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Have muscle pain, anxiety, ear pain, stomach upset, numbness in cheeks and tingling sensation. Taken Plan B. Are they side effects?
Hey. I m 19 years old and I took plan b about three weeks ago. I had mild side effects such as mood swings, muscle strains, headache and more. When I took it about 3 years ago I was suffering from numbness of the face, hands and feet.. Muscle pain, intense ear pain with tingling in my head. Anxiety and stomach upsetness. I noticed that as I get older the side effects become less and less. But i noticed something unusual about this time, even though i was getting my hopes up of not getting any serious side effects. I noticed that when i turn my head to a specific direction, there is a crunching noise in my right ear. And again, i m in perfect health never had any health problems but these stupid side effects that plan b causes. I m wondering if this is all in my head and if i should just wait till it goes away.. i mean it doesnt hurt or anything. I can live through it. also my chin and cheeks tend to get numb and tingly. Any suggestions? Is this normal? Do i really need to go to the doctors for this? | Hi,Thanks for the query. Plan B contains levonorgestrel.It can be used for emergency contraception. Usually emergency contraceptive pills present with symptoms like nausea, breast tenderness, bloating sensation etc. For more details : causing neurological problems is somewhat abnormal with contraceptive pills. They can cause headache, dizziness etc. But pain in ears, numbness etc are not common side effects of emergency pills. So, if the symptoms persist, once consult ENT surgeon and get examined to rule out any ear pathology. If no abnormality is detected, the symptoms could be psychological and possibly subside soon. Better to avoid repeated intake of emergency pills. Take care. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
What can cause skipped heart beats?
I have skipped heart beats. Sometimes once or twice in every minute and some times once in an hour. No other feelings and symptoms. No rise or down in pulse rate. I have gas trouble. There is a twitch like action at abdomen at the same moment of skipping. What is this? | Hello!Thank you for being with us on HCM!Regarding your concern, I would explain that probaby we have to do with some isolated extrasystoles, triggered by several factors like bowel distension or spasms (leading to vegetative nervous system involvement), diaphragm implication, anxiety in the context of an IBS (irritable bowel syndrome), etc.Meanwhile, I would like to assure you that nothing dangerous is going to happen with your heart, so relax and don't worry!I recommend you to consult your cardiologist or internist for a careful physical exam, a resting ECG, some lab tests like complete blood count, thyroid hormone levels, blood electrolytes, etc.An ambulatory 24 to 48 hours ECG monitoring (Holter), is advisable to make a qualitative and quantitative evaluation of your possible extrasystoles, their day-night trend, and guide through an appropriate medical management.Hope to have been helpful to you! Best regards! Dr. Iliri | |
Could the recurring fever be due to parasitic infection?
Respected Sir, My question is related to parasite. I got fever after every 20 to 30 days since last 6 months. Symtomes are same like malaria parasite. Did not found anything in report. I only get relife by malaria tablet only. After taking malaria tablet I suffer gastric problems and stomouch discomfort. A few days befor I get fever I face same thing, discomfortness of stomach, gas, sleppnless, did not get sleep for 2 to 4 day n night. I do not understand this. I did endoscopy but did not found any thing. I also gone through sonogram n blood report. Nothing found. I doubt on liver function. Sir please help me n guide me. I m fed of this condition. | HelloYou mentioned that after every 20 -30 days , you get fever and this responded to anti malarial treatment . But you suffer with stomach discomfort . So when you take these tablets for malaria take these with pantoprazole-d and also take some antacid ( if it contains oxetacaine ,will be better).But main question is ,why fever after 20-30 days and respond to anti malarial tablet. This time when you get fever , just wait for 3 days and only take tylenol ( paracetamol 650 mg whenever high fever , as high fever with chills and rigor are the characteristic feature of malaria). After 3 days because of life cycle of these parasites .After 3 days fever get in blood for malarial parasite as well card test for malarial parasite .Whatever the result ,take chloroquine 600 mg base stat ,followed by 300 mg after 6 hour .Later on day 2&3 , single doses of 300 mg/day.After this take PRIMAQUINE 15 mg daily for 14 days and this is WHO recommended radical treatment .Not forget to use pantoprazole-d and antacid .This is all about malaria .Now ,why fever , so beside malaria such type of fever may be due to , these possibilities ,these include. 1 Typhoid fever , get in blood for Widal test and serology test for diagnostic purposes.2 Urinary tract infection , diagnosis can be confirmed by urine culture .3 Septicaemia chronic , get in blood culture for any chronic infection and also drug sensitivity test and whole thing will be clear.Since this is prescription , so consult a physician and get his help.Good luck.Anemia and drug fever are another reason of such fever. | |
What are the symptoms of yest infection in the vagina?
i am new to birth control and i dont have full periods anymore i just spot, i had sex a couple weeks go without a condom and a little blood started to come out then i think i had a minor yeast infection it left a few days after but yesterday he stuck his fingers inside my virgina and after i got out the shower today i felt itching and burning but now it is calming down , what does this mean ? | Your symptoms are mostly suggestive of vaginal fungal infection. For which you can take some antibiotic preferably cefadroxyl or doxycycline after an expert opinion along with avil or cetrizine for severe itching. You can take fluconazole 150 mg or use clingen-forte vaginal pessary to put into the vagina once daily for at-least 5 days. Maintain the hygiene of private part either by regular washing with soap water or you can use v-wash vaginal gel. | |
What causes rectal bleeding in children?
hi, my 11 year old son has just come to me stating that he had blood oozing out of his poo . When I ve questioned him further he said that he has had a little blood staining on wiping for a little while now. He never gets constipated, and has a motion every day or every other day. He is more often than not quite loose. He has a healthy bmi and has no medical conditions/allergies other than suffering from occasional nose bleeds. I will take him to the gp tomorrow - but can you tell me what would be the most likely cause of rectal bleeding/blood stained stools. | Hi, since there is no fever, pain abdomen or loose stools it doesn't seem to have an infective cause. I think it could be because of fissure or polyp at anal rectal region. I think you should visit a Surgeon for rectal exam of child. I hope this has helped you. Wishing your child good health. Take care. | |
Have abdominal pain, gastric issues. On Cyclafem birth control. Are they related?
Hi, i am currently on Cyclafem birth control and have been taking it every day for 8 months. I recently switched to a different manufacturer of it because of moving to college. I have been having little abdominal pain and gas after switching. Could the new birth control be causing this or something else? THe birth control says it is same medication just different manufacturer label. Thank you | NamastheWelcome to HCMGreetings of the dayIts unlikely to be due to medication or change in brand. drink lots of water and consume food high in fiber. If there are no associated complaints like urinary complaints or Vaginal discharge then rest be assured that everything is fine. Experiencing gas and abdominal pain are very common once a while.Take CareRegards | |
Q. I feel dizzy when I work on computer, smartphone or TV. Kindly help.
Hello doctor, My problem is that I am really suffering a lot from computer, smartphone, television, etc. They make me feel very dizzy, headache, etc., and these feelings do not disappear until I sleep. After I wake up, I feel like my head is going to explode from headache. But, after some 20 minutes I do will feel better and normal. But, if I use computer, smartphone, etc., then again, I will get the same headache and dizziness. I am using a computer about 8 hours per day. I am a civil engineering student. I searched on the internet and found a case called computer vision syndrome. I think it as my case, but I cannot find a solution to get rid of this. I had LASIK surgery for my eyes and now I have a 6/6 vision. I bought a big computer screen, used Eye fresh eye drops and also used 20-20-20 method. All these reduce the pain, but still I feel so bad that the headache and dizziness ruins my life. I cannot concentrate on my studies. Please give a solution. | Hi. I have reviewed your query and happy to assist you today. For further doubts consult an internal medicine physician online --> | |
Q. Unwanted 72 was taken within 30 minutes of sex. Can she become pregnant?
Hello doctor, I had an unprotected sex with my partner on the 24th day of her 28-day mensuration cycle. Within 30 minutes, she took an Unwanted 72. She is delayed by eight days and still no period has occurred. She complains of having vaginal dryness and lower abdomen cramps. Please let us know if she is pregnant or not. I am very worried. | Hello. Since she has taken an emergency contraceptive pill within 72 hours of intercourse then there is no chance of pregnancy. The delay could be because of hormonal changes due to the pill you have taken. She will be definitely getting her periods. However, if you have a doubt then get back to me. Take care. For more information consult an obstetrician and gynaecologist online --> | |
Getting dry skin, itchy anus and carpal tunnel syndrome. Am I having allergy?
I've been to a few doctors and blood tests have revealed nothing, but I certainly have some sort of allergic reaction. I've narrowed it down to things which are commonly associated with Candida - wheat, sugar, alcohol, dairy. I get a number of symptoms including; carpal tunnel, sciatica, dry skin - very much so in the lips, itchy anus, and feeling 'out of it'. Any idea what it could be? | THESE ARE ALLERGY TO ONE OF THE MAIN FOODS LIKE MILK WJEAT POTATO CHANA RICE EGG ANDNUTS YOU HAVE TO GET BLOOD SERUM TESTED FOR MILK WHEAT POTATO CHANA RICE EGG NUTS I THINK YOU WILL GET ANSWER AND AS YOU GO FOR ELIMINATION DIET FOR THE FOOD THAT COME POSITIVE AFTER 3 WEEK YOU IL BE OUT OF ALL SYMPTOMPS AFTER THAT YOU CAN GO FOR DESENSITISATION THERAPY TO ADD THAT FOOD AGAIN IN YOUR DIET | |
Burning in breasts. Diagnosed for cancer with no result. Occurred last year and taken Lyrica, sweating. Cancer?
I have burning in my left breasts. I have been to my physicians, she has taken all the tests to see if it is breast cancer she says no. I only seem to get this burning in july I had the same thing last year. I took Lyrica and the pain went away. This time it is lasting a little longer. I also sweat alot only on my face and behind my neck. Is this cancer? | Dear Ma'am,Sorry to hear about your problem. Your symptoms are not suggestive of cancer. Burning can be due to hormonal changes. I am sure your physician would have ordered a mammography or sonomammography for you and if that is normal, you should not worry and just get regular screening done.For the sweating, you should visit a dermatologist.Hoping for the best. Please feel free to clarify any other query. | |
Suggest treatment for pneumonia
Yes, I vehad a n respitory infection inially diagnosed as pnuenomoia. Had a chest xray first, results opacity 2cm at upper left lobe with no evidence of pnuemonia. My PCP then ordered 5 day course of zithromax follow up 2nd xray. Results were same. Both xray reports suggested CT scN TO R/O OTHER PROBLEMS, ETC. pCp ordered two weeks of levofloxcin after 2nd xray as she was not convinced that I did not have a bacterial infection. The entire time I was coughing, sneezing and had sever nasal congestion. I had a low grade temperature for the first thre days of the respitatory infection, then normal all the while the coughing etc. continued. A CT scan was then ordered and it revealed that the left lobe opacity was still present, mild reticular densities present at the lung apices and mild reticular opacification at the posteromedial left upper lobe suggestive of chronic fibrosis. There is also a 6mm nodule at theright middle lobe and mild bilateral dependent atelectatic changes. There are reticular and/or fibrotic changes at the lung bases. Finally could you define sclerotic densities at the soft tissues ajacent to the bilateral proximal humeri. I had a follow up PET/CT scan with some radio active substance today which is to r/o malignancy. thank you for any advice, etc. you can give me. Joan Z. Riverhead,NY | thanks for asking your queryI completely understand your problemyou have non resolving pneumonia as a diagnosis along with a nodule in rt middle lobe ? cause.regarding bilateral parenchymal lesions in lungs sputum can be tested for afb ,pyogenic culture and sensitivity, fungal elements, malignant cells.or that 6 mm nodule along with these parenchymal lesions you should consult a pulmonologist personally and if he wants a bronchoscopy to be done to rule out malignancy and other causes by taking a biopsy if anything if visible on scopy.don't panic go to a pulmonologist ,he ll guide u the bestthanks for more queries feel free to askmay god bless you with good health | |
Could spot on left rib and spine in the place of herniated disk be cancer?
Hello, I m a 58 year old women and has had back surgery on my L5-S1 5 years ago. I m the proud owner of 2 rods 4 bolts etc. I have recently herniated another disc. My Doctor is a very good at his job. He has recently had me go through a battery of tests. He has found a spot on my left rib and spine where the disk is herniated. He seems quite concerned about them and said he d like to do some more tests before I see the surgeon. He didn t want to alarm me but suggested it might be cancer. I was wondering if it is what are my options? | First of all, we need to confirm the nature of these spots. They may or may not be cancer. For this a bone scan and if required a biopsy from the lesions will be sufficient. If they indeed are cancer, then you need to ascertain whether they have come from somewhere else or they have started from the bone itself. If, from the bone, then surgery will be curative in most cases. If from elsewhere then the treatment is entirely different. Anyways, thats a long way on, just take the first step and find out what they are. | |
Recurring acne vulgaris, all testts and hormonal examinations are normal. No improvement with medicines. How can I cure it?
acne vulgaris .i have this problem from round 7 to 8 years.have taken treatments from 2 to 3 dermatologists for 2 to 3 yrs continuously. bt no improvement.re-occurrence is common.skin is very damaged.had all kind of tests including harmonal examination.all is normal. have regular menses.doctors have prescribed heavy medicines including vit A injections . bt no significant improvement. age 22. plz help | You may be having recalcitrant type of acne on your face which is resistent to normal treatment . You need oral Retinoid (vit A) like ISOTRETINOIN 20 mg for atleast 2 months initially after checking blood tryglycerides and liver function tests which should be normal before starting therapy and most importantly you must not be pregnant or getting pregnant even after stopping treatment for 2 month since it is a potential teratogenic drug. | |
Suggest remedies for kidney stones
hi, I had kidney stone problem which was removed through medicines previously. i had my sonugraphy done in dec 2016 which clearly states normal reports excepts crystal of calcium oxalate & past history of uti.. on march 3 again i suffered from burning sensation in urine, n chills in urine for which i had blood test done n urinalysis. blood test include rbc n creatinine which came as normal. in my urine bacteria & pus cells were present. its almost a month, m much better but chills or little pain in urine is very little there. chills specially. pls help | I am really sorry to hear this about your health status.. But I'm here to help you out. Don't worry, it's a treatable disease.. Hi and welcome to HCM.. I thank you for posting your query here.. I read your question completely and have understood it well.. I being a surgeon, we encounter so many such cases day in and day out.. Well, kidney stone disease is the most common urological disease.. But, luckily it's very well treated and cured.. Please note the following few facts, I will analyze all your concerns.. 1. You had kidney stones and were treated with medicines. Yes. Small calculus which can be passed out in urine. Say, 5 to 6mm are best treated conservatively. 2. Sonography or usg Normal.That's good, your follow up scan was normal. But sometimes what happens is, usg won't pick up all the stones. CT scan has to be done.. 3. You had Uti episode again.. And your major problem is chills and fever on and off.. Well, this is the most common presentation again.. Please do these following things. A. Get a urine culture, routine during the episode of fever without any delay.. This is very important.. B. Frequent Uti with history of stone disease points towards residual or new stones. Suggest, you to get a CT scan of KUB. Urinary system. This will help you find out the cause and treat accordingly.. Hope this helps you, in case you need further assistance, please let me know.. Take care and God bless you.. | |
Is pigmentation on face, shoulders and arms, side effects of taking Dienne 35?
hi.... i am from india.....my wife is of 33 years & we are having a son of 4 years....we are married for 7.5 years.....both my wife & myself are working professionals..... my wife recently developed pigmentation on her face, sholder & arms.....a local doctor said that these may be due to consumption of dienne 35, which she regularly consumes for the last 4 years..... my question: is there any side effects of dienne 35, like pigmentation...? | Hi , Thanks for writing in. Dienne 35 is hormone based contraceptive it may cause pigmentation as a side effect. But pigmentation can occur due to variety of reason like like lichen planus, post inflammatory,amyloidoisis etc. Proper examination is required for diagnosis of the cause. I encourage you take visit to a qualified dermatologist for examination and proper treatment. Visit a dermatologist for some clinic based procedure like chemical peeling and laser. Hope this helps. Regards DrSudarshan MD Dermatology. | |
Q. What is the cause for itching in the whole body?
Hi doctor, I am 78 years old male. I am diabetic. I am facing a whole body itching problem for the past one year. I have done an allergy test, and I am allergic to certain foods like curd, apple, dry fruits, tomato. Now, I have stopped taking these foods, but there is no relief. The doctor advised me to take Fexofenadine 10 mg once a day before sleeping. Please suggest a better medicine for getting fast relief. As my skin was dry, the doctor gave me Venusia cream and Medi oil for use two times a day. My past medication is Loratidine, Alegra and a tablet for stomach worms. | Hi. In diabetic patients, the skin becomes dry due to shrinkage of sweat glands. Keep your skin well hydrated by frequent application of vaseline lotion. Mix glycerine and aqua rose in equal amount and apply it on your body after bath on a slightly wet body so that the wetness can be retained. Take tablet Ebastine 10 mg one tablet in the morning and one tablet in the evening. Take tablet Cetirizine 10 mg at night. For more information consult a dermatologist online --> | |
Q. Fetus revealed with mild hydrocephalus. Is it a serious condition?
Hi doctor, Mild hydrocephalus shown with breech presentation in 36 weeks ultrasound scan. None of the previous report showed any abnormality. Genetic test done earlier in 2nd trimester was also normal. I want to understand what should be the next step for a healthy and sound mother and baby. I had already consulted a pediatric surgeon who suggested me to take a fetal medicine specialist opinion. Hence, I am posting this query here. Thank you. | Hello. Kindly revert back with the reports to a fetal medicine specialist online --> | |
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 --> | |
What causes crushing feeling in chest, brown mucus and pain in armpit?
Hi. I have a heavy crushing feeling in my chest back and ribs. Im bringing up quite alot of mucus sometimes like a brown colour sometimes it looks like it has blood in it. And i have awful pain in my left side and under armpit when takin a deep breath. | Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of lower respiratory tract infection (LRTI) is more. Chest discomfort with pain and brownish mucus expectoration are common symptoms of LRTI - pneumonia. Chest pain on breathing is characteristic feature of pleurisy (inflammation of pleura) and pneumonia is most common cause for this. So better to get done chest x ray for the diagnosis of pneumonia. You may need antibiotics, mucolytic and expectorant drugs. Hope I have solved your query. Wish you good health. Thanks. | |
High AEC count in blood. Shortness of breath, gastric problems. Will it get normal? Any natural solution?
I am suffering from very high AEC count in blood. I am facing problem of breath shortening and Gastric Problems for last 6 years but I kept Ignoring it. Recently I went for AEC test and the count is 1700. I know it is very high. I am under treatment but my concern is will it get low to normal value? or is there any natural way to get rid of it? | Hello and welcome to HCM,AEC count is the absolute eosinophil count.The normal AEC is between 100-600/ cobic millimeter.Eosinophil count increases in various conditions.Some of these common conditions are:1. parasitic infections e.g. tape worm infection, asciariasis, hook worm infection, strogyloidosis, etc.2. Allergic conditions: asthma, hay fever, urticaria, etc3. Tropical eosinophilia4. Loefflers syndrome5. Pulmonary eosinophilia6. Idiopathic eosinophilia7. Neoplastic conditions: Hodgkins lymphoma, chronic myeloid leukemia, chronic eosinophic leukemia etc.A stool examination should be done to look for any parasitic infection.After ruling out parasitic infection (which is most common cause of eosinophilia), other causes should be looked for.Shortness of breath suggests that the primary cause lies in the lungs.Is there any history of asthma?Exacerbation of allergic conditions can cause increase in eosinophil counts.Loeffler's syndrome, tropical eosinophilia are the conditions which are localized to the lungs.Treatment can be started only after the diagnosis is made.treatment is different for different causes.Consult a pulmonologist for further management.Thanks and take careDr Shailja P Wahal | |
What can cause on and off chest pain?
I am 25 year old female. 5'8" 260 lbs. Been having chest pains off and on for past two years. Pressure, pain on left side of chest. Jaw pain, back pain, left arm tingling. EKG, stress test, ultrasound say it is not heart problem; cholestrol normal, blood pressure is borderline high. One doctor says its muscle pain, another says mitral valve prolapse. I'm still worried that it is heart disease of some kind. What could it be? | Hi welcome to health care magic....On first look your case seems to be muscular chest pain .....But history since two year and pain on left side with radiating at jaw and back....So I want to rule out here cardiac cause first...Do the better investigation for heart that is 2D echo cardiography...It will reveal if any cardiac cause present.For muscular pain rest taken with analgesic....Strenous work restricted...If you have any gastric cause then reffered chest pain can occur...Take care....Dr.Parth | |
Receiving chemotherapy drugs for breast cancer. Have methamphetamine dependence so what could be the contraindications?
Hi Doctor, I m receiving 3 chemotherapy drugs for breast cancer with her2 factor. I m afraid i have a methamphetamine dependence and whilst I know i shouldn t inject or injest meth at all fear that I will bust and need to know the worst contraindications regarding the substances. Thankyou for your time Cam | Hi and welcome to HCM. You need to consult your doctor about it. in every case you should not stop chenotherapy and generaly this isnt contraindication for chemo,but it is always advisable to stop any drug abuse or at least reduce it during chemotherapyThanks for the query. Wish you good health. Regards | |
What could sudden unconsciousness and rash on the side of the nose?
My 11 year old girl has the following symptoms:headache, stomach ache, cold - these are kind of the usual, no fever - but a few things have happened in the last 24 hours that concern me. She fainted - flat out yesterday and has been lethargic for the last 36 hours. She also has a strange rash on the sides of her nose - little red dots. I did call her pediatrician and she said that if she faints again, obviously get her in but wanted to get some thoughts from you Thanks | Thanks for consulting in HeathcareMagic. I wanted to ask you , did she eat before loss consciousness , it can be hungry fainting, the second thing,"What is her hemoglobin?" She may be has anaemia, please do blood test and let me know. The third thing, she has some infection,which can give to her intoxication and weakness, her vessels are weak , she has some hemorragic rash on the nose, which i suggest appear after fainting. What we should do more- check her BP, if she has hypotonia, we should give to her some chocolate, black tea, in addition, you can do EEG at neurologist for exception of high intracranial pressure or epilepsy attacks or other. Do you know profilaxis is the best. For headache you can give to her usual paracetamol, for stomach ache-give charcoal 3 tab, if no effect then almagel 1 tablespoon 3 times after 1 hour before meal during 10 daysRecovery soon, take careAll the bestDr.Svetlana | |
Diffuse disc bulge with protrusion of disc along with ligamentum flavum hypertrophy causing stenosis. Treatment?
Sir My brother aged 48 years has L-4-5 diffuse disc bulge with Left paracentral-left intra foraminal protrusion of disc along with ligamantum flavum hypertrophy causing mild compression on the cal sac and mild narrowing of left lateral foramina with left lateral recsess stenosis . Please advise if any therapy other than surgery is possible for treatment and pain management . Please inform by return mail and oblige. | Hello, Thanks for the query, Please note that the decision regarding the surgical treatment in patients with disc disease depends upon the clinical data., NOT ON MRI DATA. If there are no signs of neurological deficits pertaining to a nerve root, conservative treatment is sufficient. I am sorry that i donot know your clinical status. Conservative treatment for this problem will be to take medications like Gabapentine, pregabaline etc along with physiotherapy. If this fails, please get evaluated by a neurologist and if there are signs of nerve root compression, you may opt for surgery later Hope this helps Dr Gopal K Dash Consultant Neurologist, Narayana Hrudayalaya Hospital, Bangalore | |
What can be done to take out the blackheads from my legs and bottom of my back ?
I have really bad blackheads on my legs, bum and bottom of my back. I ve had them for as long as I can remember and have tried everything to get rid of them; scrubs, washes, cleansers... every brand I can think of. I always wear jeans, even in summer and dread even looking at my legs. Is there anything I can try that will shift them? | Hi, Welcome to HealthcareMagic froum, Usually one doesn't get black heads on legs ...and the only reason one can get is when one is using lot of oily product on legs so as to get chloracne .Kindly see a dermatologist and get yourself properly diagnosed.It can also be that you are getting folliculitis on legs ..that would require a different treatment.And if they are black heads you can try tretinoin cream locally. take care, Dr.chawda | |
Suggest medication for severe hair loss
Hi,my name is anil i am 24 yrs old, from t'he past two years i am going through with hair fall problem. I haven't consulted any docter till yet as i did not realize that this problem could be this big, and now when i see my forehead which has gone too broad i am very much afraid. Plz advice m'he t'he right way to cure this problem. Does this problem can be cured @ AIIMS. With regards, YYYY@YYYY . Anil | HIWell come to HCMI really appreciate your concern, such hair fall could be due to "Male patron baldness" and this is genetically constituted, the only best option for this is "Minoxidil 5%" solution apply this on scalp twice in day you need to continue this for long time, hope this information helps, take care and have a nice day. | |
History of ectopic pregnancy. Taken Clomid. How can I increase chances of conception?
Hi, i had an ectopic pregnancy 2years ago due to cyst and fibroids . My zgyna adviced me not to take any contraceptive bt i took them like 4times only and stopped. Since then i have been trying to get pregnant bt in vain, i have tried clomid bt in vain, also my BF works out of the country and only comes once a month, he will be here from 1st.Feb.2013 to 7th.Feb.2013. My cycle is 28, my period starts today 23rd. 01.2013. Pls advice me, am so desparate. Is there a drug i can take to accelerate my chances? | Hello , Thanks for the query. Ideal for you would be to go for sperm storage. A sperm bank, semen bank or cryobank is a facility that collects and stores human sperm primarily for the purpose of achieving pregnancies. Sperm is collected and frozen in cryovials or straws then stored in liquid nitrogen-filled tanks. This semen can be used later for IUI in your regular cycles. Hope this helps, Regards, Dr Nilofer | |
Need medication for pain on right side of neck & chin due to a muscle pull
I turned and bent down to open a filing cabinet drawer and got a pain (liked a pulled muscle) down the right hand side of my neck. It really hurt for a couple of days but the end of my clavicle (under chin end) also really hurt. It doesn t hurt now but it is sticking out further than the other side. | Hi, As of now you can use analgesics/anti-inflammatory combination like Aceclofenac/Seratiopeptdase for symptomatic relief. You can also apply warm compresses for symptomatic relief. If symptoms persists better to consult an orthopedics and plan for MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What should be the course of action after child hits head on falling?
My 3 year old daughter fell out of a shopping cart today. She hit the back of her head and when I picked her up, I noticed her nose was bleeding just a little bit. She acts fine and I can t feel a bump where she hit her head. Should I be worried or see a doctor since her nose was bleeding a little or just keep any eye on her? | A nose bleed is not a good sign , but she didnt had any loss of consciousness that's a good sign. A CT scan head is advisable as it can rule out any bleeding inside the skull. | |
What causes sores in the mouth after extraction of tooth?
i had my wisdom teeth removed about a week ago. I never really had too much pain in the sockets, however, about 2 days after, i developed sores in my mouth, none of which are too close to the extraction cite. I have two in the front of my mouth and one under my tongue. Talking and eating have been difficult, however, today I was able to speak without pain. Is this a sign that they are getting better? If so, how long until I can eat again? | These sores are because of instrumentation during extraction procedures. Try applying oral anaesthetic gel like dentogel or mucopain. These ulcers will get milder within a week.as soon as u dont have pain you can start normal diet. Applying these gels before having food will also help. | |
What does prolonged cough imply?
Hello, my husband is 40 years old and has had a cough for about 4 weeks, after seeing the doctor today he was put on antibiotics for a small infection on his left lung though after a chest x-ray he was told he has a shadown on the right lung, we are to wait until the antibiotics finish and then have another chest x-ray. Please give me your opinion as what this may be. Thank you so much jana. | This can be pneumonia. It takes 4-6 weeks for pneumonia to go away on chest xray. He should be treated for pneumonia and repeat xray in 6 weeks. If he continues to show shadow then he should get CT chest and possibly bronchoscopy. | |
Hepatitis C positive. Treatment started with pegintron, ribavirin. Virus still present in blood. Worried about health?
Hi. My father is of 49 year age. He has hepatitus c positive since year 2004 with genotype 3. In 2005, he was treated with Pegasys with ribavirin for 6 months but unfortunately the treatment was not successfull. Again after break of 7 years his treatment was started 6 months before with Pegintron with Ribavirin. Doctor suggested that the treatment will last for a year. After 6 months, the virus is still present in the blood with the Real time PCR quantitative1600 IU/ml. At the start of treatment it was 922,812 IU/ml. My family is too much worried about him. Kindly guide....?Are results satisfactory? | Hi, Based on the treatment information every things look pretty good. (1) Let me give you some information about clinical trial for genotype-3 treatment, it shows that 24 week treatment only cures 65% of patients so in order to achieve or cover the complete 100% case it need to have 40 weeks treatment, so in theory we will be able to cure 100% cases. But we are taking year worth of medicine will cure you from HEP-C WITH 130% result, hope it makes sense, if not try to read it again, More over in simple words you will be cured completely even before 12 months of medication but YOU ARE a reoccurrence case so taking medication for 12 months is a great option. (2) Now let talk about the PCR- IT REDUCED BY MANY FOLDS from 922,812 IU/ml to 1600 IU/ml. Its the best result one can have. So from that estimate the PCR Will be near zero in next 3 months but please continue taking medication as physician has asked for, as this is a naught disease and can reoccur if not cured completely . (3) PLEASE let your family know that things are working fine even better then expected, so their is nothing to worry about and will be as normal as before after 6 months of treatment. Hope its helps. | |
How to increase chances of conception?
hi...i m madhuparna ghosh......i m married 4 yrs back..we tried 4 baby frm 4 yrs but no result we get...my age 27 hus. age 35+..now we decide 4 IVF.....i want know is it aur good discn..how much % to get pregnent.......my all reports r good....but my hus reports not good...his siemen count low... | Hello,Thank You for trusting HCMSince you do not have problems and younger than 35, chances of success with IVF is 60%.Hope I was able to help youPlease address further questionsRegards,Dr.Lekshmi | |
Experiencing chest pain due to anxiety
I am 31 years old and started having chest pains about 2 months ago I went to urgent care and they thought it was acid reflux I took medicine for heartburn and it never really got better 2 weeks later I went to ER and they did blood work EKG and chest X-ray everything came back fine and said it was anxiety then 2 weeks ago I went to my physician and he put me on lexapro I'm uninsured and my chest is feeling a little better but now I have some pains in my wrist and hand but I didn't have a stress test and I keep telling myself I need 1 just to rule out some underlying heart conditions am I just freaking out or should I have a stress test and I do smoke cigarettes about half a pack a day | Thanks for your question on HCM. I can understand your situation and problem. Your symptoms are mostly due to stress, anxiety induced GERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Smoking causes further damage to sphincter and aggravate reflux more. So along with drugs for reflux and anxiety, you need to follow these lifestyle modifications for better symptomatic relief. 1. Avoid stress and tension. Be relax and calm. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2-3 pillows under head in the bed to prevent reflux. 6. Quit smoking as soon as possible. This is very bad habit. Do all these for 1 month and if you are still not improve then go for stress test. | |
I have severe pain in lower tummy after masturbation
Hello, I am a female and for the last 3 or 4 times that I have masterbated I have had severe pains in the lower of my stomach afterwards, these only last for around 2-3 minutes but has happened on the last few occassions. Is it something to worry about ? | welcome to healthcaremagic perhaps you are injuring youself doing vigorusly better to consult gynecologist and get a check up | |
What causes an abscess on the arm with swelling on the face?
My 23 year old son is an iv drug user. He recently had an absess on his arm and now has a long bruise like thing runnin along the side of his spine. He also has a rash on his upper body and swelling on his face. I am so worried that this could be something very serious. | I welcome you to healthcare magic for your health concernsI am Dr Fahim and I will be looking into your problem I have gone through your question, understood and appreciate your concern for your son. It appears to be cellulitis; infection in the subcutaneous tissues. Intravenous drug abuser are at much increased risks of such infections with lead points from the site of injections. This is a serious thing, you need to see a general surgeon. Who after evaluation may admit him for intravenous antibiotics administration along with incision and drainage of the abscess.I hope my answer will help. Do rate if you like it.Regards | |
Q. Do I have osteoarthritis?
Hi doctor, I am a 24 year old female. My BMI is normal. I am fairly active on my feet all day because of work and I used to walk instead of transport. I was a lot more active when I was younger. I used to dance for roughly 20 hours a week and swim five hours a week. Since I have got older and due to injury, I dance for 2 hours a week and swim when I get a chance. I was diagnosed with Osgood-Schlatters in both knees when I was 16 and had physio for a year. They used to swell drastically and I still have prominent bony lumps just below both the kneecaps. The only thing that really seemed to help is drastically cutting down exercise as they would become so painful that I could barely walk. The pain comes and goes after an active day at work such as cycling, swimming, driving a long distance or sitting for a long period of time as I am 5'10", it is regular. I have also noticed recently that I have been getting neck and lower back pain as well as regularly feeling like I have strained my right shoulder. I have tried to pass it off as just pain, but it is becoming too often to be a coincidence and cannot help thinking it is linked. I have looked online and read a bit about osteoarthritis and this seems to fit what I have been finding. But, I do not want to jump into conclusion. Do you have any idea what this could be and whether it is linked? Is there anything that I can do prevent it other than cold compression? Thanks in advance. | Hello. 1. Osteoarthritis. 2. Overuse injury. 3. Rheumatological diseases (less likely). 1. Complete blood count (CBC). 2. Antinuclear antibody (ANA). 3. X-ray of the shoulder with Y-view and x-ray of the cervical and lumbar region. 1. Most likely degenerative joint disease (DJD). 2. Osteoarthritis of cervical and lumbar vertebrae and shoulder joint. 3. Less likely rotator cuff injury for shoulder and nerve impingement of the lumbar (lower back) area. 1. Ibuprofen 400-600 mg every 8 hours as needed for pain. Should take the tablet with food and do not take it empty stomach. 2. Muscle relaxant like Cyclobenzaprine 10 mg every 12 hours on as needed basis. You should not drive while taking it. 3. Physiotherapy would be very helpful. 1. Minimize your exercise to three times a week and strengthening exercise encouraged. 2. Use braces (knee brace and back support). Revert back with the reports to an orthopaedician and traumatologist online.---> | |
Suffering from PCOS, having irregular periods. Taking duoluton l tablet. Will i be able to conceive?
hello doctor.... iam sita 25 living in chennai,having irregular periods for because of PCOD problem. so, my doctor suggest me to take Duoluton-L tablet... iam going to get married on december 2013.... will my periods get regular and will i get any problem after marriage. we are planning to get child within a year.. will it affect to get pregnancy | Hello,It is definitely a problem for a PCOS patient to get pregnant but not impossible and a sustained effort will definitely bear fruits for you.The most important treatment for you at the moment is to regulate your menstrual periods, which you are already doing with DUOLUTON tablet and other important part of treatment is to do regular aerobic exercises for at least 45 minutes a day and reduction of weight.It is said that a mere reduction of 10% of your weight can result in regularisation of your periods.Once you get married,then different treatment is started for ovulation induction.Be under the care and advice from your treating doctor now as well as after your marriage also.Thanks | |
What causes heavy bleeding during periods?
Recently me and my boyfriend had sex and the condom broke during it. The next morning, about 8 hours later, i used the morning after pill (next choice). I had just had my period less than a week before that so i wasn t supposed to get again for another 3-4 weeks. About 2 days after taking the pill i started bleeding and for two days after that i still had a heavy flow. I haven t stopped bleeding and this is now day 3. I researched it and saw that heavy bleeding could mean my menstruel cycle was messed up from the pill or it could a side effect of being pregnant. How do i know the difference and if i should go to the doctor? | Hallow Dear,Morning after emergency birth control pill Next Choice is a Levonorgestrel pill. This is Progesterone pill. Therefore, few days after taking the pill some amount of bleeding is expected when the levels of Levonorgestrel in the blood start dropping down. However, such bleeding is usually not heavy bleeding. If heavy bleeding is your usual tendency during menstruation, this bleeding also may be heavy. If the bleeding continues further in such fashion, I would advise you to report to a Gynaecologist to investigate and stop bleeding. The menses after Next Choice are reported to be heavier than normal. I hope this helps you. Dr. Nishikant | |
Suggest treatment for infertility
AA doctor i am married since 2 years i took tablet clomid for three month regular in every periods of my cycle but i did not conceive so my husband for semen analysis which shows advance motailty 10% motality 20% and immotality 30% what would you suggest me i consult with a doctor she advised to take capsule evione 400mg daily for me and my husband both plz answer | HelloI can understand your concerns.If possible kindly reply back with the complete semen analysis report of your husband.Tablet evion is vitamin E. It acts as antioxidant and is said to improve sperm count. I think you both should continue with it.I would also suggest your husband to take tablet paternia. It is said to improve sperm motility.Kindly persuade him to stop smoking and alcohol, if he does so.As you have been taking clomid with no success, i would suggest you to go for hormonal assays (FSH, LH, PROGESTERONE).Do consult your nearest infertility specialist.Hope this helps.Thanks. | |
When can alcohol be consumed after recovering from enteric fever?
Hi doctor..i was suffering from enteric fever few days back..it has been 2 weeks since my 15 day antibiotic treatment is over and 2 and 1/2 weeks since i had fever..i wanted to know from when can i start consuming alcohol...i am not a heavy drinker..i drink it over weekends moderately | Dear , it is strongly suggested that you refrain from alcohol consumption. Take to yoga in it's place during your free time | |
Suggest medication for a dry and fragile skin
I have this weird patch of dry and fragile skin on my left footpad. It's only on this area, nowhere else.I have tried Moisturizing creams to try and remove it, but it always comes back. I have also tried Anti-fungus creams, but it didn't work either.It doesn't itch, smell or cause any problems, except for the skin by the toes cracks once in awhile. It's just ugly.I took a picture of it, it doesn't look nasty or anything, but it is embarrassing, especially since i am active in sports that is done barefooted. WWW.WWWW.WW Do you know what it is and how i can get rid of it? It keeps coming back.Ps: I also live in a practically arctic environment, above the polar circle. Can this have something to do with it? There is nothing wrong with my shoes, i think. | HIWell come to HCMFungal infection may be the likely cause of this, and this need to be managed with following medicine 1) Terbinafine cream 2) Beclomethasone cream 1) Tab Fluconazole 150 mg once in day for 3 days keep the area clean, hope this information helps, have a nice day. | |
What causes swollen black testicles with veins protruding?
13year old male - my son - just returned from GP surgery following an appointment for - swollen, black testicles - three prominent viens protruding - bleeding from back passage - nausea and sickness. No injury to account for any symptoms - referal to hospital -can you tell me what this could be? | Hi, If along with testis color of genitalia also changed to black and if foul smelling & fever also present than Fournier gangrene should be suspected. If all these not present than swollen testis could be due to Orchitis. He need to be given antibiotic course and anti inflammatory drug for few days. I suggest you consult him to urologist for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
What is the pain in heart when I laugh?
My heart hurts this all day. well sometimes pain is gone and when i laugh its starts hurting again. i am not sure if i want to go to see the doctor, because:1. I just turned 18, And i still dont have my doctor.i need to register first.2. I dont want to freak out my parents...3. Maybe pain will be gone by tomorrowCould it be that serous? do i need to see the doctor? Or should i just drink something? | Hi There As per the details given by you and taking your age into consideration it's not a heart pain just relax. It could be a simple muscle spasm. Take rest and a simple PARACETAMOL tab twice a day for 3 days. You will be fine.Wish you Good Health | |
Can pneumonia cause low white blood cell count?
Hi. Can pnuemonia cause low white cell count? The count continued to decrease at every check. My sister-in-law had a stem cell transplant in February for aplastic lymphona (bone marrow if I don t have the right name)--she got a small amount of pnuemonia a week ago and was in the hospital for a few days. Could this mean she s may be in trouble again? Doctor wants her to have transfusions every month now until back up. | While it is true that pneumonia can cause low blood cell counts, it could also be something more sinister like a failing graft. Although a graft failure is more common in the first 60 days. Low counts could also be a side-effect of drugs/immunosuppressives, but I would presume that she will be on tapering doses of immunosuppressives if it was a Matched sibling graft and there were no major consequences. To comment more effectively, I will need a bit more details. | |
What causes headache, dizziness and nausea?
I m 65, have MS but somewhat ambulatory, may not have MS because neurologists now think MRIs show more of an ischemic disease than traditional MS. But beginning in September of 2017, I develop headaches accompanied with dizziness and nausea. A CAT scan in September showed some abnormality but can t remember exactly what it was. I feel sick to my stomach, have no energy, my head feels pressure all over, sort of like the flu, but not the flu. Everything else is under control - blood pressure ok, cholesterol ok, overweight, thyroid under control. Just feel sick....any idea what s going on? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I passed carefully through your question and would explain that your symptoms could be related to chronic fatigue syndrome. Coming to this point, I would recommend performing a cardiac ultrasound and a Doppler ultrasound of the carotid arteries to exclude any possible narrowing. Follow up with brain MRI every year is necessary to investigate for possible progression of the white matter changes. I would also recommend discussing with your attending physician on the possibility of starting duloxetine, which can help improve your situation. Hope I have answered your query. Let me know if I can assist you further. | |
What causes severe neck pain?
I STARTED TAKING THE GENERIC VERSION OF LIPOTOR (AVASTORSTATIN) ABOUT 1 MONTH AGO AFTER HEART ATTACK, AND RECENTLY HAVE BEEN HAVING NECK PAIN (MUSCLE PAIN) BURNING SENSATION IN RIGHT ARM, ALMOST AS THOUGH I STRAINED A TENDON LIFTIONG WEIGHTS AND I HAD A CHARLIE HORSE IN MY RIGHT CALF MUSCLE FOR THE FIRST TIME IN MY LIFE (I M 50). THE HOSPITALIST PUT ME ON 80MG AVASTORSTATIN ONE TABLET A DAY IN ADDITION TO EFFIENT, MOTOPOROL AND LISINIPRIL. I STOPPED TAKING AVASTORSTATING LAST NIGHT UNTIL I CAN TALK TO CARDIOLOGIST. ANY ADVISE WOULD BE HELPFUL | Dear patient you are suffering from acute cervical radiculopathy due to nerve compression at the cervical disc. Atorvastatin is not related to this. this may have happened during weight lifting. I would advise to avoid any further weight lifting. Start tab pregalin x 75 mg two times a day plus tab medrol 4mg twice a day. This wl help I'm reducing inflammatory pain. If not relieved with this medicine , visit to neurophysician is recommended. | |
What causes white line with grey tone on the teeth of an infant?
My 11 month old has a white line on her two front incisors it seems to go from one tooth to the other it wasn t there when her teeth came through at 5months and today when I looked it the line seemed very White with a faint greyish tone surrounding it it s exactly in the middle of her teeth( not near the gum or tip of tge tooth) what could this be .? She s had quite a few falls as she has recently starred walking and someone told me she could have damaged the teeth from a fall . | Hello,I can understand your concern and think of two possibilities for the greyish line you have described on the front teeth.Firstly, if you took iron supplements during pregnancy or after childbirth, it may have entered the child's bloodstream in uterus or through breast milk. The front teeth are developing in the uterus and matures in bone during initial months after birth, which may cause development of such lines. However, if this was the case, the line should have been present when the tooth erupted into oral cavity. As she has history of falling, it is quite a possibility that she may have damaged her front teeth. The teeth may not break or crack but the pulp inside the tooth may have died making the tooth appear dark. Invariably, this pulp would be infected and should be treated as the tooth is going to stay in oral cavity till your daughter ages 8-9 years. If this is the case, then she might need to go for pulpectomy procedure for the affected teeth.One more possibility is presence of plaque on the teeth due to inadequate oral hygiene and lack of proper toothbrushing. This can be removed by ultrasonic scaling procedure performed by the dentistIn any case, I would recommend you to visit a dentist for examination of the line as confirmed diagnosis can be made only after physically looking at the teeth and the line you have described. If it is developmental, then no treatment is needed and it will be gone with the milk tooth shedding. In case of any other reason, treatment will be required as described.I hope this information helps you. Thank you for choosing HealthcareMagic. Take care.Best,Dr. Viraj Shah | |
What causes lump on the jaw?
Hi, I'm an 18 year old male who is generally healthy. I haven't had any major illnesses, I get vaccinated regularly and have no allergies. A few days ago I felt a lump on the hinge of my jaw, Directly in front of my right earlobe. It's about the size of an M&M (Sorry, I can't think of anything else to compare it to at the moment) and it is painless. I've never had any problems with my jaw, I did have some minor oral surgery on the same side a few years ago but no complications ever arose from that. Every once in a while when eating my jaw would make a cracking noise (also on the right side), But that hasn't happened in months. Also, I've been experiencing strange "runny nose" fits for the past few days before this (along with an occasional headache). What are some of the problems I could have and should I go to a doctor for this? (If so, What sort of doctor do you recommend?) | Hi,Welcome to HCM.Based on the facts of your query,As you suffered from runny nose lately,the preauricular lump is due to the infective lymphadenitis of the pre-auricular lymphnode,which is infective mostly from viral /or bacterial runny nose.This lump is not malignant for sure.This would resolve the current issues with this lump in front of the jaw/ear lobe.So don't worry it.Consult your ENT Surgeon who would treat this lump with all the care it needs.This reply would resolve your current issues and would reduce your anxiety with it.Hope this reply would help you to plan treatment with your doctor.Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | |
What causes small red dots on head of penis, itching and redness?
I have numerous small red dots all over the head of my penis and redness and itchiness around my foreskin. I had protected sex with a girl recently so I don't think it's an STD. Could it be a reaction to latex or a yeast infection maybe? Any recommendations? | Hi,It seems that there might be possibility of having yeast infection and local allergic reaction of latex.It is difficult to say what it can be.Apply triple action cream locally for few days and you will be alright.keep local hygiene clean and dry.Ok and take care. | |
What causes low C3 and C4 and ferritin levels in blood?
Hello, i m a 42yr.old female. I had bld tests done for my symptoms that began 2yrs. Ago. Low complement c3 c4 levels along with very low ferritin were the abnormal findings accompaning my fatigue, low grade fever, joints of fingers, ankles, feet and knee pain with morning stiffness lasting more than 1hr. Ana neg., rheumatoid factor negative. Bone density identified severe osteopenia, | Hello,I understand your concern.I am Dr Arun Tank, Infectious diseases specialists, responding to you.Ferritin is the storage of the iron in our body. As iron is not stored in the body. It leads to anemia. This results in weakness and other symptoms of your body.I advice starting iron therapy as per your body iron status, under your Dr s guidance.I will be glad to answer your further query. Thank you for your contact to health care magic.Wish you a best health.Thank you,Dr Arun Tank. | |
Lump in breast,enlarged lymph node in neck, tightness in the chest, pain when raising hand. Cancer?
Hi there,Im a 21 year old male and I have a few symptoms that I can't get out of my headI have a small lump in my left breast and have had it for about 3 years. It hasn't gotten any bigger and I've had an ultrasound done on it that came back showing it to be non-cancerous. I also have an enlarged lymph node in my neck/throat just below my jaw line, only on the right side that sometimes swells up and sometimes is normal, but I've had this too for about 3 years.In about the past year I've developed a pain in my right shoulder, 99% of the things that I do in my everyday life don't effect it at all. But I can feel like it's slightly swollen/enlarged compared to my left shoulder. When I raise my right arm above my head like I'm pointing to the sky and bring it back down slowly and to the side my shoulder cracks, every single time that I do that motion.Recently, in about the past month I've started to get a tightness in my chest, almost exclusively associated to the days after I consume alcohol but not only on those days. I'm constantly thinking about these symptoms and second-guessing the ultrasound results. Cancer is in the forefront of my mind whenever I start thinking about all these symptoms and my chest tends to feel like it's tightening when I think about them as well. | HIThank for asking to HCMI really advise you to control your thoughts it may be dangerous later on, it is kind of psychological condition developing, and that need to be stop as early as possible and you can only do it, it is not at all the thing as you are thinking just relax and forget every thing about this swelling it will go away without medicine do not worry eve if it takes little more time for this, have nice day. | |
How to treat enlarged liver in an infant with Neuroblastoma?
My 4 months old baby was operated last month for a tumour was on left kidney. The same was sent for Biospy and the result found in positive. Neuroblastoma is shown in the result. Now my baby liver become too much enlarged and crying too much. please sent me an advice or what kind of treatment i need for this problem. | If the liver enlargement is life threatening as deemed by doctors or the pain is continuos the child needs emergency radiation to the liver.If not chemotherapy should be initiated as soon as possible. The prognosis is usually good, dont worry. | |
Suggest treatment for schizophrenia
My son 39 yrs is chronic patient of Schizophrenia for the last 25 years and presently on Clozapine 400 mg doze. Due to weight loss and reduced appetite he was admitted in Hospital in Dec/Jan 17 for Gastro treatment. After thorough tests scan and EUS he was diagonised with TB of lymph nodes for which Rcinex 450 and Benadon 20 mg besides Combutol and PZide for a period is six months i.e. Upto 15 sept. However with start of TB medicine psychiatric condition aggravated and we find difficult to handle at times How do we know that TB has been completely cured and no further medicine for TB required? Under the circumstances invite suggestions/ advise for further course of treatment. | Hai * TB is a infectious disease .With adequate treatment patient will be completely cured.Give priority to treat it first . This case will fall under Extra pulmonary TB . There are speciic RNTCP guidelines for the duratuion of treatment. A pulmunologist will help you more. * Schizophrenia --- Can be treated side by side. if require your Psychiatrist can go for Injectabe Antipsychotics or even Modified Electoconvulsive therapy for making symptom under control. | |
Suffering from breathing problem from many years
am suffering from breathing problem from many years like wheezing not able to breath properly need help please help me am not so rich to pay a high amount n get treated if somebody knows any medicine plz do let me no thank you in advance am vinesh | hi, firstly you should be investigated and diagnosis should be made. there may be simple cause and with routine medicine you may be cured. Routine blood checking,x ray chest mostly will give you clue about your problem.some time eosinophilia may produce this type of picture,then a course of simple medicine like di ethyl carbemazine can your problem. yes if there is some obstruction in respiratory tract,then it may be costly affairs. | |
What treatment should I go for yellow discharge as infection?
Hi I have a 3 week old little girl that just keeps crying I can't seem to console her it has been this way for 2 days now and also she has a stringy yellow colour discharge that smells fishy is this a sign of an infection and could it be why she is crying | Hi...this is a sign of infection. I suggest you see your pediatrician as soon as possible. Irritability could also be due to the same reason. If there is fever, give paracetamol in the appropriate dose.regards - Dr. Sumanth | |
Taking Biaxin XL for sinus infection. On birth control pills. Periods delayed. Pregnancy test negative. Normal?
Hello, I was given Biaxin XL for a sinus infection . Had sex one time during the blue pills of Azu rette, my birth control . I was suppose. 2 start my period Friday and no sign of it. It is now Sunday and time 4 me 2 start my new pack of birth control. I took a pg test and its negative. Is this normal? I have never skipped aperiod while on birth control pills. | Hi,Thanks for the query. Sometimes while using contraceptive pills, side effects like amenorrhea can occur. If you used all the active and inactive contraceptive pills as per the schedule, the possibility of pregnancy is less. But sometimes antibiotics, recent illness etc can alter the effectiveness of the pills. Biaxinxl containing clarithromycin may sometimes alter the efficacy of pills but there are no proved evidence. So you once go for blood test for pregnancy.If the test comes negative, the possibility of pregnancy is very less. And you can continue with your new pill pack.Take care. | |
What to do for the severe back pain due to a hit?
i hurt my back on wednesday, been painful but i have managed to go to work. I got up this morning in so much pain i cant walk properly. I've taken pain killers but i am worried even about getting from this sofa to the bathroom. Worst it's ever been. What can i do? | As you hit on your back and having severe back pain that might be due to hematoma on your back.But you should do x ray lumbar spine to rule out any crack/fracture. Consult your orthopedic for this problem.Meanwhile you can take pain killer or pain reileve spray for some relief. | |
Why does my 14 month old baby cry passing stool?
Hi my 14month boy when poos cries , goes red , and is in pain and grasps hard , only lasts a minute or so but he does every time he poos which is a lot of times a day , the poo is never a solid , more like skidmarks , his bottom is red sore , this has only started since he had his 1year old jabs , before then his poos were solid and fine , he eats solids and fruit and has sma toddler milk in morning and before bed , we taken him to doctors , he was on lactulose soluction from doctor but didnt help him , he is teething ? but we dont know what to do anymore to help him , can you help ? many thanks , Haydn | Hi Haydn,Welcome to Hcm,If his stools are not hard, the only reason I think if his cry and discomfort is because of the redness over his anal opening and the soreness might be causing lot of pain. This redness can happen if you child is on diaper which causes rash or due to acidic irritation of stools also. Giving lactulose will surely help him. Along with that I would advice you to apply siloderm cream 3-4 times daily over the red area which will help in giving a soothing effect for him and also help in healing in the anal area. Continue rest diet as you are doing. Take care. Happy to clarify further doubts. | |
What causes abdominal pain and discomfort?
Hello, About an hour or so after eating dinner (lobster roll) I experienced some abdominal pain and discomfort. The slight pain came in waves. It was more bloated feeling. My stomach tender to touch. I felt the need to go to the bathroom but found it difficult. However I was able to go a few times. I also took a Pepto-Bismal to help relieve the feeling. The pain/discomfort lasted about 5 hours..getting less and less as the time went on before finally subsiding. Any thoughts? | A kind of fermentation inside the Gastro Intestinal Tract because of undigested food remaining in GIT and again eating before it digests fully. The food you took might also cause local reason such as infected, heavily oiled, spicy etc giving way to spasm inside guts.Now that it subsided, no concern. As a primary measure to my such patients I give little pinch of baking soda with warm water or warm lime water. In India common masses use carom seeds ( ajwain) by chewing with little salt and follow warm water drink or simply make decoction of carom seeds. This spice is found all over globe.Hope it helps you well. Pl chose your food well and do not eat before previous has digested. It's a common rule to stay fit at digestion. | |
Suggest remedy for hard lump on the right outer thigh
I have developed a lump on my forehead which is very painful. I think I hit the car door. It hurts all the time, its just above my left eyebrow. Also my rectum really burns and aches while passing stool and after I pass it. Have also developed a hard lump on my outer right thigh.. Are all these connected? | Hi ! Good evening. I am Dr Shareef answering your query. The lump on your forehead could be due to a traumatic hematoma (collection of blood) which would resolve of its own in a few days. Just take some anti inflammatory and a proton pump inhibitor for three to four days. The pain in your rectum could be due to a fissure in ano if you are constipated.In that case you should go for an anti inflammatory drug along with a proton pump inhibitor, a broad spectrum antibiotic,a stool softener like lactulose liquid at bed time and a cream containing diltiazem. Add sitz bath to it (sitting on a luke warm water filled tub) three to four time a day for five minutes each. I am hopeful that you would get relief with this strategy, but I am afraid it would return if constipation (hard stool) occurs again for you. Therefore, to prevent the constipation, please avoid high protein diet, add a lot of roughage and fresh fruits along with sufficient liquids. Go for a regular exercise programme.To know the nature of the hard lump, one has to have a personal physical examination of the swelling, and if need be an FNAC (fine needle aspiration cytology) to have a nearest diagnosis.Further management would depend on the reports of the test.I would also let you know that both the later symptoms might not be related to the lump on the forehead, and might be independent entities by themselves.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.. | |
Suggest treatment for ringworm infection
hi dr ,i am 29 yrs man.I had before some ringworm infection and dr reccomend me to use clotrimazole and corticosteroid and i applied that and that dissapper but again reapper the same problem,so what can i do for complete recovery of that problem ,could you suggest me please | Hi,To clear fungal infection apply only anti-fungal cream and avoid steroid cream.Go for one oral medicine course of anti-fungal like Flucanozole 150 mg once in a week for 4 weeks.Ok and take care. | |
What effect high salt diet and hypothalamic tumor does on physiology and blood pressure?
For each of the following situations, describe the anticipated effect on blood pressure and the physiological basis of the response: (1) a high-salt diet, (2) a blow on the head that damages (disables) the vasomotor center, (3) an attack by a mugger, and (4) a hypothalamic tumor resulting in excess ADH production | HIThank for asking to HCMSlat is kind of poison and it need to be taken in very low county It is depends on the severity of injury to the brain cell, it is kind of edematous condition that destroys the brain cell, hope this information helps | |
What causes severe breathing difficulties?
My mother in law just had stent surgery today and after been admitted back to the ward had severe breathing difficulties and had to be put on an oxygen machine. Last week she had a silent heart attack and she also has type 2 diabetes. Is this normal and how serious is her situation. She is 76 | HelloThanks for posting at HCM. Your mother in law had a silent heart attack which is very typical in diabetics. Stents are put to reopen and establish flow in the arteries of the heart which are blocked. Due to the silent heart attack that she had, the heart pumping function seems to have suffered. Hence it is not able to effectively pump all the blood it receives leading to fluid overload. This excessive fluid tends to accumulate in the lungs. This causes breathing difficulty. This condition is known as pulmonary edema. I suppose your mother in law is suffering from pulmonary edema.It requires treatment with diuretics (water pill), nitrates along with other medications for the stent and the heart which she is already on.Once the extra fluid resolves, she will get better. The Left ventricular ejection fraction or the pumping function is normally 55-60%. After a heart attack, it drops down. A 2 D Echo should be done which will show you how much the ejection fraction is in her case. Wishing her good healthRegards | |
Diprovate-s plus lotion is used for which skin diseases?
sir, please tell me diprovate-s plus lotion is used for which skin diseases? | Dear Ank, Welcome to Healthcaremagic! Diprovate-S lotion consists of steroid with salicylic acid combination-- used in hyperkeratotic eczema, psoriasis (scalp, palmoplanter), lichen planus, some icthyosis conditions etc. | |
What causes elevated blood counts?
my daughter cbc came back showing high wbc 15.4, absolute monocytes high and absolute neturophil. He prescribed augmentin 875mg bid for 14 days she had to stop taking after 7 days,as it gave her serve stomache pain. He the prescribe keflex for 10 days. She completed it and he ran another cbc her WBC still high 13.7 along with her absolute monocytes and absolute neturophil. She has really not been feeling well for a couple of months. Getting pains in her chest along with pressure EKG normal, pain in her back near her kidneys, these pains are everyday. She is also have frequent upset stomache. Visited ER yesterday as she has really just not feeling well. Thought may her gallbladder ultrasound should nothing. Still has elavated blood counts. Seeing Hematologist on tuesday as per MD recommendations. | Hi, dear I have gone through your question. I can understand your concern. You have some bacterial infection. It is the most common cause of high wbc count and high neutrophil count. She may have some hidden foci of infection in her body. search for that and take treatment accordingly.Hope I have answered your question. Thanks for using health care magic.Wish you a very good health. | |
Is abnormal levels of lipids in the blood occur due to lipidemia?
Hello sir, I am on and off checking blood in last 2yrs...lipid profile...wen it increases I start exercise....life style change....within month it will come in control....again it rises....I do night shift dince 8yrs. ......improper sleep.... I s it a causr in high lipidemia? | Hi, dearI have gone through your question. I can understand your concern. Diet and lac of exercise are the common cause of lipidemia. You should go for lipid profile test. Check the level of cholesterol, triglycerides, LDL and HDL. If your cholesterol level increase then you should take low fat diet with high amount of polyunsaturated fatty acids. Go dor regular exercise. If needed you can take drug like atorvastatin according to your doctor's advice. It is prescription based medicine so 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 causes backache with short breath ?
i am having back pain and left leg pain not able to take breath i am having back pain and one left leg also very much pain and i need to take long breath | Welcome to HCMGood DayYou haven't provided much information for us to help you. Please provide more information. If there is severe breathlessness and lwg pain it could be a dangerous clot and embolism. Visit the ER as soon as possible. | |
What is the cause of hot flashes and dizziness?
I get dizzy,warm all over and collapse.No shake all over,just white color in face and now face tremors. This lasts a few seconds.7 episodes yesterday. 4 witnesses. Aultman Hospital and Cleveland Clinic say I need a because my veins to and from the heart,my brain has no clots,Arianism or tumor are checking o.k. I am a very happy outgoing person with no need for display for attention. | Hello, Welcome to Health Care MagicYou have symptoms of dizziness, pale face, hot flashes and symptoms of collapse. All investigations of brain and blood vessels came normal. These symptoms are occurring in episodes. As per my opinion such symptoms could be occurring due to underlying anxiety or panic attacks. In severe anxiety pale face, giddiness and symptoms of hot flashes are seen. Other possibilities are syncope or postural hypotension. In postural hypotension due to sudden shift of blood to periphery individual may suffer symptoms of collapse and giddiness. Get your BP checked in lying down and standing position to rule out hypotension as cause of your symptoms.As the symptoms occur in episode so anxiety is main provisional diagnosis. I would advise you to consult a psychiatrist for evaluation and management. Medicines like Clonazepam, Lorazepam which are short acting benzodiazepines can help to control the symptoms.SSRIs are mainstay of treatment. Consult a psychiatrist for prescription.Thanks | |
What causes lower back pain in spite of taking medicines ?
I had pack pain from last one year, I went to hospital, I took MRI scan and doctor sir said it s simple and given some medicine to continue a month, 1.calpol(morning:2,night:2) 2.proxyvon(afternoon:1) normally no pain, but when I work hard I feel some pain and am a software developer for last two year. | welcome to healthcaremagic ur problem seems to be a postural. first of all u go to consult a physio ..... in physiotherapy some pain relieving modalities are thr , u tk electrotherapy treatment followed by exercise to strenthen ur back. pain will cum down easily. tk care | |
Can I get pregnant after being treated for irregular periods ?
Hi doc I attended age on 12dec 98 and from that onwards my menstrual cycle was regular till I finish my college 2006 After I went to job my menstrual cycle became irregular Periods will not be coming for more than 3 months From the beginning I am taking tablets for regularizing my period cycle Doctor gave me 21 days tablets Without pills I cant have periods Meanwhile my gynec suggested me for a scan in that I had ovarian cyst After taking tablets for the cyst I got periods for only one month After six months I got another scan In the report it is mentioned as delayed ovulation This treatment runs unto 2010 Still I am not getting my periods regular I got married also I planned to have baby now I ve went for follicle study In the study endometrium study is nil I suggested for duphaston for getting pregnant What are the ways to get pregnant soon | Hello From the follicular study,it can be detrmined if you are ovulating at all.Is yes.then ovulation induction drugs will ne the next step.Only then it can be detrmined whether you will need IVF or not. | |
Episodes of sensation in neck, loss of control on body, unable to stand. History of spondylotic tendencies. On medication for BP control. Any suggestions?
I had spondilytic tendencies long back - did exercises for the neck , applied pain killer tube on hardness in the neck . Not much of a problem since long.Recently I started getting sensation in the head/neck and suddenly the control on the is lost, can not even stand.Lie down for hour /2 hrs and the problem is gone,Once I applied shalaki tube ( contains boswellia serrata extract) on the neck and massge the neck area,I had sensation , slight loss of control, but gradually recovered,( Earlier slight rise in BP was observed during this period- 90/130 normal range changed to 100/140,now this does not happen as I am on telmisartan 40 and chlorthalidone 12.5 to take care of BP,ECG , Echo are OK) | Thanks for writing to us.Cervical spondylosis with myelopathy (spinal cord compression) can cause disturbed sensations and imbalance while walking, tightness in arms and legs. How frequently do you this problem? have you done MRI spine? Need to rule out brain cause and spine issues. I would suggest to get thorough exam from the neurologist and you may have to do MRI brain and spine to rule out serious problem. Thanks. | |
Q. Why do I get headache only when I am on computer or television?
Hi doctor, For a while I have been extremely sensitive to light and sun. Whenever I am in bright light or sunlight, I get headaches or a migraine. Two weeks ago, I developed migraine. Ever since then I have not been able to get on the computer to work as I get pressure in my head and headache. I am fine when I am not on the computer or watching television. Now, seeing computer or reading something on paper also causes this pressure and then result in headache. My current medication is Cloraz Dipot 3.75 mg once daily. Please help. | Hi. I have read your question with care and understand your concerns. Revert back with the detailed history to a neurologist online --> | |
What causes rashes/itching spots on feet/arm while recovering from glandular fever?
hey, I am 18 years old and I am recovering from glandular fever, but today I woke up to a rash on my feet they are itchy spots and sting becuase ive been itching them which i know i shouldn't. but now a rash has appeard on my arm do you know why this is? | HI, thanks for using healthcare magicThe glandular fever is likely the cause of your rash. Viral infections can sometimes be associated with an rash called a viral exanthem.When your infection completely resolves, the rash should also resolve either at the same time or soon after.The use of anti histamines , which would be available over the counter, would help with the itching.I hope this helps | |
What is the treatment for nephrosis syndrome?
sir i am worried that i wet my bed last night i had nephrosis syndrome when i was 5 i had this problem of wetting bet till an age of 14 and after that it reduces to 2wice a week... i started masterbating when i was 11 and i was smoking from last 5 years... on other hand i am sexually weak... please help me | Hi, welcome to HCM.Nephrotic syndrome occurs due to leakage of protein in urine. It is common in children. It can spontaneously resolve as age advance. You can check basic urine report to rule out that.Bedwetting is different problem and it requires evaluation with physical check up, sonography and urodynamic study if required. It is not related to masturbation or sexual activity. It requires proper urological evaluation.Don't get panic.Feel free to communicate furhter with mentioned report.Best wishes. TC.Dr Jay Patel. | |
Suggest treatment for fluctuating BP
Hi, I am 23 years of age and was told 6 years ago after a routine appointment at the GP's that i had a raised systolic blood pressure. I had nothing done about it at that point. 2 years ago i went back to the GP again for an appointment regarding something else and they found my blood pressure had raised a lot to around 140-160/85-105. I had tests and scans to check my kidneys and heart as well as seeing a cardiologist and these all came back as borderline for treatment and she would see me again within a year. This was 2 years ago and i hadn't been to see the cardiologist as they haven't sent for me! So a few weeks ago i went back to the GP to see if they could chase it up - which they have and i have an appointment for the end of this month - however my GP has given me some medication called Almodipine and told me to start that at 2.5 mg for a few days then up it to 5 mg. I however think my high readings are just because i am having my blood pressure taken, even at home it is elevated but not as much as at the surgery. My issue is that 1) I am only 23 and do i want to be taking medication for life that i actually may not need because it is just high when taken? 2) What if i do take it and i don't need it because it isn't actually high? 3) Why give me it now when i am seeing a cardiologist in 3 weeks? Also i wanted to know how long it takes the medication to cause an effect? Is it the build up or on that day of taking the tablet it will work? Here are some of the home readings i have been getting iver the past few days - Also there is such a variation in readingS, why could this be? Day 1 - 7.30 p.m - 136/103 8 p.m - 139/92 Day 2 - 7.30 a.m - 139/93 12.15 p.m - 148/100 1 p.m - 152/82 8.55 p.m - 139/97 9.35 p.m - 132/85 Day 3 - 8 a.m - 136/88 8.20 a.m - 122/89 2 p.m - 134/77 3.30 p.m - 142/78 4.30 p.m - 139/85 As you can see it seems to have lowered towards day 3 but it ranges so much! The diastolic pressure seems to be more or less always elevated - Does the almodipine medication i have effect both numbers? I do understand that it is a calcium channel blocker which works by relaxing the arteries so lowering BP. I hope you can help ease my mind slightly! Thankyou! | Hello Thanks for posting at HCM. Your BP readings have been consistently higher. Daily variations of BP are acceptable and you need not pay special attention to it. Since you have mentioned that you have got your kidneys and heart checked earlier and was not started on treatment I suppose those tests were normal. since you are 23, your arteries are still elastic and can contain pressure related changes. You can contain this high BP by daily exercise cardio preferably and diet modifications including restricting the salt in your diet. Quit smoking if you already smoke. Also your readings are not very high to be started on amlodipine at this point of time. A trial with diet modifications and exercise should be given prior to starting on medications. But you must be regular with your exercise. With diet and exercise, effect on BP can be seen on 3-4 months. If still not controlled despite the measures, then you should be started on medications. Wishing you good healthRegards | |
Have anger management issues. How to help him?
What can I do to calm my boyfriend who has anger management issues? When driving, he screams at people who drive too slow, complains about the bad traffic, picks fights with waiters who try to overcharge him (causing me a lot of embarassment) and cusses all sorts of vulgarities. He says that when he gets angry it is mainly because of people who have bad ethics , otherwise he would have no reason to get so angry. My boyfriend is not a regular bully, he is a highly-educated professional who just has problems controlling his anger. However, he should take a good look at himself when he is angry. His face is beetroot red and his eyes dart around and he screams as loud as a volcano erupting. He won t let the matter rest until I talk him out slowly. When I am out with him, he gets jealous and glares menacingly at any men who looks my way for more than a second. I will tell him to stop but he continues. Only when I threaten to walk away will he stop his nonsense. But of course, a few days later, his bad attitude and anger management issues start again. I have known him for 5 months. He likes being by himself, doesn t have too many friends and spends most of his time working and working on his doctorate. He plays squash (which many think of as a violent game) and is an otherwise active and healthy 39 year old (I am 24). He has not been verbally abusive towards me, but I fear that it is a matter of when. Why is he like that? What can I do to help him and myself? | Hello and welcome to Healthcare Magic. Thanks for your query.If your boyfriend's anger irritability and poor frustration tolerance has been of recent onset, then underlying psychological problems like stress, anxiety or depression have to be considered.If they have been long-standing, without any other psychological problems, then they are more likely to be part of his personality.If you feel that his anger problem is prominent and causing inter-personal or social difficulties, I would advise you to ask him to get professional help. There are various good psychological therapies and counselling techniques which can help with such problems. Also practicing relaxation techniques, learning stress-management and coping skills will also be beneficial.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist | |
What causes tight sensation and pain in the lungs while exercising?
.I have problems when exercising my lungs tighten up and I get really sharp pains even though I wouldn t be tired and my face turns grey or blue in colour it happens most of the time when I run the pain also goes in my left shoulder and neck and sometimes I get sharp pains in my heart | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your symptoms should not be neglected. Pulmonary embolism, cardiac failure or left ventricular hypertrophy, respiratory cause need to be ruled out here Auscultation should be done first to check respiratory sound and heart sound like murmur. Than EKG and chest x ray can be done according to need. If needed than echocardiography done to check emboli if present. Check your hemoglobin level as well by CBC Hope this will help you According to cause specific treatment given Consult pulmonologoist for examination | |
What causes fluctuations in the BP level despite taking Levothyroxine?
I am 71 years old and my blood pressure has been droping to 115/7 or 20/75. What is to low or to high for me at my age? I feel great. and I am not sick. I take 10/40 blood pressure med and 25Mg of Levothyroxine has been taking it for one year now.Let me know what is to high and low for me concerning blood pressure.mamahrodgers2@gmail | Hello What you had mentioned asymptomatic. So the readings which you have mentioned are likely a false reading and machine error. Because it's possible for any person to have such low BP without any symptoms. One would have dizziness syncope etc. So I think no need to worry about it especially of you are not having any symptoms. And recheck the BP with arm lying relaxed and straight. There should not be a bend at elbow which may falsely lower the BP. Hope this helps you and get back if you have any doubts. Regards Dr. Sagar Makode, Cardiologist | |
Q. I am taking i-pill every month and bleeding heavily. Is it due to early bleeding?
Hello doctor, I took a tablet to extend my period during my wedding. After that, I got a scanty one in the same month and took an i-pill end the end of the month. I got my next period within a few days. It was heavy for the first two days and I felt so tired. Again after twelve days, I had bleeding for four days. The next cycle started. I took an i-pill on that month also. Last week I took another i-pill and it started bleeding after four days. It is very heavy. Am I getting an early period or just bleeding or something else? | Hi. You are probably taking the i-pill again and again which is not right. It has caused hormonal imbalance and disturbed the cycles. It is meant to be taken once only for emergency reasons and not after every unprotected sex. Anyhow the reason for bleeding like this is withdrawal after taking an i-pill. If you take the i-pill before ovulation, then your cycle is likely to get shortened and you get your periods early. But if you happen to take it after ovulation, then the cycle will be prolonged. It will be better if you take regular combined contraceptive pills for 21 days if you want contraception for a few months. This will also regularise your cycles and also control bleeding. However, it will be better if you get one check-up done and get a scan done to see is there any other cause for heavy bleeding. | |
Q. Will weekly chemotherapy cause less side effects than full dose chemotherapy in elderly patient?
Hello doctor, I would like to know about weekly chemotherapy for Peritoneal cancer of 76-year-old lady. Instead of full dose chemotherapy at 21 days interval, weekly chemotherapy is done at a lower dose to have a less side effects. First chemo charged on her caused severe side effects like dysentery/diarrhea. Please confirm this whether this is really fruitful. For elderly patients, whether the weekly scheme is as effective and less toxic. Please help with your answer. I am writing for my writing for my 76-year-old sister suffering primary peritoneal carcinoma. Before four years, one MD (Medicine) while treating her for asthma problem detected by clinical examination a huge lump in abdomen. He ordered for USG of lower abdomen and pelvis. The report says: Kidneys: Both kidneys are normal in size but maintains shape, outline, and position. Cortical echogenicity is increased with maintained corticomedullary differiention. No evidence of any hydronephrosis, renal calculus or mass lesion is seen. Right Kidney=7.4 cm, Left Kidney=7.5 cm. Ureter: Both ureters are not visualized hence not dilated. Urinary bladder: Urinary bladder is seen normal in size, shape and wall thickness. No intraluminal lesion is seen. Uterus and ovary: It is not visualized (removed in 1996). Suprapubic region mesentery is grossly thickened and appears as SOL (10.4X5.4 cm) with displaced bowel loop around it. Impression: 1. ?Mesenteric mass suggest CT scan 2. Bilateral small size kidneys with Grade I renal parenchymal changes. Next seen by an oncosurgeon. He ordered for noncontrast CT of upper abdomen (Noncontast because as her creatinine level was 1.9 compared to a maximum of 1.0 for females. CT scan of upper abdomen done and report shows: The liver is of normal in size and is of normal contour and attenuation. No IHBR dilation. Gallbladder is well distended with normal wall thickness. Pancreas is normal in size and attenuation. Peripancreatic fat planes normal. MPD not dilated. Spleen is of normal size, contour and attenuation. No focal lesions. Sections through the lower abdomen show omental fat stranding and nodularity. The Bilateral kidneys are mildly contracted. The pelvicalyceal system are normal. Adrenals are seen. No evidence of any focal lesions. No evidence of ascites. No retroperitoneal lymphadenopathy is noted. Visualized bowel loops reveal normal in position, caliber, and wall | Hi. I have read through your query in detail. Please find my observations below. The investigations conclude the presence of peritoneal cancer which has characteristics like that of ovary cancer. Most patients are diagnosed at stage III or IV and chemotherapy is the preferred treatment. I confirm that the treatment is same as ovary cancer. Chemotherapy protocols are being updated every day but what your doctors have suggested is in the right direction. Treatment is usually with medicine like Carboplatin and Paclitaxel with some patients being given Cisplatin. Dysentry and diarrhea are known adverse effects of chemotherapy and occur in some patients. Weekly treatment is good as full-dose chemotherapy with comparable rates of response. Talking about single drug and multi durg options, every cancer is different and the treatment course is closely monitored and changes made appropriately. Every cancer patient is different and changes should be made after carefully studying the patient condition. In conclusion, as a patient relative you can help maintain a good general condition of the patient and give adequate fluids and nutrition. Side effects are uncertain and cannot be predicted. I hope this helps. | |
What causes sore throat and pain in ear?
hello my daughter has a sore throat and a painfull ear only one side the left side she went to the doctors and was told its viral not bacterial so nothing was prescribed she has been taking ibuprofen and paracetamol these have not helped shw says when she swallows it feels like razor blades she had her tonsills out when 19 years old but if anything is going around it always go to her throat, its so painfull that she cannot go to work the doctor said just go to bed and rest shes had it for 3 days so far and its not improving what else can be done ? thank you her mum | HI Your daughter from your history may be having infection of the pharynx .the ear pain may be related to the closure of a tube connecting the mouth to ears for maintaining air pressures,which get blocked due to cold and cough.Best remedy is try saltwater gurgling frequently and soft bland diet with more amount of liquids.Take rest and if still persisting to visit local doctor to r/o any superimposed infection. | |
How to reduce skin darkening on cheek and nose?
Hello Sir, my skin on the nose and cheek is going dark last six years i have tried many types of cream like memopy hc ,melacare but result is zero now my friends advised me to use skinlite cream but online i found side effects of this cream plz suggest me what should i do. Thanks. ANNU SIR I AM UNABLE TO PAY BECAUSE I HAVE SPENT A LOT OFF MONEY BECAUSE OF THIS PROBLEM | Hello,The pigmentation you are referring to is called melasma. Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight.It treatment is challenging but with proper regimen good results can be achieved.Usually the treatment is divided into clinic based treatment and home based.At clinic, I suggest series of chemical peels like glycolic, Jessner, TCA with or without microdermabrasion.At home you can apply cream containing kojic acid, arbutin, etc and vitamin C serum for maintenance.Use high SPF sunscreen on regular basis.Use glycolic acid based facewash.Hope this will take care of your issue.Dr Hardik Pitroda | |
What could cause dizziness?
My husband is 64 years old and has recently experienced dizzy spells a couple times per week. When he is dizzy it affects his eyes. He had open heart surgery 15 years ago and has done a wonderful job building his health since. He is not overweight, eats well and exercises. He is really concerned about the dizziness can you give us options on what it could be. He will be on medicare in March so wanted to wait until then to see his doctor. Thank you so much | Hi ThereIt's my pleasure to answer your query, as your husband underwent heart surgery in the past and it's good to hear that he's maintaining his health now the thing is that after surgery he must be on meds which might be including diuretics also. These meds are notorious to cause electrolyte imbalance which can further lead to fatigue and dizziness. So I would like to suggest you to do 2 things. First to check his serum electrolytes by blood test and second to do an ECHOCARDIOGRAPHY to see how good his LV is functioning as a reduced LV function can also be a cause of dissiness. Good Luck | |
Had unprotected sex, periods are irregular since. I don't want to conceive. How can i get Menses?
Hello doctor, i am 26 years married. i have the problm of irregular periods. And 25 days back i had an uprotected sex wth my husband. Til two months before i was gettin my periods regularly. Now frm two mnths no periods. I dont want to b pregnant. Plz suggest a tab to get my mensus. I am feeling nausea from a week n slight stomach pain in d upper side of stomach. | Hello user,If a young female had been practicing unprotected sex and is not getting any period, the first and foremost thing a Doctor will do is to have a Urine Pregnancy Test, I would also advise you to do the same.Also you are having nausea feeling, which is seen in pregnant females due to hormonal changes in blood.You are advised first to rule out diagnosis of pregnancy, if comes out to be negative then you have to search for other causes in your reproductive system, by consulting with a Gynecologist.You don't want to conceive and if at all your test come out to be positive, you are advised to have Medical Termination of pregnancy,according to your country's legislation.Hope my advise helped you.RegardsDr Hari Om ChandrakarMBBS | |
Why the blood vessels in the palms and fingers are more visible?
Hello, just tonight I noticed the blood vessels in the palms of my hands and fingers are more visible than I've ever noticed before. I was just described potassium because I was low...does this have any thing to do with my hands/vessells? Thanks! 43 yrs old, 5'7" 150lbs - no meds, just vitamins | Hello and welcome to HCM,Blood potassium level has nothing to do with the visibility of blood vessels on hands and fingers.The skin of hands and fingers is quite thin and this is responsible for increased visibility of blood vessels as compared to vessels over other parts of the body.However, if there are other associated symptoms associated with them, you may need to consult your healthcare provider for clinical assessment.Thanks and take careDr Shailja P Wahal | |
Clinical diagnosis of liver, specimen received consisting grey colored tissue. Is it a cancer?
History : Clinical diagnosis of liver , lest lobe mass . Gross : Received specimen consists of multiple pieces of gray colored tissue , soft in consistency , measuring 6 5 1.5 cm . on cut surface yellow , blak and gray solid areas are seen . Summary of specimen : 9/4 IHC staining results : -Hepar : Negative -CK7 : Negative - CD20 : Negative Diagno : Liver mass excision : Poorly differentiated carcinoma ( metastatic probably ) Note : For definite determination of primary origin and rule out of neuroendocrine differentiation IHC staining is necessary . Resident : Dr. NIK NIAZ do i have cancer or not | Hi, Liver metastasis is common with gastrointestinal primary cancer. Other possibilities are lung cancer, breast cancer. CK 20 negative result rules out colon primary, Ck 7 negative rules out Lung primary. Other possible markers are GCDFP for breast cancer. In case of no primary tumor indentification, tumor to be called as CUP ( carcinoma of unknown primary) and to be treated with broad spectrum chemotherapy. Consult your oncologist. | |
Suggest remedy for hard painful bump under the skin in penis area
I recently decided that I didn t like the hair that grows in abundance on the base of my penis so I painfully plucked each one. Shorty after there was a hard painful bump under the skin. I have had this before when I was much younger but was eventually able to see an ingrown hair and pull it and problem solved. Unfortunately this time I see no hair. After researching online I m thinking it s a inflamed gland. I ve been messing with it then tried leaving it alone and now back to messing with it. I m curious,acknowledging that I should see a doctor (which isn t an option right now) is there a cream or something I can get to help speed this process up. I ve been using triple antibiotic ointment so far | Hi,It seems that due to plucking of pubic hair there might be having ingrown hair follicle infection.Apply antibiotic cream locally.If swelling, pain or induration increase then go for one antibiotic medicine course.Go for shaving with razor rather doing plucking.Ok and take care. | |
On paragard, sore and aching breast, feels nausea, pregnancy test negative. Pregnant?
Yes I have the paragard and had it for 2 yrs and this month period was weird it only gushed off and on for 2 days could i be pregnant? My breast are aching and sore feeling and i have been feeling naused off and on. I took a pregnancy test and it showed negative. But when i was pregnant with my daughter it didnt show up till i was 7 wks pregnant. | HIThank for asking to HCMAs I always say that nothing is 100% protective method against the pregnancy if you have any doubt then you have to go for scanning (USG) this is the only method which gives accurate result, but looking to the history given here the chances of pregnancy would be nil, wait for some time for menses to come, have nice day. | |
Suggest treatment for mono
my 15yrold grandson has become extremely thin over the past few months. he has become lethargic aand complains about not feeling well. He has had a fever and cough on and off and staggered and fell in a store. At that point he was diagnosed with mono .Bloodwork showed he had been exposed to mono. He still looks pale and tire easily. He is also still very thin. Does he have active mono or is this maybe something else after all these months? | Mono or infectious mononucleosis refers to a viral sore throat caused by a virus called Epstein Barr Virus. It is usually a self limiting condition and needs to be treated with gurgling with lukewarm water. Usually the condition resolves in 5-7 days but may occasionally take longer. It is very unlikely that he has been having active mono for last few months.This being thin, pale and weak is probably unrelated and needs further evaluation before the cause can be commented upon. Lethargy necessiates such an investigation. Treatment will depend upon the cause. | |
What causes headache and tummy cramps?
My son has had a headache tummy cramps lethargic sore eyes, ears a rash on n off , 2 severe cases of hives that covered his body with no known cause or change in lifestyle n enviro. This is the 9th wk. Went tonhospital as he could not move his limbs. Systems come n go but headaches stay. Had 3 sets of blood an EEG n MRI n no answers yet. EEG n MRI still to come. | Hi.... by what you quote I feel that you were son might be having a connective tissue disorder. The Rash and skin changes you are observing could be vasculitis or dermatological manifestation of the connective tissue disorder. Tummy cramps is another symptom which is suggestive of this disorder.If u were your pediatrician I would suggest getting a CBC, ESR, CRP and ANA done. I suggest you consult with your pediatrician regarding this and proceed further.Regards - Dr. Sumanth | |
What causes a painful lump under the armpit?
I'm a 52 year old woman. Have had a painful swollen gland under one armpit for about three weeks. I did have a Herpes cold sore on my lip for the past 4 days which is starting to go away - could that be the cause of the swollen armpit gland? (I feel fine otherwise) Thank you! | Hi,It seems that due to having infection on lip might give rise enlarged tender axillary lymph nodes giving this problem.Nothing to worry, with curing of infection on lip this will go away.Ok and take care. | |
Q. Please suggest some methods for a successful pregnancy.
Hello doctor, My wife wants to get pregnant. Last month her period was 12 days late from her original period's date. This month she has not got her periods. Please give your expert opinion on the issue. Tell us how to confirm her pregnancy? | Hi. Please get a urine pregnancy test done. You can get a urine pregnancy kit from the pharmacist and test at home itself. If there are two pink vertical lines that means your wife is pregnant. If the test is negative you can wait for about a week and take medicine for getting periods. I suggest your wife takes tablet Deviry (Medroxy progesterone acetate) 10 mg twice a day for five days. Then she will get her periods after six to seven days of stopping the drug. Please consult a specialist doctor, discuss with him or her and take medicine with consent. Also get a thyroid profile test and ultrasound scan done to know the reason for delayed and not getting the periods. For further information consult an obstetrician and gynaecologist online --> | |
Suggest treatment for toothache
Thank you. I m on losartan, levothyroxine, hctz. Today, my dentist suggested suphedrine for an ache in my rear teeth...doesn t think it s decay, but rather a sinus infection. She also told me to contact the pharmacist...pharm told me to contact doctor...left message but haven t heard back...meanwhile ...this ache continues. Thoughts? Thanks! | Hi Dear,Understanding your concern. As per your query you have symptoms of toothache after treatment of typhoid which seems to be due to systemic infection and could be due to badly carious tooth and facial spaces infections which is giving generalized symptoms. Need not to worry. I would suggest you to visit dentist once and get IOPA( X-RAY) done to check extent of infection. Go for root canal treatment of teeth and then capping of that teeth. Avoid intake of sharp sticky food. Use antiseptic mouthwash. Maintain hygiene of oral cavity. Take proper course of Ibuprofen and Diclofenac. If it is due to sinus infection do warm saline gargles along with this take proper course of antibiotics to subside infection.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari | |
Does consuming gutkha causes attack?
Dear sir, I got an attack once, and i am taking tablets since 3 years.. I take tegritol cr 300...Sir I use to eat gutkha earlier...is that the reson for the attack..For how many years shall i take the tablets..and i drink one beer in a month..is that ok or shall i stop that also...waiting for Ur valuable answer | DearWe understand your concernsI went through your details. I suggest you not to worry much. In any case, beer and gutka are unhealthy. You should not use them. No doctor shall advice the other way round. Gutka alone may not be reason for heart attack. Sedentary life style and other reasons must have caused it. As long your medicine is concerned, you should consult your doctor for further advice. He knows your physical and health conditions better than us and his advice should be treated as final word.Hope this answers your query. Available for further clarifications.Good luck. | |
Can I ask a online doctor about my sonography report ?
Got sonography done for sporadic abdominal pain . The exact wordings are: Right Kidney 91x35 mms: It shows moderate hydronephrosis and upper hydrouter suggestive of ? mid-lower ureteric calculus. (Left Kidney measures 86x38 mms). No mention of the size of the stone anywhere on the report. My physician suggested to take cystone (himalaya). Any expert opinion? | Welcome to Healthcare Magic Good Day Mid ureteric stone if small can disappear after drinking enough water and taking alkalinising solutions, probably like Cystone. If it is large, it can be removed by Ureteroscopic lithotripsy (Removal of ureter stone using a think tube passed into the urethra, no surgical incision required). Speak to your Urologist about this. | |
Why my heart beats are hard?
I awake in the morning with what I presume are palpitations, where it feels like my heart is beating very hard-not sure that it is racing however. I sleep quite well and don't perceive myself to be stressed. My blood pressure and heart rate after moderate exercise are normal. More often I have been told my BP is on the low side.I am a healthy active 60 year old female, but of course concerned as my maternal grandparents were felled by stroke.I wondered if this may have to do with menopause | Hi and thank you for asking!I read your query and understood your concerns.Tachycardia and palpitations are a common findings in menopausal women. However, other causes should be excluded first including:- Anemia- Cardiac issues (cardiac failure)This is why i would like to suggest to do the following examinations:- Blood work- Ecg- Cardiac echoIf they are normal then your symptoms are definitely related to menopause.Hope this will be of help!Wish you health!Dr. Shehu | |
Dark red spot on old tooth after having teeth removed. Is it blood clot? What can be done?
i think i have dry sockes i just got 4 teeth removed today at like 9;30am and its 10;52pm i kept the gauze in my mouth tel my face was not num at like 10;00pm i looked in the mirror and saw something dark red over the spot ware the old tooth was so i moved it with my tongue and it came off i spit it in my hand and it wan a clump of blood i was looking online to see what it was and WWW.WWWW.WW said it was a blood clot and it said you get 1 on the spot of the gum after the tooth is gone and after i was online looking i looked in the mirror and it was a nother one in the same place and the other spotd of my mouth dont look like that just that 1 out of the 4 so i need to know if i have dry socket and if i need to go back to the dentist | hello there, Dry socket is a extremely painful condition seen 3 to 4 days post extraction. red spots are may be due to local anesthetic solution injecting points or the ruptured tissue. you need not remove the blood clot as it helps in healing and wound closure. nothing to worry about wait for a day or two if the extraction socket has not closed,pain and bleeding persists than you got to see a dentist. Follow your course of antibiotic to prevent infection and analgesics,take care. | |
Could rashes on ears, cheeks and arms be due to food allergy?
I recently got a rash on my ears, cheeks and arms. I have tiny red bumps mainly prevalent on my cheeks and ears. My ears feel inflamed and are very itchy. My cheeks and arms were itchy but are no longer. I'm wondering if I just recently developed some food allergy that caused this rash. | Hello,Thank you for posting on HCM.The condition you have referred to is called Urticaria or hives. Its an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various anti-histaminics for long duration( atleast 3 months) with or without oral corticosteroids. For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases. Hope this will help you in resolving your query.Thank you Dr Hardik Pitroda |
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