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Do stage 4 kidney conditions require dialysis?
Hi, my mother's serum creatinine levels are at 3.4 and blood/urine reports shows loss proteines and sodium. She has been taking medicines, under strict diet control also. Some of the doctors at hyderabad say it is in stage 4, pls adv is it really at stage 4, and at what stage do we really require dialysis. I can send the full reports by mail. Thank you n await your kind response. | stage 4 means calculated GFR is between 15 to 30 ml/ min. to calcualte GFR you can use MDRD formula which is available in Internet or mobile app. t needs value of serum creatinine, age, sex and race of the person. regarding dialysis, stage4 usually do not require dialysis. it is stage 5 when dialysis is required when indicated( like fluid overload, high potassium, azotemic symptoms like nausea and vomiting, acidosis, encephalopathy or pericarditis) | |
What causes tremors followed by arm stiffness?
this is strange. i woke up shaking and i could barely talk and my head is pounding. my arms were stiff and my wrist, hands and fingers were shaking. i could talk but extremely soft. barely could hear it and i could barely say anything. my headache is dull on the left side. can i get advice on what to do next? was this a seizure? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This episode description can be due to seizure. Get examined by a doctor. Brain imaging and EEG needs to be done. Antiepileptic drugs needs to be considered in case of seizures. Hope you found the answer helpful. Regards Dr N Kumar Neurologist | |
How should feet, legs and arms lumps with itching be treated?
Hi my wife has a reaction to something that has caused little white bumps on her feet and her legs and now her arms. She says they itch. I think its the detergent she used but she says no she has been using it for a while. What are these little bumps and a cure. They look like bug bites but white. | Hi,It seems that there might be having some allergic reaction to soap, detergent.Even change of brand of detergent might give allergy.Give her antihistamine like Benadryl or Cetrizine for 2-3 days.Avoid using detergent or soap.Apply body lotion or lacto-calamine on affected part.Ok and take care. | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
What does the brain MRI with irregularities in Ventricles indicate?
My son is 24 year old. he had a MRI of the Brain, Results came back as irregularities in Ventricles. My son does not have the normal symtoms of Hydrocephalus. He is having problems when he eats, He feels the need to vomit he will not eat in front of anyone due to this, He has had all the test possible from Gastro.so thay sent him to hav a MRI. Came back Irregular Brain Ventricles, What can be another cause of This? Sorry trying to find help and ansers for my son, dont have money for a question and anwser thought somone would help. didnt know there was a FEE! | Hi, I had gone through your question and understand your concerns. A possible cause of irregular brain ventricles is a condition called Periventricular leukomalacia. It occurs likely as a result of hypoxic-ischemic lesions resulting from impaired perfusion of brain mainly in premature and low weight children. Other causes may be vasculitis, infection. So I suggest you to consult a Neurologist and discuss problems mentioned above. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. | |
Suggest effects of high GGT levels
hi, i have had two blood tests recently with ggt levels at 78 and 89. i suffered from acute liver damage a few years ago through alcohol, but my liver function tests are fine . is it normal for my ggt levels to be a little on the high side . thank you in advance, steve | Hi thanks for asking question in HCM...Here you are having high GGT...This enzymes present in biliary canaliculi....So when damage to biliary canaliculi then it is released in blood....Here so fatty liver , gall stone , cholangitis has to be ruled out....USG abdomen helpful....If needed magnetic resonance cholangiopancreatography helpful...Avoid high fat diet...Green leafy veg more like ...spinach , arugula, dendelion, mustard green etc...Spinach and carrot juice good to take....Avoid alcohol....And yes smoking is strickly avoided...Hope your concern solved.Consult gastroenterologist for detail examination...Take care.Dr.Parth | |
Suggest treatment for swollen and painful ankle
I AM 58 YEARS OLD. WAITING FOR A HIP REPLACEMENT , DON T HAVE THE DATE YET AND SEEM TO BE GETTING LESS AND LESS MOBILE. MY KNEES HURT SO MUCH WHEN I TRY TO SLEEP THEY KEEP ME UP. I ALSO HAVE A SWOLLEN ANKLE THAT GETS A LITTLE BIGGER EVERY WEEK. CAN I DO ANY THING TO RELIEVE ANY OF THIS ? I WORK FULL TIME 42 HOURS A WEEK ON MY FEET, SO WHEN I GET OUT I AM BEAT! | Hello, I have studied your case. For hip arthritis joint flexion, extension and rotation exercises will help.Physiotherapist will help you better to learn more exercises in proper protocol.If required intra-articular injection can be given.Diet rich in calcium and protein will help.you may need to take calcium supplement.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | |
How long does a pancreatitis attack last?
pancreatitis in How long can you have a pancreantitus attack for im going on a week in the Hosp and there seems no end in site? Im 48 , I'mm the drs said my pancreas is for the most part shut down im no longer produceing insulin but cant operate until the imflamation goes down??? | Hello A pancreatititis attack can last from a few days to a few weeks or a month.I depends on the severity of pancreatitis. Surgery is indicated if there is infection in the pancreas or extensive necrosis of the pancreas, hope this helps | |
What causes increasing left foot pain?
In the past couple days, I have had increasing left foot pain, on the TOP of my foot. It seems to be more so on the left half of the top, seeming to radiate up from base of third and fourth toe (???). I am at a complete loss as to what this could be. I have what appears to be some type of nerve pain (?). Any suggestions or comments would be greatly appreciated. Thanks, Lisa | hi Lisa.. it can be a metatarsal pain due to standing long times,wearing flat hard shoes,increased uric acid intake..try hot water baths and if any of the above possibilities apply.. please consider modification | |
What are the chances of developing post polio syndrome?
Hiya just wanted to enquire that if a person had polio in his childhood but has recovered and is now in his normal activities, Limps a little bit when walking but not at all obvious and his affected leg is very slightly slimmer than the other, he is now 31. what are the chances in his case to develop post polio syndrome? is there any prevention?? | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The limping and the slimmer leg could be from post polio syndrome. He would need to undergo blood test and neurological testing to confirm. In order to prevent further deformity if its post polio syndrome he would need specialized bracing and physical therapy and occupation therapy to prevent muscle wasting.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Samuel Parmar | |
What causes psoriasis and is there any permanent cure?
hello.my daughter age 20 is suffering from psoriasis in very small patches in her elbows,finger knuckles, knee.she took ayurvedic medicine for 2 months.it started increasing.now a dermatologist has suggested Diprovate plus cream to apply twice a day.will there be a complete cure for this?dont know what could be the cause/can u please suggest?thanks. | hi, welcome to HCM,the exact etiology of psoriasis is still unknown. it is a hyperproliferative disorder due to abnormality in the immune system. the T lymphocyte in psoriasis promote inflammation and dilatation of blood vessels. the skin cell pile up and skin becomes thick.first keep in mind that there in only control of psoriasis.Diprovate plus works good in psoriasis. add emollient containing urea+ lactic acid 2-3 times daily.take high protein diet.if plaques are still increasing oral drug Methotrexate 15 mg weekly can be started with consultation of dermatologist.hope this is helpful.thanks | |
Can I ask a doctor to look into my reports as I was on medication for no periods till 33 and want to conceive ?
note i m 33 years old and my period is not started till date - my ultrasound and hormone report as is: i m 33 years old married women not started my periond till date i gone thur with my 4D ultrasonnd and the report is: uterus is anteverted and normal in size. it measures 7.0x2.2 cms. the myometrium and endometrium reveal normal echogeneiy. no mass lesion is seen. bothe ovaries are normal in size and echotexture. right overy measures 2.2x1.3cm. lift ovary measures 2.1x1.3cm. cul de sac is unremarkable. 3D/4D scan was performed which reveal no significant abnormality. pls. advise as above report my both overy is ok can i will be able to convice? is overy play a very important role to concive? if overy is ok than where is the problem is ? pls advise asap my Hormone test report as: luteinizing hormone, serum - 15.13 Follicle stimulatingg hormone, serum - 10.19 Prolactin, serum 4.78 Free Testosterone 0.17 Insulin, serum 6.76 insulin, serum (post- prandial) - insulin - 30.13 Glucose fasting , plasma -90 flucose,pos-prandial, plasma - 95 Testosterone, total, serum - 41.24 Hemoglobin 13.0 Hematocrit -40.1 White Blood cell count -4.3 Differential count Band (Stab) cells - 00 Segmented neutrophils - 54 Eosinophils - 02 Lymphocytes - 36 Monocytes - 08 Basophils - 00 Differential count performed on : EDTA SMEAR Thyroid panel by chemiluminescence, serum T3 - 93.23 T4 - 9.70 TSH - 1.53 Comment : Note \: the reference range for insulin given on the report is established for a fasting specimen . there is no clinically significant reference range established for a postprandial specimen or any specimen other than a fasting specimen. the in Range & out of range ncolumns are not appicable for this value of serum insulin. Pls note my gyaecologist give me Restrone (5mg) 2 tabs twice a day for 8 days and some vitimns also and she said that my period will start within a 8 days AND finally my periods is start NOW is question is as above mention reoprts my both ovearys are ok now my periods is also start Can i conceive now ? | Hello. Thanks for choosing HealthcareMagic forum. Now that your period has started, now you need to watch your period if it comes normally without any medicines also. If it starts next month normally then your chances of conceiving are pretty high and you can be hopeful of the good news. Dr. Rakhi Tayal drrakhitayal@gmail.com | |
What causes swelling at the back of the head after an injury?
A week ago I banged the back of my head on a sidewalk during a fall.The swelling from the bump has spread across most of the back of my head, and it feels a bit squishy under the skin.Is this something to worry about, or to treat, or to address in some way? | Hello Thank you for trusting HCM Dear it may be due soft tissue swelling or occipital scalp hematoma. First of all to label it as scalp hematoma we need to do CT and confirm the location. Some times hematoma may extend into intra cranially. Simple scalp hematoma may heal itself no treatment required.body break down the hematoma with in a period of 2-4weeks. You can take tab chymoral Forte to reduce edema of the area. If you are feeling vomiting, head ache and nausea please consult your doctor immediately. I think I answered to your question if you have more questions please feel free to ask me. | |
What causes frequent gasping in infants?
My son is 5, and over the past 5 days he s begun gasping for breath only while sitting. He s able to run and lay normally and I don t notice this breathing while he s sleeping. But I am concerned that when he sits still while playing games, coloring, watching movies, etc. he repetitively takes deep breaths, saying he has to . I took him to a pediatrician last week to rule out asthma, which he did. 4 days later it seems to be getting more pronounced. What could it be? He has environmental allergies, but generally very healthy: and is about 39 lbs. | HiWelcome to the HCMI have gone through your question and understand your concerns. The symptoms of breathlessness only while sitting and not during physical activity, sleep and other times is most likely due to functional disorders. If he is normal on clinical examination by a pediatrician, then I would recommend you to ignore the symptoms. Most cases settle down with in a few days. If it persist, then visit a psychotherapist for proper evaluation and management.Take care | |
What causes fever even after giving Meftal and Lariago?
My son is suffering from fever from last 2 days.im away from my home town.my dr on phn sujjested me to give him lariago syrup 10ml n meftal p syrup 6mll.My son weighs 11.5 kg..when i give him doze for 2-3hrs he becomes completely fine bt after that same thing repeats he feels uneasy,high fever..plz help..im vrymuch tensed. | Thanks for asking on HealthCareMagic. Lariago is a medicine to treat malaria. You have not mentioned if malaria had been confirmed by blood test. If not, you have not done a good thing and unless he has malaria, the fever would not respond. There can be a number of causes for fever. Viral fevers are most common. Viral fevers do not respond to lariago or any antibiotics and come down on their own in 5-10 days and I guess that you have to wait till then. In the meantime you have to keep the temperature in control by use of paracetamol. Meftal P contains mefenamic acid which is more effective than paracetamol in relieving fever and hence has kept the temperature normal for few hours. The dose can be repeated in 3-4 hours. Stay relaxed. Just give paracetamol. Also give sponging with water at normal temperature. | |
What causes heaviness in chest and numbness in face?
I m at work, hadn t eaten, went to outdoor bathroom and when I came in the roof of my mouth, lip, and sinus went numb. My ear has a bit of a strange feeling now and my chest got heavy. I am a hairstylist and come into contact with chemicals but never had this reaction before. What could it be? Stroke? I m 69 and don t feel sick. | Hi. I can understand your concern. You could have had anaphylactic reaction as it is common with chemicals used in hair dye and other cosmetic agents. It would be advisable to consult a allergist for the same at the earliest.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
How to treat tooth sensitivity?
HiÔver the past two days I noticed my front tooth becoming sensitive to things. From yesterday my front tooth is very sensitive and painful. My gums have also gone numb around that area.I am currently very far away from a dentist.any home remedies that I can try till I see a dentist. | HiWith your query, sensitivity of your teeth could be due to gingival or gum recession, abrasion which us due to faulty tooth brushing or erosion which leads to exposure of Dentin and resulting in sensitivity. You can use a tooth paste called Vantej instead of regular paste. After brushing don't have any thing for 20 mins especially hit or cold and donot eat also. Visit your dentist for correct brushing technique and further treatment.hope thus helps you | |
Treatment for fever, nausea, sore stomach after child s fall?
My daughter fell off monkey bars 3 days ago and hit her chest on the edge of a platform on the way down. she was sore, but yesterday she developed a fever and nausea. Her stomach is sore to touch. Fever down from 101.9 to 99.5 today. She s 10. hasn t had much of an appetite - no appetite today. Concerned. | Hi there! Thank you for contacting us. This is most likely a concussion. Even though she hit her chest on the edge of a platform, she most likely hit her head, kind of like a whiplash action. Keep a close eye on her and if she becomes confused or changes her words around, take her to the emergency room. Other than that, she should be fine after about 7-10 days. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What causes sudden left-sided chest pain?
Hello. I ve had pain around the left side of my chest for the past 9 years. 4 years ago, Doctor said it was pleurisy. Pain came back of recent and didn t want to take chances, so I did chest xray and ECG, all came out perfect. Kindly, what could be the problem? Pain is triggered when I do strenuous exercises. Dee. | If its nine years old, it's not going to get you. Positional and motion related discomfort that is worse with exercise is almost always musculoskeletal. It is usually related to the ribs, either at joints in the back, with the cartilage in front or at irritation of the muscles between the ribs. When its muscles, you can almost always point to it. | |
Suggest treatment to get rid of scars in the lungs
hello sir i had a tb doctors said but i started to take a medication from 2 months my aim is to go to gulf/us/ coutries for a job my problem is that iam having a scar on a lung ,& i ve heard that the scars must not be present at immigration or health check up on the lungs how to remove scars on my lungs | Thanks for your question on Health Care Magic. I can understand your concern. Almost all lung infection (specially tuberculosis) heal with either fibrosis or calcification or both. Very rarely complete resolution is seen. So fibrotic scar lesions after tuberculosis are common after tb. They will remain as it is through out the life. No treatment is required and hence not available for these scars because these are inactive, non infectious lesions. No drug is available to remove them. For visa purpose, we need to prove that these lesions are not active infectious lesions. For this, you need to consult pulmonologist and get done CT thorax with Contrast and Bronchoscopy with BAL analysis. If both these are negative for active tuberculosis then no need to worry for tuberculosis. By this you can argue with visa authority about not having active infectious disease. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes pain and weakness after ejaculation?
hi. actually my husband is feeling weak and suffering from pains all over the body after ejaculation. he is also suffering from fever continuously from last 10 days even he wants to have intercourse. can u suggest me whats the problem and is it safe to have sex during fever. | HI,It can be due to vitamin deficiency and calcium deficiency. It is unsafe to sex during fever, it may cause spreading of infection to the partner. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist | |
Got marina coil inserted. Having heavy bleeding. Taken cetezette. Feels itchy and have mood swings Suggest
Hi I was recommended by s gynecologist to have the marina coil fitted. Due to me having non bleeding PCOS I got this fitted 5 month ago been experiencing a lot of bleeding. I also got cetezette to try stop the bleeding but since coil been inserted I been crying at silly things n getting annoyed at nothing . But since been on cetezette as well as the coil my mood s are crazy like jeckel and Hyde. After having mad moment I then start to cry also I know feel my full body itchy. | Hi,Thank you for posting your question here, I will try to answer it to the best of my abilities.IUD's are known to cause mood swings, it is not something new, so that could be the reason you're feeling the way you are.Contraceptive pills, also cause mood swings and well it seems that both of them working together are really getting to you.As such you should consider having the IUD removed.I hope this answered your question. | |
What can cause tingling and numbness in the foot?
I have had tingling and slight numbness in my left foot for several years. At times it swells a bit too. I have talked to my doctor, but he doesn t think i should be concerned. I was initially told I had gout, but I have read the symptoms and my situation seems to be different. | Hi, You should rule out B12 deficiency and diabetes according to mentioned history. For that you should get investigated with serum random blood sugar estimation and serum B12 estimation. I suggest you to investigate with serum TSH estimation as well. The multivitamin tablet can be prescribed for you. Hope I have answered your query. Let me know if I can assist you further. | |
What causes toxemia, heavy bleeding in between periods when having high BP/muscle spasms?
I had my Tubes Cut Tied and Burnt 10 yrs ago after I had my premature child weighing 2lbs 1 oz I devoped toxcima and I am now having same symptoms but Im not pregnant I am having Heavy bleeding with Big clots in between my periods with High Blood Pressure and muscle spasms whats going on ???? | HEAVY BLEEDING WITH BIG CLOTSPLEASE CONSIDER GYNAECOLOGIST FOR PROPER CHECK UP.I CONSIDER YOU SHOULD GET CHECKED FOR FIBROID OR GOD FORBID ANY MALIGNACY.GET ULTRASOUND, PAPSMEAR ALONG WITH CLINICAL EXAM.PLEASE GET CHECKED AS SOON AS POSSIBLE. | |
What is causing my son s fever, vomiting and cough?
My child is suffering from fever, he has been vomiting 4 to 5 times per day. He has been having very bad cough and runny nose. He is coughing like elderly people. He has loose stools. The doctor has prescribed Bactrim and bricanyl syrup, he is throwing up the medicines too along with the food. The vomit contains some phlegm too. My son is 6 months old and he is now in the teething stage. Can somebody help me? I am very depressed with his situation. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It seems your kid is having viral diarrhea. 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 diarrhea. I suggest you use zinc supplements (Z&D drops) and ORS as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your pediatrician). Regarding diet - Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements and ORS apart from normal vegetarian porridge and soups. THIS SEEMS TO BE VIRAL AND SELF LIMITING - SO DO NOT USE TOO MANY COUGH SYRUPS AS THE SUGAR CONTENT IN THEM MIGHT CAUSE OSMOTIC DIARRHEA AND PROLONG THE DURATION OF DIARRHEA. Hope I have answered your query. Let me know if I can assist you further. | |
What causes painful urination in a child?
Hello my five year old son was circumcised two days ago. He is still screaming a lot when it s time to urinate. It s not the actual urination that hurts him, he says he can t pee unless he pushes and the pushing is what hurts. He also seems to have great difficulty going even though he has to go pretty bad. Should I be concerned? | Yes please... This is not routine after 5 days so after circumscission. I suggest you get back to your pediatric surgeon immediately.It might be a stricture which is developing.Regards - Dr. Sumanth | |
Suggest remedy for severe muscle cramping in foot after plate removal from tibia
My daughter just had a plate removed from her tibia...she originally had multiple osteotomies on both legs involving the femurs, tibia and fibulas. She had major problems with neuropathy in both feet post surgery. Three years later she recently had a plate removed from her tibia and is experiencing severe muscle cramping in her foot....Solutions?? | Hi, As a first line management you can take analgesics like Paracetamol or Aceclofenac for pain relief. If symptoms persists you can consult an orthopedics and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Suggest treatment for incomplete union of ankle fracture
I broke my ankle in Sep 2013. I had 2 screws and a device similar to a sling put in it. I began walking on it in Dec and had no pain until I started Cardiac rehab in Apr 2014. A recent xray says On the present examination metallic screws noted at the medial malleolus and the Union is incomplete at the medial malleolar fracture. Degenerative changes of right ankle noted with overlying soft tissue swelling . What can be done to help this ankle heal? | if you have no pain in your ankle, I would leave things alone. if you have pain in your ankle, things are a bit complicated. normally for a nonunion that the fracture fragments are in close proximity, I'd use an electrical bone stimulator to help te fragments unite. if you have a pacemaker, the device would be a big mistake as it creates an electrical field which a pacemaker can misinterperet. given the length of time since the fracture, there may not be enough bone activity/ bloodflow across the fracture to have the stimulator work. an MRI or bone scan can help decide that. if there is no bone healing activity at the site, the screw would need to be removed, fracture sites curretted out to bring new blood flow, then reset with internal fixation. a bone graft may be needed at that time, and use of bone marrow aspirate or PRP injections may help assist the new union. | |
What is the remedy for the pain in the foot?
Hi, My name is Vinood, 40 years age. The past three days I am using colchicine 0.5 bis. but have still some pain in my foot. Also i use captopril 25mg for hypertension. Can i use diclofenac 50 mg to ease the pain faster? Also i have been prescribed allopurinol 300mg. this i should use when the pain is over and then stop with colchicine. Can i use all these drugs concomittant? Does the allopurinol have interaction with captopril? regards, Vinood | Hi, there!Allopurinol is for gout treatment, starting with 100mg dailyYour dose (300mg) of Allopurinol is to treat mild gout.Colchicine is for treating and preventing gout flares.Combination of Captopril and Allopurinol increases risk of severe allergic reactions (anaphylaxis) and skin reactions (Stevens-Johnson Syndrome).The main question is - do You have gout flare now?If the flare is present, use Colchicin, not AllopurinolDiclophenac dont interact with Colchicine.You can use anithypertension drugs without disruptionI hope this helps | |
Suffering from lower abdomen pain & back pain
Hi, My age 53 yr. male with lower abdominal pain & lower back pain. Pain came on fast yesterday at noon. I had lower abdominal pain 7-8 months ago. Had a Lower Cat scan. Came back good. Had a colonoscopy 4 months ago. Came back with redness at end. Did a biopsy came back good. | HI.This looks to be a case of either Irritable bowel syndrome or crohn's or tuberculosis. You need to go for CT scan of the abdomen, repeat colonoscopy and biopsy, relevant blood, urine and stool tests.t is possible that you may have hidden Gastrointestinal cancer. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Q. What is the treatment for Crohn's disease?
Hello doctor, I am 33 years old. I have an early stage of Crohn's disease. Do you have treatment for Crohn's disease? Is it a curable disease? | Hi. I can understand your concern. Crohn's disease is a psychosomatic disorder. Its management depends on the condition. If it has no complications, then it can be managed naturally through ayurvedic medicines. You should share your detailed disease history and all relevant investigation reports and medications history regarding this concern. I would like to help you. | |
What would happen if TB test will injected?
what would happen if TB test was injected | Hello Thanks for nice query. In montoux if drug gets injected it is harmless If infected fluid gets injected then it is harmful & can produce problems. ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and trouble free speedy recovery” | |
Suggest remedy to improve platelet & wbc count
I just got my premedical for a job n i found that, my platelet count is 150 n wbc count is 5.3, though my mp is 13.3, kindly reccommend me hw to improve on the platelet and wbc count and reducing mpvs, are there changes in diet which can cure this or any medicine possible???? | Hi ,Thanks for asking.The laboratory values are within normal limits.1. Normal platelet count is 1.5-4 lakhs cells/cumm2. WBC count is normally 4-11 thousand cells/cumm3. The mean platelet volume (MPV) is near normal and not to be worried about as there is no bleeding diseases.All values are normal. Continue same diet and remain healthy.Any further queries, happy to help again. | |
Suggest remedy for lump on neck
my 16mo grandson bit me rather quickly on my neck above my collarbone, left side...huge golfball appeared...STAT ultrasound showed hematoma...lump hasnt changed in size for two weeks now...tried warm compresses...annoying while trying to sleep...what can I do? | HI.You have got a diagnosed Hematoma on the neck. repeat the ultrasonography; IF the Hematoma is liquefied yet, ask you Doctor to aspirate the hematoma under USG guidance. Take antibiotics only if there is evidence of infection like redness, pain; otherwise not necessary. Take injection Tetanus Toxoid . | |
Swollen lymphnoids, blisters on lip, tingling cheek, ulcer on tonsil. What is the problem ?
Two days ago I woke up with a blister on my top lip and a bunch on my bottom in one area. Today I woke up and lymphnoids are swollen and left toncil is swollen and has a sore on it and the left side of my face is tingling/slight burning. I have had a couple fever blister in my life but never any of the other symptoms. I am 24 year old female and am health. What is the problem ? | Hi The infecting organism you are having appears to be virulent and as a bodily resistance the lymph glands swell up. This infection need be checked immediately. have saline gargles and internally have haridra khand with tab. allerin and karpooradi vati. | |
Suggest treatment for pain and loss of ROM in arm after an injury
Hi. I hyperextended my L arm 8 days ago when my 130lb Mastiff bolted, and the leash was wrapped around my wrist. I flew through the air Superman style and when I landed(left arm straight out, and chin flat on ground) he pulled me for another 4 feet before the leash released. I had an xray and no dislocation or #, but no available ultrasound until next Tuesday. The pain is worsening by the day and is radiating further each day. It feels like it is seizing today and I am taking Naproxen and Hydromorph with little effect. Its clicking with movement and loss of ROM in motion which is worsening also. | Hi, you have probably injured the soft tissue inside your shoulder, and this will be somewhat clear on an ultrasound, but a MRI is more informative in this respect. | |
How can external prostate massage be done for prostatitis?
How can I do external prostate massage for my prostatitis? I m taking sufamethoxale ,urine culture no growth. Urinalysis showed moderate calcium oxalate plus few bacteria. No back pain or kidney area discomfort. Pelvic,rectal area discomfort, occ. urinary burning. | Hi, dearI have gone through your question. I can understand your concern.You have prostatitis. You should take a course of antibiotics like levofloxacine or norfolxacine. You should also go for Ultra sound prostate to check volume and size. You may also have benign prostatic hyperplasia. Consult your doctor and investigate for that and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health | |
Can pregnancy happen after having a period?
i had sex sunday and i came on my period yesterday 5/25/10 cn i be pregnate but befor i had sex sunday i had this brown stuff but i still had sex. and the other day i would bleed light go off come back on and now im on and its heavy so can i be pregnate or not idk im confused and when i lay on my belly i feel a little knot or am i just curious? please help | Hi, Thanks for the query.I understand your concern. It seems you had sex in last days of menstrual cycle. ( indicated by brown discharge.. before having sex.&these days are in safe period.... Apart from this you had regular period after sex... So you have no possibility of conception with the contact under discussion. Any doubt can becleared after stoppage of bleeding. Thanks. | |
What causes radiating pain from the shoulder to the wrist?
Hi Dr. Rynne, The pisiform bones and pinkies hurt on each wrist/hand. The left hurts more as I am left-handed. Sometimes I get pain all the way up to my shoulder. I read about carpal tunnel and that seems to be on the other side of the hand, not the side in which I am experiencing pain. My wrists hurt after driving, when/after I am typing (I am an administrative assistant, so that is often) and, funny as this sounds, while - and especially after - kneading pasta dough. If they get really bad, I wear a wrist brace at night to prevent from bending my wrists. If not carpal tunnel, what could this be? I appreciate your feedback. Sincerely, Jen | Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persists better to consult an orthopaedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes a feverish feeling and muscle pain?
Searching for diagnosis, symptoms, feverishlethargic feeling, deep muscle pain, spongy lumps were pain is felt.asoapy whitishfilm escaping skin when showering (not using soap) and oily ringlets too. Numbish tingling feeling allover.cloudy mind and brainfog | Thanks for posting you query to health care magic.feature are suggestive of some kind of weakness due to deficiency of vitamin and mineral . you should first investigate for 1. blood examination : Complete blood count 2. stool microscopy for parasitic examination ,it will suggest us further treatment plan .hope you are satisfied with my answer . feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist | |
Q. TLC is elevated and I am worried. Is there anything concerning?
Hello doctor, I have submitted the reports of HPLC USG and latest CBC. I am worried this time TLC was elevated. In last four or five CBC in two months, it has never crossed the 7 to 9 range. Also, sending you CT and USG reports of two years back. | Hello. I saw your reports (attachment removed to protect patient identity). Your concern for high TLC (total leukocyte count) is not bothering me. We do see DLC (differential count) also, which tells the character of cells whether they are cancerous or not). There is nothing like that in your report. So, you need not worry. HPLC (high-performance liquid chromatography) report is normal, means at present we do not have anything conclusive as almost all investigations have been done in your case except for your bone marrow examination. As you are completely fine and symptom-free and your JAK test was also negative, you are most likely NOT suffering from any cancer, etc. Hematocrit/PCV if crosses 55 to 60, then only we give some symptomatic drug. From my side, I would advise you to just follow dietary advice and get blood levels checked only after three months. Getting it checked every month will only make you more stressed, which I certainly do not want. For more information consult a hematologist 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 --> | |
Q. How to confirm HIV?
Hi doctor, I had unprotected anal and oral sex with a guy. This makes me very stressful. The symptoms I encounter after the incident are as follows. I am feeling very tired from day 10, and I think it as stress. From day 12, I am having some sort of difficulty in breathing and numbness all over the body. On day 14, I have experienced itch inside the penis with clear watery discharge like urine, and it lasted only for a few days. On day 17, I had fever and headache which was cured in a day with treatment. I got an itchy rash on the chest, back, face and scalp on the 19th day. It lasted for about five days and got reduced, but still remains some. Then other symptoms persist till date which occurred gradually are sore throat, lower back pain, abdominal pain, joint pain, coating on tongue, bumps on back of tongue, red spot on tongue with irritation, itchy legs and hands without rash, blurred vision, painful itchy and sore armpit, thigh, genital area and buttock areas. I have attached the photos, please have a look. Do these symptoms suggest acute HIV infection? Or can it be other STDs? I have undergone the following tests to check HIV. Rapid blood test on day 19 and the result was negative, and I repeated the same test on day 35 and that too negative. My partner tested in front of me one day before sex, and it was negative. He claimed that he is clear and safe. But, he said that he had one partner three or four months ago and also many partners before. If my partner is truly clear and safe and I am HIV negative, then what cause all these symptoms? My doctor said I have very similar symptoms of acute HIV which makes me freaked out and nervous. I made mistake to have unprotected sex with him. I am going to get married soon. I will decide my marriage according to my HIV test result only. Please answer my questions and give advice. Thank you. | Hi. Thanks for providing the clinical pictures (attachment removed to protect patient identity). I would try to provide you with the best possible answers to your questions. The symptoms you have mentioned for example fever, general feeling of not being well, vague body aches may be a hint of acute HIV (human immunodeficiency virus) syndrome. They may also, in reality, be hypochondriacal that is due to stress and you are giving a lot of importance to them. The skin eruption that you mentioned and the pictures are suggestive of urticaria or hives. This may also see even as a response to mild fever or medicines that you may have taken or may even erupt in absolutely healthy people. Itchiness without any lesions in the groin area may be due to sweat, exacerbated by stress levels. The prominence of tongue swelling is nothing abnormal. They are the normal lingual papillae which mean that normal texture of the tongue present in all. When a person is psychologically stressed, often these normal tongue markings are interpreted as being abnormal. So, do not worry about this. Genital discharge you mentioned may or may not be normal. You must attend an STD (sexually transmitted disease) or STI (sexually transmitted infection) specialist to get yourself checked for the discharge, which may be a sign of urethritis - infection of the urethra. For this, a urethral swab or swab dipped in the discharge will be taken to rule out. Having said that, the possibility of acute HIV syndrome cannot be ruled out with 100% certainty based on these symptoms, although apparently, the chances are too low. Yes, you can contract HIV even from a single exposure. The risk is moderate, from being the passive partner and allowing unprotected intercourse and passage of your partner's seminal fluid into your anorectal mucosa. Further, your partner agreed to have been promiscuous himself. A rapid HIV test is just a modification of the standard ELISA (enzyme-linked immunosorbent assay) test. The only difference between rapid and standard HIV test is that the results are given out within 20-30 minutes of having given the blood sample in rapid test module whereas have to wait for a period of a week for the results in the standard test protocol. The more confirmatory test would be a western blot or p24 antigen assay or HIV RNA PCR. These tests can confirm or rule out HIV within a maximum of 12 days of the last suspected exposure. So, get them done to put your mind at peace. My final advice does not | |
Can dehydration cause sharp pain in the upper abdominal area?
I am having a sharp pain in my right upper abdominal area. I have checked with a staff member since Iive in a senior residence. She told me to drink lots of water. I also have had a fowl smell to my urine for two days. Thought it might be a bladder infection, but now they thought it could be dehydration. | Hello and welcome to `Ask A Doctor` service.I have reviewed your query and here is my advise.* The dehydration will not cause sharp pain in upper abdomen unless associated with internal abdomen pathology.* The foul smell urine may be concentrated urine or infection, must get checked with urine microscopy examination for further guidelines.I would like to admire your further doubts anytime.Take care. | |
Is pregnancy possible without penetrative intercourse?
Hello , I recently did some things with my boyfriend well he fingered me after he touched himself and that was it I was scared he might of had some cum on his hand . The next morning I was really dizzy and feeling sick. And then u told him to get me a morning after pill and he did since then I've had really thick white discharge and sore Nipples not breasts . I'm really scared I'm pregnant please help | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to your description if there is spermatozoa on his finger the possibility of pregnancy cannot be ruled out.But only the symptoms of pregnancy start around one week after intercourse that is around the time of implantation. So, the dizziness you had on next day could be due to anxiety or some other causes.As you took emergency contraceptive pill within 12 hours can expect around 95% of protection rate.The thick vaginal discharge, sore nipples etc you are having could be due to the side effects of high dose of hormone in emergency contraceptive pill.Usually after taking emergency contraceptive pill you will get withdrawal bleeding in 7 to 10 days. If you do not get withdrawal bleeding and also if you miss your expected date of periods better to go for urine pregnancy test once to rule out the possibility. Hope I have answered your query and I will be happy to answer any further follow queries. Take care. | |
What is the reason for my weight loss , increase in the size of stomach and acne all over my back ?
Hello, I recently realized that I lose weight , but the size of my stomach is still the same, and it increases. I don t feel any pain, I suddenly found that my stomach size grown. My eating is moderate. Could I be infected with worms (No pain, dihrea noticed) but I noticed that I have acne all over my back and it diffuses. Thanks | Hi, Thanks for query, As you are loosing weight but tummy size remains same. You may fave more fat collection in abdomen, You should be investigated for loosing weight, You go for liver check up to rule out liver cirrhosis, If you have doubt for warms then go for stool check up for ova and cysts of warms. ok and bye. | |
What causes stabbing pain in chest with difficulty in breathing?
two questions: 1. Randomly I have piercing chest pains and my arms hurts and its hard to breath 2. In the past about year and a half, ive just stopped caring, about anything, weather i live or die, school, family, i get angry really fast or for no reason at all, other times im perfectly fine and over energetic, theres really no middle ground, i cant sleep, i dont ever want to eat. is that normal? | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This is in relation with psychosomatic manifestation of underlying stress and anxiety disorder .* Needs expert psychiatric care to settle the issue .Always feel free to ask any further doubts .Regards dear take care . | |
What is the cause of an itchy rash?
I have an itchy rash that starts out as a bump. It will turn red after itching. Gets more pronounced with heat and itches more after a hot shower. Dr said it was probably scabies, no one else in family or those that I am close to have scabies. Does this sound like scabies? | Hi,You gave history of papular eruption that are severly itchy. And the lesion become more pronounced after scratching. Itchiness is increased after hot water bath. This much history might suggest that the lesions would be prurigo simplex. Any other family members do not have such lesions. You did not say the fact thatthe lesions are itchy more at night. This rules out the possibility of scabies. Prurigo simplex may due to some cause like allergens or irritants. You consult dermatologist for firm diagnosis and its cause. You may take antihistaminic like levocetirizine and steroid in tappering dose. Apply mild steroid cream. I hope you hot my answer.Thanks.Dr. Ilyas Patel MD | |
What causes immaturity and naughtiness in a boy?
Hi my son who is 9 is very immature and is very naughty he has been checked for ADHD and we were told he does not have this. When he was born his testicale did not drop so this was operated on when he was 2 this has prity much died could this lead to a behavour problem we have a 6 year old child who we would say is normal. I have thought about Fragile x syndrome as he does not like change this puts him out and he will play up. He is also very easy lead by others. | Immaturity not at par with the chronological age and peers is an issue and may be related to developmental immaturity which can be due to some birth related problems as premature birth or due to postnatal insults. However a thorough developmental history and social/intellectual assessment can give a better picture. Operation for the undescended testicles per se is not the cause. After assessment by developmental pediatrician and psychologist his weak areas can be strengthened by various programs. | |
What does this cardiac calcium score report indicate?
Just had cardiac calcium score, I m 71 somewhat overweight and have type 2 diabetes controlled. My total score was 363. Left main artery LMA was 34 the LAD was 281 the LCX was 48 and the RCA was 0. I will consult with my doc next week but will be out of town until Wed. No family history of heart issues both parents survived into their early 90 s. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The coronary calcium scan tells you how much calcified plaque is in your heart’s arteries. You and your doctor can take the results and decide if you need to make any changes to your medicine or lifestyle. That means you left anterior descending artery have more score means you have high risk to develop coronary artery disease in LAD. Please do regular exercise and eat green leafy vegetables, use anti hypertensive and anti hyperlipidemic drugs. Please consult your Cardiologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. | |
Why are my lymph nodes in my neck painful and swollen?
I ve been having superficial pain in my chest for a few months as well as lymph nodes in my neck swelling and being painful and going down and then up again. This morning I woke to the end of my right clavicle porotruding. I have gotten a chest xray today and I m scheduling a mammogram. What are the possibilities? | Hi, dearI have gone through your question. I can understand your concern. You may have some reactive lymphnode or tuberculosis or malignancy. You should also go for fine needle aspiration cytology. Go for x ray and memography as per you schedule. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Suggest home remedy for treating vaginal itching
I am six weeks pregnant and have been taking a antibiotic Augmenting as I had a cold. Now I think it's causing a very bad burning sensation and itching inmy vigina. Is there any home made remedy I can use to get rid of this for now until I can go to the doctor tomorrow. I have allegex in the house,can I perhaps use that? | **1. candida superinfection can be adverse drug reaction [ADR] of Augmentin [amoxicillin+ clavulanic acid], but since pregnancy is an issue, continue till your doctor has advised [since it is safe in pregnancy].2. Allergex [chlorphenamine] is an antihistamine given in allergy [itching] and since it having mild sedative properties and there is no evidence of risk in later trimester [Category B] thus can be safely used.3.. take plenty of fluids,water, eat healthy food, instead of bath tub take shower [since hot bath can kill natural bacteria in your vagina, lukewarm is best].avoid: consumption of sweet-sour-hot food, make less choices for frequent use of dry/rough tampons in vagina. avoid tobacco, alcohol, vaginal douche,. you may/can use yogurt as probioticPS.i. vinegar can help to increase vaginal acidity, mix 2–3 cups of vinegar to bath, and then sit in the bath for approximately 20 minutes to give the mixture enough time to deliver vaginal natural balance.ii. take diet rich in vitamin C [orange,grape fruits,lemons] which can boost your immune system. | |
Suggest treatment for fever
hi my name is valerie my daughter emily is 5yrs and has been running a fever of 101.5 i ve given her ibrophine and advil all childs medication but the fever does not want to go away what else can i do for her she jus now vomited which didnt happen at all to day | Hi, You may try to give her ibuprofen every 6 hours to help her to decrease the temperature, but also she may need to give her antibiotic. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
What causes a lump at the top of the intergluteal cleft?
noticed a small hard lump at the top of my butt crack a couple days ago. It is now becomming longer, spreading downwards through my butt crack, and becoming more painful. The skin is tight and leathery around the lump. It is uncomfertable to sit down in some positions. | Hi,If you're between 14-45, then you're probably suffering from an infection at the top of your intergluteal crack. In medicine it's called Pilonidal Sinus/Cyst. This is a congenital cyst that can get infected by ingrowing hairs. We see this more in men then in women and more in men with a pretty big hair growth.For me as a surgeon, the only (permanent) solution is surgery. I see a lot of GP's prescribing antibiotics, but most of the time it doesn't work or will return. So surgery is needed in order to drain the abscess and to get the cyst removed. There are several surgical techniques to do this. So I would recommend you to see a general surgeon who can fix this problem. Hope this helped. Let me know if I can assist you further. Regards,Dr. Koen Vermeiren | |
What causes fluctuating BP readings, cough and dizziness?
My mother in law has been having blood pressure changes ranging from 156/105 that drops to 90 s/50 s and she feels weak and dizzy. In addition, she has had a persistent cough and coughs up clear phlegm. When she coughs, she experiences pain in her left side on the front of her body. She has a hard bump that she notices in that same area when she coughs. She said she also experiences pain all the way up her left side to her neck. She has been told that it is nothing by her own doctor and is saying she will go to emergency after Thanksgiving. She had a chest X-ray and was told nothing was wrong. This has been going on for about a month. | Hello,I passed carefully through your question and would explain that her symptoms could be related to a lung disorder or a musculoskeletal pain. The fluctuations in her blood pressure values could be related to different causes: inflammation, the cough, an allergic reaction, the pain, etcetera.Coming to this point, I would recommend performing pulmonary function tests and allergic tests, to exclude a lung disorder or an allergic reaction, which are causing the cough. It is also necessary for performing some other tests: - a cardiac ultrasound- complete blood count for anemia- blood electrolytes- kidney and liver function tests- a cervical spine X-ray study for chronic degenerationYou should discuss with her doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ilir Sharka | |
I have been having abdominal pains. What could it be ?
I have been having abdominal pains for the past week and when I press on my stomach it is sensitive. What could it be ? | Referring to the location it seems that you are suffering from epigastric pain. It might be because of Gastritis. You can try some proton pump inhibitor like Pantoprazole 40 mg once daily before food for a month, avoid hot and spicy food, and in the meantime please get an ultrasound and upper GI endoscopy done on a priority basis. | |
Could the persistent strep inspite of using Amoxicillin be due to pneumonia?
Son is 9 years old. He has strep and is on amoxicilin. His fever is gone now, but he still doesn't feel good. Very tired and dark circles under the eyes. Very pale. He has been on the med for 3 full days and I think the antibiotic is not working. Could he also have pneumonia (no cough though). | Thanks for your question on Healthcare Magic.I can understand your concern.No need to worry for pneumonia as he is not having coughing.Coughing is first symptom of pneumonia.So pneumonia is unlikely in the absence of coughing.And 3 days antibiotic duration is too early to decide about effectiveness.You should give full 7 days course of amoxicillin.Fever was subsided so amoxicillin Island definitely working.Along within amoxicillin, give him plenty of fluids orally, fruits, juices etc for energy.Don't worry, he will be alright.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest medication for healthy intercourse?
Please recommend me some suggestions and medicine for sex problemA.A Respected sir i am in trouble please help me, please help me... i am 20 years old. i was doing hand practice (sex with hand or self sex) from all about 5 years.i involve in this bad habit due to company of bad friends | Hi,This is not bad practice at all.At this age this is common habit like eating, appetite,etc.At this age there is maximum level of male hormone leading to high sex excitement and masturbation.There is no any bad effect of this habit.Keep this habit in limit.Ok and take care. | |
Unable to walk, sit or sleep due to pain in bones
I'm having pain in feels it's in the bone unable to walk, sit or sleep from discomfort My reaumathologist prescribed the following pain releiversin the past month RATIO-CODEINE,MS-DICLOFENAC and PREGABALIN. Non of these even when with increased dosage helping to reduse the pain.Since its the holiday season most of my doctors offices are closed. Thinking of going in to a hospital emergency | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In rheumatism all these symptoms are present and right now you are passing through active phase of condition once it goes in passive stage you will be quite symptomless. Right now what you can do is avoid cold climate and keep your surrounding slightly warmer wear woolens and do light aerobics which includes whole body movements. Don't indulge your self in high impact activities like zumba. Do light exercises. Hot shower or having steam bath on lukewarm level will surely help you. In diet have lot of fluids and greens, and avoid fried items. Kindly continue your medication as prescribed.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Harsh Swarup | |
What causes pain in shoulder blade and heaviness in chest?
I woke up with sharp pain to my back left side under shoulder blade and it is sore today, however I am experiancing some chest heaviness and I am a nurse but dont want to look slilly jumping the gun going to ER for cardiac enzymes and such as I am worried about having MI , I am 55 menopausal , overweight moderatly , take benicar and inderol and have reflux. slightly elevated cholesterol . HELP ???? | Hi,You are a nurse hence you can know better the importance of having an EKG after any chest and back related problems along with cardiac enzymes to rule out he cause related to heart.This can be due to GERD causing esophagitis.Can be due to muscle spasm.Viral fever can cause this.Anything related to lungs and pleura.Hence You need the following:Rush to ER for cardiac enzymes and EKG.Clinical examination by a Doctor can tell about GERD, myalgia, cardiac or respiratory related problems and get investigated as per the findings.X-ray chest.Tests of blood,.Further investigations will tell us the proper most diagnosis so that an appropriate management can be done.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. T. Chandrakant, General Surgeon | |
I have pus cells 10-20 in urine & having 4.5 mm stone in left kidney. what should I do ?
I am 44 yrs male. I have pus cells 10-20 in urine & having 4.5 mm stone in left kidney .are these nos. normal & what should i do ? | just get an ultrasound to see that the stone is not causing any hydronephrosis. in addition get metabolic work up done to find the possible etiology of stone. other than dietary modifications and some medicines to probably dissolve the stone, nothing else is required if there is no hydronephrosis | |
Why am I having lower back pain often?
I m zoe, im 17 years old and work with horses. So I do a lot of heavy lifting and awkward lifting, I often get really bad lower back pain when working with the horses, it s very sharp and stops me from carrying on. It then dulls down to an ache but will often come back straight away as soon as I carry on even if that is just walking. Could you please try and give me some idea to what s going on? What can I do to help or prevent this? | Hi you may suffering from prolapse intervertibral disc. Rest and analgesics( tramadol 37.5mg three times a day) are primary treatment of it. you should consult your orthopedician for this problem | |
Suggest treatment for sore throat and fatigue when diagnosed with infectious mononucleosis
I was diagnosed with a recurrent mono virus in June. Sore throat turned into strep and now I still have sore throat, extreme and debilitating fatigue that makes me feel as if I am getting the flu, and no longer able to function for more than about 3 hours a day. Test results all negative except low b12 now. Dr suggested ent visit. More than a sore throat. Could it be CFS? | Hi,Mono is a viral infection that may manifest with the symptoms you describe. It may not have any specific treatment but for symptomatic management. However, persistent sore throat may be due to a bacteria super infection and will need antibiotics. I will suggest you to see the ENT for examination and a throat swap culture. As for your intense fatigue, it may be chronic fatigue syndrome (CFS) commonly caused by viral infections (like mono), immune system problems, hormonal imbalances or metabolic disorders like B12 deficiency. I will suggest you try the following:- Eat well and healthy- Rest well- Get some B complex vitamins- As for sore throat, gargle with warm salt water many time per day, pain drug like Tylenol and if throat pain too intense, a local throat spray like Anginovag may be usedFrom the findings from the ENT exam, your doctor may judge the need for antibiotics like Amoxicillin-Clavulanic acid. Your ENT will also have to exclude chronic tonsilitis.Hope this will help. Let me know if I can assist you further.Wish you a speedy recovery!Regards,Dr. Mbuomboh Veranso | |
Is it to be concerned about a child having shallow breathing and temperature?
Hi. My 14 month old has rapid shallow breathing and temperature. He has had a cough for the last couple of days. He is on a korometrics machine at home for sleeping as he has a severe tracheomalacia since birth and is a tof baby. He doesn t appear to be recessing when breathing. His fast heart rate alarm keeps going of. Should I be concerned and take him to Ed. Thank you. | Hi...by what you quote I feel that your kid might be having a lower respiratory illness either viral or bacterial. Please take him to the nearest emergency department as soon as possible. Rapid and shallow breathing is definitely a sign of respiratory distress and all the more so with the back ground of tracheomalacia and with assisted ventilation.PLEASE TAKE HIM TO THE NEAREST EMERGENCY ROOM IMMEDIATELY.Regards - Dr. Sumanth | |
Thank you. I was diagnosed with sarcoidosis in 1989 when it appeared in my eyes. I am now 74, 5 feet 8 inches tall and weigh 175 pounds. After all these years of having skin related problems with sarcoidosis, in 2012 I developed pericarditis due to sarcoidosis. Many months of heavy medications (prednisone and others) supposedly cleared it up, but recently I was told I have stage 3 kidney disease with a GFR of 44. My question is this: Can kidney disease be caused by sarcoidosis? If so, what can I do to prevent further deterioration of my kidney function? | Dear Patient the answer is yes. It gives an interstitial granulomatous nephritis that it is pretty evident on renal biopsy, although sarcoid is always an exclusion diagnosis. Treatment follows the indications of the systemic disease since kidney is a well known localization of this systemic disease. Please be sure to do a urinalysis in order to demonstrate low urine concentration. | |
Is R-Cinex intake for prolonged period safe for children?
My BROTHER IS 9 YEAR OLD AND 25 WEIGHT. doctor adviced him to take r-cinex for 15 months.i just wnted to ask that is it ok to take rcinex kid for 15 months. will there be any side effects if my brother continues to take it for 15 months.again doctor has also prescribed to take stablon thrice a day along with r-cinex. | Hi....R-Cinex is an anti tuberculosis drug. It depends on the indication for which it is given. The usual side effects are liver related like hepatitis and jaundice. If I were your pediatrician I would like to follow up every 3 months once with liver function tests or at least liver enzymes. Not only that I would also urge you to be on the look out for jaundice and if this develops please get back to your pediatrician.Regards - Dr. Sumanth | |
What causes sharp testicular pain while trying to stand from a seated position?
Hello recently when I stand up after sitting down for a while I get a sharp pain in my testicules and it makes me hunch over abit from the pain and the pain lasts for about 5 seconds, it s happened about 5 times in the last 2 weeks do you have any idea what it could be? Thanks. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to provided history no specific testicular cause can be suspected here. But for the further investigation you can investigate with USG scan of the testes to check whether any inflammation in the testes is present or not. You can attach your reports for giving more comment. If needed you can consult Urologist for examination. Hope I have answered your query. Let me know if I can assist you further. | |
Could headache, giddiness and sudden stop of periods be a side effect of nexito plus?
i have been taking nexito plus, 5mg since the last 4 days. i noticed i get haedache, feel giddy n nausea till late eveneing. my periods have suddenly stopped. dont know the reasons though. . it has never happened before . should i continue with the tab ? | Hello, I'd like to tell you that none of the symptoms mentioned by you is related to the use of nexito plus.Giddiness and nausea are general symptoms and may happen although not related to nexito plus use.Stopping of your periods is something different and I suggest you should see a gynec for further check-up. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prabhash Verma, General & Family Physician | |
Suggest remedy for persistent cough
I have a cough lasting over 3 weeks now. I went through a course of zithromax 250mg, 1 tab a day for 5 days which did not help, then the doctor prescribed zyrtec - d for allergies, that has also not helped. My cough is productiive (with white phlegm), with a lot of crackling sound in my chest, however I don't have a fever or throat pain, please let me know - Ravi | Thanks for posting your query to hcm.as you are having couhh for 3 week first I would suggest you some investigation.1.gram stain and zn stain microscopy of sputum.2. Culture and sensitivity of sputum. It will help in detection of cause.however you can take syrup containing ambroxole, terbutalin and guaniphesin 2 tea spoonful 3 times a day , tablet cetrizine 10mg with monteleucast5mg once at night and pentoprazole 40 mg once in morning.it will give you symptomatic releied.further treatment will be based on your investigation report because you have already taken antibiotic ..feel free to ask if any query.review me after report comw.regards,dr manish purohit | |
What causes numbness and swelling in toes after a bee sting?
I was stung by a bee yesterday, actually I guess I stepped on it, but after I got the stinger out the pain was excruciating and later that night my toe swelled and went numb.. When I woke up this morning the toe along with the one next to it are still swollen and numb along with redness on the toes and below them.. Is there any need for concern with the numbness?? | HelloThank You for contacting HCM.These symptoms are due to allergic response from the insect bite. The symptoms will subside in few days. I would suggest you following :> Take levocetirizine one at night for allergy> Avoid touching the bitten area with dirty hands.> take a piece of cloth, warm over flame and then place over swelled area. IT will give soothing effect.> take acetaminophen for pain (if occurs)Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health. | |
Had an accident, now have backache. X-ray says loss of normal lumbar lordosis-due to muscle spasm . Clinical correlation?
my brother had an accident few months back and was treated but now he is suffering from lower backache x-ray report says "loss of normal lumbar lordosis-due to muscle spasmlumber spondylosismild superior endplate compression of the D12 vertebra anteriorly could be post traumatic. would recommend clinical correlation" | Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. Your brother had an accedent few months back, now getting backache, Xray showing loss of normal lumbar lordosis, due to muscle spasm, lumbar spondylosis, mild superior end plate compression, of d12 vertibraanteriorly could be post traumatic. After few months means may not be related to the actual injury, the things to be treated symptomatically, to the present condition. Besides treatment of orthopedic surgeon, you try to sleep in a hard bed mostly in supine position, minimise weight bearing. Avoid taking potato, other tubers, tomato, egg, chicken, and sea foods. Wishing for a quick and complete recovery. Best regards. | |
Trying to conceive, PCOS. On metformin, ovamit. Ultrasound shows PCOS, intact endometrium. Treatment?
hi, i am 27 years of age, trying to conceive for two years but not successful. my height is 5 2 , weight is 56 kls. i am diagnosed with PCOS six months ago and was prescribed to take metformin and ovamit(just started for two months now) but still not able to conceive. the ultrasound showed that i have a normal sized anteverted uterus with intact endometrium . polycystic ovaries with dominant follicle on the right. my HSG result is: theres opacification of the endometrial cavity and both fallopian tubes with contrast spillage on the right. no other findings | ki Lori, Thanks for posting your query. To control PCOS main thing is weight reduction by doing regular exercise & avoiding heavy & spicy food. If still not controlled then medications are started. You are taking good medications as prescribed by most of the gynaecologist. But your HSG results are not so good showing only one tube patent means your fertility rate is 50% reduced. Wait for some time if still do not conceive then go for IVF. Take care. | |
How to get rid of severe upper back pain?
Hello, I'm 23 years old man and I have an upper back pain that worsens when I bend down. I wake up with this pain every morning for about 2 months now. The pain feels about 4 between the range of 0-10. It is located near 6th or 7th thoracic vertebra. I can feel the pain increasing especially if I rotate my thorax with legs fixed on the ground. My height is 5'6, and my weight is 144lbs. Besides the pain I am healthy. What could this be? Thank you. | Hi,From history it seems that there might be having some muscular strain and spam giving this problem.Lack of physical exercises or sitting more time infront of computer can give rise this problem as well.Go for regular physical exercises like running, swimming, walking etc. daily for 5 days in a week.Go for back extension exercise daily.Meanwhile take Diclophenac medicine as needed.Ok and take care. | |
Burning sensation on tip of tongue, lips, under stress. Washing with benadryl, maylox. Recommendations?
I have a burning sensation on the tip of my tongue and it looks irritated. My lips kind of burn as well. I went to my dr yesterday and she said she wasn't sure what it was. Didn't look like there were any sores or ulcers. She told me to swish liquid benedryl with maylox 4 times a day to numb it. But what is it and why won't it go away? It's been burning like this since Sunday. Could it be stressed induced? I have been under a lot of stress lately. | Hello,Thanks for writing to hcm forum.Do you have the habit of tobacco or pan chewing?Burning tongue as well as lips usually occurs in cases of -stress,intake of spicy foods,Tobacco or pan chewing.Apply topical steroid on the affected area.Maintain oral hygiene well.Intake of spicy foods has to be limited.Take vitamin becosules as well as iron supplements.Hope this helps. | |
Suggest remedy for severe anxiety and panic attacks when intake of Alprazolam is stopped
Hello I m 27 year male , married father of one baby , Suffering from anxiety , i had first anxiety in feb ,2012 then i started Alprazolam (Tab: ALP 0.2mg TDS) then after i went to work n i was feeling better but after 6 months in Sept again got same anxiety (panic attack ) i feel my half side numb , ears dim, bp increased upto 140 / 90 to 150 / 100 mmHg between this range . i cannt focus on the things again i stared ALP but when i skip one or two doses i feel same feelings again n again . actually i feel my self scred from the feelings when fear is there to prevent fear feelings recalled .... please help me Doctor how can i get rid off from such feelings completely. | Hi,You seem to be suffering from anxiety disorder. Although alprazolam helps in short term but it doesn't treat the condition. In long term, it leads to dependence. Suddenly stopping alprazolam will lead to withdrawal symptoms which will include rebound increase in anxiety.You should seek a psychiatric consultation for your condition. Medications like selective serotonin reuptake inhibitors will help you overcome your anxiety. You can also start relaxation training in addition. Another option is for cognitive behavior therapy, if some on trained in it is available in your area.Best wishes. | |
What causes a bruise on lower abdomen?
I have a bruise on my..... well, about an inch above my pants. My kids noticed it a couple of days ago, and I just figured it s because my pants are always to tight and I slouch most of the time, but I just wanna know what other concerns there might be? It seems to have a texture, which leads me to believe it s from my pants. Stress (I m under a lot), exhaustion, lack of sleep, being overweight, food allergies? | Hi,Thank you for your query. I can understand your concerns.Purple striae-is commonly seen over abdomen in Cushing's syndrome & excessive steroid treatment due to easy bruisability as a result of loss of perivascular supporting tissue from protein catabolism.Bruising can also occur on lower abdomen with minor trauma like tight pants,if you have underlying bleeding or coagulation disorder. Simple obesity is also associated with the incidence of stretch marks on the abdominal wall giving similar appearance of bruising.Regards Dr. T.K. Biswas M.D.Mumbai | |
Is Fenistil drop safe for cold and runny nose in children?
Child has colds and runny nose. Recommended fenistil drops, on aptamil. Suggest? Hi My 2 months baby has colds ,, runny nose The doctor recommended fenistil drops.,, can i put the drops in my baby formula,, she is on aptamil. Thankks | Hi...yes you can. No harm in mixing it with baby food. But make sure the prescribed medicine is consumed.Regards - Dr. Sumanth | |
What does a lump on buttocks indicate?
I have a lump under skin size of quarter feels like a bruise at touch and is kinda hard. It s on left butt cheek at top just under lower back where you get a shot. Any idea on what this could be? I called doc may go in tomorrow. Just don t know seriousness. Don t like to take chances thank you for your time. | Hi, If I were your treating Doctor for this case of buttock lump, I would come up with three possibilities, these include: 1. benign and simple conditions like lipoma or neurofibroma or dermatofibroma; there is nothing to worry about these! 2. some sebaceous cyst or some other cysts like bursa or even parasitic cyst3. resolved infection, chronic folliculitis or some benign stromal nodule!I suggest you to go for clinical assessment along with an FNAC and ultrasound of the lumps for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
How to treat disc prolapsed at L4-L5 and L5-S1 causing pain from lower back?
Sir, I am Sri Teja Raj Naik, from Bargarh, Orissa suffering from Disc prolapsed at L4-L5 & L5-S1 and feeling radiating pain from my right lower back to right foot while standing and walking due to compression of right sided nerve root by L4-L5 disc desiccation as revealed by an MRI scan since last mid April 2010. Firstly about for 2 months I could not even walk due to acute radiating pain and took bed rest. In the mean while I was taking Neurica-M 75 Capsule twice daily as suggested by a Neurosurgeon and practicising a little physiotherapy. Gradually I could walk slowly and now I am able to walk but still feeling pain while standing and walking. Sir, can it be cured completely by only physiotherapy or a surgery may be needed? Please advise Sir. | Hello, Welcome to HCM and thanks for your query. You have done well on physiotherapy and there is no need of surgery now. You should also practice preventive measures like correct posture, using a firm orthopaedic mattress etc. Take care | |
Swelling in labia, due for periods, UPT negative. History of taking birth controls. Am I pregnant?
My husband and I recently got off birth control (right before Christmas) and it has now been 44 days since I ve had a period. My discharge hasn t changed in a way to indicate a coming period and in the last couple of days my labia has become swollen, no pain, just uncomfortable when I m in jeans. I have taken 2 at home pregnancy tests and both have been negative. What do you think? Pregnant or not? | HiThanks for your query.With 2 negative pregnancy tests, I do not think you are pregnant.Also, after coming off the birth control, sometimes return to normal periods can take some time, in rare cases upto a few months.I would ask you to consult your gynaecologist for a definitive opinion.Take care. | |
Is there any medication that will allow me to work without the anxiety?
I have generalised anxiety disorder,and want to return to work am on cipromil 20mg,have been on it for about 4 weeks now and seem to be getting more anxious any other medications that will allow me to work without the anxiety and without feeling sleepy at work .please your help would be appreciated louise | Hi,I can understand the phase that you are going through. Cipramil (Citalopram) is just one of the options for treating generalised anxiety disorder. However, if there is no response to 20 mg dose, there are two options: increase in dose or switch to some other agent. If I would had been your psychiatrist, I would have hiked the dose initially and see its effect. If still there was no response, i would have switched to some other agents, may be some other Selective Serotonin Reuptake Inhibitors like Sertraline or paroxetine. Other agents will include venlafaxine. The choice of the new agent will depend on your symptoms, age and any other medical illness. You can discuss these options with your psychiatrist.best wishes. | |
What causes chest pain with tingling and numbness in arm?
I am a 21 year old female, 5'7" non smoker, non drinker. I am a tad bit overweight by standards, but my waist is normal by the "weight vs wait" theory. I have been having chest pains and left arm tingling and numbness. My hands, arms, feet, and legs are swollen. I have been extremely tired and I get winded from just walking from my daughter's bed to my bed which only about two or three feet away. I only urinate about 3 times a day and sometimes when I feel the need to go, nothing comes out, i'll feel my spincther muscle relax, but no flow. I was diagnosed with a small kidney stone but they said it was nothing to worry about. Sometimes my extremities get all tingly and go numb as well. I was put on lasix a week ago and have had no increase in urination and no reduction in my swelling. I have been VERY lighteheaded and dizzy as well. I went to the ER my bp was 157/79 and it usually runs about 110/75 at routine dr's visits he did a quick ekg and said things looked normal, and he also said my blood work is fine. I asked him what could be causing my symptoms and he said he did't know and said, "go home and try and get some rest." He didn't even bother to check my vitals before discharge. I am about to just give up b/c I don't think I will ever find an answer to my problems. I am starting to feel like some big hypochondriac but my symptoms are there, i even passed out in my doctor's office last week. I | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should definitely rule out heart and lung related diseases first. So get done ecg, 2d echo, stress test, chest x ray and PFT (Pulmonary Function Test). Ecg, 2d echo and stress test are needed for cardiac diseases. Chest x ray and PFT are needed for lung diseases. If all these are normal then no need to worry much. Sometimes stress, anxiety and panic disorder can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright with drugs and counseling sessions. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Can manual stimulation of a woman's vagina after ejaculation result in pregnancy?
I had oral sex with my girlfriend and ejaculated on her chest and rubbed it , we were wet as were under the Shower.i fingered her using the same hand . She washed it with soap water immediately after that .she had her periods 6 days ago and she has a normal cycle .is there a chance she can get pregnant ? Please help | no. chances are negligible as procedure for intercourse did not happen. moreover she was in the safe time period as her periods ended 6days back | |
Suggest surgical procedures for swelling and poor circulation in the legs
My husband is 69 years old and has swelling and poor circulation in the legs. What kind of surgery can be done to help with this condition? Will this be in patient or out-patient surgery? How Long will it take to heal? Or for him to return to normal activity? What are the complications, restrictions and side effect associated with this type of surgery? What precautions should be taken after the surgery? | Poor circulation to the feet should be improved, if he has ischemic pain of the feet or legs, or a ulcer of the feet. If he has neither, then increasing circulation is not necessary, since an peripheral angioplasty will get blocked again in about 8 months, and a peripheral bypass surgery will get blocked again in about 18 moths or so.Firstly, a peripheral MR angiogarm or CT angiogram is done by the Radiologist. After studying the film, doctor can inform if there are angioplastyable or by passable blocks. You can then on his advise get the revascularisation done. | |
What causes pain in tailbone and right ankle?
I ve been on a doctor monitored low carb high protein diet for about 7 weeks with great success . About 3 weeks ago I noticed my tail bone started hurting no matter where I sat or layed. Yesterday I woke up and had bad pain in my right ankle (front of ankle & top of foot) with no swelling.This morning I woke up and it was so bad I have to use a cane. I read on line that it may be gout do to my high protein diet. | HiThank you for asking HCMI have gone through your query. Gout is usually presented with swelling and reddish appearance. Mostly it will be on metacarpophalangeal joints of toe. Even ankle , knee or hip or hand joints can be involved. If you have such symptoms you can run a blood level of uric acid test. But if that is normal it can be most likely sciatica. An orthopedic examination followed by a x ray and MRI if needed will rule out that. In such case NSAIDs like ketoprofen , muscle relaxants like thiocolchicoside and neurotropic drugs might help you. If it is present for long term then i advise muscle strengthening exercises and physiotherapy. Hope this may help you.Let me know if you have any further query.Thanks. | |
What causes elevated BP levels?
what can happen and how bad is it to have blood pressure 158 over 104. I did have preclamcia when I delivered twins 8 1/2 months ago was on bo medicine foe a few months but got back on track past few weeks up again y could this be? I am 34 5 feet tall and 110lbs | DEAR USERTHANKS FOR CONSULTING AT HCMI UNDERSTAND YOUR CONCERN..BUT FROM YOUR HISTORY IT SEEMS AS IF YOU HAVE STOPPED THE MEDICATION FOR BLOOD PRESSUREA PAST HISTORY OF PREECLAMPSIA DURING YOUR PREGNANCY WAS BECAUSE OF UNDERLYING HYPERTENSIONI THINK YOU NEED TO CONTINUE WITH YOUR MEDICATION AND NOT TO STOP THEM UNLESS TOLD BY YOUR PHYSICIANHIGH BLOOD PRESSURE HAS MANY COMPLICATIONS IN LONG TERM LIKEMYOCARDIAL INFARCTIONNEPHROPATHYRETINOPATHY ETCHENCE PREVENTING THIS HIGH BP BY MEDICATION IS TO BE SORTYOU ALSO REQUIRE CERTAIN LIFE STYLE MODIFICATION LIKELOW SALT DIETDAILY BRISK WALKING FOR 20MIN PER DAYGREEN LEAFY VEGETABLESAVOID JUNK FOODSTHESE MEASURES WILL HELP YOU REDUCE YOUR BPHOPE I HAVE ANSWERED YOUR QUESTION.. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS | |
White patch on cheek due to biting, bad breath, heaviness in cheek, swollen face. Is it cancer?
firstly i bited my cheek once due to which white patch developed and its not healing , also i started bad breath, feel heaviness on left cheek , sometimes feel left face is swallen...dont know but only thing coming in my mind is i am having cancer ....i have shown to ENT and dentist and they said its ok and nothing of that sort but still i have doubts and its not going from my mind | Dear friend. Thanks for sharing your concern. when you have already visited ENT doctor and dentist, and they have suggested you that it is not cancer then you should be relaxed,that it is not cancer. Now i would like to ask you why do you feel it is cancer? it has no such signs and symptoms,which could be correlated to cancer. you have already mentioned that it has arised from the self induced injury to cheek. now the symptoms, that you are experiencing like swelling and heaviness that is just due to tissue injury and inflammation. once the tissue repairs or heals you will feel absolutely normal.Also you must avoid this habit further. Regarding your bad breath, that is due to improper oral hygiene or chronic sinusitis.You must rule out these too. use antiseptic mouth wash for 15 days twice daily and look for the changes. I am sure you will be fine. Hope it helps. Thanks. Take care. | |
What should be done after being diagnosed with white matter brain disease?
If you have been diagnosed with white matter brain disease, very early stage, is it better to increase the statin medication to reduce cholesterol (a risk factor for that disease) or is it better to reduce the statin medication because of its association with memory loss? It seems that the statin drugs go in both directions on this probelm. Thank you, Jeffrey Shapiro | Hi,Thank you for posting your query.I have noted your symptoms and MRI brain findings.Regarding white matter ischemic disease, the most important aspect of care is to keep the risk factors under control. This includes control of blood pressure, sugar and cholesterol.Among medications, it is better to continue aspirin and statins to prevent disease progression.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: My blog: | |
Itchy bumps on neck and chest, increasing. Planted flowers. Treatment?
I started getting these itchy small bumps on my neck and chest a week ago. I have been putting calamine lotion on them, which helps the itching and I have taken Benadryl twice. At first I thought it was from planting flowers last week and touching some weeds, but now I'm thinking maybe it is a food allergy. The only thing I haven't had any new food items. One of the weeds I picked up looked different so I immediately put it in the garbage and washed my hands. Maybe I touched my neck. I don't know but the itching is driving me crazy and the bumps are increasing in numbers. | Hello, Thanks for the query to H.C.M. Forum. This is some sort of allergy due to weed or planting of flowers. Due to antigen antibody reaction there develops itching first at contact site. If person is prone to allergy and over sensitive to particular allergy this type os symptoms appear. Local applicant will only soothe the site of contact. For systemic allergy ( all over body ) ,you advised to take potent antihistamine as fexofenadine 120 or 180 mg 2-3 days. Steroid tablets 2-3 ONLY ,one in time will give you relief. Good luck. Dr. HET | |
How to treat trauma caused after death?
Hello, I was wondering if i could get some help regarding the after death trauma of a husband. My question is is it normal for this person to stay silent for almost 2 months even thou she is in a hospital and all her sons and daughters are around her all the time. I wanted to know and make sure because someone i know is telling me that this is the case but i have doubts that its a lie Thank you, | Hi and thanks for questions.trauma after death is grief reaction which occur in most of person. it will take time to resolve minimum 1 month to maximum 6 month. so i will suggest wait up to 6 month. if pt is not taking food or in severe grief than required treatment and counselling.in treatment antidepressant like desvenlafaxine or escitalopram or anxiolytic like tab.clonazepam give. and kindly consult if more problematic.thanks | |
What causes pounding in the heart with sinking feeling in chest?
I am 33 yoa , white female. 5'8" weight 198 lbs. My bp is 114/56 and my pulse is 81. I have been sitting at my desk for over an hour doing paper work. My heart feels like it is pounding...it all started with a sinking sensation in my chest...what is this? | Hello, There are multiple possibilities like heart issues or even anxiety related. This can be a cardiac arrhythmia like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holter monitoring if symptoms are occurring in daily basis. So visit nearby cardiologist for these investigation.Also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard.Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiological studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. | |
Q. I am unable to conceive with normal cycle. Please prescribe fertility medication.
Hi doctor, I have been trying for the last one year to conceive baby, but no result. I would like to take medication to boost my fertility. Need a doctor's prescription for the fertility medication. There are no other issues regarding the period cycle or health. | Hello. Fertility medications cannot be prescribed without a thorough evaluation. This involves finding the exact cause of not being able to conceive whether it is female factors or the male factor. Among the female factor, ovulatory dysfunction is the most common cause. Also, tubal factors like tubal block can also cause difficulty in conceiving and thus need evaluation. I see that your previous cycles have been regular but this time you had a delayed cycle which is the first time you observed this. Delayed cycles indicate ovulatory dysfunction, which could be due to hormonal disturbance of thyroid or Prolactin Hormone, or due to a lifestyle condition like PCOS (polycystic ovary syndrome). Also, I see you are overweight for your height. I would like to know many more details about your issues, like if you have any acne issues or any unwanted facial hair growth. Was there any recent weight gain? What is the average coital frequency in a week? Do you have any vaginal discharge and frequent lower abdominal pain? Have you had tuberculosis or any other chronic medical conditions in the past? Have your husband got a semen analysis done, what is his age, and what does he do? As it is the third day of your periods today, you can get the below mentioned medical tests done and consult a fertility expert with reports for further evaluation and management. Treatment would depend on the underlying causes. In 10-20% of cases, there may not be any attributable causes. It is called unexplained infertility. In such cases, also your fertility expert may suggest assisted reproductive techniques to increase the chances of pregnancy. I hope this helps. Hemogram. Lipid profile. LFT (liver function test), RFT (renal function test). 75 g glucose tolerance test (fasting, 1 hour, 2 hour). HbA1c (glycated hemoglobin) levels. Serum calcium, Vitamin D and B12 levels. Serum fasting and Post prandial. Insulin levels. Serum FSH (follicle-stimulating hormone), LH (leutinizing hormone), free testosterone, Estradiol, Prolactin levels, thyroid profile (T3, T4, TSH, Anti TPO) on second and third day of the next menstrual period. Ultrasound abdomen and pelvis, husband semen analysis. Endometrial sampling and tubal evaluation by HSG (hysterosalpingography). Tablet Folic Acid 5 mg daily once until you conceive. Reduce weight. Maintain menstrual cycles diary. Regular excercises at least 1 hour daily. Dietary modifications. | |
Q. What can be done to gain weight and muscular body?
Hello doctor, I am 21 years old. A male with height 173 cm, weight 46 kg. I eat well but I look very slim and weak body. So, please give a good suggestion for a healthy and muscular body. | Hello. I just read your query and it appears that you are underweight although you have a very good height. I suggest you take a high protein diet preferably if you are a non-vegetarian then take chicken, mutton, eggs daily. Also, try to eat small meals frequently. Take Ensure milk powder twice a day regularly. You must take a high-calorie diet more than 2500 kcal per day. Problem is if you are a vegetarian, in that case, you must add your proteins from dry fruits, soya milk, soybeans, ghee, etc. Sleep well and exercise in moderation for 20 to 30 minutes daily. | |
Will Glipizide and Meteor help control diabetes?
Thanks, I have been taking pioglit/met 15-850 twice daily for a few years with a am fasting sugar between 100 - 120 . My doctor retired and my new doc told me there had been som neg imfo with pioglit so he changed med to glipizide er 5 mg one time and a 1000 mg meteor in one time daily and my am sugar have been between. 150 to 200. I don t go back for 2 1/2 months . Do you think I should call and as him about the differance in the dosage. Thanks..... David | Hi,Thank you for asking your query on HealthcareMagic.I have gone through your history. Your doctor is right. Pioglitazone class of drugs have been found to have some serious side effects. Glipizide and Metformin are good drugs to take care of your diabetes. However, based on you AM sugar levels, it seems you need a revision in your dosage or addition of another anti-diabetic drug. Kindly consult your current doctor for the same. Also, lifestyle changes are equally important with right medications. See you are having the right diet and regular exercise (at least brisk walk for an hour daily) for better results.I hope I have answered your query. Let me know in case of any further questions. Best,Dr Vishesh | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What causes passage of white strings in urine of a child?
my 3 yr old has recently battled high tempreture and feeling unwell. His urine sample was checked and came back ok but i noticed today, (2weeks later) he has white stringy bits in his urine. His tempreture is normal now though he still doesn t seem his normal self, is a bit grumpy and cries more than usual. anyone any thoughts? | Hi... by what you say it could a worm infestation or a urinary tract infection. I suggest you get a urine routine done and get back to use with the results or consult your pediatrician.Regards - Dr. Sumanth | |
What causes pain near the penis?
I am experiencing minor pain in the left area of where my Penis is situated from yesterday. The pain is not in the penis. But on the left side of the area where usually males are having their pelvic hair. As I am touching there, I am feeling that there could be probably a swelling kind of thing. Please guide me. | Hi,It seems that you might be having enlarged tender inguinal lymph node producing pain and swelling over that region.There might be having some local skin infection giving rise this problem.you might require one course of antibiotic medicine for 3-5 days.Ok and take care. | |
Suggest remedy for bad smell from mouth in the night
hello doctor i want some information to u that firstly i tell u that my age is 18 and i am always tooth the brush daily but some people said me that the smell is coming from mouth only in night and spread in the room so plz tell me that its this possible and when i meet with frds and relativies they donot say anything i mean the donot say about smell and i tell u i eat only rice,pizzas,chips, white peeta bread,tomatoes,chips and wings.howi save from this problem i am very worried | Hello, Thanks for consulting HCMRead your query, as you have bad smell from mouth in night dont worry I understand your concern this bad breath can be due to poor oral hygiene, deposits like plaque , calculus , material alba causing bad smell , drug induced , sinus related or diet containing milk products , garlic. For this I will suggest you to consult dentist and go for oral prophylaxis , in meantime you do warm saline rinses in day and do chlorhexidine mouthwash twice daily or during night after meal.Hope this will help you. Wishing you good health. Regards Dr. Priyanka tiwari |
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