patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
Suggest treatment for panic attacks with shaky legs and imbalance
sir I feel panic any time without any reason while I am working or talking to some customers. I quite often feel that my head is reeling my legs start shaking sometimes when I look up to get a object my head gets disbalanced something occurs in my brain that I do not what to do . This problem occurs when I am in my shop crowded with customers or when start feeling strain at back of my neck or when I feel very hot or go out in hot sun. | Hi,From what you have mentioned, you seem to be , manifesting symptoms of anxiety which is resulting in your feeling uncomfortable with symptoms of tremors, and dizziness.I would suggest that you should consult a psychiatrist to undergo complete evaluation and initiate treatment. Medications like paroxetine would help you overcome your anxiety. In addition, you should start exercising daily which will help you relax and feel better.I do hope that you found the answer helpful. Best wishes. | |
Is prednisone safe for allergy?
I was given prednisone for my allergies - 40 mg per day for five days. When I have used prednisone in the past, I usually was given lower doses and had to taper off. I am a bit concerned because of the high dose level and sudden stop at the end of five days. Thanks you... | Hi. Oral prednisone is very useful in allergies as it ceases the inflammatory response to the allergen almost instantaneously.It is necessary to taper steroids only if they have been taken for more than 14 days since that is the duration required by the body to start getting dependent on an external source of steroid (Hypothalamic pituitary axis). A 5 day course of steroid can be stopped abruptly without any foreseeable complications. Do keep in mind that high doses of prednisone may affect your vision so do see your physician who started you on these if you develop blurring of vision or changes in colour. High steroid doses may also make you vulnerable to infections so try to avoid anything that exposes you to a source of infection.A 5 day course of steroids is usually nothing to be concerned about. Follow up with your physician for the remaining management of your allergies.Do let me know if you have any other questions. | |
Will implantation of crown cause any harm to the gums?
Hi. I had an implant done on one of my bottom teeth and after that I had a crown put in. The new crown that was put shows a portion of the implant and the dentist said it had to be done that way so that the new crown doesn¨t cause any problems for my gums. Is this true? Is it ok that he didn´t cover the whole implant? | Hello!Thank you for posting here.Implant will be completely inside the bone.Only the crown can be seen as if emerging from the gums.The thing you can see can be abutment.This is not implant.Abutment is normally not left exposed,but your dentist may be considering your gingival health.Either the abutment is exposed or no, make sure you maintain good oral hygiene around the implant.You must see your dentist if you sense any form of food accumulation around the exposed abutment.Do not smoke as it causes implant failure.Hope this helps. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Suggest remedy for bent penis due to excessive masturbation
Hi, I am 27 year male unmarried. I used an ayurvedic oil for penis slight bent due to excessive mastubation. Now my penis size increased which is not intended and penis tissue is hard even when flaccid. I lost all the stronger erections I use to have till 1 year back. Please advice | Thanks for asking in healthcare magic forumIn short: Masturbation cannot cause bending of penis.Explanation: Masturbation cannot cause bending of penis. Oils cannot help this. If its hard to feel then you might have peyronie's disease. Surgery can help this. Please visit an allopathic doctor. | |
Does purpura cause bruising in lower arms and legs?
I have been bruising very easily.Mostly my lower arms and legs. I researched it on line and it does resemble purpura. Just a rub can result in brusing which takes weeks to go away. I am not on any blood thinning meds and do not take aspirin. Can you give me a cause and/or treatment? | by your symtoms and zero drug history you are suffering from vasculitis ...it is also a cause of purpura like thing ...but you need proper evaluation ...so please visit a rheumatologist ... | |
Does having implanon cause brownish discharge now and then ?
Hello, I have the implanon and have done for a over a year. Every now and then I get a brownish discharge that has lasted a day or two only this time it s lasted a bit longer. I ve had exams recently, do you think this could be the cause of the discharge? Otherwise I don t get periods at all. Also, would like to know if any recreational drugs reduce the effectiveness or cause any bad side effects. Thank you | Hi,Thanks for the query. Implanon can lead to side effects like intermenstrual sporting, breakthrough bleeding etc. So, the spotting you had could be due to that.Stress and strain due to exsms can affect the hormonal levels. That can lead to spotting. Possibly it will subside soon. If persists you can go for symptomatic treatment with antifibrinolytic drugs or additional dose of hormones with your doctor's advice. Recreational drugs may not directly affect the function of the birth control pills. But sometimes they can affect the metabolism of the pills and that can lead to fluctuations in hormonal levels. Take care. | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Pre-requisites for kidney donation
What are the requirements for donating Kidney . I am 32 yrs old and healthy. I want to give my kidney. Please mail me at YYYY@YYYY . | Before donating an extensive evaluation would be done to check your fitness You will be tested in detail for Diabetes HTN Kidney disease Hidden viral infection Psychological status | |
Why am I not able to keep the erection for long time without the tablet Taladafil and does this lead to addiction?
IT IS THIS PRODUCT ADICTABLE . IN MAY CASE I GOT DIVORCE 5 MONTHS AGO AND WHEN I HAVE SEX WITH NEW PERSON IT IS HARD FOR ME TO KEEP ERECTION , THATS SOMETHING THAT IT DIDNT HAPENED TO ME BEFORE. I KNOW THATS PROBABLY SOMETHING ELSE BUT THE PILLS HELP ME .I DON T WANT TO BECOME ON A REGULAR USER OF TALADAFIL OR CIALISIS , | DearWe understand your concernsI went through your details. I suggest you not to worry much. Erectile dysfunction is mostly due to psychologicl causes than physical. You have to introspect yourself to know the basic reason for the problem. Anxiety and apprehension about sexual performance leads to erectile dysfunction. The two drugs you mentioned are habit forming and it is better to avoid it. Erectile dysfunction is in your mind and in thinking, probably.You must practice faithfullness with your partner, love, affection, intimacy with your partner to have proper sexual pleasure. If you have all these, there will not be any anxiety or any anti conscience matters and the sex act shall be enjoyable.You might need sexological counseling. Please visit www.psychocure.blogspot.com.Hope this answers your query. Available for further clarifications.Good luck. | |
Urine test: Specific gravity: <1.005,leucocytes:3+,pus cells:25-30/hpf
I am 36 male , weight 78 kg, i did a urine test and have the report with me, i would like to understand the report Please find below the clinical pathalogy report of URINE Routine test Physical Examination Specific gravity : chemical examination: Blood present Leucocytes : 3+ Microscopic Examination: Epithelial Cell : 2-4 / hpf ( occasional few) Pus cell : 25-30 / hpf RBC : 2-3 /HPF | Hello Thanks for writing to HCMYou are suffering from urinary tract infection(UTI).UTI is indicated by presence of excessive pus cells,RBC in urine.RBC in urine may be due to UTI.You need few more investigations like routine hemogram,Renal function test,Urine culture and sensitivity and Ultrasound of abdomen. Further investigations can be done if needed..At present you need proper antibiotics after culture and sensitivity report.You also need clinical correlation.Hope i have answered your query.Get well soon.Take CareDr.Indu Bhushan | |
Swollen, red gums and sore throat. Are the gums affected by sore throat?
Hi,My name is Katie. My gums are really swollen and red and I also have an extremely bad sore throat. My gums have never been this swollen before. I thought at first it could be gingivitis, but I've never had any trouble with my teeth at all (no cavities or anything). Could the sore throat possibly be affecting the gums because of a bacterial infection? | Hello and Welcome to HCM, Thanks for writing to us. I suggest the following treatment options currently: 1) For pain relief, anti-inflammatory, fever reducing medications (acetaminophen, ibuprofen) will help you. 2) For soreness relief you can have salt water gargles (gargle with XXXXXXX warm salt water- one forth teaspoon of salt would be enough in half a cup of water) several times a day, lozenges and warm liquids. Gargling with warm water mixed with dissolvable aspirin can give additional benefits. 3) Avoid Acidic Drinks, Spicy Food and Sour Substances. 4) Consume plenty of water and good fruits and vegetables. Hope this helps you. Wishing you good health... Regards. | |
Suggest medication for restless leg syndrome
Yes I've been having problems with restless leg syndrom mostly in my feet at night when I get home and try to relax. I end up having to go to bed because it's so uncomfortable then I am up all night because my knees and my right hip aches so bad. This has been going on for a couple years and I have tried seeing a Reumatologist, several meds. yoga, sports therapy, vitamins and no relieve. Please help!!!! | consult a qualified homoeopath in your area or u can try zincum met 200 c weekly one day 3 times for 6/8 weeks and kali phos 3 x daily 3 times 4 tabs | |
Are the chances of conceiving good with IVF and ACSI?
Dr.Me and my wife are trying to conceive. We tried IVF and ICSI once 2 yrs ago but had no sucesss. My morphogy at the time was 1%. Today my morphology is 4%. We plan to do IVF and ICSI again next month. Everything is good as we know with my wife. With that said are the chaces of us conceiving with iVF and ACSI good even with me having a 4% morphology rate? | Hi,I have gone through your question and understand your concern s. 4% normal morphology of sperms is the minimum normal morphology needed for the ICSI or IVF. The success rate of IVF or ICSI with this sperm morphology is around.30-35% in the most appropriate laboratory conditions.Hope you found the answer helpful.Wishing you good health. | |
Q. Why does my daughter's asthma flare up even after Albuterol treatment?
Hello doctor, My 4-year-old daughter has asthma. She was diagnosed with a moderate asthma flare at urgent care four days ago. Flovent was increased to 88 mcg twice daily, Albuterol 2.5mg every four hours for 48 hours and Prednisolone 15mg/5ml one and a half tablespoon once daily for five days. She seems to be having retractions at night between 10 PM and 2 AM like clockwork. They are not severe as her respiration rate is 22-28, pulse oximeter reading is 96-98%. Pulse is elevated at times due to Albuterol and the highest recorded is 160 with no fever. She is tired and is pale in the face with dark circles under her eyes. I followed up with the pediatrician yesterday and he diagnosed her with an ear infection and put her on Augmentin. He listened to her lungs and said they sounded fine. She had an Albuterol breathing treatment about one hour prior to her visit. These symptoms that comes on night are scary. Productive cough and the sound of occasional constriction in the throat causing a gag, with these mild subcostal retractions. It is hard for me to determine do we go to the ER or not? It is hard to justify a trip to the ER with normal vitals and these sets of symptoms. Wanting suggestions regarding is my daughter on the right treatment? Could this be something other than ear infection and viral illness causing asthma flare? She has been sick with a stuffy nose, postnasal drip, and mild cough for three weeks. She is also taking Claritin, Singulair, OTC Tylenol or Ibuprofen for ear pain and Mucinex. I also have a video clip of these retractions and I am attaching it. | Hello. As per your history, it is very clear that your daughter has asthma exacerbation. It can be because of an ear infection or viral infection in the airways. As you said in spite of antibiotics, oral steroids and frequent nebulization it is not under control. She needs urgent hospitalization to give her urgent care and to find out other problems if any. This flare up is a valid justification for her hospital admission. As she is very young child she needs treatment under observation. The very fact that oral treatment being not effective. She needs intravenous drugs and steroid nebulization, x-ray and other blood tests. So I advise you to go to the hospital for admission without wasting much time. This will help to recover her fast and find out the exact cause for her flare-up. Once she is settled and the acute problem is under control. She can continue with her inhaler medicines as advised. I think this explanation is enough for you to explain her situation to you. I hope this helps. Ear infection or viral infection. X-ray, blood tests. IV antibiotics, steroid, and Levoalbuterol nebulization. | |
What causes bowel movements immediately after taking food?
hello doctor my baby is 1yr 6months now. she is going motion after eating bf, lunch and dinner for last 10days. Her motion is normal not much watery. she dnt hv fever. she is normal and eating everything. why this is happening for her after eating something? wat is the reason behind this? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.I feel that she might be having a worm infestation. I suggest you give her syrup Albendazole. But this is a prescription drug and you will require a doctor's prescription for this.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani | |
What causes pain and soreness in lower back?
Three months ago I fell while walking down stairs and landed on my back. No major pain at the time, just soreness. Now that area of my back is sore to the touch and sometimes tight, painful in the morning. It s the lower back, on the spine. I have no trouble with movement or lifting. Should I have an x ray? What are possible explanations? | Welcome to HealthCare Magic. Thank you for posting your question.I can understand your concern.Low back pain can be due to a lot of reasons :1.muscle strain2.muscle spasm3.osteoarthritis4.Disc prolapse5.HLA-B27 associated arthritis including ankylosing spondylitis, reactive arthritis, psoriatic arthritis, and inflammatory bowel disease6.spondylolisthesisThat's all about the information. Do not worry too much.I would suggest you to take combination drug containing Tablet Flupirtine 325 mg and Paracetamol 325 mg once daily X 14 days after foodand apply dry heat (with a warm cloth) over the lower back twice daily.I would also suggest you to visit an orthopaedician. He can guide you on the further managements after proper examination.Hope this helps.Post any other question. We will be happy to help.Have a nice day. Regards. | |
How much will the endometrium grow daily when trying to concieve?
Hi,I m woman 31 yrs old and yesterday was my 15th day n gone through sonography in which right ovary is 15mms and left is nil and endo is 8 mms. so can i conceive? tomorrow i will go through sonography again. doctor told me that if your endo will incrase by 9 mm thn you can conceive by IUI. what is the increament size of endo day by day? | Hi, there is no fixed rate of endometrial lining growth. The thing is that if your endometrium thickness is more than 8 mm on day of injection of rupture, there is a good chance of getting pregnant. The endometrial thickness increases after the ovulation and changes the pattern also. So, you can take injection for rupturing the follicles when endometrium is more than 8 mm. IUI can be done the next day. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. Regards Dr khushboo | |
Is brahmalin ghruta effective in increasing memory power and concentration and what are its side effects ?
My son is 14 years old. Can i use brahmalin ghruta for increasing his memory power and concentration. Please advise me proper dosage. Does it have any side-effects? can it iwill be able to reduce the tension at the time of exam? ht; 5.2 weight 35kg, age 14 years no medical history | Hi Welcome to HCM Read your prob, Brahmi is a brain tonic,it reduse tesion.increase concentration but there is no scintific proof. but it works so you can give 10ml with one glass of water twice a day. it has no side effect, so dont you worry. | |
How to cure depression?
I am AnitaLouise YYYY@YYYY ..I live in Nova Scotia, canada...My daughter who was a nurse..unemployed right now, is soooo depressed that I am afraid for her..she is crying 24 hours a day..has no money for doctors..and has always taken care of everyone else but not good at taking care of herself..I am trying to talk to her on the phone..and all she can do is cry..I stay with it for hours..but there has got to be something I or someone can do...HELP | 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.It appears that her depression is bad and she will certainly require medication for treating her depression. Some common options to get treated are sertraline, venlafaxine or mrtazapine or prozac. I m sorry to know that she doesn't have medicine to get treated. Without medicine she can try for some non-pharmacological approaches for depression like aerobic exercises, yoga and meditation. But if it doesnt improve then she will have to start the medication and will need consultation. 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 | |
Suggest treatment for severe hair loss
hi ! i am facing hair fall from last 2 to 3 years then 1 taken a treatment from DR Batra for 1 year only slightly improvement i found but after taking treatment from batra ,my lots hair get white so pleas suggest me for hair fall,growth and how can i make my hair black . | Hello and welcome to HCMFirstly. it would help if you could narrow down on a cause for your hair fall. It is a common complaint and could be due to stress, work, poor diet, hair styling products, dandruff, change in water etc commonly.Also you need to check for other causes like thyroid problems, low iron /hemoglobin, any illness like fever, typhoid, any long term medication. Any genetic hair loss, or balding in the family could make you more prone to hair fall and early greying of hairYou can check with a dermatologist regarding any tests required to check for these causes.I would advise you to start on a hair supplement capsule like Keraglo Men or Follihair daily for 2-3 months to see improvement. Any treatment needs to be taken for a few months regularly to see good results. Consult the doctor regarding other options like minoxidil solution.Altris hair gel application at night will help with greying.Be sure to take a nutritious diet and adequate rest, avoid stress. Avoid harsh chemicals.You can go in for other cosmetic hair treatments as a later option after consulting dermatologist regarding the necessity.Hope this helps you | |
Do I need to take Microgynon at the same time each day?
Using microgynon30, do I need to take the pill at the same or a regular time each day? I ve not taken the pills at a regular time each day (between 8am-2pm), and pretty sure a few times I forget a day and take it the next morning (and that day s in the evening or not at all). I m on microgynon30. Should the pill still cover me as contraception if I m taking it, almost haphazardly, like this? | Hello. Thanks for writing to us. If you are taking the pill on the same day even if it is at haphazard timings, then you are protected against pregnancy. In case you have completely forgotten the pill for more than 2 days then you need an additional protection. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal drrakhitayal@gmail.com | |
Facial numbness, dizziness, lightheadedness and panic attacks. MRI scheduled. Is this Labrynthitis?
hi i have been dealing with facial numbness on my right side and my ear is hurting. I feel really dizzy, light headed throughout the day and it seems to be worse when i wake up. This condition has led to panic attacks and now i have been diagnosed with anxiety . My doctor has said that my ear has been complicated but it looks fine on normal tests. I do have a scheduled MRI soon. Could this be Labrynthitis? | It is hard to comment whether it is labrynthitis with current information. However inner ear pathology could manifest with symptoms such dizziness, light headedness, which in turn could activate panic symptoms. It may be recommended for you to relax and undergo MRI for diagnostic clarification. Low dose of anxiolytic is advisable if anxiety persists | |
Is sharp pain in the knuckles after an injury a symptom of a fracture?
I punched a wall my middle and ringer finger knuckles on my left hand are swollen. it’s hard to move just because it feels tight but only a little pain when putting my hand in a fist. putting my fingers straight hurt worse like a sharp stinging pain. when touching my ringer finger knuckle it’s mushy and has the same sharp stingy pain to it. is it broken? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Most often it could be due to contusions or bruises. However better to take an X-ray to rule out fracture. As of now you can take analgesics like ibuprofen or Diclofenac for pain. Apply ice packs over the affected region. Immobilize the hand for couple of days. If pain persist despite all these, consult an orthopedic and you might require an MRI scan. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for lower back ache due to compressed vertebrae
hi..i've been having a lower back ache for about a month..went to a hospital,took an x-ray and it showed that i hav a compression in my lower vertebrae...i had physiotherapy for a week,..but tha pain has come back again...what should i do to get my vertebrae back in position? | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Compressed vertebrae does not get back to its original position.2. It can only be controlled. Use Lumbar support to support the vertebral column and also try lumbar exercises/ lower back muscle strengthening exercises.3. With activity, pain will increase. Take rest as required and use lumbar support during activity.Hope it helps.Any further queries, happy to help again. | |
Suggest medication for bad foot pain which feels like a knot
my husband is having some bad foot pain he says its like its curving in and locking in place and when it curves so does his last three toes...i went to massage it and when it did i felt a knot and it would move his age is 31 his height is 5 10 and weight is 125 | Hello,Based on your description, I think your husband may be suffering from foot strain. I would suggest you to wait for a few more days and see how it goes. If it’s a soft tissue problem only the pain will gradually decrease. If the pain does not subside and remains static or increases I would suggest you to get an X-ray done of the region to rule out bony injury. You can take paracetamol for pain relief till that time.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Santosh S Jeevannavar, Orthopedic Surgeon | |
Is it normal to get stomach ache and nausea every night?
Hi. I'm 17, 5 feet and 8 inches, and I weigh 120 pounds. I get stomach aches and nausea every night. Is this normal? I also get sick very easily (I'm sick right now). My medical history is nothing crazy. My grandpa died of a heart attack, he had diabetes. And my grandma died of cancer. I am also paranoid that I might have breast cancer, but I am too scared to get it checked out. I've felt my breasts before, but I can't tell if I have lumps or if that's just how my breasts are, because I've had one lump in each breast since I've developed them. One time before I went to shower, a little bit of puss came out of my left nipple, it made me worried but I don't want to go tell my mom this. Anything suspicious? Any advice? | Hi.Thanks for your query and an elucidate history.Is is not at all normal to get the stomach ache and nausea every night. This indicates that you have a problem of acidity and GERD. You are giving a history of being paranoid yourself, you can not have breast cancer at the age of 17. one lump each breast has to be investigated by getting physical examination, mammography and if the diagnosis is of a fibroademona or fibroadenosis , get the lump removed and get histo-pathological examination done to make sure that you do not have a cancer. There are many reasons of having pus from the nipples. Get investigated, get the pus culture and sensitivity done, and tell your Mother and the Doctor about this. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
What causes pain in chest and difficulty in breathing?
i am having chest pain its happend be4 and it hurts to breath in i am 29 yr old female pretty healthy normal weight . once be4 i got admited when i was 19 for chest pain and they said my heart had been inflamed and didnt knw why? i have had alot of times i hVE WOKE UP WITH CHEST PAIN but a physch doctor a long time ago thought i might have panic attacks in my sleep i am starting to get more frequent pain in my chest and it hurts to breathe in i am noticing that most of the time i have these pains are when i wake up and im sleeping on my back shld i be really worried what are the things it cld be and what shld i do? | Respected user , HiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* Provided other causes are ruled out from EKG and x-ray chest , this seems to be psychosomatic manifestation of underlying stress or anxiety disorder .Hope this will help you .Wishing you fine health ahead .Regards . | |
Suggest remedy to relieve pain in ankle due to sprain
HI, I suffered from an ankle sprain 8 days ago. Have been using ice packs, pain relief sprays & wearing ankle binder. The pain and swelling have decreased by 60-70% but there has not been any improvement in the pain/swelling and I experience pain specifically on the anterior side of my ankle facing my toes. My pysiotherapist has prescribed Lyser D - BD for 5 days. Diclofenac does not suit me. Can you advise on this? | Hi. there, thanks for your question at HCM. Rest and Ice only helps during the first few days after a sprain. After a week they have little effect. If you still have pain and not able to walk on your toes and walk on your heel at th end of a week.It suggests grade 2 sprain or slightly severe aprain which requires a plaster for 4 to 6 weeja..On the other hand if your pain is getting better and you can comfortably walk on heels and toes , a well applied crepe bandage for 4 weeka will do the trick of reducing swelling and pain. If you have allergy to diclofenac ,you should try paracetamol or other pain killers to which you are not allergic. Hope this helps..All the best.Regards. Dr.SBK | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
How to treat wound from a pus filled bump on scrotum?
My husband has a small marble sized puss filled bump on his scrotum. He is 59 yrs old and has never had anything like this before. He just squeezed it and an enormous amount of bloody puss came out. He washed it and we put a small bandaid on it. What else can he do? Is this something serious? Could it be caused from sweating? | Good Day and thank you for being with Healthcare Magic!Yes it is usually caused by a blocked sweat glands that becomes infected. Personally I would be more comfortable if he is on some form of antibacterial (oral or topical) since the scrotum is always infested with bacteria and the infection might worsen. Clean it also with soap and water two times a day and dab it with beta dine every washing. Any sign that it is worsening then see your nearest physician. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes. | |
What is the treatment for extremely bad teeth caused due to drugs intake?
Hi. Just wondering if you can help. My brother is 19 and in his past has been a drug user and lead himself down the wrong path he's now really trying to get back on track and find a job and really wants to better himself. He's been for many jobs but has not been successful and I strongly believe that's because is teeth are extremely bad and are Bastille dead. He knows now that this is own fault and is highly embarrassed about it but I've finally got him to accept going to a dentist if I go with him. But I'm just wondering if that's actually anything you can do can if they are basically all dead? Thanks Beckie. | hiwelcome to HCmyes you have taken a very good decision and yes there is a solution of all things.teeth are mirror of esthetic and if they look bad then it can left bad impression on other.treatment of this condition is full mouth vieneering. which will cap or vieneer his all teeth in natural shade and then he never has to be embrass of that.all the besttake care | |
Lump under armpit which looks like part of vein, but no history of varicose vein. Do you suggest to meet doctor?
HI. My partner has a small lump under his right armpit which is green and looks like a part of a vein. He does a lot of physical work in his job as a gardener but has no other varicose veins and there is no accompanying discomfort. is this something he should get checked out by his GP? | Hi, dearI have gone through your question. I can understand your concern.He may have enlarged axillary lymphnode. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. He should go for examination and if needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
What causes sharp pain in left side of chest and heart?
Hi I have no clue whats going on, my left chest is in sharp pain and my heart is hurting aswell as a pain shooting into my left elbow. It also hurts to take deep breaths. The pain seems to ease off when I take slow and short breaths and when I lean foward while sitting down. What s happing? | Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x ray done to rule out any lung infection .Ideally ecg and 2d echo should be done first in your case. If both are normal than no need to worry for heart diseases. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
Suggest remedy for chest problem
hello doctor!my name is annu balti. i am 22 years old.and i have chest problem.(there is no pain)my chest is very very small. almost like a kid but my body is normal. and hands legs are also normal but the chest bone is very little. please help me to grow my chest | Thanks for your question on Health Care Magic. I can understand your concern. You might be having congenital chest wall deformity. In this ribs and intercostal muscles are not develop fully and remain under developed. Honestly speaking, no treatment is required and also no treatment is available for such maldevelopment of chest wall. You have also crossed age of bone growth (18 years). After this age, growth in bones is not possible because growing ends of bone are fused and further growth is not there. So at your age of 22 years, it is not possible to grow the chest. Hope I have solved your query. Wish you good health. Thanks. | |
How to treat frequent urge for urination with burning sensation?
I have had the strong urge to urinate and when I go to the bathroom only a trickle comes out and it burns this seems to be a pattern since last night and I've found myself running to the toilet every 10 min or so, I drank a whole bottle of water and that let me urinate a little more but still I feel like I have a full bladder. I thought my period was over two days ago but the last time I went pee there was bright red blood on the tissue , is there something wrong with me that I need to worry about ? Also I have had this feeling in the past (but always thought it was due to sex , but I haven't had sex in about 2 months) but the blood is a new thing please help | Dear madam, your symptoms are suggestive of probable urinary tract infection or stone in urinary tract. Better to get urine analysis, urine culture and sensitivty and uitrasound abdomen and pelvis. These tests will help us in coming to conclusion. Depending on these, treatment can be started. Better consult nephrologist/urologist. Hope u find this informative. | |
Can discs bulging, rupture and spinal shrinkage now causing pain be treated?
First of all i have a real bad back.I have 3 buldging discs with 2 tearsand 1 ruptured disc and the Dr said my spine was shrinking what ever he ment by that.I am on desibility and cant do a hole lot but more since i have been off work.but for about the last mabe 8 to 12 months and the last 4 months getting worse and i have been lifting heaveier stuff, i have been hurting worse when i sit down and notice it to when i squeeze my butt cheeks and i was courious about what it is and is it anything to worry about? Please let me know. My email is YYYY@YYYY | Hi there. Thanks for your question at HCM Your concern about the MRI findings are appreciable. The advances in spine have made modern day spine care more safe and successful than ever before. It can definitely be treated. There are few things you can do from your side to protect your spine : 1. Not to life heavy weights. 2. Avoid squatting or any activity which would require you to sit on the floor. 3. Avoid bending forwards. 4.Avoid twisting movements of your back. With these precautions and added back strengthening exercises , you can help your back recover. However, you might need additional treatment like injection shots or surgery if your pain has been non responsive over more than 2 months, with radiation to legs associated with numbness or tingling. Your intensity of pain and the disability associated with back pain are as important as your MRI findings in guiding the course of action. Hope this helps. All the best. Regards, Dr.SBK | |
Q. What causes epididymis with pain and swelling in scrotum?
Hello doctor, I have epididymis in the right scrotum. Two months ago it was cured by taking Linezolid and Doxycycline B. Now my right scrotum is paining and swollen. I have a fever also at night. In a week, my lower back pain is increased. I am not able to stand and walk without pain. Report is attached. Kindly guide me. | Hi. By the description provided by you, it appears you have developed right epididymorchitis this time. As there is fever along with pain and swelling in the right scrotum, you need intravenous antibiotics and need admission as an in-patient in the hospital. Outpatient treatment will not be sufficient as chances of sepsis are very high. Hence, I sincerely advise you to get admitted under a qualified urologist and get treated rather than treatment as outpatient. Wish you a speedy recovery. | |
What causes severe pain in back with high temperature?
Hi my daughter has been suffering with severe back pain, worse at night, she has had a nasty viral infection with a temp of 40.4 that i couldnt bring down. She seems on the mend, she is now starting to eat again and is drinking but the back ache seems to be lingering, please help | Hi,It seems that due to viral infection there is generalized body ache, malaise, backache.Give her analgesic, antipyeretic medicine clock wise.gGve her plenty of water and keep her well hydrated.Give light diet for few days.Ok and take care. | |
Q. I have minor tingle in my right second toe with moderate to severe stenosis of spine. Please help.
Hello doctor, I am 58 years old. I have some very minor tingle in my right second toe. I am very healthy with no medicines and no other symptoms. It started with unilateral tinnitus. MRI of the spine showed moderate to severe stenosis spine. I do exercise, and running, and my neurologist says this might be normal. I had a concussion when I was 17 and spent a day in the hospital. My MRI brain is obviously abnormal with white matter. What is the likelihood of MS? I had an MRI in 2015 and said chronic microvascular changes. MRI of a couple of weeks ago said no tumor on auditory nerves. Please explain. | Hello. I understand your concern and would explain that your MRI findings (head and spine) fulfill the radiological criteria of MS (multiple sclerosis). There are many old lesions in the head and spine and there is a new lesion in the left parietal lobe, which explains the tingling in the right toes. Although you have no past medical history for paralysis or limb numbness and weakness, these brain lesions are compatible with MS. I recommend discussing with your neurologist about that. As there is a new lesion (with light contrast enhancement), steroids would help to relieve the tingling in the right toes. Regarding the mild spinal canal stenosis, it does not explain the spinal cord lesions in the upper levels which are probably related to MS. I recommend performing a spinal tap in order to examine your cerebrospinal fluid and visual evoked potentials. I hope this helps. | |
Are Aminovein and Fragmin suggestive treatment for absent end diastolic flow?
Hi doctor , my wife is 26 weeks pregnant and is having IUGR, ultrasound diagnosis showed GA of 23 weeks. We had a color doppler ultrasound done which states that the umbical artery flow velocity waveform shows an absent end diastolic flow and the AFI 2.She is on bedrest , fetal heart rate is monitored twice a day and is coming out normal till date but her BP is variating alot which is also monitored daily.Also she is taking suppliment medicines ( Ecosprin 75mg , Alphadopa , depin R20, guardian, Argin, Cal 40 and Iron..) once a day and she was on Aminovein 10% intra venous for three days and on fragmin(5000 IU) injection S/C. We are a liitle worried regarding the treatment if its in right direction ? or something else we can quickly opt. Kindly help. | Hello dear,I understand your concern.Iam sorry for your condition.In my opinion as per your history there is less liquor and high BP. As the Doppler study showing absent end diastolic flow it needs regular fetal surveillance to check for any fetal deterioration.As AFI is 2 the cause of low liquor like any kidney and urinary tract abnormalities in fetus need to be ruled out.Yes you are on correct line of treatment.High protein diet and bed rest is advisable.Avoid stress.Adequate fluids upto 3 litres per day is good.Best regards... | |
Is presence of a 1.2cm cyst in the kidney a concern?
I had a sonogram done a couple of weeks ago because of pain in the abdomen. Doctor thought possible pancreatitis. The sono indicated a 1.2 cm cyst in the left kidney and mild fullness right intrrenal collecting system. Is this something to be concerned about? | Hello, Presence of a single cyst is not a problem don't worry. But rt intra renal collecting system showing little block. So drink plenty of liquids and coconut milk. Get it done CT scan kub according to the report get treated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Penchila Prasad Kandikattu | |
Can Procaine be taken for severe arthritis pain in the right foot?
will procaine help severe arthritis pain? Bones in my right foot and on my 6 of my fingers have been fused do to severe pain. I was told that the bones in my right foot also have to be fused to eliminate extreme pain. I am also looking at knee replacement due to arthritis. Terrible pain 24 hours a day 365 days a year. Will procaine therapy be helpful? Plasma injections or stem cell injections? Please help. Thank you | Hello, I have studied your case. For osteoarthritis of your knee.VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years.Newer modalities for cartilage injury include autologous chondrocyte implantation[ ACI] which helps in treatment of cartilage destruction.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. | |
What causes fever and cough in a child?
Blood report of my 2 year old shows normal results except sgot of 47, lymphocytes 52 and rbc count 5.31. His chest xray also shows prominent bilateral para hilar broncho vascular markings . Hes had a fever rangung from 100-101 since 6 days, cold, cough and no appetite. Should i be worried? | Hi...this suggests that this is a viral illness...Cough and cold are viral 95% of the times in children. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Regards - Dr. Sumanth | |
Does amexidil 5 help stem hair loss?
I have sebum on my head if it is due to DHT level. are they related to each other? I m 24 yrs old yet i m on second stage of hair fall.also after applying Amexidil 5% I faced much hairs falling I applied it Once a Day first.also how to know this is working or not 3 weeks are done. applying it twice from yesterday If it will work. | Hello, Sebum production and DHT levels are related. You should apply Amenexil twice daily for at least 3-4 months to see results.Only 3 weeks of use won’t help in stopping hair fall. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | |
Frequent episodes of giddiness on turning the head causing loss of balance, taken vertin, stugeron, MRI normal. Treatment?
hello, i m feeling giddy when i turn my head.This scares me a lot as i loose balance...it usually lasts for a week....all my MRI are fine...i have gone to many neurologist but not able to get rid of this problem.Every 3 months i m facing this problem...i had vertin and stugeron...but still no good results. | Hi, . The symptoms you describe is typically caused by positional vertigo - a condition which is related to vestibular system in your ear. I would suggest you to consult an ENT specialist if you haven't seen one yet. You would need careful examination of you ear, test like audiogram / Dix Hallpike's test to confirm the cause. Vestibular exercises will help you in the long term. Wish you good luck and speedy recovery. Regards | |
What causes oval shaped bump on the bottom side of penis?
I have a oval-shaped bump on the bottom side of my penis. I haven t had sex since last February but I used a condom. Is this an STD? It s a reddish color and it has a dome shape to it. I ve done research on genital warts and i ve found that they mainly come in clusters. This is just one single bump. It felt like there were two smaller bumps under my skin about last week. now it feels like they ve bot combined tomake an oval shape. Any ideas on what this might be. It does hurt a little to touch. Also it looks like I m peeling a little bit on the bump. Please reply ASAP! Thanks Doc. | HelloThanks for query,Based on the information that you have provided the oval shaped bump that you have at base of the penis is mostly a Sebaceous Cyst .Penile and scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin.Normally they fade away without treatment however they need to be treated if increase in size or get infected.Please consult qualified General Surgeon for clinical evaluation and further treatment.If needed you may need to get it excised in Toto (Completely along withthe sac).Dr.Patil. | |
What causes thumping pain in chest?
I am 21 male, about 320 lbs. I get a sudden thump in my chest with a small squeeze, and I get out of breath. It usually lasts 1-3 seconds but its really scary, I usually reach for my chest when it happens. It can occur at any time, but I noticed when I am more active it happens more frequent. It occurs often when I bend down to pick up something.It can happen twice a day, or once a month. I went to the doctor and he took a echo cardiograph of my heart, and it came out good. I do suffer from anxiety and have been under a lot of stress lately. | Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for heart diseases as your echo cardiography of the heart is normal. In my opinion, your symptoms are mostly due to uncontrolled stress, anxiety and panic disorder. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Counselling along with anxiolytic drugs play very important role in control of stress and panic. Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Can symptoms like back pain, fever, dizziness, execessive abdomen pain, frequent urination indicate UTI?
I have UTI symptoms.. need help!!hi... i m 14, boy..i think I have a UTI as I have symptoms like back pain near waist, neck pain, fever, dizziness, execessive abdomen pain, frequent urination etc!! can u temme wat to do now???? :/.... sumtym also feel very fast heartbeat for 2 seconds etc... | Hello, for urinary tract infection main symptoms are burning urination with high grade fever. There can be pain in renal region sometimes. I would suggest you to got to your doctor and get urine sample checked for infection and a blood CBC to see whther infection is present or not. Depending on the reports you can start required antibiotics after consulting your doctor. Thank you | |
Suggest treatment for typhoid infection
My nephew is suffering from Typhoid and it seems there has been an inflammation in the brain also. However he is suffering from high fever and headache continually. He is in ICU and doctors are treating him. I just wanted to know what would be the best approach/medicine as a treatment for this. I would like to know this, since am not sure whether the hospital specializes in it or not. Thanks for your replies in advance. | Hello,Welcome to HCM,If your nephew is confirmed to have typhoid fever he can be given Tab Zifi 200 mg bd, tab acitop sos, cap B Lactose OD and tab for vomiting.Typhoid is a disease which is transmitted by drinking contaminated water and eating contaminated food.The main thing is to keep restriction of food in typhoid fever.In active disease, i suggest bed rest and soft diet. please avoid oily and fatty food.you can give glucose powder. Thank you. | |
Could fainting of a toddler be due to aortic stenosis or seizures?
My 2 year old son has had aortic stenosis since birth (bicuspid aortic valve) and pulmonary hypertension. He s already had a balloon valvoplasty (May 2014) when it was severe to critical. Since they said he was doing great with only mild regurgitation. Today he had two episodes of what I can only call convulsions, one followed by vomiting. And a third where he was unconscious. Could this be related to his AS or is it seizures? | hi..the probable cause of seizure in your children are1. seizure unprovoked2. metabolic- hypocalcimic restenosis of aortic valve leading to convulsion is unlikely. kindly consult the pediatrician and get evaluated for seizure.regards-Dr.surendra.h.s | |
Q. Can I use Kojivit gel to get fair skin?
Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. | Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> | |
Will there be side effects of registron on baby?
hi i have been using registron 5 mg tab from 01 of tis month when my periud occured on 5th of last month , we had unsafe sex during the month but up to date 14 i have not had periods and i think i am preg. shall there be any side effects of tab on baby | Hi, Yes. It produces masculinization of female fetus and congenital abnormalities. Consult a gynecologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.T. Balamurali, General & Family Physician | |
Is twitching sensation in the hands a symptom of neuropathy?
I have had perpheral neuropathy conditions for some time in my feet and legs. Recently I have noticed continuous mild twitching in my hands and chattering of my teeth, especially in awakening. My handwriting thus has been a bit more scribbaly Are these all symptoms of Neuropathy? My PCP has referred me to a Neurologist who I will see later this month. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The twitching or numbness in the hands is a symptom of neuropathy. It is best to consult a neurologist for this. Hope I have answered your query. Let me know if I can assist you further. | |
Metastatic liver cancer. No antibiotics prescribed. Ultrasound done of abdomen, FNAC. Treatment?
Hello doctor, my mother who is 50 diagnosed of metastatic liver cancer ,here i am being misguided regarding whom to consult and where to.....I am in XXXXX, and here the waiting period in this govt institutes is too long....please tell me what i shall do......the test conducted are usg whole abdomen , fnac , cect,etc.....but no medication suggested.........visited many doctors but of confusing conclusion.... | Hi, Welcome to HCM, I am Dr. Das. First of all, antibiotic does not cure cancer. Secondly, you did not tell us what is the report of USguided FNAC from liver metastases. Assuming your mother has metastatic carcinoma, you should consult with a general surgeon first. He will guide you. | |
Suffering from penile cancer, diabetes. Developed rash over hip, one side of torso to other, cold. Treatment?
HiMy husband had penile cancer and had to have his hip lymph nodes removed in 2011. He has been suffering with a balance problem 0 vistibula neuronitis ? i think its called. Today he has developed a rash over his hip are - from one side of his torso to the other. His temperature is lower than normal too and he is suffering with feeling extremely cold - although he is well covered. He ia also a type 2 diabetic | Hi and welcome to HCM. It sounds like inectious disease so I dont think it is related to his previous medical history. It can also be allergy reaction. WHatever it is,he should go to a doctor and do basic blood and urine tests.Usually this is respiratoy or urinary infection but some insect bites may be considered as well. Till you visit doctro, keep him hydrated and reduce fever if it occurs. Wish you good health. | |
Q. My kid developed papular urticaria post insect bite and not subsided on medication. Why?
Hello doctor, This query is regarding my baby boy’s health. He is 18 months old and recently had his varicella shot last month. Last week, he suddenly started shouting in the middle of his sleep and kept scratching his forehead and neck region. When checked two mosquitoes were near him and had bitten him. Generally, he gets papular urticaria after any insect bite. But after three days, he got lesions all over his face, arms, and legs. Checked with my doctor and initially, it was ruled out as chickenpox along with insect bite allergy. But even after a week he still did not show improvement. The older ones are very slowly recovering. But everyday new lesions are coming up and he scratches like anything despite a lot of medications. Please help. His current medications are Aciclovir 2.5 ml thrice (completed the 5-day course), Azithral 5 ml (night only) for seven days, Xyzal 2 ml thrice daily. Now the doctor has started him on Omnacortil steroid medication and Kid pred 3.5 ml twice daily. Please suggest if we are treating him the right way. He weighs 10.5 kg. No fever, cold or body pain symptoms. | Hi. As per the history and pictures shown (attachment removed to protect patient identity), I would recommend to get the child evaluated for scabies if the above treatment does not work. Until then continue the treatment as going on. It appears to be fine as per my knowledge as I have not evaluated the child physically. If the treating doctor feels that it is scabies after examination, it would be advisable to use one dose only of Permethrin 5% on the body and 1% on the scalp. I hope this helps. | |
Suggest treatment for blood cancer
hi doctor! my friend is suffering from blood cancer for the past 1 year. doctors have told that he can live for only 4 years because the condition is in advanced stage. what will be the remedy for this? please help him. i want him to live for more years. he is just 23 years old. | Hi,Thanks for writing in.There are many types of blood cancers and each of them have a different treatment protocol depending on the staging and type of cells. Chemotherapy is used in the treatment of most blood cancers. Some of them might show partial response to one type of drugs and this requires combination therapy with cycles of multiple combinations.It is unfortunate to know that your friend has been diagnosed with advanced stage blood cancer. I hope he is getting treated in a cancer research institute where new medicine might be available on trial basis to know if a particular disease in late stage might be controlled by giving new medicine. Please have a discussion with a hematoncologist in a cancer research institute for such treatment options. Please do not worry. | |
What could cause skipping of heartbeat?
hi just before i fall asleep or trying to falling asleep i feel like my heart is going to stop beating and i cant breath properly! Sometimes i actually fall asleep but wake up terrified cause i think my heart has stopped beating! Can this be anything serious??? Thank you in advance | I read your question carefully and I understand your concern.Judging from that description I would say that a heart issue is very unlikely. One doesn't actually understand if heart has stopped beating, if it did there would be lack of blood flow to the brain which would cause lead to dizziness or fainting. I guess if one wanted to explore the issue to the end an EKG and perhaps a 24 hour Holter EKG (where you carry a device monitoring heart rhythm for 24 hours) may be done.However I believe the symptoms are most likely due to anxiety, which can often manifest this way, so nothing serious.I hope to have been of help. | |
What causes loss of 1.5 inches of height in less than 1 year s time?
what would cause me to lose 1.5 inches of height in less than 1 year s time? I am 54. Female, in menapause. I have bone density tests every few years (the last one being Dec. 2011) and always pass with flying colors results with lowest possible risk factors. | Hello, Your symptoms could be related to chronic degeneration of the intervertebral disks or the vertebral column bones. For this reason, I recommend performing an X-ray study of the vertebral column. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
Is giving mutton soup during fever of 3 year old recommended?
Hi Doctor, My kid is of 3 yrs old, she is having cough n fever for past 3 days.We are starting taking antibiotics for it.She is a fussy eater, so I feel she is very weak now.In this case giving Mutton soup is fine for her.Any problem during fever? Please suggest. | HiWelcome to the HCMIt seems that your child is suffering from a respiratory tract infection. If associated with high fever or bad throat, then possibility of bacterial infection is present.You may take the following measures to help her:1. A good healthy and warm diet with lots for fluids along with it will be good. This includes mutton soup or any other soups unless and until she is allergic to something.2. You can start an antihistamine and decongestant such as Chlorpheniramine or fexofenadine syrup.3. Acetaminophen or ibuprofen Syp. can be given for fever spikes.4. Give her proper rest. 5. You may start antibiotics such as Amoxicillin or Azithromycin for 5-7 days. In case streptococcal infection is suspected, then do go for a throat swab culture and a complete course of antibiotics for10 days.6. Use a room humidifier and vapor rub.Hopefully she should be fine.For further questions, you may contact me. | |
Blood test- Glucose count:119mg/dl & AST : 8u/l mean?
hi doctor, I have a quick question about my blood test result today. My glucose count is 119mg/dl 3 hrs after meal. Is that normal? I know it's normally ranging from 70-100. Also, what does ALT(SGPT) 8 u/l mean? It looks like it's lower. My AST (SGOT) is 12 u/l while normal range is 13-39. Could you help me answer these questions? Thank you! | low liver enzymes shoud be retested for confirmation.sugar is normal.just do not worry .have a balanced diet | |
Have UTI from strepcoccus. On antibiotics. Pain and bleeding after passing urine. Need further tests? Have kidney stones
I passed a Kidney stone about 3 weeks ago, 5 days later got a uti form Strepcoccus. Dr here in Japan put me on 10 day antibiotics treatment. after 9 days of antibiotics I still have pain at the end of passing urine follow by small blood clot this morning. Going back on Monday to ask if I need more antibiotics, should I ask for some other test ? YYYY@YYYY | good day!I would recommend doing a urine culture and sensitivity testing to identify the bacteria and determine what antibiotic are appropriate. I would also recommend doing an Ultrasound of the kidneys to determine if there are other stones in your kidneys. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes. | |
Q. What are the expected skin changes seen through aging?
Hello doctor, I would like to know how does our skin change through the decades? How our skin changes in our 20s, 30s, 40s, and beyond? Also, looking for tips on how to care for our skin. What products we should be used for certain problems? When should we start acid-toning? How about retinol products? | Hi. Our skin undergoes aging process continuously. There are two types of aging going on in an individual. Intrinsic aging that is inherited (in our genes) and the other is extrinsic aging (that is due to environmental factors most importantly the sunlight). With aging, the following things happen across the decades: 1. Collagen in our skin becomes less resulting in wrinkles. The process of degeneration of collagen gets aggravated by the exposure to sunlight due to the formation of reactive oxygen species. 2. Natural moisturizing factor and hydration of skin get low and skin becomes more dry and scaly. 3. Hair follicles in our skin and sebaceous glands also become less with time resulting in few hairs on the body. 4. Elastic tissue becomes less in the skin resulting in crows feet, fine lines, and sagging of skin. 5. Sunlight exposure and extrinsic aging lead to melanin synthesis and freckles, lentigines formation on exposed areas. Skincare: Protection from sunlight is advised. A good sunblock of SPF 60 (sun protection factor) should be used. Vitamin C cream can be used. Plenty of water should be taken. Consuming fresh fruits and vegetables with antioxidant properties are very important. Acid toning can be started around 30 years of age when skin requires rejuvenation. Topical retinoids are very important in skin rejuvenation. They decrease wrinkles, they increase collagen synthesis and give glow and decrease fine lines from the skin. | |
Allergic reaction from glue in tape with red pimples and itching in knee, spreading to other knee, back and waist. Suggest
I had a allergic reaction to the glue in the tape my PT put around my knew. I am using common remediit for a week now with no results. Now it has spread to my other knee and my back and waist area. It is red with pimples and a lot of itching. Why would it spread to other areas. I have never had any allergic reactions before. | it can spread to other area if you eglect i can spread through bloodanything can start reacting at any time with any ageit takes 3 wk to subside with correct meduse anti allergic tab 3 wklot of warm waterno oily greesy and fat foodkeep skin dryno oily shampoo cream soaps apply anti allergic amd mix with clindamycin gel to apply on affected part | |
What causes oil discharge from penis while in stress?
hi wel am in london my name is noshad i hav a problm since 5 years that when i talk with girl or if i hav any badintension like sexually oil commz from my penis n i start feeling weak from legs bones n i consult so many doctors but am nt fine yet,,my penis is little weak from the middle,,i | Hello, When you talk to a girl, you could be sexually excited and the liquid coming out of your penis could be pre-ejaculatory fluid. That is normal and nothing to worry about it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | |
Headache, lightheadedness, bloating, odd pain in chest, palpitations. Have fibrromyalgia. Detected high BP. Connections?
Hello, my wife has Fibromyalgia, with associated body aches, and low energy. But more recently she has experienced head aches/ pressures, and often feels light headed. She went to a chiropracter yesterday and he detected her blood ressure was high at 165/89 - this is her 3rd high reading. Would high blood pressure affect her head pressures and light headedness ??? She gets the odd chest pain, bloating,palpitations as well on occasions., which can be symptoms. Your thoughts would be appreciated. Thanks. Peter | Hi,Having this much blood pressure can cause headache.Some asymptomatic patients may not feel headache.So it depends upon individual.As she is having other symptoms along with headache, go for investigations like,EKG,S. cholesterol,Lipid profilr.Go for regular checking of blood pressure regularly.Meanwhile she can take pain reliever tablet.Ok and take care. | |
Provide information for treatment of tricoeptithelial carcinoma
Dear Sir My father, aged 73 had a lesion at the ala of his nose which has grown bigger in size and started bleeding occasionally. I consulted a deramatologist and he had the lesion excised and sent for biopsy. The biopsy report has come as tricoepithelial carcinoma-low grade. Dermatologist has referred him to a surgical oncologist. I would like to know further details about this as carcinoma as far as I know is a type of cancer. Please clarify me about this condition and what further action would be needed in his case. Thanks. Nalini. | madam, it is a type of epithelial malignancy n depending upon the extent requires wide local excision with reconstruction by an advancement flap. depending on the histopathogy report he may require to take radiotherapy later. | |
What are the differences between varicoceles and veins in scrotum?
Hello Sir, I have a question regarding varioceles. What is the exact differences between varioceles and the veins that are in the scrotum? Because I knew i always had some worm like veins that stick out from the left side,but i didnt know that it is a disease. How can I know if it normal or not? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Varicocele is dilatation of normal venous plexes around vas deferens(through which sperm is released from testis). Scrotum is the bag,outer covering of testis,what we externally.Unlikely for the veins to be dilated in scrotum. Hope I have answered your query. Let me know if I can assist you further. | |
Does kyphoscoliosis cause stunted growth?
I am 18 years old and was born with congenital kyphoscoliosis. Although the curvature of my spine is not extreme I suffer from occasional back aches, my right leg is way thinner and shorter than my left and its sole is rather twisted(mild clubfoot?) and by all I can see, my height is stunted too. Are all these a result of the kyphoscoliosis? And is there anything I can do to make my leg fatter at least? | Hi dear,I had gone through your question and understand your concern, you should be worried,but not too much.I suggest-1.Extended exercises for back, crawling on the back as snake,hanging .2.Do exercises for leg ,but in more amount then for bigger leg.3.Start swimming,it will make your muscles stronger.Hope it helps | |
What causes extreme pressure on head with jaw and neck pain?
Hi there i have been experiencing alot of extreme pressure on me head constanlty without stop for 6 weeks. I also experince a trembeling sensation in my head with jaw pain and neck pain. I have also been gettin alot of pressure and pain on the bridge of my nose but i do not have a blocked nose. Can u plese help with some advice as to what this might be? | This might be due to ear infection. You need to consult an ENT specialist. An MRI can conform diagnosis.if it is so, I prefer antibiotics. | |
Had stroke. Had hiccups and nausea. Mild swelling in brain. Can neurologist help?
my husband had a stroke 8 days ago-he has been experiencing the hiccups and some nausea , he has had an mri and does have some mild swelling on his brain, could the stroke be causing the hiccups & nausea or possibly some stomache issue? They have checked his gallbladder and said it is fine. They have been giving zofran and reglin for nausea with some releif, now he has instead of actually vomitting been getting short of breath or losing his breath for a few seconds and just says he feels sick-so wondering if you or a neurologist could help??? | hello some patients do get nauseaand vomiting as well as swallowing difficulties, especially in stroke involving the area of brain called the brainstem. Usually these symptoms take few weeks to subside, but eventually they do... so consult your neurologist and follow the advice. take care | |
How to treat testicular pain?
Hello , im 15 and around 3 days ago a pain struck my left testical, and comes and goes mostly hurts at night when laying down, i have no swelling, no lumps all looks fine, if it helps the day before it happend i masturbated as i regularly do 1 time a day, scince the pain came i have not masturbated because im scared to make it worse, please help.. What could this be? Im hoping its just a phase in puberty. | HelloThanks for query .Pain in testicle is mostly due to infection of either Epididymis or Testis itself (Epididymitis_)However this needs to be confirmed by clinical examination by a qualified General surgeon or Urologist and Ultrasound scanning of the scrotum.You need to take broad spectrum antibiotic like Augmentin along with anti inflammatory drug like Diclofenac twice daily for a week.Ensure to drink more water .Avoid sexual activities like masturbation or sex till it gets cured completely,Dr.Patil. | |
Suggest treatment for lump on top of the head
Hello, a few weeks go at work I recall hitting my head but didn't have any pain or dizziness, on Saturday I noticed a lump on the top of my head it doesn't hurt to touch and I only feel pain when I think about it or press on it a lot. Do you think this is something serious? | Hi,Dear,Good evening.Thanks for your query to my virtual HCM Clinic.I studied your query in-depth.In My opinion-diagnosis of the lump on top of head is-Resolving post-traumatic-hematoma with resolving traumatic cellulitis with ?mild-early-infection and induration,on top of the head.Treatment-a-Cold compresses,b-Tb-NSAIDs,c-Antibiotics under cover of ER Surgeon would resolve the lump.As such this lump is not so serious but needs urgent attentionHope this would resolve your worrying query.Wellcome for more query from you.Good day. | |
What does superficial abnormal signal in tongue mean?
i am suffering from ulcerations on toungue i have done MRI,the report states :Subcentimeter cervical lymphnodes noted at level IB and II Impression: Subtle superficial abnormal signal in tensity along left lateral border of the tongue in postrerior aspect with subtle hyperintensity in the maxillary posterior alveolar and retromoloar region on left side needs Clinico histopathological Can you please let us know exactly what dose it mean,awaiting foir the reply at the earliest. | Hello,Basically, there is tissue present that is not giving a normal reaction to the MRI. The words subtle and superficial indicate less of a change or less invasion rather than a dense mass or extensive area showing change. You indicate ulcerated tissue present which is inflamed or abnormal tissue. There are lymph nodes, less than one centimeter in size, that are showing a change. The location is identified around and behind the submandibular glands in the neck with level IB and II noted. Identification of lymphatic drainage or metastases can help locate a tumor. The study indicates the location to be on side of your tongue. More information concerning the tissue requires a pathological study such as a biopsy. Tumors when removed are further evaluated with pathological studies. This will identify malignant and non-malignant tumors of the oral cavity. MRI study for the evaluation of squamous cell carcinoma is the primary concern. Other lesions to include in a possible diagnosis include lymphoma, adenoma, sarcoma, salivary gland tumor, abnormal adenoidal tissue or floor of the mouth tissue. Thank you for your inquiry. Your doctor will review your MRI study and clinical evaluation to advise you on your treatment. | |
What causes chest pressure and numbness in arm after drinking?
i had chest pressure and numness of my arm after a long night of drinking. i also feel like im loosing my breath and pressure on my head. first time it happeneed i though it was a heart attac and went to er but nothing was wrong eccept hbp. im 32. now it becoms nominasl for some days but the more i think about it it gets worse. | Hello dear, thanks for your question on HCM.In my opinion you are having GERD (gastroesophageal reflux disease) mostly due to drinking habit, because your cardiac cause has been ruled out.GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms like chest pressure.So better to fllow these steps for symptomatic relief.1. Avoid hot and spicy food.2. Avoid large meals, instead take frequent small meals.3. Avoid stress and tension.4. Start proton pump inhibitor.5. Go for walk after meals.6. Keep 2-3 pillows under head in bed.7. Avoid alcohol drinking. | |
Suggest treatment for invasive ductal carcinoma
Hi, My mom has recently been diagnosed with IDC grade 2, invasive tumour in dermis and all first 8 lymph nodes tumour free with TNM: pT1, pN0, pMx. The tumour size is 0.8x0.7cm. The epidermis of skin is tumour free however tumour is identified in lower dermis. Tumour cells express E-Cadherins and are ER/PR positive and HER +2. The doctor has done Mastectomy and now advicing us that she would have radiation therapy for 4 weeks, may or may not with chemothrapy or 5 years medicine. I don't have any idea what to do as i can't understand why radiation is needed after mastectomy. If radiation is necesaary, what type is right for this kind of cancer (external or internal) and what dose is recommended? Further, why chemotherapy is needed in this case? Early suggestions would help.Thank you.Naushad YYYY@YYYY | Gretings. If a complete mastectomy has been done and nodes are free of tumor and the tumor size is small( as in your case), then radiation therapy is not required. Now comes the question of chemotherapy. First of all she has HER-2/neu status of 2+. so a FISH test is required to confirm whether she is HER-2 positive or not. If FISH test comes out to be positive ( a bad sign) then i will suggest chemotherapy plus targeted therapy for HER-2(trastuzumab drug). If it does not come positive(good sign) then trastuzumab is not required and requirement of chemo will be decided by another test called oncotype dx. if oncotype dx is high then chemo is required otherwise not. Now comes the question of anti hormonal therapy. She requires 5 -7 years of anti hormonal therapy as she is ER positive. hope that solves your queries.regards | |
Ruptured bladder and broken ribs due to fall. How can delusions and paranoia be stopped?
my husband has had a serious fall about 20 feet, he ruptured his bladder and broke his ribs he also has liver disease and now he is having a lot of delusions he is not on any pain medication only tylenol what can be done to stop delusions and paranoia how long will this go on I cannot believe you are charging a fee for an answer you guys should be ashamed of yourselves!!!! | HI, thanks for using healthcare magicIf he is having delusions and episodes of paranoia, it may be best for him to consult a psychiatrist for evaluation.The doctor would rule out an organic cause for his symptoms such as : (1)any lesion to the brain as a result of his fall (2) electrolyte disturbance (3)infection(4)low blood sugars(5)side effect of medication(6)dehydrationIf any of these are present, appropriate treatment would be started.If none of these are present then a psychiatric assessment of his mental status would be done and psychiatric medication would be needed.I hope this helps | |
Suggest treatment for infection in foot
My local Doc put me on Septra DS Friday for an infection in my foot. He told me to come back Monday if it didn't get better. Today (monday) he prescribed Clindamycin and told me to continue taking both.. Sounded off to me so I am looking for a second opinion. | Welcome to HCM This is Dr Amit. You have not mentioned what is your age, how you get the infections and whether you are having DIABETES or not as in diabetes infection take time to subside. So I will advice you to do Blood sugar level and if there is pus formation then go for the culture and sensitivity which will help guide to start proper antibiotics.Till that i will suggest you to complete the dose of septran as it is not advisable to stop any antibiotics in between and apply MUPIROCIN OINMENT over it instead of clindamycin. Hope i have given the satisfactory answers to your questionsRegards | |
Is it normal for heart patient to have BP of 91 over 55?
yes My husband has recently had a blood clot in his ventricle from an old heart attack. The clot dissolved and we are careful with diet and he is on meds and blood thinner. Today he is very weak and I took his BP. It is 91 over 55. Do I need to call his INR nurse or the heart dr.? | Hello, I don't think is something serious to call the doctor only for a bp value of 91/55. I recommend you to reduce or to not give the meds of high blood pressure today and to monitor blood pressure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anila Skenderi, General & Family Physician | |
What is the treatment to increase the sperm count?
Hi i had a sperm analysis and it was found that i had only 5% of normal heads of my sperms and 95% as abnormal. Also the the volume and thickness of the sprems were normal. The sperm content was 120 million. motility was normal . What do i do i have no child to date and what do i do to normalise the heads? | Hi welcome to healthcaremagic.I have gone through your question.As your semen analysis has normal motility and count, but morphology is not normal.I would advise to do ultrasound scan color Doppler to rule Out varicocele.Also do reports for infections like IgG of chicken pox , mumps as these might damage cells of testes.Consult a urologist he will advise you further.Hope i answered your question.Would be happy to help you further.Take care. | |
What are the signs and symptoms of fibroadenoma?
My daughter has fibroadenoma. She had a mammogram and the doctor says that one of the lumps has developed "roots" that are wrapping around the milk ducts and blood vessels. Do you have an image that I could see to get an idea of what it looks like? Also, how extensive will this surgery be? She had a biopsy. What are the odds that it can be cancerous? | Hi, dearI have gone through your question. I can understand your concern. It may be fibroadenoma. Fibroadenoma is the benign lump in breast. It is firm to hard and movable mass and mostly painless. You should go for biopsy or fine needle aspiration cytology of that lump. It will give you exact diagnosis. If is fibroadenoma then there is no need to worry. It needs lumpectomy which is a minor surgery. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Suggest treatment for Parkinson s Disease
HI I have been diagnosed with Parkinson s Disease and I am getting worse I get all my treatment at VA hospital in San Antonio, Texas my question is what can I do to have my disability increased at the present time I am at 60% disabled however I think that I should be at a 100% since I am not able top work. | hi,thanks for a brief history of you. since you mentioned you have been diagnosed with Parkinson's disease you must be under the medication by the neurologist. you should try performing exercise under a physical therapist. The application of frenkel exercises will help you coordinating the motor functions. also you can discuss the same with the Neurologist.many patients have been benefitted with the physcial therapy and I am sure you can also be get benefit. with the grace of God I wish you a good health. | |
What causes hip and leg pain after surgery?
I am a 43 year old male, height is 6'4", weight is 290. Had a heart attack after being stung by yellow jackets 6 months ago. They found significant blockages, two arteries were 100% blocked, 2 wer 90 %, and one was 70%. I had a CABG August 2011 with 4 arteries bypassed. I am now having significant leg and hip pain that were not present before surgery. Doctor took me off of cholesterol medication for three months, leg pain was somewhat better, but now am on a milder dose and leg pain is getting worse. Doctor doesn't seem to think leg and hip pain are related to surgery, but other's who have had the surgery have told me they experienced the same thing. Is this normal? | Difficult to say without an exam. Certainly if veins were taken out of the leg for the CABG the area can remain sore. Alternatively, aging effects boht hips and cardiovascular system so people iwth CABG's by coincedence usually have some arthritis somewhere. Lumbar disk disase can also cause leg pain; would need examination to actually tell if it is due to lumbar disk. | |
What are the symptoms for multiple sclerosis and lupus?
Hi there. I was born in 1960...the third of three daughters. My mother is negative blood type...my sisters and I all positive blood type. Her pregnancy with me was non-thriving and suspicious. I was induced a few weeks early as a result. I had a non-thriving look. In later decades it was learned that my mother was RH negative, and each subsequent pregnancy became dangerous to the fetus (me). I know that I did not undergo a blood transfusion after birth. I am 50 years old now, and have been undergoing blood work and endless doctor appointments to find answers to a multitude of symptoms....all pointing to autoimmune disorders. (My mother now has Lupus). My own ANA level has recently starting to elevate. I exhibit symtoms of either Multiple Sclerosis, or Lupus, or anything at all...but nothing conclusive shows in blood work or MRI s from 2009. I was a little anemic in my twenties, but no longer. I am post-menopausal for 6 years already. When I was in my early twenties I contracted three autoimmune illnesses back-to-back within a couple of years....Chicken Pox / Measles / Mononucleosis. My question is this.....I try to connect the dots and arm myself with new theories whenever I go to my Rheumotologist. Is there any such thing as being vulnerable for disease for those babies that were contaminated by the RH factor? Thank you so much.......Randie Lucano | Dear Randie. I will address the issue of being prone for autoimmune disease first. Research evidence shows that there is a connection with HLA types that is there maybe a genetic predisposition in some families. Regarding the Rh blood group, inconclusive evidence. Prior to the development of The Rh immunoglobulin Rhnegative moms of the 60s and 70s did not receive it. Not all Rhnegative moms mounted an immune response so in that case the babies were OK or else they didn't survive or had serious problems. For a diagnosis of lupus we have certain criteria which is a minimum of four criteria called ACR criteria. ANA positivity is one of them . Along with the patient has a rash on the cheeks, joint pain, anemia, kidney problems etc. Lupus has different levels of severity and requires assessment by an immunologist. Sometimes lupus may be associated with other autoimmune diseases. If you were diagnosed with Lupus by an immunologist or rheumatologist, you have to periodically go in for a check up. There is effective modern therapy for autoimmune diseases if present and the quality of life is generally good with effective medical monitoring. Should you have any further queries please post them here so that I may assist you in interpretation of your medical reports. Best regards DrGeetha | |
Suggest medication for WBC - 16.5 with Hematocrit of 34.3
My 10 year old daughter has an WBC of 16.5 with Hematocrit of 34.3 and has free fluid that showed in her pelvis on a CT scan, should I be concerned? She has been having frequent abd. pain as well as joint pain and fever that has been coming and going the last couple months. | Brief answer:Indicates infection. Detailed answer:Hi, welcome to HCM. Hematocrit of 34.3 means that hemoglobin is around 12 mg/dl, which is normal for this age. WBC of 16.5 indicates infection, normal WBC count is between 4 to 11 thousand. CT scan is showing free fluid in abdomen which also suggests infection. In my opinion, child should be investigated for tuberculosis, gram negative sepsis. Further treatment will depend on above investigations. I think this will help you. Take care. Regards:Dr Deepak Patel, MD Pediatrics | |
How to treat hair loss in patches?
Hi ,i am nisar , my age is about 25 years, i am about 5 feet and10 inches in height and my weight is about 70 kg,sir, i am suffering from hair loss in patchs from last 4 months ,at first patch appeared on right side of head ,the doctor diagonosis it as Alopacia areata and he priscribed compound dithranol ointment and vitillex and i used it for three months and hair start comming on that area,but now i am loosing hair in patchs ,about 6 patchs of hair loss appear under my chin and i am undergoing same treatment from last three months but no improvement occur ,now what i have to do ,so that hair comes on these patchs | Hi, For your knowledge, I would say that alopecia areata is a chronic autoimmune relapsing disease of unknown cause. Stress might precipitate the disease. The disease process may be active in your case which may be responsible for the appearance of new patches. I would recommend you to take immunomodulator like levamisole or till the cure. Apply trioxsalen lotion on the patches on scalp daily. Apply tacrolimus lotion on patches of beard area. Intradermal steroid injection may be considered in unresponsive lesions. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr Ilyas Patel, Dermatologist | |
What causes trichomonas or bacterial vaginosis?
My boyfriend and I have unprotected and protected sex during these times I have incountered BV Trich and Yeast infections at different times . I thought I was getting it from him but that is not the case because I even have a thick white discharge now and we used protection. I have no itching or redness. what is wrong with me? I Always go to the doctors, they give me medicine and next time I have sex something happens again. please help | Hi,Welcome to HCM.Bacterial vaginosis is caused by gram negative bacteria like gardnerella and bacteroides. It is also caused by trichomonas which is a genital flagellate.Vaginosis presents with foul smelling discharge and itching but usually there is no redness.It is sexually transmitted and hence both the partners have to be treated simultaneously.I suggest you and your boyfriend get a prescription for appropriate antibiotics and avoid unprotected sex.Thanks. | |
What causes a sensation of movement under the ribcage?
Everyday I feel this movement under my left Ribcage..It does'nt hurt so I have'nt felt the need to go and see a doctor..But it is just getting on my nerves..When i touch it I can feel it like as a baby is kicking but i know that is not it..Can you please tell me what it could be..Thanks | Hey there, according to me there is nothing to worry for your complains,Its just some kind of anxiety like features. | |
Suggest treatment to conceive while on Clomid and hCG shot
i am 27 and trying to conceive from last 3 years. my husband seman test report is ok as far my reporst are concern it is also ok accaording to doctors. now i have taken 1st sycle of 100 mg clomid, hcg shoot, and dophenen 10mg for 10 days twice a day...is it the right treatment to conceive and how many sycles i shod take.i have already taken six sycles of clomid in last 3 years as well..and do u suggest me for iui | HELLO DEARI understand your problem, dear since you have taken clomid for six cycles now you can go for injectable gonadotropins for ovulation induction along with timed iui. and also iif you have any please try to overcome by yoga or meditation since many times it leads to treatment failure. ALL THE BESTTHANKS | |
Q. I have a white spot on my tongue. Could it be a developing cancer?
Hi doctor, I have a white spot on the tongue. It feels raised and rough. Please see the attached picture. What could it be? | Hi. I have seen the picture (attachment removed to protect patient's identity). Thank you. For further queries consult a dentist online --> | |
What is the cause of swollen foot and bruises above the toes?
twisted foot by falling off a curb. foot swelled on the side to the size of half a baseball. that swelling went down, but now my entire foot is swollen and there is brusing above my toes and toes are numb and cannot move easily. does not hurt to put weight on foot but the top of the foot hurts. help?? | Hi, I went through you problems. Twisting injury to the foot is not always a trivial issue. It can lead to some serious injuries of the ligaments between the foot bones that can lead to chronic pain. Generally foot and ankle injuries are treated with taking bed rest for a week, elevating the affected foot over two pillows, ice pack application and compression with a crepe bandage. Avoid putting weight on the foot to let the soft tissues heal. And after a week or so if it doesn't subside is when you would need a more formal evaluation. In such a case as yours, it might be worthwhile to get an x ray done and get it shown. | |
What causes nerve pain in the ear lobes post a face lift?
This question should probably be directed to a plastic surgeon, but here goes. I had a lower face lift and neck lift (the more invasive kind) almost 6 months ago and used a very reputable, board certified MD that I trusted from the recommendation of others, include an RN. I still have what feels like nerve pain to the touch and a pinching feeling in my earlobes and the area surrounding my earlobes, worse behind my ear lobes, with one ear being worse than the other ... which I understand had more work done. It s also still painful to wear glasses, so the top of the ears are still painful to the touch as well. The adhesions behind my ears are raised, but not visible. I had no infections after surgery. The last time I asked my doctor, about 6 weeks ago, he said it s still normal and may take up to a year to resolve, but I just want to confirm that. Are you able to answer that question? As a side note, I just had an anterior 3-level cervical fusion 4 weeks ago, which could not be delayed any longer, and am wearing a neck brace at this time (which does irritate the cosmetic neck lift issue), but it was happening full-blown before my fusion and continues to plague me. Please advise. | Hello, You are correct about needing some input from a plastic surgeon familiar with this procedure since I cannot confirm what he says about the timeline as to when things should get better. The pain you are feeling is likely mechanical in nature and this is placing traction or stretching nerves in the area where the facelift attachment points are located. However, what I can say is that if the surgeon is not giving you any type of medication for this type of pain you are describing then, a reasonable choice or two may be something such as Gabapentin, Pregabalin, or Nortripytline just to dull the pinching/stabbing feelings until the 1 year timeframe has elapsed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist | |
Skin infection on penis, white spots, blisters. History of nightfall's. Medication for infection?
good morning sir my name is XXXX and i m suffering from a skin infection on inner layer of penis . The infection is spreading rapidly in past few days. As i am working on ship i cannot see a doctor soon. I predicted it would had been some infection due to sweat and i applied cream ringguard but found ineffective. Later i realized this may be because of my nightfalls and sperms remain at location till i wash it when i wake up in morning. The infection started with white spots underneath the penis skin and small blisters are creating on penis head. The inner layer is sore and reddish and itchy. I am confused whether its bacterial or Fungal infection . Please advise me appropriate Ointment along with Antibiotic . Awaiting for your kind reply soon | welcome.Along with antifungal ointment you may also use anti- bacterial ointment to get relief.In addition, daily cleaning with soap and water is a must.Once u are in land, meet a doctor asap | |
What could cause problem in waking up?
My grandma was fine this morning. She suffered a mild stroke about a year ago. She has been on bed rest and went through rehab. Like I said my grandma was fine this morning, but I went in her room and she wont wake up. She is breathing actually snoring. What do I do? | HiThanks for being on healthcaremagic.comAs it appears to be acute onset impairment in consciousness, you should take her immediately to a nearby hospital. She might need some blood tests to rule out any abnormality in electrolytes and blood sugar. Also, she might have to undergo a brain scan to rule out and brain lesion.Regards,Dr.Ajay Panwar,MD,DM(Neurology) | |
Experiencing soreness and pain in my left big toe. What should I do apply heat or cold?
I think i pulled a ligament in my foot, i have been experiencing soreness and pain in my left big toe, It is a trobbing pain have to walk with a limp. My toe is very tender but not swollen. What should I do apply heat or cold? I have done both but no relief. | you need to stabilize your joint with a splint or a crape bandage( whichever possible)for 3 weeks till the healing takes placeavoid taking weight on your left footwalking with a limp is a better wayyou can take over the counter painkillers for pain reliefapply contast bath I.e. alternating ice and hot pack about 3/4 times a dayhope you find this helpful | |
Suggest treatment for bleeding from navel post gall bladder surgery
I was told I had a hernia because my naval kept bleeding where I had to place a pad on it.. I just had Gall Bladder surgery and the doctor when through my naval instead of another spot. I was told that I will bleed every month when I get my menstruation and there is nothing that can be done. I have pain and a very foul odor coming from my naval. Please tell me what I can do. | hi.it is best if you have it checked by a general surgeon for clinical evaluation. was it laparoscopic cholecystectomy that was done to you? there are incidents wherein post-surgery, this things happen in the previous naval port area of the patient. also, doctor's evaluation is needed to rule-out urachal cyst problems which might be causing the foul smelling discharge and infection. diagnostics and management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye | |
What are the side effects of cremaffin plus syrup?
hi... I am 26 yrs old female, i had an piles and fissure surgery done couple of months back because of chronic constipation... I am taking cremaffin plus syrup every night and i think now i am addicted to it .. is it safe? i am felling dat its making me fat... :(( please help me... | Hi,Cremaffin-plus is an osmotic laxative commonly used for the symptomatic relief of constipation. Its common side effects include habit forming, loose motions, abdominal discomfort, muscle weakness, and on prolonged use it may cause deficiency of fat soluble vitamins and aspiration pneumonia.It is not associated with weight gain. Weight gain could be due to lack of exercise, hormonal diseases or other conditions for which you need to consult your doctor.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Q. Does decreased TSH and normal T3 and T4 indicate subclinical hyperthyroidism?
Hi doctor, I am a female, who weighs 71 kg and I am 6.3 feet tall. My TSH was 0.35, and six months later it is 0.73. T3 is 4.9 and T4 is 14.4, which is steady and normal. As I understand it, with low TSH and normal T3 and T4, I am subclinical hyperthyroid, right? My symptoms are anxiety, sweating, weight loss, recurring infections, forgetfulness, really dark and red circles under my eyes. My mother and a great aunt had Graves' disease, I also have a family history of hyperparathyroidism. Any advice is most welcome. | Hello. Yes, you are right about that, you have subclinical hyperthyroidism. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online --> |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.