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How to treat ITP(Idiopathic thrombocytopenic purpura)?
my 20 year old has been treated with ITP since fri., it is now tues... count was at 2000 . platelets were given along with high dose iv steroids. came up to 6000wasn't given anymore platelets till sunday and platelets went to 3000. gave 1 more day of steroids and 1 more platelets, monday was given ivig infusion with oral steroid. next morning level still at 6000 so waiting to see next step.. what should we anticipate? spleen looked normal. bone marrow test before taking spleen? | Hi! thanks for your queries on the treatment protocol of ITP in young adults...Well, usually the platelets transfused into your circulation are destroyed the same way as your own platelets therefore, steroid is a must! Best way is to transfuse HLA-compatible platelets and IV immunoglobulin, monoclonal, to reduce other hazards as well but the facility is hardly available...!In most ITP cases the bone marrow comes back to normal within 6-12 months if bone marrow contains large number of inactive megakaryocytes! Cytotoxic agents and bone marrow transplantation could be required in certain resistant cases... | |
Had fever. All tests show negative. Now feeling heat and gas. Had blood in stool. Is there home remedy or medicine?
Hi, Thie kedar I am 28 years Old I had a Fever for alomst 10 days all the blood Picture have been taken Like Typiod, Malaria,Viral Infection every thhning has been nagative , so i took 10 days of antiboitics and now i am Fine But now i am feeling Lot of heat and gas in My Body I also had A blood motion this Evening ,bUt stool is sloid no issue with that but when passing throught the stool i feel lot of heat Genrated at that part of time , Right i am only Taling Lqiuds Like Orange Jucie,curd Rice,butter Milk.Coconut water and plain water...Pls help on Home remedy's or a tablet if you have | Hallo, Body heat and gas after fever can result stomach ulcers , weakness, headache etc. Certain areas of the body have increased blood flow which can make feel warm. Avoid hot and spicy foods. Remove nuts from your diet as they are highly acidic and may result in the production of more body heat. Avoid oily and fried foods. Eat a spoonful of Fenugreek seeds daily. Drink Ginger juice add with 2 spoons of Honey daily. Add a spoonful of honey to a glass of cold milk and drink this daily for fast results. | |
Suggest medication for tingle and numb after surgery
I am on oxycodone 7.5 mg and hydrocodone 10 mg for servere back pain I had major back surgery a year ago now I had a fusion at that time I hurt more now than before the surgery what other options do I have to live with less pain ? I My feet tingle or stay numb since the surgery can you help My doctor says I probably wont never get the feeling back in my feet | thank you for the question.i would suggest you to take neurobion forte once daily for 3 months. sometimes there is delayed recovery of sensations of nerve as long as after 2 years so be hopeful.Also if possible go to a vascular surgeon or have color doppler for leg circulation just in case blood circulation is impaired, in anycase it should be ruled out.you may seek help of physical therapist and do contrast bath to feet in cold and hot water alternately for 10 minutes for few days and do ankle, foot and toe exercises | |
Blood test shows an elevated IGE of 2617 & slight tingling in hands & feet
I have had constant, dull lower left quadrant pain for almost 4 months now. I recently had a blood test that showed an elevated IgE of 2617 with the normal range being <114. I also have had tingling in my hands and feet for over a month now. Any ideas? | Hello and thanks for writing.I can understand your concern and would try to help you in the best possible way.The elevated IgE levels mean that you are allergic to some thing however it cannot tell you what you are allergic to. For that a skin test or allergen specific IgE test has to be done. Your abdominal pain and tingling in hands or feet may be related or even be two separate entities. A complete history and physical examination would be required for getting to a diagnosis. Some relevant examination like CBC, stool examination, USG or even scopy may be required to get to a diagnosis.I suggest you consult a physician who would help you with a diagnostic workup and appropriate management plan. | |
Red itchy rashes on elbows, ankles, calves, thighs, turn into blisters on scratching. Treatment?
i have had itchy red bump like rashes on my hands and fingers for 10+ yrs. It would appear on my elbow , ankles, calves, and the side of my thighs sometimes. When scratch , they turn into blisters. My rashes usually last for a few weeks. Really itchy at night time. What do you think this might be? I m scared because I never got it checked out and now I notice that my 2 yr old has a rash on stomach | Hi there melnunu. 10 years is a long time to have these rashes & to not have gone to a dermatologist. I am afraid that if i speculate further, you may not visit a dermatologist. Please visit your nearest dermatologist & if these rashes are lasting this long, will require a skin biopsy & /or allergy testing. Your son's rash may not be linked at all as the site AT THE OUTSET IS DIFFERENT. Relax. Get a good dermatologist's opinion on the ground & proceed further. If you dont find the time, you may contact me on this portal in private but please provide photographs & further details describing the lesions & use the 'ask-a-doctor ' feature. Take care & look forward to hearing from you. Dr Praveen Rodrigues MD | |
Any suggestion for early degenerative spondylotic changes, mild diffuse disc bulge?
Hi sir,This is Dinesh. Am suffering from back pain. Please find the below mentioned MRI scan report kindly give me suggestion for my problem:1) Early degenerative spondylotic changes2) Mild diffuse disc bulge at l4-5 level - No nerve root compressionWhether i hv to go under operation? | Hello,Do not think of operation now, provided if you agree to follow my below instructions:a) You should sleep on hard bed.b) Should not lift heavy weight.c) Should not sit in such a position, where your spine convexes outwards.If you follow this few techniques, then you will be alright and recovering from the pain soon. Take the below medications for 1 week to 10 days but not for longer duration:1) Tablet THEOFORD Twice daily2) Tablet Ultracet Twice daily3) Tablet B-29 Once daily for 2 months (This you can continue for 2 months.)4) Injection Arachitol 6 Lac Units (Once weekly for 2 weeks only).Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah | |
Benefit of adding distilled water with asthalin solution for nebulization
why distilled water is added with asthalin solution for nebulization..what s the use behind it? | hello welcome to hcm dear patient.. its to humidify your inhaled air to avoid the dryness of airway. regards | |
Suggest medicine for painful lump under armpits and elbow
I cut my grass over a week ago. Since the day after I cut the grass, I have a hard painful lump under both armpits and now a knot at my left elbow. All places are painful to touch. At first I thought it was a pulled muscle because the grass was rather high and hard to cut, but I think it should have eased up by know. This is following a mystery "pulled muscle" on my knee that lasted 3 weeks to a month and ending only a couple of weeks ago. Any suggestions?? | Hello!Thank you for the query.This lumps can be caused by infection. Due to infection pus can appear and create an abscess. Such abscess is very painful, tissues around it are swollen and tender.I suggest you to consult general surgeon. Lumps ultrasound should be done and if abscess diagnose will be confirmed, incisions are necessary and swab tests.Hope this will help.Regards. | |
What causes stomach pain?
Stomach problem um yeah I have a abnormal stomach pains as if ive been hit really hard i also feel as if i have a really empty, it started late last night and i havent been able to sleep is it a tape worm?p.s i did eat some chicken Chow mien from a local chinese resturant do you believe that might be the cause? | Hi. This can not be a tape worms- as tapeworm does not cause such symptoms. Yes, the outside food can cause this.Get an antibiotic course. Do not wait till you get the loose motions or other symptoms. | |
What causes irreular heart beats?
Hi, may I answer your health queries right now ? Please type your query here... Hi, i have strange things going on with my heart. I am 28 years old and had since 1 year back have this doublebeats and strange heartbeats. If Im very stressed or feel insecure it feels like madness in my heart. I have been at a heartspecialist and he can see this double beats men he says its no danger. But I never had this problems before. I have hypothyreos too and dont know if there is a connection. I hate this weird heartbeats, I can never go to town anymore. What is this? | Hi, After going through your medical query I understand your concern and I would like to tell you that most likely irregular heartbeat that are because of your anxiety and is recommended for you to take anxiolytic on SOS basis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
What causes chronic back pain with inflammation under the ribcage?
I took Boniva for 6 months and stopped taking it because my jaw deteriorated and now I m in treatment for TMJ at the age of 69. It gets worse by the day, too. Also, I am having extreme back pain in the morning when I get up. Also developed arthritis in my big toe, resulting in a $300 insole for my walking shoes. In addition, I developed a severe burning sensation under my rib cage. Vision blurred, as well. Quit taking it in November and told the doctor why. She said my TMJ was not probably caused by Boniva but she was glad I quit taking the drug. She was talking out of both sides of her mouth, if you ask me. The doctor didn t recommend I have a jaw xray before taking Boniva, which is stated in the information that came with the drug. Only after all of these symptoms, unfortunately, did I read about the negative side effects. I am a bit mad at the doctor for not giving me these warnings verbally while in her office. | Your anger is correctly placed. boniva has a salt called bisphosphonates which among other thing is used to treat osteoporosis. here are the side effects you should look out for:Osteonecrosis of the jawflu like illnesscalcium sequestration adynamic bone syndrome( mainly effects the femur)hence i suggest you get your serum calcium checked and an xray of the femur to rule out stress fractures as it is quite possible that your pains are due to the side effects of boniva | |
Suggest treatment for typhoid fever
I'm in northern Uganda working but I'm from the States. I was diagnosed with Typhoid locally through a blood test and have been taking Ciprofloxacin for the past two days. As I'm getting ready to go to bed right now, some of my fingers are going numb. This is very abnormal. | Hi thank you for choosing HCM. i would recommend you consult a doctor and get adequeately examined for any neurological disorder.thanks | |
What causes bump with dark brown/black spot in center on foot?
My daughter has a bump on the bottom of her foot with a dark brown/black spot in the center. It hurts her so bad she can t walk on it. We thought it was a splinter but now believe it may be something else. There is also a red streak that starts at the bump and spreads to the side of her foot. | Hello. I just read through your question.It is very possible that this began as a result of a splinter. What you are describing now, however, is consistent with a skin infection. Very often these infections require antibiotic treatment. i recommend consulting with your doctor so the appropriate treatment plan can be implemented. | |
What causes white discharge with foamy urine in children?
Hi My 2.5 year old son has a white smelly dried up stain in his underpants look like maybe it was dried discharge and when he went to the toilet his urine was foamy when he first started to urinate. he has also been very grumpy lately and not at all his self. Do you have any idea what this may be and do i need to take him to the doctors? | Hi,Welcome to Hcm,When foamy urine is seen in a child, possibility of urinary tract infection should be thought of or rather ruled out. So, if I were your pediatrician, I would get a urine routine done in your son and then decide regarding further management. However, not having fever is an unlikely feature of urinary infection. Hope the suggestion helped. Happy to help with further queries. | |
What causes absent mindedness in a 18 year old?
Dear sir, My daughter is 18 now. From her 7 we noticed an absent mind for 10/20seconds. We consulted with a Neurologist and took EEG and he prescribed some allopathic medicine. He also advised that these medicines have some side effects. We didn’t start allopathic medicine. Started hoemeopathic medicines and continued it for 4 years, but have no change. Again consulted an ayurvedic doctor and he gave us some medicines (brahmi , saraswatharishtam, aswagandharishtam, gorochanadi gulika & panchagavya ghritham). Continued these medicines about 4 years and has no change. The symptoms are Stop walking, stop reading, fluttering eye lids etc. Some days it occurs 20/25 times. It seems most commonly while washing hands or plates (near wash basin). She is now continuing Homeopathic medicines and also Saraswatharishtam. She is brilliant in her studies and talented in dance and violin. Doctor, please let me know which medicine I have to continue or any other remedies? | DearWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely suggest to consult a neurologist to find the exact diagnosis of the problem. Once you know the problem treatment method can be decided easily. This is not attention disorder, for sure. Consult a neurologist.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
Any suggestion for swelling in calf, lump/bump in calf/knee/thighs?
About three weeks ago, my calf was swollen, red, and itchy after a 7 hour car ride from SF to LA. I also noticed there was a lump/bump beneath my skin at the location of the swelling and a noticeable warmth at the site. I waited a couple of days to see if the swelling would go away but when my condition stayed the same, I went to an urgent care center. They ruled out DVT based on my symptoms and they suggested it was an infection of some sort and prescribed me an antibiotic, which I never took. I wasn t 100% confident with their prognosis since there was no open wound/bite mark of any sort and the itch felt like it was beneath the skin and not topical as scratching did not alleviate the discomfort. Over the next few days, my lower leg became increasingly swollen and the bump moved to my inner calf/leg. When I noticed my ankle started to swell, I went to the ER to get an ultrasound and it too came back negative for DVT. Long story short, over the next two weeks, the lump/bump, which is now more of a mass the size of a child s fist, has migrated. What started as swelling from my lower calf has migrated to my inner calf, up to my knee, up to inner thigh, front of the thigh, and now, at the three week mark, it is on my hip. The mass is still warm to the touch, itchy, and has also left slight bruising and small residual bumps along it s path. I have been to my family doctor twice since going to the ER and he has no idea what it is or what could have caused it. He has referred me to a rheumatologist and am now waiting for my HMO insurance to approve it before I can see her. I have been stressing about this for weeks without any answers. Please help! | Hi.The first mistake you did was NO TO TAKE antibiotics.This can be due to inflamation of the lymphatic channels = Lymphangitis. or multiple abscess with skip areasor Thrombophebitis.This does not occur in DVT.If sonography is showing a collection of pus, you need to get it operated / drained.If no pus, antibiotics and anti-inflammatory medicines for a longer duration of time/ elevation of the limb above heart level. Fine needle aspiration to see the aspirate and subject to analysis, culture and sensitivity.I hope you are not a diabetic. | |
Itchy rashes on neck, scalp, mid back. Healthy lifestyle. Is it because of alcohol consumption?
Okay, lately I ve been getting this rash around my neck , in my scalp and my mid back, not risen just red and blotchy and it itches, and some red, blotches on my forearms and hands, not itchy. I don t really know what it s coming from. I used to think it was from drinking, but I don t drink all that often. Sometimes I just have the rash on my neck for days on end, but the blotches on my arm only last a day. I m 21, I live overseas, I am relatively healthy eater, I exercise and take vitamins . Could it really be my alcohol consumption? Maybe something involving wheat? | Hello,Thanks for the query,You might have developed photodermatitis.As you are developing lesions only in sun exposed areas.Your description even looks somewhat similar to DLE.Please get your blood ANA profile checked.Apply a mild steroid lotion like desonide,Also take an antihistamine tablet.This will give you some relief.Please meet a dermatologist for exact diagnosis.Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you a good health.Thank you | |
Why is Fertigyn injected during infertility treatment?
hello, i am 30 Yr old and trying to conceive for the past 1.6 Yrs and i have not conceived till now. I have under gone all the test ( blockage test) also under gone the scanning for the uterus. Am visiting doctor for the past 2 months. I had taken sphine tablets for 10 days and today she has injected fertigyn 5000. can someone please explain me why this injection is used for when i have no conceived yet. | Hi,Thanks for writing to HCM.Fertigyn is trade name for drug Hcg. When you take ovulation inducing drugs like siphene the follicle tend to grow more and won't rupture and may form cyst.So to prevent this problem once follicle size become more then 19mm Hcg injection is given which help in rupture of follicle. Hcg is given before conception not after. Hope I have been helpful.RegardsDr. Ashish Verma | |
What causes coughing and irritation in trachea?
hi .im female 22 years ...im having cough from last two months ...consulted several ent specialist ....but still my cough is there...with irritation in trachea and sometimes yello sputum....it continues for the whole day ....i need to know about its cause | HI, thanks for using healthcare magicThe most common causes of persistent cough are: (1) post nasal drip- this is the most common cause.The fact that you are noting sputum means that this is the most likely cause for you.This can be treated with oral anti histamines and topical steroid nasal sprays.In most cases it is caused by an allergen. If this can be identified and exposure reduced then symptoms should also reduce.(2)GERD- gastroesophageal reflux is also a common cause. Some persons may not be aware of the reflux and present with the cough only.(3)asthmaI hope this helps | |
Masturbation addiction, frequent urination, back pain. Symptoms of prostrate cancer?
hi sir iam 23 year old guy ,i mastrubate 4 time a day since i started ejacuation(16) then my problem now is i have to urine regularly nearly 15 time a day and i also drink lot of water iam feared that iam effected with prostate cancer and recently i have noticed iam having a continous back pain this may be the symptoms doc pls help me it is very diffixult to travel since i have to urinate regularly and i also tested for diabities but came negative pls help me | Hello, Thank you for posting this query. First of all, at your age, the possibility of you having prostrate cancer is less than 0.00001%. Just say it is old people's illness more than 40 years. If you are urinating and drinking frequently it is possible that you either have an infection or a metabolic/electrolyte disorder. So it will be useful to conduct a urine analysis and blood electrolytes. Since you said, your blood sugar level was tested and it was normal reason for conclusion you do not have diabetes. I will suggest that a fasting blood sugar be run at two different instance of more than 6 hours difference. If there are abnormalities in your urine analysis and electrolytes it can be treated accordingly by your doctor. There is another possibility of your frequent urination being due to the two much humidity or increased thirst or even two much dryness. When you feel too thirsty, you drink too much water and subsequently urinate frequently. You might be having an abnormal physiologic disturbance which if allowed with time and change in environment, you will gradually stop urinating too much. In any case which you a quick recovery and hope you meet a doctor soon enough to run some test. As for your masturbation problems, i think you need a lot of counselling from a sexual disorder specialist. It will require a lot of discipline from your part to stop masturbating and you need to be treated from your chronic masturbation addiction. Hope this helps | |
Why the weird feelings in head with numbness in the back ?
well. i ve been experiencing weird feelings in my head..kinda feels like everytime i eat or drink i can feel the food moving through veins in my head. a few weeks back i was having a really bad numb feeling in the back of my head. the hospital couldn t find anything i followed up with my doctor the following day she diagnosed me as anemic. lately i ve had this feeling as if a lack of air has been going to my head i removed the wig from my hair aand realized that it may have been the cause. now it feels like i can feel everything i eat and drink go straight to my head..and it s like i feel blooding circulating or something or just crazy head twitches. i also, just recently smoked weed and actually got high..and was freaking out i felt like there was a whole in the back of my head which is where i feel most of the weird feelings at now. it usually happens when i m thinking about it. and last night i washed my hair and put oil on it and it felt like i could feel the oil going though my head actualling inside ..and my weird twitching feelings started occuring in my head. i went to sleep and awake suddenly feeling a twitching numb like feeling all over.... any answers becuase i m confused scared and lost. my high feeling was my head feeling like htere was a hole in my head and i could feel air coming through when i breathe i still feel the feeling sometimes. mainly more when i think about it since i ve removed the wig from my head | Hi, Get evaluated by a neurologist and a neuro-psychiatrist. Your symptoms are vague but certainly, you are disturbed. You need a clinical examination of the same. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uday Singh Raswan, Neurosurgeon | |
Suggest treatment for fatigue and depression
I had viral encephalitis when I was age 12. I had multiply seizures and was induced into a coma to stop them. After that I had to relearn how to walk and talk and have little memory of events prior to infection. Some things such as photos, and conversation will bring back flashes of memories but still to this day at age 29 my memory is in and out about events that happen even now. Throughout my life I have had issues with catching everything around me, colds, strep throat, sinus infections, you name it I seem to catch it, although since the encephalitis I have only had 2 seizures. About 8 months ago I contracted a severe case of EBV (Epstein barr virus ) I am still have problems with extreme fatigue and hearing and vision problems. I begin to wonder if it will ever end of if this is now my life? The mood swings, depression, sleeping, spots, being off balance, is this just all becoming a part of my life now? It has come to a point where I do not work anymore and doctors say hmmmmm...and your ok it will pass, and eat better foods, exercise....I am wondering what I should do? If there are many of us experiencing this why is there no research group to help? Are these symptoms from the EBV or from the viral encephalitis? | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Fatigue could be a symptom of depression.The first line is the use of escitalopram 10 mg per day for depression.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
What causes swelling and pain in the ankle?
Hi, A couple of days ago my left ankle randomly swelled up quite significantly and has gotten much worse in terms of swelling and pain. My right ankle also started to swell up really bad too. Now, they’re both swollen and I’m having a hard time walking. Also, my appetite has increased really significantly this past week. I eat way more than I usually do. I also just started my period but it was later than usual and the blood flow is really heavy. A lot more than usual too! And there’s a really strong metallic smell coming from the blood that I have never smelt before. I’m quite concerned because it feels like there’s something wrong with my body. | Hello, Most probably it is due to minor contusion or sort that developed following a minor trauma that’s got unnoticed by you. As of now you can apply ice packs for symptomatic relief. If swelling persists, you can consult an orthopaedician and get evaluated to look for any thin fracture. An MRI scan may be required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Tingling of wrist, tightness, taken steroid injection due to insect bite. Is this normal?
I had a steriod injection in hip due to insect or spider bite ... also prescribe sulfamethoxazole . Started feeling a tightness and tingling feeling in both wrist , also have the sensation above my elbow and slightly in one leg. I had the shot almost 12 hours ago... did not start until several hours after shot & starting med. Can you tell me if this is something somthing to be alarmed about or a typical reaction? Have been looking on internet & so far nothing about the tight/tingling feeling. It actually feels like an ace bandage is on my wrist a bit too tight. | INSECT BITE CAN ALSO DO INFECTION AND IRRITATION THE STING BITE CAN HAVE ALLERGIC REACTION DUE TO SALIVAWHICH GIVE THESE FEELINGSANTI BIIOTICS YOU CONTINUEADD ANTI ALLERGIC FEXOFENADINE 120 MG OD TAB CPM NIGHTAPPLYANTI ALLERGIC MIXED WITH ANTIBIOTIC CREAM LOCALLY 3 TIMES3 WEEK TO COME TO NORMAL | |
Q. Please suggest hypertension medicines which will not cause dyspnea.
Hello doctor,I have hypertension, and in my childhood, I suffered from asthma. I have been prescribed ARB (angiotensin receptor blockers) to treat my hypertension; however, I have experienced side effects that lead to discontinuing the medication. Losartan 100 mg caused nervousness. Candesartan 8 mg and Telmisartan 20 mg caused respiratory difficulty (dyspnea). Now, I do not know which medication to try. I was doing a little research, and here in my country, we have Valsartan and Irbesartan. I would like to know which one of those would be better to give a try with lesser chances to get respiratory difficulty or nervousness. Thanks in advance for your response. | Hello. Do not worry about it, as there are multiple options available. The side effects are class effect and all drugs from this class will have these effects and will not suit you. You need to change to other class of medicine. I suggest tablet Amlodipine 5 mg, once a day in the morning. We will see the response and modify dose accordingly. We can increase the dose gradually and may add Hydrochlorothiazide if needed. You should have a healthy lifestyle as follows: If your BP is persistently more than 140/90 mmHg, then we will increase the dose. Hope this helps you and get back if you have any doubts. For further queries consult a cardiologist online --> | |
What causes right-sided back pain while standing?
Hello, I have back pain on the right side only, probably muscle - seems to be worse when standing in one place for awhile, for example when washing the dishes - aggravated further today when shoveling snow - only hurts on the one side and never seems to change in intensity once it starts hurting - I assume stretching or some type of exercise would be helpful, just not sure what to do - once I change position (or stop shoveling) the pain is relieved | Hi,I understand your pain. Following could be the possible reasons for your right sided back pain.1. Muscular sprain caused by heavy weight lifting or any jerky movement.2. Sciatica which is compression of lumbosaccral nerves.3. Deficiency of calcium and vitamin D3.4. Lumber spondylosis.5. PID (Pelvic inflammatory disease).I suggest following test and investigation to rule out your condition. 1. CBC. 2. SR. URIC ACID. 3. RA FACTOR. 4. SR. VIT D3. 5. X-RAY LUMBOSACCRAL SPINE.IF you were my patient I would have started T. Enzoflam 1 TDS for 5 days. If pain does not subsided, Please meet your doctor along with the required investigation results.Thanks,Dr. Shajra Mukadam | |
Suggest remedy for the bacterial infection in gum and toothache
The doctor said i have some kind of bacteri growing beside my tooth something like formation its a small pimple growing beside my decaying tooth on the outside layers of the chewing gums. I was given medication and still it did not go its still there and i was not given the list of types of food i should eat because its now im google it seems like most food i hve beeen eating were causing the pain feeding my decaying tooth what should i do? They wont remove my tooth until that bacteria is gone im a foreigner staying in china i don't know what to do now | Hi..Can understand your concern..As per your complain when the tooth gets deeply decayed due to infection caused by bacteria, there is formation of pus near the root tips of infected tooth and is known as a "DENTAL ABSCESS" and it creates pressure when there is no escape way and causes pain.The formation of pimple is a pus filled lesion caused due to infected tooth..Taking antibiotics and painkillers can help in reducing the infection but it takes time for the infection to reduce to an optimum level so that the pus dries down BUT one thing you should understand that at times only medicine cannot help as the source of infection that is the infected tooth is not removed and act as persisting cause of flaring up of infection.There is no specific food stuffs that you can take or avoid to reduce pain or protect the tooth if it is already so deeply infected. The only precaution which you can take is avoid hard food items and do not chew from the affected side to prevent flaring up of pain.You should also avoid very cold and very hot drinks so as to prevent pain..Avoid eating sticky foods as they can lodge in the infected tooth cavity and can be painful while removing..Just continue taking the medicines on time and mostly after a course of 3 or 5 days the dentist will perform the extraction of the tooth as hopefully the infection will considerably reduce even if you still see the pimple.Hope your query is solved..If you find the answer helpful please write a positive review and click on find this answer helpful as a token of appreciation..Thanks and regards..Dr.Honey Nandwani Arora. | |
Any advise for pain, stiffness and soreness in lower back that didnot reduce with Tylenol?
My doctor gave me Mobic to take only when I was going to be doing strenuous tasks to relieve stiffness and discomfort in my lower back. I felt so much better and could move easier that I started taking it daily. When I had my checkup last week, he insisted I discontinue because it could cause stomach ulcers and suggested I take Tylenol. After a week of trying his recommendation, my lower back is painful, stiff, and sore again. What would be your advice? I'm 68 and was in a severe auto accident 12 years ago breaking both ankles, wrists, and hip.Thank you. | Mobic is a pain killer but it can cause side effect like gastric ulcer, it can also cause hypertension. So it is better to avoid it. Tylenol is a mild pain killer and does not have serious side effect. You can use local ointment for pain relief. | |
What causes bloody stool and vomiting blood after gall bladder surgery?
my daughter had her gall bladder removed via robotics and she has been in pain and in and out of the hospital four different times. She is bleeding rectally now and Wed night they scoped her and put a stint in her bile duct. They did a colonoscopy on her this morning and found nothing but did remove blood clots from her chest. She is now vomiting blood and still have blood in her stools. | Hello! Thanks for putting your query in HCM. I am Dr.Amit Jain (DM, Gastroenterologist). Blood in the vomitus and from rectum may be due to hemobillia that is blood coming from bile duct into duodenum. And to confirm that CT angiography is required.I hope I have answered your query. If you have any further query I will be happy to answer that too. Wish you a good health | |
Should I be concerned for a movable lump on my collar bone?
I found a movable lump on the top of my right collar bone, it s a little tender but that could be from me touching it since I found it but it seems like my right shoulder has felt a little funny for the last week or so. Should I be concerned and if it is bad can it be cut out? | Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of the movable lump on the collar bone, I would come up with three possibilities, these include: 1. a lipoma or benign fatty tumor or neurofibroma2. The second possibility is of a benign cyst like ganglion cyst or sebaceous cyst 3. The last possibility is of a lymph node or even could be some normal / developmental nodule like muscular nodule or just a feeling for you! Overall, it is benign and not to worry about this but you could go for FNAC test for confirmation before consulting a surgeon in your area!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
Are headaches,dizziness and high blood pressure precursor to heart attack?
I have been having headaches and dizziness for about three weeks. My blood pressure right now is 193 over 111 - I can feel my heart beat in my chest - do you think this is a precursor to a heart attack and should I go to the ER or just kinda wait and see. I've been under an enormous amount of stress for the past year which is seemingly excalating. | you may need to be started on a blood pressure lowering medication. If you are already on one, your dose may need to be increased or you may need a an additional blood pressure lowering medication. over the short term a blood pressure of 193/111 is generally safe. over the long term, a blood pressure this high increases your risk of heart attack and stroke, so it should be monitered and treated | |
Suggest treatment for painful lump on the chest after falling down
My daughter fell off her dangerous powerwing scooter back on June 12th (almost a month ago), well, she landed on the handlebars after hitting a small pebble. She was bruised very badly and the one bar went into her chest, leaving a scar. I wanted to take her to the ER immediately, but, she said she was fine, could breath ok and used ice. I worried about a cracked rib or something, but, she is 8 and said she was fine. The bruising went away, but, recently she bumped the area and now there is a hardened lump there with another bruise and she said its sore to touch. What could this be? I am calling the pediatrician tomorrow morning to see how soon I can get her in, we leave for vacation next week and now I worry. | Hi...this seems to be a hematoma which is forming due to disturbance to the old bruise which was healing. I do not think you need to worry about it. But my suggestion would be to avoid Ibuprofen as Paina killer as just give paracetamol in the appropriate dose if there is severe pain. This suggestion is just to stop the bruise becoming larger.Regards - Dr. Sumanth | |
Can pregnancy happen due to high prolactin level and dryness?
I have problem of high prolactin level.periods come 8days earlier.before it it comes 3days before.i have comietely driness.my age is 42years.i have thyroid problem but now a days normal.in these conditions pregnancy can happens or not?plz also tell me prolactin controll diet. | Hello, thanks for writing in.A high prolactin level can cause ovulation problems, hence its essential to do a workup for the cause and treat it- usually medicines suffice.Additionally it maybe linked to an underfunctioning thyroid as well as the dryness you are experiencing.Hence please consult a gynecologist or endocrinologist who can diagnose, correct and monitor the hormonal imbalances. Your periods also need to be regularised.A healthy lifestyle, exercise, with a nutritious diet devoid of processed & preservative rich food will help you to feel healthy, achieve a hormonal balance naturally and increase chances of pregnancy.Please do write in if you have any more queries.Bye. | |
Any suggestion for suffering from slight erection problem and hard premature ejaculation?
hi Dr i am a man of 32 i am suffering from slight problem of Ed and hard problem of PE. i took estrilopam 10 for two month it make my time from 15 sec to 1 mint. i want to make it 5 mints at least and with full erection.whether this nano leo cap are right choice for me or i should take some thing else to improve my self permanently. | Hello I appreciate your concernI will definitely help you in best possible way if you can answer my these questionspresence of any medical or metabolic disease like diabetes or thyroid disease Do you smoke or consume liquorfirst of all it needs to rule out any organic cause for discharge and poor erectionYou need not to worry this condition is very much treatable and size of penis doesn't make much difference for a successful marriage, so consult your doctorI would advise you following guidelinesWatch your frequency of hand practice and look for any injuryYou can press at the base of the glans when you feel to ejaculate and can stay longerAvoid smoking and alcohol consumptionAvoid stress and anxiety , just relax and enjoy your dayyou should not take any medicine without doctor's prescriptionThere are medicines available for erectile dysfunction as well as premature ejaculation, please let me know if you have need any more assistance, I will gladly answer youHope this answers your questionBest wishes | |
I just found out that my 17 yr old granddaughter has Leigh s Disease which usually is found in infants with life expectancy to be short-lived. What is the prognosis for latent Leigh s Disease in teenagers? Thanks for your help in anwering my question. | HelloWelcome here.Leigh's disease is an extremely rare condition.Usually, The prognosis for Leigh’s Disease is poor. However, those diagnosed with Leigh-like syndrome or who did not display symptoms until adolescence or early adulthood tend to live longer.But overall the prognosis is poor and there is no effective treatment yet.Thanks. | |
Q. Can I-pill cause any side effects when taken three times in 10 days?
Hi doctor, I had unprotected sex with my partner, and after 48 hours she took an I-pill. After a day, again we had unprotected sex, and she has taken I-pill after 48 hours. After a day, again we had unprotected sex. Now whether she needs to retake I-pill? Can I-pill cause any side effect when taken three times again and again between the period of 10 days? | Hi. It is better to have another I-pill. Although it works, the efficiency decreases with time. There are no other significant side effects. However, menstrual irregularities are more like delayed periods for few cycles, nausea, vomiting, and breast tenderness. Also, taking I-pill on a regular basis will reduce the efficiency and increases the failure rate. So it is better to take oral contraceptive pills. For more information consult an internal medicine physician online --> | |
Suggest remedy for sore tooth
I had a very sore tooth, so for two days straight I gargled non stop with mouthwash (Crest Prohealth) and Listerine. Now I have a terrible burn on the inside of my mouth, my tongue is grey and inside of my cheeks are greyish white and peely looking. What can I do. Thanks | Thanks for using Health Care Magic.Read your query.Your problem suggest over usage of the mouth wash ,which has caused the burning of the skin ,tongue and cheeks.I would advice you to stop using that and for the pain you can take a ibuprofen Tablet if you are not allergic to any medication.Avoid spicy food and hot food for a while and sip lots of water.Apply mucogel/dentogel on the tissues two to three times daily.Do saline gargling.If still persisting ,visit your local dentist and get it checked up.Hope this was useful.Thanks and regards. | |
Is running suggested for a atrial septal defect condition?
hello, my father is 63 years old and was newly diagnosd with atrial fib a few months ago. he has never had an evaluation and this was his first. they found he has an atrial septal defect that was never discovered as a child. this came as a shock to me as he runs every day about 10 kilometers and is in very good condition for a man his age. most men younger than him wouldnt have the cardiac stamina he has. he does not suffer from HTN and has no physical s/s of CHF although he does have some atrial hypertrophy, but not ventricular. his heart rate has always been 60 to 80 as far as i can tell, without medication, and we dont know when the atrial fib began (i think a long time ago as a result of the atrial septal defect). we took him to the cardiology center in st. petersburg Russia and they told him to stop running. i cant understand why. he has run for the last 35 years, 5 days a week usually. i am a doctor in emergency medicine and i told him to continue running despite the advice of the cardiologist. I have him on warfarin, ramipril, and metoprolol and all of his lab values are normal. my question is about him running. should he stop as the cardiologist suggested? my thoughts are he has done this for years despite not knowing of the condition and he is in good health. i simply told him he needs to watch his heart rate while running. any thoughts? | Hello...I also thought strange advice... If he is having controlled ventricular rate on medication then no n problem... Only worry is about trauma.. As he is on warfarin. So avoid injuries... That's why they might advised to stop strenous exercise... Take care | |
Does blood pressure increases and heart beat faster if pill is missed?
i was put on a 2.5 bystolic blood pressure pill Jan 5, when my company wanted it below 90 on the bottom for me to drive. it was 140/108 at 1 pm. I have been under a good deal of stress due to a friend committing suicide. I was sitting last night typing an email and my heart went to beating faster than ever.....I had earlier in day been shopping, ate a steak and had a margarita. I drove back to my parents 45 miles...then had relaxed for about 1hr. I am 57. my blood pressure was 103/62 pulse 89 during the heart racing. My normal blood pressure is 127/78.....I haven't taken a blood pressure pill for 5 days.....Will this cause the problem.....it was scary feeling. I have not been on a blood pressure pill for over 15 years ago....which I only took 6 months. I do not smoke at all. | The blood pressures that you report most recently are not high. You should let your doctor know that you have stopped taking medication. The racing sensation is probably not related to medication.Blood pressure recording should not be sporadic. Single measures are not very helpful. Decisions are best made from an average value from a two week span. Record your blood pressure on a schedule every day. When you meet with your doctor again, bring the record to help determine the need for medicine. | |
How can I reduce allergic reaction in form of hives?
i had an allergic reaction in the form of hives mainly around my ears and neck area With this am can feel pain when i try to swallow water or food i could also see that there are a lot of slim forming in my throat It is as if this slime are causing the pain when i am swallowing i am constantly tiered having problems with sleeping since it is uselly when i ly down when i feel worse | HI, thanks for using healthcare magicAllergic reactions can cause mucus secretions in the respiratory tract. Anti histamines would help with both the skin reaction and the increased mucus production.The use of topical steroid nasal sprays would help with any nasal symptoms such as congestion, runny nose or sneezing.I hope this helps | |
What is the treatment for hepatitis b and fatty liver?
I have 36 years age, 5ft and 5 inches height and 75 kgs weight, Alt=180 and ast=70 . i checked from Lab its a pairs Hepatitis B and Ultra sound says that i have fatty liver, dr. said that you start injection, i am a poor man and i cant afford lot of money, kindly advise other way for treatment, | HelloThanks for asking query on HCM. You have HBsAg positive status and fatty liver on USG, AST of 70 and ALT of 180. This is insufficient data for me to opine on the treatment plan. The rise in AST and ALT may be due tohepatitis B or non-alcoholic fatty liver disease, treatment of which are entirely different or a combination of both the factors. I would suggest you to undergo - HBV DNA (quntitative) and E antigen testing. After this I would be able to opine on the treatment. If the said injection is peg interferon and if you dont want to take, there are other alternative tablets which are simple to take. But the recommendations can only be made after the blood reports.Take care | |
What is the treatment for back pain?
Hi, I recently had an xray on my lower back to help diagnose my back pain. The results read preserved disc height, no fracture or dislocation, preserved pedicles and sacroiliac joints, slight sigmoid scoliosis, and midlumbar straightening. What would be the treatment for that? Is it chiropractic, do I simply need to take anti-inflamatory? | Hello, I have studied your case with diligence.As per your symptom and history there is possibility of acute muscle spasm in back muscle.Due to compression of this nerve root there is pain associated with it.For these symptoms muscle relaxant with analgesic and neurotropic medication can be started consulting your treating doctor.Till time take rest and continue analgesic available over the counter take rest, and hot fomentation. Physiotherapy like ultrasound and interferential therapy will give quick relief.You may need to do MRI spine if symptoms persist.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
Suggest treatment for fatty liver
i done with sonagraphy and blood test for SGPT....in sonagraphy everything is good...my docs says there is been problem in liver (fatty) ...i drink everyday 2-3 pacs(oh) ,,,and smoking ....my age is 49.....which medicine will be good for me and how can i improve it ? | Hi and Welcome to HCM.I appreciate your concern for the fatty liver and the raised enzymes.You need to have some life style modifications in order to get rid of fatty liver:1.Avoid taking alcohol or alcohol containing beverages, as its used is related to liver injury2. Avoid fatty meals (both vegan and non vegan), fast and junk foods, salted snacks, dry fruits, red meat, egg yolk, sweetened carbonated drinks and smoking.3. Eat a balanced healthy diet (vegetables, cereals, fruits, baked fish and poultry). A homed cooked food is highly recommended.4. Take Vitamin E containing supplements.5. Do regular exerciseHope the suggestion given above could be useful in the treatment of fatty liver. | |
Does mildew cause watery eyes and dizziness?
I have a friend in her 70 that has watery eyes, and she he is sometimes dizzy. She has been to the doctor many times and they cant find nothing wrong. She has dark bruse like spots on her legs and arms that come and go. Her sugar is ok. I have been to her home and It smells musty. I told her its must be allergies, but I dont want to steer her wrong. What could it be? | HIWell come to HCMThis could be allergic condition of eye and this can be treated with antihistamine drops and the best option would be "Ketotifen eye drops" this would give excellent result, hope this information helps, take care, have a nice day | |
Feel i have breast cancer. Can any online doctor help?
hi i have done everything to cheek out my breast's but i feel like im unsure if i actually have breast cancer or not im worried and i want to tell my mother but i have already had a discussion about it and she just told me what to do. i really want to see someone to cheek my breasts to see if i have breast cancer im 16 years old and i dont want to see my doctor but is there anyone else i could go to?? | Hi and welcome to HCM. Why do you think you have breast cancer? You are anxious about something that is irrational. It is almost immposible to have cancer at this age. YOu should stop even think of it. Have you ever heard that such young girl had breast cancer? YOu want to do mamography and risk irradiation because of it? There is no doctor in the world who will say anything else. Just enjoy in your life and dont have such apsurd things on your mind. Wish you good health. | |
Noticed a lump on the lips
I found a pea sized lump on lip of mouth. Seems to be deep. When I pierced it only blood came out. It seems to move if I touch it, but it goes back to it s original position. Doesn t hurt. I have never smoked or had any alcohol. I tend to bite my lip in my sleep, but I don t remember biting that particular spot. | Hi. There are two possibilities. One is it is a common Submucus cyst, simply a collection of saliva in a retained cyst of minor salivary gland.Another possibility of a small hemangioma. Both conditions need excision and is possible under local anesthesia. | |
Suggest remedy for severe pain in buttocks
hi Doc, I am diagonised with reduced disc spaces at l5-s1 and partial sacralization of l5 vrtebral body.Degenerative end plate changes noted at lower margins of l5 and upper margin of s1.I have undergone IFTs( 30 sessions), ultrasonics, laser,long wave and 25 disc decompression theraphys. There was some relief for few days but now my codition is worse, i cant stand or do work for more than 5-7 minutes. I have severe pai in buttocks which sometimes goes down in legs.my doc has advised me that now i should try for transformental blocks. But now i am fed up , i have sepent lot of money on therapies and the spines braces and multiple tests (blood) but of no use. just need your advise... | Hello, It looks that you are facing severe problem. In your case with reduced disc space (most probably due to degenerative changes at spine), I shall advise you to consult to your doctor, best will be a spine surgeon, for further treatment. In such cases spine fusion surgery is best. Foraminal block will also give you a temporary relief. Your neurosurgeon is best guide for this problem. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | |
Has killer cells and TB cells, not conceived. Is it dangerous?
what are killer cells and TB cells,my younger sister married,age 28 is suffering from this problem recently detected and has not conceived yet.she underwent IVF with no positive result,she is in depression ,we need you help and guidance,she is under treatment at Mamta dendayal infertility center,scendrabad,Hydrabad(india) | Hi, These Killer cells are nothing. (All in experimental stage. Not proven to do any good/harm). Regarding TB cells, if its diagnosed properly (& not by endometrial TBPCR/menstrual blood TBPCR), it can harm her fertility. Better to get treatment of TB (But not if diagnosed by endometrial TBPCR/menstrual blood TBPCR). All the best. | |
What causes cold feet and numbness on shoulders?
I have pins and needles, numbness in my hands, bum, feet no real big pains just maybe my thumb and a almost sun burning feeling in my shoulders I do OK sleeping on a floor but when in my bed its there almost waking in the morning cold feet I ve had for awhile but getting a little more annoying | Dear Sir/Madam,I thank you for having faith in Health Care magic and for seeking help on your issue; I have gone through your symptoms, and in my opinion, your signs are of nerve involvement. take Tab methylcobalamine 1500mcg SR one daily for 2 weeks and see if you improve, if you do continue it for 2 more week and if you do not consult your doctor.I hope I have been able to provide you with a satisfactory solution, if you want to clear any doubts about my opinion, feel free to contact.Special note- Any medication prescribed needs to be taken after consultation with your personal doctor only.ThanksDr. Narender Saini | |
Is weakness, tiredness and stomach pain a result of flu?
Last night I got extremely weak, tired, and my stomach hurt. I knew i was getting sick again (4mos later) because my skin began to get sensetive. I also got a high temp. When i woke up today I was all better. Wondering what this could be and wonder if it has anything to do with me drinking alcohol or if i caught a 12hr flu..lol ? | Hi. Thanks for your query.Flu can not contract just for 12 hours.This looks to be due to alcohol consumption only. Since you have improved, just wait and watch. IF the symptoms recur, you may need to undergo symptomatic treatment | |
Will IUI help in conceiving while taking clomid as eggs were not matured?
im on clomid 50mg with bd dose for first time.on my 12th day the doc do scan and said that my egg is not matured.asked me go for IUI procedure next month.please advise. Im 37 years old this year.my first son is 7 years old.im trying for 2nd child just few month ago.thank you | Hi,Thanks for writing to HCM .While you are taking clomid your follicle should mature and rupture. If this doesn't happen I suggest you to show your doctor and get dose increased if feasible or else add another ovulation inducing drug to it.I also suggest you not to go for IUI until your follicle is grown properly and ruptured . Let me tell you some facts about IUI. It is intrauterine ingestion of sperms . Here sperms are washed and processed and healthy sperms are placed in uterus . For fertilisation to occur your follicle should be ruptured and ovum should travel into tube where sperm will be there. If your follicle not matured only then no ovum produced so no fertilisation occur.Also before going to IUI you should get your tubal patency test done. If tubes are normal then you should go for IUI. Hope I have been helpful . RegardsDr.Deepika Patil | |
What does a lump behind the neck indicate?
I have a bump on the back of my neck. I believe it started as an ingrown hair. I believe it has became infected with staph infection. It is very tender and hard to the touch. It has became larger than a quarter and as round as a grape in swelling. I am trying to avoid going to the hospital. I have 36 Sulfameth/TMP 800 / 160 mg tablets, which are substituted for Bactrim DS. I am wondering if I can start taking the tablets as directed instead of going to the hospital? | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This seems infected sebaceous cyst most probably .* Primary relief can be predicted with antibiotics , but in my opinion you must consult your family doctor before starting such things .Wishing you fine recovery .Welcome for any further guidance .Regards . | |
Have saliva build-up in mouth. Help
Hi, why is it that every morning i wake up with a build up of saliva in my mouth? Its not a bad smell and when i spit it out and rinse my mouth out its ok but every morning i always have that without fail. It disturbs my sleep too because i try to keep my mouth shut during the night so that i dont drool on my pillow. Please help me its been like this for years..! | Hi,This might be due to collection of saliva during night time and so you have full mouth of having saliva.This might be due to some infection in your mouth or having some dental problem like poor oral hygiene, dental carries, deposition of tarter, gingivitis etc.Consult your doctor and get examined.Ok and take care. | |
Does the birth control pills causes delay in periods?
Hello. I switched birth control pills. I went from Ortho Tri Cyclen to Minastrin 24 Fe. I switched in March, so my next period would come in early April, which it did but it started 3 days before the placebo began. Now it is May and the placebo for this month began 4 days ago, but I have yet to start my period. Could this be because my body is adjusting?? | hello...delay in periods can be due to stress,overweight,pcod,hormonal imbalance,thyroid problems,medicines etc..dont worry..wait for 7 days..you will get your periods... | |
What causes abdominal discomfort?
I am 40 yo. Male. I have been having mild (i stress mild) abdominal discomfort on my right side, but also occasionally left and lower abdomen. It is mostly on the left side but it does not have a specific spot: higher lower, sometimes could be on the back, on the front, just under the ribs, etc. and as I said sometimes is on the left side. No history of cancer in my family, but history of IBS and stress related symptoms. I have diabetes, diagnosed less than a year ago (have had tendency to it since a kid - 5.7 and 5.4 where my last A1C readings from 2 days ago and mid March, respectively; 5.7 was the reading that triggered the glucose intolerance test upon which diabetes was confirmed). I'm on 250mg a day of metformin (500mg when I eat more during the weekend). I take enalapril for high blood pressure (which runs in the family). Since starting these medications I have been limiting carbs a lot, eating lots of steamed, boiled vegetables. I have never been eating a lot of meat or fish my whole life. I am a very anxious person and tend to worry about any symptoms. Before feeling this abdominal discomfort I have had symptoms of anxiety attacks (mild chest pain in no specific area, feeling of panic building up, tingling of upper body, arms, etc). Other tests and ECG were negative. The lab work performed 2 days ago showed everything is fine apart from low level of vitamin D (abdominal ECO was negative). My doctor prescribed me vitamin D supplement. Could the abdominal discomfort may be linked to diet and lack of vitamin D. Thanks (sorry for the long posting). | Hi.I understand your concern..i assure you nothing is wrong with you, abdominal discomfort may be due to metformin,it will improve with the time. IBS has low chance. Keep relaxed,enjoy your life.As for as your diabetes is concerned,i appreciate your dietary changes. Do regualr excercise.Analapril is good enough for your hypertension.Repeat your HB1Ac after 3 month,hope it will be in normal range if you have such strick diet control.I hope i gave your answer,i will be happy to help you further.Thanks for using healthcaremagic | |
Could foul smelling stools with undigested food due to malabsorption in a 17 month old?
My 17 month old son had GERD and several food intolerances that we are exploring with the help of a naturopath (I m in Canada, so we ve been on a waiting list to see a pediatrician) - we believe Dairy is a major factor, his naturopath also suggested we pull all refined sugar out of his diet and only sweeten his food with actual fruit; additionally we see ongoing stomach pain (twisting torso, screaming in short bursts, still cannot lay flat on his back, is only calmed in a warm bath or when I rub his tummy) on a regular basis. While the one test we ve done thus far doesn t indicate the following foods, we suspect oats, eggs, nuts are also still contributors to his ongoing discomfort. Joey is not gaining in weight or length significantly - certainly not since I weaned him at 13 months old. He still looks small in the same pajamas he wore at 8 months old, and he still weighs only around 20lbs. I finally got my husband to look at his poop last night and he s extremely stressed as Joey (my son) poops 4-5 times per day some days, the stools are always very foul smelling, they always contain these funny white granules and large amounts of undigested food. Is it possible we re not looking in the right direction? Our physicians seem to follow our lead in exploring what s bothering my son, so no testing has been done on him to my ongoing dismay. Is it possible there s some sort of malabsorption issue and not all these allergies/intolerances? | Thank you glfor following up, your baby has malabsorbtion,caused by dysbiosis of intestine. It is really pity that you don't check your baby . I suggest you should give next baby's analysis:- stool culture for flora and sensitivity to a tibiotics- stool analysis-stool for ova and cyst-blood analysis- urine analysis I would suggest to give your baby next treatment:1. For prophylaxis or for treatment-albendazol(zentel)10 ml once 3days in bed time2.Probiotic: Econorm(saccharomyces)1 sashe 2 times 3days3.Probiotics: Enterogermina 1 sashe 2times 10 days,then bifilac(darolac)1 capsule 1 time during 1 month4.Enzyme syrup during 1 month for good abbsorbtion of food .5.If your child were not allergic to vitamins i would prescribe him zinkovit 5 ml 1 time 1 month I will be in touch to follow his progress. Your sincerely, Dr.Svetlana Shrivastva | |
Q. What is the treatment for a small fissure on the penis that causes painful sex?
Hello doctor,Under the left side tip of the penis, where the head curves to the shaft, I have a small fissure that opens up when I have intercourse. This recurring cut heals completely but, recurs every month for the past year. I am uncircumcised and have no STD, infection or inflammation, just this recurring fissure that happens during intercourse. How to ensure this is permanently healed so that intercourse is not painful? | Hello. Revert with more information to a urologist online --> | |
What causes leg thrombosis while paralyzed?
Hello , please I need your help . Ok, my grandmother s problem is that : She is 68 years old due to high blood pressure was paralyzed her hand and her foot . I don t know what medication did she take but now after 18 days in the hospital her leg is affected by leg thrombosis | Hi, Post stroke patients increased chances of thrombosis due to stasis of venous blood lead to hypercoagability lead to thrombosis formation. Need heparin injection with periodic leg compression with physiology is useful. Please consult your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
What could yellow lumps in semen suggest?
i'm 19 years old male i used to maturbate 3 years ago till now but when i tried to stop for aweek and masturbate again i found yellow solid things in the semen and it became normal after masterbuting more times this happens every time i tried to stop for more than 5 days ...is this a problem | Hi, It can be due to dehydration and prostate infection. Take sufficient amount of water.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | |
Noticed dense lesion on the left kidney and cyst on right kidney with lupus
I have a 1.2 cm hypo dense lesion in the posterior cortex of the left kidney. Also a 1.5cm hyperdense mass located at the lower pole of left kidney. A large para pelvic cyst in the right kidney with a 7mm kidney in the origin to the cyst. I have had blood and protein in my urine. Went to ER this past Monday and Urologist Friday. CT scan disc was not burned correctly therefore he was unable to see based on radiology report. Told me to come back in 2 to 3 weeks, yet I am still in pain. Please advise what I should do? I am a female age 57 and tested positive for lupus. | Hi, cysts are common in kidneys. you might have one which probably got infected. uninfected cysts are generally symptom free. Lupus nephritis patients loose protein in urine and you need ACE inhibitor drugs which can help. you may try a course of antibiotics and opiate analgesics for pain, before you get to consult your doctor. hope this helped. | |
What causes bumps filled with fluid on head?
My two year old has what started out as a small bump that looks to be filled with fluid on his head. It seems to get larger and expand along the right side of his head. This is the second time in about a month; the first time we went to the ER. It was x-rayed but nothing is wrong with his skull. He doesn t seem to have any pain associated with the bump and it just went away the first time. What is this called? | Hello and thanks for consulting HCM.It can be an abbcess.as you said nothing showed in the xray.If the bumps remains to pop out then i would advice you to visit a pediatrics.What is the size of the bump.was there any injury.Some times due to mild injury also causes bumps.Hope this answer helps.RegardsDr. Shesh | |
Suggest remedy for rash on the arms with back and shoulders
i have a rash that in only on my arms and my back and shoulders. I have been told that I have psoriasis. but these look different from the psoriasis that is on my elbows and my ears. the rash has a dark ring and a light colored center they itch sometimes and they seem to be spreading. please help | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Spreading rash with dark ring may be due to various causes. But the most common cause is Tinea infection (Fungal infection). Apply Clotrimazole cream for 2 weeks. In case of non improvement, do consult your Dermatologist.Hope I have answered your query. Let me know if I can assist you further. | |
What is the treatment for spinal stenosis and cystic armpits?
I have some spinal stenosis and a curvature of the cervical spine This has caused me some pain in my shoulder , so getting physical therapy. About 3 days ago, I have gotten a cyst under my armpit . it almost feels like an ingrown hair. I also noticed before I started therapy , that sometimes my deodorant wasn t working on that side along with some itching. I am 78 and otherwise in good health. | Cyst and cervical spine stenosis has no connection.for cervical spine spine stenosis take tab ultracet 1/2 tab tds and physical therapy.gor cyst take opinion from a surgeon | |
Q. Why are there balancing problems, blurred vision and concentration issues?
Hello doctor, I am facing certain problems which include balancing problems, blurred vision and sometimes, headaches, concentration issues. It has been 2 to 3 months that I am facing all these. | Hi. I have gone through your case and can well understand your genuine health concerns. The cause of your symptoms can be related to brain disorder or vitamin B12 deficiency or eye problem. In my opinion, you should consult a physician first because you need a thorough neurological examination. These symptoms can be related to cerebellar disease which is a part of the brain. Vitamin B12 can also cause balancing problems, headache, concentration issues, etc. Sometimes, a refractive error in the eyes can also cause balancing problems, blurred vision, headache. I suggest you consult an ophthalmologist also. Get your serum vitamin B12 done. If you have low levels then you may need B12 supplementation. Cerebellar disease or vitamin B12 deficiency, eye problem. | |
What could be the reason of brown blood clots discharge and abdominal cramps after having coil fitted?
Hi I had the coil fitted in on Monday 16th of December 2013 and I have to continue using my pill for ten days , but I am still passing brownish blood clots and have abdominal cramping as well as a sore lower back, the sore back is constant and the cramping is more at night , is this normal to be happening even when im still in the pill.Stephanie | NamastheWelcome to Healthcare-MagicGreetings of the dayIts quite common to experience symotms of lower backache, It is due to uterine spasm as a reaction to any foreign matter present in it.It will subside in couple of week.In case the symtoms persists, there is fever, foulsmelling discharge then one should consider removal of coil.These symtoms are unlikely to be due to pillsIn case you need any further assistance, will be glad to assist you.Wishing you happy and healthy lifeTake CareBest RegardsDr Deepak K KMBBS,MS,MCH | |
What is the treatment for panic attack and phobia?
age 35 /height 5.10/ wt 64 kgs iam facing problem with fobia of alone drive bike car travel and any time i carry small water bottle with me but i never drink it if i dont get bottle sudden i became panic when i find it i get calm how to improve confidence and how to come out from fobia etc | DearWe understand your concernsI went through your details. I suggest you not to worry much. The symptoms you are explaining are not of phobia but are of anxiety disorder. You are feared or worrying always about your health and something might happen to you. You are finding alternative obsession in keeping a bottle of water with you. You are believing that water can save you for the time being. No problem. There are lot people around you like this. The obsession could be something else. That is all. Consult a psychologist and undergo counseling sessions. You shall be alright.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
Could delayed periods, spotting, vomiting and fatigue after having unprotected sex while being on birth control mean pregnancy?
hi im 3 days late on my period and i had sex 3 weeks ago and it was unprotected im also on birth control but i have irreglar periods. i started spotting 2 days after for like 1 and a half i been thorwing up and i been exhausted everyday and with no engery and i have really bad heartburn and acid could i be pregnant ? | Have you taken the pills regularly. Because if not, if you forgot then yes these signs may indicate that you are pregnant. take a test to be sure. | |
What is the treatment for carpal tunnel syndrome during pregnancy?
I am 5 months pregnant, and have painful carpal tunnel in both hands, they are a little swollen. I am on blood thinner lovenox since getting pregnant and wondering if I can massage my arms for comfort, I ve been told not to massage DVT, but I don t have a DVT now, I had one in my calf a year ago, and control it with medicine | Yes, you can absolutely massage your arms, wrists and hands. Blood clots are much less likely to occur in your hands than your lower legs, and massaging your arms and wrists can definitely help with the swelling and pain. It may not be a bad idea for you to see a massage therapist or a physical therapist, as they can direct their massage techniques to help alleviate your symptoms. On a side note, please do not hesitate to go the emergency room for leg swelling and pain, chest pain or shortness of breath. Your history puts you at an increased risk of having another DVT or a pulmonary embolism. Please continue your Lovenox and stay active. | |
Should i be concerned about these AST and ALT levels of liver function report?
hi doctor .. my mother had liver functions since 4 days her ALT WAS 78 and AST 47 and cholestrol 228 other data are normal, she is 54 years old, obese , had diabetes and hypertension, take medications since 10 years is the condition dangerous,, thanks doctor. | HelloFindings suggests increased ALT level and mildly increased cholesterol level.Increased ALT may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.In your mother's case,increased ALT may be related to mildly increased cholesterol level and obesity.She may need few more investigations like routine hemogram,ultrasound of abdomen.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.She should avoid saturated fat and go for brisk walk regularly.Take lot of fruits and vegetables in diet.She should try to reduce her weight.She should continue other medicines.Get well soon.Take CareDr.Indu Bhushan | |
How to get rid of frequent stomach pain?
I am 58 and I have frequent stomach pain. My job requires standing up for 8 to 12 hours Mon-Fri.I feel somewhat relieved when I sit down and often when I go to the bathroom, nothing comes out.A local Doctor says I have swollen intestine. Is there any permanent cure to this diseases? | Hi and welcome to HCM. Thanks for the query. i dont think that swollen intestine can be diagnosed just like that. you need to do more detailed gastroenterologic work up to see is there some more serious cause.till that try to change your dietary habits. Wish you good health. Regards | |
What causes rhinitis with wet cough and mucus?
My 13 month old son was dx with croup Tuesday night, no more barking cough or stridor after giving him the prescribed steroids, and seems to be sleeping, eating, and feeling better. But now has a runny nose and wet cough with lots of green mucus. Do I need to go back to the doctors? | Hi, does he have a fever?Cold and cough is very common in toddlers especially when there is change in climate. Try to keep him warm and avoid cold items. If he has fever associated with cough with flames, it is better to take to your Paediatrician to check if there is any chest congestion.Hope he gets well soon. | |
Can cough due to bronchitis lead to stomach pain?
hello, I am recovering from bronchitis- and have discovered bruising around my c-section scar on my stomach. I have also had stomach pains recently. Could the bruising be caused by coughing or should I seek medical treatment? Thanks so much, Flora Roberts | yes ...cough of bronchitis strains abdominal wall and abdominal organs ..stomach pain may be due to gastritis due to drugs you are taking for bronchitis ...for cough you may try steam inhalation besides cough syrup ...for stomach increase water intake .. | |
What causes shortness of breath and swelling in legs?
I am a 45 yr old female. I work in a freezer environment everyday. I just started working in the cold temperatures in the past 3 months. I get very winded with simply lifting an occasional heavy box and I have to catch my breath. Also, I have always worked on my feet but recently my legs from the knee down have been swelling after 10 hrs of work. My blood pressure is 115/59, should I be alarmed with heart trouble? | Thanks for your question on HCM. There are many causes for shortness of breath with bilateral pedal edema. The common ones are1. Cardiac cause (heart failure)2. Low serum protien3. Low hemoglobin4. Vericose veins (you are standing more at your work)5. Postural edemaSo I advice you to get done1. ECG2. 2D Echo, to rule out cardiac cause. If both are normal than no need to worry for cardiac cause. Get done CBC ( Complete Blood Count ) and protein level to rule out anemia and Hypoprotienemia respectively. If all these are normal than mostly you are having positional edema. | |
Had light bleeding. Positive urine HCG test, negative transvaginal USG. What does this mean?
Hi, I had a positive urine HCG test few days back (pathological lab test result). After that my periods happened with light bleeding. Doctor advised to undergo USG. After USG nothing was detected, even transvaginal USG was performed & nothing was detected. Please advise what to do? Whether the urine test result was totally bogus and nothing happened as such? Or can I be still pregnant? Did I have any internal miscarriage? Totally in dark & getting confused. Please help with further advise. | Hi,Your situation calls for definite confirmation/exclusion of pregnancy and this can be done through the estimation of serum beta-hCG titres. The possibilities are that there could be a mis-interpreted test or an early abortion. The trans-vaginal sonogram may be repeated after another week to see if there is any development. Beta-hCG levels can be determined on alternate days to see if there is any doubling. Hope you find this information useful. Wish you good health. | |
Could the lump on hysterectomy incision area be a hernia?
I had a total hysteractomy with a vertical incision 2 weeks ago. There is a hard lump under the top part of the incision below the belly button. The nurse looked at it and says it s likely scar tissue, but isn t it a little soon for scar tissue. It only hurts if I push on it. Could it be a hernia? Peggy | Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.Based on the facts of your query, you seem to suffer from-Subcutaneou collection of the sero-sanguinous discharge at the lower end of the incision / or it could be a gaping of the Wound as a whole, which may start at the lower end of the incision.USG Study and debridement of the wound for any Foreign body of the stitch inside with sero-sanguinous collection with it.Possibility of hernia is very less,from the facts of your query.Second Opinion from Surgeon / Gynec doctor would resolve this issue.Hope this would help you to plan further treatment with your family and specialist doctors there.Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | |
Q. My daughter is under treatment for depression and having hallucination. What is the treatment?
Hello doctor, My adult child, 25 years old, was admitted to a psychiatric hospital for depression and suicidal thoughts. She had therapy for several years. However, when visiting tonight, she mentioned voices and hallucinations. I was taken back bc she never mentioned that before. The nurse said it was possible 1st breakthrough. My question is would not I have noticed those symptoms before now? It left me uneasy and skeptical, and I do not know what to think. Also wondering would they start medicating her for that if she had not had the test or diagnosed? | Hello. I can certainly understand your concern. I have worked through your attached query in detail. Hallucinations like hearing voices can be a feature of severe depression. They can occur if depression progresses through higher grades. It does not imply that you have missed making a note of them. Severe depression with hallucinations is termed as psychotic depression. It requires intensive care in a hospital setting. Antipsychotics, along with antidepressants, are the mainstay of treatment. | |
Suggest treatment for parasitic infection
hello I have been having a parasitic problem for over a year now and I can't figure out where they're hiding in my body. I've had numerous different types of worms come out as well as flukes and other parasites. No one seems to be able to help me and I don't know what to do and I feel my health deteriorating everyday and I'm scared that I'm not going to make it through this. I'm starting to feel things inside of my brain I'm getting also headaches and I'm losing my sight and I feel as though I have nerve damage I go numb in my body I have cysts everywhere and I don't know what to do. What do I do?who do I turn to? please help me | Hi I did review your concern.sensation of parasites all over the body as well as inside the body can be due to psychiatric illness.I would recommend you to take a help of a psychiatrist and take medications under his guidance and also probably meet a counsellor who can help you with your agony.I hope this helpsWish you all the bestThank you for using healthcare magic | |
What relieves the severe pain due to the Sciatica?
I do not have health insurance and I have had sciatica pain off and on now for almost a year. The pain at times is crippling. I can t sit stand or lay down and I haven t slept in a bed in a year. I have tried everything humanely possible to get some relief but nothing is working. Any suggestions would be greatly appreciated. | Hi...Sorry to hear about your sciatic pain..I recommend you to do..Do lot if icing frequently like once in every 2 hours for 15 mins...Do lot of spinal extension exercises...Do lot of cobra stretches say 30 x 3 sets 5 times in a day.....I would suggest you to spend lot of time in lying face down position...Once pain comes down I recommend you to do lot of core and glute stability exercises..Hope this is helpful for youKindly revert back in case you need any further help in this regard... | |
Nodding of neck due to loss of cervical vertebrae curvature. MRI showing degenerative changes suggestive of cervical spondylosis. What is the cause and treatment?
i have a complain of nodding of my neck i.e. neck tremor for last 20 days. previously there is simply a feeling of resistance in my neck region for which i had cervical traction and few isometric exercises done. letter when i feel neck nodding , a MRI of brain and cervical region done which reveals normal brain scan but there is loss of cerval vertebrae curvature, slight protusion of disc at c5 level and few other degenarative changes suggestive of cervical spondylitis , could it be a cause of nodding of head or something else will be the cause ? what should be the cause and the treatment. | Dear friend, welcome to HCM. cervical spondylitis can not give rise to neck nodding. is something like titubation or a fine tremor? I would advise you to take neurology opinion as distant opinion can not be given in your case. also MRI brain is normal. take care and pl. keep me posted on your progress. | |
Suggest treatment for fever and burning eyes in a child
My 5 year old daughter has a 102.5 fever and has mentioned her eyes are burning a little. Her eyes are also a little bloodshot. She seems fine besides that. Do you think her body is fighting off a bug/infection? She has had a fever sunce last night. It was low-grade (100) when she woke up this morning but had spiked again. Should I give her something to lower it? | HiWelcome to the HCMI understand your concerns. Fevers are an immune response of the body towards infections and should be treated if they spike more than 100.4 degrees Fahrenheit.I would recommend you to start her on acetaminophen or ibuprofen for fever episodes. Repeat the dose at 6-8 hours interval if fever persists.Also , cold sponging will be helpful to bring faster relief.If fever persists for more than3days or if it's associated with any other symptoms, then a proper clinical examination by pediatrician will be helpful.For more questions, you may contact me.Take care | |
Can lung cauterization be harmful?
my 68 yr old mom has been diagnosed with T cell lymphoma. She has a mediastinal turmo approximately 12 cm x 6 cm pushing on heart and lungs and right lung is partially collapsed. chest tubes were installed to drain out fluid a few days ago. There is still alot of fluid draining from chest. Her thoracic surgion wants to cuatorize the right lung to reduce fluid driaing from the chest. She also just had her first does of chemo this past weekend. We are in the process of trying to get her into sloan kettering for a second opinion on the tumor.Question is, would lung cauterization do more harm than good? | Hi and welcome to HCM thanks for the query. no, this is safe procedure and anyexperienced surgeon can do this with minimal risk. it will prevent further fluid accumulation and it will have to be done sooner or later. Wish you good health. Regards | |
Suggest treatment for pectus Excavatum
I went to the doctor because of a toracic pain after intense physic exercise. I played basketball for a long time and I never had any problem of that nature, but I quit two years ago because it was impossible to conciliate with college. There is no familiar or personal background of coronary syndrome or any relevant disease. The doctor performed the physic examination and diagnosed me with pectus excavatum (mo one ever told me and I didn t even noticed it) , all cardiac and pulmonary sounds were normal as the rest of the exam. I also did a ecg which came back perfectly normal (only a small tricuspid insufficiency considered normal). I have laboratorial analysis and a cardiac function test with intense exercise (don t know the correct term) scheduled. So, up to my question, what s the pathophysiology behind the thoracic pain caused by pectus excavatum, why was that never a problem and what are the consequences for my future? | pectus excavatum can be congenital (since birth) or may be associated with condition like marfan syndrome, vit D deficiency in childhood - rickets.if it is causing severe pain then it requires surgical correction, results are promising. if left untreated thoracic pain, chest pain or breathlessness may persist. | |
How can a pulled muscle in the left shoulder be treated?
Hi - thoughts on what this might be? I pulled or strained something in my left shoulder / elbow carrying a boxed thin mattress pad when an extremely strong gust of wind blew and jerked the large box in my arms. This happened 3 months ago and I still have a slight ache on the outside of my arm immediately below the shoulder and similarly some hot spots and twinges at times in the elbow. I avoid doing anything strenuous with the left arm due to this but am fine playing golf regularly (I’m right handed and play 3x per week). There’s no clicking noises, or grinding feelings. I’m 63 and fortunate to be very healthy, 6’1” and 190 lbs. | Hello, As per your history, you have jerk the so that you have pain. Kindly take tablet Diclofenac and apply Diclofenac gel or ointment over affected area after orthopedician consultation. Kindly continue physiotherapy as advised. Don't give much strain over it. Take proper rest. You can also do hot water fomentation for better relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician | |
What does the following test results of liver indicate?
In January, I had a liver panel done. Here are my results: ALT 69 <41 units/L ALKALINE PHOSPHATASE 132 20-125 units/L BILIRUBIN, TOTAL 0.3 0.1-1.0 mg/dL GGT 89 0-62 units/L Are these considered high. I exercise reguarly, and my metabolism is high. Despite what I eat, I usually never gain excess weight. I do drink every once in a while. | Hi.Thanks for posting query at HCM.Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.Alcohol ingestion and obesity are common causes of fatty liver disease.also rule out Hpeb and C infection .advice :- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-"recheck liver enzymes after 16 to 24 weeks" and/or ultrasound.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik | |
Has breast cancer. Underwent chemo and radiation. Does not eat good and thin. Recommendations?
my daughter inlaw was diganosed with stage 4 breast cancer over a year ago she had chemo for five months and everythinng went well and then she had a seizer and found to have brain mets~she had 20 full head radiation treatments~she is doing ok but its been about six mo since radiation~she dont eat good and is very thin~will this all go away and can we count on a full recovery~could she be cured? | Hi, Metastatic breast cancer is not curable. Brain metastasis itself has very bad prognosis. Radiation is the only treatment ( surgery has also role in limited cases).Now you have not mentioned the hormone receptor status. Probably she is on antiestrogen. Anyway, the treatment at this stage is complex. And brain metastasis can cause nausea, vomiting headache. Anorexia is due the disease itself. You have to try your best to feed her. No specific medication will be much helpful to increase the appetite. As long as she can maintain nutrition , she can fight the disease. | |
Hot flushes, severe headache, chest pain, breathlessness, pain in hip joint. Histroy of nexplan implant. Suggest
Hello, I had a nexplan 68mg implant put in 6 months ago. Due to persistant bleeding, I have been prescribed Cerazette which has done the job. I have been taking that for about a month now.. However, over the last week I am getting hot flushes on a fairly regular basis and I am waking up dripping in sweat every morning. I am only 36. I also today have experienced a persistant horrendous headache and pain in my hip joints which has been spreading down my legs. Are all these symptoms linked and should I be concerned? Over the last two nights I have also experienced the most excrutiating chest pain which I concluded was trapped wind for about an hour from 21:00 hours. | Hi, it is all appear to be due to urinary tract infection, chest pain may be due to pills you are taking causing gastric irritation. i to my patient with such symptoms prescribe, cefixime2oomg BD, antipyretic, and a combination of omeprazole and domperidone. So please consult your doctor for treatment, so that it may not be repeated. thank you. | |
What causes vomiting , stomach pain , headache and leg pain in a child?
Dear Dr. I am a scientist. My daughter 5yrs old is studying UKG. 25 days back she came from school with vomiting and stomach pain followed by headache and leg pain. It continues till too. I have made eye test, CT scan, abdomen scan, blood and urine test. Everything is normal as doctors said. They said it is post virla myalgia?. Now My daughter is complaining occassionally headache, stomach pain and continuously leg pain with sleepless nights. May you please give me your advice sirs. | viral fevers will take time of minimum 7 to 10 to complete recovery.. it better to have antibiotics and anti pyretics for 7days with good hydration and nutrition. leg pain occur due to the viral toxins.. use acelofenac for leg pains | |
Q. Should I get an MRI for hip joint pain?
Hi doctor, Since one month, I have been facing joint pain in my right leg and hip. I consulted a doctor at my native and he said that bone is worn-out at the joint. Again, when I consulted a doctor in my working place, he said that the cause of my pain is arthritis. The pain is not much. I am a 47 year old male. I am currently on Ultracet. Also, my doctor said that he can find out the exact problem only after an MRI. What I suppose to do now? Please suggest me. | Hello. Revert back with the answers to the above questions to an orthopaedician and traumatologist online --> | |
Prescribed Aczone for acne, Monodox pill, clears and sprouts again, red spots after shower. Reasons ?
I was prescribed aczone for my acne and an oral pill monodox. some days it will clear up then a couple days later it sprouts up again. (red bumps along my chin and a little on my cheek). now i have been noticing every time i get out of the shower there are red spots where the acne used to be. it looks like i have the chicken pox thats how bad the spots are. then an hour later the spots disappear. I am confused on what is happening and why this is happening every time i take a shower | Hi, The condition you are suffering for can be colinergic urticaria. You can use calamine lotion over the affected area twice daily . Also you can take tab.allegra for itching. Few prescription drugs and antibiotics can help a lot in cure of this problem. Hope this helps. I encourage you to visit a qualified dermatologist for confirmation of diagnosis and prescription medicines. Regards. DrSudarshan MD Dermatology | |
Suggest treatment for PET with low blood pressure during pregnancy
Hi, I m 32 years old, I m 5ft7 and weigh about 128lbs, although I m about 138 now since I m little over 6 months pregnant. This is my second pregnancy (first one was in 2008 and had no complications). Since my first trimester I ve been suffering from PET (patulous eustachian tube). In the beginning I was still able to control my condition because I knew what could trigger it (like fatigue, certain activities, etc), but unfortunately for the past 3 weeks it s changed for the worse and I ve been having PET constantly throughout the day with now relief, unless I lay completely flat on my bed, which I can t always do having a 2-yr old boy jumping around me all day. With my first pregancy I only started having PET around my 8th month and it wasn t constantly, I could easily control it so it didn t control my life like it does this time around. Although I ve read a lot about PET and I know that the tissue around the ET can soften during pregnancy causing it to open up, I was still wondering if low blood pressure could have anything to do with it, too. I ve always had low bp and now that I m pregnant I lack a lot of energy and I m always out of breath. My bp is about 100/50. I know that before, being tired was one of the triggers for my ET to open up. Anyway, even though I can rest assured that this annoying problem will go away in 3 months after I give birth, I still would love to get some relief now, because it s driving me crazy. Is there anything I can do to get my bp to go up? Not only to see if my PET would go away, but also to get more energy. Thank you for your time. | Hi, Dr Purushottam Neurgaonkar here. I welcome you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not worry. 2 ) I will suggest you to practice breathing exercises. Indian traditional technique of pranayam will be of help. 3 ) Also try to avoid precipitating events. Avoid cold water and cold beverages . Use of vitamin C tablets 500 mg twice a day for ten days will be of help. I hope this answer helps you. Wish you a healthy pregnancy. Thanks Dr Purushottam Neurgaonkar | |
Can chemical peeling help to cure pigmentation on face?
Hi Doctor, My face and fore head are infected by pigmentation and used to attend chemical peeling sessions. I have observed a little change after 2 sessions. let me know with in how many sittings i will observe change. Also what should be the time span for each sitting. Regards, Mahi | Hello. Thank you for writing to us at healthcaremagicCertainly chemical peeling can improve pigmentation. Glycolic peel is one such peel and helps to exfoliate existing pigment/ melanin.A session of chemical peeling is usually performed every 2 weeks.Number of sessions required would depend on the severity of pigmentation.Since you have observed improvement after 2 sessions, therefore, I suggest you to continue with further sessions.However, it is also important to use a topical cream/ingredient which would prevent synthesis of new melanin i.e re-development of pigmentation.Sun protection is also an essential part of treatment of pigmentation and prevents further sun induced darkening.I suggest you to use a broad spectrum sunscreen, i.e one which offers both UV A as well as UV B protection, throughout the day.Regards | |
Loss of breasts size. Was taking micronor. Should I discontinue?
hi i was taking micronor after giving birth in all ive had 3 children can micronor make my boobs disappear i stopped taking them for about a year and now my doctor gave them back to me but i got no boobs i went from a normal size bust to nuffin theres nuffin there just a little lump with nuffin in side them could this be the pills or is it having 3 children they are not saggin put when i lean forword they just hang because theres nothing in side them is there any thing i can take or do to get them normal again | Hello. Thanks for writing to us. The birth control pills do show a different effect on the breast size. It can both increase or decrease the size of the breast. If there is a major change in the size then you can consider changing your birth control pill.I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal drrakhitayal@gmail.com | |
What are the early symptoms of pneumonia?
I have real bad allergies and for the past week I been trying to take of the allergies part, but now I cant shake whatever it is. Im coughing up dark yellow phelm with a little blood in it and my chest is a little tight. The darinage in my sinus cavity is continuous. What should I do? Do you think I might have walking pneumonia? Please help I am very uncomfortable. | Hi welcome to HCM...According to history here you can have bacterial infection in form of bronchitis or pneumonia like infection....Consult pulmonologist without delay...Your auscultation and blood pressure checking also needs to be done ...Chest x ray then done to rule out cause..If bronchitis there spirometry also done to detect severity...Then treatment needed with cefpodoxime 200 mg tablet or levofloxacin like antibiotic for 7 days...Healthy and balanced diet taken..Avoid smoking if habit.Then if needed for further work up sputum cytology can be done .Take care Hope your concern solved | |
A person is lying in hospital unresponsive but her right foot is bending and stretching out by her own
Maybe you can answer my question for this: If a person laying in the hospital bed unresponsively, but her right foot is bending and stretching out by her own as same way as the physical therapist has been moving her. Does it that mean her brain knows what is she doing?What does the left brain control of? | Hi. This is possible and is called involuntary movement , the patient does not know of it as she is in come. This happens due to automatic focal stimulation at the brain or anywhere along the neural pathway. The brain does not know what she is doing. The left brain controls the right side of the body. | |
How can a painful lump on the hips be treated?
HiI had a fall on my hipHard on ground playing with my dog It as 10 days stop, it's now Just a hard lump size of a.plum on my hip bone on side It's not bruised colour, just lumpShould I go to see, I'm stiff 2nd lump ing when I try and do my light jog w my dog on sand, it's painful stiffSho ups I go to See Dr get. Cortisone shot, I'm using Arnica, cannabis oil topical , and cellebrex. | Hi.Thanks for your query.Noted the history and understood your concerns. History of fall on the side on a hard surface and then limping, hard lump indicate an internal injury due to fall.This should not be taken lightly as impacted fractures do not show more symptoms and signs.Hence the following is needed in your case:Get an opinion of your Doctor and get clinical evaluation, examination preferably by an Orthopedic or General Surgeon.The investigations needed will depend upon the clinical findings which may be X-ray or CT scan of the affected area as this is superior investigations and help to get any internal trauma clearly to plan the further management. Till then continue the anti-inflammatory medications.You may please take Ibuprofen if it suits you.Take full rest ill a proper diagnosis has been made. | |
What does Normal cervical lordotic curve with mild degenerative changes from MRI suggest?
MRI Findings reversal of the normal cervical lordotic curve with mild degenerative changes. Disc space norrowing C4-5 and C5-6. Mild degenerative changes. Multilevel disc disease and/or disc osteophyte complexes as described. The most prominant level is C6-7 followes by C4-5 level. The C6-7 level shows a 2-3mm disc bulge or herniation which is broad based with mild canal narrowing with possible slight cord impingement. The C4-5 level shows a 2 mm central disc bulge. There is 1-2 mm osteophyte complex in the right uncovertable region and a 1 mmdisc osteophyte in the left. There is foraminal narrowing on the left. C3-4 level shows a 2 mm disc osteophyte complex in the left with mild foraminal narrowing on the left. | HiWelcome to healthcaremagicI have gone through your query and understand your concern.Your MRI shows lumbar spondylosis with radiculopathy. Treatment of it is analgesic such as ibuprofen for pain relief, glucosamine and Diacerine. Mobilisation excercises are helpful. Mecobalamin is helpful. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. | |
What does feeling of air bubbles in lung suggest?
25yr f, 5'0, 117lbs no medical history. Went to hospital 2days ago w/shortness of breath pain upper abdomen middle of chest bone & dizzness..by time ems & fd on scene I was going into shock o2 stat was 84% w/o2, pulse 125. Hospital done ekg, blood, and Xray & diagnose me w/gas. Past 2days I've been having what feels like air bubbles/gurgling in left lung worse when I lay down what is this from? | Thanks for your question on Healthcare Magic. I can understand your concern. You current symptoms on air bubbles feeling on lying down are mostly due to GERD (gastroesophageal reflux disease). GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of central chest pain, gaseous distention, air bubbles, gurgling feeling etc. So follow these steps for better symptomatic relief. 1. Avoid stress and tension. 2. Take pantoprazole tablet on empty stomach. 3. Keep 2-2 pillows under head in bed to prevent reflux. 4. Avoid hot and spicy food. Avoid junk food. 5. Avoid large meals, instead take frequent small meals. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes hair fall?
Hi, This is Saurabh here from DelhI have observed that my hair falls everyday but only 10-15... I have observed the same problem from last one year. Everyday I take a shower, it results a fall in 10-15 hairs and 5-7 hairs on my pillow. I am not able to understand the problem. There is no hereditary problem of hair loss. Please help me | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history you are having telogen effluvium, my treatment advice is - 1. Use a good herbal hair oil and shampoo for routine use. 2. Take good nutritious diet full of green leafy vegetables and milk. 3. Take an iron supplement and vitamin B12 supplement. 4. Other treatment options are topical Minoxidil and mesotherapy done by a dermato-surgeon. Hope I have answered your query. Let me know if I can assist you further. | |
Does undergoing laparoscopy affect the birth control?
I had a laparoscopy four weeks ago today.(june23).. Im on the depo shot but im due for a new one july3. Does the laparoscopy affect the birth control. Am i still fertile enough to get pregnant on it. I have been bleeding 3days now but after we had intercores the bleeding went away. | HelloNo, laparoscopy doesn't affect the action of the depo shot.Bleeding while on the shot can occur but so long as you're on time with your injections you should be protected against getting pregnant |
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