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High BP, cholesterol, osteoporosis. MRI shows white matter disease. Treatment?
Hi Doctor XXXXXXX My wife who is 70 years of age,about 105 pounds in weight and five foot and two inches in height.She is on medication for high blood pressure, high cholesterol and oesteoporosis.She has mobility problem dawdling. An MRI scan shows some areas of "white matter disease". Waiting to see the consultant.Please tell me Is there any treatment for this illness? and what causes this illness.Many thanks. Srinivas | Hi,Thank you for posting your query.I have noted that your wife's MRI brain report has shown features of white matter disease.White matter disease in brain is usually due to reduced blood flow to the brain.In her case, it is most likely due to her high cholesterol and high blood pressure.Treatment consists of using blood thinners such as aspirin, and controlling the risk factors (high cholesterol and blood pressure in her case).There is no need to worry, as she would improve with proper treatment.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My blog: | |
Diagnosed pvt. How long a collateral vein help?
Hi doctor,my brother 32years old and diagnosed pvt ..They told he has some collateral vein around liver and it can survive him..now he is using anticoagulant..I want to learn how long does collateral vein go on?also portal vein didn't open even a little..whole my family so wory about this situation..can u please aware me ASAP | HiPortal vein thrombosis(PVT) is a common clinical condition affecting portal vein.It is caused by Cirrhosis,pancreatitis,diverticulitis etc.Anticoagulant should be used to dissolve the clot.No one can predict the collateral vein duration.Portal vein clot sometimes take longer time to get dissolved.Please consult a senior Gastroenterologist and proceed.Wish him speedy recoveryRegards | |
What is the treatment for a tooth ache?
hi, my left bottom wisdom tooth is causing me a lot of trouble, the gum is half covering it and is not pussing and bleeding, i am in a lot of discomfort and i am now unable to go to work because of this, i need treatment asap, my local hospital has a minors unit, would you reccomend i visit there | Hello, thank you for consulting with healthcaremagic. The type of condition you are mentioning, it looks that you are having pericoronitis, in this when there is not much space is present in the mouth, the wisdom tooth cause pain and swelling while erupting. You should visit a good dentist as he will start with antibiotics and painkillers, and if needed surgical exposure of the tooth. Hope it will help you. | |
Suggest treatment erectile dysfuction
hi; I am 40 year old , just married 3 months before I could not have sex with my wife due to my penis stiffness not enough to penetrate and also my penis loosing temper, hence i could not have sex with my wife. . please help us to rectify this issue. Let me know what spray will use for long penetration? | The sprays are not actually very good but sidafinil (viagra) works about 90% of the time. ALso, evaluation for other medical problems taht can cause circulation issues (hypertension, diabetes, heart lung or kidney disease) would all be a good idea. | |
Suggest remedy for getting pregnant
hi dr...i'm 26 yrs old..trying to conceive for past 3 months...yesterday went to hosp for pain in right lower abdomen....taken scan...my right and left ovary are normal...in bilateral ovaries multiple follicle are seen....my last period is feb 11...normally 30-35 days...pregnancy test is -ve...will i able to conceive??? pls help me...for the pain dr gave me hyoscine tab...any problem to me... | Hi, Thanks for the query . I understand your concern. Ovulation is essential for pregnancy & so is good semen analysis value. Bilateral multiple follicles/ & pain in your right lower abdomen ... in your case suggest ovulation problem.The possible condition is PCOD .. where though menses are regular/ irregular .. there is no ovulation due to certain hormonal problem, Before you plan for a baby,t your husband's semen analysis done & you should get ovulation study done & if that supports PCOD consult a gynecologist for specific treatment. There are multiple treatment s for it ranging from pills/ injectables/ surgery as per need.& Though the treatment needs patience.. you will be fine with either of them & then you would conceive too.Please don't be tense. Thanks. | |
What is the treatment for productive cough?
I had bronchitis back in the summer, 6 months ago, and continue to be extremely tired and unable to exercise without starting to cough again. I take a 1-2 hour nap after work every day and can still go to bed by 9 or 10 and get 8 more hours of sleep. Sometimes I cough up "strings" of mucus (literally- rubbery strings and nothing else), but otherwise coughs are unproductive. should I have concerns? xray in september showed no masses or lesions. | If you have history of asthma , then you need to consult your doctor as it may have exacerbated or you might have acquired some fungal infection from the history above. | |
What are the risks of high jaundice levels?
Have a teen that has taken blood test yesterday. The doctor called today and said his blood test came back abnormal with higher than normal jaundice levels. The doctor also wants to put in an emergency referral to a gastenterologist and I want to know how concerned should I be? How severe is jaundice and can it cause death | hi.thanks for posting query.jaundice is usually observed when liver is not functioning properly or red blood cell is being destroyed abnormally or a gall bladder pathology.most of the causes are treatable.HAV, HBV, HCV, ( viral hepatitis infection), hemolytic anemia , gall stones all are causes of jaundice.the cause should be investigated properly and managed accordingly.wish the patient good and sound healthregardsDr Tayyab Malik | |
Does yellow color under the bottom eyelid be a symptom off jaundice?
I m Not tired though. I ve suffered obstructive jaundice before and was hospitalised but left before being treated to be back with my children. I was hospitalised two years ago. The situation now is I feel tired, weak, my eyes keep closing and and Ivan see the yellowish colour under my bottom eyelid. Is it the jaundice returning back after two years? Or could it be the marina coil making me feel tired with sleepy eyes. I had the coil fitted last year 2013 in June. | HIThank for asking to HCMI really appreciate your concern, if you do not have any other symptoms and just the yellow sclera then this may not be jaundice or anything else, low hemoglobin may also gives such yellow sclera, if you have some doubt then the best way to get the test done for this, to clear the doubt to depend upon single nonspecific sign is not advisable, hope this information helps you have nice day. | |
Is there any surgery for correcting finger joint deformity?
I have had several dislocations of the proximal joint of my right pinky finger from sports injuries years ago. The finger contnues to deviate in the direction of the dislocation and now it is difficult to type accurately and the deformity is ugly. I am a vital 73 year old. Is there a surgical technique appropriate at this late date that might correct the problem for me? | Hello, You can opt for surgical procedures like osteotomies for correcting the deformed finger. Consult an orthopedic and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
What are the side effects of atenolol 50 mg?
I had high bloodpressure before I was pregnant with my son. While I was pregnant my bloodpressure Normalised without medication now suddenly after 5 years my bloodpressure is high again. Could Hormones play a role in my bloodpressure? I currently use Use adalat 90 XL and atenolol 50 mg and althoug my bloodpressure has stabilized I still suffer from Anxiety attacks at night | Hi,Based on the history you have had pregnancy induced hypertension. The exact cause of this condition is not known however it may lead onto chronic hypertension later in life.Atenolol is a heart-selective beta receptor blocker commonly used in the treatment of hypertension. Its common side effects include low blood pressure, decreased heart beats, cold and clammy skin, fatigue and sleep disturbances.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
What is causing the stinging sensation and soreness of my stomach?
I am 5 weeks post-op from a tummy tuck with an umbilical hernia and muscle repair. Within the past week I have had burning/stinging sensations as well as all over soreness along the internal suture line and throughout my abdomen. I am wondering if this is a normal part of healing, or if I have somehow compromised my muscle repair. Thank you. | Hi ! Good morning. I am Dr Shareef , a general surgeon answering your query.As it is already 5 weeks post operative, I would advise you to take appointment with your surgeon, and get it reviewed once although it could be a normal result of wound healing leading to wound contraction. Till then, you could go for an anti inflammatory drug along with a proton pump inhibitor.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | |
Is lutera causing cramps in my legs?
started lutera 3 months now have all the possible side effects , tired , vomitting , fatigue , hot flashes , weak , but the worst is pain and cramps in legs i cant walk even for 10 min at one time shold i stop lutera now ? can i just stop takeing it anytime/ | Hi,Yes, you can stop taking the drug since there are severe side effects.You can consult with your gynaecologist and switch to another pill immediately after stopping the previous drug.But it is highly essential to use another backup method of contraception for the first seven days until the new drug becomes effective.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician | |
What causes pain in lower lip after eating an orange?
Could I be allergic to Oranges? After two bits of an orange I felt a pain inside the bottom of my lower lip. When I looked at it, there was a purple bump. However as fast as it swelled up, it went down after drinking some water. Yet it still hurts and it now looks like I have a bruise.a | Hello.Thank you for asking at HCM.I went through your history. I would like to ask a few more question like - Do you have any other allergies? Have you ever reacted to any other fresh fruits or vegetables in the similar way? However, from your given history, I would first think of "Oral Allergy Syndrome".I would suggest you to take montelukast and cetirizine for your symptoms.It's a type of local allergy to some proteins in fresh fruits.While eating orange, if orange peel touched your lips/mouth, I would suggest you to remove peels before eating orange. This may be safe.If orange peel did not touch your lips/mouth, I would suggest you to try orange juice. This may be also safe.Above steps will help you identify which part of orange is causing symptoms to you and you should avoid that particular part.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards. | |
Suggest treatment for soreness in shoulder blades
Hi My boyfriend s left shoulder blade ( just below it actually) is in a lot of pain, I tried massaging it thinking it was just a knot but when I do it only seems to aggravate it, it feels like a hard swollen muscle string if that makes any sense. today he says the pain feels like needles in that area (teres minor area if that helps) and that the pain is shooting up to his neck. What could this be ? also he is an electrician so he has his arms above his head most of the day which im sure does not help. is there any massages I could do that would help? or is this something only a chiro could take care of??? thank you in advance for your help. Elle | Hi, This pain is due to inflammation of the trapezius muscle and spasm of the inter scapular muscle. which has become weak over a period of continuous usage in an abnormal position. Use the hot water fermentation and do some gentle massage over the trapezius muscle and inter scapular region. This should help reduce pain. After 24-48 hours when pain starts getting subsided start exercising along with hot water fermentation and massage. This exercises should be continued for longer number of days as the job profile is demanding it such. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
What could be the pea sized lump on collar bone?
Hi I am 14 yrs old and I have a tiny pea size lump right on my college bone and it seems to grow a little bigger than I shrinks down I am kindof scared that it is cancer or something and I keep telling my parents that I want to get it checked ou but they have not taken me yet what should I do? | HiWelcome to hcmThis can be just a lipoma/fat lump or lymph node. All small lumps are not cancer. Only if it is rapidly increasing in size show it to a surgeon.Regards | |
I have an ovarian cyst & Its very painful. what can i do ?
I have an ovarian cyst . Its very painful. i have no insurance because im only part-time. what can i do? | Welcome to Healthcare Magic Good Day It may be painful for many reasons. One thing is if the cyst is bleeding inside or if the cyst is twisting the ovary. You may take pain killers now like T.Diclofenac 75mg after a meal, not more than 2 tablets a day. Drink enough water and eat fresh fruits and green leafy vegetables to prevent constipation. You must visit the ER for an Ultrasound abdomen. How are your periods. Are you getting heavy flow bleeding. | |
Can severe bronchiectasis lead to pulmonary fibrosis?
I am 78 and have had most of my life Bronchiectasis and had my lower left lung removed 40 years ago. Well in the last 3 years Bronchiectasis has been in my life. 2 years ago they found out I had Pseudomonas in my lungs and I was on Antibiotilc for at lease 9 months. At one time I was on two. I know find out that I have e-coli in my lungs. Over the years I have built up a resistent to more than 10 antibiotics. My doctor gave me medication twice for 7 days with no luck. The drug is Ertapenem. Three days after the dose, I am back to square one. I am presently taking Nebusal 7% sodium choride Solution. Any suggestions - how close is Bronch. to Idropathic Pulmonary Fibrosis | Thanks for your question on HCM.Bronchiectasis and idiopathic pulmonary fibrosis (IPF) both are different entity at all.Bronchiectasis affect larger airways. So it is an airway disease , no effect on interstitium. Airways become dilated and tortuous so that mucus plugs tend to stuck in these dilated airways and gives rise to chronic infection as you are having.IPF is affecting lung interstium. Interstium becomes thick and fibrosed and the function of gas exchage is hampered, so desaturation snd breathlessness on exertion are the main symptoms. So both are different entity. | |
Suggest treatment for blood infection
I found out over a week ago that I had a blood infection. I had a uti and they said that it caused the blood infection.. I am on vancocin 250mg 3x a day for 10 days.. I just went on the 9th of Sept. to get more blood work done.. But I am tired all the time.. Just want to sleep and I feel real sluggish all the time.. What do you think the problem is.. Thank you... Theresa C | Hello and welcome to HCM,Urinary tract infection (UTI) is accompanied by fever and other symptoms like lethargy, tiredness, weakness etc.I suggest you to complete the antibiotic regime as suggested by your doctor and take adequate rest.The constitutional symptoms will slowly clear away and thus recovery will occur.A repeat urine examination should be after completion of antibiotic regime.Thanks and take careDr Shailja Puri | |
How to treat swollen penis after having sex?
The other night i took two viagra pills whilst being on other recreational drugs, me and my boyfriend went at it for quite a few hours and today my penis has swollen to twice the size, will it go down or do you recommend any over the counter drugs i can take. | Thanks for asking in healthcaremagic forumIN Short: Please visit a doctor immediately, you may have injured your penisExplanation: It seems that you may have injured your penis with usage of recreational and viagra drugs. So, do not take self medication. Please visit a doctor so that he can examine you and treat properly. | |
Suggest treatment for back pain
I keep getting back pain for a couple years now. Lower and upper. I wake up in the middle of the night because my back hurts. Sometimes it hurts to breathe. When i stretch it, it feels good for the moment then it just hurts again. What could be wrong? or what should i do? | hellowelcome to hcmwell you are suffering from disc prolapse which is responsible for your long term pain and stiffness in the backif i were your treating doctor,i would have advised you to get a MRI OF SPINE to get to know how many discs are involved and the degree of prolapse,in the meantime i would have advised you the following treatment and instructions- (1) TABLET ETORICOXIB 60 mg two times a day after meals(2) TABLET TIZANIDINE 2 mg three times a day after meals(3) CAPSULE MEGANEURON 1500 mcg once deaily in the morning(4) HOT FOMENTATION for 15 minutes in the region of pain 2-3 times daily for 1 week(5) use a LUMBAR BELT throughout the day except during sleeping(6) use a HARD MATERESS/BED for sleeping(7) avoid standing for long hours/driving/bending down forward/lifting heavy objects(8) the most important modality to have long term relief from pain is STRENGTHENING YOUR BACK MUSCLES BY PHYSIOTHERAPY....any good physiotherapist can teach you the specific back/spinal exercises which you can then do at home regularly and include those exercises in your daily routine...remember,in the beginning you might feel lazy to do exercises but remember medicines can only provide short term relief and permanent relief can only be obtained by strengthening your back by exercising regularlytake care hcm. | |
What causes bright red feet and itchy ears in a child?
My 14 year old niece is suffering from bright red feet and ears that are burning and itchy. She was seen in an urgent care facility last night. They drew blood and prescribed prednisone. The doctor suspected juvenile arthritis or a vascular disorder. Any thoughts? | Hi... by what you got I feel that your neice might be having a sort of alergy called angioedema. I do not consider it rheumatoid arthritis as she is having itching over the red ears. More over she is having swollen red feet which could also be due to the same allergic manifestation or angioedema. I suggest you give her available over the counter anti allergic which are licenced in your country. But if she develops respiratory distress or stridor you need to rush her to the nearest Emergency Room.Regards - Dr. Sumanth | |
Is icsi helpful in asthenospermia ?
My husband is 33ys old. He is having moderate asthenospermia. 2% abnormality are shown for sperm head and neck 1% abnormality for tail. He is also having grade 1 vericocele in right side and grade2 in left side. I had two miscarriages at 20 weeks due to foetal defects. will icsi be helpful for us | HelloThanks for query . Your husbands semen analysis has revealed Asthenospermia .ICSI is advised in a situation when there is no effective pregnancy as a result of sperm abnormality either low count or less motility .Since you have conceived twice you do not need ICSI to have pregnancy.The miscarriage that you had twice could be due to hormonal imbalance and needs to be checked and evaluated by Gynecologist once you are pregnant and can be treated with medications to prevent miscarriage. Dr.Patil. | |
Q. Though my cramps and bowel movements become normal after GERD medicines, should I get gastroscopy?
Hi doctor, I have had severe tummy cramps, just under the ribs. For about a month some days I cannot keep any food or drink sown, but other days it is tolerable. I have not been doing much bowel movement and feel constipated, but when I do go it is still soft. At first, it was thought to be GERD, but the medication did not help and has lasted over a month now. My doctor has booked me for an endoscopy to check for gall stones or ulcers. I have not had any pain in the last few days and doing more of BM. Does this mean the gallstones have passed? Do I still need the gastroscopy done? I do not want to do any unnecessary tests. The pain has been pretty severe but at the moment it is not too bad. I am confused. I am currently taking Nortriptyline, Seroquel, Lamotrigine, and Metformin. | Hi. It seems you are suffering from acid peptic disease or acid reflux disease. This usually presents with pain in the upper part of abdomen. However, I would like to rule out any evidence of gall bladder stones that can cause pain. If you have any hunger pains, any fullness of stomach or gaseous distension of the abdomen after taking meals, you should go for: 1. Upper GI endoscopy to rule out peptic ulcers. 2. Ultrasound abdomen to rule out gall bladder stones. I would advise you to take a combination of Pantoprazole and Domperidone and to take antiflatulent and antacid syrup like Digene or Gelusil for symptomatic relief. Do not consume any alcohol, as even a small amount of alcohol can precipitate that. There is an infection called H.pylori infection which causes recurrent gastric and duodenal ulcers and such episodes of acidity. So, if during an endoscopy your doctor finds ulcers, he would take a biopsy and rapid urease test done for H.pylori infection and to get it treated. Share my opinion with your doctor before acting upon it. I hope this helps. | |
What could cause itching on scrotum, allergy and fungal infections ruled out?
i am 62 yrs old. married and had no sex with other women for more than 25 yrs.I had itching in my scrotum for 2 months now. the doctor allergologist gave oral and topical meds but to no avail. i had lab scraping of scrotum for fungal infection check but it was negative. there are no rashes either. what is the diagnosis? what should be the treatment doc? | Hi,Thanks for writing in.If you have itching in the scrotum and allergy and fungal infections have been ruled out then chronic skin conditions need to be evaluated. Some people have dryness of skin in elderly age and this can manifest as scaling and itching in the cold weather. It can be a hypersensitive dermatitis to any soap or clothing which has gone unnoticed. Any chronic bacterial infection in the area is also to be investigated.Please apply steroid containing ointments over the itching areas and watch for relief. It is important to consult a dermatologist and get clinically examined. Please keep your genitals dry and avoid wearing tight clothes to prevent sweat formation. Please do not worry. | |
Could shaking, weakness and difficulty in focusing be the symptoms of gall stones?
Hi I m Summer I m 26. I found out over a week ago I have gallstones so they are going to take it out on thursday(Thank God I am so over this pain) but yesterday i started getting shaky and felling very weak today I m having trouble focusing my eyes with out getting a head ache but if I dont try to focus the everything looks burry. Are these possible side effects | HelloNo,these are not the usual symptoms related to gall bladder calculus.Your symptoms may be due to anxiety and nervousness.You may need anti-anxiety medicines like alprazolam,clonazepam, etc.You should try to be calm and take rest.You are rightly advised for cholecystectomy(surgical removal of gall bladder).Get well soon.Take CareDr.Indu Bhushan | |
Suggest remedy for consistent hiccups
My dad has been diagnosed with bladder cancer. While in hospital waiting for his op to remove his bladder he got a urine infection and has had hiccups since them. Throughout his op. Now back in hospital again with urine infection he still has the hiccups. Is there any tablets he can take. | Hello! Thanks for putting your query in HCM. I am Dr.Amit Jain (DM, Gastroenterologist). I appreciate your concern regarding your father. There is tablet baclofen which I found very useful in my patients with hiccups. Also tablet metoclopramide. So You can give him one if not relieved then add another on also. I hope I have answered your query. If you have any further query I will be happy to answer that too. Wish him a good health | |
Is chest pain that radiates to arm a symptom of pulmonary TB?
Is chest pain that radiates to the arm is a symptom of pulmonary tuberculosis? My friend has been diagnosed with PTB and is having chest pain. She started her PTB medication on May 26, 2012 or a month ago but she still feels pain in the chest area. Is it normal. How long will the pain go? | Thanks for your question on Health Care Magic. I can understand your friend's situation and problem. Treatment of tuberculosis is long, for atleast 6-8 months. So recovery is also delayed. Usually recovery is expected after 2 months of regular treatment. Tuberculosis causes pleurisy (inflammation of pleura). And this causes chest pain and arm pain. She is on treatment since 1 month and so it is very early to see improvement. In my opinion, she should take treatment for 1 more month because usually 2 months are required for clinical and symptomatic improvement in tuberculosis. If after 2 months, she is still having pain than get done chest x ray and sputum report to rule out drug resistant tuberculosis. But at present, wait for 1 more month. Hope I have solved your query. Wishing her good health. Thanks. | |
Suggest tests to confirm primary complex
what is the confirmatory test for primary complex my son 3 years old xray showed primary complex cannot be ruled out and pnuemonitis both lower lungs...while my 4 year son xray showed only pneumonitis...but my pediatrician told me primiary complex as seen only the xray film...any help to comfirm the issue? | what is history? is history for long time like for weeks? is there there one who has tuberculosis he was been in contact? is MT test has been done? | |
What causes limes disease?
Uhm well i was wondering if i have limes disease. I am 14. aND my mum was bitten by two tics and showed symptoms such as ; drowsiness, headaches, fatigue. I soon after started feeling really tired and got bad back pains. Could i possibly have it? because i have gotten a blood test but results have been lost. | Hi XXXX Thanks for your query at HCM! I am Dr. Sheetal Verma an Infectious Disease Specialist answering to your query! I went through your query and understand your concern. B. burgdorferi, the causative agent of Lyme disease, is a fastidious microaerophilic bacterium. It is s transmitted by ticks of the Ixodes ricinus complex.PCR is greatly superior to culture. Hope I have answered your question. If you would like some more information I will be happy to provide. It would be kind if you hit a thanks if found helpful. You can also write a review for me. Wish you good health Take care! Wish you best of Health. Dr. Sheetal Verma Infectious Disease Specialist | |
What causes stiffness and pain in the finger?
My pointer finger on my left hand stiffens into a trigger position with severe pain. I rub it and try to relax it. It takes several minutes to stop freezing up and will usually cramp back up again within a few minutes. Any ideas on what s causing this? | Hi, It might be an early sign of arthritis. We have to rule out other causes like sprain and contusion also. As of now apply warm compresses and take analgesics like Acetaminophen or Tramadol for pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Q. Does viral infection cause swelling and discomfort in testicle and sperm canal?
Hi doctor, I am a 60-year-old male. I have swelling and discomfort in the testicle and sperm canal. I have wandering aches and pain around the groin area including buttocks and inner thigh. I am having these symptoms for the past four to five months. I am not taking medications. I have tried Neurontin with a low dose of 100 mg taken twice daily for two weeks. But I stopped it because of its side effects, and it does not relieve my symptoms. I had shaking episodes of anxiety and worried that I might have contracted herpes 2. I have tested for all the common STDs which showed a negative result except herpes simplex showing a positive outcome. I am also experiencing impotence. I had undergone a hernia operation with a net before 11 years. Also, I had undergone a small hernia surgery on my right side which is not very visible. I do a lot of swimming about 10 kilometers per week. I have overstrained myself. I had a sexual encounter with someone whom I do not know a lot. I have wandering pain around my lower abdomen and groin. Often it is hard to distinguish where the pain gets originated. Sometimes, it involves both upper and inner thigh in the vicinity of the testes sack. I have tenderness and minor swelling in my testis and epididymis. I have difficulty in erection. | Hi. I understand all your concerns. I have checked the provided information thoroughly. I need to know more details. Do you have any redness, swelling or ulcers in the genital or groin area? Have you performed urinalysis? Please send me some photos if possible. | |
What causes white spots on tongue?
I recently saw an oral surgeon because i have what appears to be white spots on my tongue. he said that it looked like keritosis. he also said that it could be from when I previously smoked cigarettes for 30 years. he recommended I see an ENT for further evaluation. He did not do a biopsy because he said the white spots were all over the tongue and to do a biopsy in just one area would not be helpful. I have had this problem for about 4 or 5 years that I can remember. | Hello, Thanks for consulting HCMRead your query, as you have white spot on togue it can be due to fungal infection commonly known as Oral thrush or it can be due to your smoking habit induced lesion like leukoplakia , lichen planus , or depapilation of papillae , geographic tongue , frictional keratosis due to sharp cusp of teeth . Dont be worried so much I will suggest you to consult good oral surgeon and go for visual examination of tongue to rule out the cause of infection or lesion . In meantime do warm saline rinses , maintain proper oral hygiene , use tongue scraper to clean your tongue , use chlorhexidine mouthwash. Hope this will help you. | |
Q. I have loss of appetite and dry lips after taking Adilip 135. Why?
Hello doctor. I am 35 years old. My triglycerides are 628. I am taking Adilip 135. But since I have started taking the medicine I have lost my appetite i.e, I do not wish to eat anything and I am feeling heavy stomach always. Simultaneously, I am having extremely dried lips round the clock. I have started using Olive oil in my food. I take one glass of milk (dairy non-creamy) daily. My diet is three chapatis in the morning, five chapatis in the noon, one bowl of roasted chooda in the evening, three to four chapatis at night and I glass of milk. I take approximately 1.5-2 liters of water in a day. Kindly suggest me why I am having dry lips and loss of appetite? Do I need to change my diet? | Hello. I have thoroughly gone through your case and can well understand your genuine concerns. What about the family history of high cholesterol in your family? Is there family history of diabetes in your family? Is there heart disease history in family? Anybody in your family have diabetes? Are you a diabetic? If not ever got screened for diabetes? Do you have hypertension? If not, have you ever screened for it? Any other medications you are taking for any reason? The symptoms you have may be due to: Side effects of the Fenofibrate you are taking for hypertriglyceridemia. Diabetes also leads to the issues you have. Fasting lipid profile. Fasting blood sugar levels. (Do not just tell me the triglyceride levels. Make a picture of the reports, and please upload them in a follow up query along with the aforementioned asked details in the history). Your best treatment is lifestyle modification. Add exercise in your routine life. Jogging for 10,000 steps at a healthy pace daily will lead to a fair decrease in your triglycerides levels. Olive oil is also good. Canola oil is also a good option for cooking. But try to cook in non stick utensils without using more than a few drops of oil. No meats, fried food, fast and junk foods, beverages, alcohol, and cigarettes. No added salts and sugars. No spices and caffeinated drinks for you. Avoid cheese, yogurt, ketchup, etc. You need to change the diet. One chapati for breakfast and one for lunch, half chapati at dinner. You are taking extra diet. Our diet makes cholesterol. Not only fatty and oily meals lead to the production of cholesterol, but also the sugars, carbohydrates, and proteins (amino acids) also lead to the manufacture of de novo cholesterol through a metabolic process called metabolic cross-talk. Take salads, vegetables, and fruits. Fish is better for protein intake. | |
What causes lack of interest in life?
My name is B.Ganesh. I don't know where I am going in my life.I have been prescribed fluvoxamine (morning) and dicorate,fluvoxamine,and dicorate(evening).Sometimes, I think my situation i like this because I fell in love....Sometimes I think I am God (may sound silly).Or maybe a phase of life?I want to know the true purpose of my life.AnD YES!!! I cannot interact with any one.I can say Iam scared to talk .So, i can't go to gyms,etc.Please help | you need a psychological counselling and psychotherapy in addition to fluvoxamine and dicorate. you haven't mentioned doses of fluvoxamine 50 or 100 also not of dicorate 250 or 500 mg. keep in topic with your psychiatrist. develop positive attitude and face your problems. all the best :). | |
Q. I do not want to complete rabies booster doses after side effects. Is it dangerous?
Hello doctor, I have been injured by a needle after injecting unvaccinated white mice in my college and I have received two doses of rabies vaccine on the day of exposure and day three but the side effects were severe (hypertension, nausea, vomiting, dizziness) and I do not want to complete the three remaining booster doses. Is that dangerous? | Hi. Rabies for sure is dangerous. Only one case is reported in the world to be able to survive in your country after having rabies. But, it all depends upon how much chances of getting rabies. With needle stuck I do not believe there are many chances also and chances are high with bite. Also, laboratory mice are not a wild animal. They are grown in laboratory, so very minimal or almost no chances I believe. Also, you can observe mice for a week. If it dies, you can complete vaccination. If it stays healthy, there is no need. Also, your symptoms were likely associated with anti-rabies antibodies that are given post-exposure along with vaccination, with next three vaccinations less likely to have these symptoms. For more information consult an internal medicine physician online --> | |
Pain in the leg due to disc herniation. Tried Bethametson injection and celebrex. Need permanent cure?
Unfortunately, I got L4-L5-S1 discs herniation (as MRI shows 3.2 mm of 10.2 mm has been herniated) and I am feeling a bad pain in my right leg. I cannot walk and move. I am Professor in the university and have to go back to work soon. I used Bethametson injection , Celebrex and Pregabaline,but didn’t effect much. I will be glad to receive your advice. Regards YYYY@YYYY | Hello sir,You mentioned u have a severe back pain with radiating pain in right leg n u also have l 4/l 5/S1 disc herniations.I understand that urs is a busy job n u need to goback to work. But pls note that ur health is of utmost importance than any other thing.I request you to take absolute bed rest for 2-3days,which means that u need to lie down through out the day .you take physiotherapy for the back(preferably IFT) n also take analgesics like Tramadol 50mg+paracetamol 500mg twice a day for 5 days.continue pregabaline. late slowly go for ur work wearin a lumbar corset n at work place also try not to sit for long time n when ever possible just lie down n relax for a while.Dont use betametasone injections much.If the pain is so severe take medroltablets 4mg twice a day along wit tab pantaprazole 40 mg once aday for 5 days.I wish that ur pain should be relieved by this. | |
Suggest treatment for lump in the heel
I have a sore lump near my heel.. the best way to describe where it is...its on my right foot, if you touch the back of your hell and move your fingers to the left about 1 inch, it is right there. It's not on the bottom but where the side of my foot and the heel come together. It's hard and sore...what is it? | HI,Good Evening.Thanks for your query.I studied the query in-depth.I understand your concerns.In my opinion-you have-Achilles Tendinitis due to overstress and overuse.Consult orhto-surgeon--Treatment would be-a-Tb NSAID-/ ice compresses to reduce inflammation.b-REducing the high heel,c-Rest /elevation d-and Weight reduction.Wishing you early recovery and good health.Wellcome again. | |
Taking Multaq for a-fib. Have fluttering. Can I take Benadryl for allergy?
Hi, I was recently diagnosed with a-fib. I take 400 mg of Multaq twice daily. This was increased about a week ago from 200mg twice daily. Since then I've noticed the fluttering has returned. I am expecting a call back tomorrow from my cardiologist, but in the mean time want to take some benadryl to remedy some allergies before it goes into a respiratory infection; which often happens if I can't catch it and rid the preliminary symptoms with the benadryl. My question is, would you recommend I take the 50 mg benadryl or stay clear?Thank you | MONTELUCAST IS SFEST ANTIALERIC IN CASES OF DISEASE YOU HAVE WRITTEN I THINK TAKE MONTAIR FX(FEXOFENADINE 120 AND MONTELUCAST 10 MG) YOU CAN TAKE OD OR BD DOSE DEPENDING ON CONDITION IT IS SAFE TO CLEAR AWAY FROM CHEST CONGESTION YO CAN TAKE ASCORIL 1/2 TSF BD CA ADD SYP GELUSIL I TSF BD NOTHING TO ADD NO ANTIBIOTICS | |
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 severe neck pain after surgery?
Hi, I am a 44 yr old female. I have had 2 neck surgeries this year. C3-7. I am in chronic neck pain and have tried PT, OT, Pool therapy, massage, acupuncture, pain management, injections, pills, chiro, etc. I have a wonderful surgeon who is trying to help me in my crisis, but the MRI looks OK, shows stenosis, but dead-end. HELP!! | I would suggest getting a CT done to see the bony structure also. Usually a treatable cause can be found in such cases. Stenosis does not cause neck pain. Though your neck cant be made as 100% better but improvement can be attempted if a cause is found. | |
What causes itchiness in palms, upper neck and ears?
i had my breakfast this a.m. with yoghurt, pineapples and dragonfruit. within minutes i sense the itch around the arches of my palms and around my upper neck and inside of my ears. What's wrong? I ate the same stuff for breakfast yesterday a.m. but with no problem | HI, thanks for using healthcare magicThe allergic response can sometimes occur after the initial sensitisation period. The body is initially exposed to the allergen and the reaction occurs at the other time it is used.You may not be allergic to all the components of this meal. You can either consider not using any of them or having allergy testing to determine which one would have caused your response.I hope this helps | |
What causes watery stools in an infant?
Hi. My 6 week old son is bottlefed on Aptamil. I am currently weening him onto the formula as he has been on the cartons due to constipation at 1 week old. He has been fine until today. He has had some very watery stools, same in colour as normal and still some pip like bits but literally water coming out. He has literally slept all day and even when I change his nappy does not wake fully. This is certainly out of character for him. I have made an appointment to see my Dr at 17.20, but just wondered if you could help at all before I get there! First time mother so am worried with any changes! Many Thanks Nicola | 6weeks old with watery stools is probably due to some infection. Make sure you boil your milk bottle every time you give your baby top feed. Baby takes time to digest the new milk given to him. If the problem persists longer try changing the milk powder. | |
Does Depo provera or Essure side effect cause vaginal spotting?
I had a depo provera shot 11 weeks ago and them Essure 4 weeks ago. I have bright red spotting for 22 days. Is this a side effect of coming off the depo or related to Essure? I do not plan to get another depo shot. I only did it to get Essure. Thank you. | HiYes both depo provera and essure can cause vaginal bleeding ,spotting and abdominal cramps.It will regularise in the following months.Breakthrough bleeding, spotting, and changes to menstrual flow are some of the most common side effects during the first year of use.Hope that was helpful.Let me know if i can assist you further.RegardsDr.Saranya RamadossGeneral and Family Health Physician | |
Pain in molars, extends to left side and causes pain. Any ideas ?
Hi Dr., I've been having pain in my molars (#2 and #31). Sometimes the pain extends to the left side and causes pain in #18 and #15. Is there a nerve that is connected throughout the mouth? I'm thinking if the nerve on one side is damaged, then it might be causing the pain to the other 3. I highly doubt they all need root-canals and think the dentist is simply looking into making money... I checked another dentist but he doesn't know either. Any ideas? Thanks! | hi... thanks for the query...you need proper clinical and radiographic examination... i don't think they all need RCTs until or unless they are deeply carious... sometimes when infection reaches the periapical region, it becomes diffuse and one cant point out the tooth involved so proper examination is required...hope it will help you... take care... | |
Suggest remedies for fever,sore throat and yellow mucus in vomit
My 8 year daugter has been diagnosed wtih mono 3 days ago she has been real sick with fever, sort throat, headache and cough. Her spleen is sore to the touch. She has been drinking fluids but not eating much. She is now throwing up yellow stuff like mucus. What should I do? | Hello and welcome to healthcare magicThere is no specific treatment of this viral illness called infectious mononucleosis.It will regress after lasting for a seven to fourteen days. Treatment can be done symptomatically.Give plenty of rest.For vomiting give syrup domeperidone (domel) followed by sip by sip ORS (oral rehydration solution).For pain and fever syrup paracetamol can be given. In case of persistent vomiting despite anti-emetic (medicine for vomiting ),I would advise to take her to ER for IV hydration and anti-emetic.Hope you find this answer helpful.Good luck. | |
Having delayed short periods, took Fertomid after the previous periods. How can I conceive ?
i got my period on 26th feb 2013, and in march its late on 30march for 2 days only .in the month of feb 2013 i have taken -Fertomid 50mg for five days on 5 th day after over of periods. in march month i was thinking that i am pregnent. but i shocked on 30th march. because in entire period my cycle was of 25 days. my age is 32 years . i want to conceive as early as.now i take second round of Fertomid 50mg , today is 3rd day . please help how i can conceive & my ovolution period. | Hi, At the outset, let me tell you that induction of ovulation is done under the guidance of an experienced doctor and follow up monitoring through the cycle is necessary. If you have done that, as you take the medication, your ovulation status will be monitored by a follicular study and timed intercourse would be advised along with any injections to enhance ovulation. You may have to wait for 6 cycles to see if you can conceive with this procedure. Also, there would be a stepping up of doses based on your response. Take care. | |
Is slight headache with dizziness and nose bleed after being hit on nose serious?
Hi. My son was in football practice and hit his nose to another players jaw. He was knocked out - saw black and woke up staring at the grass. He is complaining of a slight headache and a little dizzy, however his nose just stared bleeding again. Should I take him to the ER? | HelloThank you for contacting us. I wil try to address your concerns to the best of my ability. It's certainly possible that your son has a concussion. I would suggest that you get him assessed in an ER or Urgent Care. The bleeding from the nose should stop with simple localized pressure. Sometimes, if the concussion is severe it may warrant x rays and/or a CT scan in the ER.For all head injuries its advisable to follow these head injury precautions;Seek medical help quickly if any of the following symptoms occur after a head injury - Drowsiness when you would normally be wide awake.The injury was associated with loss of consciousness or penetrating injury to the head.Worsening headache - which does not go away with tylenol.Confusion, strange behaviour, and any problems with understanding or speaking.Inability to remember events before or after the head injury.Unresolving headache.Being sick (vomiting).Loss of use of part of the body - for example, weakness in an arm or a leg.Dizziness, loss of balance or walking strangely.Fitting (convulsions) or collapse followed by feeling strange afterwards.Any visual problems, such as blurring of vision or double vision.Blood or clear fluid leaking from the nose or ear.New deafness in one or both ears.Unusual breathing patterns.You have a history of bleeding easily, or are taking medications which thin the blood; or, you have previously had brain surgery.I hope this helps. Best wishes for your son's speedy recovery. Please message me back if you have any further questions.Adrian Rawlinson MD | |
What is the treatment for chest pain and constipation?
Hey there! I have been going to doctors for the past 3 years attempting to find what is wrong with me. I have pain in the middle of my chest at least for one period each day. I also have blurry vision and headache pain all of the time. I have glasses, and have had my glasses prescription rechecked a few times. I have burping episodes all of the time and tend to feel really really tired. I have so many goals and dreams and the ability to accomplish all of them but i just feel sooo exhausted and sick all of the time. My stomach hurts a lot and I have diarrhea or constipation every day. I eat a gluten free dairy free egg free soy free diet and eat a very low amount of meat, but when I do it is usually local and organic. I also get a crazy rash on my cheeks, chest, back and shoulders sometimes. I have been tested for food allergies but they have not come back with any results. I also always have a lot of pains throughout my body and feel feverish. I always feel very much like I should just like in bed all day. I know this is along introduction but I don't really know what all to write in this box. I feel like I am really sick but have not been able to find any help so far, I am just wondering if you have any insight or anything i guess? | Hello dear , hiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* The chest issue is from GERD ( which may be from chronic gastritis , duodenitis with or without ulcer of stomach , duodenum ) .* Abdominal issue is again combination of GERD with inflammatory condition of the bowel and hampered gut flora mechanics .* Recommendations for better recovery .- Get basic lab tests to find out deficiency of iron , vitamins , minerals .- Upper GI endoscopy and colonoscopy are mandatory with ultrasound of the abdomen & pelvis .- Continue dietary management as currently doing .- Regular intake of proton pump inhibitors (as omeprazole or pantoprazole) on empty stomach , pro biotics after meals will give better results . - Avoid smoking , alcohol if using .- Avoid stress , anxiety .- Manage to have sound , regular sleep of 7 - 8 hours .Hope this will help you .Regards dear take care . | |
Has Emphysema, cleared state of prostate cancer, wearing life vest, on breathing treatment. Situation sounds like?
My dad is 74. He has Emphysema, is in a cleared state of prostrate cancer and bladder cancer , he has had 3 heart attacks in his life, he smokes (up until 14 days ago$ and was just diagnosed with an EF of 20%, and fluid in the sack around the heart. He is currently wearing a life vest and taking diuretics with breathing treatment with steroids. He was sent home from the hospital 4 days ago. He is having extremely uncharacteristic behavioral changes. Is this due to medications and/or circumstance or could there be something else we are missing? (Ex. He would never steal anything from anyone, ever! yesterday he tried to steal a wheelchair - whats more, he was already given one that he refuses to use. Then yelled and cussed at my Mom as she cried begging him to stop). | Hi, your father has been treated for prostate cancer and bladder cancer successfully. At present what the problems he is facing is unrelated to the cancers. behavioral changes may be due to steroids also. It may be acute psychosis because he is on treatment for a long time with major life threatening diseases. Keep in touch with your cardiologist, pulmonary physician and you may consult with psychiatrist. Take care. | |
Suggest treatment for stress and anxiety
My son is having extreme stress and anxiety and sleep apnea due to the stress level. He has had three sleep tests for apnea and given several masks to use - all of which he cannot use. His apnea is not caused by any obstruction to the airways. He has a very stressful job, stress at home with his daughter, and bills caused by many medical testings. He also has IBS and high blood pressure. He tries to stay gluten-free and maintain the acidity level of his digestive system, but as he works at least 12 hours (on an average day), 6-1/2 days a week, it is hard. He is 61 yrs of age, and has a family history of heart and memory related problems. He has asked different doctors to check his hormonal balance, and none have so far listened to him. He lives in the Tampa Florida area. He prefers to be treated through alternative means rather than a plethora of drugs. The present meds for BP and anxiety he is taking are causing many side effects. I can get a list of them if you want. Please, can you offer any suggestions? Thank You | dear,for his Ibs gluten free diet is only way to prevent. Now our aim is to minimise the medications for anxiety and stress.1) you have an option of psychotherapy sessions to deal with the stress. relaxation techniques and skill training to deal with the anxiety. 2) controlling your anxiety is crucial as it may aggravate your IBS problem.thanks | |
Have fear of dying, often get feelings of heart attack. How can I deal with this?
Hi Monica I am having a death fear, like i feel I may get heart attack and will die because of that. can i know how to come out of that fear, i will get this fear during the nights and if I am fully occupied I am not getting such thougts, because of this my anxiety levels got increased and will get belching and my bowel movements will increased, This issue was troubling my daily routine, how to come out of this | Hi there ~ Panic attacks are very common and a sense of "doom and gloom" or what you experience as a fear of dying is very common. Anxiety that you are going to have a heart attack and die are also common. They are also fearful of having such thoughts at night and do not get enough sleep. Gastritis may worsen with this condition as stress and gastritis as well as hypertension are related. Seeing a good psychiatrist who can take care of your medications is helpful. I recommend that you do so at the earliest. Take care and have a nice day ! | |
Q. How to get rid of bad breath? I floss, brush every morning and night, but still suffer from bad breath.
Dear Doctor, I am 16 years old. I floss, brush every morning and night and use a tongue cleaner too. But still suffer from bad breath the whole day. Please help me. | Hi. Do not worry. After following these tips you will feel better and get rid of bad breath by 2 weeks. Start using chlorhexidine mouthwash thrice a day for 4 weeks. Do saline water mouth rinses (take lukewarm water in a small cup and add 1/4th teaspoon salt in it), thrice a day for 2 weeks. Avoid soda drinks and food that may cause acidity, watch your diet carefully. If you are already having complaints of acidity or heart burning or stomach ulcer problem, then visit gastroenterologist because stomach problems can be one of the major causes of bad breath. Check in mirror if you have yellow plaque or calculus deposits around the teeth and gum margins then, first visit your dentist and get scaling done and then use mouthwash and do saline rinses. The results will be quickly evident. Check if you are a mouth breather and try to control the habit. Read dentist advice to get rid of bad breath. Follow up after 2 weeks. Stay Happy. | |
What causes my liver levels to go up till 330?
My liver levels were normal June 17. July 4 th started feeling bad. Tired, achy, temp 99, headache. Liver levels have gone from 100 to 200 to 330. Also, I do not drink alcohol. They have ruled out mono,CMV and hepatitis. What could be causing my levels to go up? | Hi, I had gone through your question and understand your concerns.I think you are referring to liver levels as the liver enzymes.More common causes of elevated liver enzymes include:- Certain prescription medications, including statin drugs used to control cholesterol- Pancreatitis- Drinking alcohol- Heart failure- Hepatitis A- Hepatitis B- Hepatitis C- Nonalcoholic fatty liver disease- Obesity- Over-the-counter pain medications, including acetaminophen (Tylenol, others)- Gall stone disease (acute cholecystitis)- Celiac disease- Autoimmune hepatitis- Wilson diseaseto name a few.Do not worry.I would suggest you to- AVoid , oily spicy food- Drink plenty of water- Have a bland diet for a few days- I would start tablet Pantoprazole and Tablet Udiliv to improve the liver enzyme levels- get a MRCP(Magnetic resonance cholangiopancreaticography ) done.It will help us to visualise the biliary tree more distinctly and help us in the treatment.Visit a gastro-enterologist. He/she can examine you and correlate clinically 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. | |
What causes pins and needles in legs of a child?
My nine year old daughter has complained of pins and needles in her legs for a few years and we were told to get magnesium tablets.she stopped taking them a few years back,but the problems are still tere and getting worse.Are these what is known as growing pains.thankyou | Hello mostly is psychological problem .For this u should consult pediatric psychologist. It is not because of any deficiency of calcium or magnesium or protein or electrolytes | |
Tests showed high level of GPT, tiredness and dizziness. Any further tests required to know cause of symptoms?
Hi, Doctor I just got my health check report back and it appears that I have a high level of GPT , which is 75 and from the lab report it says 0-50 is the normal range. I also appear to be very tired and dizziness . The dizziness never appear to go away for about 2months already. I will like to know if it because of my GPT level or is there any further tests I need to take to know the cause of the dizziness and unsteadily. | Hi,Thanks for posting your query.The information you have given is inadequate.With just SGPT report alone, it is difficult to give a opinion. I presume the rest of the liver function test was normal.This SGPT report shows only mild increase and it most often is due to fatty liver.An ultrasound scan of the abdomen may be done to rule out fatty liver.You can get tests done for other causes as well which include tests for heaptitis B and C viral infections.I hope that answers your question.Regards. | |
When will liver enzymes normalize after stopping alcohol?
I drank huge amounts of whiskey for several years-24 ounces every evening.Liver enzymes were off the charts. I developed severe anemia--down to 3. Had to have 6 units of blood transfusion in hospital for 5 days. I have not had a drink for 4 weeks and have been taking heavy iron doses and b-12 and folic acid in large amounts for 3 weeks now. How long until my liver and the threat of anemia--1 month ago it had dropped to 10 a few months after the transfusions--but I was still drinking massive amounts every day. When will I get back to normal with this routine? At lease I now have no desire for alcohol at all--I just drink large amonts of water | Thank you for posting your queryhistory of alcoholic hepatitis.usually takes 6to8 weeks or more to return to normal if strictly followed advice.is hep A, B C viral serology Negative??do a lipid profile test and and an "abdominal ultrasound".if all above results negative thenadvice:abstinence from "Alcohol and drugs" - LOW fat diet should be followed- NO red meat- "vegetables" should be ingested daily- Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day- walk 30 to 40 minutes everyday.- or swimming is alternative to walking- NO sports and NO jogging-"recheck liver enzymes after 6 to 8 weeks".wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik | |
Dark lips. Prescribed Depiwhite cream. Safe to use without side effects?
my lips are dark in color when i was young like in school they were normal not much pink but not too dark even now i am 23 years old and from last few years i m feeling that my lips are darker now and any lipstick i apply doesnt suite me because of this reason. i went to a skin specialist and she asked me whether i bite my lips from my teeth or not i said may be i didnt give attention on this. but may be when they are dry i lick them. so she gave me depiwhite advanced depigmentation cream, i just wanted to know that it will effect or not? secondly after leaving it will my lips can get more darker or any other side effects? becuase i dont want them to be more darker. | hi..thanks for your query.. You need to know about the causes of dark lips to be taking precautions better.A lot of people have it genetically predetermined,although parents may/may not have it. A frequent cause of non genetic lip darkening is the use of lipsticks /coloured balms/gloss , as these tend to darken the lips over a period of time.So try and not use it too often..If you have to use it,then let it be allegen free and replace them every 2 months.I would advise you to start using medicated lip balms with SPF and to reapply it several times in a day..that helps in reducing further darkening. Depiwhite cream or any others having Kojic acid can be used twice a day for lightening of lip color. It usually does not have side effects. however u can check for tolerance of the product by applying it for a short time on the first application.If you have a genetic tendency to dark lips, the pigmentation has chances of coming bak after the cream is stopped. U can also opt for mild chemical peels once in 15-30 days to exfoliate better and lighten faster. Take care! | |
Suggest treatment for tooth pain
teeth about 2 weeks ago i been experiencing teeth pain. now my gums are severely inflamed and my last tooth on my right bottom mouth has been extremely painful. my jaw wont open more than one inch. when i chew food my gums feel like they are getting bit into. but now its extremely hard to eat anything. i can only eat food that don't involve chewing. but even that its painful to my gums and jaw. should i go to the ER? a dentist appointment takes to long. pain gets worst by day. | Hello! Read your query.I suggest you take a course of antibiotics (metronidazole and amoxicillin) and analgesics.A x-ray for the tooth and treatment is absolutely necessary.Your mouth opening will increase only after the infection subsides.Extraction or a rootcanal can be decided based on the xray. Regards. | |
Is it normal to have breast tenderness followed by light period a month after being on implanon contraceptive?
I have been on the implanon contraceptive since mid December 2012 and haven't had a period since mid January 2013 not even spotting or colored discharge. And all of the sudden I started having breadt tenderness and then light period bleeding. Is anything wrong/ should I expect this to continue. | HelloImplanon is a progesterone containing hormonal contraceptive. Menstrual irregularities are very common with its usage. Prolonged amenorrhea, scanty periods are due the progesterone contraceptive action. Breast tenderness before periods is also due to progesterogenic action. | |
Passing out, dizziness, ring in ears after vaginal douching or heat. Reason?
my wife just passed out after vaginal douching and has had a record of passing out before wether its from heat or if she hits a body part on something she gets dizzy her ears rings and she blacks out for seconds and up to 5-10 mins, what could be the cause of this? her parents have never seen this as a problem so they have never got it checked out by a doctor | Hello,The possibilities are two - one is seizure and other is syncope. Seizure is caused by abnormal electrical discharge within brain and syncope is caused by reduced blood supply to the brain. Both of them can be triggered in the circumstances that your wife is getting attacks. Further information about the attacks is needed to ascertain the cause. Also few tests like MRI scan and EEG may be required during the evaluation.Good luck. | |
Q. My WBC value is 11. 88. Is it high?
Hello doctor, I had a right sided sore throat and sinus drainage on and off for the last two months. It was chalked up to allergies, but no allergy pill completely took the sore throat away. My doctor put me on a Medrol (pak) 5/3 before two days, and my last dose was 5/8. I also have been weaning off Lexapro 10 mg, and yesterday I had a lot of dizziness and racing heart. I ended up going to the ER, and they did a CBC. The physical assistant said all lab reports looked great, but in the reports my WBC was 11.88 and their reference range was 4.5 to 13. Is this too high? It concerns me. In my last CBC before three months WBC was 8.5 and their ranges were 3.5 to 10.5. So it seems my WBC would be high or out of range now. Please advice. | Hello, Welcome to the icliniq.com. Your total WBC (white blood cell) count is only mildly elevated, and it is not raised to an alarming level. You have been prescribed a steroid course for sore throat. It is a strong anti-inflammatory drug if no improvement until yet than throat swab can be done for culture to find any bacteria if present that causes sore throat. For that antibiotic course can be prescribed. You can do salt water gargles and take Vitamin C 500 mg BD (twice daily) for a week. You are also using Citalopram for depression. So stress-induced anxiety also can be responsible for dizziness and increased heartbeat as a result of a panic attack. For a total WBC count, no need to worry as per my opinion. I hope I have answered your question and it will help you in the approach of your case. Let me know if I can assist you further. | |
Suggest remedy for fever, excessive sweating and fatigue post typhoid recovery
Hii I got typhoid three times in 2 years... Suffering from frequent fever, weakness, excess sweating. Doctor told me may beI have enlarg liver. He suggested me..thyroid test, liver function test, complete blood test, urine routine test, cholrstrol test... Should I go for these test | Hello and thanks for sharing your concern with us.As you recently had typhoid and then again fever is seen , so typhoid relapse should be ruled out first . Inadequate antibiotic course could cause relapse . As many patients become carrier after typhoid fever and this bacteria remains dormant in gall bladder and can shed off the bacteria in stool for more than a year . That's why a complete course of antibiotic should be done to eliminate the bacteria completely from system if the cause of fever is found a relapse . To know the exact cause of such manifestations diagnostic tests are mandatory to be done in guidance of any GP which will direct the further treatment. I wish you good health.Best Regards,DR.S.TOMAR | |
Suggest treatment for severe hairfall
From last 1 year I am sufferng from huge hairfall i dont wats the reason pehle oil bahot jyada use krti thi hairs ko without oil nh rkhti thi bt now clg nd all ki vajah se oil lgana acha nhi lgta week me 1 tym hair wash krti hu kyuki jyada wash krti hu toh hairfall jyada hota abhi toh me shampoo use nh krti nly amla reetha nd shikakai se hair wash krti hu so plzz give me some solution for tat | Hello, you seem to be having a condition of diffuse hair loss known as telogen effluvium. I would adv you to get a serum ferritin levels and thyroid function test to rule out iron deficiency and thyroid disorders respectively, as common causes of treatable hair loss, if these investigations are normal, start hair supplements like tab Follihair 1 tab daily for atleast 3 months and use Xgain shampoo for washing scalp twice weekly.Take careThanks | |
What causes persistent anxiety and panic attacks with headaches?
i am currently a u.s. marine located in afghanistan. i have witnessed quite a few people get shot and killed. i didnt think anything about it until i started having random panic attacks, anxiety is frequent as are headaches. i rarely sleep and when i do i wake up to nightmares.images of that day will start going through my head, even when i dont think about it. ive lashed out at my friends and my co-workers for no reason. my docs tell me that ill have to wait until i go home before they can help.i go home in about 2 months.i was just hoping to get some expert advise and hope for the best.thank you | DearWe understand your concernsI went through your details. I suggest you not to worry much. Sincerely I feel sorry for your current situation. No amount of positive thinking can help you for now. Your doctors are right. For the time being you need to go home and take a vacation. Military people are supposed to get leave on medical conditions. If you are able to convince your doctors, that you deserve a leave because of your medical conditions, they can recommend for a leave. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
Suggest treatments for pain in elbow after a fall
Fell off my longboard onto pavement, landing on my elbow, no cuts or bruises, but it was numb for 15 minutes or so, than the pain grew, and over the last 3 weeks ive been able to strighten it more and more. Finally at the point where its straight now, but still hurts to twist, i also cant lift or turn anything sizable | Hello, It could be a contusion. Fracture is unlikely. Consult an orthopaedician and plan for an X-ray. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. You can also apply ice packs for faster recovery. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Can Fintor cause vomiting?
im on a fintor had to cut back to evry second day feet and ankles swelled with a red rash bl isters on full strength with the cut back to every second day rash stil there and swelling gone down a lot Ihave beenon this drug for a month but the last few days cant keep any thing down even ginger ale comes up after a hour or two | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. What is fintor is it a drug or device etc???It maybe reactionary rash please consult your physician immediately he will examine and treat you accordingly.Take care | |
What is the best medicine for stroke?
My mom is 67 year old & had a mild stroke 5 month back and under Psychiatric medicine(qutiapine) since then. Also doctor prescribed her ecosprine av 75. on 2nd Jan & on 9th feb she become pulse less revived by blowing air & heart pump. Kindly suggest. | I read your question and I am sorry about your mother. It is hard to know exactly why she had no pulse, you don't give any description on the circumstances and what other signs and preceding symptoms were noted. I believe an evaluation from a heart doctor with ECG and heart echo are necessary.As for the treatment for the stroke, Ecosprine is necessary, it is beneficial even if heart arrhythmia is at the base of those 2 episodes. Quetiapine on the other hand is not for stroke itself, it is given to control agitated patients who can't be controlled otherwise, so if she has no agitation episodes it is not advised as it has many side effects including cardiac ones.I hope to have been of help. | |
Suggest treatment for persistent cough
My 17 year old son has had a lingering cough for about 3 weeks now. He initially had a bad cold and now the cough still lingers. sometimes its a dry cough and now its accompanied by mucus in his throught and a runnimg nose as well as a headace becasue of the constant coughing ad hacking. It gets more uncontrollable when he has basketball practice. | Thanks for contacting healthcare magic. Persistent cough may be because of allergy or flue like condition. For tretment of cough try to hydrate your body by taking more water.Water is thin out the mucus so it can liquefy easily.Water moisten the membranes of respiratory tract.Menthol cough strep can take.Take warm water or tea.You can take stream for relif of cough.Decongestant can use under your doctor,'s suggestion. Decongestant nasal spray can use.Wish you a good health.Take care.Thanks. | |
What causes rapid heart beat and shaking while asleep?
what would cause a 29 year old male to have a rapid heartbeat and shaking while he is asleep and he doesn't realize it? He has also had congestion in his nasal passages for many years; year around. He also started sweating profusely at times about a year ago. | hello,I have gone through your query.Thanks for using HCM.I would like to know whether he has habit of snoring ?And also as you mentioned that he has nasal congestion it is possible that he has obsturctive sleep apnoea producing his symptoms.I suggest you to consult an ENT surgeon first and then if needed go for sleep study.My best wishesDr.Rajesh Teli,MD. | |
Is there a link between heart valve and gastric ulcers?
My father in law just had surgery to replace a heart valve as well as bypass surgery. He has several perforating bleeding gastric ulcers that had to be closed via surgery. He was given many pints of blood to replace what he lost through the ulcers. The doctors said the ulcers were caused by the leaky heart valve. He is 90 years old and had been in good health until a month ago. What is the connection between the heart valve and the ulcers? | Hi Dear XXx .!Thank you for posting you question here . Yes as the treating doctor said it's a good conection between heart problems and peptic ulcer especially in elders. I would exsplain why:In the patient with heart problem such valvule dissease and coronary dissease ( bypass ) the heart sometimes don't pomp enough blood in the body so the organs cells will suffer from the lack of oxygen .One of these is the stomach . Normaly the stomach mucosa keep in balance the acid in the stomach and protect against bacterial infection with some mechanism and one of them is the mucosal blood food .In this way the stomach mucosa ( the superficial part of the stomach ) will not allow the acid and bacteria (H.Pylori ) to penetrate deeper and to cause ulcer .In case of this patient the mucosal blood flow is low and will have peptic ulcer .The perforation and bleeding are complication of the peptic ulcer .Wish these help you to understand. If you have any other question please feel free to ask me . | |
What to do as my 16 years old is hearing a voice in her head?
My daughter is 16 years old and has a terrible temper, but can also be very sweet. She has got this fears that she will die or that somebody close to her will die and then she also has voices telling her that she must now say goodbuy to this one or that one because it is now time to go. What will your diagnosis be? | It is difficult to make diagnosis with the description given. Hearing voices as a symptom could be hallucination but it needs to be clarified further. Hallucination can be a part of psychotic illness. At times hallucination could be present in anxiety disorder. Hallucinations are of different kinds. Can you describe a little more on your child's behaviour, mood, problems in daily activities, other associated symptoms??? | |
Child frequently suffers from cough, cold, prescribed with levolin inhaler. Side effect?
My son is 4 year a old and frequently suffers from cough and cold.Recently he has been prescribed with LEVOLIN INHALER(4 puffs every 6hrs when there is cough / wheezing. AND BUDECORT 100 INHALER(2 PUFS TWICE DAILY for 2 weeks).hOW FAR IS THE USE OF SUCH INHALERS SAFE FOR A child OF this age..WHAT ARE THE SIDE EFFECTS OF SUCH INHALERS? Does it contains steroids.. Are there any other option of treatment without the usage of steroids.. | THESE ARE STEROID INHALERS BUDISONIDE IS STEROID WHICH CONTAINS MICROGRAM DOSAGES THESE ARE ONLY PREVENTORS ACTUALLY THESE ARE ALLERGIES YOU HAVE TO FIND THE CAUSE SO THE PROBLEM DO NOT RECUR MY EXPERIENCE ON TRETED PATIENTS CAN CURE YOUR CHILD NORMALLY CHILD NEEDS MOTHER MILK TILL 2 YRS AND AFTER 2 YR HE DOENOT NEED MILK WHEN WE ADD MILK AND DIARY CHILD STARTS GETTING ALLERGIS AND ASTHMA BUT IF YOU COMPLETELY WITHDRAW MILK AND DIEY FROM DIET CHILD CHILD WILL BE OK IN 3 WK TIME ADD VEGETABLES FRUIYTS JUICES AND CEREALS INITIALLY YOU MAY NEED INHALERS BUT AFTER SOME WK ALL SYMPTOMPS WILL BE REVERSED WITH NO NEED OF MEDICINES OFF AND ON ANTIALLERGICS WILL COVER THAT | |
Suggest treatment for black discoloration of tongue in a child
My 8 month old baby over the last two days has had her tongue turn black, starting in the back and moving forward. She does not breast feed, has not recently taken medications. She seems to be in no pain and the tongue feels the same temp as her body | Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain black discolouration on tongue can be due to a condition known as Black Hairy tongue..It is a harmless condition so you need not to worry about it..It be due to a number of causes like lack of proper oral hygiene maintenance, overgrowth of bacteria or fungus, food debris accumulation, taking medication etc..I would suggest you to maintain a good hygiene status of your infant like cleaning tongue with a tongue scraper, using a soft toothbrush to scrape your tongue, feeding with ample of fluids..It can take a few days to resolve and in case if it does not resolve consult a Pedodontist and get evaluated..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
Suffered light dizziness, taking Rejunex. Reappeared with twitchin nerve of back, neck, imbalance. Advice ?
hi, myself AAAA, at first suffered from light dizziness while walking in last month of 2011 which gone by consulting e.n.t, eye specialist, GP, finally an appointment with neurologist, movement disorder specialist, taking rejunex inj. methylcobalm, the dint appeared until march 2013, the symptoms reappeared with Rt. half neck and head light headness, and twitching nerve of back neck with light pain, and irritated sensation on affected part,and imbalance while walking, again went to several gp,s and neurologists, they adviced anti depressant and sleeping pills and betahistine tabs, and proponolol which did not work at all, went through SEVERAL BLOOD TESTS HB% TCDC ESR, SUGAR (F) ALL THYROID TESTS several time VITAMIN B12 showed normal, E.E.G showed mild dysrhthmic changes, and an M.R.I of BRAIN showed normal,and an x-ray of PNS OM VIEW shows haziness- bilateral maxillary sinus S/o sinustis, day by day my symptoms was worsening at last yesterday i went to orthopaedic he adviced to X-RAY OF CERVICAL SPINE (AP/LAT VIEW) which shows EVIDENCE OF DIMINUTION OF INTERVERTEBRAL DISC SPACES SEEN BETWEEN C4-C5 VERTEBRAE, EVIDENCE OF LOSS OF CERVICAL LORDOSIS IS SEEN, PREVERTEBRAL SOFT TISSUE IS NORMAL, NO CERVICAL RIBS ARE SEEN, waiting to show the report to the doctor in next visit day, please advice what i am suffering from and help me get my queries answer, thank you | Hi, it appears that you have sinusitis, and otitisinterna secondary to it, and thus the giddiness, as had in 2011. now also you had the same findings, so it must be due to the otitis interna. There are mild findings in the neck also, causing spondylosis, they also can cause the giddiness. So i advise you to consult an E.N.T Surgeon for diagnosis and treatment, along with the orthopedic surgeon. Thank you. | |
Q. I have swollen joints, hands and feet with pain post fever treatment. Why?
Hello doctor, I am 32 years old. My sickness started with a slight fever Tuesday night, then Wednesday I got a higher temperature of 38.1. Then Thursday night rashes appeared. I went to a local doctor Friday morning as my fever reach 39 degrees C. They gave me a fast drip to lower my temperature. Then Saturday morning my temperature went down to 37 but I still have few rashes. Then I started feeling my swollen joint, hands, and feet pain. Now I already took a bath as my temperature is 36.3 C. I am just worried about my swollen feet and hands and the pain is troubling. I am currently takin Biogesic Paracetamol. | Hi. Has this happened before or is it the first time? Can you describe the rashes or better a photo of it? Is it itchy, is it generalized or located in specific areas, blanching, flat or elevated? Regarding the swelling of the hands and feet, Is it the first time? Does taking Paracetamol help with the pain? Is it swollen or just painful? And which joints are specifically affected? The wrist or joints along with the fingers? What about feet and ankle? What did the CBC (complete blood test) reveal? | |
What does green tongue in a baby indicate?
My son tough is green, I am very worried it could be something serious. Its been green for over 1 week now, Ithought it was from him starting baby food, but its not going away. I will call his pediatric tomorrow, cause their office is closed now. My son is 7 months old, have any one ever had this happen? Please help! Thanks. | Commonly green tongue is because of indigestion or any food items or any tonics or artificial flavoured juices .in my view there is no major possiblity of a any clinical condition to think .how ever if you are worried you can consult your paeditracian | |
What can cause elevated heart rate?
I sneezed while lying on my front this morning, and it set my heart rate off to about 220-250bpm. This also happens whenever i do some thing like jump from height or make a sudden movement.The increased heart rate can last from any time between 10 minutes to 5 hours.I am 25 years old and have an inverted sternum, which i believe is a cause of the heart problem, as i feel it rubbing against my heart, however i am not a medical professional, so i can t say for sure. | Welcome and thank you for asking on HCM!I have gone through you question carefully. Palpitations (elevated heart rate) in young adults is usually due to low hemoglobin ( anemia) and thyroid problems (excess). as your problems persists for hours .. I would advise you to undergo an ECG and 2D Echocardiography test. if they are normal .. an ECG during fast heart rates is needed. if that ECG shows normal type of high heart rates (sinus tachycardia) you can be assured there is nothing grave .Hope you will find this answer helpful!Wishing all the best, Dr. D Sunil Reddy | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Suggest treatment for pain in left buttock
I am sufferring from pain on my left buttocks, i had a ureteric stone surgery by laser 3 months ago and now i am suffering from this pain. I had an xray Of the spine done which shows suspected spondylolysis at pars of interarticularis of l5 please suggest if ceragem would work | Hello, It could be due to neuropathic pain as in the case of sciatica. As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Can nebulisation be done and will there be any side effects?
Hi my son is 7 yr old.As told by Dr he has allergy problem and due to this he is hving treatment for frequent redness and itching in eyes and now he has also started hving cold and cough attacks very frequently. In october he has given tab CEFADROX DT, Syp Levolin and Soventus D along with Dualin through Nebulisation. Now again he is hving the same problem. Can i nebulise him thrice a day for 3-5 days as he feels better with this. He is hving dry cough continuously. Is there any side effect of nebulizer. | HI, it is good to nebulise but before that levosalbutamol inhaler should be tried as it is more convenient, to manage the condition he should also be given some antibiotics, expectorant cough syrup containing ambroxol and some anti histaminic groups of anti allergic is advisable.if symptom persist then consult a physician for further examination and treatment. thanks and with regards. | |
How to get rid of inferiority complex?
Dear Sir, My name is Noufal from Kerala,India.I have some psychological problems.i cannot speak much in office.always worried and scared.i have been suffering these problems from my childhood.i never could be active in school,colleges and offices and even in society.i have inferiority complex also.if somebody ask me why u r not talking i have no answer.i am very upset.give me any solution.please | Dear Naufal,I went through your query and can understand the distress that you must be in due to your symptoms. The 'inferiority complex' and other symptoms that you have mentioned might be a result of underlying anxiety disorder, most probably social phobia.I would recommend that you consult a psychiatrist so as to undergo detailed evaluation for proper assessment of your symptoms. Treatment of social phobia is possible with medications as well as psychotherapy.Had I been your psychiatrist, I would have offered treatment with a combination of both. Medications would include one of the selective serotonin reuptake inhibitors like sertraline or paroxetine. Psychotherapy would be cognitive behavior therapy focusing on improving your ability to relax and change the maladaptive thoughts that is leading to your symptoms.I do hope that I was able to answer your query.Best wishes.Dr. Sunil Gupta | |
Q. What should I do to get glowing fair skin?
Hi doctor, My face and body color are different. My face is getting dark and black day-by-day. What should I do to increase my fairness and get glowing skin? Shall I use some night cream? | Hi. I have read your problem carefully. What is your nature of work? Will you get exposed to sunlight? Are you allergic to any drug or disease? There are a lot of causes of skin darkening. The most common reason is sunlight exposure. For treatment, 1. You can use a cap or umbrella when you go for an outing.2. Sunscreen (30SPF), 10-20 minutes before an outing.3. Regular washing with good face wash. Please do not use whitening cream. It may cause harm to your skin. 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 --> | |
Can i give Methylphenidate and Zotral simultaneously?
My son , age 11 is getting medication zotral 25 mg in the morning every day for the depression . By the time he was given methylfenidate 2.5 mg for attention deficit hyperactivity disorder. please advise me that can I give both tablet simultaneously as medications for minor child? is it dangerous? | You can give it mam..it is not dangerous..for ADHD u need to give both together..There is no problems in giving both together | |
What causes kneecaps to be dented and bumpy?
What causes my kneecaps to be dented and bumpy to touch. I also have pain on the backside of my knees. It hurts to walk down stairs I feel like my knees are going to give way. I can t kneel down without help getting up last but not least is the grinding and cracking I my knees. I have never had a injury to either knees. Thank you | Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.I generally see many cases like this at my clinic.there seems to be some swelling,fluid accumulation around soft tissue of knee causing indent.get an xray or mri done to find out whats wrong.You should eventually get back to normal in coming few days.Nothing to worry about, as long as i am there to help you. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime. Take care,God bless. | |
Can Flotral taken after undergoing circumcision be discontinued in a diabetic patient for a while?
Dear Dr. Shankdhar. My father has been taking Flotral for couple of years. He had undergone a minor surgery (circumcision) 1.5 years back and had been visitng doctor at Silver Oak (Mohali, chandigarh) every 6 mnths. Now the doctor has shifted from that hospital to another town. My father has not been able to visit him for last 7 months. His dose of Flotral is also over (6 months). He is having some knee problem and cannot travel to the hospital comfortably. Can he stop the medicine for few days till he is able to visit a doctor? He is also diabetic and taking medicine Riomet 1000 and Glyzid 90. Can you pl advise! Thanks | HelloThanks for query.Flotral that your father is taking is generally prescribed for urinary symptoms due to enlarged prostate to help him to improve urine flow.It has to be continued till he is advised or subjected to surgery for resection of prostate gland .Dr.Patil | |
Back in the early 40 s, when I was around three years old, I developed scarlet fever along with my siblings that almost took my life because the hospital I was in did not have an anitbiotic to deal with the infection. A number of us were placed in a home owed by the hospital in Bismarck, ND, and left to heal or die. Fortunately, a doctor decided to try sulfa meds, which were being used by the service men. I survived the ordeal with many sores in and around my mouth. My oldest sister was diagnosed with rheumatic fever, but not I, as far as I knw. Recently, I mentined this story to my present physician, who believed I, too, suffered from rheumatic fever, which could account for some of the problems I have developed as an adult. My question is this: Could scarlet fever develop into rheumatic fever? | Scarlet fever is caused by strep. After an infection with certain strains of strep, some people develop an antibody reaction to the strep that causes rheumatic fever. The antibodies attack your own body and can cause damage to the heart. You do not mention what problems you have had as an adult, but if you are having problems with the heart valves, then your doctor is correct. Untreated scarlet fever can develop into rheumatic fever, which then can lead to rheumatic heart disease, which typically affects the heart valves. Hope this answers your question. | |
What causes chest pain?
am 22 yrs old and i have been having chest pains 4 about a year now and just recently i we to a privet doctor for help and he asked me to take tests for my liver and colestrol levels thn he said they seemed fine.i also had an x-ray done for my heart and he said i was fine.the thing is my chest still hurts and he gave me tablets of Eldervit and i dont know how its surposed to help. | Thanks for your question on Health Care Magic. I can understand your situation and problem. Since you are young and your reports are normal, no need to worry for major heart or lung related diseases. In my opinion, you are mostly having stress and anxiety related chest pain. Stress causes gastritis and this can cause chest pain. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors and prokinetic drugs.Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. Wish you good health. Thanks. | |
What causes headache after masturbation?
I am a 17 year old boy. I started doing masturbation from nearly 1 and half year. But from past 6-7 months i am having headaches after masturbation. In the begining, it used to be light but now its quite painful. Usually i have these headaches for two days once i masturbate. And i masturbate 1 to 2 times a week. What can be done for this headache? | DearWe understand your concernsI went through your details. Please understand masturbation is normal, natural and never unhealthy. Your masturbation habit cannot adversely affect your child bearing ability. Masturbation cannot lead to impotency or any other sexual problems. I suppose the present head ache could be due to stress and other factors associated with your work life or family life. Still you need to consult a doctor and clear other physiological aspects. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | |
How to treat pain ,bruise and swelling of wrist?
Fell off my bike yesterday and landed straight out onto it. I can nearly straighten it but when I try there is pain. There is no bruising or swelling either. I can move my wrupist freely and squeeze things tightly. I just struggle to extend or touch even my head. | Hi it seems that you have probably injured your shoulder during the bike injury. I would advise you to undergo an x ray of the shoulder to see any fracture. If not , pain killers and exercise will help. | |
Suggest medicine to stop producing mucus after coil fitting
I had a coil fitted around a year ago, its great, but i have started producing far too much mucus and i am upset and embarassed about it! it is ruining my sex life, can i take something to stop it happening? i am very healthy, i have had no children, and i dont smoke. I am 47 years old! please help me, i really dont want to go to my GP! | Hallow Dear,I would have appreciated had you mentioned what type of coil you have got in your body. There are two types of coils - copper coil and hormonal coil. In fact hormonal coil reduces the vaginal discharge. Copper coil is known to increase vaginal secretions in some cases. In fact at the age of 47, vagina is more dry. Increased vaginal secretion is from the uterus and mostly due to the reaction of the uterus to the copper coil inside. However, the possibility of infection should not be ignored; however it will more likely cause yellowish foul smelling discharge. Vaginal infection (bacterial vaginosis) also causes increased mucous discharge. Increased discharge due to bacterial infection will require a course of antibiotics treatment. If the coil is the source of infection, it needs to be removed. Please report to your Gynaecologist to find out an evidence of infection and treatment if it is found. If the coil is making you so uncomfortable, you may get it removed and opt for other suitable contraceptive method more suitable for you with the advice of your Gynaecologist. I hope this helps you.Dr. Nishikant Shrotri | |
How can i stop my sperm leakage?
Please tell me that how can I stop my sperm leakage?When I am asleep my sperm comes out automatically, when I see porn movies nd my penis erects automatically my sperm comes out.It has become a big problem for me.Please help me out with this.I cannot tell this to anyone not even my parents.Please suggest me some medicine or any way to get rid of this. | HIThank for asking to HCMI really appreciate your concern for this, but this is very common condition among the youngsters and this is not the disease this is physiological phenomenon which does not need any medicine, just try to control your thoughts, and stop worrying about this, hope this information helps you, take care and have a good day. | |
What causes vaginal discharge during pregnancy?
Hi, My question is this. I am 20 weeks pregnant and I know that as pregnancy progresses you are supposed to get an increase in vaginal discharge. However in the last 3 or 4 days i have had a significant decrease in discharge almost to the point of no discharge. Is this something that I should worry about? | Hi.No, this is nothing to worry about, do not worry about it at all. Discharge usually does not always occur, but if it does occur it is normal, so if it does not, then there is no issue whatsoever. Either way, report this to your doctor who may choose to check on your hormone levels, just to make sure all is well.Best wishes | |
Suggest treatment for growing tumors in breasts
hi, I am male & my age is 27yrs. There are 3-4 cm tumers in my breasts since last 10yrs. Both the tumers are increasing day by day. last year I went to Dr & showed him that tumers. he checked them physically & told me that these are not cancerous tumers. | HI, I can understand your concern for your symptoms, kindly do ultrasound chest for further investigation, then only the treatment can be started.I Hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day | |
Why has the serum creatinine and blood urea levels increased after kidney transplantation ?
sir i wants to know who is the best doctor of nephrology , who have so many of experience of transplantation with other related questions from appolo hospital madurai, for consult my question is my yanger brother mr anup mishra whose kidney was transplanted before 1 and half year past,but till now his serum creattnine level doesnot come below 3.2 and blod urea level is 32 after his post transplantation,this month it has gone to 3.4 and urea level goes up to 75.so please tell me the exact problems for which my brother will recover from the dieasese.and please tell the excellent doctor of appllo madurai .today he had gone for kidney biopsy in appllo bhubaneswar, | Hi,Pinak ji, thanks for query, I do not know nephrologist in Madurai but I advice to contact world renown foundation in Chenai from there you will get the best information about best nephrologist. Address is, Dr,A,Ramchandrarn's Diabetes hospitals &India Diabetes Research foundation. Ph,044-28582003-05, Email, ramchandran@ardiabetes.org They have got very good team having renown nephrologist,neurologist,cardiologidt. So pl.inquire and take advice. okand bye. | |
Q. I consumed I-pill after unprotected sex. Will it delay my periods?
Hello doctor, I have 27 days cycle. Last month 23rd was the first day of my periods. I had unprotected sex. There was no ejaculation, but it just touched my vagina. For safety measure, I took I-pill in two hours, so my periods continued for almost eight days. Today is my date of periods, but still, I did not get. I am a little nervous because I got my PMS also. Kindly help. | Hello. I have read your concern. It is a common side effect of I-pill to have prolonged menstruation and a delayed time for the next cycle. The emergency pill contains a high amount of hormone progesterone which prevents ovulation and at the same time hinders the usual period. If you want a regular cycle and not worry about getting pregnant, it is either you get birth control pills or have a copper IUD inserted. For now, you have to wait for your period. By the way, you will not get pregnant if it just touched the vagina. | |
Redness, swelling in face, recurring diarrhea. Taking benadryl, steroids. Opinion?
My daughter seems to have a virus that started a couple of weeks ago with diarrhea off and on for the last couple of weeks. Now she seems to be having an allergic reaction with redness and swelling to the face for the last 36 hours or so we have been treating her with benedryl and the doctor put her on steroids for the next five days to help with the swelling. We cant seem to get rid of the allergic reaction at this point and the doctor has not suggested anything else. what can we do? | i think he diarhea must have been allergic to some food or medicine or some substance as you gave antibiotics it shifted to other palce get allergy doctor consultation as you he may tell you cause by doing testsmeantime give anti allergic tabs ointments on area affectesantacid gel tds with low protein diet plenty f fluids till then | |
What could be the treatment for gastro esophagus reflux and infection on esophagus in a one year old baby?
Hi, my baby was diagonised with gastro esophagus reflux.The doctor prescribed sacrofil o gel and nexium granules but the conditions seem to be on and off.An endoscopy was done they got fungal infection on the eosephagus.his appetite is so poor .just three spoon fuls and he doesn t want to feed.kindly someone help a desperate mum with the most effective drug to solve the problem once and for all .my baby is 1.4 yrs. Kindly assist .would tres - orix syrup HV a negative side effect on his acidity problems? | Hi, GE reflux will improve as the day passes. Since the child has fungal infection in the esophagus, you may need to give oral anti-fungal agent after consulting your pediatrician. Fungal infection is very rare in children with good immunity. Hence, kindly check the immune status of the child. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rajmohan, Pediatrician | |
What is the redness and pimples after a nano peel procedure?
I have undergone a nano peel the aesthetician steamed my face then started pricking the pimples which was really painful then after that the actual nano peel began using a machine with corundrum and crystals. After the procedure my face was very red. When I wake up this morning my face is still red and I feel like I ve got even more pimples and pimple marks on my face. Is this normal with that procedure? What do I do? | Hello. Thank you writing to us at healthcaremagicYou seem to have developed irritation to the procedure.If I was the treating doctor I would suggest you to use a moderately potent topical steroid e.g fluticasone propionate 0.05% cream, twice daily.Use it for 3-5 days only and then stop. That should make it fine.This is a prescription steroid and I suggest you to talk to your dermatologist for a confirmatory diagnosis as well as the needfulAvoid using soap on face. You may use a gentle cleanser for face wash e.g cetaphil cleansing procedure, twice daily.Always wear a sunscreen whenever out in the sun.Regards | |
Need medication for Jock itch
I have recurring "jock itch" like symptoms and subsequent yeast infections. I've never had this before. What can be causing this? What treatment is available? I've used traditional OTC treatment and even a stronger prescription. In addition I've used vinegar and tea tree oil | Hi.Welcome to Healthcare Magic.The reasons for repeated yeast infections are:1. Immuno compromised condition.2. Diabetes.3. Thyroid abnormalities.4. Poor personal hygiene.If once when we know the exact cause then we can treat it accordingly.You may be required to use topical anti-fungal cream for 2 weeks along with oral anti-fungal medications.Please try to see your Doctor, so that he can perform blood work and then can plan your treatment accordingly.Hope this helps.If you have any other questions, then i will be happy to answer them.Wish you good health.Regards.Dr. Surender sharma. |
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