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What causes mucous in the stool and fever after taking cow s milk?
Hi. My 10 monts old son has slight fever (38,5 C rektal temp) and today his stool was very sour and with a little bit of mucous. He has no other symptomes (no pain or runny nose or earache - nothing). The same thing happened 3 weeks ago and we did blood and urine tests and they were negative on infections. The pediatircian concluded that it must have been a virus because it passed 4 days later with no medication (except for the fever). He ate the whole time (smaller portions) and be breastfed more often (expecially at night). As he didn t have other symptoms I suspected teething but no teeth came out. I m afraid that the same thing is happenin - and suspect cow milk! -though ne had no rash! Three weeks ago he ate 5 spoons of youghurt for the first time and yesterday I added 3 spoons of boiled milk into his lunch. He loves to eat everything that a 10 month old is supposed to eat, he drinks formula milk and is breastfed. Could it be a reaction to a bit higher level of lactose (since formula contains lactic acids)? | Hi...I went through the history points you have provided -I was expecting that there should have been a history of cow's milk and formula feed (this too contains cow's milk protein) given to the baby. I feel that your baby is having cow's milk protein allergy. Unusually babies grow out of this sort of allergy by 1 year of age.My suggestions for you -1. Mother should go off cow's milk protein completely. This means that you should avoid consumption of anything and everything related to cow's milk - like - milk/ curds/ ghee/ butter milk/ chocolates/ biscuits/ ice creams etc. Even while buying commercial food products, you need to see the ingredients and if they contain milk - do not consume them.2. Feed you baby only exclusive breast feeds till 6 months of age and then start rice based feeds.3. If this is followed scrupulously - the baby will stop having diarrhoea in another 3-4 days and then start gaining weight too.4. If you feel your feeds alone are inadequate for the baby, then Zerolac is the only option till 6 months age.I request you to keep me posted about the recovery of the baby and follow of the case.Regards – Dr. Sumanth | |
Can I stop yamini contraceptive pill ?
hi, i m 33 nd planning my baby. doc has advised me Yamini 21 days as a treatment of PCOD which was diagnosed. i am feelin terrible nautiatic, weak . can i stop the pill on its 7th day , what would be the repurcussions. Can i get pregnant if i have sex in next two days | Hi,thanks for query.This tablets can lead to this problem.Take if after food or along with antacids.If you stop in between you will have withdrawal bleeding.This drug is also working as contraceptive so please talk to your doctor about pregnancy. Unless your pcos is treated chances of pregnancy are less.bye. | |
How to get rid of bad odor coming from mouth?
I will never forget this experience, when I was having H (BB); I have had it for 4 years. It let my life so hard.2008 when my classmate told me and she noticed it to me, that I have bad smell, coming out of my mouth, because I see a lot of people covering their nose, At first I could kind of smell it myself but not anymore. many of my friends telling that I am stink and ugly, this is the most painful happened in my life, and I'll never forget in my life until I'm getting old, smelly and ugly someone else said to me! I overhear people saying I don’t brush my teeth and other rude comments. I need to stay away from the others that don’t feel good. I’m paranoid about having H (BB). I am suffering severe bad smell in my breath due to some problem in intestine. I have already consulted to dental specialist but they say there is no problem on my teeth, every 6 months I go to the Dentist to cleaning my teeth. I am shy talk to people; I brush my teeth four times and floss, I have bought every possible mouthwash in the stores. Some of my friends telling me that you’re such a stink and dirty at my back. Everyone nearby teased me a lot that I’m bad smell or H (BB) no one can talk to me face to face...! I have a bad odor that comes from my nose, and a strong smell from my mouth that smells like waste. When I talk about this to my mother she gets angry proving that she didn't smell anything but I saw sometimes covering her nose when I get close. I think she's just afraid to spend money if I go get seeking specialists. I insisted to find a job to support myself. Before I know it, I don't know what caused it. The only thing I can think of is with my teeth…maybe because I eating “isaw or street food”! So I try to avoid these types of foods. I Show gum nothing happens. I am not aware of a bad smell myself but I have been told by others that I radiate this bad smell off me and it smells awful like a poo smell. I was a social person, going out with friends and talking to people. When I open my mouth and ready to talk, some of my friends or other people started to away from my area. I isolate myself so I would not be embarrassed when people hold their nose when they are in my face or around me. I was so afraid I didn't know what to do. 2010 When I already work to Enchanted Kingdom as a cashier, some of my co workers have also told me that; you have a bad smell, as well as my visor, she knows me about this. At that point, I don't | thanks for your query i have gone through your query. i personally feel sorry for your problem. the cause for your bad breath or halitosis could be respiratory tract infection or Gastrointestinal disorders or secondary to diabetes. the most common cause for halitosis is gum infection or food lodgement between teeth or fissured tongue. since you are telling you have already consulted dentist, the possible causes could be respiratory or GI problems. consult a pulmonogist or gastroeneterologist for complete examination and needful. be bold in your life. your problem can be solved. i hope my answer will help you take care. | |
Could the disability in the left hand be due to the MS flare up?
hes , hi i have MS and i have had 4 strokes ( TIA S ) in the past 4.5 yrs , well its been a month and i have no function of my left hand and arm is numb , had a MRI with and without contrast and showed no stroke HOWEVER hospital wanted to keep me over night for IV Steroids but could not because i care for my parents who are very ill . Could it possible that i have had a MS flare up ? i have had them before but not this bad where i have no use of my L hand ! Also i had a chest xray done today and i have had a R node on my lung ,and today its still there but now my L lung has a bigger node what could this be ? | Hello!Welcome on Healthcaremagic!I read carefully your question and would explain that it is necessary investigate for the nature of these lung nodes, which could just inflammatory lymph nodes or a tumor. An infection can not be excluded either. Biopsy may be needed if they persist. From the other hand, the fact that the doctors wanted to put you on IV steroids after the MRI results, indicates that your symptoms are related to a relapse of MS and IV steroids would help improve your situation. You should discuss with your doctor on the above issues. Kind regards, Dr. Aida | |
What could blisters outside the lips, with fever in children suggest?
My son is 4 years old. I took him to the doctor yesterday for a bad headache, fever, loss of apatite and sore throat when swallowing. She tested him for strep and it came back negative in the office. She said it could be mono. He was treated for the strep with amoxicillin. Today he has blisters on the outside of his lip. One right below his lip, one right above, and one to the left of his lip. The doctors office still hasn t returned my two calls. Any idea what he has? | He is having Herpes labialis. This could sometimes be associated with meningoencephalitis which is a grave disease. Headache nausea vomiting drowsiness irritability are the signs. Immediately start the baby on Acyclovir. I cant give you the dose as you have not mentioned the weight of the child. Starting the baby on acyclovir as early as possible is required. | |
What causes bacterial meningitis?
when I was about 2 years old I had bacterial spinal meningitis. I was unconscious and did not know my mother from my grandmother. I was fed antibiotics through my ankle and was fortunate to live through this devastating illness. I do remember a couple of snippets from my illness when I was 2. I have no outward repercussions, however I was wondering if, at the age of 2 it could have affected my nervous system. I seem to be very emotionally sensitive and have been on anti depressants for over 10 years. These help very much and i am glad i live in an age when these are available. I don t seem to be able to make mental connections as quickly as most seem to do. My IQ is very average and in school I was almost always the last one to finish a test. i read rather poorly and slow even at this age 62 and do not enjoy reading that much (neither here nor there i guess) I don t mind but I had always tried real hard to study and work on my school work .I always took more time than most in school. I do not seem to catch on as quickly as most. I do not mind as I am 62 years old and am retired. Life is pretty great really although hard, it is for most i beleive. I am good at artwork and conceptual thinking. I know you can not tell me anything definitive but I was wondering what sort of internal brain damage there could have been - I was very very athletic and that was another thing (with my artwork) that i was quite strong in. Can you tell me anything about nerve connections that could have been slightly damaged at the age of 2 - I have heard that at 2 your nervous system is finishing it s development. Can you tell me anything in your experience or reading? I am just trying to know myself better. Thanks, Lauren Thomas. | Hi, I am Dr.Bruno. I have read your question with care and understand your apprehension. Let me try to help you Question 1 : I was wondering what sort of internal brain damage there could have been - I was very very athletic and that was another thing (with my artwork) that i was quite strong in.Answer 1 : Spinal Meningitis affecting Brain is not common. But, in your case, I have very well say that it has not affected at all because 1. You were very very atheletic 2. You are good at artwork and conceptual thinking Question 2 : Can you tell me anything in your experience or reading? I am just trying to know myself better. Answer 2 : One point I would like to disagree is your assessment of your IQ. I do not think that your IQ is very average. Being the last one to finish a test in school does not mean that your IQ is average. It means that you have a lot to write and you wanted your answer sheet to be more perfect. So Please don't worry Be happy and cheerful 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. | |
Q. How to get rid of left-sided headaches, which increase on chewing?
Hi doctor, I have left-sided headaches from the last five days. I notice it more when I chew food. I have anxiety problems since last two years, for which I take Petril 0.25 daily. Please help me. How to get rid of these headaches? | Hi. I read your query and understand your concerns. I will be glad to help you further. Thanks and regards. For more information consult a neurologist online --> | |
Garbled speech after waking up from nap, something not feeling right in head. Emergency?
My husband woke up from napping when I called him for dinner about 20 min. ago. He came to the table and his speech was garbled for a few minutes (about 5). His speech is now clearing up but he pointed to his head and stated that something diidn't feel right.What should I do. I can take him to the emergency rroom if you suggest. | Hi,Thank you for posting your query.Symptoms are suggestive of a minor brain stroke affecting the speech area in the left side of brain.Please take him to ER, as he could be a candidate for thrombolytic therapy, which can be done only within the first few hours after stroke. Also, starting aspirin and statins would be able to prevent a major brain stroke. So, take him to a place where a neurologist is available.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist | |
What is the cause for sores on the head of my penis when on a topical cream?
Hello, I went to my Dr. because I was worried that I had contracted genital herpes. He did a test and I did not test positive for the HSV2 virus. I have sores that look sort of like a herpes outbreak on the head of my penis that is not going away. He gave me a topical cream thinking it might be a fungal infection and I have been using it for over a week now and it has not changed at all. They have scabbed over and the scabs come off and they are constantly oozing a clear liquid | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.If the serological test for herpes has come negative, then you may not worry much. You may repeat it as well. But if it again comes negative then you have to leave your worries as the test is quite sensitive and specific. It might be a fugal infection. You may upload some pictures of the lesion with your question which can give us a better picture of your illness. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, or want any further details about this same issue you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
Will evion tab 200 and gynovit syrup help in getting pregnant?
I got married before 7 months stil im not conceive today i took usg abdomen as per doctor advice it showed polycystic ovarion disease she prescribed evion tab 200 mg and gynovit syrup it help to conceive? I can conceiv this month? Today is my 5th day of menstrusl cycle | Hi,If you have regular menstrual period, no any ovulation dysfunction then you can become pregnant. I would suggest to consult gynecologist and undergo reproductive tests, USG scan and ovarian follicle and take proper treatment. Evion contain vitamin E and reduce oxidative stress, Gynovit syrup will help to regularize period. You can also ask for following medicine for PCOS:- Tablet progesterone in second half of period- Tablet metformin: it will reduce insulin resistance and induce ovulationAvoid stress, take healthy diet, avoid excessive sweet, do regular exercise and maintain weight according to BMI.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar | |
Suggest cure for jaundice
hi i am 1st year medical student. recently i had a urine report which showed 3-4 /hpf epithelial cells and 1-2/hpf pus cell. stool report: presence of mucus,and undigested food particles. i have jaundice with no proper diagnosis. email: YYYY@YYYY | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I canJaundice is usually sign of certain liver disease and high bilirubin value. Causes of jaundice vary from non-serious to potentially fatal. Levels of bilirubin in blood are normally below 1.0 mg/dL (17 µmol/L) and levels over 2-3 mg/dL (34-51 µmol/L) typically results in jaundice High bilirubin may be due to liver diseases such as cirrhosis or hepatitis, infections, medications, orblockage of the bile duct In the developed world the cause is more often blockage of the bile duct or medications. Blockage of the bile duct may occur due to gallstones, cancer, or pancreatitis. Medical imaging such as ultrasound is useful for detecting bile duct blockage.Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is present surgery is typically required, otherwise management is medical.[Medical management may involve treating infectious causes and stopping medication that could be contributing. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Can Syndopa CR 125 lead to red rashes?
Sir, My father is taking Syndopa CR 125 but last 2 days he is suffering from Red Rashes in his hand and chest. Please tell should He stop it or continue. Actually he has been suffering from Parkinson s disease, he is also taking Ropark and Synkepone Sir please tell me | Hello,Syndops can give rash as a side effect. He can talk to his neurologist to change it with something else since he needs it and can't stop it forever.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka, General & Family Physician | |
Is Tikosyn is advisable for congestive heart disease while having pneumonia?
My husband is in constant A-fib. He cannot have an ablation at this point and was in the hospital in January with congestive heart disease and pneumonia. His cardiologist has recommended he be hospitalized for two days and given Tikosyn (Dofetilide). If that does not help his heart back into a normal rhythm, they would shock the heart. If this does not work for him, what else is left? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to tell you that if he is not a candidate for ablation treatment then you should give a try for chemical or electric cardioversion because atrial fibrillation has further complications. It's recommended for you to consult your treating cardiologist and get that cardioversion done. If it helps then good, otherwise another blood thinner medicine will be administered to prevent any stroke. Hopefully this information will guide you properly. Kind regards. | |
What causes numbness and pain in abdomen over the liver?
I have a numbness on the ride side of my abdomen over my liver. It comes and goes when I stand for to long. I am a big guy so I have a big belly. When I lift my stomach the pain will get better. If I lean on a wall or when grocery shopping lean on the cart it feels better too. The pain is from the inside and the numbness is on the skin over where it hurts. | Hi! Good morning. I am Dr Shareef answering your query. If I were your doctor, I would advise an ultrasound of the abdomen along with routine blood tests like a CBC, LFT, Blood sugar to know the status of your liver and gall bladder. Till then I would advise you for an anti spasmodic and a proton pump inhibitor for a symptomatic relief. Further management would depend on the reports of investigations.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
Could heavy workout lead to high blood pressure?
Hi, I am 30 years old female with good BMI and no BP history. Over the past 6 months I started going to gm and last 2 weeks I worked out more than usual.Now when I checked my BP it is 160/ 90. Is it very unusual. Would it be due to over working out as I had nos symptoms. | Madam you have no history of any hypertension and diabetes .Your blood pressure keeps on changing whole days as per your activities and hormonal response.Please check your BP thrice a day in resting and sitting position and then only you can come to a conclusion whether you have Hypertension or not .If your BP is more then 140/90 mmHg as median average then you need lifestyle modifications and may be medications.Do not check you BP post Excercise it will definitely show high readings. | |
Q. I am getting severe pain on the left side of shoulder and chest. Is this a cardiac problem?
Hello doctor, I am getting severe pain on the left side of the shoulder and chest for the past four days. Is this a cardiac problem? | Hi. Any left-sided chest pain should not be ignored. A history of lifting heavy weight, strenuous work, exercise etc., might also cause shoulder and chest pain. There are chances of pain radiating to the arm and chest due to cervical spondylosis (neck pain). Follow these simple steps: Get a complete hemogram, chest X-ray, X-ray of the cervical spine and ECG done. Consult a cardiologist online with the reports --> | |
Can taking the following tablets be safe as per the neurologist for amnesia?
Started with signs of amnesia, mostly short term. About 2 years passed but behavioral changes were seen by family members. Could drive well, do coding well, but was not focusing on what was according to my plans. MRI showed swelling in brain. So,treatment with Acyclovir was done[Intravenous] for about 8 days and tablets for 5 days. No virus was found. Blood serum and water from spinal chord was sent to Barcelona. Only antibodies were found. EEG was OK. So was full body pet scan I am, as per my neurologist, taking Lamez 100 in morning, Valence 250 OD at noon, Libotryp and Lamez 50 in the evening. All seems well but once perhaps every day, for about 5 minutes, the environment looks a bit different. Especially at about 4 PM, sometimes later. I am well educated with high intelligence, 54+ years old. What can be my problem? | Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query. As there is swelling in brain behavioral changes are obvious..kindly continue your medicine for 3 months and then get revised by visiting neurologist...i hope there is no any history of head injury because post concussion due to head injury amnesia occurs for 2-3 months..Do proper brain relaxing excercises by consulting psychologists you will feel better soon. Hope this may help you. Let me know if anything not clear. Thanks. | |
Suggest treatment for hermit crab bite
Today, I went to the beach with my children. I found a sea shell and gave it to my 4 year old daughter and said You can hear the ocean if you put this to your ear. She placed the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is totally off topic but I had to tell someone! | Hi...usually hermit crab pinches do not require any treatment. If she has taken all regular vaccine shots as age appropriate schedule demands, nothing to worry about it. If she is in pain you need to give her some pain killers or paracetamol, that is all.Regards - Dr. Sumanth | |
Q. 2. 5 year old suffering from stomach ache. Which medicine has to be given?
Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. | Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. | |
Will watermelon puree help curing constipation?
Hi, my baby is almost 8 month old. He's been constipated for 4 days (never went well after starting solid). I tried giving him diluted prune juice, but he didn't like it after a while. Now, I am feeding him watermelon puree, will that help his constipation? Thank you. | Hello! Watermelon, is a watery fruit, and is one of the fruits that help babies with their constipation. I would suggest you to try apple or pear juice if your baby doesn’t like the taste of prunes. As your baby is 8 months old he can have as much as 6 ounces of juices a day to treat constipation. You can cut down constipating foods like bananas and rice. You can also give your baby a few tablespoons of pureed apples, pears, apricots (they will help loosen his bowel movements). You can also help your baby get some exercises (while he is lying on his back move his legs gently as if he were pedaling a bicycle); and you can massage his belly, below his navel measure three finger widths and gently pressure him with your fingertips. If he doesn’t get better, if the diet is not helping his condition, talk to his doctor about other treatment options. Call his doctor if your baby isn’t eating, loses weight, or has blood in his stool. Do not worry, all babies go through this, especially when parents start to introduce solids to them. I hope, I asked your question. Please, let me know if your baby boy is getting better. | |
What medication is good to cure asthma ?
hi iam suffering from cold and cough doctor say light asthma since dec2010 which medicine it cure age is 25 so fast bcz my parents where seeing matches form me thier worry for this problem | cAN U SUGGEST ME HOMOEPATHIC DOCTOR IN BANGALORE FOR ALLERGY AND BRONCHIAL ASTHAEMA.. | |
Why am i feeling constant pain and discomfort in the abdomen after consuming the duracan tablets?
Hi Doctor, My doctor prescribed me duracan 150mg for some antifungal problem. and after the very first dosage am feeling constant pain and discomfort in my abdomen.and diarrhea.shall i discontinue taking it as my body doesnt accept high dosage medications | Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should continue the medication.It is the adverse reaction of the drug. Which some people are facing. But it is not the reason to discontinue the treatment.I advice you to start the tablet pantoprazole under your doctors guidance. It will help you in acidity.Also taking lactobacillus spores can help you prevent wash out of the flora.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist. | |
Undergone septology for no sensation of smell. Any medicines to cure allergies completely?
I have undergone septology for No Smell in nose, it was ok after the surgery after some months again i end up in same problem no smell sensation in nose, i consult doc he said allergy and prescribed medicines now its ok, if i stop taking the medicine again allergy will come back and i wont get the smell sensation in nose again, is there any medicine to cure allergies completely. | with my eperience the allery cannot be cured by medicines you need to consultallergy specialist he will find the cause of allergy by doing allergy tests and then he can plan sublingual immunotherapy for treating it we are doing sublingual immunothwrAPY IN OUR CENTRE FOR LAST 20 YEARS AND HAS EXCELLENT RESULTS IN CURING ALLERGIES | |
Suggest remedy for infertility problem
Hello, I m 28 years old and diagnosed with hashimoto thyroiditis last year. Had 1/2 of thyroid removed in August and have been ttc with husband ever since. Thyroid Doctor has me taking 75 mcg of synthroid and currently my TSH is 0.05. I understand this is low and my obgyn wants my medication lowered to raise my TSH. Thyroid Doctor wants me on higher dose to keep the other half of my thyroid supressed so it doesn t grow nodules like the other side did. He says my TSH is fine because of my T3 and T4 levels. My question, finally, is could this be the reason why I can t conceive? I ve been using ovulation predictor kits that have indicated I am ovulating. Thank you for any help! | All over the world general physicians and endocrinologists think that they can decide the dosage and regime of TSH and most of the times they have diverse opinions.While endocrinologists have upper hand in deciding dosage of medicine for maintaining levels of TSH, other doctors have their own reservations. It's a complex issue of discretion of various specialists and should not be commented upon by all and sundry.Here is where holistic approach gains importance. In Ayurveda medicines which help to manage thyroid problems, also manage endometrial cleansing to help conception and maintaining Hb levels too e.g. Arogyavardhini Vati. ( this is only an example). Ayurveda doctors also plan various combos such as Kanchnar guggul and Arogyavardhini vati etc decided on the basis of given circumstances.To abridge, my opinion is that Ayurveda specialistay be consulted to find a middle way. Current regime and Ayurveda do not counteract or interact if given concurrently at required gaps.In our career we have seen such complex cases finally conceiving with the help of Ayurveda. We have respect for all the systems.Hope this guides you well. Don't worry, be happy. | |
Suggest treatment for fever and dark brown vomiting in a child
My 3 year old just got the g-j tube put in on Monday. He only takes 1 medicine through the g-tube and everything else is through the j tube. He has been feverish and last night he was up and down all night. He eventually threw up dark brown liquid. Can you please tell me what to do? | As such dark brown vomitus could indicate presence of altered blood which could be a cause of concern. It could mean bleeding somewhere in the gastrointestinal tract. It is hard to comment on the treatment without knowing the specific reasons for the gastro-jejunostomy tube to be put. I would need to know the length of the segments and whether a segment has been excised before commenting. I suggest that you take the child to his treating physician and get him evaluated. | |
Suggest remedy for productive cough with mucus build up
erm my first time, sorry. good evening i have a question regarding coughing. i had this kind of productive cough for like a month the thing is i am not sure if its productive i can feel like a little bit of mucus building up at the back of my throat and then at some point i have to cough to relive the tingling sensation. on some days i dont get it at all but mostly its like once or twice per day never more than four times (the urge to cough). i am wondering if i should visit my GP, no other problems as far as i know perhaps a little stuck noose perhaps. | Hi. I can understand your concern. It could ne sinusitis . You will need to undergo a chest and paranasal sinus x ray. Also try steam inhalation and warm salt water gargling.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
I have numbness and tingling in my legs and feet can I take atenolol ?
numbness and tingling in legs and feet due to nerve damage should i take atenolol and mexiletine at the same time | Hi , Are you hypertensive ? It can be due to vitamin B12 , B6 deficiency also.Is there any history of backpain or injury ? I think you should not take these drugs blindly , consult ortho and go for the investigations like X ray , CT . blood picture inculding folic acid and b complex levels as well as lipids.Serum homocystine is also a good indicator of these deficiencies. take care | |
What causes fever, body aches, intermittent fatigue with sleeping problems?
So I had a fever the other day, not too high or anything but it came with body aches. The weirdest thing is I m having like flashes of fatigue/weakness, I don t know any other way to explain it. I m a 23 y/o Male ( about to be 24) I eat normal and exercise. I smoke cigarettes and I have sleeping problems. Do you know what s going on with me? I haven t had any Diarrhea or nausea | Thank you for being with healthcare magic! Positive nitrates means that you have a bacteria in your urine that is causing UTI. I would agree with the antibiotic and suggest you complete the treatment regimen. Drink plenty of fluids to prevent UTI. regards, Manuel See IV | |
Pain and burning in the ribs and on the back. Diagnosed with spondylosis. Tingling and pain in the shoulder. Need help
My right side where my ribs are it always is in pain. If I try to massage the area then I get this overwhelming itching, burning and painful feeling internally. The pain goes down through my back to the buttocks on right side only. This is very painful. I ve had the same pain for over 20 years. I was diagnosed with Spondelosis and have have to fusion one on the neck c5 & c7. When I tell my doctor about this pain he seems to blow it off and refers back to the neck. Now after some sometime as passed 12 yrs after surgery I have expirenced my neck to begin to have pain again and now some tingling under my left shoulder blade and a painful area about the 5-6inches under my left breast . The pains on my right side have increased and I can t get any relief. Please help. | Hello, Your pain which has persisted for so long must have been seen and evaluated by doctors and in such case it may be difficult to arrive at a specific cause of pain. What I would suggest is to try different medications for such pain in consultation with a neurologist and try to achieve pain relief instead of a diagnosis. I am sure that you can get some benefit with medications. Good luck. | |
What causes change in blood levels inspite of taking Warfarin?
i am on warfrin and my pi today was 1.23 from the last test 1.82 and previously 3.23 What can cause the blood levels to change. I am also anemic on Chela-fer one a day. I did not take the tablet this morning at 6.45 am instead took it after the PI blood test. Can this cause the bllod to thicken. Very worried | Hi, dear. I have gone through your question. I can understand your concern. Warferrin is usedfor thinning of blood. You should maintain your INR between 2 to 3. change in INR occurs due to metabolic change in warferrin level. Your drugs for anemia has no relation with that. You should regularly check your PT & INR and set the dosage accordingly. Hope I have answered your question, if you have doubt then you can contact me atbit.ly/Drsanghvihardik. Thanks for using health care magic. Wish you a very good health. | |
How to treat severe gum pain after tooth removal?
I just got 2 of my wisdom teeth off a day before yesterday, i can't really open my mouth or it'll hurt. there's also pain in my stitches & where the teeth used to be. Is this normal and when eating or swallowing is there anything in particular I should be cautious about? | Hi..Welcome to healthcare magic. After wisdom tooth extraction commonly problem in mouth opening. If you have severe pain after wisdom tooth extraction than it may be because of dry socket. Consult a oral surgery for clinical examination of extraction site.If dry socket problem is there than doctor should irrigate a socket and apply zinc oxide or idoform paste. After oral examination of mouth exact diagnosis can occurs. Avoid food logment surrounding a extraction site.Maitain a proper oral hygiene. Consult a oral surgery for further treatment. I hope my guidance helpful to you.. Take care. Thank you. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
What are the signs of internal bleeding in child?
My Child fell down the stairs 2 days ago , i took her to hospital the next day because her nose started swelling and blue under the eyes , so i thought she broke her nose , the doctor then took xstrays and said knoe her nose is not broken , but now this afternoon she caught and it was blood clots that came out her mouth , I Then took her to the toilet to see what colour her urine was its dark yellow/red , I Am scared she has internal bleeding , and i dont know ?? could you please assist me by telling me what sighns i can look for in her for internal bleeding , she is only 3 yrs old please !!! thank you joelene | HelloAs per your symptoms,it doesnt seem to be internal bleed.The signs of internal bleed after head injury is altered level of conscoiusness,repeated vomitings,seizures,persistent headache,loss of vision or in case of internal bleed in abdomen,marked swelling and tenderness in abdomen along with signs of shock (again altered sensorium,hypotension etc).The bleeding through nose or the blood ckot you mentioned was due to trauma to external lining of inner part of nose that leads to mild bleeding.Dark urine could be due to dehydration and because you are worried,you are associating this thing with bleeding and that trauma.Also mild bleed in urine could be due to mild trauma to kidneys or bladder but it will settle spontaneously.Hope it will help :-) | |
How does the kidney works?
What is the path traveled from the distal ileum through the mucosal membrane and into the superior mesenteric vein to get the the left kidney and what major body structures will be passed by? Is there any further digestion process at this point? What is the process that happens in the kidneys to end as urine being excreted? | hi thanks for writingWhatever food and liquids which are absorbed in the gut finally reach the blood circulation. Blood when travels through the renal arteries into the kidney gets filtered by numerous filter like structure knows GLOMERULI. The fluid which comes on the other side of the filter contains lot of waste products such as urea. This is the final urine which is collocted in the urinary bladder and is removed by the act of micturition.You can write back with your queries.Tx | |
Suggest treatment for pustule on the face of a child
Hi, My 4 year old had a pustule on his face which is slowly going away, and now he has another on his other cheek. He seems to wake up with them but this is the first time they ve begun to form these whiteheads. What should we be washing his face with at night? He seems otherwise healthy and he is not bothered by them. Thanks | Hi...by what you quote, this seems like a pyoderma or a staphylococcal infection of the skin over the face. It might require topical antibiotics like Mupirocin (all the more as you say it is spreading). Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.Regards - Dr. Sumanth | |
Suggest treatment for asthma
I have asthma. I just can t get to feeling better. I have no energy, and can t do any task for any length of time (i.e. exercising, housework ect.)mrs_ . I feel light headed most of the time. I don t know whether to blame my medication or the asthma. | Hello,Since, how long you are taking the medications for Asthma are you having any family history of Asthma in your father's or Mother's family?If your Asthma is because of just allergy, then it will get resolved soon. If you are having cough very frequently or shortness of breath persisting, then please taking this once daily.For Moterol inhalation spray 1 puff daily for 1 month. If there are no symptoms at present, then you can take this spray as a SOS basis only.But as a part of Preventive measure please exposure to Dust, Perfume, Pollen, Paint/Warnish material.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah | |
Having itching eyes running nose and also have problem of acidity. Is it eosinophailia ?
I am having itching eyes running nose when I am exposed to traffic and I am having difficulty of breathing during night times and also have problem of acidity is it eosinophailia | Hi,Shambahadurji, Thanks for query, It seems that you might have some allergy to dust,pollution. If you had h/o eosinophilia,go for blood for tc,dc, and if eosinophilia is there go for tab. Hetrazan 1 tab 3 times a day for 1 week and you will be alright. Take some antihistamine and decongestant tab. Ok and bye. | |
Suggest remedy for loose motions in kids
my kid aged 2 yrs 10 months is suffering from loose motions. Infact all in my family had this prob since yesterday morning after we had a chicken biryani prepared at home. My kid started suffering from loose motions since afternoon today. I tried to give him gramogyl suspension but he is continuosly vomiting the syrup.we tried close to five times but he vomits it everytime we give him. can u suggest some tablets instead of gramogyl | Hi,He got a food poisoning / acute gastro enteritis. If he don't have fever and stool is not blood stained, no need of gramogyl, which is combination antibiotics that is not at all recommended routinely for childhood diarrhea.Instead you can give ondansetron syrup 5ml (or half of 4 mg tab) now, and then 2-3 times a day for 3 days. This will control vomiting. Wait 1 hour after first dose before giving food / drink. Also give ORS solution or salted rice water after each stools in small frequent sips. This will prevent dehydration. Mostly he will be fine in 2-3 days.If he develops high grade fever, stool becomes blood stained, he becomes lethargic with poor oral intake, kindly take him to doctor.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician | |
What causes cold chills,numbness in extremities and headache?
I am a 31 year old female with a recent history of unusual symptoms including the following: cold chills, numbness in extremities (especially left side) especially hands, arms, legs and feet, cramping in left hand and foot causing hand and foot to turn inward and draw up with toes and fingers crossing over one another. Headaches occasionally with these symptoms, and sometimes diarrhea after one of these spells . I went to the er and they told me I was having symptoms of a TIA or mini stroke. I had an mri which showed nothing serious and the er doctor told me it was possibly a nerve disorder such as lupus or MS and recommended I see a neurologist. I currently do not have insurance and they told me that they could run hundreds of thousands of dollars in tests but without a starting point, it would be very costly and they might not even be able to tell me after that. I was wondering if you could tell me what these symptoms sound like to you? | Hi, You need a detailed evaluation. The most likely condition to exclude would be multiple sclerosis, for which MRI of brain and spine should be done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sudhir Kumar, Neurologist | |
Can pregnancy happen after having non penetrative sex?
Hi, me and my boyfriend were dry humping last night but had on his boxers and a pair of his basketball shorts. However, he didn't have on anything. We both climaxed and it got all on the shorts and the boxers were kind of wet a little bit above my vagina. Can I become pregnant? | Hi, I think there is a very little chance of pregnancy with the clothes on but just to be safe, take emergency pill within 72 hours. If not possible, then if your periods delay, do a urine pregnancy test at home. If positive consult a doctor if you don't want pregnancy. If negative wait for your periods. Hope I have answered your question. Regards Dr khushboo | |
What causes black patch under scalp of 4 year old?
I just got cut my 4 yr old son s hair cut only to discover a black patch under his scalp. I first thought it was from the clippers at the barber, oil, burn something but, it s not. It s been a week and it hasn t gone away, has not gotten bigger or anything. It doesn t hurt him when pressed, it s not raised and there is no patching or bald spots. I may also mention he s a redhead, hence extremly fair. What could this be? | Hi...it could be a mole which has been overlooked after it has formed. As it is not bothering him, it is not an emergency. But I suggest you consult a dermatologist regarding this. If it's rapidly increasing in size it will need you skin biopsy from the area and further evaluation.Regards - Dr. Sumanth | |
Does stress increases the blood pressure?
Hi, Im a 30 year old female with high blood pressure which is currently at 144 over 102. I just visited my doctor a few days ago and he wants to see me again within a few weeks. I've been on medication for depression and anxiety for the last 2 years. I was wondering if stress has anything to do with the high blood pressure as well? | Hithough stress is related to high blood pressure yet grade 3 severe diastolic bp at a age of 30 can not be just because of anxietyyoung age grade 3 diastolic blood pressure can be because of renal artery stenosis, i would suggest you a renal artery doppler to find out the stenosis of renal artery.another possibility is pheochromocytoma therefore i would advice you to check your vinyl mandelic acid and metanephrines ,stress can increase b.p but not grade 3 diastolic bp can be just because of stress at such a young ageavoid over oily and junk food , work out for 45 minutes a day | |
What causes shortness of breath, breast pain and increased heartbeat?
Hi Doctor :)I feel very tired shortness in my breath n pain in my breast my heart beat is 92 per minute and I just woke up but I feel that something is wrong with me how can I check if something wrong with my heart or I just need an inhaler coz I have allergy and I use an inhaler sometimes but usually I only use it in summer | Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of acute worsening of asthma is more in your case. You are having allergy and you are not taking inhalers regularly, so worsening of underlying asthma can cause breathlessness, chest pain and tachycardia (rapid heart rate). So better to consult pulmonologist and get done1. Clinical examination of respiratory system 2. PFT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment of asthma is based on severity only. You may need regular inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti allergic drugs is also beneficial in your case. 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. | |
What does sharp pain in chest & abdomen in patients with kidney stone suggest?
I am 20years of age weighing 95 pounds, i have had kidney stones and a stent put in and them blasted out about 3 years ago, than about 5 months ago i had nose surgery. now for the past 3 nights i get fever only at night, VERY bad sharp chest pains like i am getting stabed, feels like its going threw to my back, my kidneys are having the sharp pains also, and having the same sharp feelings in my lower abdomen. what could this mean? | The pain in chest is due to gastritis or M.I, use pantop if pain relieved it is gastritis, if not do one ecg, rule out chest pain, kidney pain is different from above two, don't neglect | |
What causes intermittent pain in the lower abdomen while having kidney stones?
Hi Dr,i have severe pain at below abdomin ...scaning has done and found a minor stone at kidney., but doctors said it wont be that much pain.,some times the pain ijcreases to maximum which i am not able to bear...Doctor advised to take medicines like flavospas and coolnac-p. | Hello,Pain may be not due to stone probably. It may be due to some other reasons like colitis or IBS or food intolerance etc. Until examination is done it is difficult to say what it is. Use tablet normaxine twice a day for five days. Avoid alcohol and smoking. Avoid lactose and gluten contain food. If symptoms not improved please consult with your gastroenterologist he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
Suggestions to cure the bile acid malabsorption causing other severe symptoms
I have a large back spot on my left foot that has appeared in the last four days and is not going. My period is extremely heavy. I have vitamin b12 deficiency, folate disorder, vitamin d and calcium deficient. I also suffer with severe bile acid malabsorption. My crp markers are always raised ranging from + 16 to +35 and recent bloods have also showed I have a raised liver. I am constantly picking up bugs and always tired. Doctors are unable to tell me what s wrong other than my severe bile acid malabsorption .... Any advice | U looks to have malabsorption disorder. U need work up for it including colonoscopy and enteroscopy. It looks to be small bowel pathology involving ileum. Diseases like crohns disease have definite treatment. So u need first evaluation for the same. | |
Could the pain in chest be due to coronary artery spasms?
I have seen two doctors for chest pain. I have had stress test tilt table test and angiogram done. One doctor says that it is coronary artery spasms and the other says its angina. I quit my stressful job, and haven t had an attack in awhile. But in the last week I have had two attack. They seem to be getting worse. I went to the ER for this last one and they said everything looked ok. Can you have a mini heart attack and not know? I am still experiencing chest pain, but don t want to go back to the ER. | Hi, Yes, coronary artery spasm causes exactly the same symptoms as angina and needs optimised medical treatment. You should definitely see your cardiologist for further treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sameer Maheshwari, Cardiologist | |
What causes high BP and fatigue?
Husband has recently developed high b/p. Also having chills without fever. shakiness, and overall feels lousy. Previously this man liked chopping wood and working around the house. Now he has no energy for anything. Our doctor ruled out viral possibilities. took losartan 25mg one week, increased to 50 mg and b/p still160/100. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. High blood pressure uncontrolled may be due to Renal problems or salt consumption or CKD or anxiety or Septicemia etc. Until examination is done it is difficult to say what it is. Avoid spicy food and alcohol avoid smoking and caffeine drinks. Daily exercise and yoga may helpful. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. | |
Q. Why is there swollen lymph node near ear after getting rid of chlamydia and gonorrhea?
Hello doctor, The last sexual contact was half a year ago. After that day I started to feel pain while urinating. After a month pain got worse. I went for an HIV test, which showed negative. I was suspected to be having chlamydia or gonorrhea and was given antibiotics for 7-day treatment. It did get better after the treatment but after a month, the problem came back. Last month, I went for the chlamydia and gonorrhea check and it showed negative. Now, the right lymph node is swollen with ear canal feeling inflamed and urination pain. Sometimes, experience lower back pain as well. | Hello. The urine report is normal (attachment removed to protect patient identity). As you mentioned, no chlamydia or gonorrhea is there, after treatment. So, take plenty of liquids like lemon juice, coconut water, buttermilk, etc., totally 3 to 3.5 liters. Add alkalizer Citralka two teaspoon full three times a day after food with half a glass of water. It covers your burning. Lymph node, if small may be due to ear, tooth, dandruff problem. You can take tablet Zerodol SP (Aceclofenac Serratiopeptidase) two times a day after food for three to five days, tablet Zifi 200 (Cefixime) two times after food for three to five days for a lymph node. The test for HIV is negative so seems no HIV. | |
What causes sharp pain in the left side of the stomach during pregnancy?
My daughter is 4 months pregnant. Baby due Feb 15. She just called me and she is having some sharp pains uncomfortable pains more on the left side. She is uncomfortable. Is it possible this is her gallbladder and is there really anything they can do. She told me that she called her drs. office Thursday or Friday and they said it was possibly a stomach virus. She is crying and when she tries to lay down she gets nauseated. Should she go to emergency room or wait until morning to call dr. office. She has a 2 year old at home and her husband is a fireman and he is on his 24 hrs. at the station. | Hello, and I hope I can help you today.It is doubtful that your daughter's symptoms are due to a gallbladder problem, since the gallbladder is on the right side of the upper abdomen, and usually the gallbladder only feels pain after eating.However there are many other causes of left abdominal pain, such as gastritis, a stomach flu, kidney stones... And if it is lower abdominal pain, it can be related to the uterus or ovaries. Her anxiety about the situation probably is also contributing to the problem.So if your daughter is in so much distress she should call her doctor. There is someone on duty for emergencies even at night for most OB practices. Her doctor can make a recommendation of whether or not to go to the emergency room or come in for a doctor's appointment.Either way, as this problem has been going on for a few days, she absolutely should be seen by a doctor soon to make a diagnosis.I hope this answer and my advice was helpful.Best wishes to your daughter for the rest of her pregnancy, Dr. Brown | |
Suggest treatment for erratic BP and vertigo
my husband is having erratic blood pressure, ranging from 130/75 to 225/110. He is also experiencing vertigo and is having problems with his stomach, acid and pain sometimes in the upper stomach or gallbladder. he has had ekg s, xrays, blood work, up GI...etc. They cannot find anything wrong. I m getting worried since sometimes he seems like he is really sick. | Hello!Thank you for asking on HCM!I carefully passed through your question and would explain that these blood pressure fluctuations can be related to an adrenal gland dysfunction. I recommend some tests for this purpose (if you have not performed them yet): - cortisol and aldosterone plasma levels- urinary metanephrines for possible pheochromocytoma- thyroid hormone levels to exclude possible thyroid dysfunction. The vertigo can be explained with the peaks in blood pressure values. Anyway, a Doppler ultrasound of the cervical vessels would help exclude possible narrowing of the cervical arteries, which can also lead to vertigo. Hope you will find this answer helpful!Kind regards, Dr. Iliri | |
What causes fever & pain all over the body?
hello, im 20 years old and for the past 3 days ive been feeling a little weak an my shoulders and wrist hurt..i also get fever at night..well now actually my whole body hurts...i feel like at times i cant get out of bed..do you know what might be wrong with me? thank you | Hi,From history it seems that you might be having viral infection producing generalized weakness, body-ache and fatigue.Take ibuprofen as needed for 2-3 days.Take rest.Take plenty of water and take light food.Ok and take care. | |
Can stomach infection cause fainting spells?
I am a pretty healthy 71 year old female. I weigh -28 lbs. and am 5 3 tall. I had what I think was an oesophagus severe spasm. The pain was so severe that it caused me to faint, twice in a period of 15 minutes. Paramedics found no pulse when they came, but I came to soon after that. An EKG was done; I was taken to the emergency room: another one was done. No heart problem was diagnoses. I have trouble swallowing large pills. I have experienced the cramping again, but not as severe. They discovered a severe stomach infection which the doctor thinks might not be related. Eosinophilic Esophagitis was also found in esophagus biopsy. They still do not know what caused fainting. No acid was found by Bravo monitor. I have coughing spells at night. What do you think? | Dear I can understand your concern . I would like to inform you that severe pain is very important and common cause of vasovagal syncope that is transient loss of consciousness with full recovery within seconds without any residual weakness . It may cause transient decreased pulse rate or complete loss of pulse and normal immediately after some time as you lay down supine.No need to worry about this. You can think that it was related to your severe pain only and will not happen again if your pain is managed adequately . As you have mentioned complete cardiac work up was normal. This is also suggestive of this clinical entity . Hope this will help . If you have any other concerns please feel free to message me . Thanks for contacting HCM . | |
Q. What can be done for stomach cancer metastases to six lymph nodes?
Hello doctor, My father had surgery a month back for stomach cancer bleeding tumor and in the histopathological report after surgery showed that metastatic deposits of the tumor have been found in six lymph nodes. I request you to kindly advice what would be the best possible treatment in this scenario. | Hello. As seen in your reports, your father had stomach cancer, which is stage III. He will definitely need further treatment to avoid recurrence of the tumor. Usually, treatment should be started within 6 to 8 weeks. He has two options: Only chemotherapy or Chemotherapy and radiotherapy. Before that, I would advise you for CT scan and tumor markers like CEA and CA 19.9 to look for any evidence of residual disease at four weeks after surgery as residual disease after surgery will be taken as high risk. If you are able to get a PET CT then it is better. There are certain poor markers in his tumor (attachment removed to protect patient identity) like signet ring histology, lymphovascular and perineural invasion, node positivity, and a bit close margin. These all factors make him a high risk for recurrence. Though there is no definite advantage of chemo and radio vs chemo only, those who are at high risk for recurrence benefit from chemo and radio. So in his case, I would opt for chemo and radiotherapy. But before going ahead with this, I will definitely need to assess the patient's general condition and how he is taking his nutrition. Whether he is fit to receive this treatment. Otherwise, I would opt for chemotherapy only. Therefore, I would advise you to take further treatment at the center which has both facilities. Depending on what type of chemo regime is followed the duration of treatment will be around six months. On an average, around 50 % patient with stage III stomach cancer will be alive at the end for three years if they receive adequate treatment. | |
Reason for spotting when trying to conceive?
hi my name is kristina....Me and my husband have been trying to get pregnant for 4 years now....i am 4 weeks and 1 day today but yesterday i started spotting but its just brown blood and only when i wipe after going pee.. i have had a pad on all night and no blood was on it when i got up.....what does this mean im scared im have a miscarriage what do you think? | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You are on 4 weeks and 1 day. Just brown spotting could be due to implantation bleeding, premenstrual symptoms, and hormonal imbalance. Implantation bleeding occurs at the time of the period and just like spotting, it is brown to pink colour. If your period is delayed by more than 8 to 10 days, then go for urine pregnancy test and or blood HCG test to confirm the pregnancy. Meanwhile avoid stress, take healthy diet, maintain proper pelvic hygiene, drink plenty of water, do regular exercise.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar | |
What causes flatulence of heart at the age of 14?
hii, im 14 years old and i was having ALOT of health issues over the last few months and the doctors still dont know whats wrong with me, but this is a new thing thats just happening today, im 5 11 a girl and for the last few hours my heart like flutters it will go really fast then slow right down it also comes with extreamly sharp pains my mother wants to take me into the er but i was there so much the last little while im just sick of them .. thanks:) | I suggest you to perform a rest EKG and a dynamic 24 hours EKG Holter. In most of people of your age it could be normal to have sometimes short period of subjective palpitation, but it's good to check your heart health | |
What causes incidents of memory loss and dull headache?
I am female a 53. In the last few months i have suffered a couple of memory loss incidents and it has happened again today. I have a dull headache and everything seems to have a perculiar metallic smell including food. I have been stressed at work lately and wondered if that had anything to do with it. Up until these incidents i have been perfectly healthy and am not overweight. | Hi, First of all, you should do some investigations such as:measuring blood pressure and doing lipid profile in the blood. If you had hypertension, you should receive medical treatment, decrease salt and fat intake, besides do an ECG and an ECHO on your heart. The dose of oral contraceptive pills or a hormonal replacement therapy should be adjusted. The disorder of memory with peculiar smell sensation could mean that you need to take vitamin B complex, so you should take vitamin B complex once per day after meals and Benfotiamine 40 mg twice per day after meals to. Finally, you should avoid smoking and drinking besides eating healthy food. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mustafa, Neurologist | |
What causes chronic right shoulder aching?
I have an ache in my right shoulder and it has been going on for about a month now im very curious of what it could be can you help me it is located on top of my shoulder i woke up with it that way i had fished the day before and it just feels like if i pull it then the pain would stop. | Hi, It could be anything from a acromioclavicular joint arthritis to rotator cuff tear or simply tendinitis or impingement. To reach out for a diagnosis you need to have a thorough clinical examination along with required investigations to get the diagnosis. In the meantime, give rest to your shoulder, avoid strenuous activities, do warm saline fomentation, and take some over the counter painkillers for 3-5 days. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon | |
Suggest medication for tightness and pain in knees
Of late, I get some tightness in my knees, with some pain which is more on the outer side of the knees and goes down to my legs. Then there is severe pain in my ankles on the outer side and pricking pain in my heels. What could be my problem? thank you | Hello, Most probably it will be a simple sprain or muscular pain. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If symptoms persist better to consult an orthopaedician and get evaluated. If symptoms are severe an MRI scan is required for further assessment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
What does sinus rhythm and left atrial abnormality in ECG report mean?
hi..i had just an ecg recently and i git a remark of sinus rhythmn and left atrial abnormality..i am a reglar 10 km runner..and a long 21km run on week ends..does this mean any abnormalities of my heart..my RHR is 55BPM...pls any comments on my concern...thanks | Thanks for your question on Health Care Magic. I can understand your concern. Since you are running and doing regular exercise, no need to worry much for this ecg report. But better to rule any structural pathology of heart because ecg is stating left atrial abnormality. So get done 2d echo. 2d echo is sonography of heart. It will tell you more about heart chambers, pumping, valvular functions etc. It well also tell if any structural abnormality in left atria is present or not. So get done 2 d echo. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest remedy for chest pain
Hi. My husband has been having sharp chest pain right in the middle of the chest. It especially hurts when he bends over or breathes deeply. He also feels very bloated. This has been going on for 48 hours. Is this just gas or something I should be more concerned about? | Thanks for your question on Health Care Magic. I can understand your concern. Yes, possibility of gas related pain is more. He is mostly having acute gastritis and gaseous distention of stomach which is causing such pain. So give him proton pump inhibitors and prokinetic drugs. Ask him to avoid hot and spicy food. Avoid junk food. Ask him to avoid large meals, instead take frequent small meals. Quit smoking and alcohol if he is having these habits. Don't worry, he will mostly improve with all these. If not improving then get done chest x ray to rule out internal pathology. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. | |
IUI resulted pregnancy with fluctuating HCGs. 2 sacs with no yolk, previous IUI unsuccessful. Any other treatment ?
Hello, I have a healthy 5 year old and am TTC a second. I has an IUI which resulted in a Trisomy 18 Pregnancy. After that loss I had another IUI which resulted in a pregnancy with low and slow rising hcg s, and two gestational sacs at the 6w3d ultrasound . Both measured 3mm with no yolks. My questions are: * is it still possible to have a healthy viable pregnancy? * what should I suspect as the cause, assuming both died at the same time, 4w 5d? I can t find other examples of twins being behind by exactly the same amount. * what tests if any should I run before my next IUI? * is there an infertility treatment that would boost my odds of success? Thanks!! Thank you! | Hi, Welcome to HealthcareMagic Yes it is still possible to have healthy viable pregnancy. It appears to be due to genetic defect( chromosomal disorder). You have not mentioned your age . Risk of trisomy 21,18 and 13 increases with maternal age ( > 30 yrs ). For prophylaxis you can start tablet Folic acid daily at least 3 months before conception. Maintain healthy diet. Avoidance of smoking and alcohol is advised . Once you are pregnant it would be ideal to undergo first trimester screening ( 11-14 wks) for major anomalies by doing a blood test and ultrasound. Take care. | |
Have palpitations, hospitalized for anxiety, depression, done x-ray, EKG, no relief with medicine, klonopin helps
Hi for a few weeks now I have been feeling heart palpitations they are so strong at times it feels.like my heart is going to stop ...I was admitted to a phsych hospital because my anxiety and depression was bad after being in ers so often they diagnosed it with anxiety related because my EKG came back normal also xrays I don't know what to do backside my anxiety medications aren't working I have to my psychiatrist that.klonopin,has worked in the past but she isn't allowed to prescribe narcotics there and I also don't wanna keep pushing and look like a drug seeker please help | Dear Nilsa You seem to know a lot but not about your body and its functions You know what is palpitation and don't know why it is coming. Palpitation, sweating, trembling, goose bumps etc are symptoms related to fear. They come when adrenaline is secreted. Normal procedure when human beings fear. Understand the body mechanism logically and you can win over anxiety. Again health conscious people have this kind of problem. Immediately consult a qualified counselor (not psychiatrist) Wish you good future. | |
Should i be concerned as i felt loud sound from my heart?
I am 76 years old female. I just woke up to a loud pounding sounds and I went outside to see what it was, lloked out all the windows and I think it was my heart.It lasted at least 3 minutes. So I am sitting down niw and took my bp. it was114/82 with a pulse of 82 in my left arm and 110/53 with a oulse if 72 in my right arm. Sould I be concerned? Thank you. | Hello,Thank you for the question! Both your blood pressure and pulse are pretty fine with me.Most likely The sensation that you felt was the sudden palpitation, an awareness of your heart beat. There are different reasons for palpitations to occur and some of them may be harmless too. If I were treating you I would not be too much concerned about this as this has occurred only once so far. If you are feeling the same thing repeatedly, the I would suggest that you get yourself evaluated in a clinic with an EKG to start with. Based on your ECG, your physician would be in a better position to evaluate you and decide the next course of action. | |
Will exercise and diet control help to treat hypertension?
At the age of 27, I am suffering from Hypertension. Whenever I am checking BP, its varying like 100/140, 100/150...some times 110/150 or 100/120. Doctor advised me to take medicine for 1 month (Xirtam 20mg). But I am very much confused, if I started medicine from 27th age, this will be a permanent dependency for me or only need to take for a short term? I have done all other testing; there is no specific reason for hypertension. My BMI is around 28, is this will be a reason? I am started with a good diet plan, in one week reduced 1.5 kg and my target to reduce at least 7 kg. Please let me know, can I go for medicine or continue with good exercise and diet? Is drinking green tea and having one spoon of olive oil with meals doing help to reduce BP? Please help with you valuable advise. | Hello, After going through your medical query I understand your concern and I would like to tell that good physical activity and weight reduction will definitely help you to maintain healthy blood pressure. It's recommended for you to continue lifestyle modifications with medication so that after staining good physic, anti-hypertensive drugs can be stopped. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | |
What is the treatment for pressure and irritation in the scrotum?
Hi. I am a 30 year old male. I am having a dragging sensation in my right scrotum for about 7-10 days. There is no pain, but when I palpate, the spermatic cord feels thickened compared to the left. I compared the size of both of my testes but they are same, no visible mass. I m worried. | Hi,There can be an infection in the scrotum which is causing the pain. This can mean an infection in the testis and epididymis. The surest sigh of such an infection is pain relief and feeling comfortable on lying down and lifting the scrotum with your hands. To confirm an infection requires consultation with a surgeon. If a single diagnosis cannot be found after clinical examination then an ultrasound scan of scrotum has to be done. This will show and features of infection, abnormal blood flow or collection of fluids as found in hydrocele. If it happened few days back then it is most likely and infection. Such infections can be treated by medications. A complete course of antibiotics and pain killers might help. Please avoid doing heavy physical exercises and going to the gym for a week. | |
What is the remedy for Hbsag+ career?
Hi,how are you?I am sujan sarker.i am suffering from Hbsag+ for 7 years.After seeing all of My report doctor told me Hbsag+ career strong. He didn`t give any medicine,only to take some rest,medition and exercises.Actually what will be your suggestion? Plz tell me | Hi thanks for asking question.I can understand your concern well.In chronic hepatitis and acute hepatitis with high viral load we institute antiviral medication like interferone and ebavirin.But you are carrier for hepatitis b .so no antiviral medication needed.Aim in your case is to prevent hepatitis attack and cirrhosis like complication.Follow below instruction.Avoid refined food and sugar.Fruits and green leafy veg useful taken more.Avoid excess fatty and fried food.Avoid trans fat like cheese , butter, pork meat , cheaps etc.Use minimum oil with containing omega 3 fatty acid like olive oil , sunfliwer oil , pea nut oil etc.Take less sugar.Limit alcohol.Limit smoking.Do regular aerobic exercise.Regularly at 6 month do your liver profile study.I hope my suggestion will help youWith regards.;Dr.Parth goswami | |
Suggest treatment for screaming and disturbed sleep in a child
my daughter is three and just starts screaming and crying in the middle of the night and we cant get her to calm down this usually last about 20 mins we try waking her up and explain that mommy and daddy are here and she has nothing to be scared about but it just causes her to scream more and kick and hit. is there something we can do to help this | Hello, Sleep terrors are part of sleep. Terror on some days are ok but on a daily basis are troublesome. Instead of telling your child that you love her at dream, tell her in the day time. Just see that the child is not having any issue at home with siblings or you. If these things do not help, take help of psychiatrist as they are trained to help such issues. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Varinder Joshi , General & Family Physician | |
Dark brown discharge and slight cramping after unprotected sex followed by intake of contraceptive pill. Chances of pregnancy?
Hi. This is embarassing but, I had unprotected sex on August 4th and took emergency contraception the next day. I started my period a week early on August 10th and it ended August 15th. On August 16th, the condom broke so I took emergency contraception again the next day. Now I am having very light dark brown discharge and slight cramping...... what are the chances I am pregnant? I am scared to death. | Hello,Welcome to Healthcaremagic.I had gone through your query and understand your concerns.I suspect it is a nothing but a ovulation spotting.You do not need to worry about this ovulation spotting.Ovulation is sometimes associated with brown discharge and abdominal cramping.These ovulation spotting is due is to changes in hormones at the time or rupture of matured follicle in ovary.It usually lasts for one or two days.It is usually accompanied with mild crampingIt is the period where you are very fertile as the eggs are released for follicle.If you have any intercourse at this time without any contraception, it will lead to fertilization and pregnancy.If you are still not convinced,check HPT after a week.Hope this helps.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.Regards,Dr.Manjeth. | |
What is the treatment for penile urethral orifice?
hello good afternoon.. im rochell magaling from the philippines currently working here in taiwan as a nanny.. my husband has a problem with his penile urethra orfice for i think nearly two months now.. he cannot go to the doctor for check up because his overstaying here in taiwan and the doctor will ask his healthcard which already expired.he drink some antibiotics etc. but still have this kind of problems ( urethal itchyness,skin redness only penis head,before pain in urinating but now its ok only the urethral itchyness bother him a lot..) just wanna know what of infections or desease he have and what kind of medicine need to take for now.. thank you verry much...!!! | Hello, From the given description, it seems infection. But unless physically checked, no medicine can be prescribed. do consult a doctor near you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist | |
Suggest treatment for pain and coldness in shoulder area
I have shoulder pain & feel cold at this area all the time since more than 7 years + many episodes of headaches. I had an x-ray which resulted in bilateral small rudimentary cervical rib. can this cause my symptoms & what is the possible effective treatment options? | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have pain and coldness in shoulder area . Well there can be many reasons for symptoms you mention in query arthritis , bursitis , tendinitis , torn cartilage , torn rotator cuff , pinched nerves or spinal cord injury . I would suggest you to consult orthopedic surgeon for proper examination . Doctor may order CT scan , X-ray , MRI or physical examination to check movement . Doctor may prescribe muscle relaxant , anti inflammatory along with vitamin supplement for quick recovery also recommend physical therapy or stretching exercises . For now give proper rest to shoulder , apply warm compresses and take ibuprofen or acetaminophen for pain . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What causes right-sided upper back pain after coming out of coma?
My question is a pain I ve dealt with ever since I came out of a coma 11 years ago. I have an upper right pain in my back that travels into my rt shoulder and down my arm the more active I become. Exercise is part of the discomfort along with any physical work. Is there a good answer for this or like the 7 neurologist I have had thus far and unable to find an answer. They keep putting me on more medication. | It's clearly compression of some verve due to intervertebral disc space reduction due to any cause.Exercise can't be done by you. You are fed up of medication.Best thing for you is to attend International Yoga Day on 21 June worldwide and try to learn 35 minute package which will be free. Later practice it and live happily. Your happy phase will definitely come...may be slow but not very slow. Deep breathing will be helpful.If you meet any Ayurveda doctor near you, he may suggest harmless herbal decoction too for speedy recovery. Economic and easy to take. Or consult someone on net.Yoga and Ayurveda has answer for you.Don't worry, be happy. Hope it helps you. | |
What causes chest pain under the pacemaker?
I'm a 74 year old woman. With a pacemaker,high blood pressure, cholesterol and diabetes, and under active thyroid. About 2months ago I started feeling chest pains on the left side of my chest under my pacemaker. I had an ekg, stress test, blood work done and x-ray done. Everything came back Normal. Should I have an angioplasty done? Or see my cardiologist again.?? | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. What kind of pain is this, is it exertional, occurring on activity and subside at rest. If yes then it can be cardiac. If it persists throughout the day, increases on hand movements or pressing local site, then it's non cardiac and probably related to stretching due to a pacemaker, and angioplasty will not be needed. If still you are in doubt then you should go under stress thallium test and if it's positive then get the angiography done. Continue regular exercises, and also consume low salt and fat diet.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode | |
Suggest treatment for degenerative disc disease
I have degenerative disc disease and my L5 has flattened to non existence I also have gluten sensitivity as well as gastritis and meds that cause alot of constipation which I take Miramax and for 4 days straight I had severe pain in rectum and lower spine I have AN MRI. scheduled for Monday. The pain subsided last Monday only to come back this morning. I haven t had a BM today so can this pain be related to both problems? My back and colon? | Hello. I have been though your question and understand your concern.If there is a degenerating disc disease, this causes you back pain. If there subsides a constipation problem, this causes an increase in your abdominal pressure which is reflected in the back, which already suffers from its own condition, resulting in increasing of the pain.So, yes, the two conditions are related to each other.Hope this helps. Please feel free using MHC again | |
What causes sharp shooting pain in foot?
I have question concerning my legs. Specifically with my left leg, I m experiencing sharp shooting pains in my foot on right side of my foot. This just started this afternoon. Prior to this pain, both legs have lumbing aches which I attribute to lack of exercise. Also I have hammer toe of 2nd toe right foot. I plan to have surgery with podiatrist to correct crooked toe within next couple of months. And for exercise, I ll begin water aerobics next week. Should I be concerned with sharp pain in my foot? | Hello, Most probably it is due to conditions like plantar fasciitis. As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. You can also consider steroid injection also. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
How to detect whether alcoholic or schizophrenic or both?
I am diagnosed with schizophrenia since 1998. I am taking 1. ARIP MT 20 mg 2. zapiz 0.5 mg 3. Lopez 2 mg per day. I also go to Alcoholics Anonymous since 2000. I was told that my symptoms were same as of alcoholism, that i was suffering from untreated alcoholism rather that schizophrenia. How do i find whether I am alcoholic or schizophrenic or both? | hi dear,for detection of alcoholic or schizophrenia is difficult without detail history.even family member of patient's history is also important.first of all you are on alcohol since when and since when you have started complain? whether you have complain after cessation or quitting of alcohol or during continuous of alcohol?what kind of symptoms you have?any past history of psychiatric illness ?any family history of psychiatric illness?Thank you | |
Suggest treatment for painful urination post circumcision
Hi I am 23 and 2 weeks ago I was circumcised. I had phimosis and on circumcision it turned out I had bxo. The surgeon did a great job and essentially had to shave a thin layer off my glans due to all the scar tissue/ skin that was attached to the glans. It s healing ok but slow. I apply Flamazine cream twice daily. The glands is very red and sore to about 2/3rds of it. I struggle with sleep, to urinate stings around the opening and there s no way I can wear any underwear or clothes still without wrapping my penis with glad wrap. Is there any other way of treating this more effectively or speeding up the recovery? Cheers | Hi,Many a time due to constant touching clothes and due to passing urine that part remains irritated and sore giving this problem.Clean the part gently with antiseptic lotion and dress it with antibiotic cream.Clean the part after passing urine.If require go for one course of oral antibiotic medicine for 3 days to speed up recovery.Ok and take care. | |
Q. No sac was found after IVF. Kindly explain.
Hello doctor, After a year of attempting to become pregnant through natural means, my wife and I just went through our first use of assisted reproductive technology. We had an IVF/ICSI. Six eggs were produced, my fresh semen sample was used, three eggs became embryos, two embryos were transferred on the third day after retrieval and no sac was ever found. Is there any other information that would be helpful? We plan to try again and would like to learn from this experience and our personal medical data to improve our chances. We would like to know: 1. What happened that terminated the process (no sacs were found) and why? What are the possibilities and what is the most likely possibility? 2. What could we do differently now that might be better? 3. What is the quality of the embryos overall and in terms of their number of cells, cell appearance score, fragmentation and cells being of equal size? 4. What might have contributed to any problem with the embryos? 5. What can be done to improve the quality of the embryos? 6. What is the quality of my sperm overall and in terms of motility, morphology, round cells, agglutination, debris, etc.? 7. If I abstain for 5 or more days, there are no motile sperm. Is that normal? 8. What might have contributed to any problem with my sperm? 9. What can be done to improve the quality of the sperms? 10. Is it unusual or problematical to have a sperm concentration of 0 whenever abstinence is 5 or more days? | Hi, Welcome to icliniq.com. Following are answers to your queries, 1. The process you experienced is likely biochemical pregnancy. It mostly happens when embryos do not have the potential to grow and give healthy live birth as outcome. The cause of many such losses is unknown, but most likely lies in the genetic aberrations in the embryo. 2. The success rate of any ART procedure is not 100 %. As there was pregnancy in the first attempt and most of the things appear fine, there is good chance of pregnancy in subsequent cycle. For oligoasthenospermia (low sperm count, motility), we generally prescribe antioxidants to male partner to improve sperm health and to reduce oxidative stress. You can discuss with your doctor for the same. The simplest nonprescription antioxidants are vitamin A, C and E. You can take supplements containing same for not more than three months (Vitamin C not more than 15 to 30 days). Co-enzyme Q is another good antioxidant. 3. The images of embryos you attached is 2-dimensional. To assess quality we need to see 3D view to be able to see all the cells in embryos. But still, looking at the first embryo, it appears to be of good quality, with cells of equal size and almost no fragmentation. The second one has unequal cells, though it might happen when cells are dividing. There appears around 10 % fragmentation in second embryo, still it appears fine. Both appear suitable for transfer (attachment removed to protect patient identity). 4. The answer lies in point 1. 5. The quality of embryos looking at morphology is already good. Still, if ovarian reserve of wife is on lower side, DHEA 75 mg daily might help, though evidence supporting its use is not so strong. 6. Quality of sperm in terms of morphology cannot be assessed from the given video. As far as round cells, agglutination, debris are concerned, all these do not affect ISCI outcome, as sperm processing takes care of those factors. Regarding motility, it appears fine. 7. The more the abstinence, lesser will be motility in semen sample. As the baseline motility itself is low, this phenomenon is normal. Nothing to worry about it. 8. There appears to be no problem. So cannot hypothesize any reason. 9. Please refer to point no. 2. Also you can reduce exposure of heat to testes if it is there. 10. Sperm concentration generally does not become zero after increased abstinence, but motility might reduce. | |
Can Tramadol and Cyclobenzaprine be taken together for back pain?
I HAVE REALLY BAD BACK PAIN. MY DOCTOR GAVE ME TRAMADOL AND CYCLOBENZIPRINE. THE PHARMACIST SAID THEY CAN T BE TAKEN TOGETHER. DOES THAT MEAN I NEED TO TAKE ONE IN THE MORNING AND THE OTHER AT NIGHT OR ONE TODAY AND THE OTHER TOMORROW OR TAKE ONLY ONE UNTIL MY BACK REPAIRS ITSELF? | hiAs your doctor has prescribed it can be taken in combination as often as advised, usually 3 times a day maximum in severe symptoms of muscle spasms and pains, clinical symptoms dictates dosage and schedules.Consult your doctor | |
How can infertility be treated?
My hsg test is normal...overies in normal size My lh 7.5and FSH 15....my age is 42..the basic issue is my age and amh result...amh is 0.010....I hvnt any baby....doctor recommended me to take glasterone tablet....and ivf....I wanna ask..is it right treatment...or anyother way I hv to gt pregnant normal mean wdout ivf.... | Hello,There is very least a chance that you will get pregnant normally without treatment that is right treatment and IVF is best for you.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhadresh Lakhani | |
What causes right abdomen pain with aching and stinging?
I've been having pain in my right upper abdomen for the last 6 or so hours (night). It's aching, and stings when I breathe in. I can sometimes alleviate the pain by laying on my right side, but usually I can still feel it. Some help would be spectacular. I'm a 19 y.o. male, by the way. | Hello there,I'm doctor Abel.I would like to know about other symptoms. Did you have vomiting or fever associated with pain. Have you been passing stools ? Is your pain radiating to shoulder or to back? Do you have difficulty in passing urine?Abdominal pain in general alone can be due to numerous causes.Given you have a right sided pain which is stinging on inspiration, can be two things.1. A inflammation in galbladder. But that is uncommon without fever .2. Could be a muscular pain due to cramps.Or 3. Least possibility of appendicitis.But without fever and associated symptoms, this just can only be a cranky muscular pain which is less worrying and will settle with rest.Hope you get better. | |
Suggest remedy for excessive hair loss
i have been on hbp meds for about 6 yrs. now i have been dealing w/ a hot nodule on my thyroid. they have treated w/ meds to shrink it then i had radioactive treatment. now on synthroid. went from hyper to border hypo to hyer (was in ER pulse rate 143). Now taking 10 mg of bystolic each morn, Just took my cuff 97/55 pr 97. Was at Dr today. I am at my wits end! any help.p.s. I have had excessive hair loss.Thank you | Hello and Welcome to ‘Ask A Doctor’ service. Have reviewed your query and here is my advice. Thyroid can have a great effect on hair fall and certainly predispose or aggravate it. You can start with topical Minoxidil solution of 5% to be applied twice daily. One generally needs to be on Minoxidil for at least a year to see optimum result. Along with Minoxidil you should also be on hair nutritional supplements which have Biotin. I also suggest, you get yourself reviewed by the concerned doctor. Hope that helps! | |
Suggest remedy for joint pain due to lupus
HI I AM ASKING A QUESTION FORMY DAUGHTER WHO MAY HAVE LUPUS. PC.SAID HER BLOOD TEST CAME BACK AN HE THOUGHT SHE MAY HAVE LUPUS. IT DOES RUN IN OUR FAMILY. HE WANTS HER TO SEE A RHEUMATOLOGIST BUT SHE NEEDS TO WAIT UNTIL DEC WHEN HER INSURANCE KICKS IN SHE IS VERY PAINFUL AND ALIEVE AND IBUPROFEN DO NOT HELP ANY SUGGESTIONS FOR HER AS TO THINGS TO TRY TO HELP WITH HER JOINT PAIN UNTIL DEC. HER PC IS NOT OFFERING MUCH HELP THANK YOU FOR ANYTHING THAT SHE CAN TRY TO HELP HER IS APPRECIATED . | SLE usually does not present with severe arthritis. please look for rheumatoid arthritis by rheumatoid factor and anti- CCP antibody and start on DMARDs for the same. methotrexate 15 mg intramuscular once a week if blood counts and liver function normal, with Leflunamide for a start. if she has a flare, steroids may be given and then tapered and stopped | |
Suggest treatment for premature ejaculation and frequent urination
hi i am 20 year old and i have some serious over mastrubation problem. i can do it frequently over one day. and it keep going. now i feel the side effects such as memory loss and frequent urination, and premature ejaculation. how do i stop it and how do i cure all those side effects. need great help. and i have been going on for a long time | DearWe understand your concernsI went through your details. You are 20. During teen age, it is normal to masturbate once or twice in a day. But when we grwo, we will have so many other things to do like education, games, career related activities etc, we reduce the frequency of masturbation. At this age, if you are still doing more than one masturbation in the same day, that simply means you ar not doing anything other than this.You need to divert yourself from this. Concentrate yourself on education, games, career related activities etc. then naturally you will have no energy left to masturbate. 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. | |
Could grinding noise in lower spine indicate ruptured or bulging disc?
I am a 38 yr old female with 5 children and a sixth on the way. I have been told i have 3 vertebrae out of place and major pain in my sciatic area for years. Now for the oast 2 years i have a grinding noise in my lower spine area accompanied with alot of pain. Could i have ruptured a disc or have a bulging one? Any advise concerning this matter would be greatly appreciated. No family history of disc disease that i know of. | Hello, As the grinding sound is due to the bone over bone rubbing and it's common in people having weakness of the muscles of the spine and hip muscles. Since you are pregnant for now I will advise doing simple exercises like breathing, bridging, heel-dragging, knee spread apart while lying. You can even take the help of a competitive physiotherapist who can help to stabilize the muscle and joints. Post the delivery you need to focus on the exercises like - core stability, spinal muscle strengthening exercises, hip muscle strengthening, lower limbs strengthening. Having a good abdominal muscle will help stabilize the spine and avoid this grinding sound. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Why there is a puffiness around the biopsied lymph node area?
My husband is a 5 yr cancer survivor (35 yrs. old, 5'8, 320 lbs, very active, farmer), Hodgkins Lymphoma. routine check up in December = scans normal - released to go one year til check up with blood work only. This weekend we found we are concerned with puffiness around lumphnode that was biopsied (right side neck, above collar bone) also where his port was - right side, very sore in that area. we have a sched. appt. with oncologist because of concern, is this something that can occur?? | Hi,Thanks for writing in.Puffiness in the neck area around the biopsy region might indicate either an inflammation of the lymphnode and biopsy area or thrombosis in the internal jugular vein.It is a concern and might require a ER visit. They will do a Doppler ultrasound scan and if it is a thrombosis then it must be treated immediately with blood thinners and the clot must be prevented from entering the superior vena cava which transmits blood from the upper part of the body to the heart. The chemo port area should also be examined. Any infection that is detected is to be treated with antibiotics. Pain relievers might be given if he is in severe pain. Please do not worry. | |
What treatment is further suggested for patients with tumour size 2*2.5 cm in tongue?
Hi doctor, My father is suffering from tongue cancer and he was diagnosed on jan3 2012. he undergone surgery on jan 6 2012 where they removed 40% of tongue. and as of now he is able to swallow and able to talk(not clear). Post surgery report states that they treated as 5 levels in first and last level no tumour. The primary tumour is cleared and 3 METASTATIS lymphnodes containing TUMOUR. the size of large tumour is 2*2.5 cm. they suggested us to go for chemo& radiation. Dr said like it's stage STAGE III Can you please suggest about the further treatment and the cure rate. kindly help me in this regard. | Treatment of choice in this case is post operative concurrent chemoradiation therapy.Stage 3 tongue cancer has disease free survival rate at 5 years of 40 to 50 %. | |
Q. How to improve my testosterone level?
Hi doctor, I am 25 years old. My total testosterone was low. It was 400 ng/dL. This was on last Friday after a very intense week with insufficient sleep and no exercise. My question is, am I stuck with this? How can I improve this to any value within the normal range? | Hi. I have read and understood your problem. However, I would like you to answer few questions so that I can help you better. Revert back with the answers for the above questions to an andrologist online --> | |
What is the right age a child should show signs of walking?
My baby is 14Months old and he is not walking yet. I have been teaching and training him since he was 8 months but still he isnt walking, he crawls and walks arounding holding onto furniture he can even stand on his own but he just isnt showing signs of walking. What can I do? | Hi dear welcome to the HCM, Walking is a important mile stone for the growing babies.Quite variables.depends upon many factors like nutrition,genetic factor,constitutional. enviormental, seasonal, socioeconomical, any chronic disease prenatal or postnatal. For most is Rickets in the current living scenario.Some times walking may start at the age of 15 months.improve his nutrition, add vitamin D, multivitamin etc.Hope he will start walking.thamks | |
Suggest treatment for severe back pain
I have had back pain for over 2 months. I have a pain in my left side and when liking down for 4 days I had stabbing pains. I am a diabetic who has it under control with diet and exercise. Some of my stools have been a little yellow. I am more thirsty now. I have lost 3pounds. I am not overweight. I go to the gym 4 days a week along with walking 2days for one hour. | Hello, I have studied your case. Usually nerve compression cant be seen on x ray you may need MRI for this.If there is any nerve compression then that may need specific treatment.I will advise you to do MRI spineFor these symptoms analgesic and neurotropic[pregabalin] medication can be started consulting your doctor..Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.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. | |
Treated for breast cancer. Taking efexor xl for hot flashes. Cause and cure?
Hi, I have been prescribed Efexor XL tabelts to help with hot flushes. I have recently been treated for breast cancer & I am on Tampoxifen tablets which have made my flushes more severe. Can these depression tablets help? I feel very hesitant to start them as I dont suffer depression or anxiety attacks . Opinion? please | Hi, You are using tamoxifen tablet that means you are pre-menopausal and are on treatment for hormone positive breast cancer. Now, estrogen block can lead to many post menopausal symptoms like hot flushes as you are experiencing. I should know the frequency of hot flush and how does it restrict your normal activities. Anyway Your doc has prescribed Efexor XL (venlafexin) which is a standard medication in your case. But other medications are also there like gabapentin. Your best option may be to modify your life style first. Do not take too much of alcohol, caffeine. Habit of smoking to quit. use cloth of cotton. You may use cotton cloth soaked with water and tie it over neck. these measures on long term may be beneficial. Consult your oncologist. Take care. | |
Q. Which medicine can help me manage my depression?
Hi doctor, I am presently working in my startup and under too much stress. I am feeling slightly sad/depressed and would like to have some mild medication to help tide over this stressful period. It is purely work related, and some days I find it difficult to sleep due to constant thinking about one thing or the other. I panic on small issues. Please advice. | Hi. I have gone through your problem and understand your concern. If these symptoms persist for more than two weeks, then they are suggestive of depression. In such situations SSRI (selective serotonin reuptake inhibitor) such as Sertraline is helpful. Also, try regular exercise, adequate sleep, maintain sleep hygiene, avoid alcohol, smoking, etc. Also, rule out thyroid dysfunction by checking T3, T4, TSH and blood sugar levels as a minimum investigation. SSRI are prescription only drugs. So, you need a prescription for the same. I recommend tablet Sertraline 50 mg daily and Benzodiazepine such as Clonazepam 0.5 mg as and when required at night time for sleep. But, it is not to be used daily. Consult your specialist doctor, discuss with him or her and take medications with their consent. For more information consult a psychologist counsellor online --> | |
What causes headaches and nausea in 13 year old?
My son is 12 years old and will be turning 13 in a couple of weeks. He has been complaining of headaches off and on since September. His pediatrician suggested that I keep a log of these headaches and nausea he has been having. I have and he just started complaining recently of these headaches and nausea symtoms and missed school yesterday because of it. How do I know if this is growing pains, because he is growing so tall so fast but he is losing weight, or something more serious? | Hi, By what you say I feel that your kid is experiencing pediatric migraine without aura. It is extremely common nowadays to have a headache like this because of stress or tension or a migraine. As of now, you can give him Ibuprofen at the appropriate dose and if still, the migraine is very frequent then he will require preventive medication. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
How to treat ADHD with medications to lead a better life?
Hi Dr. Samuel- I feel that I exhibit many of the traits that have been easily treated with medication used to treat ADHD and I'm jealous of my friends who seem to be leading better lives because they have a prescription, My parents never really believed in being evaluated for such things when I was a kid, how do I go about seeing if I'm a candidate for medication? | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.You should meet a psychiatrist in your area. Even if you dont have records of childhood, its well and fine and you can still be considered as to have an ADHD. Methylphenidate and Adderall are good drugs for ADHD. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
Should the Lymphoma with bad odour be drained or go to the ER?
Goodmorning, Im Jason. 25 year old male quite healthy. i have a limpoma or a fat buildup the doctor said on my back which just last night all of a sudden started to pus a really smelly puss and wont stop i was wondering if i should draing this or go to a walk in. | HI, thanks for using healthcare magicIt is likely that it is now infected if you are noticing a discharge.It would be best for you not to try to drain it on your own because it needs to be done under sterile conditions.In addition, all of the infectious areas need to be removed to prevent recurrence.Your doctor may also suggest a course of antibiotics.I hope this helps | |
Pain in the lower neck and shoulders, swollen glands in the throat. History of breast cancer treatment. Worried
hi, I am a 51 year old fairly active woman, residing in North Western Ontario, Canada. Yesterday my lower neck, and the region between my shoulders started to have sudden onset of pain, but only seems to bother me when I take a deep breath or have to cough?? Is more annoying than anything as the pain is sharp and catches me off guard. As it is the easter weekend, I can not contact my family doctor til tuesday, and don t feel it is serious enough to seek attention at the regional hospital. I did undergo breast cancer treatment , surgery, chemo and radiation 2 years ago. Had 27 lymph nodes removed under my left arm. My question is : do we have lymph nodes in the back of our neck, and can they become inflamed. THis pain almost feels like swollen glands in my throat, when I have had tonsillitis , or strep throat . Seems weird. |Thanks for your help. Janet | Hi Thanks for writing in. You have not mentioned about the details of your breast cancer treatment (like size of tumor, grade, receptor status, node positivity, etc). These are required to understand the risks of it coming back. The possibilities of this kind of pain may be infection in the throat, muscular or skeletal pain unrelated to cancer, or spread of breast cancer to bones or pleura (in the chest). You certainly need a physical examination and may be a few tests to diagnose the exact condition. Regards. | |
Can I take minoxidil to overcome hair loss and dandruff issues?
i am 28 years male suffering hair loss due to this now i am looking old ,and i have also dandruff problems and 7 years back i have jaundice also , so my questions is that whether if i take minioxidil and protein powder can i recover my hair loss and can it be side effects? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of hairfall, my treatment advice is - 1. Use a good herbal hair oil and shampoo for routine use. 2. Apply a minoxidil 2 %solution twice daily on scalp. 3. Take a Supradyn tablet and Folimax-12 tablet once daily for 3 months. If problem persists then consult a dermatologist. Hope I have answered your query. Let me know if I can assist you further. | |
Sick with sinus infection, antibiotics, itchy rash on back, lower abdomen and scalp, Rx cream cleared abdomen rash, minor rash on back, scalp rash treatment
Yes, please -- I was sick for approx 7-8 weeks with respiratory/ sinus infection. I took 3 rounds of antibiotics and at the start of the third round, I developed an extremely itchy rash at the base of my back [center], on my lower abdomen , and in my scalp . I have had this rash for approx 3 weeks now. I was applying a Rx cream my Mom gave me callmetasone 0.25% which completed cleared up my abdomen, but I still have some minor rash/itching on my back. Problem is my scalp -- rash continues to spread and is very, very itchy with some burning. I have been applying the cream to my scalp at night, washing my hair every day but it hasn t really helped. Is there anything I can use -- over the counter -- until I see the skin doctor? My appt is not until late next week. | Hello, Thanks for your query. Since it is very itchy rash it is more likely to be a fungal infection. Secondly when you are on antibiotic you become more prone to fungal infections. Presently you can apply lotion of beclomethasone and it will reduce the itching. Then please consult a skin specialist and he will do the needful. Thanks |
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