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Suggest treatment for severe back pain and neuropathic pain
I started with pain in my back on right side before Christmas. My doc said I needed a massage. I went for a massage and had no relief. Over Christmas, my arm and hand started to tingle and go numb. I went to doc after Christmas and he gave me painkillers. I started physio therapy treatments, and they started dry needling treatments. I am presently going for massage and dry needling, still no relieve. I have since developed a large red patch under my arm. I saw another doc on Saturday who said I am suffering from neuropathic pain and prescribed lyrica. I am starting to suspect that I have shingles. What do you think? Please cancel this query I didn't realize there was a charge for it. | i understood your concerns no need to worry, just be calm and relax.... Neuropathic pain (also called nerve pain or neuropathy) is very different from pain caused by an underlying injury. While it is not completely understood, it is thought that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy. Neuropathic pain could be placed in the chronic pain category but it has a different feel then chronic pain of a musculoskeletal nature. back pain especially neuropathic may be due to compression over sensory nerves, avoid massage and dry needling treatment continue with physiotherapy take ift ultrasound and mild back exercises.... | |
What causes sharp stabbing pain in the upper back between the shoulder blades?
I woke up with a sharp stabbing pain in my upper back between my shoulder blades, felt short of breathe and haven t felt the best today. my blood pressure is good and oxygen level is good. ive seemed to have heart burn the past few days and diarrhea, was wondering if I should be concerned about it being my heart. the pain in my back by my spine seems to hurt more when I breathe in. thank you | hi,thank you for briefing the history of you.As you mentioned the sharp stabbing pain in the upper back and in between the shoulder blades, this could be due to two factors.One - the cervical spine disc degenerative changesTwo - inter-scapular muscle spam.The cervical spine disc degenerative changes can be assessed by an MRI scan and some special orthopedic tests. Post which a physical therapy is advised and 99% of cases recover with the same. Correction of the posture is also important.The inter-scapular muscle spasm is related to the poor posture. Due to the poor posture the muscles of the thoracic region becomes weak and then leads to inflammation and pain. For which a physical therapist will help with the therapeutic ultrasound therapy and TENS therapy for pain relief and inflammation reduction. Post which an exercise regimen will be implemented to strengthen the muscles. Correction of the posture is of due importance. 99% cases recover soon.With the grace of God i wish you a Good health.RegardsJay Indravadan Patel | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Suggest remedies for pain in the stomach with nausea and loss of appetite
My Father is 74 yrs old Post CABG patient and has intense pain in the stomach region. He has been vomiting bile and feels nausea and no apetite to eat. All the time he complains of pain. His SGOT and SGPT levels were 760 and 350 , very high with T bil of 2.3 , please let me know what do we do?? | HIThank for asking to HCMI really appreciate your concern and from the history given here I could say that this could be cholecystitis and this need to be ruled out and better get done the ultrasonography test and consult the gastroenterologist, meanwhile the symptoms can be managed with, Tab Omeprazole with Domperidone, take care and have a nice day. | |
What is the cause of lower back pain while playing cricket and what is the treatment for it?
Hi, I get lower back pain on the left side while bowling(Cricket). It happens sometimes but once it starts it stays for months. Doc said it is the disc which is getting sprained. He turned me in few directions but I dont feel pain. Its only during bowling I get it, that too when I bowl for long time. I do good warm up and warm down thou. May be coz i stress too much during match. But is there a permaent fix for it? I really wanna continue playing. Abhishek | Hi, Thanks for using HCMIn my opinion all you need to do is give you back a little rest. For immediate relief have some pain killer along with a muscle relaxant and have proper bed rest for 2 weeks. Do not lie down on soft mattress use hard one instead, do not sit for longer durations and do not travel long distance for 2 weeks . You can also apply some good anti inflammatory pain killer gel on your back. If the pain increases do some hot fermentation locally and make a routine of doing some back strengthening exercise daily . Start with 20 mins twice a day to 40 mins twice a day and walk for 30-40 mins a day at least. It will help you build you back muscle and you will be able to continue with you bowling in few weeks but do not over look at the symptoms right now. As it is still early days for you and you can be fine and back in action with these small things. Good luck | |
Suggest treatment for male pattern baldness
Hi , I am 24 year male and suffering from male pattern baldness . it started when I was 20 till now its continuously falling and now very little hairs are left on my scalp . between this 4 years I tried so many treatments but nothing worked out . again I started using hair 4 u with follihair tablet. Kindly advised will it help or if there is any another treatment please let me know. | Hello,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, cosmetic products etc.From your description, it seems you might be having Male pattern hair loss or Androgenteic alopecia, which is due to male hormone, testosterone. If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc, and recommend some basic investigations like CBC,blood sugar, Thyroid function test.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. Also, would put you on solution containing 10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). Finateride can be used in selected patients after thorough counselling and checking your liver function. Finasteride, inhibits metabolism of testosterone at hair root level. It sometime leads to embarrassing side effects like impotency, decrease in semen volume but which are totally reversible on stopping the drug.I would advise you use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda | |
Diagnosed with thrombocytosis, high platelet count, stress, change in nail colour. Treatment?
hello doc, i m.. last month i was dignosed that i have thrombocytosis . but my doctor don t know what s the cause why my platelet count is high. i am so stress now and can t sleep well because i m always thinking what the cause can be.. please help me. last week, i noticed that my nail color has changed. i also feel sleepy everytime. please help me on this. i hope thrombocytosis is not scary. i hope you reply on my question. thank you God bless! | Good evening. Thrombocytosis has several causes but in order to clarify your questions, I need to know what is your platelet count, your age, sex, if you are a smoker or not and If you have had any infections lately. You should not be alarmed just because of a slight abnormality in your platelet count. Please let me know more details about it. | |
What is the prognosis for multiple disc conditions and its impact on my work life?
Hi my name is Pam. I'm 49yrs old. Went thru menopause at 42. Ben dismissed with +2 osteoporosis, mild lumbar scoliosis, degenerative disc disease, disc desiccation, disc bulge l5 s1 of 3 to 4 ml, an annular posterior tear of l4 l5, with mild arthritis. Disc injury occurred at work. I'm a glorified nursing assistant in the Cath lab where I do lots of bed pushing, patient transferring, CPR, and wear lead while in the lab.I've been of work for a month. No Neuro issues such as pain shooting down legs etc. Just the low back pain which can be sudden and excruciatingly painful. How do you see my prognosis for pain relief. Worsening of things. And the future of my job?I am Cheney awaiting a consult with the pain management specialist.Thank you | Hi, I had gone through your query and understand your concerns. First of all i suggest you to don't panic and be calm . As you being nurshing staff and have to lot of pushing work like you said it is little bit aggrevating factor for you lumbar problem. menopause agrreavte more this. Pain can be factor which can be for long time as bones are getting weak, calcium deposition is very less and degenerative changes occuring. You should avoid heavy physical work specilly phushing exercise where your spine get in position of curvature. Take calcium in means of tablets which help in calcium deposition. (60000IU need per 6 monthly). Need more best rest for your disc buldging. Prognosis is good but not better after some treatment for degeneration. You have to be strong and generate will power which help you to fight with condition. in last ask you to visit a good neurologist for this . Hope for best life of yours ... | |
What are the precautions to be taken for a patient with orthoscopic knee surgery?
I had orthiscopic knee surgery Friday. I opted for a spinal instead of general anesthetic . Have been taking oxycodone 5mg , aspirin and dulcolax. Drinking hot tea, water & juice. I ate soup the first & second day and had my first solid meal today. Have had orange juice with ground flax seed and have not had a BM yet. Is this due to having a spinal and what else can I do to speed things along? | most of our patients who had arthroscopic surgery indeed have a lag in their bowel movementsbut the usulal culprit is their lack of walking and standing activity. when these activities resume their bowel movements get regular again. hence the usual problem is just postural or positional.we move our bowels better when we stand up once in a while.but apart from that specifically in your case your oxycodone causes the irregularities in your BM :) so stop it. oxycodone can even cause constipation in severe cases.the mere fact that you are already permitted to eat solid food , the anesthesiologist expects your bowel function to be ok. so the spinal anesthesia at this point in time is not the cause anymore.and besides its the urination that is affected more than BM. so if your ok with your urination, most likely your BM is of the hook from spinal anesthesia effects.for your precautions as long as no ligament reconstruction or no cartillage or meniscus repair was doneyou can walk as tolerated.typical regimen would be return to regular activities 1 week after surgery ( 2weeks max) | |
Biopsy results high grade lesion. Is this a higher grade of dysplasia or possibly cancer?
I recently had a pap smear that came back abnormal.It was mild dysplasia .I then had a biopsy done that came back as high grade lesion. Is this a higher grade of dysplasia or possibly cancer?I had mild dysplasia when I was 24 and had a leep procedure done.I have not formally talked with my doctor yet.She has referred me somewhere else and said that they might want to do a hysterectomy. | HIThank for asking to HCMIn my opinion I would say that Dysplasia means some abnormal growth of tissue which may be difficult to differentiate from normal one, it is not always indication for cancer, If I would be your physician then I would advise you for second biopsy and with the deeper tissue cut to confirm the final pathology, if your clinical history is correlating with the present biopsy then it is better to go for Hysterectomy,good luck,bye | |
Suggest an home remedy for swollen knee due to ligament injury
I had an ACL Reconstruction to my left knee last summer and recentley tore another ligament in my leg but havent started recievening treatment yet and I am supposed to go to lourdes with my school at the end of the month ... my knee is pretty swollen and there is fluid in it what should i do ?? | Hello, First of all, if you feel you have damaged the ligament how did you diagnose it? Any physician mentioned or any MRI taken. If neither of it then MRI is suggested. We need to check the grade of injury first of all. If it's fully torn then stabilization of the knee in crepe bandage or knee brace is advised. Icing to reduce the swelling is advised too. Since it's a total torn so we need to ask you to not put any weight on the injured limb. In case it's partially torn then need to check out the grade 1/2 of injury. The procedure is same as above. Only in this, you can do simple knee range of motion exercises, static Quadriceps, static hamstring, straight leg raise, ankle toe movements, core stability, hip muscle strengthening etc. Since you must be aware of the post ACL reconstruction rehabilitation program which you can follow. Please note, if fully torn then no weight application. If only partial torn then the weight bearing should go from 25-100% over a period of 4 weeks. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
How to cure cough with greenish phlegm?
I lost my voice 2 days ago, ive got a chesty cough with thick green phlegm,my chest hurts (and upper body/throat etc) and like my throat is all swollen and is really painful - shall I let it run it's course or go see a doctor? (it started 10 days ago when I felt stuffy headed and slept for like 4 days solid, and has developed from there)... can you advise? | Thanks for your question on Healthcare Magic.I can understand your concern. Cough, chest pain, green phlegm etc are more suggestive of pneumonia (lung infection).So better to consult pulmonologist and get done chest x ray. You may need higher antibiotics, mucolytic and expectorant drugs. Drink plenty of fluids orally and keep yourself hydrated. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Cause for WBC count to be low?
I am a 37 yo female with a past history of stage 3 breast cancer. I completed 6 rounds of chemo last year in May. I had 26 radiation treatments ending in September. At my checkup in January my WBC was low but my oncologist chalked it up to a cold I was fighting. Three months later, my WBC is still low. I am not fighting a cold so what could be the cause? | Hi, dear. I have gone through your question. I can understand your concern. Your wbc is low. There are many causes of low wbc count. Even simple viral infection, malaria, thyphoid can cause low wbc count. However you have persistent low wbc count. So we have to think about some other causes. You have taken radiation and chemotherapy. So may be it causes your bone marrow suppression and have low count. Or there may be some other cause. So if you have very low wbc count you should go for bone marrow examination once. It will give you exact idea regarding cause. 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 actions should be taken if a hole developed in gum ?
Hi,I have a recently developed a hole in the back left of my gum. The hold is directly below the left bottom moler. It does not hurt. I have not had my wisdom teeth removed yet, I am 23 years old. Is this something I should be worried about? What are the next steps?Thanks! | Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have hole in gum it can be formation of sinus opening or due to Initial caries . For this you should consult dentist and go for investigations IOPA xray done if it is proximal caries then go for Restoration or if it is Pericoronal Abscess then go for Scaling and root planning. Hope this will help you. | |
Q. Why does my boyfriend have extreme pain in the upper right abdominal area on breathing?
My boyfriend has extreme pain when he breathes in his upper right abdominal area. This is the third time this month and it started at around 7 pm last night and he went to the hospital last night at 1am. They told him they couldn’t find anything on the xrays or blood work. He woke up this morning and his pain is still extreme. Can you offer any insight please? | Hello Dear. I welcome you to icliniq. I feel very sorry for his pain. The causes of severe pain in upper part of the abdomen are gall bladder stones common bile duct stones-stones within the bile duct which drain bile (a yellow secretion) from gall bladder to small bowel peptic ulcers - ulcers within stomach and/or small bowel pancreatitis -inflammation of the pancreas a gland over the back of our abdomen. I think he already been advised some medications for that. But I just write here in case they are not given Cap Esomprazole 40 mg now and half hour before meals. Cap Tramodol 100 mg now. It may or may not be OTC. in case not available give him Cap celecoxib 100 mg now. Do not give any other painkillers because they may worsen pain of peptic ulcers if present. Syp Gaviscon 15 ml now and half hour after meals for 4 times in a day. If you want to provide more information about his pain I may suggest some investigations to rule out above possibilites. I hope the medicines will help him to control his pain. Take care and have a good day peptic ulcer disease gall stones cbd stones pancreatiris intusscception volvulus serum amylase ultrasound abdomen follow to discuss and provide more information | |
What causes tingling sensation in sprained ankle?
I sprained my ankle pretty bad four days ago playing soccer. I have been off of it for a few days and there has been some pain after being on it. Today I started to get a tingly feeling in the ankle and at some points it feels like other parts of my foot and even up my leg. Will it help to ice it and is it bad? | ice will help! keep your leg elevated and walk with two crutches for 10 days at least, without weighing on your injured ankle. if you don't walk on that leg, ask your doctor to take LMWH for that period (taking in consideration your age and possible risk factors for DVT, that I don't know) | |
What causes circumvallate papillae?
I'm 16 and I may have circumvallate papillae. I've done some research and viewed some images of what it looks like and it looks very similar to what I have. My question is how does this happen -like getting them and such- and if there's any way to get rid of them. | HiWith your query, circumvallate papillae are the large among all the other papillae and located at the posterior most part of tongue. They form by birth during the embryonic stages itself and one cannot get rid off these unless as an anamoly or defect. Hope this helps you. | |
Suffering from scabies, took medicines, problem still persists. Treatment?
Basically one of my relative is sufferr from body ache a dermatologist problem. She will taken all types of treatment from experts alopathy, Ayurvedic & homeopathic. for six months back she will tested a biopasy from expert of Mumbai, in that scabies is found. But till this time no satisfied results occur. some days she will geting relief then after stop the medicine same problem start that is aching hole body,small small pimples occur then after some day same pimples broken & carried out black spot on whole body. So, what is the purpose & what is diagnosis of this type of allergic problem. Tell me some best lady dermatologist in India basically at Aurangabad(Maharashtra),Pune,Nashik. | hi the itching which is contagious can be scabies.it can be caused by sarcoptes scabei,it presents as papulopustules all over the body from neck to toe with itching more at night time.it can be cured by application of permethrin ointment or lotion all over the body overnight and wash it is off in the night.it should be applied twice with one week apart .use atarax 25 mg at night and oral and topical antibiotic to cure secondary infection.wash all the clothes in hot water when permithrin is applied and it should be used by all family members. lady dermatologist in aurangabad Gulanikar Dr Anirudha D 127/4,Ram Krupa,Varad Ganesh Mandir Road,Samarth Nagar, Aurangabad-431001 | |
What causes numbness in right knee?
3 times in the last 2 months I have awaken to go to the bathroom in the early morning, only to find out my right knee has fallen asleep. I don t know it until I stand. The first time I got into my first step before I realized it was asleep; I crumpled to the floor. I was surprised because it wasn t tingly & my leg & foot were fine. Since then I have started holding on to the bed and testing out my knee before attempting to walk. | Hello,If you have knee numbness, the cause could be as simple as compressing the nerve with your clothing or by crossing your legs. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest gentle stretching exercises.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Could the bruising and soreness on the knee be a matter of concern?
I fell and landed full force on my knee on the pavement about 8 days ago. Other than the scrapes, I have had trouble putting weight on it when kneeling etc. Walking has gotten easier. But after long days it can ache pretty bad. It is very sore to the touch still and the pain can be intense with the slightest touch. It feels warm to the touch and the bruising is fading and turning yellow now. Do I need to see a doc? | Hi,Thanks for your query.Based upon your description, I suspect that you might have injured the ligaments around the knee joint.An initial xray of the knee joint is necessary to ruleout any bony injury. If xrays are negative for any fracture, then MRI scan is needed to know the status of the ligaments around the knee joint.I suggest you to consult an orthopedic surgeon for a detailed evaluation and further management.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Q. What causes pain and swelling under ribs with constipation?
Hi doctor, About 8 months ago, I had kidney stones with pain under my rib cage and swelling. The kidney stones are gone but the pain and swelling under my ribs came back one month ago with constipation. I did a CT scan without IVCM, everything is normal except a mild left basal pleural thickening noted. Please advise. | Hello. We are here to help you. It seems you are suffering from muscular pain. The muscular chest pain aggravates with movement. It is dull, diffuse and continuous in nature. This can result from incorrect posture during the night while you were sleeping. However, in case you have any pain in the upper part of the abdomen, or you had consumed alcohol in case last night, you would require to get an ultrasound abdomen to rule out any evidence of gall bladder stones or alcohol-induced pancreatitis. For muscular pain you should do hot fomentation over the involved area 3 to 4 times a day. You should apply Diclofenac gel locally over the involved area. To take anti-inflammatory and analgesic pain killer like Ibuprofen, Etoricoxib, if the pain is very severe. Share my opinion with your doctor before acting upon it. | |
What causes recurrent left-sided chest pain?
Good evening..I m Fadel ,sometime feel pains on my chest for about 30 seconds then it will stop for a weeks or month then it will come again..But sometime i feel on on the left side of my chest so am wondering what is wrong with me so i your assistance thank you. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through your medical details I understand your concern and I would like to tell you that pains staying for 30 seconds or so are generally not cardiac. These once a while short timed pains happen because of anxiety or stress which generally doesn't require any treatment. If you experience any Palpitations or frequent episodes of chest discomfort then you can take over the counter anxiolytics. Hope I have answered your query. Let me know if I can assist you further. | |
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 --> | |
Suggest natural treatment for RLS
Hi can alpha lipoic acid work on diabetic neuropathy and chronic sciatica? Is there any good natural treatment for severe RLS? I currently am prescribed 8mg of Ropinirole per day and some days it does NOTHING to relieve the symptoms.....please advise. | Hello. I just read your concern. Yes Alpha lipoic acid works on Diabetic Neuropathy and off course on Chronic Sciatica.ALA (ALpha Lipoic Acid) helps to1. Reduce the sharp, radiating pain from the pressure on the sciatic nerve2. Get rid of the burning, numbness and restlessness sensations3. Reduce stress and anxiety especially at night when trying to sleep4. Improve your strength, balance and coordinationThere are some good natural treatments for severe RLS. Only thing you need to have some patience with Ayurveda line of treatment.First of all you need to inculcate some modifications in your lifestyle. I would like to suggest you some tips. Try to follow them.1.Starting a regular exercise program. Start a regular walk for atleast 15-20 mins. Whenever you feel like walking, just do it. But don't miss it. Make it a schedule for daily. Keep moving to get relieved from RLS. Easy to moderate exercise can help alleviate RLS. Take care of doing over-exercise. Excessive exercise with lots of sweating and hard muscle contractions can aggravate symptoms.2. Eliminating or reducing caffeine, alcohol, and tobacco in your diet.3. Ensuring adequate sleep. You can use Chamomile tea as it induces sleep and wards off sleeplessness, thus relieves RLS4. Getting leg massages with Ayurvedic oils like Mahanaryan oil. This is the most common oil available in market.5. Avoiding standing or sitting for long periods of time. As prolonged standing can sometimes cause you oedema.6. RLS sometimes aggravates due to lack of water. Drink water liberally. 7. Reduce stress by doing breathing techniques, meditation, Yoga, retiring from late night works, keeping home and office affairs distinct from each other etc. Keep yourself happy as much as you can. Do something what you always enjoy to do.8. Eat a balanced healthy diet of fruits, vegetables and lean proteins. Since Ayurveda believes that RLS is a disease caused by vitiated VAt in your body. So I will suggest you to follow undermentioned procedures. Please look for a good and experienced panchkarma specialist in your area and take his help.1. Massage of the afflicted part (butt, lower back and lower limb) using Ayurvedic medicated oils like Tila Taila (Sesame oil)Ksheerabala TailamMahamasha Tailam.2.KAti vasti is very effective in RLS –Local oil pooling around the lumbar and sacroiliac joints is highly beneficial in RLS and nerve disorders afflicting the lower limbs . This treatment soothes the nerves supplying the lower limb at their ori | |
Pleura effusion, incomplete filling of oral contrast with thickening of small bowel loops, mesentric lymphnodes seen, enlarged spleen. Now what?
According to ct scan report, there is a mild left pleural effusion. there is incomplete filling of oral contrast with thickening of small bowel loops seen which measures 0.6cm at its maximum. there is mild loculated ascites mesentric thickening and sub centimeter mesentric lympnodes seen.patient is a female of age 18 years.liver is enlarged and shows homogenous parenchyma. no focal mass lesion. portal vein has normal caliber.Spleen is enlarged and shows homogenous parenchyma. no focal lesion is seen. | Hello. Thanks for writing to us. The presence of fluid in the pleural and abdominal cavity with mildly enlarged spleen could be related to a chronic infection like tuberculosis or a blood disorder. She needs detailed blood tests under the guidance of a hematologist to find out the cause.I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com | |
Could polyp cause infertility?
I am 36 and have never had a child or tried to conceive one till last month. Because of my age, I wanted a completed checkup to see if anything is wrong. My doctor is suggesting that I have a polyp removed because it is a possible cause for infertility but on here I read an answer that stating that my body could take up to a year to heal enough to conceive ? Is that right ? It is only one polyp if that makes any difference. | Hi,Welcome to Healthcare Magic.Yes even one uterine polyp can interfere with attachment of embryo to uterine wall resulting in infertility. As advised by your Gynecologist get it removed through Hysteroscope.It just takes a FEW DAYS to heal after the surgery sine the endometrium (lining of uterus) has good blood supply. So don't worry. Go ahead with the surgery.Take a tablet of folic acid daily.To increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three times in a week.If you have any further concerns do contact me through Healthcare Magic | |
Fluid in lower spine, disc affected due to infection, pins and needles in feet. Solution?
Hi Doctor,in 2008 I had bacterial meningitis . After a long period of being treated I now have a small sack of fluid along the lower spine .My third and forth disc is no longer there due to infection which is no longer from September this year but I am experiencing pins and needles in my feet which are so uncomfortable.is there anything I can co to levitate this.Thank you. Julie Mills | Hello, Probably the nerves supplying your lower feet are getting compressed in the spinal cord in the region of fluid collection. That is why you are getting the pins and needle sensation. One of the options for the treatment is surgical decompression of that region so that fluid is removed and it no longer presses and irritates the nerves. Some medications are also available which reduce such kind of tingling, but they wont tackle the primary problem i.e. fluid collection. You should see a neurosurgeon/ spine surgeon and he will guide you about further treatment. Good luck. | |
What causes pain under the ribcage?
I Have a dull pain under my left ribs. But sometimes out of nowhere it just sends out a pain that is sharp and fast and scary. Feels as strong as bumping ones crazy bone. I have many symptoms of pancreas cancer., could this pain be from the pancreas or is that not where the pain would come from? | Hi, It can be costochondritis. It’s harmless condition and you can take analgesics like Tramadol or Acetaminophen for pain relief. You can go for an ultrasound scan to look for any intra abdominal cause including pancreatic cancer. Hope I have answered your query. Let me know if I can assist you further. | |
How can a tender and sore spot below the knee be treated?
i RECENTLY HAD SOME STENTS INSTALLED.THEY USED THE VEIN IN MY RIGHT LEG FOR THAT. BRUSING WAS QUITE EXTENSIVE FROM MY GROIN TO BELOW THE KNEE, BUT NOT PAINFUL. THREE NIGHTS LATER I HAD A CHRLEY HORSE IN A SINGLE SPOT THE PAIN WENT AWAY SHORTLY BUT THE SPOT REMAINED A BIT SORE AND INCREASES FOR A SHORT TIME PERODICALLY. | Hi, This kind of feeling is quite normal after bruising in the thigh due to stenting. Some blood which has oozed out may irritate some nerves causing a cramp like feeling. It should go away in a few days. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopedic Surgeon | |
Suggest cause for tingling and numbness sensation in the thigh
Yes, I have been having a mild burning, tingling and numbness in my outer right thigh. Had knee surgery 4 yrs ago. This sensation started a few months after about once a week. Now it occurs once a day. Any idea what may be causing this and should I be worried? | Hi, The symptoms are more likely suggestive of neuropathic causes. Consult a neurologist and get evaluated. Make sure that your blood sugar is well controlled because uncontrolled blood sugar can cause similar symptoms due to nerve weakness. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes difficulty in swallowing food and water after having chest pain?
i got mild chest pain in left side 2 days before. now i feel little difficulty while sollowing food, drinking water, even while sneezing. I have acidity problem only while morining brush [vomit feeling] from last 6 months and have takesn no treatment for the same. Would like to get your opition for the same. | Hello, you mentioned you have difficulty swallowing solids and liquids . Is it really only for past 2 days or u had difficulty even before that ? Do u really feel that your food gets stuck when it finds it's way down your throat or food pipe and isn't going down properly as it used to ? Is it like initially you had difficulty swallowing solids and then it progressed to difficulty in swallowing liquids as well or it happened for both solids and liquids at once ?Did you have any episodes of vomiting ? Is there pain during swallowing or only difficulty ? What's your age? Any addiction to smoking or alcohol ? Do you have any other respiratory complaint apart from the chest pain you mentioned ? Your symptoms need detailed evaluation . Difficulty in swallowing can be due to issues with your throat or food pipe or something compressing on your food pipe from outside (example - enlargement of lymph nodes around your food pipe or any other growth ) or it can be due to motility disorders of your food pipe (Achalasia cardia) . There are many possibilities so I would suggest you consult a physician in person . | |
How can I control the bleeding started today morning as I am suffering from portal vein Thrombosis ?
hi Dr. Im Sangam here from Bangalore im suffering on Portal Vein Thrombosis today Morning on words bleed has started could you pls guide me how to control this | Hello Thanks for your query. matter is serious needs urgent treatment from hepatologist or gastroenterologist. Variety of treatment is available. ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and trouble free speedy recovery” | |
Can a hair dye cause allergies, headache and tiredness in a pregnancy?
I colored my hair yesterday. I am 29 week pregnant. Today im having awful allergies I can breath I have a headache and I feel extremely tired. is this because of the hair color? am I possible getting sick? or could it be from something else. I did get hit in the face over the weekend and my nose is still kinda sore but its not swollen or anything. | Hi.For the allergies, speak to your doctor to prescribe a safe anti-histamine (e.g. cetrizine or loratadine are considered safe during pregnancy); as for the headache and breathing difficulties they could be due to the injury to your nose which should heal in given time.Best wishes. | |
What causes random movements in the pelvic area?
For the past few days I have had random pulling movements in my pelvic area. Its painless and like a thump, only inward. You can see my stomach move inward quickly and then return to its normal level. This can happen 2-3 times in a minute but then go many hours before another thump happens. | Hi.Thanks for a good history. This is suggestive of an intestinal obstruction of sub-acute variety and you need to get investigated in the form of Standing X-ray Abdomen and enteroclysis if required. You may need to know the diagnosis to decide whether you need an medical treatment or surgical exploration. | |
Is vaccination needed after getting scratched by vaccinated dog?
hi !my pet german shepherd dog just scratched me on my face n arm while playing . he is 5 months and all his vacinations are properly and regularly done . the scratches on my face and arm are not deep .. but there has been a little blood on the cut .do i need to get vacination done ? please advice . | Hello,Welcome to HCM,As you were bit by a pet fully vaccinated dog it is very important to initiate the treatment as early as possible, as dog can transmit rabies,which is 100 % fatal but it is 100% preventable by proper and adequate treatment.I would suggest you to follow 1.Wash the wound immediately with soap and water. 2.Active immunization with anti rabies vaccine on days 0,3,7,14 and 28. As it is a pet dog you can discontinue the last two doses on days 14 and 28.2.Passive immunization with rabies immunoglobulin in and around the wound is required as it is on the face, we don't want to take risk with deadly disease like rabies.3.Oral Tab BActoclav, 375 mg, twice daily for five days.4.If you haven't had a tetanus shot in the last 5 yrs, you also need to take a booster dose.The aforementioned treatment will help to protect you against getting rabies.Thank you. | |
Suggest remedy for kidney patient having chikungunya
Hello, I am Disha, I want to discuss a case of Heart Blockages of my fatherinlaw. Now a days my fatheinlaw is facing problem of Heart Blockages on higher side. We are under treatment of Ayurvedic medicines from Sane care- Madhavbaug. His kidney is also not working properly. Before 15 days he also had Chicken guinea , family doctor is saying that because of kidney problem we are not able to give him proper treatment for chicken guniea. Pl. consult to any Kidney specialist, so as per him when we meet to kidney specialist he told us to stop immediately taking ayurvedic medicines. It's not working. So pl. suggest me that what to do? | Hello,Ayurvedic medicines are as good as a placebo for diseases like heartblocks and kidney disorders.I do not recommend going for Ayurvedic medicines at all. For Chikungunya, there's no such cure but only the symptoms are managed.Usually analgesics and antipyretics are used for this. Paracetamol tablets would do fine if taken thrice a day after meals for the symptoms. And for heartblock, I highly suggest to go for a general health checkup and adequate medicines should be taken. I cannot suggest any medicine here because of ethical issues and without proper examination of your father in law.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Gunjan Jain | |
Suggest cure for a wasp sting
hi i got stung by a wasp a couple of weeks ago,i went into anaphylactic shock i was taken to hospital and adrenline was given in my thigh.i was kept in for the afternoon. i currently dont have an epi pen.i went to the doc they wont give me one until i have had allergy testing done,the waiting list is 6 months. i am scared it will happen again what shall i do | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns....As per your complain it seems that you have an allergic reaction to the wasp sting that released toxin under your skin..You should consult an Allergist and get evaluated and he can perform an allergic testing to rule out for allergic reaction, although it is kind of clear that you have allergic reaction and he can start instilling an Immunotherapy so that in future if there are similar incidences of wasp sting the reaction will be less severe..You can also immediately take anti allergics like Allegra and steroid like Methylprednisolone to reduce the severity of allergic reaction..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.. | |
What causes difficulty in inhalation?
Hello my name is nicholas. And ive been having these weird feelings. When i inhale i keep having this habit of inaling but it keeps telling me to exhale. Are these normal? I try to inhale as much as i can but i feel this preassure feeling in my body telling me to exhale whenever i take a deep breath i feel it. Are these normal. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. No this is not normal. These kind of symptoms are suggestive of stress and anxiety more. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs (Propranolol and Flunarizine combination) too. Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest solution for wheezing
Hi,My daughter is 6 years old and she is suffering from wheezing since the age of 4 years.(she gets wheezing when she eats something cold,sour or from dust)The doctor has prescribed asthalin inhaler(6 puffs a day when she has cough) and 2 puffs of flohale 125 inhaler every day (2 times) with a spacer, daily one montair 5. She has lot of itching in the eyes.My question is are the sprays good for her health and how long can she take them. I heard from my friend that the inhalers damage the lungs in the long run. And can she overcome wheezing,if yes, then by what age and what precautions you can suggest. | Inhalors do not damage the lungs, infact repeated wheezing episodes are detrimental to health and have to be controlled. Some children can overcome wheezing after 6-7 years of age. | |
What causes lump formation on the back?
I am 77 yrs old and just discovered a very small dent in the middle of my back next to my spine. No pain , no other symptoms. Feels like a Avery small cyst or lump right next to it.actually I did notice it a couple weeks ago and it haven't changed or got ton larger. Should I be concerned. Thank you tony r. | Hi.Thanks for your query.Most probably this can be a sebaceous cyst. It may not really need a treatment as it is not growing.Since this is at the back, it is better to get this confirmed by showing to a Surgeon.You can then keep a watch and get it removed if it enlarges or shows signs of infection. | |
Should i be worried as i am having a larger and denser cyst?
I am 61 years old and have been followed for a cyst on my left ovary for several years through transvaginal ultrasounds. In October, I had a CTscan for another reason which showed the cyst. Last week, I had another CTscan due to pancreatic cancer in my family. They compared Octobers to no and said it was larger and dense. Should I worry | Hi and thank you so much for trusting us with your health query.I am so sorry to hear about this cyst. I will suggest that you get this cyst investigated and declared benign before continuing to monitor. Clearly increasing in size and becoming denser is a worrisome and cannot be totally disregarded. Follow up with you your OBGYN, get CA 125 screening and a closer appreciation of this cyst. If it stay unclear about the exact nature, I suggest taking it out and anlyzing in the pathology lab for a tissue diagnosis.I hope you find this helpful. Thank you so much for using our services and please feel free to for more information or clarifications if need be. I wish you the best of health.Dr. Ditah, MD. | |
What causes headaches with sore scalp,blurred vision and nausea?
i take pain pills for my headaches everyday i am 29 years old with 6 kids and they are geting worse i stay tired all the time i get dizzy my tempa is always sore m scalp is tender sometimes i have blur vision ,nasues and on a daily basic i can hear noises in my brain th sound is like something is leaking and thats what scares me the most its been going on for 2 maybe 3 years now | Hell, Your symptoms could be related to tension-type headache or migraine. The fact that you take painkillers all the time, could have lead to drug-induced daily headache, which is a common complication of painkillers. For this reason, I would recommend consulting with a neurologist for a physical exam and a brain MRI. Starting preventive therapy may be needed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
What causes red colour urine while having kidney stone?
I ve been dealing with a large kidney stone. I have a stint in the urinary track. I ve dealing with it about a month. Been catching my self four time a day. Just tonight it looked like a bright red color in my urine when I tried to urinate on my on. Should I be concern or wait to see if the next time it s the same | HelloThanks for query.The presence of large stone in kidney is the reason for passing blood in urine .The stone which is always spiky causes injury to delicate mucosa of renal collecting system giving rise to hematuria.However this can be confirmed by doing Ultrasound Scanning of abdomen Please consult qualified Urologist for proper evaluation and to explore whether you need any active intervention to remove the stone or it is likely to be passed out with urine Dr.Patil. | |
Suggest treatment for high bilirubin level along with swollen lymph nodes
My son has high bilirubin levels, swollen lymph glands in his neck only and what the local doctor said was tonsilitus. The glands have been there for 6 months, he has had an ultra sound, but because there were so many they did not know which one to biopsy. My son has no pain from the tonsillitis just a husky voice. Could this be celiac desease? | yes.there is possibility of celiac disease and lymphadenopathy,but because sometimes there is relation between multiple lymph nodes and lymphoma,we always recommend complete investigation.usually biopsy is the cardinal method for diagnosis and doctor should decide to make biopsy from one of the glands and should not postpone it because he cant decide which one should be biopsied!!moreover consulting an oncologist and complete blood investigation and blood film is a must | |
Is it possible to conceive naturally or IUI is required?
Mine TVS was done yesterday and was found that the size of follicle as provided below: Left - 12.3 X 12mmfollicles Right - 18 X 20 mm dominant follicle and also took Inj BHCG 10,000IUI/m yesterday. Further, mine endometrial cyst was also removed through laproscopic surgery almost 75 days back. In addition the sperm count of mine husband is as provided below: Concentration: 24 million/cumm Progressive Motility: 29% Normal Morphology: 27% Motile Sperm Conc: 4.3 million/cumm Functional Sperm Conc: 1.3 million/cumm Sperm Motility Index: 67 As per doctors advice he has been taking Maxoza L and other vitamins as per doctors advice since last 70 days So, is it possible to get conceive naturally or needs to go for IUI for the above provided details. | Hi,I read your query and I understand your concerns.Following is my reply:1) Sperms concentraion is very low.2) It is difficult to conceive by IUI also.3) You might need IVF / ICSI method of treatment for conception with such low count.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol | |
What is the treatment for pain in abdomen?
My lower abdomen (below the naval) hurts to push on it. It almost feels like a bruise, but I have done nothing that would have pulled muscles or bruised my abdomen. It feels like I have to pass gas as well, but that hurts my rectum. I have never experienced this before... I am worried. | HI.Your history is suggestive of intestinal infection. I would advise you to take a course of an antibiotic and supportive medicines as per your Doctor's advise as you may need prescription based medicines and also you get a clinical examination by a Doctor. | |
What causes chronic cough with negative TB test?
Hello Doctor, my aunt who is 58 years old is suffering from severe, continous cough for the last 3 months. Reported negative for TB and lung infection tests. Antibiotics are giving temporary relief, but the unbearabe cough persists. What could be the cause and the best treatment for this? | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should definitely rule bronchitis in your case. Bronchitis means inflammation of airways. It can cause bronchospasm and this causes cough, expectoration, breathing difficulty etc. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
I am losing interest in everything. What can i do?
Gud Morning, I want to know the why am I losing appetite, distaste for food, hair-loss and unexplained bruises. I m losing interest in everything and this affects me and my relationship wif everyone badly. At tymes, I will contemplate to either give up or to end it quickly my life. How am I supposed to deal wif my problems. | Hi Some of your symptoms look like they could be related to Depression but I am concerned about your hair loss and bruises which are not typically associated with pure psychological problems..there could be physical reasons for all these symptoms. (unless you have already been prescribed by an antidepressant which belongs to a group called SSRIs-which could explain your unexplained bruises) My advice would be to consult a physician first and if there is nothing physical that he can find causing these then consult a psychiatrist. Hope this helps. | |
Suggest remedy for spinabifida occulta
hi, im 24 y.o and I play basketball, I have spinabifida occulta , last year I got lots of pain starting from beneath my buttock and sometimes reach just below the knee but now im fine, but I started getting groin pain about 4 months ago and the doctor told me its just inflamation and to continue to play ,I did and the pain got worse so I stopped all type of exercises and started PT and after about a month the pain started again and it get up in my lower abs at both sides, I really cant run and if I did train on it when I cool down it gets very painful to even walk and I have to get my leg out of the car with my hands,and it is very painful to move when sleeping | Hello, There is no special treatment for spina bifida occulta, besides drugs (gabapentine, pregabaline, amitriptyline) to help against back pain. But, considering your worsened situation, I would recommend performing a new spine MRI in order to exclude possible tethered cord syndrome, which may need surgery. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ilir Sharka | |
Suggest treatment for stage 5 chronic kidney disease
ok I am a diabetic a1c averages 7 to 7.5 I am in stage 4 to stage 5 kidney disease my doctor says my blood acids are higher than he wants he has said to use sodium bicarbonate to ease the acid. I have been told to avoid any salt is this not contradictory? | Hello, You are right. The hypertensive patient should avoid sodium in the diet and from medication as well. But if acid level very high means metabolic acidosis present than it can be counteracted by bicarbonate. So I suggest you follow your doctor advice to treat your condition. You should get treatment by nephrologist only. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
Suggest remedy for pain and weakness in arms
Went to massage therapist in late July and she was a little rough when she was massaging under my left arm in the arm pit. For 2 weeks, my left arm was weak and I had no strength in my arm. On labor day of this year, I suddenly had a pain in my left side and from that day till now I have been in pain. I have no use of my left arm, and very little use of my right arm (I had use of my right arm until then and had been using my left arm until then). I have been to the doctor, had 4 MRI s, a CAT scan and am now seeing a Neurologist. They can t seem to come up with an answer. I have been out of work for 6 weeks. A friend in the medical field asked if I had been to I had MS, (I haven t been told). I get confused when trying to look up the symptoms. Can someone give me some information? | Hello, I have studied your case. .Pain indicates inflammatory process or nerve compression.I will advise you to do PET SCAN so that lesion in any area of body can be identified. I will advise you to do EMG-NCV study.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
Suggest the chance of survival in papillary metastatic carcinoma patients
Diagnosed with Papillary Metastatic Carcinoma in 2006. 8 years of I-131 treatments. Blood tests show.02 last year. This year .04. Ultra Sound shows multiple tumors in the neck. Cancer invaded the lympnodes, back of the neck and the base of the brain. Deteriorization in mental capibilities. How long do I have to live if I do not have the tumors removed surgically. | hi, ur question is incomplete and u want to know precise answer...usually papillary carcinoma has a good prognosis. there are many issues regarding staging and treatment, that to be discussed in detail. the exact extent of disease is needed for decision making for surgery. thyroid scan along with CT or MRI scan should be done. I- 131 therapy can be done now also depending upon uptake. the best option for u is to have a consultation with a surgical oncologist along with all the reports, who will discuss all these aspects with u. then it will be easy for u to decide. | |
Have swollen toe, done uric acid test, urine analysis, show proteins in urine. Concern?
Hi doc.I am so disturb of my condition about my swollen big toe. I suspect that it's a gout thing and so I went to a diagnostic center to have my uric acid test and also for a urinalysis. I just received the result today but my result for uric acid is 5.35, and it's very normal! I am quite alarmed with my urinalysis result because of some trace of Protein. My Pus Cells is 2-6/HPF and my RBC is 1-3/HPF.My Epith Cells and Bacteria are few. Is there any reason for me to get upset doc? The pain in my big toe is quite bothersome for me because for sure this is not normal doc. Please help and give me some advice. Thank you. | hello amls, since your uric acid levels are within the normal range, it is very important to see whether the pain in your big toe is because of corn or wearing tight shoes...i would advice you to wear slippers for sometime..and if it is corn then go to a surgeon for its removal.As for your urine report shows infection....it is important that you drink lots of water and start an antibiotic treatment of ciplox 500mg once a day for 5 days. hope you get well soon | |
What causes black specks in stools of a child?
My LO is 5 months old. He is exclusively breastfed. Today he had black specks in his stool. I gave him iron and vitamin D. But I give him those every other day (doc perscribed to do it every day-I didn t want to constipate him so I do every other). He has been extra fussy for the past 2 days but nothing major. He does not have a fever. Does anyone know what this could come from? | Hello I understand your concern.Actually black specks in his stool are caused by iron ,you are giving him.And iron can even cause constipation in him. So kindly stop iron for few days and his lo will be normal.Why did the doc prescribed him iron? you did any blood test of him?Vit D is ok.you can give him.Hope this answers your question. If you have additional questions then please do not hesitate in writing to us and do a follow up.Please let me know the query I asked so that i can help you accordingly.*Always check for history of allergy before taking any medicine.wishing you child good health | |
What causes discomfort and swelling in the abdomen?
3 days ago my abdomen began to fill swollen and uncomfortable and when I pressed on my left side it was tender...then two days ago I was having pain in the center under my brest bone that radiated to my back...yesterday it was back to the swollen feeling and today I have twinges on my left side. Any ideas? | Hello and welcome to HCM,Fullness of abdomen and feeling uncomfortable and swelling on left side suggests splenomegaly.However, clinical assessment and ultrasound of the abdomen is required for assessment of abdominal organs.You need to consult your primary health provider for interpretation of ultrasound and thus further management.Enlarged spleen can occur in number of conditions like infections, hematological disorders, storage diseases etc.Thanks and take careDr Shailja P Wahal | |
Suggest treatment for stage 2 colon cancer
My father has diagnosed with stage 2b colon cancer (T3n0m0), hemicolectomy had been done in themonth May 14, & The doctor s suggestion on chemo was intermediate, (if the body survives go for it), We have nt taken any chemo yet.. As doctor suggests, we have been started checking CEA every 3 month..The result is very good & it was below the par. Dad is getting pain(fraction of a minutes) intermittently after the operation, hence we have gone through the Ultasound scan & fortunately no further issues & everything was perfectly all ryt.. Doctor also asked us to take a CT scan after completion of 1 yr (on May 15).. WE are all happy with the result post operation, and he is leading healthy life now (he also had an heart attack on may 2011 & have done a angioplasty). Could you please tel me that is there any chance of nonoccurrence? & how often does colon cancer recur? | Hi,Thanks for writing in.Colon cancer is completely cured if diagnosed at an early time. Your father had stage 2 disease and this is an early stage. After hemicolectomy, checking CEA and then doing CT scan or ultrasound scan regularly is recommended. This is because about 50 percent of patients with colon cancer can have recurrent disease with spread to liver. Chemotherapy will reduce the chance of recurrence and spread therefore your doctors hadd told him to take it.Please get regular follow up done and reconsider the decision of chemotherapy after discussing with your doctor. The chance of recurrence and spread to liver is 50 percent. Give him medicines for heart problem as required and follow up regularly with the cardiologist. Please do not worry. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
What causes pain in the left shoulder and neck along with breathing difficulty?
I am a healthy and active 51 year old Caucasian female. I exercix with weights and cardio 5 days a week. I woke up around 3 AM this morning with left shoulder pain and when I started to turn over, the pain was incredible in neck and left shoulder and it was very difficult to breath. I could only take very shallow quick breaths. As soon as I was able, I took my blood pressure and it was 117/82 and pulse was 82 which was a little high but contributed that to pain. I have a pump for my neck for stretching e exercises so sat up and used that. It relieved pain as well as breathing, but as soon as I tried to lay down it all started again. It still hurts but not near as bad as it did early this morning. The really strange symptom is the soreness deep in my throats when I breath deep. I m assuming I slept in bad position that caused the pain but not sure. Ant ideas as to could be the issue | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have read the details and in my opinion you have this problem probably because of sore throat, This sore throat explains everything including neck pain ,breathlessness . I suggest you start appropriate treatment in consultation with a physician. This problem should get relieved in 3-5 days. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for sharp pain in inner left thigh
I am getting this random sharp, pain in my upper inner left thigh....I can be sitting, standing, walking....it only lasts for a few seconds, but it is very painful. Sometimes I think if it lasted any longer I would pass out from how painful it is. It's been going on for months now. It use to be every few weeks or so, but now it is every day almost. | hi this may be due to muscle pull or stressed life style so you can use ice pack to relief pain but don't use ice pack directly rap it in a towel and then apply on effected area you can do this for 20 min and twice a day or you can apply hot water bag but use only one hot or cold use declofanic gel and then cover the part with crap band that will help you in relieving pain you can do light stretching of groin region. but if pain sustain for long time that is more then 2 to 4 month then go for medical check up to rule out other possibility such as groin hernia , kidney stone ,and OA but most common is muscle pull . wish you good health | |
Does white nipples indicate pregnancy?
i had sex about a week ago and now i am constipated and the tips of my nipples have gone white could i be pregnantRead more: white nipples - Early Pregnancy Signs and Symptoms Forum - eHealthForum | Hello dear,I understand your concern.In my opinion the white nipples doesn't indicate pregnancy.In pregnancy there will be enlargement and tender breast.The arrows will be darkened and appearance of some pimple like structures called montogmerry tubercles is classical.All these full fledged changes take time upto 10- 12 weeks of pregnancy.The first sign like missed period gives a suspicion of pregnancy.All other symptoms like nausea,vomitings, increased urination,sore breasts start 2 weeks after missed period ie.,around 6 weeks.Even though the symptoms are present a positive urine or blood pregnancy test confirms the pregnancy.In your case it is too early to feel any pregnancy symptoms because it is just a week from intercourse.I suggest you to wait and check for the period as that is the only first sign.So relax avoid stress white nipple doesn't indicate pregnancy.Hope this helps.Best regards... | |
Will masturbation cause any problem in treatment of epididymitis?
Hello sir thanks for ur valuable answer to my disease epididymitis .If i doing masturbate twice a day is any problem in treatment for epididymitis. i am suffering from 1 month ,AND I am useing the tablets BANOCIDE FORTE ,KATADOL,INTIMATE,RIDACID from last 15 days still have a pain in left testis and after ejeculation..sir i have swelling in right testis but pain in left testicle why ? is it common or i get any other disease | Hi There , It appears like you have epididymo-orchitis on left side and orchitis on right side ( swelling of right testis )but needs confirm with the ultrasound .Avoid mastrubation atleast for now as it already casuing pain to you till the infection subsides. | |
Q. My son suffers from allergy cough and vomit. What is the permanent cure for his problem?
Hello doctor, My son, aged 15 years, is suffering from allergy since his childhood. He will have cough and vomiting whenever it is attacked, mostly in the winter. We use Asthalin, Sereflo, and sometimes with nebulization, he will be fine for some days. Please advise a permanent cure for his problem. | Hello. From the medication you have detailed, he is being treated for asthma. Any positive family history? Does he have chest tightness or shortness of breath or wheezing during the episode? Any seasonal variation or exacerbation in winters? Asthma is due to hyper airway responsiveness to air borne allergens. Treatment includes: prevention of the episodes and management of acute asthma. Identifying and avoiding the allergen remains the mainstay. Inhaled corticosteroids control the hyper airway responsiveness and control the occurrence of episodes. Asthalin and nebulization remain the treatment for acute episodes. As I have told you, for any allergic diseases, avoidance of the merger is what should be done and followed. You may go to an allergic specialist to help you in identifying the allergens. | |
What causes low calcium levels?
howdy-my HMO Dr. ran a blood test....a wk.later his nurse calls saying everything is normal. i got a copy of the results & found my free testosterone level is 13.4 !! over the years, my calcium has been leaching out. my teeth are all gone,osteoporosis is in play & in 2011(@ age 57) a bone density scan showed the age equivalent of a 72 yr. old....whenever i d ask him where s the calcium going? he d sidestep/change the subject.My A1c level was at 5.6 2 yrs. ago....people haqve been asking me if i m diabetic, cuz i m so thin. on the recent blood test, he didn t ck. my WBC or RED CELLS. His trainee drew 4 vials,yet the test results state the reason for not doing a COMPLETE lab is No suitable specimen received ....what do you think of this?? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Have you got RFT (KIDNEY TEST) done anytime? If not please get it done. If there s a renal problem then calcium might reduce. Or if the intake is low again it might be reduce. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for rash on buttocks
My five-year-old daughter has had a rash on her bottom for almost a year. I ve taken her to our doctor and also a specialist and we ve had three different kinds of medication oral and topical and nothing has worked. Her rash is sometimes worse than it is other times and she says that it does itch. She will itch it to the point where it bleeds. I m desperate for an answer! | Hi,In spite of medicines and consulting specialists if there is no improvement then we should keep one possibility in mind of having worm infestation.Due to worms infestation worms comes out and migrates surrounding area giving this type of problem.Give her one course of anti-worm treatment like Albendazole stat and repeat after a week or two weeks.Keep local hygiene clean dry and airy.Ok and take care. | |
Recommend treatment for sinus infections
Hello, I ve experiencing a Sinus infection, with swollen tonsils, earache, and a sore jaw. I also notice that it seems my wisdom teeth are slightly cutting thru. I do not feel any pain in my teeth. My throat is really sore and since I ve been gargling salt water for days, the swelling in my tonsils have gone down a little. Do u think it s just a bad sinus infection or it s all caused because my wisdom teeth might be coming in? | ello,Welcome to HCM,The symptoms of sinusitis are related to inflammation and congestion of the sinuses with or without an infection.There are many organisms that are causing sinus infection. For your symptoms I would suggest you to follow1. Warm facial compresses applied for 5 to 10 minutes would encourage drainage and reduce pain2.Oral anti inflammatory pain killers such as ibuprofen would reduce the inflammation and help with any facial pain3.Oral anti histamine combined with decongestants like zyrtec d, allegra d will help.Topical decongestants are normal saline or otrivine, both are available over the counter,you can try the otrivine first if it is available.4. Steam inhalation would also help with drainage.Thank you. | |
What causes tingling, numbness and sharp pain in testicles and penis?
Hi, I have had pains in my testicles, groin and penis for the last 5 days. They come and go, and can be sharp pains as well as tingling dumbness, like pins and needles. I can t seem to get an erection and the pain can get worse when I move. I have also felt unwell during this time and have had tingling feelings in my lips. What can this be? | HelloThanks for query .Pain in testicles and penis can be due to infection of testicle (Orchitis) and needs to be confirmed .Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Ultrasound scanning of Scrotum.In the mean while start taking Please take broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report.Get the prescription of medicines from your family Physician.Ensure to drink more water .To keep your urine dilute This will help to control dysuria.Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil. | |
Can enlarged spleen and liver lead to polycythemia vera?
I AM A 37 YEAR OLD FEMALE, MOTHER OF 11 CHILDREN. The youngest is 12 months old. I have always suffered from headaches and about 5 months ago my neurologists place me on Amatriptelene. 2 -10mg tablets at night before bed. It knocked out the headaches, however within 2 weeks I began to gain a lot of weight. At about 6 months postpartum i weighed 160. However in a matter of months, I now weigh 198 lbs. In addition I started feeling very bloated and having pain in the middle of my upper abdomen. As a result my doctor ordered an ultrasound. I received the results this morning....An enlarged spleen and liver. My family history is one that includes my father who suffers from polycythemia vera which has progressed to leukemia. He has an enlarged spleen and liver. My 49 year old brother was diagnosed with stage 4 colon cancer last year that spread to both the liver and lungs. Need less to say, I m a bit concerned. I was under the impression that PV was not hereditary but now I wonder. Also as of this morning I m feeling burning during urination. But all labs showed up no infection anywhere. Do you have any advice as I proceed on this journey? | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You have enlarged liver and spleen. There are many disease that cause liver and spleen enlargement. Simple congestive cardiac disease can also lead to this. Many leukemia and molto life dative or lymph I proliferative disease can lead to these. So we cannot find the cause without further investigation. You should go for complete blood count, ESR, SGPT, creatinine first. It will give you general idea. Then you should go for further investigation. In polycythemia, hemoglobin and RBC count is very high so we can diagnose polycythemia from complete blood count test.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Hardik Sanghvi | |
Can exercise treat lower limb muscle exhaustion, have history of bypass surgery?
I HAVE HAD AN AEORTIC BY PASS SURGERY ABOUT 20 YEAR AGO AND HAD SURGERIES TO CLEAR OUT MY CARATIOD ARTEIES 5 YEARS AGO. I WAS NOT HAVEING ANY PROBLEMS AFTER THE FIRST SURGERY BUT AFTER THE SECOND SURGERY THEIR WERE SOME DAMAGE TO THE FEMEARAL ARTERY. NOW I AM HAVING PROBLEMS WALKING DISTANCES MORE THAN A CITY BLOCK. tHE UPPER THIGHS BEGIN TO HAVE MUSCLE EXHAUSTION AFTER A FEW BLOCKS. if I STOP FOR few minutes I CAN CONTINUE TO WALK AGAIN FOR A SHORT PERIOD OF TIME AGAIN. WILL I SEE ANY IMPROVEMENT IF I TRY TO EXERCISE. | HiThis is called claudication and exercise can help form accessory arterial flow pathways in your legs | |
Experiencing muscle strain due to exercise & diagnosed with hypermobility
shoulder injury i have what is called hypermobility in all my joints but its more promident in my shoulers. well ive already had 3 shoulder surgeries on my right to correct the multi directional sublacations. which i also tore my laberem, capsule, and front ligament. now my left arm has always done it also... but recently i was working out lifting weights nothing heavy 5 lbs and two days later it started to hurt when i lifted it 90 degrees and above out to the side. now its unstable and almost completely dislocates when i do. i just want to know how long before i should have a doctor look at it? meaning as if its just muscle strain and will heal on its own and if the pain doesnt stop when should i go to the doctor? | Hello, As due to having non-stabilization of the joints doing weight training may lead to small inflammation due to abnormal movements and lead to pain. I will advise to stop weight training and undergo joint stability exercises which will help to make the joint more stable and avoid injuries. Unless and until the joints are stabilized it is not advised to undergo weight training as this may damage the joint more. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest remedy for blotches on the skin
Hi,I am a young female and I recently have been diagnosed with HSV-1 genital after a severe primary outbreak with flu like symptoms.During the same week of the diagnosis I had brownish blotches appear on my skin along that were not raised or itchy after taking my first dose of valtrex.It has been 2months since the outbreak and the spots have cleared and I have been under a lot of stress and I felt symptoms of a possible outbreak coming on so I took three doses of valtrex in the matter of three days and I have freckle like spots all over the back of my hands wrists and arms that aren t itchy or raised .. It has been a week and a half since I have taken the valtrex and the spots are still visible and is accompanied by a constant diarrhea and fatigue and feeling of a puffy throat ..I ve also noticed some weight gain and tingling in arms .. Everything I read says HIV symptoms and I am beginning to get worried about it ..my current partner was screened for everything 2 months ago and was negative but I read he may not necessarily contract it if I have it .. I am very worried .. Can valtrex cause any of this even though I don t take it daily ? Please help | Hi, According to me, Valtrex does not cause a similar rash. The rash could be a completely unrelated condition such as Freckle. The proper diagnosis could be made only after proper examination. If your are afraid of having, you can clear your doubt by undergoing voluntary HIV testing. I also advise you to take Valtrex only as per your Doctor's prescription. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Siva Subramanian, Dermatologist | |
How can sciatica with a thigh area lump be treated?
I had a baby four and a half months ago and started getting back pain shooting down my leg have been diagnosed with a sciatica, i am mobile but struggle to bend and get up and down from being seated however have noticed a little lump on same side between my thigh and bum cheek i didn t know if this was related to the trapped nerve as i have to wait two weeks for physio. | Hi, I had gone through your question and understand your concerns.The sciatic nerve compression is a common finding in pregnancy, due to the weigh gain and change in the body position with the back pushed forward. Basically, the lumbar pain orientates towards a lumbar origin of the sciatica, while the lump you describe is somewhere on the passage of the sciatic nerve leading to a local compression cause. I would recommend a consult to your primary care doctor to palpate on this lump and of course a diet on loosing weigh because overweight is related to all causes of sciatica.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
How to treat knee pain?
felt like something snapped in arch of foot - have had knee pain & pain in lower back, hip. when bending the knee - feels like swollen. no problems walking. when elevating feels like stretching form hip to knee. after dancing & jumping increased pain around knee & just below knee cap. | Hi,Thank you for providing the brief history of you.A thorough neuromuscular assessment is advised with MRI of lumbar spine.As the pain you have which cover the lower back upto the heel, i suspect it to be a neuropathic pain. A thorough neuromuscular assessment is advised.Also, with simple physical therapy training, the symptoms can be controlled by therapeutic ultrasound therapy and TENS therapy. Performing exercises on later stages for strengthening the core, spine, pelvic floor and lower limbs as a whole should give a better outcome.In my clinical practice, most patients respond well to physical therapy.RegardsJay Indravadan Patel | |
What is the treatment available for vitiligo?
I am 22 year old female, i have developed white patch on the left elbow, my dermat told it is vitiligo, even the hair in the patch area is turned white. doc gave me some steroid treatment.it is not improving. is there any other treatment plans available for vitiligo. | Vitiligo:initialy it is beneficial to see a dermatologist and 40-60% patients respond to medical therapy.If the spot size does not respond then plastic surgery may help but one should wait for 1-3 years. to see the response to medicine and time(some heal without medicine). In PLASTIC SURGERY SMALL SIZE PATCH can be removed and closed without grafting,for large size patch skin grafting may be needed,skin is taken from the buttock area in women to make the scar least visible. pchhajlani@hotmail.com for details see.www//cosmetic-plastic-surgeon.com | |
Could raised bumps on heel like callused blisters be fungal infection?
my daughter developed what I thought looked like corns on the heel of her foot. They are hardened raised bumps and in the middle of them they had what looked like a clear hole under the skin. we bought corn pads and they opened up but have not gone away. They now look like callused blisters with a hole in them. they hurt when pressure is applied to them. I have also been giving her warm salt soaks and tried to buff them away with a pumus stone but this stone irritates her. Looking at her foot today she has a flat spot that looks like the other spots on her foot without the extra blistered callus. I was wondering if it could be a fungus and if foot spray would work or irritate them even more. | Hello,This is Dr. Klarida Papaqako answering your question.I have read carefully your query.If I was your daughter's caring doctor, I would recommend:-- first to deal with underlying cause of abnormal pressure. shoes should not cause friction or pressure, use donut pad (after adequate shaving) if necessary, crest pad if reducible deformity.-- paring/shaving of corn and removal of central plug-- weekly abrasion with pumice stone, after soaking if necessaryMedications that can be used after the previous measures or at the same time are dilute keratolytic agents (for example, salicylic acid 10-15%) applied carefully may be helpful, but concentrated solutions (for example, salicylic acid 40%) may cause chemical burns.Hope this helps,Regards. | |
What causes swelling in the elbow?
I was recently putting up a trampoline with enclosure. While threading the poles throught the top of the enclosure, I pushed the pole and it seemed to be stuck. I continued trying to push it through which eventually caused pain to the inside of my elbow just above the crease. This was about 1 week ago. No there is a bit of swelling to the area. What could be the problem? | Hi, You seem to have used considerable force in trying to push the pole. This has caused the over contraction of the muscles of the forearm resulting in injury to the ligaments and tendon which is attached to the bone on the inside of the elbow just above the crease. This needs to be iced and a compression bandage to be applied. With time and rest the problem will be solved. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr George Verghese, Orthopaedic Surgeon | |
Can oralcon contraceptive be used as emergency contraception?
i am 24 years old with a 5years son, i am currently on paragard IUC for three months so i want to know if i can use a morning after pill if something goes wrong during sex. i also want to know if oralcon contraceptive can be used as emergency contraception and how. thank you | Hi,Paragard is a very effective contraceptive method. It is more than 99% effective in preventing pregnancy. Therefore there is no need to use morning after pill after sex. I could not figure out why you thought of using morning after pill while you are already on a very effective method of contraception.Oralcon contraceptive can be used as emergency contraception. You need to take 4 tablers of Oralcon at the earliest after unprotected sex and 4 tablets again after 12 hours. I have written this just for your knowledge.I hope I have answered to your satisfaction. | |
Is it possible to be pregnant inspite of getting periods?
This guy and i had sex 3 times last month all unprotected. Im not on any kind of birth control or anything. We had sex on Jan.4th, 26th, and 27th. I got my period on the 27th but it was alot lighter than usual and it was on and off. Well after my period was through i started getting early pregnancy symptoms for ex. more discharge, head aches, im always tired, and my boobs are more sore than usual. This month i got my period 1 week and 3 days earlier than it should have come.i still have the pregnancy symptoms, but my period this month started as a few spottings for a couple of days then on the 3nd day it started bleeding like a regular period. I was just wondering if i could still possibly be pregnant? I can t get a pregnancy test until this guy comes back and thats in a couple of weeks so i was just wondering if im imagining the symptoms or it sounds like im pregnant or having a miscarriedge. | yes , that can happen. but to make sure pregnancy is doing well, get serum HCG level and pelvic sonogram done . | |
What causes pain in right abdomen and traces of blood in urine?
my husband has an unexplained pain on the right side of his abdomen above the hip bone. He just had hernia surgery 2 weeks ago and we thought that was the cause of the pain but apparently not. He claims that a few sips of beer really helps with the pain. He also had traces of blood in his urine and will be having a CT scan tomorrow. Any thoughts? | Hello, Most probably it is due to renal or ureteric stones which are causing minor mucosal abrasions and lead to symptoms. A CT scan can provide a better clinical picture. If there is stone better to consult a urologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Q. Does the amount of blood sample affect the test result?
Hi doctor, I recently took the Alere Determine HIV-1/2 Ag/Ab rapid test. The counselor used two drops of buffer. The test brochure said to use only one drop. I would like to know whether the test is still valid or not. | Hi. Yes, the test is valid. There is nothing to worry about. | |
How to get pregnant with irregular periods?
Hello doctor. I got married ten months back. I have been trying to conceive but not yet. I took all the tests and came back normal. My period is irregular. This time my doctor given me duphaston to get my period. Im really afraid. Can you please help me. | HIWell come to HCMI really appreciate your concern, look pregnancy is more natural phenomenon than physiological one, it depends upon some compatibilities, like presence of ovum and sperm at the time of coitus, it is just 10 months gone since you married, some time this may take more time even more than enough, be patience, and keep trying, you would be definitely going to be pregnant, take care and good luck. | |
Is pregnancy possible through protected intercourse?
My husband and I had protected sex on and before sex the condom was put on the other way around so we removed it n put it on properly and then had sex. My last period was on September 12th. It s 18 th October n I haven t got it yet. Can I take regesterone to get my periods? If so what is the dose? And also are there chances of me being pregnant? | HI, I understand your concern. If the condom was used properly & it did not break during sex.. you would not have conceived,.The delay in periods may bew incidental due to some other cause. It's already 6 days past your last menses, why not wait for 2 more days, get urine pregnancy test done , exclude pregnancy & start taking Tab. Regestrone ( one pill twelve hourly ( twice a day ) for 3 days .. & wait for period for 8-10 days after withdrawal of Regestrone? It will be more ideal/ safe way to take the pills for inducing bleeding . thanks. | |
Have intrahepatic cholestasis. High bilirubin, AST/ALT and alkaline phosphatase. Reason?
I have an cronic ilness which is called intrahepatic cholestasis . I had this ilness 6 times in last 8 years. Everytimes when i got sick, it lasted about 3 months to get better. I become yellow because of high billirubines. My AST/ ALT and alkaline phosphatase are elevated to levels that are not normal. And i had itchiness which wasunbearable and kept me awake for 3 months everytime. But after 3 months (without using any medicines) i felt better and all the AST/ALT A.P and Billirubine levels became normal. M.Ds said that it happened because of an allergic reaction to a medicine called Klasid. But they cant say why it happened 5 more times. Because i am not taking medicines anymore. Do you have any ideas for that? | Dear friend, welcome to HCM, cholestatic jaundice can be a side effect of many drugs. if recurrent without exposure to any drugs, may have different causes. needs an ultrasound/ CT scan, a gastroenterology opinion. pl. post results of tests done previously. take care and pl. keep me posted on the progress. | |
What causes cramps in glutis maximus?
For the past 4 days I have been awakened with an extreme cramp in my glutis Maximus . I also have been experiencing pain in my upper arm fornabout a month or two. Are these pains related? They both subside with moving around, but the pain in my GM lasts for a agonizing 10 minutes or so. | Hello, The symptoms seem to be related to a muscle cramp. I suggest using a spasmolytic such as Baclofen three times a day. I also suggest using magnesium supplement twice a day. Warm compresses can also be helpful in relieving the cramps. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
What causes wound like problem on upper skon of penis?
For a suitable rply i m sending dis mail to you, I m from Delhi (East). Its about the problm of som wound aprrear on pennis under the upper skin, i m 26 yrs old marriede guy. Now we r getting dis thing to whom we need consult. what kind of problm it is. If u can help in dis metter plz inform as soon as posible. | HelloThanks for query .You have not mentioned about any sexual history in your query whether you had unprotected sex preceding developing a wound on under surface of foreskin .The wound on under surface of Foreskin strongly suggests infection of the foreskin (Posthatitis).You need to take broad spectrum antibiotic like Cefotaxime along with anti inflammatory drug like Diclofenac twice daily along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Get your wife examined by qualified Gynecologist to rule out vaginal infection and take necessary treatment if required .Dr.Patil. | |
Is pregnancy possible by having sex during periods?
So I haven t found very much information on the subject, but from what I understand the situation I m about to explain is basically impossible. A week ago my boyfriend and I had sex and we didn t use a condom, he pulled out but I know the precum is often just as fertile as ejaculate. I was also on my period, but I ovulate the day after my period. I want to know what the chances are of me being pregnant. I m trying to decide whether or not I need to bring this issue to his attention and whether or not I need to worry. I m already feeling incredibly nauseous, though I have only thrown up once so far. I am also experiencing breast tenderness and fatigue. I know these are all three symptoms of pregnancy so I figured I should ask someone instead of just doing the generic web search. Thank you | Hello, and I hope I can help you today.Even though there is sperm present in pre-ejaculate, it is at a fraction of the amount that is present in the vagina after ejaculation. Therefore withdrawal does work as a contraceptive about 75 to 80% of the time. However, there is definitely a possibility of pregnancy if you had sex around your ovulation time, which if in your case occurs during your menstrual period.However, it takes a few weeks after conception for fertilized embryo to produce any level of hormone that would be high enough to produce pregnancy symptoms. Pregnancy symptoms vary greatly between women, and many of the symptoms we commonly associate with pregnancy like nausea, bloating, breast tenderness, spotting, or mood changes can take place with PMS or other hormone irregularities as well as pregnancy. The stress of worrying about getting pregnant can also make women more acutely aware of the hormonal symptoms. Modern pregnancy tests are extremely accurate and will become positive within 10 days to two weeks after conception, so if enough time has gone by, I would recommend you perform a urine pregnancy test with your first morning sample according to the package directions.In the meantime, to summarize, no one can diagnose pregnancy based on physical symptoms. There is a possibility of pregnancy when you use withdrawal for contraception, however it is effective about 80% of the time. The most common sign of pregnancy is missing your period, so until that happens, I would try to avoid worrying too much.I wish you the best of luck in your situation.Best wishes,Dr. Brown | |
Is it normal to have 20% rate of sperm count?
hi sir. gud morning im male 29 years married in September 2013... we hardly trying fr childers... in april month i went hospital done sperm analysis test result shows 20% motality , in auguest it increases 42%.... nw currently taking lineator capasules frm 25 days... im not alcohalic, non smoker ... im energetic healthy body..... please give me a better suggestion to product childers....... pls answer naresh.hyderanad | hello naresh,thonks a lot for your query on HCM,it is very less a value of motality than normal for the sperms.usually more than 90% is considered as normal.nice to see you already being taking tablets for your condition,do continue taking it as advised by your physicianthings will definately improve.but it will not be a drastic process, it will be a gradual process taking time.do be patient.things will improve slowly | |
Suggest remedy for SMA type III
Dear sir, My son Ritesh has affected by SMA type III from his age of 8 months. Now he is 4 years 2 months old. We started his treatment in India when he was 1years 8 months. But we didn’t get any better response of his health. So I want to know how can I get your treatment in India?Thanking you Sanjib Bhattacharjee Ritesh’s father 7 no Goala para lane, Belghoria,Kolkata- 700 056 Mobile: +91-0000 | Hi, welcome to HCM. Can understand your concerns. It's really unfortunate that your son has spinal muscular atrophy. At present, there is no definite treatment of spinal muscular atrophy in medical science. We have to take care of respiratory distress and pneumonia in child because as the child grows the muscles of respiratory system becomes weak and lead to pneumonia. Physiotherapy should be done to increase muscle strength. Take care. | |
How can severe cough be treated?
I have been sick for a week tomorrow? It stated with a cough, sore throat. I first took Coricidm DM( have High blood pressure) also had body aches. Also I low grade fever. After 2 days switched to ucinex DM and Brethe right strips. the fever broke two nights ago. No more fever or body aches...very weak and the cough nearly chokes me..I can’t get any mucus up......dPS I returned from. Caribbean 14day cruise April15 and was I’ll on April 17 | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * As the intensity of cough is more, I suspect underlying lower respiratory tract infection after cruise journey. * In our clinic, I recommend oral or intravenous antibiotic, decongestants with supportive care to cure at earliest. Hope I have answered your query. Let me know if I can assist you further. | |
What causes pain in stomach and shoulder?
Hi. I have been having pain in my stomach and sholder. I have been to the doctors and had 2 MRI scans. 2 CT Scans, 2 Ultra Sounds but they havent been able to find whats causing the problem. I have been to the hospital as the pain to get so bad. They have found a cysts on my splene, kidney and in my left lung but they dont know what the cause is or if its what is causing my pain | Hi.Thanks for your elucidate history. It appears that the cysts at multiple organs can cause such a pain. The pain comes only when the pressure within the cysts rise. This can be a part of the disease called polycystic disease. Unfortunately there is no definite treatment by medicines, you may have to go for surgery if any of them become symptomatic and are suspected to be the cause of the pain. | |
Suggest cure for an itchy skin rash
A itchy rash on the lower leg from the akle to top of the knee it began like two fly bites and began to spread in one big patch on the inside of both legs and little spots all over the leg all on the lower leg. could it be an allergy to gabapentin 400mg x8 a day for nerve pains.Insulin 90-Lantus and apidra. when i go to bed it gets very itchy my legs burn and feels like the skin is hot. My doctor gave me cephalex 500mg every 6 hrs,benadryl and fucidin cream,two weeks and the rash is getting worse | Hi, It seems that most probably you may be having contact allergic dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. As you are diabetic, oral steroid should be avoided. You may take antihistaminics like cetirizine. If there is infection, you may continue antibiotic which your doctor has prescribed. Apply combined cream of steroid and antibiotic. Avoid contact with soap, wool, dust particles, grass, pollen, detergents etc. Avoid stress, worries and tension. Take proper treatment to control blood sugar. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist | |
What are the symptoms and treatment for lung cancer?
hi i am a 52 y/o f i had squamous cell carcinoma in 2005 of head and neck with unknown origin.had radiation treatments and radical neck dissection.i had a ct scan and now shows ill defined mass like infiltrates within the bilateral central lungs right greater than left. does this mean i have lung cancer .i am scheduled for a pet scan on the 16 june | It could be metastatic lung cancer in view of previous history of cancer. You could have cough, blood in sputum, weight loss like symptoms. Good that youe are scheduled for PET CT soon. It will make things clearer. | |
Suggest treatment for numbness in the face and dizziness
Hi I have been seeing a neurologist for about two months, for numbness in feet, face, mouth, restless leg, dizziness, did a vng and have 44% vestibular deficit in left side. I have been going through rehabilitation for the balance issue. The balance issue is worse, the numbness is worse in face since before seeing the neurologist. Blood work came back low ferritin and vit d levels. While looking over some other medical documents I have back in 2010 I went to an orthopedic doctor and they reported my x-rays of C-spine demonstrated anterior osteophytic changes. I clean houses for a living and I wondered if since 5 years could this situation had caused the problems I have now. Could this be affecting the blood flow and nerves in my neck and head. I forgot to mention the Physical therapist noticed while trying to work with me on the vestibular issues that I have a limited range of motion in my neck and the neck tends to want to pull back to the front when I try to turn it sideways, it also has a tremor when it does this. Hope this is enough information. | hi,thanks for providing the brief history of you.since you have symptoms like balance issues, pain, numbness, restless etc we need to focus here on two aspects.one is the brain and the second is the spinal column.brain works on its own and the input of medicine is symptomatic to get help for the symptoms. also the MRI of the brain and spine will play a key role to your diagnosis and help for further.medicinal part will be played by consulting a specialist and then the non invasive was of dealing is the physical therapy.you can always meet a physcial therapist who will assess and guide the next course of plan by using TENS and exercises.why exercise again is to help boost the metabolism and come closer to the requirements of the tissue. it will even help for balance disorders, pain, spondylosis etc.with the grace of God is wish you a speedy recovery | |
Broken tailbone, ingrown hair, bruised, unable to move much. What is going on?
about 16-17 years ago I fell and broke my tailbone at work. I have also had what amounted to an "ingrown-hair"? on my tailbone back in 1980, ANYWAY... for the past several weeks (6-8 maybe) I have been having a very,very bruised feeling in my tailbone area. At times I have difficulty getting up from a sitting position and also have trouble sitting down and after sitting down for a short while I seem to have to 'shift around' alot to get comfortable, My husband has noticed in times past that the area around my tailbone actually has a bruised look to it. It is becoming a difficult issue to just deal with, I guess I need to know what the posible issue could be and what type doctor would I go to? | Hello! Thank you for the query. From your description is sounds more like ingrown hair what is called pilonidal cyst. This condition likes to recur. It is caused by irritation of the tissues due to this ingrown hair what leads to the inflammation. Such inflammation causes pus accumulation and gives much pain in this area. It is necessary to visit general surgeon and have it incised in local anesthesia. The pus needs to be drained. When the acute inflammation will go away, surgical removal of this cyst should permanently solve the problem. Hope this will help. Regards. | |
Q. Can high BP with migraine cause stroke?
Hello doctor, I am 42 years old, single parent with two kids aged 15 and 10. The last 19 years, I have had several stress related (in my view) ailments. History: Erratic bowel syndrome 19 years back, corrected now. Polycystic ovaries, corrected now (was on Metformin for one year.). Severe migraines twice a week that lasted 2-3 days. Corrected now. Hyperthyroidism which got over-corrected to hypothyroidism and therefore medication was stopped (was on Eltroxin 0.25 mcg). I was diagnosed with BP issues and chest pain 7 years back. I was on Lonzaep for anxiety and Prothiaden 50 mg a day. ATEN 25 mg for BP. Had a D&C for continuous periods- Biopsy was clear. ATEN was stopped and Nebistar 5 mg once a day was initiated by my cardiologist along with 20 mg Telmisartan. I was also diagnosed with arterial stiffness (Persiscope Cardiovascular Analysis report enclosed). I experienced alopecia and lost almost all my hair. I got it back after treatment. The Cardiologist increased Telma to twice daily (20 mg) along with Nebistar 5 mg, recently. My concerns and questions: 1) The BP continues to fluctuate going as high as 170/110 and then dropping very suddenly to very low. BP rises typically in the evenings, while it is very low at night (I understand that this is the case naturally). While I understand the concept of BP fluctuating all day, and looking at the average, I am worried that when it is very low, I am probably aggravating the situation by taking a medicine to low it further. ABP reports taken all these years are enclosed. 2) When the BP is high (mostly) I have chest discomfort and pain in the chest for 3-4 days and then subsides on its own. I am concerned that my arteries are inflamed. Please see reports on High Sensitivity C Reactive protein. 3) When I had continuous migraine and chest pain I went in for a coronary angio and a brain MRI- reports enclosed (Acute ischemic foci- Is there a correlation)? 4) My cardiologist was concerned about my echo tests and the BP shooting up very quickly during the stress test. Can you explain what the test implies and the connection between the inflammation and these tests results? 5) My stress levels overall are definitely better, I am consulting a Psychotherapist for the last 3 years, practising yoga, however the BP seems to have shot up again the last few weeks. Is it because of the extreme winters? I am undergoing a stressful situation at the moment. 6) On the whole, I would like | Hello. I would largely comment from cardiac point of view. So overall, other than BP, your cardiac status is normal. Your heart function is normal and no RWMA, your blood vessels were clean on CT coronary angiography (attachment removed to protect patient identity). So, I do not think there is anything to worry from cardiac perspective. Regarding chest pain, if BP is elevated then it can cause some strain over the heart and cause chest pain. But it would be limited to time during which BP is elevated. Now considering that you did not have any chest pain during stress test and BP was elevated during stress test, pain is probably unrelated to BP or heart. If you are having any ventricular ectopics or extra beats then it can cause some dull ache in chest. Now other aspect is BP. You have tendency for BP elevation due to your genetic make up which is part of PCOS, etc. How much do you weigh? Also, your psychological issues tend to worsen BP. BP may rise during exercising and considering your high BP tendency, it may excessively rise during exercising. Other factors which can worsen BP is stress, high salt intake like pickles, NSAIDS like Brufen or other pain killers, migraine medicines or even any pain can worsen BP. So, avoid pain killers other than Paracetamol or Tramadol, plenty of fruits, have low salt diet, regular exercises, try to keep weight under control. If BP elevates then you may have an additional dose of Telmisartan. Maximum you may up-to 80 mg in a day. Also, while taking BP readings, you should keep your arm relaxed, take 2-3 readings at a time and take BP after rest of 5-10 min. If BP is rising persistently in the evening then additional dose of Telmisartan may be added in the afternoon 2 hours before the expected BP rise. Your average in last abpm was fine and occasional high readings are not worrisome. Regarding inflammation, best way to settle inflammation is healthy lifestyle like avoiding fatty oily and high calorie diet. Having regular exercises like brisk walking or running according to capacity. Also, you should get your lipid profile done and statins like Rosuvastatin prescribed to settle this inflammation. Dinner should be light. Now, regarding your stroke risk, it is better to get a neurologist opinion. The changes may be related to inadequate BP in the past, but you should also obtain carotid artery Doppler for source of emboli. Also, transesophageal echo should be obtained to rule out possibility of patent formanen ovale as a sour | |
Q. l got a sore hard lump after the removal of wisdom tooth. Is it normal?
Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. | Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> | |
What causes fluctuation in blood pressure?
i am 7 months pregnant and just found out that i have a blood pressuare ranging from 162/92 and if its low it is 154/70 so i was wondering if this is caused by food or stress level i have and if its food is it healthy for me to eat maggi 2 minutes noodles | Hello!Welcome and thank you for asking on HCM!Regarding your concern I would explain that these values of blood pressure are really concerning for possible preeclampsia which is a serious situation during pregnancy. It is very important to consult with your attending physician for a careful physical examination, a resting ECG, an urine analysis (albuminuria) and some blood lab tests (complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, plasma total proteine). You need to start therapy and treat the possible triggering factors (like urinary infection and diabetes). An ultrasound to examine the fetus is necessary, as this disorder is harmful for the baby and the mother. Hope to have been helpful!Best wishes!Dr. Iliri | |
What causes painful rash near penis?
hi i have a rash on my groin, spreading onto my testicles and penis. i feel as though i have prickles in my testicles and its extremely sore and irritating. i sometimes get heat rash as i wear 4 layers of clothing for work, but this is different and far more raised and lumpy. what could it be? | Hello. Thanks for writing to us at healthcaremagicIt is extremely difficult to be absolutely sure about it without having had the opportunity to examine.I will have to keep a few possibilities: It could either be a fungal infection or it could be intertrigo (which is inflammation of the body folds). Sweat and occlusive clothing predisposing to both of these conditions.If it is bilateral, it is more likely to be one of these.A unilateral rash such as this, goes more in favor of Herpes Zoster, specially if it is sore and painful. Herpes Zoster later on forms fluid filled lesions and is characteristically located on one side of the body.Visual inspection would be the best way to determine the true nature of the rash and I would suggest that you visit a doctor for the needful.Regards | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
What causes pain in the butt cheek?
hi Friday night i played ball, and when i ran to first base my left buttock cheek hurt like i was going to be sick and could hardly get back to the bench the pain was so Bad. It felt like i pulled a muscle in my buttock and shot down the back and inside of my leg. I have been icing and tylenol and advil when i can. got any ideas how i can get better next week for ball. | Hello, As the pain was radiating in nature this is a clear indication of the nerve entrapment. Taking up an MRI of the lumbar spine to see the soft tissue anatomy is important. With an exercise like core stability, spinal muscle strengthening, hip muscle strengthening, and lower limb strengthening are advised to avoid the symptoms to aggravate. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist |
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