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What causes elevated liver enzymes?
TEST NAME METHOD VALUE UNITS NORMAL RANGE ASPARTATE AMINOTRANSFERASE (SGOT ) PHOTOMETRY 48.3 U/l M: 0 to 37 - F: 0 to 31 ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 94.1 U/l M: 13 to 40 - F: 10 to 28 Hi i am 30/ M from india and recently had done the blood test in which i could find the above 2 levels in very high in SGOT and SGPT. What is the cause of this and what is the solution to bring the levels under control. Please advice | As there are so many causes for increased transaminesia like a fatty liver of any causecan have such changes, if so then diet modification with less fat contain food and less oily food with regular physical activity may be helpfull in reducing the elevated enzymes.As a base line you need to work up for the same cause like ultrasound abdomen to look for fatty liver,Hepatitis B and C MARKERS BECAUSE IN THIS CONDITION ALSO THERE WILL BE ELEVATION.A repeat SGOT & SGPT levels after 3 months can done ,Even after the above measures still there is persisting elevation of enzymes then we need to work up for autoimmune causes and wilsons disease.hope this information help you thank you | |
What causes lump oozing foul-smelling liquid on labia majora?
I just today noticed in the toilet that there is again a small little bit painful lump on my labia minora (inner surface). I squeezed it and as before also this time there came out some white "stuff" which smelled so so terrible bad that the whole toilet smelled. That smell also stucked to my fingers so badly that even after washing 2 times with hand soap my 'squeezing fingers' still had some smell. It is really discusting smell. I wish to know what these lumps are and what causes them? I tried to search information about this but didnt really find the answer. Barthols glands is the closest what i could find (the location is at least almost the same, maybe mine is not quite that deep in) but it didnt have anything related to the white stuff and terrible smell. I have often boils on the hairy area or major labia inner surface, but the stuff in those isnt smelling (if it happens to smell) even close as bad as these minor labia lumps so those arent normal boils. Thank you in advance ! | hi.based from your description, yes, it could be folliculitis. this usually occurs after shaving or when a hair is accidentally pulled out and it gets infected. it could also be a cyst, or an inflammatory reaction which is starting to form an abscess. a consult with your gynecologist is best for clinical evaluation. medical and/or surgical management will be directed accordingly.hope this helps.good day!!~dr.kaye | |
What to do for the pain in the spine?
HI i am sivaraman, I have been diagonised with Cervical Spine Lordosis Lost (Muscle spasm) based on the X-ray report. The pain vanishes if i take rest again it appears if i carry some weight or working in computer with the support of left hand. I have been suffering by it from past 20 days...Kindly suggest me what i can do now | Thank you for your question Mr.Sivaraman.Cervical spine lordosis has no permanent cure apart from a surgical intervention.But for the pain you are experiencing I would suggest that you take some muscle relaxants Tab Etova MR twice a day, avoid lifting heavy weights and give sufficient breaks in between your work to avoid over straining your hand.If the pain in your arms and hands aree very troublesome you may also apply a crepe bandage to work to reduce the pain.Hope this information was helpful to u.Do get back to me for any further queries.Regards,Dr.Radhika | |
How can tooth perforation be ruled out?
I just had my canals refilled for the second or third time. Because they were not filled all the way through, the last time that they were treated. My dentist filled them perfectly yesterday but when they took an x-ray I saw a small circle under the apex(canal). I am worried that the apex could be perforated, which means the tooth will eventually fall out. The circle was not there on the x-ray, that was taken before the treatment. Thanks in advance. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Well without seeing the x-ray it cannot be guaranteed that what you are seeing is a perforation or an artifact or anything else. If it is below the apex then it can also be an infectious focus.So please upload your x-ray and send it to me so that I can advise you appropriately. Please revert back with x-ray and also the information that does you have any pain. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora | |
What causes raised brown spots in pubic area?
my husband is experiencing brown raised beauty mark looking spots near where he shaves above his penis. it started with a few and now theres more. they dont hurt but when he shaves they bleed, what kind of doctor does he see for this? and what could it be? | HiWelcome.I have gone through your query.It is difficult to comment on it without examination, so I would either suggest you to see doctor for examination and for exact diagnosis or upload the pictures here, I'll go through them, and provide you with specific advice.It might be folliculitis, but need to be confirmed.Hope this helps.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 causes a raised bump with tiny black spot at the center of the chest?
I have a small raised bump with a tiny black spot in the center on the side of my chest. It looks like a small mosquito bite with a big blackhead in the middle. The raised area is skin colored, no redness or other discoloration. It does not itch, hurt and is not sensitive to touch. I have had it for about 4-6 months. I have looked at many skin growth pictures and it doesn t look like any of them. It doesn t fall into any of the ABCD s skin cancer categories. Any idea what it could be? | Hello Thank you for trusting HCM Your probably having epidermoid cyst (sebaceous cyst). Nothing to worry it won't cause any harm to you. Epidermoid and pilar cysts appear as firm, round, mobile, flesh-coloured to yellow or white subcutaneous nodules of variable size.A central pore or punctum may tether the cyst to the overlying epidermis and a thick cheesy material can sometimes be expressed.If it is infected go for surgery otherwise no need. | |
How can MRSA be treated?
Should I be overly concerned that I was told yesterday by the medical clinic I visited on Thursday evening that I am actually fhave a MRSA infection, not a regular Staph infection. A week ago I went in for a few ingrown hairs in my left arm pit and one in my lower abdomen. The largest on in my left arm pit was opened, drained, cleaned, and packed.On Thursday evening, I was given a prescription for Bactrim and told to take 1 pill 2 times a day.I went in again on Saturday for the packing to be removed and 2 was told it looked like it was doing well. I was told the intentional lab results indicated it was Staph, but it would be cultured in the lab..Sunday evening the bump on my abdomen, which had been puffy and a bit red, started oozing and got pretty bloody. There was also a dark pinkish oval on my skin around it.So I went to the only urgent care clinic open on Labor Day in our small town. The PA I saw lanced it, cleaned, it and packed it. He was concerned and thought it looked more like MRSA and was surprised this had happened as I had been taking Bactrim for 4 days. So he recommended I start taking 2 pills, 2 times a day. I went back on Wednesday to have the packing replaced. Today I noticed the pink/red oval on my skin around the abscess on my lower abdomen. Does this mean the Bactrim is not working. What do we do then? I go back to the clinic tomorrow to have the packing on this one changed.Thanks! Jan | dear useri feel your worry and you are right to get worried but we should manage this problem......mrsa is type of staph bacteria that accomodated and has resistance to more than one types of antibiotics as it has gene responsible for that.........in our clinics simple steps of treatment we follow........treatment of mrsa infection started with vancomycin antibiotic as it is the antibiotic of selection for cases of mrsa and you can discuss this with your doctorsmultiple administration of antibiotics doesnot help as detection of the antibiotic that mrsa sensitive to........discuss with your doctor to do antibiotic sensitivity test as it is very important for treatment of mrsasome times mrsa turned to visa that means intermediate resistance to vancomycin............most important step is to do antibiotic sensitivity tesranother thing is that bacteria transmitted by contact so if you contact with the area affected you should wash your hands before touching any other area of the body hope that helps you | |
Does kidney infection symptoms include rashes on the upper body?
Hi, i was diagnosed with kidney infection yesterday and doctor prescribed me with antibiotics. Today I woke up with rash and blister type spots all over top half of my body. Is it part of the infection, fever or should i go and see the doctor again?? thanks | it can be. some times vasculitis and post streptococcal glomerulonephritis present with rashes.please consult your doctor. | |
Can i do swimming after undergoing robotic hysterectomy for endometrial cancer months ago?
I had robotic hysterectomy on July 29th for endometrial cancer and all came out very well. No lymph node involvement. My friend invited me over to her pool this Sunday. Can I swim? I have had no bleeding or any problems and my scars are just about healed. | yes, you can do swimming and other normal activities as before. doing all these activities, will not increase the spread or recurrence of cancer. complete surgery is the only way to ensure cure. | |
What causes discoloration on the lower legs in a diabetic?
I have some discoloration in my lower legs which has gotten better since raising my feet on pillows when sleeping.. Also had eyes checked as sometimes when driving, I see the lines on the road as wiggley or doubled. Closing one eye fixes that. Optometrist thought I may have had a small stoke in one eye. Opthomalagist said possibly due to lack of sleep. Noticed that my left eye lid is drooping so I can see it like a poor fitting contact in that eye. My diabetes numbers are good and my Diabetes Dr said I m under 6.0 and I don t have neuropathy. Should I be concerned or continue on as is. Oh- my left leg where it s discoloered, the skin is sensitive | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If your diabetes is well controlled with an HbA1c% as regards the discoloration observed in feet, it could be due to swelling of the feet, which may be due to dependent edema. Please check your blood pressure and also kidney functions. Since there is no mention of your weight and height, being overweight can also lead to such a problem. If BP is high, get it properly controlled. Also, get the blood supply to your lower limbs as in diabetes blood vessels of lower limb are affected. A color Doppler study will help.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar | |
Why my period is delayed still after taking I-pill?
I used to take contraceptive till last month got my periods on 4th october. Had unprotected sex twice after that. I have taken I pill 3 days ago with in 72 hrs of having unprotected sex. My periods are still due and m worried now. Can u advice or help. | HiYou have written that you had unprotected intercourse twice. On which days of your menstrual cycle did you have sex? The first and the last week of your menstrual cycle are safe periods. Sex done during that period does not cause pregnancy.Were the two episodes of unprotected sex more than five days apart? If so you should have taken I PILL twice, i.e. after each unprotected sex. If not there is a possibility of pregnancy.I PILL itself can delay the period. But if the period is delayed for more than one week consult your doctor and get a pregnancy test done as I PILL is not 100% effective.I hope I have answered to your satisfaction. | |
Q. I have low vitamin D and testosterone. Is this the reason for my forgetfulness?
Hi doctor, I am 50 year old. My height is 179 cm and weight 85 kg. Recently, I have tested for free testosterone and vitamin D. Both are on lower side. I am also taking Thyronorm 75 mg since last 7-8 years. I have attached my medical file of past health issues. After 7 PM, I feel very low and confused. My sex drive has also been affected. I am doing exercise for about 1 to 1.5 hours daily, and still I am gaining weight. I have also persisting heel pain. I am partially bald. 14 years ago TRT was done. The report and medication are attached. My doctor has prescribed Arachitol 6 lakhs units once a month for three months. Please suggest some medicine for my condition. I would also like to know whether the TRT is required again. Thanks. | Hi. Well, for your low testosterone and low vitamin D you need to take supplements. For vitamin D, I recommend Cholecalciferol sachets or tablets 60000 units weekly once for three months. Also take Calcium supplements every night. For testosterone, you need to get Testosterone injections once in 15 days. But neither low vitamin D nor low testosterone can explain your forgetfulness or confusion. It needs further evaluation to know the cause of forgetfulness or confusion. In that regard, I recommend the following tests to you. Serum vitamin B12, serum sodium, and serum cortisol (8 AM and 4 PM). Regarding your inability to lose weight, you need to increase the intensity of your exercise and go on a low-calorie diet. | |
Can i use sepodem xp 325 instead of sepodem xp 200 for severe cough ?
my problem is in night after dinner liquid cough with fresh blood comes. my doctor suggest an medicine sepodem xp 200 this is not available in market. can i use sepodem xp 325? | hello welcome to health care magic please see your doctor for dose recommendation properly..over dosing can harm you. take care payal | |
What is the treatment for sciatica pain ?
i am suffering from sciatica pain in my left leg, for the past one month, what are the causes and treatment. i am 48 yrs, ht.5 -10\ | it is a nerve root pain occuring due to pressure on them by some pathology in lumbosacral vertebral column. the treatment depends on the cause of pathology. | |
What causes scrotum to be covered in a coating of film?
My scrotum is covered in a film, almost like a shedding. When i clean it off, the area looks almost like a chemical burn. Then it itches, and grows back. Plz helpI'm 27, 6' 170lbs. Recently had symptoms familiar with pinworm. Currently awaiting lab results but have had Mebenzola (or whatever its called) for precautionary measures. Also, likelihood of STI similar to HPV (Bumps,skintabs, possibly cancerous) | Hello, According to your complaint, it can be a simple yeast infection. Local antifungal with steroid will help you. It can due to allergy to soaps. If its pinworm, you can physically see a worm in the genital area. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | |
What is the best vitamin-mineral therapy for tardive dyskinesia ?
I have most of the tardive dyskinesia symptoms, what is the best vitamin-mineral therapy that really does work | Hi Tardive dyskinesias are caused by prolonged used of certain medication in psychiatry. Usually we first try to help with this side effect by decreasing the medication that is causing this or adding some other medication. If this is not helping, then the medication may have to be stopped. This is a very disabling and distressing condition and hence is better to be tackled as soon as possible. I am sorry but I know of no vitamin-mineral therapy that deals with this problem. Hope any alternative medicine experts on this forum can help you in that. But please do not keep searching for long. It may become irreversible if you do so. | |
What causes discolouration along gumline,lump on inside of jaw?
I have a few possibly unrelated symptoms that seem to have aligned in an alarming constellation.A few days ago, during a yawn, I had a painful cramp in my jaw, especially the floor of my mouth. Now, there is also a slight discoloration between two of my teeth along the gumline, and it s very sensitive there. There seems to be also a hard lump on the inside of my jaw behind the chin in the floor of my mouth. I can t feel it with my tongue or just by touching the skin, but by pressing in behind the bone on the right side of my jaw, I can feel what seems to be a large lump that is painful when pressed. On a pain scale of 1-10, I would say it is a 2, but only when direct pressure is applied. | Hello,You could have a related dental condition and be exploring some areas of normal anatomy. Can you recall any trauma to the floor of your mouth? A sore spot or ulceration may develop. Rinse with warm salt water, avoid acidic and spicy foods and apply a benzocaine gel if very sensitive. This could be viral and needs time to heal. Anti-inflammatory medication such as Tylenol, Motrin or the anti-histamine Benadryl may reduce swelling. This condition will heal in less than a weekYou may have an abscess from a tooth draining into the floor of the mouth. Anti-inflammatory medication is recommended. You would require a dental appointment for a diagnosis, treatment recommendations and an antibiotic prescription such as Amoxicillin.Monitor for changes. A clinical exam is recommended. Seek care immediately if condition worsens and does not improve. A routine dental exam is recommended with an x-ray of the sensitive teeth. If teeth along the gum line experience mobility, develop a bubble on the gum line, you can not apply pressure, have increased heat sensitivity or have additional gum inflammation, you most likely have an abscess. Here are some typical conditions in the floor of the mouth:-swelling from abscess - tooth or periodontal-swelling from Salivary gland or duct-swelling from blood vessel or collection of vessels-hematoma-sore or ulceration-cyst-tumor-hard calcification in blood vessel or salivary duct-lymph nodes-exotosis or tori-muscle frenum Thank you for your inquiry. I hope you will feel better soon. Additional questions are welcome. I am glad to assist you and hope my answer is helpful. | |
What causes bleeding from my tongue?
Awhile wago my tounge was bleeding so bad that I was admit into the hosipal , the doctor had no ideal what cause the bleedingI will be going to take some test to see if I have been eating something which has cause an my tough to bleed I am a65 year old female .and have no ideal what to do maybe I should wait until I get my test back , also my left arm has been hurting me the jonts and just today the inner inside of my arm begain to inch I was loking on the computer and seem apicture and atstated that it could be stills disease, what is astills disease and what can I do for it. | Hi Dear,. Understanding your concern. As per your query bleeding from tongue could be due to eating or drinking hot, sharp or spicy food which causes irritation and swelling, any infection prevailing in the oral cavity which can cause infection of papillae of tongue which in turn can lead to bleeding. I would suggest you not to worry much. Do warm saline rinses. Suck on ice cubes.Use of antimicrobial mouth wash can be helpful in reducing any microbial growth in mouth. Drink plenty of water to prevent from dehydration. Take Ibuprofen if inflammation is there. Visit general practitioner and oral physician once if symptoms keeps on reoccurring and get blood tests and swab test done to find out underlying systemic pathology.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Suggest treatment for painful arm after an injury
I fell nearly 3 weeks ago and my arm hit the top of a chest of drawers, the arm was very badly bruised and took 10 days for the bruising to go away. My arm is still painful when i do certain jobs with it, I m that I may have chipped a bone or something, what do you think. Amanda | Hi, Bone chipping is very unlikely in your case since you have been working with this arm for nearly 3 weeks. It is likely to be a muscle contusion and it may take longer to heal. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel Orthopaedic Surgeon | |
What causes concentration difficulty and short term memory loss?
I have extreme apathy, a lack of mental energy, a lack of focus, a lack of drive and motivation, inhibited executive function, (I cant make long term plans and stick to them), poor short term memory, procrastination and indecisiveness, inability to concentrate sufficiently to read a book, very poor verbal fluency. no suicidal thoughts. I don t think i have depression i think it s something else. what do you think? | Hello thanks for askingI can understand your concern. You have symptoms like extreme apathy, reduced energy, poor focus, reduced motivation and drive, inability to finish tasks, poor memory, procrastination and indecisiveness etc. The mood is more or less not affected as you haven't mentioned this. If we consider the information you provided then two main possibilities can be there. One is depression, which you don't think you have. But even if you have normal mood and no disturbance in functioning even then reduced energy, lack of motivation, poor focus, apathy, indecisiveness etc could be occurring due to mild to moderate depression. This should be evaluated by a psychiatrist. Other possibility is adult ADD. In adult ADD poor focus, procrastination, indecisiveness etc are seen commonly and this could lead to other symptoms which you've mentioned. So please visit a psychiatrist for evaluation and diagnosis.Thanks and Take care | |
What are the chances of getting pregnant without using condoms?
HI this Is Padmavathi.. I have a problem..My Boy friend was did sex with me.. after 48 hours i was taken a Ipil tablet..then after 3 days again my boy do sex with me with out seafty ...with in 48 hours again I taken ipil tablet..still now I did not get my periods as my regular periods… Is there any chance to get pregnancy | Hello dear,I.understand your concern.In my opinion the delayed period could be due to ipill.The ipill causes hormonal imbalance leading to delay.The chances of pregnancy are less because the ipill is 95% effective if taken within 72 hours of unprotected intercourse.So dont worry.Wait and check for the period.Also avoid frequent usr of ipill as it might cause uncontrolled bleeding and other complications.Practiceother contraceptions for regular use.Best regards..Dr Srilatha | |
Q. Why do I feel like having water in my chest, and neck that passes down the stomach?
Hello doctor, I feel like I have water in my chest,and neck which goes down to the stomach, underarms. The precise explanation is like a sweat inside my body that travels in those areas (chest, stomach, underarms, and abdominal wall). What can this be? | Hello. Firstly, this does not appear to be a life-threatening or severe issue. Most probable diagnosis goes with your explanation is of dyspepsia (indigestion) or gaseous issues. Does your upper abdominal pain, nausea, bloating, and burping increase while taking food? Do you have sour water feeling in the throat or chest burning? If yes, it further supports the diagnosis. You should avoid fatty, oily, and a high-calorie diet. Go for a walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Eat lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tablet Pan DSR 40 mg (Domperidone, Pantoprazole) before breakfast once a day for a week. Do you feel any palpitations or chest pain along with it? If yes then we should rule out the cardiac issue. Anyway, you should get yourself examined and auscultated to rule out any other issues. So, overall, does not appear to be a worrisome matter, and your symptoms do not indicate any severe disease. I hope this helps you and get back if you have any doubts. | |
How does one regulate periods for conception?
Hello, I am Banu 29 yrs old. I have PCO laprosopis operation in 2006. I got married 6 months before. Still before my cycle was regular. now it's again irregular but not pregnant also. Can you pls suggest me some tips or medicines to get pregnant soon.pls | Thank you for posting on HCM.To regulate periods - first thing you need is to have hormonal test twice in cycle & may also need Ultrasonography to see if PCOS has come back again - if so you will need clomid to kick start natural ovulation.Other way to get regular cycles is course of birth control pills for 3m though this will defeat your purpose of conception - hopefully after 3m cycle periods will regularise.Also you must start taking preconception folate daily.Thanks again & hope this helps. | |
Is it possible to conceive after cleaning out of the tubes?
Hi there, my husband and I have been trying to get pregnant for nearly a year. I am now on my 3rd round of clomid and getting frustrated. My sister in law says she got pregnant after a year of trying after her "tubes" were cleaned out. What does this mean and what does it do? Does it hurt? | Hi I think your sister in law has undergone a laparoscopy operation. The cleaning of tubes means if any block was there in the tubes cannulation was done. It is a procedure where anaesthesia is given so it doesn't hurt. But in your case I think before laparoscopy you can go for a HSG that is a tubal patency test. It is simpler than a laparoscopy and will tell you regarding your tubes. You can try IUI after HSG if your tubes are OK. Hope I have answered your question. If you have any other query I will be happy to help. | |
Suggest treatment for bronchitis
Sore throat, coughing, bronchial irritation I have allergies and after cleaning out our garage, I had some sneezing, which is common. But now after several days, I am achy, coughing and have some irritation in the bronchial. Generally feel awful. | Thanks for your question on Health Care Magic. I can understand your concern. Yes, your symptoms are suggestive of allergic bronchitis. Treatment of bronchitis is as follows. 1. Start inhaled bronchodilators and inhaled corticosteroid (ICS). 2. Start antihistamines and anti allergic drugs. 3. Drink plenty of fluids orally. 4. Avoid further allergen exposure. Since all these drugs are prescribed medicines, you need doctor 's prescription for them. So consult doctor and discuss all these. Hope I have solved your query. Wish you good health. Thanks. | |
What causes shaking of hands and legs and faster heart beat?
Hello, My hands and legs have been shaking for almost a year now and I am really concerned, please can you tell me whether its worth going to the doctors to get this checked out?, I have a racing heart beat most of the time aswell which worrys me. Many thanks, kind regards Natalie | Hello, As this shaking of hands needs an examination by a physician on a clinical basis. We need to check your blood and urine test. Post which a cardiac assessment will be good. Based on the clinical examination and assessment the medicine part can be looked out for. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest treatment for pain on feet
I kicked something with the top of my foot yesterday and it is extremely painful still. It hurts when I walk move it around or have anything on it. There is no swelling and no bruising either. It mostly hurts in the bridge of my foot but my whole foot area hurts. What did I do? | Hi..while kicking you hurt the muscles of your foot in the bridge...Don't worry..I suggest you to kindly Do lot of icing frequently...Rest..dont put weight in that foot...If you have any Anti inflammatory tabs prescribed to you have them...if it is too much painful..keep your foot compressed with a compression bandage...Hope this is helpful for you..kindly revert back in case you need any further help in this regard.. | |
Dental pain,excess bleeding,yet to undergo root canal treatment,consumes xarelto from long term. Recommendation?
Hi, my 78 yr old mother takes xareltto for long term AF. She currently has severe dental pain. Its sunday and she has appt for root canal treatment tomorrow. She hasnt taken her xarelto since friday, as the last dental appointment resulted in axcess bleeding . What is a safe strong pain killer for her to take now until her appt. She has some endone tablets left over from a previous occasion some time ago, but is itsafefor her to have them? We are in Australia. Thanks Laurie. | Hello Laurie.Thanks for sharing your query.I have gone through your concern and it seems that the tooth which is paining and advised for root canal is carious one and the treatment is started to remove the the pulp so bleeding occured in last appointment. bleeding in exess can be because of underlying infection or the medicine xareltto also causes unusual bleeding from wound. I would advice you to consult her physician before stopping with the xareltto medicine and taking pain killer. As pain killers like Endone can increase the bleeding.Take Care.Thank you. | |
Q. How can I manage the symptoms of seasonal affective disorder?
Hello doctor, What is seasonal affective disorder and recommend products that can help people manage their symptoms? | Hello. Seasonal affective disorder (SAD) is a type of depression related to seasonal changes. I would like to call it winter mood changes as it often happens during the winter time. Mostly related to lack of sunshine. During the spring and summer, everything changes and the symptoms are not present. With regards to treatment, often advise increasing lightening of the place where the patient lives. Being in contact with people will help overcome the mood changes. No real cause, mostly related to lack of sunshine (winter). Should rule out other pathologies. Only increase lightening in the place the patient lives. And be involved in social activities. | |
History of breast cancer. Ulcers, bleeding, weight loss, tachycardia. Help
I m a 39 year old cancer survivor of breast cancer in the last 6 months I have had several upper and lower stomach issues ulcers bleeding and 45 lbs of weight loss and an escalating tacacardia 100to 150 bpm I have seen 5 different doctors all who send me to another then another did see my oncologist about a week ago after labs were done he ordered a ct scan still waiting for results does it always take so long | It would have helped to know the initial stage of your cancer and the time that has elapsed since you finished treatment. That would have helped me assess the risk of recurrence of your cancer. That is my only concern at the moment. Your weight loss is the concerning feature for recurrence. What recurrence doesnt explain is your raised heart beat. As an oncologist i would have ordered a PET scan rather than a CT scan as that would have scanned your entire body. Anyways, now that you have gotten a CT scan done it is prudent to wait for the results. Normally, the results take a day to a week depending upon the centre. | |
Suggest treatment for dizziness
For the past few days when i get upto do something or move around i get real dizzy like ive been spinning in circles. When i sit down it goes away after a few minutes. Sometimes i feel like im gonna pass out and sometimes like im gonna throw up. No headache jus dizziness. Please help doctors office is closed for the weekend cant see them til monday and dont wanna go to the er unless its an emergency. Thanks for your time. | HiI am Dr Mittal.I have read your query.I think I can help you.The symptoms are quite suggestive of a orthostatic hypotesion.Try following measures.1. get up slowly from the lying down to sitting position, or from sitting to standing position.2. wiggle your toes before getting up.3. watch your fluid and electrolyte balance.4. Check your bp in lying down position, and then on getting up to standing position, exactly 2 minutes after standing up.Let me know the 2 reports of bp.I have tried to make it as simple as possible.Please feel free to ask a further clarification.Best of luckDr Mittal | |
Suggest treatment for recurring staph infection
My name is chika, I had semen culture test, and result is moderate growth of staph. Aureus after 48 hours of incubation, I have been treating but it keeps coming back, please what drug do I take, and is this MRSA, and can use of raw garlic cure me completely | Hi thanks for asking question in HCM.Here you have staph infection with strain MRSA.So usual antibiotic will not be effective.The drugs that can be used for treating MRSA are linezolid,sulphamethexelol-trimethoprim(septra),Vancomycine,rifampicin.Usually combination of two antibiotic needed.Mostly with use of combination drug therapy for adequate duration you will get permanent cure from MRSA.Thanks. | |
Does bipolar disorder cause acidity and digestive issues?
i know a person thats bipopolar and she has stomach problems for months and she has had many tests which show excess acid in stomach, most tests show nothing..my question is : is it possible its all in her head from her disorder????sometimes she acts hiper and likes attention from others....i think she doesn t like to be a lone....i also think she likes attention and gets that from saying she doesn t feel well. | Hi and thanks for question.bipolar dis. itself doesn't causes hyperacidity or stomach discomfert. some times it's happen with drug used in bipoar dis. second u write that he had some attention seeking behavior which is not occur in bipolar dis. so kindly consult psychiatrist for detailed diagnosis.thsnks | |
Suggest treatment for anxiety and anger disorder
I have an issue with my current wife constantly verbally attacking my 12yr old son. We both fought very hard to get him out of a bad household and to get custody. Things were good at first, Although he tells alot of lies she often compares him to our (her)(girls) other kids. I have begged her to seek counseling but she insist s that she is angry because he wont straighten up his act and she believes that her seeking any counseling would jeaprdize he teaching carreer. Our (her) mother-in-law has been living with us for nearly 3 years and when I finally set a deadline for her to leave, my wife says she will leave too. Then the next day gives me an altermatum that both my son and her have to leave. | DearWe understand your concernsI went through your details. I can understand your emotions. I think the issue is more complicated. Your second wife is not satisfied with your son or for that matter even YOU. Also your child is not satisfied with the step mum attitude. First of all, you know that it takes time for people to adjust with the situation. Your son will be able to adjust with step mom provided she behaves and provides love. Asking a 11 year child according to her is cruelty. She definitely need counseling. But before that you need to take some concrete decisions with which she understands, you are not too lenient towards her and the family life with her. Talk to her, cajole her, press her, trigger her, etc. In any case, she should live so as to have family peace. I think, you can do it. Please do.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
What could it be if baby has a bluish spot on the upper chest and a lump beneath it?
I was bathing my 11 week old granddaughter last night and noticed a small bluish spot on her upper chest that looked like a faint bruise. I touched it and there is a lump underneath it. I am worried sick. What might it be? She has not fallen or been hurt in any way to our knowledge. | Hi....by what you quote I feel that the kid might be having a bleeding disorder, either congenital or aquired... Mostly congenital, considering the age of presentation. The bluish discoloration you are noticing is a subcutaneous bleed or bruise and the small lump you are able to palpate is a subcutaneous blood clot.Your grandchild needs evaluation and I suggest you take her to the nearest emergency room as soon as possible. This I am suggesting because - if the kid has a spontaneous bleeding like this internally, as she might require emergency blood products.Regards - Dr. Sumanth | |
What causes severe back pain while sitting and lying down?
I cannot sit or lie down without great pain in my lower back more to the right. Also when I sit it feels like I am sitting on prickles down the back of my thighs. MRI shows small annular circumferential tear, of intermediate T2 signal on the right at 4/5. At L4/5 there may be a very small cyst developing to the right and there is mild impingement on right L5 nerve as it is exiting the thecal sac | hello i have gone through your case....i would suggest you to undergo physiotheropy sessions and get intermittent lumbar traction ,,,US theropy and TENS at the physio centre.... | |
Rashes on legs, spreading throughout body around eyes. Put prednisone, steroid injections. Treatment?
Hi i am 29 male. I have had a rash on lower legs that has,spread throughout my body past few days was even around my eyes and today i woke up to oozing on my gr TVoin area i ve been to er and family dr. Ive been put on prednisone had steroid injection and antihistamines. Steroids helped but it comes back once im off them i was given chlindamycin but got severe diharrea from it and was taken off but not given anything else what can this be | Hello Welcome! I would be pleased to answer your question . From the description of the lesions they seem to be either a reactive " Id " Inflammatory response secondary to infection ( fungal intertrigo ) in the groin . T Here is what will help: 1. Clobetasol propionate cream + Mupirocin cream: Mix and apply over the affected twice a day for 14 days then switch to Fluticasone propionate cream once at night for 2-4 weeks. In the groin/upper inner thigh use Fluticasone in place of Clobetasol from the beginning. The specialist to see will be a dermatologist and he or she can prescribe these for you. Nothing over the counter will help much, the only product with some benefit is 1% Cortizone cream. 2. Tab Claritin 10 mg twice a day for 14 days, then once a day for 6-8 weeks. Initially the dose can be increased to 2 tablets taken twice a day if there is insufficient relief in itching. 3.. Avoid scratching the affected areas as much as possible. This is most important. Please feel free to ask if you have any queries. Please book an appointment with the Dermatologist | |
What to do for swelling in the foot and ankle due to flat feet?
I have flat feet and stand 12 hrs a day on job. I have plaster inserts mde to my feet 8 yrs ago so I have an appointment for foot dr. in june. But my left foot is swollen around ankle and I can t step flat down on my foot without pain so I went to medi center and they put me in a boot just to get around in. At work they let me sit a lot til I see dr. When I sleep and get up foot is NO longer swollen til I walk. So new improved plaster inserts for my shoes will work do you think? | hi,thank-you for providing the brief history of you.As you have Flat feet, and using the shoe inserts though swelling is the issue now we need to have a thorough clinical examination and and x-ray of the lower limb.In most cases of flat feet seen in my clinical practice have suggested to understand that the body's natural mechanism shouldn't be altered and the change in the normal anatomy of the feet bones will lead to swelling .Also, since you stand static at one place for 12 hours of work, this could be required to have a vascular insufficiency which is common in many of the cases to be assessed to rule out other conditions..Also, how is your BP, DM, Etc. as this is also going to play a role in your swelling. Having an medial arch for the feet is not a bad thought but understanding the actual mechanism and change in the normal body due to medial arch needs a thorough understanding. As body functions as one unit one should not injure other parts of the body while treating the single joint.In my clinical practice the training of the muscles needs an attention along with the medial arch for flat foot as to balance the basic requirements of the body, so we refer to physical therapy.Regards Jay Indravadan Patel | |
At what time intervals must Pentasa Mesalazina be taken?
Hey, I was diagnosed with ulcerative colitis and Ive been taking Pentasa Mesalazina four times a day.. I forgot to take it at 2 and instead took it at 5:20. I still have to take two more pills today. Can I take them with two hours apart? Or does it HAVE to be with 3 hours minimum apart? | Hi,These capsules should be taken every 6 hours. The recommended dosage for the treatment of ulcerative colitis is to take 1 gram of pentasa mesalazine 4 times a day (6 hourly). Since you forgot to take your dose at 2 pm and instead took it at 5:20 pm the remaining doses should be taken 6 hours apart.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Suggest treatment for mild lupus and RA inspite of normal blood results
I have mild lupus and RA for 4 and 2 years respectively. My feet, ankles, hands and wrists are the most painful. My labs are done every 4 months, and are always normal My doctor does not look at my joints; does not ask me if the pain in my feet is interfering with my life. I am not pleased with his style. sometimes my joints hurt so bad and my feet hurt so much that I have had to miss work. I work with people and have found myself feeling unfriendly due to my pain and fatigue. I have now lost my job, and want to feel better. Any suggestions? | As you know you have autoimmune condition where your immune system is working against you.What medicines are you on for it?get Xray of the wrist joints and hand done.you can consult a rheumatologist for this if you have not yet.Its better as for your every visit there is need to check the involvement of joints,tenderness or swelling so that progression of the disease can be observed thats the main reason why you are supposed to visit in every 3-4 months along with your recent blood test results. Considering you are exclusively on treatment that is for RA and lupus,never stop taking medicines when you get a little relief.these medicines are for all the life.The doctor will decide if there is need to add or remove any medicine from the treatment as per your condition.Also visit a physiotherapist so that you can learn few exercises and it helps.more active you are more better you feel. | |
What causes jaw pain after orthognathic surgery?
Hello, I have an orthognathic surgery on both jaws for under-bite correction in 2006. Every now and then, I have tingling sensation in my lower chin which reduced over time. Some time I experienced pain in my right side teeth in upper and lower jaws. Recently (almost 8 years after surgery), I have consistent pain mainly in upper jaw and sometime in lower jaw. The pain is very random but sort of continuous. It seems to originate near to one of the teeth (number-2) which I noted have Titanium plate near its upper root. Initially, I though it might be root infection but dentist find all teeth healthy although he told me he have to perform 3D X-ray to check the portion of tooth root behind the Ti plate but he told me like hood of root damage is low to nil. Do you have any idea of what might be causing the pain ? I though the nerve, muscle, tissues, bones would have generated by now. I did not have any accident recently but as I mention this kind of sensation arises before (for short timings/a day or so) after I was recovering from operation. However recently, It have stayed for more than 4 days and still continue. The pain is radiating from under right side of nose with right check near molar with bit tingling feeling. Thanks for your advice. | Thanks for your query, I have gone through your query.The pain what you are describing soon after the surgery can be because of the nerve injury during surgery. The reason for pain now can be because of the infection at the site of plate placement. The last cause could be any infection in the tooth near to the area where the plate is placed because of its approximation to the tooth root. So consult a good oral physician and get it evaluated. You need to get radiographs like Cone bean computed tomography and vitality test done to rule out the vitality of the teeth.Once the diagnosis is confirmed, we can treat accordingly.I hope I have answered your query, take care. | |
What causes the skin on cheeks and forehead appear burnt?
my baby looks red in cheeks and forehead like she has been burnt by the sun (but hasn t) i noticed yesterday but today after sleeping it was worse still. Could she have a sensitivity to the washing powder of bed sheet or does it sound more like a known illness? | More clinical history and examination is needed to come to conclusion... Does the patient had fever or cough cold... Kindly visit local pediatrician... | |
Recommend antifungal medicines
I am Male 36 yrs. of age. I am suffering from fungus infection on underarm and other private parts. I apply Flucort C on the affected areas and get temporarily relief. I had aslo taken AF oral medicine course but not completed full course. Pl. advise the full course of AF medicine. | Hi,Apply anti-fungal lotion or cream only.Avoid using steroid containing cream.Go for full course of anti-fungal medicine like Flucanozole 150 mg once in a week for 4-6 weeks.Keep affected part clean, dry and airy.Ok and take care. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Suggest remedy to relieve pain and swelling after being pricked by thorn
Hi, my husband was clearing out woods on our property and was pricked by a tree that had 1-2 thorns on it. The thorn went into his thumb about 1/4 , into the joint, and is now very swollen and red, and also very painful. He has limited range of motion, even if he ignores the pain and tries to bend it. Is there anything he can do to ease the pain or help bring the swelling down? | Dear patient thorn injury with bleeding seems deep injury and pain and swelling is natural due to inflammation. I would advise ice packs application to reduce pain and swelling. Tab diclofenac sodium 50 mg twice a day for pain relief. Tab chymoral forte twice a day for swelling reduction. Tab cefixime 200 mg twice a day for prevention of infection. | |
Q. l got a sore hard lump after the removal of wisdom tooth. Is it normal?
Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. | Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> | |
What causes stage 2 kidney disease?
My 21 month old daughter has scaring on her kidney, her creatine level is 0.549 and the kidney specialist believe that her kidney is functioning at 50-65%. They also labeled her as being in 2nd Stage Kidney Disease, can you help me understand why this may be. She was just placed on 0.1 mL of Calcitriol. | Your description is rather incomplete. We need to have more details to really comment on wat exactly is the condition that your daughter is suffering from. The way you describe may suggest chronic pyelonephritis( infection in kidneys) whicb have led to scarring. Further, for a stage two kidney disease , the GFR u say is appropriate and the creatinine level may be absolutely normal. She should get CKD management therapy like calcitriol and also avoid further episodes of infection. | |
What does a moveable node above the collarbone indicate?
Hi there, I have a firm, painless, slightly movable lymph node on my right neck (below where my ear and jawline meet). i noticed it April 4th and have scheduled a visit with my GP. Also i noticed another Soft (not as firm) and moveable node above my left collarbone. I was wondering any thoughts? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Movable node above the clavicle may be due to infection of throat or from lungs. Other possibilities like boil or lipomas or cysts, etc. Until examination is done it is difficult to say what it is. Please consult physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu | |
Can Codeine be taken while on Warfarin?
I have RX for pain: APAP/CODEINE TAB 300-30MG, and was told it is a combination of Tylenol and Codeine. I ve not taken it. My concern is that it may interact negatively with one or more of the many meds I take for heart and lung conditions, including Warfarin blood thinner (have artificial mitral and aortic valves). Any suggestions? Thank you! | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Warfarin doesn't interact with codeine. You can take codeine along with Warfarin with out any concerns. Monitor INR regularly while you are on Warfarin. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for fixed drug eruptions
Hello doc m 18 years old and suffering from fde! I am having oval shaped black spots on trunk face n some other places too! It s been 2-3 years I havnt take any medicine and I had this due to a medicine combiflame! what treatment do this have pls help! | HI thanks for posting your query on health care magic.Fixed drug eruptions are hypersensitivity reactions to drugs.The drugs causing these should be stopped and should never be reintroduced.Treatment includes antihistamincs like levocetrizine and corticosteroids like hydrocortisone and deflocort.Consult an expert skin doctor for further queries.Thank you, Take care | |
What could be the reason for having breathing trouble while swallowing his saliva?
My 6 year old son is having trouble swallowing his saliva. He is getting very nervous bc he says that it feels like it gets stuck in his throat. He is having trouble breathing when he swallows his saliva. He has allergy induced asthma- just had his Flovent- but we gave him xopenex out of fear he was unable to breathe well. Now, we are sitting with him and he is burping. He did eat some acidy foods for dinner- pizza and OJ- and had acid reflux as a baby. Maybe that could be causing this? HELP PLEASE! We are sitting here, in CT, in a blizzard with him, and he is so scared. Thanks and happy new year:) Carissa M | HIThank for asking to HCMI really appreciate your concern, but this does not seems any big problem, because when child can swallow the bolus then it may not be any thing wrong because when saliva induces the breathing problem then solid food too do the same thing, to me it could be asthmatic problem, and the saliva must be constricting the bronchus, any way lets hope for the good, take care of kid and have nice day. | |
What does the enlarged lymph node under jawline indicate?
Hi, may I answer your health queries right now ? Please type your query i have had an enlarged lymph node under jawline for about five months now. i took a sonogram of it and my doctor who has now left the clinic i attend said the results of the one node was 1.5cm. i also have hashimotos. when i went to the endocrinologist a week later he felt the lymph node and could not feel it. i pointed it out to him, he then said that the lymph node was in no way 1.5cm and that it was less than an inch big and i should not worry about it. another dr. looked at it yesterday and said the enlarged node was only millimeters big. i am not sick at all. just extremely freaked out with this 5 month old problem | hello, welcome to HCM. I can understand your concern.when ever there is infection, there willl be lymphnode swelling as the infection are drained into these nodes. The lymphnode enlargement below the jaw is due to infection in and around mouth. As the infection decreases the size also decreases. You have not mentioned any other symptoms/ problems related to head and neck. So seeing the size decrease, i can definetly say the problem is solved. Take care. Good health | |
Difficulty in conceiving, have high fsh level, scheduled for IUI with sperm donation. Chances of conceiving with high fsh level?<br>
Hello, I m 22 and have a fsh of 11.1, heard so many different story s good and bad! Me and my husband want to have a baby! But unfortunately he cannot conceive at all. So we re going for IUI with sperm donation! What do you think my chances are of conceiving with my high fsh level? And do I have to rush will my chance slim if I don t hurry up with treatment!? Hellppp. Thank you | Hi, Thanks for your query. I read your query and I understand your concerns. I am afraid of high FSH value. Please get following tests: 1) AMH ( Anti mullerian hormone) 2) Antral follicle count (AFC). If above 2 tests are normal, you can try for pregnancy naturally. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist. | |
Tooth ache in upper left premolar tooth, headache. What could be the reason?
I current have tooth ache in my upper left 4, premolar tooth, i had rct on it around a year and half ago and has always caused pain on and off but would go months with no pain then 2 days constant etc. I had tooth ache just over a week over just a dull ache had tooth xrayed no infection around the root no black area on the xray and root filling is to the apex. Dentist said my sinus is close to the end of root so may be affecting it, feeling pain when u have headache etc more than usual. I had a course of amoxy 7 days. And now today my pain is horrible everything hurts on my left side upper quad every tooth hurts. Im not sure what it could be. Ive work at a dentist so i no i have good oral hygiene as seen the effects of poor oh. Some afvice would be good | Hello,Thanks for writing to us.Toothache may be due to deep dental caries or periodontal infection.I would advice you to get a thorough scaling done.Decayed teeth has to be restored.Analgesic along with antibiotics has to be administered.Maintain oral hygiene well.Please do visit a dentist for further reference.Take care. | |
Suggest medication for nasal allergy leading to running nose
I have a problem of ENT problem of allergy, im badly effected, nose allergy is like flu, nose is raining, on regular basis, i have taken, Baydal, Rigix, and also Fexet 120 still no relief, kindly suggest proper medicine...thanksM.Ali Karachi Pakistan | Hello M. Ali,Thank you asking at HCM.I went through your history. From your brief history, I would first think of allergic rhinitis.Were I treating you, I would suggest you to take montelukast and levocetirizine daily. However, if this does not control your symptoms adequately, intranasal corticosteroids would be recommended.Along with above, I would suggest you regular nasal cavity irrigation with saline nasal spray 3-4 times a day. Please avoid exposure to smoke, dust and air pollution as much as possible.Personally, I would also suggest you to consult an Allergist-Immunologist who will perform allergy testing and suggest you avoidance measures and allergen immunotherapy, if appropriate.Hope this will be helpful to you.Wish you the best of the health.Regards. | |
Suggest treatment for right side abdominal pain
I found out I had a tubal pregnancy Sept 6 2015 and went in for surgery that night. About 2 weeks after, my incision in my belly button was oozing yellow/brown liquid. I went to the doctor and was put on antibiotics. It cleared up shortly after.Now, I am having stomach pain on the right side. Kinda under the incision to the right. Should I return again? No fever or discharge.Just chills, pain, and tenderness upon palpation. | Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. There may be infection at the incision site. So I will suggest you to visit your doctor who may advise you for complete haemogram, and ultrasound abdomen to see for any infection and collection of pus. I hope I have answered your query and this will help you . Wish you a good health | |
What causes hot sensations from the neck radiating through the head?
I am 40 years old. For the last two months this has happened to me about 5-6 times and it only lasts for about 10 seconds or so. All of a sudden from my neck to the top of my head I get a very hot feeling. It s like my face gets very hot feeling but not really to the touch. I get a little light headed. | Hi, I have gone through your question and understand your concern. Possibility of migraine headache is likely. Get examined by a neurologist. Requirement of brain imaging depends upon examination and additional symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Neeraj Kumar | |
Should an infection in the wisdom tooth be completely cured before its extraction?
I have been told that my wisdom tooth, which has a crown on it, has a cavity with infection and pain. I was told the tooth must be extracted. I have been prescribed a 7 day dosage of the antibiotic, amoxicillin, to clear up the infection first. This is the 3rd day of taking the prescription and the pain is still quite intense. Does my infection have to be completely cleared up before I go to an oral surgeon to have the infected tooth removed? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As your wisdom tooth is having a cavity it is deep enough to cause infection and pain due to nerve irritation then taking antibiotics will clear up infection but it takes time.However, if there is associated severe pain then you need to take painkillers to reduce pain.Also if pain is so severe the crown must have been removed so that pressure is released that will also ease pain to some extent.As far as removal of tooth is concerned, the infection should be significantly reduced if not completely resolved and then extraction is done.In 7 days infection will be significantly reduced.For now to reduce pain you van take painkillers like Ibuprofen or Ketorolac.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora | |
What causes body pain after fever?
my daughters friend had fever with cough and cold .suddenly she developed body pains from back of neck to the tip of vertebral column,knees and joints.initially after recovering from fever she had severe breathing problem.but now s he has only s evere back and knee and joint pains.unable to sit n sleep.her esr values and HB count are normal doctors say she has post viral arthalgia and ruled out SLE .please suggest any other tests or treatment-ritu | Hi, there!Joint pain is common when virus is in the blood flow, its called viral intoxicationIts possible to get rheumatism disseases after flu/bacterial tonsilitis.To figure it out You need blood tests - C-Reactive protein (CRP), Rheumatoid Factor (RF), Anti-cyclic citrullinated peptide antibody (anti-CCP), Protein biomarker 14-3-3eta.Its possible to have co-disseases that arise or relapseI dont want to frighten You, hope this helps! | |
Can I take tramadol along with flucloxacillin Capsules to treat rashes on body?
Hi my doctor prescribed me with 500mg of Flucloxacillin Capsules for a rash I have on my body he thinks its to do with the pores . I have been going to the toilet these last to days and my pee smells like sewage water to me and im also on tramadol ..Thanks | Hello,Thanks for the query,yes this combination can be takenLet me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you a good health.Thank you | |
How to treat the painful knee that has a history of clean up surgeries?
58 yrs ago had a severed patella tendon, damaged knee joint, and fractured knee cap. Had two clean up surgeries in the last 14 years to remove torn meniscus and a bone chip. I am experiencing a lot of pain in the entire joint now. Doctor is suggesting knee replacement. What part does the health of the patella tendon play in replacement and how can the health of tendon be determined? | HiIf your doctor has suggested replacement then he may have made sure of integrity of extensor apparatus or patellar tendon...if it needs any relocation at insertion if lax, that he shall determine.Testing of muscle powers of knee extensors is a good approach, if weak power then some physical therapy may be needed prior to surgery for power build up..You may discuss your requirements beforehand with the surgeon , he shall take care of itBest wishes | |
Suggest treatment for myopathy leading to difficulty in moving and balancing
Hi Sir, My Name is XXXX, from YYYY. I am Suffering from myopathy Following problem Progressive muscular wasting Difficulty in walking Change in walking pattern Limited range of movement Difficulty in breathing Poor balance Difficulty in climbing and getting up Legs and hands are very thin and week Please help me suggest me any treatment | Hi, * The myopathy is progressive immune-related condition and there is no definite cure for the same. Unless it is secondary to some curable condition as thyroid disorder or others. Though, acute flare-up may be helped very nicely with steroids and supportive care. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon | |
Is IUI the right method of treatment for anovulation?
hi i`m 36 yrs, married since 2yrs, i had 2 miscarriege, and a tried clomid 100 for two cycle with no response, now my dr gave me femara on cd 5for 5 days , the i did vaginal u/s , it was only one follie 8mm, then he gave me menogon one amp daily for three days, when i checked again, there was two follies 11 and 12mm, so i continued on 2 amp of menogon daily for the next 3 days and tomorrow my appointment to check the size,, he advised me to do IUI, but i refused since the success rate is only 20% and with intercourse is 15%, am i right???????? | Hi I think you can go for timed intercourse for conceiving for 3 to 6 cycles. If it doesn't work, then you can go for IUI. If semen analysis is normal and there is no capital problem, proceed with timed intercourse first.Hope it helps. | |
Suggest medicine for paralysis
i am 72 yrs old and suffring from paralisis in right side since last 7 year ago .dr. advice to me on 4-1-2012 after addmite in his hospitl 5 days 1.platloc-as 75mg tab 1/day,epilive 500mg tab-3/day,frisium 5mg tab-twise a day,limcee tab -3/day ,lasix 40mg tab 1/day,pozt-dsr tab twise a day,atorsave 40 - 1/day,cognicid 800mg 3/day,alonerv -1/day . please check and advise better medisin for improve my health | Hi, It would appear from your description of the paralysis and medications that you suffered a stroke in 2012. You've not really said much about how you are currently doing but my guess is that things are stable. After 7 years from a stroke the paralyzed portions of the body will have reached a stable point of recovery. Medication wise, it would appear that your doctor is covering you for the correct and adequate items that could cause problems in the future such as cholesterol and it also appears he is giving you some type of supplementation for good health of the brain tissue itself. I might recommend your doctor look into your B12 and Vitamin D levels in the bloodstream. Those 2 things are very important to good nerve health following a stroke. I would talk to the doctor about doing blood work and looking for B12 levels that are no less than 450 and D levels that are 60-80. Otherwise, the balance of your medication list appears to be quite reasonable and I'd suggest it continue. You may also benefit from some form of personal REHABILITATION EXERCISE therapy depending on how paralyzed the right side may be and if your speech and language have been affected you may be able to benefit from speech therapy as well if you never had any in 2012. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist | |
How will I know that my blood is dangerously thin?
Hello I am having Afib and dcotor prescribed debigatran. My concern is that how am I going to know if the blood is dangerously thin. I heared that INR is not indicative when you are taking debigatran. Thanks for your time and looking forward to your answer. | Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.Dabigatran is a oral anticoagulant drug.It is prescribed to prevent coagulation of blood. INR is term used to denote the property of coagulation.It can only be used when you are not on anticoagulation medication.Becausevidbyou are on anticoagulation drug it affects the INR value.You should do APTT . it will tell you your exact blood thining property when on drug.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist. | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Why am I having pain in my left side stomach?
I been getting stinging,burning pain in my urine also have pain my left side stomach.the ultrasound is normal.urine test is normal,blood test is normal.i have taken two course of antibiotics but no changes.its been 3 week I'm still the same what shall I do | Hi, dearI have gone through your question. I can understand your concern.You have burning pain in urine which is commonly seen in urinary tract infection. Your urine test and ultrasound report is normal. So you need examination to search the cause. If needed go for urine culture and sensitivity test and ultrasound again. Then take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health. | |
Q. Which test can find the reason for small testicle?
Hi doctor, I am currently 26 years old. My testicles used to hang low. I mainly think it was due to over masturbation. Five years back I got water in my testicles. The doctor said that it was due to the balls rubbing while sitting and he gave me medicine. I got well, but my right testicle got small to the size of a peanut, and it has been like this for the past four years. I am worried. I do not feel any pain though. | Hello. I think you may have varicocele which are dilated veins of the testis. Varicocele causes small size testis. I suggest you get ultrasound scrotum done. It will give the reason for small size testis. For more information consult a urologist 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 --> | |
How can tooth infection and swelling be kept under control before treatment?
I have a tooth infection and cannot be seen by doctor until Monday it is swelling fast. Clydamicine worked to bring the infection and swelling down last time. But drug store and doctors office is closed what else could I do until Monday to keep it from getting worse | Hi,I understand your concern.As the drug store is closed I would recommend you to gargle with warm water and apply hot compression packs to your jaw that would reduce your swelling and gives you relief.If you have any pain killers (ibuprofen/motrin/tylenol) at home, you can take them.Get well soon! | |
How can gout on both ankles causing buttock pain be treated?
hi, I am a cancer patient. My cancers are macroboublin enemia and amloidois. These have caused gout in both ankles. Which has caused me to take mini steps when I can bear weight. Now have quite a bit of pain and tightness to the left side of butt which runs down leg at times. Have tried naproxen500 took at 7;30 or8. and icy hot rub. What canI do so I can sleep and get to my wheelchair. | Hi, dearI have gone through your question. I can understand your concern. Your gout. So you have high uric acid level. And it is responsible for pain. You should take drugs like allopurinol to reduce your uric acid level. Take low protein diet. Anti inflammatory drug should be taken as and when required. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What to do for renal stones on the kidney?
My father is having renal stones on both kidney. 3 stones each in both the kidneys size in one 32 mm, 8mm & 16mm in left and 20mm, 10mm & 3mm in right kidney. he is 72 years now(known case of IHD, AF, HTN, cellulitis & DM. Dr. suggested for open surgery. Kindly advice me how to go about this? | Stones are large n can not be remove by ESWL. Need open surgery. First control DM n Heart problem then go for surgery for one side and after few days another side. | |
Suggest better formula than Dexolac for 1 month old
hi,my daughter is 1month old and weight is 2.5kg at time of birth and even now.since i dont have adequate milk doctor suggested to give dexolac special care but i m nt really happy with it .is there any other formula that is better than dexolac .and i heard about similac .and i m really waiting to see if she puts on weight. | You can give lactogen 1, similac advance formula powder. But all formula milk powder have nearly same composition. Take care. | |
Q. Are my routine test reports normal?
Hi doctor, I just had a routine checkup done. Please check the attached reports, and let me know if everything is fine. | Hi. I had seen your report (attachment removed to protect patient identity). Take care. Hope your concern is solved. Consult your physician for examination and prescription. For more information consult a hematologist online --> | |
Suffering from a rash on the chest. Could stress be causing it? Worse on sun exposure
Hi, I have a terrible rash that wont go away. It is extremely itchy, red, blistered in patches and only obn the top of my chest , a part of my nexand tops of arms and shoulders. I have gone through a lot of stress recently (chronic) and think this caused it. It almost completely healed then when I had stress again, came back aggressively. I am eating very healthily, when I am in the sun it seems to irritate. (I use sunblock.) | Hi and thanks for the query, The characteristics of the blisters give a good orientation on the specific diagnosis. Whether they are painful or not, itchy or not, it gives an orientation. The spreading of the lesions and the characteristics is very important. Recurrent rashes could demand a serious evaluation. Exposures to particular allergens or specific environmental conditions could lead to continuous recurrence of similar rash each time the allergen is contacted. A complete evaluation and examination of these lesions to actually detect the actual nature of these rashes and their characteristics might be helpful for a long term and effective management. Consult your primary care physician and possibly your dermatologist. Thanks and best regards, Luchuo, MD. | |
Suggest medication for back pain due to disc prolapse
helo doc. I am 23 yr old guy. Last yr in december i start having a sever back pain and after few days i start having extrem pain in my left leg starting frm left side of the hips to the end of my foot , i canot even walk or sit even i am not able to sleep . Due to my exams i was not able to go to doc. But in january i went to a neurologist and got my MRI done and disk prolaps was found . it took 3 more mnths to recover with the help of medicens and bed rest . But now i got my INDIAN ARMY SSB exam in august and sometime i feel pain in back 2-3 times in a month . Now i want to get completly free frm this pain . Should i go for operation ?? and how much time it will take to recover frm poeration ?? and what r the risk related to this operation ?? Should i go for my SSB exam ?? | Hi sir , for disc prolapse problem u r having gud medication in homeo u wil get complete relief from symptoms.so consult homeo physcian u wil get complete relief from symptoms | |
What medicine should be taken instead of cardizem for magnesium deficiency?
Hi, My name is Michael. I was admitted to bergan mercy for an a-fib attack. all the tests were normal-ie-sonogram, I have never had high blood pressure and now on cardizem and coumadin. Prior to being admitted I was drinking alot, not eating right, smoking pot, I quit cigarettes 2 months ago,having profuse night sweats, adhd- I could not sit still, can t sleep, wife snores, lots of stress. i will have a stress test next week. I cannot tolerate the cardizem, and want to find a cardiologist who would understand that I have a magnesium deficiency and not a diltiazem deficiency. Is there a nutritional cardiologist in Omaha that can get me off this stuff and back on track. | Hi, Michael. Congratulations on quitting smoking. That's quite an accomplishment. It is difficult but certainly worthwhile for your health. A-fib, or Atrial Fibrillation, can be aggravated by stress, electrolyte deficiencies (usually potassium, but sometimes calcium or magnesium), caffeine and other stimulant drugs, and binge-drinking of alcohol. If your heart sonogram (or Echocardiogram) is normal, showing normal heart chamber sizes and normal valvular function, that usually lowers the risk of recurrent A-Fib. You don't say whether your heart rhythm went back to normal or whether it is still fibrillating (an important distinction in deciding whether we can stop or need to continue certain heart drugs). Cardizem, a brand of Diltiazem, is one drug that we sometimes use to either slow the rapid pulse of A-Fib or to help maintain normal rhythm. You should tell your doctor what side effects you feel or why you feel you "cannot tolerate the cardizem." There are other classes of drugs that could be tried to maintain normal rhythm. If you can stop drinking alcohol, it is possible that you could be observed or have a 24-hour EKG monitor to screen you for recurrent A-Fib, without being on a drug unless the arrhythmia returns. You could try to search for either another Cardiologist or perhaps an Electrophysiologist (or "Cardiac Electrophysiologist). Those doctors I call "Arrhythmia Specialists," and they can monitor or treat you with specialty expertise. The Electrophysiologist can also recommend or perform an EPS test to search for the abnormal electrical pathway that triggers your A-Fib; this invasive test can be followed by an Ablation, in which the doctor "burns" that electrical wire within the heart to try to prevent the A-Fib from recurring. For people who have side effects or drug intolerances from anti-arrhythmic drugs, an ablation can successfully prevent recurrence and remove the necessity to take medicine, since burning out the pathway that caused the arrhythmia has a very high success rate for preventing future occurrences. If the electrical wire is removed/burnt/ablated, then there is no need to take a medicine to "calm it down" or keep that wire inactive. Good luck to you. | |
Should I see a doctor for rashes on darker nether regions?
Hi.. I am a female 25 yrs old..my query is to know if any medical attention is required for the darker nether regions as i frequently get rashes or irritation right after the chums.. my body complexion is fair except the sensitive regions.. please suggest on what can be done | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is a normal thing and it does get more darker as you age. Nothing much to worry and no treatment is required. If you are so much worried, you can seek help from a dermatologist and can go treatment options like bleach and laser therapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain | |
Suggest treatment for itching on back after keloid removal
My son burnt his back when he was 3 years old. We did a skin graft for him at the age of 11. The doctor cut out the keloids that were on his back. He now cries a lot and says his back is itching him a lot. He can t sleep at times. What can we do. Please help urgently. | Hi dear welcome to the HCM,Apply some mild steroidal cream in the keloid will help in reducing the itching.Antihistaminic orally to be given for long time.hope the query is answered.thanks | |
What is causing lumps on leg?
Hello, I have a bump in the crease of my leg(4 weeks), my doctor said it is a swollen gland and this is normal. It hurts to the touch and when I walk. I was told by my urologist that this was not normal and he should have put me on antibiotics and to go back to my doctor and have him check it again. Is this bump a normal thing? | Hii appreciate your concernLooking at your history it seems to be an enlarged lymph node that might be due to infection please take the course of antibiotics as advised by your doctorif it persists or increases in size ask for FNAC test of the lumpHope this information will help you thanks for your questionwish you good health | |
How to treat itching due to yeast infection?
I have a yeast infection, I am taking the v6 tablets past two days, the first day I had inserted it inside and it came out the next afternoon, the second I took the tablet again, but it didn't came out at all. But I'm scared if the tablet is still in my vagina, and not been dissolved yet???? I'm also applying the cream also, but the itching is still occurring? Why? Plz answer my question, Thankyou! | Hello,Welcome to HCM,The antifungal vaginal suppositories have got a excellent role on genital fungal infection. As you have placed this drug into vagina, the drug will be absorbed by the lining epithelium of the vagina and the it will enter the systemic circulation. Don't worry about the suppository by this time the tablet will be completely absorbed.As you are applying the topical antifungal cream, it will suffice the vaginal tablet and helps to bring down the symptoms of fungal infection. The symptoms will take 5-7 days to come down with the antifungal medicines. So don't bother much regarding this, continue using these drugs which are adequate and most precise for the genital fungal infection. In addition to these medications, for itching you can take oral antihistamines.Thank you. | |
Suggest remedy for itchy throat with cough
I have a constant itchy throat. I went to the doctor and she gave me medicine for a slight bronchitis, but its now all gone and Im still the same if not worse. I took a nap sitting up and half an hour later I woke up in a fit of gags and cough attacks, that lasted five minutes. I cant sleep, I cant eat, and my chest hurts so bad it feels like stabbing pain everywhere. I suck on cough candies and sip tea with honey and lemon, but the itch wont go away. Please tell me there is something I can take or do to stop this terrible itch. Thankyou. | Thanks to HCM I can understand your concern this is nothing but pharyngitis It may be due to virus ,bacteria or iritants so I would like to suggest plz take antibiotic like augmentin 375 twice daily,montair lc once daily along with antiinflamatory like acecloplus twice daily drink luke warm water avoid cold and cold items avoid dust and overcrowded places it will subside ,don't worry plz take lozengies like vicks . strepsils or halls which are having menthol content ..it will reduce .ok | |
Q. How much sleep do teenagers really need?
Hello doctor,How many hours of sleep do I need as a 17-year-old? Are six hours of sleep enough? What happens if I sleep eight hours per day? Does my brain become more active or dull? | Hello. I feel that one should not sleep less than seven hours daily. This is the minimum to maintain a healthy mind and body. And also, you will not feel sleepy in the day. The brain becomes more alert if you sleep about eight hours a day, but it also depends upon the work and activity that you do. For more information consult a family physician online --> | |
Could the bloating, abdominal pain and weight loss in arms and legs indicate the symptoms of Giardia?
I feel into a river while trapping beaver and got the water in my mouth and now think I have gotten Giardia, "beaver fever" my symptoms are weak shaky watery diarrhea no blood, gas (EXTREMELY bad odor), extreme bloating, abdominal pain like I swallowed a ball, weight loss in arms and legs but gain in abdomen keeping my weight the same dizziness and fatigue and and crave salt (I am assuming depletion of my salts) so I want to know am I on the right track in my thinking? | Hi! Good evening. I am Dr Shareef answering your query.The abdominal symptoms described by you could possibly due to giardiasis, and/or amebiasis. However the selective weight loss in arms and legs or the dizziness might not be related to the abdominal symptoms. Some people do complain of dizziness associated with gaseous distension.If I were your doctor, I would send your stool for routine test for ova and cyst, advise you for a course of anti amebic drugs along with a proton pump inhibitor and a pro biotic which might possibly relieve you of your symptoms. Also you have to avoid eating outside specially fast and fried food.Go for lot of roughage in your diet with plenty of liquids.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | |
What causes cramp like pain in my right abdominal?
Crampin pain Hi im 18 yrs old n i always have worrse than crampin pain on my right abdominal.side i went.to er n they found.nothin wronf.pain comes n goes at.random.times.but when it cums i feel like going.to.the batjroom.n i.cant.do.anything please help | Hello! Welcome to HCM.This can be due to inflammation of bowel or can also be due to a stone in urinary tract.Do you have fever, any urinary complaints?In my clinic, many patients with similar complaints have been successfully treated, to whom I advise ultrasound abdomen & pelvis, X-ray KUB, urine routine, CBC & renal function tests.As you have mentioned that pain is crampy & intermittent, more likely its a stone which causes obstruction to urine outflow. Smooth muscles in ureter contract excessively to overcome this obstruction & so is the pain.For temporary pain relief smooth muscle relaxants like drotaverine, pain killers like diclofenac and tamsulosin are prescribed.Definitive treatment is done according to the diagnosis.Hope this helps.Wish you a good health.Thanks.Regards. | |
what are the tiny bumps inside the cheeks?
I have a few pin point tiny bumps here and there inside my cheeks. Don't seem like blisters, no pain. Running my tongue around cheeks it feels like fine grit sandpaper almost. After a few days the bits of skin slough off. What tha what is going on! I have 2 young grandsons in preschool. They Both have had strep twice and "hand-foot-and mouth in the past 5 weeks. (I visit them alot). Could I have it? (I have no tonsils. | hello thanks for consulting at hcm..it could be due to fordysce granules if they r yellow in color--since symptomless,,it could be apthous ulcers also ,, if u have sharp teeth surface they might constantly touch the buccal mucosa and cause tiny bumps,,either ways if prblm persists plz consult a dentist for a check up and treatment..hope it helps,,tc | |
What are the signs of having kidney infections?
Hello my name is Angela. I am very concern about my kidneys and if they are functioning properly. I have been itching a lot off and on; that turns into wept; however when I take a Benadryl the symptoms start to go away. I looked up the signs for kidney disease and notice that one of the symptoms is itching. Also they stated when you urinate it and it has a little bit of bubble in it this could also be a sign. In the past I have been told that I have a little protein in my urine; but nothing to be concern with. Do you think I should go to get a second opinion from a kidney specialist to make sure that my kidneys are functioning properly? | In my opinion its not kidney infection.usually kidney symptoms are manifested by pain at kidney areas, burning ,bleeding or pus in the urine. Some times it is associated with fevers. | |
Will I get pregnant if I take the incorrect oral contraceptive?
hi im here in taiwan,im 29 and im having sex with my bf but we dont want a baby right now,,im taking oral contraceptives,but it my first time to use it so when i take it i didnt know that it has a num..then i need to take the num. 8 but i didnt saw it i take the num. 14,,will it can cause to a pregnancy/plss i need an ans.thanks | Hello dearI understand your concernChance of the pregnancy will depend on the type of birth control pill which you are taking.If you are taking triphasic type of the pill then there may be a chance of the pregnancy.Triphasic pill contain different type of the hormone in different tablet. If you are taking it then use barrier contraception for next seven days.But if you are taking mono/biphasic oral contraceptive pill then no chance of the pregnancy. Because it contain same hormone in all the tablets.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar | |
What is the dosage for cephalexin pills for infection?
I was recently prescribed cephalexin pills for a pilonidal infection, at 500MG, 4 times a day for 10 days. I started taking it this morning, but I m a little unsure about how the dosage works. I m a little paranoid about taking it too often. I can t see being able to take the dose every 6 hours, otherwise one would be in the middle of the night, but I don t want to take all 4 doses within the 16 or so hours I m awake as that would only be every 4 hours. How often can I take each dose in a safe manner? | Hi, Cephalexin is commonly prescribed to treat skin and soft tissue infections like pilonidal sinus caused by susceptible bacteria. Its recommended dose for adults is 250 to 333 mg every 6 hours. Since it seems to be inconvenient for you it may also be taken in the dose of 500 mg every 12 hours. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali | |
What causes itchy red swelling on hand during summer?
Hello doc, During summer there are itchy red allergy that appears on my both hands, the moment i scratch it the swelling start and it become bigger round with water inside, but after summer they disappeared.I want to know the cause and remedy or does it have something to do with food intake,Waiting for reply.thank you | hello..thanks a lot for your query on HCM,looks like you are allergic to sun..it does happen to some people like that...better as a matter of precaution, do be protected from direct sunlight...wear long sleeve clothes..apply sun screen lotion with good SPF,apply some cream to it..food also may lead to such a thing, but as it does not happen to you in winter rules out that possibilities..try out the safety measures..things will mprove gradually | |
Suggest treatment for acute back pain
Sir,my mother s age is 60 yrs and she is suffering from severe back pain.the doctors said that as your bone is porous,the nerve below the bone pressurise it while movement.the pain is very acute.please suggest what to do? | Hello, Thanks for your query.It seems your mother is suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis.The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic.She can get the appropriate drugs prescribed from her Orthopedician after examination.Meanwhile she can follow these measures:- If the pain is severe, she need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under knees if it doesn't bother .- Avoid lifting heavy objects.I do hope that you have found something helpful and I will be glad to answer any further query.Take careFor future query, you can directly approach me through my profile | |
What causes cyst and parenchymal calcification on the kidney?
Hi 2 days ago my father in law underwent ultrasound scanning and the results are as follows:1. Urinary Bladder-- Mildly thickening urinary bladder wall measuring upto 6mm. Prevoid- 220cc, Postvoid-170cc, significant postvoid residue2. Prostate- Measuring 3.8 x 2.9 x 3.0 ( volume 18cc) Mild cyst measuring 1.3 x 0.8 cms noted parenchymal calcification notedWe are really worried about this. As i have surfed about this it was written it might be stone or cancer...This is worriyng us a lot. The appoint with our family doctor is on 30th dec. So, could you please let us know about this soon so that we can get some relief.Thanks | HelloParenchymal calcification in kidney is different from renal calculus.It is not not calculus or cancerous.Parenchymal calcification may be due to many causes like vascular etc.It is not a serious finding and it is generally a age related finding.Main findings are thickened urinary bladder wall and significant post void residual urine.Thickened urinary bladder wall may be due to changes of cystitis(chronic infection in urinary bladder).As size of prostate is normal,significant post void residual urine may be related to neural component.Findings also suggest a small cyst in kidney,it is generally age related developmental finding.In short,findings doesn't indicate cancer or calculus.You need proper evaluation by a urologist.Get well soon.Take CareDr.Indu Bhushan | |
What are the symptoms of throat infection?
My age is 33 years. I am feeling sore throat, seems a throat infection since yesterday. My voice is not coming out clearly. There is no cough, there is a dry feeling and blockage feeling in the throat. Please advise any mild medicine for the same as I do not take much medicines due to an old liver problem. | hi,From your above stated complaints it seems like flu. however, sore throat also indicates added bacterial infection.Kindly take:1. Tablet cetrizine 10mg at night daily one tablet for 5 days.2. Tablet Azithromycin 500mg daily one tablet after a heavy lunch for 5 days.3. Tablet paracetamol 500mg maximum upto thrice daily if there is fever.Warm water gargle.Drinks lots of fluids.Regards,Dr.Riyanka | |
Suggest precautions for high BP
My mom had her BP checked at her DR's office. Her Systolic was 220 in one arm and 202 in the other. Not sure what the Diastolic was. Gave her a bunch different meds then what she has been taking. She's complaining of having headaches. I know the numbers are high. What are signs to look for that she's getting worse? | Hello , As you know the mentioned blood pressure range is considered very high . The cause of her Headache is most probably her persistence of blood pressure in higher range . So keep on getting in checked . Now medication should be able to control it fine If appropriate however you should consider visiting the ER or having a talk with your doctor if . There is any increase in the severity of headache .If there is associated vomiting , blurring of vision , Any nasal bleed . Any chest pain or associated breathlessness. Any decrease in urine output . In all the above situation do go to the nearest hospital for evaluation. Regards Dr Priyank Mody | |
Can withdrawal from birth control cause bleeding?
I took a pill 6 hours late due to moving our place. & then i decided to quit birth control for a baby. I quit halfway through. & its been 3-4 days & now i'm bleeding. is this normal or could i have been pregnant? I got pain in my stomach for 2 days before my period.. | HIWell come to HCMI really appreciate your concern, hormone medicine taken for contraceptive purpose may cause irregular bleeding, chances of conception is very less likely still better to get done the test in case of doubt of pregnancy, hope this information helps, take care and have a nice day. | |
What causes hematoma after a surgery for hernia?
My partner had a hernia operation a week and a half ago. and he developed a hematoma after surgery. still after a week the wound has not healed and it is still bleeding he has about a 1cm gap where the blood is still coming out.he has alot of swelling and is still in alot of pain. we have been to the hospital on 3 occasions and been told its ok and normal. he is due to go back tomorrow and have the staples removed, but the wound has not healed, is that right? and is there anything they should be doing. | Hi, dearI have gone through your question. I can understand your concern.He may have gaping of wound due to some poor healing as a result of some factors. Poor nutrition, diabetes, infection, constant irritation, raise intra abdominal pressure are some of the factors which causes delay in wound healing. He should go for examination. Need to search for any of this factors 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. | |
Suggest natural treatment for tooth ache
i was told to take amoxiciine because i am going to have my wisdome teeth pulled and around one tooth it looks a little inflamed... i read that garlic is a natural antibiotic like peniciline. i want to do everything i can natural if possible, also i breast feed and i would like to put the least amount of medicine in my body as possible, and info or suggestions about the garlic? | Hello,Thanks for consulting HCMRead your query as you have toothache dont worry for pain you can do warm saline gargle two - three times a day , yes you can use garlic for toothache , you can also use two cloves mix with olive oil and apply on painful tooth. I will also suggest you to consult dentist and go for treatment of tooth that will give you releif .Hope this will help you. Wishing you good health.Regards ,Dr. Priyanka tiwari | |
Does birth control pill cause tiredness, headaches, lower back pain?
My daughter has 2 children one almost 3 and a baby of 8 months old who has been very cross.She is on the pill but lately has headaches aching limbs especially lower back .also very worn-down and tired do you think the pill could cause these symptoms she is on micron in.Thanking you | hello user,side effect of birth control pill are intermenstural bleeding,headache,acne,nausea,weight gain,breast tenderness,etc..yes,symptoms are due to birth control pill...she can go for iud device after consulting your gynecologist..thanks... | |
What causes blood in urine?
my grandaughter is 5 weeks old she is in hospital at the moment to try and find out why she is constantly crying,i have just recieved some information with possible reasons to this.. they say she might have reflux and they have also found blood in her urine,can you give me any clues as to what this might mean | Hi, 1. Stress due to NICU hospitalization.2. Renal vein thrombosis.3. Csytitis.4. Catheterization indued trauma (common). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology |
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