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Suggest treatment for cough and blood in phlegm after a head injury
I fell down my stairs two weeks ago and had a tramatic brain injury and cannot walk with out a walker. I just got sent home from rehab because of insurance. I have terrible headache that pain pill do not help and now when I cough I am seeing some blood in my phlegm. | Thanks for your question on Health Care Magic. I can understand your concern. No direct connection between head injury and hemoptysis (blood in sputum). But unknowingly, you might have injured chest (blunt chest trauma) while falling from stairs. And this might have injured lungs and cause bleeding. So better to get done chest x ray to rule out lung injury as a cause for your hemoptysis. Your headache is mostly due to head injury. So consult doctor and get done chest x ray. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What is the treatment for dark pigmentation around neck?
Hi,I've recently noticed my neck has started to change colour becoming alot darker. I thought it was heat rash, but it isn't. I've tried scrubs & peels to keep it from getting darker, but it's not helping. I'm afraid this is permanent - What is this and how can I get rid of it? Thanks. | Hi. Thanks for posting in at HCMSeems you are having Pseudoacanthosis Nigricans around neck.I would advice that you see a nearby dermatologist for a visual confirmation of diagnosis OR you can ask me a direct query via this forum by following the link are various treatment options available like topical creams and tablets which you can get prescribed by your treating dermatologist. Chemical peeling also helps in faster resolution.take careregards | |
Suggest treatment for black growth under eyelids
I have a chalazion- had it for around 10 months now, and it s really small and right under my bottom eyelid (not on the eyelash line) you can t see it unless i flip up the underside of my bottom eyelid. I ve taken meds for it and it stopped growing and it s just been there (no pain or inflammation till this day) and really loose and the color of it was the color of the regular underside of an eyelid. Now it suddenly turned black (like a tiny watermelon seed) and VERY VERY loose- it doesn t look like it s a tumor or an infection (Because still no pain and looks nothing like the pictures provided on google) and I m guessing it turned black because blood circulation was cut off from it. Is it possible for a chalazion to just fall off? I mean it s not suddenly disappearing like it s supposed to, it s just there. It s similar to a cutaneous skin tag but under my eye and black (haha sorry for the visuals). | Chalazion occurs due to the blockage of meobian gland ( oil producing gland ). It may occur on upper or lower eye lid.Treatment is Excision. Yes, occasionally it may undergo fibrosis and fall off. | |
Suggest treatment for hair loss due to lichen planus
I have lichen planus and have had this for a few years now, it came and went and has come back stronger. This time it has effected y scalp really badly and caused alapecia, despite hours spent on the net looking for treatments of hair loss, it all basically says the same: lichen planus in the scalp causes permanent hair loss and no suggestions for treatments. I am really desperate now and would like a suggestion for a possible treatment please | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I suggest you to use a topical potent steroid e.g clobetasol propionate 0.05 % lotion, in addition to this I suggest a 4-6 months course of oral minipulse therapy with oral steroids e.g betamethasone or dexamethasone. Hope I have answered your query. Let me know if I can assist you further. | |
What causes infertility after being on birth control?
Hello Doc. I am trying to conceive. Am 19 years of age. I was Birth Control Since May 2010 till 2011. Started Bleeding again only in November 2012 I went for Birth Control pill in 2013 to regulate my period. It helped For A while but Now im getting the irregular periods again. For the last 3 months Doctors Told me im not pregnant. That I have a Urine Infection. Last Month i had blood In the Urine. Now this Month I almost Had discharge for 3 weeks. Had A brown thick discharge last night. Now i have A light Brown period. Doc I Really need to know what is wrong With Me?? I am trying for A baby but no luck. Its making me Depressed. Pls Help | Hi,Welcome to HCM.Irregular periods means lack of ovulation & pregnancy can't occur without ovulation. Birth control pills are to prevent conception & not to assist conception. You need ovulation induction medicines in consultation with gynecologist/infertility specialist.Regards. | |
What could dizziness, cranial pressure and constant illness suggest?
i have felt like i have been fighting off some sort of infection for at least a month. i have felt drained, and at times, i have felt like i was coming down with the flu. This usually passes within a day or two but i never feel 100% better. i have had pressure headaches at some point every day for the last month or so. i have been under a lot of stress lately, but i have dealt with worse. the last week i have been increasingly light-headed. It gets a little worse every day. Today i have felt like i was floating all day long. Every time i feel anxious or nerves its gets to the point that i spin. | Hello,Welcome to the HCM,There can be so many causes of recurrent dizziness,spinning like feeling for example,1.anxiety and stress2.inner ear problems3. brain related cause.I would suggest that get checked by a neurologist and discuss further.You may also visit an ENT doctor to rule out any inner ear problem.For avoiding stress,start exercise,learn any new activity and plan for visiting with family.Regards,Dr.Maheshwari | |
Is it normal for ovaries to hurt during pregnancy?
Hi I am 10 weeks pregnant and for the more past for the last 10 weeks my ovaries have been hurting but for the last week it has really been constant. I have tried getting ahold of my OB/GYN but he has not gotten back to me yet. Is this normal for my ovaries to hurt? | Hello, and I hope I can help you today.In the first trimester of pregnancy, your ovaries produce the hormone progesterone which normally is made by the placenta once it reaches adequate size. So it is not unusual in the first trimester pregnancy to feel pain in your ovaries. In addition, as your uterus stretches, you also may experience some cramping and pulling sensations, which can be on the sides.The only thing that is concerning is if you have not had an ultrasound this pregnancy to confirm that it is normal and located in your uterus. If you already have had an ultrasound for this pregnancy it is unlikely that there could be anything harmful going on, especially if you are not bleeding.So if the pain is severe enough that you cannot function, especially if you have not yet had an ultrasound, if you cannot reach her doctor within a reasonable amount of time, you may want to pursue care in an emergency setting. If you have had a normal ultrasound earlier in this pregnancy, you really do not need to worry, as your ovaries are normally examined as part of your pregnancy ultrasound and a large cyst would've already been detected. Tylenol, or acetaminophen is safe to use for pain at the normal adult dosage during all trimesters of pregnancy and you can try to see if that helps with the pain.I hope that I was able to adequately answer your question today, and that my advice was helpful.Best wishes for the rest of the pregnancy,Dr. Brown | |
How to cure asthma with abnormal ekg and chest tightness?
I went to the dr yesterday I have asthma but no wheezing he put me on steriods but my ekg was abnormal. My chest feels tight and I lose my breath whenm I do activity. I am taking a stress test next week. I too s baby asprin and I am still feeling uncomfortable. What shoud -i do? | Hello,Asthma is only one of the causes for a breathing difficulty. There are other causes related to the heart, the lungs, blood, fluid retention, anemia, embolism etc.A lung function test ( spirometry) will help in diagnosing asthma and some other lung diseases. In asthma, a salbutamol inhaler relieves the acute symptoms where as steroids are more beneficial for prevention. Aspirin can make asthma worse.So it is important to have your symptom diagnosed correctly and then the appropriate treatment can be advised. | |
What causes rash on abdomen and legs?
my granddaughter was out playing in the backyard last night in Asheville, N.C. She looked as though she had a few bites in whelps close to each other on inner aspect of her elbow. Overnight the rash is speeding and now can be found on abdomen and legs. Any ideas. She has minimal itching. | Hello,I read carefully your query and understand your concern. The symptoms of your daughter seem to be related to contact dermatitis. I recommend using an antihistamine such as Cetirizine to relieve the itching. I also suggest to apply a mild steroid cream for local application such as Calamine lotion. 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 are the ill effects of consuming ice in large quantities?
is eating too much ice bad? I actually sit at work and my mouth waters just to get home and eat a tray of ice!!! i fill the trays on an average of 3 times per day!!! i also experience bad stomach pain after eating a lot of ice!! is it caused from the ice??? | Hi there!Thanks for posting your query on HCM!Many people do have similar craving for different substances, including ice. Medically we call it Pica. Pica is generally a symptom of anemia, either iron, zinc or Vitamin deficient. I would suggest you get a complete blood checkup done, to exclude anemia. If anemia is confirmed, treatment will range from a daily dose of supplementation, to blood transfusion, depending on your levelsIf not anemia, then the craving could be related to another condition named obsessive compulsive disorder, in which the underlying emotional factors, if any, need to be addressed. Excessive ice cravings can also lead to weight fluctuations. So please do check up on that.Hope this helps. | |
What to do it kid crayola bath tablet?
My son ate a crayola bath tablet, it changes the color of water, I was letting him put it in the water and he put it in his mouth instead! His whole mouth is blue and I m worried it s poisonous. I rinsed his mouth, brushed his teeth and made him drink lots of water. Do I need to go to the er??? | HiWelcome to the HCMI would recommend you to contact the poisoning centre. The reason that emergency medical care should be sought is not because the paint itself is toxic, but because the pigments that are contained within certain colors may be toxic in dosage, depending upon the color of paint, as well as the age and weight of the person who has ingested it and the quantity of paint ingested.Hopefully this will help. Take care | |
What can be the reason for the pain in the finger in the foot?
i have con in my small finger in the foot , i operated once a time in ksa before 15 years. now it has occurred again. and too much paining now. i have also problem of walking. so what do now. kindly give me advise thanks regards samuel bhatti. dubai. camp boss | hithank-you for providing the brief history of you.As you have corn the pain is because of that. Looks like your feet muscles are weak and leading to corns frequently.I will advice you to undergo physical therapy and learn some exercises of the feet to make the muscles stronger.also therapeutic ultrasound therapy should help reduce the inflammation and pain.In my clinical practice most cases with corns are treated with physical therapy and they respond wellRegards Jay Indravadan Patel | |
Does duphaston and clomid help to treat infertility?
Hi doctor,I m 27 years old,59 Kg & got married 4 years before.I m trying for a baby since last 3 years.I have pcos from the age of 20 with irregular cycle.I had done 2 abortions due to pcos.From last 1 year I m taking metformin (3 times in a day) & folic acid (1 time in a day).But 3 monthe before my doc suggested me to take Krimson 35 to regulate my cycle.But now I dont want to take Krimson35 in future.I want to get Pregnant.I Want to know that Dhuphaston+clomid are good and safe medicines to get pregnant in pcos?Is there chances to get pregnant with these medicines? Thanks | Hello,Welcome to healthcare Magic.I have gone through your query and Would like to reply in detail as follows:1. Yes.2. These medisines help in conceivingI hope your doubt is clarified. Let me know if you wish any other information.Regards,Dr. Mahesh | |
What is the right dosage for TB?
my father is 70 years old and has TB..the doctor has precribed Akurit 4, 3 tablets per day..his weight was about 50 kgs and has now increased to 53 kg in last 45 days of taking medicine. My confusion is that a couple of other doctors have suggested that the right dosage is 4 tabs. Pl advice. | hi , Dose of isoniazide is 5mg / kg ie 300mg , rifampicin 10 mg/ kg ie 600mg , pyrazinamide 25 mg/kg ie 1500mg n ethambutol 15 mg/kg ie 1000 mg So in my opinion 4 tab of akurit 4 will be appropriate dose for your father . Hope this ll help THANKS N REGARDS | |
can a bruise on arm be harmful?
I have a bruise on my arm for a few days and its yellow and green and in the middle is swollen but its hard and raised up. Its extremelly senative. The whole thing is almost the size of a dollar bill. Should I be worried sense the bfruising basically paused. No change in colors for a couple days now. | Hello, I would not be worried as long as your forearm functions as normal. The bruising is a collection of blood that is maturing which is called a hematoma. It should go away on its own, you can take Ibuprofen for symptomatic relief assuming you are healthy and have no allergies. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Daniel Richard Paull, Orthopaedic Surgeon | |
What could continued rashes and hives in the body with lump above knee causing pain during walking indicate?
Been breaking out in a rash/hives for 2 weeks. Over last 2 days gotten considerably worse and now this afternoon I have a lump that has grown just above my knee. It is hot to the touch and hurts to walk. What could be going on with me? No other symptoms. | Hives means some allergy phenomenon occurring.consult a physician to diagnose a cause.Symptomatic treatment is by steroids and anti allergic medications.Lump over knee should be evaluated physically by a doctor.Causes for allergy, in diet and environment should be sorted out by exclusion Best wishes | |
Will a Melanocyte transplant be safe for spots noticed on lips?
Hi Dr. Prasad, I am 32 years old, I spotted a tiny white spot on my lip in 1998. Since then it got grown slowly and now it s 10mm x 3mm in dimension with some few spots of normal color on it. I started taking tablets and topical medicines (English) only when I felt the patches were obvious, i.e, from 2006-2010. But no improvement was observed. Then as per some homeo-clinic experts, I started taking homeopathy medicines since 2010-till now, still I m not seeing any response. Through internet I came to know about Melanocyte Transplantation. 1) How good is the treatment? 2) Transplantation/surgery hospitalization time? 3) Success percentage? 4)How soon the response can be observed? 5) How soon I can resume my office after the transplantation? 6) How long the dressing has to be there after transplantation is done? 7) Is that a permanent cure? 8) And Does it have any side effects? 9) Cost of the Transplantation I basically hail from TamilNadu, Could you please send me your contact details so that I can make a conversation and fix an appointment to a visit your Clinic in Chidambaram? | Hello and welcome.Thanks for sharing your concern.Please note that for a particular doctor,to answer your query you must contact the doctor through the direct query in this forum.Therefore Please select that option provided to you in HCM forum.Simultaneously I would also like to add that please, attach an image of the lesion on the right for view,as it will help in easy diagnosis and treatment plan.Hope it helps.Thanks.Take care. | |
What are the painful lumps on the back of my head?
I just discovered lumps on the back of my head. They did not hurt initally, however now after 5 days they are getting painful when i touch them. I am also feeling numbness and tingling on my head. My doctor thinks they may be cysts and has given me an antibiotic. If not cleared up in 2 weeks or becomes painful I should go back. I am just wondering what you think it may be. Both areas are on the left side of the head. one on the back side and one on the top left side of head almost like an L shape. | Hi! Good evening. I am Dr Shareef answering your query.Yes, possibly your doctor was right in labeling them as cysts. In the starting, they were not painful, but these got secondarily infected later on giving rise to the pain. These could subside with antibiotics, but could recurrently get infected. Therefore, I would advise you to get these assessed by a general surgeon and get these removed once the infective phase was over on consuming the antibiotic and anti inflammatory drug along with a proton pump inhibitor.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
Q. 2. 5 year old suffering from stomach ache. Which medicine has to be given?
Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. | Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. | |
extreme lower back pain... maybe from work
For the past week i have began to have severe lower back pain and it has started to limit my movement at work. Im scared that it might be something serious but im not sure if im just overreacting to some over exhertion from work. i stand for almost 8 hours straight 5 days a week. | Hi, Welcome to Healthcare magic forum, Lower back pain may be due to Lumbar strain/sprain or disc prolapse needs following precautions: Avoid riding two wheeler. Dont lift heavy weight. Sleep on hard mattress and on ur back and side, dont sleep in ur abdomen since the muscles will get more strained. Avoid sudden bending and turning. Take hot fomentation daily twice. Sit in a proper potion, dont hunch back when u sit. U can wear LS belt while travelling. Consult ortho specialist for further treatment. Hope I have answered ur question, Regards | |
Is my headache and stomach pain caused by anxiety or mouthwash?
I swallowed about a teaspoon of Natural Dentist Berry Blast mouthwash and now my stomach and head hurt. I have problems with anxiety so when I m anxious it also makes my stomach and head hurt. I also feel dizzy, which anxiety does to me. Do you think the effects are from my anxiety or from the mouthwash? | Hi.Thanks for your query and an elucidate history. You have a pre-existing history of headache and stomach ache which increases on anxiety. A teaspoonful of mouth wash will not cause any problems as they are diluted and safe enough, even though one accidentally drinks it and you have consumed only 5 ml. so stop worrying. Your problems are due to anxiety only. Keep calm and quiet and take the medicines for anxiety. Your problems will be over. | |
What is the cause of intense and chronic abdominal pain in one diagnosed with fibromylagia and irritable bowel syndrome ?
Hi I wonder if you can shed some light on my collection of symptoms please. I have recently been diagnosed with fibromyalgia and irritable bowel syndrome . I have been having a lot of abdominal pain and severe bloating (but not diarrhea or passing gas) which mainly occurs when I get up in the morning. I have actually watched my flat stomach abruptly inflate and then I have a sharp pain primarily down the center of my abdomen. It eases off if I lie back down again. I regularly have a sharp pain if I cough, sneeze , laugh hard or have a bowel movement. Twice I have had a strange episode where I have sudden pain and stiffness in my groin area, accompanied by sharp abdominal pain.(Both time were during my period - the sharp pain was not like menstrual cramps). In the last 5 months I have had two CT scans, a colonoscopy, a pelvic ultrasound, a gall bladder ultrasound, lots of blood tests and two stool tests. All that has turned up is that I have a slight vitamin D deficiency, a small umbilical hernia (probably from having my tubes tied) and endometrial hyperplasia (probably from my fibroid - not considered serious). I am taking 150 mg of Lyrica per day (gradually increasing to 300mg), am 47 yrs old, female, 207 lbs on a protein diet (protein shakes, 1 meal/ day meat and vegetables) recommended by my gastro-enterologist. I can t go back to work with this unpredictable, on-going abdominal pain. Taking an anti-spasmodic did not help. I have had symptoms on and off for 5 months or more, but it has been really bad for the past 6 weeks.Is all this really just IBS? Any advice is appreciated! | Hi..dear the.., Thanks for choosing HCM., I gone through Ur history.., Yes...it could be....IBS..Irritant Bowel Syndrome.., U have no significant pathology in GIT.., According to Ur investigations..everything is normal.., But here U have not maintain Balance diet and regular.., intervals of diet...no adeqate physical exercise..ok.., 1) Do regular 2 times exercises for 45 mts.., 2) Balance diet like 9:4:1...carbohydrates, proteins and lipids.., 3) Regular diet...having small quantity with number of times ( 5 times)., 4) Don't invite spicy, sour , salt and jenk food.., 5) Take plenty of oral fluids.., ok follow and observe the result...good luck., | |
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 --> | |
Suggest treatment for gum disease
hello during the past three weeks i have been waking up with qiuet a large amount of blood in my mouth i was treated a week ago by my dentist who said i had gum disease i have been flossing cleaning as told but it still is happening iim wondeing if this could be anything else as it only happens when i wake up , i get a little blood when i floss but nothing like in the morning thanks steven | Thanks for using Health Care Magic.Read your query.The bleeding in the gums suggest that you have gingivitis and periodontal inflammation which is usually the cause for bleeding in the mouth.In your query , you have not mentioned whether you have got your teeth professionally cleaned by your dentist , if not please get it done and then follow the correct method of brushing and flossing.Use chlorhexidine mouth wash for a while.If you have got your teeth cleaned by your dentist and still it bleeds more , I would advice you to consult your GP doctor to rule any systemic conditions which may be the cause.Hope this was helpful.Thanks and regards. | |
What causes pin sized blood dots all over the skin during pregnancy?
i recently went to an acupucuncturist to see why i had pin sized blood dots all over my slin, its as if someone just took a sewing needle and pricked me, i was told it was because my liver is failing and i am 7 weeks pregnant and that i must abort the baby ASAP. i dont know what to do nd of course do not want to give up my first baby. what should i do and what wold be best????? | HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.Please do not fall prey to wrong information and myths.I will suggest to get hemogram, urine routine , and liver function tests done.Tab Vitamin C 500 mg twice a day, along with B 12, FOLIC ACID. Do not panic. Please always consult expert gynecologist.All things will sail smoothly. May GOd bless you with bundle of JOY.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Suggest ways to handle shortness of breath in elderly woman
Whenever I get my heart rate up in the slightest like barely running a very short distance or even walking holding my grandson I get shortness of breath my heart feels like its gonna beat out of my chest my face goes red I start sweating. And I feel lightheadness and kinda sick. Along with my chest hurting and I have to sit down.I am a40 year old female | thanks for asking your question I completely understand your issue breathlessness with sweating can be due to variety of causes in elderly. it may be due to some lung diseases like copd , ild , or heart diseases .you need to get yourself evaluated for a cause .visit a pulmonologist he can evauate tour disease by requesting some basic investigations like chest xray and ecg , spirometry if needed.he may prescribe you some bronchodilators and antibiotics if needed thanks / regards feel free to ask more questions may god bless you with good health | |
Pigmentation, visible patches, irritation on face. Used melano, tretinex, sunscreen. Condition getting worst. Treatment?
hello.some sort of internal blackening started to occur on my face and a month back i consulted a skin specialist who told me i had hyperpigmentation and freckles on my face.he advised me to use these creams Melano,Tretinex and Solar light sunscreen and after a continuos use of these creams for a month the condition has got even more worse.there are visible patches and spots on my face,i feel slight irritation and can see rediness as well.i am very depressed and what should i do now? | HI, You seem to have developed an irritant reaction to the prescribed medicine. This could be due to over zealous application of the drug or the medicine simply didn't suit to your skin type. Kindly withhold application of these creams for a while and apply a steroid cream as well as soothing moisturiser. Once the redness and itching subsides, the treatment for pigmentation can be re introduced. Consult a dermatologist so that the pigmented area can be examined and further treatment be advised. Don"t lose heart, your skin will definitely improve. Take care. | |
Suggest treatment for rabies
my daughter had to put down a horse that her vet told her was infected with rabies. THis means that she has been exposed to the virus. They are supposed to go get a series of shots, i guess, on tuesday. she has an 18 month old daughter, whom i have with me, my question is if my daughter has been exposed, can she give it to my grand baby | HelloI want to tell you that your daughter is on risk , as due to post exposure . But your grand baby is not at risk because rabies don't spread through touching , inhalation because saliva , however contains rabies virus but person can't get rabies until and unless these virus don't ENTER into blood ,so you didn't worry about that.I myself came into contact with so many patients having hydrophobia and even I tried to treat rabies patients , so I can assure you that your grand baby is not at risk .But once thing I want to tell you that take full post exposure course anti rabies vaccination for your daughter.Good luck. | |
Vertigo attacks. Does stress cause this attack?
My husband has had 3 attacks of vertigo this week. They all came early in the morning while in bed. This morning it was 3:30. This attack has lasted for hours. We originally thought they were triggered by reading or looking at the computer. He suddenly has had many attacks in the last 4 months since we moved and he took a new job. Does stress bring on attacks? He hadn't had an attack in 10 years! Will this pass? It seems very serious right now. | Hi,Thank you for posting your query.Vertigo is not caused by stress, the common causes are related to ear or brain dysfunction. Severe cervical spondylosis can also cause it.First of all, get him evaluated by a neurologist, to look for any abnormal findings on neurological examination. Then, an MRI of brain may be ordered if any abnormalities are found to rule out brain ischemia (lack of blood flow to brain). Secondly, your husband would require an ENT evaluation to exclude BPPV-benign paroxysmal positional vertigo, which is the commonest cause of recurrent vertigo.There is no need to worry, as all these are well treatable with medications.I hope it helps. Please get back 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: | |
Is level of pus cells 3 to 5 high for a child?
My baby is 1 year and 4 months , she suddenly gad fever yesterday fo bi reason at all, il visit her doctor this morning and dine urine test m the result is pus cells 3-5..is this very high for a child? The doctorvgave an antibiotics,,thank u, please give me advise | HiWelcome to the HCMThere is no need to be worried about 3-5 pus cells on urine examination. It needs no treatment unless and until a child is symptomatic. I would recommend you to go for urine culture and sensitivity report before starting antibiotics as it is a more definitive test for urinary tract infections. As such, most common reason for fever in this age is self limiting viral infections which need just symptomatic treatment like acetaminophen for fever. Hopefully this will help you. I would be glad to help you for any further child health related query.Take care | |
Pigmentation on neck. Turned brownish after cosmopeel. Will it settle down?
I have done a cosmopeel yesterday as I had a lot of pigmentation on my neck n have done sevral supervicial peels that make the pigmentation come back, After the cosmopeel it has become very red n looks brownish is it common n will it settle as really scared that my condition could get worse . There are no scabs or peeing as yet just a lot of redness n the pigmented parts look worse. Pls help | Hello..Thanks for the query. It is normal for the skin to look darker after taking this peel.It is unlike the other peels where you do not see any peeling of skin.Here you will gradually see the darker part of the skin come out in the next few days. You should take care to apply a good sunscreen and a moisturizer in the next few days very strictly for best results.In case there is irritation/redness increases/ scab formation occurs, you may consult your dermatologist for the needful. Hope this is helpful. Take care! | |
What causes constant coughing and breathlessness?
Hi. I am 21 years old 5 ft 11 and weigh 13st 10lbs. Until I was 20 years old there was no issue one November I got a chest infection after chest infection and has continued ever since. Until this day 1year 5 months later. I have been diagnosed with asthma but despite several treatments still not much better I have been hospitalized twice in the last year. I had a ct scan in December 13 to which I have been told there is a 2cm tumor where the thymus glad should be and should have gone years ago. I go for a repeat ct scan in a few weeks if the mass has grown they will remove it they said they were unable to perform a biopsy because of location. I have since become dizzy and always tired constant coughing and breathlessness I have had blood tests which confirm anti body levels for infection fighting are low. I find it strange there is no asthma in the family and until 20 never been diagnosed with asthma. Could this all be down to a growing thymic tumor? | Thanks for your question on HCM.I can understand your situation and problem.Yes, you are right. It can be due to thymic tumour. Thymic tumour cause immunosuppression in the body due to poor production of antibodies.So these patients are at increased risk of infection. And recurrent lung infection cause bronchitis. So your asthma like symptoms are due to bronchitis.And thymic tumours are very difficult to biopsied.In my opinion you should consult oncologist and get done PET scan and blood markers for thymic tumour.If hot spot is seen on PET scan with positive blood markers than possibility of thymic tumour is high. So consult oncologist and discuss all these and start appropriate treatment. | |
Having regular sex to get pregnant. Why am I not able to conceive?
my age is 36 & wife age is 32 & we got married before one & half years ago. we are trying to have baby for one year. Till now my wife not conceive . my wife period is regular & we are having sex almost every night from after period to stating period . I & my wife health is good . Mention that , I was used to masturbation too much before marriage & now not | hello,Chance of pregnancy is high,if unprotected sexual intercourse is done around ovulation time in regular period. Ovulation occurs approx 14 days before due date. Use ovulation prediction kit (OPK) to predict ovulation and prepare for that day.There is no relation with masturbation and infertility as it depends on quality of semen,sperm morphology,motility and count.Do some initial investigation of Primary Infertility like Husband Semen analysis, USG lower abdomen, Blood sugar, LH/FSH, Blood estrogen & Progesterone level,Thyroid Profile and HSG test for tubal patency. After that consult with your gynecologist and take suggestive measures.Avoid stress,take healthy diet with Vit-E & Folic acid supplements,control body wt and proper sleep.Be well. | |
Q. What are the causes of inguinal lymphadenopathy?
Hi doctor, I had a swollen lymph node in my groin and for which I took antibiotics for two weeks. But, there was no improvement. So two days back, I had a biopsy of the whole lymph node. I will get the results in five days from now. I am worried because, now I have another swollen lymph node in the groin, just below the one given for biopsy. When I called my doctor, he said that it is not a typical reaction to the operation. I have an appointment with him in two days. Can you please tell me why my lymph node is swollen again? | Hi. Revert with more information to a urologist online --> | |
Having pimple under penis head with inflammation on popping. How will it heal?
Hi, I never had anything like this happen before but I have a pimple right under my penis head. It was annoying so I popped it and not it looks like a crater with a little bit of inflammation in it. Should I be worried or should I just treat it like any other pimple? | So it is essentially a penile ulcer. Have you had any unprotected sexual encounters in the recent past? If yes then you should get yourself tested for Sexually transmitted diseases. Till then you should keep it clean and dry and avoid any contact with clothing. Is it covered by prepuceal skin or exposed? Do let me know. you can contact through the 'Fix an appointment' tool. Take care and look forward to hearing from you. | |
Suggest treatment for back pain
My friend is 34 years old and his nature of work is sitting in the office clerical work for ourstogether. He use to get back pain and he use to take Meftal forte and he is satisfied for the immediate pain relief. He can take tablet along with any bcomplex. | HiThank you for asking HCM. I have gone through your query. His problem can be due to problems with spine like intervertebral disc dessication or disc herniation. Pain medications like meftal shouldn't be taken for long term as it can cause gastric ulcers or kidney damage. He should better get a physical examination by an orthopedician to rule out the condition. Muscle strengthening exercises, physiotherapy and short term analgesics as well as muscle relaxants will be helpful. B 12 vitamin supplements is good to take also. Hope this may help you. Let me know if anything not clear. Thanks. | |
FNAC: Smears show sheets of mature & reactive lymphocytes & histiocytes
Dear Doctors,Iam Raj from India, I had a swelling in my right cervical node following which, i was asked to get a FNAC done.Now the reports indicate "Smears show sheets of mature and reactive lymphocytes and histiocytes. Background shows RBC's.Impression:1. Reactive Lymphadenitis2. For Clinical correlationPlease can any one of you help with your advice if this is something to worry, What would be the next steps for treatment? I have been treated for TB 3 years back and i was under medication for almost a year. I have completely recovered since.Please can you help with some advice?ThanksRaj | HIThank for asking to HCMI really appreciate your concern if you have a history of tuberculosis then the given report is suggestive of relapsing case of Tubercular lymph adenitis if and only if you do have some clinical sign and symptoms of tuberculosis and for this you need to discus this with your treating physician, hope this information helps you, take care and have a nice day. | |
When should the fetal pole and heartbeat get detected during pregnancy?
Hello Doctor,I am 7 weeks pregnant although when did an u/s scan it came out as 5-6 weeks of pregnancy.(My periods are normal 27-28 days cycle). There was no fetal pole and heartbeat but a gestational , yolk sac is seen. Doctor has advised scan after 10 days and said this will be the max waiting time for a fetal heartbeat. I am advised to take hormonal tablets (Conest). I am very much worried and really hoping the best for my baby. Can you please tell me how much possibility is there for a fetal heartbeat and fetaql pole after 10 days. Thanks in advance. | Hallow Dear, Usually by 6 weeks or so the foetal pole and foetal cardiac activity is detectable by ultrasound. If by 7 weeks, it is undetectable, there are following possibilities:1. The ovulation and conception might have occurred late in the menstrual cycle, which otherwise happens 14 days before the next menstrual period.2. There could be mistake in calculating the duration of pregnancy.3. The pregnancy could be without embryo (baby). This is known as blighted ovum. In such case, the ultrasonography image shows corrugated margins of the sac. If the margins of the sac are well rounded, in order to exclude the first two causes, it is a good option to repeat the scan after a week to 10 days. If still the sac is empty, then the diagnosis of blighted ovum is confirmed. However, if the edges are corrugated, it is blighted ovum. Pregnancies with blighted ovum do not grow. If such pregnancy does not abort spontaneously, termination is the requirement. I hope this helps you. Dr. Nishikant Shrotri | |
Q. My periods are delayed, and I notice spotting for three days now. Please advise.
Hello doctor, I am a 19 year old female. I am concerned about my menstrual cycle. About two weeks ago, I noticed spotting in my underwear. It went on for two and a half days. On the first day it was reddish, and on the second day, it seemed a bit brownish. I was supposed to get my periods four days ago. Last week, I felt slight cramping, and I was quite sure that my period would start, but it did not. On the same week that the spotting happened, my boyfriend and I were intimate. He was rubbing my genitals very very roughly, but we did not have sex. He did not even stick his finger in me. I am still a virgin. A little background on my period and my health: I started my first period when I was 13. Since then, I have always had very painful cramps every time. Also, I would experience some nausea and diarrhea. The bleeding is somewhat heavy. I cannot remember if I have ever had a light period. My periods are sometimes irregular. But, they go back to normal by themselves. They would be late by a maximum of a couple of days or a week. I have gotten my blood work done last spring, and everything was normal, except maybe a slightly elevated testosterone level, which my doctor concluded to be normal for my age. I was tested for polycystic ovarian syndrome, and I was negative for that. I was also tested for thyroid problems, and my doctor did not say anything was abnormal. I do not think I am anemic, but it does run in my mother's family. My mother was also diagnosed with stage two breast cancer last year. Other than that, I am healthy. I do not feel any other symptoms. I weigh around 51 kg, and I am 5 foot 3. I do not know if this piece of information will help, but I am a first-year medical student, and my stress levels have been extremely high lately. | Hello. How are you doing? That was an excellent and elaborate history. You will do well in medicine. And, I am happy that I can use medical terms. Let me tell you though that the only significant part of this history was the high-stress levels which you laughed away. Hope I have clarified your query. Do write back. All the best. For more information consult an obstetrician and gynaecologist online --> | |
What causes a painful lump on my neck?
hi doctor what dose it mean when somebody has a ball inside the neck its really important to me and my mom.I got it on Sunday or Monday i knew on Monday when i felt pain and i felt a ball inside my neck.I couldent turn my neck.at school i felt bad,really bad please help me. | Welcome to Health care magic.1.The possible cause could be an infected collection / abscess - if it is painful on touch and tenderness.2.Other possible cause could be lymph nodal enlargement - which general after any infection, but less chances to get pain.3.Other causes will be glandular masses, lipomas.4.For a definitive diagnosis get an ultrasound neck done - that will help to assess the nature of the lesion, its source and extensions ( where all its extending)5.Only after that a treatment can be indicated. In case of infected causes - a course of antibiotic will be helpful. Good luck.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
What is the treatment for the infertility having PCO and taking Metformin?
Hello,Its a boon that i can ask u ,actually i m 37 yrs, i have pcos ,rubella igg 62.52,&cytomegalovirus igg 6.97 .. i m not able to concive .Do i can concive..i m now taking metformin , twice a day i had my ultra sound ..on26-12-12 i was involuting cl 13*12mm.. | HAI WELCOME TO HCMyou have to repeat rubella and cytomegalovirus tests 14 days later to see the rise.your age 37. test your egg reserve with AMH LEVEL. If it is good go for ovulation induction with follicular monitoring. | |
Recommend advice for psychological problems in children
my daughter is 11yrs old,we noticed she isnot interesting inanything even in accademic and activities.Inever thought she is depressed &I sent for councelling they told us she went for suicidal attempt also;we are in sharjha and she only went for vaccation.This was the shocking news for us.Teachersare complains she always look tired in class.Iam also working as anurse in hospital,Doctotor please helpe me do the needful. wt42kg,allergic rhinitis in between she will get | DearWelcome to HCMWe understand your concernsI went through your details. I can understand. The symptoms of depression are not necessarily manifest openly. Your child is approaching adolescent and she, I think, is cleverly disguising. Yes. Depression is up to one extent disguisable during adolescent period.Suicidal ideation is to be treated with the help of medicines as well as psychotherapy. The counseling team or person will be able to provide more insight into the whole episode. Your duty is to talk to your child and try to know more about her behavior. Do not be upset, angry or irritated. If you show these emotions, your child will not be open.Be patient and talk to her. Not with the intention to know what happened, but with the intention of understanding and helping the child. You should know she is in trouble and you are the right person to walk her out of it.You may take the help of the counselor or a psychologist to get the guidelines. Please do not worry. Every mental disorders are curable.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. | |
Suggest remedy for severe hair loss and hair thinning
Good Evenign doctor, I'm 28 yr old Female. Got married in Jan 2010. After shifting my home, i'm facing a terrible hair loss. My Hair volume is thining day by day. Also when hair falls, it comes with root (white in the edge). Almost all hair has got split ends. Before 8 months i also tried hair spa but this increased the hair loss. So i stopped it after 3 sittings. My daily food includes atlease 2cup of vegetables, one fruit apart from other diet. My haemoglobin - 11. Will be right to meet a dermatologist. Please suggest me a remedy. | Hello,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.From your description, it seems you might be having Telogen Effluvium, which is hairfall secondary to stress. If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc and recommend some basic investigations like CBC,blood sugar,Thyroid function test.Some other special investigations like trichogram and dermoscopy and further aid in diagnosis and prognosis.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Grocapix solution etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda | |
Q. What are the symptoms of atrial fibrillation?
Hello doctor, Last weekend, I ended up in the ER department after an overdose on THC capsules. Very scary experience my heart was going crazy, very bad chest pain, shortness of breath, tremor, etc., for about five hours. I had an ECG done in the hospital which said sinus tachycardia. My blood was taken (all fine apart from low magnesium and potassium), chest X-ray was done (all fine). I was given Diazepam and on discharge had another ECG done and it said sinus rhythm although my heart bpm was still over 100 bpm. The doctor said it is probably due to anxiety and let me go. Two days after this experience, I started getting weird symptoms (slight pain in the chest, lightheadedness). So, I went to my doctor, he measured my blood pressure, heart bpm, etc., all fine but put this machine in between my hands and could see my heartbeat was irregular. He prescribed me Digoxin for five days to see if it would get it under control. I went back again because I was concerned about the lightheadedness, he again measured heart bpm, etc., all fine, listened to my chest and said it is back in more of a regular beat and prescribed Digoxin for five more days and to come back again but at the moment, he is not overly concerned. I think I do not have bradycardia or tachycardia but I think I could have developed Afib from my experience in the hospital, is this possible? | Hello. Yes, it is possible, but a likely possibility is of ventricular ectopics (or other causes) rather than Afib which could also cause irregular heartbeats on the machine. Even in normal individuals, the machine may falsely show irregular beats. Few points which are against are fibrillations are normal ECG especially if you had it done while having symptoms, even examination by a doctor for pulse and auscultation will help in diagnosing Afib. Also, the pulse rate is expected to vary to a large extent and cross the 100 bpm. You may also feel irregularly beating heart within your chest. Also, you can keep a finger over the pulse and feel irregularity and missing pulse. So, it could be an ectopic which is now settling. The only way to definitely confirm is ECG. If this continues, you may a get an ECG done or buy a home-based rhythm monitor like Alivecor Kardia device which records the ECG for interpretation. So, overall unlikely to Afib, but either ECG or examination by the doctor can confirm this. The other cause for pain in such settings is gastritis or reflux, which can commonly cause such symptoms. Also, ectopics may cause pain as well. Anxiety can also cause similar symptoms. Have plenty of water and adequate intake. If you are having these drugs for a long time then the possibility of withdrawal should also be kept. Hope this helps you and get back if you have any doubts. | |
What causes swelling in testicle of 8 years old?
my son has a swollen teticle it seems to sweel up more after he pees,but im not sure .i just noticed it last night.want to wait until the am to take him to his own pediatrcian.but am afraid it could be more serous.he has no pain.he o is 8 years old.only want to wait so he doesnt have a bad ER experiance.so confused ?????/ | Hello,Is it one-sided or both sided and is it really a swelling or just your doubt observe for the size?If increased, then you are right and if not, then let it go. You are only getting over conscious.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Hina Javed | |
Suggest treatment for swelling in the ankle and shin
I got kicked three times by ahose resulting in massive haematoma in calf muscle ( ospital originally though had compartment syndrome) another on shin and smaller one on ankle, three weeks today pain is intense if I am in any upright position and can not straighten my leg.. still very swollen? is this all normal | Hi Hope this message finds u in good health.I have gone through ur msg and understand your concern.yes,its normal. it happens after trauma.its due to soft tisue injuryGet back to me for any FOLLOW UP QUERIES anytime.Regards,Dr Mahaveer Patil...(MBBS,MS,Mch) | |
What causes cough with thick green mucus that tastes like hydrogen peroxide?
I have had a nagging cough for more than a week now. Some days/times are worse than others. At first the stuff that I was coughing up was thick and green/yellow but now clear and tastes like hydrogen peroxide. I know that before it was a sinus infection. Any clues as to what now? | Thanks for your question on Healthcare Magic. I can understand your concern. Greenish expectoration with coughing is commonly seen with bacterial lung infection like pneumonia. So we should first rule out pneumonia in your case. So consult pulmonologist and get done clinical examination of respiratory system and chest x ray. You may need antibiotics to treat pneumonia. Don't worry, you will be alright with effective treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Non-itchy rash on the ankle. Pins and needles in the leg. Reason?
Hi,I have had a deep red circular rash on my inner right ankle for several months now. Recently another round bigger rash, the same in look, has gradually appeared just a couple of inches above it. I can also see other small rashes developing on my calf now. It's not itchy, just looks horrible, I also have pins and needles regularly in this leg - what could it be?? Many thanks. Rob | Hello,Thanks for the query.You did not mention any itch or any other symptoms other than the rash.Probably it is a condition called as granuloma annulare.This is very non specific and can be kept under contol using mild steroids.Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you good health.Thank you | |
Has pancreatic cancer. Scan showed spots on liver. What are the possibilities of fatty tumors?
my sister has pancreatic cancer, she just had a scan done and the surgeon said it had grown and seen 2 spots on her liver. but did not read the report, her reg., oncologist said it could be fatty tumors on her liver. what are the possibilities of this? her diagnosis was on dec 2,2013. | Pancreatic cancers are bad cancers and they are notorious for recurrence. From what you have written, it looks that your sister is progressing. Her cancer is spreading to other parts of the body, the spots might indicate metastasis, that is spread to other parts. | |
Suggest treatment for chest congestion
Last night i experienced severe chest tightenting and tingling down my arm. The tingling has come and gone over the last couple of years but the chest was so bad it kept me up all night, i could not lie on my left side or back due to the increase in discomfort. I am not looking forward to tonight :(, My father was diagnosed with a hyatal hernia some years back and i was wondering if this could be the same thing or should i be concerned that its worse. When i am standing or sitting upright most of the symtoms get better but dont completely leave. I dont know what to do i dont have insurance cause i was hurt in an on the job accident and my insurance ran out and i cannot afford to get new insurance with no job and living on 60% of my previous wages. I just would like some kind of relief. | Hello, As you explain the history the first thing that should be excluded is a heart. But you should go to the ER as an emergency if you feel it again. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jnikolla, Pulmonologist | |
What causes severe sensitivity and pain in the thorasic region?
What would cause sensitivity inn the thorasic area so severe that contact with any garment is painful, and wearing a bra is completely out of the question, as it intensives the pain so bad... The first flare up I had was in 2010 and a few months after breast agumention. | i read your problemeis any type blisters formation in painful area-herpes zosterif no then it could be thorasic spinal nerve root compressionthorasic radiculopathy possibllytake modrate analgesia like diclofenac twice daily along with tab pregalin 75 mg once a daysecond line t/t is facet block and steroid intilation at intervertibral foramen where nerve exit from vertibral columnlast surgical decompression of nerve root by mean of laminectomythanks | |
How can red spots on the roof of the mouth be treated?
HI, I recently went for my regular check up with my hygienist at my periodontist. While cleaning my teeth she noticed some red spots on the roof of my mouth. She took pictures of it on her phone and showed it to me. I was scared and thinking I may have some serious disease or cancer or something. I have been having problems with constant sinus infections , sinus headaches sore throats and drymouths especially when I wake up in the morning. I also have acid reflux. I have not have endoscopy and colonoscopy in about two to three years now. what should I do. | Hi..Thanks for the query..Red spots on roof of mouth can be due to inflammation and all the conditions that is sinus drainage, sore throat caused due to throat Infection and dry mouth all can cause the same..So first of all do not worry about cancer as the red spots can be due to Infection and inflammation..So first of all consult an Emergency room and get evaluated and take proper medication for acid reflux and antibiotics for sinus Infection..Also start doing warm saline gargles and antiseptic mouthwash gargles..Avoid spicy and irritant foods..Drink plenty of warm water..Hope this helps..Regards . | |
Could abdominal pain with severe weight loss be due to chemotherapy?
my mom had a gastrectomy and chemo for a few months (4-6 months) she still has the same symptoms as before the operation - indigestion, vomiting, constipation, severe abdominal pain, severe weight loss. What is causing this and will this cause death. She is 47 yrs abot 1.65 m tall and currently weighs 50.1 Kg | Hi, dearI have gone through your question. I can understand your concern. She has gastrectomy. Abdominal pain and weigh loss may be due to chemotherapy or she is not treated completely. She should go for ultrasound abdomen. It will give you exact diagnosis. Then she should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
What causes tenderness in the muscles around the chest area?
i have right thoracic left lumbar scoliosis. 30 degree. the left side of my body is always more tense than the right side. muscle tightness, etc. i ve noticed the last few months that the left side of my chest area is tender around the muscles. could the uneven pull of my spine cause tightness and tenderness near the side of the breast? | hiyes, constant muscle imbalances do lead to it, so physiotherapy and temporary time braces are helpful.thanks | |
How to strengthen the leg muscles?
For 18 my right leg from knee to foot hurts. It does not hurt to press on the leg. It especially hurts when i drive and thefoot presses on the gaspedal. Or on thebrake. In crampedback seat or airplane too. Also hurts wben I walk up hill. Extra exercisedoes not help a either does extra stretches. What really decreased the pain to two ( before at 7 for pain) Was when I stopped driving. I do not wish to give up driving.. But i can do that..but it does nothing for strengthening.....or increase My mobility. My doctor had suggested walking 3 miles a day and Stretching. That is not helping and I believe that this , leg is inflamed. Maybe,tendinitis or bursitis.?..? I do not knowenough to tell tbe Difference... maybe arthritis is also i nvolved. I am interested in how To strengthen and specific foods that might help. (What foods to avoid) Sincerely. Ria de Groot. 73 yrs old and not on any medicine | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In order to strengthen your foot muscles u need to do muscle specific exercises like calf raises,assisted squats.also concentrate on diet by taking foods rich in protein, minerals like milk,eggs,fish,meat , Leafy vegetables.This will strengthen your legs and provide you relief. Hope I have answered your query. Let me know if I can assist you further. | |
How to treat a spreading rash in an infant?
My 20 month old has a rash. It started on her thigh and has spread to her other extremities, torso, and her face. The color is fading and the rash seems like empty pustules. Tonight we noticed she has a blotchy red patch on the bottom of her foot - on her heel. It is warm to the touch and appears slightly swelled. She still jumps and plays but we noticed it because she occasional stops playing because it bothered her. Aside from occasional diarrhea, she hasn t had any severe fevers or other significant symptoms. Thanks. | Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
How long does it take for liver enzymes to become normal?
I drank 3-4 glasses of wine almost every night this summer. I have just been diagnosed with diverticulitis. I am 56 year old female and the ER did a liver tests as routine procedure. My liver enzymes were 70 on one test and 49 on the other. I have stopped drinking now. Will my liver enzymes return to normal? | Hi there,Thanks for using HCM.Alcohol intake can elevate the liver enzyme levels. Usually the AST level is more increased than the ALT.There are other causes as well for elevated liver enzymes like viral infections (Hepatitis B & C), autoimmune causes, metabolic causes and toxins and drugs.All these causes should be ruled out in your case.Yes you liver enzymes can return to normal.If the elevated levels are only due to alcohol intake, then the enzymes would return to baseline levels in 3-6 months time after stopping alcohol.Is this answer helpful? | |
Q. What are the ways to manage cold and fever?
Hello doctor, I am suffering from cold and fever and something that I do not know of. | Hi. The disease in which there is continuous flows of secretion from nose is rhinitis. It may be due to inflammation, infection or allergies. The symptoms may be sneezing, malaise, nose congestion, itching, fever, heaviness, etc. Infections, inflammation, allergies. CBC. It can be managed after taking some ayurvedic medicines like Shitopaladi Churna, Laxmivilas Rasa, Shring Bhasma, etc. Avoid spicy and fried junk foods. Protect yourself from cold weather and cold drinks as well as allergens. | |
Q. Can I use Kojivit gel to get fair skin?
Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. | Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> | |
Suggest treatment for gb polyps
Hi. I'm Arvindh and i'm just 17. I had a master health check up a couple of days back and i just got my results.It says i have gb polyps measuring 4 to 5 centimeterr.. What should i basically do for it and is it a rick or anything like a serious problem?? | hi.noted history of gallbladder polyps. are you experiencing any sign or symptom which may be related to it (abdominal pain, nausea, vomiting, etc.)? if the symptoms are bothersome, persistent, or increasing in frequency of occurrence, it is best to consult with a doctor with urgency, preferably a general surgeon, for physical examination and clinical evaluation. diagnostics (such as repeat ultrasound, blood count, liver function tests, etc.) and management (medical and surgical) will be directed accordingly. it is also important to remember that gallbladder polyps have the risk for malignancy transformation, hence, a followup/consult with a doctor is of significance. cholecystectomy (surgical removal of the gallbladder) is the definitive treatment, which could be done laparoscopically (goldstandard) or thru open technique. low fat diet is also recommended.hope this helps.good day!!~dr.kaye | |
What to do for hair fall?
hello sir, I am 24 years old,height 5'11, weight 72, no medical history, from last few year my hair is falling like anythng, it may be due to her heredity but at such an early stage... am fed up now i just cant see myself going bald... i am frm mumbai... please help.... | hi there.1. your concern is chronic telogen effluvium leading to baldness.2. start using rogaine 5% spray along with revillus hair supplements.3. meanwhile consult a dermatologist near by you for physical examination and grading of your baldness.4. we can further slow down the balding process and can make the scalp better.5. have reviews about platelet rich plasma and plan for few sessions.this will support the prescription.hope this info may help you. | |
What are the risks of having low monocytes in a baby?
What is wrong if my baby has low monocytes(0,13 out of ,20-1,30) and neutrophils(10% out of range 17-60 and 0,55 out of range 1,50-7,00) and high lymphocytes(83,2 out of range 20-70) all are thousands/ul. My son is 4 months old and we gave him iron and nothing helped, keeps becoming lower or higher respectively. He had an E Coli infection when he was born, my wife also has low iron. | Hello and welcome to HCM,In infants and children less than 7-8 years of age, the neutrophil count is low and lymphocyte count is high.This is a normal finding and nothing abnormal in it.A low monocyte count is also a normal finding and it does not signify anything disease.So, there is nothing to worry about the white blood cell count.Iron supplements are given for iron deficiency anemia. Low iron in mother can lead to iron deficiency in newly born children.Thus, get the hemogram and red cell indices to see whether anemia is corrected or not.If iron deficiency anemia is still present, you need to get iron supplements else you can stop iron supplements.Thanks and take careDr Shailja P Wahal | |
What treatment is suggested for stiffness in knees and shoulders?
I have bee taking Crestor for some time, I have recently noticed that I have been having stiffness in my knees, the shoulders, ( that have had torn cartliage since taking the Crestor ) and the knees fell the same way the shoulders did. Very stiff and achy. Is there any research that is linked to Crestor and torn cartliage and stiff joints? | yes, muscle stiffness and myalgia are reported side effects for taking creator.it is advised to stop the drug and better go for a diet,exercise program to manage your cholesterol level.getting enough omega3from olive oil and raw nuts is magically helpful ..physiotherapy and massage are good to help after you stop it and proceed with another prescription and diet. | |
How to treat acute cirrhosis of the liver?
Actually, I was looking for a continuation of an answer from the previous page. But since you re here... By bro-in-law was a long term alcoholic and has acute cirrhosis of the liver. His brain ammonia levels have been reduced back to relatively low levels, and yet he s experiencing increasingly difficult cognition, just barely ambulatory, confusion, extremely sluggish, depressed, and so on. His GP recently prescribed diazepam for his anxiety and insomnia. My guess is that he may be abusing them, but is there a correlation between diazepam and the appearance of hepatic encephalitis? | Hi, dearI have gone through your question. I can understand your concern. He has high ammonia level due to hepatic encephalopathy. It leads to all the symptoms. You should take treatment of hepatic encephalopathy. Diazepam is not needed. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What does ultrasound of liver showing enlargement and mild fatty infiltration indicate?
Hi! On my ultrasound the liver is mildly enlarged, measuring 16 cm and shows mild fatty infiltration. No focal lesion is seen. I do not drink, do not eat fatty foods, not obese, not diabetic, cholesterol is normal. What coud cause this problem? Also, I walk almost every day about 1 hour. Recently I started to eat dark chocolate every day two little squares for iron. I kindly thank you for your answer. | HelloYour findings suggests mildly enlarged liver with mild fatty changes.It may be due to many reasons like hepatitis,alcohol intake,obesity,altered lipid profile,medicines,auto immune causes etc.Fatty liver is reversible condition.Obesity and sedentary life style are its common causes,so these factors should be ruled out.You may need to change your diet and life style.You should a go for brisk walk regularly.It is good that you take healthy diet.Get well soon.Take CareDr.Indu Bhushan | |
What is the remedy for hair loss?
HELLO DOCTOR I'M SIVA I HAVE BEEN AFFECTING HAIR LOSING AND SHIN PROBLEM SURROUND IN MY NECK SOME TIME I FEEL MORE DISTURBANCE WHILE I'M WORKING IN MY OFFICE SO PLS GIVE ANY REMEDIES TO CURE THIS PROBLEM AND ALSO TELL ME THE SOLUTION FOR THIS. THANK YOU | Hello,Thank you for posting on HCM.I can understand your concern regarding the skin lesions and hairloss but its difficult to point specific diagnosis in absence of clinical examination.Therefore, I insist you to post good clinical pictures of skin lesions with detailed history about the same and hair loss so that I can help you in a better way.You can reach me directly through the below mentioned link. Hardik Pitroda | |
Have Hepatitis B positive. Blood test shows HBe negative, antibody positive. Viral load normal. On LFT. Treatment?
Dear Sir, I am 34 yr old guy recently reported Hepatitis B positive . Subsequently further blood test conducted and reported HBe Ag is negaive ,HBe antibody positive.Viral load of 1580 IU/ML with normal LFT. Doctor recommended no treatment but frequently LFT (every month). What is the status of my disease, am I active or chronic hepatitis patient ?/ Treatment guideline ?? | HIThank for asking to HCMHepatitis (viral) either of type, the particles of virus remains inside the body, but that does not manifest, no treatment needed for this even if you are in acute phase of disease, Immune system should be very much strong to fight against the infection, no need to worry, have nice day. | |
Are Ehlers Danlos Syndrome, SLE and Sjogrens Syndrome related to my EDS ?
I have been diagnosed with Ehlers-Danlos Syndrome (classical) and am currently awaiting results for bloodwork checking for SLE (Lupus), Sjogren's Syndrome, Lymphoma, etc. I have always been aware of my EDS and the affects/symptoms and have dealt with them fine until recently. I am scared of a diagnosis of any of the things listed above. I am wondering that since they are all connective-tissue related, if it is possible that I am having all these new troubles because of EDS? Can EDS come with these other diseases/disorders, and am I more inclined to have them because of my EDS? | Dear sir/madam there is no substantial evidence to relate occurance of SLE ,SJOGRENS with EDS. I feel the you need not worry too much.But is always possible that a person cal have two unrelated diseases at a time, a rare occurance though. | |
Is fluctuation of hematocrit levels normal?
Is it normal for hemocratic levels to fluctuate? I am 41 years old and have type 1 diabetes and hypothyroidism. I have a Glucose monitor that tests HCT and Ketones that my GP prescribed for me two months ago. My hemocratic levels fluctuate daily between 21% and 56%. Is this something that needs further investigation? | HiYes it is normal. Any minor variation or even taking lot of fluid or not taking fluid can also change it... Even sweating can affect hematocrit levels. Thankyou | |
Which specialist doctor should be consulted for a cyst in the lungs?
about 8 months ago I had an image made by my cardiologist for routine follow up, the radiologist spotted a cyst on the left lung. What is the recommended clinician or specialist to have this worked up to determine what it is? I understand that the first step would be to repeat the imaging to see if it is gone or has gotten bigger. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There are many reasons for the cyst in lungs as pneumonia, cystic lung disease or others. I recommend to undertake a repeat CT scan and consult with both reports. Wish you fine health. Take care. | |
What could white spots/scars in children, with frequent stomachache and headache suggest?
Hi, My name is Delia and I have a 4 years old daughter which was had so much antibiotics in this years, very often for urinary infection or troth infection. At the moment she has some whitish spots looking like scars, but they are not scars, and very often complaining about stomach pain and headache. I started a month ago to give her liv52 drops but not quite sure if helps. Please tell me if is ok to continue and if you think her complaints maybe a sign of something serious. Many thanks. | stomachs can be due to infection of lymphoid follicles.so treatment of throat infection is necessary.rashes can also be attributed to severe streptococcal infections of throat.also several antibiotics cause rash.kindly visit your nearest paediatrician or ent expert for further evaluation. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Has implant and taking microgynon. Can she get pregnant with unprotected sex?
my girlfriend has been on the implant for about 2 years, and has also been taking microgynon for the last 5 weeks, i am wanting advice on ejaculating inside the vagina and whether or not he can be pregnant? i know what both contraseptives are supposed to do but i read than using both together can thin the mucus around the cervix??? | Hi,Thank you for posting your question here, I will try to answer it to the best of my abilities.Yes they do say that taking two contraceptives at the same time can increase the chances of pregnancy, so why dont you ask your girlfriend to stick with only the implant, she doesnt need the pill as well.I hope this answered your question. | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Could liv.52 be helpful in reducing inflammation on liver?
I have a very high Ferritin level over 1600. I am 56, male, 200lbs 5'8" and drink 3 to 4 drinks a day. Limited to wine and beer. No hard alcohol. I have read that Liv.52 might be beneficial in reducing the inflammation on the liver caused by drinking. Of course cutting out the alcohol would be the best treatment and I have stopped drinking in order to retake a ferritin levels test, but, do you think Liv.52 would be a plus in the healing process? | Thank you for posting query at HCM.your probably suffering from hemachromatosis.also monitor your blood glucose by doing a fasting blood glucose test?are you taking any medication to cut down the Ferritin level?discuss with your treating hepatologist?"Yes, Liv52 is hepatoprotective drug. protects the liver."anyhow,increase in the level of liver enzymes with increase BILIRUBIN reflect an INJURY to the Liver. medically, the condition is know as "Hepatitis".You need to test for HepB & C serology as well as Lipid "Profile" too.if all causes of hepatitis are ruled out , then- abstinence from "Alcohol" is mandatory - very LOW or fat free diet should be followed- Moreover, less activity should be carried out (no sports).; however you may wALK daily for 30 to 40 minutes - use lemon juice (lemonade) once in a day-recheck liver enzymes after every 6 to 8 weeks.- you may continue LIV52wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik | |
Suggest treatment for a large arteriovenous malformation in the brain
my son just had a bleed and was diagnoised with a large avm in the eloquent part of the brain. He is home now recovering, but has been told that the avm is inoperable since it could cause him more damage to try to remove it. How would this be treated and what are the chances that it could bleed or rupture. He has not lost any of his functions due to this 1st bleed, he just turned 44 years old. | Hi,avm inn the eloquent area of brain can be treated by SRS.Surgery should not be done as it can cause deficits.Chances of bleed or rupture in avm are 4 percent per year.So I advise you to consult radiation oncologist for SRS or gamma knife treatment. Thanks. | |
Why am i having tight scrotum after eating vegetables?
ok thanksI have strange question.i get a tight scrotum after i either eat alot of vegetable or after i take hight vitamine suplements..After i take them and or eat lots of vegetablke i get a tight scrotum.It very annoys me because i like continue to eat alot of vegetable but a tight scrotum is a high price to pay...I now it crazzy issue but i know sure it related with hi vitamines intake | DearWe understand your concernsI went through your details. The tight scrotum issue after consumption of vegetables or vitamins is not a subject researched of. You should also clear when you ask such questions. I suggest to explain what exactly you mean without bothering to use hard English words. I suggest you to consult a physician for advise.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
Q. Should I start taking medicines for thyroid problem?
Hello doctor, I am a 38 year old female. I am having a recent weight gain and menstruation flow is very less than normal. I also have hair fall, tiredness and I feel there is something blocking my throat. Sometimes, I feel cold than other family members. So, I checked my thyroid levels. T3 was 0.87, T4 was 7.57 and TSH was 4.31. Though the TSH was normal, they told me that I am in the risk category. Should I meet an endocrinologist and start taking medicines? Or should I make lifestyle changes for this problem? | Hi. Revert back with the details to an endocrinologist online --> | |
Suggest treatment for interstitial lung disease
I just had a CT and it said tMild scarring is ween at both lung bases with interstitial prominence. This is more prominent of the right middle lobe. Mild biannual pleural thickening with interstitial prominence is noted. I also have a 3 mm pulmonary nodule in the right lower lobe that they want to watch for one year. I think i am more frightened about what is the interstitial prominence than the nodule at this time. | Thanks for your question on Health Care Magic. I can understand your concern. Your CT picture is more suggestive of early interstitial lung disease (ILD). Better to first get done PFT (Pulmonary Function Test) to know if any restrictive lung defect present or not. Treatment for ILD is as follows. 1. Avoidance of smoking if you are smoker. 2. Avoidance of chemicals, fumes, dust at work place if you have these exposure. 3. Start mucolytic, expectorant and antioxidants drugs. 4. Start anti fibrotic drug (perfinodone). It is the only available drug to reverse early fibrosis. 5. Start inhaled bronchodilators and inhaled corticosteroid (ICS). 6. Get done repeat CT scan after 3 months to see progression of fibrosis and size of nodule. So consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks. | |
Suggest treatment for high ferritin level
My blood work just came back and I have high ferritin 358. I am female. Everything else is in the normal range. I do drink alcohol on the weekends. Want to know what to do to get my ferritin level down. Also, if I have liver damage due to alcohol consumption, is there anything I can do to reverse it? Thanks. | Hi, dearI have gone through your question. I can understand your concern.Ferritine is a storage form of iron. But it is also increased in inflammation. You should check your CRP level. If high ferritine is due to inflammation then you need only anti inflammatory drugs.Avoid alcohol. If you have reversible damage then it will become normal by itself. If irreversible damage is there then no treatment is there for that. Avoid alcohol to avoid further damage.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. | |
What does shadow on brain mean?
Hi I have a friend in hospital in a critical care unit she had a fit and started shaking on one side of her body the doctors put her in an induced coma, she has woken up but thinks it is 2012, she has been told that there is a shadow on her brain what could this be | Hello dear,I shall try to give an easy explanation for this 'shadow' thing,you want to know about.This 'shadow' is a vaguely used term with respect to a brain imaging modality like magnetic resonance imaging(MRI) or computerised tomography scans(CT scan).Let me try to explain it with respect to a brain MRI.Whenever a patient undergoes a brain MRI, magnetic rays pass through the brain and our brain tissue creates an image,which we see as MRI film.In this various tissues in brain,have their distinct atomic properties and interact with the external magnetic field differently,resulting into different signal intensities on a MRI film.Like cerebrospinal fluid appear white,grey matter whiter than the white matter.. on a specific kind of MRI film,a T2 weighted image.Now if there is an abnormality in brain tissue ,say for example,there is a pus filled cavity called abscess or there is a particular tuberculosis lesion called tuberculous granuloma,in that case this abnormal tissue interact differently with the external magnetic field and creates a different signal intensity image on the film,usually called as a 'shadow'. Your friend most probably had focal seizures for which likely cause can be a structural lesion in brain,causing a shadow appearance on brain imaging.Induced coma is usually given for refractory seizures,not responding to antiepileptic medicines,and probably that was the case with your friend.Hope it helps.Please get in touch,if you need any further explanation. | |
What do diarrhoea, vomiting and heartburn in a diabetic indicate?
I am experiencing diarrhea, vomiting and heartburn when eating vegetables, onions.... Do not have much of an appetite and I am a diabetic so I am experiencing great fluctuation in blood sugar. What could be causing me to have these symptoms? Doctor prescribed Pantotrazole Sodium ER 40mg, 1 tablet per day, for acid reflux. | Welcome! Let's start with making certain the medication is taken properly. Pantotrazole is a proton pump inhibitor and needs to be taken 30-60 minutes before any food is taken. It may decrease absorption of iron, B12, and calcium.Long term use may lead to osteoporosis, so calcium supplementation may be advised.Avoid gingko or St. Johns Wort.It may also increase glucose. So, I reviewed these things because if you violate any of the above it may cause a greater fluctuation than Pantotrazole will cause by itself.Source: 2015 Drug-Nutrient InteractionsIf you are getting sick when eating vegetables and onions avoid all onions. Are the vegetables fresh only or certain vegetables only or anything cooked with onions that make you ill? I am wondering about a developing food intolerance or not using a designated vegetable scrubber to get the increasing levels of food borne bacteria present on our fresh foods. The gold standard for narrowing down this problem is to to keep one of those tedious food diaries to tease out the problem. Date,time,food,symptoms for 7 entire days as sometimes it takes up to 3 days for an infection to kick in. Food intolerances are individual, but have seen them change with time.Avoid all sugar substitutes for right now.When you have additional information, please write me again and we will see if I can suggest some things to stabilize your blood sugars and stop your symptoms. Thank you for your time. Sometimes solving a medical mystery requires more information.Good luck. Kathy Shattler, MS,RDN | |
Suggest treatment for blackened front tooth
I am having problems with my permanent retainer on my lower 4 front teeth I have really bad build up of tater on the back but now 2 of my teeth in the front are going black between them and along the gums. I would like to know if this can be handled with a cleaning or if it s more serious? | Thanks for your query, I have gone through your query.The black discoloration can be because of the stains secondary to coffee or tea or smoke. The other possible cause is decay of the teeth.Consult a oral physician and get it evaluated. If it is stains then cleaning of the teeth will solve the problem. If it is decayed teeth, then it has to be restored with tooth color restorative material.I hope my answer will help you, take care. | |
What causes a large painful bump behind the knee?
I have a knot the size of a golf ball behind my knee, the pain continues down my calf. I can walk but the pain is constant for the third day. I take alleve multiple times per day and have taken a muscle relaxer 2 nights. Should I make appt. w/ my doctor? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The main cause of this bump behind your knee is what a Baker's cyst which is increased synovial fluid of the knee which accumulated behind the knee but originated from inside the knee. This is not problematic. Main cause may be due to overuse activities or arthritis.Other less common conditions are vascular problems such as aneurysm or varicose veins. A Doppler ultrasound examination will rule these blood vessels conditions.My opinion is that you go to the doctor and exclude the vascular problems. Then if Baker's cyst results, you can treat it first with anti-inflammatory medication and if persist then surgery is the next step.Wish you quick recovery.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Edvin Selmani | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Is passing bile common for pulmonary fibrosis?
My mom suddenly passed away while she was sitting at her bed, a last soft gasp of air. Her eyes were still opened, immediately we lifted her legs. My father tried to do CPR whiting less than 3 minutes she had bled from her nostrils and had vomited a bile. The last 3 months of her life she was diagnosed with Pulmonary Fibrosis, the hospital overdosed her with cortisone injections. She was bleeding for several months, except the day of her passing. Doctors questioned 11 months earlier whether she had Lymphoma, Hodgkin. Doctors were puzzled, my mom suffered for her last 11 months. Was her bleeding after passing and bile coming typical for her situation? | Thanks for your question on Health Care Magic. I can understand your concern. Pulmonary fibrosis itself can not cause bleeding from nose or bilious vomiting. She has been given excessive steroids. So this can cause gastric ulcers, gastroparesis and gastritis. All these can cause vomiting, bleeding etc. So mostly excessive steroid injection and it's side effects is cause of her bilious vomiting and bleeding. Hope I have solved your query. I will be happy to help you further. Thanks. | |
Lack of chest hair, beard, hypogonadotropic hypogonadism. Chances of being fertile?
hello sir my name arnav i am of 23 years , i don't have beard on my face and also have lack chest hairs , when i asked to my regarding this he justed me some test , and after the result they declared as a patient of hypogonadotropic hypogonadism , and infertile , sir is their any chances of getting fertile and being normal | HIThank for asking to HCMAs long as the question of fertility is concern one should first look for semen analysis if it is okay then there is always chances fertile, means the sperm has to be there in normal way, have good day. | |
Will an umbilicus area indentation with a lump heal by itself?
I have a small indentation above my belly button. If I touch it , only sometimes can I feel a small bump inside. It is painless. My doctor said it was a very very minor hernia from lifting too heavy of weights and not breathing properly. Could this fix itself ? | Hi.Thanks for a specific question.This is a small paraumbilical hernia. This will not heal by itself.You may continue to observe.Get operated if ::It becomes painful.Starts enlarging. | |
Sudden development of itchy rash on the arms. Medication?
Last night I developed a rash on my arms for a couple of hours. It soon went away. This morning I developed a rash on my stomach and back, and a small amount on my arms. After appliing caladryl to the areas. they stopped itching. Mya rms have cleared up but the rash is still visible on my stomach no itching at this time. | Hello.i think u are suffering from acte urticaria.rule out any food allergens or insect stings.along with caladryl use a antihistamine and a antibiotic | |
Frequent urination, feels as enlarging prostrate. Is there any natural or herbal pill for this?
My husband, is 63 yrs old, has recently had his yearly physical and passed with flying colors. He is taking Lisinopril 20 mg., multi-vit. and 2,000 units of Vit D 3 a day. He has noticed a little more frequent urination and we are sure it is his prostate, enlarging as is normal for men as they age. Is there any natural or herbal, OTC pill for this? Yes, he had his prostate checked and no problems. | hi WELCOME TO HCMTHANKS FOR YOUR QUERY THERE ARE SO MANY CAUSE FOR FREQUENT URINATION INCLUDING HYPERPLASIA OF PROSTATE , OTHER CAUSES ARE UTI , CYSTITIS AND SOME TIME EMOTIONAL CAUSES AS YOU MENTIONED YOUR HUSBAND PROSTATE WAS EXAMINED AND IT WAS NORMAL THEN FORGET ABOUT HYPERPLASIA OF PROSTATEIT WOULD BE BETTER IF YOU VISIT NEARBY NEPHROLOGIST FOR FURTHER EVALUATION OF CONDITION AS FOR AS SOME NATURAL HERBAL PILL IS CONCERNED CHANDRA PRABHA VATI WILL BEST FOR HIM IN DOSE OF 1 TAB THRICE A DAY WITH LEUKE WORM WATER WISH YOU GOOD HEALTH DR S HAILENDRA NAITHANI MD [ AYURVEDA] | |
Can non penetrative sex cause pregnancy?
hi, my girlfriend had her period 13 days ago, and a few hours ago we had dry sex and i ejaculated through 3 layers of clothes: my boxers, her pyjama pants and her underpanties) it definitly went through her pants but i am not sure if it went through her underpanties, the stain on her underpanties could have been from her fluids... she washed her vagina 5 mins ;ater and changed her clothes. my question is could she become pregnant from dry sex with 3 layers of clothes on?? | No she can't be pregnant. Don't worry. Sperms can't penetrant 3 layers. But it's my suggestion to use protection next time. | |
What causes erection problem after unprotected sex?
I had unprotected sex last night, and this morning I was worried I may have contracted a std. My penis is limp and doesn't seem to be reactive to stimulus. I am however able to ejaculate. Am I unable to gain an erection because I have something or is it because i'm stressed about it? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion there is no direct relation of unprotected sex with erectile dysfunction in your case the reason for not having hard erection is due to the stress. You need to calm down and avoid having unprotected sex. Hope I have answered your query. Let me know if I can assist you further. | |
What causes painful lump at the joint of arm?
hello my name is sue,i have a lump in the joint of my arm it has been there for over 20 years, have been to a dr an said that i must of twisted it some time. the lump hasnt moved but lately my joint is starting to get pain.resently went to the dr about it she said shes not going to play with it its a chumor, sorry spelt wrong | Hello,Causes of a painful lump at the arm joint-A twist twenty years back mostly lead to a tumor in the arm joint. Now the doctor does not want to play with that tumor. Mostly this lump seems to be ganglion in the arm joint and would need endoscopic- laser ablation treatment under digital MRI.Pain at the site would be due to recent growth causing tensile pain in the ganglion of the arm joint. So you should not worry much. So keep cool and consult your emergency room ortho-surgeon, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Mukund Savaskar | |
Rashes on stomach, hips, legs, flat red spots, white heads. On antibiotics, creams. Treatment?
My son has a rash on stomac hip and back of leg all over been to dr gave antibiotic and cream started to get better then came back full force. Dr has no idea and recommends dermatologist but we can not get appt till friday. Some if the spots are flat red as large as a quarter and some have white heads. Need some clue what it could be Email YYYY@YYYY | allergic reactions the allergy can startanytime with any substance with any timeit can be oils shampoo creams ointments food drugs and other body application materialsneed to get allery doctor advice to find the cause and treat till can use anti allergic tabs and ointment to control | |
Q. How can headache due to blood clot in brain be cured?
Hello doctor, My mom is a diabetic patient suffering from typhoid diagnosed an hour ago. She also had a blood clot in her brain. She is having headache badly. What to do now? | Hello. According to your query, your mother is suffering from a bad headache due to blood clots. Any headache with intracranial problems needs detailed assessment as there might be a headache of serious causes like raised intracranial pressures or venous thrombosis which needs immediate neurosurgery opinion. So do not worry. Just consult a neurosurgeon. Do not simply take medicines for relief from pain. | |
Bleeding started after Cerophen, doubled dose after 2nd day. Urine test negative. What to do ?
hi too, i took one tab cerophen from 2nd day of my cycle (50mg) on dec 2012. i started bleeding on 22nd jan 2013.than, i took again double dose 100mg from 2nd day of my periods. but now i had to start on 22nd feb but i didnot start , i got my urine tested , it is negative i m so confused what should i do .... if i m pregrant so how come i know if i m not pregnant so what should i do for starting periods my age is 27th years old | Hello, I would like to know, whether the cycles were monitored by follicular study that is by serial ultrasound scan for seeing the growth of the follicles. If ovulation was confirmed, then the possibility of pregnancy is high, you should repeat urine pregnancy test or directly get blood levels of b HCG. If the ovulation was not confirmed, then there is a possibility that you might not respond to this medication and if repeat pregnancy test negative, you should consult doctor for giving you medication for withdrawal bleeding. Also, other factors for infertility including semen analysis for husband should be done. Hope this helps. Dr. Mrs. Sumeet Baheti | |
Do I have some sort of ocd or tourettes syndrome?
I'm not sure why, but for a really long time I've been having some sort of panic to flex certain muscles until they feel right. I'm not sure how to describe 'feel right' however it's really bugging me now and it just happens and I don't even notice it. Do I have some sort or ocd or tourettes syndrome? | Thanks for your question on Healthcare Magic. I can understand your concern. Random muscle twitching is commonly seen with stress and anxiety. But better to first rule out calcium and vitamin d 3 deficiency. So get done serum calcium and vitamin d 3 levels and if Deficiency than you will need supplements. If levels are normal then stress, anxiety (OCD) related muscle twitching is more likely. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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