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Q. I have a mole that is more of red color than brown. Should I worry?
Hi doctor, Could you please take a look at this mole? I had it for ages and it has not changed, but it always bothers me. It is more of a reddish color than brown and I have a couple of them. I visited a dermatologist and she said it as fine. I was just wondering for the tiny dots in the mole? I think she may have said hair follicles or pores or something. I was just concerned if it was a mole with two colors as in the ABCDE signs. Sorry, I get a bit paranoid about my skin. I have sent you pictures with and without flash for your reference. | Hello. I appreciate that you are so aware and concerned. I went through the pictures (attachment removed to protect patient identity) and I find them completely harmless for now. For further information consult a dermatologist online --> | |
What causes lower abdominal pain?
Im experiencing lower abdominal pains and I have implanon.Before Implanon I had an ectopic pregnancy that lead to the removal of my right fallopian tube.I'm so scared for a repeat so i'm looking for answers.The pains come and go whenever it pleases, but has been a bother dealing with a sharp pain everday.People are telling me to go to the hospital, but is it neccessary? | Definitely go to hospital have a ultrasound to check ur implanon position, remove the implanon , it itself can cause implanon | |
Severe shooting pain to my left arm with numbness in thumb
hi im suffering from severe shooting pain to my left arm with nubness in my thumb and forfingerh hi im 29 year old guy with a h/o of minor cervical degerative problem,but now i ahve got a severe pain in my left arm,ita kind of shooting pain and frequency is so high that i cannot take pain any more,im taking a lot of pain killers,tramadol co codomol diclofenaac and diazepam...notin is helping...could it be a nerve entrapment or something else,coz sometimes i cannot feel my left arm | Your problem seems to due to compression of nerve root may at cervical spine level.Usually in younger age this kind of problems due to faulty work or sleeping habits.Severe pain usually occurs when nerve get swollen due to compression or continuous irritation.try to cold message with ice at the painful area,apply local analgesics.You are already taking oral drugs if this does not improve pl.see your doctor again. | |
Should I be concerned about swelling and discoloration on the leg after an injury?
I fell against metal and hit my upper inner thigh and leg between my knee and ankle. The thigh is black an blue. My leg is swollen below my knee to my toes and turning black and blue. I ve been on my feet walking a lot. Any thoughts? Or should I be concerned since I m seeing more swelling and black and blue? Thanks! | Hello, The swelling and discolouration are suggestive of a hematoma formation. This can be due to a bone injury and needs proper examination to find the extent of injury. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon | |
Is it safe to take Retard and Deslor during pregnancy?
Hi, may I answer your health queries right now ? Please type your query here... hi my wife is 17 weeks pregnant and suffering from asthama doctor has suggested retard 150 and deslor tablet with oral steroids is it safe for use during pregnancy will the same be harmfull to the baby??? | Hi,It is best if your wife takes the asthma medications. Asthma can complicate pregnancy and cause harm to mother and baby if not controlled. Deriphylline, antihistamines and steroids even oral can be used to control asthma in pregnancy. As it is more harmful to the pregnancy if she has an attack, than any harm from the medications.A lot of women are worried about effects of medications on their babies and so do not take medications, which leads to serious asthmatic attacks in pregnancy.It would be best if if she continued the medications as advised by her doctor.Hope this helps.Regards. | |
Internal bleeding, anemia, ulcers. Now fatigue. Reason?
My Mom was in the hospital last week for internal bleeding . It was discovered she was very anemic and ultimately, four ulcers were found. She seems to be doing better. . . except she is extremley fatigued. We have a follow-up appointment with her PCP on Friday of this week. . . where do you think this fatigue is coming from? | Where the ulcers are... the fatigue is mainly due to drop in Hb.. No hard unaccustomed work till Hb is>8... Iron supplements may help.. If so symptomatic transfusion may be considered | |
Q. Why do I feel weak with low BP and inability to stand properly?
Hello doctor, I am a 27-year-old man. Sometimes, I feel very weak. My BP goes down and I am unable to stand properly. Also, there is a pain in my foot. Please tell me the treatment to cover this type of problem. | Hello. You have two main concerns. The weakness is not due to low blood pressure. The low blood pressure can lead to dizziness and inability to stand as described by you. For that try to maintain hydration with lots of water and whenever you feel dizziness take salted food and fruit juices. You can check your blood sugar level as well. For tiredness, I suggest you investigate with serum potassium, serum sodium estimation, serum TSH (thyroid stimulating hormone) estimation, CBC (complete blood count), liver profile, and kidney profile. You can revert back with reports. For pain in the foot, avoid prolonged standing or walking. It is advisable to investigate with X-ray foot for further work up. You should get checked your serum calcium and vitamin D level as well. | |
Is tongue yellow due to swine flu infection?
Good Afternoon, I was in the Defence Force 2007-2013. When I got chosen to go on deployment overseas to Iraq, a pre requiset was to have a H1N1 Swine Flu Vaccination, I didn t eventually go to Iraq. Vaccinated November 2009. 6 Months Later April 2010 - Admitted to Base Hospital Symptoms Sleepy, Ears Blocked, throat sore, cough, runny nose, lethargy, diziness, allover body limb soreness, gastrointeritis, diarrhea like a tap, vommiting, dehydrated, cold shivers with a high fever and eyes are light sensitive. Cannot keep down food or water. Administered pain relief paracetomol and had to consume water or be placed on a drip. Discharged after 2 days. March 2011 - Admitted to Base Hospital Symptoms Sleepy, Ears Blocked, throat sore, cough, runny nose, lethargy, diziness, allover body limb soreness, gastrointeritis, diarrhea like a tap, vommiting, dehydrated, cold shivers with a high fever and eyes are light sensitive. Cannot keep down food or water. Administered pain relief paracetomol and had to consume water or be placed on a drip. Discharged after 2 days. May 2011 - Involved in a car accident out the front of base by a negligent driver, sustained some physical injuries and mild concussion. I was rear ended at 80km/h, my car was stationary. Taken back into base hospital for observation and released later that day. October 2011 Diagnosed by sleep physician to have Narcolepsy Cataplexy and started tratment with Modafinil, which I felt all side effects of drug. Later changed to ritalin with better results, up to 50mg a day if required (10mg tabs). May 2012 Admitted myself to public Hospital after midnight with an all over body rash. Red in colour, rash was risen a few millimeters above the skin like a welt, was that itchy couldn t stop scratching it, started only as 2 small circles on my stomach, 4 hours earlier. Was given a anti histamene and allowed to sleep for 6 hours. Rash settled down, inflamation dropped back to skin level and was released from Hospital. October 2013 Medically Discharged from Defence Force December 2013 Saturday 14/12 /13 Symptoms When tongue is flared out, it has an all over yellow/ like puss apperance also, Sleepy, Ears Blocked, throat sore, cough, runny nose, lethargy, diziness, allover body limb soreness, gastrointeritis, diarrhea like a tap, vommiting, dehydrated, cold shivers with a high fever and eyes are light sensitive. Cannot keep down food or water. Only starting to come good today, | Hi,Thanks for asking the query,The various symptoms of swine flu includes fever, chills, coughing and sore throat.I would suggest you to get a thorough physical and dental examination done.A thorough clinical examination is required for appropriate diagnosis & treatment.At home take multivitamin suplements and lukewarm saline rinses.Hope this helps out,Regards... | |
Should I be worried for left sided weakness/numbness during heavier aerobic activities after a febrile seizure?
A MRI last week showed: A single nonspecific focus of subcortical T2 hyperintensities noted in the posterior left frontal region , and is viewed as normal . I have a condition since 2003 called bilateral endolymphatic hydrops , as a result of a MVA (and the dizziness and balance problems have worsened in the last 6 months). From 1984 to about 1989 or so I had left sided weakness/numbness after a febrile seizure on the left side in 1984. Tests were done for MS during those years, negative. Only have reminders of those symptoms with heavier aerobic activities (i.e. swimming or running). Otherwise normal. I m glad the test is normal and don t want more tests. But is there anything else I should know or watch for in the future with the above information. | Hi,Thank you for posting your query.I have noted your case history and would like to reassure you that there is no need to worry about them now. We do not expect any problems in future too on account of your past illness.Febrile seizures typically appear until the age of 6 and do not occur after that, as part of its definition.It is common after seizures to get numbness or weakness after seizures, a condition called as Todd's paresis. It has no serious consequences. Your MRI of brain is also within normal limits.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Suggest antidepressants for mixed emotions & suicidal thoughts
I'm looking into starting an antidepressant. I've never taken them before. My symptoms are sadness, lack of energy, crying, being snappy at my children. I feel really down and can't pull myself out of it. No suicidal thoughts, but I realize this is not my "normal" or "best" self. I don't have anxiety with it. I know different antidepressants treat different symptoms. What do you think would help with mine? | Hi,From what you have mentioned, it seems highly likely that you are suffering from depression. Before I go ahead and tell you about the treatment, one caution-- you must seek a formal psychiatric consultation in person for proper diagnosis and prescription. Self treatment is not what I would recommend.For deciding the exact drug, many factors need to be kept in mind. I would like to know your age, and whether you are suffering from any other medical disorder. Considering you are free from any medical condition, I would recommend one of the selective serotonin reuptake inhibitors like escitalopram or sertraline initially, gradually increasing the dose depending on the response.These are generally safe with very few side effects. The important thing to remember is that the medications will take time to act, the response will be gradual. Once your symptoms are over, they will have to be continued for few months after that in order to minimise any chance of recurrence. Hope this information was helpful. Best wishes. | |
Are restlessness and funny feeling in legs due to renal failure?
hi iwas told that i had renal failure back in april and also passing blood in unrine since january this year i also been told i am anemic just lately my body has started to fill funny my legs are like jelly and some times restless and my arms hurt to i been to my GP and all they say is it is to do with the renal failure | HIWell come to HCMThe symptoms that is being stated here by you, is not because of renal failure but this could be due to stress level that you might be having and in my opinion try to keep the stress level very low, and be positive, hope this information helps. | |
2-5/HPF pus cells in stool exam..
My mom had severe stomach ache 3 days ago. The doctor had an xray done and found that there was stool blocking her intestine. So she was given lactulose, which gave her relief when she pooped. But the stomach ache still continues till day 3 and we ve been giving her lactulose three times a day to relieve her stomach ache. Her stool yesterday was black (she s not taking iron) and today its reddish. She had a stool exam today and the results are that there are no ova/parasites seen, but there are pus cells of 2-5/HPF. She has slight hemorroids. This morning she pooped 4 times. | 1.You can add some PPI like omeprazole 20 mg twice daily or or pantoprazole 40 mg twice daily along with Drotin DS twice daily. 2.Proctoscopic examination by a surgeon and upper GI endoscopy and colonoscopy may be done. 3.Repeat stool examination if there is some infective disorder, proper antibiotic should be given. | |
Does disc herination affect sexual drive?
I am having disk herination on l4-l5 disc. its been 4 - 5 months now. The pain has reduced but its not gone completely and pains too much sometimes. If i mastubate, it pains in the lower back, just at the upper left hip the next day. Is it affecting my sexual capability slowly? do i visit some specialist to get an answer on this situation? Please help me with this. I am too much worried.. | Hello! Welcome to HealthcareMagic! Your symptoms are quite common considering the disc herniation in this region. It is very common to have limitations of the physical activity due to a disc herniation. I would recommend trying physiotherapy, to help reinforce your back muscles. Surgery could be a possible treatment option of the herniated disc. Hope you will find this answer helpful! Best regards! Dr. Aida Quka, Neurologist | |
What is the solution for chest pain and shortness of breath due to smoking?
I smoked weed the weekend and im 14 and had loads of fags about 15 the most in one weekend? now I have bad pain in my chest witch feels like my heart I have shortness of breath and have to keep to take deep breaths I don t want no one to find out about the weed and fags I am now going to stop smoking anything and these is the third day since and I am still feeling like this? | Thanks for your question on HCM.In my opinion you should first get done ECG to rule out cardiac cause for your chest pain because smoking can cause cardiac damage. If ECG is normal than no need to worry much for cardiac cause.Chest pain and shortness of breath in smoker can be seen in pulmonary causes like bronchitis.So consult pulmonologist and get done chest x ray and PFT (pulmonary function test) to rule out bronchitis.For the treatment, smoking cessation is the primary thing. You have to quit smoking as soon as possible.You may also require inhaled bronchodilators.So consult pulmonologist and discuss all these. | |
Suggest remedy for dehydration in infants
My 8 mo old has been vomiting and or diarrhea after nearly every breastfeed; 24 hours ago stopped vomit but still diarrhea, also very runny nose and some coughing. Not sure how to assess dehydration- he is not peeing much but mouth still wet and nose is runny, he is sad but looks ok. Do I need to do anything right now or just wait it out? | you can classify dehydration as no dehydration some dehydration and severe dehydration sunken eyes, no tear, dry mouth tachycardia(increased heart rate) prolonged skin tugot(when you pinch skin it take times to become normal) the best thing you can do is start on ors with probiotic and prebiotic sachet and zinc oral drops for diarrhoea with ondensetron drops and sinarest drops for cold every loose stool give 100ml of ors continue with breast feeding allow of plenty of oral fluid if baby is lethargic decreased urine output decreased activity take him to hospital if baby have continues fever spikes better to start with antibiotic | |
What causes stomach pain and irregular bowel movements when on ketogenic diet?
My son is 2years old. He is on ketogenic diet for the past 4 months. We are following Indianzed keto diet for him which includes more of soya power and soya milk. For the past one week he is having stomach pain in the evenings. He crying s very badly ... i was giving him Enterogemina for the past 4 days. Later we gave him oflax TZ tab(1/4-0-1/4) X2 days. But still he seems to had stomach pain (crying has reduced than before). He is not passing the stools daily...his pattern for the past one month is that he passes 2 days once. And the consistency of the stool is just like a paste. What could be his problem for not passing stools regularly and continued stomach pain? | Hi, i think that you need to do a ultrasound abdomen and stool routine microscopy test to make the diagnosis. Till then give syrup cyclopam to relieve pain abdomen. Take care. | |
What is the treatment for acute pain in the stomach?
Sakshi bajoria Female 33 years, Suffering from acute stomach ache for last 4 days, despite on regulalar medication like Ornidazol oflaxacin, pantaprazole, ulgel A. developed symptom of burning sensation and acute pain in upper portion of stomach after taking alangesic Flexilor - Lornoxicam for pain relif spondolytis. Please advice suitable treatment | Greetings, After going through your history I can understand the concern you have regarding the disease condition of yours.my advise is to withhold T.lornoxicam for time being and make sure that you are taking pantaprazole tablet twice daily before food.These symptoms of stomach pain(sudden onset),burning sensation is suggestive of analgesic induced gastritis.my advise is to drink plenty of water,regularly timed food with every 3 hours but all in small quantity for eg 2-4 biscuits with adequate water and to avoid spicy and oily food,no alcohol,no coffee,no junk foods and syp.gelusil (antacid) 2teaspoon Thrice daily .consult general surgeon and get appointment for endoscopy if symptoms persists.I would be glad to provide answers to any further queries.Thanks for using HMC Have a good day! Regards ,Dr. V.KUMARAGURU general surgeon | |
Why did I lose interest in studies? Why am I frustrated? Does hypnosis work?
hi i have a problem when i was in school i was very good in studies i got 80% in 10th std i took science stream and in 11th std i failed i was very careless about studies bunking lecture not even studying in exam days and i gave 12std private exam but i failed in one subject because i didn t study it properly and i m getting frustration now because 3 month later is my exam there are many confusion in my mind i have hear that about hypnosis does it work really | Hypnosis is loosing its importance these days There are very few hypnosis experts in true sense Hypnosis has nothing to do with increasing interest in study or decreasing frustration. Rather relaxation therapy, planning your study, avoiding substance, if you are enjoying, finding a friend who can be a study partner are some solutions But, for evaluating frustration, more detailed information are needed | |
Q. Why do cough and runny nose occur more often in 2-year-old?
Hi doctor, My two-year-old son is coughing all the time and has a runny nose for the past three days. I am worried more because of the prevalence of swine flu. His immunity is not good. He gets a cough and runny nose every couple of months, and he does not eat properly. He does not eat food even if he feels hungry. I have a fear that whether he has a deficiency of nutrients. He looks healthy and plays well. But he gets frequent cold and cough. Please advice. | Hi. I have gone through your problem. He may have allergic rhinitis. Please use the below medications. Use syrup Allegra 3.5 ml (Fexofenadine) two times a day for five days and after five days, give him 5 ml daily at night for another ten days. Also, give tablet Montair 4 mg (Montelukast) chewable tablet at night every day for ten days. Revert me after a week. Regarding diet, give him two types of fruits and vegetables daily. Do not give milk in the morning. Give him breakfast daily. Include pulses, green leafy vegetables, and dry fruits in his diet. It helps to improve immunity. Do not expose him to dust, agarbathi, mosquito repellents, and perfumes. Keep him away from pets and fur toys. Do not give flavored drinks to him. | |
Suggest treatment for honey bee sting
I was stung in the mouth (under tongue) by a honey bee a few hours ago. I took an antihistamine, which made me feel better, but I am concerned it will wear off. I ve been lightheaded/dizzy, cold (actually ended up with a little fever), bad cramps in my abdomen, and nausea. Isn t it took late to be having a reaction from a bee sting? Should I keep taking the antihistamine? | Hello,Welcome to HCM,The sting can result in an allergic reaction due to the secretion of venom. Allergic reactions can be immediate or delayed, though immediate reactions are more common.The treatment varies slightly according to the severity of the reaction. In severe reactions (decreased blood pressure, increased pulse, hives, difficulty breathing) hospitalization is required for treatment.Where there is only swelling and rash, you can treat at home by the use of oral antihistamines such as benadryl. In addition, if the area is painful, you can use paracetamol.If the severity of the reaction worsens, then you would need to seek medical attention.If you haven't had a tetanus shot in the last 5 yrs, you also need to take a booster dose.Thank you. | |
What is the cause of weakness in limbs?
I am experiencing left foot pain (six months), weakness in limbs when having mild exertion, left arm does not swing, some back pain etc. two MRIs (brain and spine) clear. Not sure what I need to be asking docs when I see them and what the possible causes are. | Hello!Thank you for asking on HCM!Regarding your concern, I would explain that your symptoms could be related to different causes: - neuropathy- motor neuron disease- vitamin B12 deficiency. Your performed MRI have excluded many other causes (like a tumor, stroke, or myelopathy). Coming to this point, I would recommend performing some other tests: - a nerve conduction study and electromyography- vitamin B12 levels, and complete blood count.Hope to have been helpful!Kind regards, Dr. Aida | |
Are moving head to sides and shaking legs symptoms of periodic paralysis?
Hi, may I answer your health queries right now ? There was a concern that my 10 year old might have periodic paralysis, about 1 1/2 years ago. It has not been confirmed. This morning he woke up with his head moving from side to side for less than 30 seconds and his legs from knees down shaking. Never happened before. Is that a symptom? Previous symptoms was loss of muslce control in legs. | Hello,It seems like an episode of fit. You need an urgent EEG test of the baby. And baby may need to put on antiepileptic after the results. Consult with a neurologist.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Hina Javed | |
Suggest treatment to reduce ALT and AST levels
my brother is 40 year old. 1 month ago his left temprol was bleed due to high blood pressure. effected area is 4x4 mm at left brain his right side hand and leg effected but little bit moving, memory 90% lost. since his suffering he has given bredin 30mg 4 time daily and capotin 25mg 3 times daily. as per doctors advise yesterday his blood test was taken and found abnormality in liver function test ALT 75 AST 62. has he effected with hepatice or not ? kindly confirm secondly what remedies can be given to him to reduce ALT AST level kindly advise | Hi.Thanks for posting query at HCM.Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). "HepB and HepC should be ruled out".HepA is a self limited disease in most cases.Value of AST or ALT greater than 85 or above maybe investigated further.Alcohol ingestion and obesity are common causes of fatty liver disease.advice :- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik | |
Will taking cortisone help cure pain and numbness due to carpel tunnel syndrome?
Yesterday I had a cortisone injection to help the pain and numbness in my right hand from carpal tunnel syndrome. Shortly afterwards, I began to experience trouble with my digestion after eating. It is the same thing the next day. About how long does this symptom last? | Its unlikely that injectible cortisone may be the cause for digestion, however consult and obtain Rabeprazole 20 mg on empty stomach in the morning once a day for 5 days.It may help.If cortisone doesnt help relieve carpal tunnel, then an orthopedic surgeon may undertake decompreesion surgery if necessarybest wishes | |
Coughing, feel like something stuck in throat. I use neti pot with sinus rinse
Started out as an alleric reaction. Now I have coughing, with the coughing I cough so hard that I throw up and it does have mucus in it. I feel like there is something stuck in my throat now. I have gag refluxes bad and in past I have gotten the white balls out. I am currently on clartin and coughing did not start until I took that but now has gotten worst. I am tire and cant sleep due to coughing and gagging. I do take reflux medication. What is good cough sprup to use. I went and got me some pure honey. I am so tire of having these allergies and no sleep. Any suggestions. I use neti pot with sinus rinse and it s good but I am wheezing and coughing now. | Hello,from your complaints it seems that you have spasmodic cough,if you dont have any fever or throat pain.You need to see an ENT specialist to get your throat and chest examined.You need a cough supressant like codiene with a proper vaild prescription and some antiallergic.Honey is good for cough but your problem is worse to be controlled with just that. | |
Can gallbladder wall thickening and polyps lead to cancer?
My husband has had 2 episodes of what seem to have been gallbladder attacks. The first last dec. he had a ct in ER and all was normal. US two weeks later also showed normal liver, pancreas, gallbladder and bike duct. Most recent attack was very acute two days ago. Ct w/contrast was normal with exception of mildly fatty-liver. This time they did the US the next day and it showed gallbladder wall thickening, sludge and some polyps. They didn t comment on size of polyps or of wall thickening was symmetrical. They also mentioned the mild fatty liver. His blood counts were normal, but bilirubin, analine and amylase were slightly elevated. He is concerned about cancer because of the polyps and thickening that showed up in just five and a half months. Is that something likely? | HIAFTER GOING THROUGH YOUR BRIEF HISTORY YOUR HUSBANDIS PROBABLY HAVING CHRONIC CHOLECYSTITIS (INFLAMMATION OF GALL BLADDER).TREATMENT FOR THIS CONDITION IS SURGERY TO REMOVE GALL BLADDER.ABOUT GALL BLADDER POLYPS,THEY ARE USUALLY BENIGN AND YOU NEED NOT WORRY AT PRESENT.HOPE MY OPINION IS USEFUL TO YOUTHANKSDR PRANAY BUDKULE | |
The USG shows slightly hyperechoic liver with hypoechoic foci in the superior-posterior segment of the right lobe and the superior-anterior segment. How can this be treated?
Hi, I had a full bladder ultrasound lately and the result was i have a slightly hyperechoic liver with smooth margins. the intrahepatic ducts are not dilated but there are hypoechoic foci inthe superior-posterior segment of the right lobe measuring 2.7 x 2.2 cm and in the superior-anterior segment measuring 1.8x1.5cm. I m only 37 years old and a working mother for my 2 sons whos only 8 years and five years old. i have schedule a ct scan next week but right now i m so worried of what will be the result. I want to see my son grow up and still be there for them til they finish school. can i still leave that long? Please i really need your advice. Thanks. I m ANABEL | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It may be due to many causes.CT sac is needed for confirmation of the lesion.Hope I have answered your query. Let me know if I can assist you further. | |
Is uncontrolled sperm ejaculation normal?
hi i m male 28 yrs of age and m un married , and going to be married in few months , i have a problem i dont know whether it is problem or not when ever i tok about sex some liquid type thing extricate out of my penis please guide me is it something serious or what? i did have any affair earlier | Hello Thanks for writing to HCMYour problem is purely psychological.You should avoid excessive sexual thoughts and over excitement.Try to concentrate in your activities.You should avoid provocative literature and videos and try to keep busy yourself in your job.You should do exercise and take nutritious food.You are alright.Hope i have answered your query.Take CareDr.Indu Bhushan | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
I have postwall intramural fibroid. How to get pregnant ?
I am 28 ,50Kg,5.3 Doctor i had twice miscarriage ,due to no growth was shown ,as well twice curating had been done. then we did TORCH, and Recentaly harmonal test.folicular study. TORCH and harmonal test is normal but in folicular study there is a postwall intramural fibroid of size 3.4mm by 2.6... | Hello Thanks for query Posterior wall Intramural fibroid of size 3.4X2.6 Cm generally don`t hamper successful pregancy if it lies in the upper part i.e. body or fundus of uterus . Reason for miscarriage can be many hormonal ,infectious ,uterine environmental .So rule them out step by step Hope I have answered your question well to your satisfaction. Wish you speedy complete recovery at the earliest. | |
What causes low iron in the blood and nose bleeds?
African American age 17 female iron is to low to give blood always tired often has headaches and had a recent nose bleed. She has had nose bleeds in the past. I am her mother and I had nose bleeds as a child although I believe that I grew out of these at a young age. | Welcome to H.C.M.Tiredness and headaches are looking due to anemia and anemia can be due to frequent nose bleeding.I advised you to consult a nearby doctor to rule out any bleeding disorder in your child.Hope this answers your question.Please do not hesitate for any query.I will be happy to answer your questions. | |
What is the cause of chest pain?
I had chest pain went for a ecg that showed normal the doctor took blood to check if it was my heart the bloodresult came and 1 result showed positive i asked the doctor is that now to say i have a heart problem she said it could be that there is a vain blocked or that i had a light heart attack they also asked me if i have pain on my stomach i said i have gastritis and do take Pantocid 40 then they did the blood again and then told me the result are normal what now about the first result please explain to me. | Hello, In most probability they did a troponin test in your blood, because the 1st test was just borderline they must have repeated the test after 8-12 hrs. Now for troponin rather than a single reading, the trend is what is important , if it's on rising trend than in most probability there is ongoing heart damage. A single positive test on mild degrees can be positive because of number of non cardiac reason like kidney problem, post heavy exercise, some infection and number of other causes. So the test result is always interpreted in view of other supporting clinical parameters. However as a precaution you can opt for a treadmill stress test, as non Invasive alternative to find an occult cardiac problem. Hoping I could help. Regards Dr Priyank Mody | |
Q. My eyes are watering while using mobile. Can you suggest me glasses?
Hello doctor, Water is coming from my eyes when I use mobile. Can you suggest me glasses? | Hi. You should try to minimize mobile screen time. Secondly, try to make habit of eye blinking at the regular interval because while seeing screen we stare and do not blink that much. That is why the eye gets dry and to compensate that, your eyes start producing excessive tears in the form of watering. So, reduce screen time and use artificial tear (Tears Naturale drops). I hope you will be okay. | |
Have stage 4 colon cancer, green bile vomit, jaundiced eyes, dark brown urine, burping, swollen abdomen
My father is terminal with stage 4 colon cancer mets to peritonium (spelling); Last 4-5 days condition -green bile vomit (versus the dark coffee brown 2 months back), jaundiced eyes, dark brown urine and output is very less. Lots of burping; Swollen abdomen, hard rock. Cancerous tumor in sigmoid colon also swollen hard rock. Swelling in both legs, and fluid accumulation in the back, lungs area. Fentanyl patch, tramadol being given for pain control; He is not much in pain from the tumor, but the discomfort from ascetic fluid build up and throw up; I am aware that not many days, can you tell us if it is going to be a week or more | HIThank for asking to HCMI am sorry to hear that, without the clinical examination it is difficult to say any thing, but does it matter to you? the death is certainly sure for every human being later or sooner, what is wrong if some one is staying with us little longer time, at least we can get a chance to serve the ill one, take a good care of your father have great day. | |
Having CHF and ankles and calves swollen, can I take lyrica?
Hi, My question is, I have CHF do you think I should be taking (Lyrica), at this time my ankles and calves are swelling and I am gaining weight,only been taking Lyrica for 2 weeks as you can imagine I am taking othere meds due to my condition. Thank you Bill | Lyrica is known to cause fluid retention, so it should be avoided in decompensated CHF, however in stable pt it can be used, I would suggest you to make sure that your CHF is not under treated, and if it's not the case and you still gain weight, in spite of adequate diuretic, beta blocker, ace and other drugs avoid lyrica | |
Q. I have ringing in my ears. Is it serious?
Hello doctor, I am 18 years old, and I have ringing in my ears as long as I can remember, but I have never thought to ask about it until now. Is there something I should be doing? Should I be seeing someone? | Hello, Welocme to icliniq.com. The ringing sensation, tinnitus is a subjective sensation, hence should never be neglected. Yes if proper tests are done and you rule out any pathology then we can start behavioural therapy with which you slowly neglect the sounds. Tinnitus is the first sign of pathology of the ear connected with our nervous system. It is mostly seen as a subjective symptom in old age people which is due to slow degeneration of neuronal pulse. But since you are young and it is lasting from a very long time. It is absolutely necessary to get few tests done. Audiometry with tympanogram. MRI brain, (contrast, multiplanar, with t1, t2, DWI) | |
Suggest remedy to improve quality of semen
Hi, may I answer your health queries right now ? Please type your query here... Hi ,i am 31 years old ,my semen analysis is not good ,morphology 4% , motility 44% (A= 2% ,B=33% ,C=9%) NONmotile:55% what shoul i do ,what is my problem thank you | Hello. I have reviewed your query and here is my advice. You should follow the diet and medicinal treatment given by your doctor on this issue. Please understand that this condition can be corrected.Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. Regards, Dr. K. V. Anand | |
What can be taken for cough caused by allergies?
my husband has a cough from allergies, but since last night when he coughs he has an extreme pressure pain in his inside left upper bicep. Like a blood pressure cuff has been over tightened 2 x too much. Arm does not hurt any other time except when he coughs then it is extremely painful. | Hi.Cough allergy put pressure on lungs and coughing is done. It seems to exert pressure on lungs and neighbouring heart too.Biceps has no direct link with it but your doctor should not ignore any remote possibility of precipitating IHD.Little more inputs like BP condition etc would throw more light as also blood cholesterol report.If I were your doctor I had preferred to exclude these too. Moreover if everything is found well but condition remains the same, I had advised to try hrbal medicines route too which are safe and known for treating allergies control asthma.May I be of more help please? | |
Suggest medicine to improve sexual drive
sir good morning at the time of sexual relation what can i do to improve increase the time of sexual time.i can not getting that much of time at the time of sexual time.is any medicine in aurvedic and alopathi to solve this problem?pls suggest some medicine for to solve this problem BY prince Dubai | Dear userWe understand your concernsI went through your details.SEXUAL DESIRE AND SEXUAL STAMINA cannot be built on one day. Moderate exercise can help in increasing sex energy to a great extent. Simple push-ups or 30 minutes of regularly walking or jogging can work wonders in building sex power. Oysters,, almonds, cashew nuts, sesame seeds, walnuts, Fruits like apples, apricots, blueberries, cherries, papayas etc. dates, chocolate, pumpkin seeds, onions etc can also help you to improve your sexual power. A healthy lifestyle that keeps a person active with proper food and adequate exercise help in improving one’s sex power. Diet plays a big role in one’s sex life. Healthier the person better is the sex life. Sex life reflects the lifestyle one leads. If you require more of my help in this aspect, please use this URL. XXXX. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
What causes pain during bowel movements?
Had hemmroid surgery about 4 weeks ago. When be operated he informed me I have a broken tailbone that flaps back and forth. I m still in pain down there especially when having or about to have a bowl movement. Can it be from the tailbone or still the surgery and if so what do I do? Doc won t prescribe anymore pain pills and Tylenol isn t cutting it! | The pain after 4 weeks of surgery for piles can ot cause such a pain. So this is obviously due to the coccydynia and the best way is to get it removed as there is no definite treatment for it. | |
Pyelonephritis, elevated liver enzymes, diarrhea, yellow bubbly stools, fever, back pain
My daughter is 29,,she has pyelonephsis,,also she has elevated liver enzymes ,,diarrea yellow and bubbly,,,,low grade fever to none,,, back pain ,,,,,,got a clue what it could be? | Hi, Welcome to Health care magic forum. As you describe, it appears to be the hepatitis, with high serum bilirubin. The eyes and the urine also expected to be yellow. I advise you to consult a gastroenterologistfor diagnosis and treatment. Avoid taking nonvegetarian foods, oilyfoods, spicyfoods. Take more of curd,buttermilk, and soft foods. Wishing for a quick and complete recovery. Thank you. | |
Suggest therapy for wheezing & cough
My kid is 3 year old and she was diagonised with wheezing about 4 months ago and she was put on Broncho dialtor for 3 days and she was normal after that.But now she again has got dry cough with sputum and I cannot figure oput whether she is having common cold or wheezing | HelloRecurrent wheezing simulating common cold and having nasal discharge, tears in the eyes are characteristic feature of asthmatic allergic bronchitis ( ronchi or whistling sound present , even you can heard during inhalation or exhalation ).Since this is very common problem in most of children so need not to worry but if possible avoid fine dusting powder, pollen, mold , PETS , pests ( cockroaches ) fumes , smoking , sudden fall and increase of temperature ( change in temperature).When such type of patient visit I only advise them to take bambuterol+montelukast syrup ( dose of both tablets are 0.2 mg /kg body weight .However , sometimes some children feels fine tremors and drugs adjust within 4-5 days .Usually patient respond to these drugs on day ONE .When patient become symptom free stop the drug and when require give medicine . Usually there is no need of any antibiotics until & unless there is fever.Hope this will help you. | |
Side effects of avil 50 mg
iam 34 years old malei am taking avil 50 mg 10 tablets daily i am observing bad effects on my health i want to know detail causes of using this tablet | Avil is a sedating antihistamine. It can be given for allergic conditions including allergic rhinitis(running nose, sneezing,) , urticaria(rashes in the skin with itching), conjunctivitis and pruritis. However it can cause sedation, inability to concentrate, dryness of mouth ,etc. These days there are non sedating antihistamines available which would be a better alternative if u need to take one for a longer period of time. | |
What is the treatment for cough and difficult breathing?
i have a seriously bad cough for about 4 months now,fatigue ,i cant walk 5 steps without getting fully out of breath, i am overweight, about 450 and 6 feet 6 inches tall.when i cough i lose my breath and i get a drowning feeling, my mouth froat come out and i feel like im drowning and very weak | Hello dear, thanks for your question on HCM. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x ray. 3. PFT ( pulmonary function test )4. EcgYour symptoms are suggestive of pulmonary diseases (bronchitis, asthma) more.So get done above mentioned investigation to rule out asthma and bronchitis. You are also very obese. So cardiac causes can also be possible. So get done ecg toruleu cardiac cause. So better to first diagnose yourself and then start appropriate treatment. And loose weight because obesity is not good for health. | |
What causes frequent sticky bowel movement in an infant?
My baby is 9 month old, ahe had suffered from rota virus when she was 2 months old and was admitted in hospital.She usually poops at every feed since she was on formula feed, taking both breast n formula feed.When i started her solids her poops frequency becomes less but she had dysentry on 17 may 2017 she was on cefixime 6 days, zinc and probiotic but now again she poops 4-5 times a day, her poops are pasty not watery...What can i do??? She is taking solids 3 times a day | Dear parent,As per your description, it seems your child is passing frequent motions due to gastro colic reflex. Which is absolutely normal. give her boiled and filtered water.If the child is taking food, water, passing urine and motion, playing and sleeping at ease there is no need to be worried.But the child being too small be vigilant. | |
Q. Is what I am having a cyst in the brain?
Hello doctor, I am having a cyst in the brain, maybe from birth. Cannot remember exactly, though it is not giving any problems, but should I worry about it? Attached is the picture. | Hello. I reviewed your uploaded photo (attachment removed to protect patient identity) and would explain that this is not a cyst in the brain. It is a benign sebaceous cyst under the scalp skin. It is not related to the brain. So there is nothing to worry about. If the cyst grows, I would recommend consulting with a surgeon and remove it with simple surgery and local anesthesia. Hope to have been helpful. For more information consult a neurologist online --> | |
Suggest remedy for sharp pain in ribs
Hi, I have had a cold/flu for three weeks now. Generally feeling better, but two days ago it felt like I had pulled the muscles on back when coughing and today my ribs (in the same area) are sore to touch and coughing is extremely painful. The pain has gone from a sore muscle pain to a sharp pain - almost like cracked ribs but not quite as bad (I ve had cracked ribs before, but on the other side). Is there anything I should be doing? | This is nothing but irritated costovertebral junction.You just stretch your pectoralis and do upper trunk rotatation stretch.Further you can add strengthning of rhomboidus and lower trapezius i.e. upper back | |
What does chest pain and shortness of breath indicate?
Hi, I have a doctors appointment in 2 hours after running through a barrage of questions about my chest pains. The lady on the phone repeatedly asked me if I was out of breath and at the time I was not. I now feel weezy and short of breath. Do I need to be concerned right away, or can I make the 2 hour appointment. | u may keep 2hr appt. u did not tell me your age and if u smoke, drink, have HT and obese. CP with SOB may mean ischemia due to CAD. u may have CHF. u also have to be checked for Asthma. u need to see a cvd MD to get ekg, Cxray, 2D echo. | |
Is persistent sore throat sign of cancer?
my son has a persistent sore throat for a month now. saw a doctor and they thought it was sinusitis, treated him with Zithromax for 5 days and now it is back. He had swollen lymph nodes in neck when seen 2 weeks ago. says throat is still sore. He is 20 years old and just quit smoking 2 weeks ago. He smoked about 3 years. He's worried about cancer. | Hi, dearI have gone through your question. I can understand your concern.He may have some upper respiratory tract infection like sinusitis and it leads to reactive enlargement of lymphnode. He should go for fine needle aspiration cytology or biopsy of lump. It will give you exact diagnosis. Then you should take treatment accordingly. Don't worry for cancer. at age of 20 chance of cancer is very low. So just be relaxed.Avoid smoking. .Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
Suggest treatment for swollen gums
Hi,I have a swolen gum at the right hand side of my mouth at the back, I called my dentist and was advised this could be a wisdom dentist and left it at that. Tonight ive flossed and cleand alsso mouth wash used. I can bear it but im concerned as I have an operation for gallbladder removal on monday the 3rd of November and don't want anything to go wrong.Marie :) | Thanks for your query, I have gone through your query.The swollen gums can be because of the deposits below the gum resulting in gum infection or it can be from the erupting wisdom tooth causing gum infection(pericoronitis). If it is because of the deposits, get your teeth cleaned.Consult a oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed.If the space is not available then you have to get the wisdom tooth removed. Mean while you can take a course of antibiotics like amoxicillin and metronidazole for 5 days (if you are not allergic). Do saline gargling.I hope my answer will help you, take care. | |
How can panic attacks be managed?
My fiance has panic attacks she says they happen when it is getting ready to rain She lives in Russia where the medical system is as good as playing Russian Roulette with a fully loaded pistol How can she stop these atacks they just started in Feb. She uses natural things Any help I will send to her It scares me I am not there and she has a 14 year old daughter Any help I would be very grateful for Thank you David | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The treatment of panic disorder is often accomplished with use of medications and psychotherapy. As you might be aware no two patients are similar and often complete assessment is required before starting the treatment. In my opinion there is need to get evaluated properly before labeling it panic disorder as there are many medical disorders which can manifest alike panic disorders. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for nasopharyngeal carcinoma
I am 3 months post treatment from nasopharengeal carcinoma. It was stage 3 because it spread to both sides of my neck into the lymph nodes. The mass on the right side of my neck was very large but after chemo, then radiation and chemo (33 treatments of rad) the primary tumor in my nasopharynx is gone but a PET scan revealed a lymph node with a 4.4 uptake in my neck where the large mass was. My oncolologist and radiologist suggest removal of the lymph nodes in that area because they do not trust a needle biopsy because they are known to give false negatives . My ENT suggests a needle biopsy and to monitor the lymph nodes in that area with a sonogram. My next PET scan is scheduled for 12/11/2014. Should I get the surgery or have the needle biopsy. I am worried about a false negative but at the same time neck surgery isn t something that is routine or easy and comes with a lot of risks. I appreciate any advice. | hi... my advice is to undergo a neck dissection if PETCT showed an uptake of 4.4 in the previous gross nodal disease region.. as a surgical oncologist i can tell that neck dissection is not a morbid procedure...yes, i accept post radiotherapy there may be healing issues but overall its safer and best way to control neck residual or recurrent disease.. please follow the advice of your oncologist.. | |
Numbness in the cervical spine and osteophyte complex abutting the exiting left nerve root
I just had an MRI done on my cervical spine due to numbness and shocking down my left arm to my left ring finger and my pinkie. At the bottom of the report has the radiologists immpression ...C 4 through C 7 fusion including mild C 4 C 5 disc osteophyte complex abutting the exiting Left nerve root ....Can you please explain to me exactly what this all means? Thank you..... | Hi, I'm sorry to hear about your pain and numbness. Let me see if I can explain the impression. But you need to remember that a radiologist impression is only half the story and you need to take that scan to your Neurosurgeon or your Ortho spine surgeon, so they can match the report to the symptoms that you are having.-------------------------"C 4 through C 7 fusion" -------------------------So what that means is that all the bones Cervical bone 4, 5, 6 and 7 have all fused together. This can happen due to surgery (sometime we WANT to fuse those bones) and it can also happen to severe arthritis. Have you had surgery on your neck? Ever? Was there ever a neck injury? If so, you need to discuss these issues with a Neuro.. or Ortho-Spine specialist.-----------------"mild C 4 C 5 disc osteophyte complex abutting the exiting Left nerve root"-----------------There are tiny little spikes that have formed in that region that seem to pressing down on the nerve. This might be the cause of your pain and numbness.I hope this helps. If you would like a more personalized discussion with me or any of the Neuro-Specialists at HealthCareMagic, just use our "Ask a Specialist" service and we will get back to you quickly.Take Care,Vin | |
Could hyperthyroidism cause SGPT level to increase?
I am a 48 yr old female. I was diagnosed with HBP last Feb and prescribed norvasc 5mg. I was recently diagnosed with hyperthyroidism and blood work showed by SGPT level to be 95. I am not a drinker-maybe wine socially, but haven't drank in a year or more. Could hyperthyroidism cause this level to increase. Thanks | Hi, dear. I have gone through your question. I can understand your concern. sgpt is a liver enzyme. Its level increase in liver damage. It can be due to alcohol, drugs, toxin or infection. You should go for complete liver function test. Hyperthyroidism can not cause that. Thanks for using health care magic. Wish you a very good health. | |
What causes joint pain and discomfort?
my mother has red lines similar to streaking all over upper and lower right leg. she does not have any problems with them being itchy or painful what so ever. she has been complaining of joint discomfort that is worse when she firsts wakes however no pan in chest/increase with touch. I am not quite sure what it could be i see no sign of infection? | Hello,I would explain that her symptoms could be related to Cushing disease. For this reason, I recommend checking cortisol plasma levels and some other blood lab tests (ACTH, complete blood count, thyroid hormone levels, PCR, ESR). You should discuss with your doctor on the above tests.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
Histroy of quitting job to be homemaker. On and off feeling of disinterest to deal with household duties. Ways to self motivate?
hi i am a 32 recently married female and i have two children from a previous relationship and my husband also has two children. soon before we were married i quit my job to be a full time house wife. sometimes i do OK.. but most of the time i feel so over whelmed that i just don't want to deal with the day to day duties of being a stay at home mom. what can i do to feel motivated about my new life | HelloIt was your decision to stay at home and to be a home maker. You have to quit your job for that. I want to tell you that home making is as important as doing a job. You should feel proud for that because for your family you have made a significant sacrifice. The feeling like you dont want to deal with day to day duties can be due to feeling that you have made wrong decision. I would like to tell you that you should not feel low because you have done a good job. Try to do relaxation exercises for motivation. Exercises like Breathing Exercises, Progressive Muscle Relaxation Exercises, Meditation etc help in improving confidence.Hope this helps you, thanks | |
Have psoriasis in body and scalp, worsens in beginning of winter and summer. Any home remedies?
Sir I m D.K.Pandey from India, I m suffering from psorasis in whole body as well as scalp . It badly infacted in starting of winter and statrting of summer it become cure more ever from my body. some parts of body not cure in summer. I m very worried about this. Please tell me if any home made remadies in Ayuveda or any permanent treatment . my age is 39 yrs Hight 5.5 weight 72 kg. E-mail : YYYY@YYYY | 1. Apply olive oil over the affected body part one of the effective home remedies for psoriasis. 2. Coconut oil is highly beneficial in the treatment of psoriasis. A daily intake of 2 teaspoons of coconut oil is a good home remedy for psoriasis. Or it can be applied on the affected skin 3 times daily. 3. Take a cup of fresh juice of bitter gourd vegetable, mixed with one tea spoon of lime juice on an empty stomach every day. This needs to be done for four to six months. 4. Cabbage leaves washed in warm water and dried with a towel should be flattened, softened and smoothed out by rolling them with a rolling pin after removing the thick veins. The leaves should then be applied smoothly to the affected part in an overlapping manner. 5. Keeping the skin well moisturized is an effective way to control psoriasis. Petroleum jelly can be applied to the affected areas everyday after bath. 6. Drink lot of buttermilk. 7. Apply oil of avocado gently to the affected parts. It is an effective home remedy for psoriasis. 8. Another effective home remedy for psoriasis is baking soda. Dissolve baking soda in water and a cloth dipped in this water should be applied on the affected skin several times. This provides relief from itching. 9. Take 15-20 sesame seed, soaked in water, on empty stomach early in the morning. 10. Take more Vitamin E rich diet for treatment of psoriasis. Spinach, almond oil, sugary potato and sunflower seeds are recommended because of their high Vitamin E content | |
How does Krimson 35 help one in getting pregnant?
Hi Doctor, my age is 26 and I am 82kgs married 2yrs back.I have pcos problem from past 8yrs.I was on contraceptive pill for all these years for regular periods.planning to have kids. gynic prescribed krimson 35 for 3months. how does it help me in getting pregnant...plz advice | Hi, krimson 35 is also a type of contraceptive pill and you can't be pregnant on this. You have to take medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 cycles. Talk to your doctor regarding this. Hope I have answered your question. Regards Dr khushboo | |
What causes puffy eye, broad tongue and thick lips in an infant?
hello dr. my child named lucia, aged 5 months,features r pale, coarse,and bloated,eyes puffy,the lips thick, and large and broad tongue,short necked, bloated form, abdomen prominent,hair is sparse and dry,and top of head flat and in the back is the lumbar cushion, hands and fingers are broad, the child is lethargic and take no intrest in surrounding plz what is the disease | Hi....by what you quote, I put forth 2 possibilities - 1. Congenital Hypothyroidism2. MucopolysaccharidosesPlease get in touch with your pediatrician with these tips.Regards - Dr. Sumanth | |
What causes a hard lump on the knee of a 4 year old?
My son is 4 years old weighs 32lbs and is healthy as far as we know. I was giving him a bath tonight and noticed a hard lump behin his right knee just about the size of a golf ball. He recently has been complaning his leg hurts to walk. I am scared that this could be something serious! | Hello, This seems to be a joint synovial cavity herniation. Please consult a pediatric orthopedicDisclaimer"This provisional advice provided by me stands subject to the patient undergoing a physical examination and is based entirely on inputs provided by patient/attendants. The patient is advised for physical examination at earliest" | |
Does PCOD affect pregnancy?
Hi, I am 32yrs and need some urgent help to understand my semen report. After confirming that my wife has PCOD, her gynaec also suggested my tests.Please let me know if this is a problem? Is it curable? Will it impact conception as we are eagerly planning a baby? SEMEN ANALYSISMacroscopicVolume:2.0 mlColour: Pearly WhiteReaction / pH: AlkalineViscocity: NormalLiquefaction time: 30 MinutesMicroscopic Sperm Count: 70 Millions/mlMotility *Active: 60%Slugglish: 10%Non motile: 30%MorphologyNormal forms: 80%Abnormal forms: 20%Other FindingsPus Cells: 6-8/HPFRBC: 1-2/HPFImpression: NORMOSPERMIA------SEMEN CULTURE AND SENSITIVITY (VITEK)IDENTIFICATION INFORMATIONSelected Organism: Enterococcus faecalis (Plenty growth)Benzylpenicillin: SENSITIVE (4)Ampicillin: SENSITIVE (Gentamicin: SENSITIVE (SYN-S)Ciprofloxacin: RESISTANT (>=8)Levofloxacin: RESISTANT (>=8)Erythromycin: INTERMEDIATE (4)Nitrofurantoin: SENSITIVE (Tetracycline: RESISTANT (>=16)Tigecycline: SENSITIVE (Vancomycin: SENSITIVE (1)Linezolid: SENSITIVE (2)Quinupristin/Dalfopristin: RESISTANT (8)Please let me know how serious is this problem of mine? Thanks. | Hi,I will suggest you the best possible treatment options. I have gone through your semen analysis report, it shows normal sperms count. But presence of pus cells is a matter of concern. Please seek prescription support from your treating doctor for suitable antibiotics to get rid of the infection. For your wife, I will suggest that she should opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Start on Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Let me know if I can assist you further.Thanks,Dr. Purushottam Neurgaonkar | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What causes pain, fever even after taking antibiotics for kidney infection?
My daughter was diagnosed with a kidney infection and placed on antiobiotics yesterday morning. Now 36 hours later the pain is still intense, she still has a fever and cannot eat. Should we give the antibiotics more time, or would a visit to an emergency room be the best course now? | HelloThanks for query .Your daughter has been diagnosed to have kidney infection hopefully your family Physician .She needs to get examined by a qualified Urologist and get following basic tests done to establish a diagnosis .1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis.In the mean while continue taking antibiotics that she has been prescribed Ensure that she drinks more water to help her to keep her urine dilute .Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil. | |
Suggest treatment to control blood pressure
hi i have a problem. went to my doctor today and my bp was 200/90 so he gave me another type of bp med but because i took my other bp med before going to dr i did not take other med but tonight i took my bp and my rt arm read 174/113 and left arm 233/138 plz advise | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to tell you that if you have significant difference between the blood pressure measures indifferent arms then you may require a physical evaluation for the same. A big difference in blood pressure measurements between your arms could be indicating a health problem like blocked arteries in your arms, kidney disease, diabetes, or heart defects which requires proper evaluation for a proper treatment. It's recommended for you to consult your physician personally and get yourself evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Pratap | |
Stomach swelling, gastric issues, heavy head. Why does this happen?
Hi, i am 28 y male,from last 2 year i facing problem like stomach swelling , gastric problem,heavy head digestive problem, some time increase heart beet, A treat from 4-5 dr some say its liver problem, some say stomach pgm,some say its acid problem, some say its my brain problem, i have also go through CT-scan, normal scan, endoscopy ,and many blood test ,in blood test only SGOT is increase, and in endoscopy some type infection, i have treated all tease problem,But my all this problem is hear,i feel my swelling all 24 hour, i confuse so Plz give me right advice what i do for that, what type body test will be do.............thank you.. E-mail YYYY@YYYY | hi, good morning, i feel the scan you are mentioning is brain scan.if your ultrasound scan of abdomen is normal you need not worry about the liver problem ,even with slight increase in SGOT(may be because of alcohol).the swelling of your abdomen is bloating due to acidity problem. please take omeprazole with prokinetic (domperidone) for 2 months.so the best test at this stage is abdomen scan. bye. | |
Can i try to conceive while taking regestrone tablets ?
hi, my husband and i have just started trying to have a baby....my doctor has advised me to take Regestrone tablet 5mg on the 18-25th day of my cycle and then clomid on the 2-5th day. My question is, do i need to continue taking regestrone every cycle till i get pregnant along with clomid? when do i stop the regestrone? my periods are regular but i m not ovulating , hence the medication. So far i have not yet taken clomid but already taken 1 cycle of regestrone. Please help me, as i don t understand how i can conceive if these tablets are meant for me to get my periods. Thank you. | a Pune based ayurvedic doctor has developed a herbal product by name navras pak. This is made as per the procedure and process described in more than 5000 years old yoga ratnakara. he has been quite successful in treating primary, secondary and third stage infertility in men and women. send me a mail if you need more information. subbie19@mtnl.net.in | |
Alternate for kidney surgery?
Sir, My father have back pain and blood in urine He take medicine about 6 months. The CAT scan shows that mildly enhancing intraluminal lesion noted filling the right distal ureter. The terminal ureter is narrowed, no extension to VU Junction. Lesion caused complete luminal obliteration with proximal hydronephroureterosis. Blood products noted in the dilated collecting system NS URETER. Marked parenchymal thinning of right kidney noted. The doctors says that we should remove the entire kidney, but he has asthma and he was a cardiac patient. So its very risk to operate. Then papa not accept it. If we not done the operation, what will be the next step? | Hello and welcome to HCM.As an Urologist, let me advise you, that surgery for your father's right ureter is indicated, as the right kidney is blocked. The right kidney is severely affected, with very poor function, as seen on the CT scan. Now cardiac and lung function will be tested, to know the high risk of surgery.Without surgery, if it's a cancerous tumor, it'll spread towards kidney and bladder. He may start bleeding in urine severely.You may contact me here for expert opinion, with question directed in my name. Wishing your father well. | |
What causes deep muscle pain?
i HAVE BEEN HAVING DEEP MUSCLE PAIN WHERE I COULD NOT WALK FOR OVER A YEAR. I CAME UP ANEMIC AND STARTED TAKING IRON PILLS. I WAS ONLY ANEMIC @ 37 WHEN THE AVERAGE FOR WOMEN IS 36 TO 45. HOWEVER, THE PILLS DID WORK. WHEN I EXERCISE MY PAIN COMES BACK AND I NEVER REGAINED STRENGTH IN MY ARMS AND MY LEGS. I CAN EXERCISE A LOT & I WILL STILL BE WEAK. MY LOWER BACK HURTS A LITTLE. I AM STILL VERY TIRED ALL THE TIME. | Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to anemia.I see that you have already taken iron supplements to treat these diagnose. I recommend to continue this medication at least for 3-months.After this period of time I recommend to repeat the complete blood count check if the treatment was effective. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
What causes dizziness after prednisone usage for swollen neck?
I have been dizzy for 3 months its getting worse everyday. The first time I went to ER and they said all my bloodwork and chest xray, ekg was fine. Then I went to an Urgent Care they said I had wryneck and put me on prednisone. The next time same diagnosis. I have been on high doses of prednisone for a week now and I'm worse. Im scared to death something major is wrong. I also have swollen lypth nodes in my neck. What could it be? | HI, thanks for using healthcare magicEnlarged lymph nodes are normally as a result of infection or inflammation in the surrounding areas.They can also become enlarged if the nodes themselves are infected or in malignant conditions.A full blood count and ESR (checks for inflammation) would be able to determine if infection, infection or other serious conditions are present.It would be best to be reviewed by your doctor.Dizziness can be due to different possible causes such as conditions of the inner ear, low blood pressure, inadequate fluids, side effect of medication.An ENT doctor or neurologist may be helpful to determining the cause for your dizziness.I hope this helps | |
What are the side effects of glimestar?
Dear Dr. Shankdar, thank you for this opportunity. I was prescribed GLIMESTAR M2 tabs during my last visit to a Doctor in Goa. Prior to this I was taking Glynase 5mg one tab a day. Perhaps glynase may not be making an effect on me, therefore the change! I am almost 60 now but I feel weak and thirsty even after taking glimestar (which I assume to be a much stronger dose) May I ask why? Thank you, Kind Regards, Hilary Fernandes, Muscat, Oman | Hi,Based on the history you seem to have uncontrolled blood sugar apparently due to inadequate dose of Glimestar-M2. Advised to check your blood sugar and consult your doctor for further evaluation and possible use of alternative/additional medicine to control your blood sugar.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Q. Would vagina close due to psychological reason?
Hi doctor, I noticed that for the past three months, I have had vaginal infection. But, all the tests were negative including vaginal swab and urine, which was done last month. I would like to know whether the vagina closes due to psychological reason. For example, when one do not want to have sex with someone. Please explain. | Hello. It is called as vaginismus. It is muscle spasm causing contraction of vagina. It happens due to various psychological issues. It could be due to guilt of sexual activity and some unconscious unresolved issues. It could also be due to dislike of partner. It needs counseling and medicines. | |
Suggest treatment for knuckle pain
I fractured and displaced my right picky knuckle 2that and a half months ago. The problem is after being in a hard cast for 7 weeks and a splint for two my knuckle still has a constant pain and stiffness feeling. Could this be a ligament or joint problem? And will I need surgery? | Hello,The symptoms seem to be related to the injury of the knuckle. When the cast is removed, it is not unusual to experience some pain, swelling and stiffness of the knuckle for a few days. I suggest using anti inflammatory medications such as Acetaminophen. I also suggest gentle stretching exercises.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Q. I get a white discharge. Does it indicate any problem?
Hello doctor, I am 26 years old. I recently got engaged. When my partner speaks with me, I get some intimacy towards him. At that time, I feel closeness. At that time, I get a white discharge. Does it indicate any problem? Last month, I got my periods on the 12th. This month, I have not got my periods. Generally, I get my periods two to three days ahead. | Hello. It is normal to get excited when you talk to your fiance. White discharge is usually due to fungal infection which is very common in females. I suggest taking a single tablet of Fluconazole 150 mg. That will settle the issue. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If you have not had sex last month, then there is no worry about the delayed period. However, if you have done something last month, then you need to do a pregnancy test. Regards. For more information consult an internal medicine physician online --> | |
Suggest treatment for chest pain and anxiety with breathing difficulty
Two months ago I had a EKG and was told it showed 'stone cold normal' at the ER. I was having chest pains and have annxiety disorder. The last week has been very stressful. Today morning as I was lying down it felt light my heart stopped completely, I could not breathe properly, and pehaps 10 seconds later it beat again. Very frightening. What should I do? | hi and pleased to answer youYou must make a complete checkup by doing an Echocardiography exam, ECG, lipid blood test and troponin, with blood glucose. This checkup is explained by the signs you are describing that can be linked to a coronary heart disease.If this complete check-up is normal, gastritis is highly suspected and can appropriately give a range of signs suggesting a heart problem, but since if the heart problem exists, and since it can affect the vital prognosis, it is imperative to begin your examination with a focus on the cardiovascular system.as rare causes can existe, a pulmonary x-ray can be done if nothig is foundAn anxiolytic will be largely effective in helping you overcome your pathologyI wish you consult a cardiologist.best wishes | |
How to treat tooth infection?
Spasms in my throat electric shockwaves go through my body when I try to sleep and at one point my throat closed up I felt like I went into a colma it all started when I took a antibiotic my roomate had for dog bites bvecxause I had a tooth infection and at that point I had spasms in in my thgroat heart brain and stomach last nite | Hello and thaks for consulting HCM.I have read your query.treatment of dog bite is totally different from the treatment of tooth infection.plz specify which medicine you have taken.Sometimes it can lead to drug adverse reaction.I would strongly recommend you to visit doctor and don't try any medication on your own.Hope this answer helps.RegardsDr. Shesh | |
Suggest treatment to control blood pressure
I blood pressure has been running high all yesterday and this morning 164/104 last night this morning 146/104. I just check it again 136/92 so it goin down but my head is killing me. I took my blood pressure medicine but it s a beta blocker time released. | Hello. Thank you for your questıon and welcome to HCM. I read your query. As I can understand you are already diagnosed with hıgh blood pressure or hypertension and you are treating it with a beta-blocker. In a patient. without any other risk factors or co-morbidities, target blood pressure figures are under 140/90 mmHg. Once it is diagnosed, hypertension should be fought and kept within the above mentioned range, so it cannot produce further end-organ damages. However, these blood pressure fluctuations are normal, sınce it is a constant ''target'' of various hormonal, physıological and psychological changes that happen in the span of one single day. I am not worried about fluctuations. I am worried more about the high figures, even though you are already on hypertension treatment. Therefore, I would be recommend you to be put on a second drug for controlling your blood pressure. I would prefer a drug from the angiotensinogen converting enzyme inhibitor (ACE-I) class. You can further discuss this option with your cardiologist. I hope I was helpful. Wish you a good health. Take care, Dr. Meriton | |
Used septocaine. Sparks burnt tongue. Why is tongue raw with punctured lips?
I went to the dentist today. She stated she used septocaine. While giving administering the septocaine, sparks were shocking me and burning my tongue . After the septocaine wore out, my tongue is raw and there are puncture marks on my lips . Are there chemicals in spectocaine which could possibly have similar signs affects? | hi, Septocaine is a local anesthetic which usually does not have any side effects until one is specifically allergic to it, which is a rare occurence. while giving any local anesthetic there is a burning senstation in the area where the material is getting deposited, which is normal. If your dental procedure took a long time then the cracking of lips and raw tongue maybe due to cnstantly keeping your mouth open. lips get dry and crack when the mouth is open for a long time, applying any good lip balm should solve the problem. if the discomfort persists or increases, i would strongly recommend that you consult your dentist. Regards | |
Feeling dizzy, foggy. Got hit on head. Normal EKG, blood tests. Delayed concussion symptoms?
Was hit in head with a volleyball on a Wednesday. Shook it off and continued to play that day and the next. Friday after practice started to feel dizzy, foggy and briefly passed out. Continued to feel dizzy and foggy through the weekend. Went to Dr on Monday thinking flu ( not making a connection to serve to head ) Bloodwork snd EGK csme back normal. i thought better on Tuesday night. Could my symptoms have been caused from a concussion? At the time if the hit, I played through? Can concussion symptoms be delayed by 48 hours? | HIThank fro asking to HCMYes you are exactly right any head injury should be watched for at least 72 hours because any thing could happened within this hours so better to be under observation, to rule out the under possibility CT imaging is must take care, have good day. | |
Suggest treatment for pulmonary hypertension
Hello Doctor, My mother had DVT and we treated her for that, she has been given acitrom 5 mg intially and now she is under acitrom 2. She has a PE in between and we had performed IVC process.. From then on she has Pulmonary Hyper Tennsion and breathing was not normal.. So the doctor has given Pulmopres.. Do you suggets any other treatment of medicine.. | Hi welcome to H.C.M I understand your query and concernPulmonary hypertension in your case should be evaluated for Right sided heart failure.I advise you to get a base line 2 dimensional Echocardiography, ECG,lipid profile immediately to confirm the diagnosis.Monitor your blood pressure,heart rate regularly.Blood pressure has to be maintained under 130/80 mm of Hg.Drugs like Bosetans and Anti hypertensives like calcium channel blockers and intermittent oxygen therapy will be the treatment of choice.Restrict the intake of salt less than 6 g/day.Exercise regularly for 30 min.Drink 3-4 liters of water daily.Diet rich in fruits,vegetable salads,juices should be taken. consult a cardiologist for further expert management.post your further queries if any,Thank you. | |
What causes red patches in a child while having eczema?
My son has small flat red patch that last a day or two then dissapears as quickly as it appears! No irritation -about half a centimetre in diameter. He suffers from exzema-but these look like a small bleed under the skin. He is nine years old. weighs average height and weight. Has been on steroid treatment for most of his life. Only other symptom he has is occasionally complaining of painful calves. | HiRed patches are a part of allergy and is called urticaria. Here the best way to control it is Avoidance of allergens. Most of the time patents or children are not able to find out the allergen. Here I would suggest you to get an allergen test done after consulting an allergist/immunologist. Avoiding the allergens detected in allergy test will help in decreasing the episodes.You may also try allergy controller like montelukast and cetrizine combination. Regards | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Spinocerebellar Degeneration, vagus nerve is involved, stabbing pain, difficulty breathing. Done Biopsy. Explain
thank you. i am homebound on home care with spinocerebellar degeneration, mixed per biopsy. my vagus nerve has proven to be involved. i am on calcium channel blockers for many years for a variety of heart arrhythmias since i've been told its my vagus nerve, not the heart itself. i do have a dual a-v nodal pathway. i have been in heart units more times than i can count. i have a DNR now but i have a new/recent heart spell that hapening frequently which is sudden, severe, will knock me down if standing, lower mid right chest just under breast. pain is sharp, stabbing, unbearable. and i can vomit and have a barking cough with it and can have very difficult time breathing. it can last anywhere from minutes to hours | Hi,Thank you for posting your query.It is difficult to pinpoint the exact reason for your symptoms without actually examining you. However, the symptoms look like a muscular pain or a neuralgic pain.Medications such as pregabalin may be useful. If symptoms persist, please consult a neurologist.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.comMy blog: | |
Suggest remedy for mental health problem
My elder son 13 years old , he is not interesting in study, not brushing properly, not showering properly and doing bed wetting etc.... he need a proper Guidance . i would like to see a clinical psychologist. we are from mavelikara, alappuzha dist | Hi dear,not interested in study, not taking self care, bed wetting suggestive that he might have depression or other psychiatric illness. for diagnosis and treatment once you must consult psychiatrist and if he feels that counselling is required then will send you to psychologist.Not to worry much.since when such features appear in your son?is there any incident occur in house or school?Thank you | |
What causes abdominal pain?
hi doctor,i have not seen my menstral flow for the month,i have gone for pregnacy test and it all came out nagetive,i did had an infection but i was given some anti-biotic...but am haveing pains under my abdomen..what could be the curses?what should i do doctor.Thanksada | Hi there, I my opinion still there is infection persisting, please get a ultrasound abdomen and urine examination done and meet a local doctor near you.Regards | |
Degenerative changes of the disc with bulging, mild facet joint hypertrophy. On treatment for femoral nerve pain. What is the treatment?
My MRI report, among other things, states: At L2L3 mild degenerative changes of the disc with early bulging. There is a focal extruded disc fragment migrated inferiorly from a left posterolateral disc herniation. The disc fragment has migrated inferiorly by at least 15mm extending all the way to the left side of the middle third of the L3 vertebral body. This impinges significantly the left anterior aspect of the thecal sac . This fragment measures bout8.3mm in AP diameter x about 13mm in transverse x 16mm in cephalocaudal. The foramina remain patent. Very mild facet joint hypertrophy . My Doctor has been sent my report today. Currently he is treating me for continuous femeral nerve pain . What can be done for this and could this condition be affecting the femeral nerve? Thanks. Terry. | Hi, Thank you for posting your query. Your report suggests a significant disc protrusion and impingement of the lumbar nerve. This is not impinging on the femoral nerve. Initial treatment consists of bed rest, physiotherapy and medications such as pregabalin. If you do not improve, a surgery may be required to release the pressure on the nerve. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist | |
Suggest treatment for swollen testicle
Hello, I recieved a blow to my groin a day and a half ago during a softball game. Immediately following the injury, I experienced a couple of hours of moderate to severe pain. Following that I have had some swelling of my right testicle, or perhaps fluid build-up outside of the testicle in the scrotum, along with increased sensitivity to that testicle. I was wondering what condition this may be and what ways may increase my recovery? | Hello, Usually, a testicle injury involves swelling and pain. If pain and swelling persist, you should consult a physician for physical investigation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist | |
Suggest treatment for bronchitis
I normally suffer from Bronchitis when I get sick. But being a single mom, I don t have time for myself, I take regular medicine, haven t gone to a doctor in 5 years, I do not smoke cigarets. I have been feeling tired, my chest feels like it has fluid, when I cough I have lots of flem, & reeently I feel like their is something on my throat that s stuck there | Thanks for your question on Health Care Magic. I can understand your concern.You probably had a infection which has worsened your bronchitis. Get a chest x ray done to rule out infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
donate blood in poison ivy
My boyfriend has an outbreak of poison ivy from a recent camping trip and would like to use Fucidin H cream Fusidic acid 2% and Hydrocortisone 1%, but worries about wheather it is safe for him to continue to donate blood. He is O negative and donates regularly every 60 days or so. | hi well come to Hcm. It is local infection from Iv canula, might have happened accidantly. It has no relation with blood donation.Every time it does not happen. He can very well continue donating blood. Thanks | |
Suggest treatment for sore ears in a child
Hi I have a 7 yr old daughter who has a swollen ear drum which is being treated with antibiotics, she has been taking them for three days now, her ear is still a bit sore to touch. We are due to catch a plane for an hour flight to Queensland today, will she be ok to fly? | if he has external otitis need proper antibiotics along with anti inflammatory drugs he needs to continue this treatment for 5-7 days.about travel by air is no problem only use ear plugs of cotton during travel | |
Q. I am unable to retract my foreskin during sex. Will Betadine or Soframycin help?
Hello doctor, I had oral sex three weeks ago. That day also I faced the same issue i.e I was unable to retract or pull back my foreskin completely, it took like three to four days to get to normal. Two days ago I masturbated and again facing the same issue i.e unable to retract the foreskin completely. It will be back to normal in another couple of days. I never faced such problem before, is it that I might have developed some an infection during that oral sex? But if there was infection how it went normal after three to four days. I have attached the video of it so you can examine. I have a few questions: Can I apply some ointment like Betadine or Soframycin? The Betadine is the same Betadine brown color ointment which we apply on cuts, etc., or is there any specific for this private part? How to apply the ointment? For how long? Also, should I wash with water or keep it dry for long? In the video, I also have shown some pus-filled pimples below stomach in pubic hair region that occurs occasionally. I never trimmed pubic hair is it because of that? Is it advised to trim the pubic hair? Also, can you suggest an antifungal shampoo for public hair? My head is very sensitive to touch so it pains on the touch of cloth or hand. Is it normal? How can it be fixed? Is there any tablet I can take to cure this issue like Fusys 50 mg tablet? | Hi. I have seen your attachment. (attachment removed to protect patient identity). The foreskin opening appears to be slightly narrow due to which you are not able to pull up the foreskin easily. This may need some lubrication like KY jelly or coconut oil before pulling up the skin. The boils in the pubic area are due to skin infection. Apply Soframycin (Framycetin) or T-bact (Mupirocin) cream twice daily and take Cefuroxime 500 mg twice daily for five days. This would heal the boils. Avoid shaving the pubic hair, just trim with hair clipper or scissors. Penis head is always very sensitive. I would suggest you get your blood sugar checked once. Sometimes raised blood sugar can cause skin infections. | |
Is Amikacin sulfate 125 mg safe to use for 10 month old baby?
hello, need your help asap. my baby is 10months and for the 2nd time is diagnosed to have UTI..now after the urine was cultured, they said it has E. coli.. so they looked for a much stronger antibiotic for her... Amikacin sulfate -- 125 mg every 24hrs thru IV --- so my question is, is this safe for her? im so afraid of the side effects --- kidney damage/hearing loss....need your feedback asap... | Hi, amikacin is safe to use in 10 month baby if used in proper dosage. In some conditions like high blood urea the dose needs to be decreased. Amikacin is also given in newborns. I think that you need not worry about this. Regards - Dr Deepak Patel, MD Pediatrics | |
Suggest treatment for constipation
My daughter just turned 2. A couple of weeks ago she did a very hard thick Poo and it hurt her doing it she cried. She then had some blood on it. I thought she just cut a little bit on be way out. The blood in stool lasted about 3 days. Then went away then this morning she started crying and she did a soft poo and visible red blood through it. She does bout 2/ 3 poos a day. Is she sick? Please give me some answers ! | Hello and welcome to healthcare magic.Blood with hard stools is often due to anal fissure (a cut in superficial part of anus) or rupture haemorrhide (blood vessels in superficial part of anus) both of which can be due to straining while passing stools later being uncommon.My advice is to take her to a paediatric surgeon who will thoroughly examine her anus+rectum and will give their expert advice.Meanwhile give her a lot of fluids,ispaghula husk.Make her sit in warm water for 10 mins twice a day.Hope you find this answer satisfactory.Good luck. | |
Q. Is Quinine safe in liver cirrhosis patient with low platelets?
Hello doctor,My husband has an advanced stage liver cirrhosis and gets muscle cramps in legs from time to time, at night time or when he wakes up in the morning. Other patients with similar issues recommend drinking tonic water that contains Quinine or taking Calcium Magnesium supplements. He has very low platelet count so is not Quinine dangerous for him? What supplement will you recommend against muscle cramps and in what quantities? Currently, I am taking Propranolol 40 mg and Omeprazole 40 mg daily. | Hi. Cramps happen in cirrhotics due to nutritional insufficiency, mineral deficiency, mainly calcium and magnesium. My suggestions would be: The brands vary from place to place. But vitamin and mineral supplements are a must. Do consider this and update if any issues or concerns. For more information consult a medical gastroenterologist online --> | |
Suggest treatment for a painful lump in the foot
hi i fell reallly badly in a corner of a wall 10 days a go and developed a massive bruise and the area swelled and caused a hard lump come in the middel of the bruise and it was very sensative and felt like an iron burn when touch the pain went after 5 days and now i can move it but i fell again on the same area and now my foot is all swallen and brused and the lump is still ther | Welcome to Health care magic.1.The history suggest an infective lump in post traumatic area.2.In this case a course of antibiotic will help to heal better, if there is collection - a small incision and drainage followed by antibiotic treatment might be helpful.3.Do not scratch the area or press the lump, it will only complicate and increase healing time.4.Avoid or reduced moment as much as possible for early healing.5.If there are any underlying medical condition - make sure they are in control. Good luck.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
How can a skin rash on the foot be treated?
what s the most effective ointment, medicine,etc for a skin rash on top of foot. Neither Ammens powder nor Neosporin are working, It just doesn t want to clear up. Thanks for nothing, and for standing by as well. What would I have done without you? | Hi, The rash could be a fungal infection or an eczema. I request you not to apply neosporin powder as it itself is an irritant. I could not be able to arrive at a provisional diagnosis as you have not mentioned about the characteristics of the rash. You could take an antihistamine tablet for managing your symptoms. But, ideal line of management could be initiated only by a Dermatologist after proper clinical examination. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Siva Subramanian, Dermatologist | |
Suggest an effective treatment for lung injury
Hello Doctor, My friend is vomiting blood often from last 5 years. we have checkup with nearby doctors and they said that it is because of injure in lungs.Is it possible to cure with the medicine? or do we need some other treatment?Please advice.Johnson | Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.I understood your health concerns and feel Concerned about them.Based on the facts of your query, you seem to suffer from-TB with blood in sputum? Duodenal Ulcer.You need to update more information before the reason for blood vomit is finalised.In abscence of any further information investigation by Oeso-Phago-Duodenoscopy,would help you to fix the treatment from Surgeon Treatment-As there is no history of Chest complaints,but for your doctors opinion of lung injury causing this blood vomitting,I would suggest Tab Proton-D-6 weeksInj-Vik +Inj Calcium gluconate to treat blood in vomit.Other causes need to be investigated and treated from Surgeon /Physician accordingly.Hope this reply would help you to plan further treatment with your family and specialist doctors there.Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | |
Suggest treatment for nocturnal emission of sperms
get sperm leaked during night times when I sleep. Main point here is when there is leakage of sperm, there wont be any sexual dreams or erection of penis. Without any sex dream or erection of penis or mastribution, there will be leakage of sperm and penis size will be small on shrunk during the time. Is this a problem? if yes then what is the solution? | Thanks for asking in healthcaremagic forumIn short: Its not a problemExplanation: If you donot masturbate/have sex/ejaculate by any means your body will try to replace old sperms with new ones. So, you will have ejaculation with slight excitation and in REM sleep(stage of sleep). Its not a problem, be happy and your penis can grow again when excited so be happy with size. It cannot shrink. | |
Will crohns disease cause any problems during pregnancy?
Dear Ask The Doctor: I had surgery on a hiatal hernia about 3 years ago and have Crohns Disease. I am thinking about doing invitro fertilization as a result of unrelated issues regarding my husbands sperm. My question is if you think that I will have a harder pregnancy than a woman without these problems. I did get the hernia fixed but I do feel pain there if pressure is put on it and I get a lot of gas pressure and pain that settles in there. I also have very painful periods. When it is my time of the month I am usually very sick, sometimes even limited to laying in my bed as a result of Crohns flair-ups and gas buildup making me sick. I want to continue with our plan of starting a family but I wanted a little information first. If I am that sick for the three days that I have my period, then how would I feel through 9 months? | studies showed that progesterone induced smooth muscle relaxation during pregnancy may relieve spasmodic effect of intestine that actually causing pain. operated hernia may cause problem when actual labour pain starts due to increase in intra abdominal pressure otherwise almost nothing to worry. If any suspicion rises elective cesarean can be considered as option with mindset of safe mother and baby. | |
What causes swollen lymph nodes and sulfur smelling stools after eating eggs?
I have a daughter, 3 years old with Down Syndrome. If she eats scrambled eggs for a few days in a row, her stools smell extremely sulfur-like. I stop giving her eggs for a few months and then reintruduce them into her diet for a few days... the same thing happens. Also, two weeks after getting the MMR immunization, which has some egg element to it, both lymph nodes between her jaw and ears swelled up terribly for a few days. Symptoms went away and returned two more times the following month, but only on one side. Her daycare looked up some possible Methyl something or other. It was a long word, but it said if infants have this condition then do not feed them eggs among other things.... do you have any information about this that can help? | hi BASED ON YOUR HISTORY, IT IS IMPERATIVE THAT YOUR CHILD HAD EGG PROTEIN ALLERGY A ND NEEDS TO BE AVOIDED AS IT FURTHER CAUSES MORE PROBLEMS IN FUTURE | |
What could cause itchy rashes ?
A couple of day ago I was very itchy on the soles of my feet. My nose was runny yesterday, last night I woke up to extremely itchy palms and this morning I have a rash on butt and hip area and the back of my neck is itchy. What is this?Thank you.Gina | HIWell come to HCMThis could be allergic condition and in my opinion this can be best managed with Tab Chlorpheniramine maleate three times in day, and this is nothing to worry this would come around, hope this helps. |
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