed it as Bartholin cyst and suggested surgery. Can u please advice what to do to heal naturally without surgery | HIWell come to HCMIf this is the Bartholin cyst then surgery is the only option you have, otherwise this can not be managed medically, hope this information helps. | |
What causes rashes all over the body while on Naltrexone?
I am on heart medication for high blood pressure. sotalol, vitamin B12, Valsartan Venlafaxine, folic acid, rivaroxaban, rosuvastatin and occasional valium. Have recently started taking 50 mg of naltrexone. Have developed a body rash over entire body | immediately stop naltrexone and take tab avil 25 mg (it will cause sleepiness) and go to your heart specialist | |
Suggest treatment for sharp pain on lower abdomen
About a week ago I had a sharp pain that stopped me from talking and it was on the right side lower abdomen ovary, I have since started about two days ago having twinges on the right side ovary and I am 4 dpo. My cervix is closed and soft.Could you tell me what I might be looking at? | Hi ! Good morning. I am Dr Shareef answering your query. If I were your doctor, I would advise you for an ultrasound of abdomen to know the status of your pelvic organs including the status of your appendix. In addition , I would advise you for a CBC, a urine routine/microscopic/culture sensitivity test, a stool test for ova and cyst, and treat any of them if positive. Till then, I would advise you for an anti spasmodic and a proton pump inhibitor drug for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
How to treat intense collarbone pain caused due to a fracture?
My collarbone is broken in three places. It s been one month and two days. I still hear it popping and I get unbearable pain when moving around without it for a while. I m also noticing a pin like stick while sitting and having it down but doing small things like tying on my iPad. I m 63 years old. Is this all normal still at this stage? | Clavicle fracture healing may take 2 or more months. But regarding pain it may be because you have just started moving your shoulder after some immobilization. And i also assume you hadn't started mobilization against orthopedic doctor's advice! Gradually pain will wean off. But for your satisfaction and for a routine check up visit any nearby orthopedic doctor. | |
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. | |
When to expect ovulation after taking Pivox tablets?
hi doctor..i am 29yrs old&a mother of 5 yrs old boy,now we are trying for second baby ,,but this month my follicle is not that much big &doctor gave me pivox tablet for next two weeks,,can i expect ovulation next month,my periods are regular ...^&for allergy i am taking levocetrizine every day any problem | Hallow Dear, Pivox contains Metformin. It is a medicine for treatment of Diabetes. It is not a medicine which initiates ovulation. However, this medicine helps the other medicines like Clomiphene citrate or HMG/hCG combination to effect the ovulation. This combination is effective particularly in Polycystic ovarian syndrome (PCOS) wherein the levels of insulin also are increased. Metformin helps controlling Insulin levels.Though Levocetrizine does not affect ovulation or maturing the follicles, it is not advised in early pregnancy. Hence, if you are attempting for the pregnancy, discontinue it if you can and take a Gynaecologist's opinion on it. I hope this helps you. Dr. Nishikant Shrotri | |
Suggest treatment for swollen and painful legs and ankles
my mother, has severly swollen legs and ankles and they are constant, she needs to see a specialist in glasgow as she is not dealing with it, this has been going on for a couple of years, now they are starting to hurt, which means it is really painful as she doesnt complain about anything, can you help? | swollen legs and ankles are could be due to many reasons, mainly being problems with pumping blood like heart problems, or altering the nature of blood as is seen in renal diseases, she needs to consult a physician and get examined and tested for these things. | |
Q. I have a small bump on my head. Is it because my mom was hit when pregnant?
Hello doctor,I am a 19 year old female. When my mom was pregnant, her brother had hit her tummy by mistake with a ball as he was playing cricket. My mom had felt some strong movements at that time and I feel this is the reason why I have a small bump on my head since childhood. It does not pain. It does not cause me any headache, etc. It is in skin color. The only thing is that I can feel pus inside when I touch and as I touch hardly, pus comes out it is slightly yellowish and cloudy. Can it be treated with antibiotics or creams? | Hello. There is no relation between the ball hitting your mother during pregnancy and the lesion on your head. From your history, it seems likely to be a sebaceous cyst (nothing serious). As there is pus currently, you can use antibiotics. I suggest showing it to a physician close to home and get it examined. For more information consult an internal medicine physician online --> | |
What is the treatment for the injured lower rib?
Hi I fell on a wooden stair and injured my lower left rib. It was 2 days ago. There is quite a purple bruise on the skin. It now is sore inside more today than the past two days. I hear a click too. It hurts when I take a deep breath. Should I get an xray? | Hello,If you are not having other symptoms like breathing difficulties then it is not an emergency but you may have a X-ray after 2 to 3 days. Till then you should do following:- Take rest.- Avoid hard work.- Take a good analgesic like advil or aleve.It may take about 10-15 days to have relief. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | |
What causes numbness in the tongue and mouth ulcers?
3 months ago I was treated for an oral yeast infection after taking antibiotics. I took a pill for 7 days and on the 7th day I finally didn t have any ulcers or pain in my mouth. A few days later it started coming back. I then was put on a liquid medication that didn t do anything. I was very frustrated and different people told me I should take sovereign silver. I sprayed it in my mouth 3 times a day for weeks. I finally got tired of putting up with the symptoms and called my doctor again. He put me on the pill form again for 10 days. It did nothing. I still have a feeling of a film in my mouth, my tongue is numbish, it s whitish with red spots on the back, food doesn t taste right, and when I eat salty foods I get ulcers in my mouth. The ulcers haven t been as bad the last month. I had called my doctor and told him it never went away and he recommended an oral surgeon. Do you have any idea what s wrong? | Hello ,Thanks for consulting hcm Read your query numbness in tongue with feeling of film in mouth and mouth ulcers this can be due to fungal infection , deficiency to vitamin B , depapillation of papilla or due to stress induced . For this I will suggest you to consult oral surgeon for clinical examination of oral cavity and to get proper diagnosis . Inmeantime maintain proper oral hygiene and you can apply ointment on ulcer like Mucopain or candid gel by consulting with local doctor .Hope this will help you . | |
Can gall stones cause severe lower back and shoulder pain and tremors, also have history of prostate cancer?
I HAVE HAD MY PROSTATE REMOVED, IN JULY. FINISHED RADIATION, 7 WEEKS AGO. I WAS ALSO DIAGNOSED WITH 3 LARGE GALL STONES THAT FREQUENTLY BOTHER ME. TODAY I HAD AN ATTACH, I KNOW HOW TO GET RID OF THE PAIN, SO DID SO. ABOUT 4 OCLOCK I STARTED SHAKING UNCONTROLLABLY, FOR ABOUT AN HR. AND HALF. I FINALLY TOOK TWO TYLENOL, AND IT HAS STOPPED. ALSO HAD LOWER BACK PAIN AND SHOULDER PAIN WITH IT. I DID NOT HAVE A FEVER. MY FAMILY DR. IS ON HOLIDAYS, COULD THE SHAKING BE A PART OF THE GALL BLADDER CONDTION? | HIThank for asking to HCMThe symptoms you described here , like shaking and the backache shoulder pain may not be due to the gall bladder condition but these could be due to the functional disorders you have to keep your stress level very low, take care and have nice day. | |
Does a head injury lead to nausea?
I suffered an accidental kick to the head...above right eye area a few weeks ago at work. Ever since I have had a headache and feel dizzy. Also I think i may have hit the back of my head on the floor when I landed. My stomach is also very upset like I am going to vomit but yet I am not actually getting sick...is this a result of my injury or perhaps just the seasonal sickness? | Hi,It is unlikely that the kick to your head would be causing a headache and dizziness. It is more likely that you have a viral illness causing these symptoms including the nausea you are suffering.However, very rarely a head injury can lead to a bleed which may cause a headache and dizziness. I suggest, if your headache does not resolve in a few days you go to the ED. You may need a brain CT to exclude an injury.Regards,Dr K A Pottinger | |
What are the major sign of typhoid fever?
Hi i vave been suffering for typhoid fever for the last 4 years and i have used almost majority of the antibiotics and i now suspect that it might be a nother infection though recent blood culture showed slight growth of salmonella . Please can you tell me thhe major signs of this desease | Hi dear.Thanks for your query.According to me initial presentation of typhoid will be fever with or without chills and rigors, fatigue.Sometimes it might be asymptomatic.I would always get a typhi dot, and ask for titres just to make sure I would not miss in any of my patients.Hope this answers your query. | |
What cause itching after having a hip replacement?
I have experienced a lot ot itching after having a hip replacement, my leg was very red after theoperation and very itchy this itchiness has now spread to different parts of my body namely my arms and my other leg, also on my back, what can I do to stop this? | Hello, This must be a skin infection and can be treated with the medication. You can consult a local physician to prescribe anti-allergic medicine by which itching comes down. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Swollen cheek and mouth with throbbing pain near the ear. What could this be and whom to consult?
The side of my face where your cheek meets your gum on my R. side has been swollen for about 36 hours. I have no pain in my mouth or teeth on that side of my face, and until 10-12 hrs ago had relatively no pain, other than what I felt from the pressure of it being swollen. However, I have started experiencing some pain in front of my ear just below the temple, along my cheek bone to the side of my nose, where it ends. It is an "achy" to a subtle throbbing pain, which I have taken some Ibprofen's for, in doses of 3 @ 200mg per pill. I have concern, because of the swelling, but also when i initially felt a weird sensation, & it was shortly after that that it started to swell. Once it started to swell, it did so at such a rapid rate, that I was heading into the ER, as I called my mother (a retired RN) for her opinion. She instructed me to try a hot wash clothe, wait for 30 mins. then to apply a cold/ice pack, along with taking Ibprofen's to see what effect that would have on it. After doing that I felt that the swelling had stopped and possibly started to go down, as that area didnt feel as tight. However, i was woken up with discomfort early this AM, with the pain I described earlier, along with feeling as though the swelling had increased, to my R. side of my upper lip, and lip itself. I dont have insurance and would like to know if it would be better to get into a dentist, physician, or ER. Thank you for your time and advice. | Hello and welcome.As per the history posted here,there could be two causes for your current swelling.one is the formation of abscess in the jaw due to decayed teeth.The second probability could be a trauma.Did you met any accident were there was injury to your jaw.I would like to suggest you to see your dentist soon for clinical evaluation .If required a course of antibiotic can be given along with analgesics.Hope it helps.Thanks.Take care. | |
How can I conceive fast?
Hi, I am Shasi. i married 7 years back. i didnot get pregnant . i have laproscopy then skintest then fertility hospital i treated 4 month continuesly i havenot feedback . the doctor 4 time i have iui treatment . today onwards 12 days back on periods i have injection on 7 &8 day but the dominent follicle on both ovarie sir you understand my problem. | Hi Shasi, Let me start by saying that even though 7 yrs is a long time to wait for pregnancy, please don't lose patience & hope. We can only make way for pregnancy, but finally the ball is in God's court. I will just give a checklist for you to find any reason, see if you have missed anything. Husband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center ( examination done by andrologist), Blood sugarsWife - Blood Sugars, Thyroid profile Ultrasound scans to evaluate Uterus , Ovaries & adnexa Confirm tubal patency- most important- Tube is the connection between uterus & ovaries( the bridge where sperm meets the egg & forms a baby) this is size of hair follicle & cannot be seen on scans. If all this done & found normal , nothing can stop a pregnancy with God's willDon't worry about those follicle not growing , I don't think that IUI cannot be considered. Proper IUI is start Ovulation Induction medicines along with Hormone injections for the follicle to grow daily or atleast on alternate days. When the follicle is of right side , give injection for it to rupture & when it does , do IUI. I simulate it to , if a seed is sown , you need to water it every day , not just once in a while. So that's the reason the follicles didn't grow. If rightly stimulated with correct dose , they will rupture on time. May be if you complete the investigations & do a PROPER IUI , you shouls get a positive resultHope I have clarified your queries All the best.Dr.Balakrishnan | |
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 --> | |
Back, head, legs and neck burning sensation, pain in calf muscles. On warfarin. Why did this happen?
Hi, 4 years ago I had a saddle PE, been on warfarin and tow bp meds since then. About 2 months ago I was working pretty hard when the back of my neck all of a sudden felt like it was on fire as was the back of my head.My neck stayed tight and swollen up unitl 4 days ago when abuot 4 am I felt things move in my neck and it was like I could feel warmer water going through my whole body, I esp noticed it in my legs.I have been myself since then, but during that time I lost days, could not articulate well and at times could not, had to get wifes help to attach pictures to a email, and ive been a part time computer repair person.Every time I wanted to put somehitng in microwave I tried the cabinet next to it. The neck pain and the odd feeling in the back of my head was worse then the pain in my lower calf that ended with me going 4 days in a Denver cicu, on hep, the lovinox then rat poison. My last trip to the hospital cost me 98k out of pocket, I made it though this and seem ok, but im so so worried. I have blown veins in my legs, cold feet all the time, my dad stroked out at 53, im 45. Ive lived life at 110mph all the time, never stop.Now my neck is not swollen or tight since the feeling of ??? moving. Just like my PE, the day after it happened my calf was normal, but they did find little clots in the ultrasound. Luckly I can actually throw up lung material, about 3 years after my PE it took a lot but I coughed up what looked like a white thing and the only pic that matched on the web was a bronch cast???? But after that deal I could breath as good as before.Now its just random lil clots I pass and my lungs get ride of them, but this last deal with the burning up the back of my neck and head on fore has me very concerned, I was not myself for over six weeks.I know I should of went to the ER but cant afford another 100k or more bill.now my neck is back to normal, it cracks and grinds in my ears when I move it, I used to support 75 pound sheets of material with my head while moving them when I was building new homes. But mainly Im concerned about the last deal with my neck/head that took six weeks to seem to get back to normalThanks for any input you might have, I got to my GP in 8 days, he says I cant make clots on warrarin???Help! Thanks, Mark B | With warfarin there can be no clots. Your neck episode may be due to spondylitis which is curable. Just do neck movement exercises in all directions for 10 minutes to initiate muscles. Gradually do isometric neck exercises in which you hold the movement of neck by your hands putting a resistance in all directions . This will strengthen muscles and relieve pain | |
How to treat Benign Prostatic hyperplasia?
I have been diagnosed with BPH. My prostate is 2X the normal size. I am taking Avodart and Flowmax. I had a hip replacement 3 years ago and am otherwise in good health. Is Cooled Thermotherapy an appropriate treatment? Will it affect sexual activity? | Hi, For Benign prostate enlargement, you have been prescribed correct medication that is dutasteride and tamsulosin to relive your urinary symptoms and to decrease prostate size. Your concern is regarding the usage of cooled thermotherapy in which microwave used to destroy prostate tissue. So it can be used as a treatment modality and it is one of the safe procedure. You can discuss with your urologist regarding that. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician | |
Suggest remedy for severe pain in the ankle with swelling
Hi, I have had severe ankle pain in my right leg for last several days with some swelling and hurts to walk especially on the heel. I do have some veracose veins but my regular doctor has seen this and doesn t seem to be a issue. I also feel some of the same symptoms on my left leg but not as bad. When I lay down to sleep and then get up in the morning the first few steps are very painful and then after I stand for awhile it is somewhat better. What do you suggest please. | It is a clear case of arthritis of heel and/ or Calcaneal spur - a cartilagenous spur on heel boneNothing better than a foot exercise is responsible to manage it over some time. Support of antiinflammatory and analgesic drugs is compulsory but pl do not make it a habit.Optionally my own patients get benefit of turmeric powder 1/2 tsp in warm milk drink and its natural antiinflammatory and analgesic effects give sustained relief to them.These steps will benefit you too without side effects. | |
Persistent cough, enlarged heart, high BP, brain hemorrhage and had seizures. Suggestion?
Hi my brother recently got sick with a persistent cough and then it was discovered his heart is enlarged. He suffers from type 2 diabetes and high blood pressure do you think that caused his heart to enlargen or another factor? At present he is in the hospital under oxygen because he suffered a seizure and is alos heamorraging in the head and brain. | Hi, Thank you for posting your query. Enlarged heart is often a sign of heart failure. Heart failure is more common in people with diabetes and high BP, especially if they are not well controlled. Another cause can be hypertrophy (thickening of heart muscle wall) due to high BP. An evaluation by a cardiologist along with echocardiogram would be able to sort out this problem and establish the correct cardiac cause. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist | |
Suggest treatment for cough and phlegm production
Bad cough phlem cant sleep Hey I started to get this bad cough with phlem and last night I coughed so hard I gaged and then threw up phlem and then food. Is this normal? My stomach hurts a little too and this is the first time it has ever happened to me. I still have this bad cough. | Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of either bronchitis or lung infection is more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x ray 3. PFT (Pulmonary Function Test).Chest x ray is needed to rule out lung infection. PFT is needed for the diagnosis of bronchitis. You may need antibiotics, antihistamines, anti inflammatory drugs. Inhaled bronchodilators and inhaled corticosteroid (ICS) are also useful in this. Hope I have solved your query. Wish you good health. Thanks. | |
Q. How can I stop fishy smell coming from my vagina?
Hello doctor, About two weeks before my most recent period, I began to get a fishy smell from my vagina. I wash it every day using Vagasil. So, I was confused. Once my period came, the smell went away and I thought it was gone for good. But, the day after my period ended, the smell was back, but it was a rotten smell, not a fishy one. I am currently on my third month of the birth control pills called Aubra. I am not sure if it has anything to do with the smell, but I figured it was necessary information. What I really want to know is what can be the cause of this and how can I get rid of it? | Hello. You have not mentioned your detailed menstrual, gynecological, medical, drug history, etc., or any disease you have been treated for. First of all, it is better to have a vaginal swab to check which pelvic infection this is. Notice any symptoms you have along with this vaginal discharge like fever, itching, abdominal pain, vomiting, etc. Follow up with the report of the vaginal swab. After sending the sample to the lab, I suggest starting: Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Have treatment of disease completely if you have been treated for any. For more information consult an obstetrician and gynaecologist online --> | |
How to cure spots on the inner thigh close to genitals?
hi i have spots/lumps in the gentile area of the inner thigh i went to the docotor because it got infected. they said it was a swear rash that was infected and gave me a course of stedriod cream which solve the problem. but they have return but not infected but is giving off a smell that like cat piss. can you advise me what the cause is and how to curse it thanks | Hello.It is good that you are better now. But you still maybe have fungal infection. Use of antifungal crean durin 2 feeks might be necesarry. Speak about this with your doctor.All the best. | |
Will chalazion on her upper eyelid of a toddler heal on its own?
my 19 months baby has a chalazion on her upper eyelid since 2 months now, however it s not as big as i ve seen in videos and research many adults have. Should i leave it to heal by itself or i should interfere, though her pediatrician told me to do nothing about it. Also, how long will it take maximum to heal?? | More than 50% of chalazia resolve with conservative treatment.Warm compresses (do not squeeze) with a wet facecloth, as hot as can be tolerated, can be used to melt the lipid secretions, thereby encouraging resolution of the ductal blockage and facilitating the drainage of sebum.Baby shampoo or commercial lid wipes can be used over the eyelashes to remove debris blocking the ducts opening. Although a chalazion is not an emergency medical condition, an acute and inflamed chalazion may require antibiotics, steroids and drainage.For further queries regarding this disease or its medications you may consult me at Healthcare Magic under section "Ask Expert " >>>"Ask Pediatrician".Dr. Khan Shoeb | |
Suggest treatment for pain in middle of the chest and upper back
I am 19 years old female and in good health. Lately I have been experiencing pain in my upper back and the middle of my chest above my sternum. This is happening right now I am trying to figure out if I need to go to the er or what I can do to make this pain stop. | Thanks for your question on Health Care Magic. I can understand your situation and problem. Pain in the middle of chest (substernal) and in the upper back is mostly due to musculoskeletal cause. So better to avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Start painkiller and muscle relaxant drugs. Apply warm water pad on affected areas. You will mostly improve in 1-2 weeks. Another possibility is GERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain. So avoid stress and tension, hot and spicy food. Take proton pump inhibitors. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
What causes sharp pain in the rib cage?
I have daily soft, often long floating stools first thing in the A M usually followed by one or two more within half to an hour. Sometimes I get sharp deep pain under right center of rib cage. I basically have a low fat diet with fresh fruits, greens, nuts, fish, beans and poultry. I ve been told I have Pancreatitis though not from alcohol consumption….soo, what do you think is going on?? | Hi,Thanks for your query.The pain at the bottom center of the rib cage on the right side could be due to a renal infection or a stone if the pain does not seem to be muscular in nature. This can be ruled out after getting an ultrasound scan done.If the pain is aggravated with deep breathing or coughing then a rib injury or a muscular sprain is likely.The other causes that need to be ruled out include lung infections like pleuritis. Stopping smoking might help in reducing the symptomsI do hope that you have found something helpful and I will be glad to answer any further query.Take care |
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