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Is surgery needed for the spinal stenosis with severe protrusion?
I have had chronic back pain for almost a year now and come to find out I have spinal stenosis and severe protrusion of my L5-S1 disc. We have tried several weeks of therapy including traction and extensions and the pain is getting worse. Do you think I will have to have surgery? | Hi,thank you for providing the brief history of you.As mentioned by you, you have been diagnosed with CLBP with Spinal stenosis you need to undergo a careful physical therapy. Also, depending upon the symptoms the treatment is always Planned. As in my clinical practice, even with the CLBP and Spinal stenosis, we are able to get 99% of the mobility in patients with minimal pain left, for which a regular exercises are recommended. Also, extension exercises are avoided to exaggerate the pain symptoms if the pain is increasing with the extension exercises and traction. Also, what we do initially in our clinic is medication and understand the pharmacokinetics of the drug first and the fitness level of the patient. Later we focus more on the core stability and pelvic floor strengthening. We even focus on lower limb strengthening as a whole. Strengthening the gluteus muscles helps to stabilize the spine, as the whole body weight falls on the lower spine, the muscles of the hip are important to provide the base of support. Understanding the normal biomechanics and pathomechanics of the patient we deal accordingly and every patient a different therapy.Sometimes, for pain management, we use TENS therapy, Therapeutic ultrasound therapy and Myofascial release technique,Also, exercises are totally depending upon the pathomechanics and needs a careful attention. Extension exercises and traction are usually not advised by us to avoid the movement of the spinal stenosis.We deal mostly with - TENS therapy, Therapeutic ultrasound therapy and exercises.But if the symptoms of pain is not bearable by you and leading to severe lower limb weakness, than a surgery will be advised. But my clinical practice has allowed to save 100% of my patients from surgery.RegardsJay Indravadan Patel | |
Suggest treatment for cancer
My wife had a Stage 2A Type AB thymoma removed. The Surgen is very confident that it was encapulsated and that he removed it all. The radiation oncologist feels that radiation may reduce the chance of reocurrnace. Is radiation in her case the way to go or do the rediation risk make it not the way to go? | Thanks for your question on Health Care Magic. I can understand your concern. Yes, she should definitely take radiotherapy. Any cancer surgery has risk of spillage of cancer cells at operative site even if it is capsulated tumour. So chances of recurrence at operative site are high due to spillage of cells. To avoid this local sit recurrence, post operative radiotherapy is needed. So get done radiotherapy in her case. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks. | |
What are the types of cysts that can come on tailbone?
what possible type of cyst would form at base of tailbone, looks like a boil but isn t. It has been lanced and left to drain but still has hard spot. It was first thought to be a staph infection of some kind. I know this kinda vague information and I am not looking for a solution, but a direction. Years ago I had a Piniella cyst in the same area and eventually it was removed. At first we thought this could be the same but it isn t. any help appreciated. | Hello, I have studied your case. Bump on your sacrum seems to be due to abscess.As this bump is painful you may need further investigation.Do hot fomentation over swelling. It will take weeks to months to subside.Use ring cushion and take sitz bath.If not relieved then surgical correction may be required.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | |
Am I going right on hair loss treatment?
hello, i have been facing severe problem of hair loss for past two three months. I went to doctor and he suggested me one iron tablet and other is Nexna and i took it for a week. But, that is of no use so i stopped there. Then, i went to different doctor who suggested me Tugain 2% and Keraglo AD Shampoo. Would it work and he also told me that it will only stop my hairs from falling and to grow further hairs i need to go for PRP treatment. | Hi,Probably you may be having telogen effluvium.. It may be due to some cause. Most common cause is psychological upsets like anxiety,worries, tension or depression. Other causes may be thyroid dysfunction, vitamin and mineral deficiencies, anaemia, other internal diseases,drugs..etc. and you have thyroid dysfunction which might be responsible in your case.And remember that normal hair fall in adult may be 100 to 150 per day. So, please avoid anxiety related with hair fall.You consult dermatologist for firm diagnosis and treatment. Blood tests may be done to rule out internal diseases.You may take biotin containing tablets for long time along with vitamin E cap. You may apply mild steroid lotion like beclomethasone lotion on scalp at night. Mild herbal shampoo and almond oil may be used. Have patience for the result. You discuss with your doctor for treatment methods.I hope you got my answer.Thanks.Dr. Ilyas Patel MD | |
What causes right sided upper abdominal pain?
i have RUQ pain, i have been on a no fat diet for months, I have had an US, CT Hida scan and will be having a scope done soon, they think it is my galbladder, but sometimes without eating fatty foods if Im stressed i have an attack, and these attacks put me to my knees. I had my son naturally and I would rather go through child birth again then continue with these attacks, that s how painful they are. Is there anything else this could be. | Hi,right upper quatrand pain if it is coliky and radiating to back probably you are having some issues with gall bladder,and few more things i want to know like are you having jaundice ,fever,nausea or vomiting,if yes it more likely gall bladder problem like cholelithiasis or choledocholithiasis.Better get an ultrasound abdomen which will give a basic information regarding the disease per se with that complete blood count and liver function test.Till then you can consider to take some analgesics which will help you in relieving the symptoms.Thank you | |
What causes vomiting post Omnacortil intake?
Hi I have a baby of 7 months old ,having severe cough and cold. Doctor suggested novomox and omnacortil oral drops. But the problem is after giving him omnacortil syrup he got omitted. I tried one more time but the same happend again. Please suggest whether to stop or continue the syrup. I am so scared of trying it one more time.. | Hello,You should give it but first given syrup ranitidine or lansoprazole. Omnacortil prescribed for chest congestion, spasm. It causes gastritis as a side effect in some patient, so needs to give above prescribe medicine before it.Hope I have answered your query. Let me know if I can assist you further.Regard, Dr. Sachin Kumar Agarwal | |
What causes difficult and irregular bowel movements in newborn?
hi my name is tanya and i have a baby of 11 weeks, from when he was about 2 weeks old hes always seems distressed with hes tummy escpelly after hes feeds. he is constantly straining as if he needs to open hes bowels but he dont go for at least 3 days iv tryed lactolse and gavascone for babys. hes always suffering from wind they say he was constepated but hes poo is always soft iv tryed so many things and nothing helping can you help? | Hello. Thanks for your query. If you are breastfeeding your baby it is normal for babies to not have a bowel movement even for 10 days. If his tummy feel soft and if he is not cranky or fussy then you should not worry. Anyway you can try some pear or plum juice. If you are breastfeeding your baby consider putting some plums, kiwis or Zucchinis. These foods are natural laxative and will pas through your breast milk to baby. Also tummy massages are known to help with this condition. | |
Could the concussion and blood while coughing is a serious condition?
Hi. I just got a serious concussion on Friday. Now I am coughing up blood and sneezing out blood. Could this be a more serious condition? Went to the cat scan and it came out ok. The one part of my head that has the most pain is above my ear and it is throbbing. | The head injury cd have caused injury to nose that is why u may b coughing and sneezing wlth bld coming out.consult ent surgeon. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Is it possible to conceive with enlarged ovaries and irregular periods?
Hi i am 27 yrs female.My bothovaries are enlarge in size but have normal shape,outline and echogenicity.There are multiple small (less than 5mm) cysts at peripheral parts of both ovaries.No calcification is seen in ovary. Right ovary measures 30.0x22.5x40.0mms(vol:-14.2cc) and left ovary measures 32.8x15.3x35.2mms(vol:-9.2cc).I do not have my periods regularly without oral pills.Can i have baby after marriage?please help........ | Hi , You are having PCOD ( Polycystic ovary disease) . Let me start by saying you will definitely have as many pregnancies as you want. But will need some effort from your side.Typical PCO has such peripheral arrangements & volume of ovaries will be>10 cc & periods irregularYou are in right age for pregnancy.Try to reduce your weight , Height in cms -100= weight in kgsReduce fat around the mid-segment of body. Even if you are not overweight, have regular exercise for mid-segment of body, controlled low calories diet, avoid junk food. No fasting please.This itself without any medications will normalise your hormones, periods & ovulation.Now your eggs are not rupturing on their own , they are seen as multiple cysts on scan, so they don't meet sperms, so no pregnancy. Only if your follicles rupture your periods will be regular.If you get pregnant with abnormal hormones, you stand a chance of early abortions too.Just get your Thyroid profile & Serum Prolactin level checked in early morning, empty stomach. They too may affect ovulation.All these are correctable. Not to worry aboutAll the bestDr.Balakrishnan | |
Does lack of physical movement cause back pain ?
I am 29. Working as a software engineer, i generally get back pain . Is it because i dont have much physical movemnt ? | welcome to healthcaremagic lack of exercises and faulty sitting posture may be the reason of back ache ask for ergonomic chairs in office and get simple stretching exercises [office exercises]in between find 30 mts for work outs at home or gym if back ache is troublesome consult orthopaedic surgeon | |
How safe is taking Benadryl while on Tylenol?
My husband has an artificial heart valve and is on warfarin. He has a cold or allergies with a runny nose, watery eyes and a headache. He took a Tylenol for the headache. Is it safe to take a low dose of Benadryl to see if it helps relieve the other symptoms? | Hello,Benadryl syrup has no known adverse interaction with warfarin.You can take a low dose safely.For drug ineractions, please see the link below: hope this was useful.Best Wishes. | |
Suggest cure for a hard lump under the nipple
My 10 year old daughter has a small hard lump under her right nipple, she has not hit puberty as of yet, but it is only on 1 side, her nipple is slightly larger on this side and it is sore, could it be the beginning of puberty or a lump other than that, that should be checked out? | hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a cyst, a benign breast lesion. it could also be a fibroma or fibrocystic lesion. these lesions are best evaluated clinically. further diagnostic examinations, such as breast ultrasound, will be requested as needed. regular breast examination and follow-up with your doctor is highly recommended in these cases. management (medical and/or surgical) will be directed accordingly.hope this helps. good day!!~dr.kaye | |
Suggest remedy for pain in right side of the abdomen
my mother undergo a surgery 2 years ago leaving her with one kidney(left), now she is experiencing flank pain on her abdomen and right side, it happens only occasionally but why is she experiencing pain on the side where there is no kidney?.. thank you for the time, and hope you can answer..gb. :] | HI, thanks for using healthcare magicThere are different possibilities for the pain.(1)During the procedure, nerves in the area would have been damaged or severed. Abnormal structure or function of nerves can result in pain.(2)the pain may also be coming from other structures such as the muscles in the areaIt would be best to visit the doctor to try and determine the cause of the pain.I hope this helps | |
How should a gun shot wound to the chest be bandaged?
In the chance someone get shot in the chest , causing a sucking bullet wound, what should I do? I understand that you should form a bandage sealed on three sides (fourth left open for air to escape the wound) but should is still apply a good amount of pressure? If I do this would seal the wound . So what is the point of the unsealed side of the badge , why not just a bulk of warping along with pressure? But I cant see doing this with ought pressure or the victim might bleed out? | hi welcome to hcm Holes in the chest can lead to collapsed lungs. Deep puncture wounds to the chest should be immediately sealed by hand or with a dressing that does not allow air to flow. Victims may complain of shortness of breath. If the victim gets worse after sealing the chest puncture wound, unseal it . you have to by the way control the bleeding first rush to the emergency department as early as possible hope this answers your question | |
How to treat webbed toes despite having multiple surgeries on the right foot?
I have had three surgeries done on my right foot. two on my big toe and one on the next toe. The last procedure was done nearly two years ago and not the third toe is almost covering the 4th toe. What can I do to correct this problem without having to have another surgery? | Hi, For this condition called crossover to the only answer is surgery which may not be very successful. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gopal Goel, Orthopaedic Surgeon | |
What causes pain in lower back after a fall?
I fell earlier while skating and hit the lower right side of my back and I ve been in pain ever since. The pain has not lightened any and I was just wondering if this is normal... The area has a huge welp were the curb hit and it s slightly swollen there s bruising and is hot to the touch. | It is suggestive of soft tissue injury over hip.The pain would increase for few days and will take 10 to 12 days to completely relieve.Pain killers like voveron with seraatipeptidase combination can help with pain and swelling.Regards | |
What causes a tooth abscess on the molar and ear pain?
I think I have a tooth abscess on my molar, because my ear is achy, my molar (which had a root canal done years ago) has mid aches and the outside of my lower jaw has a small rash. Does is this uregent? I do not have a temperature or headaches or anything serious. | Hi thank u for ur query on Health care magicSince your tooth had undergone root canal treatment there is less chance of a tooth abscess. Its better to undergo investigations like X ray of the region inorder to rule out the exact cause of the pain... Is there any swelling present in relation to the tooth? consult a dentist to undergo oral examination to rule out the case...If u have any further questions, please contact backThank you | |
What causes knee pain while bending and walking?
I am unable to bend my right knee without alot of pain, the pain is behind the knee and also to the right side, I am unable to get up from a chair, etc without help or pain, unable to sit down without alot of pain as my leg will not bend, very difficult to walk too far as their is alot of pain, I know I have to have a knee replacement but the surgeon says this is not coming directly from the knee, any advise you can give me to help this problem would be appreciated. | hi,i appreciate your concern about ur knees.it seems your knees are having degenerative arthritis (OA) when the space between patella and femur bone is reduced,it gives pain on bending,this movement is needed for getting up,sitting down andalso sitting on ground.you are also sugested to do blood checkup to ruleout crystal arthropathy and other arthritis conditions which can cause more pains and swellings.i usually give safe painkillers cource to patients along with warmor ice therapy,knee orthrosis to give knee rest.non surgical treatments are available now with promising results.thanks.i will be happy to answer future quary. | |
Suggest treatment for pain management
Was in a horrible acident lets say 3 months ago was hit hard by car walking. Mom refrains me so i kinda know incident. I had to get revived. Where they had to re construct skull. And after really waking up I battle a dislocated shoulder. Since then had what seemed like a horrible surgery. Now i scream cause pain sucks. I am based at Carbondale Illinois Neuro Restorative Campus in a live in house. Where it seems when you initial a situation it doesnt go anywhere. This pain is hire than a 10 in so say hospital pain chart. Also battling being sick since yesterday been in my bed. Therapist twists and turns dislocated shoulder and promise it creates more pain which hurts so bad. I still havent seen bone doctor. Was sent here from amazing hospital in South Bend IN. I would think more x rays would be done. Then me just suffering. | Hello, Cannot say in your particular case, but generally, if it isn't moved then it becomes utterly useless (adhesive capsulities--frozen shoulder). Aspirin like drugs are the generally best bet and used prior to physical therapy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist | |
Is blood in mouth due to sinuses and teeth pain?
Recently had a tooth extraction on an upper top molar due to unknown pain. It has been five weeks and immediately after extraction sinus issues have been occurring. Now for past week I taste blood in mouth and thought it was the wound, but it s mostly healed. I feel lump in throat and tried to spit out sputum and found it tinged with blood. I am spitting blood tinged saliva, too. The bad taste in mouth is horrible. And believe it or not going to see dentist again there is pain in the adjacent teeth of extraction. Can blood be from sinuses as well as teeth pain. I d dislike losing another tooth for the wrong reason.Thanks! | Hello, Welcome Thanks for consulting HCM, You said you have blood in your mouth you dont know what it is, so it can be due to periodontal problem also in that adjacent teeth so dont worry much do mouthwash chlorhexidine twice daily and warm saline gargle two days , and visit Dentist for treatment . Hope this will help you. | |
Is palpitation and night sweats signs for heart problems?
I am constantly anxious, my heart races and I get palpatation, now severe heartburn and night sweats so bad I completely soak my pillows and sheets. My family is prone to heart problems. I'm 33 now and concerned. Is this anxiety or something more serious? | HiFrom the way you describe your symptoms, in my opinion I am more inclined to believe that you might be having Generalized Anxiety Disorder. But before coming to that diagnosis, I would want to evaluate your heart and vascular function. I would like to know if you are diabetic, hypertensive, smoking, under constant emotional stress. The reason I would want to know this is that these are risk factors to develop heart disease later and so they are to be treated now. An ECG may be done though it is most likely that you would have a normal one, but it is better to confirm it. Having a family history of heart disease DOES NOT make you 100% likely to get heart disease. It is possible that you may never get it too. Once I am sure that your heart is normal I would suggest you to meet a psychiatrist who routinely treats Generalized Anxiety Disorder. There are several behavioural therapies that may help you apart from drugs and the psychiatrist is the best person to help you in this. Some of the medicines that may use include fluoxetine, paroxetine citalopram, buspirone. Since these are prescription medicines, it is best you consult the psychiatrist. I hope this helps. | |
Q. I am afraid of taking Venlafaxine due to side effects. Shall I stop the medicine?
Hello doctor, I was recently diagnosed with an anxiety disorder and have not consulted an ADHD specialist. My doctor prescribed 37.5 mg of Venlafaxine for my anxiety and possible ADHD, but it made me feel extremely moody, sad, and sluggish. I have consumed one tablet for two days alone. I am afraid of taking Venlafaxine due to potential withdrawal symptoms. Is it recommended to stop immediately or continue until the side effects subside? | Hello. You are on a low dose of Venlafaxine (37.5 mg once daily) to manage your anxiety. Usually, the dose will be increased to 75 mg once daily after a week or so. In your case, consult with your doctor about any increase in dosage. It will take one to two weeks for you to get used to the medication, and then you will have the therapeutic benefits gradually. In most people, side effects will wear off when the medication is continued for one to two weeks. If it is difficult for you to manage the side effects or if it does not wear off, consult with your doctor so that he can monitor you and switch to another medication if needed. Follow relaxation techniques like breathing exercise and progressive muscle relaxation. It will help to manage anxiety. I hope this helps. | |
Suggest symptoms of Tuberculosis
What are the symptoms of Tuberculosis, my friend has it and I m concerned I may have contracted it.(FYI, please do not share my email address with 3rd party sites, and if I m required to pay a small fee for the info you provide or will provide, please dis-regard this message.) thx...Lisa YYYY@YYYY | Thanks for your question on HCM. Tuberculosis is infectious disease which mostly affect lungs but can affect other organs too.So symptoms of tuberculosis in lungs are1. Cough for more than 2 weeks with or without expectoration. 2. Low grade, evening rise fever.3. Weightloss, decreased appetite and oral intake. 4. Hemoptysis (blood in sputum)5. Breathlessness etc.So if you have any of these symptoms thsn better to consult pulmonologist and get done chest x ray and sputum examination for AFB. | |
Abdominal pain after eating food. Gallbladder removed along with stones but problem persisit
I am female, 61 years old, with abdominal pain whenever I eat, and it doesn't seem to matter what I eat. Pain begins shortly after I start eating usually but lately it has been more often and even when I don't eat. It is in my midriff and feels like I have eaten a very large meal. This has been going on for about a year and I did have my gall bladder removed along with 6 large nickel sized stones but the problem persists. I have decreased appetite and have lost over 50 lbs since these symptoms began. I weighed about 280+ and now weigh 230. The pain in the past few days seems to have started to be dull. constant and radiates into my chest. | HIThank for asking to HCMI really appreciate your concern this could be gastritis due to hyperacidity, if I would be your doctor then I would advise you to take the "Omeprazole" 40 mg once in day with the "Domeperidone" tab. this will give good relief, you need to keep your stress level very low avoid spice food, this will come around soon nothing to worry about this take care and have nice day. | |
Is the result showing SGPT count 77 is a cause of concern for liver?
i was planning to apply to middle east and did a medical test for the same.found that SGPT count is 77 in place of desired 41.i have a history of gilberts syndrome.how bad is it? shoud i be worried about my liver condition.is there a way i can reduce the count in a short time to qualify for the medical test | Hello. Thanks for asking query on HCM.I appreciate your concern. You have mild elevation of SGPT. As you have not given the other Liver function test reports, I assume them to be normal. Most common cause of mild elevation of SGPT are alcohol intake, fatty liver and chronic hepatitis B or C. I would suggest you to test for Hepatitis B and c virus, ultrasound of abdomen, reduce alcohol if taking and good healthy life style including daily walk and exercise. Monitor your LFTs. With these measures hope it will become normal.Take care. | |
Suggest medication for depression while on NSAIDs
I am currently taking NSAID's for chronic back and neck pain with the occasional vicoden when it gets very intense. What antidepressant would be best for my depression? I've read SNRI's are better as SSRI's effects are diminished with NSAID and pain meds. | Hi Sir/MadamWelcome to Health Care MagicI can certainly understand your concern about the combined effect of NSAIDs and SSRIs , as you said it may reduce the effectiveness because of some cytokine receptor occupation by both the drugs, so there will be less receptors available for SSRIs But I can suggest you can start on desvenlafaxine which is an SNRI , as due to the combined effect of norepinephrine and serotonin, you can get good results...But it is advisable not to stop this medicationBefore 6-9 months , even if you feel better as you may get relapse of the symptoms...If you stop the course incompletely, hope this information would help youPlease post your further questions if any, I will be always available to answer themThank youPost your further questions if any, I will available to take up your follow up questionsThank you | |
What causes darkening of penile head after having sex?
hi doctor. My penis always turned dark after intercourse. it will be darker than the original color. The most significant area is at the head of my penis. The head of the penis also had a few a significant black dots. In addition to the wrist of the head of my penis also looks like white dots embossed stand. this all happened after I started to have sex, which in the past year. It is very troubling to me. How can I overcome this problem. I hope you can help me. TQ | Thanks for asking in healthcaremagic forumIn short: I think you have fordyce spots over there.Explanation: Darkening and lightening depends on the blood flow over there so you need not worry. For your white/black dots, I think those are fordyce spots(visible sebaceous glands) which are harmless and normal. You can visit a doctor so that you clear your doubt by showing him the lesion. | |
Stones in gall bladder detected. Prescribed Udihep 300, lost control on bladder. How to treat it?
Dear Doctor, My father had an enlarged postrate due to which he had the urge to urinate frequently in the night. For this, he was operated 2 years back and had shown significant improvement last year. The no of times he had to wake up in the night have reduced from 8 to 2-3. Now, the family doctor has detected stones in the gall bladder for which Udihep 300 was prescribed twice a day for 7 days. on taking this course, the no of urniations in night has increased to 10 and he has lost control over his bladder. Is this a known sideeffect of this medicine. What should be done in this case. Kindly please guide us. Thank you. - Mitesh | Hi.As per lierature,Udihep doesnt increase frequency of urination or cause loss of bladder control.if there is no pain in the right side of abdomen on upper part,just below ribs ,nothing is to be done for Gall stones.Gall stones cant be dissolved by allopathic treatment.IF your father is asymptomatic,wait and watch policy is the best option.If you feel that the drug has lead to Urinary complaints,you can stop the drug.All the best | |
What causes pain in arms and shoulders post bypass surgery?
I had triple bypass in May 2015, now I am having pain in left arm and shoulder, this del pain which same pain as before the hart surgery. Now I am nervous that it may be some thing wrong with my hart again, and I don t wants to through hart surgery again. Please advice what could be wrong. | Hi.I can understand your concerns.In about a very few number of patients undergoingBypass Surgery,there are chances of re-blockage of Grafts placed in your heart during surgery.If such a patient comes to my clinic i would suggest him to go to Cardiologist for a possible Angiography again to check that grafts are bocked or patent..Hope you find my answer helpful.Write me again of you have more queries.Wish you good health. | |
How to treat chest palpitation?
I have been experiencing chest palpitations for about a week now. I am an electrician and don't feel it while I am working just when I am home relaxing. I am taking oxycodone for back and neck pain 5mg. I am very close to going to the hospital because I am starting to worry. Are there any thoughts on the issue. | HelloPalpitation is commonly due to anxiety and it doesn't necessarily mean structural or functional abnormality in the heart.However it may be associated with coronary heart disease,hyperthyroidism,hypertrophic cardiomyopathy etc.It may also be due to alcohol,caffeine,medicine side effect etc.You may need clinical examination and investigations.Relevant investigations are routine hemogram,random blood sugar,lipid profile,ECG in all leads,ECHO,TMT,Thyroid profile etc.Treatment of palpitation depend on severity and underlying cause.Avoid alcohol,caffeine if you take it.You need detail evaluation by a cardiologist.Get well soon.Take CareDr.Indu Bhushan | |
How long does it take to reduce MCV/MCH levels in blood?
How long does it take to lower MCV and MCH values (at 101.5 and 34.5, respectively)? I have been drinking about 1-2 drinks per night most nights of the week (usually on an empty stomach) for the past year, and just got blood results back. I was quite startled, and a bit afraid. Needless to say, I stopped drinking! | Welcome to H.C.M. I am Dr Krishna Dubey.My dear friend , in alcoholic patient red blood cells become macrocytic (size is increased) M.C.V is increased and MCHC also changed.Your red blood cell will be normal and M.C.V and M.C.H.C will come in normal range after avoiding your Alcohol.Thanx for query. | |
Noticed cramps in both legs & lumps above the knees
i experienced what seemed to be cramps in both legs ,could not move or bend my legs,now i have what appears to be lumps above my knees and when i stand upright my legs feel weak,and the lump is hard ,getting bigger and seems to be moving up. Should i consult a gp | Hello, can take analgesics like Paracetamol or Aceclofenac for pain relief. If symptoms persist better to consult a physician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Could having unprotected sex followed by intake of emergency pill within 72 hours prevent pregnancy?
pregnancy helloi had unprotected sex on wednessday bt did not take an emergency contraceptive pill because da due date fr my periods was saturday(today) but den when i did not get my periods today i got scared and took an ipill.. i took it within 72 hours though. is der any chance that i maybe pregnant? | HIThank for asking to HCMI really appreciate your concern look no method is hundred per cent give you protection against the pregnancy, even after taking the pill within 72 hours chances would be there for pregnancy, because this agent disturb the hormone but may not prevent the fertilization of ovum for sure, hope this information helps you, take care and have nice day. | |
What causes excessive foul smell during the bowel movement in an infant?
What would cause our 18 month old grandchild start having really stinky diapers??? He got sent home from daycare this morning for couple dirty diapers and threw up 2x????? my daughter said when she got him home, and changed him, diaper was real foul smelling?... | Hello, It is most probably stomach infection. You need to get the child examined by a doctor. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Deepak Patel | |
Suffering with renal stones, blood in stools, constipation, advised staple operation. On blood thinners post stents, BP medicines. Safe?
male,71,cardiac stent 2009,b/p 125/80 pulse 85,hb1ac 5.50to 6.30, very small kidney stone(One each)in both kidney,3-4 degree piles,sometimes blood in stools .no pain., constipation.Surgeon suggests staple operation. how much risky(stent)is there no medical treatment ? How to stop blood in stools? again stent. I am on blood thinner and ecospirin since March, 2009(Stenting)and atorvastatin and bp drug.Ilive in delhi. PP I take no fats,no spices and fats.Vegetarian. | blood could be due to bleeding piles while straining,take stool softeners.if no relief go ahead with operation | |
What can a arm lump with weakness and discomfort be?
Hi, may I answer your health queries right now ? Please type your query here...I'm 28 5'8" 135pds nothing wrong medical wise but cancer runs in both sides of immediate family. My left arms has been aching for a couple of days and today in the shower I felt a lump or something a little smaller then the size of a golf ball. My arms feels weak and my hand feels weird. What can this be? | Hi, dearI have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or dermatofibroma. Or you may have some other mass. You should go for examination. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What is the seed like thing on the shaft of the penis?
Hi. I have a thing on the shaft of my penis. It looks a bit like a sesame seed and it's been there forever, it looks like its starting to come out but I dont want to touch it. Theres 3 of them I think, all in the same spot. The top of it is like a brownish color and inside it looks almost white. I'm not sure what to do | Hello, As per your history, it may be due to smegma. As it's asymptomatic so no need of any active management. In case of bleeding you may require laser surgical treatment after consultation. Maintain proper hygiene. Avoid harsh cosmetic products. Use plain water for washing. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician | |
How can Adenoid sarcoma be detected through scan?
A close friend of mine took her son(24yrs) in today to have what the doctors thought might be a cyst removed from right behind the jaw (bt the jaw and bottom of his ear lobe). before they removed it they took a biopsy and it came back as cancer and they diagnosed him with adenoid sarcoma. we were told it is unresponsive to radiation and chemotherapy, but depending upon scans surgery may be possible. i can not find any information on this cancer can you direct me to information about what this is, and potential options? also, they mention the possibility of him having to be sent to MD Anderson in Texas. | Yes it is poorly responsive to radio and chemotherapy. Scan is just to see the extent of disease.if not widly extensive then surgery might help. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Stopped birth control pills. Prescribed primolut. Ultrasound doesnot show fetus. Is this pregnancy?
hi i am married last may i stopped my pills last june 3. and i went to gynecology for check up and for the ultasound last june 14 and the doctor said there is no babu inmy uterus .so the doctor prescribed primolut nor 5mg so take for 5 days twice a day i finished alredy the 5 days to take..until now my menstruation didnt come.do you think it is possible that i will be pregnant but my ultasound there is no baby. | Hello. Thanks for writing to us. If the ultreasound scan is not showing any baby then you can get a serum beta HCG evaluation done to rule out the pregnancy. If the periods still do not come then other causes of hormonal imbalance and anaemia needs to be ruled out. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
Why do I swallow food after a tooth extraction?
Hi, I had two teeth pulled last week. Since then everytime I try to eat solid foods, I go to swallow and its almost like I cant physically swallow what Im eating. It gets stuck and blocks my airway and obviously it causes me to panic. Do you think it could be related to my tooth extraction or should I go see my PCP? | Hello, thank you for consulting with healthcaremagic. No it does not looks to be associated with extraction of socket. You should consult a good ENT specialist for it.Or it can also be possible that your medications which you might have taken for the infection are creating problem, as the pain killers cause, severe acidity. Then if you are on medication you should discontinue it.Hope it will help you. | |
What are the symptoms of hernia?
I thought I had a hernia due to pain in my lower stomach and testicles when I would urinate or strain at all. Now I've been getting nose bleeds. Can these symtoms be connected. Can a hernia cause nose bleeds somehow? I went for an std test and immediatly after having my penis swabed I got a nose bleed as well. Im very concerned. Im going to the hospital in a few hours. | Hi.Hernia can not cause nose bleed, Hypertension can. You must be in a stress. The pain in the lower abdomen and the testicle can be due to hernia, nerves getting stretched. Get a confirmed diagnosis and get operated if you have a Hernia. | |
Pregnant. Have burning sensation and pain in kidney area, have kidney stones, UTI. Done US. Is there a bladder issue?
I am 31 weeks pregnant & was recently in the er due to extreme kidney pain & burning. They did an ultrasound but didn't see anything but still believed it to be a kidney stone. The pain continued for 5 days with pain killers until finally it seemed to move down my back & forward to abdominal pains followed by uti symptoms & a uti infection. I have been on antibiotics for 9 days and still feel like I have a uti. Is it possible that the stone has not passed & just moved from my kidney to bladder? I don't still have the excruciating pain in my back but cant seem to get over the bladder & abdominal pains. | Hello, Thanks for the query to H.C.M. Forum. Stone ( calculus ) anywhere in urinary tract system develops pain in all area belonging to urinary system i.e. back , abdomen, groin above pubis, urethra ( labia in female & testis in male) and burning sensation after urination. In your case it might happen that stone dislodged from its site and moved downward , so it also causes pain.Since you are pregnant , hence take pain killer but after consultation with your gynaecologist and urologist. Get one more ultrasound and find out the exact location of stone. Urine culture and sensitivity test will provide exact nature of infection , if any. Good luck. Dr. HET | |
What is treatment for lump on neck which looks like ingrown hair?
Hi. I have an ingrowing hair on my kneck and have done for the last 6 months. I have a fairly solid lump that is very irritating and occasionally swells up. I can t see the hair under the skin and have no idea how to get rid of it. Can you suggest any treatments or procedures? | not to worry much as this is benign condition like infected sebaceous cyst or a parafollicular abscess!just do follow the hair's direction while shaving and if possible squeeze the pus out / remove the hair!all the best! | |
Can Zolpidem Tartrate be taken for high heart rate?
hello, I am a male, 67 yrs old, with a heart condition (had a stent in 2006). I am also a type 2 diabetic. I have had periodic episodes of afib over the past 2 yrs. tonight I had excess sugar (brownies)and a couple of beers. I awoke an hour ago, checked my heart rate, it was 144, then 130, then 162, now it is back to normal. at 10 pm I took two sleep gummy aids which have melatonin in them. can I take one zolpidem tartrate now to help me go back to sleep? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would explain that Zolpidem is not contraindicated in your conditions, but it may mask your symptoms. If you are experiencing a high heart rate, I would recommend going to the ER for a physical exam, an ECG and some blood lab tests (complete blood count for anemia, blood electrolytes for possible imbalances, etc.), in order to exclude any possible cardiac arrhythmia, which can be life threatening. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest opinion on anti rabies vaccination due to dog bite
Hi, may I answer your health queries right now ? Please type your query here... Dear sir, One of my friends son has been bitten by a dog 3 days ago. The Dog has died after 2 days and the parents have got their son injected today by the reqyuisite medicines, Kindly advice. | Hello there,Since the dog has died the patient(your friend's son) has to be treated on an emergency basis.He has to be given anti rabies immunoglobulin now which will be injected and protect him in the short term from the dog bite.He also has to be given rabipur vaccinations which will build his immunity against the dog bite virus over a longer time. These are normally given on 0,3,7,14,21 schedule where the numbers indicate the days he is given vaccinations with 0 being the first day of the shot.You do not have to worry since early treatment is the best way to counter the dog bite and if it has been started that is beneficial for the child.Hope this helps,Please feel free to ask any further questions. I would be glad to help, | |
What causes frank blood in semen after atrial fib?
I am a 76 year old male, status post triple bypass 1998, more recently had an episode of atrial fib and put on coumadin. The last two times we have engaged in sexuual relations, i've had a fairly large amount of frank blood mixed with the semen. any cause for concern? Frank in New YORK | Hi Frank. Thanks for the detailed history. Bleeding is due to the Coumadin most likely. I would advice you to consult your Doctor to get your PT and INR tested and decrease the dose of your Coumadins. They decrease the clotting ability of the blood leading to such bleeding episodes. So it is safer to monitor its effect by testing the PT and INR which tells us the clotting ability of the blood. Take care and let me know if there are any clarifications which I can help with.Dr Rishi, New Delhi, India. | |
What could cause throbbing left shoulder pain?
I have throbbing pain in my left shoulder and sometimes it travels all the way to my fingers where I experience a tingling sensation. It s not really bad but more annoying. I do physical work for a living but doesn t bother me anymore when using my shoulder to do tasks. Just curious what it might be | Hi, As what I see with your complaint that the pain is kind of Radiating in nature from the shoulder up to the fingers down. There might be two possibilities based on your physical job. Either it might be having a cervical disc nerve entrapment and other can be a ulnar neuritis. Now based on which finger is involved we can come to a conclusion as all the 5 fingers of the hand are having nerve supply from different nerves. If you get tingling sensation in the first fingers that is the thumb, the index finger and the middle finger half than it will be related to a cervical disc nerve entrapment. In case if it is related to the last two fingers like the ring and little finger it could be ulnar neuritis. To even come closer to a conclusion we need to assess your upper limb and some more query to be answered by you that can help us to diagnose it more precisely. To sum up with the therapy part, you need to strength the muscles of the neck and also the triceps. whose videos you can find online and rest assured, you should be doing good in 2-3 weeks of time to the maximum. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
What is the cause and treatment for UTI?
Hi my 13 year old daughter in the past has had multiple UTI s and today woke up with a high fever and said that when she urinates there is a very strong smell and it is starting to hurt. She also said the colour looks like weak tea. Should I be worried? | hello. I have understood your query. she is having tea colored urine which might be blood in urine. please consult a doctor and get urine tested. | |
What causes abrupt appearance of lump on forearm?
Suddenly this lump appeared on my forearm. It is about the size of an egg. I am 89 years old and previously was cleaning spilled drink from the refrigerator. The lump is un comfortable and I am tired and ready to go to bed. What is this and is it alright for me to go to bed and try to sleep? | sudden appearance of lump is a thing to worry about much as this could be an abscess or bursa but it could be a lymph node also! you should go for an FNAC test for confirmationall the best! | |
What causes an itchy soft lump at the base of my skull?
Hello, I have developed a lump at the base of my skull. It seems to go from about the center of my neck, across the base of my skull, over behind my right ear just behind where the earpiece of my glasses. It is itchty, yet very sensitive to the touch (more so in certain spots) there are two places goin from the lump up the back of my head that are about 1 1/2 inches long that are very painful yet dont seem to be swollen just very painful. I havent been very hungry, my balance seems to be somewhat off, I get dizzy, 2 days ago my daughter had to drive me home ( while sitting in the drive threw at the bank the building started swayin back and forth) I feel very tired, and have been sweatting a lot. My daughter looked closely with a bright flashlight to see if perhaps I had been biten by something and she could not find any discoloration. | HI,Welcome to HCM.Based on the facts of your query,you seems to suffer from-Acute Lymphadenitis at base of skull and behind the right ear and is mostly due to Acute mastoiditis with Mastoid Abscess with vestibulitis causing the dizziness with vomitting with lot of sweating. As though itchy,the soft lump at the base of the skull which is very sensitive and painful to touch with 2 joining lump feel,indicates the mastoid abscess spreading to base of skull which is very near by side of mastoid destroyed air cells and which could be detected by CT Study of the mastoid and the base of the skull region.I would suggest to get the Second Opinion from Ent Surgeon and Neuro-Surgeon to treat this case after the CT mastoid and skull study with MRI with gadolinium constrast study,if need be.Possibility of -Accompanied- Spondylitis needs to be studied,as a cause of dizziness with vomitting spell you had 2 days back.Hope this would resolve the query of the cause of the itchy lump at the base of your skull and would help you to plan treatment with your doctors in this very complicated and challenging case of skull base lump of yours.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | |
Suggest treatment for fast heartbeat in a child
my child is 5 year old, he has a problem of fast heart beat some time, i have consult the doctor, he told to do x-ray, ecg and complete haemogram of my child. I X-ray, the comment was below Prominent bronchovascular marking seen in both lung fields inhomogeneous opacties seen in left paracardiac region ? consolidation Both C P angles are clear Both Hila are normal Cardiac Size in normal both domes of diaphragm are normal in outline and position bony cage and soft tissue are normal the Complete Haemogram result show some diffecencies Polymorphs 36 Lymphocyties 57 ESR 15 M.C.H 25 My docter was not there he will meet me on friday, so pls tell me what is the problem in my child. | Hi,When did the problem start? What was the heart rate reordered? Is it consistently high or only episodic? Any symptoms like exercise intolerance (while running/playing), dyspnea? Is he on any regular drugs?Common causes of consistently increased heart rate in children are anemia, drugs like thyroxine or sympathomimetics , congenital heart diseases and arrhythmias like SVT (supra ventricular tachycardia). Among the reports mentioned, the only thing significant in this context is an increased broncho vascular markings on chest X-ray.This suggests increased blood blow through lungs, that can be seen in some congenital heart diseases or cardiac failure. But we need to consider any symptoms and clinical findings also. Your doctor will discuss in details.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician | |
Could the fluctuations in heart beat and mood swings be due to stress?
I am 22 years old boy, recently i had been working under a little stress. For a little long time, i am having random problem of uneasiness and mood swing. I am feeling really cold, even if its hot here and shivering, my heart pulse fluctuates and sometimes fall below 60 pm. I had uneasiness in my chest and accompanied by stomach disorder. It occurs sometimes but it is worst today in past 3 months since it started. | DearWe understand your concernsI went through your details. I suggest you not to worry much. First of all, due to stress, our heart beat rate and blood pressure rate varies. When we take rest it comes to normal. But when we become anxious about the heart beat, pulse, BP etc, they rise whenever we think about them. In one way this can be called obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. 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. | |
Is it bad to take aspirin with a heart murmur?
I want to know if it is bad to take aspirin with a heart murmur. My husband who is 46 years old was born with a heart murmur and he started taking aspirin about a year ago for blood clots/vericous veins in his legs to make them shrink per advice from a doctor at our local low-cost healthcare center. The doctor who examined him said that if we had health insurance that he could do a lazer procedure on his legs but we don't so the doctor recommended to him take a regular aspirin everyday to make the blood clots shrink. However, this has not worked and for the last two weeks his heart has been beating much faster then normal. Before he started taking aspirin he did not have this problem. Please give me an answer to what we should do and if my thinking is right that the aspirin has done more harm then good. | Hi, aspirin is good for heart if taken appropriately.in your case it seems right as ur husband seems suffering from incompetent veins.so aspirin will in turn help. the palpitations and other complains as told by you may be related to other things in heart. the local doctor has done appropriate treatment at his level. but I suggest you show a cardiologist or a interventional Radiologist who are expertise in it.sometimes a clot released from those veins can cause a blockage of arteries of heart so you need to take appropriate action regarding the same.. | |
How to treat broken shoulder?
Hi my name is sandra a couple weeksago I fliped a very heavy coffietable over and when I was12 I broke my arm im 44 know , I thonk it rebroke and I hurt my shoulder too im tuffing the pain out but my arm is swelling and the pain is traveling to my collarbone if not treated whats the worst that can happen an what do u think thx for ur time | Hi, As with the history, I don't think this will be a broken shoulder bone again. This might be now a soft tissue injury like the glenoidal labrum or the Rotator cuff injury. Due to both of the mentioned injuries there is possibility of having a swelling of the arm and pain in collar bone. Taking up a orthopedist opinion is advised. He may look for an x-ray or an MRI if required post the clinical examination. The arm will be rested in the swing for few days and also physiotherapy will be advised for shoulder rehabilitation. If ignored than there might be changes in the overall joint function and also might be fluctuation in Blood pressure which may actually be not related to cardiac. But may get misunderstood with this. I will advice you to take the wise decision. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Sores spreading all over the mouth from cheek to tongue and lips. What treatment should be taken?
Hi -- I have been living with some small mouth sores for about the last month. I have had canker sores since I was a teenager but they usually go away within a few days. This last outbreak has lasted a long time and they seem to migrate all over my mouth -- all inside on inside of cheek, on my tongue and inside my lower and upper lips ... help? | hi, i read your problem,i will suggest you please go to an oral surgeon as soon as possible,and go for complete examination done including biopsy,if needed.and please follow all the given instructions properly.nothing to get worried.take care. Dr.Gunjan Gupta | |
Is pain around a DVT surgery spot on the calf a symptom of blood clots?
I had a dvt in my calf and behind my knee last July following childbirth and back surgery. I have been on warfarin for 6 months, fragmin when my inr was low. I finished all meds last week and am now having pain in the areas where the clots were. Could the clots still be there? | Hi, The pain in the areas of clots is a worrisome finding. This can be related to clots or muscle spasms. It is best to consult your physician for an examination. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopedic Surgeon | |
Suggest treatment for enlarged liver & dizziness in alcoholics
Hi, My husband is an alcoholic, and was seen in the ER last week because of dizziness. His blood work showed enlarged liver, pancreas and bone marrow not functioning properly. The Dr. said if he didn't stop drinking, he could possibly be dead in 3 months. This morning his heart rate is low, he is vomitting, dizzy and skin very clammy....He will not go to hospital, ony wants to sleep. Any idea what could be going on? | Hi thanks for contacting HCM...Here your all symptoms direct or indirectly because of alcohol....Here heart failure should be ruled out.....It can lead dizziness......So for that ECG or echo need to be done to rule out cardiac cause....You might have cirrhosis and portal hypertension as you are chronic drinker...It can lead functional pulmonary failure by portal hypertension called hepatopulmonary syndrome....By alcohol wernick encephalopathy can be there by thiamin deficiency.......so vitamin tablet taken...If edema occurs diuretic taken...Consult gastroenterologist for proper examination and subsequent investigation ...Take care.Dr.Parth | |
What is the right time in periods cycle for intercourse to get pregnant ?
Can you suggest me which is the right time for intercourse from period cycle to get pregnent ? | hi welcome to health care magic.see if you have regular cycle then 14 to 19th day of your cycle is most fertile day.if intercourse occur at that time chances of pregnancy more. thanks dr.dhara dhara.shah84@yahoo.in | |
Painful lump under skin after bitten by ferret. Is it just tissue repairing?
Hi I was bitten by a ferret about 3 weeks or so ago. His tooth hooked under the skin and it took a while for me to be able to remove him by pushing a towel into his mouth after all else failed. Although it has pretty much healed, I now have a lump under the skin that hurts when it is touched or gets cold. Is this just tissue repairing under the skin? | I hope you have taken the antibiotics treatment beforehand. If not take one course. It may be an infection although it is 3 weeks.Just healing - should have no pain / tenderness after 3 weeks - whatever the injury be. | |
How can jealousy be treated?
Hey Doctor, I have a problem with my early childhood that I can t see any one happy. I got jealous even seeing someone smile. I can t tolerate any one happiness. I simply want that I am only one on earth happy. Whenever I find someone happy, I make all my efforts to destroy him/her. Please help me. | in my opinion u would benefit from doing social serviceto help downtrodden spending time at the orphanage in stead of looking up towards extremely rich people , do look at the poor , sick patients | |
What causes elevated blood pressure along with anxiety disorder?
sure ty for listening I have several disorders and I am experiencing bad panic or anxiety attacks recently. due to my experiences these attacks are usually short and controllable. But now they are causing physical symptoms of elevated bp and heart rate, split second blanks of consciousness. I have gone to my pcp and heart issues have been removed as all my test are normal. I am under medication for ptsd and meninears disease, ( sorry don t know how to spell it correctly) so the line of panic attacks and vertigo often becomes blurred. however I am now having memory issues and blurred vision can you help me better articulate these symptoms to my pcp | are you taking medicine for your panic attacks? your physical symptoms ,memory problems are due to anxiety and panic . you need to tell your pcp that anxiety and panic symptoms are difficult to control on their own now and you are having memory problems due to it. hence you need specialist care and therapy or medicines | |
What causes elevated liver enzymes and body itching?
13 years ago sgot 900 sgpt 1200,32 wk pregnant twins. delivered baby boy & Girl. Also had severe pre-eclampsia. I know when there elevated because I iched. No one believe's me when I tell them, even though they had the test results to prove it. Then the doctor told me they had never seen someone like me. 32wk pregnant and sgot & sgpt thru the roof. As of 4/06 they tested at 43. Since then enzyme levels go up and down. I can tell by how ichy I am. Ultra sound show mild kidney damage but nothing else. Should I have it re-evaluated? | Hi welcome to the health care magic Your liver enzymes were elevated during pregnancy time to more than 900 that suggestive towards hepatocellular injury... Pregnancy induced hypertension history that is pre eclampsia history was positive... So PIH can lead elevated liver enzymes by hepatocytes injury and in its severe form it is called HELLP syndrome... Just now as per latest report mentioned it is 43 that is not elevated level If your liver enzymes value raised to more than two folds rise than proper evaluation necessary.. Itching is also present so bile canaliculi injury or obstructive cause evaluated through GGT, ALP testing, serum bilirubin and USG abdomen.. If in repeat follow up test liver enzymes high than investigate with serum hbsag testing, anti HCV testing, repeat USG, HIDA scan(if needed) for further evaluation Take care Hope your concern solved Consult physician for examination with keeping all this in mind | |
How to get rid of hydrocele?
Nephew has Hydrocele, extremely painful, size of a canteloupe or smaller watermelon, hangs to knees. Told tissue in scrotum is acting like a sponge and cannot be drained or aspirated. Cannot do surgery or nephew could bleed to death. Platelets are low. Told 5-15-14 nothing could be done, low platelets not treated, only Tylenol until 5-20-14 when Tramadol was prescribed. Can you help or recommend a doctor near Altoona, PA who may have more knowledge or experience in this area? | Hi, dearI have gone through your question. I can understand your concern. He has hydrocele. Treatment of choice is surgery. He should go for surgery for hydrocele. If he has low platelet count then search for the cause. It can be due to viral infection, low production or ITP. He should take treatment for platelet count first then go for surgery. You can consult any general surgeon for that. It is very easy operation. Nothing to worry much about that. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Can being positive for hla-b27 cause severe SI joint pain ?
so i have been going threw this for a year now and i cant seem to find answer. so here are my symstoms are my si joint is killing me and gets better with movement but if i push it to much i end up not being able to move without awful pain. i have been tested for lupus came up negative the only thing they found in all the blood test were i am positive for hla-b27. been to a orthpictic surgeon and he cant find anything in my back that would cause the pain i am in. my other stytoms are im always tired but cant sleep bc i cant get comfortable long enough to fall asleep. i always have stomach and abdominal pain which has gotten better along with my bavck sense i have been put on diclofenac sod im on 75mg twice a day. i have had diarrhea for as long back i as i can remember. i also have lose of moverment in my back. i also have weird pain in my joints for no reason out of no were. when they did the blood test they did not find alot of information in my blood. | Hi, Positive HLA B27 means you are having aankylosing spondylitis and in ankylosing spondylitis there is involvement of SI joint as well as your spine.in ankylosing spondylitis the movement of the spine becomes painful and movements of the SI joint also becomes painful. This is genetic disease and has no permanent cure, only physiotherapy and some medicines are there to help out. The most important thing in this is you should always be physically active.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon | |
What causes bleeding in liver tumors?
My daughter had a liver bleed this weekend. Lost a pint of blood, blood pressure dropped. Dr. did a angiogram and found that she has several tumors on the liver. The stopped the bleeding of the tum.or that erupted. What causes this? Drs. scheduled another mri because there was so much blood in her abdomen they could not get a good view. | hi.the tumor or any tumor itself has neovascularization which could rupture and can cause tumor bleed. liver is also an organ with good vascular supply hence, major blood loss could be encountered on a situation like that.hope this helps.good day!~dr.kaye | |
What causes dry mouth while sleeping?
I have been experiencing complete dryness in my mouth when sleeping. I wake up every two hours and there is no saliva in my mouth. I have recently stopped eating sugar and breads, trying to lose some wight. I am generally healthy at 62, with mild COPD diagnosis. I am on an Incruse inhaler once daily, but have been on this for a year or more. Dryness just started around the time I cut out caffine and sugar. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It looks like you have severe dry mouth or Xerostomia. It can occur due to causes like: -Severe dehydration -Side effects of medicines if you take any-Salivary gland dysfunction-Nerve damage supplying salivary glands-Oral infections like thrush-Sjogren syndrome, etceteraFor dry mouth, chew sugarfree chewing gums. Drink plenty of water. Avoid regular mouthwash and use specialized mouthwash like Bioten that are formulated for people with dry mouth.You can also instil artificial saliva drops. Suck tart candies as it also stimulates saliva flow. You can also stick Xylitol patches on the buccal mucosa at night before sleeping so that it maintains a lubricated layer inside mouth and help in reducing dryness. If symptom does not improve, consult an Oral Physician and get evaluated.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | |
Can chlortalid and lisinopril be taken together for raised blood pressure?
My husband has developed high blood pressure in the past 6 weeks. He hurt his hip back in early Dec and everytime he went in his blood pressure was up. His Dr. put him on chlorthalid 25 mg 1/day. Last week he had him start taking 2/day. Yesterday he went in and got it checked it was still high. So he gave hima prescription for Lisinopril 20 mg. He was told to take one of the chlortalid and 1 of the lisinopril every day. Is that safe? | Hi.Thanks for writing on HCM.Chlortalid is a water pill. Lisinopril will dilate your blood vessels.Both the medicine(combination therapy) are used to treat your blood pressure to the target levels.These class of drugs are endorsed by the guidelines and are safe.They have to be taken to prevent the ill effects of raised blood pressure such as stroke and heart attack.Hope this answers your query. | |
Does shrinking gums indicate oral cancer?
I have6 dental implants 3 upper and 3 lower .My lower gum line has receded so much that my denture does not fasten to the implants and just floats. I need a denture adhesive just to keep it from falling out. Are shrinking gums a symptom of oral cancer? | Thanks for using Health care Magic.Read your query.Shrinking gums or receding gums as in your are not a sign of cancer.Yes,When a tooth is replaced with an implant, receding of the gums is a major concern. This leaves areas of root exposed and can be painful for the patient.Bone loss around the tooth will cause the recession,leading to the failure or a non lasting implant.I would advice you to visit your implantologist and get it reviewed foe bone loss and if possible you can for bone grafting and gum recession treatment and then check on the implants and maintain it well.Hope this was helpful and you have a good recovery.Thanks and regards. | |
Can i get pregnant while undergoing a menopause?
Dear Sir, I was born in 1973. On 1/6/2008 I had Hodgkin classic. I was treated by chemotherapy for six months (protocol ABVD) which ended in December 2009. I recovered completely. The results of my blood tests came in the following form: 6/5/2009 Ultra tsh 3.89 0.47 - 4.64 T4 libre 0.78 0.71 – 1.85 T3 libre 1.44 1.45 – 3.48 Fsh 43.86 post menopause Lh 35.8 post menopause 22/9/2010 fsh 68.7 post ménopause Prolactine 190 femme 72- 600 8/1/2011 Ultra tsh 11.621 0.47 - 4.64 fsh 31.8 post ménopause 24/3/2011 Ultra tsh 3.178 0.47 - 4.64 T4 libre 1.16 0.71 – 1.85 After a year of treatment appeared Kystes from the right and the left and then disappeared. A gynecologist described two packs of DUFASTUN , I had menstrual cycle during the first ten days of taking the medication and then stopped again for a few months. He described also primolut nor and I had menstrual cycle during the first ten days of taking the medication and then stopped again for a few months. He told me that I am now in menopause, and that there is no hope for me in giving birth to children and described to me a drug CYCLO-PROGYNOVA Do you think that He's right? Do you think that my menstrual cycle was gone? Is there hope of giving birth to children? Thank you | Hi, I think you have achieved menopause and in this ovaries stop functioning. Only way b6 which you can get pregnant is through IVF with donor eggs. | |
What does painless bump on forehead indicate?
Hi I just noticed I have a bean sized bump on the right side of my forehead near my temple. It showed up (or I noticed it) an hour ago. I have been having minor dizzy spells these past 2 weeks but I thought it had to do with my recent menstral cycle. I feel slightly light headed occationaly if I get up quick. I m on birth control, I m on pentaza and I am not sexually active so I m not pregnant. Should I go to the ER to have them check this bump? It s painless and its not any type of skin blemish. I can feel it pulsing. | Thanks for asking in healthcaremagic forum Please visit emergency department for your dizziness if it has not subsided and is persisting and not related to menstrual cycle. Your lump may/may not be related to this. Since you are telling it as pulsatile it may be of vascular origin and inturn may be connected to your dizziness episode. All the best. | |
What causes severe abdominal pain?
I am 19 years old and have been having severe abdominal pain over the past 4 months. I have had tests done and the cause cannot be found. I am due to have a CT scan in a week but have started to bleed when I use the toilet. My pelvis is also in pain. Thanks :) | you are possibly suffering from some large intestinal / rectal disorder.it could be some acute on chronic inflammation(diverticulitis, inflammatory bowel disease etc) or a rectal polyp that has been inflamed and ulcerated!Colonoscopy can detect the disease more precisely!all the best! | |
Suggest remedy for loose motions
baby age 11 months,weight 9 she is continously suffering from motions past one weak recently mother feeding was stopped one month back and feeding heritage milk.....previously when she is six months baby she suffered same problem she is keep on facing the problem conti.........solution ol. | Hi...It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Regards - Dr. Sumanth | |
What does lump in back of throat indicate?
My daughter has a lump in the back of her throat by her tonsils. She says there is a stabbing like pain (not severe) but it's here. What does this indicate? Should I wait a couple of days before taking her to the Doctor? She just got over strep about 2 weeks ago | Hi.You should show this to an ENT Surgeon for a proper clinical diagnosis. In throat problems a direct visualization is a must.This can be a part of the granular pharyngitis; but the granules usually do not grow so much . please do not waste time- show to the ENT ASAP. | |
Suicidal thoughts, starting with anger, wanting to shoot followed by numb feeling settles with cuts on the body. What treatment is advisable?
My boyfriend is having problems that wont go away. He said it starts with anger , like pure rage, and then i feel like i want to just put a gun to my head and pull the trigger. then i feel so numb, so i cut myself can you help? i dont know what to do and hes scared to tell his mom about it. An he s also had suicidal thoughts. | hi..it may be impulse-control disorder or something like personality trait..so please visit a psychiatrist..also an EEG is to be done..this disorder will remain in control by pills as-well-as some positive counseling..so have a healthy life | |
Suggest treatment for cough and fever in an toddler
My 2 years & 8 months old son is suffering from cough and fever since yesterday afternoon. I have already given him P250. It works for at least Six hours. But today morning he vomited the medicine as well. What to do. Immediet reply solicited. XXXX | Hello, It may be due to viral fever. For fever you can give syrup Acetaminophen and cough syrup after pediatrician consultation. You can give nebulization. Watch for symptoms like high grade fever and breathing difficulty; he may require urgent care then. Keep him warm. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam Kale Family and general physician | |
Could the outbreak of caner sores be due to an allergy to Pistachios?
I get canker sores a lot and I've been trying to figure out why. I love Pistachios and noticed that the last couple of times I've eaten them, I end up with severe canker sores. I eat other nuts and have never had a reaction. Could I be allergic to pistachios and not to other nuts, or could it just be a coincidence that I broke out after eating pistachios? | Hi, it shows that you are allergic to pitachios , but are you sure that you are not allergic to other tree nuts like almond or cashew, peanut and ground nut are not tree nuts. even this is possible as some people are allergic to some specific nuts protein and least to others. but it can be diagnosed by patch test and it can confirm where you are allergic to other or not also, so go for this and till then completely avoid its consumption. for the treatment of your canker you can take local glycerine borax, B complex forte tab, maintain good oral hygeine by aqueous chlorhexidine 0.2% mouthwash , can use triamcinolone local paste , for pain you can take lignocaine mouth gel or paracetamol tab 6 hourly. if your patch test comes negative for pistachios then you should meet an ENT specialist to rule out other causes and treat them accordingly. thanks and take care. | |
Q. My one month old baby is bleeding from the eyes. Is this normal?
Hello doctor, I wanted to know is it normal for a newborn to have eye bleeding. He is almost one month old. I was surprised that his tears are blood. Should I worry or is that just normal? | Hello. Such bleeding is not normal. The causes of such an occurrence are varied. A few common causes include a blood clot, a tear in the tear duct, infections like conjunctivitis, and sometimes a cut in the conjunctival lining can also cause this. The best thing, for now, would be not to rub or wipe your baby's eye very vigorously. The pediatrician will evaluate him for bleeding disorders and then have an eye examination as soon as possible. In case you have any further questions please let me know. | |
Is there any way to reduce creatinine level without going for dialysis and transplantation?
hi, my husband is having Serun creatinine level as 8.1 now and Urea as 133 reat sodium ,potasium,phosphorous , uric acid are in the Range only he is taking Blood pressure tablet,uric acid tablet and bcomplex one is there any way to reduce this Creatinine level without going for Dialysis and Transplantation what needs to be done now? | HiThanks for your query.Kidney diseases are of two types: Acute and chronic. While chronic disease is irreversible; acute kidney diseases may get better with time.With the information provided it is difficult to ascertain what kind of disease your husband is suffering from.At this point he most probably needs dialysis. Whether any other therapy can be tried to bring down the creatinine can be decided only after determining the cause of renal failure.Your treating nephrologist would be the best person to guide further management.Hope this helpsGood luck. | |
Suggest remedy for cerebral palsy with history of multiple back and neck surgeries
I have cerebral palsy and I just turned 65 years young. Do you have any advise for me? I was born in 1949 in Brooklyn, N.Y. And the Dr. s never thought I would live this long, I did. I have had many back and neck surgeries and I don t know how to deal with the everyday stress of staying alive. I live in Virginia Beach, Va. My email. is YYYY@YYYY My name is Ms. Gayle B. Sorrell. My I am a woman that loves everything and I was married for 35 long years to a good man. he died at the age of 64 in 2009. | WOW! Impressive! Congratulations. That's great to hear. Forget the doctors....what do they know...I NEVER EVER give predictions when it comes to how long someone is going to live or die unless it has literally happened! They are wrong 99% of the time. So maybe it's not a bad idea for a doctor to diagnose you as only having 6 months. Probably means you'll be around to the next century! LOL. Keep on chugging away Mrs. Sorrell. If you want to keep your mind as sharp as it seems and you are computer literate you may consider the website: www.lumosity.com I think you'd enjoy it. I recommend it to all my patients, young, old, with or without cognitive difficulties. It is proven to keep elements of the mind sharp and is lots of fun....the best VIDEO GAME on the planet which is also GOOD FOR YOU! | |
Q. When will my penile infection recover?
Hello doctor,I am a male, 33 years old, height is 164 cm, weight is 56 kg. I am suffering from infection (red patches and irritation) on glans and shaft of the penis since 18 to 20 days. No pain and burning sensation while urinating. When I clean the glans and shaft using soft cotton cloth, 1 or 2 drops of blood is observed. I have taken Fluconazole 150 mg (one tablet after seven days, total of two tablets), Moxikind-CV 625 twice a day for five days. Cetirizine (one tablet per day) and applied Surfaz SN cream (Betamethasone (0.025 % w/w), Clotrimazole (1 % w/w), Neomycin (0.5 % w/w)) on the glans and shaft since 10 days. But this has not helped much, redness is increasing. I stopped applying Surfaz SN cream. Presently, I am using coconut oil which is providing some relief. How much time will it take to fully recover? Are the medication appropriate? Please advice. | Hi. I saw the clinical picture (attachment removed to protect patient identity). I see a large erosion on the glans (tip of the penis). I can list a few possibilities like herpes, candidal balanoposthitis, Zoon's balanitis, erythroplasia of Queyrat. Is this for two weeks only? Did it start as blisters or water-filled bubble? Is it painful? Itchy? or absolutely no symptoms? Is this happening for the first time? Any history of unprotected sexual intercourse? If yes, how many days back? Surfaz SN is a potent steroid cream, not safe to use for genital skin for infection. Was this prescribed by a doctor? | |
Is mastoiditis harmful while treatment is delayed?
I am a 43 year-old adult female who has just been diagnosed with Mastoiditis. My doctor is not currently treating it as she has referred me to the ENT clinic on an air force base. My appointment has been scheduled for August 5th. Should I be concerned about waiting so long?? | Hello and thank you for your question.Yes you should be concerned. Mastoiditis must be treated with antibiotics immediately. If not it can cause very serious infections in the brain. Please make sure you get on an antibiotic for the mastoiditis immediately. | |
Will symptoms of Hemochromatosis improve if iron levels are normal?
Hello Dr., I am a 39 yr old male. I've been suffering with symptoms of Hemochromatosis since 2004. I was not diagnosed until Aug 2011. The symptoms have gotten to the point I can only work 4-6 hrs a day. During those hours I'm not really productive due to fatigue and pain. As a result of HH I am being medically retired from the military. I was of the understanding that once my iron levels were normal, the symptoms would improve but mine have not. Should symptoms improve? Currently there is no way I'd be able to maintain a job. Can I expect to get to a point I will? | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Iron, once deposited cannot be removed from tissues.2. Iron levels should be brought to normal to avoid further damage.3. Phlebotomy, chelating agents or apheresis is very helpful in reducing iron levels. Hope it helps.Any further queries, happy to help again. | |
Suggest treatment for jaundice
Hi Dr, My Brother suffering from jaundice for past two weeks. He had taken Ayurveda medicine two times from kerala.(weekly once). But even after taking medicine two times still there is no improvement in his health. His eyes looking yellow compared to before. He is not feeling hungry past two weeks. I would like to know how much time will it take to cure? and do we need to take scan? please give some suggestions. Thanks in advance | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I canWell, jaundice is just a sign and not diseases, and treatment depends on exact cause.Jaundice is usually sign of certain liver disease and high bilirubin value. Causes of jaundice vary from non-serious to potentially fatal. Levels of bilirubin in blood are normally below 1.0 mg/dL (17 µmol/L) and levels over 2-3 mg/dL (34-51 µmol/L) typically results in jaundice. High bilirubin may be due to liver diseases such as cirrhosis or hepatitis, infections, medications, orblockage of the bile duct In the developed world the cause is more often blockage of the bile duct or medications. Blockage of the bile duct may occur due to gallstones, cancer, or pancreatitis. Medical imaging such as ultrasound is useful for detecting bile duct blockage.Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is present surgery is typically required, otherwise management is medical.Medical management may involve treating infectious causes and stopping medication that could be contributing. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
How many days do I need to wait to get a kidney removed?
How many days do I need to wait to get a kidney removed asap. I am very good condition right now. I have been told by a specialist it will need to be done. He is going on holidays..... Oncology is doing their last test for bone density Monday. Tumour is local to kidney and uritory to blader. Dont want to continue a needless wait ! | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can wait for few days and nothing will happen in that time period. Tumor won’t spread to other sites in short span of time. However, do not wait for long periods, like months, as it can cause complications and distant spread of disease. Wishing you good health. Thanks. | |
What causes mosquito bites like rashes on skin?
Hello, I hope you can help my concern. My 5 year old son has been having random skin symptoms that seem to occur every couple months. He is currently having them now and I am wondering if I need to take him to an allergist to be tested. The last time before this I took him to his pediatrician several times with in a week. She was convinced that it was bug bites. It started with a large welt that appeared on the tip of his ear resembling a mosquito bite. He then got more behind his ear. The next morning he had several on his back side and legs. The ones on his legs then formed water blisters. When I took him the first time they told me they were bites and sent me home. I took him back the same day because between the doctors office and home new bumps formed. She still was convinced they were bites. I had an exterminator out who cleared us of any bugs. After 2 weeks of the bumps turning to blisters, scabing over, new forming and then clearing the symptoms stopped for a few months. Just a week ago his father found a spider on his head in the car. He had 4 bites behind his ear after. One on his leg and one on his back that both formed blisters and scabbed over. Thinking maybe the doctor was right, I left them to heal. A few days later he woke with three new bumps on his back again looking like bites. They have swelled and I m sure again will form water blisters then scab over. I am just not convinced these are bug bites. My concern is he his having a reaction to some contact with something he is sensitive to or having a food reaction. I apologize if my letter is scattered, I can t seem to pin point this in anyway. Any advice is much appreciated. Thank you. Sent from Yahoo Mail on Android | Hi... i have just gone through your query in detail. I have two possibilities to suggest - 1. First and foremost is what your pediatrician is suggesting - Insect bite allergy.2. Epidermolysis Bullosa as you are telling that they scab while healing and it is recurrent.I suggest you consult a pediatric dermatologist and get him evaluated.Regards - Dr. Sumanth | |
Suggest treatment for severe headache and typhoid fever
Hi, I am a female, 25, living in Mumbai, India. I have been having severe headaches since past 3-4 days. I got the WIDAL test done for typhoid, and it showed a value of 1.4, which confirmed I got typhoid. I got a temperature of 100+. The doctor has prescribed mahacef plus tablets for 5days. I want to know if it is something very serious. I have never had typhoid before. Also, I stay away from home in a PG. Can my sickness spread to others living with me also? Should I take an off from work and go home for a week or so? Or is it possible for me to get back to work? Please suggest. | Hi,During the first week of fever, typhoid can be confirmed only by 'blood culture' and not by 'Widal' - which should be used to diagnose typhoid only from the 8th day of the fever. Also, Widal is a test known to give false positive results also.I recommend that you get a blood culture done for yourself. It will take a minimum of 3 and a maximum of 2 weeks to get the results of the blood culture. The main advantage of this test is that it precisely gives details of the antibiotics which are capable of acting against the Salmonella bacteria that caused your infection. Given the widespread antibiotic resistance that we see in typhoid, it is important that this test is done. In the interim, until the final results are out, you should start an antibiotic. You can continue with Mahacef itself, which you have already started taking. You can change the course after seeing the results of your blood culture.I would advise you to take off from work if this is indeed typhoid. Your urine and feces will contain this bacteria. Remember to wash your hands thoroughly after you visit the bathroom every time. You are capable of disease transmission for at least 3 weeks after your complete recovery, as the bacteria keeps getting shedded in your feces until then. You do not have to be paranoid about this. These are general precautions that are adopted for all communicable diseases. Hope this helps! | |
Is the sudden dizziness due to drop in sugar level?
Today I went fishing. I have not seen a doctor or anything yet, and I am worried. I was down on cements in the beaming sunlight upper 90 degrees, then I felt dizzy. I fell, and got up off the ground after a few minutes and made my way back to my truck. I felt better soon after. I am thinking it was a sugar drop, but I had drunk a Diet Mountain Dew and a Pepsi, meaning I don't think it went down. Also the last time I visited a doctor, about two months ago, my blood pressure was normal. | HiThere are various reasons for dizziness and one of the common cause is heat stroke. As you said you went to fishing and was exposed high sunlight, it may be one of the possible causeTo briefly tell you, heat stress occurs when the body cannot cool itself enough to maintain a healthy temperature. Heat-related illnesses include heat rash, heat cramps, dizziness or fainting, heat exhaustion, heat stroke, and a worsening of existing medical conditions. Overexertion in hot weather, sun or bushfire exposure, and exercising or working in hot, poorly ventilated or confined areas can increase your risk of heat stressSuggest -your self with thin clothing next time when you go out to fishing also try to be in the shade or can use portable land umbrellas-Hydrate yourself with fruit juices and plenty of water Also as you said Hypoglycemia may be one of the reason and if you are diabetic then it is a cause of concern otherwise nothing to worryWish You Good HealthRegardsDr Sridhar K | |
Experiencing delay in periods after the intake of birth control pill
hi i am 23, and i came off my pill about 6 month ago after 3 months i started my period and was normal for 2 cycles then on my 3 month i started my period was only on it for 2 days then finnished for 2 days then back on it again for 2 weeks and then again back off for but there is still a slight bloody tinge to my discharge i am also experiancing being bloated after eating sertain foods passing gas more oftain and a growing/rumbering stomach. i am wonting to no if it is all connected and why my cycle has been up and down this month jenny | oral contraceptive have a lot of side effects...its always better to use alternatives....after pill use,its very common to have irregular periods for abouts 4 to 8 periods...normaly gets regularise after that.just wait. | |
What causes a high ESR and TLC?
Hi, My niece who is 20 has an ESR of 140. The reason for her to go to doctor was a persistant allergic type of cough. Her chest x ray ia normal. Her TLC is also high abt 16000. Now they r going to do many further tests. My sister is very upset. Can it be due to the cough or some other serious illness? | Thanks for your question on Health Care Magic. I can understand your niece 's situation and problem. ESR (erythrocyte sedimentation rate) is marker of inflammation. So high ESR suggest presence of inflammation. TLC (total leukocyte count) is raised in infection, mostly bacterial infection. So possibility of bacterial infection is more in your niece 's case. She is having coughing with normal chest x ray. So possibility of Upper respiratory tract infection like tonsillitis or pharyngitis is more. So ask your sister not to panic much. Take her to the doctor and start antibiotics. She also needs antihistamines and anti inflammatory drugs. Ask her to drink plenty of fluids orally. Avoid oily and spicy food. Do warm water gargles 5-6 times a day. Don't worry, she will be alright. Hope I have solved your query. Wishing good health to your niece. Thanks. | |
How should the hand blister caused by a dog bite be treated?
we have a shelty dog in our home who bit our 22 month old son on the hand, it was not deep, just scratched the skin. Our dog stays in the house most days when he is out, he is in a fenced in yard in a community developement. He has not been updated his shots in over two years now. We noticed that our sons hand has like a boil or blister on it now, is this reason for concern or any recommendations to put on his finger? | give on tetanus toxid injection along with antibiotics ointment over the wound.. give acelofenac and paracetamol syrup for pain and fever. | |
Did laparoscopy and hysteroscopy. Tubes blocked. Is IVF the only option?
hi, i m a lady aged 28 yrs, yesterday i go for an laparoscopy and hysteroscopy . Dr told me that i won t be able to conceive the only way for me to have a baby is through ivf cause my tubes are closed and there is nothing that he can do about it. Can you please help me with something to use just to open them again. Very desparated | Hello, As tubal blockage has been confirmed on laparoscopy, it is bilateral and if operative procedure tried to open the tubes have not succeded, then as your doctor has suggested correctly, IVF is the only option for you to conceive. As you are 28 years old, if there is no other factor for infertility, if husband's semen analysis is within normal limits, then you have good chance of sucess with IVF considering your age. But, still, it can not be 100%. Hope this information is useful. Good luck. Dr. Mrs. Sumeet Baheti | |
What are the precautions to be taken for seizures after having a surgery for Meningioma?
My wife had a generalised seizure few weeks back and it was diagnosed with meningioma. She got operated successfully. The meningioma was grade 1. Now Doctor has advised livipil for 1-2 year. Kindly let me know how the doses will be reduced. Any other things i need to take care? | Hi, seizures after meningioma surgery can be due to brain handling .when there is damage to the brain (from the surgery or the original tumor) the brain will always try and repair itself. This is where the seizures come from, the brain is mis-firing and not repairing properly. These seizures will probably never go away and You will always have to be on medication.You will have to take antiepileptics for long times . In addition , avoid the precipitating factors .Thanks | |
Is paper ingestion during a pregnancy harmful?
I am pregnant and craving paper - and eating it. A few sheets of notebook paper a day. I m sure the ink isn t good, but I m wondering if there is any real harm to it? I know that I m anemic and it s most likely Pica, and I am being treated for anemia. But I m wondering how harmful it could be to me or the baby if I keep eating as much paper as I am now. | Hallow Dear,Eating the paper per se is not harmful to you neither for your baby. However, it all depends up on which paper you are eating. Any newspaper, postal envelops, advertisement bills, etc. are handled by many people, are lying at any place and hence are not hygienic to eat. Moreover as you have mentioned, some inks contain heavy metals and is not good for the brain development of the foetus. Otherwise plain clean paper is not harmful; in fact some ice-creams do contain blotting paper in it. Moreover you have to go to the root cause of this craving. Anaemia and calcium deficiencies do cause such cravings which should not be labeled as pica. The cause of resistant anaemia could be worms which can cause such weird liking towards the items. Please get your stools examined from the laboratory and if indicated take anti-worm treatment with the advice of your Obstetrician. Please keep in mind, though the paper per se may not be harmful to either of you, the cause for such craving could be serious. Do not neglect it. I hope you got the message. Dr. Nishikant | |
Q. What are the chances of getting HIV after protected sex?
Hi doctor, I am a 26-year-old male. I had protected sex with a sex worker a month back. I used one condom, she gave oral sex and post that had vaginal sex for 5 minutes. Once I finished off, I went to the bathroom and got cleaned off. I could not see any tear as such on the condom. I just washed my penis and got back home. The same night after 2 hours I pulled my foreskin behind to clean my penis with soap. The frenulum got too tight and tore. It started bleeding. I washed my penis and let it heal for 2 weeks. What are the chances of getting HIV from what had happened? I do not have any symptoms. Just had fever for a day and now I have a common cold. On the 15th-day post exposure (yesterday), I went for the HIV PCR RNA yesterday. The results are yet to come. Will the torn frenulum give chance for HIV virus to get in after 2 hours? I am feeling very anxious and stressed out. I really need your guidance. Please suggest what I need to do to rule out HIV and live a normal life. Please help. | Hi. The chances of transmission of HIV with given description is almost nil. The HIV test is likely to be negative. If the test is negative, it is almost conclusive provided there is no further risk exposure. The chance of test result coming positive later is almost nil. You can go for HIV antibodies tests after 3 months exposure to have final conclusive results to relieve your anxiety. For more information consult a community medicine physician online --> | |
What is the swelling and numbness in toes after a Total knee replacement?
yes I had a total hip replacement 1 wk ago and my leg is swollen all the way down to my ankle around ankle looks darken and blue yellow color around it bottom of toes are numb and just below procedure area it feels as through I might be trying to get a Charlie horse | here in head line you have told you have under gone for total knee replacement and again in details you have mention it is total hip replacement. so i am giving you idea on general possibility what could have happen.there might be a possibility of infection and vascularity problem after surgery. so that there is swelling in entire leg. As well distal area of feet especially toe is showing change in color along. Apart from this you also have muscle spasm close to procedure area which suggest the same again.Many time it use to be common also if patient is diabetic and hypertensive as well above 60 age. so i suggest to visit your specialist for further discussion on this as well you can also consult one more specialist for secondary opinion.But do not take it granted take a proper treatment step for your issues. or else it may become worst with time. take care. | |
Q. I am experiencing bumpy dots after having protected sex. Does this indicate HIV?
Hello doctor,I recently had unprotected sex with a prostitute last month. I had a condom with me for the starting the last five minutes she took off the condom and put my penis into it for about 5 minutes or lesser. For a few days, I have nothing because I did not know much about HIV only heard it before, so one day, I scroll through my feed and saw something about HIV.Then I search about it after which I started to get scared and worried. Later on, I feel stress. I went for a rapid test two weeks after, and it comes out as false negative. Although I know this is not a confirmed result, I went for a check to relief myself. I have eye fatigue, muscle soreness, leg weakness, some not red bumpy dots on my hand is not itchy.A little muscle pain and insomnia. I ate a lot of fruits and doing exercise lately. Between there is the one I suddenly woke up in the middle of the night and been waking up early these few weeks. I am still young. I do not want to ruin my future of these little mistakes. I regret what I have done. Now it is the fourth week I am going to go for another check-up next week. | Hello. I want to bring some of the recent facts about HIV tests. Studies have shown that the recent tests are highly sensitive and specific and HIV seroconversion (positivity) could be detected within one to two weeks after the onset of illness by the majority of the currently available tests. There are guidelines which have mentioned that four generation test can detect 95 % infections four weeks after exposure. Negative test after four weeks needs to be confirmed with the second test three months after exposure. The symptoms which you are having could have multiple reasons and could be just a coincidental finding at this time point. Continue with exercise and proper diet. I recommend you to take precautions in the future (consistent and corrective use of condoms). I hope my reply has helped you, but, if you still have any more questions, please revert. | |
Having abdominal and back pain with blood in urine. Scans are fine. Reason?
Hi, I am a 36 year old female who has been suffering with abdominal pain , back/flank pain, and blood in urine for years now. The abdominal pain can vary from mild to severe where I am doubled over in pain and the back pain can be just as debilitating. I have had CT scans, ultra sounds, hida scans, and x rays done and all come back fine. The one constant is the blood found when given a urinalysis . I don t think I have had a clean urinalysis in over 8 years and have these episodes every few months. Any help would be appreciated. I live in a some what small town and the doctors are all shaking their heads. I go see a urologist in two days but am so frustrated and don t know what to do. I am sick of doctors passing me pain medication and therefore have been refusing them all together. I want answers to what is going on not pain meds. | Hi welcome to Health care magic forum. Thanks for choosing H.C.M.Forum. You are suffering with back pain since 10 years, Urine examination is showing blood in the urine. Probably R.B.C. No tests revealed any wrong. The pain appears to be due to stones in the urinary system. May be small stones in pelvis of kidney, ureter, bladder, or urethra. Which are causing irritation, and oozing of blood. As you have decided you consult a urologist for diagnosis and treatment. You may have to go for urethroscopy, besides other routine tests for confirmation. If no infermation was available regarding diagnosis you may have to go to a nephrologist . I hope my reply has satisfied your doubts. Wishing for a quick and complete diagnosis and recovery. Best regards. |
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