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Q. Can you please suggest a plan to help bring my sugar levels to the normal range?
Dear Doctor I am female 26yrs old. I have been diagnosed with diabetes from past 4 years. I take the following medicines every day: 1. Diamicron 60mg before breakfast 2. Gluconorm 500mg after lunch 3. Gluconorm 500mg after dinner Due to current covid situation, I am unable to visit any medical center to perform diabetes related blood tests. But I did test my sugar levels at home after breakfast. It was 346. I am worried as to how to consult doctors in this present situation. My sugar levels are not coming down, I eat normal meals in small portions like roti, little rice, snacks, etc. My last HBA1c tested 6 months back was more than 8. I use to take Jardiance before but stopped as I wanted to plan for my pregnancy. Since my sugar levels are not coming down, I am worried about my future. Can you please guide and suggest as to what action plan I should take to help reduce my sugar levels to normal range. Appreciate your timely help in this quarantined environment. I have thyroid too, taking Euthyrox 75mg every morning Regards | Hi. Good day. Thanks for your query. I have very uncontrolled diabetes. Ur lipids are also very high. That means ur not controlling ur sugar. Treating diabetes is not just bring sugar numbers down but avoiding complications which are associated with diabetes. It can affect heart kidneys eyes nerves brain and everything. First of all u need to stop bread rice pasta potatoes. Eat less fruits especially mango banana and grapes. No sugar in tea, no sugary juices ice cream or chocolates. Exercise at least 40 minutes daily even if it’s just a walk. If u will not change lifestyle no medication can control ur sugar. With the time ur all body can be then affected with diabetes. It’s a dietary disease and treatment is with diet only. Medication help when u change ur lifestyle. If ur planning to be pregnant u need to be on insulin and u need to have HBA1c less than 6.5. In pregnancy. U know where ur right now. I don’t think ur taking good drugs right now either. These will increase ur weight and that will lead u to have more sugar. Did u try glucophage before ? If yes why u had to stop. Did u try Sitagliptin? Jardiance is a good drug as well. So in my opinion u should be in insulin at present situation if u want to be pregnant especially. Otherwise the drugs I mentioned are the best choices. Let me know what u feel. If u agree we will start those. Thanks | |
Are heart valve issues associated with palpitations and night sweats?
My 32 year old Son has been having heart palpitations and is tired all of the time. He recently went to see a Doctor and they have scheduled an echocardiogram to be done next week. He is also experiencing profuse night sweats. This doctor is telling him that this may all be symptoms of a heart valve issue. Would you agree?k | Thanks for your question on Healthcare Magic.I can understand your concern. Yes, valvular heart diseases are seen in younger individuals (less than 40 years) with symptoms of palpitations, chest tightness, chest pain,night sweating etc.So better to get done 2d echo to rule out valvular heart disease.If 2d echo is normal then possibility of stress and anxiety is more likely.So take him to psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic drugs too. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. | |
How to control hair fall?
Sir, I have lost more no of hairs in the front part of the head and my friend suggested to have ( mintop or hair 4u ) product . I want to know which to use and through internet I have understood that it has side effects , kindly guide me the product which is safe and give some info about whether these products really do have side effects | Hello. Thanks for writing to us at healthcaremagicYou seem to have androgenetic alopecia in which hair loss and thinning is mainly from the front part of the scalp and from the angles of the anterior hair line so that the anterior hair line becomes V shaped. There is gradual recession of the anterior hair line as well.There is a positive family history.Treatment is with topical Minoxidil and Oral Finasteride.Treatment is long term; effects are usually evident in 3-6 months. Maximum improvement is by 1-2 years. Thereafter, minoxidil may be used as a maintenance treatment, once daily Or every alternate days.Oral Finasteride is to be continued life long.Topical Minoxidil is largely safe. It may occasionally cause headache if used in more than the recommended amount.Oral Finasteride inhibits the enzyme 5 alpha reductase; this is the main enzyme responsible for converting testosterone to Dihydrotestosterone (DHT).DHT is the main culprit behind hair thinning and hair loss in Androgenetic Alopecia.It is US FDA approved. 1-2 % of patients on finasteride may report sexual side effects like decreased libido. However, this side effect is reversible on continued treatment.Both of these are prescription products, therefore I suggest you to visit a dermatologist for a confirmatory diagnosis as well as appropriate prescription.Regards | |
Have mild disc bulge, painful spine, compression in neck. Is it an injury?
Hi I have mild disc bulge l4-5, due to which i'm getting pain in my right leg and at lower disc as well. Also my neck nerves compressed and i;m getting pain from neck, right solder and hand.i'm taking treatment for these since couple of months.Apart from these now a days i'm getting pain in my spine while i use any work in little bit bend position.will it causes major problems. is my spine effect or injured or it is simple common problem?please let me know the reason and solution for this. | Hi and welcome to HCMYou seem to have a prolapsed inter vertebral disc, rightly at L4L5 region . This disc may be compressing upon a nerve root that either exits or traverses through that level. Having known this basic anatomy, you must avoid any activity that aggravates the condition, like bending forward and lifting heavy objects, sitting long hours on computer, inappropriate sitting posture, etc.The medications will relieve pain and help muscles to relax. Physiotherapy shall also help a lot, especially exercises that strengthen your back. Kindly note that exercises should only be done when it doesn't hurt. Adequate rest and proper nutrition is equally important. Drink lots of fluids since dehydration affects the disc. I do hope that you have found something helpful and informative and I will be glad to answer any further query.Take care. | |
Suggest remedy to get rid of rashes on neck, cheek and jawlines
I have lot of rashes in the neck and sides of the cheek, and jawlines. Its been like this for over 6 weeks. I visited the dermatologist and was given a Acne moist cream and some medicine to take in the night named as Xylene. But this treatment didnt work and I ahve the smae condition. | Hi, You have given very short history so it is difficult to pinpoint the diagnosis. However, as it is on face and side of neck and your dermatologist has seen giving acne related cream, I feel that most probably it may be folliculitis. Few months course of cap Minocycline daily would improve the condition. Apply Clindamycine gel on the lesions at night. Avoid soap for washing the face and neck. Cetaphil cleansing lotion may be used. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel Dermatologist | |
Suffer from nephrotic syndrome. On myfortic, neural and deltacortil. Need life long medication?
hey.. my name is ruttab im from pakistan.. my brother is suffering from nephrotic when he was 1 year old.. his treatment is going on , my parents consult so many doctors in karachi.. he is now 14 years old n doctors say that he will have to spend his whole life on medicines.. neural, myffortic, deltacortril all these medicines he used... treatment is on since 3 year.. please give ur opinion, suggestion to me .. my parents r facing this cronicle dieases since 14 year only at this hope that he will b perfectly fine one day.. please must rply.. thank you.. | Hi, Thanks for writing to health care magic. I think he is a steroid dependent case of nephrotic syndrome. Those medications are required to prevent a relapse. You should consult a pediatric nephrologist and follow the treatment as advised. Continue to ask further queries as required. Hope this helps. Take care. | |
Suggest the best medicine for COPD
I am COPD G pateint my consultant prescribed ab philline n forglyn and antrova 20 early days when my treatment going on with another Dr always proscribed l montus abl abl and serflo 250 So which one best adviced medicine by hon ble drs my age 52 Early was chain smoker and now feb18 onward left my smoke inhale habbits | Hello, As you explain the situation it depends on the stage of the COPD. (a b c or d??) Discuss with your doctor to order a Spirometry test to evaluate the stage and the treatment after. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist | |
PCOS and completed medication. When should I have intercourse?
hi im shilpa 19 and weigh 90 height 5.6 daignosed and confirmed pcos and after taking arbonnid capsules i got periods on 10th july and doctor is told to take siphene 50 mg 5 tablets yesterday i finishd all 5 now when shuld i have sex and when wil i get pregnant i want to get pregnant fst plz help me im confused | You need to have sex during your fertile days which is usually between day 12-17 of the cycle.Along with that you should also undergo ovulation study to monitor the growth of the follicle. | |
What causes sharp pain below rib cage?
my stomach hurts, right below my rib cage. it's been hurting on and off for 5 days now. it's not a gasy, bloaty pain, but it is a sharp pain. and it feels like someone is squeezing my stomach really really hard. the pain comes and goes, but when it does hurt, it hurts REALLY BAD...and i don't have a fever, nor have i thrown up, so I don't know what's wrong. | Hi.Since you do not any symptoms related to GI tract, I can always think of a local problem like costo-chondritis. or starined muscle at this spot. Start an anti-inflammatory medicines like Ibuprofen in a proper dose as per your Doctor's prescription. Wait and see for 5 days. If there is no relief consult Your Doctor to get as clinical check-up and get investigated as per his advise based on your history and his clinical findings. | |
Q. I sometimes have a weird heartbeat that feels like a big thump. Should I worry?
Hi doctor, I am 25, and I have really bad anxiety about my health. I have been to therapists but nothing seems to help. Since I was 20, I have had these weird heartbeats that would last no more than a second that feels like a big thump. They would happen randomly and usually worse when I am bloated, after a huge meal. I went to the hospital for that/chest pain, and racing heart, got an EKG and blood tests and the doctor said that my EKG was all clear. I have also had four EKGs in the past (one last year), blood test for my heart, and they all came back clear. Should I be concerned? | Hello. Most probably, these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), also caffeine, alcohol, thyroid, gastritis and acidity problems may aggravate these. Since these are not frequent, ECG may be normal. So, in that case, you will need 24-hour Holter monitoring which can diagnose these. You should also get a thyroid test done. You will need beta blockers like Metoprolol to keep these under control. Discuss with your doctor about this. For more information consult a cardiologist online --> | |
Q. Can diabetes effect my HIV DUO test results?
Hello doctor, Some 20 months ago, while having tea outside the office, I felt a slight pinch in my hands. I thought it would have been a mosquito bite as it was itching. But, I also had a thought that someone might have inserted a needle. Recently, a month ago, I read in a leading newspaper that a husband tried to insert a needle loaded with HIV blood to his wife. Then, I got a bit worried and was anxious. So, the next day, I went and did a test. I have attached the test reports for your reference. I would like to mention that I have diabetes from past five years and I am currently on Istamet 50/1000 mg. I have a few questions. Kindly check the report and please let me know if everything is fine. What should be the duration of the exposure to needles and the test? As I am a diabetic and take a diabetes medicine, will this have an effect on the test results? Is it conclusive that I am HIV negative, as after that episode I did not have any other exposure? Please advice. | Hello. I have gone through the report (attachment removed to protect patient identity). Regards. For more information consult a venereologist online --> | |
Q. I get mucus in throat with bronchitis which aggravates during cold season. Why?
Hello doctor, I am a 28-year-old male. I am having mucus collected in my throat region for almost two weeks now. As long as I remember, maybe from 10 years or so, I have been suffering from this condition which some have called bronchitis, dust allergy, etc. Any change in weather, any perception of dust, any smoke and fragrance from vehicles, agarbattis, powders or scents, exposure to cold and cold items cause this secretion of mucus in my throat area. It usually is just a mucus collection in my throat for days together. Usually, no cough or fever or throat pain or running nose. The collection is more in the morning after I wake up from sleep. The condition is more prevalent in cold weather. I was outside of my home town for a few years but did not face this issue as much as I do it when I am visiting my home town. I want a permanent solution for this. I have not undergone any major tests or anything for this problem. It is more like visiting a local doctor when symptoms occur and take medicines for infection. I am taking Montek FX (Fexofenadine and Montelukast) and Flomist nasal spray from 10 days. While the condition has improved, I am still not back to the normal and I still can feel the mucus is sitting in my throat region. Kindly help. | Hello. After going through your query, it seems you are suffering from allergic bronchitis. Usually, this condition is precipitated only if you are exposed to the particular allergens called triggers. Also, environmental pollution makes the situation more worse. As you said, it is very obvious that symptoms recur in your home town but never appeared in other places where you stayed. So it is very important to find out the particular trigger in our surroundings and avoid outside pollution as much as possible. To rule out any other pathology and possibility of asthma, it is advisable to do a chest x-ray and spirometry test. If the reports suggest the possibility of asthma then there is a need to start an anti-inflammatory inhaler called controllers. Expectorants work magically in any kind of bronchitis and help in expelling the thick mucus out. Allergen avoidance remains the main priority. You can continue tablet Montek-Fx and Flomist nasal spray. Rest of the medicines as follows. Environmental pollution and allergic triggers. Chest x-ray, spirometry test. Asthma. Allergy. Tablet Loxof 500 mg (Levofloxacin) daily once for five days, TusQ-X 10 ml 1-1-1 for seven days. Continue Montek-Fx and Flomist nasal spray. Avoid environmental pollution and known allergic triggers. | |
What causes sharp lower abdominal pain?
Hello, I just received notice late today RE: an ultrasound, that some sharp pain in the lower abdominal area on the left side (generally around the belt area & below) is considered a "bulging muscle" & not a hernia. The nurse could not explain further - & I see my surgeon in about 3 weeks (due to a right inguinal hernia surgery which was performed 3 weeks ago). The nurse said I could discuss the issue with the surgeon at the appointment. I am confused as to what exactly a "bulging muscle" in that physical anatomical region would be, and what is the treatment potentially - or will this just subside...? Thank you for your input based on my information supplied.... Jon Spallees | Hi.Thanks for your query.Read and understood that you had undergone a hernia surgery 3 weeks ago and ultrasonography was done to know the reasons. It showed a bulged muscle and not a hernia. This bulged muscle may be the one which is used in hernia repair to overlap the gap caused by the hernia which the Radiologist may not know about. The sharp pains are usually caused by the nerve entrapment in the scar which is developing. Gabapentin or Amitryptilin may help reduce the pain or may need a small neurectomy later. I hope this clears your doubts. | |
Suggest treatment for increasing semen motility
hi,i'm 37 yrs old my height 1,76m and i weight 85 kg and i"ve been married 1 yr ago, i just received my semen test which include something that disturb me which is the semen motility,it is written 30%....does this number prevent me from having a baby...and if it does..what should i do?thank u. | Hello, We have to rule out possible causes like varicocele which can give rise similar symptoms. Consult a urologist and get evaluated. A scrotal Doppler might be required. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
What causes recurring wheezing in infants?
My daughter is 11 months old. She was treated with albuterol/benedryl 1:1 for wheezing. The problem cleared up but resurfaced about 4 days ago. What could be causing this? She also has a congested cough, runny nose and had a temp of 101 for the first day the wheezing reappeared. | This may b due viral infection called bronchiolitis in which there occurs narrowing of airway.This condition may also b triggered by other noninfectious causes. so consult ur pediatricia to look the cause. | |
Can ringing in ears be a result of allergic reaction?
I went to a concert had some ringing in my ears I took chromium later in the day and immediately my head felt like it was going to burst, got hot then my skin turned blood red and my skin burned. Now my ears will not stop ringing, this was Sunday. I went to a ear specialist today and he said he could see no damage. I cant take this any longer. Can this be caused from the allergic reaction and what can I do? | Noise can be one factor attributing to Tinnitus. There may be some other factors like wax or infection in ears. When there is no obvious damage, I would never ask my own patients to use toxic drugs externally or orally.In India we, very successfully, advise our patients to use Sarivadi Vati and Bilvadi oil or PANCHGUNA OIL drops instillation in ears.This cleans ear canals, strengthen nerves and protect from further deterioration even in case of tympanic rupture. Such is the power of Ayurveda, though slow but very safe, side effect less treatment.Hope it helps you. | |
What is the treatment for the blockage in the heart?
My dad just had angiogram and was told the bacl artery to his heart was blocked so bad that a stint was too high risk and a bypass was not an option because there was no where to tie in. He has had two previous bypasses and they are working fine. Doctors are going to try medication to releive his symptoms of dizziness, shortness of breath, and headaches. How long does someone with this problem typically live? | Hello,One can live a pretty long life provided he responds to medicine and he is properly taking the medication. He should also follow healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar Makode | |
What could cause black /grey spots on lips after rinsing mouth from silver nitrate?
I used a silver nitrate stick for a canker sore. After, I rinsed my mouth out with water and I guess some of the silver nitrate got on my lip when I spit it out. Now I have a small gray/black spot on my lower lip. Will this go away? If so, how long will it take? | Thanks for using Health care magic.Read ur query..Yes a small stain of silver nitrate will go off within a few days. If it still persists after a week or so ,kindly get a check up done from a dentist.Hope this was useful.Thanks and regards. | |
Removal of jj stent due to no stones, pain, sciatica and a stone, possibility of stent causing injury to sciatic nerve
i had a jj stent in for 11 weeks and it was removed 3weeks ago with being told there were no stones left. i had great pain when it was in and worse when they were removing it. i felt fine 2 hours later but the next day the pain came back. earlier this week my doctor told me that i have sciatica now and a stone, so i have been thinking could the stent cause injury to the sciatic nerve or the two things be connected? | A JJ or double J stent is not known to cause sciatica either during insertion or during removal. The sciatic nerve is located quite far away. I am sure you doctor must have done an X-ray before and after removing the stent to be sure that there are no more stones left behind. Removal of the stent does cause some pain and discomfort but it is only temporary.Developing sciatica is unrelated to kidney stones. If you problem persists, you should show yourself to an orhtopedician. | |
Lumbar fusion,leg pain,CAT scan shows dense scar tissue, pain near incision site
Hi, I had a lumbar fusion in 8/11 and I m still having leg pain. My CAT scan didn t show anything except that I have a lot of dense scar tissue . Will scar tissue cause pain near incision site. | Hi..dear agoss., Thanks for choosing HCM.., Lumbar fusion and dense scar tissue.., usually due to TUBERCULOSIS OF SPINE.., So evaluate the case by doing..., X ray chest, ESR, and Mantoux test.., to ruled out the TB spine., ok...thanQ | |
What causes asthmatic skin allergy?
My son has an asthma skin allergy since he was 5 years old. Today he is already 16 years old. During this years we had consulted to diffirent doctors and even to dermatologist. I want to know what causes his allergy? What medication he needs? Is it the climate since we here in the Philippines? And, what the foods that he should not take. | Hello.Thank you for asking at HCM.I went through your history and would like to make following suggestions for your son:1. If he as both asthma & skin allergy, I would suggest him allergy testing for air-borne and food allergens. This will help you identify the substances that he may be allergic to and also to know the measures to avoid them.2. Common air-borne allergens causing allergies are - house dust mites, molds, pollens and animal danders. Common foods causing allergies are - milk, peanut, wheat, soy, eggs, tree nuts, fish, sea foods, etc.He should avoid only those foods to which he is allergic to.3. The medicine that he needs would depend upon severity and frequency of his diseases. So more details would require to advice about medications.In general, I would suggest him to use salbutamol inhaler for wheezing/breathing difficulty symptoms and he as asthma symptoms very frequently, I would suggest him daily montelukast.For skin allergy, I would suggest him regular application of lotion like calamine immediately after bath to retain moisture in skin. If he still has symptoms, he might require corticosteroid creams.4. Climate is important for air-borne allergens like house dust mites, molds and pollens. So, yes, it does have effect. Especially humidity increases both house dust mites and mold concentration.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish your son the best of the health.Thank you & Regards. | |
Allergies, shortness of breath at night. On singular, inhalers, asthma medication. Treatment options?
I have been taking blood pressure medicine for about 16 years and I am only 36. When I relocated to XXX, I started having problems with allergies and noticed that I was really short of breath at night. My doc prescribed singular, it seemed to help short of breath, then about 5 years later, my short of breathness got so bad I was put on an inhaler . It now affects me during the day when I m working out and at night. I have seen a heart doc and he says my heart is fine, however I m concerned that I still am experiencing my short of breath during workouts and at night even while on asthma meds; sometimes it feels like the asthma meds makes things worse. I m considering seeing a differnt heart doc, already switched asthma docs (who is concerned about my shortness of breath at night). | sometime a salt of medicine donot suits you the body is able to resist in young age and as age grows body shows allergy to same salt in my experience if you cange salt to other family it might help you your cardiologist will help you to change the group of bp medicines along wiuth dont use brufen,paracetamol,disprin if taking stop for time and take antiallergic cough syp you can post after getting salt group of bp medicine changed by doctor | |
Constant lower back pain and numbness in leg, disc protrusion impinging in thecal sac. Taking gabapentine. Alternative therapy
I have constant lower back pain and pain and numbness to my right leg. I have had an MRI Scan, the results show that the Left L4/5 disc protrusion impinging upon the left L5 nerve root. The disc protrusion is impinging upon the thecal sac and upon the left L5 nerve root. I have been told that I will not have any surgery to sort out this problem. I have to take gabapentine for the rest of my life. Can you recommend any alternative therapy | hallo dear friend ,thanks for writing to HCMi have studied your case do you had any injury to back what is your age ?there is lumbar disc prolapse with nerve compression leading to radicular pain you need some neurotropics like methylcobalamine [trinerve forte]add calcium with vit Dtake rest , take some analgesic , hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exersizes physiotherapy - SWD ,IFT WILL HELP if all these doesnt relieve pain then you can undergo spine surgery and you can remove pressure on your nerveminimal invasive spine surgery will give early mobilizationfor further query contact drvaibhavg@yahoo.com | |
Q. Kindly tell me erectile dysfunction treatments.
Hello doctor,I am 48 years old married, male living with wife and one school going child. My height is 172 and weighs almost 80 kg. My main problem is that I am not able to sustain my erection or suffering from erection difficulties for a long time. I can sustain it only when I take Tadalafil type of tablets before. But, at present, I am having high BP and taking Amlopres AT tablet daily in the morning and after this medication, my BP level is 130/80 on average. Besides, I am having high TSH 6.98 when measured one month back and taking medication (Thyrox). Otherwise, I am also having enlarged prostate but till date, no major complications have arisen. Though the doctor has prescribed Tamsulosin type of medicine, I have not started yet. Also suffering a bit anxiety, however, I am not taking any other medicine except those mentioned above. Can I take Tadalafil after having such problems mentioned above to overcome the erection difficulties? Will it clash with the medicines I am taking already? | Hi. Yes, you can take Tadalafil or Sildenafil tablets for erection. It may bring blood pressure slightly less. Otherwise, it is safe. If TSH level is slightly high, how is the sugar level? Also, learn to relax as anxiety also causes erectile dysfunction. | |
High uric acid and calcium levels after gall bladder removal, kidney stones and sleep apnea. Any suggestions?
54y.o caucasian women, hx Gall bladder removal, kidney stones , sleep apnea , obese,reflux, High uric acid and calcium levels on HCTZ (for calcium levels) Allopurinol , Protonix . Recent labs elevated glucose 283, A1C 9.5 (typically 6.5 or less), Triglycerides 123, Cholesterol 181, HDL 40, Alk Phos 151, ALT 58 Bun 10 Cr .55. Concerned as doc wants to start Amaryl. Your thoughts | Dear Mam.You have to accept a fact that you are a diabetic.I advise you to get your anti diab medications start ted as soon as possible.Get your urine tested for albumin and eye for diabetic retinopathy , ECG for cardiac status.Good news is that your creatinine and bun are normal so far.Get a strict diab control to avoid any damage to your kidneys as they are already under stress in diabetics.You have kidney stones, in case they are in ureter or causing any obstruction they can lead to hyperuricemia.You have not mentioned your uric acid levels. I suppose you have achieved menopause. Let us know your uric acid levels before I can comment on treatment for it.But to the earliest start your treatment for diabetes. You need to reduce your weight at any cost. Sleep apnea and diabetes both precipitate heart problemsStay healthy. | |
Tell me the permanent solution for soriyasis
I m 25 years old and i have skin rash when i showed it to my dermatologist he said it is soriyasis and he said it con t be curable and it can only controlable. And also he persuaded me to apply daivobet ointment. Pls tell me any permanent solution for my skin problem. | welcome to "healthcare magic forum". psoriasis is an auto immune disorder ,In Homoeopathy its curable . Homeopathy in Psoriasis treatment, works by correcting immunity and altered immune responses. Homeopathy treatment takes into account genetic factors as well. helps you to increase the immunity in your body resulting into decreasing its relapse and remissions . for better results start Homoeopathy as soon as you can . consult an Homoeopath c . and if you start the treatment in early stages ,very good results is expected. or for more info you write down to (drvigclinic@gmail.com) takecare,wish you good health always ! | |
Suggest treatment for redness and irritation on the penis shaft
I had unprotected sex 4 weeks ago and put hand sanitizer on my penis afterward. The head and tip is red and irritated and maybe small bumps so small you can barley see them. I have had these symptoms for 4 weeks now what is it and could it be an STD or aggravation from the hand sanitizer? | HiWelcome.I have gone through your query.It is difficult to comment on it without examination, so I would either suggest you to see doctor for examination and for exact diagnosis or upload the pictures here, I'll go through them, and provide you with specific advice.Hope this helps.Take care | |
What causes groin pain and numbness on the sides of the thigh?
I have some trouble with groin pain(genital femoral ), but lately my out side thigh (vastus lateralis area) goes numb while I m standing for long periods of time... should I be worried? the genital famoral pain has decreased with this new symptom becoming more pronounced. I had a steroid injection in the genital femoral to try and stop the pain, but nothing changed for over a month... is this a late reaction or something else? | Hello, It could be pulled muscle or can be neuropathic pain like sciatica. As of now you can take analgesics like Gabapentin for symptomatic relief. If pain persist, better to take an MRI scan to rule out any tendon or muscle involvement. Hope I have answered your query. Let me know if I can assist you further. | |
Could bruise be the side effect of taking HCG drops?
I have been on a diet using HCG drops. I have been experiencing a bit of unexplained bruising and other areas that are the same pain as a bruise, but no bruise or injury is present. Could this be a side effect of the HCG? Is this a safe thing to take? | Hello,I will suggest you to discontinue the hormonal method of weight loss. HCG drops along with a diet lead to bruising. Lack of vitamin C in diet and other important micro nutrients can lead to bruisability. HCG has also many side effects, one of which a rare one is bruisability. It's best to get into a weight loss program using natural methods and not skipping these essential nutrients, under the guidance of a professional nutritionist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist | |
Baby diagnosed with urinary infection. On antibiotics. Blood tests normal. Serious internal problem?
Hi Mr Stephen, My little baby boy was born in Norway on the 5th of dec 2012 is about 2 months old.He was recently diagnosed with urine infection and is on an antibiotic course for 1 week.He had a fever about 38c but the blood tests came normal. He was admitted in the hospital for a day where they started his course of antibiotics and also took and ultrasound in which the doctor could see that the left kidney was slightly larger than the right one.Although she was not sure as the baby was moving alot.They have advised us to get another urine test done for the baby after 2 weeks and have told us to get a scintography done after 6 months from now, just to check if the kidneys were fine. I am very worried with all these developments in my baby.He is having very severe rash in his bumps and poo s every time he is drinking milk due to the effect of antibiotics. My question is according to your experience,is it common for babies in this age to have urine infection and since the blood tests are all normal do you feel that it could be an external infection or any internal problem. Also, if their is any serious problem is it treatable. Thanks for your expert advice. Regards Sona Email- YYYY@YYYY | HiThanks for the query.It is not very common for young boy to get a urine infection.It may be a sign of underlying structural problem in the urinary tract. The most common of these is VUR which means urine going upwards in the kidneys.So the urine test has to be repeated and if there is evidence of infection again, more tests are definitely required.Hope this helpsGood luck | |
Skin getting darker. What is the solution?
My skin colour is getting darker day by day i dont know why. My age is 30 years male presently working in EXL Services. Shift Timings are 14:00 to 23:00 hrs. I used to sleep nearly at 01:00 am and used to get up at 08:30 hrs. I am about to merry please help me it is a big reason for me to worry that now why it is happening.. | Hi,Thanks for writing to us.Most probably you have developed sun tanning over face. Sun damage is maximum during 11 am to 3 pm sun exposure.To treat the sameUse a sunscreen with SPF 30 half an hour prior to going out in sun.Take vitamin c supplement like celin 500 mg twice in a dayApply a hydroquinone based cream in minimal amounts in night.Taking few sessions of chemical peels would help you immensely. For the same consult a dermatologist nearby.Hope that helped.Take care | |
What causes skipped heart beats when suffering from high blood pressure?
I have high blood pressure which I am currently being treated for. About four days ago I noticed my blood pressure has come down to normal levels (it usually runs slightly high even with the medicine 146/89), but now I'm running 118/68 but have noticed my heart is skipping beats quite frequently. It skips about three times while I'm checking my blood pressure. Is this anything that needs immediate treatment or can it wait until I can see a doctor. | Hello there and thank you for using HCM. I carefully read your question and I totally understand your concern. Don't worry, Its nothing serious.As you describe, my opinion is that we are dealing probably with exstrasystoles. These are electrical impulses generating from parts of the heart different from that of normal sinus rhythm. They cause this escaped or skipping beats.You may feel a palpitation, an anxiety sensation or like a beat is skipping. There are different reasons that may generate an extrasystol from simple emotional strees to different pathologyes like anemia, hyperthyroidism ect. Hypertension and exstrasystoles are independent from each other meaning that you may have extrasystoles without having hypertension, you may have hypertension without extrasystoles or both of them. The fact that you have a low blood pressure is a good news you don't have to worry about this. In fact this is our goal when we treat hypertension. Now we have to deal with this skiiping beats.My opinion as a cardiologist is that we are not talking for something urgent. I will recommend you to tell your symptoms to your treating doctor in your next visit to make some simple examinations like a blood analyze, your thiroid hormones. Of course if I was your treating I will recommend a holter monitoring to register and see what happens with your rhythm during these symtoms.If you feel that your heart is beating in a chaotic way it is advisable to make an electrocardiogram in that exact moment to your nearest cardiologist.In mean time avoid coffee and caffeine products because they exacerbate this symptoms.When we document and see what kind of a rhythm problem is this we can talc about treatment.Hope I was helpful. Wish you good health.Best Regards | |
What causes enlarged/fatty liver while on medication for fibromyalgia, GERD and insomnia?
My liver enzemes are up and a ultra sound showed it was enlarged and was fatty, so was my right kidney. I dont drink, but I am on a lot of medication for herniated disks, fibromyalgia, Gerd, sleep medicine for insomnia and also medicine foe depression. I never ate a lot of fast food till the past 5 months due to my mother passing away. My Dr. is sending me to a gastroentorologist. what do you think the problem is and how long does it take to get better. | Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Fatty liver has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you drink.I hope I have answered your query and this will help you . Wish you a good health | |
Weight gain and hair loss after mirena insertion. Mood swings, acne, body aches and random bleeding. Is mirena safe?
I have the Mirena IUD . Within a month of getting it I began to gain weight and lose hair.... I lost 2/3 of my total hair mass. Since then, I have had severe mood swings, acne , body aches, unexplained temperatures, random bleeding that ranges from light spotting to brown sticky discharge to blood running down my legs. I have taken a home pregnancy test which was negative, so this is not the problem. I can t help but feel like the mirena is causing these problems... I spoke with my OB/GYN and he feels the Mirena is safe, wonderful, and that NONE of these problems are related, but merely coincidental. | hi Thank you for the query.Since Mirena is a progesterone containing IUCD there are chances of some side effects like yours.Though Mirena is a wonderful device which treats and helps in many of the gynaecological conditions it may not have suited you.If you got Mirena inserted for a contraceptive purpose better you get it removed and use nonhormonal copper containing IUCD.But if your Mirena is inserted for some other problem please discuss with your obgyn and switch over to some other method.All the best. | |
Reason for less quantity of semen in intercourse
Hi doctor, I am 50yrs old married, male,one child of 17yrs.i find only very less quantity of semen in intercourse and in masterbation, it happened in this year, previously it was OK. But from the very beginig of my 14th year, the semen comes out not squirtingly but oozing out. Plz give me the reason and solution-Sabish Kerala India | Hello and thanks for your question.It's my first priority to help you.A low amount of semen can be cause by a prostate infection such as prostatitis, retrograde ejaculation due to prostate medication such as Flomax, ejaculatory duct obstruction, or low testosterone levels. At your age, low semen levels are of no concern unless you are trying to have children. If you feel pain in your prostate region, this may be prostatitis, and in this case, you should have your doctor examine you to see if you need to be placed on antibiotics. Hope this helps. | |
Can bronchitis cause high blood pressure ?
HI JUST STARTED HAVING HIGH BLOOD PRESSER RUNNING 150/ 90 do have broncitus not sure if that has something to do with it or not have been seeing my doctor am on the z-pack finished today I have to wait 5 days and then she is going to start me on a water pill | No bronchitis cannot cause high blood pressure. However certain medicines used in bronchitis(esp.steroids) can cause high blood pressure on long term use. | |
Taking Maxgalin, Naxito, Zolfresh. Developed head reeling, sweating, uneasiness about train, plane journey. Suggestions?
Respected Doctor,I am a psychiatry patent of National Institute of Mental Health and Neuro Sciences, BANGALORE and i take Maxgalin 150mg twice daily, Naxito 10mg twice daily and Zolfresh 10mg in night since last 2009 but from last few days i feel my fear factor is devloped and head reeling sweating and feel very uneasy , when i thought about train or plane journey uneasyness is too much. | HelloYou are currently on Pregabalin, Escitalopram and Zolpidem since 2009. For last few days you have developed sweating, headache, uneasiness and restlessness. The problem increases on thinking about train or plane journey. Most likely the problem is due to anxiety. Non specific fear can develop in anxiety. I would advise you to visit your psychiatrist again for any increase in doses of medicines if required. For quick relief of symptoms you can try relaxation methods like Breathing Exercises or Progressive Muscle Relaxation Exercises or yoga. These methods will help to increase your confidence.Thanks, hope this helps you. | |
Very severe upper abdominal pain. Vomiting bile and dry heaves. Have atrial tumor. Related?
Early Tuesday morning I awoke with very severe upper abdominal pain that persisted for approx.1 1/2 hrs., accompanied by vomiting bile and dry heaves (from pain) I have a hx of CAD and MI. I also have a large atrial tumor (both R&L atrium and atrial septal infiltration the tumor has grown upward onto the Superior Vena Cava and is mildly compressing it at this point. I have also had my gallbladder removed but was told I had very narrowed biliary tree. I have had pancreatitis from stones in the bile duct which blocked the pancreatic duct. What would most likely have caused this episode. | Hi, From the symptoms and the various medical problems you are having it appears most likely due to some hepato billiary pancreatic problem giving rise to severe pain and bilious vomiting . Please get a check up with your doctor and take treatment . | |
How to get rid of masturbating habit?
Hi Sir, I have a habbit of masturbation. I am doing this since last 12 years. Right now my age is 26 and I am unmarried. I used to do this on every alternate day. Pls suggest me whether it causes any problems to me after my marriage. I am worrying about it because, when ever I start doing that, sperm is coming out within a minit of time. Pls help me with an answer. | DearWe understand your concernsI went through your details. You can masturbate in moderation. At your age, you can masturbate thrice a week without having health problems. Masturbation is normal, natural and cannot cause direct health issues. Masturbation cannot harm your health. It cannot harm your sexual life or married life. You may be having the premature ejaculation because of the anxiety you mentioned here. Please consult a psychologist for counseling.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | |
What is the right diet for a person who has recently recovered from chicken pox?
I am Raja Mukherjee 43, recover from chicken pox just 4 to 5 days, body weight 96kgs, height 6 feet, BP 150/110.under medication, other test report are normal,except cholesterol is high but within normal range.My query is what type of diet i should take daily. | Hello,Welcome to HCM,Chicken pox is a disease caused by varicella virus which is transmitted by droplet infection and nuclei.It is highly infectious and communicable 2 days before the rashes to 4 days aftre the rashes. The rashes and symptoms will be more in a patient with reduced immunity. As such there is no food restriction but you have to consume food which boost your immunity. Protein rich food helps to increase the immunity and fight against thus virus.Thank you. | |
Could having moderate ketones in urine during pregnancy effect health?
I am 31 weeks pregnant and yesterday I had moderate ketones in my urine. I also have a high pulse rate (100-118) and am on antibiotics due to really bad phlemgy cough. Should I be concerned about the ketones as I have been feeling not quite right for a few weeks? Thanks | HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] Ketones in urine indicate that body is using fat as energy source instead of glucose.2] you need to rule out gestational diabetes, please get fasting sugar and 2 hour after 75 gram glucose blood sugar test done. 3] If you have vomiting use Cap Pan D once a day before lunch.4] Please repeat urine test with glucose test.I hope my answer helps you.Thanks. | |
What can cause dizziness and pounding of heart?
just flew home to ny from california on saturday, while walking outside on sunday night i got dizzy and felt my heart pounding. I do have congestion in my right ear(with ringing), and a history of ear infections as a kid. I continue to have these symptoms today. | Hi Flu (influenza) does cause these symptoms. Just a little bit of rest might help. Do not get worried about this. | |
Can birth control cause tiredness, headaches and trouble in sleeping?
Hi for the past few months I have been feeling very tired lately , wanting to sleep all the time, frequent headaches, having trouble sleeping. I have taken a pregnancy test and I am not pregnant and just began taking birth control pills which causes side effects such as nausea and moodines. Any ideas as what it could be? Should I go to the doctors office. | HI dear and thanks for your query.AS you describe all the signs and symptoms are side effects by the use of birth control pill.Hence you should contact with your healthcare practitioner because you may need to change birth control pill.There are many other methods that have less side effects.All the best | |
What causes feeling of weak legs and tiredness?
i have felt unwell since monday 24th january i was getting lower abdominal pain and back pain dizziness n old n hot sweats i have been treated for a water infection with antibiotics as i have had these symtoms before but i am now feeling sick n my legs are feeling weak and i am so tired ( my water sample ame back clear) so i don`t understand whats wrong with me i am however also taking propranolol for my anxiety. | feeling tiredness and sick may occur after viral infections as well and generealised pain of the body.if you have lower limbs weakness and easy faitiguability(get tired very soon)you should check out your hemoglobin status and could also be manifestation of vitamin D deficiency. | |
Suffering with ITP, has severe stomach pain, stomach swelling, loose motions with blood due to high dosage of medicines. Effective remedy?
My mother-in-law is suffering from ITP from nearly 5 years and her treatment has been ongoing with suggestions from Dr. Dhama Chaudhary. But inspite of several treatments given by him along with high dosage steroids, the condition is not improving. Infact, it is getting worse day-after-day. Due to high dose medication , the side-effects have also come up which are leading to Severe Stomack Pain, Stomach Swelling , Heavy loose motions, bleeding of blood, Breathing problems, low platlet count which sometimes fall as low as 10 and severqal others. In past 6 months, she had been admitted to hospital 3 times and yesterday only, we have to admit her again to the hospital due to severe stomach pain and swelling and critical breatlessness. She s very critical and I am looking out for the best possible treatment available in India. I request you to please help me on urgent basis if you have any good references that can make her a simple being again with a permanent solution to this problem. | Hi. ITP is a condition which can be refractory to treatment and steroid dependence may result. There are a number of options available which can be tried in refractory cases, and to reduce the dose of steroids and its side effects. Breathlessness is not a common symptom in these patients unless the bleeding due to drop in platelet is so severe that there is a marked drop in hemoglobin with ensuing cardiac failure or there is bleed into the lungs due to decreased platelets. You need to consult a good hematologist/immunologist for the same. You may go to AIIMS, New Delhi. Thank you. | |
Q. I have noticed a small lump on my neck. What could it be?
Hi doctor, Recently, I have discovered a small lump on the right side of my neck. I am usually the person who starts worrying and gets paranoid whenever I discover something like this. I used to do it all the time with my glands. It feels like a gland, but it is slightly bigger and more tender than the other ones. Also, if you look hard enough, you can slightly see the shape on my neck. I have been run down lately, have a dry throat and I am also very warm. So, I might be coming down with something. I needed to hear from you doctor. Please let me know what you think as I am typically worrying. | Hello. Is it possible for you to upload a picture of your neck or for the fact any picture from the internet highlighting that area? It seems like it might be a swollen gland, which can happen even with common cold or flu. But, it is hard to confirm without a picture and exact location. | |
Right renal angiomyolipoma and right renal cortical cyst. Suggestion?
Respected Doctors! i am 41 year and 3 month old. 2 weeks ago i have been to checkup with urologist. At first the doctor has said me to do ULTRASOUND and secondly he wanted to do CECT SCAN to be sure and the report is below. 1) Liver is normal in size and attenuation. Portal and heapatic veins are normal. No dilatation of IHBR. No focal lession is seen. 2) Gallbladder is distended with normal wall thickness.3) CBD appears normal.4) Pancreas appears normal in size and atenuation. It shows homogeneous enhancement . No calcification / focal lesion seen.5) Spleen is normal in size and attenuation. 6) Bilateral kineys are normal in size with normal in size with normal visualization of nephrogram. Small well defined hpodense lesion with fat attenuation see within upper pole of right kidney measuring appors. 9x8mmin size. Another well defined hypodense lesion of fluid attenuation seen within upper pole of right kidne(1.6x1.5 cm in size). No internal septation/calcification seen within7) Bilateral adrenal appear normal.8) Visualized hollow abdominal viscera appear normal9) Major abdominal vessels appear normal.10) Urinary bladder appears normal11) No significant abdominal nodes seen.12) Prostate appears normal.13) Visualised bones and soft tissue appear normal. 14) Visualized section of chest appears normalafter all he found small right renal angiomyolipoma and simple right renal cortical cyst in my kidney, so i am very much worrying about so, could you kindly let me to know that, what shall i have to do and how to get treatment before it's change into cancerous | Hi, Thanks for using HCM.The lesion angiomyolipoma is one of the common benign tumor. It won't change to cancer. We can do embolization to prevent any sort of bleeding it may cause, otherwise no treatment required for it. Even simple cyst wont turn to cancerous. So need not to worry for it. Discuss with your nephrologist and adhere to his management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care.RegardsDr. Lohit | |
What causes popping sensation and pain in left lower back?
I ave a popping sensation in my left lower to middle back when I lie down. I have persistent left lower back pain. After the popping sensation, I have a second of sharp pain followed by temporary relief of the pain. It feel like there s something caught, prior to the popping sensation | Hi i am Dr Ahmed Aly thanks for using HealthcareMagic site ,I had gone through your question and understand your concerns .. In my opinion i think you may have a kind of severe muscular spasm or tendinitis that may cause such popping sound . You may avoid further heavy lifting , overweight , vigorous movement and bad sitting or sleeping postures . In mild cases physiotherapy sessions with a chiropractor , hot massages and spinal straightening exercises will give best results even without any medications . For my patients i recommend painkillers like advil tab when needed , hot gentle massaging with topical anti-inflammatory gels , muscle relaxants , B12 supplements will be effective for most of cases ,in more severe cases steroid tabs or injections may be needed . If your pain persists i recommend MRI to exclude any disc herniation or spinal deformity and follow it up with your neurosurgeon for proper evaluation and management . Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health,Any further clarifications feel free to ask. | |
How can I activate my dead sperm ?
SIR MERA NAME PAWAN HAI MERE PROBLEM HAI KI, MERI MARRIGE KO 4 YEAR HO GAYE HAI MEGAR KOI CHILD NAHI HAI, HUM TRY BHE BHAUT KETE HAI, TO MENE APNE SEMEN KA TEST KEVYA HA TO REPORT HAI KI TOTAL COUNT - 62 % MIL. FAST SPERM - 5 % LOW FAST - 5 % DAD SPERM - 90 % PUS CELL - 6-7 % SIR PLZ MERE DAD SPERM KO ALIVE KERNE KI KOI MEDICIN DO , OR MUZE SOLUCTION 2-3 MONTH ME CHAYE KAYOKI ME BHAUT SAD HU PLZ ADVICE ME PAWAN 9636491492 SIR PLZ MUZE GUIDE KEROan | Welcome to Healthcare Magic You have infection which is why sperm dead. Doctor will give antibiotics. After infection goes, sperm may become better and better chance of fertility. Drink plenty of water. Eat plenty of fresh fruits and green leafy vegetables. | |
What causes upper backache after gallbladder removal?
I had my gallbladder removed about 10 years ago. I keep having pain n my upper back all the time. The pain has gotten worst in the past 4 years especially when i move around a lot. What does that mean. One particular pain is n the lower right front of my stomach where my incision from the surgery. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Can be due to gastritis. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest medication for loose stool and diaper rash
Hi! My 15 month old son has had two lose stools today with what looks like sesame seeds in them. He has a little diaper rash as well. He is otherwise perfectly happy. He does seem to be sensitive to dairy, but I ve never noticed these seeds before. | Hi...these are not seeds and it is how a watery diarrhoea looks like when admixed during purging. If he is sensitive to dairy, please avoid even biscuits and commercial foods which have cows milk in them.Coming to management - Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regards - Dr. Sumanth | |
What causes knee pain with no fractures after a fall?
I fell on my knee a week ago. I have not been working and have been elevating and putting ice on it. I am still unable to walk and was wondering if I should get an MRI. I went to 4apid care and X ray says no broken bones, but I really need to get back to work | hi, thanks for approaching Healthcare magic team. Knee pain after fall could be due to ligament injury or sprain which could not be seen on an X ray. Rest for 3 wks could be sufficient. But after 3 wks if you still are not able to bear weight, then an orthopaedic consultation is required. you may then need an MRI, for visualisation of ligaments around the knee joint. | |
Suggest remedy for diarrhea in toddler with 10-15 pus cells in stools
Hi we worked in a third world country and we need your advice. My baby girl is 17th month old and she is having dirreah for last 4 days. We did stool culture and following are the results. Pus cell - 10-15, odor- Offensive, PROTOZOA -Veg....CYST, Mucus - +++, RBC 0-2, Vegetable cell - +. Waiting for your prompt reply. THanks | Hi, The report you mentioned is of stool microscopy, and not that of culture. From microscopy, this seems like amoebic dysentery, which can be treated with drugs like metronidazole or tinidazole. I used to give metronidazole, zinc and a probiotic. Kindly see a pediatrician for the same.Meanwhile, give her frequent sips of fluids like ORS solution after each stools to prevent dehydration. Avoid juices and sugary items, as these may exacerbate loose stools.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician | |
Trying to conceive, have PCOS. Done laparoscopy. Taking Metformin. Should IVF be done?
Hi,Im 27 years old and my hubby is 30years.... we r trying to conceive from 4 years but not successed yet.... my husband is fine... i was diagonosed PCOS in 2011.. my gyn suggest me go through for laproscopy or drilling.. in april 2011 my laproscopy done.. and then doc gave me clomid CD2 to 6... and also metformin 500mg twice a day... but no results...then i changed my consultant last month....march 2013...he gave me Femara 2.5mg from day 2 to day 6th of my cycle.... and menogon injections from day 7..8..9..and 10th and advise to intercourse for 5 days regular... but still no result...now im asking should i continue this natural process or go through for IVF? as my age concern? plz give me answer im very worried and hopeless now... bcz my husband is seamen and he is on vactions now thats why im in bit hurry.Mrs Shah | Hello Mrs Shah, I can understand your worries and concern. Reading your history I understand that you have taken ovulation induction drugs that is clomid and famara just for two cycles if I am not wrong? According to the protocol what we follow you need to undergo ovulation induction cycles atleast for 5-6 times before we switch over to other mode of treatment, but anyways that is absolutely subjecive and can be changed according to the patient profile and needs. The next level would be to go for IUI that is intra uterine insemenation, rather than directly jumping over t IVF. So I would advice you to go for IUI for atleast 2 cycles before taking up IVF. But still you can consult your doctor and take a call on what you want to do next. Simple advice would be to be stress free. Don't worry All the best,take care. Dr. Om Lakhani | |
What are the solutions for shorter penis size and absence of hair growth in face?
Hi,I'm 19 year old male from Coimbatore, I'm really worried about my maturity, not only because of no hair growth in face and also due to short penis size. I'm totally depressed due to this and could not even sleep daily... can I get a solution to this? wen is the right age of puberty? am I matured enough to have sex? | Hi absence of hair on the face and short penis can be due to deficiency of testosterone hormone.rule out down syndrome and edward syndrome.go for testosterone levels .if the level is less supplementation of testosterone by injection of testosterone undeconate can be given.the correct age for puberty can be 14-18 yrs of age | |
What causes irritation in groin area and scrotum?
I had unprotected sex two weeks ago. I have had no symptoms except today i noticed some irritation in the groin fold area to the side of my scrotum. i wiped it vigorously with a wet towel after a shower and thats when i noticed the irritation. it is not itchy, no rash, I have no discharge, no pain, no burning during urination, no sores or anything else on my penis. Should i be worried or am i just being paranoid? I am slightly overweight and that area is typically moist and I had have chafing before. there are also several stretch marks located in the exact location. 40 yrs old, help? | Hi, Since you had unprotected sex . you should be doing panel of sexually transmitted disease tests. If all came negative as you said it can be due to fungal because of moistness. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | |
Suggest medication for asthma
I have wheezing when exhaling? One of my collegues have bronchitis and is taking antibiotics. Could it be that I have contracted it as well? I am 25 years old, about 1,6m tall and weigh about 65kg. About a week ago I had laryngitis for which I used antibiotics and it went away. | HelloAsthma , airways hyperresponsiveness that is secondary to inflammatory airways disease that results in recurrent or chronic episodes of wheeze ( as you have) , shortness of breath, chest tightness , cough early in the morning.Asthma is caused by certain allergens such as mite, dust , humidity , sudden fall & rise of temperature , pests , pollen ,molds smoking , hay fodder .So this information will be helpful for you that ASTHMA is not a contagious or infections disease .This is an allergy related disease . | |
Suggest treatment for stress
Dear Doctor I am under too much stress ,I get angry most often ,I feel to suck the blood of people who causes trouble to me or else it comes to my mind that i should commit suicide ,I cannot bear harsh words ,what has happened to me i don't know but i feel that i am ill | Hi there, Thanks for writing to us,I went through the history provided by you. You are experiencing symptoms of irritability, low mood, anxiety or worry etc. This could be a part of a depressive illness. But a detailed psychiatric evaluation is necessary before it could be diagnosed affirmatively. It depends on the degree of the problem whether or not you would require any medication. Hope this helps,Dr A Rao | |
Provide information on harms and precautions for giant platelets
My blood test report shows following results regarding platelets Platelet 120 X 10 cube / uL Platelet distribution width 16.4% Mean Platelet volume 12.2% Please let me know about harms of giant platelets and precautions to be taken My age is 67 years Qadir Ahmad Bareilly India | Your platelets count is at lower normal range and your mean platelet volume and platelet distribution width is normal. Large platelets may be seen in many normal person. So till you dont have other abnormality you dint need to worry or no need to take medication. | |
Suggest remedy for burning scalp with hair loss
i'm a 19 year old male, i recently noticed my hair thinning and shedding, i alsow have a burning scalp. Every time i go trough my hair five to six hairs comme loose. Lately the hair that commes loose is shorter than my actual hair so i'm afraid i might be going bald | Hi,It may be early phase of androgenetic alopecia. Kindly consult the dermatologist for the perfect diagnosis and proper treatment.I would suggest...- tab. Finesteride 1 mg daily- tab. Biotin 10 mg daily- apply minoxidil 5% solution twice a weekAvoid anxiety and worries. Continue treatment for the long time.I hope this would help you.Thanks.Dr.Ilyas Patel MD | |
What causes dizziness and tightness in the chest?
My husband is 59 years old and yesterday while working outside on a project, he had an overwhelming feeling of wellness. He said it felt like a rush, a little dizzy and almost like he was young again. He had no head ache or pain. Then later when I came home we came inside and his chest was tight he said but soon it went away. He took his blood pressure and it was normal. I wanted to take him in to ER or call our Dr. but being the man that he is, he refused. Is this something that is concerning or not. The feeling left after he was in the house for about 30 minutes but it seemed to have lasted a few hours. He said it was hard to explain how he felt. But that s as close as I can explain it. | Hello!Thank you for asking on HCM!I understand your concern and would explain that his symptoms don't seem to be cardiac related. I would recommend consulting with a neurologist for a careful physical examination, some lab blood tests (complete blood count, PCR, sedimentation rate, thyroid hormone levels, fasting glucose, kidney and liver function tests, blood electrolytes,etc.). A brain EEG is needed to rule in/out possible partial seizures, which could mimic this symptomatology. (Although the duration of the symptoms is not very typical for seizures). If the EEG results normal, it should be followed by a brain CT scan or MRI, to exclude a possible intracranial lesion. Hope to have been helpful!Feel free to ask any other questions, whenever you need!Greetings!Dr. Iliri | |
Can endometriosis be treated by laparoscopy?
Hello Iam laxmi, we are planning for pregnancy from 1 1/2 yr, am not able to concieve, dr suggested me go for Laproscopy, but am afrid of that & want go for natural medicines, she doubted that I may have endometriosis....I am very afrid, please suggest me. | Hello.Welcome to healthcaremagic.I have gone through your question.Endometriosis treated according its severity medically or surgically.And for final diagnosis laparoscopy is must. So consult gynecologist for this and for further treatment.Hope I answered your question.Would be happy to help you further.Take care. | |
Am I having side effects from Duromine?
I am taking duromine. I have taken it a few times years ago but I now have developed what looks like a heat rash on my neck. I am overweight about. 40kgs overweight. I never had side effects from this drug before. If I keep taking it will the rash eventually go away on its own? | Hi, Cannot predict. Dermatological conditions are hard to discuss without seeing them. and could be infection or yeast or possibly drug allergy. Drug allergy occurs out of the blue. Mostly within the first month of use but unpredictable. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician | |
Is kidney stone the cause for excruciating pain in left side with some swelling ?
In Oct i experienced excruciating pain in my left side accompanied by some swelling--emergency room dr did cat scan and diagnosed kidney stones--i am still having a little discomfort in that side even though the majority of the pain has subsided. i have actually had two cat scans and no stones can be seen. i have been diagnosed with kidney stones, shingles, pulled muscle--have appt with urologist on 13 Jan-- | Hi,Thanks for consulting HealthcareMagic!By the information you have giveit is difficult to say what exactly it is caused by, as you have already undergone couple of CAT scans.Even the pulled muscle can be a cause of yourpain and swelling. However, consultation with your Urologist as already scheduled can help clarify things.Hope I have answered your query. Let me know if you have have any clarifications. If you like my answers and wish me to answer in future, bring it to my attention: Dr Vasanth. Url link is as follows: you good health! | |
How to conceive while on Letrozole and hormone injections for ovulation?
I am married and it s been two years we are trying to conceive.. I have taken letrozole for 6 mths and for other two months I hav been induced to ovulate by hormone injections, and I have taken rubella vaccination also. Wat further treatment shud I pursue to conceive fast | Hi,Thanks for writing to HCM . You will conceive soon . Be stress free .Along with ovulation induction I suggest you to get your tubal patency done and if that is normal go for IUI. It is intrauterine ingestion of sperms . Here sperms are washed and processed and placed in uterus . This will increase the chances of conception as problem in ascend of sperm is solved. You can try for 3 to 4 cycles of IUI before proceeding further.Hope I have been helpful .RegardsDr.Deepika Patil | |
Can fibroids in ovary lead to back pain?
Hi, may I answer your health queries right now ? Dear doctor, I am 33 yrs old, married with one daughter age 9. In recent times I have developed severe backaches which continues for several days. I had a miscarriage recently, during my last scan my doctor informed me that my left ovary is slightly oversized compare to the right one. Can it be due to fibroid. I always hear woman saying if having terible backpain always, it might be because of fibroid, is that true? My daughter (9 yrs old) was born through vacuum, and my doctor recommended epidural during my delivery due to very long labor. Can you pls advise? | hi,welcome to HCM As I can understand from your history, your major complaints is of back pain.A slight oversized left ovary, as reported by doctor. A history of miscarriage.considering this information following conditions appears likelyovarian cyst, uterine fibroid, endometriosis.all these conditions can have presentation similar to yours.If a patient with complaints and history as yours comes to my clinic, I would advice an Transvaginal sonography to rule out uterine conditions. A consultation to gynaecologist will definitely help.welcome for further suggestions.Regards,Dr Pankaj Borade | |
What does white coating on tongue of an infant indicate?
Is it possible that my 19 month old breasfeeding baby could have thrush? He nurses fine, and I am showing no symptoms myself. He is having trouble eating and there is a white coating on the back of his tongue with raw redness running in a line down the center. | Hello. I just read through your question.I agree that it is possible that your son has oral thrush. One way to tell is by attempting to remove the white coating. If the white coating comes off, then it is most likely milk. If the white coating does not come off, it could be oral thrush. In any case, I recommend consulting with your doctor so the correct diagnosis can be made and the appropriate treatment plan implemented. | |
Painful lower stomach, bulging left side. Back ache. What is going on?
Hi i have a question.. well my left side of my lower stomach is bigger than my right and then when i press on my lower stomach it hurts and sends some kind of sharp pain but before that like 3 days ago i got a random very painful back ach and i couldnt lay on my stomach or back with out it hurting alot so i took a pain pill do u know whats going on? | Hello! Back pain connected with same side abdomen pain is mostly caused by kidney stones or urinary tract inflammation. This pain is usually associated with more often urinating, burning when urinating. Pain on left side of abdomen might be also caused by diverticulitis of large intestine. This is associated with flatulence what can explain left abdomen enlargement. If you suffer from constipation, flatulences this might be diverticulitis. It is necessary to perform blood tests and urine tests to find if there are any signs of inflammation. Ultrasound of abdomen should be performed as well. Hope this would help Take care | |
What causes sever cramp in foot muscle?
I woke up last night with a severe cramp in the muscle above my foot. My foot was pulled upward and it took several minutes before I could walk. What could be the cause? I take potassium citrate for stones and not sure if potassium could be a problem. | Hello.This could be from low potassium or low calcium or even a low vitamin D level.Even with the potassium citrate your potassium level could still be low.It may only be a one-time event but you should let your doctor know about it and get some blood work done | |
Can taking Ecosprin 75 be safe for lower LDL?
my husband/49 yrs old/ 5ft 10 inches tall/weighing 66 kgs/with BP of 110/80 has had a recent TMT test. Target heart rate of 171 achieved but result shows positive for inducible ischaema. Doctors in india say that no further test is required, but to lower LDL which is 130, and moderate pace of walking. Ecosprin 75 is prescribed. Is this the right treatment? Should further tests be conducted or not. Doctor says he is ASYMPTOMATIC and heart rate/pulse is normal. | Hello, Ecosprin is a medication for heart disease (ischemia) which has its action againts platelets but without cholesterol lowering effects. I agree with the plan to lower cholesterol levels, in addition of another medication, particularly statins, which are known to lower cardiac events significantly. The target LDL level is below 70mg/dl, which is also backed by studies to lower cardiac complications. I would suggest a check-up with your doctor for a prescription for the cholesterol lowering medication, as well as to check for any co-exisiting diseases, which can be treated as well. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Daryl Derick B. Dizon, General & Family Physician | |
Are wet cough, white tongue with red spots and fever in a child concerning?
My 9 yr old has had a bad wet cough for a week, with a low grade fever the last 3 days. Tonight she noticed that her tongue is white with red spots in the back. Fatigue, low appitite, etc. Is this something that we just need to wait out or does it sound like something we need to see her doctor for? | This could be the strawberry tongue seen with strep. Have her doctor check for this with a strep test. | |
Have fever, loose yellow stools, vomiting, abdominal pain. Done cholecystectomy, appendectomy. Mono spot positive?
i am 21 years female. Have spikes of fever up to 39.5 c. associated with Loose yellow stools, vomiting, abdominal pain since 9 days after eating food out side. I have cholecystectomy & appendectomy done many years back. No other past medical history.. No leukocytosis, Wedal Test negative but Blood culture came Salmonella Typhi and Mono Spot test is positive. AST 210 u/L, ALT 247 ALKP 258 HB dropped from 11.6 to 8,4 gm/dl. First took empirically CIPROFLOXACIN but no response. Lattea,As per culture blood sensitivity, took Ceftriaxone 1 GM I/V for 4 days but no response in fever. Now antibiotic has changed to second drug I/V Augmentin as per blood culture sensitivity report. My question is with Salmonella Typhi, Mono Spot can be positive? And what shall i do next? Now i do not have abd pain nor vomiting but still have high spikes of fever 39c, no joint pains, no skin rash, no headache, no dyspnea etc. | Hi ! The liver function test can be upset both in enteric fever and in infectious mononeucleosis with positive mono spot test. However, with a history of eating outside and bowel disorders, and blood culture report it goes more in favour of enteric fever. In case of infectious mononeucleosis, there is no specific treatment as such excepting for symptomatic treatment. I would suggest you to go for a repeat monospot test along with some special tests for infectious monocleosis if suspected strongly by your treating physician. Any type of chronic fever (high grade) will cause anaemia and this can occur in Enteric fever. You can go again for a culture sensitivity after consulting your physician, and a peripheral smear to look for malarial parasite, and any abnormal cells. After all these repeat test, your treating physician can re examine you, and decide on further course of action. wishing you a complete recovery. | |
What is lifespan of person suffering from hepatocellular carcinoma?
Hello Doctor. My husband was diagnosed with hepatocellular carcinoma one year ago. He has had hep c for poss three decades. It was inoperable. He has had two chemoembolizations and is now on nexavar. The chemo resulted in two tumours dying and another grew resulting in 5 now. Is this palliative care and what lifespan can be expected approximately? | Thanks for your question on HCM.Hepato Cellular Carcinoma(HCC) is very notorious and aggressive cancer. It carries worst prognosis and even more worse when hepatitis c is positive. Life expectancy in stage 4 HCC is less than 1year and with Hepatitis C positive it is less than 6-7 months.So for him palliative care is the only option. Give him nutritional support like multivitamin, anti oxidants and high protein diet. Give centrally acting pain killers for pain relief. Discuss end of life issues. | |
What causes child to wake up screaming in night?
My son is 2 almost 3 he is waking during the night and screaming sometimes he can be help and he ll go back to sleep but last night it lasted for 3 hours if I touch him it only made thing worse. he was flailing, screaming, crying. nothing I did seemed to make it any better | Hi,Welcome to the HCMBrief.. Rolandic partial seizure ( epilepsy) ..is to be ruled out.Detailed abswer...There are some criteria which has to be differentiated between night mare and rolandic partial seizure ..for example if child remembers in the morning that what he had seen in dream at night and is fine in the morning then it is more likely a nightmare.And if child does not remember ,anything in the morning and seems to be tired and lethargic then it can be partial seizure type and has to be evaluated by EEG and discussing with neurologist further.Regards,DR.Maheshwari | |
What causes itching on consumption of mutton?
hi. i am 25 year old. i am facing the probbem of allergy by mutton since 10 yrs. whenever i eat, i get itching in all over body as well vomiting. beside mutton there is no problem by chicken. before 10 yrs i used to eat it. but that time i had no prblm like this. | HI, thanks for using healthcare magicIt would be important to avoid using it in the future.If you continue to use it despite your allergy, the allergic response would progressively worsen.If you are accidentally exposed, then the use of oral anti histamines would help.As a persons is repeatedly exposed to a particular substance, it is possible to build an allergic response to it. This is what happened in your case.I hope this helps | |
Having chestpain, backpain. X-ray, EKG normal. No help from Vicodin. Diagnosis?
Hello I have been having mid chest/right side of chest and back pain for over a week. It sometimes varies between being a sharp, shooting, or throbbing pain. Lung x rays were good, ekg was good. No other pain except those areas of mid/right chest and back. Been on Vicodin for a week and it offers no relief. Any possible diagnosis or close would be great. | Hello. Thanks for writing to us. The pain in the middle of the chest with a normal ECG is likely to be related to chronic gastritis or a hiatus hernia. Since Vicodin is not helping you, you can try taking omeprazole available over the counter for symptomatic relief. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com | |
How can swelling and tightness in the jaw be treated?
I am being treated by my dentist for an abscess and have been on antibiotics. I was scheduled for a root canal today, but I am not able to open my mouth due to swelling and tightness in my jaw. He indicated that there are times even though the abscess is being treated with antibiotics, the infection can settle into the jaw muscle and cause it to tighten up and that is likely causing the problem. He prescribed a muscle relaxer to see if that will loosen up the jaw muscle. I have been taking OTC pain relievers to help with the swelling and pain but wondered if you could tell me if there is a name for this condition and if there is anything else I can do to help myself or help speed up the healing process? The root canal has been put on hold for a week in the hopes by then I will be able to open my mouth/jaw enough to do the procedure. Thank you for your time. | Hello,It looks that you are suffering from a condition known as Trismus and it is the cause for difficulty in opening mouth.It can occur due to infection and abscess formation and can also be due to muscle spasms.You should continue taking antibiotics and muscle relaxant and also try to gently open the mouth as much as you can.Let the infection get reduced as it will help in reducing swelling and then the mouth opening will also get improved.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What causes pain in arms?
I am getting pain in my arm after 11 years from my surgery. Never really had any huge issues and seems to have come on overnight. Pain is almost unbearable. I'm thinking potential arthritis? Should I definitely see a doctor? Heat and Iboprufen only things that seem to help | Hi i am Dr Ahmed Aly thanks for using healthcaremagic site ,I had gone through your question and understand your concerns .. In my opinion i recommend iboprufen when needed only , hot massages with topical gels , muscle relaxants , avoid heavy lifting and vigorous movements , physiotherapy and even yoga will me effective for you Alot of causes but the most common are muscular spasm , shoulder joint arithritis , cervical herniation soo i suggest XRAY and MRI and some lab investigations for proper evaluation and management .Please click THANK YOU and consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you,.Any further clarifications feel free to ask. | |
What is the treatment for abdominal pain?
I am now going on four months of abdominal pain with three acute bouts of more severe pain lasting a couple hours to 6-8 hours. The initial bout followed a meal, lasted several hours and resolved. I thought i had a case of food poisoning. Several weeks later I had a second bout following a meal which was far more intense and lasted far longer. No vomiting or diarrhea and complete resolution of symptoms again. A third bout occurred more gradually not directly following a meal, but never completely resolved. In the immediate days following I would have epigastric burning which was actually relieved by eating. Since that time I experience sensations in the abdomen daily. I feel like I have a dead necrotic organ in the area of the gall bladder adhering to other organs, possibly liver and duodenum. At times I feel as though I have an obstruction in my small intestine. No fever at any time. Lab tests negative. Negative H-pylori, Negative parasite & Ova. Negative fecal blood stool. What is the next best test and what is the most likely differential diagnoses. I feel like I have gall bladder ileus. | Hi. thanks for an elucidate history.CT Scan of the abdomen after a good preparation can help diagnose the cause of your pain. It looks you are too conscious as you are suspecting something that only a medic or a paramedic would know. Also get the upper GI endoscopy and colonoscopy done.This in fact can be an allergic problem of the intestine. | |
Does taking Creatine cause pain in lower back & around kidneys?
Hi, i have been taking creatine mono 5g per day for the last 3 days and i m experencing lower back pain around the kindeys, is the creatine causing this pain? If so should i go to the hospital or book an apt with my doctor. I read online it could be kidney failure is this true? | Hello, It's important to drink sufficient water while taking creatine. It's usually safe to take 4- 5 g per day. Maybe your back pain is related to unusual or heavy exercise. Signs of kidney failure include reduced urine output, high color urine, etc., usually not back pain. You can observe a few more days, look for the signs I mentioned, drink 2-3 liters of water daily, avoid hot environment, and start gently while working out. If pain persists or becomes worse, surely book an apt. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Md Abu Sayeed Mustafa | |
What causes anxiety and stress?
I don't even know how to start, first things first i am a 21 year old female an i'm now terrified to go to the toilet because when i go it feels like my is been ripped to shreds when i do it bleeds and its so painful. the second thing is since my pregnancy with my daughter who is now 1 occurred my relationship with my partner is sinking because i always think he is against me i think he is cheating on me all the time i cause arguments with him for no reason i hate him touching me and i hate sex before my pregnancy i used to be happy now i feel down and stressed out i feel like someone has got there hands on both sides of my head and squeezing as hard as they can i don't know how to deal with it anymore i lye awake at night feeling guilty for different members of my family for no reason i keep myself up with thoughts i don't even know my concentration has like a 2 second spam i feel like everyone is against me an i just don't know why sometimes when me and my partner have arguments i lock myself in the bathroom because i imagine him coming at me with a knife even though i know he couldn't harm me i just scared of everything dogs the dark (i always think there is someone watching me) been in a car with my partner its ruining my life i don't know what to do anymore i wont go to a doctor because i think they will judge me i feel so sorry for my daughter in all this because im just to tired to do anything an its just not fair on her. I just need help but i don't know where to start i cant go to the doctor because he would think im attention seeking. | Hello, Your sympyoms are bordering onto psychosis. Suspiciousness, difficulty in believing, fearfullness without appropriate resons. Such symptoms have very good response with quitiapne or olanzapine (2.5-5mg initially) and later can be increased when there is some response.You will feel a lot better in few days after starting meds. Please donot worry, you can see a psychiatrist and start the drugs. Even other doctors wont feel that you are attention seeking because those patients are quite different. You can tell the symptoms so clearly that it is very helpful in diagnosing correctly. With drugs your life will again become smooth with everyone around.Wish you good health.Dr. Manisha GopalMD Neuropsychaitry | |
Suggest the cause for chest pain
My 14 year old son had the following symptoms- diarrhea, light headedness, fatigue. Dr. put him on 2 Prilosec a day + high fiber diet. Shortly after he complained of chest pains and still has pain but only when he lifts something. Could the chest pain be muscular or do you think it could be related to his diarrhea or the meds? Since he has changed his diet and been on the Prilosec he has not had any diarrhea. | Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with lifting (movements).So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant drugs like ibuprofen and thiocolchicoside. Apply warm water pad on affected areas of chest. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Q. Among medicines and insulin, which is best to control sugar?
Hello doctor, I am a 30-year-old female. I had diabetes during pregnancy, and it continues after childbirth. Now I am a diabetic patient for past three years. My average sugar levels are ranging from 100-245 mg/dl. My sugar levels are not stable at all, and I had consulted my first doctor, and the prescription was Metformin 850 mg and Amaryl 1 mg. The results after taking these medications are not stable. Therefore, I consulted my second doctor and he prescribed me insulin. However, I am confused whether I should keep taking medication or insulin. Kindly advise. | Hello. I just read your query, and from what you have mentioned it appears that you have diabetes. Your blood sugar is not that uncontrolled that you have to take insulin. You can do one thing, do HbA1c test and then get back to me so that I can put you on better treatment. Hope you find my advice beneficial. For more information consult an endocrinologist online --> | |
What does this cervical spine x-ray report for mild vertigo indicate?
38 yr old male. While moving neck feel mild vertigo (no spinning) just heaviness. Episodes recur twice or thrice a day otherwise normal. Did X-ray : Diagnosed mild to moderate spondolysis. Vertin or Stugeron Forte not working. Wantt o get rid of this feeling | Hi, Thanks for asking. I undrstand your concern. For relief of the vertigo you need to take rest/take vertin or stugeron pills in prescribed dose by a spinal surgeon regularly for advised days.. so as to stop the symptoms . This needs to be followed by physiothrapy under expert physiotherapist's guidance /preventing sudden &sharp movement /jurk of neck./use of cervical collar as a supportive major. No result with medicines/physiotherapy would need surgery. Thanks. | |
On aspirin for blood thinning, neuropathy in feet. On healthy food intake. Recommended buying standard process cataplex E and B. Suggest
I have been taking 81 mg of aspirin for blood thinning. A chiropractor that I visit occasionally recommended that I buy Standard Process Cataplex E and Cataplex B. I also have neuropathy in my feet. I take a multivitamin and fish oil. I am trying to eat right, exercise, and take the kind of vitamins that are readily absorbed by my body. What are your recommendations? | Hi, you are taking enough of tablets, so dont worry about the pills, that is enough. Try to take good food. Take more of green leafy vegetables, pulses, sprouts, and proteine rich foods. Avoid taking oily foods, junk foods, and more of spices. Thank you. | |
Is contaminated breast milk harmful for infants?
I had 5 ounces of breast milk frozen for my son while my husband and I went to a movie. His mother was watching and decided to heat the bag in a boiling pot on the stove. Even though I gave her instructions not to. The top of the bag completely melted on the side of the pot, but she cut into the bag and put the milk in a bottle and fed it to my 5 month old son anyways. Is this ok? He seems fine but I am freaking out a bit | Generally speaking if there was a significantly harmful contaminant you would see signs of a problem fairly quickly. It is never good to give anyone, especially infants, fluids contaminated with plastics. Plastics can have hormone like effects or other toxic effects, but these are mostly a problem when exposures occur again and again over time. Usually a single exposure won't cause serious problems. | |
What causes purple spots below the knee in a child?
hi my 5 month old baby has a few purple spots below her knee down to her ankle. yesterday she was not heeself she cryed solid for about 2 hours i got her settled and she seems fine today. she is sleeping a bit more today than normal. do you think i should get the rash looked at? | Hello! Thank you for writing! I recommend you to visit a pediatrician. It can be a blood disorder if so thrombocytes, Hemorragic time, aPTT, PT, coagulation time should be measured, or a dermatological disorder. But it is important that this should be seen by a doctor and a total examination is needed. Wish your baby good health. Best regards. | |
What causes lower left side pain to a 5 year old?
my five year old is complaining of left lower side pain. it doesn t seem to increase with palpitation and he has had his normal daily BM. Onset about 30 minutes ago. he was able to eat his lunch (chicken fingers, corn and apple sauce). he is normally an active kid and has been playing all am, but this is new concerns me to ask... | SEEMS TO PAIN IN THE LOWER LEFT ARM ACCORDING TO YOUR NARRATIONIT MAY BE THE PULLED ELBOWYOU NEED TO CONSULT PEDIATRICIAN/ORTHOPEDIC FOR FURTHUR MANAGMENT | |
Does faint positive line of an HPK with lower abdominal pains indicate pregnancy?
Hi i have a question that I have been looking over the internet looking for an answer. I have taken 3 pregnancy test and 2 of them have shown a faint positive line. On top of that before I took the test My body has been in pain mainly in my kidneys and lower abdominal area. So does that mean i may be pregnant or is it something else | Hi dear, I have gone through your question and understand your concerns.Faint positive urine pregnancy test can be present in ectopic pregnancy or abortion.Pain in lower abdomen is present in both the conditions.I will suggest you to consult an OBGYN specialist to get properly examined, investigated including ultrasound and get appropriate treatment.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma | |
Q. How to prevent sinus infection?
Hello doctor, I am writing this on behalf of my wife. She is 26 years old. The problem is that she is prone to sinusitis. She gets infected with sinusitis at least once in two months. When she gets infected, it takes one to two weeks to recover. Her nasal passages gets blocked and she finds it difficult to breath through the nose. Also, the mucus is very thick and she tries very hard to squeeze the mucus out. Sometimes, she applies too much pressure and finds blood stains in the mucus. She tried vaporizer and saline spray, but none of them seems to work for her. She also gets a severe headache at times due to the mucus getting blocked. She feels a pain around her eyes too. Due to this she remains inactive during the entire period. The assumption is that most of the time, she gets infected due to exposure to dust or cold climate. Is there a permanent solution for this problem? Is there anything that she can do to prevent the infection? Please help. | Hi. She may have an allergy and a superadded bacterial infection. If she is getting recurrent infection, then get a skin prick allergy test and CT scan of the sinuses. The CT scan may show either mucosal thickening or polyp or a deviated septum, which may block the drainage of the sinuses. If positive findings on CT scan, then she may need endoscopic sinus surgery. If the sinuses are normal, then she will improve with antibiotic, anti-allergy tablet and steroid nasal spray. Skin prick allergy test and CT scan sinuses. I suggest the following treatment for sinusitis. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Antibiotic Augmentin 1 g (combination of Amoxicillin and Clavulanate) twice a day for five days. 2. Anti-allergic tablet Allegra 120 mg (Fexofenadine) at night for one month. 3. Use Nasonex nasal spray (Mometasone furoate) one puff at night for one month. Revert back with the reports to an ENT otolaryngologist online.---> | |
Weight gain after wisdom teeth removal. How is this possible?
I just got my wisdom teeth removed and have gained five pounds! In one day and I barely eaten anything around 500 cal and I eat very healthy how is this possible could it be the swelling because my face has swelled a lot more than average please I need help! Will the weight fall off because I have never ever been this heavy in my life and I want to cry:( | Hello Welcome to HCM Getting swollen face post extraction of wisdom teeth is very common & needn't to be worried. But it can't account for wait gain of 5 pounds.Your wait gain may be due to some other reason like due to some dietary habit or any other systemic disease.Consult your physician for further opinion. Regarding that third molar extraction, you do warm saline rinses 3-4 times a day. Along with that continue your prescribed medicines.Take proper rest & don't worry at all because your swelling will soon subside. Take Care Regards Dr.Neha | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Pressure in pelvis, foul smell in urine, left side back pain. Having poly cystic kidney, cyst in liver. Suggestions?
Hi, for three months I've been experiencing pressure in pelvis and when voiding, in the beginning there was a foul smell to urine. Still uncomfortable and now having some back pain left side, urine test done normal, pelvic ultrasound normal, even pevic mri with contrast done. However, no medication i.e. antibiotics were ever given. Have polycystic kidney disease and cyst in liver. What should I do? | Hi,you are a patient of ADPKD,having cysts in kidneys & liver.Such patients are vulnerable for recurrent urine infections,cyst infections,however that possibilty has been ruled out by appropriate evaluation .Foul smell could also be that of Ammonia or from vagina.Get labs done for KFT,Do not hold urine for long,maintain adequate fluid intake to maintain 1.5litres of urine daily.All the best | |
Q. Can you explain the reason behind burning sensation of gums?
Hi doctor, Whenever I eat spicy food, I feel some kind of irritation, burning sensation and pain in my gums. I do not have any cavity in my teeth. I got scaling done 2 years back. Once I stop eating spicy food, the pain fades away in few minutes. I would like to know the reason behind it. Please advice me the preventive measures as well. | Hi. Hurting of gums while taking spicy food might be due to the following causes: 1. Gingivitis (swelling and inflammation of the gums) - Swollen gums may be painful and may cause burning sensation and pain while taking hot and spicy food. Gingivitis occurs due to either plaque or other debris accumulating around the teeth and gums. Also hormonal changes occurring during menstrual cycle can cause swollen and painful gums. Any medicines taken for medical issues like hypertension, epilepsy, etc., also cause gum changes and swelling. 2. Any ulcers in the mouth will get hurt while taking hot and spicy food. Ulcers might occur due to faulty tooth brushing techniques, usage of toothbrushes with hard bristles, stress, sharp tooth hurting the tissues, any dental appliances or ill-fitting dentures. 3. Any abscess related to infected tooth might also hurt while taking spicy food. But, you have mentioned that you do not have any cavities or teeth issues. Have you been examined by a dentist regarding this? 4. Any impacted tooth (teeth that remain unerupted due to inadequate space inside the mouth or remain inside the bone itself) may develop swelling of gums around it. When the opposing teeth impinges on this swollen tissue while taking spicy food it gets hurt. 5. Hypersensitivity reactions may occur to certain foods. This might cause swelling, reddening and burning sensation of the mouth. This may occur due to some food additives. 6. Habits like smoking and usage of tobacco products may also cause burning sensation while consuming spicy and hot food. 7. Dental procedures like scaling (cleaning of teeth) might cause minor tissue injuries. These hurt and cause burning sensation while taking hot and spicy food. But, this heals in 4-5 days after cleaning. In your case, this might not be the reason, as you have undergone scaling before 2-3 years. 1. Get dental scaling done, if you have any plaque or calculus deposits causing swollen gums. 2. Get your oral cavity examined by your dentist, for any ulcers, abscesses, infected teeth and impacted teeth. 3. Also get checked for any sharp teeth and any dental appliances or ill-fitting dentures. If found, sharp teeth have to be trimmed and reduced, and ill-fitting dentures and dental appliances have to be corrected immediately. 1. Kindly make a note if you develop any gum swelling, redness or bleeding gums during your periods. 2. Use toothbrushes with soft bristles for brushing your teeth. Also follow the proper brushing techniqu | |
Why there is numbness in my knee?
I fell 3 months ago hard on my knee I went to emergency because the pain was bad there where no broken bones but its now 3 months later and there is numbness on a spot on my knee and I can not put too much pressure with out it being uncomfortable.If its not broke whats wrong with it? | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have numbness in your knee. Well there can be many reasons for symptoms you mention in query like diabetes mellitus , peripheral neuropathy , raynaud's disease , peripheral vascular disease , buerger's disease , nerve compression or injury . I would suggest you to consult orthopedic surgeon for proper examination . Doctor may order CT scan , MRI or physical examination by checking the movement . Doctor may prescribe muscle relaxant along with anti inflammatory and nerve supplement . Doctor may also recommend physical therapy or surgery in severe damage . For now apply warm compresses thrice day and give your knee proper rest . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
My 8 years old cousin has not perfect brain by birth. Is there any treatment for this?
gudevening sir, this is akhila from andhrapradesh [hyderbad] and i saw your profile in your hospital websites and finding you are the neurologist so i need some help from you please give your valuable guidence. coming to the point my cousin have some medical assistence. he was 8yrs older guy by birth he was not perfect he was not able to work with his own in common works also like walking,talking etc.. and his brain was not given signals for pissing, eating,and for drinking water also. clearly his brain was not working he doesn't no any thing. this is our problem is there any option to rectified this problem in your hospitals please kindly help me and my email id was akhi.022@gmail.com please send mail on that email address | Hey I am not the neurologist. This is a open community I guess. You can consult the neurologist by clicking the above button saying Talk to the Neurologist | |
Q. I have red patches on both legs with tingling. Are these early signs of DVT?
Hello doctor, Is red warm patches on both legs, with tingling early stages of DVT? I went to the ER and they sent me home. I am currently on L-carnitine, L-Argentine, Suboxone, Aspirin, Fluoxetine, and Buspirone. | Hello. No, it is not an indication of DVT (deep vein thrombosis). The earliest symptom of DVT would be swelling, which is usually unilateral associated with pain. Rash may occur but in later stages and associated with swelling/pain, which may occur due to venous congestion. Also, I guess there are no risk factors for DVT like bedridden state, lower limb surgery, long haul flight, etc. So I do not think this is DVT. Now, why are you on Aspirin and other medications? Do you have any systemic disease which could explain these symptoms? Regarding possible causes, these are inflammatory skin rashes, which may be due to due to allergies, insect bites, viral infections, skin irritation due to clothes and more likely possibility is of drug-induced as you are on medications like Aspirin, etc. So try to correlate with the above-mentioned factors. I hope this helps. | |
Diabetic and rapid pulse, had complete hysterectomy. Have endometrial and myometrial cancer. Do radiation treatment. Suggest?
I had a complete hysterectomy two weeks ago. I have Stage 1 endometrial cancer and Stage 2 myometrial cancer. The surgeon did not take lymph nodes. The treatment plan is to do five weeks of radiation, 2 minutes per day. They don't want to take lymph nodes now due to rapid pulse rate and diabetes. I'm age 73. How hard would it be to get pelvic lymph nodes out? I already had lymph nodes taken for lung cancer and did not get lymphedema. | In stage IA endometrial cancer, the cancer has grown less than halfway into the myometrium. Many of these can be observed without further treatment after surgery. For high grade tumors, radiation after surgery. Either vaginal brachytherapy (VB), pelvic radiation, or both can be givenIn stage IB, the cancer has grown more than halfway through the myometrium. After surgery the patient may be watched without further treatment or offered some form of radiation treatment. Either VB, pelvic radiation, or both can be used. Regards and take care | |
Does a toenail infection spread ?
My 7 month old daughter has an infected toenail and the infection came out today. I am going to soak it 3 times a day and put antibiotic cream on it. At what point would I need to take her to the doctor. I freak out a lot bout ingrown toenails because there was a cop in my town who died from and infected toenail because the infection spread. What would be signs of it spreading. | Do not worry. Death is not common after toe nail. But still as your daughter is only 6 months old, i would recommend you to get show it to doctor as soon as possible. putting antibiotic solution with infection still inside will not going to work rather can create resistant among bacteria for drugs.Thanks |
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