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What is causing pain in the legs?
my six year old is complaining about her leg hurting in the front bottom part.she has cried at times with it.it may be in one leg or sometime it is in both.some say its growing pains.but would it hurt in the front like that.no swelling or anything has happened. | Hello. I just read through your question. I agree that this is most likely growing pains. However, I still feel it's worth a visit to your doctor just to make sure. In the meantime, if the pain is unbearable she may be treated with Ibuprofin. | |
How can acute hair loss be treated?
i am looking for a treatment for my hair.. I am losing hair at a fast pace, for the last 5 years now and in bangalore, people say, due to hard water, you tend to lose your hair faster .. im 35 years of age and on the back side of my head, there is a patch which has very thin hair .. on the front also, my hairline is receding on a regular basis.. what should i do? | Hi.As per your case-history u are having androgenic alopecia.U require following treatment- biotin tablets (follihair) daily onceTugain 2% solution apllied twice daily 1mlFinasteride tablet can be taken but only after consulting a dermatologist.U will seen gradual improvement in about 3-4 months.Thanks | |
What causes soreness and discharge from male breast?
Hi, may I answer your health queries right now ? Please type your query here...im a 15 year ol male my right nipple is bigger than my left and is a little sore when i touch it. when i sqeeze it a little bit of clear liquid comes out. can you explain? i think i have breast cancer and im scared. | Hi, I can understand your concern about your symptoms. It can be due to hormonal imbalance and increased estrogen levels. Rule out for cancer also. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | |
What should be normal heart rate for 12 year old?
Hi we are now in a foreign country, Colombia on vacation and about 2 days ago my sister got a fever, she was throwing up and her fever was getting worse, we took her to a doctor and they gave her an IV with aspirin for her fever, and a shot in her butt, which they assumed was an infection. Now 2 days later, she has a fever only, and a fast heart beat, we don't know if we should take her to the hospital or not? She is 12 years old and her heart rate is 140 bpm. Help us please | Hello and thank you for using HCM. I carefully read your question and i totally understeand your concern bur don't worry, it is nothing serious. I will try to explain you something.The heart is the major organ that supplies our body for all its necessities. Let me explain what happen during an infection. Our total body is in war with the microorganism that coursed the infection. All our immunity system in mobilized wining this war. All our body needs more energies to win this battle, so our heart needs to fulfill the body necessity for more energies, more blood. Through a compensatory mechanism our heart increases the frequency beating faster to fulfill this needs. So during an infection, during a high fever it is quite normal for the heart to beat faster.We expect that the maximal rate of our heart might go up to 220 minus the age of the body.So for a little girl it is quite normal this frequency since the organism is beating an infection. When she will start to recover, every thing will go to normal values. So you should not take her to the hospital for this reason, only if she doesn't recover with her fever or other symptoms of infection.Wish I was helpful. Don't worry, she will be all right soon.Best regards. | |
Suggest treatment for throat infection in a child
Hello, i have a question that i have one 11 year old daughter and she is suffering with enfected throat. Whenever she talk, eat or swallow her throat hurts. I also have one 6 months old baby boy last time he was also effected with this type of problem and doctor suggested him ZyrCold syrup. Can i give the same syrup to my daughter too. Or plz suggest some medicine for her. | Hi, I had gone through your question and understand your concerns.Yes you can give 5 ml of syrup Zyrcold and get her examined by a doctor to rule out bacterial infection . Keep good hydration by giving plenty of liquids . Saline gargles with lukewarm water can help in relieving pain .She can also take paracetamol for fever and pain .Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.*If your child is allergic to any medicine , it should not be taken.Wishing your daughter speedy recovery.• DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that on-line users seek the advice of a physician who can perform an in-person physical examination | |
Suggest treatment for hernia
Hello My name is Lachlan I am 16 years old and i think i have a hernia, i looked online for an explanation for a Swollen/lump on my groin area near my testical and the closest explanation was a hernia. is there any way to find out for sure if i have one. i havent told anyone (its abit embarassing) the pain started about 2 days ago and got really bad yesterday but its not as bad today and the pain seems to go away as long as im not moving or standing but it hurts if i walk. | Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of inguinal hernia, I would come up with three advises, these include: 1. get a USG of the region for confirmation along with a surgical consultation! 2. take caution not to train or cough and avoid weight-bearing as this might get strangulated causing serious problems like severe pain and shock! 3. get your time for early surgical cure and consult surgeon as early as possible after confirmation as this might affect your testis!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. | |
How to get rid of heel pain?
May 21, 2014, I had total hip replacement on the right hip. June 14 I experienced the most excruciating pain when I tried to stand. I was rushed by ambulance to the ER to find the stem had slipped down into the femur and my femur was fractured. Surgery was repeated, I went through lots of physical therapy, and then developed a large blood clot in the leg. Recuperating still, now I experience LOTS of heel pain and major burning in both heels. People have said it s pressure sores developing. I only see the skin peeling on my heels but no open sores appearing. Can you help? | Cannot directly diagnose, treat, or prescribe without being there but can give general information.Pressure sores occur in the context of not being able to move and having all the weight bear down and hurt the circulation to an area and to mechanically abrade it. Furthermore, there can be INTERNAL soreness of the muscles when there is pressure onto the muscles as they are pressed onto bones inside. There are standard treatments:Not having continuing pressure on the area by repositioningNot having continuing pressure on the area by having a soft compressible spongey thing over it to absorb pressure. If there are open wounds putting medicated salves on it; possibly needing antibiotics.Aspirin like drugs help the pain often. | |
What causes early ejacuation?
hi i m a women of 28 yo.i have been married since 1 year.and we r having problem with the intercourse.whenever we have sex he ejaculate before the intercourse.i had very thick and tight hymen so i had a small surgery where the doctor scratch my hymen little bit.now my 2 fingers can go in but i m still get concious when we have sex.we really need to solve this problem. | Hello, Just ask your partner have habit of masturbation, if it is last for longer time than your issue is with performance related. indulge more in foreplay, leave your stress and anxiety during sexual activity, do daily exercise may help you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Adish V. Doshi, Psychiatrist | |
Dizzy spell, losing balance. Any ideas?
one morning I had a very large dizzy spell while shopping. I was standing and it came on qiite fast. It starteed light then hit me real hard. I had to hold on to something close to me so I would keep my balance. It was like a bomb went off in my head. It scared me. Can you please give me an idea of what it was? Thank you. | Hi,Thank you for posting your query.Dizziness is a non-specific symptom and causes could be related to ear or brain dysfunction. In ear, it could be due to BPPV- benign paroxysmal positional vertigo and acute labyrinthitis. These conditions respond to medications and vestibular adaptation exercises.In brain, dizziness could be due to lack of blood flow to cerebellum and brain stem.I would suggest you to consult a neurologist.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My blog: | |
What could squishy sound from right knee when crouching or squating be?
My right knee makes a squishy sound when I crouch/squat, but so far with no pain present. I even do weighted squats at the gym and hamstring exercises with no pain issues. My right knee also has slight puffiness from a bursa sac? I had at one point back in September injured my knee playing tennis. I never got it checked out, and it eventually heeled on its own, with me no longer feeling any pain while climbing stairs. Any ideas what the sound could be? | Your age please?The 'squishy sound'IN THE KNEE COULD BE DUE TO SNAPPING TENDONS.This treatment is being suggested on bases of the information provided.I would like to examine & investigate you in detail.Rule out Hypertension, Diabetes or any other metabolic disorder.Any way you may try---. Dolokind Plus (Mankind) [Aceclofenac 100mg +Paracetamol 350mg] 1 tab. OD & SOS. X 5days.--. Caldikind plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--.Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.-- .Do mild exercises for Knee & Legs. --.(Take help of a physiotherapist or visit www.drncgupta.com). Do not ignore, let it not become beginning of a major problem.Do ask for a detailed treatment plan.If no relief in 2-3 days, contact me again. (phone.91 9810012688)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed).For emergency treatment visit nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish you a quick recovery & good Health. | |
Q. Do I need to get FNB or biopsy to check lymph node enlargement?
Hi doctor, I am a 32 year old male. My height is 6 feet and weight is 145 lbs. I am facing a significant unexplained weight loss of more than 45 lbs in four months. My normal weight since high school is 185 to 180 lbs. I am having episodes of significant and frequent drenching night sweats. Also, I have chronic persistent fatigue and occasional non-specific itching. I have a family history of lymphoma with my paternal uncle and maternal cousin. My ultrasound of lymph nodes has two different impressions. The first one was clear bilateral LAD suspicion of neoplastic etiology seen at level 4 and 5. The second opinion was clearly reactive bilateral nodes seen at level 2 and 5. In your opinion, what would be the appropriate course of action? Either FNB or excisional biopsy due to the symptoms and history? Also, if you can interpret films, then I would appreciate your additional opinion. From a differential diagnosis standpoint, what is at the top? | Hi. Based on your query and attached images (attachment removed to protect patient identity), my opinion is as follows: FNB. For further information consult a hematologist online.---> | |
Suggest treatment to remove marks due to psoriasis
I am suffering from psoriasis. Am on MTX currently. When my psoriasis clears off, i am left with black marks all over my body. I was told it would fade off overtime, but been years and am still having the marks. Is there any way to have the marks removed???? | Welcome to Healthcare Magic Forum You have many pigmented scars over the body. Topical medications can definitely be of help to you in reducing the pigmentation to some extent, although only after proper treatment, we can know the results Since these are dark scars, I would advice that you should use a lightening agent like kojic acid and vitamin c combination over the scars.This is a simple, harmless lightening agent which can be used for as long the blackish pigmentation is there.. Also ,try not to touch the area too much Use proper sunscreen (spf>26) before going out in the sun so that the lesion doesn't darken any further Take a diet rich in vitamin C and antioxidants like Citrus fruits and lots of salads If after all the above measures, the scars tend to persist, then I would advise that you should see a dermatologist as there are various other measures for the treatment of pigmented scars like the use of chemical peels, dermabrasion etc which a dermatologist can decide according to the type of scars.Hope it helps Wishing you speedy recovery Dr Geetika Paul | |
Is it possible to get pregnant even if the ejaculation does not happen inside vagina ?
can u fall pregnant if the man pull out b4 ejaculating can u fall pregnant if u have intercourse and dont use no form of contriception but the man pulls out b4 ejaculating | hi, it is hundred percent risky. after intercourse even one withdraws penis before discharge,there are all chances of even one drop of discharge in the vagina may cause pregnancy ! therefore always use contraceptive measures before coitus. | |
What causes a painful and swollen lump under the knee?
i have a lump under my knee which is really painfull my feet and leg are swollen and i find it really hard to walk.whilist massaging my leg i felt it move it dissapeared for a few days now ive got another one im about 70yr old.dont have any other medical history | Hi,Dear,thanks for the query to my HCM virtual Clinic.I studied your query in depth.IN My opinion -this hard painful recurring lump is-Erythema Nodosum,mostly.Bacterial throat infection or drugs may cause it. Hope this would resolve your query.I would love to help you for more queries.Good day. | |
Why is it paining in the left foot if walk or lift up the big toe?
i have been having pain in my left foot for about a week when i walk or lift up my big toe. the pain goes all the way to my ankle. For about 3-4 days now i have also been getting this vibration feeling when i move my big toe up and down. what could this be? | HelloI have read your query. Pain can be due to gout disease. I will advise you blood investigation like sr uric acid level. Another possibility of nerve compression leading to radicular foot pain. MRI spine will help in diagnosis. I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care. | |
Smoker. Having back pain, shoulder pain, pain in arm pit. Blood tests normal. Suggestions?
I have been a smoker for about two years now and I m currently trying to quit but have been having a tough time. Back pain has been quiet common for me since a MVA three years ago but lately I ve been noticing a pain in my left shoulder that becomes more prevalent when I m outside smoking and a slight dull ache in near my arm pit and it has me pretty worried. I went to my doctor and had blood work done and all my levels came out normal but I was wondering if I m stressing myself over something that might not be that serious or if I should go and have more testing done? | hi smoking increases risk for many diseases pain which you have could be vital sign of cardiac disease or it could be chronic painful condition like cervical degenerative disc disease. any pain in left shoulder shoulderof middle age person with risk factor of smoking should undergo cardiac work up like ECG stress test etc | |
Chest x-ray says pneumonia, given Monocef injection, Moxikind. Ultrasound shows mild hepatomegaly. Treatment ?
on 13 august i went to doctor for cough /cold ,they did chest x ray and said its pneumonia and gave me monocef i v injection for three days and antibiotic moxikind 325 still not better than gave moxikind 625mg for more 3 days and other pain killers now its near one month i have been advised for ultrasound it shows mild hepatomegaly with fatty infiltration of liver ,mild degree of hydrouteronephrosis of liver of left kidney and bilateral polysystic ovaries | Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).It suggest that you are suffering from fatty liver disease. I will advise to you get further tests like liver function tests (SGOT/SGPT, Serum bilirubin, serum albumin) and lipid profile. among medications take tablet ursodeoxycholic acid, cap evion and if you are overweight or obese then do regular exercise aerobic at least 30 minutes/ day so that your weight is optimized. Also take less fat in diet. Also if you take alcohol then please stop it. If on investigations lipid profile is deranged then it should also be treated accordingly. Also avoid analgesic belonging to NSAID group, take analgesic like tramadol. Also you should not take any hepatotoxic medications like moxikind, rather you should always consult your doctor before taking any medication.I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon. | |
How long should I continue levolin and azibact for cough and cold inspite of no improvement?
Hello Dr. My son is 2years 7 months old. He is suffering from cough(mostly) and sneezing(often), and I have been giving him levolin and azibact 100 syrup since 9 days. but his cough is not been cured completely. How long should I continue this medicine? | Hello,Welcome to HCM,As your son is having the symptoms of cough and sneezing for last 9 days and these symptoms continues to persist even after taking antibiotics.If the symptoms not coming down with the antibiotics, it may be other organisms which is causing symptoms to your son like viral infection.So i suggest you to stop these antibiotics and you can give him1.Syp Amrolite S2.Syp T MinicBy these remedies the symptoms may come down, if the symptoms are not coming down, he should be evaluated thoroughly by different investigations to find out the reasons for the symptoms and then we can plan further mode of treatment.Thank you. | |
What causes lower back pain despite a normal MRI report?
yes I have been in pain for the last14 months with no real diagnosis of the cause of my pain. I have pain in my lower back, under my left buttocks in the area where my leg rotates. Sciatica and hip problems have bee ruled out with many MRI and cortisone and epidural injections, I have no other choices of where to go as my pain is sail more intense if I sit to long. I grabbing at straws that help can be found. Thanks for at least listening | thanks for your question,You should exclude sacroiliitis also as it may cause pain in such place.Also You should exclude piriformis syndrome(entrapment of the sciatic nerve below the piriformis muscle) | |
Does bleeding due to enlarged prostate mean cancer?
I had bleeding trough my penis .After looking with camera or cystoscopy my doctor told me that the bleeding was comming from enlarged prostate .Is this is a sing of some type cancer .The doctor prescribe avodart to take for 3 months.If this pills do not help I will need surgery . what it your advise on this? | HelloThanks for query.Blood in urine in a patient with enlarged prostate is from the superficial vein that are engorged in enlarged prostate with super added infection and not due to cancer of prostate .Get your serum PSA levels done ..Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.Please take broad spectrum antibiotics like Cefexime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.Continue taking Avodart Get the prescription of medicines from your family Physician.Ensure to drink more water.To keep your urine dilute This will help to control dysuria.Dr.Patil. | |
What causes swelling and pain in jaw?
On the left side of my face only- swollen gland under my jaw, pain in my jaw that comes and goes and gets worse when I eat something hot. I already went to the dentist, they took x-Rays and I had an exam, they said there was nothing wrong with my teeth. Any ideas? | Hi,you need not a dentist, but an ENT surgeon, your tonsils may be enlarged or the sub-mandibular glands may be enlarged, | |
Is it normal to experience severe stomach ache after having Spasler-P syrup?
Hi my 6 yrs old daughter complained of severe stomach ache in the evening all of a sudden she ate half an apple before that and went out to play on swings earlier.i gave her syrup spasler p a tablespoon.now she is not complaining of the pain but she seems sleepy.is that normal? | Hi, Side effects of Spasler P include: - slow and irregular heart beats - pain in eyes when looking at light - excessive thirst - constipation I was unable to find whether this drug causes sleepiness. However, I located material from the drug's manufacturer that says Spasler P should be used with caution in children. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Arnold Zedd, Pediatrician | |
Suggest treatment for severe elbow pain
Hi, I am a 46 year old female and I am experiencing joint pain in my elbow. I have been in good health generally and do not have a doctor that I have established as MY doctor. Would you recommend I see a family practice or another category of doctor? | hi, i appreciate your concern.it is not clear which part of elbow ,inner side,outerside or centralfront or back of elbow is painful.is there any limitations of movements either at elbow or wrist joint,and any swelling.it is advisable to consult ortho expert to get it checked,for the time being,give rest to joint,warm water fomentation,and any mild and safe painkiller may be taken with consultation to ur family doctor.thanks .i will be happy to answer any future query. | |
What causes concussion symptoms with plugged ears?
I fell approximately one week ago sticking my chin. I experienced numerous symptoms of a concussion such as nausea, tiredness, loss of appetite, and sleepiness. A couple of days later my hear has felt plugged up and occasionally some dull pain in the top of my head. What would be your prognosis? | Hi , 1 week after head injury multiple symptoms are due to postconcussive syndrome and need symptomatic treatment .Thanks | |
What causes a head lump with headaches and nausea?
Hi, may I answer your health queries right now ? Please type your query here... My partner gets left sided headaches,it's been a month and tried pain killers but it still continues.We noticed a lump on his left side of head and at times he feels nausea.what could this be?please | Hi, dearI have gone through your question. I can understand your concern. If she has left sideded headache with nausea then most likely it is due to migraine. Her lump is unrelated to headache. For lump she should go for fine needle aspiration cytology or biopsy. Consult your doctor and 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 short term memory loss and black outs for 18 year old
Hi, li am an 18 year old female that has been recently experiencing short term memory loss problems. This has been ongoing for the last 6 months and has been getting worse. I forget where I leave things find it hard to concentrate on certain things and constantly lose things. I am also in college at the moment and binge drink on nights out where I often completely blackout and remember nothing the next morning. I was wondering if this problem is alcohol related and can it be reversed or treated | Dear I am sorry for the symptoms she is experiencing!Anyway I would recommend to contact your neurologist and undertake a brain MR.Memory loss can have a lot of causes and many of them are fully treatable but first of all we need to diagnose and brain MR can help much to the diagnose.Wish you all the best, hope my answer will help you.Best regards Dr Eris Ranxha | |
Can an enlarged spleen diagnosis mean anything other than leukemia ?
Hello Dr. I just today was diagnosed with an enlarged spleen, and had xrays taken, no results yet. I have the past year been having low iron absorption, and in October, 20, 2013 I had an iron infusion. I've had many tests, gastro, pill cam, etc. but no cause for the low iron. I also had TIA in may of this year and was hosp for 4 days. The symptoms lasted 24 hours (numbness and hearing loss on left side of face) but did not cause any lasting effects, so it was labeled TIA.the spleen concerns me, because my brother died from leukemia in 2009, and he had an enlarged spleen and low iron count. my mom died in 2010 from leukemia and non-Hodgkins lymphoma. Please tell me this can be something other than leukemia... | Hi, Thanks for using HCM.Some of the leukemia run in families, Have a role of genetic factor in its occurrence. With family history of leukemia need to get evaluated for it.There are many reasons for enlarged spleen, -Blood test like complete blood count and bone marrow studies help to rule out hematological causes.-Raised portal pressure is another reason, Ultrasound of abdomen helps in it.-storage disordersWith history of TIA and family history, most probable cause would be blood disorders. need not be leukemia.Hope this helps you.regards | |
How can black widow bite causing sweating, painful knees and tingling sensation be treated?
My husband got bitten by a black widow about 3 days ago and went through some excruciating pain. The pain has gotten much better but now he is dealing with excessive sweating, tingling, and mild pain below knees on both legs . Also, he is sweating on tummy area too. Is this still a normal reaction to the toxi venom? Please help! | Hi thank you for writing in to hcm. Black widow spider bite is one of the most feared bites from spiders. it can cause severe muscle cramps,abdominal pain, weakness and tremor as it damages large group of muscles hence the symptoms.In severe conditions dizziness, chest pain,nausea, vomiting, fainting and respiratory difficulties occur. kindly consult a doctor immediately for pain relief and antitoxin to counteract the effects of the venom. Donot worry symptoms are severe in children or elderly rather than young adults.I hope your query has been answered. Dr. Riyanka | |
Suggest treatment for stage 0a cnacer
Had single mastectomy 2 weeks ago for Pagets disease with an underlying tumor that was also removed. It was 1.3cx0.9x0.8 cm. and sentinel node biopsy showed one benign. The cancer is Stage 0a and is Triple Negative. How should this be treated// I am currently undergoing tissue expansion for reconstruction! | Thanks for your question on HCM.Stage 0a cancer of breast needs surgical resection of tumour nodule and dissection of involved lymphnodes.So you had absolutely right treatment. So no need to worry much.Paget's disease of breast has high incidence of recurrence. So in future if you find any nodule or swelling in breast (opposite or same) than you have to get done biopsy of it.No harm in reconstruction surgery. Eat healthy and stay feet for prevention of malignancy. | |
Is there any lactose in ranitidine?
I have allergy to dairy. I ve been prescribed Ranitidine 300 mg. for acid reflux that I don t feel I m experiencing. I ve been told I have a few minor erosions in my throat and stomacch and need it for at least 3 mo. But I seem to have more and softer bowel movements since beginning it. Is there any dairy--lactose, casein ... in this medication? | Hello,Welcome to HCM,Tab Ranitidine is a drug used for the treatment of acid peptic disease, it will not have any ingredients of lactose in it.As you are having acid peptic disease as it is manifested by having erosion in the mucosa you need to take treatment for minimum of 3 months.along with this you can take antacids which will helps to improve your condition.Thank You. | |
What does a hard lump on head above the ear indicate?
Hi, I have a hard lump on the right side of my head about two inches above my right ear. I noticed it several years ago but I thought maybe I hit my head or something, a few years ago, I noticed that it has grown. My Dr thinks it's bone. Is it exostosis? | Hi,Good afternoon from India. Thanks for your query to My-HCM Clinic.I studied your query in depth.I understood your concerns.My opinion -You have-dermoid or Epidermoid-lump(mostly benign) above your right ear.History and the site confirms it.-Hope this would help you to recover from worry-some query.Wish you a Fast Recovey.Wellcome to HCM again. | |
What is the normal BP range?
Hi this a.m. when i took my B.P it was 160/106, on the 2nd Jan my Md changed one of my tabs to pearinda 8mg. a stronger one than what i was on and my simvastatin to 40mg. I am turning 70 in April and i had a quaddruple heart by pass almost 4 years ago, what should my b p reading be? | Sir the BP you gave is surely considered high, and a dose modification was need, one can uptitrate the dose to max 8mg once or in two divided doses of perindopril, as your doctor did. Other alternative is Give a combination in stage 2 hypertension as recommended by American and European guidelines, and would be my preferred choice. Regards Dr priyank mody | |
What should intercourse be done to get pregnant after taking choriomon?
hi I m 43 years old got married 4 years back now planning for the kids from 1 year but failed now doctor gave me clomid 50 & choriomon 5000 I. u......she told start after u get your period....can u tel me after choriomon when I have to do sex that can help to get pregnant | Human chorionic gonadotropin brand Choriomon hCG is used primarily in fertility medicine for female. In females it is an ovary stimulant very effective in activating egg release and optimizing ovulation. | |
Would taking creatine have any bad effects on asthma ?
Hi, i'm in the process of lowering my bodyfat percentage and building more muscle and I am looking into trying creatine supplement in my everyday diet, however I am asthmatic, I have suffered from asthma since birth, would taking creatine have any bad effects on my asthma ? thanks in advance! | Hi, No. Asthmatic patients will be allergic to one or few specific allergens. So if you don't have any problem in the begining of its usage then the chance of getting any problem with this is also very minimal.continue the drugs regularly for asthma. Hope this helps you. Regards | |
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.---> | |
We had a family planning operation. Now want one more baby. Is there any risk involved? How to proceed?
hello doctor, i am 38 yrs old , my wife is 32 yrs, we have been blessed with 2 daughters over nine yrs of marriage. during the second cesarean, i opted for the family planning operation, and which was done. now after three yrs , my wife insists to have third child (son). is this possible , if yes what are the risks involved and how do we start. | Hi, Thanks for using heealthcare magic.There are procedures to open the felopian tube so you should consult your gynevcologist. Success rate of having pregnancy after re-open depends on lot many factors. You gynecologist might be able to tell after having expert evaluation.However, there is no gurrentte that you will get only male child and not female child. Sex determination is legally punishable in many countries.I hope it will help you.Thanks. | |
Can Lasix be taken for long term to treat ankle swelling?
I have chronic swelling of the ankles, am 39 years old, and have seen my family doctor to rule out any worrisome causes. It seems hereditary, as my mum and grandma had the same. Is there any long-term risk to my kidneys by taking 20-40 mg of Lasix each morning to reduce the fluid retention in my lower legs and ankles? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can take Lasix for ankle edema. However you have to rule out other conditions causing persistent edema as uncontrolled hypertension and renal diseases. If ankle swelling persist for long, better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain | |
Can pregnancy happen after taking i-pill?
sir please let me know if my girlfriend will get pregnant as i just entered my penis inside her and pulled out in not more than 30 seconds as she resisted???just for being on safe side she also took I-Pill just the next day.will she get pregnant?i dint ejacuated inside her.please help!please | Hello,Thank you for your query. Pregnancy is unlikely as she took the I pill. Chances are even less if Intercourse occured within a week after or before a period.The penile discharge may contain small mobile sperm which can lead to pregnancy but, as she took the pill, chances are less. If her period is delayed, she should take a pregnancy test to confirm. I suggest you use contraception to prevent unwanted pregnancy & complications. Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health | |
What could be the treatment for jaw line swelling and throb?
About 30 hours ago while eating a banana, the left side of my jaw line swelled and throbs. I had this happen for the first time a couple of years ago, and went to a walk in clinic as I was in Arizona at the time. The Dr. gave me an antibiotic, rinse with salt water, and suck on lemon drops. I am treating myself this time by taking two 800mg two times yesterday and three times today Amoxacillin. Rincing with salt water, and sucking on lemon drops which make it swell and throb worse as it does when I try to eat anything. Also very painful to touch. Any advice? | HI.This is a classical swelling of the sub-mandibular salivary gland, producing the thick saliva necessary for chewing process. Most probably there is an obstruction in the duct which carries saliva into the mouth. I would advise you to continue the medicines and Visit an ENT Surgeon who would ask you to go for some tests , mainly the ultrasonography / CT Scan to confirm the diagnosis as also would palpate the gland and mouth. The findings would guide for the further treatment. | |
Is Fertigyn injection required to conceive after ovary removal?
Hello Im 26 & I got one ovary removed last month due to huge (15cm) repetitive mucinous cyst. My cycles have always been regular. The doc did follicular study on my left ovary and i have a monofollicule of 1.92 cms & my ebdo seems good. The doc has advised for fertigyn 5000 iu IM INJECTION. Is this necessary as I have never tried to conceive naturally? Also how does this injection help? | Hi,This injection is not necessary but it will increase the chances of your pregnancy to a great extent. It is given to make follicles rupture and release the egg. You should be in contact with your husband for next 2 to 3 days. Then you may take progesterone for next 2 weeks. If it doesn't work out, you can try naturally for 3 to 6 months and then continue the medicines afterwards. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya | |
What causes discomfort in chest?
Hey, I am a 64 year old male, About 4 weeks ago I noticed a little discomfort in my chest when I went to bed. The next night the discomfort had turned to pain and I noticed a large lump under the skin about half way between my sternum and right breast nipple. The next night I woke up in extreme pain in the same area caused by me coughing. This went on for about 2 weeks with the pain getting worse and worse, so bad was the pain that I was actually moaning. The pain was unbearable when I coughed or sneezed or changed position in bed at night. I went to see my doctor where they gave me a series of x-rays from different angles of the infected spot and they also gave me a sono-gram of the infected spot. The results were negative so he scheduled a CT/Scan which the doctor who read the pictures said it looked like a muscle but the pictures were not defined enough to make a diagnoses. My doctor is now trying to get my insurance company to authorize an MRI. This lump is about 1-11/2 inches wide from top to bottom and about 2 inches in length, it is about 1 inch from my breast bone and is in line with the nipple of my right breast. What could this possibly be? It just started hurting one night and has gotten worse. Never had a lump there, and out of a clear blue sky it appears with no apparent injury? What could this possibly be? | Hello dear , hiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* It seems unusual to find nothing over these investigations . Likely neurovascular bundle related issue with ligament involvement .* Advisable to consult with all reports as scanned copy .Hope this will help you for sure .Regards . | |
Taking levosiz 10 for allergy. What are the side effect and precaution to be taken if continuously consumed levosiz 10?
Hello Doctor, I am suffering from allergy & as per the our family doctor advice I have started consuming Levosiz 10 1 tablet in a day since last one year and feeling comfortable now. Please let me know, how harmful to an individual health when he consinuously consumes Levosiz 10 & what pre-cautions should be taken to over come from any side effects. | the anti allergics are usually harmless and there are no side effects even you take lifelong as they are made like this so have no sideeffects long termthe medicines like antihypertensives diabetic allergies are madelike this as they have to be taken lifelongtake lot ofwarm water and can continue off and on when you requre on long term basis | |
What does this MRI report indicate?
Long story short,Iam almost 85 female with complex medical history,heart,stroke,AF,left carotid artery 50% stenosis, now had MRI due to weak legs,back and neck pain, back issues for years neck is new. MRI shows cervical spinal fluid is partially blocked from disc pressing on C3C4, my head feels whoosh and full and dizzy more so when I bend or active in the housework. Spinal surgeon says he won t touch me just go ahead a live my life. My question of deep concern after reading about CSF could I get demention,or any metal deteriation and it was mentioned watch my driving it would be risky because of whip lash . | Hi, The results of CSF blockage read from an MRI is highly insensitive when it comes to accurately determine anything do with exactly how much fluid surrounds the spinal cord. My guess from reading your information is that you likely have a normal amount of fluid in your canal. Imaging is a poor approach to determining exactly HOW MUCH CSF is around the spinal cord. The AMOUNT of CSF in the central nervous system is entirely unrelated to the risk of acquiring dementing illnesses or not. The comment on driving and being careful of whiplash is without basis in fact in terms of injury severity (which is what I believe was being implied) based on AMOUNT OF CSF. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist | |
Is it normal to have soreness and discomfort in the shoulder after cortisone shot for tendinitis ?
I had surgery in my left shoulder for bone spur and bursitis. After months of PT it is still in pain. I was told I have tendinitis in my bicep tendon and was given a cortisone shot. It has been four days and my shoulder is very sore and I am having a lot of discomfort. Is this normal? Should I still be feeling this much discomfort? How long does cortisone stay in the body? | hicortisone effect shows in 2-3 days time.This means you have inflammed shoulder joint still and need to be put on anti-inflammatory medicines for a short course.just avoid using your biceps that is lifting by forward flexion of shoulder and elbow and avoid weights.use a arm sling for 3 days to rest the biceps and shoulderregards, | |
What food should be avoided due to blood clot in pulmonary vein?
hi, on the 19th of Nov i had to rush to the Apollo hospital due to high fever and consulted a Dr of infectious rare disease. she found i was not breathing right and took a number of tests and finally it was said i had dust like blood clotting in my pulmonary vein and now i am on acitrom 3 mg dosage to 5 mg dosage , as my INR has not settled down yet. i take my INR almost daily for now. what i would like to know is what food s to avoid. have been given a list but vitamin K foods list i find so many more than mentioned in my chart given by the hospital. do i avoid the others mentioned in the list on the google study? thanks for your advise | Hello dearWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* In such condition better to avoid all foods with high cholesterol content as dairy fat , oily , spicy , non veg , ghee , paneer , butter etc .Hope this will help you for sure .Regards dear . | |
Large bump, skin rash causing itching during camping. What could have caused this?
I recently was camping, and I walked in the woods a few times. (wisconsin) There was also an active hive of bees underground by my camp site too. After a day i found a large bump with a black bump. It itches periodically and recently seemed to have spread a rash. Very itchy. What is this? is this a rash from a plant, bug bite, or a bee sting? | Itchy red bumps on the skin are due to bee stings which causes urticaria.use a antihistamine.antibiotic and a calamine lotion | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Suggest treatment for walking difficulty in an Alzheimer s patient
My husband has alzhheimers. this week he has started sleeping all night & all day. Sometimes has trouble walking but today could not walk at all-his legs & feet did not work and to try to get him up & down (out of bed and out of chairs) he would just yell how bad it hurt to move and I could not understand most of whatever he tried to say. Do you think he is in later stage or what? thank you | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I think the patient has restricted mobility since before the current episode. I think there's a good chance that he's been in the process of developing contractures. You will need to get him to regular physiotherapy. With regular physiotherapy the muscles will remain active and the pain that he has due to the developing contractures would be better. I have tried to make it as simple as possible. Feel free to contact me if you need any further information. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest remedy for painful mouth bleeds
Are there any dentist here who are doing smile makeovers? Or will do dental work for free? Or I could find a way to pay you back. My fiance is completely embarrassed with her smile. She has periodontal disease. We do not have the income to fix it and doubt that we ever will. I am very worried about her because her mouth bleeds constantly and it is very painful for her to brush her teeth and I don t want it to cause more issues with her. Can somebody please help us out? I feel helpless. | Thanks for using health care Magic.Read your query.Smile make overs do require a visit to a cosmetic dentist which will involve a fair amount of budget and dental work cannot be usually done for free.If I were a treating dentist and keeping in account the issues mentioned ,would advice to undergo full mouth cleaning from a periodontist followed by use of mouth wash gargling.Post cleaning instructions should be followed properly and the teeth has to be maintained well.A natural clean mouth will indeed increase the smile of the person.Hope this was useful.Thanks and regards. | |
Suggest treatment for infertility problem
Me and my partner have been trying for a baby for about 8 months, and nothing we have tryed lots of differnt types of possition and we dont smoke or drink, we have even charted my ovulation but still nothing. is there something wrong or have outher people had this problem. from leah | HelloWelcome to health care magic.Get semen analysis ones.If it is normal then for your wife thyroid levels,Serum LH FSH levels. And pelvic ultrasound. | |
Pain in the back and hips, spotting. On birth control. Missing periods. Is this normal?
hellow dr, i am 23yrs old. it z 15months now since i gave birth by operation to my first daughter, i bleeded 50days after the delivery when it stopped i went for a family planning method and i chose to be injected a stick under my left arm which last for two years. since then i have not been menstruating until the day before today when i have been having shomach ache my west and my back are aching as well plus i get very few drops of blood. my questions are, is that a mentruation? if yes why did i stay that long to menstruate? are there any effects in missing my periods? and the pains i get, is it normal? | Hi dear user, thanks for your query.Irregular bleeding/ spotting or complete cessation of menses are one of the common side effect of progesterone implants. In my opinion, they are not harmful. Pain in abdomen is not common with these implants.It may be due to associated bleeding or some infection. Hope this helps. | |
Q. How to monitor diabetes?
Hi doctor, I am a 30 year old male. My height is 168 cm and weight is 65 kg. I was diagnosed as diabetic one year ago with HbA1c 7.8 and fasting sugar 163. Then I took Kombiglyze XR 1000 mg one tablet a day four months. Then the test revealed HbA1c of 6.6 and fasting sugar 108. Then my doctor reduced the dose to 500 mg. From then I am taking Kombiglyze XR 500 mg one tablet a day. Last week my HbA1c was 6.6. I have attached my entire blood test report. I am deficient of vitamin D, B12 and iron. I had Tayo 60 k tablet one per week for three weeks. I have pain in heel bone on the side of both feet. I feel sharp pain on the side of heel, especially in the early morning or after sitting for a while. I feel fatigue sometimes. I do not have any other health issues. I am eating well and my sleep is good. Can you recommend diet plan or any changes in medication or vitamin supplement? I am a vegetarian. Thank you. | Hi. Revert back with the readings chart to a general practitioner online --> | |
Solution for severe neuro-tension with unsuccessful attempts to decompress sciatic nerve
Dear Dr A.S. Keerthi,I have had two discectomys at the L5 S1 Level to attempt to decompress my sciatic nerve. Both operations have been un-successful in providing relief of my radicular pain symptoms in my right leg. I have severe neuro-tension (flexion of the spine and small movements in my upper spine bring on my leg pain) My recent MRI scan revealed a re-current small disc protrusion and "thickening of the R Sciatic nerve greater the the L5" I am concerned about potential scar tissue limiting movement of my sciatic nerve and wonder what my prognosis is for the future. I am on gabapentin and mobic for some pain relief but the pain down my leg all the way to my little toe is extremely uncomfortable. Could you provide some light to the darkness that is my situation? Many thanks! | Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.You need another surgery for adequate decompression Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care. | |
What causes bruise on pubic bone of a child?
Hi, my 5 year old daughter fell hard onto the middle of a see-saw and has a very dark bruise on her pubic bone. The bruise is round and approx 5cm in diameter, it has a white centre though which is approx 1cm in diameter. Is this something that needs checking out or is it normal? Thanks | hello, thanks for your query, superficial bruises can get infected. requires tetanus toxoid and antibiotics. visit a pediatrician. hope I have answered your query. all the best. take care. | |
Is sperm count of 127 million/ml with amorphous head and coiled sperm tail normal?
Dear Sir,i am 28 and my wife is 27,we are planning for a child since from a year.Recent consultation to the doctor, doctor confirmed my wife is having poly cysts in her ovaries and i have undergone semen analysis test where they concluded 127million sperms per ml and with amorphous head with coiled sperm tail and 10% (normal forms) compared to >14%. kindly let me know the fertility of mine and can we still have a chance to have a baby with the above.kindly send us your comments on the same to YYYY@YYYY and Regard's Ragu | Hi, It is difficult to father a child with 10% normal form. You need to have more than 40 to 45 %.Find the cause of your issue. * Type of work you do - stressful work * Radiation injury * Infection * Anatomical defects * Nutrition issue Share more details. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | |
Citalopram was prescribed after two memory testing sessions. Need to take this drug so early?
I was given a prescription for Citalopram 10 mg.. I read some information about it and now I am very leary of taking it. I hesitate to take any type of mind altering drug and I feel that this falls in that category. My father has dementia and as a precautionary measure, I am going throught the analysis testing for potential problems. After 2 short session of memory testing, the drug was prescribed. I just don't feel good about the early prescribing. What are your thoughts? | Dear friend,I am Dr. (Col) R Karanwal, M.D. (Internal Medicine), Consultant Physician, for your assistance.Thanks for reposing your faith in me and post your query on this website. I fully appreciate your concerns. If you had visited my Clinic for consultation, my course of action would have been :-1. Firstly, do you suffer from depression (mental stress, sleep disturbances, lethargy, difficulty in concentrating, disinclination to work etc..)? 2. If the answer is no, I would strongly advise you NOT to take anti-depressants, merely based on findings of memory testing. Please feel free to revert back to me in case of further clarifications, if any.I am confident that you will benefit from the advice.May I assure you that I am always available for your assistance. My endeavor would always be to give you a sound medical advice, to the best of my knowledge and vast experience.HAVE A NICE DAY AND A SPEEDY RECOVERY.Fond Regards,Dr.(Col) R KaranwalMBBS; M.D. (Internal Medicine)Consultant Physician(PLEASE NOTE :- My opinion/advice is based SOLELY on the details provided by you.) | |
What causes hair fall and dry skin?
My TSH T4 blood work levels are in normal range. My hashimoto's was 232.0. My Doctor states this is fine even though I have thyroid systems - hair falling out, dry skin, tired, forgetfullness, etc. I had a partial thyroidectomy in 2000 for a goider and was hyperthyroid. Are these lab results ok, or should I see an Endocrynologyst? | Hi, I have gone through your complaints and I think you need to consult an endocrinologist as you are having symptoms of thyroid disorder. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | |
Suggest treatment for a lump on the anus
Mass felt to right of anus -- not obstructing having bowel movement but tender to touch. Almost feels like a sore muscle. Had stomach bug with diarrhea for three days - 10 days ago - went to bathroom a lot. Felt like even tho stool was softer than normal, I still strained because I had to go so much. Have slight hemorrhoid issues but never seen dr for. Then this mass showed up. | Hi,Dear,Welcome to HCM. Based on the facts of your query,You seem to suffer from-Internal hemorrhoid Mass with sentinel skin tag with fissure in ano,which seems to be tender to touch.You seem to have proctitis with false frequency.Treatment -Proctoscopy and Second opinion from Surgeon would fix the diagnosis of the Lump.Possibility of the Rectal Polyp needs to be ruled out.USG and Contrast Barium Enema would confirm any additional Polyposis Coli.Endoscopic resection with Biopsy, by Colonscopist would resolve this issue.Would be by-Anal Dialation with High Ligation and Excision of the Internal Hemorrhoid Mass.HOpe this reply would help you to plan further treatment with your doctors.Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS | |
What causes seizures in a new born child?
Hi Doc, My sister gave birth to a baby boy on Oct 30th. The baby was born C-sectioned at 40 weeks. Every thing looked fine until before delivery. soon after delivery, kid has seizures, no crying and then it was noticed that he has stiff legs and arms. He wasnt drinking milk so they were feeding him thru a tube from his nose for almost 10days.after that he started slowing sucking but still has problem swallowing.Seizures went away on its own. A whole lot of tests were done on him which included genetic testing, chromosome testing, spine test, MRI of his brain , heart etc. All the test results are normal. They have started therapy for his stiffness but still no improvement. He can sense our touch but cannot move his head, lift hands and legs. Fingers are like tight fist and legs crossed inward. if we try to move he feels the pain but cannot cry. His growth, bowel movement, urination everything is normal. We are all really depressed and doesn t know what to do next. The doctors say everything is normal, but there might be some problem with brain/nerve which they are not able to figure it out. Any help is appreciated n this. | VERY GOOD QUESTION,YOU HAVE RIGHTLY SAID IS THERE ANY PROBLEM IN BRAIN, I FEEL STRONGLY YES,PLEASE CONSULT PEDIATRIC NEUROLOGIST OR DEVLOMENTAL PEDIATRICIAN WHO WILL GUIDE YOU | |
With no birthcontrols for 2 weeks will be a problem?
Hi Sir,I have been taken the birth control pill Yasmin the last 8 months ago.In my last Yasmin free period, I have been relationship between these freeperiod.But I was started the new package after 2weeks. Now, I am drinking the new Yasmin package.I would like to know, it can get pregnant.Thanks | Hi, I think if you have started the new pack after 2 weeks, it will not work for this month. you should use some other methods like condoms for the prevention of pregnancy. Hope I have answered your question. Regards Dr khushboo | |
Can skin rash in 4yr old cause fever and vomitting ?
My 4 year old has a raw skin rash from her bathingsuit she developed a fever and vomitting within 24 hours Is this from her rash | hi as she has fever and vomiting with rash she need to consult doctor she might has viral infection right now apply antibiotic cream and avoid sun exposure wear him loose and cotton cloths | |
Suggest treatment for pain in shoulder
I have pain in my right shoulder that radiates down to the elbow. Each time I clench my fist, to reach or grab for something, I have this pain. It hurts mostly at night and when I wake up. There s a bone by my elbow where I get stabbing pains like sharp pin pricks. I m almost never without this pain or sharp stabbing pains. | Hi.thank-you for providing the brief history of you.A thoroguh neuromuscular assessment is advised.As by reading your history I feel you need a thorough neuromuscular assessment by which it will be possible to determine the muscles strength and also the nerve functions.As your pain radiates from shoulder to the arms and below, you may be having a spinal pathology or a muscle tightness as which need a thorough neuromuscular assessment and post which an MRI of cervical spine is recommended. Based on the MRI scan reposts the extent of the soft tissue Injury will be determined.Post which - Rest, medication and physical therapy will be advised. As physical will focus on your muscles strengthening of the neck and upper limbs. Also, the use of the therapeutic ultrasound therapy and TENS therapy will help you with the reduction in the pain.in my clinical practice i have seen patients with similar issues and post undergoing a proper neuromuscular assessment and physical therapy we have 99% success. I will expect the same results from you.RegardsJay Indravadan Patel | |
What causes bone disease in medullary sponge kidney?
My friend has sponge kidney disease. She had septicaemia a year ago and nearly died because of it. She has urine incontinence which is getting worse and keeping her prisoner in her own home. She has a constant pain in her right kidney yet her doctors don t seem to want to know. Can you give any advice to help with her incontinence and the pain. | Hi, Consult a nephrologist and get evaluated. As of now, she can take analgesics like Tramadol for pain relief. Hope I have answered your query. Let me know if I can assist you further. | |
Could high white cells and platelets, swollen glands, lump in neck, constant cough indicate oral cancer?
They r sending Mr to An oncologist cause my whote cell count and platelets r vert high I also have swollen glands a lump on my neck and swelling n my mouth. A cough that won't go away and white spots on councilors and cll runs n both sides of my family and I have 1 marker for cll I also have a lot of health problems what is my odds of cll or could this b oral cancer | Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are very distressed after the abnormal blood test results and the other symptoms like the lump in your neck, swollen lymph nodes, etc. You have not given the exact details of the blood tests and without that it is very difficult to make any firm predictions. So, with the limited information that you have provided and the fact that you have a strong genetic history of CLL, all I can say is that there is an increased risk of leukemia. But at this point, it is not possible to say whether it could be a CLL or an oral cancer. I would suggest that you stay calm, see your oncologist and await a definitive diagnosis by the experts, rather making any assumptions or predictions. Wish you all the best.Regards,Dr. Jonas Sundarakumar | |
Why after masturbation it stay crusty light brown?
I masturbate into a sock. Before I had surgery to remove a cyst on the inside, I masturbated into socks, and the socks, after a few days, would stay "crusty white". Now, post surgery, when I masturbate into a sock, after a few days, it becomes "crusty light-brownish". Wtf is the problem? | DearWe understand your concernsI went through your details. Please understand, the sperm and semen liquid contains many proteins and starch and it is quite natural for your sock to be crusty white. There is no significance of cyst surgery with the color or crustiness of your semen. You should also take the condition and color of age of your sock into consideration. Please do not obsess with these issues, or else it may lead to anxiety disorder. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
Effect of hypoglycimia and hypoxia in neonates, please suggest
My son suffered hypogycimia ,hypoxia at third day of bearth | hello, hypoxia can be due to inability to breath. It can be due to lack of surfactant to difficulty in breathing. It can also be due to ischemia at birth. Hypoglycemia can be due to various reasons like high insulin etc. Since it was on the third day it is a late reaction and hence considerably harmless. I would advise you to consult a pediatrician in this regard and get a complete work up. Continue regular immunisation as per pediatric prescription. I hope i have answered your query. Take care | |
Suggest treatment to control blood pressure
Weaning off metropolol. Down to 6.25mg every other day, but BP is up to 145/95. I am 57 and had bypass surgery 4 months ago. I am 5 6 , 130 lbs and very active athletically. I typically bike 20-25 miles/day. Cardiologist had me wean from 6.25 mg twice a day to once a day and now every other day. Any concerns since BP is up? | hi i have gone through ur question i wonder why ur cardiologist weaning u off from metaprolol as beta blocker is a choice of agent in case of coronary artery disease and raise bp second best choice is ACE inhibitors commonly used lisinopril or pindopril even with ACE inhibitors it is good to use beta blocker so that it will control heart rate which may increase due to vasodillator thanks hope answer ur question | |
Q. What is an acceptable range for blood glucose levels? Some people say the lower end is 70 and some others say the lower end is 130.
Hello doctor, I have gotten different answers from various different doctors on this question. Maybe, you can give me a straight answer. What is the acceptable range for blood glucose levels? Some people say the lower end is 70 and some others say the lower end is 130. Please explain. | Hi. Many types of blood sugar testings are there, and the values for that are different. But worldwide, the most commonly used tests for the detection of diabetes are Fasting Blood Sugar and Post Prandial Blood Sugar. Fasting blood sugar test is done by taking the blood sample from a patient after a period of fasting. Usually, patients are asked to report for the test in the morning, before breakfast (after about 8 hours of fasting). The normal range of fasting blood sugar is 70 to 100 mg/dL. Anything between 100 to125 mg/dL is considered as Impaired Fasting Glucose (IFG) or pre-diabetes. And anything more than 125 mg/dL is considered as diabetes. Post-prandial blood sugar test is done by taking the blood sample from a patient after a meal. Usually, the test is done after 2 hours after a meal. The normal range of post meals blood sugar should be less than 180 mg/dL. Anything between 180 to 200 mg/dL is considered Impaired Glucose tolerance or pre-diabetic state. And anything more than 200 mg/dL is considered as diabetes. Hope this answers your query. | |
What are the symptoms and treatment for hyperventilation in a child?
My five month old sounds like she is hyperventilating. It goes to a point when she seems uncomfortable and she cries. It sometimes take a about a minute to calm down and start breathing normal again. When it happens she is always laying on her back. Should I be concerned? | Hi...this cannot be deemed as hyperventilation. Hyperventilation something related to mind and is not a physical phenomenon as far as its origin is concerned. So the question of hyperventilation does not arise in a 5 month old infant. This could be a central type of breathing. I suggest you video graph it and take the video before you consult your pediatrician.Regards - Dr. Sumanth | |
What causes premature ejaculation?
i used to have an erection every often while in the morning during last 2 years....but nowadays , so rarely i get an erectionin the morning while waking up.......and other thing is that it takes lots of tim to have another erect after ejaculating the first time (also suffer from premature ejaculation) while i am still young at 26. why all this? | Hello,It may be due to performance anxiety. For that you may require complete hemogram, lipid profile and electrocardiogram after physician consultation. Along with that Avoid stress and strenuous activity. Take balanced diet and proper rest. Avoid smoking and alcohol. Till then you can take tablet sildenafil and depoxetin after consultation one hour before sexual act Hope I have answered your query...Let me know if I can assist you further.Regards,Dr Shyam kaleFamily and general physician | |
Could blood clotting product after heavy bleeding due to D&C indicate a problem?
I had a pulmonary embolism after having a miscarriage and D&C. I know during the rocedure I was bleeding a lot and they had to give me a blood clotting product to stop the bleeding. Could that cause the blood clotting? My INR before surgery was 0.9 and I the lupus anticoagulant is not detected in my last test. I just want to know if this was a one time deal because of the surgery? Thanks, Gina | Hi, dear. I have gone through your question. I can understand your concern. Your pulmonary embolism may be due to blood clotting products. Your inr is also low. You are still at high risk. So you should take warferrin to prevent further attack. It is prescription based medicine so consult your doctor and take treatment accordingly. Also check your inr regularly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Is it normal to get white meshy discharge after using naturogest while in the 3rd cycle of IVF ?
My wife (36) has done 3rd cycle of IVF and this time she has been diagnosed pregnant. She had been using susten (Vaginal use) gel two times till 4th week. Then the doctor advised to use naturogest (Vaginal use) two times daily. After using this gel, she observes white dry and meshy discharges when she goes to bathroom when she gets up in the morning. Is it normal? | Hello. Thanks for writing to us. The whitish discharge that your wife has observed is likely to be due to dissolved softule shells. This discharge is not worrisome and should not concern you. It will stop after she stops using naturogest. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
Does pain on left side of upper body indicate muscle tear/break?
Hi, I recently slipped on the ice and fell on my back. i have a sharp pain in both the left side of my chest and the left side of my upper back (shoulder area). it hurts more when i breath or move in certain positions. i cannot sleep on my left side, and trying to move in bed or get in/out of bed is very painful. does this sound more like a muscle tear or a break? | Considering your symptoms, and comparing it with the patients coming with such symptoms, it is sure that the disease is related to shoulder. Most of the people are afraid of it as a heart condition, but you have suspected it on the right track. It might be a rotator cuff tendinitis or an impingement syndrome of the affected shoulder, but it might not be a muscle tear or back. It can heal with help of NSAIDs and specific exercises, but sometimes a subacromial injection is necessary to relieve the symptoms. | |
What causes nerve pain while brushing teeth?
43 year old female - I often gag when brushing my teeth. This morning it happened and I threw up and immediately had an intense shock like nerve pain swept over my chest, back and shoulders area. I pushed myself to come out of it . It was very scary and not something that has happened before. Later today I was straining again while going to the bathroom and that same feeling started to come over me. What causes this? I m not sure if I need see a doctor. | Hello, Conditions like trigeminal neuralgia must be ruled out. Drugs like gabapentin will be effective. Consult a neurologist and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Can ejaculating in sleep and erectile dysfunction be treated completely?
I am a 30 year man but i am unable to do sex . I have sex problem my sex do not erect & able to penetrate. Before 1 year I can do sex but now a days my penis not full erect & not able to penetrate. Sir I am starting sex life before 7 to 8 year and I experienced that my sperm out before sex and erection gone and that time I am not able to do sex so I m trying some medicine before sex and I enjoy sex so always when we were meet I take some medicine and do sex full day sometime we enjoy 2 to 3 time in a day and when she was not near me and I feel for Sex I trying masturbate, but currently I cant satisfied her. Sir my morning erection still gone now a day my sperm fall in night mostly I think premature sperm out and that reason my stamina have very poor now and I am feel very week. So How can solve this problem and how many days required for complete solution. Thanks | Hi,You seem to have erectile dysfunction. In your case performance anxiety may be the cause. It is psychological in origin. You should relax and avoid negative thinking. You may take anxiolytic like tab fluoxetine 10mg daily for few months. You may take tab tadanafil 10mg 2 hours before sexual activity. Take treatment after consulting physician,dermatologist or psychiatrist.Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilyas Patel, Dermatologist | |
What causes hip, back and ribs pain with headache after falling down?
Yesterday I slipped and fell pretty hard on my butt and back. I immediately got a headache, a little dazed and was a little achey but took ibuprofen and went about my day. Today my right upper hip hurts and up the right side of my back along my ribs up to my shoulder blade. Also a slight headache as well. Is this something that can be taken care of with Otc meds and time or do I need to Go get it checked out. I m not one to run to the dr over every ache and illness but it was a pretty hard fall. | Hello ,Thanks for your query and welcome to Healthcare magic.In your case it appears that there is a soft tissue injury along with back strain and since you have been able to walk and ambulate after the injury, there definitely is no bony injury.So in your case my advise will be for ice pack application 3-4 times in a day on painful areas and areas with swelling.Also pain medications like Tab Ibuprofen, Tab Paracetamol or even Diclofenac if it is available OTC can be used on SOS basis.The cause of concern will be there if your symptoms persists after 2-3 weeks because this is the time taken by soft tissues to heal normally.Kindly get back to me should you need any further information/SOSThanks & Regards,Dr Akshay Kumar Saxena | |
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.---> | |
Suggest remedy for swelling in knee after an accident
Hi I got in a ATV accident a few days ago and hit my knee. That day I had a lot of swelling so I iced it and the next day the swelling went dow and it started to bruise. But now i notice a soft spot on the top of my knee and when i push it it hurts a little bit and I think i feel bones or cartilage in my knee which is loose and moving. | Hi.The first thing would be to continue with a warm compress for a few days. If you feel the swelling and apin seem to be subsiding then there should be no cause for concern, you can also use an NSAID (e.g. ibuprofen) in the meantime. But if there is no significant improvement then it would be best to visit a doctor for a physical examination as well as an xray of the region.Best wishes. | |
What does small lump in the middle of leg indicate?
Hello, I have small lump in the middle of my leg between my kneecap and my shin right near the bone. It's the color of my skin, and is painless. It's only visable when I put pressure on that leg and it's soft (visable due to a slight shift to a whiter hue). When I push it in, nothing happens and there isn't any pain. It seems to completely disappear as soon as pressure is taken off the leg - when I sit down for instance. What the heck is it? | Hi ! Good evening. I am Dr Shareef answering your query. From your history, it seems that you have got a bursa (fluid filled cyst) over the area which might occur especially those who put chronic pressure on their knees . For a diagnosis, if I were your doctor, I would advise you to get a FNAC (fine needle aspiration cytology) to have a cytological diagnosis and further management depending on the report.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
Explain isoechoic lesionin bifurcation, neck of GB with posterior acoustic shadowing, may represent stone in gallbladder
Please explain what this means e.g the abbreviations and if this is serious....There was an isoechoic lesion in the region of the bifurcation/neck of GB with posterior acoustic shadowing. This lesion was non-mobile and may represent a stone in the neck of the gallbladder or spiral valve of Heister. I am not certain this is a CHD stone. | hi, You have a possible stone or sludge in the junction of gall bladder duct and liver duct (hepatic duct), and a stone in the gallbladder at its connected end (neck). A stone in this region can impact and can result in acute cholecystitis. I would recommend a CT scan of abdomen to confirm it.Hope this helps. | |
What causes recurring fever in the evenings after typhoid medicines?
Hello sir I am suffering from typhoid. I took injection and medicine for five days.than my doc told me take rest.now 7 days has been passed but fever comes in evening5o clock.n it automatically goes.in this condition what should I do.n one more thing fever dosent come whole day its come only in evening for 2 or3 hours. | If you have discontinued medicines than please continue your medicines it takes two weeks to complete cure. You can take cefixime twice a day. Finally end with 'Hope I have answered your question. If you have any further questions I will be happy to help". For Follow up questions, end with "If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health". | |
Water is present in abdomen causing pain along with high BP, cholesterol and COPD
I just had a pelvic ultra sound- showed I have ab excessive amt of water between my abdomen & my abdominal organs.....I am quite frightened. I have been having severe pain in the area of my left kidney.& I am extremely tired ALL the time, as well as very weak .I am 65 years old with high blood pressure, high cholesterol & COPD. Also have a stent from a 99% blockage- i take clopidogrel & I quit smoking a year & a half ago. I do not drink. | Hi and thank you so much for this query.I am so sorry to hear about this excessive fluid that you have in your stomach. this would need to be followed up with a more detailed exam to establish the origin of this fluid. It could be caused by infections or elevated procedures in the system that cause fluid to be forced into the abdomen. I will suggest that you follow up with your primary doctor to get this looeed into. You wold most likely require an ultrasound to measure the pressure in the blood vessels and investigations into possible liver and kidney infections. I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health.Dr. Ditah, MD. | |
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.---> | |
What is the cause of body tremors?
My grandchildren a boy & girl are twins born oct 23 2012 The girl who is a bit smaller experiences a lot of twitching all over her body especially when she id sleeping. Is this normal? Their birth weights were 4.12 and 4.6 lbs at birth their wieght currently is 5.11 and 5.7 lbs | Dear friend,I am telling you if a baby is born with low brth weight he or she needs a little more time to cope with physiological adversity in the outer world.so in your grand daughter's case she is physiologically weak.there can be various reason behind twitching of a small child, like glucose level fall in blood .so you need to take her to a child specialist for a check-up of her blood and developmental profile.if the report comes to you as normal then you don't need to worry much about her health.thank you. | |
I got punched under my eye and there is a swelling
hi im 13 years old i got punched under my eye it swell and left a black mark under my EYE how can i remove it | Hi, After punch if there was no infection or any other problem of eye black mark will gradually disappear . But you go for eye check up if not checked after injury as some time after long time some eye problem may arise. | |
Should the kidney lesion be surgically removed?
I was informed in December 2008 that CT scan showed that I had a 1.2 cm exophytic, heterogeneously enhancing lesion in my left kidney which appears stable. however it is consistent with a renal cell carcinoma. It was decided that we would watch it and take a CT scan ever six months. I have had two CT scans since that time with no change in the size. I have no symtoms. My Specialist suggest that I have it removed, what do you think? | Hi, dearI have gone through your question. I can understand your concern. You have exophytic growth in kidney. You should go for ultrasound guided fine needle aspiration cytology or biopsy of that growth. If it is renal cell carcinoma then it should be removed. If it is some other benihn lump then you can wait. But ultimate treatment of choice is surgery. Consult your doctor and plan 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. | |
Feeling depressed, irritable and anti social. How to get cured?
Hi, I m just in need of some moral support, as I am not in a situation to get it elsewhere. My mental health isn t good and I am feeling completely depressed and very irritable, I m also being anti social. I am visiting family right now. For 9 years my father has been remarried and has another child, and has raised 4 other step children. I ve had to watch my mother struggle to raise me on her own with no financial support from him, and he s had little part of my life apart from random visits, I ve suffered childhood anxiety that carried on into adulthood because of my absent father. Now at 20 I still feel obliged to travel 2 hours by plane + 2 hours by car to get here to see them and act like family and keep a connection, I don t want to have this responsibility. I am struggling to maintain my composure this time around as I have gone through illness and injury last year, and had a very hard year overall and am just starting to get back into a good frame of mind to continue my studies in 2 weeks time. I am feeling extremely trapped in this environment, witnessing my step siblings hugging my father and watching him behave fatherly towards them, fathering his 4 year old daughter, and dealing with his wife who is a demanding and silently judgemental woman is hard on its own. She has been the brick wall between myself and my father, and continues to disallow any quality time for us. I want to go home, but will need to be here for another week, taking time from my own life and giving it to people who are undeserving and will put me back in the back seat once I leave, and I ll hardly enter their thoughts. After a very hard year, I don t have enough of myself to give to these people, and I just don t feel like I can continue to act friendly and polite to them with so much pain and hurtful history in the back of my mind, It just feels very unfair, and I m feeling very hurt. I can t afford to be slipping back into a depression because I need to be mentally strong to handle a full time work load. Is it wrong of me to be keeping so distanced in how I interact while I am here? And how should I go about keeping my mental health good and not becoming more and more depressed? Thank you for your time. | Hi, No, your feelings are not wrong. You need to be happy and mentally sound. You have a bright future ahead of you for which you need to be focused and you also need to work for it. This should be your goal in life. You need not try to act good with people who don't seem to bother or worry for you and your mother. Politeness is good but not at the cost of our own happiness. Try to develop good friends and lead a happy and productive life. Evade all depressing times with your father and his family. It is time to realize that you do not really need them. No father is better than a bad father. there are many people in this world who grow up as confident and good citizens without any love or care from father. Yes, it will be better if one has a good father. But it need not be bad if one does not have such father. Believe in yourself. Take care and live your live with happiness for you and your mother. Above all, stop expecting anything like financial help or love from your father. It will only lead to depression. Detach your mind from them and start afresh. Best wishes! | |
What causes twinge in the jaw with excessive formation of saliva?
Hello, I wanted to ask about something that keeps happening to me lately. Somehow, I will feel a twinge in my left jaw just before I get excessive saliva in my mouth, then sweating in my hands, then severe stomach cramping like my gut is being wrung really tight like having a wrung a washcloth to get the water out. The wanting to pass out or get to the ground as stomach is cramping is happening and as long as I lye down flat, the episode will pass. Been having a lot of bloating, pressure and gas in my gut. But the episodes I have been having are new to me and seem awfully strange. | Hi,Thanks for posting the query, Excessive salivation could be related to medical conditions like Neurological disorders, GIT disturbances, use of medications.I would suggest you to take a tab omee BD for 30 days.Get your complete physical examinaton done.Take care! | |
Suggest treatment for severe head pain
After I fall asleep, or, short-term, nap, I awaken feeling as if I ve been poisoned. It feels horrible, in my head and down into my chest. After a few minutes the feeling subsides and I m OK. This morning is the third episode I ve had in the past week. I exercise 10-12 hours/week. I am a vegetarian since 1978 and watch my diet closely. Any ideas? | Hello,Your symptoms could be related to a sleep disorder or anxiety. For this reason, I recommend performing a polysomnogram to investigate for a sleep disorder.Other tests to consider would be:- A resting ECG- A chest X ray study and pulmonary function tests- Thyroid hormone levelsHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Aida Quka | |
Suggest treatment for child suffering from nose bleed while blowing nose
Hi, my daughter is three and when i blow her nose, lots of blood comes out with the mucus. Also, her nostril has a sore which is growing rapidly. I thought it was sore from constantly blowing her nose but the sore seems to to growing bigger. Please help. | Hi, Nose blowing is not a good practice in children. It can cause aspiration, sore nostril and risk of spreading the infection to the chest or to sinuses. As your child has sore nostril, I would advice to give saline nasal drops frequently and avoid nose blowing or nose pricking. If bleeding from nose persists even after the above-mentioned treatment, then I would advise you to take an ENT surgeon opinion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirubhan Bharathy, Pediatrician | |
Which Humulin is advisable for diabetes in a heart and kidney patient?
I am a type II diabetic and have been using a oral medication for the past 25 years, since I have heart disease and kidney problems they tell me not to us Actos or Avandia which I am presently using. My heart specialist suggested I try Humulin but says I should get with my personal Physician and see which Humulin I should start with? Any suggestions?Steve | Hello,Thank you for your query. I understand your concerns.Your heart specialist is correct regarding Avandia and Actos causing heart problems (usually heart failure) and kidney problems. You could benefit with insulin as it is safe in both heart and kidney disorder patients.Humulin is insulin. I will try and explain to you in brief. There are 3 types of Humulin.1) Humulin S/Humulin R: This is short acting (S) or Regular (R) insulin. This needs to be taken 30 minutes before meals. Its action starts about 30-60 minutes after injecting, and it has its peak action at about 3 hours after injecting and the action lasts for about 6-8 hours. It is usually given twice a day. This insulin helps to reduce the blood glucose spike which is seen after a meal; hence this is given before the meals.2) Humulin I: This is Isophane/intermediate acting (I) insulin. It is given once a day usually. Its action starts after 2-4 hours after injecting, its peak action is around 5-10 hours after injection, and the action lasts for about 16-18 hours. This insulin helps to reduce the background blood glucose levels (there is a constant supply of glucose in the blood throughout the 24 hours and this is synthesised from the liver and muscles by a variety of chemical messengers like glucagon, cortisol, adrenaline etc.)3) Humulin M3, M5: These are pre-mixed insulins and these insulins have both the short acting and the isophane insulins mentioned above in varying ratios (30/70; 50/50). This is to be injected 30 minutes before meals and has the advantage of taking two insulins with one shot. Disadvantage is that it is slightly tricky to titrate your dose if your sugar is fluctuating. I am not sure how your blood glucose level is. If it is very high you could benefit with morning and evening doses of Humulin S along with bed time dose of Humulin I. Once your sugars are under control you could switch over to Humulin M3 twice daily. I would advise you to see your doctor, so that you could discuss with him in detail about the various insulins.I hope this answer has been helpful to you.RegardsDr Sunita Sayammagaru | |
Is it a matter of concern if having chest tightness, sharp pains in shoulders while having COPD?
I am 46 yrs and have been a heavy smoke for over 26 yrs..I have COPD and a small 5mm left lung nodule which hasn't been checked in a few years due to lack of insurance. Lately having more trouble with my chest feeling tight , and sharp pains in both shoulders and collar bone area..my arms get tingly at times and neck get stiff...is this something to be concerned about or just signs that my COPD is getting worse... | Hi. I can understand your concern. Get a chest x ray done to evaluate your lung nodule. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
What are my conception chances?
Hello Doc,I was diagnosed with high FSH 12, last oct, now my fsh fluctuates between 4.9 to 6. I am getting treated with a Fertiliy clinic. I have gone through 2 IUI failed cycles. I am on third one now. Also my follicles grow erratically. With these do you think what are my conception chances?Regards,Devi | Hi Devi, I find your result erratic. FSH once raised ( More than 7 mIu/ml, bad if > 12miu/ml) cannot just come down like that, you have been mislead.FSH is a hormone produced by a gland, Pituitary , in brain. FSH ( Follicle Stimulating Hormone) stimulates ovaries to produce eggs(which lies within follicles) . If eggs come in first say , FSH will not raise further, but if number of eggs in ovaries is reduced or not responding, especially around menopausal age, FSH will try to stimulate again , I mean higher dose of FSH come. It keeps increasing till eggs are released. So lesser the eggs , more the FSH will be. It will stay so. If your periods are regular with good flow forget about FSH or LHFSH is always to be checked on DAY 3or 4 of periods. Even further confirmatory is Serum AMH in first half of the periods. For IUI to be successful you will need good hormone stimulation from 2nd or 3rd day of cycle, till the day 10-13 of periods when follicles are right size to rupture. As you have not given any other details like your age,other hormone levels, scan findings, husband factors etc.Kindly see if the following checklist of investigations is doneHusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center ( examination done by andrologist), Blood sugarsWife - Blood Sugars, Thyroid profile Ultrasound scans to evaluate Uterus , Ovaries & adnexa Confirm tubal patency- most important- Tube is the connection between uterus & ovaries( the bridge where sperm meets the egg & forms a baby) this is size of hair follicle & cannot be seen on scans. So check with HSG( Xray with dye), or SSG ( Scan with dye) or LaparoscopyIf all this done & found normal , nothing can stop a pregnancy with God's willHope I have cleared your queryAll the bestDr.Balakrishnan | |
My girl friend has intense pain in the stomach. Had jaundice
its my girl friend who has the problem . It is a deep pain in the middle of the stomach which is very very painful. She literaly begs to die because of the pain but it subsides in some time its been yesterday since it has started she is 17 and is female and she had jaudince 2yrs back. Plz help in getting some remedy plz as soon as possible. | If the pain is colicky in nature i.e.it comes & goes with increase or decrease in intensity.Get routine tests done like Hemoglobin,TLC,DLC,Urine Complete examination along with whole abdomen Ultrasound to find the cause & get it treated,from some surgeon /gynecologist Disclaimer | |
Why am I having breathing difficulty after taking salazopyrin for ankylosing spondylitis ?
Dear Dr. how are you PLS can some one help me I m Muhanad From Iraq I have AS Ankylosing Spondylitis my doctor tell me to take medicine called salazopyrin 500mg but when I start to take it it cause for me Breathing difficulties I start by 1g daily (one pill twice ) is that normal or it is some thing wrong? or it must stop this medicine please help me | Hi welcome to HCM, The first symptoms Ankylosing Spondylitis are typically chronic pain and stiffness in the middle part of the spine or sometimes the entire spine, often with pain referred to one or other buttock or the back of thigh from the sacroiliac joint.,which may itself present as dyspnoea(difficult breathing ). However ,the drug which you are taking is an agent for immunosuppression ,the treatment of choice ,but can have side-effects like thrombocytopenia and acute dyspnoea . you must consult your doctor again before changing the medicine or stopping all together . hope i answered your query . regards healthcaremagic | |
How to quit spasmo proxyvon and get rid of the side effects?
Dr. I am taking 22 capsule of spasmo proxyvon a day for the past eight years. i would like to quit this capsule but i could not stop.if i don t take it i get body pain and i could not do any work i get tension.so Dr.please help me to quit spasmo proxyvon. | Hi, You may get addicted on taking the particular medicine. Stop taking this medicine and consult a psychiatrist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.T. Balamurali, General & Family Physician | |
What causes difficulty in conceiving?
I'm 19yrs old and my boyfriend and I have been trying to have a baby for almost a year now n it is not working. He has ejaculated inside me almost everytime we have had sex the past year which is frequently and I still end up getting my period and no pregnacy. I have gotten checked and my doctor says everything is normal I have also been taking prenatal pills for about 6 months but still no pregnacy I don't understand why I am not getting pregnant. Can you please explain to me why that is? | Hello, in my opinion you need to get your hormone profile done and then take ovulation induction drugs and follicular monitoring alongIn case you have any questions in future you can contact me directly on | |
Suggest treatment for swollen ear and face in kid
HI, my son who is 5 years old woke up today with swollen ear and face (mostly above the eyes), but I don ot see the bug bite place, he dose not complian about pain or itch, should I take him to a doctor, (I gave him a allergi medication but did not help. | Hi,From history it seems that there might be having some allergic reaction due to some internal or external allergens.Give him Benadryl or Cetrizine syrup for a day, if there is no improvement then consult your doctor and get examined.Ok and take care. | |
How to cure a soft lump on the earlobe?
I've recently startd gauging my ears and I've bin jumping sizes correctly but when I moved up to a 4 gauge aftr two days I put in heavy 4 gauge hoops to stretch out the earlobe and I developed a soft lump on the back of my earlobe! What can this be and how can I fix it?? I knw its not a cyst because its soft... | Hi.Thanks for your query and an elucidate history.First treatment is remove any foreign body irritating the area . you may not need any treatment as the body takes care. If there is redness , pain or so- a small course of antibiotic and anti-inflammatory medicines may be taken. | |
Is it possible that introduction of hydromorphine has contributed to weakness, cough and tachycardia?
My sister has advanced metastatic breast cancer . She is 42 years of age and is now bedridden. Is it possible introduction of hydromorphine has contributed to weakness given SOB, cough and tachycardia began with use of this drug in July of 2012? Onc will stop current chemo pending results of chest x-ray . No other treatment options. email - YYYY@YYYY | Hi and welcome to Healthcare magic.Thank you for the query.Yes, this not unusual side effect of opioid analgesia and it should be stopped immidiately. There are some other painkilers which can be used so consult your doctor about it. Wish you good health. Regards |
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