patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
What to do if having persistent lump on shin after falling on a bike previously?
hi my daughter fell over a bike that was lay on the ground back in march. She was 21months at the time. This left a lump on her shin and bruising. The bruising has gone but she still has a lump on her leg. it doesnt seem painful to touch but is this normal for a lump to still be there? | Hi, dearI have gone through your question. I can understand your concern. she has history of trauma and injuries. It leads to hematoma formation and produce lump. It will clear with in few days. She should take anti inflammatory drugs to clear that. 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. | |
Does a Kenalog-40 injection cause any side effects?
Yes, I had a Kenalog-40 L knee injection at 2:50pm on Wed. 10/24/18 and tonight at 10:00 pm I discovered that my cheeks and nose were red and warm to the touch . Could this be a reaction to the Kenalog more than 24 hrs. after the injection? My last kenalog injection was in 2014 and I did not have a reaction. I thought with joint steroid injections 85-90% of the medication remained localized and only a small amount was systemic. Breathing and B/P are stable, HR 67. Thank you Thank you | Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to an allergic reaction to Kenalog.I suggest using Benadryl to relieve the symptoms. If you have other possible symptoms such as breathing difficulties, you should consult your doctor. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
Q. Why is my baby having swollen penis and white discharge?
Hello doctor, My 2 years old kid has had a swollen penis (or erection) since last night. He is in pain when I change his nappy and he would not let anybody touch him there because of the pain. Today though, I have noticed a white discharge dripping from his penis. I took him to the doctor but they are not worried about it and sent me back home. Should I be worried? | Hello. Having an erection is completely normal for toddlers as this happens to boy babies from the time they are in the womb. His referring to pain may be the new sensation which is not familiar with him and that he does not like it. Sometimes, kids have this five times a day. They will get used to this sensation and start feeling comfortable with it. Next time if he says so, put a wet cloth over the penis so that it calms down. Coming to the whitish discharge. Since you have already taken him to the doctor they must have ruled out any urinary tract infection which is the most common reason for the discharge. It must be the normal body secretions. Nothing to worry. But, if he has developed fever or redness around the area, please consult immediately. For more information consult a paediatrician online --> | |
Suggest treatment for enlarged papillae with bumps in tongue
I have what I have discovered in my research here as Enlarged papillae . I have sores on my tounge, white bumps on my touge often. I get them often, almost nearly constantly these days. I am looking to find out 1. what causes this, and 2. are there any cures for this? Can you help? I am 48 yrs old, female, 180 and 5 8 | Hello, Thanks for your query.The causes of the enlargement of the papillae on the tongue include the following:Excessive smoking can cause irritation to the tongue. This can result in enlargement of the papillae on the tongue.Canker sores can be present in the mouth with no known cause. And when the person is experiencing stress, this condition may be more severe.There are some medical conditions that have symptoms that include the enlargement of the papillae. Gastrointestinal conditions like GERD and ulcerative colitis are known to be associated with enlarged papillae on the tongue.An oral cancer may be present if the sore does not disappear after two weeks.Infection may result from trauma of the tongue caused by biting, eating something hot or foods that are too acidic.Usually no treatment is required for this as the condition resolves within hours or days.salt water mouth rinsescold fluidssoothing foods such as yoghurtantiseptic or local anaesthetic mouthwashestopical steroidsI do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Suggest treatment for skin rash
I recently scratched my forearm outer side and blood vessels appear broken or bruised through my skin. I am 60 yrs old and skin in fairly thin. It appears red and slightly swollen in middle and a darker shade of red, puffy in the middle. is it something I should worry about | Hi, It could be a senile purpura. But there are other possible diagnosis. You could take Vitamin C tablets for a week. If you do not get any improvement in a week, do consult your dermatologist. Hope I have answered your query. Let me know if I can assist you further. | |
What is the remedy for vomiting episodic bilious in an infant?
A child one month with hx of vomiting episodic bilious,, subsided with time with decreased episodes now once in 4 to 5 days-- now at one month age with abdominal distension- normal stool and urinary habits- normal sleep habits- o/e boel sounds +ve slightly exagerated, chest clear--afebrile- U/S excludes pacreatic anomalies ,duodenal atresia, pyloric anomalies-- normal liver gall bladder and kidneys- slight free fluid positive at US-- WHAT CAN BE REMEDY--DIAGNOSIS? | you must follow up your child weight if the weight is normal for age don't worry the vomiting will stop by the time and just use antiemetic but if vomiting affect the weight you must visit your pediatrician | |
How to treat sneezing with dripping and watery eyes while on immunotherapy treatment?
I have taken immunotherapy treatments with two injections each week. Now I am off the shots for two weeks and then I have another skin test. My problem is, I have had a terrible week with sneezing, dripping and watery eyes. Why is this happening. Shouldn t I have less symptoms? | Hello,Welcome to HCM,When you are on immunotherapy, for first few weeks your symptoms may increase but you have to continue taking the treatment because in immunotherapy known allergen is given to you in different dilution so that your immune system will be primed to fight against the allergen.The symptoms will improve gradually continue taking immunotherapy, while having the immunotherapy you can take Tab Momtek Lc to reduce the symptoms. This drug helps to control the symptoms.Thank you. | |
Suggest remedies for high BP and headaches
Hi, I am on blood pressure tablets and my reading is still usually high 157/107; I am pre-menopausal and in quite a stressful job; I have noticed recently that I am getting increasingly more hot sweats, irratibility; tension headaches and unable to sleep well. I wonder if this is a mixture of all things going on in my body, blood pressure, stress and menopause; I generally feel tired, nausea's and am having bouts of dizzy spells in the office especially. Do you think I should see my GP? | Hello, Your symptoms seem to be related to the hormonal changes that are occurring in your body. Your actual blood pressure values are high. For this reason, it would be necessary making some changes to your actual therapy (increase the doses or adding new drugs) in order to have better control of your blood pressure values. Regarding your dizzy spells, I would recommend performing a cervical spine x-ray study to investigate for chronic degenerations of the spine that may trigger this clinical situation and consulting with an ENT specialist to investigate for an inner ear disorder. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Ilir Sharka | |
Is candid overgrowth the cause of extreme bloating?
What would you say is the problem if I m experiencing more bloating than normal, specifically in the face, and I notice I m more sensitive to alcohol, experiencing blackouts after drinking alcohol but not what I would consider an excessive amount... Could this be a sign I need to cleanse my liver? Or could I have Candid overgrowth? | Hi, thanks for using healthcare magicIf you are experiencing black outs in response to alcohol use, it would be best to discontinue the use of alcohol even if you are only using small quantities.It is possible that alcohol use can affect the liver particularly if it is used repeatedly but liver disease itself, unless very severe, would not normally cause loss of consciousness.In terms of candida overgrowth, this is not a known cause of black outs.Other potential causes would be electrolyte disorders, heart disease, low blood pressure, dehydration.I hope this helps | |
Q. I am passing more urine due to anxiety. Is there a risk of developing kidney disease?
Hello doctor,When I drink water after 15 to 20 minutes I feel to pass urine. So, I drink less water from one year. I suffered from OCD psychiatric disorder from five years. The doctor told me that I am passing more urine due to anxiety. My urea creatinine and blood sugar are in the normal range. I want to know why my kidneys are hyperactive. Have I any risk of developing CKD in the future? | Hello. No, not at all. If your urea and creatinine are good, there are no chances that you will develop any renal failure or CKD just because you pass excessive urine. To alleviate your anxiety, get your urine osmolality test done and if that is normal, the urine you are passing is normal. I hope it helps you. For more information consult a nephrologist online --> | |
Suffering from hepatitis B, have hepatitis B virus DNA quantitative within normal range. What does this indicate?
HELLO doctor my husband has been suffering from Hepetitis B since 2007.His HBV REAL TIME QUANTITAVE are H 0000 copies/mL in 2008. Now his HEPATITIS B VIRUS DNA QUANTITAVE(HBV VIRAL LOAD BY TAQ MAN) are 180IU/ML.What does it indicates? Is this is satisfactory? He is not taking any medicine yet . Shall I give him LIV52 HB or not? Please give me a satisfactory answer | Hello Regular estimation of HBV VIRAL LOAD gives an indication to your physician that how fast is virus multiplying on you. Treatment depends upon tne viral load levels . As your husbands viral load is less,he doesn't require any treatment and needs only regular monitoring of VIRAL LOAD. there is no role of medicines like LIV 52 in tnetreatment. Thanks | |
What causes high BP?
My systolic jumped very high for about two weeks. My diastolic is always normal 65 - 73 but my pressure jumped to 170 to 192. My doctor told me to double up on my Ramipril 2.5. But I feel like I have the flu or is this just anxiety. I ve had eye headaches for two weeks so I thought it was sinus or flu. I feel very anxious. I m taking 1/4 mg. of xanax to calm me down. I have never taken flu shot | Hello, A sinus infection can raise blood pressure values. For this reason, I recommend performing a sinus X-ray study and complete blood count for infection. In the meantime, I agree with your doctor on the recommendation to raise the dose of Ramipril as long as your blood pressure values continue to be high. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
What causes recurrent fever after a fall?
My son fell from bed heads on, and didn t vomit or pass out. However, we put him to sleep as this was his sleep time. After two hours he woke up, and we felt he had a fever. We gave him brufen. He got well and played, walked and watched what he likes. He is 13 months old. After 6 hours he had again a fever of around 100F. Could it be consussion and should he be taken to a doctor | Hi, according to me I think since the kid fell and did not have vommiting, indicates there is no concussion. The fever is incidental , which can occur after a fall. This is normal. Give the kid paracetamol, probably every 6 hours once. If even after two days fever does not subside, kindly visit your paediatrician....Take care. | |
Is electronic pulse massager advisable while suffering with chronic back pain?
hi i recently had a spinal tap because my doctor wanted to rule out meningitis, because i was having a fever of 103.5 and could not walk well because i was in pain. i wanted to know since my back is under a lot of pressure and pain, if it is safe to use a electronic pulse massager? | Hello,Thank you for using Healthcaremagic.I read your question and understood your concern.I think you should not use electronic pulse massager now.For the moment your spine needs rest. The massager may irritate it more.You may use nonsteroidal antiiflammatory medication such as Ibuprofen for a week.Wish you quick recovery.Dr. Selmani | |
Does a sugar level of 107 mg/dl in a 35-year-old woman who has recovered from typhoid indicate diabetes?
Hi i am 35 years old. One month before i have diagnosed with typhoid. Doctor gave some antibiotics after taking this now i am completely ok but during typhoid my sugar level was high fasting reading was 217 mg/dl and after meal it was 291 mg/dl. Doctor gave geminor M1 forte tablets. I took for 25 ablates and controlled my diet and i am doing regular exercise. Now my random sugar level is 107 mg/dl. Kindly confirm am i diabetic? if yes, what should i do to cure diabetes permanently. | Hello, The levels you reported are consistent with Diabetes, for the moment 107 mg/dll is within the normal levels but if you are still taking Geminor M1 forte, it means that it is Diabetes well controlled by the tablets. If you start to have low glucose levels (under 70 mg/dl) than you can try to stop treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Mirjeta Guni, Endocrinologist | |
Suggest treatment for swollen injured foot with pus
I got a small cut on the bottom of my foot 2 days ago.I woke yesterday to it swollen and puss in it.On the top on my foot right above where the cut is on the underside of my foot is a red line like its in my vein.I popped the sore and drained it and within 2 hours the red line went away.Can you tell me what it was and do i still need to go see my Dr.? | Hi, thanks for using healthcare magicIt is possible that it is an abscess. This is a collection of pus.The definitive treatment is incision and drainage of the area by a doctor because even though it burst there may still be residues of infection present.In addition antibiotics may be needed.It would be best to visit your doctor for an assessment.I hope this helps | |
Does usage of Grisovin-FP and Dk Gel result in peeling and burning of skin?
I have been asked to take Grosovin fp for 3 weeks & Dk gel to the affected foot . The location is the non contact pit area where I used to sweat profusely for several years and get itching, the recent episode is very thick scaly formation.This was on the right leg only till last week now I see the same on Left leg also. After scraping the dead skin and applying oil with Neem & Turmeric the the right leg is better but on disapperance of the scaly thick skin the soft skin portion tearing like blade cuts causing burning. | hello. it seems like you got fugal infection in your foot. fungal infections tends to grow in sweaty congested less airy places. according to your discription your leg has supplied all the facilities. for the confirmation of the diagnosis scraping of the rash to be examined. not only drugs but you have to wash the rash daily dry the whole foot. use sandles to let the both feet airy and ventilated. last you have to continue the treatment for 3 weeks and at the end of 3 weeks you have to meet your dermatologist to see whether longer duration of antifungal are needed. thank you . hope this helps | |
Q. How can rashes on the intercrural area in a baby be healed?
Hello doctor, My 7-month-old child has rashes on the sacrum and intercrural area for five days. It is persisting on the sacrum, reddening more in the intercrural area. There is a bubbly type appearance. I have been avoiding diapers for five days. He has been prescribed a Fusidic acid cream. I have attached pictures for your reference. | Hello. I have gone through the attachments (attachment removed to protect patient identity). It seems like acute dermatitis perhaps allergic or irritant. I suggest you apply Flutibact ointment (Fluticasone propionate and Mupirocin) twice daily. Avoid diapers for a few days. Also, give syrup Phenergan (Promethazine) 2.5 mL twice daily. For more information consult a dermatologist online --> | |
Blocked nose and ears, swollen ears. Pain in the neck while swallowing. Taking antihistamines for allergies. Due to medication?
Hi, I have been feeling as though I have a cold for the last week or so- blocked nose , feeling like my ears are blocked inside... Yesterday my left eye swelled up and past 2 mornings as been closed with watery substance coming out of it. in the last few hours my right hand side of my neck has started hurting when i press on it and when swallowing . I have allergies and use anti-histamines and rapital eyedrops daily so not sure if something has affected my eye? What can I do? Thank you :-) | Hello dear... All these symptoms suggest that you might be suffering from upper respiratory tract infection. The watering in eyes can be attributed to insufficient drainage of tears due to blockage of Naso-lacrimal duct. The management consists of: 1. Gargle with warm salt water to relieve throat pain 2. Antihistamines to provide symptomatic relief from cold. 3. Nasal decongestants to relieve nose block. 4. Analgesics to take care of pain & fever(if any) 5. Antibiotics like amoxicillin (if bacterial infection is suspected) So...it will be better to consult an ENT specialist & start treatment. Wishing you a speedy recovery. Thanks & take care. | |
How to reduce soreness in leg?
I WAS DIAGNOSED WITH IMPETEGO ABOUT I WEEK AGO. I HAD THIS ONE SORE ON MY LEG THAT MY FAMILY DOCTOR GAVE ME CLOXICILLAN FOR. AFTER THAT ANTIBIOTIC FINISHED THE SPOT GOT WORSE AGAIN. THEN IN ER, THE DOCTOR SAID IT LOOKS LIKE IMPETEGO. HE GAVE ME CLINDAMYCIN WHICH I AM TAKING NOW. THE AREA IS LESS SORE, BECAUSE IT WAS INFECTED BEFORE, BUT SOME AREAS ARE STILL SORE AND ITCHY. ITS BEEN ABOUT 5 WEEKS NOW. SHOULDN'T THIS HAVE GONE AWAY BY NOW? | Hello,Welcome to HCM,Impetigo is a bacterial infection of the surface of the skin. Impetigo is a contagious superficial infection of the skin caused by Staphylococcus and Streptococcus bacteria. Impetigo is contagious and spread via direct contact with someone who has it but sometimes from fomites. It is diagnosed based on the clinical appearance.Impetigo is not serious and is treatable by applying antibiotic ointment mupirocin. Oral antibiotics like tab Augmentin is very helpful in treating this disease.Thank you. | |
Suggest treatment for fever & runny nose
I baby sit for a friends 2 year old sometimes. Tonight, the baby broke out in welts and has a small fever and runny nose, etc...my husband has had the middle of his face removed including the forehead, nose, upper palate and top lip. Is what Charley Jo has contagious? What could be wrong with her? Her Mom said that 2 nurse friends told her it looks viral. I am not sure what to do. I do not want to cause Donnie and risk... what should I do? | Your husband is most at risk with bacterial infections. Viral respiratory illnesses do not tend to invade the skin or subcutaneous tissue (although a rash can occur from a different mechanism than viral invasion) . It does sound like your baby has a viral illness and is likely contagious so to minimize stress to your husband I suggest she be kept away from him until she is well. Whether he had this surgery or not he could catch a virus from her but the surgery does not increase his risk for serious complications if he does. | |
Can hip replacement causes pain in left knee and numbness?
Lower left back pain (sciatica?) which is now minimal but was replaced by left leg and left knee pain (possibly referred?) and numbness on inside of left knee that extends slightly above and slightly below kneecap. Pain is lessened with sitting but standing and walking are painful. I have a hip replacement on that side - could chiropractic help or be dangerous with an implant? What can relieve the pain? | Hi You are right about the pain as part of slipped disc pain .In my opinion with hip replacement and sciatica on the same side I would not advice you to undergo any chiropractic manipulation or interference. I would suggest that you take pregabalin , painkillers and exercises for back.and rest precautions as adv by your surgeon. | |
I had pain on right side positive hpt. Am I pregnant ?
I went to er 5 days ago with lower right pain. I had a ultrasound that showed ovarian cyst. I am still in pain but, have been feeling off. I took a hpt today and it came back positive. am I pregnant ? Wouldnt they have done a blood test at er ? | I just had came out of er myself. When I was in the er they did the urine test but it was negative. My doctor told me to wait anyway another week to take a test since I am almost 3weeks late because there is stilla possibility that I could be pregnant. | |
Can i take 'hifenac-p' for tooth ache?
hi i m inindia,its 0100 hrs(night) and i have a severe tooth ach, i found a tablet HIFENAC-p,which contains ACECLOFENAC BP 100 and PARACETAMOL IP 650 plz tell if i can take this as a pin killer for this time so i can pass night with a bit of sleep plz answer fast as i m waiting | Hello:)Welcome to HCM.You can take hifenac-p for pain,make sure you have something in your belly, at least a glass of milk and you can take it.Take it b.i.d.Take a antibiotic course like Moxikind CV to counteract the infection.Regards. | |
Can the coloured stuff be blood in child when sick?
my daughter (17 weeks old) is taking flucloxacillin 4 x a day 2.5ml each time. She's taken it for about 1.5 days. She was a little sick earlier and we spotted some brown coloured stuff in the sick. Could this be blood? If not what is it and what do you recommend? | Hi....I just read through your question. As the kid is on antibiotic it could be blood or a coloring substance in the medicines he's taking. But for us to be sure, we need to subject the stool sample for microscopic examination in a laboratory.But if the kid us otherwise active, you need not worry.Regards - Dr. Sumanth | |
What happens when mood stabilizers and anti-psychotic medication are stopped?
What happens when you stop taking the mood stabilizers and anti-psychotic medication and starting menopause with no hormone trxeatment due to breast cancer (ductal incarcineria) and on ahigh doses of pain medication. I have stop taking my bi-polar due to loss of health insurance and can not afford to pay full cost of bi-polar meds | Thanks for your question on HCM. If you are on mood stabiliser and antipsychotic drugs and you suddenly stop all these, there will be withdrawal symptoms. The symptoms are1. Mood swings from hypo mania to hyper mania2. Hallucinations3. Negative thoughts4. Palpitations5. Headache and giddiness6. Too much hunger or loss of hunger7. Involuntary bowel habits.8. Violent behaviour etc.And you are also in menopause. So this can also affect your cognitive function if you stop these drugs suddenly. So better to continue these drugs. Consult psychiatrist and ask him for cheaper alternatives. | |
Is there a chance for me to conceive as I have bulky ovaries with multiple cysts ?
hello doctor , my age is 31, hight 5 2 , weight 89. Is married for last 3 years. My main problem is pregnancy . I have bullky overies with miltipiles cysts . I had undergone IUI medical treatment and the resualt was nagative. As per the test the quality of egg is not up to the mark. Now they suggest for IVF and if require, we need eggs from doner. Is it possiable to concesive while having cysts and also without having eggs from doner. please reply ... | Welcome to Healthcare MagicIf you can get eggs and do IVF it should work. There are other techniques like GIFT, ZIFT which will also do incase IVF fails. You can conceive with this trial. For multiple cysts has your Doctor put you on ovulation induction medicine like Clomiphene first. Once you ovulate by this medicine you can get pregnant if Husband's sperm is also normal. You need to control blood sugar and have regular cycles before attempting this if you have PCOD especially. | |
Q. My gum bleeding stopped with Metrogyl and Tan X ointment. Will it recur?
Hi doctor, I have been getting bleeding from the gums for the past one month. It is generalized. In the morning when I get up, it is maximum blood coming out from my mouth. It is better rest of the day. I did salt water rinse and applied Tan X ointment, but nothing helped. I started taking Metrogyl 400 mg twice a day for two days, and the bleeding stopped. Still, little inflammation is there. My only worry is its recurrence. As of now, I am fine. | Hello. Inflammation of gums is called as gingivitis and bleeding gums being one of the symptoms of the gingivitis. Gingivitis is a microbial disease with many causes that cause the microbial flora to flourish in the mouth. I would advise you to have a visit to your dentist and do a cleaning i.e., scaling of your teeth. If I were your dentist, I would further prescribe you with the oral rinses. Moreover, maintain oral hygiene and use proper brushing technique. For more information consult a dentist online --> | |
Have fever, runny nose, headache and runny eyes. Started coughing. Is it bronchitis, asthma or Pneumonia?
I have had bad flu in the past three days: high fever,runny nose , headaches , muscles pains, watery eyes. It kept me in bed for three unusual days! I will be turning 62 years of age first week of August (female). I am feeling agitated with my throat: I keep coughing, hardly any phlegm coming out, affecting my breathing , and there is this persistent, annoying sound in my throat rverytime I breath - maybe because it s dry? I can t sleep because of this disturbance. Is it bronchitis? asthma? Pneumonia? I plan to see my GP tomorrow. Please advise. Greatly appreciated? Mrs V, Australia | Hi, Thanks for using the HCM. You are suffering from viral infection. This may turn into bacterial infection if you dont take proper precautions. I think its not bronchitis or pneumonia yet. So consult your physician for further management. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks get well soon.... | |
Nausea and bloated stomach. Could it be due to stress?
Hi I have been under a lot of stress lately and I keep getting a nauseous feeling in my stomach along with bloating.I haven't really been ill, just had a lot on with work (run my own business) and lately when i eat i just feel sick. i kind of feel hungry, but then just ill. I often find that i skip meals just because i don't get time to eat. Is stress causing these tummy issues?My digestion is fine and stools are normal. I am female 28 year old.Thanks | Dear friend.Thanks for sharing your concern.Stress leads to production of some chemicals like catecholamines,more than required in our body.They can very well cause gastric disturbances.Also excessive production of acids leads to hyperacidity and damages gastric mucosa.therefore please take food in time and adequate rest.Also remember physical and mental well being is very important for good health.Hope it helps.Thanks.Take care. | |
How will ovnac plus tablet help in conceiving and any side effects?
My doctor has suggested me to take tablet ovnac plus after the process of IUI ( on 10th day of my period), I am feeling lazzy and weak kindly suggest me shall I continue with this tablet? and in which manner it will help me in my pregnancy, and what are the side effects of this tablet? | Hi I think you need some progesterone to support the implantation. Talk to your doctor regarding this. The tablet which you are taking can be a insulin sensitizer but I don't use it generally. Discuss with your doctor regarding the exact purpose for which it is being used in your case because you have not mentioned whether house have pcod problem of not. | |
Took nordette pills after unprotected sex. Will it be effective? Chances of getting pregnant?
Hi, my boyfriend and I did the deed on August 29 around 1pm. I took 4pills of nordette at 11:05 August 31 (46 hrs after the deed) and will take another 4pills 12 hours after? Will it still be effective. The reason why I took ECP is because we did the deed 8hours before the 7th day of my regular pills which is althea and its too weeks after my menstrual period. Am i safe from being pregnant? | Hi,Thanks for your query. I read your query and I understand your concerns.Following is my reply:1) You are not safe.2) These tablets donot give complete protection.3) Please use other forms of contraception after consulting your gynecologistLet me know if you have anymore doubts.Regards,Dr. Mahesh KoregolIVF & Infertility specialist | |
Suggest any home remedy for severe cough with spasm spreading near chest
Hi sir, My sister s son is disturbed with severe cough,doctor says as Food allergy.His Ige level is 3860.something like that.Now homeopathic medicines are prescribed,x-ray shows block or spreading of spasm near left chest.He has this problem before 4months.Can it be permannetly cured.What are the basic home remedies if anything we could do? | Thanks for your question on HCM.In my opinion you should consult him to pulmonologist and get done PFT (pulmonary function test) to rule out Bronchial asthma.Possibility of asthma is high in his case because of following reasons.1. Raised IgE level (allergic disease)2. Presence of lung spasm.3. Recurrent symptoms.So better to first diagnose him and than start treatment accordingly.Asthma is manageable disease by inhaled bronchodilators. Home remedies are not helpful in this disease. If food allergy is present than he should avoid taking particular food. But inhaled bronchodilators are must if he found to have asthma.So better to consult pulmonologist and rule out asthma first and start Treatment accordingly. | |
Does stent in colon help to get rid of excess fluid?
My mom has stage 4 ovarian cancer and recently developed a block in her sigmoid colon due to the cancer. they have had her on suction for the past two weeks trying to get rid of excess fluid and air in her abdomen caused by the blockage. it is not working at all. the doctors are talking about putting a stent in the colon to help alleviate the problem. what is your comments on this procedure? is this a good procedure to be considering at this time given the circumstances? | Hello dear. I appreciate your concern. Your mother is suffering from intestinal obstruction. It can be relieved in two ways. If she is fit and fine enough then a surgery can be done to remove the obstructing segment and adhesions. Otherwise stenting can be done. Sometimes just with prolong medications and giving rest to intestines also works well . You can discuss all these options with your doctor. Hope that assures you.regards | |
How should PIH be treated for a successful pregnancy?
Hello, Doctor, MY NAME IS SASIREKHA RESIDES IN DELHI. IAM 28 YEARS OLD. I HAVE HEARD ABOUT UR HOSPITAL A LOT. IAM VERY IMPRESED ABOUT THE REPUTATIONS. OK. MY HUSBAND IS IN ARMY. HIS JOB IS TRANSFERABLE. WE COULD NOT STAY IN A PLACE FOR A LONGER PERIOD. COMING TO THE POINT. IAM PIH CASE. I HAD 2 TIMES CESARIAN. FIRST WAS IN 7TH MONTH OF MY PREGNANCY AND THE BABY WAS BOY, BUT HE SURVIED FOR 21 DAYS ONLY. SECOND CESARIAN WAS IN 6TH MONTH OF MY PREGNANCY AND THE BABY WAS GIRL, BUT SHE SURVIVED FOR 24 DAYS ONLY. THESE ALL HAD HAPPENED ONLY BECASE OF THE HIGH BLOOD PRESSURE AND THERE WAS NO PROPER FOLLOW UP. NOW WE ARE PLANNING FOR 3RD CHILD. NOW I WANT TO BE IN A SAFER SIDE. COULD U PLEASE GUIDE ME. | Hi, I think you have to take some precautions. Get your blood pressure checked in non pregnancy state also to rule out a chronic hypertension condition. If you have high bp records, start some antihypertensive from now onwards. When you conceive, get evaluated by a gynecologist at frequent intervals. Take antihypertensive properly. Get regular growth scans done. Get a urine albumin done at intervals to assess the severity of hypertension. Get delivered at a hospital with a good NICU facility. | |
Suggest remedy for nasal allergy
I have allergies all year round but the last couple of days it seems worse as far as itching. My nose inside and outside, under my eyes, around my lips and my ears itch. I take Loratidine on a daily basis but it is not working now. Should I look into a nasal allergy medication? | Hi, thanks for the query.Start Steam Inhalation , Steroid nasal spray with antihistamine , levocetirizine + Montelukast combination daily .Hope above information helpful to you.If you donot get relief , ENT examination & investigation become essential.Regards - Dr KK ( Karade ) | |
Is TSH level of 3.58 safe during the sixth month of pregnancy?
HI I HAD MY THYROID TEST DURING 6TH MONTH OF PREGENENCY I.E AT 24 WEEKS AND tsh VALUE IS 3.58 I AM USING THYROXINE ALREADY FOM PAST 8 MONTHS AS I AM DETECTED WITH LIL THYROID BEFORE I GOT PREGNENT BUT MY DOC SAID NOT TO WORRY ITSONLY BIT MORE THAN BORDER RANGE.aM I AND MY BABY SAFE WITH 3.58 TSH VALUE DURING TH MONTH OF PREGNENCY? | Hello,The goal for ultra TSH in pregnancy changes compared otherwise. So at twenty-four weeks, we expect ultra TSH to be less than three. In your case, it is 3.58 which minimally raised. In such cases, I advise patients to do an anti-TPO antibody blood test. Accordingly, decide the dose of thyronorm. Visit your physician he may increase your thyronorm dosage only for weekend dose.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Tejashree Bhor | |
Possibility of having epidermoid cysts
I think I have several epidermoid cysts...quite small on my trapezoids and shoulders. I have had an infected one on my inner thigh....I thought my dermatologist called it a keratin cyst, however. I am 51, female, in terrific physical shape, and am medium complected. In my mid thirties, I have had some in the genital area that finally pop out on their own... | Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.Epidermoid cyst appears on the germline fusion at the time of birth.As the site you have mentioned is not the germ line fusion.So it is not epidermoid cyst it is likely to be other cyst. As doctor described you as keratin cyst. Treatment of the keratin cyst is the surgical excision.If it is infected, we should first treat it with antibiotics there after treatment should be started.I suggest cefixime tablet three tines a day under your doctors guidance. Local cleanliness and dressing is very important, this will clear the infection early.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist. | |
How can muscular pain in the arms, neck and shoulder be treated?
I have muscular pain through my body. It started in right arm muscle when I bent my elbow. It is now in my butt, left arm, neck, shoulder. It is all muscular. It hurts with movement and now when walking. I was on Eliquis but asked to get off of it. Have been off of it for a week but it is still bad, especially in the morning. I have a hard time getting out of bed and combing my hair. | Hello, This pain and aches are due to muscle weakness and fatigue to set in. I will advise you to do regular stretching and strengthening exercises which will help improve the neck, arm, shoulder, back, hip, knee etc. Having doing 20-30 minutes of regular physical exercise helps to improve the overall well being. Also, diet modification is advised to improve metabolism. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest treatment for stress
I need something to keep me calm, I am so stressed out lately and the stress doesn't seem to leave me. I have tried taking blackmores stress relief tablets and it doesn't seem to help, I can't sleep properly and this is affecting my lifestyle. I can't work or study right. Sometimes I cry over really silly reasons or just get so overwhelmed I can't even speak. | Hello,I think your problem is not just stress. The chronic stress has led you to depression. Your description is very much suggestive that you are suffering from depression.My advice to you is to start with an antidepressant drug like escitalopram.Also changing your lifestyle would help you like eating at regular time, going for mornibg walk/yoga, time management, avoidibg junk food, taking green leafy vegetables atleast once in a day.Also you can mantain a stress diary in which you can note what factors increase/decrease your stress, at what time of day you feel most stressed, what you do to deal with stress and successful you are in doing that. You would be able to deal with your stress better in this way.Thanks. | |
What causes difficulty in ejaculation?
I am 17, and during sex for 10-15 minutes my penis got less hard which i have to stop and get my girlfriend to give me blow job and this routine keep on going. Which i think it leads to slow ejaculation, the process keeps on going for 1hour or more and then i dont get it why i couldnt really ejaculate like before. and i dont think i should have this at my age. please help | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.It looks like more of psychological problem for me. Is your ejaculation normal during masturbation? If your ejaculation is normal during masturbation, you do not need to worry. Please be confident and enjoy sex. Do not have negative thinking. You will be alright.In case of persistent problem, do consult your dermatologist.Hope I have answered your query. Let me know if I can assist you further. | |
How safe is taking Dexa-tresortil for arthritis in knee?
Hello my name is joseph . I have arthritist in my knees and the specialist prescribedcto me Celebrax , and gave me two injections , one in every knee ( monovisc ) but it did not work and still have pain . Is it good to stop it nd take the dexa - tresortil . I live in Canada | Hi, the treatment of arthritis by monovisc has long being abandoned and the american association of Orthopadics do not recommend it anymore. the drug you plan to take may be either steroid or analgesic, and both do not modify the disease process, I would need an X ray of your knee to comment what stage of arthritis you have and medications can only be effective in early stages. surgery and physio remain the mainstay or treatment | |
Q. I bled twice this month due to stress. Should I worry?
Hello doctor, I have been extremely stressed lately. I started a new job a couple of months ago, I am going through a divorce, and I have health issues pertaining to a brain surgery I had two years ago. I had a normal pap smear last year. My periods were normal until three months ago. I was late by over a week for the past two months. I got my period between 18-24 of last month. I stopped and then again bled for a week from 1st to 6th of this month. (This is the normal time I would have gotten it months ago) now again a week later I am bleeding. It started with dark brown blood that had tissue like small pieces in it and is now dark red going on day three. My periods are always very heavy, I always have ovary pain and bad cramps. I had a c-section with my daughter and was told I have scar tissue during an exam. I suffer from very painful periods. When I sneeze or move or cough or stretch during ovulation and the beginning of my period I have a feeling like my right side is ripping apart. Why am I bleeding like this? It has never happened to me before and I am scared it could be cancer. I just had bloodwork I went to the hospital for an unrelated issue this week before the bleeding started and my red and white blood cells and normal CBC workup was normal. Please help I am trying not to stress. | Hell. First of all stop worrying. We can take care of this. Stress can also play a vital role in hormonal functions. So try to calm and relax yourself first. See in general, an average length of the menstrual cycle that is considered normal is 28 plus minus 7 days, so any deviation either before or after is abnormal. Coming to your present menstrual history, you got early bleeding this time. This mostly suggests some hormonal disturbance which needs to be evaluated. It could be related to your thyroid hormone or even a lifestyle related problem called PCOS (polycystic ovarian syndrome). But however any structural causes like polyps or fibroids also need to be ruled out for which ultrasound is required along with an examination by your gynecologist. Based on the past history, it appears probably you must have had an entity called endometriosis or scar endometriosis (in your cesarean scar). This usually happens under the influence of the hormones that occurs in natural menstrual cycles when you are ovulating. Right now probably you did not ovulate either because of stress or due to the hormonal changes (we need to evaluate). I am suggesting a few tests that you need to take so that we can have a look into this. Meanwhile, try to work on your lifestyle changes, do regular exercises and take adequate dietary precautions (avoid fatty or sugary or high carb junk foods). All these measures will have beneficial effects on you. Try to meditate or do yoga for relaxation. I would also like to know if you had any recent weight gain or weight loss, any excess acne development or excess facial hair growth, or scalp hair loss. Also, if you have any headaches or visual changes. It would be good if you could share the details of your recent ultrasound reports, your scar tissue biopsy report if any done, and the details of your previous issue which I am suspecting it to be endometriosis to guide you on the present problem. The reports you shared show a good hemoglobin levels. So nothing to worry in that. Ultrasound abdomen and pelvis. Complete hemogram. Lipid profile. LFT (liver function test), RFT (renal function test), 75 g glucose tolerance test. HbA1c, serum calcium, Vitamin D & B12 levels. Serum fasting and post prandial insulin levels. Serum FSH (follicle stimulating hormone), LH (leutinizing hormone), free testosterone, estradiol, prolactin levels, thyroid profile (T3, T4, TSH, Anti TPO) on second or third day of next menstrual period. ? Hormonal imbalance, ? PCOS, | |
What do you suggest for behavioural disorder?
Sir, My wife always says somebody is talking to her though it is not a reality. being irritated always scolding me as if I am involved with that girl which is not a fact. My physical relation is not there since eight years due to her behavioural dis-order. I am suffering a lot of mental stress. She is verymuch reluctant to visit any doctor and any psychiatrist. Please advise me. | Hi,From history it seems that your wife is having acute depression with paranoid personality dis order.You have to consult psychiatrist and requires treatment and few counselings.If depression becomes chronic there will be more problems and it will be more miserable life to you.Ok and take care. | |
What may have led to high heart rate and low oxygen saturation after removal of lesion?
My daughter had a lesion removed with general anestesia. Her oxygen saturation was low and heart rate high. We were released when her heart rate was 120 and her oxygen level was 98. Should I worry about her heart rate? She is complaining about naseau and vommitting. | Greetings. Welcome to HCM and thank you for your question. I understand your concern. Well, our main concern, as doctors, as the side effects of general anaesthesia. It is commonly known that a large amount of risk in perioperative period can come from side effects of anaesthesia. My opinion is that this is the case. You see, during general anaesthesia all the organism is controlled basically by machines and vital parameters are controlled externally. It is more than understandable that there will be a slight disturbance in organism equilibrium after weaning off from anaesthesia, such as blurry vision or speech, high heart rate or low saturation, due to intubation applied during anaesthesia. I am glad that surgical removal of the lesion went fine. The other effects may be easily attributed to general anaesthesia, and normal gain of function is just a matter of little time. My opinion is that there is nothing to worry about and these symptoms will abolish in no time. I hope I was helpful with my answer. Take care. Best regards, Dr. Meriton | |
How to treat lower back pain?
i'm 34 yrs.old, i have undergone laparoscopic cholecystectomy surgery procedure 11 months ago..i just had my urinalysis because of lower back (right) pain complain near buttocks..result ph 6.0 urobilinogen <2 Ascorbic acid +1 RBC 0-1 WBC 0-1 Epithelial cells few, bacteria few, mucus threads few..the rest NEGATIVE results..my question is, do I have sign of any infection or disease? i have already x-rayed my lower back but the result is normal..can titanium staple wire in my right quadrant during my operation can affect my health? I have also cough and colds for a month already | Urine tests seems to be normal. Mild changes are probably due to poor urine collection technique. No, the titanium staple wire will not affect your health. Try taking azithromycin and tab recofast for your cough cold along with steam nebulization. Consult a family physician for further advice. | |
What causes gross acuities with shrinking of liver?
i am sufffering from acities from last 2 years but the root cause has not been found yet . according to dr i am having budd cherri syndrom and stenting was done in my RHV of liver and there was no result of it ,but my problem of acitites turned into gross acities , also my liver has started shrinking wat should i do and how can my acities can b caured? | Hi thanks for asking question.Noted you have ascites with Budd chiary syndrome.By this syndrome portal hypertension can occurs.And because of that ascites can occur.Take low salt diet for ascites.You can take diuretic like furosemide for ascites.If still not decreased then therapeutic paracentesis may be needed....If history of hepatitis b or c then cirrhosis ruled out.Complete LFT profile done...Meanwhile estimate your serum protein also.As by hypoalbumenemia decrease oncotic pressure can lead edema.Also do your renal function test to rule out kidney problem...If you have hypertension and other positive cardiac history then heart failure can lead to edema....Hope my suggestion will help you.Take care. | |
What causes right testicle pain and lower abdominal pain/tightness?
I have had right testicle pain for about 4 weeks now, my doctor checked me and I had a urinalysis. He dismissed my dull pain to probably a small tear. Is it possible an infection or something like that would not show up on a urinalysis? I also have slight lower abdominal pain/tightness. What are your thoughts? | HelloPain in testis may be due to many causes like infection(epididymo-orchitis),mass,fluid accumulation etc.You may need proper clinical examination and investigations.Investigations include routine hemogram,ultrasound and colour doppler of scrotum,urine RE/ME.Ultrasound can exclude many conditions like orchitis,torsion,fluid accumulation etc.Treatment depend upon findings. Antibiotics may be needed if infection is suspected.You should consult surgeon for proper evaluation.Get well soon.Take CareDr.Indu Bhushan | |
Suggest remedy to overcome suicidal thoughts
Hei I am thinking very seriously about sicid for many years. I have tryed to cut wrists but my skin seams to be very thick. Anyway I am thinkin what is the best way to cut them so that I would die without much pain. I have plenty of reasons and the most important is mental illness that makes most of my goals in life unachievable. I want to die because there is nothing I can get - family, permanent job, love. Everything goes wrong. I am tired of people mocking me because I can not get anything and living on my parents expence. | Hello,You must consult a psychiatrist as early as possible, as you have suicidal ideas, and tried to do suicide many times. From your history, you might have depression, and so you need a treatment to have a good life.Detail history and mental status examination are necessary to diagnose properly. Is there sleep and appetite disturbance, and irritability, and negative thoughts etcetera?Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Vipul Prajapati | |
Can plenty of water and coconut water cure UTI?
hi. can a uti be cured just by drinking plenty of water and coconut water and not taking antibiotics? my husband was diagnosed with uti last july. he was cured as per doctors advised after having urine test. but he is having the same symptoms now. what shall we do? | Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should do urine culture and sensitivity, also look to find out underlying pathology which is causing a recurrent UTI to you. USG will help in diagnosing the underlying pathology.Also take plenty of water that will flush out the residual bacteria from the urinary tract.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist. | |
What causes elevated blood cell count?
My father went to hospital with.elevated white blood cell count. They aggressively treated with antibiotics. He did.develop aFib after a few days. They put him on Coulmadin as they trimmed back antibiotics. Gained strength and they decided release him after two days on Coulmadin. He walked floor with therapist...no problem. Released and went home. Grew very tired that night speech slurred.a little. Stolen legs and needed help to go to bed. Next morning couldn't walk unassisted. Died that afternoon from cranial bleeding. Could this.be from a Coulmadin OF? | Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. Elevated blood counts were due to infection.2. Coumarin was given to reduce the risk of thrombosis.3. After release, your father developed stroke resulting in hemiplegia. Coumarin could have increased the risk of intracranial bleeding, however, associated thrombosis, hypertension and atherosclerosis would be more contributory.Hope it helps.Any further queries, happy to help again. | |
What causes infection and inflammation of the toe?
i am a doctor,recently one young female with a background of bronchial asthma came to me with an injury at right great toe,that great toe was inflammed with feautures of infection,i gave her aceclofenac paracetamol combination,along with amoxycillin clavulinic acid combination.her finger status improved dramatically,but she developed bilateral pedal oedema with facial puffiness,with normal urine output--------what could b the cause of such swelling and what to do now? | hello doctori read your question and understand your concernas you mentioned that your patient is already an Asthmatic patientso in Asthmatic patient don't ever give NSAIDs!as you given aceclofenac so this all because of this NSAID allergyi would suggest to immediately stop his NSAIDs and do one RFTs and give her anti allergic i/v and if there is breathing difficulty give Hydro cortisone 100 mg i/v and advise one chest x-ray PA view and treat accordingly i hope my answer will satisfy yougood luck & tc | |
What causes swelling in head after masturbation?
i m 19 yrs old problem with me is that my head seems swollen especially after masturbation it seems kinda big,also i dont know why but i have developed beard quite earlier than my friends and family members too,are these ill effects of masturbation;also tell me if u want to increase muscle mass then you should prevent masturbation on those days when u workout | Dear user. I can understand. I don't any reason for your head being swelled due to masturbation. I also think you are worried unnecessarily. MASTURBATION is normal, natural and never unhealthy. But Excess masturbation can kill your sexual stamina. Excess masturbation can also cause anxiety disorder, depression and thereby erectile dysfunction, premature ejaculation etc. You can be sure; there are no side effects to masturbation if you are able to restrict it to thrice a week. Jogging and physical exercise are always good to keep you fit and stop worrying about sex and allied thinking. I suggest online sex counseling and therapy. Take care. | |
Diagnosed with seizure with AVM in left parieto occipital region lesion. Have parenchymal edema. Have severe headache and body ache. Emergency?
My sister, 39 yrs old was diagnosed a month back after one episode of seizure, with AVM in Left parieto occipital region of 1.5cm lesion with surrounding parenchymal oedema. Has been scheduled for cyberknife radio surgery this week and taking Levilpil 500 twice a day.Today she is having severe headache and bodyache on right side which is causing us worry. What precautions needs to be taken and is it a medical emergency situation? | Dear Concerned., Thanks for writing to us. In a c/o Cerbral AVMs ,in addition to Cyberknife ,radiological embolisation as an adjunctive therapy also. The Cyberknife allows delivery of high doses of targeted radiation with sub-millimeter accuracy, such that the lesion's surrounding normal brain is subjected to very minimal harm. Such accuracy is critical for preserving as much brain function as possible.Most patients experience minimal recovery time and can return to normal activities following their treatment. Depending on the tumor type, size and location, many patients need only one treatment with the Cyberknife to destroy their tumor. Before the Cyberknife Surgery.,the patient will be admitted for observation, then taken for CT navigated embolization procedure for reducing the blood supply the size of the lesion. Before a patient is treated he or she may undergo a series of tests such as MRI, functional MRI, CT, and CT angiography. A multidisciplinary team of physicians including a neurointerventionalist, neuroradiologist, neurosurgeon, and stroke neurologist carefully review this data to propose the best plan. The process of embolisation is done under general anaesthesia.An artery in the groin is punctured and catheterised so that guide catheter is pushed upto the neck and up into blood vessels supplying the AVM. Embolus producing agents are then injected into blood vessels supplying the AVM so that the clot artificially produced will block blood supply to AVM and the same regresses in size. As an elective procedure the patient will stay for 03-05 days. The embolization is done in stages to prevent thrombosis and haemorhages from occuring in normal parts of the brain. After regressing of AVM lesion , adjunctive Cyberknife therapy and Radiation therapy is done to achieve total removal of AVM. Levipil 500 mg (Levitiracetam)is an antiepileptic drug belonging to Piracetam type of drugs .It is given to your sister to treat/prevent seizures associated with AVMs.Severe headache is due to Cerebral parenchymal oedema ,On consultation with Neuro Surgeon , an Osmotic Diuretic(Mannitol) and a Steroid combination can be tried to abort the severe headache. Wishing her a speedy recovery., Best regards., Dr Lt Cdr ASN Bhushan., | |
What is the cause of CBD stricture?
i had a CBD stricture. My bilirubin levels went up and I had obstructive jaundice. Initially with MRCP procedure doctors said I had a stone in my bile duct. They performed ERCP to remove the stone but after procedure doctors said they could not find any stone. They put a plastic stent in my bile duct. I researched the net and found that CBD stricture can be caused by an injuey, a previous surgery, or pancreatic cancer. I did not have the previous two. When I asked the doctors about the pancreatic cancer, they said they did a test for that and it would have shown up on the MRCP reports. Anyway, any idea why the CBD stricture might have been caused? I am overweight (115 kg, 27 yrs, Male). When I was admitted to the hospital, i weighed 95 kgs. I also used to drink and smoke. | Hi there,Thanks for posting in HCM.Biliary stricture can be benign ( meaning not cancerous) or malignant ( due to cancer).The benign causes include stones, injury and previous surgery.Malignant causes include cancer of the bile duct or the head of the pancreas.If you can post the MRCP report I can tell you the probable cause.Regards. | |
Is it safe to take 100mg doxyxycline hyclate for prostate inflamation?
I m taking 100mg 2x /day doxycycline hyclate for a presumed possible prostate inflamation. How worried should I be about the protein synthesis side-effects, etc.? I ve had a couple headaches - which normally I almost never get, and generally feel lousy. I started the regime 8 days ago... | HelloThanks for query .You have been taking Doxicycline for presumed Prostate Infection .It is advisable not to take any antibiotics unless you have established positive evidence of infection .Please consult qualified Urologist for clinical assessment and get following basic test done to confirm Diagnosis of Prostatitis1) Semen Examination and Semen Culture .Since prostatitis takes long time to get cured one has to take antibiotics for 6-8 weeks .Hence I suggest you to continue taking it only after doing Semen culture and confirmed diagnosis..Dr.Patil. . | |
Diagnosed with para psoriasis post biopsy. What is the best advisable treatment?
Is there any effective treatment for Para psoriasis? First appeared was as a patch on the skin, back of the body. Then the colour changed like scar after burn with scales of dry skin over it. Similar small patches appeared at different parts. Biopsy results confirm it is Para psoriasis. Could you please advice, where I can get the treatment for this and what is the best treatment for this? I really appreciate and grateful for your advice. | Hi dear, Thanks for writing in. Hi dear, Thanks for writing in. Parapsoriasis is a chronic relapsing and remitting condition. Effective treatment is available. It consists of steroids and other immunomodulators.Also phototherapy is very effective. Hope this helps. Wishing you good health. Regards DrSudarshan | |
What causes swollen lump behind the jaw?
Hi, over the last few days I have discomfort in my face just under the cheek bone, it is like I had been punched in the face. This morning I have woken up with swollen lump just behind my jaw on the righ side of my neck and a bad taste in my mouth. I don't feel I'll, just this swelling | Hi,It seems that there might be having some soft tissue infection of cheek giving rise enlarge lymph node giving this trouble.Go for one antibiotic and ant-inflammatory medicine course for 3-5 days.Ok and take care. | |
What causes swelling on both side if middle finger knuckle?
The area on both side of the middle finger knuckle is swollen from falling and catching myself with my fingers and palm down. I heard the cracks like a crack sound when a person cracks their knuckles. my hand is sore and weak. should I be concerned and see a Dr. to get xrays or will this heal with time? | hithank-you for providing the brief history of you.A thorough musculoskeletal assessment is advised.As you have pain in the middle finger knucles, it will be just a ligament sprain. Doing hot water fermentation and slow hand exercises should imporve your pain and swellingIncase there is increase in pain and swelling after hot water fermentation than an x-ray will be advised.Usually, patient respond well to physical therapy and recovers in 2-3 weeks of time with good strength.RegardsJay Indravadan Patel | |
How should the pricking injury be treated now after first aid?
Hi, may I answer your health queries right now ? Please type your query here...My husband accidentally pricked himself with a used diabetic meter abbot labs brand. He didn't know what it was and picked it up and accidentally pricked his finger . He squeezed his fingure hard and got some blood out and washed his fingure with alcohol, soap and water. What does he need to do now? | HelloThank You for contacting HCM.In most of the cases such small prick does not cause any harm. Was the user of syringe suffering from any chronic illness like hepatitis or any other disease? Washing the finger with alcohol swab was a good act. It minimizes the chances of infection. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health. | |
When is blood transfusion needed for beta thalassemia?
My brother- in- law, who is 72 has been recently diagnozed with beta-thalassemia. He is also diabetic and has thyroid problem. Presently, his haemoglobin level is at 8. He feels weak and his appetite is poor. He is in Mumbai. His family doctor advised him to visit CMC Vellore, but that is quite far. For him it may be difficult to undertake such a trip. What should be the next step? Is there any good specialist in Mumbai whom he can consult? As we were made to understand, he will need blood transfusions? When he will need it? And which is the best place to undrgo the procedure? (In Mumbai) | Hi.at the age of 72 it must be beta thalassemia minor. generaly they have normal life except few blood transfusion. There is no exact limit for that. When symptoms of anemia get worson and not treated oraly at that time blood transfusion is required. Its not a big deal at all. You can consult physician for that. Go to any physician its easily tretable minor problem. no need to big worry.thanks for using health care magic. | |
Suggest cure for numbness in the gums
If you have arsenic poisoning 105mcg/liter of undetermined source in 24 hr urine I am a Caucasian 33 yr old male Symptoms include peripheral neuropathy, Numbness in gums above teeth, Neck pain,Shoulder and wrist pain mild forgetfulness and confusion. I was sent for neuro work up and have had intermittent bouts of lymph swelling and aches in neck and back of head. Along with weight loss of 20 lbs in the last year neurologist sent for cervical MRI and brain MRI both normal or unremarkable osteophytes detected in c spine.a 24 hr urine screen revealed protein fraction proteinuria predominantly albumin 100.0%relative. Heavy metal toxicity revealed arsenic exposure of105mcg/liter I do not eat seafood or have well water.(occupation=hairdresser) BJP PNL albumin 100% no m spike detected even though there was no m spike the UFLC showed the following: free kappa 5.83mg/ltr Free kappa excretion/day. 15.74/24hr Free lambda (h) 11.20 mg/ltr. Range(0.24-6.66) Free kappa lambda ratio. (L). 0.52. Range(2.04-10.37) No abnormal bands detected on immunofixation. There are ! Next to many of these values where it says result was not dispersed into flow sheet(what does this mean). this test was taken by neurologist and not given to internal medicine Dr. she was verbally informed of arsenic level.on her serum tests she checked basic blood thyroid parathyroid but did not conduct serum flc on blood work creatine and BUN ratio was not tested due to normal levels calcium level was higher than normal at 10.7 on CBC hematocrit was high at 50.1 Lyme disease test only one 41KD (IGG) was reactive and no other. Epstein Barr panel VCA AB IGM. 0.03. Negative VCA AB IGG. 3.09 (H). 0.0-0.90 EBV Nuclear AG(EBNA)(IGG). 1.25 (H). (0.0-0.90) all others were in range the following tests have been performed Pa lateral chest -no infiltrates seen Abdominal ultrasound -normal Bilateral testicular ultra sound-right normal size and echo text fluid is noted Lft normal in size and echo dope and colorflow noted hypo echoic lesion in left epididymal head measuring 2cm lg tubular structures which demonstrate flow consistent with varicocele enlarged with valsalva Impression left vericocele hypo echoic lesion W/echoes consistent with complex cyst corresponds to palpable lesion no masses seen bi lateral hydroceles Brain MRI - normal CT w/ contra- results not available yet Colonoscopy- normal took random biopsies labs not available yet Test scheduled urology consult Endoscop | The following medical conditions are some of the possible causes of Gum numbness. DiabetesInfectionPeripheral neuropathyPeripheral artery diseasePeripheral nerve tNerve symptoms)ColdCompartment syndromeCerebrovascular accidentGum injuryMouth injury traumaMany Potential TreatmentsDepending on the particulars of your symptoms, your doctor may perform a number of different diagnostic tests. These include physical examination, blood tests, X-rays, CT or MRI scans of the head or spine, ultrasound and nerve conduction testing. The results of these tests will help your doctor make a diagnosis, and that diagnosis will determine his choice of treatment. In cases like mildly compressed nerves, treatment may be as simple as behavior modification to avoid re-injury. In cases like diabetes, treatment may involve a lifelong regimen of medication and dietary control. | |
How can a bulge between the rectum and testicles be treated?
Hello, I have bulge in between my rectum and testicles.I also notice when i do a kegel squeeze it bulges out more. When i used to do a kegel I would feel it in my penis. Also I never get morning erections or erections unless i force myself and even then it is very weak. I notice that the base of the penis is never hard. | Hello,Morning erections are never a necessity. Erection comes when you are sexual excited. if you are sexually excited in the mornings, you will get erections. so do not worry about that issues. Regarding the bulge between the rectum and testicles, you should consult a surgeon for physical investigation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | |
Suggest treatment for cold and headache in a child
My 3 yr old daughter has been off for the last 3 ~ 4 weeks with cold like symptoms coming and going. This morning she has woke crying with quite high temp with(to the touch) and headache but very cold feet. She has phlem in her throat has been a little sick and is again full of cold. | Hi, very sorry to hear about your daughter. High fever, cold extremities, headache, cold, cough with phlegm are suggestive of lower respiratory tract infection, flu, common cold. Giving Tylenol or Meftal-P or Calpol syrup will reduce the fever and headache, however consult your local doctor or Paediatrician as she might require antibiotic for cough to subside. Keep her well hydrated, warm, encourage her to take hot soup, milk.Hope she gets well soon.Thank you. | |
How can oral thrush be treated while experiencing productive cough for over a month?
I have had a wet cough for over a month now. This has been accompanied by (what I thought was) oral thrush. I had been taking antibiotics for acne before the white-coated tongue started; they were capsules and I opened them and took them in powder form for around a week. Once I started getting symptoms of oral thrush, I assumed it was from the antibiotic and took 3 or 4 rounds of fluconazole. This helped a bit, but the white was still there. I proceeded to take Nystatin oral suspension for a week and a half, 4 times a day. This didn t completely solve my problem. My doctor told me to start gargling hydrogen peroxide and water; I did this for a few days. 2 days ago, I gargled without water and just the concentrated dose of hydrogen peroxide. Today my papillae are extremely swollen and I have a horrible metallic taste in my mouth. Food also tastes more diluted. I also started taking nasal spray for the cough, which is still heavily-rooted in my chest. I am nervous that it could be strep - I am very prone to it. I had a case last year which actually turned into scarlet fever because I had no symptoms until I broke out in a rash that covered my entire body. My main concern right now is my tongue. | Hi, As you said you had concentrated H2O2 (Hydrogen Peroxide). That means 6 percent, this is the cause of your swollen tongue. Because of the heavy concentration of hydrogen peroxide you have got a chemical burn. The region where you have a chemical burn is prone to streptococcal infections. For thrush you should have taken the tablets like Ketoconazole at least for two weeks. There is no need to change medication after every three days, anti-fungal infection like candidiasis takes 10 days to two weeks to subside permanently. Now don't use hydrogen peroxide, instead take Chlorhexidine mouthwash twice daily. You may need another course of antibiotics after consulting your doctor if streptococcal infection persists. Hope I have answered your query. Let me know if I can assist you further. | |
High level of liver enzymes. Ultrasound normal. Chances of advanced liver disease?
Hello, I am writing because I have had diahrea like symptoms for about a year. My liver enzymes were slightly up and last year I had an Ultrasound of the abdomen , which came back normal. What is the chances I might have advanced liver disease? I used to drink quite often. I am 28 years old and have had about 5 years of excessive drinking. | Your chances of having advanced liver disease are low, if I call advanced liver disease "cirrhosis". However you may have some scarring in your liver which might be irreversible depending on the degree of inflammation you have had throughout the years, secondary to your alcohol intake or other reasons (such as viral hepatitis, medications, etc). You should get follow up liver enzymes and liver synthetic function tests (such as albumin, coagulation tests, etc), platelet count (the platelet count goes down when there is portal hypertension or scarring in your liver) and these would reflect how is your liver working. Talk to a gastroenterologist or hepatologist for further information. Hope that helped. | |
Can change in the treatment for mdp-m cause sleep disturbance?
Sir My brother is under treatment of mdp-m since 2008 from a psychiatrist from Bihar Dr Arun Kumar Sinha. Previous month Doctor changed some medicines. Now my brother is facing one new problem. He afraid of the things, which is not there and also disorganised sleep. plz sujjest me what is the new problem. and where i can get best treatment | HiThanks for using healthcare magicYou did not mention the drug, which psychiatrist has changed. Without, that it is difficult to tell, what kind of side effects he is getting. In that case, either you can consult your psychiatrist or take consultation of another psychiatrist. In case, you need any opinion, you can consult me. Thanks | |
Diagnosed with allergies. Taking preventive medicine, using clenil, coughing, administered salbutamol. Are all these medicines ok?
My 2-yr-9-mo old son was diagnosed with allergies last year. He is currently being treated by an allergist and takes preventive medicine every day. Right now he is using Clenil 250mcg twice a day via spacer. He´s been coughing a lot and on the verge of an attack, so I administered Salbutamo via nebulizer . I´m thinking that´s a lot of strong medicine, is it okay? | hi, salbutamol is not strong/week. appropriate dosing is important. hence see your pediatrician for the treatment. he may need antibiotics also. self medication is dangerous. | |
Q. I am planning for a baby. Kindly guide me.
Hello doctor,I am planning for a baby. I need suggestion on that like counseling. I have only acidity problem. | Hello. Kindly let me know how we can help you. Do furnish your age and your spouse age and also married life. Do you and your partner have any medical illness and also any history of abortions before? For more information consult an obstetrician and gynaecologist online --> | |
Is Denosumab injection the right medicine for acute asthma?
Hi, I suffer from acute asthma & take Serovent & Qvar inhalers on a daily basis to control my asthma. It has been recommended I start Denosub (Prolia) Injections & I would like to know if there is any adverse reactions to taking the injection for my asthma? | Thanks for your question on Health Care Magic. I can understand your concern. It may not have any affect on your asthma. But make sure your asthma is under control by regular follow ups with your doctor.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
Suggest treatment for severe wrist pain after ganglia cyst removal
Hello, six months ago I had a ganglia cyst removed from my inner wrist.I woke that night in severe pain as i scratched my back in my sleep ,it hurt so bad i nearly passed out and vomited.I was on pain killers for a month,when I saw my doctor again, he suggested opening it up to have a look,he gave me antidepressants and sent me on my way.. I am in constant pain,its not right. please advise me on what my options are.I think he has damaged my nerves in my skin, it hurts like sore pins and needles, and long stretch movements hurt alot,. I have endured alot of pain.Im scared now too cause my other wrist is sore,but its a lump on the upper side of my wrist. I need help now, but i dont trust my local doctor anymore. He gave me no warning of the damage that could have happened,also no options. Im a mother of four young children please advise me. | Unfortunately, chronic pain from the surgery itself cannot be ruled out. Have you been tried on standard NSAID therapy, warm compresses, and wrist/hand exercises. There are also other types of pain relief agents that could be used depending on whether the pain is neuropathic or not in nature. If your doctor who performed the surgery cannot seem to find the right combination of medications to work then, I would ask the primary for a referral to a pain management specialist. | |
Suggest remedy for hair fall
hii i am Mubeen 28 from Hyderabad- India, my problem is. . i am losing a lot of hair and almost bald from the sides.my problem is irregular food and sleep timings, i would like to know how to stop the hair fall even if wont be able to get my hair back with any of the products available in the marketif possible suggest me any Good Herbal oil or medicine which could help hair regrowth but should have any side effects.Thanking you in advance.Mubeen. | Hello. Thank you for writing to us at healthcareMagicYou seem to have androgenetic alopecia.In androgenetic alopecia, initially there is hair loss and thinning from angles of the anterior hair line so that the angles become wider and deeper (thus giving rise to a V shaped anterior hair line).Hair loss in Androgentic alopecia mainly involves frontal and crown part of the scalp and is also associated with gradual recession of the anterior hair line.Family history of balding is positive in most affected.Minoxidil and finasteride have US FDA approval for use in this type of alopecia.While Minoxidil is a non-specific hair growth promoter, oral Finasteride is specific for androgenetic alopecia in males.Finasteride inhibits the enzyme responsible for converting testosterone to Dihydrotestosterone (DHT) in hair follicles. DHT is the main culprit in this type of hair loss.Results are usually noticeable over a period of 6-12 months of regular minoxidil use and oral treatment.The results are maximal at 1-2 years of combined treatment (Oral + topical) and then may be maintained with just Oral treatment.Moreover, the goal with this therapy is to arrest or slow down further progression. New hair regrowth is an added advantage but response varies from individual to individual.Therefore the aim is to start treatment as early as possible and to maintain the improvement with life long treatment.A biotin supplement once daily would also be useful. Biotin supports hair growth though it is not specific for androgentic alopecia.These are all prescription medications and therefore I suggest you to visit a dermatologist in your region for the needful.Regards | |
White pimples on my nipples.
hi im 22 i have white pimples on both my nipples my nipples are very sore they become erect when i touch them what are they? | Oh it could be due to blockage in ducts I guess. Once that is cleared the swelling just disappears. | |
Does residue on cloth cause asthma in children?
I did not smoke around my child or in my home, but she was diagnosed with asthma at 6 months old. Asthma does not run in my family. I was told that the residual on my clothing caused her asthma, is that true? Me and my daughter are very susceptible to upper respiratory infections. | Hello.Thank you for asking at HCM.I went through your child's history and would like to make following suggestions for you:1. I would like to know more about your daughter's symptoms - how many attacks of asthma she has had so far? What is her current age? Do you smoke otherwise, if not around your child or in home? How severe her asthma is? Did she require admission?Based on these details, I would be able to help you better.2. In fact childhood asthma is different from adult asthma. Asthma-like symptoms can be caused by repeated viral infections or some other conditions. Repeated infections can also be caused if one's immunity is poor.3. Regarding, residual on clothing causing asthma, sometimes such things may trigger a single or two asthma attacks, but I would not say only such things can cause asthma. Allergy testing and some other reports would be necessary in my view to make diagnosis.4. In general, I would suggest avoidance of all types of smokes, air pollution and dusts to both you and your daughter.Hope above information will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you and your daughter the best of the health ahead.Thank you & Regards. | |
Chronic hepatitis c, no improvement with interferon, riboveron treatments. Does repeated treatment affect liver?
hello, my husband is 62 years old and has hepatitis c for 30 years. The two interferon/riboveron treatments did not cure him. Can doing the treatment a third time actually hurt his liver more than just leaving it? Does the treatment do any damage to the liver/ because I have the hep c also (i am 56 and have also had it for 30 years) I have never done the treatment and am doing okay.... | Hello, The treatment combination,your husband took was right,although there are many other drugs available for treatment and continuous research is being done for better molecules. You should consult a gastroenterologist and would require treatment if there is chronic active hepatitis however treatment is most effective in first 6 months of infection. About 50 to 80 % of cases who take treatment get cured completely. This infection resolves spontaneously in 10 to 50% of cases,which occurs more frequently in individuals who are young and female. HCV induces chronic infection in 50 to 80% of cases.Approximately 40 to 80 % of these cases clear with this treatment.In rare cases infection can clear without treatment. Most of the infected cases show minimal or no symptoms during the initial few decades of infection. About 10 to 30 % of cases develop liver cirrhosis over 30 years of infection and those who develop cirrhosis have 20 times chances of developing liver cancer and this becomes 100 times more if a person drinks alcohol. There is no vaccine against HEPATITIS C. Thanks | |
What causes pain and swelling over belly button after eating and drinking?
hi I have pain and swelling over my belly button and it hurts almost everytime I eat and drink, it always makes me look pregnant. when the pain starts I have to put a warm pillow on it and it also churns like gas, please tell me what you think it could be besides gas. | Hi.This is not just a gas. This is indicative of an obstruction somewhere in the GI tract, or may be a pseudocyst of pancreas, stomach outlet obstruction and so on. The best diagnosis is made by the following:-Upper GI Endoscopy-Ultrasonography to start with.-Confirmation by contrast enhanced CT scan of the whole abdomen.-Enteroclysis if required.Once the diagnosis is made , treatment can be decided according to the findings and patient be prepared well in advance for a better outcome of the surgery. This is done by getting the hemoglobin and serum proteins, multivitamins corrected as such patients will have multiple deficiencies. | |
Will taking ramipril and warfarin help treat condition of stroke and heart failure?
Hello, I am now 54 and had a stroke at 53 in April this year and heart failure. My heart is now only functioning at 10-15% capacity. I have been assessed for heart replacement but have been told that is not necessary at this stage. Will my symptoms gradually worsen and if so over how long a period. I am now on medication for life. My medication is ramipril, sprionolactone, bisopropol, simvastatin, warfarin and digioxin. Would appreciate any thoughts you may have. Thank you. Mark | Hello. Thank you for asking on HCM. I understand your concern.Now, the therapy you described you are taking, is crucial in stopping the progression of congestive heart failure and further remodeling of heart chambers. A normal heart pumps 55-70% of its content during one systole. A damaged heart, whatever is the cause, that is pumping 10-15% of its content, means that contains 85-90% of the content after its contraction. This is acconpanied with high pressures throughout the body. Any factor that "helps" in raising this pressure, can decompensate your condition and put you in dangerous symptoms, such as salt intake, moderate to vigorous physical activity. Another thing is that a dilated cardiomyopathy (enlarged heart) is prone to dangerous, potentially life-threatening, arrhythmias. At this stage, no matter the life expectancy, I would recommend you to discuss with your regular physician/cardiologist about the possibility of implanting an implantable cardioverter-defibrillator (ICD) to prevent these arrhythmias. I hope I was helpful. Take care. | |
What causes skipping of heart beat and discomfort?
I occasionally have a weird heart stutter. It doesn't hurt, but it is uncomfortable. When it happens, I cough for a few seconds afterwards. It's like either an extra beat or a skipped beat (can't really tell, but I think it's a skipped beat). I'm a bit confused, and a bit worried it might be serious - it's been happening for the past year or so.I am 16, about 5 ft tall, 10-11 stone (I know, I'm a bit overweight). I have no history of heart conditions. | Skipped beats are common ...minor symptoms OK...but if disturbing your day today. Then need treatment....need to do holter and then on assessing that cardiologist give medication or other treatments.... | |
What causes chest pain?
sometimes my heart beat increases due to some fear and the next day i have a bit of fear and there is a very slight pain in the chest reason but these passes away with 1 to 2 days and i am just 16 years old and dont want to go to doctor as i am afraid and i am still studying ? | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This is in relation with psychosomatic manifestation of underlying stress and anxiety disorder .Hope this will help you for sure .Wishing you fine recovery .Regards . | |
Q. How to get rid of dandruff and hair fall through ayurveda?
Hi doctor, I have dandruff and hair fall for a longer period of time. I do not take oil or fried food. My face is full of pimples and visible open pores. I tried many options in allopathy but everything was temporary. Please provide a solution for it. | Hi. Dandruff, hair fall, and pimples are all interrelated. According to ayurveda, healthy blood will help you have healthy hair and skin. Try the following ayurveda remedies for hair fall and pimple, follow up with me after a month. The medications are available in ayurveda stores. | |
Can De Quervain s tenosynovitis leave purple patches on skin after steroid shots?
I had repetitive De Quervians tenosynitis and had the steroid jab in my wrist. Whilst the pain has gone from my wrist, 2 months down the line I still have a purple-y patch of skin that blisters in the sun and is constantly dry. Can you tell me if this is normal thanks | Hi injection of steroid in the sheath in Dequervians can sometimes get injected in the subcutaneous tissue causing discoloration, these are usual known complication of the drug, and since you are pain free now, just forget about it now, it will recover its pigmentation at a later date. | |
How to overcome from stress ?
hi i am 28 yrs feel changes in my behaviour coze of my family problems please tell me how to overcome from the stress | Hello.welcome.Never resort to drugs,alcohol or sedatives.You have to tackle this stress with the positive mind.Mind it this stress is not going to be there forever but if this stress brings some physical ailment like diabetes or high BP then it is going to be there with you forever.Do two things seriously.1st start a regime of vigorous exercise and 2nd go for regular yoga.You will see the change yourself.Good luck. | |
Can pain, soreness and diarrhoea be due to impacted stones in bile duct?
I had my gallbladder removed in January of this year laprascopically. The surgeon was unable to remove some impacted stones in the bile duct adjoining the gallbladder. Instead of calling in a gastro doctor, he closed me up and said I may or may not have problems with them. I ve had problems ever since. I have soreness and pain in my upper left side and horrible sounds. My bowel movement is often loose and yellow in color. Are the stones still there? He said the duct was impacted full and he could not get them. | Hi,Yes, impacted stones in bile duct might be cause for your pain and diarrhea. I would like to advise -1) Consult Gastroenterologist. 2) Blood tests: Complete blood count, Liver function test, kidney function test. 3) urine and stool examination4) Ultrasonography of abdomen.Depending upon clinical examination and above test results, there might be need of MRCP (Magnetic resonance Cholangiopancreatography) and/or (ERCP) Endoscopic Retrograde Cholangiopancreatography. | |
Suggest diet to be followed when suffering from adenitis
Hi, I have an 8 yr old son who has been diagnosed with adenitis. Initial it started with fever and vomiting and is currently suffering with acute tummy pain particularly bad at night, sore throat and says he feels his bones are aching. The pain is in the upper area of the tummy. The doctor said to continue with paracetamol and ibruprofen, which at times is not enough to help with the pain. Would you be able to recommend a list of foods to avoid. He has suffered from the complaint for 10 days now, I would really appreciate your advise. Thank you. | Avoid oily and spicy foods. Give more fruits and high fibre diet. Also use Pantoprazole or Ranitidine as the pain is in the upper part which maybe due to gastritis. | |
Could lyme disease have an effect on psa test?
hello my husband has been diagnosed with prostate cancer for three yrs and after radiation a yr ago his psa levels have been coming up ..... he just was tested for lyme disease but the results have not come back yet could this have an effect on the psa test if comes back positive | Hi,Welcome to HCM.There is no effect of Lymes disease on PSA levels.Lymes disease is caused by spirochetes called Borrelia which gain entry into the body by tick bite. Lymes disease is characterized by annular lesion at the site of bite, dermatitis and fever. This disease occurs in three stages, the third stage is chronic disease which presents with cardiac problems, arthritis and skin problems.Best treatment is Doxycycline for 30 days. Thanks. | |
What could cause problem in conceiving?
can i get pregnant in december of 2009 i had a miscarriage. in febuary of 2010 i got my right ovary remooved and then got on the depo vera. i got off of it in november 2010. my boyfriend and i are both young and healthy and have been trying to get pregnant since july 2011 and have not been able to...why? | Hi, welcome to health care magic.I why your ovary was removed ? How old you are ? what is your weight and other infertility reports ? LIKE SEMEN REPORT AND CONDITION OF TUBAL, OVULATION STUDY REPORTS without these i can predict. thanks | |
What causes blotchy rashes and pain and swelling in feet?
hi, last night my daughter, wjo is 29, had a blotchy rash on 1 side of her body, which has now gone. but today the bottoms of her feet are very swollen with what feels like fluid and are very painful to walk on the tops of her feet are fine.is this anything serious? | Hello,Thank you for posting on HCM.The condition you have referred to is called Urticaria or hives. Its an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various anti-histaminics for long duration( atleast 3 months) with or without oral corticosteroids. For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases. Hope this will help you in resolving your query.Thank you Dr Hardik Pitroda | |
What causes allergy to milk products?
Hi I am an occupational therapist and one of my clients (1 year old) recently in January had her adenoids removed. Since her surgery, she has developed what seems to be an allergy to milk products causing breaking out of her feet and lower legs every time she drinks milk or eats anything with milk in it. It goes away. She was drinking milk and eating other dairy products before surgery without any breaking out. Could this be a result from the surgery? | HI, thanks for using healthcare magicAdenoids are part of the immune system and it is possible that there was some change in the immune response as a result of the surgery though it should not be to this extent.It is also possible that she is now showing her intolerance for these products. In some persons, initial use of certain foods and drinks do not cause a reaction but with continued use the body builds up allergic response to these same foods.This can even happen in adults, they start showing allergic reaction to foods that they have used for years.I hope this helps | |
Could i be pregnant as i have pregnancy symptoms?
I m three weeks late for my depo shot, ive had no period since feb. I ve been having unprotected sex, Ive got the pregnancy symptoms which include lower back pain, sore breast, low abdominal pain feeling nauseous and today I had a little bit of spotting/ blood could I be pregnant or am I thinking too far ahead! I m not ready for another baby. | Hello.Being late for the Depo shot anytime over two weeks means there could be a contraceptive failure. Couple that with irregular periods, unprotected sex and now the symptoms, means a pregnancy is a possibility.Please do a home pregnancy test soon, or visit your doctor for an ultrasound to confirm.Hope this helps. Take care. | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Suffering from cervical. Permanent cure?
Hii doctor ..i am a 22 year sw developer .i m suffering from cervical .i have to do exercises and hot fermantation daily i feel stiffness more than pain.bt i dont want to do such things .iwant a permanent cure to this problem without risk.is there any solutionto this as i ve heard that there is no permanent sol to this without surgery which 99%time fails | Sorry to hear about your problem. If you have been diagnosed with cervical cancer at an early stage, surgery offers the best results and if performed well, there are very low rates of recurrence. You should consult an oncologist and start the treatment as soon as possible. Hope you get well soon. | |
Lump under left breast, tender. Cancerous?
I'm 19. From when I was about 14 years old, I've had this lump the size of a Kennedy half-dollar underneath my left breast. The only symptom I've had is tenderness, but nothing else as of late. It has neither grown in size or changed in any way over these past five years. It doesn't exist under my right breast. Is it cancerous? Is it normal? | Hello friend,Thank you for posting your query through Healthcare magic.A lump in the lower part of your breast is not cancer. It has got nothing to do with cancer also. But the fear of cancer is not good for your health and so you have to read a lot about the disease 'cancer' from different sources. I am a Homoeopath and we Homoeopaths have got different approach to this sort of lumps in breasts.You had a psychological conflict at the time of development of this lump at the age of 14. And you have not resolved it in the psychological level. The fear of cancer is created in your mind by the conventional medicine. As long as you are under the impression that any lump any where can turn to cancer this fear is going to make problem. No such lump can kill you. These lumps are produced by the body to save you. But a fright can kill an individual. Therefore even if you get another lump in the body or get the present lump bigger just understand that you have undergone another or more severe psychological conflict . Find it out to get it resolved at the earliest. I again advice you to keep away from such frightening business and a read a lot to get right knowledge about cancers and the big business deal behind this word. Knowledge is strength and I wish you will become stronger in future by getting more of right knowledge.I do not mean to say that lump is normal. It can be treated successfully with Homoeopathy where your mind and body will be equally given importance for curing you. Therefore approach an expert Homoeopath or get back to me with more details about YOU. With Best Wishes, Dr C. J. Varghese, Homoeopath, drcjvarghese@gmail.com, | |
Q. Can you please analyze my HIV RNA PCR test report?
Hello doctor, I have done the RNA PCR test (viral load test) done from a lab here. I am attaching the report. Kindly let me now the status of the report. | Hello. I have gone through your report (attachment removed to protect patient identity). For more information consult an internal medicine physician online --> | |
Will vomiting after taking 'microgynon' compromise its effect?
hi, i take the combined contraceptive pill microgynon 30, and three days into a pack i went on a long drive and my travel sickness reared its ugly head. but it was just a little bile and it was about 12 hours after i took my pill that morning is my contraception comprimised??? | Welcome to HealthcareMagic,As you vomited 12 hours after taking the pills, it will not compromise your contraception as the pill will be completely absorbed into the body by then. Your contraception effect is not effected and you have nothing to worry about. Have a great day.Regards, Dr.Imaad. | |
Trying to conceive, abdominal pain, irregular periods, PCOS. Prescribed ranitidine, primolut-n. Safe to take?
hi m on treatment for a baby. my period should be on 4th, and i showed to the doc on 5th and did pregnancy test it is negative. she did ultrasound scan but the doc is not so sure of the condition. i have lower abdominal pain . she neotack ranitidine 150 primolut N and folic acid . As m on treatment i always take metfromin fro my periods. i have irregular periods and PCOs. should i have to take these medicines sp primolut? | Hello yellowtulip24, Welcome to healthcaremagic. There are many issues involved in your post. Let me try and solve them one by one. If your period was expected on the 4th, its too early to check with pregnancy tests on 5th. One should wait at least 3 days after missed period to do Urine Pregnancy Test. You posted your questions today. Did you do a pregnancy test after the 5th and when? If not, please check FIRST morning sample of urine for pregnancy tomorrow morning. Even if you have irregular periods, don't get complacent and presume that this cycle too it must be irregular. It could be a pregnancy since Metformin not only helps in reducing weight but regularizes the cycle by causing an egg release. The low abdomen pain - if your preganacy test is positive tomorrow morning, please get a Transvaginal ultrasound asap to rule out a pregnancy in the tube. Get in touch with your local doctor for this. Ranitidine is an anti- acid preparation which research has shown to be safe even in pregnant women. Folic Acid is important to prevent abnormalities in the baby and its always best to start when planning pregnancy i.e. even before pregnancy is conceived. I do not know what doses of Primolut-N you have been prescribed. You may have been prescribed this for 5-10 days to get a withdrawl period. Please rule out pregnancy by a latest urine test before taking this. If a patient is pregnant we like to use other forms of hormones to support pregnancy. Generally Primolut-N is not used for this purpose. In short, if you are definitely not pregnant, its safe and ok to use Primolute-N. The other 2 medicines mentioned are safe anyways. Hope this answers your queries satisfactorily. | |
Suggest treatment for the irregular periods and infertility problems
hello sir, almost 2 years has passed but my wife did not pregnant, I am normal and she has a little bit problem about periods, she was treated by the doctor and now her periods are in routine, but still she is not pregnant what should we do regarding this,the last date of her starting period is 18 January.and one more question which I want to ask how many time i should have to do intercourse? thanks | Hi,Thanks for writing to HCM.I understand your concern. I would suggest your wife to get her follicular study done. By this you will come to know she is producing eggs or not and also the timing. In 30 days cycle average time of egg formation will be on 13 to 15th day.If she is normally ovulating then you can try between 12 to 16th day which is called fertile period. Daily once intercourse will be fine. As egg will be alive for 1 day and sperm for 3 to 4 days.If she is not ovulating then ovulation inducing drugs may be used. You may discuss this with your doctor.Hope I have been helpful.RegardsDr. Ashish Verma | |
What causes weakness and unsteady gait after taking Mortin?
my 5 yr old has had the flu for a week. she had refused all medication until today. she took one dose of childrens motrin. her fever instintly broke but now she is cool, clamy and sweaty. she is up walking but very shaky and weak. is this normal? she is also drinking and eating more today. she has not had any vomiting, very few lose stools. mainly fever staying high and very tired. | HiWelcome to the HCMI understand your concerns. Don't worry. She seems to be in the convalescent phase of her illness. Return of appetite is a good sign. Fever is a catabolic state and many a times lead to weakness especially when associated with poor appetite. Do not worry about cold and clammy skin at fall of fever spikes as its a normal response of body. I would recommend you to use acetaminophen for fever spikes instead of Motrin as first choice. Ensure regular healthy diet with plenty of fluids to keep her well hydrated.Hopefully this will help you. I would be happy to help you in any further questions.Take care | |
Is it advisable to take Noriday contraceptive pills while having high BP?
Hi, may I answer your health queries right now ? Please type your query here...I've got relapsing remitting MS and I've just been put on Noriday contreceptive mini pills. I'm worried whether the doctor has made the right decision as I already have high blood pressure and I worry about anymore weight gain. What do you think? | HIWell come to HCMThank for asking Your query being appreciated, taking hormone for contraceptive is not the option just to avoid the pregnancy but it is better to try something else rather than hormone to avoid the unwanted side effects like weight gain and others, with condition like MS it is better to avoid taking hormone preparation even with hypertension it is better to stop taking the hormone tablet, or you can discuss with your doctor hope this information helps. | |
Can Siddha treatment be given along with chemotherapy for lung cancer?
Hi Dorian, My father was diagnosed with lung cancer stage 4 last week. Now we started Chemotheraphy, my oncologist saying radiotheraphy will not be useful rightnow. And one more question can i go for parellel treatment with sidha clinics like aswagandha (winter cherry) like that. please guide me in this | Hi,Thanks for writing in.Sorry to hear the progress of disease in your father. In my experience with patients of lung cancer stage 4 have a survival of 2 years might be expected. Cancer is a difficult condition to treat and every tumor behaves in a different way. However we must fight cancer till the end. As it is stage 4 therefore surgery is not a treatment. Chemotherapy and radiation can be given to control the disease and prevent it from spreading in to new areas. This treatment can add few months to a year and that is significant.Parallel treatment with siddha medicines can be given as long they do not interfere with chemotherapy or cause any side effects which will slow his recovery. Most siddha medications are made from herbal sources. Research has shown that aswagandha has potential against cancer-related fatigue, in addition to improving the quality of life. Praying for a quick recovery for your husband. | |
Suggest remedy for chest infection and coughing
Hey Doc, I believe I have a chest infection. It feels kind of bubbly as I breath. I sometimes have intense coughing fits where I cough up dark green, thick, mucous that almost like a booger. Other than this, I have no other symptoms of fever, sore throat, or anything like that (although I did have a sinus infection a couple weeks ago, which is where this started I think). It's been about a month at this point. I smoke between 3 and 6 cigarettes a day on average. Given that its just in my chest, and I have no other symptoms now, do I need to see a doctor and get anti-biotics?Phil | HI, thanks for using healthcare magicIf there is no fever, it is possible that the infection is viral despite the presence of green sputum.In that case, you can consider the following: (1) use of mucolytics to help break up the mucus eg bisolvan, mucomyst, guaifenesin(2)a lot of water/fluids to help break up the thickness as wellIf there is no change or worsening, then you would need to see your doctor.I hope this helps |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.