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Suggest medicines for low blood pressure
(a) I am using Minipress XL 2.5 daily(b) due to indigesion Dr has prescribed Enzar tab in the morning and evening(c) Vi Bact in the Morning(d) Normaxin two times(e) And Remylin prescribed but not taken yet Now I am suffering low Blood pressure. Please advice me | hi stop taking anti hypertensive medication till you are on medicines for indigestion once settled you can again restart with your anti hypertensive medicineotherwise eat a high salt diet ,take atleast 2.5litres of water dailygastric upset cause loss of sodium and potassium like minerals from stools they play a pivotal role in maintaining blood pressure normal hence either stop minioress xl till your stomach is ok or take excess sodium and potaasium in diet | |
Pain in lower back, headache, dizziness, weakness, constipation. Diagnosed anemic. Prescribed depo to stop bleeding. Suggest
My doctor has diagnosed me as anaemic, but I think it is something more, they have taken me out of the trigestrel and now they put me on depo to try and stop the bleeding, as I have shed some flesh like most of the ladies did on your side, I m planning to as them to refere me to see a gyno maybe I have cyst or something as I m constantly struggling with my lower back, I have headaches that I wish I could die of when they start, I get dizzy now and the, I feel tired and weak and the worst of all I constantly constipated. please help Carol | Hi Carol, You can do: - urine analysis = rule out urinary tract infection- vaginal swab testing/pap smear = rule out genital problems- transvaginal and abdominal ultrasound- check your internal ear with ENT specialist for dizzinessWish you health! | |
What is the treatment for low hanging penis, involuntary sperm discharge and itching skin?
iam 20 aged andmy balls are hnging alot i.e, lower than my pennisand my skin also wont come backand iam spelling sperms in the nights sleep ( 3 times a week)and my pennis shape is like bananaand inner skin itches, white particles are acumulating help me for coming out of these!!!!!!!!!! | DearWe understand your concernsI went through your description. I suggest you not to worry much. Your balls are hanging because your skin there tend to loosen and tighten according to so many physical and atmospheric conditions. Nothing to worry. Your foreskin may be operated for clear skin movement and for better sexual life. Night spilling of sperm is normal at your age. Penis shape is like banana for almost every one and it is good for intercourse. You should keep your private area clean as an immediate treatment to itching. You are just 20 and you are worrying about your sexual life. Please keep yourself engaged in your career and education. Sexual life is secondary. You will learn it in due course.You might need psychological counseling., I am more than happy to provide telephone psychological counseling through healthcaremagic. Contact me through customer care, www.healthcaremagic.com.Hope this answers your query. Available for further clarifications.Good luck. | |
How to treat costochondritis?
hi, i have costochondritis and i'm 16 years old, i have a few questions about it. first i want to know if it will go away? and how long will it take until it goes away? after it goes away, if i do a certain things like run or play sports will it come back? | Thanks for your question on Healthcare Magic.I can understand your concern. Costochondritis is inflammation of costal cartilage (rib cage).It is 100% reversible condition.It usually takes 2-3 weeks for complete recovery from costochondritis.It can recur. You should follow these steps for recovery in costochondritis. 1. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise.2. Avoid sudden jerky movements of chest.3. Apply warm water pad on affected areas of chest.5. Take painkiller and anti inflammatory drugs like ibuprofen or acetaminophen.Do all these for 2 weeks and you will be alright.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes chest pain,shortness of breath and dizziness?
ive had a heart murmur since i was born and its never really effeted me atall im not sure what type of murmur it is as ive never sked im due for a check up and lately ive been feeling so tierd, dizzy, out of breath and am getting really bad chest pains, i often black out completly or cant see for a a few seconds, what does this mean? and you do you think its to do with my heart? | Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of heart related diseases is more. Childhood murmurs can worsen in adult life and cause symptoms like chest pain, black outs, dizziness, shortness of breath etc.So better to consult doctor and get done 1. Blood pressure monitoring 2. Ecg 3. 2d echo. 4. Stress test (trade mill test). All these reports are needed to diagnose heart diseases if at all present. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What are symptoms of pneumonia?
I recently got over either the flu or pnemonia. I've noticed my feces are increasingly yellow or whitish. I had quit smoking thrity days ago and have been on the nicotine gum and now the lozenges. I don't feel bad, but this is unusual. Could the nicotine products be contributing to the discoloration? Thank you. | HiIf a patient have pneumonia he should have cough with or without sputum,probably chest pain and breathlessness,anorexia,fever.But the signs and symptoms varies from patient to patient.Take careDr.jolanda | |
Q. Will I get pregnant after taking the emergency pill within 24 hours of having sex?
Hello doctor,What are my chances of getting pregnant after taking the emergency pill within 24 hours of having sex? | Hello. Your chances of getting pregnant after taking the morning pill are very low. But it also depends on what day of the cycle you had sex and how long is your cycle and was it the only episode of unprotected sex in this cycle. Your period might get delayed or you might experience spotting with morning pill. | |
Can alcohol consumption while on Montair cause liver cirrhosis?
I use to consume alcohol on all weekends, and I have been using montair LC for past 6 years, please advice me will it cause any allergic reaction or any serious side affects ( will it knock out my Liver? #liver cirrhosis? I am having serious & scary bad dreams almost all night after consuming montair LC and I am sick with my trouble of breathing, Kindly guide me as I am stupid. | Hello, The montair LC usually doesn't cause cirrhosis like liver affection. But alcohol can induce liver cirrhosis like irreversible condition. So I suggest you stop alcohol gradually. The montair LC on long term affection can cause chest tightness, gastritis and many other side effects. So stop it and find cause for allergic reaction. For that allergic testing can be done and causative allergen should be avoided. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
How to treat gland TB?
..My brother suffering fever with 1 month and after that revealed that he has faced with gland T.B. in left chest in a month ago and operation had been done successfully. He now go thorough medicine course but day 3 ago his gland swell and suffering to take food. He too much nerves. | Hi welcone to HCM..Here your brother having tuberculosis infection of gland , so I assume that you might have confirmed it by biopsy or sputum examination by Zn stain or PCR like investigation or culture ...If you will not start AKT than chance of spread of TB and complication can be there ...So full course of AKT should be taken six month ...Meanwhile constant monitoring of side effect needed esp .LFT profile ...Healthy diet taken with low fat and more fruits ...Take care Advise : consult physician for examination | |
Suggest treatment for rash on scrotum
Initially I thought this problem was due of moisture but it seems that even though I take precautions it still doesn't go away and I've had this issue for more than a year now. The problem is that there is this rash growing between the crevice of my scrotum (balls sac) and thigh. What happens is that it itches down there pretty often. If I do scratch it (and usually I do because I can't hold it any longer) it doesnt bleed or any pus come out. The area will be very redish color and it has a smell of fatigus [my fiance is a nurse]. Precautions that I've taken are showering daily and washing that area with soap every time I do, and wear at least one clean underwear a day. What could this issue be caused by? Any recommendations to what medicinal lotions I can able? | Thanks for contacting HCMI am sorry to hear that you are having a rash in your groin. This sounds very much like a fungal infection or something called jock itch. It is caused by a fungal growth in the groin where fungus likes t grow in warm dark and moist areas. In my practice I see this often and treat it with antifungal powders like Tinactin or Lamisil. To help prevent the rash be sure to shower and dry off completely after exercise. Wearing less restrictive clothing like boxers may also help reduce the infection and irritation.Hope this answers your question. Please contact us again with your medical questions or concerns | |
My 13 year old son was born 2 months early and has testicular cancer
my 13 year old son was born 2 months early and has testicular cancer? then what happens. | Hi frances! Thanks for choosing healthcaremagic.com.It is heartening that your child has to undergo such pain.The diagnosis of stage,involvement of one or both testis,grade and type of tumour will help in predicting survival.When detected early, testicular cancer is highly treatable and usually curable.take care. | |
How to bring back the stomach to its original size?
I recently went from Peritonel dialysis to hemo. Since being on hemo my stomach has has grown to that of a woman in her ninth month and breathing especially at night has become differcult. What can be done to bring my stomach back to its original size | Hello, now that you have moved to hemodialysis from peritoneal diaylsis and you are having complains of abdominal distension which can be caused due to excessive accumulation of fluid in your peritoneum which is called as ascitis. Due to distension of abdomen which causes pressure on diaphragm and finally on the lungs causing decrease space for lungs to expand for breathing and thus the breathing difficult in night. I would suggest you to get a USG scan of abdomen and see whether ascites is present or not. If at all present it can be drained out and you can feel symptomatically better. Otherwise it could be just bloating of abdomen. Kindly consult your doctor with the reports. Thank you | |
Blood in urine, frequent urge to urination, painful bladder spasms, lower back pain. How is lupus nephritis treated?
How is lupus nephritis treated? I m a 36 yr female diagnosed with SLE 12 years ago. I also have fibromyalgia , migraines, fibercycstic breast disease , TMJ , chronic dry mouth and eyes, Siracusa of the lower, and scoliosis. I m currently taking 2000mg of cellcept, 400mg plaquenil, 100mg savella, 100mg ultram er, tramadol/aet, voltren gel, voltren, omega 3, vitamin e, multi vitamin pack, and calcium. For the past 3 month I ve to several doctors trying to find out why I still had a uti. I recently found out on Friday I don t have and never had a uti. I have blood in my urine, chronic feeling of having to go urinate only to have nothing come out, painful spasms of the bladder, and some lower back pain. | wht does your urine routine examination amd culture report say ?the symptoms you described are very much suggestive of a UTI, urinary tract infection.lupus nephritis treatment involves following :1) control of symptoms like joint pains fever etc by medicines like plaqnil you are taking.2) disease modifying drugs which control activity of disease and progression of complications like cellcept and wysolone3) treatment of complications like nephritis with control of swelling and anemia, and if itis fairly advanced then even dislysis and kidney transplant. | |
Suggest remedy for hip pain after an accident
I fell from a car when I was exiting and landed on my hip. It is quite painful/ Xray show no breaks. I had physical therapy 4 times but there does not seem to be any change in pain. I need a walker to get around otherwise I cannot put almost no weight right leg (injured leg) . When sitting down I have no pain whatsoever. I m an 82 year old male . I take Hydriconone for pain but it has n effect on the pain. Could a crack have been missed when reading the Xray ? What do you suggest I do? | Hi.A crack can be missed some times, especially if the xray is not taken in the right angle and you can go ahead with a repeat xray from different angles just to make sure we rule that out. But we also need to take into consideration the fact that your age cannot tolerate mild injuries as well as you could a few years prior to this. So lets also allow your hip to rest and heal well enough without going about too much physical strain.Best wishes. | |
Does frequent swelling on face down the jaw bone indicates thyroid cancer?
I keep getting a swelling on the right side of my face down by the jawbone by the ear...It comes and goes but when it comes you can see the swelling. It feels like there is a gland or something in there that's may be infected.I am concerned because I have had Thyroid Cancer in the past | THANKS FOR YOUR QUERY,i have gone through your questions, the swelling could be salivary gland related or inflammatory lymphnode enlargement....it can be secondary to odntogenic infection also...consult a oral physician to rule out odontogenic infection..you need to take radiograph like OPG and get an ultrasound done to rule out pathologies related to gland and lymphnode | |
Can Vagi-Hex be taken during pregnancy?
I am five weeks pregnant according to the scan result, I am suffering from very bad pain since last week. My doctor said it could be because of vaginal infection. So, she gave me vagi hex 10mg. but it advised in the medicin do not use in your first 12 months of pregnancy. I am confused now.should I use it? I do not have access to my Doctor until Monday. I am really worried now. | hi,how are you doing?I would advise you NOT to have that medicine. Vagi hexagon or Hexatidine doesn't have enough studies for use in pregnancy. If I may advice, forget the pain, if not severe. If pain is unbearable, then have a short course of antibiotic , Tab . Azithromycin 500mg once a day for 3 days, 1/2 hr before food.You can also have vaginal suppositories of natural micronized progesterone 200 mg at bedtime.This would quiescent Ur uterus. Hope I have clarified your query, do write back if any more queriesall the best | |
What is the risk in keeping the exposed area in tooth untreated?
hi, i'm a 42 yr old man, facing some dental problems off late. My molar tooth in my left lower part underwent a root canal treatment about 8 years back. 2 days back while eating food, my false tooth came out exposing the filling area & i guess a pin like thing, which was meant to hold it i guess. I am a heavy smoker & I am not living away from my homeland and am not in a financial state to get any treatment done. Pls tell me if there's any risks involved in keeping the exposed area untreated for 3 months or do I have to immediately treat it? | Thanks for your query, I have gone through your query.As far as i understand, the crown has come out along with some part of the tooth leaving the post or pin in the tooth. If i am your treating doctor, i would suggest you to get it recemented immediately so that the tooth will not further breaks since it is very weak. Once you can able to meet your dentist, you can get the post and core repeated with new crown. Recementation will not cost you much so for time being get it recemented.I hope my answer will help you, take care. | |
What causes pain and numbness in the left arm?
Persistent left arm pain and numbness; barely relieved by nsaids; involved shoulder to hand; flares up while sleeping; no structural cervical damage or injury presented. Ongoing for 3wks. Sometimes shoulder is involved with the pain. No hx of heart issues. | Dear patient your symptoms indicate diagnosis of cervical canal stenosis reason may be disc prolapse. Disc herniation in cervical area leads to compression on upper limb nerves and tingling numbness in upper limb. Confirmation can be done by mri of cervical spine. Get it done from radiology centre nearby you. Meanwhile start tab pregalin x 75 mg one at bedtime. Use soft pillow at night. If mri is abnormal you need to consult neurosurgeon as soon as possible. Thanks. | |
Suggest remedy for lower back pain
I am late on my periods for about 6 days. I was worried if i was pregnant but as i took the tests it came out to be negative twice. So i became kinda sure i was not but i am suffering from lower backaches since yesterday, the ones I have during my periods but no bleeding. What could possibly be the reason? I was really worried. Is there any medication I should take or is it normal? Plz reply soon | Welcome to health care magic I understand your concern and I would like to tell you that not to worry much... Sometime backache is related to menstrual irregularities and sometimes associated with periods It's normal so do not worry much and you don't need for any medication just take some rest and don't stree much But if the pain increases and becom intolerable take paracetamol tablet Thanks Regards Dr Varun | |
High intolerance to anything, volatile behavior. What best can be done ?
Hello, thanks for taking my question. My step father about 74 yrs old. HIGH intolerance to anything that he does not like or want. He is / has been VERY volatile. He has fire arms and is threatening to use them on family members and others. Life in the past was scary..... surprised I am alive. Mom is fearing for her life but has not gotten help from the health community here. trying to get doctors to help but has been turned down. he found that one doc was a psychiatrist and he walked out knowing the direction being taken and told her if any more Dr apts like this he will take her out. Cost is an issue they have little money. I know for a fact that once he hits the final edge he will go ballistic and use the guns. I keep mine with me as to be ready should he start anything. In years past he threatened a cop and they relocated the cop. (truth) I am not sure the Sherriff's can/will help. If he is questioned or not put away for good then he will for sure explode. Thanks for your direction and help. | HIThank for choosing HCM, This having very little medical concern, but that is too handle with particular (Metal health) department, online or on forum is not much helpful to you,, more over it is more legal issue you better act legally and not doing anything illegally, take care of your family Have good day. | |
How can infertility be treated?
Yes im trying get pregnant but i just turned 30 and my husband 26. We got married dec but been trying ever scents then and i still aint got pregnant. Ive started taking prenatal vitimans and been eating right but i dont eat as much as i should. so question is do i need to go see a doctor | yes...both of you should go to doctor for semen analysis and ultrasound for any uterine or tube or ovary problem and thyroid status or sugar in both of you...as cause of infertility is found in males in one third cases ...further investigation will be on basis of these tests ... | |
What causes jaundice after stent insertion in bile duct?
My husband had a stent inserted into his bile duct 3 weeks ago, his jaundice seems to have become worse today yet he has no pain just the same discomfort he's had since the ERCP. He's not feverish just feeling fatigue and has had no appetite since he became unwell. He is waiting for surgery to have his gall bladder removed. Does he need to see his doctor again or go to A+E or is it OK ? | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.He needs to see surgeon since jaundice is sign that there is blockage of bile ducts and it should be treated promptly. It may be blocked by stone or by tumors. In every case, early treatment is required to prevent cholangitis and other serious complciations.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | |
Suggest treatment for severe viral infection
In December I was sick twice with some viral infection that landed me in the hospital. They gave me multiple different antibiotics and even though I got better each time (one week apart), I started with severe muscle pain in both of my arms and the backs of my legs in the knee and thigh area. The pain was more severe at night. Hospital never concluded what the virus was. My doctor thinks I had antibiotic induced myalgia, did a bunch of blood work, all came back normal..haven t heard from him since, even though I told the nurse the pain was severe. Started taking powder form magnesium, electrolytes, and sips of tonic water with Quinine. Majority of muscle pain ha subsided except in upper arms and only at night. Now the skin on my upper under arm, below the armpit area, and the skin on the back of both knees is like sandpaper. Nothing is sore to the touch. I don t know what to make of it and don t know who to go see, if anyone. | Hi, welcome to HCM, You can try L-Carnitine supplements for the pain and fish oil capsules for rough skin--regards | |
What causes abnormal heart beats after physical workouts?
After some physical excercise I can feel my heart give a sudden thud, I think it skips a beat as I miss a beat in my pulse, it can happen a few times at once but then my pulse and heart rate go back to normal. I have had an ecg and echo cariied out and all seemed normal | Hi,Increased heart rate and palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress in form of exercise. For the diagnosis, you need to do ECG at the time of palpitation and tachycardia which you have already done and is normal. After exercise our heart tend to increase because of sympathetic stimulation and comes back to normal after some time. It is a normal phenomenon. So don't worry.I hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sameer Maheshwari | |
Can urine samples be used to determine common STDs?
Hi! I went to the ER a few days ago and was diagnosed with a UTI turned kidney infection. I haven t picked up my prescription yet, but will after Labor Day. There is diluted blood when I wipe, and small bits of what I can only assume is bloody bits of skin tissue. I have frequency issues, pain, and occasionally pain during or after intercourse. It all sounds like a textbook UTI, but they didn t swab me or do a pelvic exam went I saw the doctor, so my question is: can they determine the presence of common STDs in urine samples? Is it possible that I have something else that they missed? | Hi thanks for asking quesrion .Urine examination can reveal pus cell that is favouring of urinary tract infection.But it is not for detecting STD.for sexually transmitted disease test from serum mostly done.Here you have 3 possibilities.First rule out chronic urinary tract infection with pyelonephritis.Second one here it is necessary to rule out pelvic inflammatory disease with pelvic examination.perspeculum examination also have to done.Third possibility is to rule out sexually transmitted disease like chlamydia , gonorrhea etc.Ultrasound examination has to be done in your case.I hope my suggestion will guide you toward proper diagnosis of your case.Wish you good health | |
Suggest treatment for numbness caused by a meniscus tear
I tore my meniscus about 3 months ago, i did 7 weeks of PT. Im much better now, i only get some stabbing pain here and then. My question is, how long will i have the numbness? Its stiil a big section of my left knee. It starts right below my knee and goes down on both sides of my knee. Worried! Thank u | hithe numbness and other symptoms shall subside in few days, take usual precautins and treatments advised on follow up, visit doctor periodically best wishes | |
Can aspiration cause Atelectasis?
i have pd stage 1 since 2011.have liq aspiration only.chect x ray reveals atelectasis of lower right lobe of lung. i have a chronic cough for past yesr n half! is due to aspiration? for atelectasis i have to see a pulmonologist? iam like a beat up car going from one garage to another!!!! | Atelectasis/collapse of lung may be due to various causes. What is ur age? Do u have fever? weight loss? chest pain? I am a pulmonologist and can help u. You first send me the Chest X-ray plate image. A collapse due to aspiration will have fever. You need to do a CECT scan of thorax and FOB, if needed. | |
Q. What can be done for severe headache that starts during late morning?
Hello doctor, I have had a crippling headache for two days now and nothing seems to help. It starts late morning and gets worse throughout the day. I just want to know what I should do. I am 21, 5'8", female, around 160 pounds. | Hi. Headache has numerous causes. And according to your presentation, I am going to list some of the causes that could be the reason for what you experience. Please, reflect them to your case. 1. Beginning of acute upper respiratory tract infection, in case you show other signs including runny nose, cough, sore throat or others of cold and flu symptoms. 2. Frontal headache can be due to paranasal sinus inflammation which is part of cold and flu symptoms or part of long-term inflammation. 3. Stress, lack of sleep, anxiety or bad mood. 4. Bad sleeping position (for the neck) or uncomfortable pillow (usually comes in the morning and back of neck and head but can be in the front as well). 5. Anemia (commonly iron deficiency anemia, specially if you are having the monthly period these days). 6. PMS (pre-menstrual syndrome) few days before monthly period. 7. Frontal headache can come with disturbed visual acuity (you might need to visit ophthalmologist for eye test) especially if have concomitant blurring of vision. 8. Head trauma, in case you experienced that before the beginning of that headache. 9. Diabetes mellitus type 2. 10. Hypoglycemia (low blood glucose) in case you are not following appropriate diet or not eating well. 11. Vitamin D deficiency (but usually for long term headache with other symptoms). I will list some of the investigations to do and medicines to take (for a few days). FBS (requires fasting 8 to 10 hours), HbA1c, complete blood count, Fe studies. Naproxen 500 mg tablets one tablet per 12 hours after meals for 3 to 5 days, as needed. | |
What causes stomach discomfort and rectal bleeding while on Flagyl?
Can you recommend an effective yet "mild" antibiotic for a dental infection for a person sensitive to antibiotic side-effects like upset stomach. I've been taking Flagyl on my dentist's wisdom but it upsets my stomach and generally makes me feel lousy. Once tried something else (can't remember what) that "everyone else" takes without problems and, besides stomach upset, it also caused internal bleeding rectally that really scared me. Other than recent dental infection problems associated with implant procedure, I've never been sick in my life, don't take any medications, at 67. | Hello,As per your query, you have symptoms of stomach discomfort and rectal bleeding post intake of Flagyl for dental infection. Well I would suggest you to take all preventive methods first.Do warm saline gargles and do betadine rinses. You should maintain hygiene by brushing and flossing.Visit oral and maxillofacial surgeon once and get it examined completely and get IOPA of that particular tooth done and start treatment accordingly.Till then take Clindamycin along with antianalgesic to avoid pain and swelling along with infection.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari | |
What comprises aphasia in a stroke patient and what could be the average recovery period?
My mother (99 +7 mos. old) was struck with a TIA 3 days ago. Maybe is a Stroke ? There is no obvious paralysis. However, her speech is very garbled, which obviously frustrates her. The nurses keep saying that maybe the "aphasia" will wear off. What comprises this aphasia and is there an average time for it to end ? Can I do anything to help her? | hi, TIA by definition, resolves within 24 hrs. since your mother still cant speek, i consider it stroke. is her right hand and leg allright? it may take anyway between 2 weeks to 2 years to recover. sometimes it may not recover also. she may require speech therapy and treatment of infarcts in the brain. hope this helped. | |
Is it a Psoriasis ?
Hello Sir, My son is having a dried skin and getting cut often and he is having this since three months and since 10 days we are applying t-bact and we felt it got reduce but again it got cut and getting pain. Is it psoriasis? | Hi! Sriniva M., Welocme to HealthcareMagic forum, In psoriasis one gets silver white scales with skin peeling off associated with itching.Common sites on involvement are elbows ,knees,scalp ,extensor surface of lower leg,lower back.Cuts are rare.It would be good to show to a nearby dermatologist . Take care, Dr.Chawda | |
Why do caucasian hemodialysis patients have lower health realted quality of life?
What are the possible reasons Caucasian hemodialysis patients have a lower health-related quality of life (HRQOL) and higher morbidity rate than African-American hemodialysis patients? What are some interventions for raising the HRQOL among all ethnic groups? | Dear User,I don't have a clear answer on this. One possibility is that mortality among blacks with predialysis chronic kidney disease is much higher than among whites with predialysis kidney disease, resulting in the selection of relatively "healthier" patients who eventually require dialysis. In fact, African-Americans has a very high risk of cardiovascular diseases before dialysis. Support for this hypothesis was provided by NHANES, in which a higher risk for death in the early stages of CKD was observed among blacks. | |
What causes pain during ejaculation after an appendectomy surgery?
Problems after an appendectomyAbout a month ago my husband had an appendectomy that was successful. They also found out in the hospital that he has diverticulosis. His car has since heels well and he has had his first appointment with the surgeon after surgery . Tonight he is complaining of pain in the post surgical area, pain while trying to urinate, and having problems urinating as well. He is also feeling pain during ejaculation. He has been watching what he has been eating as far as the diaper to kilos sis. My question is is it normal for him to be having pain and difficulty urinating? Thank you | Hello and .As an Urologist,i can understand your concern.Let me state,that appendectomy, isn't related to difficulty in urination.Neither has it any role in ejaculation. You should've stated his age and what medication he's on.He'll need to see an Urologist. Tests needed,are urine and blood, routine with culture,creatinine,RBS,PSA,and LFT. Then an ultrasound scan-KUB is needed. Urologist will start antibiotic,if pain's due to infection.If you've any doubt's,send it to me, as a direct question.Dr.Matthew J. Mangat. | |
What is the procedural treatment for MRSA?
Hi, I worked with an client who was diagnosed with MRSA and at that time I didn t know what MRSA was. So on my three day shift while giving him his meds, I started getting sick. I finally went to the doctor, and learned that I had it. Every since then, I ve been treated for it three times. I ve had blood work done to make sure that I wasn t diabetic. It came back that I wasn t. So my doctor told me that it will take time for it to clear completely out of my system. I don t have any insurance, and this has been a nightmare. I have it again, and I m tired of going to the doctor, paying out of pocket, just to get a prescription. They have been treating me with Sulfameth/Trimethoprim 800/160, Mupirocin and another stronger oral antibiotic. I already have the Mupirocin ointment and I ve been using it for the past 4 days. Like the past episodes, the Mupirocin isn t working alone. I m starting to feel sick. Instead of paying another high bill from my doctor, what kind of services can you offer and what are your rates. Thanks | Thanks for your query!I am DR. Sheetal VermaInfectious diease physicianRelax don't worry.If you are having MRSA it is completely curable.What antibiotic you are taking so that I can guide you well.Get blood culture with an automated system phoenix BD or routine culture to determine MIC of drugs so that I can guide you further.I take premium questions as per HCM policy which you may inquire.Take care! | |
What could cause swelling of gums and headache?
Hello my name is Stuart.The last couple days I have been having these headaches then my mouth started to swell up my gums and now my lips it's not a tooth apses because I have had many of to no what it is.It almost feels like it's moving around my mouth, I'm not in pain with my mouth just my headaches, also my lips feel tingly I just want to no is it an infection or something else thankyou | Hello, Thanks for your query.Swollen gums usually occur due to-gingivitis.I would advice you to get a thorough scaling done.Maintain oral hygiene well.Avoid tobacco or pan chewing.Vitamin b complex ,c as well as iron supplements has to be ingested.Use chlorhexidine mouthrinses to gargle.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Is ear ache a side effect of albothyl ?
hello im lala i was diagnos of cervicitis.im 30y/o 5 3ht, 53kg i have no other medical history except for this cervicitis..May i ask what are the side effect of taking albothyl supp..bec 4 days now im suffering ear ache is it related to the side effect of it..thanks | Hi, Albothyl is a locally active hemostatic and antiseptic commonly prescribed to treat vaginal infections and cervicitis. Generally it is well tolerated however its common side effects include localized irritation may occur in the beginning of treatment which generally clears up quickly. It is unlikely to cause ear ache as its side effect. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali | |
How to stabilize polycystic kidney toxins in the body?
Dear Dr.Rangadhar Greetings My mother has a genetic disease, which has risen polycystic kidney toxins in the body do you have a cure for this disease, please tell us because the toxins in the body increases and lost a lot of kidney function Creatine 7. R Urea 120 Thank you saleh | Dear sir/madam, she is in renal failure. There is no cure for polycystic kidney disease. Only options for the renal failure will be dialysis and kidney transplant( depending on her health profile ). Her creatinine is high. Needs further work up also, to see are there any precipitating factors which are worsening renal function and if any correctable ones are there then her renal function might imrove. Better consult nephrologists at the earliest. Hope u find this informative. | |
How to treat sebaceous cyst or ingrown hair near shaft on penis?
Hi I have some sort of sebaceous cyst or ingrown hair on the bottom right of the shaft on my penis, it's a decently good size and I've had it for a couple days now and I've tried squeezing it just pus comes out and a little blood I can't see a hair but it's possible there is one or multiple in there? There's a couple hairs close to it that aren't inflamed | Hello deari can understand your concern i see such patients in my clinic routinely and i will definitely help you as well in best possible wayi would like further information to help you better likeyour age and sexual historycomplete medical history like diabetes obesity or other metabolic diseasesince how long you are you having this problem?Does it painful?it could be warts or sebaceous cystBoth the condition has typical appearance If you can upload me a photograph i will be able to tell you exactly what it is?you have a feature to upload the image by yourself on the right side of this query page. Please utilise it.meanwhile maintain good hygienewash your genital area with antiseptic soap or solutionhave plenty of fluids and fresh fruitswaiting for your responseRegards | |
How to solve acute acne ?
hello i am 23 weighing 55kg stand 5.4 inch suddenly i have got too many pimples and due to irritation scraped one and have developed a reddish white spot please suggest to get the shin color back and even what to do on other pimples | Hello Welcome to Healthcare Magic forum. Pimples appear due to hormonal changes / imbalances / exposure to pollution / oil foods. Would suggest you to keep a check on your diet and reduce the intake of oils and fats. Wash your face frequently with luke warm water. Do not rub on the pimples. Apply aloevera plant extract over the affected area. Also use the following facepack for the facial glow: 15 rose petals soaked in milk, grinded along with soaked almonds, add a pinch of turmeric, glycerin, honey, half spoon of multhani mitti and apply. Wash after 20 min. Dr.Sneha Sama Wellness Clinic | |
Is Lidocaine advisable for diabetic neuropathy?
i have diabetic neuropathy most notably in my feet....the podiatrist prescribed Lidocaine to apply as desired on my feet......haven t tried it yet because i am just wondering if others have been prescribed this for their various foot discomforts...... | hi sir,it's better to control your blood sugar levels because increase blood sugar levels causes this type of problems like diabetic neuropathy. lidocaine is one of the best to control the pain but taking correct nutrients and vitamins could reduce this problem so keeping blood Sugars under control will be the best remedy for this thank you. | |
Q. My left shin is suddenly numb to the touch. What is going on?
Hello doctor, My left shin is numb to the touch and it has been like this for about a week and I do not really know what is going on. | Hello. In my opinion, the numbness in your shin could be due to mild swelling over there. These kinds of swelling can be caused due to excessive loading or due to prolonged stress imposed over the bone like playing some sport without warming up and cooling down or sudden increase in activity. Kindly revert to me and let me know how you feel doing these things after two days. For more information consult a physiotherapist online --> | |
What causes delay in periods?
Hello,my name is emily..my period is 5 days late..I did 5 pregnancy test and they are all negative..I had a blood test also after 2 weeks of having sex...I was 100% sure I could not be pregnant because he pulled out before getting done...but I never had my period be this late unless I was pregnant...It s been 19 days sence I had sex..could it be too early for the test to show that I m pregnant? | Hi.Some women test negative until their 3rd month of pregnancy, and home pregnancy tests can provide such results purely because they detect on hCG levels in the urine. You can choose to have a blood test to check on hCG levels, but I do not think that will help much either.If your period does not appear by the 6th week from the unprotected sexual contact, then go ahead with an ultrasound scan which can confirm the pregnancy. Do not take any medications in the meantime.Best wishes. | |
USG shows hepatomegaly and fatty changes in liver. High SGPT and SGOT. Nausea, pain in liver. What should I do?
Hi Doc, My USG shows hepatomegally and fatty changes in liver. Everytime i feel my liver is enlarged while walking and even bending My bolld test shows sgpt / sgot increased.60 and 43 respectively Bilirubin 0.92 although everytimes its found to be more than 1.0 Everytime I am feeling nausia and vomiting tendency. Pricking pain in liver / sometimes burning sensation also present. My problem is about 3 yrs old. My urine is never clear and white. A new doctor has prescribed UDILIV 300 BD for 1 month and od next month what should i do | Hi, Thanks for posting your query. Your liver function test is normal (as figures mentioned by you) except slightly raised SGOT/ SGPT. Are you an obese person? Fatty liver is a common ultrasound finding and deranged SGOT/ SGPT may be due to fatty liver. Your pricking pain doesn't appear to be due to liver pathology. What was your gall bladder status? You should also go for endoscopy. You should consult with internal medicine specialist / gastroenterologist. Take care, Dr. Mayank Bhargava | |
Suggest treatment for not sharing emotions
Dear sir, I am having some married life related problems and need concelling from you. My wife is basically very intrivert and many time times does not share things easily or say, does not vent out her emotions so easily. This results into many different problems. I request your help on this. | HiI understand your concern.But without interviewing her how can i suggest you what to do.Introvert nature is kind of nature that she can not able to expose everything that you want.Nature can not be changed but level of understanding will change.Proper assessment of her and your nature will give some conclusion.Sometimes mutual understanding will solve the problem.For that you have to consult relationship expert or psychiatrist who is doing relationship concealing.Active participation of both of you is must.It is not possible if you only take participation.So consult and get further assistance.Thank you. | |
How to achieve conception (2nd) when having azoospermia and hormonal problems (in wife)?
Hi After having my first baby, ve not been able to conceive We went for a series of test and found out that my husband has low sperm count:5% And my LH is high and my progesteron is low. I took clomid for 2months yet no result Need advice on possible solution | Hi welcome to healthcaremagic.I have gone through your question.As your husband has low Sperm count i would first advise to do color doppler ultrasound of scrotum to rule out Varicocele and vascularity of testes. | |
What causes stiff yellowish colored follicle on hair?
My son had a stiff yellowish colored follicle of some sort sticking out on his scalp. I thought it was an infected hair. We were finally able to pull it out when he was sleeping and it almost looks like a splinter, but is yellowish and stiff. Do you know what it is? | Hello dear,Thank you for your contact to HCM. Folliculitis is purulent disease of the skin, which related to Strepto- and Staphylodermia .It is usually mixed infection, can cause by our normal flora(Streptococcus epidermidis,Staphylococcus aureus, Str.viridans and etc),usually occur in summer season due sweating and heat wave. When you pulled it out pus has gone outside. You can apply 1% Chloramphenicol to affected area 3 times a day for 5 days. Kind regards Dr.Svetlana Shrivastva | |
Q. Are the flat bumps on forehead indicative of warts?
Hi doctor,My daughter is 16 years old. She has bumps on her forehead. They are flesh toned (flat top). They do not hurt or itch. They have been there about 2 years now (sometimes it seems they are more prominent than other times). She is at an age where they are starting to upset her from an appearance perspective. Two of the formations are actually linear. They almost appear to be a scar until you get close and realize it is a series of bumps in a line. She has never been on medication for them. She uses Proactiv for face washing purposes. Extensive research seems to indicate flat warts. Just trying to get any additional insight prior to our appointment. | Hi. They are flat warts, warts are an infection caused by human papillomavirus, it is contagious, better to get it treated soon. Linear pattern is called Koebners phenomenon, it is the formation of warts along the line of trauma or scratch. There is a major role of immunity in the resolution of warts, good sleep, eating nutritious food, vitamin supplements are helpful. Treatment options for warts are topical application of Retinoids that helps to exfoliate the skin, cryotherapy, topical application of Trichloroacetic acid, and radiofrequency. | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
What can be the knot on right lower stomach after falling?
My ten year old granddaughter feel two weeks ago and bruised her right lower stomach area near her pelvic bones. She had bruising, but later I noticed a knot appeared and then it became bigger. Could this possibly be a swollen organ or a blood vessel? | Mostly it is haematoma. But there is strong possibility of underlying organ injury. Pls go for usg abdomen. | |
What to do if having pain in neck, shoulder, numbness in right hand while having cervical lordosis?
Dear Doctor, Iam suffering from cervical lordosis for about 1 year.for about 45 days there was chronic pain in the neck and shoulder. I undeargo MRI scan and had treatment mainly with pregablinfor several months.now I have no medicines for last 2 months. Now I hace no such chronic pain but there is some pain in neck and shoulder s and there is numbness in the right hand and sometime there is dizzines while laying down.what should I do now? Pls suggest me a treatment option. | pregabaline is a good drug for such painhowver if there's an indication for surgery then it will be a good choice | |
No appetite, dark yellow urine after taking udiliv 300 for jaundice. Should the tablets be continued?
Hi,My father aged 64 has got jaundice. Liver Functionality tests were done and his AST was 550 and ALT was 1024. Also his total bilirubin count is 8.9 now. His Hepatitis A,E & C tests were negative and ultra sound scan report show nothing abnormal. He has been prescribed udiliv 300 for one month every morning. After started taking tablets for one week, he is not having apettite and his urine colour has slightly improved from amber to dark yellow. Kindly let me know whether we should continue with the tablets or go for further consultation | Hi,As per his blood report, it is advised to continue with Udiliv. Along with udiliv it is necessary to give liver rest so it can heal itself. Diet low in fat and spices should be given. As appetite is not increasing, i suggest you to start syp. Sorbiline alongside.Do consider a positive feedback as a credit to my work. Let me know if you have any further questions. | |
What causes red colored boil in inside the penis foreskin?
I have found some red coloured wounds type boil in small size inside my foreskin few months back and then I consulted with skin specialist. he told it is genetal herpes but I have not sexual relation with other women except my wife and she has no such type of promblem. suggest me what can I do now. is thiere any test for it? without sexual contract it can come inside the body? what is the treatment for it? | Hello, It could be a superficial bacterial infection. As of now you can apply topical antibiotics like mupirocin after cleaning with soap and water. If symptoms persists better to consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Will swelling on mouth due to Pyria be reduced by cleaning and replacement of some teeth ?
hello sirmy mother have swelling on her mouth due to payria he cant eat hot and cold food now doctor says that cleannig of her teeth and after that if require some of their teeth which is loos may be changed what should i do kindly suggest.her age is 50yrs we leaves in village in our village most availability of florid in water. | Hello and welcome to HCM,Pyorrhea is inflammation of the gums.Pyorrhea usually occurs secondary to dental caries.Removal of the carious tooth will relieve the symptoms of pyorrhea.Maintenance of good dental hygiene is essential to prevent inflammation og gums and oral mucosa.You can get the loose teeth removed.Thanks and take careDr Shailja P Wahal | |
What causes stiffness in shoulder and neck?
Hello, I am 33yrs old and I have stiffness in my right shoulder and neck. My arm and shoulder feel weak and the grip strength is poor. My arm gets numb and there is tingling in my fingers. I am unable to do basic exercises. I have tried acupressure..it only helps for a short time. I would like a permanent solution. What is ur diagnosis of the above symptoms..? Thank u. Sim | hi,thank you for providing the brief history of you.Since your symptoms looks closer to ther nerve getting trap into the cervical spine it is giving you all the symptoms like - pain, numbness, tingling, weakness, etc.I will recommend you to take an MRI so the extent of injury can be precised.Also most cases with such symptoms gets better with physical therapy. Like therapeutic ultrasound therapy and TENS therapy. Also post that , simple neck exercises and then slowly strengthening the muscles of the upper limb will help to reduce the pain numbness also.90% of patients recover by physical therapy and then doing the same at home on a longer run will help you find a permanent relief.also, acupressure will not stand for a long time since it's only a symptomatic time being relief.the pain you are facing is directly due to muscle weakness, once the muscle is stronger the problems are at 1%.Your full contribution is more important to get a permanent cure.I wish to see you soon without pain and aches.With the grace of God I wish you a speedy recoveryregards | |
Will using sewing machine effect the chances of getting pregnant ?
Hi Doctor, I want to learn tailoring, but there are people saying that using a sewing machine (esp foot pedal) will have a negative effect if i am trying to get pregnant. is it true?? not able to find any details on net. I am planning to get pedal motor for my machine. for that also my friends are saying, that magnet of running motor will have side effect. Please guide me.. | Hi,There is no established relationship between using a sewing machine and fertility. It is true that any severe exertion during the early stages of pregnancy when the embryo implants into the uterus can cause a miscarriage. It is perhaps in this context that the notion of fertility being affected exists. A pedal motor causes vibrations and as such can cause miscarriages while it is used during early pregnancy. If you are trying to conceive now, it would be better if you can postpone your plans for the time being. Hope this helps. | |
What causes elevated RBC,bilirubin and anemia?
Can you tell me more about an elevated red blood cell along with elevated bilirubin levels ... in addition, I have been anemic for many years? Would these symptoms point to liver disease? I do not drink alcohol ... it has been at least 5 years since a drink and, even then, I did not drink alot in my life.Thanks for any responses. | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. If you are having an elevated RBC count with anemia, it is possibly microcytic hypochromic anemia. Serum ferritin levels and total iron binding capacity needs to evaluated to identify possible iron deficiency or thalassemia.2. Bilirubin needs to be classified into conjugated or unconjugated. If it is more unconjugated, it is possibly hemolytic anemia like thalassemia. If it is more conjugated liver cause will require evaluation.3. If conjugated bilirubin is rising, get an ultrasound abdomen to identify the cause. Liver biopsy may be necessary. More details of anemia and bilirubin necessary for further opinion.Hope it helps.Any further queries, happy to help again. | |
What causes dizziness,vertigo and raised heart beat after a brain stroke?
hello Doctor, May dad had a brain stroke according to the doctor's statement about a month ago.. we took him back to home about 20 days ago. he had been doing well but he had vertigo. not continuous but sometimes. from last night he is feeling bad.. he says he is feeling dizziness and don't feel like eating yet have hunger. and heart beat faster. | Hello,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.stroke is major disease that can be case by many resns like emboli most comon or atheresclerosis or rupture of vessel..stroek can be heamorhagic much dangerous n mostly due to ruture of berry aneurysm..other type is ischmic stroke less dangeroous n mostly due to embli from heart...veritgo or dizines can be either due to brain tssue irriation or can be heart prb...if u were my pateint i would like to ask detail histry abiut risk factors like smoking,HTN,DM,etc n do detail exam to see that pulse is normal bcs in atrial fibrillation pulse is iregural that can lead to stroke..do some tests like ecg ,echo to rule out any thrombus in heart that may disloge as emboli...bcs arrythmia can lead to increase heart bead called palpitaion ,diznes n vertigo bcs unabel to fill proper n lead to decrease CO n resut dec blood goes to brain n patient may feel dizzines n vertigo..after finding the condition that causing it will tx it accrdndly..I hope this answered your question, if you have more feel free to ask.Regards.Dr.Asad Riaz.General and Family Physician. | |
Can angina cause heart attack?
Hi, My father, aged 90, suffers angina. He has been able to control it through taking medications and not walking far, etc. However over the past month he has suffered a couple of attacks during night. I know he is on the maximum medication available. Does this mean his heart is getting worse? He says the pain from last attacked last 2 hours., and then just disappeared. I'm worried he may be risking heart attack? Any advice here would be good thanks.. | hello thanks for posting here. Goin by youe description it looks like he has got unstable angina or critical coronary artery disease. Also since he is on maximum medications for the same. So next step would be ideally an intervention like angiogram followed by angioplasty or surgery. But going by his age i would advice you not to go for any intervention as it will be more of a discomfort to him. Yes, he is at the risk of having a heart attack, which you have to accept. If he was my patient I would keep hin on medical management and would adjust his doses/increase doses if necessary. wishing him good healththank you. | |
Suggest treatment for parkinson s disease and seizures
I have a very ill friend who is being claimed by Parkinson s disease.....he just started having seizures.....he can no longer speak, talk or eat......he is miserable....A month ago he had a bad accident ...a bookcase fell on him and broke his hip....had to have gall bladder & appendix out before hip was fixed.... he is 77, weighs 205 lbs...no longers wants company...just wants to be left alone...his whole neck area is closing down.....what causes seizures???? | Parkinson's is a disease common in age like your friend's. Its quite interesting to hear about the symptoms from you. Thank you for writing us here. Parkinson's disease is treated with drugs like Levodopa or Carbidopa. Seizures are because of the the disease itself but its rare. I would suggest a CT scan done for the conformation. Also I expect that your friend isn't taking any other medication like phenothiazines or antihypertensive drugs because it interfere with the actions of the drugs used for Parkinson's.Best regardsDr Gunjan | |
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 is the best treatment for multiple myeloma?
My husband was diagnosed with multiple myeloma 10 years ago and went into remission after 2 stem cell transplants. Also has parkinsons and in past 10 years has had small lung cancer, prostate and bladder cancer. Myeloma is back and he has chosen not to be treated due to all the other issues. Esophagus is only 5 mm wide and has trouble swallowing. Gastrologist has run several tests and thinks stricture is caused by gerd (never has seem to have it much) or radiation of the lung. Says not Parkinsons. Could it be because of the myeloma? In a couple days, he s going to use a pediatric scope and try to dilate to about 9mm. Should he do a biopsy--says doesn t look like cancer. | Hi, dearI have gone through your question. I can understand your concern. He had multiple myeloma. It was treated by two stem cell transplantation. Now he has lung, prostate, and bladder cancer. His esophageal stricture may be due to some metastatic cancer or fibrosis. He should go for biopsy once to search the cause. Then he should take treatment accordingly. Dilatation of oesophagus stricture by pediatric scope is helpful to remove some obstruction. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Is this semen analysis result with RBC and WBC normal?
Hi Dr, My husband had his semen analysis & the results are below: Amount = 3 ml Liquefaction = complete in 2100 s Sperm count = 70 x 10 ^9/L Motility = 98% actively motile Morphology = 95% normal RBC = 2-4/HPF WBC = 3-5/ HPF What does it mean especially on the RBC & WBC result? Thank you. | Hi welcome to hcm.I have gone through your question.Motility, morphology count are normal.Presence of wbc and rbc should not be present in analysis. So it suggest possibility of infection.I would advise to Consult a urologist for this.Hope i answered your question.Would be happy to help you further.Take care. | |
Why do I feel tired after ejaculation?
i like to have a lot of sex, i seldom ejeculate maybe 1 time in 3-4 months. I do this to stop feeling tired. But recently i feel tired anyway. Please tell me does sex make you tired even if you do not ejeculate? I try to stop making love before i get close to ejeculating but sometimes i reach virtual ejeculation but stop before i come out. If i stop earlier would that save me feeling tired and lathargic? | Hello, Actually, sex and ejaculation process burn your energy. So it's natural to get tired after sex. If you ejaculate during sex then there will be not much difference in getting tired. Instead for tiredness, you can get check your calcium, hemoglobin estimation, serum TSH estimation etc. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
What causes upper jaw bleed after gargling ?
Why did gargling with salt water make the roof of my mouth bleed? When I spit the water out I noticed blood...I got a flashlight to look in a mirrorr and the roof of my mouth was bleeding...the reason I gargles was because I had white bumps in the back of my throat. Why did it bleed? | thanks for your query, i have gone through your query. the bleeding from the mouth could be because of the gum infection which causes bleeding from gums. the other causes could be any break or cut in the mucosa or any bleeding disorders like thrombocytopenia. consult your oral physician and get your teeth cleaned and get complete hemogram done including BT, CT, INR to rule out bleeding disorder. i hope my answer will help you. take care. | |
Whitish tongue, fever, puffy gums. Rinsed with hydrogen peroxide. what else to do?
I had a fever thursday, May 23 and slept from 6 pm until friday at 9am. then basicallydid not eat on friday. bufferin brought the fever down along with a cold compress. Now my tongue is white and a little painful, but the gums above the upper teeth are puffky and whitish. I have reinsed with hy peroxide 3%. also tookcaugh medicind and the caugh is much better -- not entirely gone. | this may be the acute exacerbation of chronic generalized periodontitis. this may be associated with other systemic condition. And hydrogen peroxide rinse will not help you in this condition. so better to take advice of a periodontist. | |
Does Indapamide, Perindopril Erbumine and Storvas cause fatigue or lethargy?
DEAR DOCTOR, I HAVE A STROKE BECAUSE OF HIGH BLOOD PRESSURE. AS A RESULT OPTICIPAL LOBE BLEED. BLEEDING STOPPED .BLOOD CLOT STILL THERE.GOOD NEWS IS NO SURGERY REQUIRED NEURO SPECIALISTS SAID. THEY PRESCRIBED INDAPAMIDE 1.5MG 1 TABLET , PERINDOPRIL ERBUMINE 2 TABLETS4 MG AND STORVAS 20MG, 1 TABLET DAILY. I FEEL TIREDNESS EASILY, SPECIALLY AFTER LIFTING UP SOMETHING HEAVY. I NEED TO KNOW THE TIREDNESS AND NO STRENGTH IS BECAUSE OF MEDICATION OR SOMETHING ELSE. | Hello Welcome to Ask a Doctor service I have reviewed your query and here is my advice.It is not the medication causes the tiredness but it may be the general debility causes the tiredness, low hemoglobin may be the cause of tiredness and these need to be ruled out, care need to be taken for healthy diet and some extra vitamin supplements.Hope I have answered your query, let me know for further assistance. | |
Should Olmezest be continued despite symptoms of uneasiness and imbalance?
i am a hypertension patient last 10 yrs. i already taken losar-h and triolmezest 20,ajtor asp-75. now today i have started taking olmezest ch-40. but feelinf uneasiness and imbalance . i have consulted with my doc.advised to continue what should i do now? | Hi, You should check your blood pressure for 3 consecutive days while you are resting, as your medication may cause a drop in your blood pressure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
Suggest treatment for tooth discomfort post invisalign treatment
I have had invisalign. Got them off 6 months ago and since then the results haven't felt good. Teeth look good but I can feel the tips of the bottom of my top 4 teeth on my bottom lip and it totally bothers me when resting. I saw my ortho and he said i have 2mm overjet and that's normal and there's nothing else than can be done. I feel like there must be a way to make my teeth comfortable like possibly tilting my 4 teeth in just a tiny bit. I am posting this in hopes you have an idea what can be done so I don't feel the top teeth on my lip for the rest of my life | Hello,There is a possibility that still the teeth proclaimed and it can cause the incisal edges to touch the lip. If lower front teeth are also proined, then overjet can be normal but still, there can be discomfort or misalignment. So my suggestion is to consult an Orthodontist and get evaluated. Proper x rays need to be taken. If there is a scope for improvement, then braces can be placed to let the teeth come in proper alignment. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | |
How to treat discomfort due to indigestion?
My 1 year old woke up crying didnt eat anything different today...he tries to fall asleep and then I can tell either he is trying to digest something and he starts crying/sometimes screeming and can t get comfortable...maybe he swallowed something I am unaware of. How long could this digestion take? Should I be giving him something or take him in to ER? | Hi Dear,Welcome to HCM.Understanding your concern. As per your query your child have symptoms of indigestion which is because child is suffering from viral infection which is leading to imbalance in body fluids. It could be due to abnormal abdominal movements. Need not to worry. I would suggest you to visit pediatrician once and get complete examination done. You should go for blood and barium swallow tests and start treatment after complete examination. Give child plenty of fluids and oral rehydrating solution as well. Avoid taking large meals at a time and take small and frequent meals. If fever increases do tepid sponging as well with cold water. You should give multivitamin tablets. You should give antipyretics for fever relief such as calpol,paracetamol or adol suppositories acetaminophen. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What causes constant confusion and tiredness in bipolar disorder?
hi.Im a bipolar sufferer for approx 7yrs now,and recall symtpons since i was 7 yrs old....im 30 now.Im on 100mg zoloft and 500mg lithium daily.I dont feel any dramatic side effects to the meds but i just dont feel right.constant confusion,tiredness,head pressure,suicidal thoughts,thoughts of hopelessness and that everything is a problem.Am currently trying vitamin c,( powder form) and folic acid.I sometimes feel like im at the end of my tether.....please help. | HiiI admire you for positive outlook.I guess you have bipolar depression.The symptoms that you have described is symptoms of illness itself.Need to increase the dose of medicine.I prefer lithium up to 900 mg in my patients for better control.Please consult your doctor and tell him about all symptoms so he will make necessary change in medicines.Besides this you have to follow likeExercise MeditationDeep breathing and hyperventilationproper sleepStress free activityDo pleasurable activitymusic and hobbiesDiscuss with friendsSee all thing with different anglePositive outlookconfidence all this will help you to counter daily stress.Thank you.Get well soon. | |
Suggest remedy for swollen testicles and difficult urination due to lifting heavy weights
My 19 yr. old son began lifting weights a year ago and developed a swollen testicle and difficulty with urination. We have been to four doctors (including emergency doctor, family physician, and two urologists. He has had ultra sound, been treated with antibiotics, steroids, and antibiotics again. Nothing has helped. The most recent urology specialist felt there was no infection and that it would take time for the testicle to return to normal size. This week he went to a neurologist to see if there might be nerve injury. He is scheduled for an MRI and nerve conduction study. Your thoughts on what else he can do? | Hello and .As an Urologist,i can understand your concern.I'm hopeful the scrotal ultrasound scan, included a doppler scan.Once that's done,a clear idea of the cause for the swelling of testis is known.He should be using elevation of the scrotum, at all times,to reduce swelling.He should also use anti-inflammatory medicines, till the swelling reduces.For difficulty in urination, he must have an urodynamic evaluation.Personally, i don't see any reason for a neurology intervention.If you want my expert opinion, send the report to me,as a direct question.Dr.Matthew J. Mangat. | |
Is it safe to take ibrorprophen with Vocodan and Flexerial for back pain?
my son shoveded snow a few weeks ago and still in quite a bit of pain in lower back. He saw the dr and was prescribed vocodan and muscle relaxer (flexerial). He still is in a lot of pain when sitting up. Should he take ibrorprophen with the above meds for swelling? | In my opinion ibuprofen is too much , i recommend alphinturn 3 times a day , also avoid chair sitting, he should do long sitting with extended legs, Do back streching exersice and wear a back brace i recommend physical therapy it can be a permanent solution Good Luck | |
Broke down in train while commuting. Admitted with hemoglobin, platelet problem. Correct diagnosis?
i am going on mumbai in local train but suddenly i brick down in train and after same time i am OK and going to my office but suddenly again same problem in my body, my office was admitted in hospital and ICU then two day after doctor say you are OK just hemoglobin and platelet problem but till today doctor has not intimated to me what is the acute problem. sir I requested to what is the problem in my body vijay | Dear Vijay, thanks for your question. Unfortunately, you have provided very little information to go on. I would however, still attempt to give possibilities: What you have described may have resulted from a number of issues ranging from hypotension (low BP), hypoglycemia (low blood glucose), syncope ("fainting"), anemia (low hemoglobin), etc. If the problem was only with the hemoglobin and platelet, one may assume that the hemoglobin may have been low. A few fairly uncommon platelet disorders may cause a "fainting" spell, but these cannot be so easily detected without specialized tests. So, essentially, I would suggest that you visit your doctor again, and attempt to get the details of these hemoglobin and platelet problems that were discovered. It would then be easier to render relevant advice. Kind regards. | |
Need medicine for pain on the body after falling down
I took a fall yesterday on cement and on the left side of my body. I had pain on my side which I expected. This morning it seemed the pain subsided but now it is quite strong. A constant pain on the left just below the breast not in the front but not totally on the side. Is it just like a strining of the muscle or something to be concerned with? | hi,according to your symptoms, it seems like blunt trauma to chest. just check for local tenderness at the sight, it can be a hairline fracture of rib also. nothing to worry about it. it ll heal on its own. u can use simple pain killers like tramadol 50 mg twice or thrice daily and paracetamol 500 mg thrice daily. hot fomentation ll help a lot | |
Does Morganella morganii cause diarrhea and urinary tract infections?
hello my question is about Morganella mornganii, what are the symptoms recently my grandma had an tes in the laboratory. my Grandma its been with diarrhea, the result of the laboratory was Morganella morganii. Why my grandmother is with diarrhea, when these bacteria are associated with other infections including urinary tract infections | Thank you for following up. Do you know our grandparents as children have low immunity. Morganella morganii is Gram-negative stick,which live in our intestine, but it cause of community-acquired infection, she can associate with other flora,for instance with our E.coli and cause diarrhea, then by blood this infection can penetrate to urinary tract and cause inflammation. Don't be suprise. If we have too much bacteria in intestine,then they will lead to diarrhea or constipaton. For normal intestinal flora please give to your Grandma probiotics(Darolac or Visilac 1 capsule twice a day for 1 month). Take care Wishing you good health | |
Does mononucleosis cause joint and muscle pain?
I was Diagnosed with mono in January and have felt better for the last several months, no nausea or cold,flu like symptoms BUT I continue to have fatigue and joint and muscle point...just feel weak>Is this normal and how long can I expect this to continue | Hello,Thank you for contacting HCMI understand your concern, I am Dr Arun Tank, Infectious Disease Specialist answering your query.Infectious mono nucleosis is no the chronic condition it only last for the one to two weeks thereafter it will disappear in 95 % of the people.In remaining 5 % of people complication can arise.Your fatigue and complication has nothing to do with mono infection.The reason for it is something different. I advice you to take paracetamol under your doctors guidance. Doing exercise can help you better feeling.You can ask for further queries here on bit.ly/DrArun.Thank you,Dr Arun TankInfectious Disease specialistWe wish you a best health at health care magic. | |
How to remove excess of threads used for stitching polyp in the cheek?
Hello. I had a small polyp removed from inside my cheek, just inside my mouth yesterday. I have two stitches. I am not in any pain, and there is no bleeding, but the stitches are quite long and loose,and dangling onto my lip - I am worried that I may bite them or pull them by accident - am I going to cause further damage? | Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have stiches on cheek you should be careful while eating as it may hurt you of you get injury during eating . For this you should consult dentist and go for removal of excess suture or new suture and for oral examination also.Hope this will help you. | |
Q. Will it be risky if I donate my eggs?
Hello doctor, I am 32 years old and unmarried. I am a patient of PCOD. I also have a family history of breast cancer. My father's sister had breast cancer recently. I am in a very big financial crisis. So, one of my friends suggested me to donate eggs. Will it be risky if I donate my eggs only once? As I am a patient of PCOD, will I be able to conceive in the future? Will I be given some hormonal treatment to conceive later? Please advise me whether I should proceed with the idea of egg donation. Is there any chance of developing breast or ovarian cancer if I donate eggs? Please guide me. I just want to know about its long term consequences as I am afraid of breast and ovarian cancer. | Hi. A single cycle of ovulation induction for egg donation and then, possibly in the future for yourself would not increase your chance of breast or ovarian cancer. The heredity for a woman is decided from her maternal background and not from the father's side. So, if your paternal aunt had it and your mother or maternal grandmother did not have it, then there are very minimal chances that you should get it in future. You can safely go ahead with an ova donation if you wish to without fear. PCOS - polycystic ovary syndrome is a disease, which can be controlled and many women had a natural conception without hormones. So, whenever you decide to get pregnant, conservative management of treatment can always be considered. For further information consult an obstetrician and gynaecologist online --> | |
Suffering from severe back pain, body stiffness. MRI of spine, hip joint shows focal edema. Treatment?
Respected sir,i am suffering from heavy back pain and stiffness in whole body from 2 years for that reason i have contact XXX they advise me go through various blood test and MRI OF LS SPINE AND HIP JOINT , MRI report shows -focal edema on iliac side of right SI joint.docter given me medicine for one month...i am taking it but not got relief thats why requesting you pl clear what it is and advice some thing. medicine taking these days are --saaz(2 x 1),salcal(vitamine D 1 x 1),indocap(sos). waiting for your reply. | hi, U might be suffering from ankylosing spondylitis. According to ur MRI finding- AS is of grade1 or 2. For diagnosis of AS- Radiographic presentation of sacroilitis is necessary.Beside this patient must exhibit 2 of the following 3 criteria- 1) LBP &stiffness=3 months with palliation by exercise &no relief with rest. 2)Limitation of lumbar spine motion 3)Limitation of chest expansion. Ur doctor gives u NSAIDs, DMARDs. U also needs lifestyle modfication. | |
Can heart attack cause black and blue discoloration on face?
My dad recently passed and it was caused by a heart attack, but when he was found only his face was black and blue. he was sitting on the couch leaning on the arm rest when he was found. why was only his face like this? and it was just a few hours that he had been gone. | Hello, Cardiac infarction may cause lead to cardiac failure which means decreased oxygenated blood in the system lead to cyanosis. This may appear on the face, lips on tongue etc. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Penchila Prasad Kandikattu , Internal Medicine Specialist | |
Have programmable shunt placed and getting hot cold flashes, dizziness and funny feeling in ear. Is it related?
Hi I have a programmable shunt on my right side and recently have been getting very severe hot flashes then very cold, a bit dizzy and also funny feeling in my ears as if one ear cannot hear as well as the other. Does this have anything to do with a problem with my shunt? | Dear the symptoms maybe related to the shunt.Anyway shunt is really easy to be examined from a doctor or even from one of your familiars.Anyway that's nothing to be worried because those are not shunt dysfunction symptoms.I would recommend XXXX 16mg twice daily for 10days and drink as often as possible chamomile tea.Wish my advice will help you | |
What causes lightheadedness with pulsing on the veins of the forehead?
Hi I m a 20 year old female. About 2-3 years ago I started getting very lightheaded and it s constant. Everything goes black my head feels like it s pounding but also shaking and my knees start popping like they are about to collapse on me. I have collapsed twice every other time I stand there. I can t hear everything that is going on and I can talk to you while it s happening. I am a smoker I usually smoke a half a pack or a full pack a day. After the lightheadedness I can feel the veins on my forehead and in my temples pulsing. Is this something serious should I be worried? | Hi, I have read your query & understood your concern. From your symptoms I feel possibility of following conditions causing your problem- -Severe anemia-with history of fatigue,pale skin,brittle nails. - Hyper ventillation -due to stress/anxiety. - hypoglycemia-due to weakness following low blood sugar' - Swelling of middle ear-associated with vertigo. To differentiate the cause you need to visit a doctor for examination/investigations,to be followed by specific advised treatment. treatment. Thanks. | |
Can thyroid cause low estrogen level leading to anovulation?
hi, my current TSH level is 0.22 my thyroid specialist says this is good for conceiving, however this month my oestrogen is very low and doesn't look like i'm going to ovulate. I have never had a problem ovulating until this month. Could my thyroid be causing my oestrogen level to be low? | Hi, I think your thyroid problem can lead to problem in ovulating. So you should take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question.Regards Dr khushboo | |
What kind of exercises is recommended for patients with retrolisthesis?
I was at gym doing dead lift with heavy weight. I felt extreme pain when putting down the weights. I thought pain will just last for few days, but pain never stopped. After 2 years, I did MRI and xray and got these information. Grade I retrolisthesis of L5 over S2. (Xray correlation). Diffuse disc bulge at L4-L5 is causing bilateral mild neural foramen narrowing. Right paramedian disc extrusion at L5-S1 is causing thecal indentation, marked right lateral recess stenosis with impinged right traversing S1 nerve roots. Left lateral recess and bilateral neural formen are mily narrowed. Welldefined STIR hyperintense intramuscular lesion at right posterior gluteal region. cystic lesion. What do I need to do now? What kind of exercise would you recommend? Thank you. | Hi, These are the following recommendations for you in your case 1. Avoid weight lifting as much as possible 2. Avoid forward bending 3. Do spinal extension exercises 4. Give hot fomentation twice a day 5. Avoid riding two-wheelers 6. Use lumbar support in your car 7. Take tab Gabapin NT 8. Use any topical gel 9. Take at least 10 physiotherapy sessions 10. Use a lumbosacral belt in the day time These are the recommendations from my side and if still your pain will not be relieved opt for surgery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopaedic Surgeon | |
What causes sore lump at the top of nipple?
I have a small lump at the top of my left nipple that is sore. It has been sore for one day. I am 36, male and am on the HCG diet currently taking the drops. I feel pretty tired when I get home from work and have felt like I was fighting off a headache, tho today I feel alright. | hi.it is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation of your breast lump. it could just be an inflammatory reaction but it could also be a lesion. breast ultrasound may be requested. management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye | |
How long will intubation take and may i know the prognosis of this level of treatment?
My mother has been suffering from ILD for more than 10 years. She used to regularly take methyl prednisolon and Azathioprin tables in fixed doses as adjusted by specialists at Apollo Hospital in New Delhi. Also underwent an angioplasty of left coronaries in March 2012. Around 40 days ago she developed symptoms of sever respiratory infection and increased hypoxia, the medical doctors prescribed her braod spectrum anibiotic (ceftriaxon) to be taken with her routine drugs. However, her infection and hypoxia not treated and she found weakness in her lower part of her body and became unable to walk. Following this we transfered her from My country (Afghanistan) to Apollo Hospital in India on 20 Nov 2012. In the hospital she was admitted at ICU ward and received the treatment for infection, hypoxia and swelling in her legs and hands. she recovered after some five days and she was about to be shifted to general ward, but the medical doctors requested her further stay at ICR. Following this she got another sever infection (called Aseno Bacter). Then her health condition worsened, although she received new courses of antibiotics. Last night she got sever respiratory distress and then the doctors did intubation of her, now she is under intubation. Could you please kindly let me on the prognosis of this level of treatment and how long it may take that she may need intubation? | The condition of the patient is of course serious. About intubation which is life supportive measure that must have been done because of the life theratening hypoxia. As the patient is known case of ILD ( interstitial lung disease) which itself reduces the diffusion capacity of lung with resultant hypoxia, & the super added infection whcih further deteriorates lung diffusion capacity worsens the situation. The decision of the extubation ( removing the endotracheal intubation tube ) can only be taken considering multiple parameters such as patients conciousness, her capacity of maintaining Oxygen saturation ( SPO2) , readings of the ABG ( arterial blood gas reports), whcih is some what difficult & cumbersome process to make you understand. Considering the symptoms provided by you there are 50 - 50 % chances of recovery as wella s deterioration. But lets hope for the better & expect improvement in her health in a day or two which will lead to extubation. But excact days can not be said at this moment. | |
What does "few scattered subcentimeter lymph nodes within the neck soft tissues" indicate?
I have a history of Thyroid cancer.. I am post treatment 9 years.. I recently had a MRI done and it said few scattered subcentimeter lymph nodes within the neck soft tissues.. should I be worried? Should it be checked further? Thanks for your time. . YYYY@YYYY | sub centimetre nodes doesnot mean anything. to tell lymphnode enlarged, it should be more than 1.5 cm. hence, I advise to followup after 3month with neck MRI and monthly to examined by the doctor to see any enlargement of lymphnode | |
How is pain caused in the arm around the shoulder relieved?
I am having pain in my upper arm, around the joint area, but not the joint itself. when I lay on that shoulder at night, when I am in a certain position it feels like something moves and it causes a bit of pain. It is affecting my sleep. it is also causing some aching in my hand on the same side. | hi I understand your situationshoulder pain has many causes which is usually aggravated by lying on itthere are many pathologies around shoulder which cause this symptoms like :tendinitis, rotator cuff pathology and tear, impingement syndrome and arthritismy advice don't do heavy work and over head activity, rest for at least 2 weeks, non steroidal anti inflammatory drugs for 2 weeks and physiotherapy.if you are not improved you should see a specialist. | |
What cause lower back pain and having Hemochromatosis and abnormal liver function?
I have lower back pain, usually in the evening or when i have sat down or lay down for any amount of time. My legs (from my knees to the top of my thighs) are feeling like they are cramping up - or like I have really tight jeans on - but I don t have them on. I have got haemochromotosis - and have abnormal liver function. | Lower back pain has many causes , but I agree with your doubt: it can be caused or at least influenced by hemochromatosis(joint are touched also with arthritis and arthrosis) as it touches many other systems apart from liver and so even your cramping up feeling, so what I'd suggest is a good monitoring and treatment of your hemochromatosis without underestimating other health problems that age carry with, like hemochromatosis. | |
Suggest whether IVF is advisable or surgery
Hi I'm a 33 year old female who has been trying to conceive for the past 10 years pretty much! I was prepared to do the next step shots ivf whatever it took and then they noticed I had a suberosal pedunculated fibroids about 7cm. Basically my doctor recommended surgery which she claims is simple and then do ivf as soon as I heal.. I want another option! What if I do nothing and try ivf what will happen?? | Hi, I think your fibroid size is quite big. So, it's better to get it removed. But if you want to try IVF, you will have to take a risk of abortions. Subserous fibroid generally don't interfere with pregnancy, but as the size is big, some complications can occur. Hope I have answered your question. Regards Dr khushboo | |
What causes severe lower back pain and nausea?
i have severe lower back pain on both sides, cannot get comfortable... have had nausea and woke up in middle of night so extremely dizzy i couldnt get out of bed- am being treated for a uti presently with an antibiotic and pain med...I dont trust myself walking- as i feel like i am experiencing vertigo | Hello,I had gone through the case and found that it might be due to uti.So go for ultrasound of lower abdomen and take multivitamin and good diet.Pain might be due to kidney infection.After the proper antibiotic course the uti and back pain will disappear.Hope my advise will be effective for you.Thanks | |
Whether Abscessed tooth be causing muscle pain and cramping, please suggest
Could an abscessed tooth be causing muscle pain and cramping in other areas of the body than the mouth? | Hi, An abscess can result in muscle pain only in the Head and Neck region. An abscessed tooth can also give rise to fever. A dentist should be consulted and antibiotics and treatment for the tooth should be obtained. | |
What is a painful large bump in my pubic area?
I have quite a large bump situated in my pubic area near my penis and testicles. It was initially small, but it has become bigger over the past week or two. It is slightly painful, and it is soft. What could it be and would Kenacomb be a good cream to apply? | Hi,From history it seems that you might be having some hair follicle infection giving rise this problem.Go for one antibiotic medicine course for 3-5 days.There is another possibility of having inguinal hernia.Consult surgeon and get examined.Ok and take care. | |
Rashes throughout body, itching, warmth. Levocetirizine offers relief. Advise?
Hi doctor myself isha I am suffering from severe: rashes problem throughout the body from last three years initially rashes appear in one part and take two day to disapper and then appeared somewhere else but now from last year they appear altogether throughout the body and itiching and warmth feeling is there I have to take levocetrizine to get relief | Hi,Welcome and thanks for posting your query to HCM.It appears from your query that you are having the problem of "Chronic urticaria". This is a specific type of hypersensitivity of skin caused by multiple innumerable causes. It is characterized by transient, evanescent rash which appears for few hour to up-to 24 hours and then subside by itself. The most problematic state is the itching and redness caused by this problem.As I discussed above, the exact cause of this problem is sometimes very difficult to find out. So the best treatment available is to reduce the tendency of redness and itching by simple antihistamine.In my clinncal practice I prefer to give "loratadine" tablet by mouth up to 1- 3 times a day depending on the severity of problem. It is non-sedating antihistamine so do not interfere with the alertness of the person.You need to take the antihistamine for long term and then can slowly taper it off. It is better to consult a good dermatologist who can explain the whole situation properly and then can guide you for long term.Hope these informations will help.With good health wishes"Dr Sanjay Kumar KanodiaMD (Dermatology) | |
Need a prescription for Dextroamphetamine
I m not sure if I have the correct type of site, but I m looking for a DR. who can write me a script for dextroamphetamine to help me focus on things in life. I have become overwhelmed with life stressors and it really helps me focus. I have great insurance and my scripts are free, too. Not sure if this was that type of site to help me by-pass going in to see a psychiatrist all the time to get refills. If I am incorrect, I apologize. If I have found the right place, PLEASE help me! Thank you! L.D. I must also add that I have C-PTSD and Major Depressive Disorder-Moderate-Recurrent, however, I was only ever on Valium for anything, which made me pleasant to be around, I guess. lol | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Unfortunately as health care magic is an online forum, legally we are not supposed to prescribe medications without physically examining you. Such regulation are primarily meant for the safety of the patients as well as the Doctor. Further any prescription given in E-mail will not be honored by the pharmacy in your country. Sincere apologies for the same.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
Had asthma. Trouble breathing. Cold shivers, cough. What can help?
I had asthma when I was younger, but than it never bothered me for years. In the past 2 years its slowly coming back but This week my airways have been REALLY tight and I ve had trouble breathing and nearly passed out a couple of times. I get cold shivers but am sweating. Of a night I have a lot of trouble laying down as I cough and can t get my breath back. I take my ventolin continually all night as it wakes me up numerous times a night. I can feel the tightness more in my throat than my chest ATM, what can I do to help this? | you can get bkood serum test for food specific antibodies liklike milk wheat chana potato rice egg nutsor any daily used foodgo elimination of diet from food and you will be cleartill then go for sympayomatic rx | |
Q. I am suffering from neck problem associated with tingling and numbness. Please help.
Hello doctor,I am having neck problem for a few months with tingling, numbness, and pain on my arms and fingers, especially in early morning and evening. Kindly help. | Hello. Your cervical spine MRI shows spondylitis in the form of posterior disc bulges at C5/6, C6/7 and C7/T1 levels indenting the thecal sac (attachment removed to protect patient identity). There is narrowing of neural foramina at these levels with indentation of right exiting nerve root. This may cause tingling numbness in hands. Rest of the spinal cord shows normal signal. | |
4 year old on zyrtec for allergies. Crusting and puffiness on eyes, runny nose, cough. Whitish spots in the throat. Are these allergy symptoms?
hi, my daughter who is 4 years old has been having allergies all her life. she is on prescription zyrtec and nasal spray and patonol eye drops. the past couple of morning she has been waking up to yellow crust and goop all over her eyes and makes it to where she cant open her eyes making her eyes relly puffy and red. also during the day white goop comes out of her eye and really bad watery eyes. she also has a runny nose , and is starting to cough so i looked at her thoat and looks like she has whitish yellowish spots all over the back of her thoat. she hasnt been drinking and eating as much as she usually does. Is all of these syptoms caused by allergies or should i give her something else? | Hello dear.. Presence of whitish yellow spots over back of throat indicate that your daughter might be having Pharyngitis. Under such condition, anti allergic medications such as Zyrtec & Patonol won't help much. Management includes: 1. Gargle with warm salt water to relieve throat pain. 2. Analgesics like paracetamol 3. Antibiotics to be started depending upon the result of culture sensitivity report of throat swab. 4. Antihistamine preparations can also be used to provide symptomatic relief. So...it will be better to consult a Pediatrician for further management. Meanwhile...make sure your daughter avoids taking cold food & drinks, maintains adequate hydration & takes soft, non-spicy foods. Wishing her a good health & speedy recovery. Thanks & take care. | |
Suggest tretament for severe congestion and cough
I have had a cough for a few weeks now but, as I live in Germany and don t have health insurance, it is not easy for me to go to the doctor. My cough gets worse after it rains and is accompanied by shortness of breathe as well as a yellow resdue in my throat. I don t smoke and have taken antihistamines that help sometime, but not always. | Thanks for your question on HCM.In my opinion you are having pneumonia (lung infection) or bronchitis. I am suspecting this because of1. Coughing2. Yellow sputum production.3. Shortness of breath.4. FeverSo better to consult Pulmonologist and get done Chest x ray and Pulmonary Function Test (PFT) for the diagnosis and treatment. Antihistamines alone will not work. You may need antibiotics and bronchodilators.So better to consult pulmonologist and discuss all these. | |
What cause day long vomiting for my 3 year old kid
Hi, my 3 year old started vomiting this morning and has on and off all day. He has had sinus/allergy symptoms for the last week or so and his vomiting had had lots of mucus in it. He had a cup of watered down apple juice first thing this morning and nothing since.... so at this point he is having the thick, uncomfortable vomiting. I know with typical vomiting/virus it is recommended to not eat/drink until going 2 hours. Are there any tips / recommendations for if this is the phlegm causing the upset stomach and vomiting?? He has been pretty lethargic today though too,, no fever. | Regarding your concern. I would say there is no rule that nothing should be given for 2 Hours as anyone would have told you for being safe.If there is no vomiting you can give fluids which is not too acidic like lime juice and it could be viral or bacterial infection. I would observe him for any more symptoms and check his general condition, chest & throat and would do a CBC and treat him for viral at first and start antibiotic if I feel there is bacterial infection,. Discuss with your doctor. Regards |
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