patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
How can diabetic neuralgia be treated?
and if needed another two around mid-day. I rarely need to take two more that day. This does help. It sounds to me like some strainn of neuralgia. I am seventy six years old, suffer from stage two diabetes but am reasonably healthy. I am young at heartand am still quite lucid and am still have very good concentration. | Hello, thanks for the query. The information given is very less. There's no mention about what are symptoms, no details on blood glucose levels & HbAc1% and present treatment. However, to control neuropathic pain strict blood glucose control is very essential. Plus either Gabapentin or Pragabalin needs to be taken. Plus Methylcobalamine, folic acid & Lipoleic acid combination like Mego - XL once a day for about a month should be taken. This will help in pain relief. Thanks | |
How to get a long term relief from back pain?
I have been told there is nothing that can be done for my back pain. I have bulging discs, bone spurs, and arthritis in L4, L5, and S1. Also, osteoporosis. I have multiple compression fractures from T12 and above. I keep being given pain medications and just want to know if there is long-term relief or if I m going to have to live with meds that make me sleepy and grouchy. Thank you. | Hello, I have studied your case and reports with diligence.Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis,And also check your vit B12 and vit D3 level.I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies.You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin D.Vertebroplasty may help you if wedge compression is more.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health.Take care. | |
Pain after dental filling, throat pain, gum pain. Normal?
I had a filling not this Monday but the Monday after that i was in quite about of pain and the cavity was very very close to the nerve. After the filling i had heaps of pain in my jaw when i open it it hurts like a very sharp pain until i close it and then it goes away it is extremely painful in the morning and can somethings make my throat hurt. I have to get more fillings on Monday and i'm really worried because this is very painful. Is this normal after having a filling? Also on my right side which is the opposite to where i got my filling down underneath the gum and teeth on the side of the chin is hurting. | Hello Rachael, Thanks for your query, As you provided the detail,i would like to suggest you,please visit back to your dentist and get the x-ray done for all the filled teeth. X-ray will be helpful to rule out the origin of pain. After all the examination,clinical and x-rays,go for the removal of the filling of the pain causing tooth and get a proper treatment. Treatment options for your problem are- 1.root canal treatment. 2.extraction of the tooth. I would like to suggest you,save your tooth and go for root canal treatment of the same. nothing to get worried. take care. Dr.Gunjan Gupta. | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
How long should gardinal be given to a child for seizures?
My son is one year old baby he was suffered from seizure disorder doctor suggested to use gardinal 30 mg tablet and he is using this medicene for past 9 months. Is there any side effects to that medicene and for how long he has to use this medicine | Brief answer:Duration of gardenal varies according to the cause of seizure. Detailed answer:Hi, welcome to HCM. I have read your question and i know that you are very concerned about your child. Gardenal syrup is given as maintenance therapy in seizure. Duration of gardenal varies according to the cause of seizure and neurological assessment and development of child. Usually, a repeat EEG is done and if the EEG comes out to be normal with satisfactory neurological examination, then gardenal is tapered and then stopped. I hope this will help you. Wishing your child good health. If you have any more questions, i will be happy to help. Take care. Regards:Dr Deepak Patel, MD Pediatrics | |
What causes leg pain with stiff joints and twitching?
I have had a mri scan to see if I ve got a trapped nerve in my back. This is because I have had a lot of pain in the top of my legs. I also suffer with stiff joints, twitching or spasms all over my body, intense pins and kneedles in my hand and excrutiating pain in my hand when I ve had the pins and kneedles. the scan was ok so the spine specialist has told me to go back to my doctor. He is on holiday for 3 weeks and I don t want to see anyone else so I ve got to wait. many thanks | HiAll you need to do is to take acetaminophen tabs for pain, hot fomentation and application of voltage gel till you visit your doctorI may say, it may be nothing serious..that can't be managedThanks | |
Why is blood seen in urine?
painful urination GOOD MORNING DR. SIR/MADAM, I WAS IN SO MUCH PAIN THIS MORNING I CONSISTENLY VISITED THE RESTROOM EVERY 5-10 MINS TO DISCOVER THAT I WAS URINATING BLOOD AND I JUST GOT TREATED FOR A BLADDER INFECTION 3 WEEKS AGO IT SEEMS THAT AFTER MY MENSTRUAL GOES AWAY THE INFECTION COMES OR AFTER HAVING SEXUAL INTERCOURSE I'VE TAKEN DOXYCYCLINE 100 MG, AND IM HAVING A FULL BLADDER BUT STILL W/ BLOOD WHAT ELSE CAN I DO IT HURTS VERY MUCH | Hi, thanks for posting your concern in the HCM.I think you may have got recurrent UTI, in a more complicated status. Renal or ureteric stone should also be ruled out, because they also produce similar symptoms.In case you have a complicated UTI or renal/ ureteric stone or pyelonephritis, you may need injectable antibiotics. If there is a stone, surgical treatments may be needed depending upon the stone size and renal condition.I think you should consult your local urologist at the earliest or should visit the ER of nearest hospital as soon as possible.You may need in patient treatment. The following investigations may also be needed-Blood- complete blood count, urea, creatinine, CRP, electrolytesUrine- Routine examination and culture/sensitivityXray and/ or USG of the KUB region.You should not start any other antibiotic until your doctor tells you to do so, before sending the urine sample for culture/sensitivity testing.Regarding the pain, you may have Drotin DS tablet as and when required for the time being and consult your local urologist today if possible.Take 3 lit. of oral fluid until your doctor tells otherwise.For any further query you may write back to me directly.Regards,Dr. Kaushik | |
What causes mood swings with weight gain?
What is wrong with me... I'm tired all the time, I have been putting on weight for the past month and nothing helps. I feel like crying all the time, I'm cranky and moody and I feel like I move in slow motion. People just say to get over it but I can't. | HiI understand your concern.Sudden change in weight indicate metabolic changes.We have to rule out certain cause like diabetes , thyroid etc.Require certain basic investigation and proper chart of body mass index.Consult physician and do all reports.After reaching prper cause we will able to do treatment properly.Dietary control.avoid fatty and junk foods.Follow proper diet plan from dieticians.Exercise and walking regularly.Thank you.Take care. | |
What could cause pain in between chest plate?
I have had pain in the soft spot between my chest plates for about a month now and more burping than normal. Also stress seems to make it worse. Sounds like acid reflux, but is that a dull pain you're aware of all the time which flares up after eating and during stress? | Hello!Welcome and thank you for asking on HCM!I understand your concern, and would explain that your symptoms seem to be related to a gasto esophageal disorder (reflux, gastritis, esophagitis, a hiatal hernia, etc). You should know that the symptomatology related to the above disorders is very variable. Heartburn and burping are typical of these disorders. Anxiety and spicy foods, including coffee are known to exacerbate the situation. Have you tried to take any PPIs (omeprazole, lansoprazole, etc) or antiacids. I strongly encourage you to start taking the above mentioned drugs. The relief of your symptoms would be very indicative for such disorder. If your symptoms persist, I recommend consulting with a gastro enterologist and perform a GI endoscopy to examine better your digestive tract. Hope to have been helpful!Best regards, Dr. Iliri | |
Suggest treatment for rapid heart rate
Hi, the right side of my face and ear ( most of the time it s on the right) starts burning and turning beat red. My pulse beats hard and slightly fast and I feel tense. My blood pressure always seems normal. Its been doing it for a couple of years, but now its happening on both sides. Its getting worse and really starting to scare me. Im scared im going to have a stroke especially now because I am paralyzed. | Hello! Thank you for asknig on HCM! I would like to explain that your complains are compatible with the trigeminal nerve irritation coupled with autonomic dysfunction. This may be associated with headache, like clustering, etc. You don't have t oworry to much as these are primary cefalea, and almost treatable. I recommend you to consult a neurologist for a careful differential diagnosis, and a probalbe head MRI to identify better cranial nerves involvements.Hope to have been helpful to you. Greetings! Dr. Iliri | |
Is there any problem for 16 year old to have BP 140/76?
My 16 year old went for a well visit and his blood pressure was 140/76. They didn't act concerned. I am a nurse and have taken it at home and also gotten 140/70. He says it makes him nervous. Other times his blood pressure is 110/ 60 or 100/70. He is thin and a swimmer. | 140 is definitely high for that age. But many a time such high blood pressure noted just because of anxiety. nervousness etc. So only thing to do is regularly check the blood pressure at homly environment. if it is persistently high in all the situation then inly it is the matter of concern. Then consult physician. | |
How can stuttering with lack of speech control be treated?
Hello! I have this strange problem. I can't control the way I speak sometimes. I start speaking really fast when I'm even a little bit nervous and I can't seem to control it anymore. It feels like my jaw can't move and I can't even start a sentence and I start stuttering. I speak okay on a daily basis, though. I visited a neuro consult yesterday, but all she told me was to "stop being so stressful about things". Is this a disease? Is there a way to cure this or should I visit a speech doctor or something? Thank you! | Hello, Thank you for trusting HCM.well stuttering can be stressful, no breakthrough treatment is available but an interesting one is trans cranial magnetic stimulation TMS, non invasive way of manipulating the brain activity proven to be efficient for depression. this can be a way though experimental of gaining control over the problem research is still being conducted on language disorders using such new methods. look it up might be interesting in your case. hope that helped. Dr. Nazzal | |
Suggest remedy for getting pregnant
hi,the length of my periods varies 42-44 days.i had an abortion due to spina bifida and my younger daughter had hydronephrosis ,i used clomid at that time .we want to conceive again but i am afraid of using clomid.is there any genetical problem with me. | Your baby had spina bifida? Hence aborted? How old are you? Pls give a few more details. So that correct advice can be given | |
Suggest remedy for stones in the gall bladder
my daughter just found out her bladder is full of stones. This was determined by an ultrasound test. The issue is, she underwent a gastro bypass about 7 years ago, and how would this problem with her gallbladder affect her should she elect to have surgery to remove the stones? | Good morning I am sorry to hear about her ill healthGallstones without symptoms like stomach pain would generally be observed without any further treatmentGastric bypass surgery would definitely have caused weight loss in her in last 7 years Now weight loss and previous obesity are very strong risk factors for gallstone disease Hope this would answer your questionI would love to answer your future queries if any | |
Why am i not able to conceive again?
Why is it taking forever to conceive again after my first son who was a c section and is now 2 years of age me and my husband been trying and no success doctors say my overies look fine but what is really the problem what can I do to boost my window and my chances we are really worried that I might have gone infertile is that even possible please help | Hello dearI understand your concernTo become pregnant, normal ovarian function/menstruation, patent fallopian tube, correct hormonal action and normal semen analysis is required.I would suggest both partner to consult infertility specialist to rule out any problem.Undergo following investigations: Reproductive hormone analysis, USG scan, ovarian follicle study, HSG, semen analysis for male partner.You can take ovacare plus to maintain reproductive healthDo daily/alternate day sex in fertile phase of your period.Avoid stress, take healthy diet, drink plenty of water, do regular exercise.Hope this may help youContact further if follow up neededBest regardsDr. Sagar | |
Suggest treatment for painful and swollen ankle in a child
hi i have a 7 year old son who while running down the stairs tripped n had bad pain though he could walk there was swelling on his left ankle. We put some axe oil & tiger balm for relief along with a crepe bandage. However, even in the morning he was unable to walk though the swelling had reduced. We took him to the hospital where the xray was normal n the doctor suspected it to be an ankle - legiment tear. Hes put some light plaster for him. I would like to know how many days would this take to heal. Wat precautions should we take? Please suggest. thanks! | Hi dear,Sudden onset of swelling and pain there following the incident, along with a normal x ray confirms a tear of ligaments supporting the ankle.The treatment for this is giving rest to the ligament, until the tear is healed, by immobilising the joint with plastering.Usually this is applied for 10-14 days, followed by gradual mobilisation. But the duration varies depending on severity of injury and speed of recovery.What we can do is to support immobilisation and give analgesics like ibuprofen for pain relief. Give him a healthy diet rich in fruits and green leafy vegetables. Keeping the limb elevated is also good to relieve the swelling.Hope I have answered your queryLet me know if I can assist you furtherDr Muhammed Aslam, Paediatrician | |
Can kidneys be donated?
Dear Sir, I want to know that can any person give his kidney to other person. because i want to give my kidney. I am working in pvt firm my body type is normal and i never admit at hospital. I am 27 years old my blood group is B+. My email is YYYY@YYYY Please sir guide me. Thanking You, Jaimin Bhatt | yes provided you don't have any significant medical illness and your blood group matches with the recipient along with a negative cross match | |
What causes elevated liver enzymes?
What does it mean when the liver numbers are too hgh, based on blood work done in December and again two weeks ago? I don t have access to a computer very often so I don t even use my e-mail address. I will give you my e-mail address, but I don t know when I will be able to access it again | Hello, Liver enzymes values are raised when liver cells get damaged due to any toxin, drug, alcohol or virus. Alcoholic liver disease, fatty liver, hepatitis are some of common cause for elevated liver enzymes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
Suggest treatment for lupus
I had my gall bladder removed due to stones. I also had a stone in my bile duct which was removed later in a separate surgery . then I went back in to have the shunt removed. They could not find it ; A few months later I had acute pancreatitis and pleural effusion. I also have Lupus . I was extremely weak and sick for 6 mos.Should I have other tests done? Could the missing shunt have caused now two Pancreatitis attacks? | gall stones are known to cause pancreatitis but once the gall bladder and bile duct are removed, it is unlikely to be the cause of the recurrent attack. lupus itself can cause pancreatitis and pleural effusion. however , I would suggest you check serum fasting lipid profile. drugs like azathioprine which are used for SLE are known to cause pancreatitis so you might want to use drugs safe on pancreas. | |
Q. I have back and stomach pain. Am I pregnant or is it a side effect of Unwanted 72?
Hello doctor,I am 36 years old and had unprotected sex with my husband on 18th at night. Although he pulled out we are suspecting pregnancy as there can be 1 % chance of ejaculation. I had my last period on the 7th and usually, I get my periods one to three days before the expected time. I took Unwanted 72 on the 21st afternoon. But after taking it, I was feeling stomach and back pain in the lower region along with cramps. Though I am not feeling any other symptoms of pregnancy like nausea, vomiting etc, which I even did not have during my first pregnancy except stomach pain like periods. Will Unwanted 72 will be effective in my case? Can it stop fertilization/implantation? Am I pregnant or is it a side effect of the emergency pill? I am still feeling pain but it is less now. When can I expect my next period or when should I go for pregnancy kit test? I am already having a kid of 2 years and do not want a second one. In case I am pregnant, please guide me how to get it aborted. | Hello. In your case, the unprotected intercourse took place at a very fertile time and the delayed intake of Unwanted 72 might render the pill useless. It is highly possible that you still might get pregnant despite the pill. However, the symptoms of back pain and stomach cramps are usually expected after taking the pill. So these symptoms are unlikely due to pregnancy and more likely due to the pill as pregnancy symptoms develop usually around five to six weeks of pregnancy. Expect your next periods to be a little delayed than usual and may look abnormal as well, like blackish in color. If your periods get delayed by over a week then take a pregnancy test and check. If positive, let me know and then we can discuss further. All the best. For more information consult an obstetrician and gynaecologist online --> | |
What could swollen lumps on collar bone suggest?
I noticed swelling including a lump and pea sized growth, that somewhat moves around, is tender to touch in the area above my right collar bone and lower front neck. I have been very tired lately but the could be due to other factors. I just noticed it tonight and can be visible if I turn my neck slightly. What could be going on? | it is probably a lymph node and could be due to some infection and in cases of elderly sign of some serious disease like tuberculosis or malignancy!Please go for an FNAC test to relieve your tension.All the best and regards, | |
Does testicle removal surgery cause lethargy and breathing difficulty?
I had a testicle removed a week ago due to epididymitis. Since then I have been feeling lethargic but not able to sleep properly also getting out of breath easily which never happened previous to surgery. Could all this be due to the surgery? I am 39 year old. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Orchidectomy(surgical removal of testis does not cause lethargy. It might be due to anxiety associated with surgical removal of testis. No need to worry as one testis is enough for hormonal production and it doesn’t interfere with your sexual activities also. As of now drink plenty of water and take adequate bed rest. Hope I have answered your query. Let me know if I can assist you further. | |
Q. What causes balancing problems in a baby?
Hello doctor, Age of the child: 20 Months Gender: Male Weight: 12 Kilograms Height: 30 inches Started Walking: 15 Months Started Sitting: 5 months Started Crawling: 12 months Problem: My baby has started walking at the age of 15 months and is very active. He runs, jumps, rolls, and can climb stairs with the help of an adult. And can speak 2 words sentences. The problem we are facing is a balance issue. He is an active child but has an issue in maintaining good posture and is easy to fall. When standing straight and static an observer can feel that he is dizzy and swings slightly left and right to maintain the balance. He also has lazy neck control. At 2 months of age he suffered from “Torticollis” which we have managed to minimize by exercises recommended by other pediatrics. He also has digestion problems since birth and has loose motion after 1 week. He has also slight drooling. My question: Is this balance probelm common in this age group or should we choose to consult an in-person doctor which I am avoiding due to COVID-19 crisis as the hospitals are crowded. | Hello. First, let me appreciate you for describing whatever your child has appropriately. As you have said that the baby has just started walking about 5 months ago, the problem with balance could be just his learning curve. Kids normally do fall while learning to walk, am sure even you will be aware of that. He is able to walk, rule and climb stairs only means he is growing normally. Now, to say if the balancing issue is normal or not you can make a small video of it and show me. It is difficult to say without seeing the baby. Let us assume that it is a part of normal development, then you do not have to go to a doctor and you do not have to worry about it. Now, if we assume that it could be because of a physical problem, the child will have to be examined. My advise is to wait till he completes 2 years. If the problem still persists, then you have to go to a doctor. | |
What causes intermittent fluttering in chest?
I feel a fluttering in my chest, left side, right below the rib cage. It is intermittent, faster than my heart beat, and lasts from 5 minutes to a half hour. No pain at all. I can look down below my bottom left rib and actually see the chest area of the flutter move up and down with each random thump. My wife checks my heart beat over my heart and the beat is steady. The flutter(thump) and my heartbeat are not at all synchronized. | let me explain ...you have fluttering on left side chest amd you have seen it ...when your wife checked pulse was alright ...now one thing is clear that you are having arrhythmia of heart ...you have to go to your doctor ..he will check your blood pressure and ECG ...if both are ok then you should be put on holter monitoring in this a monitor is put and 24 hrs ECG is recorded and analysed to see any random problem ...in mean while avoid tea coffee alcohal | |
Would teeth extraction cause nausea,vomiting,diarrhea and weakness?
my husband had all his top teeth extracted a few years ago. he had the remaining 10 lower teeth, which were all abcessed extracted 1 month ago. he can herdly eat anything except soup. he has nauea,vomiting, diarhea,weakness and today ,a fever. he says there is one area that is still painful. he finished the pcn-vk and amoxicillin. help! | thanks for your query, i have gone through your query. the pain could be because of any bony spicule or any prominent bony structure which can be removed and rounded off under local anesthesia.. the weakness, nausea and diarrhea could be because of antibiotics or any bacterial infection or food poisoning, consult a general physician for these things and consult a oral physician for the pain in the jaw bone. i hope my answer will help you, take care. | |
What are the possible treatments for chronic back pain?
Are Ntheir anynsio other medications available for Narcolepsy besides gfillinAdderall and long acting Adderall? I've haddifficulty filling my scripts due to a supposed shortage of certain CII medications, such as Adderalls and the Methadone I take for chronic back pain. | Hello, Thanks for your query.** I suggest you to follow the below mentioned measures to reduce your back pain-- Usually 1-2 days of bed rest will calm severe back pain. Do not stay off your feet for longer, though.- Avoid lifting weights as it imparts more strain on your back- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the intervertebral disc problems. if you want to bend forwards, do it with your hips and knees flexed.- Use a lumbosacral back support to stabilize your spinal muscles and to provide support for your spinal column.- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery.- You should maintain an optimum body weight to decrease the strain on your vertebral column causing more degeneration and arthritic changes.- At times, spinal steroid injections and Facet blocks will help in alleviating the lower back pain.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
What causes breathing difficulty and painful cough after bike riding?
I don't have a fever, and haven't had one for a few weeks. I have staph and have been taking antibiotics for about 10 days. When end a thirty minute bike ride I have difficulty breathing and will painfully cough. It feels like I can't get enough air in and I will wheeze. It takes about 30 minutes to recover. This however is an improvement to before where while I was on the bike I'd start to have trouble breathing. What's up? Could I have staph. pneumonia? | Hello As you explain the history no you don't have pneumonia but you should do the Spirometry test. Regards Dr.Jolanda | |
What are the symptoms and treatment for chlamydia infection?
Helo sir, from all the symptoms i read... i suspect that i have chlamydia infection and i already passed it to my wife and 2 of my children. Becouse since then i experience reactive arthritis and genital itching, my wife has asthma and genital itching and of my 2 childen one has eye infection the other has symptoms like pnemonia (difficulty in breathing). What is the best way to treat myself and my family. | Hi! Chlamydia is an infection. I suggest that instead of suspecting these things, why not take a test for Chlamydia? Once you have the report, if it turns out to be positive, take antibiotic regimens and administer them to your family, with dose adjustments for the kids. I feel that your problem can be easily solved, so stop worrying and take action. Thanks, Dr. Neel Kudchadkar | |
What causes skipped heart beat?
I am a 49 year old female which has been diagnosed with svt and mild to moderate mvp with ejection fraction of 60%. I have been having a lot of skipped beats and extra beats and feels like pauses to me. I recently wore a holter monitor and it showed up 306 skipped beats and extra beats in groups of three at 231bmp and one pause for 2.1 seconds. I wrote in my diary exactly at the time it showed this, so it was what I was feeling. But when I visited the cardiologist he tried to tell me that it probably was an electrode that came loose or just a reading that wasnt correct due to the heart monitor. I take tenormin and have been on it for about 28 years. I have had the svt for a long time and have know about the mvp for several years, and was told at the emergency room one time that I had the atrial septal aneurysm and that it needed to be evaluated with a tee scope. The heart dr didn t even tell me about it whenever he did the echo test, and I found out like I said, whenever I visited er. | Hi, Look atrial aneurysms can be picked by echocardiography. If you are so stressed then undergo TEE. Secondly, 360 missed beats are too much and it may be due to artefact or electrode misplacement. Secondly, you are taking atenolol so lesser chances of extra beats. Just keep a check on your blood pressure, sugar level. Avoid tea, coffee, alcohol or any stimulant drug. Avoid undue physical or mental exertion. Try relaxation techniques like deep breathing exercises whenever you feel extra beats. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Varinder Joshi, General & Family Physician | |
Can splotch on the left leg causes blood clot?
Hello my wife is 24 weeks pregnant. She's discovered a reddish purple-ish splotch on the inside of her left leg by the knee. She' s concerned it may be a blood clot or could result in a serious blood clot. The splotch seems to go away when she apply's a heat compress and elevates the leg. Is this call for concern and should we go to Emergency Clinic? | Hello,You need to let her doctor look at this but it does not sound like a blood clot or anything that would lead to a blood clot. Dangerous blood clots are deep in the leg and do not show any skin changes. Regards | |
Q. My skin produces yellow substance that crusts and it come backs regularly. What is it?
Hi doctor, I have suffered from acne since I was in high school and have used over-the-counter creams such as Benzoyl peroxide. The sides of my nose produce a clear yellow substance that crusts over my pores. When I clean the area and the crust is removed, it then produces the liquid again. I have had this for nine months and whenever it clears, it comes back within a week. | Hi. It could possibly be an infection of the sebaceous gland. Please provide a picture of your problem. Revert with the pictures to a dermatologist online --> | |
Is hypoparathyroidism and elevated levels of AST and ALT associated?
I recently had a liver resection for a giant hemangioma. I also have a history (long ago) of thyroid cancer with a thyroidectomy and resultant hypoparathyroidism/hypocalcemia. I am 4 wks out from my liver resection & my AST & ALT are both greater than 4 times the upper limits of normal. I m wondering if there could be a connection between the thyroid/parathyroid issue & the elevated LFTs? | Hello, I read your question carefully and i can understand your concern very well. I would like to tell you that because you had thyroidectomy years ago and now suffering from hypoparathyroidism, which is a common complication after thyroid removal, in my opinion these two (thyroid/parathyroid and elevated LFTs) are not related with each other. You had elevated LFTs may be due to recent liver resection and so remaining liver tissue is responding to work efficiently and that can increase LFTs for initially few months. You can go for ultrasound of abdomen and discuss with your surgeon to rule out any complication of your liver surgery. If nothing is significant, then mostly your LFTs will be normal within a month or so. Otherwise, connection between thyroid/parathyroid and 4 times higher LFTs are unlikely. Hope this answers your question and let me know if you have any further relevant queries. | |
Suggest medication for anxiety and rapid increase in the heart beat
IM 64 , 6'1' DOWN TO 135 LBS. IM NOT REAL ACTIVE. EVREY TIME I GET UP AND DO 10 MIN. AROUND THE HOUSE MY HEART GOES INTO OVERDRIVE AND BEATS SO HARD I FEEL LIKE IM HAVING A HEART ATTACH OR IF I GO FOR A WALK, THE LONGER I G THE WORSE IT GETS AND WHEN I RETURN TO REST , MY HEART BEATS HARD FOR OVER AN HOUR BEFORE IT SLOWS DOWN. ANY ACTIVITY AT ALL CAUSES IT. MY BOC HAS NEVER OBSERVED IT SINCE IM RESTED WHEN I SEE HIM. HE SAYS BESIDES MALNUTRITION AND RECENT LOSS OF BOTH BICEPS MUSCLES IM IN GREAT SHAPE. BUT I DO NOT FEEL RIGHT, SOMETHING IS WRONG. MY ANXIETY IS OVERWHELMING , I DINT TAKE ANYTHING FOR IT, I TAHE PAIN MEDS, BLOOD PRESSURE MEDS AND OTHERS. | Hi Welcome to HCM.I understand your query and concern.Your symptoms could be related to stress and anxiety.Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way.Few drugs like beta blockers are certainly known to reduce the heart rate.I advise you to have a complete 24 hour holter ECG which can accurately determine the cardiac conduction abnormalities. Monitor your blood pressure and heart rate.Drugs like amiodarone can also help to minimise the rhythm irregularities.A 2 Dimensional echocardiography will help to assess the functional reserve of the heart ruling out organic heart lesions.Electrophysiological study and Radiofrequency ablation will be helpful once any abnormality detected.Meditation and yoga will be helpful.Consult your cardiologist for expert management | |
Small size kidney with multiple cystic lesion, calculus. Treatment?
i know someone who has a small child aged three and his left kidney is small in size with multiple small cystic lesion replacing the renal parenchyma, the largest cyst measures 14mms in size ,left kidney is 29*17 mmsand there is no mass lesio, calculus or hydronephrosis is seen in either kidney.so what should be the next course of action ? | Hi Your child's left kidney is very small and most likely it will be non functioning. But it needs to be evaluated for the cause. Since there are no stones, mass other causes has to be ruled out. Your child needs urine examination to see pus cells in urine which indicates infection. Then possibility of reflux of urine in to the kidney should be suspected. Most likely possibility in your child is a dysplastic kidney which means kidney is not developed properly. In that case nothing needs to be done unless that kidney is giving any trouble. | |
What causes pain in my under jaw and sore throat?
Hello DoctorSince the past 2 weeks I've been freaking out a lot, Ive had and on and off sore throat and pain in my underjaw, lightheadedness, pain behind the right eye socket and frontal/sinus headaches which went down now. Now yesterday my tongue was very swollen and hurt on the right side when I dont remember accidentally biting it but I didnt check it out. I just went and checked it in the mirror and the skin at the part that was swollen and hurting is gone (the skin that covers your tongue if that makes sense). I started looking up cancer symptoms and now I'm freaking out even more. I'm only 21 and have always been healthy as could be, Ill go to the medical office first thing tomorrow but Im frightened out of my mind right now. | Hello, Read your query as you have pain in your tongue which is swollen and sore throat also dont worry for pain in tongue you can apply ointment like Mugel or Mucopain gel on tongue locally and take Capsule Becozinc by consulting with you local doctor and for sore throat you can take tablet like Cefixime by consulting with your doctor , if symtom persist consult physician for examination .Hope this will help you. | |
How can I reduce pain from accidentally injuring my knee with a trenching shovel?
about 5 years ago I accidently dug a trenching shovel into my knee and ever since its occasionally given out and given a shock of pain when I run, go up stairs or put pressure on it but recently its been getting more frequent and is sometimes painful for longer periods of time for seemingly no reason. is this something I should be concerned about and if yes what should I do | Hello, The symptoms seem to be related to the injury. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also recommend using anti-inflammatory cream for local application such as Voltaren cream. Ice compresses can also be helpful in reducing pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Q. What is the cause for increased albumin in blood?
Hi doctor, My uncle has +3 albumin in his blood. He is not hypertensive and diabetic. What is the reason for the increase in albumin? What is the treatment? I have attached his reports. | Hi. I hope it helps you. If you have any further query, please ask me. For more information consult a nephrologist online --> | |
What causes faster heart beats and pain in heart?
from past two days my wife heart is paining when we meet doctor he advised for tests like ecg, exray, and echo in the all tests it is normal report came, one more imp point her heart beats more fastly compare to others what is the solution please help me | Hello, Most probably an gastritis and reflux disease. Does she also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated. She should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. She should get prescribed tab Pan DSR 40 mg or esomiprazole domperidone combination beforebreakfast once a day for 2 weeks. If not adequately relieved, then you should add Syr sucral O or gelusil two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts. | |
Can touching sterilized skin with bare hands cause infection before drawing blood?
A couple of days ago, I went for a lab test and I requested an HIV, which came out negative. During the test however, the lab technician cleaned the area of my arm where he was going to introduce the needle for blood extraction, but after cleaning it, he touched the area one more time, wearing no gloves, and then inserted the needle. Since I don’t know if his hands were decontaminated, I am concerned about the possibility of contamination and infection. No blood was visible on its fingers whatsoever, but could the virus still be present? | Hi, Thanks for posting in HCM. I have read the description posted by you and understand your concern. Touching sterilized skin with bare hands could cause infection. However, the contact of HIV infection would be unlikely if the area where you got the prick has not come in contact with blood/blood stained products/body fluids. It may cause local inflammatory lesion or infection of vein such as thrombophlebitis, which can be overcome by taking anti-inflammatory medications. In case you still have doubts about HIV infection, kindly get yourself tested once again after 3 months to know about the status. Hope the information provided would be helpful. All the best. | |
Is tere any surgery to correct the shape of butt cheeks?
Dear doctor,some years back i had quinine injections which were frequently applied on my right buttock. I am now 25 years old and the buttock where these were injected is so much much smaller the the other one .the diffrence is so big that i can not do things like swimming, with muscle tights.is there any kind of operation that can be done?thank you | the treatment for your problem is either fat injection or filler injection for which you need to see a plastic surgeon who does these procedures .delhi aesthetic clinic delhi is one place where you can come for consultation. | |
Pain near keyhole after appendix removal. What precautions should I take? Can I have children?
Hi, I had an appendicitis removed 1 month back by laproscopic surgery, and now my key holes are getting pain and around the key hole the skin became hard. what are the precautions i have to take for this one. can i plan for children now or i have to wait for some time? If i had pregnancy what are the health precautions i have to take? | Hello! Thank you for the query. In every place of the skin where there was an incision, scar appears after some time. Such process can last for about a year. During that time the tissues in such areas are getting rebuild so the final scar tissue can be created. Such process can occur as some kind of hardness, however it should not be painful. So if this places are getting also reddish, with some discharge, there might be some pathological process going on. After a month of surgery, it can be a surgical suture which causes inflammatory reaction. It is advisable for you to have that checked by a surgeon. Soft tissues of abdominal wall might be necessary. Sometimes such symptoms may be caused by hernia in the places where incision where done, but this is very rare after laparoscopy. If it is above pregnancy, you should get ruled out any mentioned conditions first. After making sure everything is fine, you can plan your pregnancy like there would be no surgery at all. Hope this will help. Regards. | |
Could fever, abdominal pain and vomiting be due to appendicitis?
my son, age 4 1/2, 44 inches, 44 lbs has suffered from 2 bouts of fever and abominal pain in the last 6 weeks. Both times he had a fever of 102 and complained of belly pain, nausea and vomiting. each time it resolved itself within 24 hours of onset. Could this be appendicitis? | Hi, appendicitis is unlikely as in appendicitis the pain in abdomen will be very severe and it doesn't occurs after 6 week period. I suggest you to do an ultrasound whole abdomen to confirm the diagnosis. Take care. | |
What causes chest pain?
Chest painsI have been having sharp stabbing pains in the left side of my chest. They come quick, and last for about a minute. Just this afternoon the stabbing pain is prolonged, and has radiated to my left shoulder blade. I have a achey pain in my shoulder and arm. I dont know if I need the er or wait to call my cardiologist. Im a 27 year old female with previous asd repair at 5 and a mitro valve replacement 3 years ago after having congestive heart failure. I dont know if this atributes anything. | Its better tobget to your cardiologist and get check up done. The pain you mention sounds cardiac in origin and shall not be taken lightly esp. In view of your ASD repair. | |
What could cause sneezing and coughing along with sore throat?
I have seasonal allergies that only get heavy every once in a while, or if my dog starts blowing out his coat (dander allergy). Yesterday was a particularly rough day, as I spent the day sneezing and coughing until my throat was sore. I noticed that I have a metallic taste in my mouth now, similar to blood. What could be causing this? Should I be worried? | Hi, By your history and description, possibility of allergic rhinitis and asthma is more likely. Since you are already having allergies, exposure of those allergens can cause allergic reactions in nose and lungs. So in my opinion, you should follow these steps for better symptomatic relief. 1. Avoid allergen exposure. 2. Do warm water gargles and steam inhalation 4-5 times a day. 3. Start Montelukast (anti-allergic) and Fexofenadine (antihistamine) combination once a day at night before going to sleep. 4. Start Fluticasone nasal spray. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kaushal Bhavsar | |
How to operate artificial sphincter?
Yes, i had an operation for get out the testicules because of metastases but the fonction of the artificial sphinter very dificult to operate because too close of an hard thing that replace the testicule. What can i do ? Robert Aged of 80,150lbs,following protate cancer. | Hi, You will get used to it after few months of usage. If the issue persist you need to contact the surgeon for rectification. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | |
Silver cap in the tooth fell off. See a dentist?
My son was laying down in bed and i heard him say My tooth i turned around and it was his silver cap. Just his cap not his tooth. He says it doesnt hurt him it just feels funny. A month or so back he was eating chips and I know he didnt chew it correctly and he poked himself. After that i started to see a redness on the side of his gum (right where the cap fell off) i put baby orajel on it and gave him tylenol the redness went away so did the swelling . I have no clue what to do its already late to go to a dentist is there anything i can do till the morning? Im freaking out! | Hello there, that's quite usual.....crown getting dislodged. There are various reasons.If the retention is not good it gets dislodged. Check out from your dentist if the same can be retained or requires a change of crown. It's adviced to get it restored. | |
What causes cough while on Hydromet syrup for bronchitis?
I was given Hydromet Syrup, Avelox (anti-biotic), and some sort of steroid inhaler that I use twice a day about a week ago from an urgent care clinic when I was told I have bronchitis. Just over a week later my symptoms are no better and I am still feeling quite unwell. I am a school teacher and am exposed to a great many things while at work, but I have never been sick for so long with such a bad cough. Should I contact the doctor again? | HiYes i tthink that you should be examined by your treating doctor again for evaluating the situation. Regards Dr.Jolanda | |
Dizziness, chills, burning sensation in abdomen, belching, diarrhea, nausea, possible stomach ulcer. Done H pylori test. Sounds like?
Hi My name is Claudia and I 25 years old well last month on August 11th I went to a Golden Corral to eat I got out feeling bloaded and grossed out, 2 days after i woke up feeling dizzy, had mild chills, burning abdominal pain, belching, diarrhea some days and constipated others, nausea, never vomited my toungue turned white and my breath smells like a wet cloth doctors prescribed me meds for possible stomach ulcer but after a month i felt good for abt 4 days and my symptoms are back, theres no chance I could be pregnant but it feels like if I had morning sickness and evening sicknes... I was submitted to the hospital 2 weeks ago but my blood test and urine tests came out good aslo an h-pylori test came out negative I would appreciate if I get an answer | you are having food allergies as your history pins one or two food components in major food start reactng with body proteins causing manyproblems and your symptomps appears to be similar to those get blood serum tests for milk wheat potato chana and other food you take withdraw completely according to report and you will get benefit in few wktill use antacids and digeative enzymes | |
Q. Can reduced feeding help cure 'pain while passing motions' in an infant?
Hello doctor, My daughter is one month old. Her birth weight was 3.6 kg. After 15 days, she weighed 3.8 and then later she weighed 4.2 kg. Now, her current weight is 4.35 kg. She seems to pass drop by drop motion of about 15 to 20 times a day and she has some sharp pain followed by some intermittent pain while passing motions. We did a motion test today morning and I have attached the lab report. Is it something that has to be worried or is it normal? What can be done to cure her pain while passing the motion? We started giving syrup Ascazin 1 mL in the morning and in the night as per the recommendation of the doctor. Also, we reduced feed from 10 to 12 times a day to 7 to 8 times a day. Will this cure her pain or do we need to give any additional medications to her? Please advice. We are giving Ascazin syrup for the past one week. We are only breastfeeding from the beginning. There is no external milk. Please opine. | Hello. I have gone through the lab reports (attachment removed to protect patient identity). You need not worry. This is common in children of this age group. You need not reduce the amount of feeding nor you have to start any other medication. The report is also fine You just need to keep breastfeeding the baby. Avoid any external or formula milk. You can continue the same medication what you are giving. If the problem persists, just stop breast milk for a day and start a lactose-free supplement such as Zerolac or Nusobee. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. Breastfeeding can be started once motions are normal. For more information consult a paediatrician online --> | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Q. 2. 5 year old suffering from stomach ache. Which medicine has to be given?
Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. | Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. | |
Breast cancer, menopause, gain weight. Can Wellbutrin help me in this?
Hi, I m going through a terrible time with menopause. I had breast cancer two years ago and my medical oncologist suggested I take an anti- depressant to control the effects of the menopause. I ve always been a little afraid of them. My friend told me about Wellbutrin and said it really helped her a lot. I ve also gained about forty pounds over the last two years and she said that this drug can not only help boost my mood, but also my metabolism . What are your thoughts? | Hi and thanks for the query, I think your oncologist was right. But these are drugs that at times might produce a few side effects and require an appropriate monitoring. This means automedication with anti depressants is actually not advised, because the have numerous indications at different doses. It could actually help you. But it shall be a better idea if you consult your oncologist firs before taking the drug. This shall facilitate monitoring and follow up. Thanks and best regards, Luchuo, MD. | |
What is the treatment of oesophagus cancer?
this is a sons trauma/fear of loosing his mother due to oesophagus cancer,so says the doctor here, need to know what is this at the ealiest,attaching the reports. with your vast experience could you pl tell me what this report says or may/suggest to any particular disease and the nature of treatment to be done. i want my mother to live longer and its giving me nightmares of loosing her. | I am sorry I am not able to see any reports as this is not a paid query. But don't worry about your mothers condition. Cancer esophagus has good chances of cure if it is in early stage. If there is no spread to lungs or nodes, it means it is in early stage and chances of survival is high. even with spread to regional nodes, there are good survival rates. | |
What is meant by poor interface between pelvic organs?
Hi Dr, I am Hauwa, 80kg, 1.73cm and 30 yr old female. did a pelvic scan today (being trying to conceive for 6 months now - had a c/s a yr ago but lost the baby). Adnexae/POD: There is significant inflammatory tissue reaction in both adnexae as well as POD causing poor interface between pelvic organs. No free fluid collection in the POD. No mass. What does this mean and could be affect my fertility or be a reason for not conceiving in the last 6 months? Thanks | Hi welcome to healthcaremagic.I have gone through your question.Your ultrasound shows significant inflammatory tissue suggesting pelvic inflammatory diesase PID. Pid is the major cause of infertility, may cause tubal blockage, ovarian adhesion and many more.I would advise to consult a gynecologist for the same and he/she would proper person to treat it.Hope i have answered your question.Would be happy to help you further.Take care. | |
Q. I get blood in stool with constipation. Please help.
Hello doctor, I am 37 years old. I had a problem with bleeding in stool, so I consulted a doctor and he said it is hemorrhoids. He gave me Sitcom 100 mg for one month. I have taken this medicine and blood is not coming now but I have constipation and I took organic psyllium but did not get any benefit. Please advise me on what should I take to get a normal stool. And my 3.5-year-old girl sometimes complaints for stomach pain. I consulted the doctor but he gave only pain relief syrup, but she did not have any benefit. Please recommend any test to know the actual problem. | Hi. In case of rectal bleeding, there are two possibilities, one is SRUS (solitary rectal ulcer syndrome), this is an ulcer formation in the rectum due to chronic constipation, this causes bleed. Another one is hemorrhoids. I think you have srus, that can be easily treated by Ispaghula and diet modification. We do not do any investigation for this until constipation gets treated and it will not respond. The problem of hemorrhoids is common in the adult age group. Constipation is among the one of the cause. Other risk factors are alcoholic, liver disease, and rectal carcinoma. For constipation, we give Isabgol (methylcellulose) that is a bulk-forming agent. Along with this, you need to take a high-fibre diet and plenty of water. If u have hemorrhoids then in early stage exercise can benefit you. There are two types of exercise, one is to decrease your weight if it is excess (more than 80 kg), second is to do anal exercise in the form of anal contraction for five minutes every hour. Controlling constipation will also decrease your hemorrhoids. Regarding your daughter, I think she had constipation. You should note the duration of sitting in the toilet and that is more than five minutes in case of constipation, and about straining during defecation or passing hard stool. If she has constipation then she needs treatment, her pain will subside after treatment for this. She also does not require any investigation. You should tell about her height and weight if it is abnormal then she requires investigations. Advice: Follow as per discussion for you. Provide details about your daughter. Give her tablet Albendazole 400 once only. Review with details. | |
How does hand, foot and mouth disease spread?
My 3 year old grandson was diagnosed with Hand, Foot and Mouth Disease today...I m supposed to babysit for his infant brother tomorrow and then for 2 of my other grandchildren in the evening. My daughter is in her 9th month of pregnancy. Do I provide any risk of passing on the H,F and M Disease to the others (including my pregnant daughter)? | Hello,Welcome to HCM,Hand, foot, and mouth disease is caused by a group of viruses known as enteroviruses. This is a condition which can lead to fever, blisters on the hands and feet, mouth sores, sore throat and a poor appetite.It can spread from one person to another through direct contact with discharge from the nose and throat, saliva, infected stools, or fluid from a blister.There is no specific treatment for HFMD. Medication may be given for relief of symptoms such as fever and aches.I would suggest yo to follow1.Good personal hygiene2.Oral NSAIDs3.Topical anesthetics to minimize the pain caused by the blisters.4.Wash your hands frequently.Thank you. | |
Could hypertension tablets be taken after 8 hours of normal time during pregnancy?
Hi, I am pregnant, about 7.5 months and I forgot to take my high blood pressure meds. my BP is 129/89. Should I consider taking my pill now or just wait until later(more towards my normal time of taking it which is 8 hours away)? I take Aldomet 500mg. | Your bp is normal so you can take your next tablet on same time. but keep monitoring your bp if there is any rise take your tablet immediately. | |
Suggest treatment for congenital heart defect
I am a 31 yo male that has a history of congenital heart defects, at 3 days old i had coartation of the Aorta to open the narrowing to allow enough blood to flow through. again when I was 18 they had to do another open hert surgery due to the renarrowing of the cort aorta, they had to widen the aorta to allow more Blood flow to pass through. The drs said I only had around 30 percent blood flow going to my lower extremities. December 1st 2014, I had to get a mechanical valve put in do to seaver mitro valve prolapse. My question is me and my wife are expecting our first child in June 2015. My question is what are the chances my daughter will have any heart issues based on my past. My wives dr. Has scheduled a echocardiogram to examine the babies heart, to check if there are any Abnormalities, or anything to be concerned about. | Hi welcome to HCM.I understand your query and concern.Coarctation of aorta if manged well can lead to good outcomes in the pregnancy.Mechanical valves need good anticoagulation in the form of heparin in the pregnancy.The risk of acquiring heart disease in the offspring is very marginal.It depends on the environmental multifactorial association.I advise you to get a screening 2 dimensional echocardiography for your wife at frequent intervals semi annually to assess the cardiac output.Avoid any infections in the periconceptional period.An anomaly scan will help to document lesions at the earliest in your baby if any.Consult your cardiologist for expert management,Thank you. | |
Will the warm sensation in the calf cause clots?
Hi - I had gallbladder surgery(laproscopically) 2 weeks ago. For the last 3 days i have been experiencing a warm sensation on the lateral portion of my right calf. No pain and no swelling or redness is present. I am not taking any birth control pills and do not have any history of a clotting disorder. The feeling seems warm, but feels like a normal temp to the touch. Feels like a heater is touching that portion of my leg and then it goes away after a few seconds. I am a non-smoking, 36 year old nursing mom. Just had my 3rd csection 2 months ago. I am not on any birth control pills. i will be seeing my surgeon for a follow up this week, but am worried it may be a developing clot? But am hoping its a pinched nerve or something from swimming the other day or crossing my legs(which i know is bad)? | Hello. Without any calf muscle pain or swelling of the leg, this doesn't sound at all like a clot but more like a pinched nerve. Have your doctor check it out when you have the chance | |
Q. I got an X-ray done for tooth pain and sensitivity. Kindly explain.
Hello doctor, Please check my X-ray and guide me. I have minor pain and sensitivity in tooth. | Hello. I have been through your query and I can understand your concern. In the X-ray, I want to know if you are referring to the last tooth. In the X-ray, there are the following findings: 1. The second molar seems to have developed secondary caries which seem to approach the pulp (not fully though) which might be the cause of pain. However, The extension of the lesion cannot be determined as the X-ray seems to have elongated the structures. Proximal caries in the second (last molar of the mesial side, that is, between the two molars). 2. The fillings seem to have developed secondary caries but that seems mild. (This might also be the elongation error of the X-ray). The correct evaluation and examination of the teeth will confirm the diagnosis and accordingly will chart out the prognosis of the teeth. | |
What is the reason for rash recurring every 3 weeks?
Hi i have a rash that comes and goes every 3 weeks.. I went to see my doctor she thinks its contact dermatitis. I ve had it now for 4 months.. The area where it is the same one spot, and when i get it it happens in the morning and is a red looking raised welt.. Goes away a day later.. Any idea?? | Hi,Your doctor may be right. You may be having allergic contact dermatitis . There may be some allergen resposible for it. You try to find out the cause. Discuss with your doctor. He may guide you. He may give medicines like steroids and antihistaminics like levocetirizine. And may prescribe cream of steroid. You may be improved. I hope you got my answer.Thanks.Dr.Ilyas Patel MD | |
Suggest remedy for recurring genital herpes
I got infected (in fact diagnosed) with genital herps in 2005. I took the treatment for two years. Whenever I get some problem I use some ointment (Cosvate). For the past one month I experienced heavy skin problem and pimples/sores in leg joints near groin area. When I use same ointment, it little improves. What should I do? Can you also suggest some Good Doctor in south Mumbai? | Thanks for posting your query to HCM.Once you infect with herpes virus it settel in your nerve ganglio in inactive state. whenever it got oppurtunity like immune level of body decreases it causes infection .So you need to boost your immunity by taking multivitamin ,Zink and mineral regulary . take good nutritious dite regularly. and whenever you got infection take complete cource of antiviral medication as per advised by your clinician .there is no way to eradicate virus from its silent state from nerve. take care | |
What causes knee pain with a normal x-ray and blood test report?
My knees have ached since childhood-on and off. The doctors told me it was growing pains. I have had an x-ray and blood tests but nothing shows up. I am now 28 and still experience these pains and also in other joints. It seems to be more painful when I am on my period. Ibuprofen helps and paracetamol does not-so I assume there s inflammation. Weather conditions also can bring pain on. | Hello,I read carefully your query and understand your concern. Painful joints can be related to arthritis.I suggest to check the rheumatoid factor level for further evaluation. Meanwhile,I suggest to use anti inflammatory medications such as Acetaminophen to relieve the inflammation. Cold compresses can also be helpful. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
Q. I had a severe stabbing pain in my stomach. Is that something I should be worried about?
Hello doctor, This has happened to me twice now. This feeling usually lasts for about five to 10 minutes. It felt like a knife was pushed into my stomach and was being twisted. The pain is at the center of my upper stomach. Other than frequent heart burn, I am or at least I feel, healthy. I am not taking any medication. I never had any medical issue in the past. It is just these two episodes hurt so bad, it got me worried. | Hello. As you mentioned, you have a stabbing pain in the upper abdomen, that lasts for five to 10 minutes. For more information consult a general medicine physician online --> | |
Is there any Ayurveda herbal medicine for constipation and bloating?
Dear Sir, I am having constipation and bloating. My stomach remains half full in the after passing stool. Almost almost one hour after taking break fast in the morning, I again feel pressure to pass stool. This is very uncomfortable situation when you are traveling or in the office i.e away from ones home. My stomach remains full with gas (upper half) and cause discomfort. Though I am taking PAN-D capsule for the last 10 days but there is no improvement. suggest some Ayurveda herbal medicine or otherwise. | **1. going by history it seems that your are suffering from Functional Intestinal Disorder mainly IBS [irritable bowel syndrome] which is diagnosed as 'GRAHANI ROG" in Ayurveda and thus Management is directed toward the concerned pathology.2. since clinical treatment will depend upon the diagnosis, preventive care can be suggested:. take high fibre diet,fresh fruits and vegetables,avoid milk and milk products in diet, excess of tea,coffee,tobacco,alcohol and carbonated beverages.. eat slowly,avoid haste-irregular eating and sweet/heavy food which are difficult to digest and cause indigestion.. take less of strong spices (ginger,garlic), oily-fried-fatty food and flatus producing foods (peas,beans,dals). take old rice,bottle gourd,moong dal,kali marich, pomegranate,jaiphal,hot water, adequate rest and sleep.. take fried cumin seeds 500mg, fried asafetida (hing) 125mg, shweta parpati 500mg, mix them and take with honey three times a day.. since it is a psycho somatic disease thus 'psyco somatic' treatment is must, thus tranquility of mind is must, as such Medhya drugs are useful like [brahmi, jatamansi, tagar, ashwagandha, sarpagandha, shankhpushpi]. Trifla because of its high nutritional-detoxification-Shodhan and cleansing value is very helpful in treating your present complaints.. you can ask for prescription medicines like: jirakadya arishta, kutjarishta, karpoor assav, shankh bhasm, gangadhar churan, agnimukh ras, jatifaladi churan, bilvadi ghrita. | |
Suggest treatment for type 2 diabetes
Hi Dr., Greetings.I am a Chronic Calcific Pancreatitis (opts) 2001, now I am suffering with Diabetic type 2, FBS-212, PPBS-393. I am taking regular medicine, but it is not under control. Please advice me. Thanks & Warm RegardsJay PrakashBangalore | Hi, Mr. Jay Prakash, As you have mentioned you have chronic calcific pancreatitis which was diagnosed in 2001.And you have mentioned that you have Type 2 Diabetes which is not under control despite of regular medicine. In your case I want know on what basis you have been labeled as Type 2 Diabetes. We need to differentiate between Type 2 Diabetes from pancreatic Diabetes (which is more likely in your case). Treatment of two is different, Type 2 Diabetes usually be controlled with oral medication. In pancreatic Diabetes insulin is only treatment for controlling blood sugar level. In your case I want to know 1) Your age. 2) How many years back you have been diagnosed as having Diabetes. 3) Family history of diabetes. 4) Your height and weight, (usually type 2 diabetic patients are obese, Pancreatic diabetic patient usually lean, thin, weight below average) 5) Signs of malnutrition, low hemoglobin, significant weight loss. 6) Current medicines for diabetes. I will advise you to do following test1) Stool Examination for fat, elastase. 2) Complete blood count, 3) Serum level of Vitamin D (fat soluble vitamin), calcium. On the basis of your history, clinic Examination, investigation we can confirm your type of Diabetes, and accordingly need to modify your treatment. Till that time you can start insulin according to your treating Consultant. I think this much information is enough for you, you are free to write your queries to me. Regards, Dr Abhay Mali | |
What to do for abscesses in child's mouth?
MY 4 YEAR LD SON CONTINUES TO GET ABCESSES IN HIS MOUTH HE ALREADY HAD A SURGERY RESTORATION OF TEETH BECAUSE HE HAD HIS TEETH ROOTING AWAY BUT HE IS CONSTANTLY SPITTING UP WHAT CAN THAT BE? HE ALWAYS RUNNING TO BATHROOM TO SPIT UP AND SAYS HE HAS TO MANY BUBBLES IN HIS MOUTH? | Hi..Welcome to HCM..As per your complain it seems that your son has a dental abscess due to a deeply decayed tooth and as it is appearing that it has started draining and releasing pus inside the mouth that you son keeps spitting..Due to rotting or decaying of teeth, when the decay progresses below the root tips of the teeth there is pus formation and at times the pus perforates the bone and accumulates below the gums and at times there is an opening formed on the surface leading to pus discharge..I would suggest you to consult an Oral Physician or a Paediatric Dentist and get evaluated and a thorough clinical evaluation and x ray can help in diagnosis..In case if there is a deeply decayed tooth then Root Canal Treatment or Pulpectomy can be done followed by a course of antibiotics and painkillers.At times Incision and Drainage can be advised.Hope this helps..Regards.. | |
Suffering from spinal spondylolisthesis. Feels painful. Should I go for surgery?
Dear Doctor, I am suffering from spinal spondylolisthesis of lumbar L5 over S1 from last ten years but I was running fine. from 15days back I feel very painful and contact with doctors in our country Bangladesh. some of one said, it is going to static position, so you need not to go for surgery and other doctor said you go for surgery. It is so risky operation, may be successful otherwise your position will deteriorate. so,please give me suggestion what to do. Best regards. Monzur Elahi khan Dhaka Bangladesh | Dear Monzur, If the pain is localised or with/without radiation to some extent then this can be managed conservatively with Physiotherapy including some electrotherapy modalities , pelvic traction, manual therapy , corrective exercises along with some nerve vitamin tablets..... One assistive devise such as "lumbo sacral brace" will be mor useful in this case. Once pain is reduced you can join core strengthening classes only under a supervision of a certified physiotherapist who can design exercises specifically for you as per your condition..... If there is persisting weakness in your legs, increasing gradually and showing sluggish reflexes (Deep tendon reflexes) then this represents motor weakness and you need to be ready for a surgical procedure....Although this surgery is a risky and expensive one these days latest technologies in an operation theater (OT) have already introduced to reduce the risk factors..... So wish you a good health soon..... | |
What causes numbness and tingling in arms with neck pain?
Hi I woke up over 2 weeks ago with severe neck pain so went to see physio then developed numb arm and tingling sensations with neck pain that is much worse at night to the point it wakes me up and headache but it feels like something needs to click also have burning sensations in neck and shoulder all the time | Hello, As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. Consult a neurologist and get evaluated. We have to rule out possible causes like cervical spondylitis which might compress the nerve roots in the neck and cause the symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Delayed periods, m2 tone, trying to conceive
Hi few months back i had 2 delayed period cycles in different months so the doctor recommended m2tone ..and i continued for 6-8mnths and i had started having normal periods..now from past few months i discontinued coz i am planning to conceive..bt my periods are not much on the 3rd day now also..m2 tone can be continued now also wen i want to plan pregnancy yes or no? | hi, m2 tone tablets are ayurvedic preparation used in treatment of poly cystic ovarian syndrome or in other disorders of menstruation. according to the literature given by the manufactures, this drug can be used to improve the chances of conceiving, it is used in assisted reproductive techniques, it improves pregnancy outcome. so you can use this tablet. take care. | |
Suggest treatment for cavities on the front tooth
I have very bad decay in my front teeth I have tried fillings and they are no longer holding due to how bad they are my oral heigene isn't great and neither my diet as I don't have to worry about my weight so I don't worry about my diet I am on the urge of fighting to keep my son but could lose him over this would dentures be possible at this stage | Hi there. Thank you for contacting us. I understand that you could lose your son due to your bad front teeth and would like to consider dentures. I'm not sure how old you are, but dentures could be a possibility at any age. Depending on how many teeth are involved, you may be able to do a bridge, which suspends "fake" teeth between two good teeth and you won't have to worry about taking them out like you would for a denture. Another consideration is removing the teeth that are involved and put in implants. Implants are essentially "fake" roots that go into the bone and then a crown placed over the root. These implants would stay in more permanently and again, you wouldn't have to worry about removing them like dentures. In addition, implants can help save bone long term. I would discuss these possibilities with a talented restorative dentist and make an educated and informed decision on what your options are. Thank you for contacting us. | |
What causes joint pain,brown spots and raised bilirubin?
29 yr old female. Petechiae, joint pain, spider veins, brown spots, high bili, high calcium, otherwise normal cbc, nausea, headaches, fatigue. Symptoms started about 6 weeks ago with petechiae about 3 weeks ago (doesn t seem to be fading and get more every day). Lupus, RA and ANA all negative. Dr stumped, I just don t feel right, should I be worried? | hi.thanks for posting query at HCM.your current scenario points towards hemochromatosis.further evaluation needed.serum iron, ferritin levels, genetic testing for hemochromatosis and liver biopsy maybe taken to rule out hemochromatosis.hope to answer your concern.wish you good and sound health.regardsDr Tayyab Malik | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
How to avoid early heart attack?
choleterol is 188, triglycerides 164, hdl 31, Ldl 124, chol/hdl ratio 6.06, non-hdl 157 findings suggestive of no mypcardial injury. i am hypothyroid, 42 yr old nonsmoker,nondrinker,female, 5ft 11in, 260 lbs. been overweight since i was born. how do i fix the numbers and avoid an early heart attack? | style modification should be tried for next 3 monthsexercise daily for 45 minutes a daybrisk walk daily at a speed not less then 5.1 km /hr daily for 15 minuteseat low salt foodadd fibres to you diet reduce your weightdon't take ghee or butter use saffola or olive oil instead.take low fat food avoid dairy produ1. Reduce body wt 3. Notobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water | |
Q. I had a crush on a guy and getting nightmares about him recently. Please help.
Hello doctor,I had been crushing on a guy for nine years now, and he did not know about it till for the last month when I confessed. He told me that I have to forget about him because we will never be together. So I tried to forget him by trying other hobbies that can distract me and with the help of friends. Meanwhile, he and I are talking since I confessed and till now, as friends, we mostly speak every day, for a month now.I am getting nightmares about him for this month, and they are all about him being harmful or he getting harm. Whether it was physically or psychologically (he causes damage, or he gets hurt by having accidents or fighting or insulting, etc.). Why do I keep having nightmares? Why are all of them are about him by keeping in mind that I only had very few dreams about him for the last nine years (except for the previous month, mainly)? | Hello. Dreams do not have any relations with the future. Or at least there is no evidence for that as of now. But dreams have always related to your unconscious or conscious mind. If something troubles your mind, it could manifest as dreams. That dreams may not be having the same subject.For example, when you run a fever, it possible that you dream about some natural calamities or some wild animals or even harm to our house structure. The dream about your friend being hurt may not have anything to do with the future. But it shows that you have something stressful in your thinking about him. You are stressed or worried about your relationship with him. You even could have a fear that this friend may not last. The more you worry about these dreams, the more dreams come. Because you are stressed more, so stop worrying about those dreams. | |
Low hemoglobin, vomiting after taking Vitcofol. Mixed with food?
my child has problem of less hemoglobin because of that vitcofol syrup was suggested but when i give he does vomitting so can i give him by mixing in food. | Yes it can be mixed in food and given to a child. Make sure you repeat the hemoglobin after about two weeks to make sure it is increasing. | |
What causes swelling in the feet?
I have had swelling in my feet, ankles and legs. My feet and ankles also have discoloration and are painful. Feels like pins are sticking in them at times. I am trying to determine what type of doctor I should see because I am due to go into have back surgery in a few days and I want to ensure that there is no serious issues. My swelling has been an issue for the past few months and my primary care doctor doesn t know what the problem is. | Hi, Consult an orthopedician and get evaluated. A detailed evaluation is needed to find out what exactly causing these symptoms. Hope I have answered your query. Let me know if I can assist you further. | |
Dermoid cyst removed. Left a strip of ovary on both sides. Trying to conceive. Which is the best time and still can I be pregnant?
hi im debbie just got my dermoid cyst removed dec 13 of 2011. They left a almost stip of ovary on my right and part of left ovary. My husund and i have been trying for the last 2 months now and still no baby. when is the best time? can i still get pregnant? prior to that i got pregnant but become blighted and thats how i discoverd my cyst.please help | Hello. Thanks for writing to us. Since a part of ovarian tissue is left on both sides, chances of conception are present. You need to try during the fertile days- day 9 to day 16 in a regular 28 day cycle. You can also use LH surge kits to detect the time of ovulation with accuracy. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
Suggest treatment for vomiting and diarrhea in a child
Hi my child 4 n a half years, vomiting and diarrhoea, treated her with domperidone n after half an hour gave metronidazole, vomiting stopped but diarrhoea continues, and she also cries of stomach pain and stomach cramps, it has 4 hours since I gave her metronidazole. Should I wait, or another doze of metronidazole be given? | Hi,It seems that she is having acute gastro-enteritis giving this problem.In such case only metrogyl may not work.She might require Ofloxacilin, tinidazole combination medicine to control infection.Consult your doctor and get examined.If proper steps are not taken in time there might be having dehydration problem and might require IV fluids and antibiotics.Meanwhile give her plenty of water, electrolytes and ORS liquid to prevent dehydration.Ok and take care. | |
Suggest ways to conceive with all tests being normal
himy name's nikki..i have been trying to conceive and my doctor says theres nothing wrong with me...i have seen my period though but i'm having mensural cramp...and also my breast are so heavy and my nipples are painful....what do i do?Can i get so help/advice? | Hi, I think you can try naturally for 6 months to 1 year if all reports are normal. Be in contact with your husband every 2 to 3 days after your periods stop. If it doesn't work then you can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after your injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Dr khushboo | |
Suggest treatment for neurogenic bladder
1.My son is 10 years old. He had been operated for Menigomylocele when he was 6 months. Since then he has been suffering from Neurogenic bladder. He does not have full control over his urine. First, we used CIC to help him urinate but after he was operated for teethered chord about 2-1/2 years back, he was able to pass urine on his own but it requires some force from his side. He can t pass urine normally as we can. Is there any solution or surgery for Neurogenic Bladder? He also has problem in passing stools normally. He passes hard balls of stool and suffers with the problem of constipation. This problem may also be related to the Meningomylocele surgery. In a span of about 2-3 months, he suffers with pain in his abdomen and after about 1 hour of pain, he passes the normal stool. One Paediatrician advised Laxopeg but after giving Laxopeg the stools became a little watery and he started passing stools in his clothes/diapers. Then we stopped Laxopeg after 2-3 days. Should we continue giving him Laxopeg. Will this help in solving problem of constipation of my son OR what else may be the solution to this problem. We have also been advised for giving Anema after 4-5 days. Please help... | for Neurogenic Bladder,intermittent catheterization and drugs like bethanecol and botulinism toxin are helpfulyou may continue laxopeg and if not then intermittent enema may be helful for constipation.you should increase water consumption and roughage consuption to deal with constipation. | |
Is pneumonia caused by an infection?
I had a baby 4 weeks ago, the second week I was home I developed a fever and had the chills. It was 75 degrees outside and I had to wear pants and a sweatshirt or I would get cold. I called the doctors and they said if I think I need to be seen to come in I might have an infection. The fever went away with tylenol and It went away altogether about 3 days later. I didn't go in because they didn't seem concerned. The past couple days I have gotten really lightheaded while standing up. Last night I noticed (4 weeks postpartum) when I get up to feed the baby and Im sitting there feeding him I get a pain in my upper stomach and in my ribs. Kind of like an aching pain that gets worse the longer I sit there. Today I am experiencing a weird feeling in the back of my throat. I can take deep breaths but I feel like my throat might be swollen and it feels dry when I breath in. I thought maybe did develop an infection and it has changed to pneumonia. Could that be possible? | Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of viral upper respiratory tract infection (URTI) is more. But better to rule out pneumonia because you are having fever and Chest pain. So get done chest x ray to rule out pneumonia. If chest x ray is normal then no need to worry for pneumonia. Viral URTI is more in your case. So drink plenty of fluids orally and keep yourself hydrated. Avoid oily and spicy food. Avoid hard to chew food. Do warm water gargles 5-6 times a day. Start antihistamine and anti inflammatory drugs. 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. | |
Is morning walk advisable for cardiac health?
Once my company s doctor gave his presentation about not doing morning walk as it is not good for our heart for people above 50 years old. He said there was something out from our body/blood (?) which is able to cause us getting heart attacked. He recommends people above 50 years to do afternoon walk instead of morning walks. How your response to those statement? | hello thanks for posting heremorning walk is not harmful for the heart for people of any age. instead its better to have a morning walk rather than an afternoon walk. also your vit d sources also get replenished. please dont worry about morning walks being harmful and go ahead with it.thank you | |
How to control vomiting and diarrhea in a 5 year old child?
Hi I have a 5yr old we went to the er on tues because he had a sore throat and was told he had strep throat and was given amoxicillian. now one week later he woke up with diarrhea and vomiting. vomited a couple hrs later , then I thought he was fine but he just threw up again in the middle of the night | As vomiting with diarrhoea is a bad sign that might lead to dehydration in your child and its a very serious condition. So give him a plenty of liquids rich in electrolytes, ORS oral rehydration solution.And to stop vomiting give it in little dose 1/2 glass every 20/30 minutes. And you should consult your family physician to diagnose if bacterial or viral diarrhoea. get well soon... | |
Recurring mild fever in the evening, sleeping difficulty. Tests showed elevated ESR and SGPT. Ultrasound showed fatty liver, renal cyst. Had liver infections in the past. Is it serious?
Hi my age is 62 yrs, I had 3 times liver infections before and severe problems in past, but cured due to strict diet & medicine the reason was i think I used to take alcohol much. my daily routine is - For my office work i have to go out of city daily and come back home daily. stress and travelling involve in my daily life. This year from past few months i am having light fever everyday and i started taking alchohal for sound sleep. one day i did my all checkups AND TEST prescribed by my doctor. My test reports are normal but two three things are higher like- my ESR LEVEL- 52MM IN1ST HR (ref range is -0-10 mm in 1st hr) SGPT - 46 IU/L (REF RANGE- upto 44IU/L) uLTRASOUND Suggest- Liver- measures 168 mm in mid calvicular line, with fatty echotexture. B/L RENAL CYST . Now pls. suggest is everything is normal or this is sign of something big...what diet should i follow to cure this? | Hello, Welcome to health care magic forum, these are sign for developing liver disease. so first thing to cure this is -avoid alcohol which is dangerous for you -try to be tension free by changing in life style, yoga, exercise, meditation whatever you feel comfortable. -take homeopathic medicine to prevent and cure this problem permanently. | |
Suggest treatment for high fever, cough & pain in the limbs
I Mrs. Bandana Som, age - 43, is suffering from symptoms like high fever at every evening, coughing, pain at hands and legs. Then I met with my family doctor had few tests. The reports are :- 1) Chest PA view shows patchy opacities at Rt.lung upper lobe. Few tiny calsifications are noted at Lt. upper lobe. Both costophrenic angles are clear.Likely to be Reactivation of koch's lesion at Rt. side.Plasma Glucose( fasting ) = 130.00 mg%Plasma Glucose( P.P.) = 157.00 mg%Now I had been told I got T.B.Now, I Want to be get treatment get well soon. Can you help me ? | Dear Ma'am, Hi & Welcome.I can understand your concern. Tuberculosis is 100% curable disease. To treat active TB, it is necessary to take several antibiotics at the same time for at least 6 to 9 months depending upon the severity.For the 6 months regimen;You are required to take 4 antibiotics like Isoniazid, Rifampicin, Ethambutol and Pyrazinamide ONCE daily for the first TWO months (Initial phase). This is followed by administration of 2 antibiotics like Isoniazide & Rifampicin ONCE daily for remaining 4 months (continuation phase). There after you will be rechecked again by certain lab tests such as Sputum for AFB, ESR, Chest Xray, etc to check the response to the treatment.Along with medications you need to take a high protein diet, increase the intake of fruits and vegetables and Vitamin B6 (Pyridoxine) to prevent the side effect of inflamed nerves caused by Isoniazide.Your fasting blood glucose level is high, so you also need to take medications like Metformin with or without Sulfonylurea like Glimepride to control the high blood glucose after consulting a physician.Hope the suggestions given above would be useful. | |
What causes vision problems after being in pool?
Our 5.5 years old boy was swimming in a pool today and suddenly got scared by not being able to see for a moment, saying: I can see only shapes...Sometimes he blinks a lot and rubs his eyes, saying that he can see everyting just fine and has no pain... | Hello. I just read through your question.Chlorine contained in pools can often cause visual disturbances when it comes in contact with the surface of the eyes. this effect resolves on it's own after a few hours and is nothing to be concerned about. It can be prevented by either wearing goggles or not opening the eyes while under water. | |
What does the elevated liver enzymes and low white cell count indicate?
I have a horseshoe kidney located right below the belly button. I have all the symptoms that go along with gallstones and or pancreatitis. I get stabbing pain right below the breast bone towards the naval area that then radiates to my lover back. Had CT of belvic and abdomen and shows no inflamation but many abnormalities with organs. Blood work shows elevated liver enzymes and low white cell count. What would you think may be causing these symptoms? | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.SGOT and SGPT are sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common casue is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis,cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionaly done Then appropriate treatment can be started.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | |
Q. Though I am stress-free, I am getting horrible headaches. Why?
Hi doctor, I am almost 18 and ever since I was little I have had horrible headaches or migraines. Before, I used to get at least once in a week. If I sit in my dark closet, I feel like I am going to vomit or just bad enough. So, I do not want to get out of bed. I tried talking to my doctor about it and she shrugged it off like it was nothing. She wanted to get me out of her office as soon as she could. My family thinks it as stress. I am a senior in high school with a part time job. You may think that is what is causing it, but I am not stressed. Everything is going pretty easy, but this year my headaches are worse than they have ever been. I get pains in my neck, eyes and all over my head. I do have them every day. I just want them gone. What can I do? | Hi. You need to exclude the physical causes of headaches. For further information consult an internal medicine physician online --> | |
Suggest treatment for terminal pancreatic cancer
My wife was diagnosed with terminal pancreatic cancer 9 months ago. She is receiving chemo every two wks., she has been wondering what it will be like as we get closer to the end. I suggested that she should ask her cancer doctor today at her last appt., but she was feeling good and I don t think she wanted the answers yet, but, I, as her husband or 30+ yrs. would like some insight, not just for me but for her when she asks me again. Thanks | Hi, dearI have gone through your question. I can understand your concern.She has pancreatic cancer. Treatment depends on type of cancer and stage. Whether it is spread to other organs or not. Chemotherapy and radiotherapy is treatment of choice in non resectable terminal cancer.Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health | |
What causes pain while retracting foreskin?
Hi, I'm 14 years old and need help in retracting my foreskin. I recently realised that at this age I should be able to fully retract my foreskin. I tried retracting it and I managed to retract it until I could see a bit of my penis. Afterwards, it was painful to retract further. Please help!! | HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Phimosis.Please consult qualified General Surgeon or Urologist for clinical examination to confirm th diagnosis.If positive you may need to get circumcised .This is a simple surgery done under local anaesthesia as a outpatient procedure and offers permanent cure.Dr.Patil. | |
Can pain around the pelvis with inability to walk indicate rhuematism?
My brother had cancer diagnosed nearly 12 months ago iat the back of the tongue. The treatment was successful. Today I found out that at nights he's in a lot pain around the pelvis area which means he could hardly walk? I wondering if it could be rheumatism? | pain in the back isolated, is uncommon to have spread of cancer to bone from primary cancer. but anything is possible in the cancer. hence please consult the your primary oncologist for further details. | |
How safe is using Hairu4U for hair loss?
Hello, I am using Hair4U lotion as my doctor suggested to use for reducing hair loss and regrowth of my hair. By the time using that I m getting papules on my head. Is it because of this lotion or any reason. Do i need to stop it or take any extra medication for controlling that papules(pimples). Any Suggestions. Thanks in advance. | hair 4u lotion is a combination of minoxidil and amenexil and usually given for the male pattern hair loss. you may be developing irritant reaction to it or an aggravation of seborrheic dermatitis due to its use. you can stop using it or change the brand or you can start with some ketoconazole based shampoo for SD. else you should again visit your dermatologist for change of medicine. | |
Suggest treatment for intense back pains
I was recently involved in a minor car accident, i felt no pain that day. Upon waking up the next morning i had to go to drill for the national guard im having very intense back pains with occasional muscle spasms i have no health insurance, what do i do | first of all use a comfortable bedding. use hot water bottle. if the your back pain is severe you can use >tablet norgesic (orphenadrine+aspirin+caffeine) one tablet thrice daily till your symptoms relieve and then stop. other drug option is >paracetamol 500mg (2 tablets when feels pain or maximum to 4 tablets a day) added with tablet zanaflex 2mg (tizanidine) at night before sleeping. | |
Q. Suffering from anxiety, and panic attacks for the last 3 years. Need second opinion on the prescription.
Dear Doctor, I am suffering from anxiety and panic attacks for the last 3 years. I went to a neurologist 2 years back and he advised me to take REXIPRA 10 for 3 months, SOLTUS 50 for 6 months, HEMIDAP PLUS for 9 months & ZEPAM .5 for 12 months. Upon following these medications, I was improving but was not absolutely fine. And after 1 year I visited the same doctor again and he advised me to take ZEPAM .5, REXIPRA 5 & AMIXIDE. Now I am absolutely feeling restless, sleep deprived and very anxious. When I leave these medicine, I feel addicted and I am in immediate need of it. Absolute anxiety and nervousness, high pulse rate and high BP. I am not able to understand whether I am suffering from a neurological or a psychological problem. Should I consult a neurologist or a psychiatrist? 25 years/ male, height 6 feet, weight 70 kg. Please help. | Hi. I read your query and understood your concern. As per your diagnosis of anxiety and panic attacks, there should be no doubt whether you need neurologist or psychiatrist. Both these conditions come under the domain of psychiatrist and they are more able to treat these conditions. Other than anxiety and panic attacks you have got addiction problem because of the wrong use of medicines. In my view there is no role of SOLTUS in case of anxiety and panic attacks. If you feel fine with an online psychiatry consultation session (via phone or video chat), then I will be happy to help you. You con contact me by either putting a detailed query or booking an online consultation. | |
Is Mox 500 effective in the treatment of a lung infection?
Hello Dr, Yesterday I went hospital for gulf medical checkup, they took blood test , urine test and X-ray testes. Finally Dr. Told to me u have problems with X-ray and take Mox 500mg capsules for 3 times per day advice to take 5 days. This one tablets enough for me ? Pls advice Note: last week I suffer with cold | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I read your question and can understand your concern. Amoxicillin (a mox) is a broad spectrum Penicillin that would cover most of the organisms that cause respiratory infection. So yes, this can be sufficient for you. The recommendations also suggest a mOX for pnemonia untI'll very serious. So it's good choice for you and I hope it works for you. Hope I have answered your query. Let me know if I can assist you further. | |
What would be the advantage of sorafenib over thereasphere for liver cancer?
My husband has primary liver cancer. He has had two ThereaSphere treatments which have shrunk the tumour from 10.4 by 9.1 to 6.7 by 7.2. They are considering Sorafenib as a possible treatment as opposed to continuing with ThereaSphere. His liver function is good. What would be the advantages of Sorafenib over continuing with ThereaSphere? | Sorafenib is a type of targeted therapy known as a kinase inhibitor.Kinases are proteins on or near the surface of a cell that transmit important signals to the cell’s control center. Sorafenib blocks several kinase proteins that either prompt tumor cells to grow or help form new blood vessels (angiogenesis) to feed the tumor. By blocking these proteins, sorafenib can help stop the growth of cancer cells.Sorafenib in liver cancer showed improvement in median overall survival of 44% Both median survival and time to progression showed 3-month improvements. There was no difference in quality of life measures, possibly attributable to toxicity of sorafenib or symptoms related to underlying progression of liver disease. RegardsDr De | |
Can Invisalign cause nausea and anxiety?
My son who is 14 has been nauseous for 4 months and I m wondering if it could be related to his Invisalign? He has hasmd tins of lab work, seen a GI doc and a cardiologist. Now he us being told it s anxiety. He was a completely normal child up until 4 months ago; social, good appetite, outgoing, type B personality. | Did your son have a recent growth spurt? There is a common phenomenon that can occur in growing teens called physiologic postural orthostatic tachycardia. It results when the autonomic nervous system is out of sync with the growing child. You would determine this at the bedside by measuring his heart rate after he is lying down for 20 minutes and the right after he stands up for a few minutes. A difference if greater that 30 beats per minute is suggestive and it should respond to increasing his salt and water intake. Find out soon because the sooner this is identified the more quickly it can be relieved. It does not sound like anxiety and I do not think the invisalign is causing any problems. | |
Are these actions related to OCD?
my wife 27 f wt 52 5'6"ht .she spends lot of time in front of mirror thinking something,also in bath room,sometime she reapets action while she touch some thing,also waisting time.iam totaly irritated watching this, may be she have ocd what is the most effective cure for this,please help me doctor. | DearWe understand your concernsI went through your details. I suggest you not to worry much. The description is not enough to diagnose the case as OCD. From the description, if they are correct, your wife do show some sort of obsessive behavior pattern and seems lost in those behaviors. Proper diagnosis can be made only if more symptoms are presented and a psychometric test administered. Please consult a psychologist for proper diagnosis.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 the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
What causes red bump all over the body?
baby girl 11 months old diagnosed with thrush,little fever two weeks later that's clearing but a rash oftiny red bumps appear on her cheek/temple,gradually spreads all over scalp,down her neck to back then to stomach then onto legs.her doctor says it is not the amoxicillin to give benedryl but now all over her body bright red and on her face no fever but fussy,dr swabbed inside nose only said it is virile!!!what to do? | HIWell come to HCMThe symptoms may be suggestive of some viral infection, here you can use Diphenhydramine lotion, wait for few days, if this does not improved then this need to be investigated, hope this information helps ( Comment:- All the skin manifestation demands the clinical observation and this is the way for diagnosis ) |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.