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Suggest remedy for tooth abscess under the lips
First I have no health insurance so I do not want to go to the hospital unless I may die or be disfigured........I have a very large uncomfortably painful front tooth abscess under my lip and nose and into my cheek its been 3 days I am getting more and more uncomfortable I feel my nose stretching and my head hurts is there something I can try to get it to go down please I'm deaperate | Hi Dear,Understanding your concern.As per your query you have symptoms of swelling under lip related to tooth along with swelling extending to nose region is mainly because of formation of pus in one of the tooth in anterior tooth region. there must be carious lesion or badly decayed tooth which caused accumulation of microorganisms and leads to formation of pus. I would suggest you to maintain oral hygiene by brushing and flossing regularly. Dentist visit is must for relieve of your symptoms otherwise pus keeps on accumulating and it can damage bone as well after cyst formation. Take antibiotic such as Diclofenac and Ibuprofen to prevent pus accumulation for 5 days. Do warm saline rinses and betadine gargles. Rinse with listerine mouth wash. Root canal therapy is recommended treatment option in your case.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Suggest treatment for severe back ache after child birth
hi doctors..............i'm sinju from kerala, india... now a days have moderate to severe back ache.... from the last 4 or 5 days... i happened to carrry my 2 yr old son continuously for almost 4 hrs... from that day i have this back pain... my son's delivery was my lscs.. heard from many that if delivery is through lscs, we will get back pain... for me also got the same...... till my delivery i never got back pain... and after that sometimes i used to get, but at mild levels... but now it is really intolerable for me... and cant do any work at home.... what should i do for this now...? should i suspect something ivdp or something of that kund.. or i just need to neglect this... please help me with this.......... | Such back pains are common in indian scenario in nursing mothers.carrying child gives strain to back muscles.back pain is also common after both lscs or normal delivery.u need not worry much about it.it does not seem like ivdp.just keep some precautions.avoid forward bending and lifting weights.start low dose analgesic with muscle relaxant.most important start back strengthning exercises.do hot fomentation for pain. U will surely get relief. | |
What causes back pain and tingling sensation on the thigh?
I have moderate to severe back pain most of the time my MRI shows arthritic spur complexes, slippage of L4 on to L5, central canal stenosis, numbness,tingling, and burning on side of right thigh. Already had my ACDF at C6/7. Bulging duc at C2-5 Is this something that would assiust me with disability. Have a desk job and unable to get up much. Hurt so had when I go home I take pain meds and go to bed. | Hello,As per your symptoms and MRI findings,I suggest you to do back exercises and take precautions like not lifting heavy weights ,bending forward etc.A dose of epidural steroid injection might be helpful and if not relieved , may need to consult spine surgeon for a decision regarding surgeryHope this helps | |
Can I impregnate my wife with puss cell in sperm?
i has injury on testis 1 and half year ego, i am feeling pain during running, lifting some thing or going through stirs and have little swelling on testis, pus cells detected during sperm analysis. i got married 4 months back since then we are triying to have child but not succed. as per doctor a have taken cifixim for 10 days 200 bd. but still not getting results. sperm quality agd quantity get improving with this medicin. please suggest | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.No, you will not make your wife pregnant with pus cells in the semen. Pus cells in the semen is suggestive of infection. I advice you to first clear the infection from the semen otherwise you will never become pregnant.Infection has some antibodies in the semen this makes the sperm to bound to the antibody. Result is spern will not be able to reach the ovum.Once your infection is clear sperm becomes motile and will reach to the ovum timely. So you make your wife pregnant.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
What does this complete blood count test report indicate?
Hello doctor, 2 days before I had complete blood count test in which I found my EOSINOPHILS range is 8.1.., Absolute Lymphocytes count is 3.25 & Absoute Eosinophilia count is0.72, I request you to suggest if any symptons regarding diseases.. thanking you waiting to your favourable reply | Hi, Your absolute lymphocyte count is just above the normal range. I am not worried about it. But your eosinophil count is significantly increased. Reasons for eosinophilia enclude intestinal worms, allergic reactions, certain drugs, skin problems and autoimmune diseases. There are several other causes for increased eosinophil counts which are extremely rare. When absolute count is more than 1500/cmm, it may lead to damage to organs such as heart and lungs. Only in such situations, to prevent end organ organ damage eosinophilia is treated with steroids. Otherwise always one has to identify the cause of eosinophlia with the help of other investigations and try to treat the cause. Once the cause gets eliminated, eosinophilia automatically subsides. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, Dr. Girish Kamat | |
What caused the back pain here?
I have back pain in my lower left side, came on suddenly on the tennis court. I thought it was a muscle but advil did nothing for it Some one said it could be my kidneys. If its a strain, I ll rest, if it s my kidneys I should see a doctor. How can I tell for sure what it is? | Hi, Welcome to healthcare magic.Looking to your query it is likely that to be muscular pain.Treatment of it is analgesic (diclofenac 50mg )three times a day ALONG WITH OMEPRAZOLE 20MG DAILY. if this pain is spasmodic and radiating towards abdominal anteriorly or you are having problem in urine then it can be pain due to kidney. it will require ultrasound abdomen to rule out it. Ihope my answer will be helpful to you. | |
Suggest treatment for an intracerebral hemorrhage
My wife had an intracerebral hemorrhage about five months ago. She was hospitalized 77 days from intensive, intermediate, post acute and then a rehab center. Since she s been home she sleeps at least 14 hours every day. Why does she feel tired all the time? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Intracranial bleeds from aneurysms or other bleeding source has a well known reputation for causing patients to be excessively sleepy, tired, and fatigued. Your wife is advised to be worked up fully for other causes of fatigue and sleepiness which could be addressed such as hypothyroidism, other metabolic derangements or abnormalities, infectious sources of problems in the urine or blood, etcetera.Before deciding that the symptoms are strictly to do with the bleed then tincture of time may be the best medicine.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Dariush Saghafi | |
What causes painful round bruise on the abdomen?
Hello, two days ago, I noticed a small round bruise (about size of a quarter) on my lower right abdomen. I haven t run into anything, so I m not sure where it came from. Today, it s a little sore. I am roughly 100lbs overweight but I do walk 2 miles/day & sometimes more, 5-7 days a week. My father has an iliostomy bag as a result of a major intestinal surgery which required the removal of a few feet of his upper intestines. Because of his condition, I am concerned this bruise may be something thAt is NOT good. Any ideas? | Hi.These can be a fugal infection or an insect bite or just an allergy. Consult a Doctor to confirm and then only take treatment . | |
Blood during bowel movement. OBT positive, US showed gall stones. Root cause of OBT?
Hi, I m 36 y.o. I m currently experiencing blood when I defecate. So, I had my stool occult blood test and I was found positive. I also had my ultrasound test and I was positive with gallstones. May I know your view on this considering that a lot of my medical literature readings on Occult Blood Test (OBT) positive cases; gallbladder stones is not among of the main causes of OBT. What would you recommend to determine the real cause/s of my OBT? Should I conclude now that gallstones is the main problem? If so, I wonder because I don t experience abdominal pain especially at the upper right portion of my stomach? Thanks... | Hi,Welcome to HCM,You are having basically 2 medical issues first one is GIT blood loss and Gall stone.Usually GIT blood loss result in Iron deficiency anemia, this blood can come from upper portion of GIT that is stomach, Duodenum where Acid peptic disease and ulcers are common cause,other common cause is use of alcohol which can cause bleeding from stomach or also as complication to liver disease, esophageal varices.Other cause may be malignancy,adenoma,polyp etc.If fresh blood is passed then source could be lower GIT colon or rectum,even piles.You must see Physician/Gastroenterologist and after CBC,Peripheral smear study,other liver function ,Lipid Profile and kidney function along with Upper GI endoscopy or colonoscopy as required may be performed to know the source of bleeding.One very important cause could be analgesic use like aspirin/Diclofenac like NSAID.You should stop alcohol or tobacco if you take.You are not having symptoms of gall stones they are mostly made from cholesterol so Statin or Oral bile acid therapy could help(UDCA)Please take careGood Luck | |
What causes pain in the testicles and discharge while sleeping?
hi four month ago one night I am sleeping I don't know what happend to my testest next morring when I walk up I see some thing in my trouser like water then I feel too much pain slowely slowely pain is finish now my testes is loose hang when my body is cold then they go up and normal | DearWe understand your concernsI went through your details. What happened was a month ago. Any condition that causes inflammation or an infection of the structures that contribute to ejaculation or in the surrounding area may result in painful ejaculation. The incidence of painful ejaculation is more common among men older than 50. Possible Causes of Painful Ejaculation are orchitis, prostatis, Urethritis etc. I suggest you to consult an urologist for detailed investigation. I don't see anything wrong with you now. Don't worry.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. | |
Suggest remedy to remove side effects of the pacitane
Hello Sir, My name isVinay & I am having a specific task focal dystonia i.e. writer s cramp since 2006. My neurology advised me to take tab Pacitane 2mg.I am having that but I cant bear side effects of that medicine.What to do remove side effects of the pacitane while taking it twice a day regularly | Hello, For dry mouth you can use a candy or gum, For constipation, maintain a healthy diet rich in fiber and drink a lot of liquids. To remove Nausea and vomiting use ginger and eat in small portions. And make things that make you feel happy. Hope my answer was helpful! Let me know if i can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician | |
What causes decay of nails after stent implant in heart?
Two years ago, I had a stent implant in my heart. When I got home from the hospital I noticed blood under the big toe nail. There was not injury to this toe. I eventually lost the nail. When the new nail was about halfway grown out, I lost the nail again. The third nail is again about halfway grown out and doesn't appear to be growing anymore. I don't know if the two things are related, but last night I woke up with my big toe (same toe) hurting badly. I couldn't stand the bedclothes on it. It is swollen and red today and still hurting. What is the problem? | Hello and thank you for using HCM.I carefully read your question and I understand your concern.I will try to explain you something and give you my opinion.Having pains in your leg and finger and the lost of the nail is not normal.It means having problems whith the blood supply of your extremities.The fact that you had implanted stents fortify this suspicion, becouse this means that you are diagnosed whith coronary atherosclerosis and you had stenosis in your coronary arteries.Whith the same mechanism you might have stenosis in the arteryes that supply your extremities and they are now soffering from ischemia.So, I advise you to seek medical attention.If I was your treating doctor I would recommend a color doppler of your extremities to evaluate possible stenosis and after that maybe an angio ct.After that we can judge how to deal whith the problem.Hope I was helpfull.Best regards, Dr.Ervina. | |
Suggest treatment for trigunal nuralgia on the facial nerves
I am speaking on behalf of my father, Mr. Nirmal Chandra Banerjee, aged 84 years, residing in Kolkata. For the past 10 years or so he has been suffering with trigunal nuralgia on the facial nerves. he was under treatment of Dr. Prasanjit Chakrabarty, associated with Ruby Hospital. He used to be ok with oral tablets, specially Gabantin / Gabapin 300 - 3 tablets per day, along with a host of other medicines, for about 6 months, after which again the medicines would be changed. This continued till last year he said that oral medicines would not work any more and he needed to visit a pain Therapist. He suggested we go to Dr. Abhijit Banerjee. Dr. Banerjee has administered 6% Phenol in aquaous solution twice and recently 8%. Would like to know if this line of treatment is okay and if not what are the alternative methods. Thanks & Regards, Rumela Mukherjee | I am not in favor of chemodenervation of facial derivations of the trigeminal nerve nor do I favor ablation of the nucleus (even worse). Good tissue can be lost in the process and not only that the treatments are temporary at best. I understand that the pain must be terrible but I would recommend looking at other approaches and ways of addressing the problem rather than such drastic measures which are likely to result in more pain and disability in the future since the nerves themselves are being destroyed. | |
Suggest remedy for tooth infection
My Dad who is 81 and has 1/4 heart functioning thanks to Congestive Heart Failure had an infected tooth for weeks and then had it pulled. His pain was so bad he was mistakenly taking cvs brand Aleeve thinking it was Tylenol every 4 hours for 10 days as he is also blind thanks to Macular Degeneration. 160 Aleeve in 10 days. He has since told me that when he is laying on his back at night since he sleeps with a cpap his arms goes numb. I am wondering if this is caused by the dental issue. Infection maybe? | HelloHis hand numbness has nothing to do with the removal of a tooth. Mostly it is caused due to irregular flow of blood to his arm due to his posture when lying down.thank you | |
Why am i suffering from hotness in knee after removal of K-wires?
4 months ago i had process on my knee to removal of internal fixation (k-wires) , but i still suffer from hotness in my knee and went i do some effort i fell nausea and more usual tried , what do advice me to do ? i am not working now for more than 12 months , i also smoker please what is to do recover my stemena | Hello, It is due to local inflammation and will settle by itself. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Q. For how long do I have to take Sporlac for IBS?
Hi doctor, I am suffering from IBS for past one month. I have been taking Sporlac tablet from last 10 days. If I stop taking Sporlac I am suffering from heavy constipation. For how long I have to take Sporlac? | Hello. Sporlac contains lactobacillus and can be prescribed for 10 to 14 days. But duration is decided according to the need of it. Irritable bowel syndrome is functional bowel problem and stress is related to it. So, try to avoid stress if you are taking. Yoga, meditation are beneficial for that. Lubiprostone is a specific drug that is sometime used in irritable bowel syndrome. If you have constipation more, then fiber diet is recommended. Take high fiber diet like whole grain, wheat bran, green leafy vegetables, fruits, etc. Take care. For more information consult a general practitioner online --> | |
How to cure diarrhoea in kids?
My 13 month old daughter started having diarrhea today and then just a few minutes ago she had some more and it had like a pink mucus in the diaper...what does this mean? Its too late to take her to the doc tonight and I am freaking out so I just want to know what this could be..she doesnt have a fever | HI...please do not worry. It seems like a viral diarrhea. Unless there is blood in motion you need not worry.Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Regards - Dr. Sumanth | |
What causes low RBC count?
I am a male aged 58 and my GP has just informed me that my red blood cell count is 119, which he said is low, when is should be 140. We did not have time to discuss the implications of this, but I have just got better from a urinary water infection. Could this recent infection be the possible cause? | If your red blood count results are below the standard range, it may be due to: Anemia Bone marrow failure Cancer Leukemia Multiple myeloma (cancer of plasma cells) An erythropoietin deficiency Excessive bleeding Hemolysis (red blood cell destruction) due to transfusions Blood vessel injury Malnutrition Nutritional deficiencies: iron, copper, folate, vitamins B6 and B12 Medications: chemotherapy drugs, chloramphenicol, hydantoins, quinidineI am inclined to think it might be a nutrition based cause,further testes should be don to confirm it. | |
Abscess in gum, oozing yellow fluid, no pain. What is it?
Two years ago a pimple appeared on my gums just above my right front tooth (#8). After breaking it, the abcess reappeared after days had passed and has continued to reappear. At times it seemed like the problem had disappeared but has always reappeared. Now, by pressing on the spot with my thumbnail, a small amount of yellowish ooze squeezes out. I usually do this in the morning and once again later in the day. There is no discomfort. Ever. No pain, no sensitive teeth , no loose teeth. No sensitivity to hot or cold . Occaisionally after sqeezing out the abcess there is a small amount of blood. I ve just been to the dentist and the x-ray showed nothing. The dentist isn t sure what this is. | Hi, Looking to your problem,this is developed through some trauma may be some 3-4 years back, This is known as PERIAPICAL ABSCESS which is related to right front tooth. Donot ignore it ,otherwise your bone is resorbing through chronic infection and as a result of that your tooth will become lose ,it may fall down any time.Go to the ENDODONTIST clinic, he or she will guide you better.For this kind of problem,Root canal treatment is required for that tooth ,then after RCT, may be APICECTOMY surgical procedure is required under antibiotic,analgesic trypsin chymotrypsin and b-complex coverage.Now a days root canal treatnent through wave one system along with LASER is very effective, this way we can avoid surgery also. Through peri apical x-rays it can diagnose better.Take care because chronic infectins are more dangerous than acute infection. All the best. | |
Why do antidepressants stop working after years?
Why do antidepressants stop working? I know that the brain gets used to them and shuffles the neurotransmitters around. But I have been on them for many years and notice changes with memory and other issues and have concerns. Thanks also none of the psychiatrists validate any of theses concerns and it is frustrating. | Hi, Thanks for writing to us, The possible reasons for the problems you are facing may be recurrence of the disorder despite the intake of antidepressants, which may happen if there is a stressor in your life or you are finding it difficult to cope with some situation currently going on in your life. The other possibility is cognitive side effects after a long term use of the drug. Antidepressants do not usually stop working after years. These have no properties of tolerance which is usually responsible for rendering a drug ineffective after a while. Kindly discuss with your psychiatrist regarding a solution for the problem, no matter what the cause of the problem is.Hope this helps,Dr A Rao | |
Suggest treatment for a painful lump on the groin area
Hello, so I went to the beach a week and half ago. While at the beach I noticed I had this this hard firm lump under my skin in the side of my upper leg (groin area). This lump caused the skin right above it to become red. I did the only thing a paranoid man and was to squeeze it. It popped and white puss, clear liquid and a little blood came out. The lump remained under the skin but wouldnt Pop anymore. The lump slowly kept getting smaller and smaller and the redness seemed to disappear. This went on until today it became very bright red again and I popped it again. This time a small amount of white puss came out and a lot of clear liquid as well. The lump appears to be basically gone. The skin around the red area is kind of firm so I can t tell if that s the lump still or what. The area also hurts to the touch.Could this be herpes? Or what? I am very paranoid. Thank you for your help | Hi,Dear Thanks for the query to HCM virtual Clinic.I studied your query with available details given in your query.I understood your health concerns.Cause for the groin lump(painful)-From the facts and story of your query, you seem to have a recurrent boil/hairfollulitis with diabetes which needs to be ruled out/Soft Chancre(Bubo)/Lympho Granuloma Venerum(LGV)It definitely seems to be Herpes.Treatment-Would depend on the cause.As I don't have any first hand clinical information, I would suggest to consult ER Surgeon to rule out other causes as told above.But from the facts told in your query,you seem to have-Boils with abscess with cellulitis causing induration due to which its firm around the lump.As the lump is recurring due to inadequate drainage,Surgical drainage by ER Surgeon, would relieve you of this recurring problem.Still if it recurs, Diabetes needs to be ruled out with other causes.Don't Self-treat or medicate in your case as the case may go in to further complications.Hope this reply would resolve your query and would help you to plan treatment with your doctor.Hope this would relieve of your health concerns.Welcome for any further query in this regard before final suggestions are given in your query.Wishing you fast recovery..Have a good day.Dr.Savaskar M.N.Senior Surgical Specialist | |
Can meningitis be a cause of small dark spot on my shoulder ?
Hello, This morning i woke up to find a small mark on my shoulder . it looks like a love bite. i have been feeling tired and withdrawn. i have knocked my shoulder so do not think it could be a bruise . i am worried. do you think it could be meningitis? thanks. | Hi, Welcome to HCM, It seems that you might have some poisonous insect bite during night giving you feeling of tiredness. Take some antihistamine like Levo cetrizine and you will be alright. Ok and bye. | |
Reason for child not having proper growth?
My 8 yr old grandson was a healthy, chubby baby in the 50th percentile on the growth charts until he was about 8-9 months. He began to slide, and dropped off the scale completely by the time he was 6 yrs old. He now weighs 42 lbs., his younger 6 yr old sister weighs 45 lbs., and his average sized 4 yr old little brother now weighs almost the same. He has a very good appetite, yet isn t catching up. He also has dark rings under his eyes, and is always sick with something. His pediatrician tested for celiac disease twice now, but the tests come back negative. The term FTT has been floated around, however a cause or treatment has not been offered. Our daughter & Son-in-law feel lost with no idea where to go next. I am wondering if there could be a parasitic infection? They family has always had pet dogs. The one they had at the time my grandson was born developed serious gum and heart disease, and was later euthanized. Since then they have had another dog which struggles to maintain a healthy weight, and frequently will eat her own excrement. Should this be a possible focus of investigation? | your child has failure to thrive (FTT), this may be due to many reason, including parasitic infestation. you also stated that he is always sick with something, if you describe it properly from which disease he is suffering it may help in diagnosing. | |
Dry itchy legs. Dark splotches found. Cause?
I have been scratching my legs because they felt really dry, but when I looked down after awhile I noticed that my legs had dark splotches all over them. I'm not sure if I scratched so much that I created these splotches or if the splotches themselves are why my legs itch. The splotches themselves don't itch, but the entire leg does. | Hi, you are having xerosis of legs,i.e. dry skin of legs. You are having severe itching. Blotchy patches may be ecchymosis due to severe scratching. Rule out anaemia, DM,thyroid dysfunction or other internal diseases by blood testing. Apply emollient containig liquid parrafin or lactic acid. Take antihistaminics. If required, short course of steroid may be taken in tappering manner.Avoid soap bath.Take treatment for any internal disease if it is there. Do not worry, be calm, you will be benefitted.. Ok . If needed, consult dermatologist. | |
Does urinary residual and kidney cyst curable naturally?
My mother had a kidney exam and we received following statement:IMPRESSION: Prominent bilateral renal pelves. Small postvoid residual. Left renal cyst.With the above, my mother's doctor says the above condition comes with aging and that the urinary residual needs no treatment. The kidney cyst also does not need treatment.Is my mother's doctor's response true? Will everything just go away naturally with my mother's kidney condition? | Hello and welcome to HCM.As an Urologist,i can understand your anxiety.Kidney cysts are seen after forty to fifty years age,if they're simple cysts.Prominent renal pelvis will need evaluation,if there's associated infection.The renal cyst doesn't need treatment,but it'll not go away naturally.It's harmless,as long as it's uncomplicated and remains a simple cyst.Similarly,don't worry about the bilateral renal pelvic prominences.Wish you well.Dr.Matthew J. Mangat. | |
Q. Can pulmonary fibrosis be cured with medications and exercise?
Hello doctor, I had an X-ray last Thursday and I got the result today. It says I have fibrosis in my right upper lobe. I had a history of pulmonary tuberculosis two years back and I took a six months medication and I am done with it. I just want to ask if fibrosis can be cured if I take medication and do exercise daily and eat healthy foods? | Hello. Fibrosis is a feature of chronic inflammation and your lung fibrosis is because of that. Tuberculosis is a chronic granulomatous inflammation and can lead to fibrosis. Fibrosis is irreversible condition and cannot be revert back. For more information consult a general practitioner online --> | |
What are the chances of my girlfriend getting pregnant at this time?
My girlfriend and I were having sex yesterday and the condom slipped off. At the time when it slipped off, I was not inside of her, and I had not ejaculated at all. There were traces of pre-ejaculatory fluid, although I had urinated prior to having sex. We were wondering what the likelihood of her becoming pregnant is, and whether she should take Plan B. | Hello dear,I understand your concern.In my opinion the chance of pregnancy with preejaculatory fluid is very very rare.This might occur in case of coitus interruptus where the much of precum is ejaculated into vagina and intercourse is stopped just before seminal ejaculation.As there were only just traces in your case the pregnancy is very very rare.So relax.And there might be no need of plan B.Best regards... | |
Can whole wrist replacement make the hand and finger flexible?
Hello doctor, I am a 66 year old female with RA. Some years ago (about 13years ago) one of the options suggested to me was fusion. My new doctor has stated that I am a good candidate for wrist replacement. How long has this new procedure been used and is it safe? Will the whole wrist be replace? I want to know as much as possible before making a final decision. What are the replacement parts made of? Will I feel them moving and will I still have flexibility in my wrist and fingers still? | hi . you have wrist problem and are a patient of RA. you want to understand options about wrist replacement since you want to decide on wrist replacement vs wrist arthrodesis . In wrist arthrodesis you will not have any movement and no pain. In replacement you will functional range of movement but some pain may remain and life of replacement is good. Now you have to choose what you want.The replacement parts are made of alloy metals depending on the manufacturer, your flexibility in fingers will remain what it is today. | |
Can i get pregnant while suffering from uterine fibroid?
Hi, may I answer your health queries right now ? Please type your query here...i diagnose that i have a fibroid 6cm and 3cm in posterior wall,with adhesion,bilateral cyst in ovary the chocolate cyst,with simple endometrial hyperplasia...what i will do doc,can be posible to me to get pregnant?im only 28 yr old.thank u in advance. | Hi How are you doing ?Let me start by saying that you can surely get pregnant,nearly every lady will have small fibroids & minimal endometriosis. Fibroids need treatment only if you have a symptom like excessive blleding in periods , pain , swelling in legs or blocking urinary tract. Endometriosis is a progressive disease, & only absolute treatment is stop periods, best method is 10 month of no periods due to pregnancy!!.Cysts are due to fibroids & also due to endometriosis.Go through the checklist of investigations & have it done if missed. Husband- 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 willAt this young age you have a very bright chance & never lose hope , pray well.If fibroid is protruding into the uterus it will need removal. Hope I have clarified your queriesDo write back if any more queriesAll the bestDr.Balakrishnan | |
Will carnisure500mg help in conceiving?
hello doctor ,am 34yrold, & got married in Nov19th 2010, got ma 1st period on 23rd nov 10 2nd period on jan 26th 11 ,3rd 5thmar 11, 4th april 11,& 5th on may 5th 11 and 6th on may 23rd 11 and doctor suggested me to take carnisure500mg for 20dys .... will it harm in getting pregnant doctor had prescribd 1st with fertly super100mg ,clomid progestrone , levtol 2.5mg& now carnisure ....and my husband is taking tablets for depression as follows Parkin ,Azur , Stalopam, Telma-H, Amlip-5, Matilda,Glizard... and my hubby done semen analysis was Nrmal ... and 2day had gone for pregtest it appear 2lines should i await until 23rd /24thjune to confirm whether m pregnant..... had consulted a doctor and she had prescribed me again with Miprogen , Fol123 , ulgelsyrup ,&nosic tablets... m worried whether m really got conceivd or not .... one of my friend told Miprogen shouldnot be taken .... is it true please let me know as soon as possible had already taken 3tablets... m quite worried about my pregnancy... got some little flow and done pelvis scan & transvaginal ultrasound on 3july 11 and it got stop & again it flowed on 6thjuly continuosly .....tilll 9th july.. is ma pregnancy had vanished ... had done agn scan but couldnot find gestation ring (sac) under gone HCG on 7th,9th,&12th of july .... it was Nil... doctor had advice me to take All9 tablets now for 2mnths .... is it possible to get concvice agn.... i dint get ma periods this month of august 5th .... and m not sure when is ma cycle also .... had intercourse 2dy ....is there any chance ofconceiv shall i go for pregtest .... if so when ... and m nt takin ny tablets now.... and hd agn intrcourse on 7thAugust.... & yet idint get ma period...... willl i get conceive.... if so when should i go for pregtst...... please me eager awitn to receive ma baby to this wrld.... Got ma period on 25th aug 11 & dr. hd prescrbd me letovl 2.5mg frm 2nd day... ask to get scan on 12day ....today had done pelvic scan (uterus arein normal in size, Ovaries right ovary measures : 3.7x2.2cms ,left ovary measures :3.6x2.7cms, A follicle 1.7x1.5cms noted in left ovary) ....and Dr. had prescribed me to take miprogen from 19th day ... is that wil b safe in conciev in this time ... hoping for a +ve result .... please reply to my query .... and when should i go for pregtest.... | hi healthcare magic user1), tablet carnisure is emperical , will help you to improve egg quality. 2)you need complete evaluation and detail clinical history before planning for baby. 3)you need to thrombophila profile and few more blood tests. 4)you can do blood test called serum BHCG to confirm pregnancy. 5)if you have done HSG report please share it. 6)miprogen tablet is safe you can take it during pregnancy also. please start it from day 19th onwards. | |
Suggest medication for severe back pain in a diabetic patient
Iam Sivaram, My Mother (Name Ammu Iyer) is having severe back pain. She is 60 yrs old and undergone brust cancer treatment in 2008. She is having BP. Diabetics were there when she was undergoing tretatment for Cancer which was brought in to normal.... what medicine should be given to her for an immediate relief? | Hello, Thanks for your query. After going through your query I came to know that your mother are suffering from chronic backache. Looking to her age I consider it to be lumbar spondylosis. Rest in position of relief, Cartisafe D once daily, NUROKIND GOLD ONCE DAILY and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes strong analgesic(such as ultracet three times a day after meals) is required. I think she will need this. OMEPRAZOLE before meals prevent acidity caused by analgesics. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is low than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to done MRI TO RULE OUT other causes. You can discuss with your treating Doctor about it. I do hope that you have found something helpful and I will be glad to answer any further query. Take care. | |
Q. I want to start regular birth control pill for one month. Please advice.
Hello doctor, I am 21 years old female and interested in starting birth control pills. I have done all my checkups and everything was okay for me to start them when I get a period. But my periods became light and irregular and I could never predict when I am going to have one, so it has been a conflict when I should start the pills. Also, I want to become sexually active, but I do not know whether the pills will protect me from pregnancy if I take them on any day of the cycle. I want to protect myself this coming month but I do not know will and how much would they be effective if I did not start them on my period? And is it okay to stop birth control after the first pack, due to the fact I have a long distance relationship and do not need to be constantly protected? | Hello. Ideally, birth control should be started from day 3 of your cycle regularly to stay protected. It is mandatory to start the pack in the proliferative phase. However, if started by seventh or eighth day, then an additional barrier contraceptive is advised to allow the effect of the pill to ensure thereby preventing pregnancy. | |
My husband is having liver infection, please advise him
Hi, my husband is having liver infection please advise wht diet he should take | Hes hould stick to having bland diet and no non veg and properly cooked or boiled stuff. Continu ehis medications and repaet tests after treatment is over. | |
Suggest treatment for severe cough after an open heart surgery
My wife underwent open heart surgery and she is having a bad cough for last one week. We are taking Cephlex 250mg capsules 6hourly for last seven days but without any improvement. She has got a lot of sputum accumulation on her chest. She is diabetic too on insulin mixtard. Can you please suggest a good cough syrup that she can take to get relieved off the sputum? Last night she got a bit shivering and hence we took Panadol tab to control the shivering. We are living in Kuwait. | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should rule out lung infection and bronchitis first. Since she is diabetic, post operative patient, having cough with chest congestion and chills (shivering), chances of lung infection (pneumonia) and bronchitis are more. So better not to take give haphazard drugs. Consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray to rule out lung infection 3. PFT (pulmonary function test) for the diagnosis of bronchitis.. She may need antibiotic, inhaled bronchodilator and inhaled corticosteroids and mucolytic drugs. Don't worry, she will be alright but first diagnose her and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks. | |
PCOS. Trying to concieve. Follicles rupturing normally suggestive of ovulation. Further course of action?
i am suffering from PCOS , and planning for baby right now, its been twon and a half years i am married, and we have been trying for baby since last 1.2 years. all check ups done. my husband s sperm count is in normal range. i have had my hormines injection and follicular study done. which shows follicles to be ruptured normally. its suggestive of ovulation . what is to be done further now? please guide me. | Hi, Thanks for the query. You have to plan unprotected intercourse around the time of ovulation. If you are not getting success with these, better to go for hysterosalpingography. Which will rule out any possibilities of tubal block etc. If everything is normal and still you are not getting pregnancy try for intrauterine insemination. Take care. | |
Can a person having lung transplant rejections and acute pneumonia recover an be normal?
My daughter had a double lung transplant 4 years ago due to CF, No problems whatsoever. FV1 on 2/3/2014 was114%. She now has acute rejection (A4 Severe) along with pneumonia. She s in the hospital in NY Presbyterian. Can she ever get back to the way she was before this started? I am sick with worry about this. Thank you. | Hello dear, thanks for your question on HCM. I can understand your situation and problem. Acute rejection with pneumonia in double lung transplant patient is very critical and chances of survival is less than 20%.These patients are on immunosuppressive drugs to prevent rejection. And because of this, they are vulnerable to severe opportunistic infection like drug resistant bacteria, fungus, viruses etc.So prompt action should be taken to isolate the causative organism for her pneumonia and start appropriate antibiotic according to sensitivity report. For this, she may need bronchoscopy and BAL ( Bronchoalveolar lavage ) analysis. So better to consult pulmonologist and discuss all these and start appropriate treatment. | |
What is the prognosis for early Liver Cirrhosis?
Dear Doctor, I have mild itching on the knees. No other symptoms of cirrhosis. L.F.T. is normal, Globulin, PT and INR are normal. I did a USG yesterday and the radiologists remarks are: " Liver normal in size- mildly abnormal echo structure abnormal nodules on margins. - Early cirrhosis- I have been having fatty liver due to alcoholic consumption for more than 10 years. I have no symptoms of any disease now. I am gravely worried. Can you give me your opinion whether I have early cirrhosis and if so what is the prognosis. | Hi,I am so sorry to hear about your diagnosis.Fatty liver can be caused by excessive alcohol intake (Alcoholic steato hepatitis, ASH) or due to excessive fatty food intake and sedentary life style (Non-alcoholic steato hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary life styles of people. If left un-checked, in final stages it may lead to cirrhosis of the liver which will necessitate a liver transplant.In your case, unfortunately, cirrhotic changes have already appeared, which is ir-reversible. But on the brighter side, it is very early cirrhosis, where you do not have any symptoms. You could go on to lead a completely normal life if you take precautions from now on. 1. Total and complete Abstinence is a must. Multiple research studies have shown that people who quit drinking after being diagnosed as cirrhotic, had a longer survival, experienced decreased disease progression and also delayed onset of liver failure and some even did not require a liver transplant during their life time. 2. A diagnostic upper GI endoscopy will be required to rule out varices ( a sign of portal hypertension due to cirrhosis). This will need treatment with medication and possible banding .3. A urgent consultation with a medical gastro-enterologist so he can do a complete work up and start prophylactic medications if necessary.I would also suggest a healthy diet and exercise regimen as well. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight.Hope this helped and please do not hesitate to contact me for further details - rxsuresh@gmail.com | |
What causes dull persistent pain in the abdomen?
I have a dull pain in my lower stomach that involves my navel. I feel like my colon is not being empted. My stoolis are brown and often soft that sinks to the bottom of the toilet I oftenhave trouble pass both stool and gas. After , useage I wipe and shower when possible. But stool is often still there when I check. I had both lower and upper GI last year. | Hi I personally feel you are either having motility problem or indigestion problem . I advise you to eat more fruits and vegetables and less of meat. Drink plenty of fluids. Start doing some aerobic exercise at least 15 minutes a day. See for a week if still problems persists ask your doctor for digestive syrup and pro kinetic medication. Let me know what happens. | |
Are frequent abdominal pains related to adenoids?
Hi!Is frequent stomach pain is any how related to adenoids. My son is 3.5 years old & suffering from frequent throat , nose & stomach infections. He daily complaints of stomach pain after/before taking meals. As per consulted doctor , he is having adenoids. But no X-Ray suggested yet.Every month he is taking antibiotics to cope up with infections & thus getting weaker day by day. Can Homeopathic help in this regard as I don't go for surgery.Thanks | HIWell come to HCMGiving anti biotic without the concrete evidence of infection is very harmful, the common cause of such symptoms in this age group is allergic condition and this is self limiting does not need any antibiotic at the most symptomatic medicine cab be tried with general measurement, like encourage the child for drinking water, give hot drinks use pure honey at bed time, hope this helps. | |
What does bilirubin level of 4.1, SGOT 1200u/ml while having jaundice mean?
Hello doctor, I have been diagnosed with Janudice as per my blood report taken on 10/9/2014. The report states that, my total bilirubin is 4.1 mg/dl (direct 2.8 mg/dl & indirect 1.3 mg/dl). SGOT is 1200 u/ml and SGPT is 2046 u/ml. What is a risk i m carrying and what precautions should I take? Please consult | Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.Both your bilirubin and liver enzyme levels are very high.The most likely cause is acute viral hepatitis.You need to get tests done for Hepatitis A, B and E.Also get an ultrasound scan of the abdomen and PT/INR tests done.You can take liver supportive medications and carbohydrate rich diet.I hope that answers your question.Regards,Dr.R.K. | |
Q. Can hair-in-throat sensation indicate cancer?
Hello doctor,For the last five months, I have had problems with my throat, left side. I have a hair-in-throat feeling that will not go away. I have been to two ENT already. The first one did not do any tests and just prescribed Penicillin, assuming strep. Later on I did develop an infection, which cleared out with Ceftriaxone.The second ENT prescribed Azithromycin, Deflazacort and cleaning with baking soda. Felt a bit better, but feeling is still there. ENT said tissue was swollen, and true enough, I see a part unusually swollen, no pain though, just the annoying feeling. I am horribly terrified of the possibility of this being throat cancer, even if both ENT have ruled it out. Can you please check the pics and give me your opinion? | Hello. I do not know whether this satisfies you but there is nothing to suggest that you have any growth. It is either LPR, GERD, chronic pharyngitis due to other causes that may be causing these symptoms. At times it can just be globus pharyngeus. | |
Is creamy vaginal discharge a symptom of pregnancy?
Hello Dr. I had sex 8 day before my expected period date. My expected date was 26 Jan.my period usually comes 30-35days.but this time I have missed period by 15days. I have no pregnancy symptom rather 5days before l had little cramping on lower stomach at mid night. I also don t have any period symptom.but for 2 days I am noticing white creamy liquid in vagina. Am I pregnant? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Having unprotected sex, and then not having menses is the strongest evidence of pregnancy. It is not must to have symptoms of pregnancy every time, so the possibility of pregnancy is there with high chances even if no symptoms occur. Regarding the discharge its probably not related to pregnancy, it is rather nonspecific it can be normal (specially if clear and without other symptoms), or can be an infection specially if curdy and if associated with itching or burning. So regardless of the symptoms, in light of unprotected intercourse and missing cycle by 15 days, chances of pregnancy are high though not sure . Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mahboob Ur Rahman | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
What causes muscle ache in the upper leg?
what could be causing the pain in my left leg. It like a constant ache in the upper muscles of my leg. feels like a constant pulling and pain. I have not been doing anything different other than wearing some different shoes. At night it shoots up my back when I m lying down. | Hi, It might be a musculoskeletal pain. As the first line of management, you can try analgesics like Acetaminophen or Tramadol for pain relief. Also, apply warm compresses and take bed rest for few days. Most probably symptoms will settle in a couple of days. If symptoms persist, you can consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Weakness. Why? Uneasy. Is it due to wrong liver functioning?
HELLO SIR I AM 26 YEARS OLD. RECENTLY I WENT TO DOCTOR FOR WEAKNESS AND STRENGTH LESS. HE GAVE SOME MEDICINES AND TONIC. FROM THEN ONWARDS I AM FEELING LITTLE BIT UNEASY IN THE RIGHT SIDE AREA ,BELOW RIBS(LITTLE BIT INCREASES AFTER EATING FOOD). I WANT TO KNOW WHETHER THERE IS ANY PROBLEM WITH THE LEVER FUNCTION OR ANYTHING ELSE.. | why would you suspect something with your liver? usually the first abnormality that is picked up in patients regarding the liver is an abnormal liver function test on routine bloodwork in an asymptomatic patient. And unless you have a genetic liver disease such as Wilson's disease, hemochromatosis, etc or a viral hepatitis that you got when your were born transmitted from you mother, I would NOT expect that you have any symptom at such a young age. Even if you drink everyday! The other option is an "acute hepatitis" (either hepatitis A,B or more rarely acute hepatitis C and beyond), however besides feeling sick, you would turn yellow, specially your eyes (jaundice). Weakness is a very broad symptom, but I would start by checking your hemoglobin and making sure you are not anemic. | |
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 causes lightheadedness and syncope with a slightly abnormal ECG?
I get light headed and sometimes pass out.this only seems to happen this time of year and lasts just a few weels.I split my head this time and went to A+E they did a few ECG and they told me to have investigations with my doctor as there was some slight abnormality with the ECG. My blood tests and blood pressure were fine i was told. Have you any idea what is going on? Marion | Hi there After going through your query I understand your concern.I would like to tell you that there are some rhythm abnormalities of heart that cause you symptoms like lightheaded or syncope and these arrhythmias of heart can be fetel also so better to get evaluated on time.It's recommend for you to get an ECG, Echocardiography and a HOLTER for 48 hours done and consult with a cardiologist for further management.Kind Regards | |
Fatty liver, cold feeling on body, spots of tongue, redness around eyes on waking, excessive salivation on burping, dark green stools. Cause?
Yes I was wondering if you could give me some advice. I scratch my self when i sleep just below my genatitals. Over the summer I got drunk and i believe i scratched to hard. After that night my body got hot in the mid section. I went to the er and only thing they could find was a fatty liver . Which I have stopped drinking. I still scratch down there but not as hard. In the last month my head gets these warm feelings in my head but my body gets cold feelings now and my tongue has spots on the back of it. When I wake up in the mornings my eyes are red and around my eyes are cold. I recently decided to start taking milk thistle and now my poop turned dark green. I think I should stop taking it. I had my kidneys checked everything was fine. Oh Yes I also burp alot and have extra salivia in my mouth when I open my mouth I see it stretch from my tongue to the top teeth . I believe that is all my symptoms. Here is one more when I sit down I have this warm feeling on my butt. | you should check your 24 hour protein levels check out for amyloidosis if negative consult some skin specialist | |
Tremors from waist down. Histroy of Parkinson and build up of Co2. Suggestions?
I wish you could help me but probably not. My husband has Parkinson and we have been in the hospital because of a build up of Co2 ( Blood count 119) We are now an out patient with hospice so you probably can't really suggest any thing. I am just confused how to help him when he has tremors from his waist down which we have never seen before. | Hi Thanks for writing to health care magic Tremors in the resting state are characteristic of parkinson's disease. These tremors occur in the extremities and are associated with rigidity and slowness. Sometimes toxicity due to Co2 can precipitate parkinsonian symptoms. The treatment for CO2 intoxication includes giving O2. Treatment of tremors for parkinsonism involves giving levodopa and anticholinergic drugs. But in ur husband the tremor is not typical of a parkinson's type. The other causes of tremor include: essential tremor, hypoglycaemia, liver disease, wilson's disease, asterexis, myoclonus, epilepsia partialis continua, drug abuse, cerebellar disease, demyelinating disease etc should be considered. Management depends on the cause Hope this helps u Thanks and regards | |
What causes irregular heartbeat?
I have been taking 10mg Lisinpril daily for 10 years. I m 52 years old...and in relatively good health. My regularly blood pressure if roughly 120 over 70. I recently had a doctor up mu dose to 20mg daily because I had a very small amount of protein in my urine. I have been on the higher dose for about 2 weeks. Yesterday, I started having a heart flutter ....some sort of an irregular beat.....about every 5 or 10 minutes at one point. Today...its several a minute. No pain or other symptoms. Could it be from the higher dose of Lisinopril? I m going to the ER soon to get an EKG...or whatever they will do. | lisinopril can help not cause fluttering. u don't need to go to Er. may see ur md or cardiologist with appt if fluttering continues | |
What causes rashes, red spots, etc., on skin?
Extremely itchy, burning, flaking rash on exact opposite sides of body and a red spot on the arch of both feet. Rash like flakey, peeling areas hair line and forehead, behind ears, genital area (more severe) lower back and around eyes, either side of nose. like a mirrored image. | Hello,Welcome to healthcare magic.I understand from your query that you are having some rash on you body.From your description, I would consider the diagnosis of P.rosea and P.versicolor.P.rosea is an allergic skin reaction which occurs with red patches with scaly borders which appears in a " christmas tree" pattern like a mirror image. It resolves spontaneously within 6 weeks. You could apply a cream with 1% hydrocortisone twice a day for itching. You could also take an antihistamine like benadryl at bedtime.P. versicolor is a mild fungal infection which presents on the chest and back. You can treat it with 1 % clotrimazole cream applied twice a day for 2-3 weeks.Hope this helps you.Take care. | |
What causes swelling in the left wrist?
Today I had a sudden swelling of veins in my left wrist and pain. The pain went away rather quickly but the swelling is still very much present and ya 38 year old female. Should I be concerned? I have also recently been told that my white blood cell count was very high. | Hi, It could be an inflammatory lesion. Consult an orthopedician and get an MRI scan done. As of now, analgesics/anti-inflammatory combination like Aceclofenac/Serratiopeptidase can be taken for symptomatic relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Can pregnancy happen after taking HMG injection?
i am 38 y/o lady with w=67kg va 157cm in height. i had HMG injection in this cycle .i had 17.8 and 16 mm follicle in lt ovary and 13.3 in lt ovary in 11th day .my hysterosalpingogram and my husbund semen analysis was normal.pregnancy is possible in this periode????best day of intercourse?best day of HCG injection? | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There are chances for your conception. You need to check whether the ovulation is occuring or not. This can be known by a kit available. If ovulation comes positive have intercourse from the day ovulation shows positive and take the injection once the follicle is ruptured and egg released which can be known by an USG. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sushma Dubbaka | |
Does cracking fingers cause bruise and skin darkening?
I ve been cracking my toe (third) lately and it seems to be getting darker than the rest of my toes, like I ve a habit of trying to pop the same toe until I feel like it s better, and everytime I try to pop my toe and strain it, it gets darker. Is it bruising? I ve a weird habit. And I need to know what is causing me to get the darkness or the bruising on my (third) toe. | Hello,Welcome, and thanks for sharing your concern I went through your query, and I feel, darkness and bruising are signs of vascular problem with your limb, do not try to strain the legs, and see if it improves, if it dosent than you will need some investigations, but i would like to know, if you are a smoker and if yes since how long , and what is your frequency of smoking.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks. | |
Suffering from asthma from childhood. Using seroflo inhalers. Is it safe to use this drug for a long time?
I am a man of 44 years and I am suffering from Asthma since childhood as my father also is asthma patient. Till 1999 I had taken Deltacortril tablets whenever I had felt the attacks of asthma. Since 1999 I am using Seroflo 250 inhalers 2 puff twice daily. And also kept Asthalin (Salbutamol) inhaler for SOS use. Whether such a long use of this drug is alright or I should stop taking them. Kindly help. | Hi, Thanks for writing to health care magic. In bronchial asthma during a acute episode we use bronchodilators like salbutamol that you are using. To prevent recurrent episodes we use preventors like budesonide etc to prevent further attacks. After a long use of steroid inhalation your doctor may try and stop those medications to see if there are further attacks. If there are no symptoms you can stop those medications. But if there are symptom recurrences a long term use is required. The side effects out weigh the advantages. So continue to use as recommended by your doctor.Continue to ask further queries as required. Hope this helps. Take care. Dr Y V Siva Sankara Murty M.D.(Pediatrics) Associate Professor of Pediatric | |
What does this motility test signify:Immediate 50 %,Non motile 40 %,Motility Index 1.9 %,pus cells 6 to 7/hpf?
Hi Dr. XXXXXX, I want to tell you that i got married since 2 years still i have not blessed with baby. just 2 days ago, i have done my check up and i found that My motility (a) Immediate is 50 %, Non motile 40 %, Motility Index 1.9 %, pus cells 6 to 7/hpf and autoaggliutination is present. so please assist me... thanks...Regards, | Hi,Thanks for writing to Healthcaremagic.After reading your report I conclude your sperm motility is little less and mild infection is there. Rest all parameters are normal.For infection I suggest to take ciprofloxacin for 5 days after consulting your doctor. For low motility I suggest you to start drugs like lyoc-q or paternia which contain antioxidants and zinc etc which have shown good results. It takes long time to show results. So minimum 3 months you have to take and get repeat test done. since you are near border line chances of good response is more.I would suggest that you rule out varicocele in you by a doctor. If it is there, get it operated. And do some life style modifications like -- Reduce weight, do exercise.- Stop smoking and alcohol. - Avoid caffeine.- Ware loose under garments.- Healthy diet with multivitamin and zinc.- Avoid trauma to testis.Hope I have been helpful.Regards Dr. Ashish Verma | |
Suggest treatment for knee pain other than knee replacement
I need a knee replacement but I m very scared. was told my legs are to big with fat and could get bold clots and die. I have bone on bone and wearing a hole in bottom bone. Lots of arthristis (sp wrong).. Don t know what to do? Have no life. Can t hunt with my husband. | I understand getting any operation done is scary , there are some details which are missing to guide you properly , your age , your weight ,exact xray report , how much compression is there??? have you tried conservative treatment before and for how long? If you are really not in favour of going for knee replacement , these are the things you should work on 1.reduce your weight (knee joint is a weight bearing joint , even 2 kgs reduction will make a difference )2.hot fomentation3. strengthening exercises for knee as guided by physiotherapist.4.calcium rich diet5. continue walking if all this helps you by 50% at-least continue with it otherwise knee replacements are good answer to improve your quality of life. | |
Q. Can I take Olanzapine for depressive personality disorder?
Hi doctor, I am a guy , 23 years old and I was suffering kind of social anxiety in my childhood and in my teenage and that is why I visited a psychiatrist when I was 18 years old, five years ago and he prescipted me zoloft 50 and olanzapine 2.5 without telling me the exact problem and by starting taking them I sarted getting some relationships and better social skills but recently I visited him again because of feeling not okay and getting angry easily and he prescripted me the same old medications plus third one which is sodium valproate 200. He told me that it prevents person from getting angry and keeps the mood stable and he told me that I have "depressive personality disorder". But my fears and my family fears is about olanzapine and its side effects. They see it irrelevant for depression and related to psychosis. Do I really need olanzapine? | Hi. I do understand the confusion, Olanzapine is an antipsychotic , that is why you are concerned. But a dose of Olanzapine upto 5 mg is often added with antidepressant to help with initial control of severe symptoms. It can be stopped after a while. But now that you have mentioned that you have anger issues as well. I think Olanzapine will help you to some level. A dose of 2.5 is very less and apt for this. What you need to do is start therapy and learn Techniques to control your anger and reduce your anxiety. You can work on confidence building. Once you start feeling better, you can think of reducing the medication. About being depressive personality. ! I need to evaluate you properly to be able to justify it. | |
Suggest treatment for lump in the breast
Hi my name is Dee and I found a hard lump on my left breast close to my chest, it's sore right now, but I keep feeling to see if it's gotten any bigger from this morning and yes it has it's getten slightly bigger.... I'm sure we don't have any family history in my family too.. What do I do??? Or what will it be | Welcome to health care magic. 1.The history and symptoms suggest the possible cause could be breast abscess which is of infective aetiology - painful sore breast.2.In case of hard and not very painful the causes all be breast cyst, ductal ectasia, mass lesions.3.In any case you need to get an ultrasound examination done which will evaluate the nature of the lump its source and extensions.4.in case of mass lesion an FNAC - fine needle aspiration cytology need to be done to know the nature of the cells involved. Depending on the age mammogram correlation needed for the tiny / micro calcifications.5.Suggest to get appointment with your GP, get examined and needful investigations and treatment accordingly. Good luck.Hope i have answered your query,any thing to ask do not hesitate to ask. | |
Suggest treatment for heart pain and high blood pressure
before 4 months i went to my family doctor because of not feeling well and then he check me out my bp is 150/90. then he tell me to go to a hard specialist but i didnt take it seriously. then after some days on my birthday i drank alcohol too much and then next day i feel vibration in my body mostly in stomach and dizziness and feels like my right hand is not present and trouble in speaking...then i found on internet that it may be the symptoms of stroke attack then i again went to doctor and he says that there is a problem in my lever and my sgpt is 57. from there my problem get start. day by day i feel unbalance in walking and from that day to today i my vision feelings are changed now my current main problem is pain in my heart and sometimes in sholder back too. and also sometime in throat. i also use tambacco (nicotine) products. sometimes at night i get sweaty pain in my heart sometimes come and go like it never happened. i also have black stool or dark brown stool whenever i drink alcohol. i have used such medicines like concor, aldecton, amlon, netzole-d, etc. aldectone i use for only 4 or 5 days and concor i use when i feel more dizziness. i m very confused what i do now.i think alcohol damaged my brain and heart and also nicotine products do as well.at once my bp goes 200/100. but now my bp is 130/90. but heart pain is still running. what should i do or what are prolem i may have please tell me. | Hello, Thank you for your query. Your symptoms would lead me to primarily rule out heart disease & gastrointestinal bleed.. I would:- elicit a detailed medical, personal and family history - do a thorough clinical examination to look for signs of heart failure, anemia, stroke, liver enlargement, in addition to a general exam. - do routine blood tests (complete blood count, Esr, lipid and thyroid profile, kidney & liver function tests), a urine analysis and a stool routine test- do an electrocardiogram, Echo cardio gram, chest x-ray and a exercise stress test if indicated. If any positive signs of heart function compromise, an angiography may also be needed. If gastrointestinal bleed is suspected, you will need an endoscopy and colonoscopy as well to locate site Based on your query, you have uncontrolled hypertension and nicotine/alcohol addiction. I recommend that you see your doctor right away to avoid serious disease progression. You need a thorough evaluation & appropriate treatment to enable you to quit smoking and alcohol and control blood pressure. Hope this helps. At this point, seeking help and taking medications correctly & consistently with regular follow up is of utmost importance. You should discuss any concerns, that you may have, with your doctor. They are here to help. Can't stress this enough, seek medical attention right away. Wish you good health | |
How further to treat liver infection with hyperthyroidism?
Hi All, My bother(age-27) is having liver infection, hyper thyroditis and kidney stone. he has been suggested the following medicines: PAN D(mfg:ALKM), Neo-Mercazele 10(mfg:PIRML) and Zanocin OD(mfg:RNBXY). Could you please advise me in this regard. Kindly let me know if you need additonal informations | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can continue all the medicines prescribed by your physician. Most of the cases improves even without treatment. Do an LFT(liver function test) to assess the progress. As of now drink plenty of water and take adequate bed rest. If in case of any symptoms like abdominal pain or fever do an ultrasound abdomen also. Hope I have answered your query. Let me know if I can assist you further. | |
What is fatty liver and what are the treatments?
Hi, My age is 27 and my height is 5 7 just 4 months back, I was detected for Jaundice . During USG abdomen study, the reports said that I am having a fatty liver . at that time, my weight was 77kgs. Just because of jaundice with in 4 months my weight got reduced to 64 kgs. I dont have smoking or drinking habit. My questions : 1) Does Fatty Liver is a serious issue? 2) What are the Steps that I need to follow to bring back my liver to normal? 3) What kind of a Food diet that I need to follow? 4) I need to be take any medications? Please advise. I am very much worried about the Fatty Liver. Thanks | Hi, Welcome to HealthcareMagic Forum. Fatty liver as such is not a serious issue, it wont cause you any harm but it suggests that your Body has more cholesterol level. Just relax and kindly not panic. If you are on medications just take them as directed by your Doctor and go for regular follow up. You may want to eat healthy nutritious balanced diet which should include fresh fruits and green leafy veggies. Exercise regularly and go for regular brisk walks for an hour daily. This will burn your calories and body fat. Avoid junk and high calorie foods. Try reducing your weight. Check your Lipid profile. If it is higher, you will need medications. Wish you Good Health. | |
How to treat left-sided arm pain and upper back caused due to a sprain?
hi. I had a car accident on Sunday morning. Nothing mayor. I didn t have to go to the hospital. I can feel muscle pain mostly caused by the seat belt on my left side arm, neck. I find that normal. However, I feel heat on my spine going up and down on my upper back. It s uncomfortable. I can t say that it s painful. Not sure if this is normal or something to worry about. Any ideas? | Dear patient you seem to be suffering from blunt trauma to upper back and left arm due to accident. if you are able to move independent and all the movements of left shoulder is possible you need not to worry. for pain relief you can take tab ibuprofen 400 mg thrice a day. If there is swelling do ice fomentation. Keep limb elevated and take rest for 2 to 3 days. you will be alright. | |
What causes a strange and rapid heart beat?
Hi My name is Soraya, I`m a 27 years old, health woman. This week my heart start to act strange and sometimes beat very fast. It`s hurt very much in 2 places on my chest. I also feel weak and almost fell into the floor twice. My vision this time was confused. My mother died from a very rare kind of heart attach but I think I`m too young and health to have one. What is your suggestion? | Hi, As you have a strong family history of heart disease, it is very important for you to get evaluated thoroughly by a cardiologist. Palpitations occurring in you especially when you are having episodes of syncope (fall) is very important and you need to see a cardiologist urgently. ECG, 2D echo and Holter monitoring (24hr continuous ECG monitoring) should be done and further management will be decided after that. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sameer Maheshwari, Cardiologist | |
Suggest treatment for allergy to milk and items with sour taste
I AM 47 YEARS OLD, MY WT. IS 55 KG, HT 5'8". I AM INTOLERANT TO MILK, ALL MILK PRODUCTS, ITEMS WITH SAUR TASTE, BLACK TEA/COFFEE, SPROUTS, FERMENTED ITEMS, ITEMS WITH PRESERVATIVES.I WISH TO CONSULT A DOCTOR IN MUMBAI IF I CONSUME ABOVE MENTIONED ITEMS, I DEVELOP ACIDITY, RESULTS IN TO SEVIER HEAD ACHE, RASHES ON BODY. I TRIED HOMEOPATHY FROM DR. BATRA'S FOR ONE YEAR, BUT IT WAS USELESS. I TRIED KERALA AYURVEDIC TREATMENT. IT WAS O.K. FOR SOME TIME BUT IT COULD NOT SOLVE MY PROBLEMS. CAN YOU GUIDE ME? | Hello.Thank you for asking at HCM.I went through your history and would like to make suggestions to you as follows:1. Were I treating you, I would suggest you regular antacid like pantoprazole for 6-8 weeks.2. I would also suggest you allergy testing for the foods you think you are allergic to.3. Please avoid too hot/spicy foods, caffeinated beverages, smoking and alcohol for 6-8 weeks.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards. | |
Can frostbite , salt or ice chemical burns give you cancer?
Can frostbite give you cancer? Or salt and ice chemical burns? I was just wondering as im sure i read about it once. | Hello.Welcome.You are having wrong notion.Neither of these things cause cancer.Good luck. | |
Is there any danger to have ESR count as 80?
hello, i am 52 yrs female, having done a recent blood test i came to know that my ESR count is 80, it is always on a bit higher side like above 50 for me, i have also been diagnosed with gallstones recently, is there any relationship between the two? | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. ESR of 80 indicates severe inflammation.2. Correlation with C-reactive proteins level is necessary. If CRP is also elevated, then possible inflammation anywhere in the body needs to be evaluated.3. Gall stones can induce mild inflammation. Associated with anemia and your previous history of a high normal - I suppose gallstones could be a cause. However, get a CRP done to rule out high inflammation.4. If ESR crosses 100, autoimmune disorders, multiple myeloma or chronic infections like tuberculosis requires evaluation.Hope it helps.Any further queries, happy to help again. | |
Sick with bronchitis. What does chest pain and tenderness indicate? What can help?
Hi my name is Jake, I am a 27 year old male my height is 6 1 I weight about 225lbs. A few weeks ago I was sick with bronchitis due to the air conditioning in my car. I also am a smoker. Lately I have been expieriancing sharp chest pain in my mid and lower rib cage area. The area it s self seems tender and sensitive to touch or pressure. It is especially pain full when coughing, sneezing , or laying down and then sitting up also when taking deep breaths. I ve had this pain for about four days now and it doesn t seem to be going away. I have been using muscle relief bath salts as well as a muscle and joint cream which doesn t really seem to be doing anything. Or at least not much. I was wrapping my chest but the pressure from the wrap made it hurt worse when coughing, sneezing, ext. what are your suggestions and any diagnosis of what it could be. Thank you. Sincerely - Jake | these are food relateds problems as nothing helps in this only subside with medicine ;you have extendd allergies to various partshthere are chanced of food component causing thisget blood serum test for specific antibodies for milk wheat potato chana rice nuts egg rice and other commom food you take and start eliminating from diet after test will be cleared completely in3 monthsfor present take doxycycline 100 mg btake montelucast 10 mg bdbronchodilator syo 1 tsf bdadd liquid antacidaply neomycin h eye ointment in nose bdsea water drops 2 drops at night in each nosemefanic acid tab sos for fever and paintake 3 wkand treat on above guidelines | |
Suggest treatment for swelling in stomach when on treatment for copd
My mother in Law has copd and is on Hospice care at this time. She is swelling around stomach area, and now water is starting to come out of her nose also. She only has 10pct lung capacity at this time, and no pulse oxygen reading on left side. Are her Kidneys filling with fluid and starting to shut down? | Thanks for your question on HCM.I can understand your situation and problem.COPD is chronic progressive disease.In end stages it can cause systemic complications like Right sided heart failure, left sided heart failure, pulmonary edema,fluid overload,hypotension and renal shut down.So for her symptoms like ascites (water in stomach), water coming from nose and mouth (pulmonary edema) can be due to Either heart failure or fluid overload due to renal shutdown.Since she is already in hospice care,there is nothing much we can do.But these are not good signs for her. She is going towards end stage disease.Better to accept the fate. | |
How to treat male infertility?
Dear Doctor..i was married only 11 months back..tried for BABY..no result..then last week i consulted a doctor who asked me to go for semen test. it reveals that i have low count and low motility..she diagnosed that i got male infertility( necrospermia)..pl help me regarding this doctor | hai,As per your quote your semen contains dead sperms.it will happen in any abnormalities in sperm producing organ like (testes and other related organs.)I advise you to take a ultrasound to rule out any structural abnormalities in your reproductive system and consult a infertility specialist to fix the problem.once you got a diagnosis of your problem we can treat the low count and motility.thank youhope i answered your query. | |
Suggest treatment for cut on penis every time after having intercourse
my problem is i always get a cut on my front part of penis whenever i have intercourse with my wife,it gets bleeding and pains a lot.i have consultant a skin specialist and he told me that i need to do circumcision.but i dont want to do circumcision.so do u have any other solution for this problem.already i have tried somany ointments. | Hello, The cuts happening to your penis head has to be because of tight or dry skin. You can use some lubricating gel or liquids to maintain the moisture on your penis when having sex. Therefore I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. K. V. Anand | |
Suggest treatment for chest pain and difficulty in breathing
My daughter 25 just called me crying she had severe chest as she was driving to work. She told me she had eaten a banana and some dry crackers 15 minutes earlier. She complains about this right sided chest pain under her right breast at least once every two months. Her gp didn t give her an answer nor follow up. This has been going on for approx 3 years now. She has no other symptoms like clammy, hot to touch only breathing difficulties during pain which stop when pain has subsided. | HIWell come to HCMMuscular spasm is very likely this could be due to bad posture ask her to maintain good posture, and apply some rubefacient cream locally, this would be much better than oral medication, if symptoms does not improved then x-ray chest would be necessary, else this is nothing to worry, have a nice day. | |
What happens in high GGT level ?
Hi I had some lab work done. My glutamyltransferase came back high. What is glutamyltransferase. What problems can this cause? | Welcome to Healthcare Magic Good Day Glutamyl transferrase is a liver enzyme. It is known to be high in hte blood following damage to the liver cells. It could result from many possibel causes but commonly after a bout of alcohol/chronic intake. You will need to quit drinking alcohol and smoking if you are engaging in these activities as they both are very dangerous. Kindly speak to your Doctor in this regard. | |
What causes chest pain followed by shoulder and arm pain?
Hello, I have been having a dull aching pain the left side of my chest for several weeks now. The pain often radiates into my left shoulder, my upper left arm, today also to the left side of my neck and across my shoulders. I also experience pain in my abdomen a few inches below by breast bone… a kind of aching pressure that verges on nausea. Some days the pain is more isolated, others more spread about. Can this be related to CAD or a some heart condition? Thanks in advance! | Hi,In my opinion I think that is a kind of muscular spasm that happens commonly with some patients due to cervical radiating pain which is relieved by hot foments and physiotherapy or massages with topical gels containing muscle relaxants with some painkiller like NSAIDs (advil) will be effective otherwise if it persists you may ask your physician for some investigations to exclude CAD which I think is not your cause of pain but cardiac pain or heart load signs include a similar kind of pain but it is only refered to your left shoulder. Please consider some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan | |
Suggest treatment for improving semen viscosity
I have been experiencing varying sperm counts for the past 6 months or so. It has gone down to even 2mn/ml and sometime the reports have shown 35mn/ml with mobility as well ranging in between 40% to 50%. I have been prescribed to take Hey Forte but now have to switch to UbiQ 300. Also noted in my analysis report was the my semen was too viscous and everytime liquidifcation was done mechanically. Can you suggest something to imrpove the viscousity? | hellothank you for trusting HCMdear semen hyperviscosity (SHV) caused by multiple contributing factors, such as infection, inflammation, leukocytospermia, hypofunction of the male sex accessory glands, OS, and genetic factors. SHV leads to subfertility through a trapping effect, asthenozoospermia, decreased sperm count, and through disruption of events leading to fertilization including sperm-oocyte fusion, entry into the cervical mucus, distribution of surface charges on the sperm membrane, prevention of the peroxidation reaction, and the maintenance of sperm chromatin stability. SHV often leads to consequences in fertilization rate, pregnancy rate, and embryo development. SHV can be treated by conventional methods such as treatments with a hypodermic needle, mucolytic enzymes, and antibiotics and anti-inflammatory agents in certain cases. treatment may vary depending upon the cause of hyperviscosity treatment may vary.please consult your doctor he will examine and found the cause and treat you accordingly.take care | |
Can Finasteride be taken for male pattern baldness?
Dear Dr, I am a healthy 30yo male suffering from male pattern baldness. I am considering taking oral finasteride (1mg/day), but am concerned about potential side effects. I have heard bad reports that some side effects, particularly sexual side effects, can happen slowly without you really noticing until its too late. Some also report that these effects do not reverse following ceasation of the drug. However, it seems many people also have success with this treatment. What would your opinion be on this matter? Thanks. Dan. | Hi, Finasteride is an effective drug for male pattern baldness.Sexual dysfunction is a rare side effect which reverses in the majority of the individuals even on continued medicine.I think you should start it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | |
Q. I had a surgery three months ago. Now taking Novelon. Shall I try for baby now?
Dear doctor, My age is 29 years. I had a surgery three months ago, open myomectomy (posterior wall 4x4 cm subserosal 8x7 cm) with right endometriotic cyst (4x4 cm). Now taking Novelon. Shall I try for a baby now? | Hi. As it is close to three months from the time you had surgery, you can start trying for a pregnancy now. Please take Folic acid 5 mg daily. Also, please meet the doctor who did the surgery for you to check whether healing is complete. Consult an obstetrician and gynaecologist online for queries regarding conception --> | |
Q. Can HIV be transmitted through oral sex?
Hi doctor, 27 days ago I had protected sex with a girl, whom I knew only for 5 days and it was the first time. Also, we had oral sex also. During oral sex, I had no protection. Next day I started having pain on my testicles and my stomach. I was feeling weak the whole time, and after a week I gave urine and semen for culture. The urine culture was clean, and the semen culture with bacterium E. coli has been detected. It is worth mentioning that I am suffering from prostatitis and I have been diagnosed and treated for more than 3 years with almost the same bacterium, which I thought has been eliminated. Also on that day, we had sex 3 times within 5 hours and I am thinking whether the intensity of that might have brought back the E. coli or it was still there and it appears now. I do not know therefore this is my first question. Since the oral sex was not protected, can it be that she passed me the E. coli? Or is it due to my prostatitis? After my semen results, the doctor asked me to take Tavanic 500 mg once per day for one month. I am now on the first week, the pain is still there but comparatively less. I still feel pressure on the lower part of my stomach and also since the last 3 weeks I feel my stomach always full and not so comfortable. Can this be a side effect of the E. coli or something else? I had no fever since then, and I did not lose my appetite, but I am feeling full. Apart from the E. coli that I need to finish my treatment, now I do have a fear whether I have been infected with any other STDs. If yes, the semen and urine culture should have normally shown something abnormal. Also, I have a fear if because of the oral sex, I might have been infected with HIV, could this be possible? Should I do an HIV test? If yes which kind of HIV test can give me a fast indication. Thank you. | Hi. Frequency of sex has nothing to do with E. coli bacteria (Escherichia coli). Prostatitis is very resistant to treat, so it is not necessary that if you have taken treatment, it will not recur. Sometimes, you have to take 4 to 6 months of treatment for prostatitis. This is the main reason why you are still having the pain. Semen and culture usually do not cover all STDs (sexually transmitted diseases) and lower abdominal pain is a non-specific symptom and can be attributed to prostatitis. Yes, HIV (human immunodeficiency virus) can be transmitted through oral sex. So if you know the person, it is better to get her tested because if she is not HIV positive, then you need no testing. Nevertheless, you can go for HIV 1 and 2 antibody test by ELISA (enzyme-linked immunosorbent assay) method and HIV RT-PCR (reverse transcription polymerase chain reaction). I hope the above information is useful to you. | |
What causes dizziness, disorientation and confusion in a child?
My 11 year old son has been feeling dizzy in this last week and a half. He is 84 lbs. and 4 10 . He says that when he gets dizzy he becomes confused and disoriented. He gets fuzzy or blurry vision. He does get really bad headaches that I believe are migrains. What could the dizziness be? This dizzy spell that he just got the headache didnt come till after he was dizzy for a while. Can you give me some suggestions of what I can give him to make the dizziness go away and what this could be from. Thank you! | Hi,Welcome to HCM,I had gone through your question and understand your concerns.In my opinion , dizziness could be due to eye( errors of refraction) , ear( bppv, meniers disease, otitis media,vestibular neuronitis). any fluctuations in Bp, any fluctuation in blood sugar or electrolyte disturbances.kindly evaluate with blood tests, ent examination to rule out d cause.Hope, I have answered your query, all the best, take care. | |
Q. Will extra week off from Capecitabine affect the breast tumor growth?
Hello doctor,My mother was diagnosed with triple negative breast cancer. She finished six months of chemotherapy nine months back and had a radical mastectomy two months later. She is now taking Capecitabine for four months 14 days on and 7 days off. The Capecitabine gave her diarrhea so her oncologist gave her an extra week off. My question is will the extra week off effect the tumor growth? My mom started taking Capecitabine six months back. She is also taking high blood pressure medicine. | Hi. Triple-negative breast is usually having a poor prognosis as compared to other types of breast cancer. She has completed six months of chemo followed by surgery. Now the patient is on Capecitabine. The side effects of Capecitabine are loose motions,vomiting, low blood counts and hand-footsyndrome. Usually, if mild diarrhea 1 to 3 times per day it can be controlled easily at home with medications and hydration and Capecitabine can be continued but if more or recurrent, it is sometimes necessary to reduce the dose or stop the medications temporary or even delay the next cycle. Occasionally one week delay in chemotherapy will not cause much problem or rapid progression of the tumor. But I do not know the stage of her cancer (no attached reports), whether she has any metastasis or not and I do not know about her overall general condition. Is she eating and drinking well, walking, bowel and bladder habits and her blood report? So your doctor knows about her condition and he can guide you better. You can revert back any time or day with more details (CT scan or PET CT scan reports, blood tests, etc.). I would be available to answer your queries. For more information consult a medical oncologist online --> | |
What causes night sweats, recurrent nose bleeds and severe chest pain?
I have night sweats at night, I have very painful chest pains that make it hard to breath for like 2 minutes, nosebleeds that have been constant for almost a year now and I had never had a nosebleed befor then, and i feel dizzy sometimes. What do you think I have and what should I do? | Thanks for your question on Healthcare Magic.I can understand your concern.Undiagnosed hypertension can cause nose bleeding, chest pain and night sweats.So better to consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test).You may need antihypertensive and other cardiac supportive drugs.If your blood pressure is normal then consult ENT doctor for endoscopic examination of nose to rule out polyp as a cause for recurrent nasal bleeding.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes constipation in a child after starting top feed?
Hi, my baby is 5months & 3 weeks today. She s been exclusively breastfed until last week when i came back to work. I started giving her NAN hypo-allergenic during my absence and i breastfeed her in the morning and at night. She used to pass stools 5-6 times a day, but last week Thursday she did so once, and again on Friday around 12 noon then last night around 10pm (after giving her iberogust twice yesterday). what could be the problem? | It is OK for babies to pass stools once a day. However what is more important is that the consistency of the stool should not be hard. Make sure that the ratio of formula and water is as mentioned in the directions. Too little water or too high formula powder will cause hard stools. Good luck | |
Can tooth development make a child cry severely in the night?
Hi Doctor, My boy 6 months and 10 days old (entered 7th Month). I feel he is developing teeth as he pull as objects to bite or chew. However i am worried with his routine from last two days. Gets up suddenly in the night and cries a lot as if he is under some severe pain or scared. Also today he started going for frequent stools and happens right after eating.Is this because of the tooth development phase. Please help me out to stop stools and for to back to his normal routing. Another concern is , his weight is 7.5 KG now and was 2.6 KG when he was born.Is his weight now ideal or has put on more? Regards, Keerthi Reddy | crying and loose stool ,and biting ,and chewing is a sign of teething .teething induces pain and itching in the gums .child feel comfortable when they chew and bite ,when we try to stop this act they cry ,when they bite so many things they get loose stools ,to stop loose stools please give pre & pro biotics and stoolbinders. regarding weight ,by all standards it is normal wt gain | |
Should i be worried about the clicking in knee after knee surgery?
Hi Doc, i injured my knee during leg splits. i twisted my right knee and realised that i have meniscus injury. i had operation in india after a month. knee hole surgery. doctor shaved meniscus that time. i did not go through physiotherapy during recovery process. i did some strenght (yoga and strectch balance etc) myself. now i can run alright, do splits etc. everything is normal except when i bend my knee after halfway i hear clicking noise. is it normal? will go away in time? do i need physio? operation was done on january 6th 2012. thanks | HiHopefully, the click sound isn't to worry about unless it is accompanied by pain,or some locking of joint..anyway it would be good if physical evaluation is done by a knee surgeon or an orthopedist | |
What causes a lump at the arch of the foot?
A knot came up on the arch of my right foot. I m not experiencing any pain, but the knot feels tight and kind of hard. It s approx 2 long X 1.5 wide. I ve never had anything like this before. My arch is almost non-existent, maybe about 1/2 to 3/4 left. I haven t stepped on anything that would have caused this. What could this be? | Hi.Thanks for your query.Noted the history of a knot that has come up on the arch of foot which has reduced, 1/2 to 3/4 left behind, the knot is approximately 2 long X 1.5 wide, no pain, knot feels tight, and is kind of hard, not stepped on anything that would have caused this. Since the knot is big bu asymptomatic, the most probable cause can be cornification for some foreign body that might have passed innocuously in past and the cornification occurred now without any pain or so.Another possibility can be an insect bite, this is possible as some insect bites are painless and yet cause severe local reaction without any pain. I would advise you to consult your Doctor, preferably a General Surgeon so that a proper diagnosis can be made and further medical or surgical management done as per the cause confirmed. Til then, so not apply anything to the lesion nor do any massage, do not try to cut through at home. | |
What causes sudden loss of consciousness while suffering from artery blockages?
Recently while taking morning walk, I suddenly felt that i may fall down if I walk further and accordingly I was going to sit on the roadside after that I do not remember anything. When my sense came back, i was told by the onlookers that I was going to sit on the roadside but suddenly fell down. This has happened for the first time. I am also haaving 2 artery blockages of about 30-40% which was detected during the last year. My weight is 67 Kgs.I have now been diagonised as having cervical spondilities. MY blood pressue, sugar are all normal. I am 63 years of age and having a reasonable good health. Is blackout may be due to my artery blockage? | Hi,This is Dr Sameer, cardiologist.Blockage of 30-40% generally does not result in serious complications like you said.The episode you told could be because of Cervical Spondylitis or orthostatic hypotension (decrease in bp because of change of position).I recommend you to go to a hospital for further evaluation.Wishing you good health.RegardsDr Sameer Maheshwari | |
About my semen report, please advice
Hello sir, I am Anand kumar 25y/m.i am married and we r trying to conceive.i want to disscuss my semen report quantity 2ml. liqfication time 20 min. sperm shape- normal, head- single, motility 46%, sluggish-20%, dead-34%, pus cell-6 to 8, total count-48million/ml. is this ok. | Hello Anand; welcome to HealthcareMagic The semen analysis report should be slightly better although it is not bad like the motility should be more than 50% and the dead sperms should be reduced.The reason for the less motility and dead sperms are smoking;alcohol;working in excessive hot weather;having bath with warmer water.So see if you have any of these problems and stop or control them.Also you can get prescribed antioxidants and multivitamins from a doctor close by and it should improve.So discuss with the Gynaec and both of you get the required treatment. Thanks | |
Suggest remedy for lactose intolerance in an infant
My baby is 10 month old weighs 8 kg (3.25kg at birth) heighs 74cm. i find she is allergic to milk.. whenever i give low fat milk she has green poo. once i stop giving milk her poo is normal . As my brestfed is low (only one time in a day) please give me some solution..Thanks in advance | Hi, Welcome to HCM. I have read your question in detail and I know that you are very concerned about your child but don't worry. By what you quote it seems that your child probably has cow milk allergy due to lactose intolerance. You should give lactose free milk like zerolac, Similac isomil, Similac sensitive or nusobee. I hope this will help you. Wishing your child good health. Take care. Regards Dr Deepak Patel MD Pediatrics | |
Menopause, taking Tamoxifen for breast cancer, lupus, heat within body, nothing helps. Advice?
I feel like I have a fever all of the time but when my temperature is taken it does not show that I have a fever. I am in menopause because of the Tamoxifen I am taking for Breast Cancer and I have been diagnosed with Lupus but I can t seem to get cool. I get cold and then I can t get warm. When I get warm I can t get cold again. I was wondering if my conditions or the medicines I am taking can be messing with my body temperature and what can I do to cool it down. I have tried drinking soda or water with Ice Cubes, using Ice Packs on my body, stripping down to nothing but nothing helps. | Your heat within the body is called hot flashes.It is a side effect of hormonal therapy tamoxifen which u are taking.Pharmacologic drugs include selective serotonin reuptake inhibitor (ssri) antidepressants, megestrol acetate, and gabapentin. Antihypertensives such as clonidine have shown modest benefit in tamoxifen induced hot flashes.U can try the following non pharmacologic measures to reduce hot flashes.They are dressing in layers, use of cotton clothing and bedding, strategic placement of electric fans, and the carrying of cold drinks. Reusable cooling bandanas containing polymer crystals may be helpful. They can be soaked in cold water for 10–30 minutes and tied around the neck for a long-lasting cooling effect. Results from these changes are usually seen within the first 1 to 2 weeks of use. | |
Suggest remedy for allergic cold and cough with watery eyes in the elderly
I am 63 yrs old. I have frequent cold & cough since 2-3 years. watery eyes with irritation and red in colour. sniffing generally in the morning minimum 4 to 5 in one go. either of Nostril is blocked. it affects normal breathing. Family dr treats for allergy. relief is for short time.your suggestion please. | hi sir/madam,Thanks for your question on Healthcare Magic.allergic cold and cough can be treated best in Ayurveda.i will tell you some diets to be followed:-1. Take Light food, lukewarm water, Kapha nashaka foods like little spicy food, saindhav salt, legumes, soups etc.2. Avoid heavy food, fermented food, congestive food, too hot or too cold food, soar food, non vegetarian food, sweets, banana, curd, yogurt, ice creams, deserts, cakes, yellow grams, etc.3. Avoid Alcohol and cold beverages.Lifestyle improvement:-Use mask while driving vehicle or going through public places.Always take warm water bath.Do not expose to hot sunrays.Regularly take inhalation of steam.Regularly go for morning walk in warm weather.Do sufficient exercise.Do not reside in dark or dump places. Get fresh air.Do not get sleep at day time or immediate after dinner.Take sufficient rest.Yoga to be done for these allergic condition:-1.Ardha chandrasana2.Veerabhadrasana3.Salamba sarwangasana4.Setu bandhasanaHome remedies:-1.Take half liter water, add 20 gm salt, one teaspoon turmeric, boil it for 10 minutes and take it repeatedly.2.Take six cloves add six black pepper and one teaspoon of turmeric make powder and take it with honey.3.Take half cut lemon, spread a pinch of turmeric and salt on its inner surface, heat the lemon for one minute, and choose it.4.Take tea of basil leaf and mint leaf.5.Chew a piece of garlic and ginger.6.Take roasted horse gram – one teaspoon once or twice a day.7.Take extract off ajwain, black pepper, poppy seeds.8.Chew clove and black pepper through a day.9.Try coriander and cumin boiled in water.The medicines given for these allergic conditions are:-1. Nimbarajanyadi tablet – Contains neem and turmeric as main ingredients.1-0-1 after food.2. Chavikasavam – Fermented Ayurvedic liquid, also used in urinary tract disorders.10 to 15ml with water.3. Mahalaxmi Vilas Ras – Also useful in the treatment of skin diseases, diabetes, Sinus, non healing wounds, etc.1-0-1 after food.Hope i was useful helping you.Have a healthy day. | |
What causes dizziness post a lumbar surgery?
I had Lumbar (L1-L5 on the right side)surgery on September 26th. A couple days afterwards I experienced sever dizziness and spinning of the room. It even spun me around! I had 2 disks removed, repaired and put back as well as cleaning up around the spinal cord. Mentioned this to my doctors nurse practicioner and she said it had nothing to do with the surgery. I m begging to disagree since this is new post surgery and not experienced before. Even though my condition is improving as time goes by, I still am experiencing dizziness when I lay down and turn my head to the right. What can I do to remedy this? | Hello,I have gone through your question and understand your concern.The dizziness is likely to be due to postural vertigo ( Bening paroxysmal positional vertigo).This is not related to spine surgery.RegardsDr D Verma | |
Suggest treatment for fever and chills
62 yr old male with high blood pressure who can not take ibuprophen due to liver problems has had a cough for roughly a week , loss of appetite for two days but suddenly has chills but fever is 102 but went to 103.5 in two hours and can not get comfortable to rest he s taking gg/ codiene what can be taken for fever? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice. He can use any of the other anti-inflammatory medications unless he has a history of a reaction with those medication eg Naproxen or Cataflam. Any of these medications would help with the fever. With a history of liver disease, he would need to avoid Paracetamol/Tylenol. Using cold/cool liquids, tepid sponging and fan therapy would also help with the fever. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Michelle Gibson James | |
What does positive progesterone but negative pregnancy test mean?
I had blood work done the other day and the nurse called back and said I had a positive progesterone but negative pregnancy test. She also said I was "ovulatory" what does this mean? I've been on medication to help with starting my period and helping me ovulate, but have not had any meds since November. My husband had to do a test so we had to wait on those results first. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Usually progesterone hormone levels will be increased during second half of the cycle after ovulation and also in pregnancy. But the rise in progesterone levels during second half of the cycle(2 to 25ng/ml) is low as compared with progesterone levels in early pregnancy(10 to 44ng/ml). So, your nurse might have told that your progesterone levels are increased but not up to the mark for pregnancy and your pregnancy test is negative. If your husband test results are normal, you can plan for pregnancy by undergoing ovulation induction and planning for unprotected intercourse around the time of ovulation. Hope I have answered your query. Let me know if I can assist you further. | |
Cab mesh after hernia operation cause low libido?
I had a mesh put in to repair an Umbilical Hernia now when I masterbate I can''t reach a climax, no trouble with an erection, could the surgery have something to do with this? The surgery was 02/11, about 2 weeks after, I was able to have a climax, but no luck since then. Thank you. Richard | Hi, The mesh won't decrease the libido level, thus check for any infections and STD. I hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day.Regards, Dr. S. R. Raveendran, Sexologist | |
Trying to conceive, letrozole, u/s of ovaries: bilateral enlarged cystic ovaries
i am trying to conceive since last 9 months. In this cycle i was suggested to take letrozole from CD 3-7, and on CD 12 my doctor had a ultrasound of my ovaries for seeing follicles. she reported it as bilateral enlarged cystic ovaries, but then she gave me 5000 iu ivfc injections for two days on CD 12 and 13 for ovulation . my question is is there any chance of me to conceive with this kind of situation? what is meant by cystic ovaries at CD 12? | hello welcome to HCM enlarged cystic ovaries - its very important to know the arrangement of the follicles, size and volume measurements the injections you mentioned are for helping the release of the egg when there is a dominant follicle in the ovary As far a getting pregnant - all factors both male and female partners need assessment and if normal then the chance is good however I will add that in 25% of the cases everything can be normal and still the couple has some difficulty getting pregnant - Unexplained infertility wish you all the best hope to have answered your query Dr Nandita Thakkar | |
Suggest treatment for stress and depression
I have always been a happy person and let nothing bother me, but for the past 5 years I go through episodes where I'm fine then all of a sudden I'm withdrawn, no energy, won't talk to my wife and I get suicidal thoughts this usually lasts between 4-7 days. Then I feel on top of the world for a few days then I seem to be in normal mode which then I need sleeping tablets to get me through the night or I will be waking up all the time wide awake then suffer for it the next day. My doc thinks I have cyclothymia and has refered me just want someore opinions thanks B | Hi,The symptoms you have described are consistent with a diagnosis of bipolar disorder, of which cyclothymia is a subtype. However, more information would be needed both from you and your family members before a diagnosis is made.Best wishes. | |
What causes hard tender lumps?
My boyfriend found 2 lumps about 6 months ago and was told by one doctor it was just a cyst and it would go away. Well, they haven't, they've gotten harder and are tender at times. He is scheduled to meet with a surgeon in a couple weeks to see what they think. Could it be cancer? | Hi,Thanks for writing to HCM.At this age, we usually dont think of cancer, so you also take it out of your mind.Show it to the surgeon as clinical examination is the best investigation in this case. He may ask for a needle biopsy of them if he feels the need of it and finall go for their excision.RegardsDr. Ashish Verma | |
Suggest treatment for pea sized lumps on the right side of the body
Hi, I am a 30 year old male. 6 2 and about 235lbs I have about three spots on my right side that feel tender like a bruise. I have had the tenderness for about two or three weeks now. I can also feel like a pea sized lump under each tender spot. Nothing visible. Any Ideas on what this may be? | Hi I am Dr Fahim and I will help you with your problemI have gone through question. Need further information to reach a diagnosis- Duration of the swelling in days/weeks?- When it got painful?- Can a skin move over the swelling?If it is of shorter duration, it is most likely boil/folliculitis. If the swelling was present for some time, and now got painful it is most likely an infected sebaceous cyst. If such a patient walks into my clinic I prescribe tab Augmentin (amoxicillin and clavulonic acid) along with paracetamol 500mg 8hourly. Incision and drainage in case of boil and excision of sebaceous cyst in case of infected sebaceous cyst is the main stay of treatment followed by regular antiseptic dressing.I hope my answer will help. Do rate it, if you like it.Regards | |
Could weight gain, dry skin and breakouts be due to expired mirena iud?
My Mirena IUD expired in August of 2011 and I have not had it removed yet. Since August I have experienxced weight gain which is not consistent with my diet and activity level. I also have severely dry skin and breakouts (which are new to me) Could these be side effects of the expired IUD? | Hi, i had gone through your question.your side effects are not due to IUCD ,this is because of change in diet and life style. Be active to reduce weight.and for go for change for effective work.Thanks |
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