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Hello Dr, I am 31 years old. I was a very very fair baby. My parents and siblings are fair. However, my skin color has been getting darker. My trunk from neck till knee are fair but my face, neck and forearms are dark. Especially my face is becoming darker. I would like to be in wheatish complexion if not fair. Can a fair baby become dark over time? Is there any way now at this age, I can reverse it? Thanks for your time and answer. Sami | Hellothe part of the body you are mentioning is less likely to be covered and due to sun exposure it becomes darker.apply sunscreen.Choose a sunscreen. SPF, or Sun Protection Factor, is a measurement of how well a sunscreen will protect skin from UVB rays, the kind of radiation that causes sunburn. If your skin would normally burn after 10 minutes in the sun, for example, wearing an SPF 15 sunscreen would theoretically allow you to stay in the sun for 150 minutes (10 x 15) without burning. This is a rough estimate, however.30 minutes before you go outside, apply an ounce of sunscreen.applying sunscreen just before you go into sun will not be effective.Hope this answer helpsRegardsDr. Shesh | |
What causes clear liquid with little blood from butt?
I was wiping my butt & a clear liquid came out with a LITTLE bit of blood. It's been happening for about a week or so. By the way, I am a male. I don't have the healthiest diet but this has NEVER happened in the past. What are possible explanations for this? | Hello!Thank you for the query.Bright red blood on the surface of the stool or on the toilet paper is very characteristic for hemorrhoids. Due to constipation, bad diet, steady lifestyle, veins gets enlarged in the rectal area what causes hemorrhoids. When wiping, you get hemorrhoids wounded so it gives a blood.I suggest you to start with diet improvement. Increase fiber rich products and mineral water intake. Avoid fatty foods. Start probiotic supplementation. Remember to wash your rectum after every stool.If this wont help, you should consult a surgeon and have rectal examination.Hope this will help.Regards. | |
Can we conceive naturally?
Myself Sam, i am 29yrs old, my sperm count is 4 to 5 mil, doctor suggested me to use Mildfil tab & Hi-Q tab and wife gone for Laparascopy treatment to clean uterus. Is there any chance to conceive naturally or go for any other treatment. Please advice. | Hello dearI understand your concernYour sperm count is 4-5 million.It is very low. Natural pregnancy is not possible.I would suggest to consult urologist and undergo routine blood test, serum testosterone and USG scan of pelvis to rule out problemDrugs like clomiphen citrate can be used to increase sperm countTake multivitamin tabletDo regular exercise, eat healthy diet with lots of fruit and green leafy vegetables, drink plenty of waterAvoid: stress, alcohol, smoking, fatty/oily foodLast option is in vitro fertilization, intrauterine inseminationHope this may help youContact further if follow up neededBest regardsDr. Sagar | |
Does Mifepristone and Misoprostol help to terminate pregnancy?
hi am 28 fe banglore unmarried but due to my wrong dicision i gt one month pregnancy so i want to remve it im not able tom consult doctr due to im frm god fearing family my friend has to ld to take two medicines mefepristone 600 gm one dose and after 48 hours misopristol 400 gms one dose is it correct can i take it without consult doctor plz tell me immdiately na | HI, I understand your concern. THe information your friend has given is correct. BUt whatever the conditions are a doctor's advise is a must. for- - confirmation of pregnancy/ confirming duration of pregnancy/excluding tubal pregnancy./ your health status. - Depending on above information doctor would suggest dosage of the medicines. - During procedure there may be incomplete abortion ( when surgical evacuation may be needed )/ excessive bleeding .. when doctor's help would be essential. * so though a home procedure, doctor's advise prevents it's adverse effects. & one must make it a point to start medicines under a doctor's advise. thanks. Thanks. | |
Suggest treatment for hair loss
mine is a problem of hair loss. i pirmed my hairs about 8-9 months ago. and now i am facing hair fall. dont know why is it happening.. i recently also shifted from india to singapore. is it change of water or wat else. i never had this type of problem before..need your expert guidance...pls help..age:22height:5,1weight:43 kgsmedical history:all fine,just migraine pain sometimes | Hello,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.Since you have not mentioned relevant history and description like pattern of hair loss(patchy/diffuse), family history etc, its difficult to put a definitive diagnosis. Still, it seems you are suffering from either Androgenetic alopecia (due to hormones and genetically determined) or Telogen effluvium (Due to any recent stressful event or any other medical condition)If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma /illness/ stress/ medications etc, your menstrual history and recommend some basic investigations like CBC,blood sugar,Thyroid function test.Also some other special tests like trichogram and dermoscopy can aid in diagnosis and prognosis.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals (Tab. Follihair new) for minimum 6 months. Also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum/gel containing peptides for hair growth at night.(Q sera, Grocapix etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda | |
Any alternative medicine for hydrocodone?
I am taking hydrocodone, 10-325 (norco) 6 to 8 a day. What is available that gives the same feeling? I like the feeling, and take more than I should that has quit helping the pain, lower back. I've tried Oxycodone 10-325, same amount but do not like the feeling. | **1. Hydrocodone is a prescription painkiller from the opiate family and is prescribed to relieve mild to moderate pain.2. There are a number of herbal alternatives to hydrocodone. Some produce painkilling effects closely comparable to the drug:. Kratom (Mitragyna speciosa) is hydrocodone's closest herbal relative. [While not an opiate itself, kratom is a mu-opioid agonist that affects the same brain receptors as opiates such as hydrocodone. Effects include increased pain tolerance, improved mood and feelings of intoxication]PS. of you choose to use kratom, you should do so with extreme caution and only under a doctor's supervision.. Willow Bark:It contains salicylin, the same active compound as aspirin.. Cayenne: triggers the release of endorphins in the brain. Endorphins are naturally occurring chemicals that produce effects similar to those of hydrocodone and other opiates, including improved mood and increased pain tolerance..Valerian Root: Tagar in Ayurveda, referred to as "nature's Valium," is a wildly popular herbal supplement in the U.S. In addition to its calming effects, valerian root is a mild muscle relaxant and may reduce spasms that cause certain types of pain | |
What does follicle in fallopian tube on an ultrasound suggest?
Hello, I need advice, my last mens was 24 June 2010, I have brownish spotting on my day 11 of cycle day 12 I had ultrasound it shows clear follicle in right fallopian tube, the day after I had ultrasound it shows gestational sac so my Dr. request for Beta HCG level it was high 1750 on 5 July 2010 !! then she assure me that is pregnancy. I was wondering how to have positive pregnancy in my day 14 of cycle, my Dr. prescribe for me duphastone 10 mg twice daily. after a week I repeat Beta HCG result was 8900 on 12 july 2010. I was feeling nausea and regular signs of pregnancy. on 19 July I went to do ultrasound to check for the fetus. nothing appear and suspected ectopic after that my Dr. asked me to repeat Beta HCG 28000 so I was admitted for laparoscopic operation for ectopic pregnancy in my left side fallopian tube was removed. I was have no pain but with continuous brownish spotting. Im wondering how the first ultrasound shows folicle in the right side is there any explanation??? Thanks | Hello,I have gone through your query and understood the concern. I will be able to comment further if you can furnish me details of the sonogram reports and also the operative notes. It is quite rare that when the follicle was visualized in the right tube, ectopic was detected in the left tube. This means the fertilized egg instead of travelling into the uterus, traveled via the pelvic cavity into the other fallopian tube, which is a very rare phenomenon. It is possible another follicle in the left tube was missed at the time of the initial scan. Release of multiple follicles simultaneously from both the ovaries also is a rare phenomenon. Hope your query has been answered. Take care. | |
Q. Why is my penis tip swollen with different color?
Hello doctor, My penis tip is swollen and skin is also looking different. It happened three months back. I consulted a urologist, skin specialist also, it has not reduced. I did not have any bad habits and not have any illegal relation, unmarried. Please help me. Sometimes near the tip, there is burning, irritatation and it is reducing. | Hi. You seem to be suffering from balanitis. There are various causes for balanitis which include yeast infection (the most common cause), bacterial infections, viral infection, sexually transmitted infections, skin irritation, and allergy. I would suggest you consult a physician. You may need a short course of antibiotics. | |
What is the function of Fertigyn 10000?
HI Doctor, Out doctor has given me fertigyn 10000 iu on the 14th day of my cycle and asked to have the relationship with my husdand the next day ..means on 15th day night .. If i have any back pain on the same 14th day, she has told to have the relationship. Please advice me, whether is there any symptom or indication so that i can have relationship. | Hi, fertigyn injection is given to rupture the follicles and release egg. So, you should be in contact with your husband for 2 to 3 days after injection. It increases the chance of pregnancy. Mild back pain is also an indication of rupture of follicles. So, your doctor has advised to be 8n contact on day of pain. Hope I have answered your question. Regards Dr khushboo | |
How safe is Depsonil and Antoxid for clear fluid leak during masturbation?
Hello good day , i have been leaking a clear sticky fluid (which usually comes during masturbation) for almost a month and half through out the day . i have been under treatment from a doctor until then and still no improvement . i was advised to take depsonil(25mg ) and antoxid (also lg.meganeuron injection weekly) from the beginning until now at nights .please advise | Hello,This clear fluid is normal and is called pre-cum. It is meant for lubrication during sex. As long as your sperms are healthy and count is normal you do not need to worry about this clear fluid.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician | |
Diagnosed with hepatitis C infection. Normal to schedule CT scan?
yes my daughter as been diagnosed with hepatitis c and as not yet had her liver check, but was told that she as to have some type of chemo for this. How could they determine this without checking out her liver first. She was not told what stage she was in either. Is this normal they have scheduled her for a cat scan in two weeks | Hi, thanks for using healthcare magicPart of the work up for hepatitis c normally includes (1)liver function tests, (2)complete blood count, (3)thyroid function tests (can be low in some persons with this infection), (4)screening for hepatitis B, (5)determining the amount and type of hepatitis c present.In terms of the treatment, patients with hepatitis c have an excellent response to interferon which may be the chemical agent you are referring to.Because some persons may improve on their own, sometimes doctors may wait before starting treatment.The CT scan would determine if there is any significant damage to the liver. Hepatitis C may be classified as an acute infection, chronic infection with or without damage to the liver.I hope this helps | |
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 --> | |
Chronic cough due to eosinophilia. No improvement with medicine. Undergoing hemodialysis for renal failure
Good morning doctor,My father was suffering with chronic renal failure ..he was undergoing hemodialysis twice a week.My query is, since one month he is suffering with chronic cough .We Approached pneumologist also.After blood tests it was diagnosed by doctor that the cough was due to eosinophilia .Inspite of using many medicines..he was not yet relieved from cough as well asthma.Doctor please kindly suggest the remedy for this.My mail Id YYYY@YYYY . Thank you. | Hello, Cough due to eosinophilia is NOT a diagnosis as given by your physician. Although it is well known that eosinophil counts go up in asthma, allergies, parasitic infections; I am sure these have been checked and are not relevant here. You have not mentioned the absolute count or percentage but raised levels in patients with renal failure is mainly due to a vascular cause. If there is any skin rash, vasculitis is likely. If there are eosinophils in the urine, then the diagnosis is interstitial nephritis. Drug induced eosinophilia like interferon use should be considered if this drug was used, or for that matter blood pressure lowering agents such as ACE-I like enalapril, captopril, trandolapril cause chronic dry cough with raised eosinophil counts. A thorough review of the causes is required that should be addressed by your renal physician (nephrologist). I hope that was useful. Thanks. | |
Have stomach problems, acid reflux, stomach hernia. Done colon resection. Acupuncture useful?
I am trying to find info on plaquenil . I have bad stomach problems, acid reflux , no ibufrofin had colon resection surgery and have a stomach hernia. My stomach is easily upset to watch what I eat. I don ;t think this is a good med for me but my rheumatologist thinks it is the best . It takes 3-6 onths to work. How do I deal with the side effects and how long does it take for them to go away. Will acupuncture be an alternative solution? | Dear,Welcome to HealthcaremagicEvery medicinal system has its specialty. Same as i think Ayurveda can address your problems well. You mentioned you had already colon resection. you had hernia of stomach probably hiatus hernia which cause high bile reflux. no proton pump inhibitors can resolve it. Ayurveda medicines give natural care for your problem and some yoga/Pranayama under supervision of Ayurveda Specialist.Take care | |
Can herpes cause abscess & blood filled lumps in wrist?
Hi. I actually have an abces on my right arm between my wrist and elbow. It has been painful for 3 days. I also have bumps filled with blood (dirty looking blood) on my wrist of that same arm and at 4 other places on my body. The one on my writs is very hard ... I have herpes type 2 ,\\Could herpes be a cause of all that ?!? abces is caused by bacterias but can't a doctor test what kind of bacteria? Concerning the lumps filled with blood I would like to know wat causes dat | Hi,Good Evening.Thanks for the query to HCM.I studied it in depth and I understood your health concerns.-Treatment-for blood filled lumps on wrist and body-1- Mostly it appears to be -Herpes type 2 with complicated blister filled skin rash with super-added-bacterial infection of the herpes blisters.2-Cause is due to the sexually trasmitted herpes type-2 -which you already have infection.3-Bacterial culture from the abscesses or from the blisters would fix the type of the bacteria causing it -mostly staphylococcus.4-So the answer to your query is YES-herpes type 2 blisters can cause abscesses.5-The one your wrist-is hard -meaning the harifollicular infection with cellulitis-as the blisters usually progress to pustules due to infection and indicates low immunity.Dont get scared and uneasy,but be cautious and act fast.Hope this would help you a lot to relieve you.Wish you fast recovery-and healthy life.Wellcome to HCM with more queries till you are satisfied.Have a Good Day...!!Dr.SAVASKAR M.N.M.S.GENL-CVTS,Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer,Asthma,etc,Rejuvenation therapy and Tissue failure -reversal therapies. | |
What causes vomiting and abdominal discomfort in a 2 year old?
My 2 year old starting being ill 8 days ago, she would vomit anything including parecetomol after a few days she stopped drinking and we took her to er. No fever at all, checked for diabetes (negative). Tiny rashes around nuckles which go away. We have been giving her electrolites and paracetomol posterior. However, she is still very tired. She is ok when wakes up but by noon all wants to do is sleep. Curls up as if in a bit of stomach pain. Will spend most of rest of day napping, wake up for an hour and then want to go back to sleep. This is day 8, and has never been ill before 8 days ago. She moans alot and appears to have some sort of discomfort. | Thanks for consulting at Healthcare Magic.As your daughter is suffering from vomiting, abdominal discomfort, drowsiness, loss of appetite since 8 days, you should consult pediatrician for detailed clinical examination and investigations like CBS, USG etc. | |
Suggest treatment for aggressive behavior with breaking things
I feel like I'm a somewhat competent and successful person. But now I find myself a year deep in a relationship with a boyfriend who breaks my things when he's angry. He'll stomp around my house, spit on my walls and yell at me. Is there any hope for him to change? Am I stupid to stay? | Dear User,Thanks for using health care magic.From the available description it appears that you are abused in hand of a person who is not mentally normal I won't say that he can not be changed but it takes a lot of effort on part of the family members and person himself to have better functioning. If he says he has not done anything abnormal despite behaving in such a way it is very difficult to make a change in his behaviour.'Hope I have answered your query. If you have any further questions I will be happy to help".Thanks | |
What causes blood in urine when suffering from kidney stones?
I have been diagnosed with kidney stones some time ago. Yesterday I felt like I would be sick with really bad cramps in lower abdomin.. painful urination with pink tint. Today I'm urinating almost every 5 to 15 mins very cloudy and actual blood clots and looks like tissue in urine Its very very pain full. | Hi and welcome to HCM. As an Urologist,i can understand your anxiety.Whenever the stones move,they can lead to bleeding and the blood turns to clots in the bladder.Later when the person passes urine,it's expelled.The pain develops,when the stones move inside the kidney.The blood causes the pink tint to the urine.Drink about three liters of fluids daily.Also take stone dissolution treatment.The stones must be treated after check-up with an Urologist.Dr.Matthew J. Mangat. | |
Q. What can be done for thickened spermatic code with trace hydrocele?
Hello doctor, I am 37 years old man. As per an ultrasound report, some problems are traced. A thickened spermatic code on both sides. Trace hydrocele on both sides. Early varicocele on both sides. | Hi. I can understand your concern. I have gone through the ultrasound report you have attached (attachment removed to protect patient identity). Please let me know what are your symptoms? Do you have lower abdominal pain? Please reply me answers of above-asked questions, so that I can guide you better. I will be happy to help you further. | |
Suggest remedy to overcome homosexuality
hi my name is oya iam a homo sex person the main problem with me is wen ever i see a handsome guy i feel that i want to have a sex with that guy i imagine myself as if iam sucking his pennis and he fucking my ass wat is my problem i dont want to be gay i want to be guy | Hello, Homosexuality is romantic attraction, sexual attraction, or sexual behavior between members of the same sex or gender. As a sexual orientation, homosexuality is "an enduring pattern of emotional, romantic, and/or sexual attractions" to people of the same sex. At different times and in different cultures, homosexual behaviour has been variously approved of, tolerated, punished, and banned. Homosexuality was not uncommon. But you should not feel shamed being homosexual. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist | |
How to avoid the practice of masturbation?
Hi, I m 28 year old male, and i do masturbate everyday, i feel that i m no last longer on bed with my partner, and then I realize that this is bad habbit, now I want to quit it, please help me and also I want to know that how many days or month will take me to recover and get my natural sex live with my partner. | DearWe understand your concernsI went through your details. There is no need to avoid masturbation altogether. But here you have your partner to have sex and enjoy. You are not having enough pleasure while doing vaginal sex as compared to masturbation. That could be one problem. Sex is not mechanical. Vaginal sex needs love, affection and passion for full pleasure. I suggest you to approach your partner with love, affection and passion for vaginal sex and discover the unimaginable pleasures associated with it. Once you discover it, you will totally leave masturbation for sure.You may still masturbate once or twice a week even when you are enjoying vaginal sex, as an alternative pleasure area.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | |
What causes irritation in lymph node?
Hello I was wondering why my lymph nodes irritate under my jaw/ chin. I did have 2 bad wisdom tooth which cause me to have a absese in my mouth. Well I have had my wisdom teeth removed the dentist cut the absese and squeezed some of the infection out. After all that I had to go back to my doctor because she say I was about to get the gingivitis disease in my mouth it was the thrush on my tongue then she changed my allergies med from tavist to Claritin with the nasal drip and a high antibiotic name Cleocin which helped out and diflucan for yeast infection. Through it all my lymph nodes don t swell but they still irritate and I m wondering what is the next step I need to take | Hi, thanks for sharing your health concerns with HCM!I've gone through your situation and can perceive the magnitude of concerns building within you!Did you do any test from the collection within the lymph nodes?If yes, then please mention the pathological reports; If not please do an FNAC test with AFB/Fungal smears also; this is necessary for a definitive diagnosis and to plan the line of treatment!As per your description, there is high chance of contagiuos infection from teeth/gingiva etc, but still it could be tuberculosis or some independent pathology of the lymph node itself!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.Wishing you good health. | |
I RA causing pain in arm on extending?
I m a 47 year old female,I was diagnosed with rheumatoid arthritis in 2012.About 6 months agoI began having problems extending my right arm.I do have an old injury,I broke this arm in 4 different places at age 7.Today I noticed a lump in the crease of the inner part of the same arm. What is going on,this is really beginning to frighten me. | Hello, I have studied your case with diligence.RA may lead to osteoporosis. Lump can be rheumatoid nodule leading to inflammation.Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis,You need to start supplement of calcium with vitamin D, vit B12, I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies.You need to take diet rich in calcium and vitamin D.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | |
Q. What is the solution for face color being dark when body is white?
Hi doctor,I am a female and my age is 25 years. My body is white but face dark black. I have used many creams and lotions but there is no change. So, I want a solution for this. | Hello. I just read your query. See if your face color is darker than your body color then it can be due to excessive exposure to the sun. But, if it is your natural color then it cannot be lightened through creams, etc. To get rid of sunburn apply sunscreen lotion half an hour before going outside. Apply sunscreen even on cloudy day. Apply aloe vera gel on your skin two times a day. Use oatmeal scrub two to three times a week. You can use any other scrub too if you want to. Drink plenty of water daily. Take more of fresh fruits and vegetables in your diet. These all things will help you a lot. But if you have some sort of skin problem then I advise you to visit a nearby dermatologist first. I hope you understand my point. We will have a follow up after three weeks. For more information consult an ayurveda specialist online --> | |
Why am I getting hives, headaches, nausea and loss of appetite?
I have had hives, headaches, nausea, loss of appetite, and weight loss for the past 3 weeks. I'm not pregnant, and nobody knows what's wrong with me. I think I'm allergic to milk, because it started 3 weeks ago, everytime I drink milk (The hives anyway). The doctor told me it may be exzema, but I know for a fact that it's not. Can you tell me what it may be? I am 17 turning 18 in june, i'm 118lbs, and 5'5. It has never happened before. | Hello!I really appreciate your concern. From description of your symptom I suspect you having cholinergic urticaria also known as physiologic urticaria. This happen in the person having allergy or atopy. There may be one or several triggering factors for it. Simple treatment is having anti-histaminic drugs like levocetrizine 10 mg as required. Hope my answer has solved your query. Take Care.Thank you. Best Regards.Dr. Manan | |
How to treat asthma with memory loss?
Hi I need to know what to do. My Daughter has be precribed prednisone she started at 1000 mg 12 tab aonce and has been decreasing bt 1 tab daily. My daughter has been told at 18 that she had assmas and she has been using her puffers flo vent ventlin folvent 250mg. She has sufferd with assma in the summer every year and has been to the hospital and blood work come back good. She has mamory loss confusion. | HI, thanks for using healthcare magicPrednisone is used in some cases of an acute asthmatic attack.To reduce the frequency of her attacks, she should identify her triggers for asthma and try to reduce them if possible.Some common triggers are common cold, reflux, sinus problems, exercise, cold exposure, extreme emotion.If she has reflux or sinus disease she should treat these.She should also use her preventer inhalor as prescribed by her doctor. If the present dose of the preventer is not enough, it may need to be increased to improve her control.I hope this helps | |
What causes poking pain in chest?
I have had recurring chest discomfort for the past 3 months, none of any major severity of duration. The most prevalent is a sort of "poking" feeling on the left center portion of my chest. I have also in the last week had that same poking type pain in my left shoulder. At times I feel lightheaded and every now and then I have a pain in my back, specifically right inside the left shoulder blade. I have been to the ER this past Tuesday with the same symptoms and a blood pressure average of about 140/100. I had blood taken and tested and an EKG done, all coming back with no alarming results. I was told to follow up with a cardiologist, for which i do have an appointment on Friday, Jan. 14. I have had anxiety due to stress which has produced two anxiety attacks of significance since late November. The physicians I have seen all say this is due to anxiety, but I cannot help but worry if it's more. Can you please shed some light on what may be occuring? Thank you. | Thanks for your question on Healthcare Magic.I can understand your concern. No need to worry for heart diseases related symptoms as your blood pressure and ecg are normal. Possibility of stress and anxiety related symptoms is more likely. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs (propranolol and flunarizine) too.Don't worry, you will be alright with all these. 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. | |
Report shows enlarged prostate, cortical thickness of kidneys less and irregular, ill defined corticomedullary junction. Indications?
hello sir, a urine routine microscopic report showing color-yellow transparency- turbid pus cells-10-12 albumin-++ RBC s- 1-2 cast-granular cast++ crystal- calcium oxalate++ epithelial cells-2-4++ usg whole abdomen showing kidneys are normal in shape and size cortical thickness is less than normal and irregular parenchymal echoes are coarse corticomedullary junction is ill defined calyceal pattern is bright urinary bladder : lumen is normal, wall thicker prostate is enlarged in size 44gm(15gm) so can u plz tell me what does this actually indicates about? i will b very thankful to u... | HI. FROM YOUR DESCRIPTION IT SEMS YOU ARE SUFFERING FROM PYELONEPHRITIS , A CONDITION IN WHICH THERE IS INFECTION IN KIDNEYS. U NEED TO UNDERGO CERTAIN TESTS INCLUDING TESTS FOR DIABETES AND KIDNEY FUNCTION AND URINE CULTURE. EMLARGEMENT OF PROSTATE IS USUALLY SEEN IN OLD AGE, CONDITION KNOWN AS NBENIGN HYPERTROPHY OF PROSTATE, IF YOU ARE SUFFERING FROM URINARY SYMPTOMS LIKE FEQUENT UEINATION, DRIBBLING, POOR STREAM THEN ITS TIME TO CONSULT UROLOGIST. INFECTION IN KIDNEYS CAN BE AS A RESULT OF PROSTATE ENLARGEMNET CAUSING OBSTRUCTION OF URINE | |
Suggest treatment for cyst in the spleen and kidney
Hi, 7 weeks ago i had an ovarian cyst aspirated laparoscopically after 18 months of various symtoms including severe pelvic pain, abdominal cramping and bloating,vomitting, loss of appetite, night sweats etc. A week after surgery i had a pelvic ultrasound which showed a 2 1/2 cm cyst on same ovary, the ultrasound has also shown a cyst on my spleen and left kidney. Im very confused and worried and the consultant in my hospital is not seeing me again for another 6 months eventhough im still experiencing all symptoms. | Hello,I would like to know whether the cysts in your kidney and spleen were there prior to your cyst aspiration. As your cyst was only aspirated and not removed, it is highly likely to have some residual fluid collection.If there has been a considerable reduction in symptoms, you can wait and watch otherwise it would be advisable to get a second opinion.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Karthik Rajan | |
Suggest pain medication for chronic back pain and arthritis
My boyfriend has been having chronic back pain for several days now and it seems to be getting worse. His docotor took x-rays and found arthritis, however, the pain is constant and getting worse with each day. Meds don't even touch the pain. Thoughts on how to relieve his pain aside from drugs? | Hello, I had gone through the case and found that he needs more test like RA factor, ESR and CRP.He has to take medicine and can go for physiotherapy for pain.After pain subside do yoga and exercise.Take calcium rich diet along with Vitamin D3 once a week for 3 months.Hope my answer will be effective for you.Thanks | |
Could experiencing strange sensations at the base of tongue mean that I have globus pharyngis?
Hello I am 59 y/o male in good general health. I use alcohol moderately on weekends. I do not smoke. Over the past 4-6months I have experienced a foreign body sensation in the left base of tongue area. The sensation is intermittent and occasionally but not usually migrates to the left. I see an ENT physician about 3 months ago. He performed nasopharyngolaryngoscopy, visual and digital inspection. He found nothing abnormal. He sent me for an MRI of head and neck. It was WNL. Any suggestions? Could this be Globus Pharyngitis? | Hello,Welcome to HCM,It may be a felling of mucosa membrane of the nasopharynx, as you have undergone all the investigations to find out any pathological condition leading to these symptoms and confirmed that you are not having anything abnormal.It looks like a Globus, as there is a persistent or intermittent non-painful sensation of a lump or foreign body in the throat.This symptom frequently improves with eating and is generally unaccompanied by dysphagia, if there is any underlying acid peptic disease it should be treated and your symptoms will improve over a period of time.Thank you. | |
How to cure lump on the elbow with pain?
yes have a small lump on the inside of my left ellbow it is painful and now my forearm is sore and i am starting to have some pain on the outside of my wrist i have had no fever or other pains in any other region of my body other than this i feel great.. also now it feels like i may be getting a slight cold | Hello and welcome to HCM,A painful lump on the elbow causing soreness in the forearm could be due to nerve related lump.A lump or benign tumor arising from nerve can lead to painful lump.An aspiration cytology of the lump will be helpful in determining the site and nature of the lump.Aspiration cytology is an office procedure wherein a needle is inserted in the lump, cells are aspirated and spread on slide.The aspirated cells are stained with appropriate stain and studied under microscope.On the basis of result of microscopic examination, further management is planned.Consult your primary healthcare provider for clinical assessment and relevant investigations.Thanks and take careDr Shailja Puri | |
What causes lump on stomach?
have been having abdominal pain for awhile now and recently noticed a lump a lump on my lower right side of my stomach followed by a big bruise. The bruise had gone away but not the lump nor the pain and now a few weeks later, another bruise is appearing. What could that be? | lump which ur talking abt is just a haematoma( collection of blood underneath skin)... no need 2 it vl subsidies on its own... give warm compression n some analgesics for pain... if the bruise is following trauma then don't worry... if its sudden den u need 2 contact haematologist.. | |
What are the symptoms of bronchopneumonia?
my Dr. put me on amoxicillin/clavulanate 250/125mg, yesterday, as she thinks I have bronical pheumonia and I would like to know the side effects, as I have no energy, itchy, all over eyes to fighting to keep my eyes open, cold, headache, r these side effects?? they are an anti-biotic I have no energy, at all so I was wondering what the side effects are? Rose Scott YYYY@YYYY YYYY@YYYY | Thanks for your question on HCM. I can understand your concern. Weakness can be due to bronchopneumonia or due to antibiotic you are taking. Bronchopneumonia is an infection. And decreased oral intake, weakness are symptoms common in acute infection. Antibiotics can cause weakness but infection is more likely cause for your weakness. It will improve once your infection and pneumonia resolve. This will take at least 7-10 days. So better to drink plenty of fluids orally and keep yourself hydrated. Also take light food. Get done repeat chest x ray after 10 days to see improvement in pneumonia. Hope I have solved your query. Wish you good health. Thanks. | |
What causes numbness and tingling sensation in hands when under stress?
After tilt table testing I was diagnosed w neuromediated hypotension w vaso vagel response and left bundle branch block. Basically I ve always fainted with dental or medical procedures or when under extreme stress. Also sudden fear causes my hands to go numb and tingly. If I have 1-2 drinks w alcohol I get the same sensation of numbness and to tingling in my hands. The other day I had a syncope episode after getting lidocane injections for back pain. After the syncope episode the doctors were monitoring my blood pressure bc it was very low and I was having the numbness in my hands for about 2O minutes. What causes the numbness and tingling sensation in these instances. Is it anything to worry about or a sign of underlying condition? | Hi, I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you Question : What causes numbness and tingling sensation in hands when under stress?Answer : 1. Stress causes Reduced Blood Flow to Peripheral Organs2. Because of this reduced Blood Flow to Peripheral Organs, Less Oxygen is delivered to Hands3. Because of less oxygen, the normal functions of nerves are affected 4. Because the normal function of nerves are affected, there is tingling sensation // Is it anything to worry about or a sign of underlying condition?//This is mostly due to the "neuromediated hypotension w vaso vagel response and left bundle branch block" and not a problem of hands. So If you take proper treatment for this problem, your tingling sensation will be solved Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. | |
How to decrease creatinine level while suffering from chronic kidney disease due to diabetes?
My creatinine level went from 1.9 to 2.47 (November) to 3.48 in December and 4.1 on December 30th. A kidney biopsy just showed that the CKD is due to type 2 diabetes. There is a lot of scarring. The renal specialist stated that I may have to go on dialysis in 6 months to a year. What can I do to lower the creatinine? I'm on hydralazine and my sugars are tightly controlled. | HIThank for asking to HCMThe kidney function might be damaged because of some endogenous noxious substance, right now the high dose of diuresis is the option this could some time bring the creatinine value to normal or treating the underlying cause will also correct the level of creatinine, have word with your doctor, take car and have nice day. | |
Is the CRP rate of 10 safe in a 69 year old for routine dental care?
I have a dental patient in the chair 69 yo, cauc female. ONly had one abnormal value. MCV of 104.1 on her hematology report and special chemistry of 10.7 on CRP which she states is better than her previous cardiac score of 20. Any hesitation with routine dental care? | CRP Levels above 3 are risky. Make sure you have prophylactic ( precautionary ) amoxycyllin 2g 1 hour before any dental treatment involving gums. | |
Can bronchitis and pneumonia be contagious through saliva?
I am a 37 yr old female who is 5'7" and 208lbs, my boyfriend has had a touch of bronchitis and pnuemonia. He is trying to tell me that his doctor told him he is allergic to smoke, which i do smoke but not around him. He was telling me that he is getting the bronchitis and pnuemonia by kissing me. So what he is trying to say is through my saliva he is allergic to my saliva since i smoke. | HelloI read your concern and i would like to give your some information for this.Bronchitis and pneumonia are both viral or bacterial inflammation of the airways and the lung tissue. Viral infection is contagious with saliva or with breathing. Bacterial infaction can't be spread with these routes. The term allergic from smoke is not correct.Given the fact that he is sick it is better to stay away from several environment dusts and from smoke dust too.And you should stop smoking too.But he is not ill from your saliva or your smoking.Thank you Dr.Jolanda Pulmonologist | |
What causes vomiting, headache and fever in a child after swimming?
Hi. I have a 10 year old and 6 year old. School called today and both children are sick. My 6 year old has vomiting, stomach pains, and fever. My son has fever, headache, stomach pain, and a sore throat. My concern is that they both went swimming in a pond over the weekend. Could there be something from the water causing this sickness since they are both sick at the same time? | Hi....you are right. Both kids sick at same time and with commonality of pond swimming might be a reason. Both might be having a common viral illness. But your son has got sore throat, I suggest you consult your doctor for the rapid antigen test for streptococcal pharyngitis.Regards - Dr. Sumanth | |
What could fever in a toddler with rashes around groin area indicate?
My son is three years old. He got a fever on Sunday. We gave him Children s Advil. He has hardly eaten anything since then but he was drinking (very thirsty at night). He looks very pale now and when he eats something (banana, apple, breakfast bar or even Pedialyte) he says it tastes funny and won t have more than one bit or sip. He has urinated regularly (even today) but I believe it s been 48-72 hours since his last bowel movement. His fever was around 100 (armpit). He has no other symptoms (congestion, cough, runny nose, etc.). He says that nothing hurts. His eyes look sort of sunken and dark (compared to usual). As of tonight he feels warm to the touch but I took his temp rectally and it was 98.6. He seems to have a rash (pink, not raised) in his groin area. Inside legs and all around privates. He hasn t had any Advil since 9am this morning. | From history it appears that its a viral fever which will settle only symptomatic therapy like for fever give him paracetamol 250mg 4 times a day.plenty of oral fluid ok | |
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. | |
What are the side effects of anesthesia?
Hi there. I received a colonoscopy 4 days ago and have suffered increasing and deepening bouts of lightheadedness and nausea (without vomiting so far) since then. These feelings are not constant, and come and go, but the intensity has increased throughout the week... Can this be a bad reaction to the anesthesia?? I have been eating and hydrating normally (urine is back to normal very pale yellow color) and have not had any unusual abdominal pains since about 1 day after the procedure. Thank you in advance. | Hello, Side effects of general anesthesia include: Temporary confusion and memory loss, although this is more common in the elderly. Dizziness, Urine Retention, Bruising or soreness from the IV drip, Nausea and vomiting, shivering and feeling cold, sore throat, due to the breathing tube, etc. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. AJEET SINGH | |
Intense scabbing after waxing, skin peeled off, scabbed areas have lighter color. How to restore original color?
I waxed same area twice. After dat i got intense scabbing. The scabbing is now gone and the skin has peeled of on its own. But the scabbed areas now have a lighter color than its surrounding. How to get back my original pigmentation in that region? I have been using Momisoft-F cream on doctors advice but it doesn't seem to work. | as symptoms mentioned it can be post inflammatory hypopigmentation.it can be cured by application of mometazone in the morning and tacrolimus in the evening | |
Does hypoxic ischemic encephalopathy cause hearing, vision or talking problems?
my brother had a baby boy 15 days back. he was diagonised to have Hypoxic Ischemic Encephalopathy through MRI. he had seizures two times. he is not swalloing the milk , so his feeding is through the tube. my concern will he have any sight problem , will he be able to talk and hear. | Hello, This depends on the duration and level of hypoxia encountered, so please send reports and details to be able to help you further. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Salah Saad Shoman, Internal Medicine Specialist | |
Q. How to avoid unplanned pregnancy?
Hi doctor, I had nonpenetrative sex with my partner. He did not ejaculate, but a kind of sticky lube came from his penis which he wiped with his hand and then rubbed his hand in the bedsheet. After that, he used his hand in my private areas. I am afraid that I might get pregnant. Please help. | Hello. There is a possibility that you may get pregnant with pre-ejaculate fluid itself if you were in a fertile period, as precum also contains sperms. It is better advised, that you should opt for an emergency contraceptive pill like an i-pill within next 72 hours to avoid the chances for unplanned pregnancy. For further doubts consult an obstetrician and gynaecologist online --> | |
Rashes on inner arms, spreading, no itching, dry raised rash. Causes?
My husband has a rash on his inner arms. It is small and round but varies in size up to a pea. It started on his inner bicep on one arm and has gone away but appeared on his inner forearm on the same side. Now it s also on his other arm, same places. It doesn t itch , it s not wide spread, just a couple small patches or a single circular dry, raised rash. What could it be? | Hi,Your husband is having small mild scaly lesions without any complaints like itching or pain..right?It seems that it would be either tinea versicolor (TV)or erythrasma.In both condition ,patient dose not itch.Tinea versicicolor is fungal infection caused by melessezia furfur and erythrasma is mild bacterial disease caused by corynebacterium minutissimum.You consult dermatologist, he will really differentiate and diagnose.Both are treatable condition.In T V , antifungal tablets like ketoconazole and cream like ketoconazole cream may be used.In erythrasma ,antibiotics like azithromycine and clindamycine gel may be used.I hope the answer would be helpful to alleviate your condition .Thanks.Dr. Ilyas Patel MD | |
Q. Patient has excreting problem. Is it a fissure and does it need surgery?
Hello doctor, My brother is 38 years old and he is obese. His weight is more than 150 kg. He has been found with liver cirrhosis few years back and he has taken medicine for that and all went normally. Later, he found with balanitis but after medicine he was normal. At present, he used to drink but now he is facing an issue. He has an issue with excreting out due to a fissure. He said that a few days back when he was in the washroom, he felt some piece of flesh came out through his excretory part and he used to have tight stools and feels some pricking type in his anus. His tummy also feels like some balloon on his left side of tummy. He is asking that whether he is facing fissure issue and should get this thing operated or not. Sir, I want to know what should we do. He is a hypertensive too. | Hi. I could find three issues with your brother. They are obesity, cirrhosis, and fissure. All these are related. He needs to lose weight. He has to be motivated with regular physical activity, modified diet and restrict fluid to 2 liters a day. Regarding cirrhosis, he needs to be on regular follow up. We need to check how bad his liver is. We need to check his : Being cirrhotic he needs to have two to three times of bowel movements daily that too soft stools. When stools become hard, his fissures (cracks) in the anal region become worse and painful. So, the first step is to avoid constipation and constipating foods. Take syrup Looz (Lactulose) 30 ml at night or twice or thrice daily to achieve adequate soft stools. You can use these two creams alternately every four hours for acute pain, Cremagel (Diltiazem) and Smuth (Lidocaine, Dobisilate, and Hydrocortisone) cream. Better to try without surgery as he is cirrhotic. If pain does not settle with these measures you can go ahead with surgery. Definitely, he has to be abstinent from all liver-damaging substances. For more information consult a medical gastroenterologist online --> | |
Q. Why is there random chest pain in a heart patient?
Hello doctor, My mother randomly gets chest pain that comes for one minute and goes, but this sequence sometimes occurs for half an hour. There is no jaw pain or pain radiating to the left hand, and no vomiting. Is there anything serious or this incident is common with heart patient? Her weight is 95 kg. The doctor prescribed her Nebicart 5 mg. Her blood pressure is 106/55 mmHg (lower side). Now another doctor has reduced the doses to 2 mg. Kindly suggest what has to be done. Now her blood pressure is 106/65 mmHg. The doctor also referred Caat 20 and Matilda forte in an earlier report. Her cholesterol is also on the lower side. What should I do? Kindly guide regarding medicine. | Hello. I have gone through the echocardiogram (attachment removed to protect patient identity), it is fine. You mentioned her to be a heart patient. Did she suffer an attack in the past or anything to suggest heart disease? I guess she just has blood pressure problem but no heart disease at present. The kind of pain you are describing is not angina pectoris, and likely it is not related to heart. This is likely a pain related to gastritis and reflux disease. Also, the possibility of muscular pain is there. Does she also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning? These are the other symptoms and may be associated. If these symptoms are also there, then it raises the possibility of gastritis, and she should get prescribed tablet Pan DSR (Pantoprazole and Domperidone) 40 mg before breakfast once a day for two weeks. Have you got her ECG (electrocardiography) done? Is it normal? It is better to get treadmill test done as a part of routine screening in older patients. If she is not able to perform it, then she can have stress Thallium or CT (computed tomography) coronary angiography. These are not absolutely necessary but helps to detect underlying minor disease if it is there. Next, if Nebicard (Nebivolol) is given just for blood pressure, then the reading you have mentioned is low and needs dose reduction. You buy electronic BP (blood pressure) apparatus and monitor BP frequently at home. Next, regarding Caat (Atorvastatin), you can reduce the dose to 10 mg once a day bedtime if cholesterol is well controlled. It is better to continue it as it has multiple beneficial effects other than just cholesterol control. Matilda forte (folic acid, Vitamin B6, Mecobalamin) is a multivitamin and frequently given if neuropathy is there like tingling, numbness sensation, etc. Is she diabetic? For more information consult a cardiologist online --> | |
Suggest treatment for postherpetic neuralgia caused by shingles
I have postherpetic neuralgia caused by shingles affecting the right side of my head and eye. I ve had this condition for 3 years. Have been to various eye doctors, neurologists. and family doctors in both Ft Worth TX and Tacoma, WA. No relief. Any suggestions?? | i am not able to find in your Q what drugs had tried till now. anyway post herpetic neuralgia most difficult to treat. anyway u can try carbamazepine if not given till now. | |
Slightly Elevated CEA Tumor Markers. Should I worry ?
My daughter who is a healthy 21 years old young women not complaining of anything did a blood test at university. All the results are normal , but the cea tumor marker is 3.4. Should I worry ? | Hello there.. welcome to healthcare magic forum. Both benign and malignant (harmless and cancerous) conditions can increase the CEA level. The most frequent cancer which causes an increased CEA is cancer of the colon and rectum. Others include cancers of the pancreas, stomach, breast, lung, and certain types of thyroid and ovarian cancer. Benign conditions which can elevate CEA include smoking, infections, inflammatory bowel disease, pancreatitis, cirrhosis of the liver, and some benign tumors in the same organs in which an elevated CEA indicates cancer. Do you have any family history of any kind of colon cancer?? You could get colonoscopy done to rule out any abnormal polyp or growth in colon? Or you could wait for couple of months to see if the level is increasing? I would suggest you to consult a oncologist and discuss with him about the further management of your daughters condition.. Hope this helps. take care.. | |
What causes chest pain,dry cough and difficulty in breathing?
hello sir, i would like to consult some points regarding chest pain and my age is 30. 1)in the middle of the chest i have a minor pain but not daily. 2) have dry cough n feel uncomfortable to take breath when im in polluted area.. 3)have blood pressure 140/95 maximum time when i measure so wanna know what may be the problems n how to recover it? | Thanks for your question on Healthcare Magic. I can understand your concern. Chest pain, cough and breathing difficulty are commonly seen with bronchitis and asthma. Your discomfort is more when you are in polluted area. This means possibility of bronchitis is more. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids on the basis of these reports. And no need to worry for high blood pressure. You can stillness control it with salt restriction in diet and exercise. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Why is liver biopsy done for nodules and fungus in the lungs?
Good afternoon my mom was diagnoses with the bird fungus last year and took strong antibiotics. They removed a slither of her lung. Her spleen was also very enlarged. That was in January of 2014. Today she is having a biopsy, they are thinking she has lymphoma. Her spleen is still enlarged, she has spots on her lungs and some nodes are also enlarged. They biopsied her liver, can you explain to me why they would biopsy the liver? She also continues to loose weight and she is not well. | Hello, The reason for the liver biopsy is to find out the hematogenous (via blood) spread of the underlying pathological condition of fungi. It is the drainage areas and primary immune responders as spleen and lymph nodes which get enlarged during the fighting of infection by the body. It is the immune compromise stage which makes the patient prone to various further anatomic insults, leukemia or lymphoma development as well. However, there can be complex issues concerning the same and I would love to assist further with the details of relevant information. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon | |
What causes mysterious chest infection?
My boyfriend is in the hospital with a mysterious chest infection. The have done a biopsy but because they gave him antibiotics, they were not able to get a culture. The infection is serious and close to his heart so they are guessing at what kind of antibiotics he needs and are giving him 3 types of antibiotics and will then do a CT scan to see if it has improved. Do you know what type of infection he can possibly have. They could not find any cancer cells from the biopsy and the first CT scan showed a large chest mass. | Thanks for your question on Health Care Magic. I can understand your boyfriend's situation and problem. Since cancer cells are absent, no need to worry for lung cancer. Infections like tuberculosis, fungal, parasitic infection etc are uncommon and can cause mass like lesion in chest. These are not diagnosed by routine culture method. For them special culture media is used. So discuss with your doctor about these uncommon infections. Empirical anti tb drugs and anti fungal drugs can be tried.Hope I have solved your query. Wishing good health to your boyfriend. Thanks. | |
Suggest treatment for stabbing pain in the rib cage
Hi, I think I bruised my ribs...left hand side... On Saturday and today the pain has got worse it is now a constant stabbing pain and really hurts whenever I do anything especially put pressure on the left side do I need the doctors or just pulled a muscle maybe? | hi, i appreciate your concern. it seems u have injured your rib on left side.leading to muscle tenderness also ,and hurts on move ments.it is advisable to get an x-ray of chest done to rule out possibility of fracture in rib.as treatment is concern ,avoid taking pressure on left side for atleast 10 days,some time stapping is needed if pain on breathing,along with local pain releiving cream,warm fomentation,.also to cosult ur ortho expert for checking.thanks.i will be happy to answer any future query. | |
What is the cause of early ejaculation?
I m 23yrs old...I have habit of masturbationg from intermediate...at DAT time it use to take llonger time to ejaculate.now its ejaculating very early.i fear will this effect me longterm when I get marry.is there any solution to get my vitality stronger.and my Penn is is lil bit short.is there any technique to increase size of dick | Hello,Masturbation is not harmful for the body. The premature ejaculation would better diagnosed after your marriage. But you should not worry about the future.Secondly, there are no drugs to increase the size of penis. Do not get trapped in to false claims of increasing the penis size.Thanks. | |
Is intake of Oxycodone in high doses a concern?
I use to take an extremely high dose of Oxycodone...was taking for 11 years...dosage was increased over and over and over....by the time I finally insisted that my pain mgmt doctor put me in the hospital and rapid detox me, my daily dose was up to 720mg a day {all prescribed!]...that was 4 years ago! I was never a mental addict of this drug...I quit when I couldn t stand my life being robbed any longer, and except for the physical withdrawl symptoms, I have never, ever desired to take it again. My question is: why has my physiology changed? I need to have both shoulders replaced, but when I tried to have the first surgery, they started my on 5mg of Lortab a day for three days leading up to the surgery...my body went crazy? Immediatly I was already reverting back to wanting the dose I was taking when I quit at 720mg a day! There is no way I could ever have gone through with the surgery....they would never have been able to control my pain. Will my physiology ever change back...or will I just have to accept at 58 I ll have to live in this much pain for what s left of my life? God help me if I ever have an accident or get cancer...again!! | Hello, The physiology usually changes back. Furthermore, having a feeling of wanting more may be a psychological expectation AND, MOST IMPORTANTLY, it is usually NOT associated with tolerance to high doses of narcotics. It is the usual situation that someone who expects to need a previously sky-high dose (and that is the highest I've ever heard of and I'm an addiction doctor!) will die from a fatal overdose when they go back to their previous dose. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist | |
Suggest remedy for persistent neck pain
Hai DR I have been suffering from neck pain since 10 Yeara. I took Medical Treatment & Massage Also.One Doctor told One teeth to be removed then That was removed before 8 months. Still I am feeling mildneck pain which is disturbance in working time especially Morning time. Kindly advice me. | dear FRIEND I HAVE UNDERSTOOD YOUR CONCERNS NO NEED TO WORRY ABOUT THIS, THIS MAY BE DUE TO YOUR ABNORMAL POSTURE HABITS, READING HABITS, WORKING MORE OVER COMPUTER OR COMPUTER HEIGHT, DISTANCE AND CHAIR HEIGHT IS NOT PROPER SO THAT YOUR NECK WILL BE IN CONTINUOUS STRAIN..... SO PAIN WILL BE FROM LONG TERM, MAY BE YOU HAVE NEGLECTED THAT PAIN SINCE LONG TIME RIGHT?NOW YOU NEED TO TAKE PHYSIOTHERAPY TREATMENT IN THE FORM OF IFT AND CERVICAL TRACTION THERAPY, FOR 1 MONTH THEN AFTER...... | |
What causes diarrhea after taking Vermox when suffering from lupus?
hi im 46 yrs of age I have lupus and I only weigh 100 pounds if that now (I have eating difficulties from various strokes) I recently was around a girl that my mother takes care of that had pin worms very bad for almost 3wks without telling anyone. I was so scared that I may of had gotten them and showed no signs at all but decided to take vermox just in case immediately after taking it I became very ill just thought it was the norm from my lupus I took a follow up dose and now im worse with bad watery direah etc could I have done more harm then good | Dear madam,I THINK YOU SHOULD STOP THIS MEDICINE AND CONSULT YOUR LUPUS DOCTOR FOR FURTHER MANAGEMENT.Dr. Shruti | |
How to get cured from male impotence and erectile dysfunction?
I went into bad company and now i have many problems, severe male impotence, no errection , extreme low timing (30 seconds), very small libido size, and whenever i sit with a girl even my penis throws a transparent liquid too much, secondly when i sleep often at night my sperms come out. plz advise me good medicine, there is no power in my hands, I'm weak also...plz advise now | Hello,It may be due to performance anxiety. For that you may require complete hemogram, lipid profile, electrocardiogram after physician consultation. Avoid strenuous activity. Take proper rest and balanced diet. Till then you can take tablet sildenafil one hour before sexual act.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician | |
What causes pain in back/stomach/chest when having fatty liver?
hi im 27 year old last wednesday i swallowed small piece of chicken after tht i feel littel pain in right side of my stomach ..today in morning i go for ultersound nd report is normal nthing is there only have fatty liver ..but nw i feel pain in back nd right side of stomach .and feel pain wave in right side of my chest after meal or if if put pressur on right side tht time also feel right side of my stomach..so plz tell me wht i do nw feel nt good nd scary ... | Hi thanks for asking question.Noted you have history of ingestion of outside food.So here you could have gastroenteritis or ulcer like stomach condition.This gastric problem can lead to reffered chest pain.Take oflixacin and ornidazole combination drug with omeprazole.Drink more water .Avoid excess spicy and fatty food for few days.Avoid smoking and alcohol.If still symptoms increasing with vomitting , headache, jaundice etc do viral marker study for rule out hepatitis A or E.If still need stool examination done for parasitic detection.I hope my suggestion will help you.Take care.Dr.Parth | |
Suggest medication that can be taken with Percocet
I m a 68 year old farmer with lots of arthritis. Already had a TKR, have OA in both ankles, other knee getting shaky, bursitis in both hips, carpal tunnel both wrists, OA both hands, and need a new shoulder joint. During rehab for my TKR they also showed me exercises to help my shoulder, and it helped a lot. Only thing is at night the pain can be pretty severe, but okay during day. My othro DR. was giving me Tranadol plus Percocet.. Gov. Wolfe (Pa) passed a new tough drug law because of opioid mess. So my Dr. on last visit cut me off from not only Percocet but Tramadol too,and tells me just to start taking OTC drugs. I have been a patient at Ortho since 2013, and all of a sudden, despite knowing my history, just abruptly did this and said go to my GP for drugs, great specialist not helping me... I would take one 50 Tram twice a day, and never more than a 1/4-1/2 of a 5MG Percocet, only twice did a take a whole tab out of a 50 count script. The combo worked and let me sleep. The Dr. was such a jerk, last visit he only gave me Tram and said no Perc, just double the Tram. Then when I called for refill of Tram he said no more just the OTC. I m not a doctor shopper nor an addict, just a worn out farmer looking for pain relief. I ve read that 90 million people take Oxy, most must have real pain and not be druggies. So , the big question is what to sub for Percocet??? I just want to work a couple of more years then retire. The meds made this possible, now I feel like I m being punished for always following directions and using these drugs properly. As my GP said, a lot of cut off people will probably seek out illegal drugs like opium! Sounds like a great plan for harming a lot of innocent people! What do you think, and what non-opioid combo would be a effective? Thanks for advice | Hi, Without an exam, I can only give general information. Frankly with wear and tear, the opiates aren't all that great and aspirin like drugs are about equally effective and equally dangerous in different ways. Celebrex has some strength advantages but people vary a lot and Naproxen and ibuprofen and regular aspirin (but you need to push the dose on the Ibuprofen) are all sometimes the best. If it's really bad there's pain management and frankly, addiction treatment centers although that has loads of problems. Yes, people going onto the street is the "third wave" of the epidemic. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | |
Suggest treatment for runny nose and cough of a 15 month old
my son is 15 months old and suffering from very thin water like runny nose and cough, he coughs while sleeping and that wakes him up. last month he was given azithral so dont want to give him any more antibiotics.. i am giving him solvin cold drops but feel it does not help. please suggest what to do.. | Most often cough and cold in children is caused due to certain viral infections. They are generally associated with an allergic component which is responsible for the runny nose. Solvin contains Pseudoephedrine which is a decongestant. But instead, giving some antiallergic like Cetirizine syrup is likely to be more helpful. Unless associated with secondary bacterial infections, antibiotics are not required but if you have started Azithral, you must complete the course to avoid development of antibiotic resistance. Irrespective of use of antibiotics, it should take 5-7 days and you would have to be patient. | |
Should I undergo a Lithotripsy operation for kidney stone ?
I AM 32 YRS OLD /MALE,HEIGHT-5.6,WEIGHT-75KG HAVING STONE IN MY KIDNEY OF AROUND 1 CM IN THE RIGHT MID URETER AT L4 LEVEL AS PER CT UROGRPHY LAST REPORT ONE MONTH BACK .DOCTORS HERE SUGGESTED ME FOR LITHOSPY OPERATION .NOW WHAT TO DO .I WANT YOUR OPINION | hello welcome to hcm yes your doctor recommendation is gud as it depend upon the type of calculus ,that it can be dissolved by medicine or not if at all medicine cant help out we had to go for opertaion, take care payal | |
What causes bloated stomach and chest heaviness after the flu and COPD?
Have been recovering from a bout with the flu the past couple weeks...........accompanied by COPD. Yesterday and today my stomach is bloated and my solar plexus area is sore to the slightest touch......as well as an "uncomfortable" heaviness in the chest area. Have been experiencing deep brochial coughing. Could I have pulled a muscle during coughing spell. | Hello dear, thanks for your question on HCM. I can understand your situation and problem. In my opinion you are having mostly GERD ( gastroesophageal reflux disease ). Uncontrolled GERD is the common cause for worsening of COPD. And chest heaviness with bloated stomach are the features of GERD more. But better to rule out cardiac cause first as COPD patients and at high risk for cardiac disease. So get done ecg. If ecg is normal then GERD is likely cause. 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 the symptoms. So try to follow these steps. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux. 7. Avoid alcohol and smoking if you have these habits. Don't worry, you will be alright. | |
Having heart problems, high BP, high cholesterol. Backpain due to degenerative disc disease. Can you please recommend a doctor in Oklahama?
Hi, My name is Denver I live in Altus Ok. I have a lot of medical problems that I have been seeing a Dr. for treatment for over 5 years & last week I had a appointment & he canceled it fired me as a patient all he would is fill my meds 30 days worth & just left me hanging. I have heart problems , High out from under Blood Pr. , High Cl. , but the big thing I think he was wanting out of is treating me for cronic pain. See I broke my back in 1998 I 2 back surg. in 1999 & 5/2000 then in 8/2000 I had a wreck I T-Boned a car doing 65 I spent 11 days in ICU , well that messed my back up again , broke 6 rib's front & back & shattered my Right shoulder. As the years went by things started getting worse 7 years ago Degenerative Disc Disease set in on my back & the DR'S have all told me there is nothing I can do but to treat my pain for the rest of my life & now he left me hanging I don't know what or who to see to take care of me I am going on 54 yrs. old & don't know how to even start to find anyone who will take me because of the strong pain meds I have to have just to be able to walk. Please Help | continue your anti hypertensive medication , lipid lowering agents , anlgesic medicines till u get appointment dont stop any medication if u stop symptom will get aggravted and worse | |
Suggest treatment for COPD with coughing phlegm
I suffer fro COPD. My Ige count is 599. I inhale one capsule of Indacetorol 300 in the morning followed by 2 puffs of Budecort 200 at 1100 am and again at 8:30 pm. I can also use Levolin as required, but to be restricted to once or twice a day. My breathing was reasonable as long as it was raining, but the moment rains stopped, I am miserable & can hardly walk & keep coughing up phlegm. My doctor has asked me to cahnga to Formonide 400 twice a day , in lieu of Budecort. Please advise. I am miserable. I live in Pune, Maharashtra, India. | Yhanks for your question on HCM.In my opinion you should get done chest x ray first to rule out chest infection. As infections are the most common cause for COPD worsening. And you are having phlegm also, which favours infection.So better to start antibiotics also to supress infection.And formonide 400 is having steroid in higher dose. So no harm in taking it.Also start mucolytic snd cough expectorant. Start anti inflammatory drug too. | |
I have acne all over my chest, face, back and arms. I cannot remove my facial hair because my acne
hello doctor i am 20 years old female. i have acne all over my chest face back and arms. they are bumps.they are only visibile in light. i went to a dermatologist . she asked me to applu isotrex for 3 months and to take supramycin every day. i did that. it was very effective. but once i stopped after 3 months my acne started again. i cant remove my facial hair because my ance aggravates. can you please tell me which is the best hair removal method for me. i dont want to go for laser treatment as its not affordable. thanks | hello doctor i am 20 years old female. i have acne all over my chest face back and arms. they are bumps.they are only visibile in light. i went to a dermatologist . she asked me to applu isotrex for 3 months and to take supramycin every day. i did that. it was very effective. but once i stopped after 3 months my acne started again. i cant remove my facial hair because my ance aggravates. can you please tell me which is the best hair removal method for me. i dont want to go for laser treatment as its not affordable. thanks | |
Bruise on spine. How could that happen? Posture related?
Hi,I am a healthy, active, non-smoking young adult and about a month ago I noticed a quarter sized bruise with very faint scraping on the surface near the base of my spine, just above the waist band. It is only now beginning to fade away and I was wondering if there is some sort of explanation for this? I never got hit/bumped there, I have good posture and I don't drink very often so I know it wasn't from a drunken mishap. Thanks | Hello. Thanks for writing to us. The bruise near your spine might have happened due to a mild trauma that you might not have noticed. Since the bruise has gradually faded now, there is nothing to worry. A mils muscle sprain can also cause such a mild internal bleeding. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com | |
Why getting sharp pain in stomach while breathing and how to stop it?
My lower back hurts and everytime I breathe I get a sharp pain in my stomach , it has gotten to the point where it hurts to breathe and I can only take short breaths. I'm 16 years old and I've never experienced this before. What should I do to stop the pain so I can breathe normally again? | HI. The most important part of the treatment is to find the basic cause/ reason for such a pain so that a correct guided treatment is possible.In your case this looks to be pleural inflammation and thus causing pain while breathing and making your breathing and abdomen pain-free.I would advise you to undergo a clinical examination by a Doctor , X-ray chest and relevant blood and other tests. Consult a Doctor to find the reason and get Prescription based medicines. | |
Q. Will Methamphetamine interfere with the effect of local anesthesia?
Hello doctor, Does Methamphetamine interfere with local anesthesia? My friend was told she would not have to stop Adderall before surgery. I know that is not the same, but is there anything particularly dangerous about methamphetamine and local anesthesia? What about Phentermine? | Hi, Welcome to icliniq.com. As such local anesthesia is safe and one can readily go through the procedure. It is recommended to avoid any sort of illicit substances during anesthesia. | |
How to treat left-sided body pain caused due to an injury?
Hi slipped down half a flight of stairs yesterday in wet weather condition and today feeling a lot of pain down my left side of body as this is the side which was landed on. I was unable to break my fall and instantly felt pain but not as much as today! What can I do? | you need to see Orthopaedic surgeon for evaluation. It appears like a radiating pain from the spinal cord. It could be a compression of a nerve or it could be a muscle tear. | |
Can Moxikind CV cause eye swelling?
after a tooth infection doctor prescribed Moxikind cv 625. After 3 doses I got severe swelling around both the eyes which has still not disappeared. Is that a side effect of this drug? My age is 65 yrs. Hieght is 179 cm and weight is 95 kg. I am otherwise in very good health. | Hi,Thanks for posting the query, I would like to ask what type of infection you where having and which is the involved tooth?Are you having bp problem ? have you discussed this with your Dentist?I would suggest you to get a re checkup done, stop the use of the medication for sometime, instead take tab oflox 200mg along with tab aceclofenac TDS.Get your bp checked.Take care! | |
What causes tickling feet in kids?
my son, will be 5 on 11/19/14, has been complaining that his feet tickle for about 5-6weeks now. there is no obvious physical abnormalities, no excessive sweating, no fungal growth on feet or skin anywhere, he uses a hairbrush now to scratch and rub them. it happens mostly at bedtime and in the car, stomping, and moving doesn t relieve it when it s happening, but it seems to be less prevalent when he is active and happens every day and night at periods of rest. He will also wake in the middle of the night, almost every night crying and complaining of his feet tickling. | hi YOUR KIND IS HAVING GROWING PAINS WHICH COMMONLY HAPPENS IN THE NIGHT/ TAKING REST ,BUT DOESNT WHILE ACTIVE. | |
When should pregnancy be attempted after HCG injection and IUI?
Hi, I have PCOD problem.I took Menogaun injection 150 mg from day 3 to 6 and again after follicle study on 13th day again 2 injections. On 16th day i had 18mm follicle in my left ovary.i took HCG on 17th day and IUI on 18th day. And was told to have intercourse on 19th and 20th day. today is my 19th day.I had intercourse yesterday. Will i have my egg still active should i have intercourse today? | Hallow dear,I have understood your concern.Usually the follicle is mature to release healthy egg at 18 mm size. Inj. hCG was given to you when the follicle was 18 mm size. So it was well the timed.The egg is released usually within 24 hours of hCG injection. Hence, immediately on the next day, very rightly IUI was performed. Now daily intercourse for two days after that is advised for additional coverage, in case the egg is released late. After the ovulation life of an egg is 24 hours. So any intercourse after that may not be of use from fertility angle. Continuation of ultrasonography for confirmation of ovulation might have been useful to decide how long daily or alternate days intercourse is to be continued. However, there is no harm in continuing daily intercourse even otherwise also.I hope I have clarified your doubts. This information may be useful to you if needed (which I wish should not be required) for future cycles. | |
Q. Far sight has not improved post cataract. What can be done now?
Hello doctor, My Mother underwent a cataract procedure. After the procedure, we were informed that there was some complication while doing the procedure and they have to do another retina surgery. The same happened next day. It has been more than three weeks but there has not been any remarkable improvement. She gets irritation. It feels as if there is some hair or dust particle in that eye. It pains sometimes but the pain has no specific trigger. She also complains of seeing multiple floaters blocking her vision. There is a remarkable improvement in her near sight. She is able to read without using glasses. But the far sight is not clear. As per her, it is worst than her earlier vision before the treatment. Kindly advise what should be our next steps. Also, is the treatment going in the right direction? | Hello. Sometimes, complications happen in cataract surgery also. It is mentioned in the medical literature that there is zonular dialysis this makes a little tricky surgery. This makes lens weak and there are chances of particles of lens going back towards the retina. But this is completely treatable and I did it in many patients and seen in many patients doing fine. It is like you are driving and anything can happen at any time. Now, the irritation and pain are a superficial problem and is related to the surface and also could be because of sutures which were used during retina surgery. This will be fine for a period of time and I will be prescribing medicines. Little vision will be compromised but the good thing is that her near vision is fine. Distance vision will take time like four to six weeks and will not be normal as the other eye. The treatment is going right. So do not worry. I suggest you try Systane Ultra Eye Drop (Polyethylene Glycol and Propylene Glycol) two times a day and eye drop Genteal Gel (Hydroxypropylmethylcellulose) at night. Consult your specialist doctor, discuss with him or her and with their consent take the eye drops. For more information consult an eye care ophthalmologist online --> | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
What does a painful lump in the armpit mean?
Hi. A little over a month ago i discovered a painful lump under my armpit. A couple weeks later found 3 more. It was spreading and extremely painful. Went to the hospital and they sliced me 4 times to drain the infection and was on anitbiotics for 10 days. They didnt say what kind of infection though. Well about a week and a half ago my antibiotics ended. Well, 3 days ago i noticed a lump under my armpit right under the old ones. Everyday it gets more painful. Could it be a different kind of infection? That it keeps reacurring? Its also really red and can be itchy at times. Once it came back ive been extremely tired all day long. I dont have an appetite either. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. My thoughts and suggestions are as below. Recurrent lumps in the armpit in spite of surgery indicates one of the following: Seborrhoeic Dermatitis. Hidradenitis suppurativa. Hence the management is as follows: Prevention is better than cure: Clean the area with plain water at least 3 - 4 time and keep it dry. Apply Liquid Povidone Iodine locally. Use loose clothes to keep the area aerated. No local powder or ointment. Take multivitamins and mineral supplements. Avoid hot and humid atmosphere. Antibiotics and anti-inflammatory medications if needed. Hope I have answered your query. Let me know if I can assist you further. | |
Brown stuff between legs that smells. What is it ?
Sir/Mam There seem to be some kind of brown stuff on my crotch. I bathe daily and yet I get this brown stuff between my legs. Urm, its not viginal dischareg because I m a man. So what could it be ? It smells awful and I am getting worried if this is normal because I can t fine anything about it online. Is it sweat or is it anything else I should be worried about? | DearWe understand your concernsI went through your description. I suggest you not to worry much. Your symptom is very much common with almost every men who don't keep their hygiene or people who over sweat. Your problem is also from one of these. Keep your hygiene and make sure you clean the area with warm saline water for a few days and if possible apply some talcum powder. Keep the area clean and moist after that.Hope this answers your query. Available for further clarifications.Good luck and merry Christmas. | |
Are there any side effects of taking Norethisterone during pregnancy?
Hi, I am now 20 weeks pregnant, my both scans were totally fine. By accident I came across Norethisterone use during pregnancy articles. I went on holiday when I was at that time about 4 weeks pregnant and I didnt know it. I was taking this to prevent my period, my GP has never given me advise on the use of the drug and that it can be dangerous. I am worried now! | Hi there, I have understood your concern and I will suggest you the best possible treatment options. Please do not panic.Regestrone was taken by you well before the period of organ formation of the baby.So as such there will be no harmful effect on the baby.Organogenesis takes place 28 days after fertilization of egg, meaning after 6 weeks of pregnancy.So please don't worry at all.I will suggest you to opt for a healthy diet and regular exercise regimen. Start with Folic acid and vitamin B 12 supplements regularly.This helps to prevent various complications during pregnancy and delivery.Think positive.Meditate regularly.Drink plenty of water in the day.I hope this helps you.ThanksDr. Purushottam Neurgaonkar | |
What could be approximate cost for wisdom tooth extraction?
I am a transplant recipient and I need some dental work done. I am low on funds and am looking for a good cash price for extracting a widom tooth or if it is even able to be saved, which ever seems to be of a less const i have an option.What cost options would i be looking at? | Hello, Thanks for your query.The cost of wisdom tooth extraction depends on the experience of the dentist, the location of the dentist, the type of dental insurance you have, the extent of the procedure, and other factors. Wisdom tooth extraction can range in price from $150 to $350 per tooth. The cost range does not include fees associated with sedation, x-rays, possible oral surgery necessities, or the location of the wisdom tooth. For example, extraction costs for impacted wisdom teeth are significantly higher than for erupted wisdom teeth. I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Suggest treatment for itching rashes on body
Hello! I am seventeen years old and since about four-five weeks ago I have been getting rashes on my body. They are very small, pink/non coloured and they itch, especially at night. I have the itch all over my body but mainly between my thumb and index fingers, on my ribs (both front and sides), my arms and my calves and knees, and on these places I also have the rashes. Lately I have also been getting them around my armpits and on my stomach. I am afraid that I have scabies because it mosly itches at night and when I just get out of the shower, but I have no scabies burrows. Could this be something else? | Hi, It seems to be scabies. I would recommend you to apply permethrin 5 percent lotion and take ivermectin tablet. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | |
Q. Can you suggest a medicine for Loose Motion?
Hi doctor, I am suffering from loose motion since today morning. Can you suggest a medicine? | Hello. Loose motion usually spontaneously subsides within a day or two. Usually people who travel more frequetly will get affected easily and hence it is adviced for them to take ORS with them. Let's have ORS (oral rehydration salt) solution, and take a few sips for every few minutes. And after loose motion, wait for a while and then have ORS to compensate for the water that is lost. Eat bland diet. Avoid milk, spicy and fatty food. Preferably eat bananas, rice and other light food. Loose motion should subside by this. However, if it is not controlled in a day or two, take tablet O2 (Ofloxacin and Ornidazole combination) twice a day for 5 days. This is an antibiotic which is useful in bacterial infections. If the infection is viral, antibiotics have no role. It needs to be just treated by ORS solution itself. | |
I am suffering from asthma and a bad cough
I suffer asthma and I have cough most of the time I got diagnose with bronchitis and I got azithromycin tablets also silde pe-dem syrup , I been taking this for 3 days already and I don't feel any better, my cough is very very dry sometimes i feel my chest wheezing and i can't breath right because the cough will attacked me , also i can't do much and get excited or tired because I would start coughing a lot... what do you suggest me to do?! | Well,Yesica, this called "vattaj kassa" in ayurveda.DO one thing-take haif cup of till oil in warm condition+2 tsps of salt,mix it well.Apply on ur chest at bed time.Also,2 tsps of agstiharitaki avaleham thrice a day. Get well soon. | |
What causes fever and abnormal behavior in a child?
My son is 19months old, has a fever of 102.6, runny nose and is tired. I realize that is not a very high fever for a toddler and that kids get sick, but his behavior is really worrying me. He is just laying on the floor with his stuffed sheep in a fetal position and wont let anyone touch him. Usually he s more drawn to me, his mother... I just have a feeling like I am missing something here, and there s more wrong here then what meets the eye. Oh, he was also diagnosed with Coarctation of the Aorta last month. | HIWell come to HCMFever to 19 months child may be viral infection and this is not specific for the child how to behave and neither this is concern, and even not to worry about this, and this would come around soon, if the condition does not improved then blood work would be necessary, hope this helps. | |
What could lymph nodes adenitis with mucous filled bowel movements suggest?
my daughter has been sick for 1 month she is 10 years old she had a ct scan which showered mesenteric lymph node adenitis. She has lost 21 pounds she is in constant pain she was seen by GI this past friday and they have set her up for colonoscopy and EGD. The pain increases after she eats and after she has a bowel movement and her bowel movements have had mucous in them. What could this be please help???? | Hi.Thanks for your elucidate history. Young child of 10 years loosing so much weight and have Mesenteric Lymphadenitis ans symptoms of bowel movements with mucus and has to go after food is suggestive of Tuberculosis of the abdomen / or a Cancer like lymphoma.IT is good that she will be subjected to Colonoscopy that biopsy can be taken if a lesion is seen in the colon. EGD for secondary changes. The best diagnostic tools in such a case are :Blood- complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine- routine,microscopy, culture and sensitivity ( before start of antibiotic)Diagnostic Laparascopy with FNAC or preferably biopsy of the lymph nodes will give a definite diagnosis.So that a proper treatment can be started ASAP | |
Suggest treatment for squamous cell carcinoma
I have been trying to locate pictures of Squamous Cell Carcinoma. I had a mole removed several years ago and when it came back I didn t think much of it. Then another Doctor saw it and gave me a possible diagnosis but needed to send me to a plastic surgeon to resect because of the proximity to my eye. | there are microsurgical option available today for such kind of location...but Surgery is needed..consult some oncologist first | |
What causes pain in sternum after bypass surgery?
Hi, my father has pain in sternum after 1.5 year bypass surgery, then i have visted ortho surgen and he told me thAT there was problem to heal sternum and now he told me to go for surgery, but i am hesotate to go for surgery and confuse to go which doctor either cardiac or ortho sirgen, kindly guide me.... | Thanks for your question on Health Care Magic. I can understand your concern. Wound gapping and delayed healing can be seen after bypass surgery. And this can cause pain especially in movements of chest. In my opinion, you should consult cardiac surgeon for this. He needs revision surgery with artificial bone graft. By this healing can be achieved and hence symptomatic relief is more likely. Calcium and vitamin d 3 supplements are also helpful in healing. So consult cardiac surgeon and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks. | |
Q. My son is suffering from corneal abrasion. Is there anything else to help him?
Hello doctor, My son is 12 years old. Today in school another student threw a gift card (credit card size) which got stuck in his eye. He immediately experienced some internal eye bleeding and diplopia. He saw the urgent care MD who put dye in his eye and diagnosed a corneal abrasion and prescribed Erythromycin ointment four times daily. Should he consult an Ophthalmologist as well and what other treatment may be needed? | Hello. I am very sorry to hear that your son is injured. But, rest assured that such things are quite common and corneal abrasions usually heal in about five to seven days without any further harm. I suggest that you continue with the Erythromycin ointment and make sure that your son does not go out in sunny, windy or dusty environments. If necessary dark goggles can be worn temporarily for extra protection. I recommend that you see an Ophthalmologist in case of the following: 1. If there are pain and watering that does not improve with the Erythromycin Ointment. 2. If the redness is not reducing. 3. If there is a drop in vision. I hope this helps you. | |
I noticed a lump in my neck, how to get rid of it ?
Hi My name is Melanie, Im a 20 year old female. and have lump on the left side of my neck rite next to my collar bone . I noticed it about 3 months ago, it is hard immovable and feels like there are other small round lumps around it. Sometimes it feels larger and I can find it as soon as I touch my neck, other times I have to dig around to feel it or for someone else to. Had blood work about a month ago, came back fine showing no sign of infection however there was blood that came back in my urine test . I also have had a couple swollen lymph nodes in my neck and behind my ear. I have an ultra sound booked 2 weeks from now that I have been waiting for over a month now, however im terrified if its cancer im waiting too long. scared, and desperate for help or advice. I should also mention I weigh around 115 lbs, my diet is impeccable, I hardly drink and do not smoke. Melanie. | Hi Melanie, You seem to have a good number of enlarged nodes. Though not always malignant, one should always get a biopsy, an x-ray of the chest and a scan done even if your blood tests are normal. There are a lot of infectious and other causes for enlarged nodes so I would not worry too much. | |
What should be a donor's blood group for A+ blood?
Hi, One of my relatives(Age -32) is on dialysis due to both kidney failure.Patient blood group is A+ what should be the donor's blood group ? If in the family members no one has the same blood group then can we get from outsider and what are the constaints/policy in India? | Hi,In blood donation, for specific blood group, specific blood group is used. In the present scenario, we require a A+ve donor. After specific cross matching, then donation is decided once it matches and there is no reaction during cross matching.If you can't find it in hospital blood bank, you can get it from any blood bank outside. The outside blood bank is responsible for cross matching.Blood, even if collected from family members is used only for replacement purpose, to avoid transfusion associated graft versus host disease.Any further queries, happy to help again.Dr. Prakash HM | |
Q. My last tetanus shot was 20 years ago. Should I get one now?
Hello doctor, I will be traveling abroad in two and a half weeks for a 10-day visit. It has suddenly dawned on me that my last tetanus shot was 20 years ago.Online I have read I should have had a booster but four to six weeks before the trip. Should I get one or am I good for now? I am a cancer survivor since 16 years. Not sure that matters. | Hello. I understand all your concerns. Tetanus toxoid (TT) has a great role in preventing serious tetanus infection which could occur anywhere and anytime. Moreover, the TT is a weak toxoid with little adverse effects on our bodies. A booster dose is required for all the population every ten years. There is no contraindication in case you are a cancer survivor. I recommend that you take the vaccine as soon as possible before you travel. It is a 0.5 ml injection intramuscular. For further advice, please do not hesitate to follow up. For more information consult an internal medicine physician online --> | |
What are the prevention of hepatitis C?
Hi doc, I?m curious to know more about hepatitis c. What is hepatitis and hepatitis C? How can you get hepatitis C? How can I prevent passing on the virus to others? How is it treatment? Is there a vaccine for hepatitis C? | Hepatitis means inflammation of the liver. Several different viruses can infect the liver and cause hepatitis. One type of virus which causes hepatitis is called the hepatitis C virus. Hepatitis C is a blood-borne disease. The main source of infection is from blood from an infected person, using contaminated needles from the infected person, sharing toothbrushes, razors, and other such items which may be contaminated with blood or when using the equipment which is not sterile for tattooing, body piercing or infected mother can pass on the infection to her baby and also there is risk that an infected person can pass on the virus while having sex. The hepatitis C can be prevented by not sharing any needles, syringes, razors, tooth brushes and use condom when having sex. The main aim of treatment is to prevent severe liver damage leading to cirrhosis. Individuals with acute infection may require rest and avoid alcohol consumption. Individuals with chronic illness should be evaluated by a Gastroenterologist for treatment with anti viral medications such as Alpha-interferon. Liver transplant is done for patients who do not respond to medical treatment. There is no vaccine for hepatitis C. | |
Q. Is pleurodesis compulsory for pleural effusion?
Hi doctor, The patient is a 52 years old female. 25 days ago, core biopsy of retroperitoneal lymph node non-Hodgkin's mature B cell lymphoma diffusely positive for CD10, CD20, BCL6 and BCL12. Bone marrow biopsy showed erythroid hyperplasia with focal micronormoblastic maturation. She is suffering with bilateral pleural effusions. Repeated thoracentesis done and again pleural fluid formation causing breathlessness. ICD tube drain inserted seven days back. Two weeks ago, R-CHOP cycle 1 chemotherapy was given, but no response or effect seen as there was no drop in blood counts nor any side effects. Our doubt is whether chemo R-CHOP cycle 1 shown effect inside the body or not? If not can we give R-CHOP chemo cycle 2 after 14 days instead of 21 days. PET-CT shows metabolically active nodal disease above and below the diaphragm, in abdomen, mediastinal lymphadenopathy and at neck. Pleural fluid cytology is positive with atypical lymphoid cells, atypical large cells in clusters scattered singly and round with scant amount of cytoplasm and round nucleus with coarse chromatin. Does it mean malignant pleural effusion? After removal of ICD tube drain, is pleurodesis compulsory or not? If pleurodesis is required, then please suggest regarding talc pleurodesis. Also, do we need to consult any special surgeon for pleurodesis or general surgeon sufficient? | Hello. Thank you very much for being specific in what you want to ask. Revert back with the answers to the above questions to a medical oncologist online --> | |
Can it affect the shape of the jaws later in life if child has crumbling molars?
My son turned 8 last month. He has crumbling adult molars. The dentist has suggested these four molars should be removed; that further molars will come down & he can wear a brace. I have a referral to an orthodontist.I was asked what antibiotics were given when he was young as apparently that can cause this problem - all his teeth are brittle & discolored.Have you heard of this before & such drastic treatment? Can it affect the shape of his jaw as he develops? I know this is a dental rather than medical question, so appreciate if you cannot answer. I am here picturing a lifetime of dental trouble coming his way. :( | Hello:)Welcome to HCM.Discolored teeth is common with tetracycline antibiotics given in children.Excessive fluoride in drinking water can also cause stained teeth(make sure your drinking water has fluoride of 1 ppm )You need not panic as tetracycline will not cause any jaw discrepancy.He is so young and there is ample time for the jaw to grow nearly upto 16 years of age.I suggest you to rethink on extracting the 6year molars as they are extremely important for chewing(it can be considered for extraction if they are badly broken)Regards. | |
What is the treatment plan for CIS Bladder Cancer?
I have just been told I have CIS Bladder Cancer, And assured it is treatable, and starting tomorrow, a six week plan is laid out for me every Monday, with more to follow. Any idea how long this 6 weeks at a time will have to be, and how long in between each six week treatment? Sorry. Cannot pay for this answer. I misunderstood the help offered. | Hi, dearI have gone through your question. I can understand your concern.Treatment of bladder cancer depend on type stage and grade. treatment is different in low grade urothelial cancer and high grade urothelial cancer. In general radiotherapy is helpful in early stage of disease.Duration of treatment and dosage is depends on type. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health | |
What could cause sneezing,eye itching,nasal discharge?
I am having continuous sneezing problem for last two days, other problems are eye itching, watery nasal discharge. I have taken Avildom but no joy. Pl suggests me the remedy. I am 32 years old lady ans stay in delhi. My emailid YYYY@YYYY | HI, thanks for using healthcare magicSneezing, itching of the eyes, watery discharge are all in keeping with an allergic reaction.Oral anti histamines would help to relieve your symptoms.These are available over the counter.In addition the use of topical steroid nasal sprays or topical allergy drops would help. You may need a prescription for these.I hope this helps | |
What is the treatment for Escherichia coli infection?
I E colie infection persisting since last eleven months and not responding to oral antibiotics. There is no obstruction in urinary tract. To cover the physical weakness my doctor recommends anabolic steroids. Can it increase the strength of Bactria that is infecting my urinary ttract. advice please. kishor shah | Hi.I certanly would not suggest steroids for E. coli infection. Maybe first it should be expanded antibiogram of E. coli from urine. Then lots of tea, good hygiene and proper antibitics should help. Maybe you should consider intravenous antibiotics too.Reconsider all options. All the best. | |
Recurring abdominal pain, appendix, cysts removed. No relief with pain killers. How to get relief?
Hi i have had reoccuring abdominal pain for the past 2 years almost.I had my appendix removed in 2011 and also cysts removed in 2011.My appendix contained carcinogens and I was hospitalized for a long period of time in which i was told there was no more cancer left.The pain did not go away no matter how many pain killers i took.Last summer my bowel bled badly and i was hospitalized for 6 weeks.The consultant could not find a reason for my pain again and i was sent home on more medication.I have had many tests done and the pain never seems to end.It is mainly in my lower right side but it spreads around my entire abdomen and into my back and down to my pelvis.I dont know what to do anymore. | Hello, Thanks for the query to H.C.M. Forum. No doubt , you mentioned that appendix removed along a cyst also removed. Still pain is there , also in the back, in pelvic area ( right side). Last summer there was bleeding ,but no diagnosis. In my opinion this history can't make any finding. Cyst was removed , but from which side , from where. May be a pain of urinary tract system,May be due secondaries ( from cancer of appendix) in intestine as you stated that there was bleeding from intestine . In my opinion consult an Oncologist and get his opinion.Good luck. Dr. HET | |
Had surgery for herniated disc. Fatigue, muscle and joint pains. High ESR levels. Family history of lupus. Spinal infection?
Hi, I injured my back in Feb 09 (very large central herniation L4/L5 with sequestrated disc) which I then went on to have surgery for in Sept 09. From the very day I hurt my back I ve had problems with bad fatigue , muscle aches and pains and also joint pains which have gradually gotten worse with each flare. Three months after my back surgery I felt really unwell with all the above problems plus worsening of back pain. Had blood tests done and my ESR came back at 104. Had more MRI s done as they thought I had an infection in my spine but to this day there is still no answer. After having these problems on and off for over a year my Rheumatologist admitted me to hospital for test after test due to a history of TB in my lymph nodes and a family history of Lupus . After a week gave they me the diagnosis of Fibromyalgia on April 2011. Hurting my back is what triggered off the Fibromaylgia badly but when I look back now I ve had some of these symptoms since I was 12 years old, now I ve just turned 29 on Tuesday just gone. My current problem is that when I do have a fibro flare (which I don t tend to get a break between) I have bad joint pains and my ESR always goes up. I can usually guess what my ESR will usually be to the exact number before my dr gives me the results and my CRP also goes up as well. I ve been trying for last couple of years for my Rheumatologist to listen to me and tell him that when I do have a flare my ESR goes up and get the bad joint pains and I know that Fibromyalgia isn t an inflammatory condition. The last 3 times my Rheumy has seen me he s just brushed me off and said that its just normal for me. So now have stopped seeing him and waiting for a second opinion but have to wait til end of May and having a family history of Lupus, I like to definitely have that ruled out. When I do flare my ESR goes up, CRP but not all the time, I become anaemic, sometimes my white cell count goes up with no reason, bad joint pain (especially the knees, wrists, fingers and sometimes the toes) my hair falls out in handfuls, become extremely sensitive to sunlight which usually ends up in a migraine, swollen glands in throat, armpits and groin and mouth ulcers which I don t all the time and I m starting to notice a lot of dizziness. Then there is all the common Fibro symptoms on top of that aswell so not sure if its just that causin | MY FIRST ADVICE TO U IS DO NOT GET FRUSTRATED WITH ESR CONSIDERING UR STRONG FAMILY HISTORY OF AUTOIMMUNE DISORDERS, U BETTER TO HAVE VASCULITIC WORK UP DONE AND HAVE SECOND OPINION FROM ANOTHER RHEUMATOLOGIST | |
What could be the cause of failure in conception post trying for a year ?
Good eveningDoctor i am married one year is passed still i am not to get the pregnant ,before marriage my period was regular but after marriage it is completly changed my period is irregular . after i consult one doctor she prescribe the duphaston tabelt now i am taking the tabelt regularly every month my period was regular .i take the thyroid test it is normal.one more thing 4 years back i take the tabelt for TB 6 Month .now iam alright . what i will do to get preganant ? please kindly advice me doctor............. | hi, treatment of infertility is a continued process till you get the result both husband and wife need evaluation and treatment as required. minimal investigations required for female to see for ovulation and patency of tubes.and minimum for male to see for active motile perms within normal limit please be under treatment of gynecologist/infertility clinic and follow advice |
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