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Is it safe to take rovamycine fortee and metformin tablets together and how long should i wait for next pregnancy?
Sir,My Toxoplasma IGg Level presently is >200 and Cytomegalo virus IGg is about 176.4. Doctor prescribed me to take Rovamycine fortee. Also I am taking Metformin tableta for PCOD. Can i take both medicines together ? How long to wait for next pregnency? | HelloThanks for writing to us with your health concern.The Ig G level DOES NOT MATTER.It just indicates past infection with the agent.In fact, it means that you have acquired good immunity , and do not require any medication for the same.Ig M means that there is recent infection, and if the Ig M is positive, then that indicates that treatment is required.There is no need in your case to take Rovamycin Forte, unless Ig M levels also are raised.If the Ig M levels are normal, then there is no need to wait for planning a pregnancy.IN fact take daily folic acid tablets if planning for a baby.All the best. | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Suggest treatment for thrush and discharge during pregnancy
hi I am 32 weeks pregnant and the whole pregancy i have suffered with what we have believed it's thrush. I have had numerous treatments for thrush but i still have discharge, the area is sore and itchy if i do not use the cream. today I've found a small lump on my labia. it's not sore, it's white and soft. do you know what can be? | Hello,The compromised immune status during pregnancy predisposes to increased infections. You should also test for the possibility of gestational diabetes and iron and protein deficiency since these are the other conditions that predispose to increased infections. Oral treatment can be given if needed absolutely since you have long passed the organogenesis stage. If you are sexually active, your partner also should be treated after proper examination. Abstinence should be followed until after your delivery since you are in the third trimester. The lump needs to be examined to give a decision as to what it is. It can be a clump of the flakes discharged from the vagina. Please maintain proper genital hygiene. Hope this helps. | |
What is the reason for having low blood platelets?
I am 58 years old. I have hypothyroidism and take armor thyroid for that. Back in the fall my doctor changed my ADD meds from strattera to vyvanse. In November on a routine blood test my doctor told me I have low blood platelets. He had me wait for 2 months and repeated the test. They are still low. The only thing I know is my ALT is 44. What can be wrong? | Hi, there are many reasons for low platelet count. Even simple viral infection can leads to the low platelet count. so you should go for routine blood test. Tell me exactly what is your previous count and what is repeat count and whether it is increasing or decreasing or static. If increasing then its ok don't worry about that. Otherwise consult haematologist and take treatment accordingly. | |
Q. What causes change in voice after oversinging?
Hello doctor,I have been having voice trouble since last seven months. I oversang one night, and for about three months after that, it was extremely fatiguing to speak. I had an ENT look at my cords with the mirror right at the beginning, and he said there was minor irritation, but no nodules. The timbre of my voice did not change, no raspiness. No voice teacher or speech-language pathologist had any idea why it was not getting better. Gradually, after about 12 weeks, things went back to about 90 % of normal. Recently, I was at a party and started noticing my voice feeling swollen as I was talking (not that loudly). It has been four days, and my voice still hurts. It feels swollen, and sometimes there is a little mucus on the cords. Again, talking is extremely uncomfortable, with minimal to no change in timbre. I can still sweep the range smoothly. It just hurts. Any idea what is going on? Could I have permanently damaged something? I would like to get a videostroboscopy, but I do not know where to go for it. | Hello. 1. The conclusions from your problems can be a vocal cyst which is not seen through a head mirror, so you can get an endoscopy done after which if not conclusive can go for videostroboscopy which is the ultimate tool. 2. You told you were using Levothyroxine. Are you hypothyroid, proven and on medication? Thyroid problems can show effect on your vocal cords. 3. Are you allergic to dust and pollen? Do you have symptoms like sneezing, watering of eyes and watery discharge of nose? 4. Prilosec is a drug to prevent the vocal cords from the damage of acid being produced from our body, which is a good drug to use. 5. There are few medications like oral steroids which are not OTC drugs, hence can be prescribed only by doctors in your place. 6. I need to get your immunity checked which includes vitamin D , thyroid profile and a blood eosinophil count. Hope we can permanently cure your problem with the above history and investigations. | |
Suggest treatment for blood cells in bone marrow with red itching
I have been told that I have MGUS. my red and white cells are opposite according to the size. wbc was 3.2 and rbc 4.08. The Dr. said I showed cancer cells in my bone marrow and free Kappa Lt. chains,S 439.31. About 6 months ago I have developed these bumps that are red and itching me to death. The cancer dr. said it had nothing to do with cancer and dismissed it. the derm. said I self inflicted myself from itching. I don t have anyone to tell me what is wrong. Maybe you can tell me. Thanks. One other thing, I was giving a puppy but I got rid of it. Could I have caught something from the dog. | Hi, dearI have gone through your question. I can understand your concern. You have MGUS. It is monoclonal gammopathy of undetermined significance. You also have light chains. You have chances to develop multiple myeloma. You should go for regular monitoring. Your itching and lump has no relation with your MGUS. It can be due to some skin lesions. You should take treatment of that according to dermatologist advice. 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. | |
Suggest remedy for pain in plica fimbriata
Hi doctor,My boyfriend has a lot of pain under his tongue. I am not sure about the name of it in English. But I think he has inflammation on his Plica fimbriata. It hurts even when he is not eating.What should we do? Please help me.Thanks Best regards mercedeh | Hi Mercedeh,It might be possible that your boyfriend may have hurt or burnt underside of tongue while eating. Pizza or sandwich can do that some times.However, it would have been good if you could describe how long has he been suffering from pain or if you can see presence of ulcer or lump in the area.It sounds more like an ulcer and may take 3-5 days to heal. Meanwhile, to get relief, you can apply Mucopain or Dologel in the area 3-4 times a day, preferably before eating. It has an anaesthetic component that will numb the area for some time, so eating will be troublefree. If you find presence of lump or swelling in the area, do consult a dentist or physician promptly for physical examination.If pain does not subside in 5 days, I would suggest to consult densist for physical examination. I hope this information helps. Thanks for choosing HealthCareMagic.Regards,Dr. Viraj Shah | |
How to determine if one is suffering from Genu Valgum and treatment?
sir i want to join defence services, i am bit confused whether i am having knock -knee or not my knees touch each other when i stand in attention position. how to check correctly and how to care it with exercises because i am having/ don t know little problem? | Hello, Consult an orthopaedician and get evaluated. He can simply measure the angle of your knee joint to make a diagnosis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Suggest treatment for severe GAD and panic attacks
I suffer from severe GAD and panic attacks. I have uncontrolled hypertension. Cardiologist said results of echocardiogram showed LVD 40%. He said that if I was in a severe panic attack at the time it was taken, this could affect the results. Is this possible? I am 67 yrs old. 5 2 and weigh 112. This has only INCREASED the level of persistent anxiety for me. The original primary told me I was fine . | Hi, good afternoon.you didn't describe your symptom properly. you should take tab. clonazepam MD (0.5) whenever you got those anxiety symptom. | |
What causes lower abdominal pain while sneezing?
Hi, I have slight pain in my lower right abdomen when sneezing or coughing for a couple of weeks now. Does not hurt when I lift something, even very heavy (slightly feel it if try to do abdominal crunches). I am a 49 years old male, quite fit, exersize regularly. No nausea, no temperature or higher heart rate; feel fantastic otherwise. What can it be? | HI ! Good afternoon. I am Dr Shareef answering your query.If I were your doctor, I would clinically examine your abdomen to rule out chances of any inguinal hernia in its early stages when it becomes painful due to stretching of its covering. Also, I would like to see if there is any other intra abdominal patholgy clinically and if need be by an ultrasound abdomen. Further treatment would depend on the clinical findings and the investigation reports.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | |
How safe is usage of cortisone shot for allergies?
Hi, my name is Deborah and I have always suffered with allergies I went to the doctor about three weeks ago and I was given a cortisone shot and some antibiotics. I began to feel fine and now I am sneezing every ten minutes it seems. The only thing that I'm doing is the nasal spay, please help | Hello Deborah,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. Cortisone is a systemic steroid. I would prefer to use it only when syptoms are very severe and other medications are not working. I would not suggest frequent use of cortisone for nose allergies.2. I would like to know which nasal spray you are using - intranasal corticosteroid or other.3. Were I treating you, I would suggest you regular use of intranasal corticosteroid for at least 4 weeks.4. All the medications for nose allergies actually can only "control" symptoms but cannot "cure" allergy itself.5. Hence I would suggest you allergy testing for common air-borne allergens like house dust mites, common indoor molds, common pollens in your area, insect proteins and pet dander (if you have contact with pets).This will help you identify the substances causing allergies to you as well as to know the measures to avoid them.6. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long period.7. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.8. I would also suggest you healthy diet rich in vitamins & minerals as well as vitamin C for at least 4 weeks. This will improve your immunity.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead and a very good recovery.Thank you & Regards. | |
Q. Swelling on head of penis after masturbation. What is it?
Hello doctor, I am a 25 year old male, unmarried and had no physical relationship yet. Earlier, I have got circumcision. Now swelling of penis head is present. The swelling is more prominent on the left side but difference can be seen on all sides. I believe this happened two weeks ago, but I noticed it before a week or so because the swelling or bulging is not actually painful by itself. The cut of the pee hole has swollen from below and looks like a beak. Thick transparent liquid seeps out consistently. On pressing the swollen area on the sides, hardened veins are felt. When I noticed it first time, the veins were very hard and lumpy. It is a little less right now and swelling is also comparatively less than before. Due to constant attention and pressing, there is slight piercing feeling in that section but this disappears after rest. There is slight discomfort, maybe because I have constant attention about it. Voluntary erection has become difficult but happens fine by itself sometimes and in sleep. I feel there is reduced stiffness and duration. There is no pain or obstruction during urinating or other discharge. Please help. | Hello. Kindly answer these questions, so that I can help you better. Revert back with the information to an internal medicine physician online --> | |
What can cause cough,back ache and excess sweating?
hii doc...im 21 female....i just want to ask regarding my father's condition....my father have high bp and diabetes mellitus....but lately he had coughing, back ache and very high sweating even though in a cold place...may i know all of these can lead to any disease??? | Hi, Considering his history need to think of respiratory infection/cardiac failure. Share more details, breathing difficulty, chest pain, swelling in face / legs. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | |
Bladder pain, urge to urinate, tingling sensation, lower back pain, vomiting, flank pain. Have kidney dysplasia
I get pain in my bladder and often suddenly need to wee, I got about every half an hour to 3/4 of an hour and get an uncomfortable tingling sensation. I often feel extremely tired and generally unwell, and go through fazes of vomiting in the evening. I feel weak and get vetw achy legs and arms, flank pain on my left side and some lower back pain . I do have multi-cystic dysplasia in my right kidney and hypertrophy left working at 62%. I have tried to tell my specialist but they don t listen. I may be having the diseased kidney removed as I am reaccuring infections. Coulf you shed some light as to why I may have all this as no one listens to me... | reccurrent UTI can be medically controlled by first treating the active infection. look for post void reside in ultrasound this will need treatment a uroflowmetry or cystometrography will help in diagnosing bladder function single functioning kidney also should be monitored with serum creatinine every 2 months. nephrectomy of bad kidney is needed only if it is the sorce of infection with some abcess, stone, hemorrage or obstruction. all this assessment has to be done by your doctor with help of adequate investigations | |
What is the medication for acute exacerbation of mild intermittent asthma?
hello doctor, My son is 4 years old and he is diagnosed as "Acute exacerbation of Mild Intermittent Asthma" and he is treated with duolin nebulization 4 hrs once and predisolone/omnacortil syrup (7ml once a day for 3 days). The question is he is getting this attack monthly once exactly and can we give this omnacortil dosage once in a month since its a steroid i am worried to ask. thank you in advance | Hi and thanks for the query,If he still has crises, two things need to be done. First the drugs need to be taking for some time while he always has available his Ventoline for emrgencies, or the doses of the drugs are increased.If nothing changes, a third drug could be added or a steroid inhaling long term control agent added to be taken for a long time, even up tp a complete until complete control of symptoms is obtained. Kind regards | |
What causes forgetfulness, headaches, and slurred speech?
I have had an inner ear canal infection that I have meds for but I have also been experiencing forgetfullness and when im talking I stop and say what was I talking about. Im only 20, I usualy never foget stuff or cant concentrate like that. I usually just think about 1 topic at a time when im telling someone something. And Im forgetting my friends name or if Ive meet someone before or what ive done that day. Also im very tired, not sleeping as much, headaches, slurred speech and feeling sick. Whats wrong with me? | Hello, Your symptoms could be related to psychological stress. Anyway, considering your past medical history, I would recommend consulting with a neurologist for a physical exam and performing a brain MRI in order to exclude a possible brain infection, related to the inner ear infection. It is also necessary checking thyroid hormone levels for possible imbalance. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ilir Sharka | |
What cause foot swelling after venefor infusions for anaemia?
I have MS and several times a year, i take venefor infusions for anemia (not related to the MS). within a week of the infusion, my left foot always swells enormously and is painful to walk on. my doctors keep saying its not from the venefor, as venofer is just iron. However, I know this swelling occurs each time. Does venofer cause foot swelling? | Hello, It is not due to Venefor and may be due to something else. Consult a physician and get evaluated to find out the cause of ankle swelling. Hope I have answered your query. Let me know if I can assist you further. | |
What causes numbness in the legs and pain in the buttocks while having MS?
My doctor today went over so many things today that I could have she said something like Boring pain..I have been diagnosed with MS about 7 years ago but now I m having pain in my legs numbness deep intense burning pain in my buttocks knee and joint pain but intense pain in my hip?? I have CT scans and x-rays set for next week. Both grandparents on mom and dad s side have hip replacements. | Hi, After going through your details, I am inclined to think in terms of spinal nerve compression as the first line for diagnosis and management. I suggest you get MRI of the lower spine along with X-rays and CT scans. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopedic Surgeon | |
Suggest treatment for a swollen finger
I was playing with a dog where it unintentionally bit my index finger cracking the nail bed right down the centre. 24 hrs later finger feels really swollen and lots of pressure under the nail. No red streaks. Minir reddening at nail bed Is there anything to do to relive the pressure even tho the nail is split | Dear patient First of all you need to take anti rabies injection asap preferably within 48 hours of bite. Take complete dose if not taken already. I would advise Xray of involved finger to rule out fracture. So daily dressing of wound with betadine and hydrogen peroxide solution. Take tab augmentin 625 mg thrice a day for 5 days with tab metronidazole 400mg thrice a day for 5 days to prevent secondary infection. Nail removal is advisable if it's crushed so that new nail grows from base. All the best. | |
Q. After two years of facial hair removal treatment, my skin looks worse. What to do?
Hi doctor, I used to take treatments for facial hair removal using a laser, microdermabrasion, and chemical peeling. I did these treatments before two years. My skin has become worse now. I have more dead cells in my skin, and I have darker looking skin. Even my lips have turned dark. My entire upper lip is black. I do not know the reason behind this problem. Do I have this problem due to the laser treatment or due to hormonal imbalance? I am taking medication for thyroid, which is normal now. I am taking Metformin for hormone regulation. I have facial hairs, and it grows faster. I have facial hair above the lips and chin. I use a razor to clear it. Please prescribe me ointments or creams to reduce the problem. | Hi. You are having hormonal issues. It could be the reason for having pigmentation and excess hair growth. Please mention about the steps taken to maintain the skin. Please send the images of the darkened portion of the skin. I can suggest some remedies after looking at the present condition. | |
Q. Other than laser, is there a way to treat acne marks?
Hello doctor, I am having acne since one month. I am currently applying Epiduo gel at night. Now, my acne is calming down. I am using sunscreen at daytime. But, after clearing of pimples, my face becomes red. I am currently using Retino-A .025% on scars. Does Retino-A reduce red marks? Or should I go for Glycolic peels? Can I take peels at home? Or is there any other way than laser to treat red marks? Doctor please guide me on this. I have attached the pictures for your reference. | Hi. I have reviewed the attached photographs (attachment removed to protect patient identity). For further information consult a dermatologist online --> | |
Suggest treatment for subarachnoid hemorrhage
I had a stroke caused by a subarachnoid hemorrhage and my memory is bad and getting worse.Dr. Perlmutter recommends having a C-Reactive Protein test done. He believes that this test to determine inflammation level may show excessive free radicals and cause brain damage. Should I have the test? | CRP is a non specific marker of inflammation anywhere in the body. Your doctor is right that CRP test may determine inflammation level may show excessive free radicals.I dont feel that CRP level help in anyway for treatment of subarachnoid hemorrhage.If you had no history of trauma at time of subarachnoid hemorrhage, you should undergo DSA (Digital substraction angiogram) of brain or CT angiogram to look for any intracranial aneurysm or AV malformation. | |
Suggest treatment for high cholesterol levels
My Name is krunal, my age is 34 Yr. Today i had done LIPID PROFILE test and results are as under:?S.Cholesterol is 249.0 mg/dLS.Triglyceride is 226.0 mg/dLHDL-Cholesterol is 62.6 mg/dLLDL-Cholesterol is 141.2 mg/dL VLDL-Cholesterol is 45.2 mg/dLCholesterol/HDL Ration: 3.97S.LDL/HDL Cholesterol: 2.25Is it a risk factor, my doctor suggested to take the medicine Torvasan Ez (But may be for more then 3 months) | Thanks for your question on Health Care Magic. I can understand your concern. Yes, you should definitely start lipid lowering drug. Your some cholesterol levels are high, especially total cholesterol and LDL cholesterol. LDL cholesterol is the most atherogenic in nature. So you are at risk of atherosclerosis and coronary artery disease with these levels of cholesterol. So we need to treat with lipid lowering drugs like atorvastatin or rosuvastatin. So start the drug prescribed by your doctor. It is good drug for reducing cholesterol. Along with drugs you need to follow strict diet plan (avoid oily and fatty food, use sunflower oil) and aerobic exercise like running, cycling, swimming etc. Don't worry, with all these your lipids will be normal. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes cough and choking sensation?
I am experiencing choking, and coughing, but I only have spells throughout the day. It s not continual, but it is everyday. The coughing brings up a white mucus from my chest. I have allergies, but not a cold, or sore throat. It feels like particles are being stuck in my throat or something. I m not a smoker at all... | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Since you are having allergies, we should definitely rule out asthma for your symptoms. Asthma causes bronchospasm. This can give to choking sensations and coughing. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is showing obstructive defect with post bronchodilator reversibility then asthma is more likely. You may need inhaled bronchodilators (Formoterol or Salmeterol) and inhaled Corticosteroid (ICS) (budesonide or fluticasone). Oral combination of antihistamine (Levocetrizine or Fexofenadine) and anti allergic (Montelukast) once a day at night is also beneficial. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
How to treat acid reflux?
Hi I have acid reflux but I have been wheezing in the mornings when I wake up , I also think I might have allergies. My question is would the allergies make the larangoreflux worse and cause me to wheez when I in hale? Also would like to mention I also have been spitting up acid usually when I wheez is that from the reflux ? | Hi,thank you for providing the brief history of you.as due to acid reflux there will be a deep pain in the chest like burning sensation and due to which you might be feeling wheezing symptoms. As to control both the wheezing and the acid reflux you need to improve your diet and lifestyle changes along with regular workouts. As indigestion will not be good on a longer run as well.In my clinical practice, such cases are advised to modify the lifestyle changes and also regular exercises to boost the digestion.RegardsJay Indravadan Patel | |
When to have MHR tablets to conceive?
Hello doctor, I had to do a DE six months ago because of my child loss . Then my doctor prescribed me MHR tablets when I would like to conceive . She prescribed one per day . Will you please tell me when should I start to take the tablets ? Is it when we start intercourse without precautions ? Please also tell me the advantages and disadvantages of the tablet .Thank you ,Payel | Dear Payel, MHR tablets are Folic acid supplementation tablets. You should start them immediately. You need not wait till you decide to conceive. These tablets will help heathy growth and healthy implantation of the products of conception.Since it is now more than six months of your miscarriage, you may attempt the pregnancy now. You can go ahead with the unprotected intercourses now with the aim of conceiving.I hope this helps you. Dr. Nishikant Shrotri | |
What do immature germ cells on sperm test denote?
sir i have report name- muzaffar age 29 male weight 63 kg time of collection 4:00 pm time of examination 5:00 pm abstinence time 3 days volume 1.7 volume color is pearl white viscosity : viscous liquefication time - already lipuified less than 30 mins motility within one hour grade a: 60 b: 10 c: 10 d: 20 rapidly progressive motility a:60 a b 70 immature germ cells 6 red blood cells absent so this is normal for child | Yeah according to WHO limits you can be father without any doubt. So dont worry. Hope my suggestions helpful and thankful to you. Take care. Don't forget to give ratings. | |
What does the following follicular study report suggest?
hellO! I have just done round1 of a chlomid cycle. I went for my day 9 scan and as well as 3 dominant follicles she saw an intracavital poly in the fundal cavity with a posterior wall feeding vessel- 10x12x14mm. Is this considered large and will compromise a possible pregnancy? i don t have bleeding between periods , heavy for first 3 days and then tapers off and they are regular...thkyou! | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. A growth of the mentioned size is unlikely to hinder pregnancy but shall require regular follow up on its size. If it increases, then you should get it removed. Hope I have answered your query. Let me know if I can assist you further. | |
What causes white particles floating in urine of a child?
my 2 year old has thick (looking), dark urine that looks almost like... broth? because it seems to have small white particles floating in it... like a chicken broth has teeny tiny things floating in it. There is no smell. She has a sinus infection and has been taking benadryl and tylenol for 1 day. | Hi..this could as well be a urinary infection and I suggest you do a urine routine and consult your pediatrician regarding this. This could also be due to stasis of urine in the urinary bladder for a long time.Regards - Dr. Sumanth | |
Q. MRI says degenerative changes seen. Is any treatment required?
Hello doctor, My father whose age is 48 years, got a back pain a month ago. So, we consulted a local doctor. He suggested an MRI test. We did that and his report says 'degenerative changes affecting lumbar spine with left para-central disc bulges with posterior annual tear at L4-L5 and L5-S1 levels producing mild compromise of left lateral recesses with mild extradural compression over thecal sac'. I want to ask you if he will be alright in a few days after treatment or anything new he will have to do. | Hello. Regarding your concern, I would explain that these MRI findings are indicative of chronic degeneration of the vertebral column. There is no need for surgery. Nothing serious is going on. I would just recommend taking painkillers, avoiding prolonged sitting or standing up position, and weightlifting. A lumbar brace can help too, coupled with physiotherapy. For more information consult a neurologist online --> | |
What causes lower abdomen and groin pressure with urethra burning?
Hi.... I have a few things going on, I m a 53 year old woman. I m having significant pressure in my low abdomen, lower groin area. And I have burning of my urethra. I took a flu console on we d and felt a little better but now have the same symptoms I ve been dealing with for two weeks. Am concerned about the pressure I m feeling. | hi. Thanks for your query. Read your history and understood the problems you are facing. The commonest reasons for the symptoms of pain / pressure in lower abdomen, groin and burning in urethra for 2 weeks are related to urinary tract.Urinary tract infection with swelling of the internal structures like urethra, urinary bladder can give rise to all the symptoms you have including the pressure you are feeling.I would advice you the following:::First of all send the urine for culture and sensitivity before you start any antibiotics. This is very important because you will get a proper report. Also send the blood for routine and sugar, urea and creatinine tests. Get one ultrasonography done to make sure the thickness of the urinary bladder. any post-voice residue of urine after it is emptied, any stones or anatomical variation like diverticuli or so on, Kidney and ureters. Once the tests are done. Get a treatment with an antibiotic to start with and to change over once the report of culture sensitivity report is ready.Get additional symptomatic treatment and you will be fine | |
Suggest treatment for bumps on tonsils and tongue after treated strep infection
Hi, about a month ago I had a double ear infection and sore throat. I was given antibiotics and after I was feeling good without any symptoms. Then about a week later I had swollen lymph nodes, tonsils and a sore throat. I went to see the doctor where she had blood drawn and did a strep test. She contacted me about a week later and told me I had Strep throat. I have finished the antibiotics almost 2 weeks now and my tonsils have gone down a bit but now i notice these clear bumps on my tonsils and under my tongue. I feel like I m going crazy and that I have cancer. Please help. | Hello and thank you for your question. I am sorry that you are having so much trouble. The clear bumps are not concerning and are probably a reaction to the infections that you have had. It would be good for you to get on some vitamins and supplements to build up your immune system and hopefully you will be able to fight off further infections. Take a multivitamin daily, add some additional vitamin C and fish oil. Eat fresh fruits and vegetables. Try to stay away from people that are coughing and sneezing. Drink lots of water and avoid alcohol and nicotine. I hope you are feeling better soon. | |
Suggest treatment for pulmonary artrial hypertension
Dear Sir, I am Nilkanth Pancholi (Male) age 39yrs. from Ahmedabad, Gujarat and doing job in purchase dept. of a pvt. ltd. co. I am suffering from PAH (Pulmonary Artrial Hypertension)since last 6 yrs. First my family doctor once checking me while fever, told that there is some murmur noice in your heart and advise me for check up. At that time before around 6 yrs I was been informed about PAH. I was given Sildenafil (Penegra) drug and I took it for 5 months. Then after I did not took any drug for 4 yrs. Thenafter I visited again doctor and it measured near 100. I was given Bosentan (Lupibose) drug and I took it for 10 to 12 months. Thenafter I m not taking any drug since now. These days if i walks fast or goes up even on first floor I breaths faster. I feel tired and feels to seat for a while. Even I lift some weight my breathing starts faster. Sir, please advise me what should I do, what is the available treatment for this or what should I take care of. Pl. advise me. Thanking you, Best Regards Nilkanth Pancholi | Hello Nikanth, First the cause of pulmonary hypertension should Evaluated and specific treatment for the same would be most effective. If it's found to be idiopathic or primary ( without any cause), a Hight heart catheterisation ( Talk to your Cardiologist) for the same would help determine vasodilator reactivity. Lastly it's not wise to stop medication, rather the pulmonary pressure described by you, a combination of both sildenafila and bosentan should be considered. Fine titration by your doctor is the best way forward. Regards Dr.Priyank Mody | |
How soon can I take a home pregnancy test?
Hi I need to ask a question about pregnancy test it’s been 11 days since conceiving or whatever but can I take the test or is it to early?? I know it’s suppose to be 14 days or when u miss your period week but I want to know now. How early can I take it...and what time usually. | Hi, Morning urine sample is the best one to test for UPT. The pregnancy test to be done on the missing week of the expected menstruation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ajaygupta009, General & Family Physician | |
Should one refrain from alcohol after undergoing cardioversion?
a 75 year old male friend of mine had a cardioversion today, and was told by the doctor who performed it that he was not to drink beer or wine from now on. Then he said that he could have a half can of beer which my friend is not happy about. My question is - Why not; and also how about sex from now on. Thank you kindly! | hi dear,excessive alcohol consumption also called as binge alcohol causes precipitation of atrial fibrillation ,this condition is termed medically as HOLIDAY HEART SYNDROME.Although it is clear that binge drinking can precipitate AF, it is also known that individuals vary in their susceptibility to alcohol. Some patients develop arrhythmia after only one drink, IT DEPENDS ON BODY TO BODY HOW YOUR BODY TOLERATES ALCOHOLas a rule of thumb if you are suseptible to arrythmias alcohol should be avoided or should be taken in a amount not exceeding 30-40ml per day(if your body tolerates),There is much evidence that heavy alcohol consumption is associated with an increased incidence of atrial fibrillation, among other health risks. The pattern of consumption (speed, time frame and without food), affects risk too.sex can be done normally 72 hours after cardioversion but donot take sildenafil or tadalafil as they increases blood supply to penis and hence supply to coronary artery is reducedthanks | |
How is depression and anxiety treated ?
Hi I m 16 year old and I m always feeling tired and sleepy. I sleep like 8-9 hours daily so i don t think this problem caused my a lack of sleep. Sometimes i feel really dizzy, i can t see and i don t know where i am or if anything is real. When I m nervous my heart begins to beat really fast and i get very dizzy, I feel like I m going to fall down. I usually have headaches . I feel hopeless most of the time, like I m not good enough and like I never do things right. I like being alone and I never talk about my feeling with anyone. I have been cutting myself for over 2 years. I feel empty, I feel NOTHING. | hi..please check your thyroid level in blood and visit a psychiatrist without any delay..this may be a major depressive disorder to the extent of suicadility..this is curable if you take medication regularly..let's not make life more gloomy and arise..hope you good health | |
Suggest medications for abcess due to stap
I have an abscess on my arm and have been diagnosed with staph, what steps should I take in order to keep it down and make it go away? Since I have noticed it I have been putting Muciprin on it and putting a band-aid on it, just took one off and noticed it got a little bigger. | An abscess usually needs to be drained of pus and infection. Using a topical medicine won't help since the infection is inside the skin. A doctor incises the abscess to make a small cut and allows the fluid to drain. Sometimes a piece of gauze is placed into the cavity to act like a wick and draw any further infection out. Oral antibiotics may or may not be necessary, depending on the extent of the infection. If they have grown staph from the abscess, they should be able to test it to see which antibiotics it would be susceptible to. Hope this helps. | |
Can shortness of breath be related to previous case of vocal cord cancer?
Ihave severe shortness of breath, age 65, never smoked, heart tests all good, no pulmonary clog on lungs, oxegen level good-98, chest xray good. Still going to doc to have throat checked because I had r. Vocal cord cancer 6 yesrs ago. Seems all tests are good but I am truly very sick! | HIThank for asking to HCMNo your previous condition is nothing to take with the shortness of breath right now it could be due to some kind of panic attack or may be due to anxiety and depression, this will be al right as soon as you come out of this situation, have nice day, | |
Q. How can I manage constant pain in the right knee?
Hello doctor, I am 38 years old male. I had a sudden onset pain in the right knee after a twist during cleaning the house. Initially, it was diagnosed as ligament tear but later no tear was detected on repeated MRI. The pain is not resolving with Methotrexate 20 mg, Prednisolone 10 mg, Etoricoxib 120 mg. I have seronegative spondyloarthropathy and on Methotrexate for the past 9 years. Kindly help. | Hi. Please send the MRI reports of the knee. May I know who diagnosed the tear on MRI? For more information consult an internal medicine physician online --> | |
What causes sudden swelling around the stomach and back while having kidney stones?
I had major back surgery 3 weeks ago. At the time right before surgery and after I noticed increased swelling in my sides, stomach and reaching to the back. I thought it might be due to recurring kidney stones coming down, but CT scan shows stones in kidneys but not coming down. Said probably from surgery. Others say no. It is getting worse. Can t eat. No room for food. Bile comes up in throat. I look pregnant so swollen and it is painful, especially at night. I ve been to ER last week for this, primary care doctor, etc. I can t just run to surgeon that did back surgery. He s in another state. I see my urologist on 24th. Don t know if I can wait till then since so painful. Any ideas? | Hello, What surgery you undergone? Stone may not cause bloating of stomach. Bloating may be due to gas or feces or fluid or it may be due to food. So get it done ultrasound abdomen and use tablet Nexpro-l one table before breakfast for one week. Avoid spicy food and alcohol. If symptoms not improved please consult with your surgeon he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Penchila Prasad Kandikattu | |
Done semen analysis test. Is my report normal?
i need to know whether my semen report is normal and able to make pregnant Dear Dr., i am 26 years old man, 2 year ago i got married and we are expecting for baby. So, took semen analysis and got the report also in the below Liq. time: 25 min Quantity: 3.5ml Colour: pearl white PH: 7.5 FRUCTOSE: Present Viscosity: Normal Grade A (Rapid progressive) : 60% Grade B(Slow progressive): 10% Grade C (Non Progressive): 10% Non motile: 10% Total sperm count: 35.8 million/ml Abnormal sperms: 20% Microscopic: 3 to 4 Pus cells, Immature 3-4, Epithelial cells 1-2, Red cells-Absent So my report is normal or not | Hi Vikas Welcome to HealthcareMagic Your semen analysis report is absolutely normal. Get a semen culture done to rule out infection. You can be a father soon. Take care. | |
What does the hematology report with hemoglobin 8.8 g/dl indicate?
Hi, may I answer your health queries right now ? Please type your query here...I am aged 71 years, female. Haematology report conducted 0n Feb 17, 2011 indicates the following results: Haemoglobin 8.8 g/dl Total count 7820/Cmm Differential Count: Neutrophilis 64.9% Lymphocytes 28.6% Monocites 4.0% Eosinophils 2.2% Basophils 0.3% Packed cell volume 27.8% Red cell count 3.46 million/Cmm Platelet count 476000/Cmm Peripheral Smear Study Impression: Normocytic Hypochromic Anaemia Family doctor's prescription on 10 Feb.2011 T Fersolite 60 tabs one each day for 60 days T Folvite 5mg one tab for 1 month. Earlier, before 1 year, I was adviced to take Inj.Methycobal 500 mg one each month for 1 year and has been taken. Please advice me. | Hello...you r suffering from anemia as your HB is below 10 ..your doctor has prescribed the right medicines to improve ur HB..also improve your diet n take plenty of green leafy vegetables and fruits | |
Had wisdom tooth pulled. Should I worry about the pus or blood?
I got my wisdom teeth pulled about a week or 2 ago and just now I tasted something weird in my mouth almost like blood but not exactly like it so I look in my mouth and were my wisdom tooth got pulled there is a tiny hole that everytime I push near it alot of puss/blood comes out I manage to drain it out I guess you can say but u just want to know should I be worried and what s gonna happen to me? And if I go to the oral surgeon what are they gonna do to me | Hello, Thanks for writing in. I read your problem. First of all i would like to tell you that pain up to some extant after wisdom tooth removal is normal. But as you gave the detail, bleeding and pus drainage is not a good sign. It shows that there is infection in that area. So i will suggest you please visit to your oral surgeon as soon as possible and get the complete examination done. Nothing to get worried,your oral surgeon will provide you the proper treatment which will include irrigation of that area followed by placement of antiseptic dressing. And your oral surgeon must give you antibiotic and pain killers and antiseptic mouth wash like betadine........ Take Care. Dr.Gunjan Gupta | |
Looking for a psychiatrist / psychopharmacogist in the NYC area
Hi, I m looking for a psychiatrist/psychopharmacogist in the nyc area for my mother. She is 82 and lives in Westchester. She has already consulted a local neurologist , who said after two tests she does not have alzheimers. He did say that her memory problems are in his opinion largely due to anxiety . She does not want to admit to having an anxiety or stress problem. I would need to meet with the doctor first to explain her situation | Hi,Thank you for posting your query.You may discuss in detail regarding any issues that could cause anxiety, whether related to family or friends, health issues or financial issues? Sometimes, she would volunteer about the information, if taken into confidence.Regarding the psychiatrist, you can check with your local GP or look up on the website.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.comMy blog: | |
Is Metoprolol ER Succinate effective in improving heart function?
I m a 57 year old man who has recently been prescribed 25mg , once daily , metoprolol er succinate by a cardiologist. I ve never had a heart attack , not diagonised high blood pressure , or experience chest pain. I m in 12 year remission of membraneous nephritis. Recent echocardiogram results came back with mildly reduced heart function and a score of 45. Could I endanger my kidneys , and will this drug improve my heart function? Thanks for your consideration , Nick. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to tell you that chronic glomerulonephritis can result in high blood pressure or heart failure which needs to be managed. Metoprolol ER will prevent risk of heart failure and reverse the remodeling of the heart. I hope this information will answer your query. Kind Regards Dr. Bhanu Partap | |
What causes cough sensitivity in asthma patients?
I have been told I have asthma. I cough every time I get barely a crumb in my throat or any kind of tickle or if I smell any kind of fragrance. The tiniest thing will trigger a coughing attack that usually lasts about one to two minutes. Every time I do, it feels like I m going to cough up a lung. It s usually not productive, though. Is this something more than just asthma? I have no fever or chills. I ve had a headache and neck pain and pain in my shoulder blades for about four weeks also. So, what s the deal? | Hi!I think that it is more than asthma.Sometimes usually during winter asthma in flu situation around ,make riacutisations that does it mind more cough,with or without product,but headache,neck pain etc speak more for a viral flu.So i think is a flu over asthma.You must treat yourself with some tea , analgesic preparations ,do not stay in cold,and you may use ventoline or other medication to prevent asthma to make exacerbation!Regard to you! | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Suggest remedy for mental health problem
I am a Combat Veteran with Traumatic Brain Injury (TBI). DARPA along with the VA has recently discussed opening opportunities for Combat Veterans with TBI to volunteer to have chips implanted in their brains that can help improve their memories. I am also a father of a 3 year old and a husband, and I have forgotten things without the aid of photos that I want to be able to remember about my son and wife. Should I consider the having the memory chip implanted? | Dear User,Thanks for using healthcaremagic.What I have understood from your description is that you had traumatic brain injury and the resultant cognitive decline manifesting as memory impairment. I have seen many such patients and I am not aware of any such "chips" as effective measure to improve memory. What we usually do is that we teach our patients cognitive remediation measures to improve the memory. So in my opinion you should be extremely careful before undergoing any such procedures which might not have proven evidence.If you have any further questions you can get back to us with greater details about the procedure after discussing with your doctor.Dr. Sudhir Mahajan | |
Is a biopsy done on kidney too risky?
My cousin has had several blood and urine test to determine the reason for or changes to her kidney function. Her Dr is now recommending a biopsy be done. Should they do some other testing before this is done, as I have read that it is a bit risky. We are all new to this issue | Kidney biopsy is an invasive procedure in which a small amount of kidney tissue is retrieved with the help of a biopsy needle/biopsy gun and microscopical examination is done. This is done under local anesthesia. This is usually done when clinical examination, blood investigations (routine and specific) and imaging investigations are not enough to give a definitive diagnosis.A few investigations may be done before the procedure like Platelet, Prothrombin Time, APTT and bleeding time, which indicates the coagulation profile. Some nephrologists prefer the subject to be off medications like Aspirin and Warfarin. Post procedure, the subjects lie flat on their back for 4–6 hours to minimise the risk of bleeding. Vital parameters and urine are frequently monitored to ensure the patient is not suffering any bleeding complications.Complications are uncommon and may consist of minor bleeding from the biopsy site and in some cases there there may be haematuria (blood in urine). Pain at the biopsy site may occur, which may be relieved with anti-inflammatory agents like Paracetamol. Very rarely, severe complications like perinephric hematoma, Urinary retention (due to blood clot) and shock (due to sudden brisk bleeding) may occur.Your Nephrologist will give an overview about the procedure and the pre-procedure tests required, and the patient's NOK may have to sign a consent form for the procedure. | |
Can Levolin inhaler be used whenever a 7-year-old gets cough?
Sir my son is 7 and half years old . Sir he is suffeting from cough and allergy we are using budecot inhaler montair lc kid syrup and doctor recommended livolin inhaler also when there is a cough problem. Sir i wanted to ask u can we use livolin inhaler when there is a cough problem to my son | Hello, Yes, please Levolin inhaler is safe to use whenever there is excessive cough and wheezing you can use it - 2 puffs every 4 to 6th hourly on as and when required basis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | |
Can any online doctor help me with the urinalysis report ?
Sir, Please tell me about kidney problem if the cretinine level is 10.4 and urea is also high up and Hemoglobil cells 7000 | Hello! Thanks for being with us. There are two main types of kidney insult 1.acute 2.chronic. This can be easily distinguished if you have previous serum creatinine levels.If previous creatinine levels were normal and you have been started with new onset symptoms like fever,abdominal pain,oliguria,burning or pus in urine or any new drugs has been started for other reason then it could be an acute kidney injury. Acute kidney injury can be successfully treated but this problem may be the start of chronic renal failure. If you are suffering from any chronic illness like hypertension,diabetes,poly cystic kidney disease,renal artery stenosis and your serum creatinine levels were high last time also then its likely to be a chronic renal failure. There are lots of causes of acute and chronic kidney failure hence its better to have an urgent nephrologist opinion as creatinine of 10.4 can be life threatening,may lead to complications like hyperkalemia,azotemia,uremia and you may need dialysis too. If you could have provided other lab findings like hemoglobin level,calcium,phosphorous,usg of kidney bladder ureter,blood pressure and sugar levels then i could have answered in more detail. Anyways your further queries are most welcome and wish you better health . | |
Headache, haziness, numbness in hands and chest tightness. Due to alcohol consumption or allergy?
Hi I am a 23 year old male. I have not had anything to drink in over a year, because it normally has very adverse effects on my body and mainly my heart, but the other night, giving into temptation I consumed about 5 standard drinks over the course of about 6 hours–not too excessive. Unfortunately, the same symptoms hit me that I used to experience. It has been three days since that night, and I still have a headache , I feel slightly hazy, my left arm is numb and tingly, my chest feels tight, and my heart beats periodically at random in very hard, fast, and arithmetic sequences. And I also seem to get random fevers through out the day as though my temperature is out of control. Also yesterday I got light headed out of nowhere and my face got extremely tingly and I felt like I was going to pass out. Often when I have had these feelings I am afraid of having a heart attack . My body seems to be reacting chaotically and quite severely to alcohol, but I can not figure out why or what it is. Dorsandvick I have an intolerance to alcohol, or an allergy? any insights would be greatly appreciated!! | Hi When you say "drinks" I guess you mean Alcohol ? Right. Perhaps it is a blessing in disguise for you to avoid completely. These symptoms you are having is the adverse effects from the allergy to alcohol. Your system does not agree to the basic ingredient of spirit/alcohol. You could try chlordiazepoxide for few days to see if this helps even though this is normally used to help people who are known alcoholics. It will make you feel sleepy and must avoid driving and using dangerous machines. Or give yourself few days and things should settle down. The best treatment is to avoid alcohol in the future and just enjoy life as a youth without this ! Hope this helps. | |
Breathing difficulty, dry cough, burning in lungs after using deodorant. Asthma symptoms?
Hi, I have noticed over the last few months that my breathing is uncomfortable, especially after using aerosol deodorant of my usual household cleaning spray. My lungs feel like i have breathed in water and i have a horrid dry cough when this happens. My breathing also seems to get bad if i am in close range of lilys. My lungs feel like they are on fire and the dry cough is terrible. Could i have developed asthma? Im 34 years old. Thanks | From your description it is apparent that you are atopy ie you are prone to develop allergy to various substances. First you shoud get a routine blood count and a x ray chest done to rule out any other lung pathology. Also get a PFT done to diagnose asthma. You should consult a pulmonologist as you may need anti inflammatory/allergy treatment in the form of inhalers or tablets. | |
What are the effects of masturbation?
helo doctor am ji,am 20 years old am masturbatin everyday.,it became a habit for me.,wil this cause a problem?.. and now recently in this 2years am getting heavy hair loss and have got some front bald pattern too am worid of it, is tis hairloss is due to daily masturbation? can i grow back my hair(am just 20)? | Hi, Masturbation is normal, it’s just the another way of having sex without partner. It’s a good practice, helps to calm your mind and release happy and stress bursting enzymes. Having 2 to 3 times a week is not a issue, more than that is also not a issue, but needs adequate nutrition and exercise which will be difficult to fulfill. Ways to reduce masturbation: 1. Sex education 2. Physical exercises 3. Sleep adjustment 4. Quality of sleep 5. Healthy and balanced diet 6. Programming for leisure time 7. Development of spirituality 8. Taking a cold bath I hope I have answered your query. If you have further doubts, I would be happy to help you. Regards, Dr. S. R. Raveendran, Sexologist | |
Frequent chest infections. Diagnosed with lung cancer spread to liver and wind pipe. Which stage is the cancer?
Hi my mum has been ill for one year or more with chest infections and has recently been diagnosed with lung cancer which has travelled to her wind pipe and liver she used to be a smoker. would i be right in saying she may have had this developing for at least a year would i be right in saying its possibly small cell lung cancer and its probably around stage 3 | Hi, small cell lung cancer generally staged like limited and extended stage disease. anyway as in your mother the disease has already spread to liver it can be staged like M1b or stage 4 or in small cell background extensive disease. small cell cancer are highly chemosensitive, so chemotherapy are the option. hope she will respond to treatment. take care. | |
Suggest medication for allergy and wheezing
my 7 month old has had some allergy symptoms for the past three weeks. The dr gave him some steroids and antibiotics. Now he has a runny nose, flushed cheeks, raspy cough, weezing in the chest and a fever of 102. what does it sound like to you and what do i need to do? | hello,Welcome to HCM.Please consult your pediatrician for examinations.It may be due to steroid high doses.Please consult.Take care... | |
Mild itching, exfoliation of skin on fingers after touching one with psoriasis vulgaris. Is it communicable?
i touched a patient who is suffering with psoriasis vulgaris. Next day, i got mild itching and exfoliation of skin on my fingers. i want to whether psoriasis is communicable. My dermatologist has said to me that i am suffering from contact dermatitis and he prescribed me initially propyzole cream and levocetrizine . i have no relief with symptoms. once again, i consulted him and he changed the drug to HH Salic 6 ointment and oral flucanozole and levocetrizine. i am suffering from diabetes for the past 6 years and i am in good control with oral medications. | Hello Psoriasis is not communicable. Doctor is treating you for a fungal infection as well as for contact dermatitis. That's the rain he had given fluconazole and propyzole cream. I would recommend that you continue with HH Salic 6 ointment. If the diagnosis is contact dermatitis that will be helpful. | |
What causes continuous fever with cough and runny nose in children?
My 8 ys and 4 ms daughter has been suffering from recurrent fever up to 103 for 5 months (6 times). Blood and urine tests and cultures have shown everything normal. So is the chest X-ray report. The doctor said all that spells were viral. With every fever, she got cough, sneezing, runny nose etc. One doctor said, her tonsils, specially the left (it is bigger) have to be removed, but the other denied. What should I do? YYYY@YYYY | Hi...by what you say I feel that your child is having recurrent viral illness only. It is very common in this age. I will explain you how a viral illness behaves so that you can be more comfortable.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Regarding tonsils, unless it is causing Obstructive sleep symptoms it need not be removed.Regards - Dr. Sumanth | |
Is Frisium safe during early pregnancy?
Hello sir, My name is mrs varsha married 25 years old epilepsy patient I used to take oxetol 300 In the morning & night (2 tablets in a day) & Frisium 10 in the night ( 1 tab in a day) for the Last 8 months , last month we consultd doctor told them that we are planning for pregnancy Doctor told me that stop taking & Frisium 10 tab & take oxetol 300 tab 1 in the morning 1 ½ in the night so I stopped taking Frisium 10 but after 25days I got attack again We consulted another doctor he told that there is no harm in taking Frisium 10 tab We got consfused since we are planning pregancey if I take frisium 10 during the pregnancy Its going effect child Please tell me wheather I have to take frisium 10 during pregnancy now I am taking Both tablets oxetol 300 & Frisium 10 My no 0000 or YYYY@YYYY Thank your sir varsha | Hi, Thanks for the query. Frisium -10 is contraindicated in first 3 months of pregnancy, as it affects fetal development.After 4th month onward it can be taken with precaustionunder a doctor's guidance.. if he feels that it's benefit overweighs the risk. So, I would advise to get a expert opinion of neurosurgeon for alternative & safe drug & start it & get adjusted with it..while pregnancy is planned. Thanks. | |
Suggest dosage of cytopan
Hi i had two weeks pregancy but last week I came to know I am not preg, my beta hcg report is zero now and ultrasound report says sac is empty but no periods or bleeding yet. I a Have taken cytopan but was concerned about the dosage. How many pills and days. So that I can have periods | HiCytopan contains diclofenac and misoprostol. Diclofenac is not required for your condition.Another progesterone derivative has to be combined for complete treatment.These drugs should be used only under physician supervision and hence contact your gynaecologist for further approval.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | |
Are there any side effects of taking Blemaren?
well,I have a 40 years kidney stone history,with multiple stones,each kidney 2 big ones of 8 milimeter each.numerous urine infection,more and more friquent.Last month 3 times antibiotic treatment.I can t continuu like that. I am diabetic,high blood preasure, high colesterol,artritis anyway somebody recomended blemaren.NI don t know if it s OK to take and where to buy it. The person recomending bought from Germany . | HiSince you are a recurrent stone former, I presume you have had full metabolic evaluation including 24 hour urine collection tests. If not please see an urologist in this regard. Blemaren contains citrate and it is also available in many other brand names as K-Cit, citralka etc. Although composition varies, the basic mechanism is to increase citrate levels in urine and reduce acidity of urine. Alternatively to increase citrate levels in your urine, you could take two lime per day in any form. | |
Is it possible to shave the teeth without damaging the crowns and veneers?
I received two dental crowns on #8 and #9, the dentist decided to put veneers on #7 and #10. I am unhappy with the look of the teeth, they are too round and look very youthful. I want more of a Vigorous style. Is it possible to shave the teeth without damaging the crowns and veneers, and without having to get them completely redone? | Thanks for using health Care magic.Read your query.Yes,it is possible to shave the tooth ,but that will subsequently leave the tooth unprotected causing early damage to the tooth structure.Early sensitivity can happen if the enamel layer is removed in excess.I would advice you to talk to your dentist and would rather avoid it .If absolute necessary then the dentist will help with it.Hope this was useful.Thanks and regards. | |
How can memory loss be treated?
I've been looking for something to slow down my memory loss. I don't have Alzeimers, but I sure do "misplace" a lot of things and spend a lot of time looking for them. A nurse gave me the name Donepezil, but after looking at the side effects, it a no-no for me. I am 95 and still living in my ownhome with an aid a couple times a week. Is there any other medicines you might suggest? | Hello, You are 95 and its common to day cognitive decline at your age. Age related cognitive decline is common reason for memory issues than the Alzheimer's in your case. Donepezil is a safe drug. Some individual develop side effects with this drug but in most of them these last for only a week or two. You will start tolerating the drug. You should restart the drug and this will surely help you. Hope I have answered your query. Let me know if I can assist you further. | |
Why have I been administered ovral -L? When can i conceive?
Hi, i have been given Ovaral -L for 3 months. I have a endometrial cyst on the right ovary. am trying to conceive. So why have i been administared Ovaral -L? and when can i conceive. are my chances of conception better because of this pills which am using? | Hi.. Thanks for writing.. Small cysts disappear with 3 months of ocp's.. So there of better chance of ovulation and hence increased chance of pregnancy after stopping the pills.. Hope I have answered your query. Good day. | |
What to do for the souring lump in private area?
At first it felt a bit painful to have sex, then the next day I noticed browny discharge in my underwear, and I have about 5 hard lump/spots I assumed they were in growing hairs but its a bit sore down there and it's irritating me as I just want to try and pop them | Hi! you recently contracted some infection could be due to frictions, injury or could be ingrown hairs/folliculitis as you mentioned!Some rare possibility like hidradenitis suppurativa is also there which is nothing but infection of under-skin glands...Therefore, you need to take care of genital hygiene, a microbiological culture test, PAP test and definitely consultation of a gynecologist as it could be some sign of STDs also!Take care; regards, | |
Q. Is it normal for a chiropractor to crack bones to give relief?
Hello doctor, Most often, I have heard from doctors that there is a liquid between every joint which is similar to an oil or grease to gears in the vehicle. They say, when we crack our bone, an element of that liquid gives the cracking sound and if we do it often, then the liquid declines and we can have severe joint pain. Now the question is that chiropractic doctor most often cracks the bones which may relax for time being but would give severe pain after 50 years of age, is this fact? | Hello. Cracking of joints is not advisable as there is a release of nitrogen molecule which in later stages can give trouble to joints more. In chiropractic practice, there is just unlocking of the joint so that the sensory system which is located over the joint gets released of the pressure and pain comes down. Now to make it more principle way, when there is pressure on the joint this might be due to the weakness of the muscle. As the muscular system acts as a support system to maintain the gap between the joints so that the proprioceptive system of the joint do not get pressure and also joint friction is avoided. I would advise you that you focus on strengthening the muscular system so that the pressure on the joint can be relieved and also the joint proprioception do not get trouble. Please feel free to contact me if you have any questions. Reduced joint space. X-ray. Ligament injury. Knee injury. Exercise. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
What could sweating with rashes on back suggest?
I am 57 years old, every two to three weeks, i have fatigue which puts me in bed for 3 to 7 days.. i sweat down my back and down my arms, i have a rash around my mouth, and i get very pale.. then it stops i have a two weeks off and feel good then it starts up again... i can feel it comming on.. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Fatigue that you are experiencing may be due to stress, depression or any other emotional problem. Stop addictions if any, side effects of some medications are fatigue or rash so be careful about the medications that you have been taking. Take multivitamin tabs & fresh fruits & veggies, keep yourself well hydrated (sodium, potassium imbalance may cause fatigue). You should visit ER & get Lipid function tests done to rule out any developing coronary artery disease. Heart problems do cause fatigue, get all investigations one, get examined. For rash you can apply locally any hydrocortisone cream or calamine lotion. Take care of hygiene. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K. | |
How to treat costochondritis?
costachondritis how to treat? I have a hx of quadruple bybass and I have a pacemaker since 2009. I spent all morning in the er because I thought it was chest pains. They said it was either costachondritis or pleurisy, but didn't tell me how to treat it. I am 59 yo, female, 5'4" and my wt is 163. I am also a smoker?" | Thanks for your question on Healthcare Magic. I can understand your concern. Costochondritis is inflammation of costal cartilage. Smoking worsens it. So first you have to quit smoking as soon as possible. Follow these steps for better symptomatic relief in costochondritis. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Sit with proper back and chest support. 5. Apply warm water pad on affected areas. 6. Take painkiller and anti inflammatory drug combination. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes persistent cough?
I ve had a cough for about 3 weeks. it isn t a throat problem, feels more like it is coming from my lungs. I m fine as long as I don t breath too deep, but when I do I cough violently and have some phlegm. but the phlegm is clear, not yellow or green. | Thanks for your question on Healthcare Magic.I can understand your concern. You are having chronic cough (cough for more than 2 weeks) which clear expectoration.So we should definitely rule out bronchitis and lung infection (pneumonia) in your case.So consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test).Chest x ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You will mostly improve with antibiotics, inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) on the basis of reports.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
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 --> | |
Swelling, pain in lower back after falling. No help with medicines. Saw coagulated blood before. Suggestions?
Hello, my name is jemima. im 31 years old. im married and have 2 children, 6 and 7 years old. i weigh 180 lbs. i fell down on the 8th february, from a terrace which has 3 stairs. i got much pain from my lower left back, with swell very much. i put arnica gel on it, and ice. i thought it would be ok. but no. 1 week later, i went to hospital. i made x rays. they saw a little failure- i don t know how to say that in english. i mean no facture. the doctor gave me antbiotics. a week later, i went on my rendez vous. swelling same size. she told me it would take time to flatten, and gave me calcium carbonate and vitamin b complex. today i went again to hospital for my rendez vous. another doctor consulted me and said there is coagulated blood and need to be removed. he said i should make an echography, then go back towards him. i haven t do it yet. my questionis why i have this swelling all this time- 1 month. it still hurts but not like the first day i fell. two doctors say two different things. on the first days i saw the coagulated blood. it was green black in colour, but now i see nothing only the swelling. please help me to understand my situation. thank you jemima | Hai Jemima, Thanks for writing in, From your history it is clear that it is nothing but haematoma (clotted blood). Usually when haematoma resolves, it changes its color from green to black and disappears. Sometimes if there is some haematoma in deeper layers of tissues, then it might take time to resolve. Since Xray didn't show any fracture, pain has decreased and you are able to do routine day-to-day activities, there is nothing to worry. But one month is quite long time for a haematoma to resolve. So, its better to do an ultrasound and confirm whether the blood collection is still there. If it is there then surgically removing the collection or just aspirating it by wide-bore needle will help in relieving your symptoms. Get well soon, Regards. | |
Suggest treatment for brain damage
I am my brother s guardian, he is a Military Vet. with brain damage. I have an oblong light blue tablet with what looks like a D on one side and 1 7 on the other. I fill his prescription container for the month and I got confused as to what this is and now I am scared to give this to him. | send me patient MRI BRAIN report and after I will comments your complains.head injury how many times ago developed. | |
Suggest treatment for infertility
i am getting treatment for infertility past three years. my husband side no proplem and i have done laproscopy last year and so many tests.my side alo no proplem. also i have done more than 15 iuis but no improve now my dr suggested for icsi is this have good success for treatment?and also please suggest me successful hospital as this treatment costs more.my age is 29 and my husbands 33.after doing laproscopy my weight increases from 65 to 81 and my height is 160 cm. | Hi, first you reduce your weight . weight does not increase because of laparoscopy its because of diet. And you should go for IVF and ICSI as you have unexplained infertility. chances of pregnancy is good with IVF and ICSI . Where do you stay ? if you tell me location then I can guide you hospital where you can go for treatment. take care | |
Swollen ankles after stopping bc tablets. Anything to worry?
Hi,I stopped taking birth control (oral contraceptive) almost 8 months ago. Ever since then my feet ankle swell randomly. When my menstrual cycle gets close they swell up even more. Never in my life had I ever experienced swollen ankles or feet before. Has the birth control permanently changed my body? Is this something I should be worried about? My ankles don't even look the same anymore. It's as if they have permanently changed. | Hi,Thank you for choosing Healthcaremagic. Your swelling of feet could not be related to BC pills. You need to get evaluated by a general physician to rule out other causes for swelling of body.I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it.Thank you,Wish you good health.Regards,Dr ArifYou can consult me again directly through my profile | |
What doe circular rashes on spine indicate?
A friend of mine is baby sitting a small child and just noticed that he has 5 small circular rashes that go up his spine. He has been sick for 2 weeks. I can post a photo of the rash to you. It won't let me here, maybe a bit down the line. Any idea what it could be? | Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
What causes advanced stage adenoids in a 10 year old?
hello doctor..... i ve a 10 yr old brother suffering from adenoids bt nt on the advanced stage..since the problem has nt yet reached to d ears.....he snores at nite...has breathing problems as well....and he stammers as well..pls suggest some relevent treatment considering the small age and without surgery... plzz help... | Hi.... by what you say I feel that your brother is having upper airway resistance syndrome and this is inturn causing sleep disordered breathing which will reduce his day time activities and increased daytime sleepiness.As you have asked for options other than surgery, I suggest using intranasal steroid spray like Mometasone or Fluticasone. I suggest you approach your brother's pediatrician regarding this.Regards - Dr. Sumanth | |
Is prolonged intake of Thyroxine for hypothyroisim safe for infants?
my Child was hypothyroisim she had high tsh and very low t3 and t4.we diagnosed her when she was three months.now she is six months old.she uses throxine tabletes 50 mcg O/D.her weight is 6.50 kgs.now we did test for her her t3 ,t4, and tsh is normal but the doctor said she should continue using thyroxine.we she be normal baby?? pz answer | Hi Thanks for using healthcare Magic.Probably your child has congenital hypothyroidism.In this condition the thyroid gland doesn't produce enough thyroxine hormone so it has be given in the form of tablet for normal growth and development of the body and brain.So it is safe and it must be given regularly and lifelong.She needs blood test few times a year which helps to adjust the dose of thyroxine.Take care. | |
What to do for the hip pain followed by an accident?
Hi i jumped from a wall about the height of a van but i was drunk at the time (i am stupid, i know and i do regret it) so didnt feel to much at the time! But the next morning I was in alot of pain and I could not move my hip so I bathed in a hot bath now (four days later) I can walk but I am in pain in both ankles and my lower back! I am worried this is serious? Does it sound like I need to go and get this checked out? Kind Regards silly regretful Jess. | Dear Jess,The symptoms as mentioned in your post can be attributed to musculo-skeletal injury.X ray of the hip joint & both ankles will be helpful in clinching the diagnosis.Symptomatic relief can be obtained by heat therapy, application of analgesic & muscle relaxant gel, intake of analgesics like Diclofenac (to be taken after food) + Pantoprazole (to be taken 30 minutes before meals).Supplements of Calcium & Vitamin D can be included in diet which will help in strengthening of bones.Physiotherapy exercise will also be helpful.If symptoms still persist, kindly consult an Orthopedician for proper clinical examination.Till then, maintain adequate hydration & nutrition status, take proper rest and avoid stress.Wishing a Good Health.Take care. | |
Is there any chance of pregnancy if I pill is taken next day?
I'm on birth control, I stayed at my boyfriends house and we had unprotexted sex and I ended up staying the night there, so I didn't take the pill for that night. So I took the one I missed the next night, along with the one I was supposed to take. Is there any chance that I'm pregnant? | Hello,Thanks for trusting us with your health concern. I have gone through your query and would like to offer you some information. If you have been on oral contraception for more than 3 months, you are well protected. Since you made up for the missed pill, you need not worry about failure since it is only one pill. Please remember that you will need additional protection if you miss more than two pills. There is no need to go for an emergency contraceptive pill. This can lead to hormone imbalance and breakthrough bleeding. Hope this helps. | |
Can the boils between scrotum and anus be considered as STD?
hello, noticed 2 to 3 boils between scrotum and anus.had visited a prostitute around 8 days back.but had no intercourse.A brief session of petting on the vagina, kissing and mastubation.Also touched her vagina lips with my mouth.Can i be infected by any STD or hiv? | Hello, Welcome to healthcaremagic, thank you for the query. With the description, chances of STD are there, kindly provide a photograph of the affected area and get yourself tested for HIV and other Sexually transmitted diseases. | |
Thin hair and in patches on legs after shaving. Hair in head shorter. Sign of liver problems?
Hi. I noticed that I shaved my legs about 2 weeks ago, and very very little hair has grown back, and what has grown back is very thin, and in patches. Also, the hair on my head has suddenly gotten drastically shorter, yet I see no hairs falling or coming out. I also have noticed that I have acne along my jawline mainly on my left jaw, but now very little on my right. Is this a sign of liver problems? Lately, I've been thinking about getting a Liver cleanser (all natural) to perform at home. | Hi,Before taking any supplement as liver cleanser, you should make sure you have liver problems by checking the blood transaminases. Furthermore, thin hair and in patches could also be a sign of vitamins deficiencies (vit.D,E,etc.). You can take multivitamins supplements containing vit.D,E,Ca,Mg,etc.Another factor could be related to skin problems (infection,etc.), which should be evaluated by a dermatologist.Hope it helped! | |
What causes high BP and low fever at the same time?
Help. Perfectly normal healthy 50 year old male. 175 pounds. 6 foot tall. No history of high blood pressure. Now for 10 days my blood pressure is in the 150/92 range and i have a low fever. Light headed. I had a root canal 11 days ago. Had it looked at by a 2nd dentist and it looks good. I went to my dr and he ran blood tests. all normal. I cant believe this is just a coincidence. I believe either the tooth infection has gotten into my blood stream or my bodys immune system just cannot deal with the tooth. No blame. I just want my healthy life back. | Hi. Thank you for your question. I understand your concerns.If it would be an infection to your blood stream, it would be shown on your blood tests. My opinion is that you have nothing to worry about, as this problem is concerned.I spotted the high level of blood pressure. Adding your age, this may be the beginning phase of hypertension. I would recommend a 24-hour blood pressure monitor to diagnose or rule it out, and starting treatment, eventually.I hope I was helpful. Feel free to ask again. Good day | |
How to cure discomfort and pain on the right pubic area?
Hi, I m a 16 Year old Male - 5 foot 9. For about a year now, I have being experiencing a discomfort in my right pubic area region - It s not extremely painful but it does bring discomfort. I first noticed this when I was leaning against a desk and the side of the desk pressed against my right pubic area causing a sudden sharp pain which lasted a second, other experiences has brought this exact discomfort. I have noticed that occasionally If I m jogging or being athletic, the discomfort feeling will suddenly reappear and cause the sharp pain. I may not feel the discomfort for a week or two weeks but it mainly comes when I move in a certain way. After I moved in a certain way causing the sharp pain, If I press in that region, I experience a slight discomfort depending on how hard I press down but I do not feel any lump or swelling. Occasionally I experience slight discomfort in both of my testicles (nothing to the extreme but a discomfort) which is related to the public area discomfort due to that having the feeling as well. | Hi,From history it seems that you might be having weak inguinal ring or developing bubonocele i.e. indirect inguinal hernia producing this typical feeling and discomfort.Consult your doctor and get examined.By seeing with clinical examination will give proper idea of your problem.Ok and take care. | |
What is the pain in the non functioning kidney while urinating?
I'm 23 years old and only have one functioning kidney (on my right). Due to scarred tissue my left kidney does not work. I have pain in my left side when I urinate, but my specialist has said this is normal. However, it has become more frequent in the last few weeks and today I have pain in my left side when I sneeze, cough, or touch it. Please advise. Thanks. | Hi and welcome to HCM. As an Urologist, i can understand your anxiety.First of all,if your left kidney is non-functioning,you can't feel any pain in it.If the left kidney is non-functional,then it should be removed.The non-functioning kidney can get infected and affect the right one. So consult your Urologist,and follow the guidelines given above.That'll relieve your symptoms and give you relief.If you've any doubts,send your doubts as a direct question to me.Dr.Matthew J. Mangat. | |
What is the fleshy part inside the tooth?
My 7 year old son's 2 upper teeth front teeth have been loose for some time now. One tooth seems ready to come out, he can twist it almost completely around. However, we can see a fleshy part still inside the tooth attached to his gums. Can he pull the tooth out? What is it we are seeing? | Hi sir/madam Fleshy tissue what you inside technically called as gingival polyp or pulp polyp based on its origin if it is coming form inside the tooth it is a pulp polyp and if it is attached to the gingiva it is gingival polyp.treatment for both is excision which is not an complicated issue.I would request you to consult your dentist. | |
Suffering from cervical problem, switched to ayurveda, burning feet. Medication?
hi, my mom is suffering from cervical problem for last 2-3 years. she has been treated by all kind of medications . now she has switched to Ayurveda . she is taking ayurvedic treatment from last 3 months, but now she is facing a problem of burning feet sole. She is not able to take a sleep or even a nap at night. Please suggest some home remedies or medicine for the same. | 1. what type of cervical problem is there: cervical spondylitis, cervical radiculopathy? 2. burning feet sole is there, (blood pressure and blood sugar levels)? 3. any complaint of numbness or tingling sensation? 4. problem arised due to Occupational strain,Lifestyle, body type,bad posture. 5. RA factor test been done or not. 6. Neurological Examination is carried out or not? 7. avoid curd, milk,urad dal, jaggery,food hard to digest. 8. avoid late nights and afternoon naps. 9. do not control natural urges, avoid strain on neck/back. | |
Suggest treatment for severe muscle pain
My entire spine causes sugnfinice pain, my joints feel like achy raw flesh. I hurt 24 7 and ready to give up. I am a burden on my family and Christmas will be much merrier without me, I sit in tears most of the time begging for the strength to end it all, am very dipressed, my doctors just go with the flow they don t get it. If I die I will no longer be in pain-that is my thought process, my wife could be happy with someone who isn t riddled with pain. She deserves better! | hello,first of all you are not feeling well physically ,it doesnt mean that its the end.its common to feel depressed when you are fighting with the pain.it takes time for doctors to diagnose and understand the illness sometimes.Its the hope and inner positive energy that helps in recovery along with the medical treatment.I would like to know since when you are having the pain in spine and joints?any history of accidental injury?Any family history of same symptoms?Any tests done with specific results?It will be good if you visit one more doctor who is specialist in immunity related disease or a rheumatologist.after your proper examination in person it will be easy to give an opinion as looking at the signs and symptoms.As the symptoms you have said are seen in many illnesses.So do not lose hope,I am sure your family cares for you as much you do.and also I advice you to visit a psychiatrist and a psychotherapist as well for the depression and stress.Few counselling sessions might help you to fight back and feel better.its very common to feel like that when you are not well. | |
Does yellow fever shot cause liver enlargement?
Hello doctor I am Sandhya and my USG report says my liver size is 17 cm.I am 40 year old woman and 90% vegetarian.is this result a cause of worry.should I see a gastrointestinal immediately. What are the other tests that I should follow. I was given yellow fever shot when I went to Africa once as part of visa process. Could that be a reason for this. I am worried.pls guide | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your liver size is quite normal and nothing to worry. Yellow fever injections does not cause hepatomegaly. Medical attention not required at this stage. Hope I have answered your query. Let me know if I can assist you further. | |
What causes elevated BP?
My bp last night was 201/124. With squeezing chest pain, radiating to my jaw & sweating. Called ems they gave me nitro several times put me on a nitro patch transported to er. Blood said no heart attack but wanted to keep me & do stress test. Everything came out normal. I'm in good shape. The doc that released me said don't know what happened see ya later. I have had before symptoms before & didn't go to the er & it went away. I asked the doc what he thought about my bp being so high he said that info wasn't in my chart. Anyway what do you recommend I do now. | See your doctor this week. An episode of chest discomfort with no apparent reason should be investigated. Blood tests and an EKG that show no heart attack now do not prove that you are not in danger. The question of your blood pressure and the need for treatment can be answered during the same evaluation. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Is Alendronate recommended for patient with family history of osteoporosis?
HI, am a 54 year old woman with a sister 10 years older. She has been diagnosed with osteoporosis and Addison s disease and tells me that I should definitely be taking alendronate to keep my bones strong to avoid osteoporosis later on. My own doctor at Kaiser has NOT suggested that I take ANY medication regarding this - and also advises against getting a bone scan either. I m wondering if she really has my best interest at heart, or simply trying to save money for Kaiser - by not suggesting these things unless I insist on it...What do you you advise? | Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, you can take Alendrontes, these drugs irrespective of cause stop more demineralization of the bones, so even if your diagnosis is not clear , taking alendronate will help heal your bones.I hope that answers your query. If you want any more clarification, contact me back.Thanks | |
Had hallucinations, vomiting, dizziness, heart pounding after taking oxycodone. Side effect?
Yes My husband took a muscle spasm medicine 11/27/12 and then took Oxycodone (never had taken oxy before). Woke up; halucinating and vomited for 12 hours until we got him to ER. ER said probably effect of the oxy, but also a stomach virus. That night and since then he has had dizziness, feelling of falling when trying to fall asleep, heart pounding, muscles twitching in body, chest etc. Had MRI for Meniers diseas and came back normal. Went to dr. 1/17/13 and he was given Triamterene hctz in case he had Meniers and also Ambien because he can t stay asleep. Went to Gastro Dr. and he is running tests because of his stomach pain and was given Omeprazole; seems to be better. Went to ENT and said it s not Meniers since no fluid in inner ear. Going to Neurologist 2/7/13. I read where vomiting can cause nerve damage. Any answers? Thank you | Hi,your husband taken oxycodone, for muscle spasm. As you are comfertable with the omeprazole , we can confirm the issue of gastric irritation, and proceed for treatment in that line. If after treatment if you feel some discomfert you can go to the other doctors. Avoid taking spices, junk foods, and oily foods. Thank you. | |
Does transforaminal injections cause severe pain in arms and legs?
I had 2 transforaminal injections 3/12/14 on left side and over a month later now have severe pins and needles on both left and right sides in arms, legs, hands and feet. Could a nerve have been hit? I was in agony when they did the second injection. | Hello Thank you for trusting HCM Dear usually transforaminal injections are safe but any invasive procedure has its own risks.local site infection, bleeding, nerve damage and worsening of symptoms. If nerve damage accure the pain may locate the area specific dermatomal supply but both leg and arm pain less chances. You may be suffering multiple nerve root compression may be reason for leg and arm pain. Please check it out with mri spine then we will come to know. Use tab Pregaba 75mg twice a day. If symptoms not improved consult your doctor he will examine and treat you accordingly. | |
What can be done about swelling in leg which is leading to cuts?
I have fell over four years ago and have put L2 almost inside L1, however, now I am having swelling in my lower left leg. I stand and walk a lot. My BNP has been within normal range. When I wear ted hose that just makes the swelling worse & the hose cuts into my skin. Any ideas?? | Hi,Swelling in legs may be attributed to improper drainage of lymph fluid so do contact your GP and have your lumps nodes examined and tested. in mean time keep your leg supported or straight while sleeping, or keeping it slightly elevated position will also help in relieving swelling. Decrease sodium intake in diet (salt) instead increase potassium in diet (banana is rich source of potassium) do light non impact exercises of legs, like ankle movements, heel slides and do regular walking (with proper rest time in between). Hope you will find the answer useful. Let me know if I can assist you further.Regards,Dr. Harsh Swarup | |
How to treat a bluish lump on the groin?
I just noticed my 4yr old boy has a hard lump in his front groin area. I pushed a little on it and asked him if it hurts he said no, but when I did he realized that it was there from the look on his face. He does have another knot above his belly button that a doctor once told me was a hernia he had since birth. This is the first time Ive seen the lump in the groin area. When he moves his pelvis forward and outward the lump protrudes. And it looks kinda bluish. | Hi, thanks for writing to HCM sharing your boy's health problem with us!Well, If I were his family physician for this case of a slightly tender bluish lump on the groin, I would come up with three possibilities, these include: 1. inguinal or femoral hernia2. benign cyst3. hemangiomaI suggest you to go for an ultrasound of the lumps for confirmation and to relieve your concerns and then please see a surgeon for prevention and other measures and the surgical treatment if necessary at this stage!Hope this answers your question. If you have additional questions or need for more clarification please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your son good health. | |
Child having brain bleed, only one kidney, scans show no vessels connected to the small renal mass on left side. Could kidney be the reason behind brain bleed?
My 9 yr old daughter had a brain bleed in Oct. 2012. All neuro scans came back fine. No AVM s or problems with vessels. No cause determined. Recently we found that she only has one kidney . Scans show no vessels connected to the small renal mass on her left side. Could having one kidney still be a cause for the brain bleed. High blood pressure was also ruled out. | Hi,There is one condition that rings a bell in that it has both renal and brain manifestations. It also causes you to have bleeds in both organs. This is ARPKD. This is known as autosomal recessive polycystic kidney disease. This disease causes the person to sometimes develop cysts in the brain that may bleed in rare cases. This is one common scenario I can think of. There might be more. But for that I need a more complete history. Feel free to contact me again.Dr Vineet | |
Is hemangioma causing lower back and flank area pain?
I have weird back pain, low back, flank area, that kind of seizes up when I go from sitting to standing mostly. It also hurts when I sit in a certain position or move in a certain way. Just grabs me. It s not constant, but when it happens, I cannot move. I m paralyzed momentarily. MRI shows 1.4x0.9 cm hemangioma in l2 vertebral body. Could this really be the cause of the pain? If so, what are the least problematic treatment options? Btw, I have other cherry angiomas all over my body. Are these related? | Dear patient Hemangioma are usually asymptomatic and are incidental findings. They do not cause back pain. But a size like yours may be a reason for your back pain. Hemangioma are related and found in many parts of body. Now a days safe treatment is available for them without side effects. Best of them is feeding artery occlusion. In this procedure radioactive material is injected into the main artery upto the feeding artery of Hemangioma and hence it's occluded which leads to fibrosis of Hemangioma. It's done by intervention radiologists and you can contact one of them. | |
What changes does typhoid cause in knee?
hi 2 weeks back i started having severe pain in my knee and fever with chills. i was treated with 3rd generation cephalosporin but i had persistant fever with severe knee pain. now i am diagnosed to have typhoid. what changes does typhoid cause in the knee | HI,Typhoid can present with knee pain and joint pain. It is a part of the disease process. Once you are on antibiotics and the disease subsides the knee pain will also go down. Typhoid bacteria(Salmonella) take their time getting eliminated from your system. They have no long term effects on your knee unless you are a hemophiliac or very rarely you have a knee abscess. Please do not worry. You would be perfectly fine to resume normal activities like running in another week and a half.Thank you for your query. | |
What does cyst at L4-L5 region indicate?
I have a severe needle like pain at the left side of my lower back. I visited a doctor recently and he suspects that there might be a cyst at the L4 L5 region. He has asked me to get an ultrasound done and an x-ray. What kind of a cyst can this be. I have been having this pain for about 4 years now. and never bothered. Only now as the pain increased, i thought i must visit a doctor. since then i am extremely worried. | Dear patient First of all according to me cyst is very rare condition and your symptoms do not justify that diagnosis. Also ultrasound is not sufficient to diagnose l45 cyst. So I think possibility may be 1. Disc prolapse with nerve compression 2. Muscular pain. So you need to be investigated with mri of lumbosacral spine with screening of whole spine. It gives detail of nerves , disc and bones. So visit radiology center nearby you and get it done. Take expert spine surgeon opinion with report. Meanwhile start tab ultracet one at bedtime and take tab pregalin plus vitamin B12 combination at bedtime for 10 days. |
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