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Q. Can fibrosis of the liver be seen in abdominal ultrasound?
Hello doctor, I had problems like gas, diahhrea, and abdominal pain. I had an ultrasound of abdomen and diagnosed with fatty liver. Will this ultrasound show fibrosis of the liver? | Hello. Ultrasound abdomen can only tell about the presence of fat. For fibrosis and quantification of fat, another imaging modality is used called Fibroscan. It is similar to ultrasound. For confirmation of fibrosis, sometimes a biopsy of the liver is needed, but it is an invasive procedure, so we mostly rely on Fibroscan. For pain abdomen gas you can use the following medicines, 1 Capsule Esomeprazole 40 mg once daily before breakfast for four to eight weeks. 2. Tablet Mebeverine 135 mg twice a day before meals for four weeks. 3. Tablet Rifaximin 550 mg twice a day before meals for two weeks. | |
Is lump on thigh due to getting hit a cause of concern?
Hello. My 8 year old son hit his outter thigh on the corner of my end table rather hard after falling off my bed. Initially, there was mearly a scrap with a tiny bit of discolouration around the wound. About 1.5 hours after the accident, the area swelled about the diamiter of a tennis ball and half the height off his leg. Bruising has reach the top of the skin. My concern is the size of the lump. Should I seek medical attention for him? | Hi.Welcome to hcmHe is developing hematoma/ blood collection under skin. If he can walk and no pain means bony injury is least likely. If size is increasing persistantly and rapidly that means bleeding is active and needs surgical exploration and stoping of bleeding. You should see a surgeon at least once. Mostly it will resolve on its own but will take long time due to its large size. No tablets required.Regards. | |
What treatment is suggested for lightheadedness and headache?
I have been very lightheaded and tired for several days now. I went to the doctor on friday and he advised a full blood screening to be done on monday. However, today I have developed a headache and what I can only describe as pixel vision . Like I am standing too close to a television screen. I have not had this since I was about 16. Due to this previous episode, I was taken off of the combined pill and put on progesterone only however I was also seeing a cranial osteopath for the same issue so I am not sure which was the help. I have had the implanon implant since 08/2012 and was on Cerrazette (progesterone only pill) before that. I am now 25 years old. | Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of hormonal imbalance is more in your case. You are taking hormonal pills, so they might cause you hormonal imbalance and all the symptoms. Actually hormonal imbalance can cause stress, anxiety and mood swings. And all these can cause headache, dizziness etc. So better to get done hormone levels and if imbalance then change your hormone pills. Also consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Q. I get anxious with the thought that I am infected with rabies. What can I do?
Hello doctor, I have been anxious since I thought I was bitten by a cat last year. I am pretty sure that I am immune to rabies because I was not bitten but the problem is, every time I feel something in my body, I get really anxious because of the thought that the illness was caused by rabies. My mind thinks I am infected but I am really not. Is there something I can do? | Hi. You seem to have a phobia about rabies. You could benefit from counselling. If that does not work, then you might need anti-anxiety drugs. Practicing meditation can also take your mind off it. Basically, you need to divert your mind elsewhere. The less you think about it, the less it will bother you. In a few weeks, you will see that the intensity of the phobia has significantly decreased. The key is to ignore these thoughts, however pressing they may seem. Hope this helps. For more information consult a general practitioner online --> | |
Q. I ovulate on 21st day. Will Clomid help me to get pregnant?
Hello doctor, I have been trying for a baby for the past two years. I have irregular periods and unpredictable ovulation. I have been to multiple doctors about this problem and I have been told my reproductive system looks normal and I only ovulate if I reach my 21st day in my cycle which is very rare. However, they refuse to help me as I am 18 years old and I am not a high priority. I have been looking into fertility medication and was wondering what would be the risks if I treated myself with Clomid? I know this would be frowned upon by general doctors but it has started to effect my relationship and I am starting to give up on having my own family. Any advice would be greatly appreciated. | Hello, Welcome to icliniq.com. First of all, at 18 years of age, you are contemplating pregnancy, that is actually unfair to your own body. A woman's reproductive system matures completely by 20 years of age. You do not need to use Clomid or any ovulation inducing drug simply because your follicle are ovulating, yes, but on the day 21, so what. That makes your cycle slightly longer say 45 days. But this may is normal for you. Do not compare your cycles with others.Doctors are skeptical helping you with infertility drugs simply because you are just 18 years old and you may harm yourself more rather than benefit from it by using drugs. I suggest one simple method. Maintain a menstrual calendar for three months, use the Ova -kit (home based test) to time your ovulation during cycles and then practice timed intercourse for the next seven days of ovulation. Your chances of getting pregnant would be higher then. I am sure you shall succeed with this technique. But please do not contemplate infertility treatment presently. | |
What is reason for disability to chew food and anxiety?
My nephew put himself in API for what he states is the fact that he cannot chew food and he gets angry and has tried to hurt himself, he was in API for about a month, he is in CRC right now for 7 days, He is not better he still says he cannot eat to sustain his body and he will die, he has lost his job has no insurance, he needs a provider who will really work with him to get to the real issue or medication he has no place to live and is planning to go to Juneau, AK to live with his brother and his son, I don't feel he is well enough he just rocks from side to side and has major anxieties, and I don't think the medicine they gave him is really working I think they just medicated without trying to figure out what the problem is | DearWe understand your concernsI went through your details. I suggest you not to worry much. From the information provided, it seems that your nephew is schizophrenic and depressed. He needs expert psychiatric treatment. Please do not under estimate the facility. If he is needed to be shifted to a better hospital, it needs to be done faster.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
Suffering from hives outbreaks. Took steroid shots. Reddish swollen patches on the legs and body. How to find out what I am allergic to?
Hello, I have had hives for a little over 2months now. I have been to the er many times and all they do is give me a steriod shot and send me on my way. They are raised and from my knee sown to my ankles swells bad and these red patches on my legs are painful and hard to walk sometimes. they will later turn into bruses. These hives occure on my face, front and back of my neck my arms chest breasts legs stomach all over. Been taking benadryl and i think i am immuned to it. I have tried cream and it makes it really worse. I have also been to the dr and didn t get no where. they took blood from me to see if they can find out what im allergic too. i hear u can t tell through that. Gotta have a patch test. I m not sure whats wrong with me. Can you please help me out? sincerely,Stacy | pATCH TESTS ARE OUDATED YOU CAN GO FOR SKIN PRICK TESTS WHICH ARE RECOGNISED IN WORLD THIS IS MOST SENSITIVE TEST FOR ALLERGIES YOU CAN ALSO GO FOR BLOOD SERUM TESTS FOR ALLERGEN SPECIFIC ANTIBODIES BUT I WILL SUGGEST FOR SKIN PRICK TESTS | |
Suggest treatment for accidental consumption of over dosed Tylenol tablets
My 3 year old grandchild ate about 30 chewable tylenol tablets she was taken to the E.R. and parents were told they had to wait four hrs to have the levels tested. They were told that the levels were at 58 and that they should take her home and watch her. Is this what they should do or take her somewhere else? | Hi...there can be cumulative effect too. If I were the paediatrician treating the kid, I would admit her and observe her for 24 hours for jaundice and also get an liver function testing done along with prothrombin time (PT). PT is very important for classification of toxicity and if it is prolonged she might be given a dose of Vitamin K injection too.regards - Dr. Sumanth | |
Can having Fluoxetine cause anti social behavior?
My son is 22 and he has been with Fluoxetine for many years (since he was 15).He was diagnosed as depression. He can get very angry and violent about once a month.He yells, punches holes in the wall and hit himself, talks about all violent words, seems very depressed. In about 1- 2 days, he calms down. When he is not angry, he is such a nice young man. We joke around in the family and he has so much sense of humor. Now he refused to see doctor and take meds anymore.He has been nervous when talking to stangers and he hates that feeling. He was very social when he was a kid (before 12 years old). He is OK when hanging with his friends.I m wondering if Fluoxetine causes his anti-social, or gets angry once a while.Should he switch to another med? Such as Sertraline? Thanks in advance! | HiThanks for using healthcare magicI think, he has borderline personality disorder and in that case, he needs both mood stabilizer as well as antidepressant to control such kind of behavior. Better to consult a psychiatrist for proper treatment. You can also consult a psychologist for his personality assessment and behavioral therapy. In case, you need further help, you can ask.Thanks | |
How to rectify erection problem due to over masturbation?
hi doctor, 45 years old but now i m facing eraction problem coz of over masturbation my penis become too small and m still single and wanna get married, pls suggest me what medicine i should take , and if i apply mustard oil or olive oil for massage in penis will it be effective ? | HelloThanks for query.Erectile Dysfunction that you have is mostly due to frequent,excessive habitual masturbation .You need to have self determination to quit frequent masturbation so as to help in getting hard Erection.Excessive and frequent habitual masturbation does affect quality of erectionand delays ejaculation.Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports,reading ,social work etc so that you will not get free time to masturbate.You may take Sildenafil after getting married and one hour before having sexual intercourse with your wife .This will help you to get hard sustainable erection to have enjoyable sex.Do not attempt to massage your penis with any oil.There is risk of damaging your penis. Dr.Patil. | |
What causes fever, swollen gums and infected taste buds?
I have had a fever for seven days, been sick with all sorts of symptoms for 14 days, and have been on Bactrum for six days. I am not improving in the slightest. My gums are swollen and my tongue is covered in infected taste buds. What could this be? I've been seen by two doctors and I'm getting no answers. | Hello:)Welcome to HCM.Take Doxycycline (Doxy1) for gum infection.Go for a deep scaling and root planning therapy.Clean your tongue with a tongue blade regularly.Maintain proper oral hygiene.Consult your physician if fever persists.Regards. | |
What causes terrible pain on the left side of the face?
About 2 weeks ago, I had terrible pain in the left hand side of my face, which I attributed to a toothache. After a day and a half of this intense pain, my left lower lip and chin went numb and have been that way since. After X-rays, the oral surgeon and dentist say I have small decay in an upper wisdom tooth, but nothing on the bottom that is indicative of the symptoms. Is it possible that this is not related to my teeth or do I need to see a different oral surgeon and/or dentist? | Hello, Thank you for consulting with HCM.Actually when there is decay in the upper tooth, pain will be definitely in the upper tooth, and if you are experiencing pain in the lower jaw , it means there must be something in the lower jaw, any wisdom tooth impaction or decayed tooth, better you consult another oral surgeon for diagnosis.Hope it will help you. | |
What causes bleeding after stopping the contraceptive pill?
Hi i have the implanon in my arm and due to me bleeding non stop i was put on the pill. Thats been fine for a year now. But 3 weeks ago, as i do every month i stopped my pill, bled for 7 days and took my pill again to start a new month. Its been 2 weeks now an im still bleeding. Why? | implanon side effects is irregular bleeding...this may last from 6 months to 1 year...u r bleeding still because of imbalance of hormones...u can consult ur gynec for further tx | |
Pain in throat while sneezing, lump in right neck. Taking cefron CT, azorixmincin 250 mg. How to reduce pain?
my rightside troght is paining when i am Sneeze , that pain is atleast 2 mins, i fell some tissue in my trought, and i have some lump in my right neck , that lump has no pain nearly it is one month, i taking tablet cefron CT, azorixmincin 250 mg & xsfort also, but sill the lump is not reduced & trought pain also sill there pls suggest sir, i am waithing for ur reply sir, pls help me sir | IT IS CHRONIC ALLERGIC SINUSITISTHE POST NASAL DRIP OF SINUSES CAUSE SOAR THROAT SNEEING AND THE SYMPTOMPS WRITTEN BY YOUGET XRAY PNS DONE AND GET TREATMENT OF SINUSESNO ANTIBIOTICSNO PCM BRUFEN DIET SUPPLIMENTS TAKE DOXICYCLINE 100 MG BD FOR 10 DAYS TO CLEAR SINUSES FASTTAKE ANTIALLERGIC FEXOFENADINE 120 MG BDANTACID LIQUID GEL I TSF TDSAPPLY NEOMYCIN H EYE OINTMENT IN NOSE BD'SEA WATER 2 DROPS AT NIGHT EACH NOSE AT NIGHTTHIS ILL CLEAR YOUR SNEEZINGNEED TO CONTNUE FOR 3 WKTILL YOU STARTP ERMANENT RX | |
Q. I got episodes of Raynaud's in hands and on and off muscle pain. What to do?
Hello doctor, I am a 43-year-old female. About a year and a half ago I noticed Raynaud's in one finger. I had three episodes in two years. I have lost most of my eyebrows. Recently, I got three episodes of Raynaud's in both hands, and most fingers. I have joint pain that comes and goes in all joints. I have widespread muscle pain that comes and goes. The intensity changes. I am fatigued and just noticed that upon awakening, my fingers are a little swollen. I cannot get my ring off until about one or two hours after waking up. I have had plenty of bloodwork ANA's, ENA, Scl 70, centromere, PM Scl, all of the scleroderma and lupus testing along with Sjogren's. ANCA, P ANCA, CPK, ESR, RF, and ds DNA tests. The only test that was abnormal was C3 and C4 decreased and elevated anticardiolipin IgM. My WBC was also low. Since 99 percent of lupus is shown on positive ANA, what could this imply in the absence of a positive ANA? | Hello, Welcome to icliniq.com. I have gone through your query and what I can convey is that in most of the cases, clinical picture is that of systemic sclerosis, scleroderma, SLE (systemic lupus erythematosus) but as per the reports elevated anticardiolipin IgM and decreased complements can also be found in ITP (idiopathic thrombocytopenic purpura), rheumatic, psoriatic arthritis, primary Sjogren's syndrome and in cases of SLE who are at increased risk of vascular thrombosis, thrombocytopenia cerebral infarct and recurrent spontaneous abortion. | |
Suggest treatment for jaundice
i have recently got infected by jaundice and my marraige is due next week. i am taking regular medicine for last 3 days and follow a stick diet by excluding oil and fat. how much time will it take to come out of jaundice and what further precautions to be taken after marraige. please advise. | Hi.Thanks for posting query at HCM.It may take few weeks for the jaundice to come down provided your "not" suffering from fatty liver disease or HBV; HCV.Though you mentioned jaundice but did not mention liver enzyme values.Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.HAV, HBV, HCV, Alcohol ingestion and obesity are common causes of liver disease.advice :- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks"any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik | |
Taken pregnancy test. Headaches, head gets warm, high BP. What is going on?
I have not got my period in July but have taken 2 pregnancy tests 1 was 2 weeks ago and one was week and half ago both - I am feeling bloated and I am always hungry even if I already ate. I need to go pee every hour which is abnormal for me since I normally go about 4 times a day. Seems like when I get up to do things my head, face gets really hot like my blood pressure is going up. Do you think I could be pregnant or is there something else going on? | Hi Dear,In a female with previous normal periods, pregnancy is the first thing which has to be ruled out when she misses her periods. All the symptoms told by you are very common in pregnancy. A negative pregnancy test may be the result of delayed conception especially if you have prolonged cycles. To confirm you can get HCG test which will surely clear the picture | |
Why am I feeling lightheaded and nauseous after wisdom teeth extraction?
Hi I just got all my wisdom teeth pulled this last Thursday and I'm concerned that my left side might be infected. There is kind of a yellowish substance sitting on top of the lower tooth but it is painless. I'm feeling a little bit nauseous and a little light headed. Is this normal? | Hello, Welcome Thanks for consulting HCM , you have got all wisdom teeth extracted and now you are feeling nausea and light headness nothing to worry about it take proper medication prescribed by your dentist and proper diet it may be due to weakness also and yellowish substance that you are feeling may be soft deposits of food maintain proper oral hygiene and if pain occurs thant go to consult your dentist. | |
How can neck and chest mobile lumps be treated?
I have 2 little hard shaped balls in the back of my neck (about pea sized). Then a larger on on the left side. Also one on each side of my chest and one on a u per back muscle. These bumps are move able but not read they just are barley elated from the skin. Please help thanks | Dear friend,As per your detail, you have neck swelling and chest swelling. if i am treating doctor, then i would like to examine the swelling first. Diagnosis can confirmed after examination only. A neck lump may be a lymphnode swelling and other swelling on chest me be lipoma or other cyst like sebaceous cyst. Lymphnode sweliing may subside itself, but lipoma or sebaceous cyst needs excision.Thank You. | |
Injecting clexane during flight stopover required to avoid blood clots?
Had a clot after flying. I have to inject clexane one hour before flying, 12-24 hours later inject again. However, After nearly 10 hours flying, I have a stop over of 5 1/2 hours, and then another flight of 14.hours.Will just the one injection before and the one after be ok or will I have to inject during the stopover.Thanks | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Another injection of clexane would be necessary.2. Its necessary to prevent thrombus formation. Long flight are high risk for thrombus, and you have two flights and it's necessary to have another dose to prevent thrombus formation, as the total time exceeds 24 hours.3. Also mobility is necessary at least hourly once for five minutes. Take medication as suggested. If you have any breathing difficulties or calf pain after flight, immediately go to ER.Hope it helps.Any further queries, happy to help again. | |
What causes low blood iron levels?
When I tried to donate blood, my iron was at 12.0 and retested for 11.x. I know I've been really tired recently. I have a dog that recently had chemo (actually an overdose of it but has almost fully recovered except platelets still low). Would my coming in contact with her bodily fluids have caused my low iron? | Hi there,Certainly, coming in contact with a dog, which received chemotherapy, is not a reason for low hemoglobin level. We need to evaluate you, to know the reason for your anemia. Once the cause is identified treatment is easy.Hope I have answered your question.With regards,Dr. Girish Kamat | |
What causes chest pain with pressure and dullness?
hello i am a 21 year old female, 5'5 185lbs. About two hours ago I started getting chest pain under my left breast near the ribs and along my left shoulder.My breathing and pulse are fine and the pain is worse if im lying down. It comes in waves with the peak being a sharp pressure and otherwise its kind of dull. My dad had a heart attack 12 years ago at age 47 and heart disease runs through bot sides of my family. Whats wrong wit me? | Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, you should definitely rule out heart diseases for your symptoms because of strongest family history of heart diseases. So get done ecg, 2d echo and stress test (trade mill test).If all these are normal then no need to worry for heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relax and calm. Take simple painkiller like paracetamol or ibuprofen. Don't worry, you will be alright with all these but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What is the suggestion for leg pain, heart flutters and lightheadedness?
both my legs ache. I have been having heart flutters and lightheadness feelings. Couple of weeks ago I thought I was having a heart attack but it was supposedley a panic attack. I am on buspar for this. I also have gerd. I take prevacid for this. | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, your all symptoms are mostly due to uncontrolled stress, anxiety and panic disorder. But better to rule out heart diseases like arrhythmia (rhythm disturbances in heart) because heart flutters are common with arrhythmia. So better to get done ecg, 2d echo and Holter monitoring (24 hours continuous recording of ecg). If all these are normal then no need to worry for arrhythmia or other heart diseases. Uncontrolled stress and anxiety are likely in your case. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need additional anxiolytic drugs too. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What are the long term effects of not having a hip bone and joint?
I am a t12 parapeligic. I broke my hip in 2011 and had an unsuccessful hip replacement.The doctor removed all the hardware and now I have nothing and pretty much told me they could do nothing to repair it so it would stay. I have started experiencing lower back pain. Are there long term effects from not having a hip bone and joint? What kind of specialist should I go see? | There is definitely limb shortening on the affected site. This leads to compensatory scoliotic deformity of spine. It may leads to paraspinal muscle spasm and pain. Later stage may lead to neurological compression. | |
Can you transmit herpes after testing negative for the presence of antibodies against herpes in the blood?
Can you transmit herpes after testing negative for antibodies in blood? My partner stated they recently contracted the virus and we believe that it may have come from me. I had a blood test done and came back negative for hsv1 and 2 antibodies however we both know in males the virus tends to hide itself. | Hello, If you have tested for herpes antibodies, it means you're looking for past or active infection. In other words, antibodies are produced by your body in response to herpes infection. If negative, that means that you might have not faced herpes infection. However, there are some factors causing false negative results depending on: - your immune system - if the test has been carried out within the window period You can redo the testing again in a month time; if still negative, then, no fear for herpes infection. Hope I have answered your query. Let me know if I can assist you further. All the best. Regards, Dr. Albana Sejdini, General & Family Physician | |
Suggest cure for swollen lymph nodes
I started around the 11th with a huge carbuckle in my scalp and had one small swollen lymph node in the back of my head. I went to the dr who put me on bactrim for 10 days and this took care of the boil. While on this I noticed a few more small swollen lymph nodes on my head, neck, near my armpit (no bigger than a pea). This past weekend, I had a stomach virus and now I feel swollen lymph nodes all over. I am going for a ct scan today but am scared to death it could be cancer/lymphoma. I also have a chronic post nasal drip. | welcome to hcm,I really appreciate your concern,Are lymph nodes painful?Swollen ,tender,painful lymph nodes are indicative for infection.It might be an viral or bacterial infection.Common causes are :Strep throat,Mononucleosis,tonsillitis,mouth sores etc.If not then it can be a cancer for that you need to undergo a test called fine needle aspiration cytology.Usually an bacterial infection needs a course of antibiotics such as bactrim which you took, and an viral infection doesn't require specific treatment.To improve her symptoms she need to rest ,drink plenty of water,eating healthy.-applying a warm, wet compress to the affected area may help.-She can take NSAIDs to reduce the pain and inflammation like: Ibuprofen , Acetaminophen .If she start to have fever ,or the symptoms doesn't seem to improve,she need to consult a physician and get examined.A detailed medical history ,physical examination ,Complete blood count test are necessary for the diagnosis.Please let me know if you have any questions,thanks.regards. | |
What could sharp shooting pain in lower abdomen to rectum suggest?
Hi I am a 32 year old female and i have been experiencing a sharp shooting pain in the lower part of my abdominal area which goes from my stomach and to my rectum. I had to be rushed to the hospital by ambulance because it hurted so bad that i could barely walk. It felt like i was having contractions and giving birth all over again. So the doctors stated that my urine was fine and bloodwork was fine. They did a cultural on me and stated that i would have the results in a couple of days. My pain is still there but not as pain because they prescribed me some pain meds. Can you tell me what this sounds like? | Hi. In my practice, i have found these symptoms in a patient with uterine prolapse. You better need to see a Gynecologist and ask her specifically to rule this out by an internal examination , wherein she will ask you to strain and see. | |
Will daily masturbation affect the consistency of semen?
hi doctor,i just wanted to ask something about semen consistency, because my fiance is having clear and liquid semen after ejaculation for how many months already, thou were not sexualy active,, but he admits that almost evry day he is masturbating, does it affect its consistency. because im worried maybe he has infertility problem. | helloThanks for query .Your fiance is indulged in frequent masturbation almost every day and you have noticed hi semen to be watery in consistency .Normally it takes 2 days for seminal vesicle .prostate and testicle to produce semen of normal consistency and volume hence it is natural to have semen to be watery in a person who ejaculates frequently over a short period of time .You can ask him to get his semen analysis done after observing abstinence for 3 days (No ejaculation for 3 days either by sexual intercourse or masturbation ) to be rest assured about his fertility .Dr.Patil. | |
Suggest treatment for hair fall
hello, im shikha im 23 year old girl ht 5`5 n wt 45 kgs.. i hv very thin hair n plus hv a hair fall problem... my hair does not grow much either... cos of my scanty hair people often crack jokes on it... i wil b gettin married next year n d boys family often discuss about my thin hair which puts me in a very embarrassin situation ... pls help me | Hi,It seems that probably you may be having telogen effluvium. Kindly consult the dermatologist for the firm diagnosis. There are many causes of telogen effluvium. Blood tests may be done. Anaemia,vitamin and mineral deficiencies, stress,thyroid dysfunction,typhoid, other internal diseases may be responsible. I would suggest..- removal or treatment of the cause- local application of mild steroid lotion- biotin 10 mg daily- vitamin E 400 mg once a day- oil application on hairs ...like almond oil- cleansing the scalp with herbal shampoo- if dandruff is there,treat with ketoconazole shampooI hope this would help.Dr. Ilyas Patel MD | |
Is cleaning everything in room that was touched after masturbating an abnormal thing?
when after i masturbate in the room, i wipe sperms with a old cloth.. but problem is not that..... after that i want to clean everything i touched (Like key board, mouse, computer table, door handles, chairs and everything i touched) in my room with Dettol... is it a sick? i spend more than 3 or 4 hours to do this... if i didn't do this i cant live in the room... it's unpleasant.... please help me... | Hi friend , After reading your complaints the symptoms suggestive of OCD (Obsessive Compulsive Disorder) . After masturbation a thought of unclean touched objects comes repeatedly in mind & you cant resist or stop this unpleasant thought - the symptom is called Obsession. Due to obsession you develop anxiety and to relieve anxiety you clean those touched objects - the symptom is called Compulsion . For firm diagnosis we need detailed history , Mental status examination & investigations. Generally we give SSRI group of tablets and Behavioral therapy to treat OCD . You should consult Psychiatrist soon for firm diagnosis & treatment. Take Care.Regards | |
Suggest best ways to prevent pregnancy
Hi, am 23 boy and in a relationship for the past 4 years. I wana know what are the best ways to avoid pregnancy for my gf and have safe sex. Under no circumstance i want her to get pregnant. Tell me the best contraceptive plzzz. I am waiting for your answer | HelloThanks for writing to us with your health concern.Condoms are the best choice as they protect against sexually transmitted diseases also.Again, if not willing, birth control pills can be used by her eg. Femilon.Take care. | |
Is it safe to take Zerodol for shoulder pain?
My husband has been asked by the Dr to take Zerodol for his shoulder pains. After taking for 2 days he has loose motions . He is also taking Pan along with Zerodol. Is there a connection his tummy upset with his medication? Or is it because of some food he might have eaten? | Hello, Thank you for using healthcare magic . I read your question and understood your concern. I think that the stomach upset that your husband is he's from taking these two medications . The first one is a nonsteroidal antiinflamatory medication and the second one is an analgesic . If you take both of them without any medication for stomach protection they may cause stomach upset . So I think your husband should take this medication alongside with omeprazole medication which is a stomach protection drug .The stomach upset has nothing to do with some food that he might have eaten . Please consult your doctor for the side effects of the medication . Wish your husband quick recovery.Dr.Selmani | |
What causes itching and sharp pain below the shoulder blades?
I have itching on the left back just below the shoulder blade. It started about 2 months ago and progressively go worse. Now I m also experiencing some pain in the same area. It is not continious but at times like a sharp pain. I do resistance training and the only thing that I have done different is upper twisting with a broom handle across my neck and arms outstrectched. | Hello,Since when is you suffering from? It may be due to muscular spasm like serratus muscle or interscapular muscles. Use tablet aceclofenac and paracetamol twice a day for five days. Use tablet evion lc twice a day for five days. Cold compression and vitamin c intake may help. If symptoms not improved please consult with your orthopedist he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
Why does the ggt results go high?
I am worried about my ggt and alt results which are high. I had just drink one for my friends party a year ago. thats ot. but I was taking ibuprofen day before the test because my face was swelling from the allergy. since it was anti inflammatory it reduce the swelling. Liver: Alkaline Phosphatase 65 U/L 30 - 115 Total Bilirubin 0.4 mg/dL 0.1 - 1.5 AST 22 U/L 11 - 33 ALT 49 U/L High 8 - 37 GGT 84 U/L High 8 - 43 Total Protein 7.1 g/dL 6.5 - 8.5 Albumin 4.7 g/dL 3.9 - 5.2 Globulin 2.4 g/dL 1.9 - 3.8 Hepatitis B Surface Antigen NEGATIVE NEGATIVE Hepatitis C Antibody NEGATIVE NEGATIVE Serum HIV NEGATIVE NEGATIVE Blood Glucose 88 mg/dL 65 - 109 Urine Glucose NEGATIVE g/dL 0.00 - 0.15 Fructosamine 1.4 mmol/L 1.3 - 2.0 Heart & Arteries Cholesterol 185 mg/dL 140 - 220 HDL 65 mg/dL High 35 - 55 LDL 110 mg/dL 0 - 129 Cholesterol/HDL Ratio 2.8 LDL/HDL Ratio 1.70 1.0 - 3.7T Triglycerides 46 mg/dL 0 - 150 Diuretic SCRN- U NEGATIVE ng/mL 0 - 1499 Kidney and Bladder: BUN 16 mg/dL 5.0 - 25.0 Creatinine 0.6 mg/dL 0.5 - 1.4 Urine PH Screen 5.3 4.0 - 8.0 Protein 8 mg/dL 0 - 20 Leukocyte Screen NEGATIVE NEGATIVE Hemoglobin Screen NEGATIVE NEGATIVE Urine Creatinine 163.5 mg/dL 10 - 300 Microalbumin 0.6 mg/dL 0 - 3 Microalbumin/Creatinine Ratio 3.6 mg/g Creat 0 - 30.0 | your results are good. nothing to be worried about. GGT is only mildly elevated and could be only due to the alcohol intake. ALT is hardly elevated. lose some weight, stop worrying and cut down on sugar and alcohol and it should come down to normal . | |
What causes headache after taking Adderall for ADD?
I am a 46 yr old female recently diagnosed add (my son and my 2 siblings have diagnosed add). My dr Rx d Adderall 20mg twice a day. The first few days I had a headache and felt like I had too much caffeine. I don t notice any other changes after two weeks and I have gained 2 pounds! Does this mean I don t have ADD? | No, it doesn't mean that you don't have ADD.Adderall usually causes weight loss. However, the side effect (or lack of it) has nothing to do with the diagnosis. Even response to treatment is not the way to diagnose a clinical condition.In my opinion, the issue for you should be whether you see any benefit in the symptoms that led you to seek consultation. You should feel free to discuss this with your psychiatrist.I hope this answers your question. | |
What are my chances of getting pregnant again?
Hi Doctor, my name is Maureen. I had Uterine synechiae following my miscarriage on 5/8/12. It has been treated and i took in last yr March. The pregnancy resulted into Ectopic in which my right tube was removed on 23/5/13. Since then, i ve not be able to take in. What are my chances of taking in again. My left tube is okay. | Hello Ms.Maureen,I have gone through your query and understood the concern. It is so sad that the conception resulted in an ectopic pregnancy. In the current scenario, the tubal motility of the remaining tube, its patency and the status of the endometrium, whether it is capable of holding an embryo safely etc., should be evaluated by an expert in high risk pregnancy. You may need to take a break temporarily to allow proper tissue repair. Once healing is done, given the parameters are good enough, you can try for another pregnancy. As you have no ovulation defects, your chances of conception are good if the tubal function is normal. Hope your query has been clarified. Take care. | |
Nausea, cramps, red spotting. Regular priods. Pregnant?
Hi. My periods are usually regular, 28-30 days, but this year they came every 28 days. On day 17 of my last cycle, I had sex. 7 days later after sex again, there was some light blood when I wiped. Next day until now, I've had nausea and cramps. Today, 3 days after my period is due, I have some red spotting. Not a blood flow. And the nausea and cramps haven't changed. Is this a period, or am I pregnant. I had my 2 children 9 and 10 years ago. Never had "implantation" or any other bleeding. | Hello,You were involved in unprotected sex close to your fertile days. So, chance of being pregnant is there. All above said features may indicate implantation bleeding. Here, you need to undergo one blood test for beta-hcg & TVS scan to rule out conception if any.Following test report, you should consult with gynecologist for next line management. Practice safe sex in future. Good luck. | |
What does this MRI report indicate?
I had an MRI and the Impression is as follows: Signal alteration along the rightward aspect of the T10 vertebral body which has corresponding hypointense T1 signal. Differential includes a lipid poor hemangioma and/or degenerative changes. Given its relatively well demarcated margin on coronal scout imaging, this does not appear to reflect a acute fracture/contusion. 3 month follow-up recommended. Additional signal alterations of T11-T12 consistant with more typical appearing hemangiomas. Multilevel hypertrophic thoracolumbar spondylotic changes with posterior disc osteophyte resulting in minor multilevel spinal stenosis most notable at T4-T5, T5-T6, T6-T7 and T7-T8. No Listhesis. Can you please tell me what this means? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Hemangioma in vertebral bodies are "incidental" findings on MRI, most often, they do not cause any problems. A repeat MRI should be done after 3-6 months to see if their sizes are increasing. In addition, there are degenerative changes due to ageing, and it requires back extension exercises and physiotherapy. Hope I have answered your query. Let me know if I can assist you further. | |
Is it safe to take pause 500 before hysterectomy operation?
hi doc, I have been prescribed with pause 500 three tabs a day for 4 days because of heavy bleeding during my periods. I am due for a hysterectomy operation in the month of may. Doc I wanted to know if these tabs are safe to be taken, and if so please let me know if i need to take them before or after meals. thanks | Hi,Yes, it is safe to take the medicine Pause 500 before hysterectomy. Pause 500 (Tranexamic acid) is generally prescribed to prevent heavy bleeding during periods. It should be taken with food. Swallow it as a whole. Do not chew, crush or break it. Pause 500 should only be taken after the start of a menstrual period.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
what is the cause of high bp and a little chest pain after angioplasty?
My dad Had an MI 2 mnths back. He underwent angioplasty n 2 stents were placed. He gets a little chest pain at times which subsides on its own. And sometimes he gets high blood pressure, what could be the cause now? Secondly he has persistant dry cough. Wat is the reason for that? | Hi. Thank you for your question and welcome to HCM. I carefully read your query.I would open my answer by giving you an information regarding stents. A bare metal stent (BMS) has a 16-20% rate of narrowing, whereas a drug-eluting stent (DES) has a 4% rate of narrowing. I think that you were advised, on discharge, to have periodical cardiac stress tests, 1, 3 and 6 months after the stent implantation. My opinion is that if these symptoms are of high intensity and severity, and/or similar with the ones that heralded the heart attack, you should conuslt your cardiologist and consider performin another coronary angiogram to see how the stents are doing. As about the dry cough, I assume your father is on a drug from the class of angiotensinogen converting enzyme inhibitors (ACE-I: captopril, enalapril, lisinopril), which produce cough as a side effect in 10-15% of subjects that use it. If this is the case, I would recommend changing this drug with a drug from the angiontensin receptor blocker (ARB: losartan, valsartan, eprosartan) class. The dry cough should subside in three weeks.I hope I was helpful. Best regards. | |
Suggest health risk with kidney donation
In your opinion, how effective is dialysis in comparison with a kidney transplant? A kidney transplant from a living donor in comparison with a cadaver? What are the health risks of kidney donation , specifically kidney, from the donors prospective? Is it common for donor health to decline after donation? Do you anticipate the number of kidney donors going up or down in the next 10 years? Do you think there will be an end to the shortage of kidney donors in The United States? | Hi, Donors generally recover well without any complications. However, donors also undergo a major surgical procedure and there is always a risk associated. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for fatty liver
from my x-ray report hila are congested... central bronchovascular marking are prominet.. and from my ultra sound report liver: liver is mildly enlarged(150mm)with mild prominence of periportal echoes...no focal abnormal echoes seen.vascular pattern is normal. my age is 28years....please from above information, may i have any danger condition???? | HelloYour findings may indicate mildly enlarged liver with fatty liver.Fatty liver is a reversible condition.Fatty liver may be due to many causes like obesity,alcoholism,sedentary life,hepatitis,altered lipid profile,metabolic disorder etc.You should go for brisk walk regularly and take lot of fibers in food.Avoid saturated fat and fried food.Congested hila with central bronchovascular markings may be due to infection etc.It is generally a benign finding.Get well soon.Take CareDr.Indu Bhushan | |
Am i suffering from any mental disorder?
sever ups and downs in emotions. periods of feeling down, having suicidal thoughts, thinking people around me have bad intetions in mind. other periods of being very happy, social, loving public places. what can i do, my downs have been more sever lately | Hello.welcome.As you are having big mood swings you must consult a psychiatrist for the evaluation and treatment.Good luck. | |
Kidney infection and irregular menstruation
Hi,doc.i am a girl of 24 yrs.i was diagnosed of kidney infection in 1999 when i was 14 yrs old.since then i never felt it again.in 2002 when i am 16yrs old i starte menstruating,my periods was normal until i joined a football team in my school in the yr 2005.since then it has completely gone abnormal.sometimes,i miss my period for 7months.i have gone through many medications yet no change.i am married now but have not conceived.am afraid because of recent i started having strange feelings in my body,stomach pains and frequent headache .could it be that same kidney infection?could it be that it was cure the very first time it was diagnosed because i have not been diagnosed of it again but instead typhoid and malaria kept coming up each time i go for diagnosis.could the previous kidney infection i had when i was 14 be the cause behind my irregular periods now that i am 24.pls i am afraid doctor help me. | Hi,Marynn, Thanks for query, First you regularize your period and then think of conception. Your past kidney problem also to be evaluated. Go for ultra sound for kidney and genital tract. Consult urologist and gynaec.Both together will find out the cause and then they start the treatment. ok and bye. | |
Dental decay below gum line, no discomfort. Should I get root canal and crown done?
When I went to my dentist last week for my regular six-month check-up and cleaning, the hygienist found an area of decay under the gum line on my upper second molar. I had noticed some periodic tenderness when I brushed that area, but I thought it was just an irritated gum. After the decay was found, an x-ray was taken of the tooth (which took three tries because of the difficulty of getting a good view of the tooth). The x-ray showed quite a lot of decay inside the tooth, but there is no decay on the outside. My dentist said that is pretty rare, but can happen due to bacteria getting inside the tooth. I have always taken good care of my teeth , and the others are in good shape, so I m really surprised and upset that this has happened. Previous x-rays didn t show any problem with this tooth, so this must be something that has developed pretty quickly. The options I was given were 1) Do nothing for now (I don t want to do this) 2) Do root canal and a crown, which would cost maybe $2500 total and require several appointments; or 3) tooth extraction. The affected tooth is above a bottom molar that has never come in fully, and the two teeth don t meet for much chewing. I also had an impacted wisdom tooth removed behind that area years ago, and that area will always be tender. Bottom line is that I can t and don t chew much directly on those back teeth on that side. I really hate to lose that tooth, but I m also reluctant to start down that root canal/crown road with the expense (I don t have dental insurance) and the possibility of trouble with it later. So I m on the fence and having a hard time deciding what to do. The tooth is not causing me much discomfort yet. Any thoughts, advice, or experiences would be appreciated. Thanks! | well as you already said you are hating to spend the money but from the bottom of your heart you know what you require - ROOT CANAL . about the xray i have to say that it is not rare because dental decay is usually like this what appears on top is just like the tip of an iceberg. the decay is much greater inside. so trusting by your hygienist who should not be doing a root canal you require a root canal. however you can delay it with painkillers if it pains , but keep the area very clean. thanks | |
Is constant yawning a result of anxiety?
I'm 14 years old and for the past 3 weeks or so I feel like I'm not getting enough oxygen when I breathe. It happens pretty much for the entire day. I know it's not shortness of breath, and I have been relatively healthy for my entire life. I'm yawning constantly even though I'm not tired, and my nose isn't congested or anything. I've done a little research and most of what I find says that I must have anxiety. HELP PLEASE!!! | No it doesnt seems anxiety. Sometimes hyperdopaminergic disharge can lead to yawning.and there are some other reason too. But u have to maintain lifestyl avoid smoking do regular exercise n healthy diet will help | |
How can health anxiety be managed in an obese diabetic?
Hi, I'm an obese diabetic, on metformin and losartin, and i sleep on my side with my head resting on my arm, which is usually under my pillow. When I wake up whichever arm I've been sleeping on is almost always numb. I have health anxiety and have gone to the dr about chest pains, which was attributed to stress/panic attacks after they did all sorts of tests to ensure my heart is fine. My question is, how concerned should I be about this? Is it a circulation issue? etc etc. Thank you. | Hello, Thanks for the query.Since you are having obesity as well as diabetes in addition to anxiety, it essential for you to work seriously to reduce weight to a reasonable level. There is no mention of your weight or height and also of blood glucose values and HbA1c%, it is very difficult assess the situation completely. In anxiety neurosis patients get many symptoms which simulate a number of diseases.As your chest pain has been attribute to stress anxiety, it very essential for you to work on reducing the weight so that your BMI is closer to 25 kgs/M2. That will definitely improve your overall health. Plus should help in better control of blood glucose. Thanks. | |
What causes sharp pain radiating from upper back to the shoulder?
I have sharp, pin pricking pain on my upper back. It stings and radiates pain around my shoulder blade (8/10 on the pain scale). There is no visable bite, marking, or redness on the skin. It is quite distressing, as it is a significant pain with no apparent source. | Hi, I had gone through your question and understand your concernsWith such presentations in my clinic, I would firstly reassure my patient .Mostly this is Myositis or muscle spasm in the upper back muscles ..I suggest also doing plain X ray for cervical and thoracic vertebrae.I advise you to receive muscle relaxant and NSAID. | |
How to get rid of body odor and bad breath?
HI I'm graduate student working to get my master in environmental engineering ,i been taking adderall 30mg twice a day, and xanax 1mg (3-5) at night time ! to sleep , also i train brazilian jiu jitsu for last 4 years. Recently i start notice that my teammates are making inside jokes about my smell, like ( swedien ,fish,poopy ,you need a soup ) . Regarding to my body and mouth smell. Also they are avoiding rolling with me. As a person i shower before going to training and after coming back home, or twice even if i don't work out ,i use channel sport perfume for man for the last 5 years and other channel product where all are so good and you smell like a clean man , i brush my teeth 3 times a day, i drink almost one gallon of water per day ,recently i start taking vitamins D IU 2000 3 times per day also i take cranberry pills 3 times a week , i live in San Diego and i moved to USA 4 years ago , i never been told that i smell bad before ,what should i do to avoid this odor , on last thing i'm originally from Iraq so i like eating fruits salads ,i don't eat junk food unless its "IN -N -OUT". I really need some scientific advice about this embarrassing issue PS : MY AGE IS 34 Wight is 196 lb tall is 5,7 ft | Hello , Thanks for consulting HCM. Read your query, as you are facing problem of bad breath this Halitosis can be due to some reasons which includes Not having proper oral hygiene , caries tooth , decayed tooth , periodontal disease, sinuse related ,stress and anxiety related , eating of certain food like garlic , onion , fish , meat , chesse , or due to habit related also . Dont worry I will suggest you to consult dentist and go for examination of oral cavity and rule out the cause of halitosis , go for oral prophylaxis (scaling and root planning ) every six month , maintain proper oral hygiene , use mouthwash chlorhexidine regularly , do warm saline gargle , use waxed interdental floss to clean interdental areas of teeth.Hope this will help you. Wishing you good health .Regards , Dr. Priyanka tiwari | |
Why do I get sudden attacks of blurred vision and sweating?
For a while now I have been experiencing strange symptoms in certain situations. If i am injured (no matter how minor), if I see someone else injured (no matter how minor) or if I visit someone in hospital after they have had surgery I go into these phases where I begin to lose vision, it becomes narrow and blurry and then goes white, i then get extremely hot and sweaty and my face goes grey. In most instances my vision goes completely white and I am blinded and I usually lose any strength in my legs and fall over. After a short while of sitting down and putting water on myself it tends to pass. Is this some kind of anxiety attack or is it something more? | It is most probably an anxiety attack, something like phobia. But you must get your blood pressure and blood sugar checked immediately. | |
Suggest treatment for a painful lump on the neck
i have a small lump on my posterior cervical area of my neck. I haven t noticed it until about a couple of weeks ago i was feeling sick and went to the doctors who put me on antibiotics for strep throat and i figured my lymph nodes where just swollen because of the infection. its been 10 days and i am done with my antibiotics but the lump is still there. should i be worried? | HI,Dear,Thanks for your query to HCM virtual Clinic.I studied your query in all the details put forth by you.I understood your health concerns about the Cause of unrelieved lymph node in posterior of your neck.Treatment -I reviewed your case, and in my opinion your doctor has rightly treated you.Its normal to have lymphnodes even after 10 days of antibiotic course.Don't worry for the lymphnodes, as it usually takes 3-6 mths to really reduce from its enlargement to normal size.If You are still suspicious of it being Cancerous , a Second Opinion from another ER Ent Surgeon would resolve your worry.I would advise you to consult ER ENT Surgeon in your case,only if it recurs and increases in size and increases in numbers.As I don't have any first hand information or the photograph of the lump,its advisable to get checked and treated from your doctor.Hope this would help you to plan treatment as fast as possible with your doctor.If you feel satisfied with this reply,don't forget to hit thanks and write excellent review comments,which would improve my rating for new needy visitors to HCM.Welcome for any further query in this regard to HCM.Have a good day.With Regards,Dr.Savaskar M.N.M.S.Genl-CVTS,Senior Surgical Speciailst | |
Decreased basal tracer distribution, bilateral patchy parietal, mesial temporal. Meaning?
What does it mean when you have decreased basal tracer distributionto the, bilateral parieto-occipital, bilateral patchy parietal , bilateral mesial temporal, bilateral orbitofrontal, patchycerebellar and periventricular with Cortical Metabolic index (CMi) 61.26%, within. alues (48.0-66.1)%, noted in 43 near normal patients, consistent with traumatic brain injury and mild cognitive impairment . Decreased perfusion-simulated tracer distribution, overall similar to the basal study with background corrected Cortical Perfusion index (CPi) 66.14%, within values (56.3-77.2)% noted in 43 near normal patients, and consistent with normal cerebral flow reserve index, FRi = 4.88%, vs values + (3.7-15.7)% for 43 near normal patients. | Hi,Thank you for posting your query.These findings refer to findings of a metabolic scan of brain, most likely SPECT scan. You have only given a part of study here. This looks like a comparison of metabolic activity of brain of head injury patients, with that of normal brain.The study has shown that metabolic activity is reduced in brains of head injured patients, when compared to that of normal brains.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist | |
What could red lumps on ribs in infants suggest?
hi my newborn baby boy was born with a lump on r/h/s of rib area with a lump, diagnosis by doctors at time was a long name which i cant remember. However was told its harmless and the body will rid of this. the lump flatened out and shrunk over 8 months however now part on lump is reapearing along with redness. Any idea? | Hi, dearI have gone through your question. I can understand your concern. Your baby may have some hemangioma or congenital lesion. It is congenital condition and disappear within few months. If your doctor said that it will disappear by itself then nothing to worry. No any treatment is required for that. Just be relaxed. 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. | |
What causes seizure after discontinuing Dilantin?
My friend stopped his Dilantin went into seizure. He s color was purple neat death experience with life light to hospital. He s on 2000 mg Keppra. He s exhusted, muscle pain in bones. He very thin, and so fraile. He s to follow up with Nerologist but has not referred to one. We live in a small town, he has no insurance! I m trying to get him to rest his body after what he has been through. I m a surgical nurse fir plastic surgeons so giving him advice to take care of his body! I advised dobt stop your meds. He s tried some oil homioathy reamidy just I said was ridulious! Any advice ? Thanks so much ! | Hello,His symptoms do not seem to be related to Keppra adverse effects. Did he have these adverse effects while taking Dilantin?Anyway, I would recommend consulting with his GP and performing some blood lab tests: complete blood count, kidney and liver function tests, vitamin D levels for possible deficiency, PCR for inflammation, muscular enzyme levels, in order to exclude other possible causes that may lead to such clinical scenario.If these tests result normal and these complaints started with Keppra drug, I would recommend switching gradually to another drug like Carbamazepine or Valproic Acid.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Aida Quka | |
Suggest remedy for getting pregnant
hello Doc !my age: 29 weight 62 kgs height 5.0 feet we shifted to france from india in mar, after that i dint get my periods for 3 months, then i went to doc, after confirming that i wasnt preg , he prescribed me norlevo, i got my periods , then i went to gyno, she did tummy scanning and confirmed that my system is healthy, then i took blood test for harmones, concluded that my harmones are balanced. i have been priscribed progesterone tablets for 3 months to regulate periods, we want to have kid, am i on correct prescription? | Hi, if you want to conceive, you can 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 every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks after follicles rupture. Don't take progesterone throughout the cycle. 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 | |
Suggest remedy to get rid of anaphylaxis allergies
my sister has anaphylaxis allerges.she is in bad shape.i am worried.she is poor and takes over the co.pills she can t breathe and she is burning and large rashes over her body.her whole body burns like a sun burn.i have no money to give you any.i don t even have a credit card..so could you please help her on some advice she don t know what is causeing the allerge she chaned her diet..and it won t go away..she has beened to a dr.but no good what is wrong with her...she got this after she drank some protein powder please help | Hello.Thank you for asking at HCM.I went through your history and would like to make suggestions for your sister as follows:1. First of all, I assume that she really has anahylaxis. Unfortunately there are no tests available that can reliably diagnose anaphylaxis. So it's only listening to her symptoms the diagnosis is usually made.But there are other conditions also that might mimic anaphylaxis. However, sudden onset itchy rashes and breathing difficulty together can be symptoms of diagnosis.2. If the cause is not known, occurrence of anaphylaxis cannot be predicted. So the best strategy is to keep injectable adrenaline (in some countries autoinjectors are also available) with her. Whenever should she develops symptoms, she should inject the adrenaline herself; it could be life saving.Again, please make sure with her doctor that she really has anaphylaxis so that he can prescribe adrenaline to her.3. Regarding cause, it can occur due to food-borne allergens, air-borne allergens, some drugs, insects stings/bites and sometimes without known cause.Common foods are - milk, egg, peanut, soy, tree nuts (almond, cashew, pistachio, walnut, etc), fish, wheat, shell fish, etc. As you correlate with protein powder, please try to correlate the contents with above.If the food is identifies, avoidance is the best strategy.Common drugs are NSAID pain killers (other than paracetamol) - like ibuprofen, diclofenac, aspirin, etc, and antibiotics like penicillins.Sometimes association of occurrence of anaphylaxis with menstruation or exercise may also be present.3. Please try to correlate her occurrences with above mentioned anaphylaxis triggers. If she can identify the trigger, avoidance will be the best.Hope above suggestions and information will help her.Should you/she have any other query, please feel free to ask at HCM.Wish your sister the best of the health.Thank you & Regards. | |
What are the early signs and symptoms of pregnancy?
I am a generally articulate person, but recently I feel as if i am unable to find the exact words to express my thoughts in a timely manner, and sometimes have to restart sentences multiple times; someone told me these could be symptoms of pregnancy? If I were pregnant it would be less than a month since conception, so would these symptoms arise that early? | these symptoms can occur in early pregnancy, but first you need to confirm your pregnancy by a urine test or an ultrasound | |
Does consuming I-pill without a reason have any side effects?
Hi Doc, Me and my Girlfriend had unprotected sex last night but I ejaculated on the outer part of her vagina...I clearly know she will not get pregnant but she don t want to give room for an error and has taken an I pill what could be the result in this case? Does it have any side effects for consuming it without any reason? Thanks... | Hello dearI understand your concernDo not worry, minor side effect will occur after consuming the I pill.Following are the side effects:Abdominal pain, Nausea or vomiting, Dizziness, FatigueHeadache, Breast tenderness, Bleeding between periods or heavier menstrual bleeding, Lower abdominal pain or crampsSo do not worryTake proper rest, eat healthy diet and avoid stressHope this may help youContact HCM for further health queryBest regardsDr. Sagar | |
Do spider bites need further treatment?
mY 7 YEAR OLD SLEPTED IN THE FLOOR BY OUR CHRISTMAS TREE. sPIDERS CAME OUT OF THE BOX FROM THE BASEMENT. TRIED TO KILL THEM ALL . HE MOSTLY GOT BIT ON HIS FEET DIDNT GET BIT AGAIN FOR 2 NIGHTS ..SLEPT IN BED OF CORSE THEN THIS MORNING BITES ALL OVER AGAIN. i HAVE TORE THE ROOM APART SEARCHED MATTRES EDGES VACCUMED ..nO SIGN OF BED BUGS. FOUND A VERY HARD SHELLED BEETLE BUT LARGER AND DIFFERENT DESIGNED THAN ALL THE BED BUGS PICTURED ON INTERNET. wORRIED CLEANING LIKE A MAD WOMEN. MOSTLY WORRIED ABOUT ALL THOSE BITE. nO BROKEN SKIN.. NO SIGNS OF INFECTION. | Hi,Spider bites are mostly not dangerous. They just causes red spots,rashes,mild itching,erythema over the bitten area.You first wash that area with soap and water then apply cold compression or ice pack over bitten area.Apply thrombophob ointment to reduce pain and inflammation or take medications like ibuprofen, diclofenac,serratiopeptidase etc.The symptoms will be subsided within 24 hours,if there is persistent pain,nausea, vomiting, breathing difficulty then immediately consult your doctor.Thanks. | |
Could bursting pain in head while urinating mean recurred stroke?
Yesterday I was having a bm and I was straining then all of a sudden I felt a sharp pain in my head almost like something burst inside my head. Well afterward I had a headache all day, I took aspirin and ibuprofen but it still hurt. When I woke up this morning it didn t hurt but when I would cough it would, and now sometimes it comes and goes. Could I have done some kind of damage, I ve had a stroke back in 07 from a blood clot. Thank you | Hello dear,Please accept my concerns for you.Abrupt onset headache ,which increases on any form of straining(including coughing) can be a symptom of some structural intracranial pathology like a mass lesion inside the brain or an aneurysm(even subarachnoid hemorrhage).Also it can also be a part of benign headache like primary cough headache(which is episodic and increases on coughing and other forms of straining like urination).You should,get a Computerised tomographic scan(CT scan) of head,without much delay.Please get in touch with a neurologist as soon as possible.I hope it was of help. | |
What to do for the shivering of head,hand and other body parts?
My mother has undergone RIRS for kidney stone on 24th march,then ESWL on 28th march, is taking one antibiotic,one pain killer and one b complex supplement pill since then, urine reports are normal but since 31 st march she has developed shivering of head,hand and other body parts,.. what to do now? | Hi, Shivering may not be related to stones, it could be due to infection somewhere in the body, such as urinary tract infection. You can continue antibiotics for symptomatic relief and in case of persistent symptoms, better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. | |
What causes cramps in the lower pelvic area?
Hi, I started to have cramping in lower pelvic area. I am post menopause. I went to my obgyn, had ultrasound done of pelvic, got normal report. 12 months later getting stronger cramps again. Had gallbladder out over a year ago. Started burping a lot. (normally never burp) could these two be related problems? Also bowel movement I found a thread like string. Any suggestions? | Hello,I have studied your case. I can assure you that this lower pelvic pain is not related to gall bladder problem. I think that it is mostly due to some Gynae related problem. I would recommend you to get ultrasound again to confirm the diagnosis. If there is any utreine myoma or growth than you can get removal of uterus. I hope this answer will be useful for you. Let me know if there is any other followup questions.thanks | |
What causes watery discharge through the lesions?
I have been diagnosed with deep-follicle folliculitis. I get these very large lesions, sometimes they are as big as two inches across, that form a blister. My problem is that the lesions are not puss filled. When ruptured it s like pure water comes out. My infectious disease doc had the liquid cultured but it came back inconclusive. My doctor put me on doxycycline hyclate, bactroban up my nose and washing twice a day with hibiclens and that did not help at all and I got black hairy tongue. The first time I got it was at the end of a 4-week trip to asia in 2011. I had it most of the summer of 13. What is really odd, is that when I go to Panama (I own a home there), it goes away immediately. Return to the United States and it comes back. I ve had it this summer for about a month. I don t want to keep trying antibiotics. My husband and I get it at the same time but he has fewer, much smaller lesions. Any ideas? | Hi, well when the cause of lesion is bacterial are characteristics commons like the puss, swelling, local pain and local raising of temperature, it is difficult to think that a watery discharge could be for an infection, i think that must look for other causes like autoinmunity, that is our body attacking our own tissues, lymphatic causes, allergics, etc.don´t think that antibiotics help to your case. | |
Q. How to treat endometrial hyperplasia with atypia?
Hi doctor, I am 56 years old female. I have heavy bleeding, and my endometrium is bulky. It is 15 mm. I have placed Mirena before four years, and I have removed it before two months. My doctor did a biopsy, and the report came as hyperplasia without atypia. Please suggest. | Hi. Please say whether you had any menopausal or perimenopausal symptoms. Please mention whether you had irregular bleeding or scanty periods or whether there is a stoppage of periods. You have placed Mirena before four years. You can also have side effects. The side effects should be subsided. Hormonal effects can also cause heavy bleeding or unscheduled irregular bleeding. Mirena is advised in endometrial hyperplasia with atypia. It usually gives scanty cycles, and there is a reduction in menstrual flow in some patients. In some patients, there is an increase in endometrial size after a long time due to a hormonal effect. In this age, it is better to have a total abdominal hysterectomy and bilateral salpingo-oophorectomy (removal of ovaries due to a risk of ovarian cancer). Please mention the history regarding obesity, family history of cancer, diabetes, and hypertension. All the factors should be followed when you are planning to have a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Please give a detailed history. For symptomatic relief, I suggest you take cyclic Norethisterone 10 mg from 4th day to 25th day for three cycles. You can take it for six cycles. You can have this for heavy periods and during unscheduled bleeding. For pain, you can take tablet Ponstan 500 (Mefenamic acid) for eight hours from the second day to the fifth day. If the bleeding is heavy, you can also take tablet Tranexamic acid 500 mg for eight hours along with Ponstan from the second day to the fifth day. Both these tablets can be stopped if you are asymptomatic. Check your complete blood count and thyroid function test also. Please decide for having surgery soon as you cannot take hormones for more than six months. Have a healthy diet and iron supplements. Have a walk daily and maintain a healthy BMI (body mass index). | |
What causes abdominal pain and hematuria while suffering from back injury?
Hello, a few weeks ago i sprained my back in a boating incident, 4 days after the sprain i began getting stomach pains and then i started to pee blood it is painful too, i don't know what to do or what it is i would like you to help me i am of female gander. | Hi.Thanks for your query.Read the history and understood your problem.The history of an injury to the back in a boat and starting of hematuria (blood in urine) after 4 days is indicative of trauma to the kidney. I would advise you the following :- Admission to the hospital.-Urgent ultrasonography of the while abdomen.-Tests of blood: Blood group as you may need blood anytime, CBC, kidney function tests.-Urine: routine, microscopy, culture and sensitivity.-CT Scan and intravenous Pyelography to see the status of the kidney.-Rest of the treatment under the guidance of the Urologist. | |
Suggest treatment for burning and pain in hips and neck
HI, I hav been suffering from very painful pain and burning in the hips, neck and shoulders. My condition has only progressed large bumps on back and side of neck (I was diagnosed with bone spurs in all bones of neck), and now also very painful hard bump on outside of left knee. | Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician 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 | |
15 year old with loss of appetite, mood swings. Do I have depression?
Hi, I'm 15 and I'm not sexually active but I've been extremely moody and agitated lately and I never feel hungry like I usually do I can just eat breakfast, lunch and then be done eating. My mom has always had a pretty severe case of depression and I keep researching and I have a lot of the same symptoms of depression. Could what I'm going through be depression? | Hi Thanks for writing to health care magic The symptoms like decreased appetitie, decreased sexual interest, agitation and moodiness could be suggestive of depression. As ur mother has depression there is an increased risk for u having it. Depression is also associated with low mood, decreased energy and initiative, loss of interest in activities and negative thoughts( about self, others and future) Ideas of hopelessness and worthlessness are also seen. Sometimes one feels suicidal. If these symptoms occur in u try consulting a psychiatrist at the earliest. Hope this helps u Thanks and regards | |
What causes rashes on my legs and arms?
My 15 month old daughter has had a cold since thursday. today she has come out in a rash on her legs and arms, and blister like areas on the soles of her feet. The rash has spread - dot like with some larger raised areas. She is afebrile at present? | Hello,Welcome to healthcare magic.The possibilities of blisters and rash in your daughter include hand - foot and mouth disease, chicken pox and viral exanthem like measles / rubella.All these are self limiting viral rashes which will settle down in 1-2 weeks.However, please consult a dermatologist/ GP for confirmation.The other possibility is a drug rash if you have administered a new medication for her cold/ fever.You could apply a calamine based lotion for the rash twice a day for 5-10 days.Hope this helps you.Take care. | |
Suggest alternative medication for back pain
my husband has been taking aurobindo percocet 7.5-325 for back pain with good results..we went to have a new rx filled and the pharmacy only had alvogen brand, this is not working for him...can we safely double the dose until we see the dr? Can we take 15mg-325 3 time daily safely? | Dear. you can tell him to take an extra pill but no more than 4 a day for few days until you get the regular pill. it is important to avoid that due to higher doses is acetaminophen can damage his liver.Dr Sara | |
Q. Took Addyzoa for five days during pregnancy. Will it harm me or baby?
Hello doctor, I am 23 weeks pregnant and by mistake, I have taken a wrong medicine by the name of Addyzoa for five days. I am attaching its wrapper for the prescription. I am very very tensed. Please check. Please let me know if this could do any harm to me or baby. | Hi. As Addyzoa is an ayurvedic drug, there are no safety trials reported with it in pregnancy. However, the dose was taken at 23 weeks when organogenesis (formation of different organs) has already taken place, the chance of any birth defects due to this incident will be very low. | |
Frequent urination, nausea, cramps, increased appetite, fatigue. Is this possible pregnancy?
hi my names tristan um i believe i might be pregnant on the depo vera shot?i have frequent peeingnauseastomach pains ( kinda like cramps)trouble breathinghungry alot the smell of smoke suddenly makes me sick but my mom has smoked all my life headachestired alot | Hi,Thank you for choosing Healthcaremagic. If you have missed your periods kindly get a pregnancy test done, usually pregnancy is rare with depo. Kindly do not worry, if pregnancy test is negative then symptoms could be due to other reasons.Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!! | |
Suggest treatment for sexual dreams
Hi, I recently had my IUD removed and got periods next day. I am still bleeding on 9 th day. Yesterday I started to have pain when I urinate also urge to go to urinate even though I just went. I looked and my urine has blood in it. I am also having chills and nauseated. I have not have sex after IUD removal so I can not be pregnent. | hi dear,having blood in urine and chills and nauseated feeling is suggestive of infection. as you are not having intercourse after removal of pregnancy then no chance of it.so not to worry about it.consult gynecologist for infection.also do urine routine and micro examination.not to worry muchalso drink as much as water possible.Thank you | |
What the chances of having colon cancer?
Hi I was wondering what the chances of having colon cancer. I had a cat scan with contrast and it showed something on my colon. I also feel like someone has punched me in my stomach and llq pain. Other then a weird feeling around my naval I show no other signs. | Hi, I appreciate your concern.Colon carcinoma usually presents with Iron-deficiency anemia,Rectal bleeding,Abdominal pain, Change in bowel habits,Intestinal obstruction . Nonspecific findings like fatigue, weight loss etc. can also occur. More advanced disease can present with abdominal tenderness, macroscopic rectal bleeding, palpable abdominal mass, hepatomegaly, ascites etc. So without knowing your detailed history ,physical findings and imaging findings , it is very difficult to say the exact etiology.Hope it helps | |
Asthma attacks, allergic to milk, eggs, soy, beef. Causes for recurring episodes?
Ihave a granddaughter who is 3 yrs ohd who takes bad asthma attacks about once or twice a week which se ends up at the hospital the last time she was a code red in was in there for 5hrs with her mother. it has keeps her from school she can t take milk eggs or soyand she s can t eat beef because of ellegics what could been making her have these asthma attacks so often | hi the asthma is mainly due to allergic cause. she might be having some sort of specific allergy to some thing. try to avoid that allergen either the one you have mentioned or may be some thing else especially cockroaches. also get the inhaler prescribed by her doctor. prophylactic antiallergents like monteleukast are very much effective | |
What causes insomnia and stiffness in the neck after a bypass surgery?
sir my mother is 82 yrs, a diabetic for 20 yrs on humasulin 30/70 mixtard-approx 20 unit daily +she had a tripple artery bypass so she has a heart condition with erythemia + recently she has been treated with a coarse of wysolone & pentasa for crohns disease. this is two months back--- right now she is complaining of swelling,insomnia,stiff neck & shoulder with shortness of breath and extreme fatigue. Is Myoril 4 mg recommended in her conditions (with erythemia,short breathness & HYPOTENSION) | Hello, Myoril is a muscle relaxant which may aggravate her shortness of breath. I would recommend consulting with her doctor and performing some tests to investigate for the shortness of breath: - A cardiac ultrasound to investigate for heart failure.- Chest x-ray study and pulmonary function tests to investigate for a lung disorder.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Ilir Sharka | |
How effective is cipro for kidney infection?
Have been on cipro for 5 days now and still have painful urination and achy genital region and what feels like kidney pain. Went to see a drs assistant and he did physical and urine sample. He poked his head back in door and said he would call me in the cipro but didn't give any details. I felt pretty good all day today until this evening and symptoms seem to have reoccurred. Does it take longer than 5 days for cipro to knock a uti or kidney infection out. What should I do or treatment should I get. | Hi,Having pain during urination might be due to stones in kidney or bladder apart from urinary tract infection.If Cipro is resistant to causative organisms then also you may not get relief.Go for urine culture and ultra sound examination.After report go for specific antibiotic medicine course for long time.Take plenty of water.Ok and bye. | |
Can Amoxicillin for runny nose, coughing and heaviness in chest cause leg pain?
Hi, I have recently had the crud going around for lack of a better word. My roommate was pre-pneumonia, sinus infection, etc. I didn t get the sinus infection but I did go to a clinic after about a week of runny nose, coughing and heaviness in chest. I was prescribed 875 mg of amoxicillin as was my roommate.. I was to take one tab every 12 hours.. I could not and cut them in half. I took them for a week but stopped because I am aching all over mostly in my legs. could this med be causing this? Thank you for your time. | this side effect of amoxicillin is not much common but you should complete your course so you dont develop resistance most commob side effect is diarrhea but next time you can ask your dr to change if it's not good compliance for you | |
Can stopping depo shots cause headaches, back pain, bloating and stomach pains?
I stopped getting my depo shot about a week ago. I had unprotected sex a week ago, now I have weird headaches, back pain, cramps, bloating, stomach pains in my upper and lower stomach. I had been on depo for a year. Could these symptoms be caused by my stopping depo, or could I be pregnant? | I assume when you say that you stopped getting the shots a week ago, that you mean that you were due to get your three month shot and didn't get it. If that is the case, then it is not uncommon to have some hormonal symptoms like you describe, as your body starts to get back to normal natural cycles. Although it is possible that you are pregnant, is in unlikely that you got pregnant so soon after stopping the shots. It might be a good idea to check a pregnancy test just to make sure, but I doubt that you are pregnant. These symptoms should get better over the next few weeks. If they persist, you can see your doctor to make sure nothing else is going on. I hope this helps, please let me know if you have any more questions. | |
What causes pain in the right shoulder?
I have been having a lot of pain in my right shoulder, it even hurt to touch the area where the pain is located. It hurts in the front and on my shoulder blade. It is waking me up at night because of the pain. When I walk I hold it close to my body. I do not hold it down by my side or let it swing the way a person normally does when they walk. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is a possibility of two problems I your case 1. Frozen shoulder 2. Slipped disc at C4-5 level. To differentiate between the two you need good clinical examination and MRI of neck. Start pain killers and muscle relaxants in the meantime. Hope I have answered your query. Let me know if I can assist you further. | |
Feeling nausea after taking medication for abscessed tooth. Pain in the chest. What is wrong?
I have an abcessed toothe but the pills i was given make me throw up due to the fact that i cant open my mouth for even soup. when i throw up my heart (or what i assume to be my heart) is incredibly painful. why does that part of my chest hurt so much and is there something i can do?I am 22 athletic no severe family illnesses | Hello, Thanks for posting your query. The medication for tooth abscess do not have any association with chest pain. Nauseous feeling after taking medicines may be due to reaction of antibiotics taken. PLease make sure that you are taking medicines after taking food to fill the stomach. Please do not take antibiotics in empty stomach. If symptoms persists,i would advice you to visit your dentist and get the medicines replaced, The abscess has to be drained and curetted as soon as possible. Maintain good oral hygiene. Take care. | |
What could be the cause for infertility?
im 29, 5'4 in height, & weigh 65 kgs. we have been trying to conceive for about 9 years and yet we are unsuccessful.. we already consulted a doctor and according to them we're both okay. what do you think is the reason why we can't conceive a child? | Hi welcome to HCM.I have gone through your question.As you trying for 9 years and yet unsuccessful WITH NORMAL REPORTS is suggesting UNEXPLAINED INFERTILITY.I would advise that you should think of IUI intrauterine insemination, IVF invitro fertilization.So consult a gynecologist and he/she will advise you further regarding this and best possible method for you.Hope I have answered your query.Would be happy to help you further.Take care. | |
Suggest treatment for lump on hip
Hi, My son is 9weeks old and has a lump up his bum. It is only visible when he has a poo. It does not seem to cause him pain, although he does have difficulty going to the toilet as i always have to help him and he gets destressed just before he goes. His bum hole also looks red, sore and fleshy when he goes to poo. is it anything to worry about? | HI,Dear,Welcome with your query to HCM. Based on the facts of your query,You need to confirm with opinion from a GI Surgeon,if your son has Hereditary Polyposis colon or a case of Non-Hereditary Polyposis Colon. Treatment- would by Removal of Single Rectal Polyp,which your son seems to have. Or he may need Contrast CT Colon and Colonscopy studies,which then would need long followup to detect any possibility of cancerous change and its treatment. Treatment of your son- Check up by Surgeon by proctoscope or colonscope,would fix the plan of treatment as told above. Hope this reply would help you. Welcome for any further query in this regard. Will appreciate writing your feedback review comments,to help the needy patients like you at HCM. Good Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS | |
MRI shows developmental venous anomaly suspected. Tingling and numbing in limbs. Concerned
Good morning. I just had an MRI w/wo contrast and I am just trying to read and understand my results. The impression reads... No evidence of acute infarction or space occupying lesion . No evidence of demyelinating disease . Developmental venous anomaly suspected in the right occipital lobe and left cerebbellar hemisphere. Abnormal signal intensity in the diploic space of the left parietal bone posteriorly may represent an intradipolic epidermoid or prominent venous lake. The reason of this test is family history of MS and brain aneuryms. I have had lots of tingling and numbing in my hands, legs and feet. Also, I lost the use of my right arm about 1 mos ago - it just refused to lift up? Should I be concerned with this report? | Dear thank you for sharing your MRI result with us.As family history with cerebral desease i think it is more important to understand the lost of use of the right arm.The result of MRI isn't conclusive.I would reccomend to disscus with your neurologist the possibility of doing an angio MRI(venous phase) or much better an brain arteriografi which with show the complete brain vasal structure.Hope my answer will help, wish you all the best | |
What causes lump in testicles after taking chlamydia medication?
so i have tested positive for chlamydia and i took the four pills my doctor told me to take to get rid of it three days ago but about a week before i took the pills i started to get a pain in my left testical and today i felt it to see what was going on and i have a lump there now. its a very hard lump and my viens are also swelled up abit. will this go away because i took the pills? or is this very serious and am i possibly infertile now? its also possible i got the chlamydia 2 months before i took the pills. | Hi,Dear,Welcome with your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts, You mostly seem to suffer from-Incompletely Treated Chlamydial infection or / resistant strain not responding to the pills you took from your doctor / or could be you had another exposure causing the recurrent attack with Orchitis lately.This could also be due to the accompanied prostatitis causing extended complication from the illtreated focus in it.Thus this is a serious matter and needs a change in treatment.I would suggest you to add Ceftriaxone / Ciplox would be better options than the doxycycline and for 2 weeks period in your case.USG of the testes and epididymis and of prostate for assessing the case before planning the extent and line of treatment in your case.Beside antibiotics change / General health improvement by better diet /plenty of fluids/ rest for 8 hrs / healthy high portein high vegan diet with plenty of fruit juices with Vitamine supplements would help you.Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical Specialist | |
What causes tingling and numbness feeling after having incision to lower arm?
well i went to the doctor to get my implanon out two days ago. he could not find it so he put stitches in and said he would try again next week. since i got back from the spot he dit the incision to my lower arm is tingly and has a numb feelin when u touch it. is that normal? | Hello, As these feelings are common of tingling and numbness post the closure of the incision and there is no nerve damage done while doing the procedure. Stay relaxed and get the implant removed by the next visit. After implant removal, do simple exercise for regaining the muscle strength to normal levels. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
What causes itching throughout the body after back surgery?
I just had back surgery a week ago. I was allergic to the tape from the dressing and i think the steri-strips caused some breaking out also. But now I am itching really bad all over. My cheeks, around my nose, and chin is really red, warm to touch, bumpy, and very itchy. Can you give me some ideas of what maybe going on? I have taken Benadryl and used Benadryl cream. It's not helping. | Hi,Post-operative all over itching is a matter of concern. But you should not worry as It is a sign of healing and will diminish on its own gradually. Post-operative itching of incisions is absolutely normal. It is caused by the chemical histamine, which is present in healing wounds. Some antibiotics cause itching if a patient is sensitive. In these cases, changing antibiotics usually takes care of the problem. It is usually a reaction to a post operative medication. Narcotics also cause histamine release and often an antihistamine helps or changing medication can help with the advise of your doctor. Benadryl is great at bed time because it also has some sedation qualities. Don't scratch the area. Just mildly rub with soft cloth pad or ice to soothe. washing with Menthol mixed water for immediate relief. Lemon juice with a glass of water every 2 hours gives resistance from any further complications. Hope this helps solve your query. Let me know if I can assist you further. Regards,Dr. Suchda Consultant, Alternative Therapies | |
Dizziness, blurred vision, anxiety, depression. Taking Klonopin. Serious?
I stopped taking Klonopin , Lithium , Gapapentin, Lamictal , and Wellbutrin for PTSD, depression, and a dissociative disorder (possibly DID) two weeks ago. I ve been extremely weak, shaky, lightheaded, and dizzy. My skin feels like it s being hit with mild shocks and my vision has been blurred. Things seem very confusing and surreal, and I ve been completely dissociating for large portions of the day. My memory and concentration are so bad that I struggle to finish sentences. My anxiety s gone through the roof, and I ve started having nightmares again (although I have gone from depressed to unusually happy). This has all been getting consistently worse, although I normally deal with dizziness and blurred vision from concussions, anxiety, and problems with memory and dissociation. My psychiatrist won t see me because my home has bed bugs, and I don t have a general doctor. Is any of this indicative of anything serious, and will it go away? | Hi and welcome to Healthcare Magic. Thanks for your question... You have been taking a combination of medication - including a sedative, anti-depressant and mood stabilizer. Your current symptoms may be due to two possibilities - discontinuation / withdrawal effects of the medication or recurrence of your underlying psychiatric problems. It is definitely not advisable to suddenly discontinue medication without the advise of a doctor. So, I would advise you to visit your psychiatrist and continue medication and discuss your difficulties with him and decide on further management options. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist | |
Q. Should I get sinus lift surgery before implant placement?
Hello doctor, I had a tooth pulled about six months ago and continued to have slight pain at the site. I was told today that it is because my sinuses are so low and they suggested I get a sinus lift, bone graft, and implant. I have terrible dental anxiety (my blood pressure goes up just thinking of going to the dentist) that I really do not want to go through all this if I do not have to. I did some research and it sounds much more involved than I think I can handle, not to mention the cost involved. I am 51 and not really worried about having an implant put in because of the cost as well. What I want to know is what would happen if I do not get the sinus lift? Will it eventually calm down or will it get worse? Before I agree to this procedure, I really want to know all my options. I understand that dentists believe that implants are the best but this is an involved procedure that costs a lot of money and downtime that I really cannot afford. | Hi. Well, if the sinus is low, then sinus lift procedure is a must to place an implant. Without sinus lift, an implant cannot be placed. It is a surgical procedure that can be very effectively done by an oral surgeon or a trained implantologist, so you need not be so worried about it. Can you please tell what do you have just irritation in the extraction area or there are associated symptoms like pain on the cheek around the nose or nasal congestion, etc.? Also, upload the X-ray so that I can advise you more precisely. Please revert back with answers. | |
Reddish itchy rashes on the face spreading to forehead and groin. Treatment?
I have a rash on my face that has little pin suze red bumps that are inflamed, and itchy with small white heads. When I got in the shower and washed my face (hoping that would help) it spread to my forehead and my groin . What might this be and what can I do to help it? I put A & D ointment on this morning and that seemed to help the inflamation but did not keep it from spreading slowely through the day. | Hi,The rash on forehead and spreading to elsewhere would be prurigo simplex.Multiple factors can cause.Stress, mental upsets,sun rays, dust,soap ,clothes...etc may be responsible.You cosult dermatologist for perfect diagnosis.Antihistaminics like levocetirizine may be taken.If it is severe, steroids in tapering dose may improve.Apply mild steroids with antibiotics.Avoid soap bath.Have patience and be cool...reduce anxiety and stress.I think, you may be benefitted.I hope you got my answer.Thanks.Dr. Ilyas Patel MD | |
How to cure itchy rashes after being diagnosed with double hernia?
My husband had a double hernia repaired almost two weeks ago and now he's breaking out in a rash that's very itchy. Benadryl seems to help, but doesn't completely eliminate the problem. Could it be a reaction to the internal disolvable stitches? We've ruled out everything else he could be reacting to. | Hi, It depends on the site of itching. Allergy to suture material can happen in few. Please discuss with the surgeon who operated on you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr B. Radhakrishnan. Nair, OBGYN | |
Suggest remedy for pain due to kidney stones
My mother is 77 years old and suffering with a lot of pain from kidney stones. The stones are calicified. She cannot have surgery due to heart. She is given pain meds but they just help her sleep. The doc says her kidney is full of stones. What I want to know is what is having this many stones with very little urination do to her? Can I do anything to help her? | Hi, I am sorry for the situation your mother is in. Apart the medications her doctor are prescribing to her, I advise to:- encourage her to drink plenty of fluids (especially water)- give her fern stone tea to help ease her symptoms Wish fast recovery! | |
What causes lump on testicles?
hello lastnite i was worried about my testicals because on both of them i have a little lump i think its attached to the testical but its only small ive done some research and i dunno weather it could be apart of the testicals because there is a little lump attached to each testical isent there? and since ive been worried about it ive been tryin to feel the lumps all the time and since ive done that they have been aching abit but sometimes only one aches only a little ache i just dont know weather im over reacting over something over nothing, thanks. | hias per your description you might be palpating epididymis as it attached to testis posteriorly and bilaterally.but for confirmation you need to be examined by urologist/surgeon.without palpating nothing can be commented .so I advise you to visit surgeon/urologist. | |
Are lumps in the abdomen warning signs of any serious medical condition?
I have a growth under my stomach that is lightly black in color and if squeezed oil and what looks like blood comes out what could this be. I shave down there a lot and though maybe it was an Ingrown hair but it gets tender and sore after rubbing or squeezed. | Hi, Noted your short but an elucidate history about a growth on abdomen that when squeezed oozes out blood and oily material, shaved a lot in this area, looks to be pubic area. The character of the lump in lower part that is most probably the pubic area indicates this to be a cyst of skin origin hence the oozing out of oily material and blood. Since this is a cyst it will secrete the liquids till the inner lining is alive. Hence I would advise you the following in such a situation: Consult a General Surgeon for clinical evaluation, investigations and request for complete excision of the lump for the following reasons: Complete excision guarantees no recurrence. Getting rid of a lump that is not a normal structure of body. And histopathology confirms the diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon | |
Had pamidronate infusion therapy after having prostate cancer removal. Surgeries following a broken jaw. Healing time?
my husband was getting pamidronate infusion therapy after having prostate cancer removal, which had spread outside the gland . His jaw broke over a year ago, and he has had 3 surgeries so far. he goes to a dental surgeon. I would like to know how long does this take to heal and if he is going to the right kind of doctor. | Hi, actually pamidronate is a bisphosphonate specially used to treat metastatic bone disease to reduce skeletal related event. your husband probably has bone metastasis from prostate cancer. this injection has effect on bone healing and it may delay your surgical healing. consult your oncologist regarding this issue. this is not a serious problem . he may undergo surgery. | |
What causes pain around liver and stomach area after eating?
I suffered from Hepatitis 5 years ago. Since then, I used to have liver inflammation once in 6 months while I eat bad food or too fatty food. During the last 15 days I suddenly started having pain in my liver area and now I feel that paid is everywhere around my stomach, especially when I am hungry. If I drink water or if I eat something I am fine. I tested my blood and everything seems to be fine except ALT which is 49 in place of 0 - 45. Sometimes I have pain just below my ribs after eating. I do not have constipation and I go to toilet normally. I do not see blood in stool. I do not have fever or nausea. I feel uncomfortable and mild pain in my stomach specially when pressed all over my stomach. Please help me. | Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Pain appears to be be due to acid peptic disease. For which I will advise you to avoid tea, coffee, oily and spicy food. Also avoid citrus fruits. Among medications take a proton pump inhibitor like rabeprazole and a prokinetic agent like domperidone. Hepatitis is usually painless unless or until liver is enlarged leading to streching of the capsule.I hope I have answered your query and this will help you . Wish you a good health | |
Suggest treatment for peritoneal carcinomatosis other than chemotherapy?
My husband was diagnosed with Stage IV colorectal cancer with metastasis to the liver. When he had a liver resection in July 2013 the surgeon found 3 cancerous nodules in the right diaphragm and removed them. He had a questionable small tumor that responded to folfox and avastin therapy. In January his ct scans of the chest and pelvis were good and his CEA was 3.2 so we decided to hold chemotherapy for 3 months to evaluate the lung tumor. In April the CT scan of chest showed an increase in size of tumor from 1.4 cm to 2.5 cm. The ct scan of the pelvis showed 2 tumors in the omentum that are 1.4 and 1.6 cm in diameter. The oncologist recommends chemotherapy with folfiri and avastin. According to the research systemic chemotherapy is not that helpful with peritoneal carcinomatosis. Is there any other treatment available for him? | Thanks for your question on HCM.I can understand your situation and problems.Stage 4 colorectal cancer has very poor prognosis .Life expectancy is less then 1 year.For peritoneal carcinomatosis systemic chemotherapy is treatment of choice. Another way is local instillation of chemotherapy drugs. Direct injection of chemotherapy drugs in peritoneal cavity can be done laparoscopy Cally.So discuss these option with oncologist. | |
Suggest treatment for pain and infection in leg
hii doctor ....15 days before I went beach that time I got injury under my leg by some stone.....I took medice past 10 days but I still getting pain and coming out water from it.....please help me how I keep clean myself...it s small injury not a big | Hello,Dear even small injury if gets infected ,it can be harmfull for whole body.My suggestion would be get a swab test done first, You may need antibiotic amoxillin 3 times a day (dose should be according to wight and age),for pain you can have naproxen as pain killer as per need. Unless swab test report comes you wash the wound daily with an antiseptic lotion.And get wound checked by a doctor if it is profusing.Hopefully my answer would be helpfull for you.Dr.Maheshwari | |
What causes difficulty in breathing?
Hello Dr,How are you?I am Vahideh, I had cold yesterday, but it become worse now, and I had bronchial infection around 3 months ago,and now i have sneezing and difficulty in breath. I am a pharmacy student, so would you plz help and guide me.Best regards Vahideh | Hello Vaideh,Thank you for asking at HCM.I went through your history and would like to know more bout you like - Did you have any such complaints in past? Do you have frequent respiratory complaints? If yes, since what age, what is the frequency of them?From your given history, I would like to make suggestions as follows:1. I would like to know whether you have difficulty in breath due to nose obstruction or wheezing/breathlessness "from chest". If due to nose obstruction, I would suggest you an antihistamine (cetirizine/levocetirizine etc) and a decongestant nasal spray (not for more than 3 consecutive days).If due to wheezing/chesty breathlessness, I would suggest you an antihistamine plus salbutamol containing cough syrup. Please get examined your chest by your physician in that case.2. If you have repeated respiratory complaints, I would suggest you allergy testing.3. Plenty of warm fluids and rest will help you for early recovery.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you a quick recovery and the best of the health.Thank you & Regards. | |
Suggest remedy for itchy rashes on body
I have a rash that looks like multiple bruises that go around my side starting from above my navel to the center of my back. They are where one would expect to see shingles but they are not blistered. They itch. In fact the itching started a few days prior to the rash showing up. They are also sore to touch--more sore than a normal bruise would be. I also have had a constant headache since the itching started and intermittent nausea. | Hi.As per your case history you are having allergic dermatitis.My treatment advice is – 1. Avoid using any new products like soap or perfume.2. Apply a mild antibiotic plus steroid cream like fusiderm-B cream twice daily on it.3. Take an antihistamine like levocetirizine for 7-10days .4. Other treatment options are oral steroid and hydroxyzine given only after consulting a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL. | |
Will my egg size decrease if I stop medication?
hai sir/madam As my egg size is small as per doctor suggestion i have taken hmg injection once then my egg size increased and also ruptured. Then from next month i am taking fertyl tab from 5th day of cycle and dhupston tab from 15th day of my cycle. From past 3 months I am following this process.This month I am thinking to stop , does size of my egg size increases if I stops | Hello Ram, Welcome here on HCM. The drug you mentioned have cyclical effects their effect subsides when cycle is complete. So your doctor will stop medication when you get pregnant or after certain cycle with no success they have to change to some other medicine. These medicines should not be stopped by your own. This specific treatment must be taken under strict observation and guidance of fertility specialist doctor, Thanks with good luck |
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