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What causes irregular heart beat?
Im a 44yr old female with heart rate off and on during day of 100-120 even at rest. Sometime awaken at night at 160. Had cardiac work up 6. Mo ago and was good with just some mild to moderate tricuspid cave regurge. I'm am very stressed and anxious a lot and take 2.5 mg of Valium to calm down when awaken by fast heart rate. I tend to get palpatations just before cycle. Could hormone fluctuations contribute to this? | Himild to moderate tricuspid regurgitation is normal and is nothing to worry about until the patient is symptomatic,Tachycardia, also called tachyarrhythmia, is a heart rate that exceeds the normal resting rate. In general, a resting heart rate over 100 beats per minute is accepted as tachycardia in adults.heart rate 120-160 comes in tachyacrdia.Tachycardia can be part of the body's normal response to anxiety, fever, rapid blood loss or strenuous exercise.In yourcase highh anxiety levels are respopnsible for tachycardia.now lets come to effect of hormones on tachycardia,Jusyt before the cycle there is change in estrogen and progestrone levels in the body , this has a direct effect on the body, these changes can be a cause of tachycardia, how ever in your case anxiety levels prove to be the cause of tachycardia. | |
What causes hard painless bump inside armpit?
im 24 my height is 5"10 and i weigh 123 pounds i dont really have much of a history that has anything to do with the problem im having now i have a small hard painless bump inside my armpit its been there for over a year im unhappy with the way my doctor treated me he didnt even check it and just said it was a zit | Hi, thanks for writing to HCM.Well, If I were your treating Doctor for this case of hard painless bump inside armpit, I would come up with three possibilities, these include: 1. lymph nodes due to some local chronic or acute infection or even malignant diseases in elderly people!2. The second possibility is of benign and simple conditions like lipoma or neurofibroma or ectopic mammary tissue; there is nothing to worry about these! 3. The last possibility is of sebaceous cyst or some other cysts like branchial cyst or lymphatic cysts ! Nothing to worry about these also!I suggest you to go for an FNAC and ultrasound of the lumps for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
Q. My son's speech is not clear. Does he suffer from autism?
Hi doctor, My son is 5 years old. He was delayed in speech. Now, he started talking, but he is not clear. I consulted a doctor, and he suggested Sizodon 0.5 every day for tics. Yesterday, his preschool skills and LD were evaluated, and they said he has LD. Is there any problem with the above medicine? Does he suffer from any symptom of autism? | Hi. Your son is showing delayed milestone. He may have autism. Tablet Sizodone contains Risperidone that is centrally acting anticholinergic drug. It has its own side effects, but you can definitely use it if there are tics. It should be taken after consultation with a neurologist. Also, your child should be encouraged or stimulated to take an interest in learning and sports. Such children have special training programmes like Applied Behavioral Analysis (ABA), Treatment and Education of Autistic and Related Communication Handicapped Children (TEACCH), and sensory integration. For further information consult an internal medicine physician online --> | |
Suggest remedy for gout attacks
Hello, my partner has been diagnosed with Severe Gout after having blood tests done by the local GP who said his acidic levels in his blood had hit the roof. We are trying drinking cherry juice, taking Vitamin C, eating bananas, putting ice on the joint, raising the joint, everything we can think of that we have found information on. He is currently a smoker and we were wandering if smoking 15 a day like he has done for many years now will affect his gout attacks? Will quitting smoking help him ease his attacks? | Hello,the medical treatment for gout attacks is colchicine. If colchicine is contraindicated then non-steroidal-anti-inflammatory-drugs (NSAIDs) can be used. If the patient can't recover with the above measures then prednisolone is the next step. You can try anything else if you'd like but the mainstay of medical treatment are the aforementioned drugs. Several days after the attack is gone, he should start using uric acid lowering drugs like allopourinol or others (depending on his medical history). Please remember that these drugs may precipitate a new attack, so taking colchicine is adviced. Your doctor should advice you about dosages and supervise your treatment, because some of these drugs may cause problems.Smoking is actually related to lower uric acid levels but this is not a treatment for it. Loosing weight (if overweight) is the good way to go. Abstaining from alcohol is essential. There are other diet options as well, but they are more important during the steady phase (outside the crisis that is). I hope I've helped you understand the treatment of this disease better.If you have more questions, I'll be glad to answer.Kind Regards! | |
What causes itching in the legs & hands with a history of hypertension?
I am hypertensive and had a minor stroke in 2009. Since then my doctor put me on drugs 20g nifedipine twice a day, 50gm atenolol once a day and 1/2 tablet of asprin. Now my body itches especially the legs and my hands. What could that be. I dont want to get a stroke again please help me. Im hesitate to visit the doctor to get more drugs. Jane - Zimbabwe | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Since you had a history of hypertension and stroke, I suspect that your symptoms of itching may have caused by the following:• Allergic to one of the drugs• Long-term (chronic) kidney diseaseIf I were your treating doctor, I will do very simple tests to check for kidney disease: • Measure the level of serum creatinine in your blood to estimate your glomerular filtration rate (GFR)• Measure the level of protein in your urine (increased levels of protein show your kidneys are not working right) • Check your blood pressureThis time, I can only emphasize you to meet your internist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Nurul Falah | |
What could be the reason for having cramping?
Hi, I had a miscarriage in July 2013. Got depo in August, but been off since October. For 3 days I ve been having cramps off and on with brown and pink stringy spotting thats there sometime when i go to the bathroom for 3 days. The cramping is more to the left. What is causing this? | Hello,Thanks for posting to HCM,Any retained product of contraception is main reasoN.Do ultrasound for your pelvic reaso.Regards | |
Is yellow stools with lower severe back pain signs of pancreatic cancer?
I have yellow stools and I ve also had (twice) a very sharp and split second pain in my right lower back I m terrified it s something like pancreatic cancer but I did have food poisoning and this yellow stool thing before but I ve never experienced this throbbing or quick stab pain in my side I m very scared and I don t want to have to go naked to have scans :( | HiIf you do not want to undergo ct scan the I would advise you to do a blood test for car 19.9 to rule out pancreatic cancer.RegardsDr de | |
Does white greyish vaginal discharge with blood clots indicate miscarriage?
i missed my period and took 3 pregnancy tests, which came back positive. a week later my period came with abnormally big clots and white/greyish tissue. i suspect im having a miscarriage. it has been 4 days since i started bleeding and i m still cramping and passing clots. do i need to go to the hospital if i were only 3wks pregnant or will it just pass? | HiI have gone through your complaints.you are saying you missed your periods,and positive pregnancy test & now passing greyish vaginal discharge with blood clots ieans its miscaariage only.its mportant to consult doctor to assess whether complete abortion has happened or any retained products& to evalute cause for abortion.what is your general status like whether you are anemic , evaluated when you meet Dr.Thank youWith best regardsVasundhara | |
What causes hard lump on sternum after mastectomy?
Hi. I just had a double mastecomy on August 8 2011. After surgeon took out breast tissue, Plastic Doctor put in expanders. I had 350 cc's of saline injected over 2 month period, I am scheduled for impants on Jan 4 2012. Just last week I notice a hard lump left on my strunum, it moves a little but not much. I called Plastics Doc and he advised me it probably was a fat globular cyst and he would remove it during the implant surgery. Coincidentally I had an apt with my Oncologist the next day and he made an appt for me to see my surgeon, which happends to be today. Any ideas of what it could be? | Hi. Welcome to HCM. I guess you had cancer of breast most likely for which mastectomy was done. In that case you should do fine needle biopsy of that lump, since it can be the recurrence of cancer. If biopsy confirms it as simple fat lump (lipoma) then you can proceed with plastic surgery. If it comes as cancer you have to follow up with your oncologist for further treatment before any plastic surgery.regards | |
Q. I am suffering from cough, sweating, wheezing, etc. What is the treatment?
Hello doctor,I am 22 years old female, with 5'5" height and I weight 60.5 kg. I have been sick for the past seven days, and my symptoms have not seemed to have gone away. I was given antibiotics (Amoxicillin) as well. I was to know where to go from here I can tell you what my symptoms are,1. Coughing fits that make me cough up mucus, yesterday and today I started finding some blood in my mucus.2. Sweating and temperature rising caused by my coughing fits.3. Wheezing in my breathing.4. Shortness of breath.5. I am an asthmatic.6. Feeling weak.7. Lost in appetite.8. Lost in weight.9. Chest pains.I wonder what steps I can take from here? And also do you have any tips of soothing my coughing fits. I cannot sleep with them. | Hello. From your history, it is evident that you have bronchial asthma. In asthma, there is reversible airway obstruction, the airway becomes swollen and narrow, and this is the reason for wheeze and cough. But coughing out on blood indicates that your lung going on for some other medical change and chest pain is an emergency where you have to visit pulmonologist. As you have blood in sputum, loss of weight and appetite, which are uncommon in asthma have to be evaluated further to know the underlying cause. Kindly do the following tests. 1. Complete hemogram. 2. Chest X-ray. 3. Pulmonary function test. 4. Montaux test. Get a pulmonologist advice. Taking Amoxycillin alone will not help, also take Tablet Deriphyllin one tablet twice daily for five days. | |
What should be done to treat a kidney stone along with backache?
Hi I had Ct done but don’t understand what this means, I’m having a lot of pain in my right back and side , they found a 9 mm hyper echo iv focas at the mid to lowerpole of the R kidney may reflect a calculus., Also 1.4 hypoechoic struture upper pole of R kidney. I’m a paraplegic I usely cath 4/5 times a day but nothing is coming out, then after 2/3 days it Just flows out !! I tried to tell my drs but not getting much help. Don’t know what to do next???? Please Help Thank You, DJJ | Hello, If only problem in right side means why urine not coming out? Possible causes are stone bilateral lead to urine flow block or it may CKD. So get it done stone extraction or ESWL then you may recover. Drink plenty of liquids. Use syrp citralka 2 teaspoon twice a day for five days. If symptoms not improved please consult with your urologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Penchila Prasad Kandikattu | |
Skull area near neck feels loose, hollow click. What could this be?
Hi I tapped the back of my neck where it meets the skull right behind my right ear with a open firm hand kiinda like a karate chop but much easier and I hear what sounds like something loose/rattles kinda like a hollow click noise everytime my hand taps it....it doesn't do it on left side of neck/head when I tap that side. What could this be? | you are pointig to mastoid area,where there are air cells and the tapping may give hollow click noise,may be normal,provided you are asymptomatic.Some times,assymmetrical even in normal persons. | |
What causes pain and swelling in the testicle?
Yes, My boyfriend is having severe pain in his testicle. Feeling of heaviness and swelling as well. The pain radiates up to his lower abdomen with pain across both sides. He has had trouble getting off when we have sex and after trying masturbation for relief we found that was difficult also. He says it feels like he is about to come but then nothing happens and when it does it takes a very long time and very little comes out. He has diagnosed hisself with blue balls but the symptoms having been going on for about 3 or 4 days now. The do go away it seems when he does finally get off though. But come right back the next time we have sex and he can t get off. Any suggestions? Ice packs seem to help with the pain but nothing else other than ejaculation. | HelloPain and swelling in testis need immediate medical attention.It may be due to many causes like infection,torsion etc.Your boy friend need proper clinical examination and investigations.Investigations include routine hemogram,ultrasound and colour doppler of scrotum.Ultrasound can exclude many conditions like orchitis,torsion,fluid accumulation etc.Treatment depend upon findings.He should consult surgeon.Get well soon.Take CareDr.Indu Bhushan | |
What causes bumps on the thighs of a child?
Hi, my 9 year old daughter has big pimple like bumps on the inside of her thighs. They seem to come to a white head but she can t pop them. Two of them are getting red around them. We have been to her pediatrician and they keep passing it off as molluscum, but I am worried it is somethig different. | Hi, How long these bumps are there? Is it painful now? Small, round, whitish pimple which was there for few days is likely molluscum. Usually this will disappear its own by few months. If needed, you can ask a dermatologist for removal by chemical cauterization. Don't try popping up, as this will cause spreading and new lesions nearby. But if there is surrounding redness, there is chance of secondary infection. If no pain or swelling around, try applying antibiotic creams like mupirocin twice daily for 3-5 days. See you doctor for antibiotic treatment if not getting better by then. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Muhammed Aslam TK | |
What is the cause and remedy for redness and pain over uvula and palatoglossal arch on eating ?
hi my uvula and palatoglossal arch hurts and its red. Everytime i eat and food passes by i hurts like a mother! what is the problem? and how can i treat it? thank you | Hi, There might be ulcer on the uvula and palatoglossal arch. thats why it is hurting you when you eat some thing or food passes through it. I advice you to take healthy and nutritious diet, take vitamin A & C supplements, avoid smoking stress and anxiety. If the situation persist please visit to the doctor. Thanks, Dr. Vishal | |
What causes small bruises on the stomach while having asthma?
I have three small bruises on my stomach. I don t remember bumping into anything. I had surgery two years ago for a fundapolation (sp?) Do you think these bruises have anything to do with that surgery? I have also been coughing a lot and an treated for asthma. Any thoughts about the bruises? I am not in in pain.. | Hi i do care for your concern. Due to repeated coughing the pressure on the venous side will increase and will lead to rupture of small blood vessels. In your condition the above mechanism might happened. Need not panic as this a trivial situation that will resolve on its own. However its advisable to continue medication for asthma. Hope i have answered your question, If you have more doubts feel free to ask. Thank you. | |
Suggest treatment for severe dementia
yes, my dad is 80 with dementia and has been strong but forgetful. last night he fell at side of bed and had to sleep on the floor because he could not get up. in the morning he is helped to the chair and has been in the chair all day. he is too weak to get up. the only new thing he has done is take Celebrex for his knee pain. thanks YYYY@YYYY | Hello thanks for asking from HCM for your health related queriesI can understand your concern. He is 80 years old and have dementia and severe weakness. In dementia associated with advancing age drugs like cholinergic drugs are used. Donepezil is one of commonly drug used for dementia. The drug helps to improve cognitive functions and prevent the progression of memory impairment. Memantin is also used in dementia. Cognitive enhancers as Piracetam is also one of commonly used drug for dementia. Apart from this Vitamin E supplements, Omega 3 Fatty Acids are also useful in dementia. Please discuss with his doctor and take proper prescription of these drugs. These drugs will improve his cognitive functioning. Thanks, Hope this helps you. Take careDr. Seikhoo Bishnoi, Psychiatrist. | |
Will heaviness feeling in left side of body be due to stress?
Hi, last night while I was studying I began to notice that the left side of my body had became very heavy feeling. I do not believe that a stroke was the cause but I am still feeling it today. Any idea if this problem is stress related due to my exams? | hello, welcome to healthcaremagic.comstress can cause somatic symptoms like heaviness in hands, head, limbs, difficulty to speak as well.usually our mind try to cope up with different stress through different mechanisms, however during stress overload when over conscious mind fails to control the stress, our unconscious mind comes into play.in order to seek support from external environment, our unconscious mind do illicit some physical or mental symptoms of which we are unaware of, in order to relieve the conscious mind.as you mentioned your exams are near by, your are under stress, hence to cope up with your stress, your unconscious mind may developed this symptom. i would advice you to relax your self.try to maintain your sleep hygiene, sleep well for 6-8 hours, eat healthy, have healthy interaction with family and friends as well and dont let the exam worry catch you.further query in future do followup with me. | |
Done spermogram. Is immotility important in high amount of sperms?
hi dear dr my husband spermogram test results are:volume:4 ph:7.5 WBC Conc: =1 Sperm Conc:172.3M/ml motility:45.1% Rapid Prog Motility:21.8% Normal Morph:34.4% all sperm:689.2 M/Ejac motile sperm:310.8 M/Ejac functional sperm:146.4 I want to ask you that if this immotility 54.9% important in this high amount of sperms?please help me.thanks. | Hi, Thanks for your query. I read your query and I understand your concerns. Your count is very good and motility is also not very bad. I suggest you repeat the sample in a good lab after 2 months. I think your motility will be fine. The present report is enough to get your wife pregnant. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist. | |
Suggest treatment for a liver disease
Dear Sir, Kindly i am a liver patient i hope that you and your group of hospital guide me. actually i am working in Saudi Arabia as a steel welder.i am suffering from 6 month this disease. So i am looking many hospital for the treatment in Saudi Arabia but not any changing my disease. Please i hope that you will give me good response for the my Liver problem. Already i have my some reports you can see by the above attachment. Awaiting your reply asap. i will appreciate you.. Thanks & Best Regards Name:- Jamal Abdul Nasir Cell No:- 0000 E-Mail:- YYYY@YYYY Jeddah, Kingdon of Saudi Aarabia. | Hi,Sorry, I could not find any report attached to your query.you may attach reports in the "Ask a specialist or GP" section. OR you may post your query describing the details of reports.Hope I have answered your query. Let me know if I can assist you further. Wish you good health.Regards,Dr Tayyab Malik | |
8 weeks pregnant having blood in stool and urine with abdominal pain. What could be the reason ?
my wife,26 yrs, 8 wks pregnant with no segnificant medical or surgical history now c/o bleeding in stool and urine for last 1 month.she has also on off abdominal pain .also c/o burning pain on both breast nipple.drug history only include tab folic acid. | Please report this to your gaynecologist.The cause could be piles,or fissure which can lead to blood in stool.For blood in urine she also needs some investigation like urine examination and ultrasound.This may lead to low hemoglobin level and will lead to slow or reduce growth the child inside.talk to your doctor and do accordingly. | |
Diagnosed with high RBC. How to bring it normal?
good evening sir ... recently in normal routine check up , my wife was diagnosed with high RBC ~ 9 Lacs. I am staying in Banerghatta road ..pl let me know the hospital where we can consult you with all the reports. Request early appointment . Also complete address and contact no. as I am recently transferred to Bangalore. Thanks Sanjay Anand | Hi, Welcome to HCM In high RBC count> 9 Lacs. you need to consult a Hematologist. What is the Hemoglobin level and PCV. It could be primary or secondary which is related to some other disease like heart diseases,or Lung diseases,some endocrine disorders and few medicines. It would be prudent to visit a Hematologist in Bangalore. Investigate properly and depending on exact cause treatment can be planned. In primary form a Venesection and removal of blood intermettantly,other way is chemotherapy or radioactive Phosphorus. Hope this information helps you Take care Best of Luck | |
Could the swelling in the spine around the surgical area be causing pain in the hip?
I had decompression surgery last October, and even though I was told I was told I would be in and out of hospital in three days, I ended up not being able to stand right after surgery. I was sent to physio therapy for 5 days, and was able to go home with a walker. It took six weeks before I was free to stand and walk on my own. Two months later, after returning from the bathroom,I got a horrible pain in the sacrum area. The surgery was done on L-4,L-5 area, and they felt after a CT scan and an MRI that I had a pinched muscle in the hip area. That was just before Christmas, and I ended up once again in Rehab for 5 days. The pain has gotten better, but now I am getting a burning in my left hip radiating down into my knee. Could I still have swelling along the spine in the surgical area that could be causing this. They did see a disc that had fluid around it on my MRI. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I feel that the prolapsed disc is causing all these symptoms by compressing the exiting nerve root.All you need is a fresh MRI lumbosacral spine and look for the status of prolapsed disc or any osteophyte or any other bony displacement (listhesis). MRI will decide further course of action whether by medicines or operative. Meanwhile take Tab Voveran twice and tab Gabapentin twice a day. Hope I have answered your query. Let me know if I can assist you further. | |
Pressure in the stomach. Have phobia about cancer. Panic attacks, nausea and weight loss. Need a solution
Hi Dr. Samuel,The symptoms started about 2 years ago. Initially I started to feel like “pressure” inside my stomach after waking up in the morning and had panic attacks as a result because I didn’t know what was wrong with me. During such panic attacks I used to feel nervous and nauseous, then lie down feeling very tired. The reason why I had those panic attacks was because I always have phobia about cancer. After a few weeks of not eating (because of feeling of early satiety) and as a result losing some weight I started to feel better. I saw a doctor and told me there is nothing to worry about. I had full blood test and an ultrasound to check my bladder and it returned normal. Since then, my main complaint has been belching a lot. I started to realize that I was not able to eat because of the belching problem and the problem got worse as my stomach shrank and got smaller because I was not eating. The intensity of my symptoms seems cyclic. Some days/weeks I feel better and some other days/weeks I feel worse. There has been general trend towards getting better in the recent few months. But the problem of Belching a lot which I have never experienced in the past of my life still remains and sometimes makes me feel I cannot eat as much as I used to. My symptoms also exclusively occur during the first half of the day and especially during the first three hours of the day as I always feel my stomach is heavy and that I cannot eat. Then I belch for several times in the morning until my stomach feels better and I can have my breakfast. My energy in the morning is also very low.In 90% of the days I feel like an entirely different person during the second half of the day (from evening to night). Although belching continues throughout the whole day, my stomach does not seem to feel heavy and I can eat large meals especially at dinner. I also feel at night a dramatic increase in my energy (although this is still not like the explosive energy I used to have in my body in the past). But I can say I am normal at night and sometimes very bad in the morning. I thought that perhaps my stomach is accumulating gas during the night while I am asleep, and once I release some gases in the morning I feel a little bit better. But my energy also increases in the night. The energy pattern reminds me of the “adrenal fatigue syndrome” which is associated with stress. In fact I | Hi Bassaml7, Forum ,Considering your abdominal problem,concern that having major illness like cancer though no medical finding or doctor supported it,and having major concern about normal bodily functions with disturbed your routine,work efficiency definitely indicates that you having "Mental illness " ,most probably hypochondriasis.This can episodic with change of symptoms over periods.Due to certain neurochemical changes this kind of illness occurs,usually diagnosed by doing thorough investigation first to rule out any other illness (which done by you and your doctor assured you that nothing major physical illness you have with certain test result done by you are normal.)This illness can be treatable.So visit to nearest psychiatrist in person who after thorough evaluation and going through your investigation treatment will guide you further.Hope this helps.Best regards. | |
Overweight. Pain in liver region. Drinking more water and coconut water. Any advice?
Hi! I m a 48 yr old man who is overweight but still active. Recently I ve developed a pain on my right side that flares up when I lay down. I believe it s in my liver region. I started drink more water and coconut water and have pulled back on drinking diet soda . I still have 2 cups of coffee in the morning. Any advice? | your symptoms may be due to inflammations of gall bladder or stones of gall bladder.In my opinion you need a U.S.G of upper abdomen to rule out/confirm the pathology of Gall-Bladder. | |
How to reduce chest pain after hitting a ball?
I was playing soccer earlier and I took a ball to the chest. I am a girl and at the time it hurt a little. The only reason it hurt was because I was wearing a sweater underneath and it hit the zipper. It s hard to take deep breaths and I already took an Advil. Will the pain subside in a couple days? | yes of course it will. probably some soft tissue injuries which is causing the pain continue your analgesics to mask the pain for3 to 5 days and everything will be fine | |
What does loss of corticomedullary differentiation in kidneys mean?
both kidneys are normal in shape size and position. Renal parenchyma is more echo genic and normal. loss of corticomedullary differentiation noted in both kindeys . in blood report creatinine is 2.0 mg/dl.i am 35 years old . can you please tell me what does this mean? | HelloThanks for query .Kidney has two parts cortex and Medulla Cortex deals with the filtration of blood through kidney and production of urine along with excretion of waste products of protein metabolism (Urea and Creatinine )where as medulla deals with blood flow to kidneys .In normal kidney during ultrasound scanning signal intensity of renal cortex is higher than that of medulla .This differentiation between signal intensity is reflected and well defined in ultrasound very clearly .This differentiation is reduced in any renal paranchymal disease making it more echogenic than normal resulting into loss of differentiation between cortex and medulla .Since your Ultrasound report mentions cortex to be more echogenic and raised creatinine suggest that you have early Renal Paranchymal disease .Dr.patil. | |
MRI showing mild facet flaval hypertrophy with no transversing root compression, disc bulge. Have back pain. Whom should I consult?
I had an mri in feb which showed at L3/4 mild flacet flaval hypertrophy with no traversing or exit root compression and at L4/5 moderate facet flaval hypertrophy with a shallow, broad based disc bulge anteriorly and little narrowing of the left lateral recess with slight displacement of the traversing L5 root but no convincing compression. My doctor sent me for MRI after having back pain for over 6 months. I am presently having physio and am being referred to a pain clinic but should I be seeing a specialist?Thanks | hallo dear friend ,thanks for writing to HCMi have studied your casewhat is your age? this is you first episode or repeatedly having same problem is there any weakness in your lower limb or upper limbyou need methylcobalamine , muscle relaxant with analgesictake rest , , hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exersizes physiotherapy - SWD ,IFT WILL HELP if pain doesnt relieve then you need spinal decompression surgery for lumbar vertebrae ,for further query contact drvaibhavg@yahoo.com | |
What is the cause of falling on ice, tripping, bumping in to things, dropping things?
I have been really clumsy in the last 6 weeks. Falling down on the ice, tripping, bumping in to things, dropping things. I am not usually like this...No headaches, other problems with balance or anything, just full of bruises from clumsiness. I am 55. | Hello!Thank you for asking on HCM!I carefully passed through your question and would explain that your symptoms could be related to different causes: - a central nervous system disorder, causing damage of the motor ways- a cerebellar disorder causing gait disturbances- a peripheral nerve damage, which causes loss of sensory inputs. Coming to this point, I would recommend consulting with a neurologist for a careful physical exam. Some tests may be needed (brain and cervical spine MRI, nerve conduction study, etc.), to determine the possible cuases. Hope to have been helpful!Kind regards, Dr. Aida | |
What does upper right zone calcification on chest signify?
Chest x-ray. Is there any solution for upper right zone ? sIR, hi, this is XXXXXX age 25 years from hyderabad,,, sir i had some medical tests regarding the visa process for saudi arabia . they failed me in the test by giving a report that my chest x XXXXXXX shows right upper ZONE CALCIFICATION , then i had x XXXXXXX from another famous radiologist he says that i had nothing when i discussed this thing to people who failed me in the test they says that i dont have any problem but there is a effective starch on my chest and there is no solution for that and i cant go to gulf countries coz of GCC rules,, kindly help me in this,,, is really there is no solution for this problem | Thanks for your question on HCM.I can understand your situation and problem.In my opinion you are having inactive scar tissue in right upper zone due to past infection like tuberculosis or pneumonia.Any lung insult whether tuberculosis or pneumonia or trauma, once treated can be healed by fibrosis or calcification. And these will remain through out the life and appears on x ray as whitish lesion. But this is not active , infectious lesion. To prove this point you need to consult pulmonologist and get done1. CT thorax2. Bronchoscopy and BAL (Bronchoalveolar lavage) analysis.If both are negative than you can argue with visa authority about not having active, infectious disease.So consult pulmonologist and discuss about these. | |
What does a small lump on inner thigh indicate?
Recently I have noticed a small lump on my inner thigh. It is sensitive to touch and slightly painful.I am quite concerned on what it is.I have been taking weight training classes and I m wondering if this may have caused the lump of form. I have no idea what it could possibly be and I am wondering what I should do next. | Hi, dearI have gone through your question. I can understand your concern. You may have some lymphnode enlargement or some soft tissue tumor. Next to do is fnac. You should go for fine needle aspiration cytology of that lump. It will give you exact diagnosis about lump. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Suggest treatment for delay in speech
Hello Dr My son is 2 years and 8 months. He has no speech at all. He babbles a lot but not much meaningful. He sometimes say papa or mama but never to us. He is an active child but he responds to his name say only 6 out of 10 times.He listens very attentively to rhymes and songs at tv. He says vowels aa ee, o.. He loves to be cuddled by me and his dad.he is vry aggresive at times sort of out of control. He knows his safety well. He plays with his toys with full interest and can do puzzles also of his age. His eye contact was poor earlier but now it has improved. Also he used to run non-stop, spin and head bang when he was two but once he went to playschool he left all these habits. | Hello,Has your child been assessed for thyroid status? As low thyroid is the common cause of such symptoms. Also, get your child assessed for autism by a neurologist. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Varinder Joshi | |
After extraction of tooth noticed hard lump & swelling of gum
I had 3 molars pulled on my right side last Monday. I noticed this past weekend that where my wisdom tooth was the gum (closest to my cheek) feels swollen and there is a hard lump. It does not hurt normally unless I touch it. Do you know what this could be? Do I need to contact the dentist right away? | thanks for your query, i have gone through your query. the swelling could be secondary to residual infection or inflammed flap secondary to trauma. consult your oral physician and rule out any infection..complete the course of antibiotics and analgesics. da saline gargling. i hope my answer will help you. take care | |
What causes neck pain and feeling heart beat in ear while on BP medication?
HI I AM ON BLOOD PRESSURE TABLET AND UNDER CONTROL BUT UP A LITLE AT MIN I ALS HAVE SCOLIOSIS AND A BAD NECK I HAVE MY HEART BEAT IN MY EAR SOME DAYS NOT CONSTANT I THOUGHT WHERE MY NECK BAD Hve you any ideas please i am going for bp check again next week | Hello and thank you for using HCM.I carefully read your question and I understand your concern.You shoud not worry.I'll try to explain you something and give you some advises.My opinion as cardiologyst is that this might be a rhythm issue.You may feel this heart beats for different reasons.It may be a simple sinus tachycardia.This mean that your heart beats over 100 beat for minute.Its normal range should be between 60-100beat for minute.It gives you the sensation like your heart is jumping and like all your body like your head and your ears is beating too.This may happen for different reasons to simple emotional stres to different patologyes like anemia,hyperthyroidism ect.If you feel that your hear is beating in a caotic way it may be what we call atrial fibrilation.It may happen for same reasons as sinus tachycardia.You may all sow experience palpitations becouse of extrasistoles.This are electrical impulses that generates from different parts of the heart different from that of a normal sinus rhythm.This couses an ectopic heart beat that you feel like a skipped beat or like bumping in your heart and ears.My opinion is that your neck pain is not related whith your heart beats irradiating to your ears.its just your scoliosis and this are to different problems.The fact that you have a controlled blood pressure is a good thing.But you might have controlled blood pressure and steel experience arythmias.This is nothing to worry about.Only if this episode happens again you shoud refer it to your doctor to your next visit and make some simple examinations like a blood test,electrocardiogram and a holter monitoring for your rhythm.Whish I was helpful.Take good care.Best regards | |
What could raw, red area at the top of butt of a toddler suggest?
hi my name is Jesus Montes i just changed my 19 month old daughter and noticed an area about the size of a nickel at the top of her butt but not on her spin so at the top of the crease doesent seem to be a blister but is raw red and there is nothing leaking out, do you have an idea what this could be | Hi, Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
What causes newborn to break out into sudden cold sweats?
My son is 9 weeks old. He s been having a lot of digestive problems and trouble keeping any formula down. We finally settled on soy and it has gotten better but still puking up every burp. He is very unsettled and needs to be held to calm and be soothed. He just started breaking out in a cold sweat. I don t have him dressed and lightly wrapped. | Welcome to healthcaremagic,As you have stated that baby is puking frequently, kindly check if the vomiting is projectile. If the vomiting is forceful, projectile and increasing, then you have to consult a child specialist as we have to rule out a stomach disease called as congenital hypertrophic pyloric stenosis. If the vomiting is not projectile and occasional then you have nothing to worry about. If the baby is sweating it is because of high body temperature of baby. You can try to keep the baby in light clothes and keep the room at cooler temperature. If still the baby is sweating check the temperature of your baby. If it is more than 98.6 F then take him to a child specialist for check up.Hope that answers your question.Regards, Dr.Imaad. | |
Is it safe to use piriton daily?
DEAR DR. I AHVE BEEN SUFFERING FROM NASAL,SNEEZING ALLERGY FOR QUITE SOME TIME ,HAVE TAKE LONG COURSES OF MEDISCINES LIKE EBAST,AVIL.BUT THIER EFFECT HAD STARTED FADING,NOW A DAILY DOSE OF PIRITON SYRUP IS PRETTY HELLPFUL.CAN I TAKE IT IN THE LONG RUN? IS PIRITON SAFE OR PIRITON CS IS BETTER? | HI, thanks for using healthcare magicThe symptoms of sneezing and other nasal symptoms are in keeping with allergic rhinosinusitis which is inflammation of the nose and sinus passages.It would be in response to particular allergens, if your exposure to these can be reduced or eliminated, it would help reduce your symptoms.In terms of the piriton, which is an anti histamine, you can continue to use it for as long as needed.There are also non drowsy anti histamines available.I hope this helps | |
Will vomiting affect the outcome of embryo transfer?
Hi,I had a frozen embryo transfer 2 days ago...I am on progesterone and estrogen. Since I am adopting this embryo, I did not need to have eggs retrieved. I have felt nausea and threw up last night and again tonight. Will this affect the embryo or if it will attach. I am worried about the vomiting affecting the outcome of my transfer.thanks | Hello, no mam this vomiting has no effect on implantationIn case you have any questions in future you can contact me directly on | |
Suggest remedy for lymph nodes on the back of neck
My son is 2 years Old, we noticed 3 lymph nodes swollen on the back of his neck, while he is having dry cough & flu like symptoms he is not having any fever but he feels less energetic but quite ok (playing, laughing and no severe symptomsl)Doctor suggested blood tests and the wbc showed 27000. We did chest X-Ray and checked the Tonsils and no clear infection however I feel he has bad breath that usually happens when he has tonsils infection.Doctor put us on anti-biotic but i am worried about having something serious. Kindly advice | Hi...As per your description this looks like a case of acute tonsillitis or upper airway infection associated with cervical lymphadenopathy which is recurrent innature. Increased wbc count is suggestive of underlying infection. As the child is playful otherwise and x ray chest is normal so lower respiratory tract seems normal. This kind of repeated tonsillar infection or upper airway infection are common in pediatrics age group and it also leads to halitosis or foul breaths. As the child is already receiving antibiotics you should complete the course and again follow up with your pediatrician for examination of the tonsils. In the long run you should take care that adequate hygiene is maintained and hand washing is strictly followed along with avoidance of contaminated outside food to prevent recurrence. | |
What is reason for clicking sound at the thigh joint?
Joint makes a clicking sound Hi my name is josh im 26. Since I can remember my left and sometimes inner upper thigh makes a weird clicking/snapping sound. This happens when Im in bed when I move a certain way. This happens when im standing up and simply move my left leg in.front of my right one akmost everytime I do this movement it makes that sound. I dont believe it is my hip, but maybe it is. It just sounds like its not coming from my hip area. It sounds like its coming from my left thigh. What is this? | Hi, This is likely your psoas muscle. Your psoas muscle attaches to your upper inner thigh and you use it when you swing your hip forward. Sometimes the tendon of the psoas muscle can snap over the hip joint, and it is referred to as a "snapping hip". If it is painful you can do a psoas stretch (essentially a lunge) twice a day. Otherwise there is not much to worry about. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Daniel Richard Paull, Orthopaedic Surgeon | |
What is the cause and treatment for severe foot pain?
I have severe foot pain (not the first time). xray showed possible minute rupture of the achilles tendon. I wanted a cortisone shot, but orthopedist disagreed. He said cortison weakens the tendon. He practices Regenerataive Injection Therapy. What is your oppinion on that? | HiRegenerative injection therapy (RIT) is a treatment for chronic pain caused by unhealed injuries around:CartilageJointsLigamentsMusclesTendonsBenefits of RITWhen you injure tissue, it sends a signal to the body to begin the healing process.During this process, your body removes damaged tissue and replaces it with new, healthy tissue, creating an inflammatory state that can be painful.Anti-inflammatories or steroids treat the pain of inflammation, but can suppress the healing processRIT, however, seeks to replicate the normal, tissue-healing process by injecting a substance into the tissue that stimulates your body’s natural ability to healRIT is useful in treating repetitive stress injuries that never have sufficient time to heal properly, and other injuries that do not heal completely. It also helps repair certain conditions that are commonly treated by surgerythe side effects are mild, if you are still anxious you can visit another orthopedic surgeon with the reports and discuss RIT and then can decideWish You Good HealthRegardsDr Sridhar K | |
Can anything be done for p. vascular .d ?
can anything be done for p. vascular .d ? | 1. what can be done first is finding the cause of the disease so that necessary medical care with evaluation and management can be done. 2. patient has to be screened for: diabetes, high lipid profile,high blood pressure, sedentary life style, obesity, chronic smoking. 3. complete cessation of smoking and tobacco consumption, strict control of diabetes, reduction of weight, control of hypertension by salt restriction, treatment of hyperlipidemia by dietary modifications. 4. walk slowly at slower pace to avoid claudications. 5. raise the heel of shoes by 1/2" 6. take maximum care to avoid injury to foot,as it may precipitate gangrene 7. controlled exercise programmes for 6 months by walking near to maximum pain tolerance (on a treadmill) significantly improve the painfree maximum walking distances. | |
Suggest treatment for premature ejaculation and small penis size
I am having some sex problem like Premature Ejaculation and small penis size. in a week atleast 2 to 3 times am feeling to do sex. but within 1 to 2 mins..its getting discharged.. Can u plz help me out in this and plz let me the medicine and other things that i need to follow.my age is 30 years | Hello, You are 30 and are you married? What is the size of your penis in erect condition. On an average 4 inch erect penis is enough to satisfy any women. Premature ejaculation could be due to your worry about your small penis. Therefore, I suggest consulting consult a psychologist for sex counseling. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | |
Q. My nose is always blocked and has mucus. Kindly help.
Hello doctor,My nose is always blocked and have mucus, from past four months. To open up my nostrils, I have to use Otrivin, else my nose stays blocked. | Hello. In your condition, we must rule out certain etiologies as follows: This would require you telling us in more details your problems. Let me ask you certain questions and please provide answers to those as objective as possible. Please let us know about all these. If you have done any test or scanning or investigation for this purpose please upload the films and reports in your follow-up query to me. For more information consult an allergy specialist online --> | |
What is the weird shaped hard object in my anal area?
Hi I have a weird shaped hard object in my anal area it s internal and about 2 inc inside its goes as far back as I can feel and feels lumpy and rigged its also quiet painfully if pushed could you suggest any advise or give an explanation please thank you | Hi,From history it seems that you might be having Fistula in ano.There might be having sinus track leading to spreading backward.Consult surgeon and get examined.Avoid constipation.Ok and take care. | |
What is the challenge in detecting the heart beat?
hi im 29 and im measuring 5 half wks preg i had a scan and the featus is measuring 3mm, the technician said she couldnt detect a heart beat is this normal? iv had a rocky beginning preg as have had bleedin and i have been losing a brown discharge throughout, one doctor gave myself and my patner some hope as she seems to think i could be far to early to see a heart beat please could you help me as i am extremly concerned. | HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.Please do not panic.For USG to detect heart beats, fetus needs to be of 6 mm length.Usually at that period of pregnancy fetal heart beats can be seen on USG. If it is still smaller in size then, please repeat USG after 7 days. Also if USG shows no evidence of bleeding around the sac, please do not worry.Please take adequate rest, take vitamin C, B 12 , FOLIC ACID supplements. Use of MICROGEST capsules is also advisable.I hope my answer helps you.Thanks.Wish you great health. | |
What causes pulsating sensations in jaw,night sweats and anxiety?
I have recently been experiencing a stange sensation in my jaw. It feels as though I can feel my heart beating rapidily in my jaw and at times my teeth tap from it. I am also experiencing night sweats but have always attributed it to my age of 53.. I am also expereincing anxiety and Im just a little concerned. This is unusual for me. | Hi.. Thanks a lot for the health query with us.You have an abnormal sensation in the jaw and it is pulsating is it?and the phenomenon is associated with sweating.It indicates hyperdynamic circulation.Hyperdynamic circulation is fast flowing state of circulation.It could be cardiac- valvular like aortic stenosis or coronary heart disease.It could be general like fever , hyperthyroidism,anaemia etc..Get it investigated and get treated accordingly..Hope we helped you sir..Thank you | |
Pain between ribs and hip, Appendicitis and gall stones were ruled out. What could this be?
Recently, I've had water retention and high blood pressure. I've never had high blood pressure before. Another issue that I have going on, and may or may not be related (since late January): pain between my ribs and hip bone on the right side in front, and sometime in my back. It kind of feels like I'm squishing something inside of me when I bend over at the waist, or push on my abdomen; sometimes I feel the pain just when I'm sitting. I've had an abdominal CT scan to rule out appendicitis, and an ultrasound to rule out gall stones. Could all three of these problems be related? If not, what are your thoughts and ideas of possible problems? Thank you. | Hello, Thanks for the query to H.C.M. Forum.I would come up with these possibilities for this type of pain and high blood pressure, these includes.1 Kidney stone, diagnosis can be confirmed by ultrasound of kidney .2 Urinary tract system infection any where from kidney to urethra. As you are complaining that there was retention of water and high blood pressure , so chance of renal involvement .Diagnosis can be confirmed by examination of urine for infection.3 Chronic renal failure , diagnosis can be confirmed by M R I of kidney. As you mentioned in your query that there is water retention and high blood pressure since January i.e.10 months passed . Diagnosis can be confirmed by serum for creatinen and blood urea examination.In my opinion consult a physician and get his opinion at earliest.Good luck. Dr. HET | |
How can bed-wetting be treated in a child?
My son (9) has had trouble with nighttime dryness. We have tried to limit liquids, waking him up in the middle of the night to void, and now have an alarm he wears but nothing works. I am getting worried that he will not outgrow this issue as his pediatrician says. I am wondering if I should seek a UA to see if there is an infection and blood work to see if there is an underlying issue. Thanks | Hello,Besetting is usually resolved by the age of nine years. In some cases, it remains present until twelve years of age. First, we have to look for any illness if present. I advise for ultrasound KUB, renal functions, urine routine, culture, calcium, blood sugar level. If all is normal, then try to manage conservatively.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sachin Kumar Agarwal | |
Frequent sharp pain in leftside of body. MRI showed inflammation in backside. History of treatment for slurred speech and uncontrollable body movements. Help
hi this is Eleni in 2011 i had difficulties when i talk i had slurred speech and when i tried to walk i couldn't control my right leg also my right hand it was shaking an voluntarily and then my doctor was investigation and decided to treat me again TB because already i treated when i was in Ethiopia 10 years ago and again when i came London 9 years again they treat me as well but this wasn't enough so my doctors said maybe because of that this happening so they treated me again for six months and i was four months pregnant ......everything was back to normal and i was so happy ................ but after i finished my medication maybe after two or three months i have become experienced different different things such as my half left head,face, ear, neck,hand,arm,and leg so much hurting like sharp pain and it comes every one hour my doctor told me may come nerve and i had three time MRI the result there is some inflammation come from my back side but its not MS or Nerve so am confused and i don't know what to do i can't sleep night time | Hi Ms Eleni, Thank you for contacting Healthcare magic. I have read your details, and it is unfortunate that despite treatment, you have not improved much. It would be useful, if you can upload a copy of the MRI report, so that we can give a better answer. For relief of symptoms, you could take pregabalin capsules. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: drsudhirkumar@yahoo.com | |
Suggest natural remedies for pimple treatment
i had pimples on my face. is there any homemade medicine .i tried all facepacks,facewash but no positive result. my face is looking dull in comparison with my body,likeas if iam patient.please help me in curing pimples.i am 25yrs old.51is my weight.4.8 is my height | hai,Pimple (acne) is not only the problem with the skin. It also got some internal influence also.pimple will occur due to infection to the hair follicle and hormonal imbalance.your facewash usage and other anti pimple cream will give temporary solution.Follow the below advise to keep away from pimples.Take 4- 5 litres of water every day. that will keep your skin hydrated.wash your face twice or thrice day. Depends on exposure to open area..use aloe vera face wash .apply Multani mitti powder mixed with butter milk twicw in a week.that will remove dark spots.later on apply once in a week.apply olive oil once in three days.don't take junk,fried foods.take more leaf vegetables and fruits. be hydrate by taking 4 to 5liters of water.thank youhope i answered your query. | |
Suggest treatment for second stage of tuberclosis
HELLO DR. ANDREW I JUST FIND OUT THAT MY DAD HAVE SECOND STAGE OF TUBERCLOSIS . AS PER HIS X RAY REPORT INFILTRATION IN BOTH LOBES WITH NODULAR OPACITIES IN LEFT UPPER LOBE.......CAN U PLASE SUGGEST WHAT DOES IT MEAN ...WOULD HE WILL BE ALRIGHT AFTER MEDICATION.... | Hello,Welcome to HCM.I understand your concern.Your dad is suffering from Pulmonary tuberculosis affecting his both lungs. This is a serious disease and has very high mortality if left untreated but curable if proper treatment for adequate duration is taken.Your dad should receive 4 anti-tuberculosis medicine for 2 months namely, Isoniazide, Rifampice, Pyrazinamide and Ethambutol. This should be followed by 2 drugs, Isoniazide & Rifampice, for 4 months.Adherence to the treatment is of utmost importance for complete cure.He should consult a physician or chest specialist as advised and be subjected to sputum examination after 2 months of treatment and as advised later on. Hope this will be helpful.Do ask if any further question is there.Take care. | |
What causes severe popping and crunching sensation on the neck with dizziness after an accident?
I have had neck problems/neck pain since I was a small child. I was diagnosed with schmorl nodes in my neck several years ago (now 37 years old) and about four years ago I was in a very serious car accident where I was partially ejected from the car. Well, I have recently been having severe popping and crunching in my neck that causes me to be very dizzy for minutes at the time as well as seeing spots for a few seconds. Can anyone give me advice on the problem. | Hello,Your long history of neck problems and the the last car accident seems to damaged your neck bones considerably. As you have not mentioned about any serious neck injury or fracture diagnosed after the accident it can be assumed that this would have caused a ligamentous strain on an already bad neck.Its possible you have severe disc degenerations which can cause these crunching and popping and also block supply to the brain through blood vessels that pass close to these bony projections around the discs. You will need and MRI plus a test to check the blood flow in these arteries.if there is a severe block then surgery may be required. | |
Q. My daughter has hair fall and lice. Please help.
Hello doctor, My daughter is 6 years old. All of a sudden, she has hair fall. I then noticed that she has lice eggs on her scalp. How to avoid the lice and hair fall? Please give me some suggestions. | Hello. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online --> | |
Is montaire 4mg effective for cold?
hi, my daughter has been prescribed montaire 4mg. she is 4 yrs old and got cough on and off specially during night and also she has secreation after cough but she swallows it. she says no difficulty in breathing. she has got family history of asthma and she has skin allergies, sneezing,sometimes the cold comes out very thick from the nose. please advice me if i need to take thid drug. thankyou. | Yes montaire is effective in case of cold as it is anti-allergic drug but along with this you have to give your daughter some antibiotic like syrup co-amoxiclav or syrup septran 5 ml three times daily with syrup wikoryl or syrup no-cold 5 ml three times daily with syrup bro-zedex or syrup asthakind 1 tsf three times daily for cough. You can also nebulise her with salbutamol nebuliser at your family doctor's clinic. She will be fine don't worry. | |
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 --> | |
Q. I am diagnosed with ruptured eardrum. Is that the reason for my jaw pain and numbness?
Hello doctor, I am currently trying to get over my seasonal sinus infection. However, after taking a nap a couple of days ago, I lost most hearing in my left ear. I went back to the urgent care and was told I had a ruptured eardrum. I was given drops to put in my ear. However, I cannot help but notice that around my ear on the left side is partly numb and the pain goes into my jaw joint. Should I be concerned about this numbness and the pain in my jaw? I told the Urgent Care NP about it, and she just gave me a confused look, saying that it is weird, offering no answers. | Hi. If you have a ruptured drum, 1. Do not put ear drops. 2. Do not let water enter the ears. 3. Visit an ENT soon. 4. Assess the size of perforation. 5. Ask ENT if it will heal spontaneously. Some perforations are small and heal on their own in healthy individuals, but others do not. Regarding the pain in jaw joint and numbness, the perforation does not explain that. However, it could be that your sinus and nose problem resulted in rising of infection into the particular ear through the eustachian tube and caused a disease of the middle ear resulting in the discharge of pus through that ear eventually. In that case, the condition should heal on its own. But you need a course of antibiotic, nasal and systemic decongestant, antiallergic and painkiller. | |
Q. My left side kidney was swollen and I have kidney stone. Do i need surgery to remove the kidney stone?
Hello doctor, I am a 51-year-old female. I got sick about a month ago and I went to urgent care. My left kidney was swollen and I had an infection. I have a 2-cm kidney stone and they put a stent in. I do not want to have surgery. I am scared that the use of natural remedies can hurt the stent or move the stone to block where I go to pee. I had a CAT scan at urgent care. Will they use local anesthesia for this instead of general or something else? Can the kidney stones come out from behind? I have diabetes. Can lemons and olive oil help treat this? Currently, I am on Metformin, Aspirin, Simvastatin, and Lisinopril. | Hello. A 2-cm kidney stone is a fairly large one and it will definitely require surgery. I cannot recommend using any natural remedies for a stone of this size though they will not affect the stent. The stone, however, can move to cause obstruction again, but this is unlikely if the stent remains in position. The surgery has to be done under general anesthesia. The procedure used varies based on the location of the stone and your treating urologist. I would have to have a look at the CT (computed tomography) scan images before I can make a plan. I would recommend you to go ahead with the surgery as that gives you the best chance of getting your stone removed. For more information consult a urologist online --> | |
Suggest treatment for leg pain due to spinal stenosis
my dad is 88 and had 4 bypasses. he recently had hip replacement, but now has pain in his right leg. doctor took x-rays and did a mri of his lower back, and the doctors told my dad he has spinal stenosis. due to his age and heart condition, they said they would not operate, but would give him injections every so often. is there anything else my dad can do for this condition? | Hello,Epidural injections of anesthetics and corticosteroids may help for symptoms in such cases. These can be repeated up to three times with one month gap between. Discuss with your father's Doctor for these issues.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
What can cause nausea and dizziness after rat bite?
my brother was bitten by a house rat. its been 6 days already. we went to get a shot of anti rabies and anti tetanus but were told to come back tomorrow since there is no outpatient today because its a sunday. is there a reason to worry about? he is feeling nauseated and a little dizzy. do these symptoms associted with the bite? thanks. | My diagnosis is dizziness and nausea is related to anxiety after the bite.So no need to worry.Anyway it is better to get tetanus and rabies shots. | |
What causes lump in neck by carotid artery on right side?
i have a lump in my neck by the coratoid artery. On the right side. i had an ultrasound test. they couldnt tell me what it was. can it still be serious. Should i be worried? ive had this lump since the beginning of August. when i first found it it was more defined as a lump. now it seems to be growing. | Hi, dear. I have gone through your question. I can understand your concern. You may have some enlarged cervical lymphnode. It may be due reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Q. Can I use Kojivit gel to get fair skin?
Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. | Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> | |
What causes irritation on normal talks and anger?
My wife is going through depression. Dont know i have to say its depression or wat. but he is getting irritated on normal talk & getting aanoyed in seconds & start to do fighting..Some time slap herself . Some time slap child & break household. I cant say no on any opinion. I dont know whether i have to go to psychiatrist or psycologist..PLz suggest | DearWe understand your concernsI went through your details. That is really a good question. Anger and aggression are emotions. These emotions come when people get irritated or annoyed. Naturally, after sometime, the emotion subsides. If the emotions goes beyond a given level it is called anger disorder or aggression disorder. Currently your wife is showing the symptoms of emotional outburst. The reason could range anything from simple stress to complicated depression. Initially you should consult a psychologist for detailed diagnosis. If it is due to stress or anxiety or basic depression or disappointment, it can be cured at psychologist level. If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck. | |
Is there a chance of pregnancy along with periods?
I had unprotected sex on June 15th, I had a period starting July 3rd but I have been experiencing symptoms of pregnancy. I have also been experiencing this white discharge that has no smell and it does not burn or itch and is only visible in the morning and before I go to bed. There have been cases of pregnancy with a full period in my family. Is it possible that I m pregnant. | Hi, Dr Purushottam Neurgaonkar here. I welcome you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. In a woman with a regular cycle, day 10 to 20 of the cycle is the most fertile period of cycle. Having unprotected sex in this period, increases the risk of getting pregnant. Day of unprotected sex act that you are saying falls before that. So chance of getting pregnant are less.Secondly, as you have got your periods, it certainly shows that you are not pregnant. The vaginal discharge you are experiencing can be physiological. If you are in doubt please do urine pregnancy test on morning's first sample of urine. I will suggest you to keep the private parts clean and dry. Use Lactacyd vaginal wash alternate days at the time of bath. I would like to know about what symptoms of the pregnancy that you are experiencing. So that I could suggest you the treatment accordingly. I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar. | |
Can masturbation lower haemoglobin level?
hii doc i am umesh i was admitted in hospital bcz my hemoglobin level reached at 5 pts i am a daily masturbator i think it is just bcs of masturbation i was treated & injected 5 bottle of blood in india now i am in africa for job purpose so how can i manage my blood problems bcz here also i m daily doing it my hands are becoming pale day by day. plz reply YYYY@YYYY | hii understand your concern.No masturbation does not lower hemoglobin level.semen production is individual process and it does not related to blood and hemoglobin.Lower hemoglobin or anemia has many causes and need to identify.Please do no think about masturbation and consult if require.thank you.Take care.Wish you a very good health. | |
How effective is antibiotics to destroy enterobacter?
i had a complication from gallbladder surgery and was told i had the start of an abscess and was rushed to surgery the day after my gallbladder was removed. they said the culture grew enterobacter. i m on heavy doses of antibiotics. my question is do the antibiotics work and will this ever go away? | Hi,It depends upon which antibiotics you are taking. Since you did not mention the name of antibiotic prescribed by your doctor it is very difficult to answer your question. However, if your doctor has prescribed the antibiotic based on the culture and sensitive report they usually work and thus help in eradication of the infection.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Would taking oral dexamethasone cause numbness and tingling of foot?
L3-L4 = Disc bulge with left sided protrusion resulting in severe narrowing of left lateral recess with protrusion abutting and moderately displacing the descending left L4 nerve root. Moderate-severe left sided neural foramenal narrowing. L4-L5 = Large extrusion extending inferiorly with obliteration of left lateral recess. Severe left greater than right neural foramenal narrowing. L5-S1 = Protrusion and left sided facet arthropathy with mild to moderate narrowing of the left lateral recess and moderate-severe left sided neural foramenal narrowing. My Dr. consulted with a neurosurgeon, and he reccomended oral dexamethasone taper with follow up in 2 weeks. Now 2 weeks out and my foot is still numb and tingling. What questions should I ask about next steps | Hi, As you are diagnosed with L3-L4, L5-S1 disc and you don't have any relief in the symptoms after taking medications as well, it's better for you to fix an appointment with your neurosurgeon and go for surgery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Naira Jahangir, OB and GYN Specialist | |
What causes slurred speech post a by-pass surgery?
I just learned of the term post operative cognitive dysfunction as I have a friend who had by-pass surgery on Monday and as of yesterday was having trouble putting sentences together and wasn t eating. There was talk of using a feeding tube if she didn t start eating yesterday. Can you tell me more about this situation? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to tell you that in by-pass surgery patient is exposed to perfusion machine that sometimes have bad effect on brain and can cause cognitive impairment but right treatment can make a big difference. It is recommended for you to talk to your doctor for evaluation of cognitive impairment. Get evaluation done and start with medication to slow down Alzheimer's Disease. Hope to have been Helpful. Kind Regards Dr. Bhanu Partap | |
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. Got chickenpox during pregnancy. What shall I do now?
Hi doctor, I am 21 years old. My weight is 48 kg. I am 3 months 2 weeks pregnant. Now, I got chickenpox. I am very anxious about the adverse affect for my baby. I have visited a gynecologist and she suggested me to get abortion. Please clarify me the right step. | Hi. Really this is a confusing state, but this does not mean you have to abort the fetus right now. When mother get infected with chickenpox, fetus carries a risk. But the risk is only 2% and in those cases the fetus might develop rarely some form of abnormality. Thus, straightaway recommendation of termination is not always a choice. Definitely there is no direct answer and it is upto you what to do. If you want to have the risk of 2%, which is very minimal and often equal to an incidence of congenital anomalies in low risk pregnancy, definitely you can continue it. In that case, just go for an anomaly scan from a very good center at the 18th to 19th week to confirm about the integrity of the fetus. For further information consult an obstetrician and gynaecologist online --> | |
Severe back pain after hurting tailbone. X-ray, MRI all normal. What is causing this pain?
So about 4 years ago, I fell on my tail bone while rollerblading. Went to the my doc and he said that it'll go away with time. It hasn't. 4 years now and nothing has improved. I have two kinds of pain. A sharp one, that usually happens when I'm mensturating or constipated and a dull one, usually when I'm sitting on the floor or on a chair. In addition I that, I have back pain (mostly lower) when I'm standing for too long or when I lift something heavy. I have no idea what is wrong and I have done all kinds of tests, from x-rays to MRI. Almost every possible test. And nothing! I just wanna know what is causing this pain? And what I can do about it? I try not to take medication unless I absolutely need it. | Hi, When you fell on your tail bone, you have damaged the bones and muscles and nerves passing by. Coincidentally, the nerves and muscles are related to the internal organs like uterus or bowel. So, when you menstruate or strain due to constipation, you are putting more pressure to the affected area, thus, increasing the pain. I'd suggest to - do vaginal swab testing to exclude vaginal infection- urine analysis to rule out urinary tract infection- try to avoid being constipatedIf everything is ok, then, it is most probably due to fall. So, have patience and you everything will be over Can take painkillers (locally or orally) and drink more water.All the best!Dr.Alba | |
What causes non- ejaculation and severe abdominal pain during intercourse?
I am having issues ejaculating. I get to the point where I feel like I am going to ejaculate, but it never happenes. when I stop having sex I have intense abdominal pain and throwing up. this usually lasts a week or so then goes away. it comes and goes. what can I do | Hi thanks for contacting HCM....First post ejaculation after sex urine examined.If shows sperm in urine problem is retrograde ejaculation.......If sperm not seen in urinary seminal vesicle abnormality and ejaculatory duct obstruction ruled out by transrectal ultrasonography.....Also rule out cystitis like infection by urine examination and USG....According to cause treatment guided.If pus cell present after ejaculate urine then antibiotic needed.There might be chance of obstruction of ejaculatory duct after infection with chlamydia or gonorrhea or TB....So consult surgeon or physician for health check up and accordingly investigation...Take care. | |
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 treat a swollen bug bite oozing brown bloody discharge?
About two days ago I got a bug bite and dismissed it as a mosquito bite. Well now it's swelled to about two inches in diameter, is warm to the touch, and when I accidentally squeezed it, it oozed a thick brown liquid with some blood. Now it's more of a clearish amber, but when I looked this up all I got was Brown Recluse. I don't really feel sick, so what could it be? | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns.As per your complain it seems that there is infection at the bug bite site leading to zing of brown fluid and blood but as not it is clearish in appearance you need not to worry as it will definitely get resolved soon..You can take anti-allergics like Benadryl, take anti-inflammatory painkiller like Aleve or motrin, clean the are with antiseptic solution and apply a triple antibiotic ointment over it..Do cool compresses over it..While cleaning try to remove the infectious fluid as much as possible to heal the infection faster..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora | |
Suggest treatment for body ache and forgetfulness
I have been having problems with my arms and legs the feel like they are wore out as if I ran 20 miles and I feel tired all the time just can t move around know more I m sore feeling all over I can t talk rite know more I will be talking and know the word and can t spit it out or forget what I m going to say I have a 2 yr old and can t keep up help | HIThanks for posting your query to Healthcaremagic. These symptoms could be due to low haemoglobin , Hypothyroidism, Diabetes or Vitamin B12 or Vitamin D deficiency. It can also be due to lack of sleep , so kindly let me know if you are sleeping properly. If there is no problem with sleep then I advise you to get these tests done and revert back . Complete Hemogram , Serum Vitamin B 12 , D 3, Serum TSh , Fasting and post postprandial blood sugars. Till then I advise you take Citrus fruits as it contains more anti-oxidants and will be helpful to you. Hope this information was useful to you. Any clarifications feel free to ask . | |
Suggest treatment for severe neck pain
I have been experiencing severe neck pain for several months. While it isn t terribly bothersome during the dy, I am awakened mny times during the night with my entire head feeling numb and can brely move it. also, I am awakened during the night with aching in my hips an legs, generally a total body aching . my email address is YYYY@YYYY | Hi,Thanks for your query.Neck pain that you are having are suggestive of degenerative -spondylottic changes of the cervical spine.X-ray of neck in lateral view or MRI will help in the diagnosis.Treatment includes 1. Use of cervical collar helps in immobilisation and brings relief. 2. Medical drugs like pain killers - acetaminophen/ibuprofen and muscle relaxants might be helpful.3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. Hot fomentation helps in relieving acute symptoms.5. You can avoid using a pillow.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Suggest treatment for glomerulonephiritis and mild interstitial fibrosis
an investigations of my brother s medical report: -ANA positive, decreased C3,c4 -rental biopsy: membranous glomerulonephiritis and mild interstitial fibrosis -Albumin level 10 -CHEST x-rAY : right lower zone consolidation -blood culture positive for steptococcus pneumoniae -DS-DNA 53 please recommend us some hope | Hi, He is having a condition called “glomerulonephritis”. It can be due associated lupus. You can take him to a nephrologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain | |
What causes stiffness with deviation of fingers to one side?
I am having weird symptoms of my left hand. My pinkie and ring finger stiffened and moved away from my other two fingers, which stiffened and bent downward. It lasted a few minutes. I have had this happen to my right foot in the past, but not in a while. Is this the start of rheumatoid arthritis. My grandmother and cousin have it. i am concerned. | Hello, I have studied your case with diligence.Yes this can be early rheumatoid arthritis.Rheumatoid arthritis may involve small joints and early morning stiffness in joints, does she have such complain?Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased you have such stiffness in spine? RA positive polyarthritis have fast progression of disease.When such patients come to our hospital I advise them blood test like RA factor, ACCP, ESR, complete blood count, HLA B27Hope 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. Wishing you good health.Take care. | |
Suggest treatment for osteoarthritis other than knee surgery
Dear Sir My Mother is 73 year old since 1999 she take medicine for osteoarthritis noting has helped her to recover now she was advice by the doctors to replace her knee Patellofemoral kindly let me know is there any other possibility unless replace her knee Patellofemoral to recover . Mahesh | Hello, Knee replacement is the definitive treatment option for osteoarthritis. If you can not tolerate the procedure you can try drugs like bisphosphonates. You can also try steroid injection which provides longer pain-free intervals. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Intense back pain, what should I do ?
five days ago i tried to lift my sister using my neck and shoulders and i immediately started feeling intense stifness and pain and Ive been taking ibuprofen and anti inflammitory pills but im still in as much pain as the first day i had it. plus im going to six flags tomarrow. What is it and what should i do? | Hello.Welcome to HCM forum.You have pulled your muscles resulting in muscle spasm.You have to take some muscle relaxant like chlorzoxazone along with anti-inflammatory drugs.Do some local hot fomentation and adequate rest.You should not go for six flags.Thanks and good luck. | |
Shrunk left testicle due to mumps. Sperm count shows negative. How to make sure whether fertile or not?
In 2009 I had mumps , was 25 of age .. During that period my right testecle got swollen .. And went back to almost normality but not normal it became slightly big n hard as compare to before and strangely the left one shrunk to a very small size... For years I tried to say all will be back to normality but nah to date nothing has change.. My worry is infertility .. Done sperm count before , t during that year and it was negative.. My question how to over come this cause after that my ex claimed I impregnated her in 2011 and she repeatedly said it me..today I still fill the abnormality in both of my balls and it creates some uncomfort if wheather I can still score or wat.. .. How do I start to erase my fear?? | hi.. your sperm count is nil in semen analysis.. you have azoospermia.. if it is worrying about fertility.. there are various ways for achieving it.. there are various procedures done to take sperm directly from the testis, for IVF.. even one sperm is enough for the fertilization of one ovum.. this can be confirmed only after certain investigation.. all the best... | |
What causes tightness and sharp pain in the chest?
Hello, for the past few weeks my chest has been feeling tight with the occasional sharp pain, mainly when I am either sitting or laying down. When I stand up and stretch to relieve the irritation, my sternum pops and my chest feels great. This occurs 2 to 3 times a day, mainly when I wake up and driving or sitting at work. The pain is not agonizing, but more of a annoying feelings. Any suggestions? Is it possibly I need to go to a chiropractor. | Thanks for your question on HCM.In my opinion it is mostly due to musculoskeletal pain. But we have to rule out cardiac and pulmonary causes first.So please get done1. ECG to rule out cardiac cause.2. Chest x ray and PFT (Pulmonary FunctionTest) to rule out lung causes.If both of the above are normal than no need to worry. It must be musculoskeletal pain only. So try to follow these.1. Avoid heavy weight lifting and heavy exersion.2. Avoid bad postures in sleep.3. Take good painkiller with muscle relaxant. | |
How to treat an injured bleeding foreskin?
me and my boyfriend were having sex when he ripped his forsking with his zipper badly we didnt notice anything was wrong until later i saw blood everywhere on my pants floor and undies alot of blood i went to the bathroom and blood was coming out i dont know if its me because i dont feel pain or anything but he does >>>is it bad that hes blood is in me coming out please help me? | Hello and .As an Urologist,i can understand your anxiety.What you've experienced,is traumatic injury to the foreskin,from the zip.Your boyfriend will need to see an Urologist.A permanent cure to prevent recurrence is a circumcision.Otherwise,depending on the injury to the foreskin,he may need suturing.Till the wound heals,avoid intercourse.If his blood test for Hiv,HbsAg and VDRL is negative,you don't worry at all.Dr.Matthew J. Mangat. | |
Any suggestion for kid having 5.5mm stone in gallbladder at the neck?
My 2 Yesrs child got stomach ace 3 days Before. he suffered for around 30 min after that i had given 5 ml anafortan he stoped crying and sleeps for some time. that night only i had visited our doctor. he suggested for abdominal scan. in that report it founded a 5.5 mm stone in the gallbloder at the neck. from that day onwords means since last 3 days he never got stomach pain he is active and his Urine and tool tast reports also fine. is this any serious issue. | HelloYour child's findings suggest 5.5 mm gall bladder calculus in neck region.Since your child is symptomatic,You should plan for definitive treatment of gall bladder calculus.Definitive treatment of gall bladder calculus is Cholecystectomy(surgical removal of gall bladder).Gall bladder calculus are prone to obstruction and infection.It is also carcinogenic if kept for long time.So,it is better to get rid of it.During pain you can give analgesics.You should consult surgeon for management.Get well soon.Take CareDr.Indu Bhushan | |
What could cause extreme mood swings, forgetfullness, difficulty to take decisions?
Recently I have felt like I'm on the verge of crying over any little thing that happens. I just feel "off" like there is something wrong when there isn't. I'm very forgetful, and indecisive. I feel like I can't communicate correctly, whatever I'm feeling just doesn't come out right. I also masturbate in my sleep but have no memory of it, just what my boyfriend tells me. I have trouble getting out of bed. I get very angry and lash out. What's wrong with me? | Hi Thanks for contacting HCM.look like youb have major depression epidode . Youshould recover with drug please get in touch with a psychistrist for drug prescriptionDr LalPsychiatrist | |
What causes dryness in hands and lips and pain in the wrist and fingers?
Hi my name is ranveer dosi i would like to say that sometime i got my hands skin dry, lips dry, and little pain in wrist, fingers and i feel warm air from my mouth, breath, my eyes etches and this happen to me about every month, i very tense about this problem. I dont know why this happen to me. please help me. | As per your symptoms you may be suffering from some autoimmune disorder.You need to get investigated for it and consult a rheumatologist as early as possible. | |
Have birth control coil. Have blood in anus. No pain. Should coil be removed? History of colitis
Hi I was told I had proctits/ colitis 12 years ago as I had blood from anus , was in early stage of pregnancy. Then never had it again for 9 years til pregnant again. Now 3 years on I have got it again but this time not pregnant but had coil fitted 1 year ago and periods are almost gone- think there may be a connection ? Should I have coil removed ? Never had any pain. Thanks kath | hello, welcome to HCM, as per the details u have submitted, bleeding form the anus has no relation with birth control coil..as u have already got the problem proctitis and colitis ..may be it has flared up, that why u have above mentioned symptoms.. as it seems , you are not definetly confirmed by a gastro enterologist , that you have either proctitis or colitis, i advise you to first consult a GASTROENTEROLOGIST and get done COLONOSCOPY .. the possibilities are 1. INFLAMMATORY BOWEL DISEASE? 2. ANAL FISSURE 3.NON SPECIFIC PROCTITIS.. | |
Lumps near the ears. Taking steroid for asthma. Medication related?
i have lumps by both my ears right above my jaw line. I take asthma medicine with steroid each day. My pharmacist said it is probably due to the steroid and there is a name for it but I can,t remember it. Once I stop taking the asthma medicine during a 2 year period it went away, but to be able to have quality of life I have to take every day (Its happened with Advair and Symbycort) Just using the nebulizer does not help enough with my breathing, is there another daily medicine without steroids you could recommend so I can speak to my primary care doctor about? | Hi ginnm529, Thanks for visiting HCM. Let me tell you that steroids are the backbone of asthma medication. No bronchodilator can be prescribed without steroid combination. So forget about not taking steroid. Now regarding your second query of lump behind ears....These seem to be sebaceous cyst. You must have noticed some cheesy material coming out when they burst. I will advise you to meet a general surgeon and get both these lumps/ cysts excised. Its a simple outdoor procedure done under local anaesthesia. If you leave them as it is, they will frequently recur and many a times will get infected too, requiring antibiotic treatment. So continue your asthma medication and meet a general surgeon. Best wishes | |
How to treat external protruding muscles or colon that is causing pain while sitting and standing?
sairam, I would like to contact a lady doctor to treat external protruding muscles or colon immediately as there is extreme pain uneasinessti sit or stand ? piles problem .pl advise my residence is in T.nagar chennai padminiramarathnam t.nagar. YYYY@YYYY | Hello, You are probably having a hernia. Consult a general surgeon and evaluated. An ultrasound scan is required for further assessment. You might require a surgical correction probably. You can opt for laparoscopic repair as it has got the best results. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes upper left chest pain?
Hi I am experiencing nagging upper left chest pain which also include upper left shoulder blade. Also I have been having nagging pain down my lower leg for a while now. It is more constant now and even wakes me up during the night. I think it might be stress, but how do I know for sure??? | No, if the pain is so bad that it wakes u up, then certainly it isn't stress or psychological. It can be a pulmonary infarct due to stoppage of blood to a part of lungs. As you also have pain in the leg, the blood clot can reach the lungs and cause this. See a doctor and get examined thoroughly | |
Diagnosed with hepatitis B. Elevating levels of ALT, Alkaline, Bilirubin. Treatment? Cancer?
Hello, I was diagonised with hepatitise B for the last seven months back, my first doctor has put me on antivairal drugs lemuvudine but later i was advise by the second doctor to stop taking the medicine becouse the vairal load was low and it doesn t qualified me for treatment and later liver biospy was done but i don t have the varius in my liver but since then my liver enzyems keep on elevating especially the alt , alkaline, billrubin, total protein , ggt & at times the mentions ones also reduce though HIV B varial load was done later and it was below 25mm in DNA . What could be the problem am so scared of liver concer and chriosis. Secondly can someone grow up with hepatitise B from child hood up to the age of 60s? if so what is the life span of the person having a chronic HIV B? | if you have elevated liver enzymes and hepatitis B you should probably get treatment, but it also depends on the results of your liver biopsy (if there is active inflammation or not). Also getting treated will prevent your chances of getting liver cancer. If you are co-infected with HIV, then you should definitely control the hepatitis B with medications since the risk of liver cancer is higher if you have both HIV and hepatitis B. Keep in mind that some HIV medications also work against Hepatitis B (such as tenofovir, also known as truvada) reasons why your doctor may have stopped lamivudine. | |
Had nausea, dizziness, blurred vision, swollen legs, increased intensity this time, told low iron. Overcome iron deficiency?
I went to the ER yesterday because I became dizzy, nauseated, off-balanced when I walked and I had blurred vision and saw black dots. I often feel this way and have been able to get over it, but I was unable to on yesterday. The ER MD told me that my iron level was at 7, which is very low. One other symptom that they noticed was swelling in my ankles that went up my legs. What does my iron have to do with these symptoms and what can I do to overcome the iron deficiency? | Hello, Your symptoms are due to anemia. your hemoglobin level is low .Get your iron profile ,Vit b12 and folic acid level done to rule out cause of anemia. Your physician will correlate blood test reports clinically and if reqd further test may be advised .You have swelling in legs it may be due to low protein in blood .So the swelling may be due to anemia ,Kidney problem,Thyroid problem or any cardiac problem . For iron defeciency you may be given injectable iron along with oral iron tablets .You should take care of your diet also .Take fruits and vegetables rich in iron | |
What causes wrinkled skin at the head of the penis?
I am 18 years old, I seem to have wrinkled skin on the head of my penis and around the rim of the head. I recently had unprotected sex with my girlfriend, but has had this problem before we met. She told me that she think she may have contracted a yeast infection, after the last time we have had sex. But we did it for a long time, lots of sweat, and she could have just not showered when she got home. Help please! | Thanks for asking in healthcaremagic forum Wrinkled skin is a normal occurrence over there after prolonged retraction of foreskin. So, you need not worry. If you suspect any infection then visit dermatologist for investigation. And never forget to pull the foreskin back after intercourse and to wash it so as to prevent further dryness and wrinkling for foreskin. All the best. | |
What causes bump behind right ear?
Hi. I m a 34 yr old female. For a few years I ve had a bump behind my right ear. When I get nervous or bored I ve noticed I try to pop it. It does cause some discomfort but nothing to bad. Lately white hard pasty substance comes out of it. Tonight I tried to pop it and it started to bleed a little. There was no smells when the white substance came out. What could this be? | Hello.Nothing urgent. That is probably limph node. You should be checked is there maybe an ongoing latent infection (sistemic or local). Also you can do cytological punction of "bimp" to get real description of substance inside bump.All the best. | |
Psychological problems, dry throat, shaking, panic disorders, anxiety. On treatment with frexit, fluoxamine. Should I take these medications life-long?
hello, Im 20 yrs. old guy.... I have psychological problem ( such as dry throat , growling stomach , vibration in body etc.) since 4 years.. however Im feeling better now with the help of psychiatric drugs such as - frexit, fluoxamine,parocen cr 25 etc... consulted a psychiatrist 3 yrs ago first time... I was under treatment till 2 yrs... I was shocked how easily I ve got rid of panic disorders, anxiety etc... I was feeling much better when under treatmnet..... I ve not visited my psychiatrist since 1 yrs... bcoz he asked me and my parents not to continue treatment thats why I left ... but when i dont use these pill just few days I feel the same problem again... my question is that I should take these pills throughout my whole life ? I have 3 yrs of treatment.. | Even though these drugs help in the short run they may not give permanent relief. The drugs also have adverse effects. That is why many psychiatrists are exploring other modalities like music therapy, dietary modification and meditation. If you want you can visit the site of Peter R. Breggin MD, psychiatrist for more information. I recommend classical music and meditation. | |
What does my semen analysis report says?
Hi ! I a 31 years old male (unmarried ) did my Semen analysis . I was under Anti Tuberculosis medicine between No 2009 till may 2010 for INTESTINE TUBERCULOSIS(had Cecal perforations in intestine). I feel I am not getting erection and afraid of becoming impotent. I m about to get married in 3 months time.I have to decide whether can i get married or not? I m not sure about this. Please help me regarding this.Gross ExaminationColour-greyish whitepH - 8Viscosity - ViscousOpacity - opaquevol - 2 mlChemical examinationFructose - positiveMicroscopyAgglutination - nilEpithelial cells - Occasional/HPFGrading : 3+:sperms moving in a straight line with good speedPus cells : 2-4 /HPFRBcs : Occasional/HPFSperma count : 152 million/mlmotility (1hr) 70%/HrNornal 65%Abnormal 35%Giant head 05%[om head - 9%double tail- 1%curved tail - 2 %Short tail; 5%Long tail 8%round head 3%spiral tail 1%without tail 1% | Hi, There is nothing much to worry about this condition. Semen analysis is almost normal. If you want to conceive some fertility enhancing drugs may be required. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sujoy S. Bhattacharjee, OBGYN, Maternal and Fetal Medicine | |
What causes pain in the left kidney?
I was treated with Levofloxacin for a kidney infection. I finished the ten day treatment two days ago. The infection was in my right kidney. Today I began developing pain in my left kidney accompanied by occasional stinging pain radiating up and down my mid to lower back region. Could I still possibly have an infection and could it be in my left kidney now? | Hi sir/madamI would like to know what infection did you have in the right kidney ,was it due to a renal stone or any bacterial infection or so.According to the information you have provided i believe you must be having a renal stone which is causing on and off pain.I would recommend you to get a ultrasound done under your family doctor supervision and any further investigations if required.thank you | |
What is the treatment for a dog bite?
i was bitten by a house dog on my leg yesturday.i went to de doc.and he gave me the initial treatment and send back to home.today i have developed allergic reaction and noticed some rashes(kind of little pimples) on my back and forhead.is this something i should worry about? | Hello . Thanks for writing to HCM.I read and understand your question very well. I try my best to explain you.As you have dog bite on leg and you should get a initial treatment. I suggest you to take anti rabies vaccine for this. Aslo do regular dressing on leg. I suggest to take Tab. Cetrizine for your allergic reaction.I advice you to consult a good surgeon for this and take full treatment for this.I hope my advice will help you a lot.Thanks and Regards.Dr Vijay | |
What else besides Rogaine and Propecia is expected to help dryness and discoloration?
I am a 23 year old male. I currently have a problem with very dry and discolored patches on my skin. They are mostly on my lower back, stomach, and under my arms. I also have started lose my hair and my scalp is very dry. It is thinning out very rapidly. Could these two things possibly be related? What can I do to solve it? I have tried Rogaine and Propecia for the balding with minimal results. | hi,dry and discolored patch on lower back, stomach other places is asteatotic eczema. thinning out of hair is androgenetic alopecia, both thing qre different and can be treated effectively.for hair loss rogaine and propecia is good medicine, it takes time. hair fall stops in 3 months and it takes further 3-4 month to grow terminal hair.add tab biotin 10mg+PABA once daily.rinse your hair with volumizing shampoo.asteatotic eczema can be effectively control-Treatments include:Moisturizers, especially creams or lotions that contain urea and lactic acidTopical steroids -- for areas that get very inflamed and itchy.reventionDo not expose your skin to water more than needed.Use cool bath water.Choose gentle skin cleansers that are free of dyes and perfumes. hope this is helpful.thanks | |
Is a lump above the knee post workout a concern?
I began walking 2 weeks ago, 5-6 days/wk. after little to no exercise for quite some time and have developed a painless lump above my right knee toward the right side where a muscle is located. It has not gone away and thus far has had no change in feel or appearance. What could this be and should I be worried? | Hi, It can be a hematoma. We have to rule out other possibilities also. As of now consult an orthopedics and get evaluated. You might require an MRI scan if lump persists. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician |
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