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Suggest treatment for high blood pressure
hi doctor, my was advised steroid pills .she was continously given medrol. 16 ,then 8, 4mg doses for 7 months . now she has problems like high bp, water retention, but more painful is high uric acid . and initially her jaw joints pained enormously. after one month by taking medicine her uric level decreased from 7.2 to 6.2. suggest some remedy | Hello , All the symptoms you have described are because of long term side effects of steroids . However maybe the necessity of steroids would have present to treat your condition and hence your doctor must have weighted the risk benefit . Considering you are already on medrol for 6 months , suddenly stopping the same may rather exaberate your underlying problem and that would not be the best way. First would be to slowing decrease the steroid to 4 mg on alternate day or 4 mg and 2 mg on alternate day depending on how she tolerates under strict observation of her doctor . Till than specific medication to treat hypertension. Ace inhibitors plus diuretic ( However many diuretic can increase uric acid, so selext accordingly ) combination would be best for her .Uric acid is already withen range and so continue the same medication. Regards Dr. Mody | |
What does MRI Brain Scan showing possible tuberculoma or Neurocysticercosis mean?
My Mother recently had MRI Brian Scan and the findings are: 1. Tiny ring enhancing lesion in right mid/superior parietal sub cortical region with minimal perifocal edema- S/O infective Granuloma - possible tuberculoma / Neurocysticercosis. 2.Multiple tiny non enhancing hyperintense areas in bilateral periventricular frontal parieto occipital and bilateral mid and superior parietal regions- S/O ischemic / Demyelinating Areas. Can you please tell me what does this mean and is this serious problem and what treatment needed. Thank You | Hello, Well, to start with a comment I would like to say, that MRI is a diagnostic procedure and it helps us to correlate the clinical symptoms with the pathology of the neural tissue. So, MRI is nowhere a true diagnosis but a diagnostic procedure. Without correlating with clinical symptoms commenting is not possible. As mentioned in the MRI, this sounds to be possible tuberculoma/neurocysticercosis but needs a clinical examination and assessment for the symptoms. Also, due to aging, there will be ischemic/demyelinating changes and which needs as said before a clinical correlation. A neurologist is the one to be visited and have a clinical examination done. Once done examination and correlation with MRI, the clinical provisional diagnosis will be made and the symptomatic treatment will be started. Treatment will include - medication, physical therapy, and diet. If your mother has any other past medical history of High blood pressure of High blood glucose levels than that also will need attention to workout by the cardiologist and the diabetologist. Any other underlying past medical history will also be considered and treated accordingly. I will advise going through the word by the neurologist based on the clinical examination. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
What causes dry and swollen foreskin of penis?
Hi I am 26 years old. My foreskin has become dry and flaky..when I try to mastrubate..the skin burnss...when I try to retract my foreskin backwards...it pains a lot..but 4 weeks back it was finee..Now i cant even pull it back even a little...for the dry skin and swelling at the tip of the foreskin I am applying soframycin...do i need to go for circumcision.. | Hi,Your symptoms could be due to balanitis. It cause inflammation and edema. I would suggest to consult urologist and undergo examination to confirm the cause. Following treatment will be useful:- Application of Clotrimazole and steroid ointment- Frequent hot bath- Apply man 1 man oil formulation- Wear pure cotton loose inner and keep area clean and dryOnce inflammation and odema goes, skin will retract backward easily.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar | |
Why is one unable to conceive after marriage?
I am at 30 years age. During the year 1999 i got married and not conceived as on date. I have taken treatment for my infertility. At reports are normal (THS, FHS, sperms count report, post coital report etc). I have undergone laproscopic surgery during 2004. It suggests that both tubes are normal. Not yet conceived, reasons are not known. Why this is happening with me. Can i get atleast one child in my life. | unknown factors contribute around 10% in infertility cases. There are various treatment modalities, consult infertility specialist and go for treatment step by step. you can surely be pregnant, don't worry. ivf is last resort and have very good results. | |
Suggest remedy for hair loss in baldness pattern
Im 30 years old im facing a big problem of hair loss ....it is normal baldness pattern .....i have also lost much of hair from my front right and left sides as well as from the center back of scalp...kindly doctor help me out...suggest some sort of medicine or any... | Hello. Thanks for writing to us at healthcaremagicYou hair loss is most likely hereditary or patterned hair loss. This type of hair loss is characterised by hair loss and thinning from the frontal scalp, vertex. Receding anterior hair line is also a part of this type of hair loss. The angles of the anterior hair line are widened gradually. Usually there is a positive family history in family members or first degree relatives of the patient.Treatment is with topical minoxidil and oral finasteride. Treatment is long term and is US FDA approved for patterned hair loss.The goal of treatment is to slow down further progression of hair fall.These are prescription drugs and therefore I would suggest that you visit a dermatologist in your region for the needful.Regards | |
Gallbladder removed, treated for jaundice. Now again eyes are yellow. Suggestion
Hi Iam veena in2006 my gallbladder removed .and recently i am facing some problems like my ice becoming yellow i consult my docter he suggest me to do liver function test .doctor says me i have jaundice he gave me silybon-70 tablets for 3months i complete my cource .after 2 monhs my ice becoming yellow.what can i do .i .am working women i loss my weight .please can ihave any suggestion | hi veena !thanks for showing trust to HCM. As after reading your medical history and you told that your gall bladder is removed so i want to say you have to take very light diet free from fat, spices, junk food etc. Cause gall bladder juice help to digest food and if it is removed your liver has to compensate or extra load to liver. So your liver get easily and show these symptom. Take medicine as prescribe by your doctor avoid heavy oily and fatty food if you drink need to stop that too. With proper diet things will be fine. Just follow your physician. Take care. Bye. | |
What causes throat irritation with unproductive cough?
i HAVE A SCRATCHY, SLIGHTLY TENDER THROAT, WITH A DRY COUGH AND A HEADACHE. I FEEL LIKE I HAVE AN EXTRA WEIGHT ON MY CHEST AND I AM VERY TIRED. IS THIS JUST A COLD OR SOMETHING MORE? I DON'T HAVE A FEVER BUT THE SUDDENESS OF THIS ILL FEELING HAS GOT ME A LITTLE WORRIED. | Hello,Thanks for query.I have gone through your brief history and I can understand your concerns.All the symptoms you have mentioned suggestive of pharyngitis(inflammation of your throat) which is commonly called as sore throat or strep throat.It could be followed after an episode common cold. I have seen many similar cases in my clinic, you don't need to worry regarding this since it can be cured completely with timely treatment.I suggest you to consult a nearby general practitioner and get the following things done:-(1)- A short course of antibiotic is necessary. You can go amoxicillin which is quite effective against the streptococcus bacteria causing the illness.(2)- You can take acetaminophen or ibuprofen fore pain and fever.(3)- You can also have a over the counter expectorant cough syrup. It is better to avoid codeine containing as it can cause complications.(4)- Do warm saline gargles or gargling with a numbing mouth wash to get relief from scratchy throat.(5)- Avoid cold and spicy food.(6)-Drink plenty of oral fluids to keep yourself hydrated.Most cases improve with this measures,if symptoms persist despite all these additional investigations like throat swab and basic blood routine are needed.Hope I have answered your query.Regards.Dr.Shinas Hussain | |
How to treat persistent discomfort in the mid and the upper back?
I have a long standing problem in my mid to upper back, aggravated by lifting heavy weights (bench press), or doing things like serving in tennis or throwing a ball without properly warming up. I ve had it for 30 years. Is this just likely a muscle that I injured and that I keep aggravating? | Hi there. The pain you experience in your mid upper back could be due to mainly a faulty technique while using bench press or that you're not giving your back muscles adequate time to rest and recover. This can have possible long term implication on your spine by causing degenerative changes earlier. I suggest that you take enough breaks between each rep and if you're planning to increase the weights do so gradually so your muscles get time to adapt to it. Throwing motion without properly warming up can also harm your back muscles as well. | |
What causes low temperature in a baby? Suggest medication
hi, my toddler has a temp of 35.1 and he hasn t slept much the last couple days. last night he kept waking up screaming and was very unhappy. he also has not had many wet nappies although he has been drinking...what could this possibly indicate and should i call a doctor out to see him tonight? | Hi...whatever you are quoting is hypothermia. It needs medical attention. Another issue is that the baby is drinking lots of water which suggests that he might be losing intravascular volume which is a sign of shock. I suggest you take him to the nearest emergency room as soon as possible.Regards - Dr. Sumanth | |
What is the treatment for rapid heart beat and fluttering in the chest?
Hi, Lately I have felt sort of a fluttering in my chest/throat (few weeks.. not constant, but pretty much part of every day..) Sometimes it feels like my heart is beating extra strong. sometimes worse at night. sometimes feels like I can't inhale quite deeply enough. | HIWell come to HCMI really appreciate your concern, as long as the given symptoms are concern for confirmation it requires EKG testing then and then arrhythmia will be ruled out, you have not anything in detail about your ager and gender because symptoms could be related with that and it may be functional too hope this information helps. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
What could swollen lumps on the temple post a injury suggest?
Hi. I got hit in the right temple with a knee and became very dizzy instantly. I didn t lose consciousness but had blind spots in my vision for about a half hour afterwards and my right fingers became numb right afterwards. They regained feeling within 10 minutes or so and I acquired a good lump on the temple. It is a day later and is still swollen. There is no dizziness nor much pain, but I cannot open my jaw very far without pain. How worried should I be? | Hi,Dear,Welcome to HCM. Based on the facts of your query,You seem to suffer from-Hematoma of the STA(superficial Temporal Vein)by knee on right temple with Cerebral concussion with frontal Contusion?. It needs to be investigated by CT Brain and skull for studies. Due to these reasons you need to be worried and careful. and need to be under observation under ER Surgeon and or if need be -under NeuroSurgeon. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS | |
Suggest home remedies and medication for pimple scars
hi doctor Greetings, This is somethin familiar that you would have come across, all my concerns is to get rid of these holes formed after pimples on my face. Please advice me home remedies as well as medicines which might give me appropriate results. | **1. Since holes/scars are there, thus initially consult with a dermatologist regarding removal from cosmetic point of view or if they are causing psychological tension/worry.2. most importantly use a good sunscreen for sun protection which will prevent the uneven tone of the scars [according to skin color].3. stay hydrated and eat a healthy diet [fresh fruits and vegetables], avoid oily/deep fried food,Sugar (in any form), caffeine,cheese, oily-spicy-dry-fried food, chocolates,cakes,iodized salt, soft drinks.4. It is best to consult your dermatologist before deciding on which soap or face wash to use because he or she can guide you better.PS. . In the mean time just wash your face with Besan and Luke warm water (best natural bleaching agent),removing excess sebum and dead skin cells, likewise Neem,acts as a deep cleanser.. because Skin & Nervous system has a common Embrylogical origin, thus treatment will be based on/directed as "Psychosomatic Treatment" | |
What do the SGPT & SGOT test results indicate regarding hepatitis B status?
I was diagnosed as Hepatitis B Carrier and according to my physician, it's already chronic.. but what is the purpose of the test required SGPT & SGOT inspite of their confirmation that I was already a carrier of the virus. the results of SGPT is ALT (Kinetic)12.28 U/L and SGOT is AST (Kinetic) 20.40 U/L... do i still have the chance to get cured? and what is the result affected to my hepatitis B? | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Hepatitis B virus as name suggests infects the liver cells. It causes damage to the liver cells. With resultant damage caused by virus they releases the enzyme SGOT and SGPT from the liver cells.So by measuring the liver enzymes it gives us idea that how much damage occurred and what is the likely prognosis of the condition.You do not have damaged much of your liver so there is good prognosis.Please do not drunk alcohol during this condition as this is essential for maintaining good health.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
What does lump on forehead that bleeds with pus at night indicate?
Hello doctor My mother has a lump on the side of her forehead it started off as big as thumb nail and in 8weeks is golf ball size it looks like a pumpkin in shape and bleeds and has puss coming out usually in the night she had a biopsy last week and is due for surgery on wednesday hopefully what do you think it is .....H Hartley | Hi,Dear H HartleyThanks for the query to My HCM Clinic.I studied your query in details and understood your health concerns.-Cause of the forehead painful bleeding lump with pus discharge-a-In my opinion-this is -Infected Boil which grew in 8 wks time to Abscess on forehead,which has burst openI would advise -a-Antibiotics b-Tb NSAIDs prior to Surgery, to ease out the after recovery after Surgery.c-Incision and Proper Drainage is to be done by ER Surgeon.This advise would help you to plan treatment with you doctor.Hope this resolves your query.Wellcome for further query in this regard. Have a Good Day.With Regards | |
Had unprotected sex, pain in testicles, have staff infection, treated for prostatios, not cured. Any treatment?
back in dec had unprotected sex with girl shouldnt have started felling pain in testicales groin and pelvic and discharge had discharge swab came back staff infection been on 6 or 7 atibiotics couple different uroligists and been tested for stds all neg bieng treated for prostatios right now but not helping any suggestions or help would be nice 6 months of this cant take much more stillhave clear discharge ever now n then aching in that eara testicales groin pelvic been burning after urinating help or suggestions please | HelloThanks for your query,based on the facts that you have posted it appears that you have developed Chronic Prostatitis.Please get and culture and sensitivity of urethral discharge obtained after doing a prostatic massage done to find out the organisms causing this infection and antibiotics to which they are sensitive to so that you can take appropriate antibiotics to combat infection.Prostatitis takes long time to get cured hence one needs to take antibiotics for 6-8 weeks,Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil. | |
How to get rid of pus and feces in navel?
Hello .. I'm getting discouraged ... I have had a navel condition for about 3 years ... There is puss and feces coming out of my navel and doctors have given me countless amounts of antibiotics and creams treating it as an infection ... I have had it catoized .. burnt shut ... and its back. What do I do . | Brief Answer:You need a surgical intervention to repair the abdominal wall defect and to reset the normal passage of the feces through the intestine .Detailed Answer:Hello,Thank you for using HCM.You need a surgical intervention to repair the abdominal wall defect and to reset the normal passage of the feces through the intestine . You have developed an umbilical hernia (the intestine or other tissues bulge through this weak spot around the belly button, umbilicus), which has become bigger over time, and infected. The infection has perforated the walls of the intestine, making possible the feces and pus, to come out from the navel. In these conditions the surgical reparation is inevitable. The open procedure and under general anesthesia is the most adequate in your case , eventhough you should see a surgeon to decide about the type of surgery, preoperatory preparatios, and folow up plan.You should understand that is really indispensable that you undergo the surgery, because the infection may affect all your general health and it may also develop even a more serious condition called strangulation. Strangulation occurs when the blood flow to certain parts of the body is suddenly cut off. Symptoms of strangulation include nausea, vomiting, and severe pain. The area around the umbilical hernia might look blue, as if you have a bruise. Hope this is helpful.Let me know if you need more clarifications. Otherwise please close and rate the answer.Kind Regards, Dr. Juarda | |
Q. Do ear infection and constant ear pain indicate any eardrum problem?
Hello doctor, The patient had three tympanoplasty surgeries in the past, the most recent being a decade ago. She has 10 % hearing in one ear where surgery was performed. Recently, the patient developed an ear infection. Black and white fungus detected in the air. ENT used a micro-suction device to remove the fungus which was successful, but the suction device caused some bleeding in the ear. ENT prescribed Tobrex for the ear. This caused the patient extreme pain and was discontinued after three days. The ear canal became very inflamed. A yellow discharge started coming out of the ear. The new doctor prescribed Levofloxacin antibiotics, Prednisolone, and Naproxen for pain relief. The patient still continues to suffer from extreme pain in the ear. | Hello. I need some details. Are the CT scan films those are attached (attachment removed to protect patient identity) taken after the development of the latest problem or are those taken during the tympanometry surgery in the perioperative period? Do you have the details of the surgery? Is it just a tympanoplasty or does it include mastoidectomy as well? Can you attach the hearing reports taken most recently? What medicines is the patient currently on? Is the course of Levofloxacin complete and does the patient feel any improvement? What are the complaints faced by the patient? Is the patient a diabetic and what is the age? Any medical condition for which the patient takes any medicines regularly? Otitis externa seems apparent but we need to find out the status of eardrum as well as sugar control. Kindly provide all details and we shall guide you on how to proceed further. | |
What is the normal range of blood sugar level?
I have an question regarding my diabetes. Iam 27 year old and i just got my test done like 20 days ago. Hemoglobin aic was 5.7% and mean plasma glucose was 126 mg/dl. my primary physician said that i have increased risk of diabetes. i was looking online they are saying that sugar level should be 70 to 130mg/dl before meal and less than 180mg/dl after meal. i just wanna tell you that day ate breakfast in the morning. so it means my glucose is under 180mg/dl. iam kinda confused.please help me. i think i don't have any risk. i did not tell my doctor that i ate that morning. | Hi, dearI have gone through your question. I can understand your concern.You should go for fasting blood glucose level and 2 hour after meal. Fasting level should be less than 100 mg/dl and post prandial level should be less than 140 mg/dl. Your hemoglobin is very low. You should go for ultrasound abdomen and peripheral smear examination. Then take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
Suggest treatment for painful lumps on feet
Hi, my 7 yr old has painful lumps on his feet, on the side below his little toe and on the bridge. They appear bruised tonight although they have been there for months now. His ankle bone looks swollen too. What can we do please, he is in a lot of pain. | Thanks for your question on HCM. I can understand your son's situation and problem. Painful, multiple lumps on lower limb can be due to 1. Staphylococcal infection (cellulitis) 2. Allergic skin lesions 3. Connective tissue disease (CTD). So better to consult dermatologist and get done clinical examination and blood investigations like ANA level, hemoglobin estimation, total WBCs, serum IgE level etc to rule out above mentioned possible causes. First diagnose himself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your son. Thanks. | |
Should I be worried about a dry socket after a loss of blood clot after tooth extraction?
I had wisdom teeth extracted, an upper and lower on the same side, 48 hours ago. A clot formed within 7 hours of extraction. /Thirty hours after extraction I drank a very thin drink gently through a straw, forgetting I wasn';t supposed to do that. The clot was still present at 40 hours but this morning 48 hours it is gone. Is that ok? Worried about dry socket of course. | Hello, Thanks for your query.A dry socket will present as intense/increasing pain typically 48 hours after a tooth extraction. It is caused by exposed bone in an area that has lost it's blood clot. Treatment is to have a medicated dressing placed into the affected area.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Reason for the raised rash in the thighs?
I have got tender, red blotchy and slightly raised rash on inner thighs. I originally thought it was chill blains as I had been in extreme cold a week and a half ago but they appeared a few days after then they went and came back yesterday when at work. What could it be? | Hi, It could be a urticaria (hives). But chances are there that it could be a fungal rash too. If your are too busy to visit a dermatologist, you could take an antihistamine tablet for few days. But, when you are free, you should visit the dermatologist to diagnose and treat the condition. Hope I have answered your query. Let me know if I can assist you further. | |
Does intense cold lead to fever & pain in the legs?
My son is 14 years old. He had a fever on Sunday of 103. Not unusual for him. Yesterday and today he just doesn't seem to be bouncing back. He says his legs ache a little today, but he doesn't hurt anywhere else. Is there a bug going around that I should be aware of or could it be the intense cold that we have been having? | HI, thanks for using healthcare magicViral infections are prevalent and it is possible that this is the cause of his symptoms.They can be associated with aches and pains along with fever.The ambient temperature would not itself cause symptoms.The use of rest, fluids and paracetamol may help at this stage.If additional symptoms occur or his symptoms worsen then you can treat or take him to see his doctor.I hope this helps | |
Can 1st stage cancer be successfully treated?
sir...a very good friend of mine has cancer...,and the cancer was caught on 1st stage..but now her doctors are saying that it is not cureable in india..,and now shes going to new york on 4th for treatment.., all i want to know is dat is there any possible treatment to save her life..?? | Hi,Thanks for writing in.It is important to know the details of the cancer and its extent. There are many types of cancer that can occur. They can involve any structure in the body and they are classified based upon the cell that is present in the cancer. The cells are further classified as well differentiated, ,moderately differentiated and undifferentiated.When a cancer is stage one it refers to the size and that it has not spread locally and there is no distant spread. However such cancers can have poorly differentiated cancer and if not treated properly, they can go from stage 1 to stage 4 quickly.Most cancers detected at stage 1 are treatable however there are some cancers which require longer treatment so that they are under control and do not recur after treatment is complete. Please do not worry. | |
Trying to conceive. Prescribed sitrodin shots, fertigyn injections. Will they help me conceive?
hello, i am 27years old female, ihave been trying to get pregnant from last 2 months, on my 13th day of cycle i went to a gyne. and she prescribed me sitrodin injection. i took 2 sitrodin shots and now i am being told to take fertigyn injection. may i know what are the results of these injections , will i be pregnant or not? if yes in how many days i will get the result? | Hello I appreciate your query. I assume that you are undergoing infertility treatment, and that too COH ( controlled ovarian hyperstimulation.) In this procedure, you are first given gonadotropins ( hormones that cause release of multiple follicles - eggs from your ovaries ). This is the injection Sitrodin as mentioned by you. Then, when mature follicles ( eggs ) are ready in your ovaries, Injection HCG is given to cause ovulation - that is rupture of mature egg/eggs from the ovaries. This is the injection Fertigyn that you have been advised. Hence, if you are under treatment of a proper infertility specialist, who has evaluated your case, and decided the need for such a treatment protocol, then you should not worry. There are side effects to such treatment, but you must go for proper counselling for the same. Also, to maximize chances of conception after taking such stimulation, you should go for an IUI ( intra uterine insemination ) also. Please consult your treating specialist for further information. You will know the results of the treatment almost two weeks after your IUI.. that is around the date of your next expected period. All the best. | |
What causes traces of blood in the sputum?
hi Doctors,First of all i would like to thank you for providing this consultation.Let me describe my problem here: -one day In 2005 i suffered with Blood vomiting and was taken to hospital and i was medicated with Acurit-4 drug for a period of 6 months.Later point of time it was fine, now & then(very rare) i see traces of blood in my sputum, which indeed takes me into depression.I am at 24 now,planning to get married in an year or so , because i undergone medication i feel i should not marry as such i will do injustice to my life partner. Please let me know your inputs on this,also suggest me what precautions should i take to prevent this.Thanks,Surya | Thanks for your question on Health Care Magic. I can understand your concern. You are having hemoptysis (blood in sputum). You are also having previous history of tuberculosis. So following are the likely causes for your hemoptysis. 1. Reactivation of tuberculosis 2. Post TB bronchitis 3. Post TB fibrosis and bronchiectesis. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray, sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis) and PFT (Pulmonary Function Test). On the basis of reports, treatment is directed. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Is Thyronorm advisable during pregnancy?
hi, I have taken a thyroid test and according to the report my TSH = 6, T3=1.69, T4=12.86 and antibodies are normal. My doctor advised me to start taking Thyronorm 12.5 mcg as I am planning to be pregnant. I came to know that thyronorm has to be taken life long. Is it so or can I stop medication after pregnancy period? | Hello,First of all, do not panic. Thyroxin tablets that prescribed to you are absolutely safe. You need to take these tablets to have normal functioning and metabolism of your body.Normal Thyroid functioning is important in the mental development of the baby in the uterus. So to have a normal brain and intellectual development of the fetus, you need to take Thyroxin tablets.Secondly, keep monitoring of TSH levels every three months. And it can be tapered or stopped if TSH levels remain below 3.5. Please start on Folic acid and vitamin B 12 supplements regularly. As it helps to prevent various complications during conception, pregnancy, and childbirth.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Purushottam Neurgaonkar | |
Q. 2. 5 year old suffering from stomach ache. Which medicine has to be given?
Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. | Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. | |
What causes a lump in the middle of the buttock?
I have a lump under the skin extending from the tip of my butt crack to my rectum / i have tried prep H (internal) Epsom salt bath / tea tree on pads / very painful to sit walk - feel slightly nauseas / not constipated and my stool is soft / slight discharge - not bloody more like puss | Respected user, hi I evaluated your query thoroughly .* According to your narration this seems Peri anal abscess formation due to any bacterial infection .* Strongly recommend to consult your doctor immediately without delay .Hope this helps you.Welcome for any further assistance .Thanks for using Healthcaremagic.com & giving me an opportunity to assist you.Wishing you fine recovery from the same.Regards dear take care. | |
How to treat ear and jaw pain after cavity filling?
Hi, may I answer your health queries right now ? Please type your query here... hi I had one cavity filling at the dentist a week ago and i am having ear and jaw pain (pain on just my left side from the filling but my ear and jaw hurt the worst just around the area where i had the filling done! I had white caps instead of the silver filling. Do you know why I have this pain? | Thank you for your query.Pain/sensitivity after filling usually goes away within few days, due to blocking of dentinal tubules within few days after filling. Please specify the pain is radiating towards the jaws or is in localized areas near tooth? | |
Is an elevated ALT level a symptom of liver dysfunction?
Hello Doctor! I am from Pakistan.My mother lives in Muree (Hill Station of Pakistan 7000 feet height from Sea Level). From Last month she had some stomac issues like vomiting in morning, Not hungry feeling, Heavy Belly Feelings and itching on body. She visited doctor and doctor asked for some test like Blood CP, Sugar, Hepatitus, Cerum Alt. And in results HB was 9.5 and serum ALT was 41 u/l which was higher than normal value.Normal value was I am very much worried. Plz guide me. Is this value shows seruois liver problem. Thanks | Hello, The 41 liver enzyme value cannot be considered high. So she is not having elevated liver enzymes value. Her hemoglobin level is low. For that I suggest investigate as follow... _Blood indices_Peripheral smear examination report_Serum ferritin, iron estimation_Serum TIBC estimation You can revert back with reports once done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
Throat tingling, coughing, vomiting, sneezing, watery eyes. History of diabetes. Causes?
Iam a diabetic type 2.My complaint is a tickle in my throat I then start coughing (very hoarse cough) to the point of sometimes vomiting ,then the sneezing starts then my eyes water and nose starts to drain.This has been going on for months.Note some mints seems to temporarily relieve these attacts.What is causing this problem and what can I do about it? | Hello,The symptoms as mentioned in your post suggest that you might be having Allergic reactions to certain allergens.Management includes:1. Antihistamine preparations like Allegra can be taken for symptomatic relief.2. Montelukast preparations, which is used as a maintenance therapy to relieve symptoms of seasonal allergies.3. Nasal decongestants & intranasal corticosteroids can also be used.4. Maintain adequate hydration & take a healthy balance diet.5. Also make sure that you are well protected from cold, dust & other allergensDespite these measures, if your friend is having the symptoms, then it will be better to consult an ENT specialist to rule out any systemic cause.Investigation such as complete blood count will be helpful.Wishing a Good Health.Thanks & take care. | |
Suggest treatment for congestive heart failure
Name: Diane Deaton Email:Comment: My dad is 88 years old and just admitted to hospice with congestive heart failure. I was reading about heart pumps and would like to see if he would be eligible for this and if he could get an appointment. I know his age is not good but I would rather take the chance of doing this than doing nothing except waiting for him to die. Please email me in regards to this. Me and my dad have grown closer in the past two years and I am not ready to let that go if there is any hope at all. Thank you so much.Phone: 859-912-1154 | Hello and welcome to HCM, madame. I carefully read your query. If you are referring to a left ventricular assist device (LVAD), they are usually used as a bridge to heart transplant. I am not sure how this works in your country, but I am quite confident that an 88-year old is not a candidate for transplant and, I am afraid, does not pass in the heart transplant committee. However, there are other precautions that can be undertaken in cases of congestive heart failure with low ejection fraction. It would be helpful for me, if you had provided the ejection fraction of the left ventricle, assessed with an echocardiogram. Nevertheless, the therapy should be strict and adhered to. Besides other drugs, a good outcome accompanies the addition of an angiotensinogen converting enzyme inhibitor (ACE-I) or an angiotensinogen II receptor blocker (ARB), a potassium-sparing diuretic (spironolactone) and a loop diuretic (furosemide), to both oppose the compensatory mechanism which, when acting longer than needed, are dangerous to the organism, and, also to reduce the heart workload. Besides this, salt should be totally withheld from his diet, because it is estimated that 1 g of salt retains 10 g of water. Also, you can discuss with his cardiologist about the possibility of implanting an ICD (implanted cardioverter-defibrillator, to automatically convert the potentially life-threatening ventricular arrhythmias, should they happen, which have a high predilection in the damaged heart muscle) and of a CRT (cardiac resynchronization therapy, basically a biventricular pacemaker, which helps both ventricles to contract closer in time). I hope this helps and answers your questions. Take care. Regards, Dr. Meriton | |
What causes severe cramps radiating from the knees to the legs?
My husband is getting terrible leg cramps at night, quads, from the top of the knees to top of the legs....worst than I have seen ever. I bought pure magnesium so he could rub on his body when he has a cramp. also calcium magnesium citrate to take orally. He still gets them...they just come up with a vengeance. | HelloLeg Muscle cramps are very common my advise for youTake plenty of water, fluid intake will dilute toxins.Physiotherapy with ultrasound and Tens will help you, you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself.Take potassium rich diet.Hot and cold fomentation to leg. You need to continue you medication for couple of month to see effects.Add tab methylcobal 1500 once day. Wishing you good health.Take careHope I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer, please give your review at the end of the discussion. | |
Lump formed after bee stung needs medical attention?
My mother in law was bit or stung by a bee where her neck meets her shoulder. Now a few days later the area is still flared and on her neck artery right upbove the sting there is a small marble sized lump that she can move around... Does this need immediate medical attention? | Hi ! Good afternoon. I am Dr Shareef answering your query.Even though it might not need immediate medical attention, I would advise you to get the lesion assessed by a general surgeon if it persists. Also, please get a routine blood sugar tested for her.If the redness or pain increases, then I feel that you should show her to the doctor early. For the present you can give her some over the counter anti inflammatory drug.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | |
What can cause pain around the naval?
I am experiencing small to sharp pains in my belly button and penis area. It started just when i sat up fast, and i got a sharp pain. I was wearing tight jeans that day, im not sure if that could hurt something down inside my body. It hurt to urinate, but then the pain subsided in about an hour and a half of sitting, relaxing, watching tv. Then when i thought it was all gone i played a game of kickball, the ball was kicked over my head, i jumped up to try and get it, and i got a sharp pain leading from my belly button to my pelvic area. It hurt, and i was wondering what i can do to stop it. | Hi.Thanks for an elucidate history. The history and pain is suggestive of a torsion of the testis,. Consult urgently the ER / Surgeon / Urologist . Get a clinical examination and most important is the ultrasonography and color doppler examination of the scrotum and abdomen to see for testicular torsion as this needs an urgent surgery to untwist and correct the torsion within 6 hours to save the testis. | |
What causes gradual onset of pain in abdomen towards groin area?
Gradual onset of pain in the abdominal wall on the right side starting just below ribs and has increased down the muscles toward the groin. Tender to touch and deep breaths. Makes me think hernia. No fever or upset stomach or bowels. About a week old. What should I look for? | Hi ! Good eveining. I am Dr Shareef answering your query.The possibility of a hernia would be less as the pain started from the upper abdomen initially and then went down to the groin. Also hernia would be diagnosed with a lump in the groin in addition to a personal physical examination. If I were your doctor, after a clinical assessment, I would advise you for an ultrasound of abdomen to rule out any other intra abdominal conditons like a gall stone disease, or a ureteric calculi. Till then, I would advise you for an anti spasmodic along with a proton pump inhibitor drug for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
I drank liquor and smoked during pregnancy. Will it affect my baby ?
i didnt know i was pregnant and drank 4 loco which is like malt liquor with energy drink smoked cigarettes and took extasy could this harm my baby? when i did that i was 5-6weeks and down now im 11 weeks. | hi welcome to health care magic.yes it definitely affects your fetus health.so now you stop smoke and drink ,and also do regular gynec check up ,taking iron and calcium for growth of your baby. thanks dr.dhara dhara.shah84@yahoo.in | |
Suggest medication for PCOD
Hii.. I have pcod. I m trying to conceive. I m not having my periods since 2 months. Taken pregnancy test but it was negative. So I have taken deviry 10 mg tablet. Its 15th day after I have completed course. I don't have my periods. Pregnancy test was also negative. What to do?? Should I wait for one more pregnancy test.. or what to do?? | Hello,Thanks for choosing healthcare magic for your query..I understand your concern. As you mentioned about being PCOD, it is common to have irregular periods.Get your urine pregnancy test again . If it is negative then you definitely need some tablets to get your period. Generally Deviry 10 mg is taken for 10 days. So it is important how many days you have taken the tablets.It is highly recommended that never to take tablet Deviry for getting menses when you are trying for pregnancy rather take some natural progesterone like Cap Susten SR 300 at bed time for 10 days.In case when my patients don't get period with Deviry for 10 days then I generally advise them to take Tab Overal G for 21 days. You can wait one more week to get menses and if not then start tablet.As you are trying for pregnancy get your check up done with Gynaecologist. You might not be ovulating or your estrogen levels(one blood test) need to be done.I hope this helps. Feel free to contact again if any query.Regards,DR TEJASHREE BHORGYNAECOLOGIST, DHANORI, PUNE. | |
Epigastric pain going into back and shoulders, nausea, vomiting, rib cage pain. Had gall bladder removed. Any idea?
I had my gallbladder removed in May 2012 and I felt great afterwards. Now a few months later, I started getting severe epigastric pain that goes into my back and shoulder blades. It is so painful that it stops me in my tracks. It will usually last from 15 minutes to half an hour. I get this usually a few times a week. I feel nauseous when it is happening and sometimes vomiting makes it feel a bit better. I know I am about to get it as I usually feel a pain in my lower left ribcage or lower right ribcage before it happens. Any idea what this could be? | Hello c. Welcome to healthcaremagic.com. There are many causes of epigastric pain, but due to your symptoms, which appear to be similar to gallbladder-related pain, I am going to take this answer in that direction. If you had your gallbladder removed due to gallstones, there may be a retained gallstone that can cause symptoms that make you think you have a gallbladder again. This would be the first route that I would investigate if you were walking into my office with this complaint. I would advise that you need to talk to your physician and both of you need to decide further steps to be taken. I want you to keep a journal of the foods eaten, the time of the attack related to food intake, record any foods that seem to make the attacks worse, and make note of any other associated symptoms like heartburn or diarrhea. Take this journal with you to your physician when you see them. I hope that this helps. Be well, Dr. Kimberly | |
What does these chest x-ray after an injury indicate?
Bilateral apical pleural thickening seen.This is what comes in my xray report . 2 week ago I got hit by rickshaw right side of my chest. I hav started facing breathing problem. Can't take complete breathe feel pain right side of my chest. How to cure this problem.? How long this Will take.? Can I continue my gym activity? | bilateral apical thickening in xray is not to be worried. before 2 weeks injury can lead to some lung contusion or collection in lungs, you need to get xray chest done again and if required go for CT scan of chest. if all normal, then do deep breathing exercise, spirometry and you breathing will improve and pain will subside gradually. | |
Having anxiety, irritation problem. Took paroxephine, symptoms worsened, getting paranoid. Medication?
Hi I have anxiety and have irritability, my doctor has prescribed me Paroxephine but my symptoms have gotten worse. I have been herring voices of people I know wanting to kill me, I think people are talking about me I'm getting paranoid all the time, can you please suggest something better I can take and preferably something with minimal side effects. My doctor is changing my script to Zoloft but my friend says they are just as bad. I would even consider something more natural, I do smoke pot a couple of times a fortnight but don't drink alcohol or take anything else.Thank you for your time to answer my question. | It is important that you consult a psychiatrist for your complaints and tell her about these symptoms of hearing threatening voices of people and that you fear that they may harm you. You may need a different set of medications than paroxetine or sertraline. You may need antipsychotics such as risperidone, haloperidol etc. in appropriate doses. Smoking pot is a double edged sword. You may feel less anxious and relieved when you use pot. However, the pot can make these voices appear with even more intensity and you will find yourself trapped in a vicious circle. Do discuss this issue with your psychiatrist too. Hope it helps. | |
What causes twitching in my muscle?
my Vastus Medialis muscle has been doing some twitching over past 3 days. It does it while I am sitting relaxed. The muscle just keeps moving and twitching at sporadic moments. Have I injured it to cause this or is there some other reason why it would just spasmodically twitch | Hello, The occasional twitches in a single muscle can be due to a mild nerve root irritation. These are usually harmless. Taking methylcobalamin supplements can help in reducing it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | |
History of benign tumor, spegelian hernia, staph infection. Extremely high lymphocytes, extreme low wbcs. Chronic Lymphocytic Leukemia?
Since 2009 I have had a few odd illnessesRuptured appendix encased within a benign tumor, spegelian hernia on my left side, staph infection lasting 6 monthsThroughout these years I have been told my lymphocytes are extremely high and extreme low wbc, anemiaWas questioned about cll but no one has ever sent me to be testedShould I be concernedMy bones hurt like not joints but actual bones | Hello and welcome to HCM,An extremely low white blood cell counts, high lymphocyte count and bone pains is suggestive of sub-leukemic leukemia.Bone pains are usually seen in conditions wherein there is infiltration of the bones by tumor cells or by weakening of the bones.A bone marrow aspiration can be helpful in such situation.In sub-leukemic leukemia, the tumor cells are present in the bone marrow but the white blood cells are not raised.Another investigation which is very helpful in CLL (chronic lymphocytic leukemia) is monoclonal studies of the lymphocytes.In any leukemia like CLL, the cells which are increased (lymphocytes) are monoclonal i.e. arise from same clone.You need to consult a hematologist for further workup.Thanks and take careDr Shailja P Wahal | |
What to do if lithotripsy cannot break a kidney stone?
46 year old male, had lithotripsy on left kidney to break up 4mm stone. Every went fine and urinated fragments out. Two months later had 5mm stone in right kidney lithotripsy didn t break up. Had it lithotripsy done again a month later, again didn t break up. What next? | HelloThanks for your query,based on the facts that you have posted it appears that you have a stone of 5mm size in your Rt kidney and it did not get fragmented even with two attempts of lithotripsy.The stone of a size of 5 mm is likely to be passed down through ureter in to bladder and urethra .You have to ensure that you drink more water to produce more urine to have a diuretic effect.Taking alpha blockers like Tomsulosin will help to pass it down through ureter smoothly .In case if it gets impacted into ureter and gives severe pain it can be fragmented endoscopic procedure called UreteroRenoscopy(URS) .Dr.Patil. | |
What is the solution for upper lip and forehead hair in 7 months old baby girl?
Hi, My daughter is 7 months old.She was born with hair on the body, but she lost all the hair on the body except for the upper lip and forehead.It kind a looks very dark on the upper lip , just like a moustache and the forehead has also little hair.I am worried more abt the hair on her upper lip.Is there anything that I can do abt it. Thanks in advance. | Hi there! Thank you for contacting us. With what you are describing may be due to an elevation in testosterone. Even females have testosterone, and it's to a lesser amount than in the males. I would take her to the pediatrician and ask to test for testosterone levels. I hope that helps. Thank you for contacting us. | |
Suggest treatment for fever and headache caused by bee sting
child got stung by bee or wasp, stinger taken out immediately. no swelling at sting site. child has developed fever and headaches 24 hours after sting but no swelling at sting site. what should we do? Just give benadryl and motrin or seek steroid treatment from doctor. Benadryl and Motrin break the fever for few hours. | HI having fever and headache after bee sting is due to hypersensitive reaction due to release of mediators in the body because of sting.If it is severe, needs close observation,Paracetamol will be helpful for fever and headache and you can use Benadryl for the sting irritation | |
Elevated liver enzymes, pain in the abdomen. Normal blood test report. What could be wrong?
I am a 42 year old male. Last year at my physical I had borderline elevated liver enzymes . Over the last 4 days I have had right sided abdominal pain that was brief and went away. It continued so I went to see the dr. He did full assessment and nothing was enlarged or seemed abnormal during physical exam. He did my blood work. Tonight he called and said my liver enzymes were off the chart.( no number given). I have no other symptoms. | Hi and welcome to HCM It sounds to me like billiary colic. Ultrasound should be done to detect is there any stone in gallbladder. If you have pain after meal, especially fats and alcohol then it would confirm my opinion.Also elevated enzymes are found in gallbladder disorders. Physical examination can find enlarged liver or spleen but gallbladder cant be examinated without imaging tests. Till you do this you can try with dieatary changes. Avoid fats smoking,alcohol and see is there improvment. Wish you good health. | |
Is Ecogen treatment suitable in patient with congestive heart failure?
My mother is 89 years old, has congestive heart failure, artificial heart valves and a pacemaker. She is on warfarin and several other medications. Her Dr is discussing Ecogen as a treatment for low hemoglobin. She has transfusions regularly. Would she be a good candidate for the treatment or would the side effects out-weigh the benefits. | Hello,Epogen is given in chronic anemia that comes from renal problems (chronic renal disease). It happens that cardiac patient suffers from renal disease too. Have your mother renal problems? If yes, she should take the Epogen which substitute erythropoietin, a substance that produces by rens and in chronic renal disease. It decreases and takes a patient to chronic anemia.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Anila Skenderi | |
Could econorm cause stomach pain and vomiting?
I have given econorm to my 10 yr daughter as prescribed by her doctor for stomach ache . She was given yesterday night 9.30 pm , today morning she complained of stomach pain and brought out (vomited ) her breakfast and lunch in viscous dough like substance at 6.0 pm today Does econorm have any such reactions ?? | Hello,Yes, the side effect of econorm is nausea and vomiting. Stomach ache and vomiting can occur due to indigestion, food allergy / food poisoning, liver dysfunction or acid reflux. You are suggested to give her anti emetics and once the vomiting stops, keep her well hydrated. Give water, juice, ORS or some warm beverage.You are suggested to visit ER, get her clinically examined. She may need some urgent medical aid and intravenous drip. Get her urinalysis and blood tests done. In the meantime, you can give her antacids & antispasmodic for relief.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician | |
Q. Why is my ECG showing low voltage with QRS 86 mm?
Hi doctor, My ECG shows low voltage with QRS 86 mm. I am physically fit and active with no such issue a year ago. What could be the cause and solution? | Hello. Could you upload your ECG picture? It must be 86 msec, I guess. Low voltage ECG may be seen as a normal variant, also seen in obese individuals, smoker or patients with heart disease like fluid around the heart or in lung disease. But, if you do not have any symptoms then it is likely a normal variant. Patients with a disease will have other symptoms too. | |
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. | |
Is there chances of pregnancy due to torn condom?
Hi I had sex with my wife and i was using a condom but unfortunately after my sperm came out it got licked from bottom of the condom..is there any chance of pregnancy..i guess the sperm would flow down instead of passing through fallopian tube..please advise.. | Hello,I understand your concern. There is chance of pregnancy as condom was torn and semen leak from the bottom. Semen may get enter into vagina as it leak form bottom. So there is always some chance of pregnancy in this type of act.I would suggest to take I pill with in 72 hour of sex to prevent unwanted pregnancy. If 72 hours has been crossed then wait for period. If period will delay by more than 7 day then go for urine pregnancy test and or blood HCG test to confirm pregnancy. If you will be pregnant then you can still terminate it by abortion pill under the guidance of gynecologist. Meanwhile avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar | |
Suggest treatment for cold , loose motion and fever
My sister inlaw is suffering from fever from last two days on 5th sep night start fever with cold next day 6th Morning in cough some blood comes, whole day fever was between 100 to 104 C. Blood plattelts count was 175.4 lacs/comm 7th morning fever there was fever between 100 to 102 C. Start itching on whole body after afternoon. Body pain was started and also started loose motion started. Today still ferver is in betw 100 to 103, body pain, and loose motion, Blood plattelts count is 154.3 lacs/comm Pls suggest what i have to do and what and where i have to go for treatment. currently are residing at Dwarka, New delhi. Pls help. | Hi Dear,Welcome to HCM.Understanding your concern. As per your query your sister in law is having symptoms of cold, loose motion and fever which seems to be due to acute gastroenteritis which could be due to a virus. Need not to worry. I would suggest you to start giving oral rehydration fluids sip by sip to maintain the hydration. You should take Probiotics such as lactobacillus. Visit general physician once and get it examined. You should take antiemetic like domperidone and ranitidine for gastritis. Avoid giving any sharp and spicy food.You should go for blood tests as well and start treatment after proper examination. You should give Ibuprofen to her along with proton pump inhibitors as well.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Could spot in the place of biopsied breast be phyllodes tumor?
I have a strong family history of breast cancer (mother at 47 and aunt at 49). I am 22 years old, and had a biopsy on a spot in my left breast that they removed completely in 2009. They stated it was a fibroadenoma at the time. In August 2010 I had an ultrasound, and they said that they could no longer see the fibroadenoma. Last week I had another ultrasound and the spot is about the same size as it was when it was originally biopsied. They stated it could be a phyllodes tumor, but want me to wait 6 months to have another ultrasound. From what I have read about phyllodes tumors, if this is one, I don't want to wait that long. Should I see a breast surgeon? | Hi, dearI have gone through your question. I can understand your concern. You may have fibroadenoma or phylloides tumour or some other lesion. Ultrasound doesn't give perfect idea. You should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What causes itchy warm hands,dizziness and rapid heart rate?
Greetings! I awoke suddenly last night to itchy, red and warm hands and feet coupled with dizziness and a racing heart beat. The itchy, red and warm condition quickly spread up the inside of my legs and my jaws and ears. The dizziness and racing heart rate caused me to sit down quickly, as I feared that I would pass out. Please let me know if there are true concerns here. Thank you in advance. I appreciate any input!!! | Helloi really appreciate your concernLooking at your history this could be any of followingheart attack severe allergic reaction might be due to an insect biteAnxiety disorderpanic attacksto help you better I would like further informationlike your age any history of heart or lung diseaseIn my opinion you should visit your GP for examination recording of BP AND battery of tests like hemoglobin CBC and test for cardiac markers and an ECGHope.this addresses your questionplease feel free to ask for direct questionregardsDr BR Hudda | |
How to treat the condition of trigger finger?
I think I have what they call trigger finger the finger next to my pinky on my right hand, I am left handed, also there is a spot on the same hand in the palm that seems to affect my finger it is very tender and sore to touch I can press there when finger is bent and it trys to open but usually I have to take my other hand to open my finger. it seems to be starting on my pinky also. what can I do? | Brief Answer:Get it examined by orthopedician followed by steroid shot in affected finger.Detailed Answer:Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services.I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.Based on what you said, it is likely to be trigger finger. You also need to mention whether you feel painful popping when you open the finger. You don’t require any tests to confirm it but finger needs to be examined by orthopedician.I routinely treat patients with trigger finger by a steroid shot in the affected finger and I would recommend it for you too. If it doesn’t improve, another trial of steroid shot can be given. If the above strategy fails, then a minor surgery will be required to treat it but most of the time steroid treatment works.Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow up to see how you doing.Regards!Dr. Ali Raza | |
Will the dissolvable stitches leave track marks in the future?
My 5 year old daughter fell on Wednesday and busted her chin open, requiring 5 stitches at Children s ER. The Dr. said the stitches are dissolvable and if they do not dissolve within 7 days, see her Dr. to have them removed. I am worried about the stitches leaving track marks. Should I see her Dr. after 5 days instead? | Hi,The type of stitches will not affect the probability of scar formation. Any wound when healed may leave some scar- but when we stitches the wound and secondary infection is prevented, the scar becomes very minimal. No need to go earlier. The most important thing for minimising scar is to keep the wound clean and dry until full healing (to avoid infection), so avoid soiling and apply dressings / antibiotic creams as advised.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician | |
My urinalysis test result
hi..im 21 yrs..the result of my urinalysis,,pale yellow,clear ph :6.0 glucose:negative protein :negative 0-2/hpf 0-1hpf epithelial cells :rare bacteria :few amorphous urates :few | hi..im 21 yrs..the result of my urinalysis,,pale yellow,clear ph :6.0 glucose:negative protein :negative 0-2/hpf 0-1hpf epithelial cells :rare bacteria :few amorphous urates :few | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Could anteroseptal infarct be an anomaly?
43 yr old male, 73 inches, 200 lbs. BP 120/76, HR 57. Have had regular EKGs, ECGs, and stress tests the past 5 years or so for physicals and life insurance applications, but today I received an EKG result that says "consider anteroseptal infarct". Doctor asked me if I was an avid runner (I am not) because my EKG indicated an enlarged heart. Should I be concerned about this, or might this be an anomoly? | Hi ThereI understand your concern Sir, but let me tell you that EKG machine is not a doctor and the comments comes out of it printed is not reliable, being a cardiology practitioner i can assure you that. What i would like to suggest you is that go for an ECHO-CARDIOGRAM to rule out any abnormality. If you never had any chest discomfort in the past like pain or heaviness in the chest along with sweating and breathing difficulty its highly unlike to have an heart issue.Wish you Good Luck | |
Suggest treatment for soiling of clothes in a child
MY SON IS 3 AND HALF YEARS OLD. HE DOESNT TELL US IF HE WANTS TO PASS THE MOTION AND IF DOES IN HIS UNDER PANTS THAT ALSO HE DOESNT TELL US. HE KNOWS THAT HE HAS PASS THE MOTION BUT I DONT KNOW WHY HE DOESNOT TELL US . HE JUST STAND STILL AND WHEN WE COME TO KNOW THAT HE HAS DONE THE SHIT HE DOESNOT COME WITH US TO THE TOILET. I HAVE TO SHOUT AND TAKE HIM TO THE TOILET. PLS CAN YOU HELP ME FOR THIS THING . I DONT KNOW WHY HE DOESNT TELL ME INFACT HE DOESNT COME WITH US TO THE TOILET TO CLEAN IT. | Hello and welcome to healthcare magic.The behaviour your child is exhibiting is encoperesis (pants soiling).Most commonly it is due to Fear of loo which develops secondary to Painful defevasion (bowel movements).Painful defecation most commonly is due to constipation.Treatment involves removal of impacted stools from gut by giving enema or glycerine suppoistary (medicine given via anus)After that constipation is treated by lactulose syrup and increasing fiber and water intake.Also get your babies rectum ( last part of large gut)checked by paeds surgeon.Treatment also involves behaviour modification for bowel movements and fear of loo.It is done by psychotherapistHope you find this answer satisfactory.Good luck. | |
What causes cracks at the corner of the mouth?
I have had a cracked corner of the mouth with a circular red area, very painful keeps cracking open for the last 10 days and now have a nostril wth a painful crack. Previously I had a sinus infection with sores in my nose but no discharge. Ointments give relief but do not cure thanks | Hello,With your history of the recent sinus infection and nasal discharge, I suspect this to be related to the infection. Possibilities include strep, thrush, or virus. Your saliva or nasal discharge may carry the infection to the corners of your mouth. If you were breathing through your mouth due to sinus congestion, saliva or drool especially at night can cause the irritation. Did you take any medication for your infection such as an antibiotic? Some antibiotics such as amoxicillin can throw off the natural balance of the oral bacteria in your mouth and cause thrush. If strep is untreated, you may need to address this to help the corners of your lips clear up. You can try various over-the-counter treatments and gels to ease your symptoms. A light coating of Vaseline may offer a layer of protection to allow healing. Applying vitamin E can assist healing.There are anti-viral gels that can accelerate healing. You can consider a visit to your physician or dentist to help with a diagnosis if you did not see a doctor for your sinus infection. Depending on your diagnosis, a prescription medication or gel miay be available.Other causes include a collapsed bite and vitamin deficiency. Your dentist can examine your bite. Your doctor can order blood tests to check for a vitamin deficiency. Make sure you stay hydrated, have a nutritious diet with balanced vitamins, and that your dental health is maintained. Take a decongestant if necessary to stop breathing by mouth. Avoid stretching your mouth open wide and do not wet the corners.I hope my suggestions offer you some relief. Thank you for your inquiry. | |
Suggest treatment for bad breath
Hi,i have horrible mouth smell..it is like taht all day..i have been to dentist and they said there is nothing to do with ur teeth..and then i thought it might be coming from my stomache..even thoguh i brush my teeth it smells hprrible..it smells just 10-15 mins after i brushed my teeth..i cant talk to people at all..can u pls help about that??thank u..i am 23 years old..82 kg and 1,73 cm tall.. | Thanks for your query, I have gone through your query.The possible causes for the bad breath could be the gum infection or deposits, pus discharge. Consult a oral physician and take a opinion to rule out these causes. these causes can be treated by getting your teeth cleaned and maintaining oral hygiene.If these causes are not there then, it can be secondary to respiratory disorders like sinusitis or gastrointestinal disorders. Consult a ENT and Gastroenterologist to rule out these causes.I hope my answer will help you, take care. | |
Q. Is scoliosis a life-threatening one?
Hi doctor, For the past four months, I am suffering from neck stiffness especially when turning to the left. Also, I am suffering from heaviness of head, trembling of the head in certain neck position and shortness of breath, especially on moving to the chest level. When I wake up in the morning after sound sleep of 6 hours I do not feel bad. But, as the day progresses my problem gets increased. In the office, I have to work for 8 hours and my commuting time is 3 hours. So the problem increases while in office and when I travel by car where I have to sit for a long time. Also, it is not possible for me to quit my job. My echocardiogram and brain MRI are normal. My cervical spine MRI shows mild scoliosis with convexity to right, a small central posterior disc bulge at C5/C6 level indenting the thecal sac. There is no cord compression or central canal stenosis. Is my problem life threatening? Can the above problems be cured through exercise? Can I lead a normal life? | Hi. As you have very well explained your symptoms, I am so thankful to you. I would have appreciated if MRl image too available. Scoliosis can give rise to spasm of paraspinal muscles of the affected area, and in your case neck, this explains your neck stiffness. Does trembling of head on bending correspond with your pulse? If yes, then it is a normal phenomenon. If no, then during pain and stiffness there is reduced strength of muscles which sometimes leading to trembling. Your condition improves with rest and worsens with exertion, clearly implying mechanical cause to your symptoms. Shortness of breath on bending neck forward is not a routine orthopedic symptom. Do you have any swelling in the neck? Do you have any cardiac or heart condition or chest disease? Your condition is not life-threatening You need a course of muscle relaxant with painkillers. Take rest for some time along with physiotherapy and once the pain subsides, start with isometric cervical exercises to strengthen neck muscles. Change your postural habit of sitting while at work and while relaxing. These changes in your lifestyle will help you immensely. The degree of scoliosis, its progression, pressure on cord or nerve roots and the current level of your symptoms will define the need for surgery. | |
Q. I have Carpal Tunnel syndrome with pain in my hands. Please help.
Hello doctor, I am a 17-year-old female. I was diagnosed with Carpal Tunnel syndrome last year but the pain started before that. At that time my hand only hurt when it was bent to a certain position, and it hurts when I am on my fours or when push-up position. It did not hurt when my hand was squeezed or doing hand exercises. The doctor prescribed me with Etoricoxib (Arcoxia) 60 m which I took twice a day for a week and told me not to move my right hand. I tried not to use it as much as possible but since it was school time, it required me to use my hand. After the medication was over, I was not able to come back to the hospital (even though I was told to if the pain did not go away) and talk to my doctor about the condition of my hand. Now, my hand, specifically the palm of the thumb, started to hurt even if it was not bent or I am in a push-up position. It is more painful when it is squeezed. Our place is quarantined and I am sure getting appointments will be hard during this time, so I am trying to relieve the pain at home. But still, I want to have some instructions from the professional. I have 10 Arcoxia pills here at home, should I take it to relieve the pain? Should I follow the initial instructions of my doctor and take it twice every day or just take it whenever I feel pain? What should I do? | Hello. Please take the pain killer Etoricoxib only if you feel pain. Try to apply a wrist support belt. It will help your wrist to keep in position. Carpel tunnel syndrome. MRI (magnetic resonance imaging) of the wrist. Nerve compression. Carpel tunnel syndrome. Tablet Etoricoxib 120 mg 1 tablet for 10 days, GABA 200 mg one tablet for one month, Rabiprazole 20 mg one tablet for 10 days, Meco OD 1500 microgram one tablet for one month. Do not lift heavy weight. With MRI report. | |
Suggest remedies for hernia and abdominal pain
Dear Doctor, I am a 65 yr old female and i am suffering with full body pain specially in updomen , leg and chest i am unable to drink or eat sugfficient foods. today diagnosed for x ray , ECG and endoscope but ther is no problem mentioned. only endoscope report said little swelling in side . and doctor said little problem for hiranya also. i dont know what is hiranya and what i have to do for that. We both husband wife are alone and childrens are far away from home . So please let me know how to proceed for treatment. Thanks and Regards Gouriamma | Hernia is protrusion of intestine through the weak point in abdomen through hollow viscus. Hernia can occur even through surgical scar site. Patient can feel a dragging pain . usually hernia Is felt as lump in the abdomen when the patient coughs or strains to defaecate. Its advisable to seek surgical opinion before the hernia strangulates. | |
Can a knee surgery cause fever?
Hello, my mom had knee surgery about a month ago, was in rehab for 2 weeks and now she is home about 2 weeks. I saw her Monday and she seemed under the weather, and here in ny it was beautiful out. But anyway, that night she started with a fever. She has had it ever since, and does respond to Tylenol, but fever has been spiking over and over again. she hasn t broken it. what do you think | hi,thank-you for providing the brief history of your mother.As you mentioned she have undergone knee surgery it is not connected to that. Usually there is a slow metabolism in her which has been making her feel weak. Also, please understand that due to the surgery her mobility is reduced, which has lead to weakness alot. As the cellualar metabolism is slow. It will take body to get adapted to the optimum performance again which is not a concern. Also, on a safer side the blood & urine culture performed will assist if he has developed any infection. or else in my understanding with personal experience I do not think she has fever due to knee surgery. Slow metabolism will lead to little rise in temperature and bodily physiological functioning. Put her on exercises as it will help improve the strength and metabolism. Also, performing regular breathing exercises will help her to have oxygenated blood for the systemic requirements.RegardsJay Indravadan Patel | |
What causes constant pain in fingers to wrist?
Hi, I have developed a constant pain in my hand , started today, from base of index finger to wrist and up to base of thumb ( triangle shape ) pain results in weakness of grip, pain increases if I try to grip. Cannot bend thumb to palm of my hand properly. | dear friend is it in one hand or bothdo you have stiffness in the morning if so for how long.if it has started suddenly without any injury then possibility is that you are having tendonitis the treatment can be started only after a proper diagnosis so please visit your rheumatologist/ortho for a thorough checkup | |
Suggest remedy for bruise in leg
I fell on my knee over a month ago and bruised my lower leg. Below my knee, a lump formed and has now become hard, appearing to be almost like a bony growth. It is no longer painful but it is somewhat unsightly and I am wondering what it is and whether it will eventually go away. | Hello, Your symptoms seem to be related to be related to the injury. I suggest to do an X-ray of the leg to exclude the possibility of a fracture. I also suggest to consult an orthopedist for further evaluation and a specific treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
What causes gum bleeding and tongue blisters in an infant?
My 1 year old daughter has blisters on her tongue and her gums are swollen and she had a fever 3 days ago. It is painfull for her and she cries a lot and does not sleep for long periods of time like she used to. The gums bleed from time to time and she has lost her appetite.. Any suggestions what this could be?? Robert | Thanks for your query, I have gone through your query.The bleeding gum and tongue blisters could be because of the herpes virus infection(herpetic gingivostomatitis) usually associated with fever.You can also take topical anesthetic and analgesics like anabel gel for the pain. Do saline gargling, You can take systemic antipyretics like crocin syrup. It is a self limiting condition, just take symptomatic treatment. If it doesnot subside in 5 days, then consult a oral physician.I hope my answer will help you, take care. | |
What causes coughing and fever after vaccinated for typhoid?
my son of age 25 month is suffering from typhoid. just seven days ago he had vaccinated for same disease.medicine zifi redimix100 & zithrox are started from y,day.he is coughing badly,fever & diarrhoea is noticed. your advised for diet.how many days it persist.when hospilization needed?. | Thakns for posting your query to HCM. TYphoid is caused by a bcterial and appropriate antibacterial treatment releive the disease symptom within about 7 days but complete recovery take wks .Antibiotics you are taking will help in recovery but if you are not getting releief in your fever , IV antibiotics may be needed after hospitalization . dont wait if fever persist or patient experiencing abdominal pain or fainness immidiately admittesd to hospital .About dite part, there is no specific dite restriction so you can have light dite rich in vitamin , green vegiables fruits, juices .Avoid faty spicy food .take care | |
Suggest treatment for wheezing and dry cough with asthma
Hi. Ive got a really dry cough that's been bothering me for days now. I used to suffer from asthma but have taken no medication for it since I was approx 15yrs. I'm now 18 and I worried that it might have returned. I also have a cold at the moment and I have wheezing at night. What should I do? Is it just a cold? | People with history of asthma have exacerbations with seasonal viral illness of upper and lower respiratory tracts and allergies of upper respiratory tract In your case, it seems upper respiratory tract involvement by viral illness/ allergy with mild wheezing due to exacerbation of pre-existing asthma. take over the counter medication for cough and cold and you need salbutamol inhaler /Bronchodilator Syrup or tablet which is a prescription drug. symptoms should resolve with in a week | |
What causes mild nausea, breathlessness and pedal edema?
Within the past week, I ve been experiencing mild nausea throughout the day. Last week I was surprised to have shortness of breath with fatigue when walking only less than a city street block. I had to pause to rest twice before resuming my walk. I also have quite frequently noticed pedal edema with the left foot and leg with the left foot being larger than the right. | Hello,These symptoms are quite concerning for heart disease. You should see your doctor immediately for evaluation and testing.Regards | |
Headaches, sensitive towards light, eyebrow drooping over eye, had sunburn. Brain tumor?
Could I have a brain tumor? I've been having constant headaches on the right frontal region of my head. Sometimes it gets really bad to where I lock myself in the closet in the dark and cover my ears, but sometimes I just try to ignore it. Never the less, its pretty much a constant thing. I also have sensitivity to light. If I look at a blinking light for just a second it hurts bad for the rest of the day. Sun and artificial lights make it hurt as well. I haven't really been concerned until this morning when I woke up and looked up at someone I noticed my right eye brow drooping over my eye. When I try to raise my eye brows only the left one moves. I know its not a stroke since its been several hours. I got pretty sun burnt 4 days ago and thought that might have something to do with the facial paralysis maybe? but it hasn't been like this until today. I did some research online and all these things seem to lead to a brain tumor. I'm just a bit worried now. Any advice? YYYY@YYYY | Hello Thanks for your query. Photophobia, headache are usually seen with migraine. Don't think about brain tumor unless as you don't have vomiting. But if your still worried about that, then you can go for CT brain. As per my knowledge you might be suffering from migraine, i suggest you to consult ENT and ophthalmologist to rule out other causes of headache. If they suggest CT brain they you can go ahead. Thank you | |
What causes fever with dizziness and shortness of breath?
My 7 year old son has a 103 fever with dizziness, shortness if breath and a fluctuating resting heart rate. Lying down, his rate had changed from 138 to 66 to 112 to 144 within a 5 min period. His oxygen percentage was 97% lying down and dropped to 92% upon standing and walking slowly. Do I need to be concerned? | Yes he may be suffering from bronchiolitis association with viral myocarditis. In this situation there will shortness of breath, irregular pulse rate and extreme tiredness. You must consult with emergency department of hospital. He requires supportive therapy with oxygen and fluids. | |
Can 5 years of lisinopril cause stage 3 ckd?
have stage 3 ckd could 5 years of lisinopril have been a factor? would switch be wise to replace lis. with amlodipine? Thanks in advance...Mike If i have to pay for this please cancel because I have no money.....do not answer my questions if i have to pay....thanks | Hello, This time there is no payment fee. Yes, sometimes the use of lisinopril is associated with kidney disease, however, we should consider other causes like hypertension itself, associated complications or so. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Albana Sejdini, General & Family Physician | |
What is the itchy rash I have developed on my skin?
I have just been told that the cat I was caring for had severe scabies, I developed an itchy rash in the last four days, but I also remember not feeling well and having a low temperature before the rash developed. I am aware that scabies from a cat cannot be passed to a human, so am curious what this itch rash is. | HiThis could be an allergic reaction so you can try benadryl or Claritin but you should see a doctor for this | |
Suggest treatment for disc protrusion at T9-T10 level with narrowing of neural foramen
hi, I had a MRI done this is the results. at the t9-t10 level there is a small paracentral disc protrusion seen just medial to the left t10 pedicle resulting in MOD. narrowing of the t9-t10 neural foramen. what does this mean? would this be causing me pain in my back? would me falling and landing on my back have caused any of this, since i had no pain before the fall? and what can be done for it? | Hello, I would explain that these MRI findings are indicative of a slipped intervertebral disk, which is compressing the nerve root. This finding is compatible with the back pain. It could be related to the trauma or to weight lifting. Anyway, I would just recommend avoiding weight lifting, trying to lose some weight if you are overweight. Consulting with a spinal surgeon may be needed if the pain persists. Hope I have answered your query. Let me know if I can assist you further. Take care. All the best. Regards, Dr. Ilir Sharka, Cardiologist | |
Suggest treatment for high BP with spinal stenosis
My bp was 154 over 63 with a pulse of 71 What does that indicate I am a 68, female and recently diag. with a severe focal stenosis of the proximal left internal carotid artery. I had a MRA. I am usually healthy and went for a regular checkup. My bp at that time was 168 over 9o with pulse of 72. In the past my pressure is usually normal of below | Hello,Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem.There is a term called "White coat hypertension". It came up when it was noticed that people having normal blood pressure when visit hospital for checkup, tend to have higher BP this is probably because of the anxiety and concern about one's condition and what happens next. If you had higher blood pressure in the hospital but usually your blood pressure stays fine it is very much possible that you had white coat hypertension. There is a simple thing to check it which you can do at home. Just get a Blood pressure apparatus and start checking your blood pressure twice a day if it stays below 150/90 then well and good there is nothing to worry but if it stays consistently high then there this probably wasn't white coat hypertension. And you will have to make at least a 5 days BP reading record on a paper and visit your doctor to get your medication adjusted. Till then i would advise you not to panic just start checking your blood pressure at home.I hope this answered your question, If you have more queries I am happy to answer you.Regards.Dr.Muhammad Ahmad | |
How should we act around a 19 year old son suffering from depression?
I have a son 19 years old and suddenly I have notice he is not well, he tells me he regrets things he did in past and cry a lot he is being seen by a therapist but he might have to talk medication as well. what me and his dad wants to know how do we have act around him, because he is the only child always in private school and as far as money he never have any problem, he is a sweet, intelligent guy, it hurts us so much to see him like that, depression runs in my family but smoking pot didn't help either, he did stop smoking just recently. please tell us how we should be around him. thanks | HelloThis is a very difficult time for the family . You can overcome this by patience . He should be seen by a psychiatrist who will start antidepressant medicine. It takes 3-4 weeks to see some improvement . You should be supportive, non demanding and try to make sure he takes adequate diet. He will be all right soon.DR SAATIISH JHUNTRRAA | |
How can depression and anxiety be treated?
My son suffers from depression and anxiety. He has a math disability, and has tried to pass his GED tests for the last four years he passes everything but the math. He first missed it by 10 points. Everytime I take him to school (almost always) he vomits profusely. He is taking prozac 40mg, and 1mg of xanax. He also takes over the counter meds for indigestion and gas. He doesn t vomit at all if he isn t going to class. He goes to counseling and is being treated by a psychiatrist. He weighs 300 lbs, but is not a big eater. A doctor has diagnosed an overabundance of yeast in his body. I am now trying o-t-c stomach meds before bedtime. we have tried relaxation techniques, meditation, prayer. Nothing seems to work | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Vomiting can be prevented by taking anti emetics before breakfast, preferably the mouth-dissolving form. Accompanying your child to school for a couple of weeks might help relieve his anxiety. Requesting the teachers to take special care of your child, not to punish him. Asking the teachers to give him small tasks and rewarding his performance. Inviting his school friends over, in the evening time and spend some time with them helps him with relief from anxiety partially. As the dosage of Prozac is adequate, it can be continued or else it can be taken in two divided doses (20mg in the morning and 20mg in the afternoon) I hope I have answered your query. Feel free to ask further questions... Thank you Sir | |
What causes inability to use limbs, sit and shift in bed?
My mother is not able to walk properly, can t work with his hands even though she has powers to hold something, he not able to sit on chair or bed, shift on to the bed, lowering of voice. consulted a doctor he consulted syndopa plus, petril beta 20, roblet. after that also no improvement is there | hi,looks like a little voluntary uncontrol over the movements. since she is on syndopa as you mentioned it is looking like the parkinson disease. Try getting in touch with s physical therapist. As there is lot am exercise can do. also use Oxygen therapy if the SPO2 level drops. try being calm. the treatment of parkinson is a slow process. takes some time. but recovers. and you didn't mention about the tremor or tightness. so it might be not even parkinson. just as u mentioned about syndopa I can't correlate why syndopa??? anyways take some physical therapy and check out I am sure your mother will be helped. | |
What is the cause for the drop in blood pressure?
37 y.o. male 5 7 180lb Very fit...work out 6 days a week (running,biking weightlifting) Started juicing(smoothie),second day. Experiencing a drop in blood pressure-105/60/60 Usually it s 120/70/72 What is the problem? P.S.For juicing used broccoli,banana,apple,carrots,avocado,kiwi,blackberry | hi, Though it may not be related, vegetable juices may reduce the blood pressure by regularizing your metabolism, reducing blood sodium levels and increasing potassium levels, which is healthy. if it is not causing any symptoms, you need not worry. if there are symptoms like fatigue or giddiness, you need to be liberal in increasing salt intake.all the best. | |
Suggest treatment for anxiety and shortness of breath
Recently I am frequently short of breath and very anxious. I have to go outside in cool air or turn on fans/air conditioner to relax. I also cannot take a hot bath or shower without feeling like Im having a panic attack or smothering to death and my heart feels like it is racing but when counted usually 80-86 bpm | Thanks for your question on HCM.In my opinion you should get done 1. ECG to rule out cardiac cause.2. Chest x ray to rule out pulmonary cause.3. CBC to rule out anaemia as a cause.4. S.TSH to rule out thyroid related problems as a cause.If all of the above are normal than most probably your symptoms are related to anxiety only.So avoid stress and anxiety.Be relax and keep calm. Avoid tension.Consult psychiatrist for counselling sessions. And start anxiolytics. | |
I get a jolt through my body accompanied by a whooshing sound, what could it be ?
i get a shock like jolt through my body accompanied by a whooshing sound twice in my ear. what could this be I have been experiencing these shock/jolts through my body with a weird sound in my ears or head . Its hard to explain the noise that it makes. I also feel my heart acting a little weird too, like a skip or something. I have had it happen already 8-10 times today and its only noon. Has anyone else had this happen ? Is it my brain/spine or is it my heart ? I have several tests coming up to see what it could be but they aren t for 2 weeks . I feel like its getting worse. What do I do? | hello actually abot ur skipped heart beats can be a arrythmias r irregular beat ,its quite common n nothion to worry unless its givin u serious trouble,as such for tat heart beat u can do deep inspiration n expiration for 10 min t ll relieve , if its giving u serious problem like breathlesness thn u can visit a cardiologist . | |
What could having high Cpk levels mean in infants ?
my friends 8 month old baby has just had some blood work done , and the doctor told her that the baby has high pck levels ( 270). he didnt give her too much other information her baby seems overall healthy ,( eating well and gaining weight) but still can not hold his head up , or sit up. He also was diagnosed with nystagmus , however she has not been given futher information. what could having high Cpk levels mean? and is there a possibility that its connected to the nystagmus? | Welcome to Healthcare Magic The high CPK levels indicate muscle damage in the body which could be associated with nystagmus as well. It could be part of muscle dystrophy diseases and he needs to be evaluated thoroughly by the Paediatrician and possibly by Genetics counsellor. There could be risk of kidney problems due to the muscle damage which also needs to be looked into. He needs to be well hydrated and he should consume balanced diet rich in fresh fruits and green leafy vegetables. | |
Had wisdom teeth removed. Headache, feeling hot, no fever. Taken Ibuprofen. Should I take another course of action?
hello, I just had all four Wisdom teeth removed three days ago. So far everything has been going fine and i haven t been in too much pain. However, a few hours ago i started feeling not quite right. My head started hurting (not terribly though) and I feel very hot. I took my temperature but do not have a fever . I decided to switch to ibuprofen from my prescribed medicine today, so I was wondering if I should switch back, or take another course of action | Hello Welcome to HCM I would like to tell you that wisdom teeth extraction is not a simple extraction.Its somewhat complicated surgical procedure & there are many post extraction effects that are seen like:- -prolonged numbness due to local anaesthesia effect -pain -swelling -difficulty in opening mouth -fever -malaise You don't need to worry for any of these symptoms. Take some rest & start with amoxiclav-625 twice a day along with zerodol-SP twice a day.Also take some multivitamin & antacid like rabeprazole 20 mg if acidity persists.Take all this for 5 days because ibuprofen is very mild analgesic. Along with that start warm saline rinses 24 hrs after extraction.This will help in healing. Consult your dentist if problem persist. Take Care Regards Dr.Neha | |
5 year old with hepatomegaly. Abdominal ultrasound done. Need help in reading the liver function test
Have a five year old boy with mild hepatomagelly according to the Abdominal ultra sound scan that was done. but the liver functioning tests are as follows. Alkaline phosphate 113 iu/l Alanine transaminase 21iu/l Aspartate transaminase 38 iu/l Total bilirubin 3 mmol/l Direct bilirubin 0 mmol/l Gamma GT 13 iu/l Albumin 38 g/l | hi there,his LFT suggest that his ALKP are raised and there is no conjugated bilirubin with hepatomegaly and hypoprotenemia. There is derangement in his liver funtion which point to an in born error of metabolism occuring due to deficiency in certain liver enzyme. You need to get your son thoroughy investigated preferrably by a peciatrician trained for this purpose. The hepatomegaly is also due to this reason. Take care. | |
What causes white spots and swollen lips in child?
hi. my 18 month son has single white spots on the inner lips and cheeks also has 3 small sore s on his tongue.has a high tem of 39.2 refusing to eat and cant drink no fluids due to his mouth being sore.....did take him to doctors he said it was hand foot and mouth but the white spots in his mouth was not there when doctor checked him over. could you pleas tell me what theses white spots or and the swollen lips many thanks x | Hi,White spots on the inner side of the lips could be mouth ulcers. This is also quite common in hand foot mouth disease, so it is the same disease process. The other possibility is that they could be aphthous ulcers.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sumanth | |
What causes increased blood pressure?
I have been taking diovan and inderal for HBP. Occassionaly my readings spike into the danger zone. 188+/110+. This weekend it spiked to 220/120 but I had no symptoms, felt good. For the past six months I have been walking 2 1/2 miles every day, eat healthy, am not overweight, I am a 55 year old female. I have been tested for adrenal insufficency and that is okay. I do have a couple of drinks every day and am wondering if this is causing the sometime spikes. Any other possible reason why you might think this is happpening? | Hello, I passed carefully through your question and would explain that these spikes could be related to different possible causes: anxiety, physical activity, thyroid gland dysfunction, caffeine intake, etc. For this reason, I would recommend avoiding caffeine intake and checking thyroid hormone levels. Regular physical activity and a maximal reduction in salt intake would help avoid these spikes in blood pressure values. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
What causes a 10 year old diagnosed with ADHD and ODD to steal food and hiding it?
my daughter is now 10 she has ADHD and ODD and is on Ritalin and dex. my problem is she constantly steals food from the pantry, fridge, or most recently the freezer not to eat but then hides it through out the house and then denies it. just an hour ago I could smell this god awful rotten food scent and had to tear the room apart to find it. it was a packet of what was frozen sausages not eaten just taken and dumped this is driving me nuts not to mention the health issues. what do you suggest | DearWelcome to HCMWe understand your concernsI went through your details. ADHD and OCD usually comes with impulsive disorders and that is the diagnosis of your child. They don't need to steal, and they seldom use the stolen things, but they do it out of impulse. That is part of Obsessive behavior pattern. If your daughter is been treated for her OCD and ADHD,just intimate this matter too to the psychiatrist and he will take care of it. Secondly, a combination of psychiatric drugs, psychotherapy and meditation is found good for management of ADHD and OCD. Please ask for your psychiatrist's opinion about the combination.If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck. | |
Why to treat symptoms of viral infection?
hi I went to to Dr.and they said it was something viral but my symptoms are started off with a really bad soar throat and runny nose now the throat not so sore anymore but have loss of voice and a cough and coughing up a lot of yellow from and blowing it out as well I'm worried cause I have a 5 Mon. Old don't want him to get it | Hello,Welcome to HCM,The symptoms are suggesting that you had some viral infection followed by secondary bacterial infection which has lead to the problems like coughing, yellow color sputum and easy fatigue.As you are having a 5 month old child in the house, youmay transmit the infection to him. I would suggest you to follow1. Oral Antibiotics like Tab Bactoclav, 625 mg, twice daily for 5 days.2. Syp Mucolytics3. Steam inhalation with Vapocaps.Thank you. | |
Suggest treatment for behavioural problems
Hello,This is Naveen . My nephew is having problem with his behavior. He is 12 yeas old age and behave like child. He cannot respect people, didn't understand elder words. But he can watch movies, talk about movie stories and all well. He cannot read (I mean cannot study properly, homework's..).We are wondering how can we get cure this problem from him.Please can you suggest and treatment.Thanks,Naveen Srirangam | DearWe understand your concernsI went through your details. I suggest you not to worry much. Your nephew is 12 years and soon he will enter adolescent period. During this age bracken children concentrate more on playing or other things which gives them pleasure. He is a child. Children do behave childishly. He do understand elders, but don't obey them, because elders always try to push something onto him. That is the way these children thinks. He needs to get more matured. Maturity comes with age and experience. Please wait and he shall be alright. For the studying matter, he should be made to understand that the studies are important. He will not listen to you if you try to advice him. Appreciate him and motivate him whenever he does good academically. Even increase of one mark should be appreciated. Let him know his worth. Take the help of his parents also. They should also appreciate him without fail.For more psychotherapy techniques relate to educational psychology, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success.Hope this answers your query. Available for further clarifications.Good luck. | |
Q. Why do I get shock sensation during sleep with restricted body movement?
Hi doctor, I had a very weird experience last night. I woke up suddenly, I am guessing I was in the middle of a dream and felt an electric shock type sensation going through my body, and I could not move. The closest thing I can think of close to it was when I was a kid and touched the metal water hose handle during a storm and felt a current move through me. It is extremely strange and I am not sure what to make of it. It lasted about 5-10 seconds. I am currently on Wellbutrin XL 150 mg once daily, Straterra 40 mg once daily. I just started a B complex supplement yesterday morning before this occurred last night. | Hi. From your history, it looks like a sleep parasomnic event. It mostly happens in the REM (rapid eye movement) phase of sleep, which is a deep sleep phase. In that phase muscle tone of the whole body is reduced and if someone awakens prematurely in this phase will be unable to move body muscles and feels like paralysis of the whole body, and unable to speak but it is transient and benign in most of the cases. Many times it can happen due to Straterra (Atomoxetine) but very rare. B complex cannot produce such symptoms, but still better to stop it if not a genuine deficiency state. In my opinion, no need to evaluate further except recurrence or disturb your sleep. Many times it is physiological so no need to worry. Maintain sleep hygiene. Take seven hours of sleep in 24 hours. Regularize the sleep cycle. Do not take coffee or tea or neuro stimulant before sleep. Do not do exercise three hours before sleep. I hope this helps. | |
Q. Am I suffering from achalasia or GERD?
Hi doctor, I am a 31 year old male. I recently had a severe chest pain like heartburn and visited a gastroenterologist doctor. I am also suffering from swallowing disorder for the past seven to eight months, especially solid foods and sometime liquids too. It feels that whenever I eat food it stuck somewhere in the chest at the level of the lower esophagus. I need to drink water to take down that food in the stomach. My doctor told me that I am suffering from mild antral gastritis and esophageal candidiasis as per endoscopy. Also, the endoscopy finding says that esophagus shows white curdy precipitate with erythema at GE junction and large dilated esophagus. Now, he has suggested for manometry test. I want to know the actual problem with me. Am I suffering from achalasia with GERD? What are the treatment options? The medication I am going through is Nexpro-L, Nexpro 40 and Torfix 400 mg. Can it be treated with medication or require surgery? | Hello. Upper GI endoscopy and esophageal manometry. 1. Achalasia cardia. 2. Esophageal dysmotility syndrome. For further information consult a medical gastroenterologist online.---> | |
Had surgery for herniated disc. Pain and numbness in the groin and anus. Twitching in the leg. On morphine for pain. Is it normal?
My friend had a second back surgery the second surgery was for a herniated disk, now almost three months after surgery he is in chronic pain has numbness in the groin and anal regions, his leg twitches and has a mind of its own he cant sit and is limited on how much he can stand for fear of falling. He has now been on morphine for about two months that's how much pain he's in is that normal for this type of surgery? | First I would like to know what was patient complaints before surgery. Are these new symptoms after surgery? Does he have any bladder issues? Due to severe disc herniation one may present with severe leg pain and numbness and weakness and such patients gradually recover after discectomy. However if this is new after surgery this needs to be investigated and its normal to have such numbness and so much pain. Thanks. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Will dytor 5 help in getting rid of water retention?
hi i had gone through a treatment for back pain 3 yrs ago nd the medicines had steroids which caused severe water retention in my body. since then i have been trying to get rid of it through diet control and exercise but all in vain. will dytor 5 help me in getting rid of this water weight?? | HiDiuretics such as dytor increases salt and water excretion thereby reducing edema.But it should not be used without ruling out other causes of edema such as cardiac or renal dysfunction.A thorough physical and clinical examination is required before taking the drug.Complete hemogram,renal,cardiac and liver function tests should be done.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | |
What causes pain in toe after i hit it?
Hi. I injured my foot 4 weeks ago. I tripped over a gas bottle and banged my foot where my bunion is very hard on the concrete as i fell over the bottle...not sure if it hit the bottle too. I went for an exray last week which didnt show any fracture/break. It is still very painful when i wear shoes or walk any distance. It hurts all around my bunion, side, top, under, and along my big toe. Pain also travels along and up my foot. I have an appointment at docs tomorrow as a n e said to go back if it didnt get any better. Am wondering what i could have done to it if its not broken? | Hi,Thanks for your query.Based upon your description, I suspect that you might have injured the ligaments around the toe.An initial xray of the foot is necessary to ruleout any bony injury. If xrays are negative for any fracture, then MRI scan is needed to know the status of the ligaments around the toe.I suggest you to consult an orthopedic surgeon for a detailed evaluation and further management.I do hope that you have found something helpful and I will be glad to answer any further query.Take care |
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