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High cholesterol crystal. What does it mean?
I am a lady aged 27 years i have been having abdominal pains and when i went for check up i was told they said there is high cholesterol crystal they also mentioned something to do with having a lot of fats on the cervix . | Hi. Welcome to Healthcaremagic Get the Ultrasound of the abdomen and pap smear( GYN Doc will take sapple from cervix). Regards, Dr. Jagdish | |
Feeling of nerves bursting, crying, confused, depression. Help
Hi my name is Darla i was on my meds for years and my doctor took another job so i couldnt find me another doctor to talk to i need a doctor help me i have so many issues i don't even know when to start but i thought i could get by this year without nothing but it back fire where i dont have my meds or just someone to talk to and things need to have so isues i cry all the time and ,my nerves feels like i am gonna burst i try to kepp it coll as they say but more and more kepp get on top of me like i feel like can breathi just know wht to do or where to find the help i need | Hello,welcome to Healthcare Magic.From your symptoms of nerves bursting, crying, confused and low mood it appear that you are suffering from chronic depression. This illness need long term treatment under close supervision of psychiatrist. In many cases symptoms recur on stoppage of treatment.It is better to meet psychiatrist and start treatment accordingly, as medicines are prescription medicines. For long term control following simple measures are also helpful: relaxation exercise and non drug treatment like CBT.Wish you good health and all the best.Regards,Dr Ashish Kumar Mittalwww.99doctor.com | |
Suggest speedy treatment to cure pulmonary TB opacity in left upper lobe
the result of my medical unfit due to ptb opacity in the left upper lobe is there any injectible speedy medicines to cure because my work abroad will be affected pls. help me is there any medicines to cure for just a week...Pls. help me i need immediate recovery and healing | Thanks for your question on Health Care Magic. I can understand your situation and problem. Sorry to say but there is no speedy recovery in tb. Tuberculosis is basically a chronic infection. Treatment for tuberculosis lasts for atleast 6-8 months. This much longer treatment is required to prevent relapse and recurrence. Tb bacilli stays longer in body. So if we give incomplete dose, chances of relapse and recurrence in later life. So better to take standard treatment. Avoid desire for speedy recovery. There is no scope of speedy recovery in tb. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Is it ok if taken birth control 3 hours after unprotected sex?
I took my birth control three hours late on Friday, and so I understand you must take two days on time before having unprotected sex. I forgot to use a condom twenty minutes early but I took my birth control right after. Should I buy a Plan B or am I okay? | if u took birth control regularly this month...without skip...no need to take plan b...birth control provide 99 percent contraception... | |
Suggest treatment for the soreness on the leg caused by dialysis
A person I know has been on dialysis for some time. Recently a sore has formed on her leg which may have resulted from the dialysis. Her son was not sure of the name for the sore. He thought is was aphaleptic something. Would you be able to clarify the name? He said the maruka honey treatment had not been effective. | Dear Patient,probably we are talking about calciphylaxis. This is very comment in those patients on dialysis with a poor control of calcium/phosphorus/PTH levels. Often is an indication of inadequate dialytic dose. In these cases, we increase the dialysis time or number of sessions, we control at best calcium, phosphorus, PTH and vitamin D. We make sure that vascular access is ok. However, we perform also a doppler of the affected limb in order to exclude chronic obliterating arteriopathy, which may give ulceration of the skin. In summary, lot of work to do. Let me know. | |
Q. Please suggest products to improve the skin color of a 3 month old.
Hi doctor, Please suggest a good soap, lotion, or massage oil to improve the color. She is 3 months old. I already tried using pigeon soap, pigeon lotion, tedibar, Cetaphil lotion, olive oil. | Hello. As per evidence-based medicine, there is no such product which can improve color. In fact, it is not advisable to use any product which can or have an effect on skin color. For massage, any oil which suits the baby (coconut oil, olive oil) will do. The baby regains their original color by the age of 6 months. Every baby is unique and a genius in themselves. Focus on keeping her healthy. All other aspects are secondary. Happy to serve you. For more information consult a paediatrician online --> | |
Prescribed Siphene, Ovigynd and Duphaston. When can I expect to ovulate?
Hi Doctor, i have been advised to take siphene( 3 times a day upto 5 days) and ovigynd tablets(2 times a day for a month) this month starting from 3rd day of my period.Then she has asked me to take Duphaston starting from 13th day.I want to know when can i expect to ovulate?? I mean by taking these tablets do we ovulate on time like in a normal 28 day period, 14th day is considered to be the ovulating time.So do we ovulate on time when we take these tablets?? | Hi, In all possibility, you are suffering from hyperprolactinemia associated with anovulation. Siphene is given to treat excessive prolactin levels, Ovigyn is hCG and Duphaston contains progesterone. Your cycle needs to be monitored for at least one month to see if you are ovulating and if so, at what time. You should have a follicular study for this. Usually, if everything goes fine, ovulation occurs at the usual time of 14 days as in a normal 28-day cycle. Please get further advice from your doctor. Good luck. | |
Is it safe to take Z pack for infection?
I have taken a Z pack for infection on June 6th on June 10th. Could get the accessed tooth extracted waiting for Kidney Foundation Grant. The tooth is scheduled to be extracted on the 19th. Will the antibiotic still protect me from systemic infection? The area now has a hard knot that is not painful. | Hello welcome to 'Ask A Doctor' service.I have reviewed your query and here is my advise.The Mentioned antibiotic cannot remain in circulation after 9 days. So it cannot protect now after 9 days. If before tooth extraction, prophylactic antibiotic needed than again antibiotic course need to be started.Hope I have answered your question. Let me know if I can assist you further. | |
Having negative thoughts. How to come out from this?
Hi, I don t know whats wrong with me, I have not been diagnosed with any illness but I have not visited the doctors since I have been experiencing these horrible thoughts. I get visions of hurting innocent people, if I am having a conversation with someone I ll picture them sat there with no head and blood everywhere, when I am at home, I hide knifes as I get tempted to use them, either on me or another person. I m the calmest person ever and would never harm a hair on somebodys head, but once somebody annoys me, I shake with anger, my blood boils and I just want to deal with it in my own hands. I love my family, friends and boyfriend to pieces, I would never do anything to harm them, ever. I just hate these thoughts, I ALWAYS argue with myself, this may sound so silly but its like one part of my brain/mind is evil and the other part is good and innocent. I also get the fear people are trying to poison me when they give me food or put bugs/spiders in my food, I usually eat the meat off the bread just incase there is a spider or something on the bread. I can sometimes tell what others think of me, I sometimes hit my head when my bad thoughts come because I m scared of a bad thing happening to a close person I love (if im having the thoughts about them). I get so irritated and angry, I can make faces out of near enough any shape, I talk to myself all the time and argue with myself A LOT. My mind doesnt agree with anything nice I say about somebody. I just want to feel normal and like everybody else. I avoid social situations as I m a quite shy person and it is having a big impact on my life, to the point where I can t join a proper lesson in my School i sit on my own in a room with a teacher because I get paranoid that others are whispering and laughing about me, or giving me dirty looks, I get visions of standing up and punching them. I m a very angry person but also very calm. My paranoia is really bad, I always think people are looking at me and thinking bad things about me, I sometimes think I can read their mind. Please help me? | Hello tasherdani The symptoms you have described like doubt, temptation of hurting people, negative thoughts, thoughts of spiders in foodetv. Are part of your illness. You also know that these are your own thoughts but you cant control them. They are in yuppie mind most of the times. As per my opinion most likely you are having clinical picture of OCD or obsessive compulsive disorder. In OCD individual is compelled to think which he wants to avoid, these thoughts produce anxiety and to prevent anxiety individual tend to do some thing also called compulsion. So as per my opinion kindly visit a psychiatrist and take opinion. Treatment is available and both medicinal and psychological treatment is successful. Hope I cleared your doubt. Take care | |
Have a recurring painful enlarged coagulation of lymph nodes under right chin. Should I take more radiation ?
I have an enlarged coagulation of lymph nodes under my right chin. it is painful. off and on. at first they put me on oxycodone. then radiation to (in March 2013) reduce it and remove pain. 4 doses of radiation. 2 then 2. the pain went away for 45 days then came back about 3 weeks ago. The radiation oncologist recommended daily doses for 2 weeks should I need it. I don't like taking the pain pills. my blood counts are completely normal, even lymphocytes. oncologist at Kaiser thinks radiation helped that. but they have been coming down anyway over last 6 months. should I take more radiation? and will it kill more cancer cells permanently as the neck has a lot of veins. | Hi,Thanks for writing in.Radiation therapy is one of the promising methods of cancer treatment in conjunction with chemotherapy and surgery. Some cancers respond best to radiation. I am not sure if you are affected by lymphoma or any white blood cell malignancy. Usually radiation treatment works well in them.Its not just the size of lymphnodes coming down, the meiotic or cell divisions going on also must be controlled. This happens with radiation.Your doctor has taken a calculated decision after weighing benefits and risks involved.Hope it helps. | |
Looking for a M.D./Acupuncture within 25 miles of Harrisonville
I am looking for a M.D./Acupuncture within 25 miles of Harrisonville, Mo. I would like to see a profile. I am currently being treated in Texas and will be in Missouri for several months. I have been very pleased with my Doctor and want to know that I can get similar treatment close by. Who do you recommend? My Doctor here will be available as consult. | 1. following addresses could be helpful to you: . Therapeutic health Alternatives: Acupuncture by Michael Finnell 410 SE Third St. Suite #109 Lees Summit, MO 64063 Phone: (816) 665-5226 (contact for details of services offered) . Sage Norbury, LAc Summit Acupuncture Services 323 SE Wilson St LEES SUMMIT, MO 64063 (people always have the best experience, every time they have appointment with her.) | |
What could lumps on breast suggest?
I have a lump under the skin on the side of my breast that feels like a pea. It started out a week ago as a very red spot the size of a dime. Now it's pink and has the definite lump under the skin. Does this sound like a pimple or something worse? Thank you. | hi.how old are you? does your family have a history of breast problems?in cases of breast lesions, i suggest for you to have a breast ultrasound/mammography done along with a clinical consult. it could be a case of a simple cyst, but to be safe and not miss out on anything, a consultation with your doctor would be best.hope this helps.good day!!~dr.kaye | |
What does rib out with constant pain in shoulder?
what exactly does it mean to have a rib out? my wife can pop it back in if i lay on the floor and cross my arms but it causes pain all the way down my right arm ,like a constant ache, with a small sharper pain at the right side of my back between the shoulder blades. | Hello,You may be suffering from radiculopathy. In which nerve is compressed while activity. You may need to take X-ray of cervico thoracic spine. Use pregabalin 75 mg once a day for ten days. If no improvement, please consult your physician he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
Does volume pills and vimax pills works for semen leakage ?
good evening sir im suffering from semen leakage low sex drive premature ejaculation soft erection what i do sir to overcome this problem after two months im going to marriage i m in great problem plz suggest me medicine. as i purchase volume pills and vimax pills this will work for me. | HelloThanks for query .You are facing multiple sexual problems like reduced libido.erectile dysfunction and early ejaculation.The most common cause of these problems is due to frequent habitual masturbation indulged for over many years .In absence of any major health issue these problems are mostly psychogenic in origin and due to anxiety Following measure will help you to boost up your confidence and help to resolve your problems.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday.. 4) Avoid alcohol and smoking.Dr.Patil,.. | |
What causes lump on the knee with numbness after falling down?
I had a fall in January . Tore my ACL and meniscus and sprained my LCL. I have a bone spur. MRI showed bursitis and osteoarthritis. I had no pain in my knee or difficulty walking prior to fall. I am 67 years old. I also have a complete rupture of the rotator cuff, from the fall. I have pain in my arm and knee. A muscle in my thigh has been numb since the fall. The numb area is about 3 inches wide and 6 inches long. The top of my knee cap is also numb. Last night I found a lump the size of a pea in my knee. It moves around. What could this be? | hi,thank you for providing the brief history of you.As you are 67, there is a possibility of degenerative changes in the knee joint leading to wear and tear of the soft tissues and bone.Also, due to ACL injury, meniscus injury, and LCL injury you may face pain and difficulty in walking. Also due to fall there might be pinching of lumbar nerve leading to sensory deficits in the lower limbs. Rotator cuff injury also needs an attention.As per you symptoms and other things I will advice you to undergo physical therapy and by this the pain can be reduced and so the inflammation. Post this rehabilitation of the knee and shoulder is advised followed by the Strengthening of the spinal Muscles .Most cases in my clinical practice responds well to physical therapy.As an important note, that ACL and menisci injury are graded according to the physiological discontinuity and the treatment is planned accordingly.RegardsJay Indravadan Patel | |
How can erectile dysfunction despite sexual stimulation be treated?
Sir, i am facing the problem of Erectile Dysfuntion, about 7 days ago i masturbated back to back two time..then i got busy in my daily schedule... but yesterday while surfing internet i encounterd sex stuff but i noticed that i do not feel so as i used to in the penis my penis did not erected i got scared and some how managed to erect it and masturbated to check whether my penis is functioning properly or not. But still it does not behave so sensitively as it was used to. It take a lot of effort to erect and ready for masturbation. It feels differnet now there not like before. I read your answer in which you shared your shared the same type of incident happened to you thats why sir i am asking to you.please suggest sir what to do i feel to commit suicide. Will giving up masturbation for 1 month help me out or should i do anything else like consulting doctor etc.. | Hi, Erectile dysfunction is treatable condition and doesn't worry about that. Don't think of committing suicide. First of all check your blood sugar, blood pressure level, total cholesterol estimation, USG for prostate and any history of spinal injury or any other medical history if present. Underlying cause should be searched and treated accordingly. Yoga, meditation will be beneficial in such a case. It's advisable to practice a healthy lifestyle with active exercise and fruits more. Even if you can't erect fully than tadalafil like drug available that can be prescribed for a short time. You can Consult psychiatrist for counselling and discuss all these. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician | |
Are blisters on the genitals common post masturbation?
Hi I matsurbated a lot and did not use any lotion. I did it maybe 3 times a day and then I notice my skin tore a little and it looked like one tiny blister. And then two even smaller little scabs and the skin is dry. There were no bumps and it doesn t itch. Is this normal?? | Hi, Welcome to HCM.Masturbation is a normal phenomenon. But, after going through your description, it appears that you have overdone the act. It has lead to skin damage and local inflammatory reaction due to improper lubrication. Kindly wash the area with like warm water twice a day using mild antiseptic like Savlon. Dry with a neat towel. Apply Neomycin containing skin cream. Your symptoms should reduce in a couple of days and get better. Keep the area hygienic and well ventilated by wearing loose fitting under garments. All the best. | |
How to prevent hair loss?
Hi my name is AngelaI'm living in Dubai since nearly 3 years, and I noticed that I am losing a lot of hairs, more than normal, I was looking for a hair specialist or hair doctor here in dubai, but so far I didn't find anything interesting. Any suggestions? | Hi!Welcome to Healthcaremagic. com.I have read your query in detail and do understand your concern.Daily shedding of upto 100 hairs is normal . Excessive hair fall can be due to physical or mental stress, anaemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. Take a nutritious and protein rich diet(pulses, milk products, eggs). Use of hair supplements containing biotin will be of help . Avoid routine application of gels or frequent blow drying of your hair. Use a sulfate free shampoo for your hair twice a week. A hair growth lotion or serum can be prescribed to you depending on the cause and severity of your hair fall. Minoxidil lotion can be applied over the affected area twice dailyHope this helps!Good luck! | |
Is Rituximab infusions or Splenectomy better for treatment of autoimmune disease?
Hi, I was diagnosed last year as having an autoimmune disease, my platelets go very low and in the past my neutraphils have been as low as one.I also have had two heart attacks, one 12 years ago and another last year. I also have an enlarged spleen.I have had large doses of steroids last year and my haematologist is very reluctant to prescribe these again as I had very bad side effects last time. I have in the past month had two lots of two day courses of Immunoglobulin as my platelets have again gone down. I've now been told I have two choices, either Rituximab infusions or a Splenectomy. I have read up on both and I am very confused and concerned about side effects, infections etc.What are your views on this?Thank You | Dear,splenectomy will be a better choice as it will reduce the burden in your body and also if after splenectomy there is still recurrence at least there will be another choice for Rituximab infusion.I hope you have got your bone marrow studies done to rule out what is the actual problem.Truly,dr. J. Ticku | |
What causes ankle pain and suggest remedy?
i am 28yrs female.few months back i met with an accident and lost toe nail....nw whn m toe nail had starting growing again i hv started experincing ankle pain...its severe whn i rest and jst start walking...m worried abt this and wanted to knw the cause and remedy for this... | Hello, As the toe is growing again there will be a muscle strain and leading to abnormal biomechanics of the joint and muscles. Using hot water fermentation and doing ankle stability and strengthening exercises should help. If the pain is not coming down in the long run than removal is always advised. 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 | |
Suggest treatment for chronic sinusitis
Hello Doctor , My husband 30+ is suffering from chronic sinusitis . its been 7 months now we have tried homeopathy and he took lots of antibiotics also . He feels very tired all the time mentally and physically there is so much weakness . Discharge from the nose is brownish thick and when it gets worse he sneezzed a lot . He is an IT professional . it seems his immunity and strenght is decreasing day by day . My questions are What kind of Food i should give him to regain the energy ? Should we go for Surgery ?? What is the solution or mendatory precautions ?? Please advice ASAP. Thanks a lot Megha Pune | Hello.. Welcome to HCM.I am Dr Jigar(ID specialist). Chronic sinusitis is a really disturbing condition. Due to nasal congestion and blockadge breathing becomes laborious and incomplete which lead to these king of symptoms.If i would be your treating doctor then i would have done following things.1- Detailed history of patient to have insight into causative or precipitating factors.2- Radiological investigation preferably contrast CT of sinuses.3- Endoscopic evaluation and biopsy for observing lesion and specimen for bacterial and fungal culture. Immunological tests for allergen must be done to prevent exposure to various allergens.4- Treatment initially will be directed to suspected pathogen in form of antibiotics and symptomatic relief.5- if after medical measures it is not relieved then ENT surgeon must be consulted and evaluation should be done for surgery.6- Regarding diet food allergen must be avoided.Only garlic has proven to be beneficial in chronic sinusitis by various studie. So it should be included in diet.I hope i have answered your concern in best possible way. I will be glad to help you further.Regards.Dr Jigar. | |
Q. Why am I depressed, anxious, and angry all the time?
Hello doctor, I really do not know why I am depressed all the time, I feel sad, angry and anxious. I used to be happy and funny but not anymore. I am male, 27 years old, 182 cm, and 76 kg. This started two weeks ago after I proposed to my girlfriend, the problem is that there is nothing wrong with the proposal, everything went as expected except I had a small argument with my father that day about another subject which is different than the proposal. But after two days, I started to feel depressed, stressed out and angry about small things, I feel sad all the time. I am not under any kind of medication and I never took medication before. | Hi. I have read your query carefully and here is my advice. These are temporary adjustment reactions because of recent major events in life. You need to take some break from everything, spend time with family and friends and plan a small trip to cope up this stress. I am sure you will be okay in a week. If still, you feel it is not working, you can contact me again. Life is beautiful, and you did not do any mistake. So keep patience, think positively and stay happy. If these symptoms persist more than two weeks, we will start a few medications which will help you in early recovery. | |
What are the symptoms of meningitis?
I have just noticed a pin prick rash on my knee and legs I have itching on my arms and head and my skin is a little pink but this pin prick rash doesn t dissapear when I rub. I had meningitis a few years ago but no rash that time I m worried and feel a little panicky | Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Not All Rashes are MeningitisNot All Meningitis Present with Rashes So, Please don't panic Consult your neurologist and get reassured :) Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. | |
Sharp pain above the groin radiating to other parts, diarrhea, chills
hey last night i had a sudden sharp pain above my groin but below the waist that seemed to spread across the entire front where your obliques run to your groin and it had me in the fetal position for a while then when it passed i had to use the washroom and had diarreha and then chills. The chills may have been associated with walking around in boxers for that time but before that i was lieing in bed with just the thinest blanket sheet. Is it something i should worry about? | Hi, Welcome to Healthcaremagic. I would consider you a male and proceed with my opinion as it is no where mentioned. The pain you describe is typically seen in conditions affecting the testis .Most common amongst are testicular inflammation and torsion of testis. To rule out both you may have to be examined by a surgeon.They are usually a recurrent problem, do get examined yourself before you get hit by another episode. Wish you good health. | |
What causes tooth aches and headaches?
Hi, I have experiencing toothache in my lower right side molar and at the same time a headache, sometimes twice a day. The dentist told me there is nothing wrong in the area after taking X Rays and has provided me with a tooth guard at the same time, But the pain continues. I wonder if this have to do with a brain nerve or heart disease?? | thanks for your query, i have gone through your query. you have to consult a oral physician and get yourself examined thoroughly to rule out the cause of pain. the pain in the tooth could be because of the decay or the surrounging gum infection or impacted tooth. the head ache could be radiating pain from temporomandibular joint disorder or from impacted tooth. please take a second opinion from oral physician and take radiograph like OPG. I hope my answer will help you. take care. | |
Abdominal pain, burning along esophagus, nausea, vomitting, numbness, weakness in arm, shortness of breath. Possible heart problems?
I m trying to help my daughter-in-law re; her symptoms: she presented yesterday with abd. pain in the center,burning along the esoph.,nausea& some vomiting , but with numbness/weakness in left arm & some shortness of breath. Sent her to walk-in, was given TECTA. Symptoms subsided, but are back again (milder).Told her to go back to walk-in tomorrow. should we be concerned about possible heart problems? | Hello! Thank you for the query. Chest burning, left arm numbness and shortness of breath can be caused by heart disease and should be always checked with ECG and heart enzymes level. Stress test and heart ultrasound should be also performed. If no heart problems, symptoms are caused by either acid reflux disease or peptic ulcers. Shortness of breath can be caused by asthma disease which is very often associated with acid reflux disease. You should have upper GI endoscopy, abdominal ultrasound, and blow test (spirometry performed). Avoid coffee, chocolate, fruit juices, fatty foods, soft drinks. Drink more mineral water. Hope this will help. Regards. | |
Q. Can children develop hypertrophic scars after scar excision?
Hello doctor, My son has one somewhat large scar on the right side of his neck and a small scar on the left side of his neck from a burn injury since 10 months ago. He has received three laser treatments, and it looks much, much better. My son is almost 2 years old. Our plastic surgeon would do a scar excision if we wanted him too (or more laser treatments) but is leaving it up to us. I have read that other plastic surgeons say to wait until the teens so that the natural growth factors produced by a child do not result in a more hypertrophic scar after scar excision. Are children really more susceptible to the formation of hypertrophic scars after scar excision? I am trying to determine if scar excision is really the best option for him. | Hi. Your son has a post-burn hypertrophic scar over the submandibular region. Post-burn hypertrophic scar. It is better not to do any surgery now for the scar as if the surgery is done, there will be a risk of hypertrophic scar again. This scar will improve over the period. Scar revision can be done later if wanted when the patient is a little grown-up. To improve scar, the following can be done. Scar massage, silicone gel to be applied twice a day, pressure garment if possible to reduce the chance of hypertrophic scarring. | |
Suggest treatment for discoloration on foot after undergoing ankle surgery
I had surgery on my left ankle to get a bone growth removed because I have osteochondromatosis and it was causing problems. However, 2 weeks later, my foot still has a very noticeable discoloring on the top of my foot. It starts towards the ankle and continues up through my big toe (the darkest area). I thought removing the growth would make the coloring go away but it s just gotten worse. Any opinions? Thanks! | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you havediscoloration on foot after undergoing ankle surgery. Well there can be many reasons for symptoms you mention in query pigmented purpuric dermatosis (schambergs disease ) or psoriatic arthritis . It can also occur due to hematoma caused by internal bleeding , infection like fungal or bacterial or necrosis. I suggest you to apply a moderately potent topical steroid e.g triamcinolone acetonide 0.1% cream Or mometasone furoate 0.1% cream, twice daily for a few days apply ice pack twice a day , also take vitamin C tablets for a week for quick recovery . If condition persist then consult your surgeon for proper examination and treatment . Doctor may also refer you to dermatologist.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Suggest treatment for rash on face, belly, chest and legs
My 2 year old daughter had a rash on her face and bottom for 3 months. It went away for 2 weeks and now it is back. Only now it is on her face, bottom, chest, belly, legs, and arms. The doctor didn t know what it was. A friend told me it might be a milk allergy, but I don t know. She has been very cranky (not sleeping well).Please give me some ideas of what it might be. Thanks | Hi... I sympathize with the kid and understand your concern. By what you quote I feel that it could be eczema. The trick of the management is keeping the skin moist and never allowing it to be dry. For this oil massage and lotions like Oilatum will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
How to treat high level of calcium?
my father was admitted to the hospital with a high calcium level of 14. he has lost 20 pounds since january and is anemic. he was tested for cancer and thyroid issues, both negative. they found abnormal activity in the right kidney. what is our next step | Hello and welcome to HCM,The high calcium can be treated by first knowing the cause of high calcium levels.Since, you have a history of abnormal kidney function, the high calcium levels could be due to dysfunction of the kidney.The renal function tests need to be done.After assessing the kidney functions, the probable diagnosis can be known.I suggest you to consult a nephrologist for clinical assessment and thus management.Thanks and take careDr Shailja P Wahal | |
I am On tuberculosis medication and liver LFT shows high SGPT of 56
I am on Tuberculosis medication and my recent LFT shows SGPT of 56. Bilirubin total is 0.68 and bilirubin direct is 0.25 and bilirubin indirect is 0.43, lymphocytes are 16. My doc is unavailable today, so thought of putting in a question to a panel of doctors here. What is advisable for me. | Hi, Welcome to HealthcareMagic Forum. Your SGPT is normal but your Total and Direct Bilirubin level is elevated which is common to happen as a result of Liver enlargement caused by Anti TB Medications. Do not worry, just take your Medications as directed by your Doctor and go for regular follow up and do stick to your Treatment plan for complete recovery. Wish you Good Health. | |
Hepatomegaly, hepatosplenomegaly positive. Low hemoglobin, High serum Ferritin, low platelet count. Swollen lymphs. Sugar levels low. Further treatment?
Reports indicated Hapatomegaly+++, and Hepatosplenomegaly positive.Low hemoglobin - 6.7, High sr.Ferritin - 644, and low platelet count - 69,000. No heart disease, No Cholestrol abnormal levels. There are Swollen Throat lymphs. Patient is losing her conscious for few minuts. Her sugar levels are low. Please advise for further investigation and treatment. | Hi and welcome to Healthcare magic.Thank you for the query.She neds to find the exact cause of liver damage and do liver biopsy if necessary. these are serious symptoms and many causes can be considered. Most common are infections, cirrhosis or viral hepatitis. Some metabolic diseases too. She needs to follow hepatoprotecgtive diet till symptoms subside and consider splenectomy if low patelet count persists.Wish you good health. Regards | |
Q. What causes numbness and tingling in hand, mouth and feet?
Hello doctor, I am 23 years old. Recently I have strange symptoms. Firstly I had numbness in my left hand then in my right hand. Then I had the same symptoms in my legs and feet. I have numbness and also tingling. Then I had headache, mouth numbness and also right face numbness. I have been checked by the doctor I did the vitamin D test and I have dificiency 20.1 are my results. And the doctor advised me to take B12 vitamin injections and also "annister 25.000 ul'' two for two weeks and then I have to take them every month for three months. It has been three days that I took the suplement and I do not have improvement. I am afraid, please, do you have any suggestions for me? | Hello. Firsty, the complaints of tingling, numbness indicates some neuronal insufficiency which could be due to various reasons including vitamin b12 deficiency, multiple vitamins deficiency, thyroid dysfunction. I can say there is not much to worry if you have healthy dietary habbits and medications. Thyroid profile B12 deficiency Thyroid dysfunction B 12 deficiency 1. Tab. Neurokind-lc at night 10pm after food x 20 days 2. Tab. Mvt once daily afternoon after food x 20days 3. Tab. Vit D3 60k IU weekly once for 6 weeks Review with reports after 1 week | |
Is alcohol consumption safe when suffering from elevated liver enzymes?
My GGT was 113 and ALT 72. I have been a heavy drinker for 10 years (Now 32 years old). Do I have to quit drinking altogether to avoid further liver disease or is it possible to continue drinking 3 beers a night which I do now instead of the 10+ I used to. Is this GGT and ALT level dangerous? | Thank you for posting query at HCMAlcohol is toxic to liver (mitochondria).it should be avoided and strictly avoided if liver enzymes are elevated (hepatitis).further evaluation.is hep A, B C viral serology Negative??do a lipid profile test and and an "abdominal ultrasound".are you using any medication that maybe toxic to liver?if all above results negative thenadvice:abstinence from "Alcohol and drugs" - LOW fat diet should be followed- NO red meat- vegetables should be ingested daily- Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day- walk 30 to 40 minutes everyday.- or swimming is alternative to walking- NO sports and NO jogging-"recheck liver enzymes after 6 to 8 weeks".wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik | |
Which specialist to consult and what treatment can cure Candida?
I have 2 sons that have Candida and have had this for the last 2 yrs. and have tried all different supplements for this condition and have had no luck. What treatment can they seek and a Doctor that will help them. This has interfered with their lives and work ect. This is coming from a worried mother. | Hello,Welcome to HCM,The presence of fungal infection should be confirmed by the lab investigation like KOH mount of the skin scrapings of the affected area. The symptoms and the lab investigations should correlate in making the diagnosis, if both of your son is having the fungal infection it should be treated by proper medications.I would suggest them to follow1.Keep that area clean and dry2.Topical application of griseoflavin3.Oral antifungal drugs once a week for 4-6 weeks.These remedies helps to control the symptoms, if the symptoms are not coming down then we need to think about drug resistance and some other combination of antifungal drugs should be tried.Thank you. | |
What could be the bumps on my hands and penis indicate?
Hi i have bumps on my hands and on my penis but im not sure what they might be... Ive had the bumps on my penis ever since i was able to have a hard on... And the bumps on my hand recently developed over the years.. My grandpa has the same problem with his hand | Hello,Welcome to health care magic.The bumps on your penis ( with the limited description) could be something called as pearly penile papules. They are harmless and can be left alone.However, with the limited description you have provided, I will not be able to comment on the bumps on your hands. Please describe their number, colour, consistency, exact location on your hands( fingers/ back of hands/ palms/ tips, etc) to give a possible diagnosis. | |
Can acanthocytes, polychromasia , ovalocytes, burr cells and anisocytosis in a report of a 71-year-old woman be treated?
I got lab report todat with rbc 4.69 , also listed was acanthocytes, polychromasia , ovalocytes, burr cells and anisocytosis present. the primary doc said there is nothing to be concerned about, but I am , as this is the first report I have gotten that list these different type cells, cytes, etc. all I have ever gotten was a number for RBC in the 4.5 average range. could you help me, do I need to contact another doc, as I am want to be proactive. thanks. ( I am a 71yr old female ) | Hello, Anisocytosis may be seen in iron deficiency anaemia or but cells seen in hyperuricemia or acanthocytes may be seen in hypothyroidism etc. Please check for your spleen, kidney function and Thyroid profile. Then consult your physician/haematologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Penchila Prasad Kandikattu , Internal Medicine Specialist | |
Have painless, immovable, nodule on back, itching and enlargement. Is this cancer?
I have a painless, immovable, nodule on the back of my neck on the left side over bone. its been there for about a year. Recently it has started itching and became enlarged after scratching but went back down. I feel pain of a 2 on a scale of 1-10 when i turn my head certain way. Could this be cancer? synovial sarcoma? | Dear cpris, it must me some sort of infection in your scalp in the occipital region which has given rise to tender nodule on your neck. Dandruf can be the other cause for it. this has nothing to do with cancer. Dr. J. ticku, Oncologist | |
What to do if having abdominal pain, lower backpain after being treated for water infection?
I have had a 2 day course of antibiotics to treat a water infection, the pains seemed to ease of but have now come back again. I have also been constipated over the last 6 days, I have had 2 bowel movements but am in lots of abdominal pain and pain in my lower back. Could the symptoms be related? | Hello! Welcome to HCM.Pain in abdomen & lower back suggests either musculoskeletal pain or urinary tract stone related pain.Do you have any urinary complaints/fever?Stone in ureter causes obstruction to urine outflow & smooth muscles in ureter contract excessively to overcome this obstruction and so is the severe pain.In such cases in my clinic, I advise ultrasound abdomen & pelvis, X-ray KUB, urine & stool routine, CBC, BSL, renal function tests.Treatment is done accordingly.Drink plenty of water that is boiled & cooled.Consult your doctor for antibiotics, diuretics, smooth muscle relaxants like drotaverine and diclofenac, tamsulosin etc if needed depending on site & size of the stone.Hope this helps.Wish you speedy recovery.Thanks.Regards. | |
What causes aggravated pain in the lower back and ha mild BP?
Hello Doctor, I have developed a pain in my lower back. It started suddenly as a mild pain and I did not give much attention. Now on the 3rd day pain has aggravated. Please help. I am 38 year old male, I take OLMARK 20 1 pill a day for my mild Hypertension problem. | Hello,I had gone through the case and found that you did not mention any other symptoms like fell down, injury or any urinary problem.So I will advise you to go for X-ray of lower back vertebrae and meanwhile take mild painkiller and apply muscle relaxant gel.Hope my answer will be effective for you.Thanks | |
Suggest treatment for chest pain and difficulty in breathing
I recently just went to the hospital with chest pain and 2 months before that I was haven trouble breathing at night but when I went to the hopital they said I have myocarditis and I stayed in the hospital for 4 days I am taking coreg 2wice a day and llisinopril once a day im getting better but I still have trouble breathing and if im busy doing something my heart quivers and then at night it quivers every 5 minutes is this something to worry? My doc said my heart was at 30% and im only 24 years old male and im in good shape I have no idea how I got this | Thanks for your question on Healthcare Magic. I can understand your concern. Yes, these symptoms are worrisome in your case. Your heart is working only 30%. This can cause heart failure and retention of fluid in the body. This excess fluid accumulate in the lungs and cause pulmonary edema.This is the reason for your breathlessness and other chest symptoms. So along with other drugs, you should also start diuretics and cardiac inotropic drugs. Diuretics will remove excess fluid while inotropic drugs will increase force of contraction and improve heart function. Cause if this in your case is unknown. Consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest medication for loss of appetite
hello sir, i have baby girl og 1yr and 5 months.she used to eat everything,she is very fond of food,she can eat bittercord and every vegitable.but since 5 days sudden she z not eating anything.only she was taking milk of bottle but since 2 days bottle also stopped.plz help me sir in this problem.i am an indian but now i am in uk.please sir help me.with regards.. sabita | Hello,It's good to know that your child accepts all kinds of food.At this age , it is very common for children to avoid food as they have teething issues. It is very likely that her molars are erupting.If there are no other health issues and the child is happy there should be nothing to worry about.Try distracting her and then feed her. Do not force feed the child and give her what she likes.Hope she gets better. Take care | |
How to treat Right posterolateral disc protrusion and degenerative Spinal cord?
hi this is my mri report please tell me what can i do i am 62 years old Evidence of previous operation (laminectomy) is noted. Right posterolateral disc protrusion is noted at L3-4 with pressure on the coresponding nerve root. Degenerative spinal canal is noted also at L4-5 Normal lower dorsal spinal cord. No SOL seen. Normal vertebral alignment and signal intensity. | Hi,As you are having right posterolateral disc protrusion with evidence of old laminectomy in your MRI , I would examine you for deficits and SLR and correlate with symptoms.If you are not having any symptoms , then back exercises are advised. If you are having symptoms and SLR is positive with deficits present , then medical management with steroids is started .If no relief then back exercises with epidural steroids .Surgery will be the last option. Thanks | |
What causes skin discolouration while having leg cramps?
I have been experiencing leg cramps(Charlie Horse). I am post menopausal it happens in my right leg which will stay sore days afterwards. Also I have noticed that the area of my leg that the cramp is in will discolor like a bruise. My question is why does my skin discolor,? Why does the area remain sore? And what can I do to stop the Charlie Horse? | Hi,If the the leg shows discoloration after Charlie Horse phenomenon then this is most probably related to the internal structures.The causes can be varicose veins with insufficiency.Deep vein thrombosis.Muscle cramps.These can be diagnosed by the following ways:Color doppler of the lower limb.This along with clinical evaluation and examination can help to get a proper diagnosis.Also get relevant blood tests for coagulopathy and so on.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. T. Chandrakant, General Surgeon | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Is Taxol advisable to treat squamous cell cancer under the right arm pit?
MY TREATMENT FOR POORLY DIFFERENTIATED Squamous cell cancer which took up its position in my right arm pit has been treated Zpallation, maximum allowable dose of radiation&Urbetux unsuccessfully. My Oncologist will now administer TAXOL. What will be this treatment effects? | Hi, I had gone through your question and understand your concerns.This is new medication which is very eficient some some sorts of tumors.The preliminary results of its efficiency indicate that paclitaxel has activity against this tumor an in 30% of cases it may lead to complete cure. neutropenia and neuropathy were frequently observed toxicities and side effects. If there was no response on previous drugs then this is advisable option and you should accept this treatmentif surgery is not possible to remove whole tumor. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
Q. Does spotting on birth control pills indicate its ineffectiveness?
Hello doctor, Does spotting on birth control mean your pill is not being effective? | Hi. How are you doing? Spotting in between cycles, when you are regularly taking birth control pills means that, the endometrium or the inner lining of the uterus is not being fully supported by the hormones. If you are not punctual on taking pills or had vomited immediately after taking the pill, then that will be the problem, so you have to make it a point to take the pill regularly, preferably at the same time every day. If you are taking low dose pills, then the dose is insufficient, so you have to switch to the higher dose pills. Component of Ethinyl estradiol in the pill of 30 mcg is a high dose and good for these spotting instead of the 20 mcg pills. If you have been putting up weight recently. Hormones may be insufficient for that new weight. I hope pregnancy had been ruled out before starting the pills and local factors like polyps or fibroids projecting into the uterine cavity have been ruled out by ultrasound scans of the pelvis. Local factors like spotting or discharge from the cervix, especially after sex need a local examination and treatment. If all possibilities have been ruled out, then just give support of tablet Estradiol valerate 2 mg (Progynova) two tablets a day until the day of periods. This will support the lining and spotting will stop in a day or two. | |
How to increase concentration power?
I get a very tired feeling. I feel that I have difficulty in being alert at work. If I am in a conversation with someone for a few minutes, I suddenlty drop off to sleep and have difficult in keeing my eyes open. Is there a vitamin deficiency, what could be the problem? | HiThanks for using healthcare magicI think, you have narcolepsy. In this case, patient feel difficult to stay awake and feel sleepy all the time. It is not due to any vitamin deficiency. It happens due to some neurotransmitter imbalance. You need few stimulant like modafinil or armodafinil that would help you to stay alert. There drugs are not available over the counter, so you have to consult a physician or psychiatrist. In case, you need further help, you can ask.Thanks | |
How to increase chances of conception?
Hi, I have been struggeling to fall pregnant for 2 years now. My doctor gave me Fertomid to drink for 6 month but I did not drink the last lot for 5 - 9 days during my cycle. I felf moody, got a lot of pain and started to pick up about 2 kl a month. 2007 - I had a chemical pregnancy. "Colocscopy" 2009 - oct I miscarraige about 2 weeks. I dont know what to do any more as we have been togerther for 10 years and never ever since high school used a condom. doctor should I be worried? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.First, get your investigations done like serum TSH, serum prolactin, and husband semen analysis. Find the cause why you are not getting pregnant by your gynecologist, then treat the cause.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal | |
What causes lump on the shoulder associated with swelling and pain?
Hi , My father age 59 underwent heart bypass(TVD) 6 weeks ago, using BIMA grafts . Last night he developed a lump on the top of the shoulder (this is the same arm which was used for graft). The lump is accompanied with some swelling and is painful to touch. please advice | Hi,Good Morning,Thanks for your query to My-HCM Clinic.I studied your query in depth.I understood your concerns.My opinion of your illnessBIMA-arterial leak with Sero-hematoma with infection.-associated cellulitis would cause pain on touch.-Advise-You should consult the concerned cardio-surgeon who would do MRI and would plan for its decompression and control.-Hope this would help you to recover from worry-some query.Wish you a Fast Recovey.Wellcome to HCM again. | |
Lower stomach in pain. Had corn with rice. Emergency?
Im Having alot Of Pain in the Lower Right Side Of My Stomach . ANd Im ALso Poopin Green, I Had Thanks Giving Yesterday.. The Onlything i Ate Was corn, Stuffin With Rice Witch Was Mixed With A Chicken Whe It Chicken Was Half Cooked. Umm Patatoes And BBQ Chicken,And Wings.. Should I Go To Er?? Also I Have Had A Colonoscopy Last Monday.. I Also Have Alot of Probelms With My Stomach For a 2 Yrs.. So Im Wondering If Anything Have Busted??? Thanks Jesss | hi jess, your symptoms could be related to gastro enteritis due to food poisoning and needs to be confirmed. Yes, you need to visit the ER and get yourself checked and stool sample examined. All the best | |
Severe reactions after eating Carribbean Lobster. Eaten all kinds of shellfish. Possible reason?
Recently, I experienced severe reaction to eating Carribbean Lobster- twice. The reaction involved violent gastro upset, vomiting , sweating, shock symptoms, drop in blood pressure . It began about 3 hours after I ate the lobster and within 12 hours, all symptoms were gone. I was not the only one to eat the lobster either time, but was the only one who was ill. I have eaten all types of shellfish all of my life and actually had North Atlantic lobster within a month of these 2 events with no problems. Allergy? poison? | Hello,You have had 2 anaphylaxis attacks with Caribbean Lobster and you are lucky to have pulled through without any treatment (if that is correct, since you have not mentioned any treatment that was given in the acute situation).You must AVOID all shellfish, as allergic reactions happen after you have consumed foods and been sensitized; which if eaten again develops into allergic reactions and the most severe of these reactions is anaphylaxis.If you have eaten shelllfish SINCE the two reactions with the Caribbean Lobster WITHOUT any reactions, I would have thought cooking was an issue, and what you mean by posioning.Fish poisoning can present with the same symptoms, called scromboid toxin poisoning and happens with sardines etc.You definitely need a specific IgE blood test against crab, lobster, shrimp, including house dust mite and any related pollens or nuts if you have had any reactions to. You also must keep an emergency kit containing EpiPen (adrenaline) autoinjector [note: must get help if you have used it yourself], antihistamines and steroids. A salbutamol inhaler is also recommended if you have asthma.Best Wishes. | |
Taking Metformin for PCOD, have irregular periods. Will Metformin help me conceive?
hi dr, I get marrierd on april 2011, we planned for one year family planning . Now we r trying to get consive. I went to gynic and I had ubdergone scanning found tht I have pcod she gave me metformin . I hve irregular periods. Will metformin help me to get consive soon also once I had conteceptive birthcontrol pill. Will I get pregnent soon help me sir | Hello. Thanks for writing to us. Since you have PCOD, metformin will increase your chances of conception. With irregular periods, the chances of conception are relatively less. You need to have a regular intercourse during your fertile period- Day 9 to 16 for early conception. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
Does presence of pus/epithelial and leukocyte in urine affect fetus?
hi .... i recently got my urine test done and in the reports the leucocyte esterase is positive,few epithelial cells and the pus cells r 5-7 WBC/HPF. i have 6 weeks pregnancy and worried is it a serious problem as i had a miscarriage in feb 10. | Hello dear,I understand your concern.In my opinion your urine report suggests urinary tract infection(UTI).The presence of leukocyte esterase positive strongly suggests UTI.But nothing to worry as it can be treated by a course of sensitive antibiotics.UTI is routinely seen in pregnancy.So take adequate fluids upto 3 litres per day, cranberry juice to prevent UTI.Only untreated UTI cause problems like irritation of uterus and pain.If treated it doesn't harm the pregnancy.After a week of completion of a course of antibiotics get a complete urine examination done to ensure the clearance of infection.Nothing to worry as such.Hope this helps.Best regards.... | |
Unconscious, TIA, high potassium, gums and feet bleeding. Kidney failure?
My patient is not conscious, suffered a TIA and is having very high levels of potassium . He has previously suffered stroke and is a known diabetic Type 2 as well as hypertensive. At the moment, the gums and feet are bleeding? Doctors think that this may be kidney failure. I would want to be helped to understand the gravity of the situation. | Hi, Thanks for posting your query. Your treating doctor is right...your patient is already suffering from diabetes and hyperkalemia (increased potassium) is very common in renal failure. Your patient is unconscious and has gum & feet bleeding, there may be high chances of intracranial bleed making patient unconscious. You should go for CT/ MRI brain to rule out bleed. You should also go for bleeding time, clotting time, prothrombin time to clarify the cause. Yes, your patient is serious and bleeding is not a good sign. You should also go for liver function test, renal function test, complete blood count also. You patient needs intensive care. Take care, Dr. Mayank Bhargava | |
What causes pain in left arm ?
I have a pain in my left arm along with cold chills after urinating which leads me to go to the doctor for a UTI. It is always positive. The pain and cold chills stop after I take a few antibiotics that the doctor has subscribed. Why the pain in the arm? | hi,As mentioned by you about the UTI, i will recommend to first strengthen the core and the pelvic floor, as the muscles of the core and pelvic floor will help the bladder to get completely empty and avoid any back log drops of fluid which leads to UTI.Also, now looking to the pain in the left arm, it is needed to understand by taking an neuromusuclar assessment of your arm. It can be bicipital tendinits or may be pinched nerve in the cervical spine. Based on performing the special tests for each of the possible pathology, the positive test will help us plan the next rehabilitation process.Arm pain are usually controlled by taking therapeutic ultrasound therapy and TENS therapy in the physical therapy center and 99% cases recover in a short time.RegardsJay Indravadan Patel | |
Do i need to repeat contraceptive pill after a week of intercourse?
I just wanted to know if if I don't get period within a week of taking the next choice pill does that mean I can be pregnant. Because my boyfriend inserted his own is in my vagina just once on the 20 th and it is not the 26 so I was just wondering and I took the Next choice pill within two hours of this incident | Hi,Next Choice pill is a post coital emergency contraceptive pill which can prevent the pregnancy if taken within 72 hours of the unprotected sexual intercourse. However, it does not prevent the pregnancy from the intercourse performed after taking the pill. From your query, it is not clear exactly when did you consume the Next Choice pill. You had intercourse on 20th. If you have taken the pill within 72 hours; i.e. before 23rd, you are protected from pregnancy due to this intercourse. You need not repeat the pill again after a week. However, if you were late in taking the pill, repeating it after a week is not going to help you. In that case, you do stand the risk of pregnancy. If you have taken pill 2 hours after the sexual intercourse on 26th, you are protected from the pregnancy due to this intercourse; however, you stand the possibility of pregnancy from the intercourse on 20th. These pills do delay the period by few days to a week or so. Therefore, if your periods are delayed, perform pregnancy test on overnight morning first urine sample after one week of missed period; earlier the test may report false negative. Alternatively, you may opt for Beta hCG test.I hope this helps you. Let me know if I can assist you further. Regards,Dr. Nishikant Shrotri | |
Suggest remedies for sleep disorders in a child
My almost 11 year old son has never fully slept through the night and it affects him every day attitude wise. He wakes up and tries to sneak into his big brothers room, but my older son has taken to locking his door. Now my 11 year old sleeps in the hallway outside my 13 year olds room. I dont know what to do to help him stay sleeping fully through the night and get peace back into my day time. | Hi, Inhalation therapy with Budecort is used to prevent future acute asthma and is safe to use. Use Asthalin nebulization or inhalation when there's a cough or wheezing. Most of the exacerbations are due to a viral upper respiratory infection. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Cajetan, Pediatrician | |
Q. My boobs are more prominent in my body. How to correct this?
Hi doctor, I am 43 years old. I am suffering from many things related to my body. I have been most of my lifetime having man boobs. My boobs are not proportional to the ratio of the fat in my body. I used to go to gym to battle that. This helped in getting my chest in a more firm shape, but never smaller. In my 30s, I kept trying to battle against that only with sport, but the results were always marginal with no real gain. This affected my attraction to women and caused me a lot of depression. Now in my 40s, the problem is getting even worse. They are growing bigger and I am finding it harder to go to the gym because of the shame. Now, I am overweight to some extend and the boobs problem is the most prominent in my body. I read that this could be because of hormonal disorder or bad diet system. I changed my diet a few times before and even when I lose weight my chest barely gets effected. I did not try anything with hormones. What could be the reason of this problem and how can I solve it? I hope you can help. | Hi. Revert back with the photos to a general medicine physician online --> | |
Does pain medications cause more pain?
I have been diagnosed with degenerative disk disease. I was taking morphine and oxycodone for the intense pain. I recently got a new doctor and he stated that the pain medications were increasing the pain and stopped the morphone and is weading me off of the oxicodone. Is it true that pain medications can cause more pain? | no, but they can cause "physical" tolerance to develop wherein your body gets accustomed to the effects of the medicines and now you need more and more medicine to achieve the same degree of pain relief. I think your doctor did the right thing though because narcotics are not the best answer for pain of joint disease. I often encourage patients to try Physical therapy and if that doesn't help you could see a pain specialist about steroid injections into the joints. if all fails, then would need to see an orthopedic surgeon to discuss surgical options. hope that was helpful. if you found the answer helpful please take a moment to provide a rating- thank you! | |
Suggest treatment for problem with speaking and loss of memory due to encephalitis
ok, thanks for that My daughter (of 5 years and 4 months)suffered from high degree fever on November 11, 2010 which induced fits and diagnosed an attack of Encephalitis as disclosed the EEG test conducted at a reputed Hospital. She had also undergone MRI test and an other test meant to assess her auditory system. Presently, She has problems of speaking, recognizing, loss of memory, but she walks ceaselessy while laughing or making noise which has become a source of headache for us but can’t utter a sensible word. She touches everything with her right hand and try to put it into her mouth. Prior to this, she has the ailment of fits since the age of 08 months. She was taking Lumark tab 500mg 1+1 and Epival Syp 1+1 Spoon daily. Any kindhearted physician, who can treat this ailment, please help us. I can send her MRI, EEG and Auditory Test Reports at given e-mail address. | Hello, By what you say I feel that your kid is suffering from post-encephalitic sequelae being seizure disorder and attention deficit hyperactivity disorder. She will also require workup for autistic spectrum disorder with a clinical psychologist. She will require oral medications to come down along with occupational therapy and cognitive behavioral therapy. May I suggest you discuss these possibilities with her pediatrician and get her appropriately evaluated and managed, please. Divulging personal information and emails is prohibited on this website. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | |
Q. How to get rid of the acne on my cheeks, chin, jawline and neck.
Hello doctor, I have been dealing with acne on my cheeks, chin, jawline, and neck for the past four years. I have recently graduated my bachelors and got accepted to medical school. I previously thought the acne was due to stress, but since graduating I have still been having breakouts and tried Benzoyl peroxide, Retin A products, and salicylic acid treatments. All of which clear up temporarily but then get worse. I am not on any medications (no birth control either) but currently started taking a few supplements to see if it would help. I take fish oil, probiotics, and turmeric for the past week and now it seems to be helping a little, but I also just got off my period and had some flare-ups on my cheeks. I am in the military, and out of all honesty I have tried getting appointments with my doctor, but she always recommends the same treatment with Benzoyl peroxide and Retin-A. She even had me on Spironolactone a few years ago, but I have a low natural BP, and that just made me dizzy from lowering my BP more. I wish to see a dermatologist, but the military makes that difficult to do unless I wanted to pay out of pocket to see one. My skincare routine consists of using Glowbiotic MD face wash, diluted apple cider vinegar toner, and plain Aloe vera for moisturizer. I try to keep it simple to not irritate my skin more than it is. Please advice. | Hello. I understand acne is very frustrating. Many factors play a role in acne, they are, 1. The hormone is the main factor. Here acne is seen mainly on the chin and neck. A most common cause is the polycystic ovarian disease that presents with acne, increased hair on the face, hair loss from the scalp, irregular menstrual cycles. If you have any one of these symptoms along with acne, I strongly recommended evaluation by a gynecologist. 2. Stress. 3. Occlusion due to thick face creams, and foundation that block the pores on the face causing ductal block then inflammation. People from 13-30 years are more prone to acne. You have cystic acne, considering the distribution around chin and jawline, Spironolactone is the best medication in your case. Since you have a problem with blood pressure, I can suggest you other treatment options. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. 1. Aczone (Dapsone) 7.5 % topical gel, it is anti-inflammatory medicine but slow acting. 2. Oral Doxycycline or Minocycline for two to three months. These antibiotics are very useful for cystic acne. 3. Topical Fabior (Tazarotene) 0.01 % foam, this is the strongest topical retinoid. 4. Oral isotretinoin (Accutane) is the most effective treatment available for acne. It is weight based treatment, depending on your weight you will have to take Isotretinoin capsules for four to six months. It needs monthly blood work monitoring for serum lipids, liver enzymes, monthly urine, and a pregnancy test. Follow a monthly visit to the dermatologist. | |
Can birth control pills cause nausea?
Hi, I ve have intermittent nausea since I gave birth 5 months ago (major complications and on a antibiotics 3 months following). I started birth control 2 months ago and am wondering if there may be a link to the nausea. I also seem to get an increase in nausea when I m late taking a pill. Do you think there s a link between the pills and the nausea? Thank you. | hello dear.understand your concern.firstly you have intermittent nausea may be due to pregnancy but now its may be due to side effects of birth control pills(BCP).BCP has some side effects like nausea,spotting,breast tenderness,headache,weight gain,mood changes,missed period,decrease of libido(affect sex drive),vaginal discharge,visual changes,etc.... you can take tab.ondet or tab.reglan & tab.digene for nausea.or you can change your BCP,take another hormonal pills which suited you more.stay calm & dont be much anxious because it aggravate the symptoms.hope this will guide you.best regards.dr.sagar | |
What causes recurrent calf muscle bruises?
I just discovered a bruise on my right calf muscle. However I am getting over a bruise on my right leg. I have a history of torn calf muscles, chin splints along with swelling in the ankle/Achilles tendon all on the left leg. I have been to the ortho and podiatrist several times but to no avail still experiencing same symptoms (swelling and pain in the left calf, ankle and Achilles tendon. Do you have any suggestions of what is going on? | Hello, I have studied your case. There is possibility of blood disorder leading to buise.Another possibility of hemophilia,you may need to do blood investigation.You may need to investigate like CRP ,CBC,ESRPCR culture is very useful to find culprit organism.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | |
Suggest remedy to relieve pain in abdomen
Hi I'm a 26 year old Female and for the past week now i have been having a lot of upper and lower abdominal pains in my stomach. My upper and lower stomach is sore, has sharp pains, and feels like I have been punched in the stomach. I am also feeling very very gassy burping more often and farting as well. I've never had these issues therefore I don't know what to do. The other night i had so much pain I couldnt sleep. Only after taking alka seltzer I got sleep for a few hrs then had to take some more alka seltzer. I went to the doctors and she didnt seem to think there was nothing wrong and told me to wait another week! This pain is not going away and I am very worried. What over the counter drugs should i take? should i wait another week before going bsck to my doctor? I really needyour help. Thank you so much! | HI.In such a case you should take another opinion of another Doctor as you have pain and all other symtoms. I would suggest you the following. I would advise all such patients the following:Routine blood (CBC, blood sugar, Creatinine) , urine and stool tests.Ultrasonography of the abdomen.I trial with a course of an antibiotic, metronidazole for 5 days.Activated charcoal tablets, Prebiotics and probiotics, multivitamins.Avoid foods and beverages (like coca cola and soda), which you must have observed by this time that cause more gas problem.Eat less, walk around after food, sleep early, get up early , moderate exercises.Avoid stress and anxiety at any cost. This is in your hands to decide. If you have gall bladder stones, you will need to get operated to remove the gall bladder.Once the diagnosis has been made, you can certainly get a targeted treatment to get a cure. | |
What causes pain and red colored swelling in the feet?
Hii, am 48 yrs old woman.my height and weight proportion is normal. standing and working position so many hours of a day.My two feets are swelling and looking red in color . i have musuclar pain at the feet .there are red swelling by the sides of the feet and under the feet at the center..I cannot walk and sit down on the floor. iam suffering the pains from two months .I consult ed the physician , the blood and urine reports are normal.he sugested me some tablets for one month.the pains not cured. then i consulted the skin spacilist.he sugested some tablest for 20 days . now am using the tablts .the pains and inflamtion not yet cured . What is the reason for pains and swellings? kindly suggested me the reason ,and the which Dr (spclist) consult? plzzz gv me reply | Hello,Causes for pain and swelling in feet are:-Injury-Blunt trauma-Sprain or strain-Plantar fasciitis-Calcaneal spur-Improper postureFor that, I would like to advise you the following:-You can take the tablet aceclofenac. -Apply diclofenac gel or cream. -Apply ice locally. -Do x-ray and MRI feet. -Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedics. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale | |
What causes severe cough and greenish to yellow sputum?
i have been coughing for almost a month now.with slight fever..there is massive production of sputum-greenish to golden yellow in color.i suspect it to be a case of bronchitis.what should i do?thank u. | Thanks for your question on Healthcare Magic. I can understand your concern. Yoi are having chronic cough and expectoration (greenish Yellow). These are commonly seen with bronchitis and lung infection (pneumonia).So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test). Chest x ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You may need inhaled bronchodilators, inhaled corticosteroid and antibiotics according to the diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Pain in the upper stomach. Not able to sleep. Any help?
hi I am a 26 year old female for the past 3days a been having these really bad pains in my upper stomach I haven't been able to sleep or do anything I just lay around because it bothers me so much the pain comes and goes and it gets really bad at first I thought it was gas so I been doing everything I can to help it but the pain is not going away can some one please help? | Hi, thanks for the query to H.C.M.Forum. This is acute pain in the stomach hence you didn't get relief. Hyper acidity is the main cause of this type of symptoms. Hyper acidity may be due to, Tension. Stress, Fried food, Over feeding, Alcohol, Spiced food, Smoking, Strong coffee, In this type of situation you have to take antacid type of drugs. Oxetacain is a local anesthetic which give quick relief. Tepid water sip like a tea will also provide relief. Have a nice day. Dr. HET | |
Suggest treatment for constant pain in the jaw
Hello, i have had pain in my jaw for a couple of months now it started around the time i lost a filling. This was filled in and i was prescribed antibiotics and it felt like it went. After a week it came back and has been on and off since lasting for weeks at a time. It hurts the muscle linking my top and bottom jaw and sometimes my neck can feel quite swollen. I have trouble opening my jaw fully. and it feels like my ears are clogged and under pressure slightly. i can also hear what sounds like cereal popping inside my mouth which is presume is my TMJ? I went back to my dentist a month a go and they said it was not dental related and shunned me away quite quickly. Since then i have tried a longer course of antibiotics which have done nothing. however it went for a couple of weeks and has reoccurred. I am 21 male 6 foot 1 and work in a factory using headsets which doesn't help. I am going to go back to my dentist before returning to my doctor but wanted a second opinion. I have been told it could be TMD and i have found blowing out of my nose puts pressure in my ears. Sorry if this seems complex but i do worry quite a bit naturally. Thankyou | Thanks for your query, i have gone through your query. The pain in the tooth could be because of the tooth infection. If the infection is from wisdom tooth this kind of pain can arise. Consult a oral physician and get a radiograph done and get the tooth root canal treated or removed. Antibiotics will help for a short period of time we have to treat the cause. Infection can cause limited mouth opening. The pain and clicking sound can be secondary to disc displacement in TMJ. You need to take radiograph like TMJ views and see the movement and position of jaw bone. Later you can start with piroxicam tablet. Do not open your mouth too wide. Take soft diet for 15days.you can give hot fomentation over the joint. I hope my answer will help you. Take care | |
Pain in lower back, tightness in area, swelling. Due to back injury?
I don t want to go to the er but I m scared. Not sure if my kidneys are hurting or my back. I injured my back a year ago and because of insurance problems I have been in able to get the right tests on my back. Anyways my lower thoracic spine hurts so bad and it wraps around to my stomach but I feel like a belt is wrapped around that area and everything is swelling and or inflammed over the belt it s very painful and scarey. | Hi, i hope you have got the right tests done when you had a injury, like x-ray of the thoracic spine to rule out fractures. Now that a constricting pain, swelling and inflammation its better you get physically checked by a doctor and not ignore it. Take care. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
What causes vaginal bleeding during pregnancy?
I am trying for a baby and finished my period on wed sat eve i started bleeding only very light bleeding with period type cramps . I found out via clear blue i am 1-2 weeks pregnant and the hospital won t see me cause i am too early could you give me advice please very stressed it is not knowing it s driving me crazy | Hi dear, I have gone through your question and understand your concerns. Bleeding or spotting in early pregnancy can be due to ectopic pregnancy, threatened or missed abortion, or due to subchorionic haemorrhage.I will suggest you to get a transvaginal ultrasound done to confirm the diagnosis and get appropriate treatment.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma | |
What causes metallic smell during bowel movement?
my 4 year old son has really weird smelling poos i cant describe them but the first word that comes to mind is metallic smell. he doesnt go regularly and refuses to go sometimes and will go in his pants. when he does go as i say they smell are quite soft sink straight away but seem quite sticky he seems to have a lot left on his bum! on closer inspection they are dark brown in colour with tin black grains in an ideas?? | Hi...Thank you for consulting in Health Care magic. I think your kid is having habitual constipation. I have certain questions and suggestions for you.Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fibre diet) appropriately?You can get back with answers at the following link - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
Can I continue the Anti-Rabies shots after bitten by stray cat?
Have been bitten by a stray cat. 3 days ago. Washed the affected area and cleansed with anti-septic. Consulted a physician and got tetanus and Anti-Rabies first shot within 8 hours of bite. Wound seems to be healing but today developed slight temperature. Can I continue the anti-Rabies shots while running a fever? Seems to have developed a slight sore throat. Taking 500mg anti-biotic too. | HiThank you for asking HCM.I have gone through your query. There is nothing wrong in taking anti rabies vaccine while having minor illness like sore throat or cold. As you have been bitten by stray cat not wise to avoid even if you have serious illness. So you can go on with the vaccination.Hope this may help you. Let me know if anything not clear.Thanks. | |
Does kidney stone cause fatigue?
my child (12 years old) has a kidney stone, is very fatigued and also today got a bloody nose out of the blue. He is active normally and plays sports and in the neighborhood. He has been real fatigued the last couple weeks along with finding the stone after a CT that was looking for stones. | Hi, dearI have gone through your question. I can understand your concern. He may have kidney stones. It generally causes kidney pain. Fatigue is very uncommon with kidney stones. He should go for complete blood count and peripheral smear examination to check for anemia. Fatigue can be caused by low hemoglobin. Moreover his platelet count should also be checked. 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 persistent malaria like symptoms after treatment?
Im based in Africa in rural area of Zambia I feel persistent symptoms of malaria continously even just after finishing a malaria drug course Last week I was on Moda quine but Im still feeling malaria symptoms Is this a kind/type of malaria? What do I need to do? | HiI can understand your concern.You seem to be suffering from either a drug resistant falciparum malaria or malaria caused by plasmodium vivax.In case of drug resistant malaria, you need to take some new drugs like Artemisnins or Fansidar.If the malaria is suspected to be due to Plasmodium vivax (which is responsible for the recurrent attacks due to dormant parasites in the liver which are not killed by routine drugs), then after finishing a course of Chloroquine or Artemisnins you must take a course of Primaquine for 14 days to eradicate the dormant types of malarial parasite which reside in the liver.Hope this answers your query. | |
What causes pain in right side of the abdomen?
i have had pain under my right rib cage area since January...have had u/sound and as well as xray and MRI.A liver cyst 9mm was found but i was told that this is unlikely to be causing my pain.Also some crystals were found in my g/bladder.Could there some some bone damage in that area or maybe some inflammation.Would the liver and spleen MRI or the MRCP MRI i had have shown this? | Hello, I hope you´re well. According to the symptoms and the findings in the image study that you present may be related to gallbladder lithiasis. The presence of gallstones is common. Incidental gallstones are gallstones that are diagnosed in an asymptomatic patient based on an imaging study that was obtained for an unrelated reason. There are several types of gallstones; they are composed of a mixture of cholesterol, calcium bilirubinate, proteins, and mucin. The most frequent are those of cholesterol in up to 75%, and the diagnostic study of choice is through an abdominal ultrasound.The majority of patients found to have incidental gallstones will remain asymptomatic. Patients who develop symptoms typically report biliary colic. It is rare for a previously asymptomatic patient to present with complications of gallstone disease without first having had episodes of biliary colic. The recommend following for most patients with incidental gallstones expectantly rather than performing prophylactic cholecystectomy. Waiting until a patient becomes symptomatic before performing cholecystectomy prevents unnecessary surgery since the majority of patients with incidental gallstones will never develop biliary colic. However, prophylactic cholecystectomy is indicated for patients who are at increased risk for gallbladder cancer and are good surgical candidates.You should know that the symptomatic gallstones are uncommonly treated with medical therapy alone. The main form of medical therapy is the bile acid ursodeoxycholic acid, which may enhance gallstone dissolution and perhaps reduce symptoms in patients with mild symptoms or those who are not candidates for laparoscopic surgery. The dissolution therapy with ursodeoxycholic acid is indicated in patients with mild symptoms who have poorly calcified small stone(s) and are not candidates for laparoscopic cholecystectomy. | |
What is the remedy for typhoid after stopping the antibiotic course?
dear doc my son is 2 years old and he had fever from 18 th july and then he was admitted in the hospital doc. said he had tiphoid. we finished his antibiotic on 5th august2012 started from 26th july2012. what precautions i have to take now and for how long. I am a working mother. | HiI appreciate your efforts for further prevention of this same.Typhoid spreads in faeco-oral route ie by contamination of water.1]It is advisable to use boiled drinking water or at least a water from a purifier ie not to drink untreated water.2]It is also advisable not to consume outside food, outside water etc.3]It is also advisable to not to use public swimming pools.4]For your other babies it is advisable to vaccinate them with typhoid vaccine.5]Maintain hygiene by washing hands before cooking and eating.6]Avoid raw fruits and vegetables.7]Eat freshly prepared food. Hope this helps you.If so hit thanks. | |
White discharge. Why didn't I conceive? Can I conceive now?
Hello Dr. I was getting white discharge for 9 months and i thought it was normal now when my hubby came down in feb i wanted to get conceive but i could not get he was there for 3 months feb march april but i did nt get conceive and wen wet get together next day my vagina gets itching and also on his penis my white discharge use to be there it was like thick milk cream. Please Suggest me what should i do as my hubby is gone back abroad. I have a kid who is 5 yr old. Was planning to have another one.Thanks. | HelloThanks for your query,based on the facts that you have posted it appears that you have severe vaginal infection (Vaginitis) which is perhaps the main cause of not conceiving.Please consult qualified Gynaecologist for clinical and per speculum examination and get culture and sensitivity of the vaginal secretion done to find out the organisms causing this infection and antibiotics to which they are sensitive to.In the mean while start taking antibiotics like Augmentin and Metronidazole twice daily and later on switch on to appropriate antibiotics as per culture report.Wash your genitals and vagina with anti microbial solution like Betadine twice daily.Dr.patil. | |
Suggest treatment for leg pain in a person suffering from sciatica
I have severe pain in my leg in one spot I had sciatica few months ago pain in hip is gone but leg pain still hurts my gp said it is a trapped nerve ive been on differant anti inflams for months only minor relief, on cataflam now not much help pain still there , it eases when I lie down but is worse when standing, please can you advise, thank you. | hi,thank you for providing the brief history of you.As your gp told it is scistica I agree with him. As this symptoms of pain below the knee in the lateral side of the leg is due to the pinched nerve in the lumbar spine and needs a thorough clinical examination.This pain can be reduced by making the core stability exercises and later on lower limb strengthening exercises.RegardsJay Indravadan Patel | |
Suggest remedy for lump on left ribcage
My 14 month old has a lump on her left ribcage, close to her sternum (but clearly on a rib). It's hard and immobile; it feels like it's part of her bone. She doesn't seem to have any pain when we feel it, and you can feel the skin sliding over top of it. I only noticed it a few days ago, but it appears to be staying the same size. Her behaviour hasn't changed recently; though she recently went through a huge growth spurt, and tends to be a bit more tired than she used to be. We have a regular check up with our family doctor in a few weeks, should I get it checked out in the meantime? | Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns.Treatment -In my opinion your daughter has a prominent normal costo-chondral joints close to sternum which would cover up in next few months or a year by the growth spurt breast development.Don't worry.Its normal and would vanish on its own,as explained above.Show to ER surgeon if it grows and worries more.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N. | |
Is mastoiditis treated by antibiotics or by iv?
i was diagnosed with mastoiditis along with vertigo in the emergency room and was given a 10 day prescription of omnicef. after coming home i read that mastoiditis is usually treated by iv antibiotics and now i am concerned that oral antibiotics wont be enough. it has been a little less then 48 hours since starting the antibiotic. when will i start feeling better | Thanks for asking in healthcaremagic forum They might have suspected mastoiditis for you not diagnosed you. So, trust your doctor and follow his advise and go for follow up again as per the advise. If your symptoms does not subside visit him at the earliest. Do not scratch your head by reading online data. All the best. | |
What does the liver ultrasound report indicate?
Hello. I am 24 years old young boy i am mentioning my ultrasound report kindly interpret my report LIVER: liver is coarse parenchyma but the outline is smooth and size is normal. No mass or cyst seen. Intrahepatic biliary ducts and blood vessels are not dilated. Portal vein is normal in diameter. Sir kindly interpret my report what type of changes it shows? | Hello. Well the "problematic term" of this ulrasound report is "the coarse parenchyma" of your liver. While all the rest is normal, so I'd like to calm you firstly, but anywhere as for my patients in my practice I'd recommend the liver functional tests to be done in the near future, just to exclude the serious problems or more like a screening for an important organ. Meanwhile I don't know if you are a drinker or not? Alcohol is not good for your liver. | |
What is the treatment for sore fingers?
Hi, I fell and hurt my hand between the 2 small fingers over 3 weeks ago, the bruising and swelling went down within the week but it s still really very sore so much that it s waking me up through the night! I also have a weird sensation down the side of my hand when I touch it. I have taped the 2 fingers together for the 3 weeks but it doesn t seem to be getting any better. Any Advice please | I suggest to take a x-ray of your finger and get it checked by orthopedic to rule out hair line crack. If there is crack then need to plaster it properly. And you should not move it for 3 weeks.If there is no crack and only soft tissue strain, with out having any open wound I suggest to use cold pack. As well visit a physiotherapist for ultrasound therapy treatment which helps to heal soft tissue.This will take some more time to give relief but as you have told swelling is reduces and there was a skin color change at the time of injury and that is also reduce. And now you have only pain in fingerThat means it is healing but taking some time. If there is no hairline crack then you can take some pain killer at night before you sleep and make sure you Dont sleep on your affected finger.If one thing you have not mention is about pain, is it reducing , increasing, or the same.?At anytime you feel the pain is increasing then do contact orthopedic doctor because you may need anti biotic medication also to prevent infection.Take care | |
Is reddish coloured spots on arm sign of melanomas?
I woke up to some new reddish colored spots on my arm and one of them was raised and had the appearance of some melanomas that I have seen in pictures. Can they become visible that rapidly. I know it takes awhile for the cancer to develop and my question is only on them becoming visible. | Hi..Thanks for using health care magic.Yes.They can be such visible lesions. Anyway to confirm, please consult a dermatologist as early as possible and take a biopsy from the suspected lesion. Thank you. | |
What causes discomfort in the back of the head?
I am 72 and in good health but about two weeks ago I began to get these sensations in back of the head. they don t hurt just a bother and I wonder is this PARESTHESIA and should I worry other wise I feel fine. Everyday I feel as though it will go away but I will have my check up on Monday Nov. 20th and I will mention this to my Dr. thanks | Hello and thanks for your question here at HCM. I have read your question and understand your concerns. Paresthesia points to symptoms, the probable condition that may cause such issues is occipital neuralgia that is linked to the upper cervical nerves who may be pinched or compressed. Yes, you should mention these issues to your Doctor since you are going for check up. Your Doctor may undertake other steps to diagnose you correctly. Hope I have answered your query. Let me know if I can assist you further. | |
Q. What is the reason for swelling and pain in joints with disability to walk?
Hello doctor, I am having severe joint pains for two days. Initially, I had a fever. but now it has subsided but unable to move or walk freely as all joints seemed swollen. | Hi. Acute generalized joint pain is an uncomfortable problem that needs attention as soon as possible especially because you are unable to move or walk freely. Diseases that can cause the kind of joint pain you are having include Gout where uric acid forms crystals that deposit in the joints causing inflammation and pain, arthritis-like septic arthritis and psoriatic arthritis, infection of the joints, joint injuries. Treatment of painful swollen joints depends on the problem or diagnosis. It can include non-steroidal anti-inflammatory drugs for pain and swelling, steroid medications are taken for a short period of time to reduce pain and swelling of the joints. The steroids block the inflammatory chemicals in the body. Acute gout can be treated with medication that reduces uric acid like Colchicine, antibiotics if the pain and swelling are caused by infectious causes to stop the infection, surgery if your pain is caused by injury. It will help if you are checked and assessment is done so that more history can be given and correct diagnosis can be made. | |
What causes stoppage in periods?
I started taking the noriday pill about a month ago when I was on my period. For the first week I was late in taking it a few times but for the following 3 or so weeks I have taken it at exactly the same time every day. However, I should be getting my period now seeing as it s been a month since my last one, and my period has never been late, seeing as it s normally a week early and I haven t got it yet. I did have unprotected sex about 4 days ago but I didn t think that would be a problem whilst being on the pill and making sure to take it consistently at the same time. Does the noriday pill delay periods or could I be pregnant? | please get the pregnacy test done and then decide what to do. if it negative, you could continue with the pills. | |
What causes loss of balance and headache?
I woke up today with severe loss of balance along with a massive headache with the left side of my face feeling heavy and strange. Every time I lay down I feel like everything is spinning and just feel so weak today. Not sure what is going on because I was fine when I went to bed last night. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This sounds like an episode of migraine. The severe headache with vertigo is a very common feature of migraine. However, before we consider migraine, there should be a history of headaches even before (a history that you have not mentioned). In case this is a first time headache, more severe conditions like a stroke and hemorrhage need to be considered. In this latter situation, you will need to go to the ER immediately. In the former case, a painkiller may suffice. A third possibility is BPPV. But as I said, the stroke and hemorrhage need to be ruled out first. Let us know the details for further information. Best wishes. | |
Q. I vomited after taking a birth control pill. Should I take another one?
Hello doctor,I am on regular birth control pills and was taking these as usual. I took the seven inactive pills and began taking the active pills. I took it for three nights as per schedule but forgot to take it on the fourth. And I had sex on the same night, with a condom, but there may have been sperm near my vagina afterward. At about 10 AM on the next day, I took the missed pill. That afternoon I vomited. Soon after this, I took an emergency contraceptive pill and continued the other active pills as usual. Considering these factors, are chances of pregnancy high? | Hello. How are you doing? You are absolutely safe and there is no chance of pregnancy. Let me explain. Birth control pills act by creating a continuous constant hormonal level. They prevent the normal hormonal fluctuations. So, ovulation will not occur. Only if you miss two or more tablets, the hormonal suppression will be lost and there will be a chance of pregnancy, especially if you miss it during the second half of the cycle. So, I do not see any chance of pregnancy in the present scenario. You have not missed a pill too, as you have taken the missed pill within 12 hours. The vomiting was only two to four hours later and not immediately. So, the hormonal suppression is not lost.The emergency pill was not required to be taken. This pill will delay the periods by one or two weeks. Hope I have clarified your query. Do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Suggest treatment for high BP, dizziness and blurred vision
I have high blood pressure, a hiatus hernia and barrets ostophgaus of which i am given medication of omeprazole 20mg, amias 16mg and bendroflumethiazide 2.5mg. recently they changed my tablets from pariet to omeprazole to save costs. I have been feeling very ill with symptoms of dizziness, disorientation, blurred vision and a severe dry mouth. Also I have blocked sinus s. I am always very tired and the docs have come back with nothing from my blood tests. What can this be??? | Hello!Welcome on HCM!Regarding your concern, I would explain that your symptoms could be related to a sinus infection. It is less likely that your symptoms are related to switching to omeprazole, as it is a similar drug to pantoprazole. Coming to this point, I would recommend performing sinus X ray study coupled with a sinus discharge study. If these tests result normal, I would recommend trying to switch again to pantoprazole for some days. If this helps improve your situation, it would indicate possible low tolerance to omeprazole. You should discuss with your doctor on the above issues. Hope you will find this answer helpful!Wishing good health, Dr. Iliri | |
What causes abdominal pain with black stool,diarrhea and red urination?
I have abdominal pain reported since may of 2012. since this jan and june reported I have low pionts on kideny. I have black tool, somewhat diarria, not eating much, i senn mix stool and water turn red. i pee red a few times. how lond should I wait so I can have medical attention instead of the releasing me. | Hello, Dark colour stool may be due to upper gi bleed like peptic ulcer or diverticulitis or infection or varicose veins. It may also due to iron tablet consumption or due to bismuth containing antacid consumption. Red colour urine may be due to urin infection or renal stone. Until examination is done it is difficult to say what it is. Use tablet pantaprazole before breakfast for one week. Drink plenty of liquids and water. If symptoms not improved please consult with your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Penchila Prasad Kandikattu | |
What causes neck pain and forehead pain?
For the last few days I have been having a lot of pain across the back of my neck and then pain across my forehead. Also something happens to my eyes, It is hard to explain, but I will explain it this way, as if they are getting smaller. I can see alright, but there is just something weird happening. | Hello,The symptoms seem to be related to tension type headaches. Tension headaches are dull pain, tightness, or pressure around your forehead or the back of your head and neck. Often called stress headaches, they're the most common type for adults. I suggest using an anti inflammatory medications such as Ibuprofen to relieve the pain.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
How can Osteochondral lesion of talar dome be treated?
How do I recover from a osteochondral lesion of the lateral talar dome with unstable subchondral bone plate fragment, moderate ankle effusion, and a chronic full thickness tear of the anterior talofibular ligament and scarring of the calcaneofibular ligament-I just got my MRI results back? | Hello, As the treatment line is both sides as conservative as well operative. But conservative is the one tried in the initial line of action and if it's successful than operative might not be considered. Making the joint immobilized in case, ankle brace, crepe whatever is possible and handy will be done. Post 4-6 weeks of time if the cast is applied then physiotherapy has to begin for stabilizing the muscle and joints. Also, balance board training if improvement is found. Most cases recover with conservative management. In case if it fails then the surgical route is opted for. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
What could itchy, burning rashes (like sunburn) on chest, abdomen, and neck indicate and is this contagious?
Hi! I went to bed last night and was just fine. Around 6:00 this morning, I was awakened with intense itching across my chest and abdomen and noticed a pink rash which looked like a sunburn. As the morning progressed, the rash also developed up the sides of my neck and right upper arm. It has a burning sensation and itches terribly! There is no rash anywhere else. Later in the day, I have only a slight headache sensation and feel fatigued. My mother is now in rehab following a stroke and I'm not sure if this "thing" is contagious or not.....sure don't want to visit if it is! I welcome your thoughts, and thank you! | Hi welcome to health care magic forum. It appears to be the allergic reaction to some thing. which may be food, clothes, bed sheet, woolen, soap, cosmetics etc.It doesn't appear to be the infection, so it may not be contageous. I advise you to consult a physician for diagnosis and treatment. I usually prescribe to my patient with such symptoms levocitrizine, montelekast, and mild steroid when ever necesory. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to hasten the recovery. Wishing for a quick and complete recovery.Thank you. | |
Suggest treatment for severe back pain and sleeplessness
A good friend, female 64, with back injury from work many years ago, heart issues and high blood pressure and colitis is having great difficulty finding a doctor in Porters Lake/ Dartmouth/Halifax, Nova Scotia. Dr. Dan Nicholson, Minesville, N.S. accepted her as a patient after she disclosed all her medical issues. On the next appointment she delivered her list of prescriptions since October 2013. He immediately dismissed her and denied her any medical services because in the past her Dr. Brown (since retired) prescribed narcotics to help her manage severe pain and lack of sleep. Dr. Nicholson did not elaborate and she left crying and feeling unwanted and unworthy. Dr. Isis Dawood who was accepting new patients also refused to accept this patient because she was a patient of a former colleague at Lacewood Medical Clinic that closed down and the doctors all moved to Ontario, including her doctor and Dr. Dawood. When her doctor returned to Nova Scotia he set up in Bedford but did not contact her. Before he left he told her he was moving and could not longer be her doctor. IN the Halifax Metro Newspaper, April 2, 2015, Tony MacIntryre tells his story of being declined by 10 physicians and some declined because he uses narcotics to control his severe pain. My two questions are: If a patient was prescribed narcotics to ease and manage their pain in the past, are there other more effective prescriptions available today that are not narcotics for her conditions? If so, what didn t or wouldn t Dr. Dan Nicholson not explain that alternative and option and try her on those? Second, Capital Health listing of physicians accepting patients is not kept current and is not helpful to find a family physician that specializes or interested in patients with her medical issues. Can you refer us to a human being who is knowledgeable and has access to a data base of family physicians who are accepting patients and can assist a patient with her medical issues? She is so discouraged she just wants to give up. | hiMorphine is habit forming and you may ask your doctor to substitute with other pain medicines like tramadol.You may consult an orthopedic surgeon also for back pain and x rays may be needed for diagnosis.best wishes | |
Q. I am suffering from erection problem and lack of desire for sex. Please help.
Hi doctor,I am married for last four years and now 34 years old. My height is 5 feet 11 inches and weight is 78 kg. I am suffering from erection problem and lack of desire for sex. Just after marriage, these problems were not so severe, so I did not bother about it. We used to have sex successfully but with lesser frequency earlier. Although, on some days I failed to do intercourse due to loss of erection in the middle of it. Before marriage, I was addicted to pornography and do masturbate weekly 1 to 2 times. My personal feeling is that due to these habits I am not aroused sexually in real life with full potential with my wife.However, with age, these problems have gradually increased although I have abandoned pornography and masturbation after marriage. Now, I am only able to have sex after a long period gap of intercourse. Even after a gap, after 2 to 3 days of sex again I lose the desire and erection problem continues. I use sexual thoughts during sex and masturbate for some time to get some erection and complete the task somehow. But this is very uncomfortable for my wife. I have to do this because we are planning for a child now. At present, my primary concern is to be able to have sex at least for 10 to 12 days period per month (every alternate day) during her ovulation time. Kindly advice.My blood pressure is normal. I do not have sugar, thyroid or any major diseases at present. I do not have the habit of smoking and drinking. My semen analysis was done. The report shows slightly less sperm count. The only thing that from childhood my health and working power is below average. I get tired after small work. During worst situations, I took 50 mg Viagra only 4 to 5 times in the last three months. This worked very well for me without noticeable side effects. But I am scared to have this drug too often without medical advice. From last 20 days I am taking Himalaya Confido regularly and Tentex Royal on the day we want to have sex. I have found little improvement. Please help and suggest how can I overcome these problems. | Hello. I can understand your concern. The history you have mentioned clearly ruling out any serious organic problem for erection. Just to reassure you I would like to tell you that masturbation is a safe habit and it is not a cause for poor erection or loss of libido. But yes if an individual watches excess porn then that can affect his mind adversely. The expectation for sex increases after watching porn. Sex is shown in the dramatic and appealing manner in a porn video. By watching excess porn expectations increases. Once the individual is with his partner then this affects the mind psychologically and due to this unconscious stress, the libido or even erection decreases sometimes. So to overcome this first step is to stop watching porn completely. This you have done already. Try to spend more time in foreplay and both of you can play role play games. This will make sex interesting. Spend more time talking about sex too and this will also help a lot. Do not think that you will not get a proper erection or you might lose the erection. Try to distract yourself from these thoughts. Since you are getting good erections during masturbation or after stimulation with hands so this rules out any physical issue. The problem is in the head and this is resulting in stress during sex and consequent loss of erection. You have to suppress unwanted thoughts that you might not get a strong erection and also try to reduce the stress. You can continue to use Confido and Tentex Royal, these are herbal medicines and will surely help you. You can take two tablets twice a day for best results. Even if you take Sildenafil or Tadalafil on SOS basis even then no need to get worried. For some time you can use the medicines as per prescription and this will help in improving the confidence and you will get a good erection without tablets too. Though your weight is in normal range according to your height even then I would advise you to get serum testosterone levels done. This could be one of the reasons for low libido. If the levels are in mid to high range then no need to get worried. Try to have sex daily during 12 to 16th days of a menstrual cycle of your wife (day one is the first day of bleeding). Sex during this period will result in maximum chances of conceiving. For more information consult a psychiatrist online --> | |
What causes stomach ache?
my 4 year old has been complaing of tummy ache on and off since last week, today she was fine until lunch time, she didnt want her lunch and went for a two hor nap which is unlike her. she was feeling hot and kept saying her tummy hurt could this be caused by constipation i dont know when she last went to the toilet as goes independantly thanks | Hi.The most probable cause of pain in abdomen in a child who is 4 years old is not constipation but either appendicitis or tummy tonsils , meaning inflamed lymph nodes. An urgent ultrasonography along with a clinical examination by a Pediatric Surgeon will help for a proper diagnosis and treatment . | |
Suggest treatment for stomach cancer
my sister had a partial gastrectromy last year for stomach cancer , and then a small bowel resection about a month after when her bowels became twisted and now it seems as if she has adhesions which have landed her back in the hospital- although the cat scan was inconclusive and they are awaiting to do further tests- she has an NG tube and is being fed nutrition intravenously- does physical therapy work for adhesions-I just read up on clear passage please advise | Thanks for your question on Health Care Magic. I can understand your concern. Sorry to say but your sister is having end stage cancer. So this is inoperable condition. We have only palliative treatment in the form of chemotherapy, radiotherapy, nutritional support and pain management. Adhesions are inevitable after cancer surgery. And nothing can be done for these Adhesions. So better to continue nutritional support and pain management. Consult psychiatrist and discuss end of life issues. Hope I have solved your query. Wishing good health to your sister. Thanks. | |
Cough and sinus problems. Rashes on the calves. Allergies?
For the last couple of weeks I have had a sometimes tight and sometimes loose cough with sinus-y issues. I assume it is allergies and have been taking Claritin which has seemed to help. Over the last few days I have started noticing a rash similar to hives on my inner thighs and my calves. It does not itch. My "rash is not going away. It seems to be getting more prominent and I now have a small rash on my right ankle that is different from the one on my calves and inner thighs. This rash is more like an array of needle pin points. | if allergies are not treated these may extend to other system after long duration like your sinus allergies have extended to skin Some medicines used in allergies cause this like paracetamol,synthetic vitamins,brufen,disprin,decongestants,aspirin G for allergy tests and treatment later on If you wont use above described medicines your skin will be clear slowely And for skin to recover dont use mustard cconut walnut groundnut almonds and soya oils use olive for cooking and APPLICATION USE NON TOXIC SOAPS SHAMPOO AND CREAMS |
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