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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 --> | |
What is the remedy for constant pain in teeth?
Hi My Daughter is 1 year and 3 months older.She is having constant pain in Teeth. I try to apply Zytel Gel on her teeths but still no go. Can u refer me any medicine that is good for her teeting pains.DOc has reffered Caldikind Zinconia Syrup for 1 year. Also T minic.Can you guide us how we can help her from Chroinic Pains, Vomit and Slight Fever in this agePuneet Anand | hiwelcome to HCMpain in teeth at this age could be because of teething or some calcium deficiency or underlying infection. for calcium deficiency you can give her calcrafax (Ranbexy) and for pain you can give her ibuprofen syrup but it should be avoiding to give pain killer at this age for long.so i will advice to visit your pediatrician (dentist) and get an OPG ray done to reveal undelying problem and get treated for same.thank you | |
What causes pain in the leg post a fall?
I fell off of a dock 3 weeks ago & hit my inner knee, mid thigh, calf & ankle pretty bad. I had an ultrasound done for DVT which I did not have, but the pain in my leg is increasing although the swelling & bruising have gone down. My leg is also hot to touch where I hit it. Should I be concerned or just give it time to heal? I am a 47 yr old female with RA, osteoarthritis & spinal stenosis. | Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion with history of RA, I would be concerned regarding you having secondary infection. you need to have blood counts, and X Ray screening to rule out all this. Please consult your doctor.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.Special note- Any medication prescribed needs to be taken after consultation with your personal doctor only. | |
What treatment is suggested for dog bite on lips
I got bite my my dog in the lip (not the dogs fault) I needed stitches they used ones that dissolve and as it is healing a have a scab forming on my lip. It is very tender under the scab. Is this normal and if it comes off before the stitches dissolve is that a problem? | Dog bites on the lips is very serious (due to its proximity to the brain) and post-exposure prophylaxis should be started immediately. You should approach a physician and get the Rabies shot without delay.As far as first-aid measures are concerned: wash your lips with lots of soap water. Do not -mind you, do not - suture (stitch) the wound as this will only allow the virus to reach the peripheral nerves faster.Of course, if the dog is not infected with rabies there is nothing to worry, but, then, it's always better to be safe than sorry. | |
What causes elevated blood pressure level?
Hi, I am an active 38yr old male with no medical diagnosis. I run 4 -5 times a week and workout with weights daily. I have had irritable bowels which I get cramping and bloated and can have up to seven to eight formed bowel movements a day. I haven t got treatment, because it goes away on it s own. Usually when I am not stressed. (not at work).Recently, I went to my dentist and had a blood pressure of 140/92, p 62. Now, I was not at all stressed in dentist because it was just a cleaning. I went home and have been getting elevated blood pressure reading on my monitor. Finally, I got really bad excersise induced Headaches which I did seek medical attention and I received an MRA. it was negative. SO my question is could I have symtpoms of cushing syndrome? or some other hormone induced disease? I want to completed several triatholons this summer. | Hello dear and thanks for posting your query.I don't see any reason to suspect you having Cushing's disease.Although Cushing's is one of the hormonal reasons for increased blood pressure, but generally other signs and symptoms are also present like obesity mainly neck and face, oedema, skin bruising, hirsutism and others.So there is very little possibility for you to have it.Just monitor your blood pressure and if it persistently remains above 140/90, consult your doctor and start a BP lowering medicine.I hope this information would be of help to you.Thanks and all the best. | |
Q. Is Mometasone dangerous to use on Face to clear my acne pimples?
Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? | Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Q. Though the cholesterol is normal, is it necessary to take Ecosprin AV?
Hi doctor, Sometimes, my father used to get chest pain. Angiography showed that he has a LAD bridging and vessels are normal and clear. His echo is normal. His BP, blood sugar and cholesterol are normal. After the chest pain, he was given the following medicines for one year. They are Stator, Ismo, Clopidogrel, Aspirin, Cardace and Metoprolol. Now, after 1 year, his cardiologist has prescribed Ecosprin AV 150/20 (Aspirin and Atorvastatin) for lifelong. But, he does not have any pain now. So, is it necessary to take this tablet? Also, his cholesterol level is normal and he is not even having any blood clot as well. I read on the internet and beta blockers are given for LAD bridging, but this doctor have not given it now. He just gave Metoprolol and stopped. Please clear my doubts. | Hi. I have noted all details of your father. Revert back with the reports to a cardiologist online --> | |
How to get relieved from pain in middle spine?
I am getting reffered pain from middle spine area combingng through to my chest area and around my rib cage, this is particuliarly bad when I sit onto the car seat or lay down.When I walk I feel better, my doctor has prescribed Dexmethsone two in marne with food over 3 days. I am now at 3 rd day the pain still there although perhaps 20-30% better. I do have quite a scoliosis in middle spine I am 68RegardsJbk,fnv | Welcome to HCM.Only dexamethasone is not sufficient to relieve the pain.Even deamethasone is not the drug for the first line treatment according to me.You have to take nsaid with muscle relaxant to subside the pain.B12,folic acid,l-carnitine,minerals,d3 and other supplements will be helpful.Intramuscular injections of b12,folic acid is advisable.Apply nsaid gel locally.Sometime injection nandrolone (anabolic steroid)at every 20 to 30 days is required.Consult your orthopedician for further guidance and proper medical management.Go for morning walk and mild exercise regularly. | |
Suggest treatment for knee pain
Hi, for the past 3 days my feet and legs...it feels as though I am standing on a motor, they feel as though they are vibrating. I am 69 years old and female. I do sit a lot and try to walk often as I have bad knees, but it is becoming aggravating to me and I am getting worried . I am on Atenolol, Furosemide, Potassium and Losartan. Thank you, Laverne Washington | You are a High BP patient on three anti-hypertensives. I would like to know about the present BP control and if the same has been long standing and what effect it has had on your heart, kidneys and on your central nervous system. As far as the knees are concerned, I dont think that is an issue here. What is not understood is WHY YOU ARE ON POTASSIUM SUPPLEMENTS! Diet can be adjusted to have sufficient intake of potassium that our body needs. Increases in potassium level can lead to muscle weakness and catastrophic heart issues...beware. Kindly get your blood electrolyte levels checked soon. | |
What could lung nodules with histoplasmosis suggest?
Hi, may I answer your health queries right now ? Please type your query here...I have a 9 mm nodule on left lung and 1 1/2 inch ademopathy on left helium. It was discovered with chest x-ray because I was not feeling well and now I have to get a CT scan. I was told 15 years ago that I had histoplasmosis and had a couple repeat x-rays to make sure nothing had changed and now I am going through the same thing. I am 42, non-smoker female. What do you think | its old healed calcified lesion ... not to worry anything.............................................. | |
Good ointment to get rid of pimples and its scars
hi pls suggest me any good ointment to get rid of pimples and its scars i have got pimples from many yrs consulted many doctors and used many creams but dint work. | hello dear , you havnt mentioned ur age.Any way,u can try nadibact cream locally on acne lesions.Keep a good anti acne soap with you.Avoid pricking the pimples.And if you have scars following pimples then u shd get a chemical peel or a laser done for that from a dermatologist. regards, Dr.Bharat Chawda | |
Had surgery for trigeminal neuralgia. Had meningitis, passed out after lumbar puncture. Memory loss since then. Solution?
I m trying to get answers. I had surgery 10yrs ago for trigeminal neuralgia 3 days after discharge I developed menningingitis and was back in the hospital. I don t remember much of the experience, after the lumbar pucture, I passed out in the ct scanner with a temp of 106. I did recover And went back to work. I noticed ever since the experience, loss of memory , I would give a lecture at school, and if someone asked a question, I would be unable to answer it. Even thou I have answered the question many times in the past. Through the years I has increased to the point , that I don t teach any more. I ll give lectures , but I keep them simple. When I read I have a hard time concentrating, the woorse part is my retention ability is terrable.. Prior to the surgery, I could read something once and recall anything you wanted to ask.. I have had MRI , in th epast to find something, but mostly my primary told me that I have to learn to live with this , side effect of having severe menningitis with a high temp. What can I do? | Hello,welcome to Healthcare Magic.Your current may occur due to following in given hierarchy:-Memory loss due to damage to brain/neurons-Organic anxiety/depressive disorder-Vitamin deficiency-Combination of above problemsExcept from the first possibility, you will get benefit from the treatment after evaluation by psychiatrist. For Memory loss due to damage to brain/neurons, some behavior intervention may be effective to manage routine social and occupational life.Wish you all the best.Regards,Dr Ashish Kumar Mittalwww.99doctor.com | |
Is severe lower back pain normal during pregnancy?
im 6 months pregnant and I'm having severe sharp lower back pains its very painful when i shift a wrong way i guess i don't know if this is normal sometimes i have to like stiffen myself so the pain goes away or it just gets stronger. what is causing this type of pain | Dear patient Back pain if mild to moderate severity is common during pregnancy due to increased abdominal size. Since you are 6 months during this time Ther is rapid increase in weight of baby which increase size of uterus and hence abdomen and puts strain on spine. There is nothing to worry about it as it subsides on its own within few months. Take rest for few days and do back excersises. Modify your posture while standing and walking so as to put less stress on tour spine. If it's severe and affects daily activities you can take tab paracetamol 500 mg thrice a day for 3 days for pain relief. Also add calcium supplements to your diet that will increase bone strength.all the best | |
Suggest treatment for liver blockage
helo sir..my age is 24 years..from the last 5 months m havng the pbm of liver blockage..thers continuos pain in the bottom of my stomch whch is proving unbeareable now..i hve took the treatment from my gastrospecialst bt now they are sayng no chnce for any revealation...evn in liver transplantation only 5%per cnce is there..so plz sir help me in some kind. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I couldn’t properly understand exact problem. Probably it might be a hepatic stricture. As of now do an MRI and consult a hepatologist and get evaluated. Wishing you good health. | |
What is the best medicine for pneumonia?
I have been battling pneumonia for over a month. Just went to my M.D. today - again. He had me say e several times, while listening to my lungs through his stethoscope. He said it sounded like a inside, and that was a sign of congestion in the lungs. I had never heard of this. He called it something, but I can t remember what! I have had 2 doses of Z pack, one 10 day stretch of Levaquin, steroids for 15 days, and now he prescribed a double z-pack. I am so weary! What else should we be doing? | Thanks for your question on Health Care Magic. I can understand your concern. Pneumonia is lung infection. And steroid should not be given in infection. It actually worsens infection. So better to avoid steroid. Best treatment of pneumonia is to identify the causative organism and start appropriate effective antibiotic. So get done sputum culture to isolate the causative organism and sensitivity report for guiding appropriate antibiotics. If sputum is not available then bronchoscopy should be done to get the sample. By this, recovery will be fasten and inappropriate antibiotics can be avoided. So better to consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks. | |
What causes sunburn like skin condition?
My 14 month old son has what looks to be a sunburn on his arms and legs. it is not a sunburn or a burn of any kind. What could it be? We have not introduced any new foods or soaps of any kind either. No fever, no itching, does not hurt him. What is this? | Hi...Thank you for consulting on Ask a Doctor. 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. Please revert back to me with images so that I can guide you better.You can approach me at the following link.Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.Please find the link below -www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Regards - Dr. Sumanth Amperayani | |
Suggest remedy for lumps on butt hole and scrotum
My husband has been complaining today that he has a lump on the outside if his butt hole. I looked at it tonight and it is the size of a marble, maybe a tiny but bigger. He says it burns, itches, and hurts when he sits. It s red but it is not bleeding and it does not have a head on it for puss to come out. It s just a red lump that burns and itches. It s on the outside of his but hike between his butt hole and scrotum. Please help! | HI.By the description you have provided, this is a case of a boil, it can be a beginning of a fistula in ano or a perineal abscess. I would advise you the following: Consult a General Surgeon;Investigations of blood and urine particularly for blood sugar;Get a prescription for antibiotics and anti-inflammatory medicines . Hot fomentation;Regular review.If resolves well and good,But if not he may need a small surgery to have a incision and drainage of the area and to investigate for potential fistula. | |
Can a movable lump on the forearm be a sign of cancer?
I have about a pea sized lump on my forearm that moves with the skin, changing colors, and is causing pain everytime i lift anything with my left arm(where said lump is). Theres a history of cancer in both side of the family but nothing like this, although id still rather be safe than sorry. | Hello, That can be an infected cystic lesion(sebaceous cyst), or sometimes a parasitic cyst. FNA of the lesion will diagnose it correctly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Deepak Sundriyal, Oncologist | |
What causes abdominal pain, bloating, nausea and vomiting?
I have been having moderate to severe upper and mid-section abdominal pain, bloating, nausea and vomiting for 3 days. The pain worsens when I eat or drink anything. No diarrhea but I do feel lighty feverish. I get light sharp pains in the upper right quadrant every once in a while and my chest feels tight and a light burning sensation. Does this warrant a trip to the ER? | Hi dear, It will be better to discuss with a gastroenterologist.Abdominal pain have different etiology. You have to give us some more details to differentiate them. Your pain is from upper mid section means it is related to lower esophagus,stomach,parts of small intestine,pancreas,transverse colon,abdominal aorta.Burning sensation indicates it has some relation to stomach and esophagus.Nausea and vomiting ; projectile vomiting from obstruction or toxicity. Others may be appendicitis, pancreatitis ,hepatitis.If you are vomiting soon after food intake it may be from gastric ulcer or upper gastro intestinal obstruction.You had just mentioned that you have no diarrhoea,but is there a satisfactory bowel? If not indicates chances of obstruction.Fever suggests infection. These all are the possibilities. Hence there are several factors to consider before final diagnosis I suggest to discuss with an gastroenterologist if symptoms persist. In my opinion your symptoms may be from gastric ulcer or appendicitis as it is epigastric, increase with eating or drinking, nausea, vomiting and small temperature.With thanks, take care | |
Done surgery for adenocarcinoma. Normal MRI. Is radiation and chemotherapy necessary?
Hi, My name is Ali I want to ask you some thing about my mother detail is given below Colostomy done 3 months ago due to abstraction after CT scan and colon scope found adenocarcinoma in rectum and CEA report was 82 the portion containing adenocarcinoma has been removed with open surgery After Surgery CEA report is 4.45 Normal MRI both plain and contrast also showing normal from lever to pelvis no evidence found mean to say all is clear No I want to ask you that which type of therapy is necessary for my mother is Radiation and chemo is necessary or not | Hello! Thank you for the query. Chemotherapy or radiotherapy is advisable depending of the clinical stage of the cancer. Only in stage I and II (not every case) chemotherapy is not necessary. All others stages needs chemotherapy. You need to know that chemotherapy is used for eliminating all micrometastasis. Even one cancer cell left can cause further spreading of the cancer. Such small metastasis are invisible for MRI so this test can be decisive for chemotherapy. Such test which can tell about left metastases is PET test, however still it can not show single cancer cells. Hope this will help. Regards. | |
Should I consult a doctor for black solid stool and rib cage pain ?
black solid stool how log should you wait to see doctor Left side under rib cage pain and solid black stool no smell or mucus how long should some one wait to see doctor | hi black hard stool may be due to low hydration ,drug,low fiber diet etc. if u have no constipation ,nothing to worry drink more water ,eat more fruits and green veg do regular exercise . u willl be okay in 5-7 days. pain may be due to some trauma or infection. wait for 5 day before going to doctor | |
Suggest treatment for stomach pain and vomiting
Hi my daughter is 9 has just recently had a gastro bug she was sick about 50hrs ago she had one day previous of upset tummy and the same day as vomiting she had an upset tummy. She has been struggling to eat and drink properly since and has been complaining of feeling bloated in her chest area and keeps burping. Today she went for a poo and her stools were a very pale yellow/grey and of normal consistency. About 6 hrs before she went to the toilet she had had ibuprofen for a sprained foot and had eaten it with a small sausage roll. She has drank a bit but not alot today. Should i be concerned? She has a normal temp of 35.9 | Hi....It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regards - Dr. Sumanth | |
What does this brain MRI test result indicate?
Can you translate this diagnosis in layman terms please? Brain MRI: Mild brain volume loss and associated mildly diffuse bilateral supratentorial chronic small vessel ischemic changes without superimposed acute infarct, mass, or intracranial hemorrhage. | Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!These brain MRI findings are suggestive of chronic changes to the brain small vessels and brain aging. They are not indicative of any serious medical condition. These changes are usually related to aging and uncontrolled hypertension, diabetes or dyslipidemia. I would recommend treatment with daily aspirin 80mg if no contraindications. If the patient has memory problems, it would be necessary consulting with a neurologist and performing some cognitive tests to investigate for possible dementia. Hope you will find this information helpful!Kind regards! | |
Suggest home remedy for colitis
My mother faces severe pain in her stomach,doctors diagnosed colitis,she is chewing tobacco for last 35 years,drinks tea frequently and also left the stomach maximum time empty...doctor pl tell me if there any relation between colitis and all those above stuffs?what should be the treatment in home?we cant stop her for chewing tobacco leaf and drinking tea.pl suggest doctor | HelloYes , there is a definite relation between the two. If you cannot get her to stop chewing tobacco then try the alternative of keeping her stomach filled.There is a center for natural cure in bangalore called JINDAL. You can consider this as an option as well. Prescription -Bilwadi Leha - 1tsp each - twice - after food.Kushmanda Avaleha - 1tsp each - twice - after food.However none of these medicine will prove useful unless she eats well and at least tries to reduce the tobacco and tea, if not completely abandon. Hope this was useful and Good Luck.Warm RegardsDr Rashmi | |
Could masturbation lead to problem is lower back and kidney?
Hi doctor, does masturbating effect your health. I started masturbating at about age 12.5 or 13 and I also did it with pornography. Lotsa of other sites say that masturbation can cause lower back problems and kidney dysfunctions because you are losing sexual energy in the process. I am 14 now, how much is room much thnx. | Thanks for asking in healthcaremagic forum Mastubration is harmless. But should not be a habit, can be done when only excited. Losing energy by masturbation is a false belief. Back problems can be there if done in abnormal posture and it cannot pose renal problems. Do not worry you can continue doing it enjoy. All the best. | |
What could feeling of releasing fluid during ejaculation from leg on cast due to broken ankle suggest?
I recently ejaculated and when i was finishing , it felt like my leg was releasing fluids, or fluids where being taken out of it. I also had surgery for a broken ankle and have a cast on. I have 3 open areas on the foot in the cast if that might be where the moist feeling or fluids were coming from. | Thanks for asking in healthcaremagic forum If the cast has opening then it may be due to open wound. So, your ejaculation and fluid from wound is not related. Please visit your doctor who advised you cast for this, if you have too much of discharge/pus discharge etc. All the best. | |
What causes fever and headache with a tick or spider bite mark inside arm?
My son (30 yrs old) is in Calif on business currently; lives in Michigan. He s been having a headache and fever up to 103* and he has this round thing on the inside of his arm that looks (to me) like a tick or spider bite. In Michigan, we have lots of ticks and they can cause some really scary diseases. He went to a clinic in CA and the doctor told him to get some rest and take Advil. He s very lethargic. I don t usually get involved in my adult kids business, but this could be serious and I m very worried. | HiThanks for your query at HCM.I understand your concern and situation.I would advise you not to worry so much as the doctor might have evaluated the patient. You must give him paracetamol or advil, tepid sponging and if itching then cetrizine. Monitor temperature. Get routine haemogram and serological test for tick borne fever. Depending upon the results antibiotics may be started.Hope I answered your queryDr Sheetal Verma | |
What does the result regarding my kidney indicate?
Dear Doctor, My Sreum Cretitine is 3.4 and Hemoglobin is 12.4.Suffering from CKD since 6 month. Now I am on BP medicine like Lonitab, Selokan XL and Fabulas 40 mg. Question is how bad my kidney is and which stage of renal failure. Can be improved? | Dear patient,I do not see any ACE inhibitor or ARBs in your therapy. It is a good drug in order to reduce the progression of renal disease ( but also any cardiovascular disease). You can ask your physician to start with ramipril, 2.5 mg once a day and increase at the maximum tolerated dose ( 10 mg). It can be an excellent substitute of minoxidil. You can expect a transient increase of serum creatinine but it has been demonstrated that renal survival, at the long term, will increase. Your physician should strictly follow serum potassium at least for the first month's of treatment, since potassium can be found higher than normal and it may be cause of severe hyperkalemia. | |
Suggest treatment for severe upper arm pain
Hi I have had upper arm pain for a few weeks now and it seems to be getting worse, I don t have pain all the time , I can carry things without pain but I can t raise my arm fully , I can t put my arm behind my back, if I do I get a sharp pain through my arm that lasts possibly about a minute ., I can t sleep properly because of the pain in my arm and I can t lie on that side | You have Rotator cuff injury. You need a shoulder MRI. Avoid lifting weights or overhead activities. Some bony osteophytes may need to be removed to reduce the damage to the tendons. Apply hot packs to the painful regions. Take pain killers for 5 days. | |
What treatment is suggested for pituatary adenoma and PCOS?
Hello and Happy New Year! I have been diagnosed with a pituitary adenoma (very small, around 3mm), and PCOS back in September. I've been on meds for these and since the meds started I have had no side effects, and my symptoms went away (biggest one being headaches with blurred vision, nausea and vomiting). Beginning of December I got a headache that didn't go away for almost 3 weeks. Also accompanied with blurred/cloudy vision, dizziness, and nausea/vomiting. The headaches have gotten better, but the cloudy vision has stayed. I had an eye exam a few months ago which showed that I had blind spots in my left eye, leading the neuro and eye doc to believe the adenoma was slightly pressing on the optical nerve. Problem is when I went back to my endo and neuro this past week and told them about the headaches, neither seemed to really care. I of course am concerned because I do not want to end up with permanent vision issues. Not to mention the headaches are not pleasant. I am due to deploy in the very near future and don't want to get somewhere and have an issue down the road. Is this something I need to push with my primary care doc and possibly get a new neurologist, or am I worried about probably nothing? Thank you in advance! - Jill | Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.Your condition requires immediate surgery since vision is affected. please consult a Neurosurgeon at once Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care. | |
What causes pink colored urine and abdominal pain while suffering from kidney stone?
I have a kidney stone in my bladder and at least four in my kidney inhave a really big one that doctor said I will have to het it broken up but yesterday I noticed a little pinkish everytime I wipe after urinating now today it has increased with the pinkish I am in pain and half the time feels like I still have to pee even know I just went should inbe really worried about the pinkish | Hellothe stone might be eroding the tissue lining which is causing the passage of blood in the urine..u should get urgent surgery or laser | |
What causes viral bronchitis with itchy sternal angle?
hi doctor. iam 20 yrs old. about 1 month ago I had acute viral bronchitis. i still have frequent coughs with some secretions in the form o globules coming from lungs whenever i cough. also i have an unpleasant itching like sensation in the region over my sternal angle. whats the reason for this? please answer this | Viral bronchitis can result a lot many times into a post viral chronic cough and hence your symptoms of bronchitis. The itchy sensation in your chest is due to the inflammation in your wind pips. I will suggest you that you should start a steroid inhaler for some days so that the itchy sensation as well as the cough subsides. | |
Noticed swollen gums and redness , what is the problem ?
My 7 month old baby's top front gums are swollen and red. One side is particularly swollen and red. It has bled too. It is causing him discomfort. I have been giving him pain reliever and topical ointment. I am wondering is this kind of swelling normal? | Hi,Thanks for asking the query,This could be due to erruption of the anterior tooth.You just maintain a good oral hygiene.Apply topical ointment over the region.Take care! | |
How to treat dry cough in a 4 years old child?
My 4 year old daughter is having persistent dry cough.. it usually starts with common cold like symtoms and later develop into cough. The attack is more severe when she sleeps.. within one hour she started sleeping, she walks up coughing and usually vomits.. then it stops for that night. What might be the reason? | HI your kid is having an allergic cough which starts initially as cold and increase in the night as she lies down.Please consult a child specialist or allergy specialist for proper medications like antihistaminics amd antiinflammatory medications which are available now with proper dosage | |
Paleness, tiredness, loss of appetite, stomach pain. Has VP shunt. Help?
Hi my son has just turned 4. For the past 6 weeks he hasn't been his usual happy confident self. He is pale and looks washout all the time.. His appetite is not as good as it is normaly and he is always complaining of being tiered. He has a VP shunt.. Can it be normal to be unwell for such a long time? His main complaint is a pain in his stomach..regards Lauren | Hi Lauren ! I would like to know if your son is getting fever either low or high grade in between. The symtoms you have mentioned are pointing to infection in the course of the shunt . It could be the peritoneal cavity (abdominal cavity). I would suggest you to contact your doctor/pediatrician at the earliest, who may apart from clinically examining him suggest some blood tests for your son to see if there are any features of infection. I hope this should help you in dealing with the situation. Good luck. | |
What are the symptoms of head injury in a child?
baby was standing upright, lost his fotting (barefoot) fell straight backwards on the back of his head full force on a wooden floor, I picked him up put cold water on the back of the head and a bag of frozen corn washed his face. He screamed for a while and sobbed then I wached. He ate fries. I watched him for 3 hours he was playing and running and coherant. I still cannot forget the noise his little head made. woke him up every two hour and he went back to sleep. Should I know more. Are there symptons one should watch for . | Hi.... I appreciate what you have done after injury. You have done all what can be done and that too very well. As you have asked for the danger signs of head injury which you need to be on the lookout for these are the ones - 1. Altered sensorium or incoherence2. Seizures or fits.3. Blood in the nostrils or any ears4. Watery discharge from nostrils or ears5. Continuous incessant vomiting6. Double visionIf these are not there you need not worry about this trivial head injury.Regards - Dr. Sumanth | |
Suggest remedy for low white cell count and low platelets
MY HUSBAND HAS LOW WHITE CELLS AND LOW PLATELITS WE VE HAD ALL THE TESTS DONE AND ARED WAITING FOR BONE MARROW AND CT SCAN RESULTS ;JUST WISH WE COULD GET SOME TYPE OF ANSWERS.HES IN MASAVE AMOUNTS OF PAIN AND IS CONSTANTLY TIRED THIS HAS BEEN GOING ON SINCE APRIL | Hi, I M Dr.KumarbhargavPathologistI understood your problemLooking to your profileIf I would have been your treating clinicianFirst i would like to have your CBC with peripheral smear examined first,Which would guide for further investigation,If as you provided it is pancytopenia means your blood cells decreased markedly and all the other causes as infections ruled out,Bone marrow aspiration and biopsy is the key to further guide. So proceed with bone marrow and provide findings, which is key in your case. Of course consider infection, drug history or any significant history.Thanks for contacting health care magicTake care, feel free to ask any more details. | |
Suggest treatment for high blood pressure
Hi, may I answer your health queries right now ? Yes please. my blood pressure has been 138/80, ppulse 75. i have been getting head ache in the morning (occasionally). I checked my BP ysterday. It was 155 by 95, pulse 75. than after a minute it was 158 by 85, pulse 80. I kind of get scared seeing the first count so it could have elevated the second count. should i see a dr as I'm going out of town next week. | Hi ThereI can understand your concern and will try to help you here. Yes you should take an opinion.My advise is As your Bp is not significantly high so instead of directly starting on some medicine I would like to recommend you to follow some lifestyle modifications that includes Daily walbs for a minimum of 45 mins for 5 days a week, low dietary salt intake, avoid caffeine containing drinks, stop smoking, avoid junk food and include more vegetables and fruits in your daily diet. Follow this strictly for 3 months and you probably won't need any medicine.Wish you Good Health | |
Suggest treatment for baby suffering from gas problem and constipation
My baby has constipation.before her motion was good like 3-4 times per day.After 4 months i started to give her a little solid food(ragi) 1 or 2 times and iam giving her formula only 40-60 ml per day.When she started constipation i avoided ragi and formula.she had gastric problems whevever i feed her she has vomiting tendency and she had constipation also.i consulted doctor.She told me it is gas problem.I gave her medicine Disflatyl.Now she is drinking breast milk .cerelac and ragi.but sheis not passing stools.When i put the glycerin medicine she is passing stools otherwise she is not passing. | Hi, First, try to avoid giving her any food, only breast or formula milk. Second, you can give her the glycerin medicine every other day as there is no harm from it and by time she will pass stool by herself. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
Is laser operation only solution for varicocelectomy?
hello doctor i have a problem of varicocelectomg but i dont have a child in my family my is in india so hw can u help me or guide me at this moment doctor told me that i have to go for laser operation so is itimportant for this laser operation for me i am 39 yrs old n my wife is 34 yrs old she is in india right now after two months i am going to india what is better for me | Hi,Thanks for writing to HCM .Varicocele is not a proved factor in infertility. But those having low sperm count with varicocele then its surgery helps in improving sperm count. There are many ways to get surgery done. Like open varicocelectomy or laparoscopic or laser. All have shown same result . But in laser scar will be less but it will be more costly. One thing you should remember is after surgery chances of recurrence will be there and also fluid may collect in scrotum which is called hydrocele.So you can choose depending upon your needs. Hope I have been helpful .Regards Dr.Deepika Patil | |
I am very overweight, need to lose weight
I am an 18 year old girl and I am very overweight , and need to lose weight a lot of weight fast. I was told about the drug phenteramine the girl I talked to said I would have to go to the doctor for it though, what would the doctor do to find out if I can take it ? | i am not a doctor but find answers thru diet .if you send me your adress i .can send you the diet chart. you will start losing weight in days. if satisfied after 15 days you may send a send a donation of any amount to "the poona school & home for the blind trust" c/o balbir singh ,pioneer sports, 38 m.g. road, pune 411001,india by "western union" balbir singh e-mail om.pune@yahoo.in | |
What causes fever every evening?
Age : 24,Weight : 50Height : 5ft 7 inchesMedical History : Have had jaundice when I was 21 year old. Current Problem : I get a fever every evening. This has been happening since 4-5 months now. I feel tired and irritated. Also been getting viral fever on and off. Please suggest what do I do? | Hello,Welcome to HCM.I understand your problem.Fever in every evening can be due to number of reasons like tuberculosis, urinary infection, certain viral, bacterial or fungal infection, hyperthyroidism, malignancy, etc.Here, it is very important to find out the cause. You should undergo following investigations:Complete blood count with ESR,Urine routine and microscopic examination,Stool routine and microscopic examination,Thyroid profile: T3,T4, TSHX-ray of chest if you have any breathing problem or cough of long duration,Please consult a GP around you to get this tests done.Please let me know the results of these investigation and further course of action may be decided.Hope this will be helpful.Take care. | |
Suggest treatment for anxiety and heart palpitations
hi i am a 20 year old female , recently i have been having reay bad anxiety! i was in the gym and use a watch to measure heart rate suddently my heart rate went up really high i was paying attention to the watch though! it happened twice in one week i felt a little light headed but did not faint! ive been to see cardiologist he done the stress test, ecg and a scan and sed i was perfect! i then went to see another doctor to get 2 more ECG done and they were fine too. i just cant believe the doctors and i am so anxious that i have palpitations all day long! even if i dont feel nervous my subconciois is causing palpitations and im scared. i dont want to start taking meds as im so young and this might just be a period of anxiety. | Greetings. Welcome to HCM and thank you for your question. I understand your concern. If it was something heart-related, at your age there are rare conditions that can be inherited disorders, that would have palpitations for symptoms. However, these disorders are almost always caught in the EKG, and each one of them has specific EKG signs. Therefore, we ruled that out. You mentioned that the "jump starting" of the heart happened in the gym. It is normal for the heart rate to go up while being physically active. In your case, it is tolerated up to 200 beats per minute (220 - age, is the formula). The anxiety or panic attacks are almost always triggered by some event, such that, the person experiencing them, knows which places or venues will trigger their attack, such as public speaking or performance, crowded places, narrow pathways etc. It works in that way that a certain phenomenon causes the panic attack. From that moment on, every single symptom you experience, comes from anxiety: shortness of breath, high heart rate, high blood pressure, sometimes dizziness or blurred vision. If this situation is affecting your quality of life, then I would recommend you to be started on a course of combination of a drug from the benzodiazepines and a drug of antipsychotic medication. They will help you suppress and prevent the anxiety attacks. I also recommend you to consult a psychiatrist, about the dosage and frequency of these drugs. In the end, I would recommend you to keep being physically active, as physical activity has great benefits in the state of the mind.I hope I was helpful. Kind regards. Dr. Meriton | |
What to do for the infection in the ear due to a hole?
I am from PAKISTAN. My mother is having hole in her left ear and gets infection every month. she visited many ent specialists they give medicines to eat and drops to put into ears. but after some time again water starts coming out. today she has again infection in her ear. she cant hear when we speak normally. and uses hearing aid. but when gets infection she stops using hearing instrument as she says i feel uncomfortable. please tell some remedy and drops which can work for her. she puts cotton full of vaseline into ears while taking bath sothat wayer couldnt enter into ear but even then she gets infection. | Hi,From history it seems that she might be having chronic middle ear infe3ction producing perforation in her ear drum.Go for culture and sensitivity test of ear discharge.This will give information about organisms causing this infection and antibiotic medicine very effective against this organism.After report your doctor will prescribe long course of specific antibiotic medicine.There might be having healing of ear drum perforation as well.If perforation is big then you might require Tympanoplasty.Ok and take care. | |
Had gall bladder surgery previously. Having high levels of ALT and SGPT. Serious?
hello doctor I sagar gall blader surzary had been done before 6 yers seens then i am well but some times my sgpt grew high cbc ceruloplasmi ant ittg hepatitis a b&c sgot alkaline phosphate all are normal but sgpt now110/u/l sence alkaline phosphate and sgpt grew high before surzary but after 4 yerars now i am faceing such problem. if this is dangerus for liver or life. please help. | Dear sagar, as I understand you are concerned about your sgpt levels. I dont think taht it is asociated with your previous surgery except some kind of liver blood vessels and bile ducts were injured. SGPT is elevated in hepatitis, diabetes, congestive heart failure, liver damage, bile duct problems, infectious mononucleosis and the best way to rule these disorders out is to do ultrasound or CT scan of liver. Also liver biopsy can be done. But mildly elevation of SGPT only isnt something to be concerned about and it is not a threatening for your life . You should check your bilirubin levels and red cells count too. Wish you good health. DR ivan Romic | |
Suggest treatment for swollen and painful ankle
Is there anything serious with the symptoms of a bumpy/some swelling but not too much, red, tender to touch distal medial shin and ankle where there was a severe burn 1 year ago? There were was a 2nd /3rd degree burn where the sock was burned to right ankle med side only? Probably should have seen a doc at the time but didnt | Dear Patient,this repeated swelling at the site of previous burn could very well be infection, as the skin under that area would have been avascular or less vascular and thus can harbor infection easily.the best you can do is to clean it with chlorhexidine solution, and consult your doctor for a short coarse of antibiotics, this may take some time but will heal, moreover if the skin is not proper than in that case it would be better if you get it replaced with the help of plastic surgeon.Thanks | |
Does solid pus in the lung need open surgery?
hi sir , this is suman kumar ,male ,30 from hyd .i had cough and breathing prob on jan 26 and joined a hospital in mumbai immediately ,after docs told me that i have cavities outside left lung and adviced for ct-scan. i returned to hyd and joined and multi speciality hospital .ICT procedure was done and tube was inserted on 2 nd feb.Aprrox. 700 ml of pus,waste blood was collected within 12 days and ict was removed after 2 weeks when ct was done again ,docs told me that a solid pus form was on my lung and shd peeled off.first they want to go for thoracic procedure(laproscopic kind) but today they advised me to go for open surgery . iam walking well ,breathing wll and doing normal day to day jobas well, ESR is 92 ans all bloood parameters are good. My questions is whether to go for surgey or there is any alternative for ths | Thanks for your question on Healthcare Magic.I can understand your concern.You had pyothorax treated with ICD insertion.Pyothorax is having complications of thickened pleura and non expanding lung.Since your pleuroscopic management is failed, you have been advised VATS (Video Assisted Thoracoscopic Surgery).You can definitely try nonsurgical measures like deep breathing exercises, incentive spirometer, yoga and pranayam.If your lung expands then no need for VATS.But if it is failed to expand then VATS is necessary.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
I noticed on Sunday that it hurt a little bit to pee, by Monday morning it was burning quite a bit. It started to feel a little better last night but this morning I had the urge to go 3 times in a 30 minute period. This morning I also noticed a little bit of blood in my urine. UTI?? | Hmm it sounds like that and it shall need a course of antibioitics. Drink good amount of lemon juice, it shall surely help. | |
Reason for discomfort in the joints?
My joints always or feel uncomfortable, especially before I go to sleep. My shoulders, wrists and elbow are the worst. If I don t move or rotate them for about two minutes, they become extremely uncomfortable. Because of this, i have to crack them, which is probably making them worst. But what can i do to make it go away? | Hi, It could be an early sign if arthritis. If symptoms persist better to consult an orthopaedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Recurring redness with bumps on the urethral opening. What is the cause?
Hi Dr. Prasad. I am a 23 year old male and over the past few days I have been noticing a strange redness on the opening of my urethra . I opened it slightly with my fingers and can see 2 or 3 small bright red bumps. Almost as if they are hidden in the opening of the urethra. When I stand normally, the opening of the urethra is very red in one spot about 2 or 3 millimetres big. What could this be? Thanks | Hello,Thanks for the consult..Brief answer,This may be due to urethritis or any sexually transmitted diseaseExplanation,1. I seen your query. I am happy to help you. You already mentioned that you have red bumps at the site of urethral opening2. This red bumps may be due to urethritis which is commonly due to gonococcus or any sexually transmitted diseases like herpes or syphilis3. Kindly do urine examination for bacteria, VDRL test for syphilis, blood examination and culture for gonococcus and herpes genitalisHope this onformation helps | |
What is the preferred medication post prostate radiation?
what is preferred medication for post prostate radiation 3 years ago. is Flomax or rapaflow the most preferred or are they both th same family of drugs . your science and experience of which one is best. age 80, 150lbs,vegetarian. excellent health and exercise daily | HelloThanks for query.Rapalow and Flomax have similar mode of action of relaxing smooth muscles in bladder neck and prostatic urethra.You can take either of the two Now a days we prefer to prescribe Rapaflow (Silodosin).which has minimum side effects compared to Flomax.Dr.Patil. | |
Q. Is it normal to have fast heartbeat after endoscopy using local anesthetic spray?
Hello doctor, It was over two weeks ago I had my endoscopy. It was not sedated but they gave me the local anesthetic spray but after I had my endoscopy I feel like my heart is beating faster than normal and I feel like my nerves or you can say muscle are like twitching or throbbing and I went to some doctor and said I do not have toxicity but I got so curious if I actually have toxicity. So is it? | Hi. Local anesthesia toxicity can happen if the spray is used at high concentrations. Usually, they will have 10 percent Lignocaine spray. They can spray maximum 300 mg of drug but for your procedure, definetly they will use less, do not worry. The other symptoms you had are because of your anxiety, stress because you are not sedated and you are just given local anesthesia, that is why and if toxicity happens, first you will have fits (seizures, numbness over the lips and around mouth). | |
What causes pain and colour change on injection spot on feet?
I got a Kenalog injection in my right foot 1 1/2 ago and now my tendons stick out and there is a dent in my foot near the injection site. went to doc who told me to get better sneakers and i did that but no better. it aches and the pain travels up to my ankle. injection site was on top of my foot under toe next to pinky toe. my foot sometimes turns a purpley color when i do too much for too long. what is this and will it go away? | Hi, It can be inflammatory response to injection, apply ice pack. Take over the counter painkillers if required, it usually settles on his own within few days. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon | |
What is the solution for extreme bone pain in legs ,especially thigh bones?
i am having extreme bone pain in my legs ,especially my thigh bones . it is not muscle pain or joint pain, ive had that and this is more painful than anything ive ever experienced . have had gastric bypass 6 yrs ago and lost over 200 lbs so its not weight .( still need to lose 75 more but not the cause of the pain ). is there a dr or a test that i need to help determine what is wrong . i do get severe muscle pain sometimes because i forget to eat enough calcium . we are traveling in an rv for 2 months in tucson az and would be willing to see someone here . im 57 female have blue shield ppo insurance . i can hardly get out of a chair to stand it is so painful . please help me . | HiX-rays of femur (thigh bone) should be done and also of lower back.This may reveal if any osteoporosis is there, a common cause post menopausal.see an orthopaedic surgeon.Also a T score on bone scan (Dexa) for bone mineralization condition...since calcium helps you, it points to osteoporosis.cause of it may be estrogen withdrawals in menopause.Vitamin D3 levels,serum calcium,mangnesium may give additional clues.Treatment could be both hormonal reloxifene (evista) as well as these supplements of calcium, vitamin D3 and biphosphonates like fosamax plus D once a week | |
What causes elevated ESR levels in blood?
Hi, may I answer your health queries right now ? Please type your query here.. iam73yrs male myesr is 90 &creatnine is 20 my all oyher blood result is normal ihave no ther prblem but both legs soul is always burnining cannot walk on rough surface can esr is high due what reason pl help me . | Hi, dear. I have gone through your question. I can understand your concern. Your esr is very high. There are many causes of high esr. Tuberculosis, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high esr. You should go for investigation to search the cause. You should go for x ray chest, ultrasound abdomen, complete kidney function test, liver function test to search the cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. , | |
What causes social anxiety?
Apart from very few people i avoid social interaction. I m 20. I love being alone. I don t like crowded areas they drain me. I avoid parties they make me feel a little alone. I m an artist so most of my downtime i sketch in my little notebook. I don t involve in group projects, i avoid giving opinions and mostly sit at the back of the class. Stage presentations make me nervous and i d rather workout all day than give a presentation which seems more tiresome to me. I have these two three friends i enjoy my time with or go out for a walk or get a cup of tea or watch a movie. I m usually the last person if asked for volunteer. Most of time i have heads free on so i can avoid small talks with people. I have trust issues. I really don t trust anyone. I keep my stuff to my self be it good or bad. Alone time makes me feel good. I do have a little sensitivity to negative emotions so i have a short temper. I m a little shy so i prefer to remain quiet rather engage in some talk that will end in an awkward silence. I actually am a little active on social sites not that i interact with anyone much, i run my art pages and i have quite a fan base. and yes i am wearing braces so i struggle with smiling most of time and it gets so awkward. Is this all normal? | Hello! Welcome to HealthcareMagic! In my opinion it is normal to feel anxious and in social situations. If it is effecting your day-to-day routine, then it is very important to go on cognitive behavioral therapy with a trained therapist. Creating hierarchy of situations from lower to higher ones that cause anxiety and face those step-by-step basis is important. Hope this clarifies your concerns. Thank you for the query. Take care Regards, Dr. Gayathri, Psychiatrist | |
Have pain in the upper quadrant. Had a positive CT for diverticulitis. On Flagyl. Keeps repeating. Colonoscopies clear. Suggestions?
I have been having pain in my upper left quadrant for 4 years now. In the ER, I've had 1 positive CT for diverticulitis in 2009. They give me Flagyl and Cirpo as my WBC are elevated. That usually works and the pain subsides to a 5/6. I would have episodes of the same thing every 6 months. Same exact spot, same exact pain. Never changes. Again the WBC's are elevated but CT's are negative. I've had 2 colonoscopies that are clear. They can't seem to find out the cause of this pain. Could it be my pancreas? I'm type 2 diabetic as well. | Hi, it appears to the gastritis associated with the diverticulitis, You need to have treatment for the gastritis, you may need to have gastroscopy as well. So i advise you to consult a gastroenterologist for relief of the pain besides your treat ment for diverticulitis. Thank you. | |
Q. Will I get pregnant with pre-semen entering vagina through fingering?
Hello doctor, Please help me out. I am 25 years old, weigh 85 kg, and height is 5'4". I have PCOD and every time I have irregular periods. Last month for religious festival took Regestrone for five days. I got my period within two days after that. Might be withdrawal bleeding. I do not know but it was very heavy. I missed my period this month may be due to PCOD. My ovulation time was between 27th to 1st. My problem now is for my uncertainty. I got intimate with my partner on ovulation day. It was not intercourse. He did not cum as well. But his pre-semen just contacted my clitoris and opening of my vagina, later, he masturbated me. I am worried if the pre-semen which touched at opening entered my vagina due to masturbation. He did not insert or cum. It was just the pre-semen which contacted my clitoris and vaginal opening. Now I am literally tensed. Does it cause conception? Will this situation of mine lead to conception? Please help me. Do I need to take contraceptive Ipill? Can I take Regestrone for five days starting yesterday? I have already taken one. Does Regestrone act as a contraceptive? If I take Ipill will I get my period? Do I need to get a pregnancy test after a week or so? By using Regestrone can I get periods by eliminating conception? | Hello. Firstly relax. Your next menses naturally should have been expected only by the same date as the previous one after taking Regesterone, as your dates have changed now). So now you are 14 days late for your scheduled menses. Also, ideally you should get an ultrasound pelvis done to check for state of ovulation in the ovaries, as to whether you have already ovulated or ovulation is still pending secondary to PCOD (USG would be gold standard), but if we still consider that you may have ovulated late and hence no menses, considering that pre-cum got rubbed inside vagina during fingering in your case, this can logically lead to pregnancy. But chances of conception are minimal but still exists. The best would be to opt for an emergency contraceptive pill like an Ipill within 72 hours of intercourse to avoid unplanned pregnancy if at all chances occur considering even pre-cum contains live sperms. Post Ipill intake, you can expect a withdrawal bleed in next 3 to 5 days and once the bleeding occurs, endometrium shall be shed and you would be pregnancy safe. If no bleeding, then the next best step shall be to get a serum beta hCG test done after seven days post last intercourse to rule out any pregnancy. (This is a blood test and most sensitive for pregnancy). If the hCG levels are less than 3 mIU, then you can rest assured that you are not pregnant and then can wait for the withdrawal bleed naturally. | |
Q. Kindly suggest the ways to overcome the withdrawal symptoms of marijuana.
Hello doctor, My little brother is 20. He was previously smoking marijuana not sure what kinds in his social circles. This was about a year ago from now. Ever since then he has never been the same. We have taken him away from being able to take marijuana for a year now and still, he acts like he is high. He is very disconnected, he talks to himself a lot, he is always laughing to himself, he cannot hold a full conversation without diverting and talking about something that completely makes no sense. He is very irritated and has now become short-tempered and very defensive. He talks to no one, he can go a week without saying a word even when spoken to. He is very disconnected, he does not even know or remember how to take care of himself anymore. Please, anything you know that can help? | Hi. Marijuana contains cannabis, cannabis cause psychosis three times more than the general population where schizophrenia is 1 % common in the general population. It seems he has developed schizophrenia, I would suggest to take him to the psychiatrist to give him antipsychotics which is very necessary for him, because psychotropic medications are controlled drugs you would not get with this way rather you need a proper prescription. | |
Is there a relation between stress, depression and sore throat?
Hello,My wife was emotionally stressed yesterday and literally cried for hours. Today she woke up with severe throat pain that has us thinking about a trip to the ER. So you know of a correlation between stress/crying and delayed throat pain?Thanks in advance for any suggestions.Brandon | HIThanks for using healthcare magicI think, she has underline depression. In that case, even for small pain or physical symptoms, she could react more. Better to consult a psychiatrist for her mental status evaluation and that would help to you to find out the exact reason behind every symptom.Thanks | |
Suffering from leptomenengiels, constantly sleeping, phelgm, black foam from mouth with stale blood smell. Reason?
My mother is 66 yeras old and has leptomenengiels disease, her condition has detoriated over the past 2 days she is constantly sleeping and has phleghm in her throat , last night she stqrted frothing at the mouth which a black foam which smells like stale blood , is she now dying? What can we do to make everything less painfull for her? | Hi, Thank you for posting your query. She appears very sick as per your description. You need to discuss with her treating doctors regarding her likely outcome including death. However, important things to be kept in mind while taking care of an unconscious patient are- pain relief, providing adequae oxygen, good nutrition and fluid balance, prevention of bed sores, prevention of deep vein thrombosis, etc. I hope it is helpful. Best wishes, Dr Sudhir Kumar MD DM (Neurology) | |
Suggest treatment for cough and wheezing
Hi I am having wheezing problem since I have moved to Mumbai. There is no hereditary problem related to asthama in my family. I got married in Mumbai in 2007. That winter I did not have much problem. By March 2008 I delivered a baby boy (C section). In the same year in winters I had cough and wheezing. My physician suggested to use Rotacap inhaler (Seroflow 100) for three months. Later I did not have the problem. But again in 2009 winters I faced same problem with increase in wheezing. This year I am facing the breathlessnesss and wheezing even in May. Please suggest a good doctor | Thanks for your question on Healthcare Magic.I can understand your concern. By your history and description, possibility of seasonal (winter) bronchitis is more likely in your case.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only.You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Oral combination of antihistamine (levocetrizine or fexofenadine) and anti allergic (montelukast) once a day at night during winter is also beneficial.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Does masturbation affect the health and sperm count?
Hi, I used to masturbate daily once is is good... Will it caused some issues in sperm count. Also I used to shake my dick slowly by watching porn videos for 2hrs continously after that I will masturbate. I can t able to control it. Will cause some health issues in future.... Guide me... | Hi, Masturbation does not affect the sperm count and motility. Hope I have answered your query. Let me know if I can assist you further. | |
Is lesions in mouth a sign of herpes?
Hello I have a lesions I. My mouth that I believe is herpes I went to the dentist and he said he did not think that was the case..anywho I recently made out with someone and I wanted to know can he get herpes on the neck or legs is those areas a licked? | Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.Herpes can occur at any site. But it involve the nerve root or dermatomes. The most characteristics of herpes is pain and vesicles. The pain is excruciating and burning in nature.If you have such a sign and symptoms you are having herpes, otherwise think of something else.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist. | |
How can depression and anxiety be treated?
My adult son has delusional disorder and has been on Risperdal he doesn t feel it is working the best for him, he has low motivation, had high weight gain, depression, memory loss and extremely unhappy. There is diabetes in our family history. He is also on celexa for depression and another drug for anxiety (not sure name of it). What would you recommend as an alternative antipsychotic. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In delusional disorder the person suffering from it do not have insight to know that he is getting better or not. He believes these ideas to be true. If you feel the delusional belief is not coming even after giving Risperidone to a maximum tolerable dose for adequate period of time; then his drug can be changed to some other antipsychotics. Risperdal can be prescribed. To be noted is all antipsychotics are equally efficacious and they are chosen according to patient profile. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rohit Kothari | |
What is the remedy for lump in the right side of neck?
im 31 years old 5 flat in hight i have 45lbs i chech up last 2008 bcoz i have a small lump in my right side of my neck..the doctor said i have a bronco or if i cant take a medivine it will going to tuberculocis..i take a medicine for good and he said if not gone my lump i will have my surgery...but after 3 years ago my lamp not going fine its become bigger..like a lemonaide size long time ago it was a small like a pimple but now its going big and my back always hurt..i dont know wat kind of doctor should i go..to consult..doc this lamp is need a surgery or not..please help me... | Hi dear thanks for you query on HCMYou need to get a ultrasound of the neck to look for any other lump that is not palpable.Followed by fnac of the lump which will give you pathological diagnosis following which the treatment can be started.Complete blood count and mantoux test if your suspecting TB.If you have coughwith sputum get the sputum test.Chest xray pa view for any lung lesion | |
What causes fast growth of the head in a kid?
My baby 9 months old,he is going to have MRI for his head,is there any damage for his brain?( because he went for 9 months wellness check up,the doctor said :the percental of his head growing a little bit faster,but she check his head is nothing wrong,so,should I do or do not ? | Good evening..!!MRI dosen't cause any damage to the brain. No radiation harm.Your doctor might have thought that your baby might be having hydrocephalus.Thank you, have a nice day..!!! | |
What is the alternative medicine for PSP ?
hi what is the alternative medicine for PSP. Apart from english medicine | PSP disease, since the syndopa tablet is not helpfull. So can u please tell me the alternative medicine. | |
What causes itchy rash around the dressing after removal of picc line?
I had a picc line removed last Saturday and now have a rash around the dressing sight that itches and will not go away. I also am starting to get a knot under the picc line insertion spot. I have an appt. this afternoon to see my doctor. Should I be concerned? | Hello. Thank you for writing to us at healthcaremagicThe rash that you notice at the dressing site is most likely due to allergic contact dermatitis either to the topical antiseptic/ antibacterial that may have been part of the dressing Or it could be due to allergy to adhesive used to hold the dressing at the site.If I was the treating doctor I would suggest you to use a moderately potent topical steroid e.g fluticasone propionate 0.05% cream, twice daily, at the site of rash.Steroids are antiinflammatory, immunosuppressive in action and would take care of the allergic rash.Regarding the knot, it is most likely due to thrombophlebitis of the vein thorough which the picc line was accessed.The knot would resolve on its own in a few days. An Oral antiinflammatory e.g ibuprofen would help decrease the pain, swelling.Topically you may use a heparin sodium gel, which would act as an antithrombotic.Regards | |
What causes seizures in a child on epilepsy medication?
My child 7 years had her first epilepsy episode in March 10 for 2 minutes while sleeping; for the past 8 months taking medicines, intially oxetol XR450mg OD daily one at night; gradually reduced to 150mg wef sept 10. MRI & EEG reports normal. still a couple of days back got a one more episode lasting 25 minutes. now dosage is increased to 300mg per day same medicine. even taking medicines regularly what caused this again and will it again happen now?? | Hi, During the 2nd episode of seizure, was there any fever? Usually fever can trigger seizures. Sometimes sleeplessness and over-watching of screens can trigger seizures. an EEG should be repeated as another episode is present. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prasanna Lakshmi, Pediatrician | |
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 is the dosage of Amlodipine?
Hi there - I was prescribed Amlodipine 5 ml on 4/24/12 - prescribed Avalide 300/25 mg on 8/19/13 - started having side effects around 10/2013. I was also going thru a very stressful time in my life with caregiving for my elderly parents & getting kids off to college. My Dr said my symptoms were caused by anxiety. On 6/17/17 my Dr upped my Amlodipine to 10 ml. I stayed on the 10 ml until 7/7/2017 until I could no longer function with the horrific side effects. At that time is when I discovered a forum for Amlodipine where everyone had the same side effects as me. Now, my question to you is, was I given a toxic dose of RX s? Because I have read that there is a interaction between Amlodipine & Irbesartan (Avalide)- please advise - thank you! | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would explain that it is OK to take Amlodipine and Irbesartan concomitantly. There are no interactions between these drugs. So, there is nothing to worry about! Hope you will find this answer helpful! Kind regards, Dr. Iliri | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
What is the lethal dosage of Insulin?
Just started keeping track of my dad s sugar levels. It is exceedingly high. How much insulin is too much in a day? He had 55 units this morning and I gave him another 10 about an hour ago. His sugar before the 10 units was 208, I just took it and it s 299??? | Hello,Usual insulin dosage is one unit per kg per day for regular insulin. But insulin can cause low sugar coma or death in doses which are excessively high. This high dose depends on person to person. Fatal doses record as 400 to 900 units for a person. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Varinder Joshi | |
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 --> | |
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 --> | |
Suggest remedy to cure hacking cough
i was giving in PROVENTIL INHALER FOR A HACKING COUGH LAST YEAR IT WAS LIKE A DOG BARKING COUGH I USALY TAKE 2 MONTHS FOR ME TO GET TO THE DR, AND I ALWAYS GET INHALER SHOULD I ASK FOR REFILLS. THE INHALER NEVER HAS A REFIL COUGH SYRUP AND COUGH DROPS DO NOT WORK MY SISTER HAS ASTHMA. IT SEEMS LIKE AFTER I AM USING THE INHALER, FOR A WEEK IT SEEMS LIKE THE ONLY THING TO CALM MY COUGH | Hello dear , hiWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* Guidelines for better outcome - Continue inhaler as per directions of your doctor .- Deep breathing exercises , YOGA , walking in fresh air would be the corner stone of management .- Gargles with salted lukewarm water added peppermint oil 3 times a day- Bassil leaves , turmeric in boiled water , pure honey are excellent herbal supporters .- Avoid smoking or alcohol if using .- Avoid exposure to dust , pollen containing atmosphere ; if needed use triple layered facemask wisely .Hope this clears your query .Regards . | |
What could pricking sensation under arms after colon removal indicate, also have pacemaker?
My husband had abdominal surgery to remove his colon 3 weeks ago. He is having pins and needles like pain under his left arm . He has a pacemaker and I wonder if the leads could have been pulled on or if positioning him for the surgery they injured his shoulder, rotor cuff? | Hi Welcome to Health care magic.I understand your query and concern.Your symptoms could be possibly relate to anxiety.This can sometime present as chest pain.Since the cardiac work up is normal you need not worry much.But I advise you to get a complete biomarker enzyme study to rule out MI. This consists of testing for Trop I and Trop T.Simultaneously control of anxiety with the help of drugs like clonazepam is needed.Practice yoga and meditation .Regular physical exercise for 20min will keep you pain free.Avoid smoking and alcohol.I advise you to have a baseline 2D echo and ECG on semi annual basis for better cardiac assessment.Pneumonia has to be treated well with respiratory fluroquinoloes for 7 days for complete resolution.Consult an expert cardiologist for further help.Post your further queries if any.Thank you. | |
Lost wife and in depression. Drinking alcohol a lot and collapsed. How can he be supported?
Our neighbour lost his wife 18 months ago and has gone downhill and has been drinking heavily and smoking dope ever since. We have been very concerned about him and have seen him in some very waisted states. He came to us yesterday shaking and asking is he could borrow our phone to call his mum. He had collapsed at work and had been taken to hospital. He was in such a state that we called the ambulance and got him back to hospital. He realised he has a problem and has been drinking vodka very heavily for quite some time now. He said he wanted to die and tried to so by drinking himself to death. We want to help him but don't know what we can do to ease the withdrawals that he going to experience. He house is a mess and we were planning on going there today to see if we could help clean it up for him. We don't know if he had any drink last night. Is it wise to try and help? He is seeing a phyc nurse on Monday. | HIIt is good to know that you want to help some body. but question is how much and how to help?His problems are related to alcohol abuse and may be depression after losing his wife, resulting in increase of alcohol consumption which in turn will worsen the depression. The first and foremost he needs is hospitalization in a de addiction unit .Psy nurse may not be the appropriate help but a psychiatry hospitalization should really help himGOOD LUCKDR SAATIISH JHUNTRRAA | |
Can the medicine, Citalopram, cause Torticollis and twitching in eyes?
I have had a twitching eye for five days and have just been diagnosed with torticollis, not hereditary though. I have also just stopped taking citalopram 10mg and I am now taking half s tablet every few days, hoping to stop completely soon. Is any of this Linked? | Hi,It is suggestive of citalopram discontinuation syndrome. Based on the history, you seem to have developed the symptoms due to the sudden discontinuation of the anti-depressant medication, citalopram. If you stop taking citalopram suddenly, it can cause 'discontinuation syndrome' characterized by anxiety, vertigo, dystonias (torticollis), tremors, fatigue and irritability. Therefore if you wish to stop taking citalopram, its dose should be gradually reduced over several weeks without any withdrawal symptoms.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Q. I have GERD and LPR which distubs my sleep with acid reaching esophagus. What to do?
Hello doctor, My condition is GERD and LPR and I am so stressed out with this I cannot even sleep. I take Esomeprazole 40mg per day, but still no improvement. I sleep, but sometimes acid reaches my throat when I wake up. I am on this for one month and I feel every time. I take pills that they remain stuck in my throat like down the esophagus and I must drink a lot to push it down. I am on diet with no spicy, no coffee, no alcohol and I have a list with acidic foods. I am scared about my esophagus to not be very damaged. This will destroy me for real. I am only 24. Should I double the dose? Should I change medicines? Now with the Coronavirus, I cannot find any doctor. I do not feel heartburn, but I always hear my stomach making a weird sound when lying in bed. Please help. | Hello. I understand your concern and at this point, I would recommend further evaluation in order to better assess your condition. I would recommend a barium swallow x-ray, endoscopy, esophageal manometry, and 24-hour esophageal acid test. I would recommend you shift your Esomeprazole to Ranitidine 150 mg, twice a day for two weeks and Metoclopramide 10 mg, one tablet four times a day for five days. If symptoms persist, worsen or new onset of symptoms such as diarrhea, further consult is advised. I hope this helps. | |
What causes green/yellow color semen after taking Saw palmetto?
I am 55 years old and a having some issues with urinating etc. My doctor suggested I try Saw Palmetto in an effort to reduce the size of my prostate. Since then, I have noticed that my semen is not thick and yellow / green in color. Can this be a side effect from the Saw Palmetto? Should I get a semen analysis? | Hello,Usually the herb may not cause thinning of semen but it may alter the hormonal status and alter the metabolism of few drugs. Don't worry but it may possible with coloring agents in food or carrot or beetroot consumption or second infection. Withdrawal the drug and see weather it is improving or not. If no improvement please consult your physician he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
Q. Kindly advice about the diagnosis of paranoid schizophrenia.
Hello doctor, I am concerned about my friends medical diagnosis about paranoid schizophrenia is fabricated by him and resulting in unnecessary medication. Kindly advice. | Hello. The diagnosis of paranoid schizophrenia is not easy. Proper evaluation by a psychiatrist is needed to make the final diagnosis. The individuals with schizophrenia show symptoms like hearing voices talking or voices are giving commentary, suspiciousness against anyone or even family members, ideas of prosecution, ideas of reference, etc. These should be present persistently, and in usual cases, there is no insight about the symptoms. It is the family and friends who take the patient for evaluation and not the patient he or herself visits the doctor for a diagnosis. Yes, depression or anxiety can be the possibilities, but these too should be evaluated. Symptoms of depression like low mood, anhedonia, reduced energy, fatigue, negative thoughts, bad thoughts, lack of surety about future, feelings of helplessness, worthlessness or hopelessness, etc. are seen.If he has doubts about his symptoms, he should be evaluated by a psychiatrist. | |
Suggest medication for black patches and hair fall
Hi Sir, I am a resident of South Moti Bagh, my mother is having an allergy on her head due to which she had small black patches which led to hairfall. We consulted few doctors and they said it might be due to the intense tension taken by her. Please give any suggestions.er.guptavaibhav | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Your mother might be having Seborrehic dermatitis. You can use a Ketoconazole shampoo thrice weekly. If you do not get any improvement. Do consult your family physician/Dermatologist.Hope I have answered your query. Let me know if I can assist you further. | |
Is it possible to be pregnant with low temperature and bad cramps?
I am 26 years old and am on my 3rd cycle of clomid 100mg. I was told that I did finally ovulate with this cycle and my day 21 progesterone tests were 19.9 (so I felt some hope this month). Anyways I am 9 or 10 days past ovulation and for the last three days my temps have been steady at 98.0. My coverline is 97.8. I am having really really bad back pain and have had it since two days ago. I have also felt a lot of twinges in my lower abd. area. I am worried that these cramps and low temperatures could indicate my period is coming, but it should not be here for another 4 to 5 days. Is it possible to still be pregnant with this low of temps and bad cramps. We have been trying to conceive for 16 months and I was so hoping this was our month. thanks! | Hello dear, thanks for trusting health care magic.Wait for another 2 days and get your bhcg levels done In case you have any questions in future you can contact me directly on | |
How to confirm the requirement for iron supplements?
Got blood test results cholestrol 160 LDL 70 hdl 79 triglycerides 56 Vitamin D 59 blood sugar 97 CBC 6.7 red 4.10 hemoglobin 11.9 hematocrit 34.8 I am a 53 year old active woman with no health issues but nurse practicitioner thinks I need iron supplements....I m not so convinced ...you suggestion | Hi, dear. I have gone through your question. I can understand your concern. You have anemia but from this report only we can not say its always due to iron deficiency. Thete are many othet causes. Even vitamin B12 deficiency may produce same. Sp you should go for peripherals smear examination and serum iron and ferritine level. If ypur iron and ferritine level comes low tjen you should take iron treatment. Otherwise tale treatment according to cause.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. | |
Suggest treatment for constipation problem in a child
My son is 1.6 years old and has recently started with constipation problem. His bowel movement is 3-4 times in a week. he poops very little and the area is red. His stools are very hard. He drinks very less water. His adbomen blots and has lot of gas.Eery alternate day we are using Dulcoflax suppository. It pains when he puts pressure for bowel movement. Please advise. | Hello,Thank you for asking at HCM.I went through your son's history and would like to make suggestions for him as follows:1. Constipation is a very common problem in children and needs attention. I most of the cases, causes of constipation are faulty diet or faulty toilet training.2. I would like to emphasize the importance of diet. Please give him plenty of fluids during day like water, soups, etc. Also please give him high fiber diet like plenty of green leafy vegetables, whole cereals and fresh fruits.3. Please avoid or minimize consumption of finely grained cereals, refined sugars, cold drinks, etc. 4. I would like to mention here that correction of diet is the most important aspect of treatment of constipation. Please use dulcolax suppositories under guidance of your doctor only.5. As he has lot of gas and bloating, I would also suggest him probiotics supplements.6. I usually suggest my such patients regular use of laxatives like lactulose for a few weeks.7. Please consult your pediatrician who will also guide you about toilet training of the child.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead. | |
What causes lower back pain when diagnosed with degenerative joint disease?
Hi, my brother was in the military and he has had lower back pain due to an injury that occurred in 1992. They have diagnosed him with mild degenerative joint disease of the lumbosacral spine. Could you please elaborate on what this is exactly? It does not seem to be mild when he is in constant pain. | there is degeneration of lumbosacral spine..use belt for it..take orthopedic opinion..thanku for question.. | |
Treatment for wrist pain when bent downwards?
The top of my wrist hurts most when bent in the downward motion. But also hurts when I bend it backward to brace myself for getting out of bed or a chair. My job is quite physical ie. Lifting boxes of up to 175lbs. The top of my wrist also hurts when I am picking the boxes up. There are no bumps, swelling, bruising, numbness, tingling, or itching of the hand or fingers. Just the pain in the top of the wrist. | Hi,What you have is a work induced muscle strain of your wrist. Since you are involved in lifting heavy weights continuously your muscles around the wrist joint have under gone a protective spasm. Taking hot packs for around 3/4 times a day with adequate rest will help you to relieve pain. Also doing strengthening exercises of your elbow and arm muscle will reduce the load on wrist. Also following lifting ergonomic will help you out n an easy and efficient work. To subside pain you can take over the counter Diclofenac. Hope this helps you in relieving the pain. Let me know if I can assist you further.Regards,Dr. Jenis Bhalavat | |
What causes excessive burping and constant chest pain?
hi i went too the doctors three weeks ago now with exsesive burping and a constaint itergetion type pain in my chest he gave me a two week course of omeprazole which stoped the problem just over a week since i finished the medication the problem has now come back. any ideas ?? | Hello! Your description is highly suggestive of GERD (Gastroesophageal Reflux Disease). Since your food pipe is located anatomatically in the mid of the chest , this reflux causes chest pain . You were rightly prescribed omeprazole. Do avoid spicy food, caffeine . Have your head end elevated with two pillows while sleeping . Have your dinner 2 hours before bedtime. Consult a gastroenterologist if your symptoms persist despite medications . They might go for an endoscopy and biopsy. If there is infection with H. pylori (a bacteria) that is causing your symptoms you will prescribed a course of necessary antibiotics . | |
Is it effective to inject rabies vaccine in gluteal region of child?
on 31 OCt my child faced a dog. He is 5 years old. He is not sure whether there is scratch or bite but some blood flew from there on the face. The witness people told me that the mouth of dog did not reach to the face of my child from where blood flew. I was not sure and immediately contact to physicial He advised me to take vaccine. I agree but the injection was injected in gluteal region. Is there any chance of rabies. as I read that gluteal region should be avoided . Another thing is dog was seen on 9 th day. It means the dog was not died upto 9th day. After that I could not see it as was away from my town. Is there any reason to worry? | Hi...coming to your queries directly - 1. The animal being alive even on 9th day is good and it shows that it is not rabid.2. vaccination should be started and your doctor was right.3. Anti rabies vaccine should not be given in the gluteal region and infact not vaccine should be given there as is a pad of fat there. It should be given into the muscle.No reason to worry. But hereafter give the vaccines in the the lateral part of the thigh.Regards - Dr. Sumanth | |
Suggest medication for syphilis
Hi, In February I was hospitalised abroad after having contracted syphilis and chlamydia at the same time Before admission they tested me for HIV which came back negative (blood test), a week before my admission I did 3 swab tests, all negative. Three days later while in hospital, the doctor came to tell me I was positive, her attending colleague came to see me shortly after and told me not to get upset to worried, the test wasn t positive, it was inconclusive. Her colleague was assuming I was positive because my tcells were so low but after looking at my tests she assumed it was because my immunity had been shot down with the syphilis and chlamydia double whammy. I was released a week later and continued to go for my weekly shots. Within three months my syphilis went from 1:32 to 1:2, the doctors themselves couldn t believe how rapidly my system had fought the syphilis (it apparently takes up to two years), while at home I did another two swab tests which returned negative results. I did another follow up blood test, four months after my stay in hospital and the result is still inconclusive, the doctors just say there is a problem with my blood and the amount of antibodies but cannot seem to see what it is. Could I be positive after so many 5 swab and 1 blood negative? Could it be the syphilis? It has now been 6 months and the latest is still inconclusive. I am not in my own country and the language barrier here doesn t help either | Hi,Welcome to health care magic,Syphillis could be false positively came out with using Non-treponemal tests which include venereal disease research laboratory (VDRL) and rapid plasma reagin tests because both are very sensitive tests.False positive results could come on the non-treponemal tests following some viral infections such as varicella or measles, as well as with lymphoma, tuberculosis or malaria.There will be a requirement of confirmation tests like treponemal test, such as treponemal pallidum particle agglutination (TPHA) or fluorescent treponemal antibody absorption test (FTA-Abs) which are specific tests and could come positive after 5 or 6 weeks following unprotected sexual exposure.so,here I would suggest you to see immediate an infectious disease (ID) specialist for checking and thoroughly clinical examination without bothering about earlier test results.You should be given single dose of benzathine penicillin as it is to be given in the uncomplicated cases of syphilis.Regards, | |
Why is my e.coli infection recurring?
I have a UTI history, in year 2004 after my cesearian operation i was detected with E-Coli ,again in 2007, 2009 my urine test showed E-Coli growth. In all the years i have gone through proper medication. Now my culture report is showing Klebsiella aerogenes. Why this infection is occuring again and again? | HiThank you for asking HCMI have gone through your query. Recurrence can be due to inadequate antibiotic therapy or dysbacteriosis. Culture and sensitivity of urine should be done and proper antibiotic therapy for proper duration should be carried out. You can take cranberry juice and barley water which helps in alkalizing urine and helps to get rid off infection and bacterial growth. For female using intimate wash is helpful also. Hope this may help you.Let me know if anything not clear.Thanks. | |
Q. I sometimes wake up at night with a pounding heart. Is it AFib?
Hello doctor, My friend recently told me that she found out she had AFib and had to stop drinking hard liquor as it is a trigger. Listening to her I wondered if I was having the same issue. At night I sometimes wake up with a pounding heart. I always chalked it up to scary dreams as the heart-pounding is just like I get when I have a big scare. Currently, I am taking Citalopram 20 mg. | Hello. Yes, it is possible to have AFib (atrial fibrillation), but truly speaking symptoms may be very similar. However, during AFib one would be having a high heart rate, with irregular heartbeats and usually associated with shortness of breath, dizziness or chest pain. It is usually abrupt in onset and offset. So, you should check your BP and pulse rate during the episode. If you have a smartwatch to keep track of the rate or may use mobile-based rhythm monitor. Also, another option is Holter monitoring. For more information consult a cardiologist online --> | |
What causes severe thigh pain?
A child I know, 7 years of age, has an extremely large umbilical hernia (about the size of a tennis ball). He has now been hospitalised with chronic pain in his left thigh. Could there be any connection between the umbilical hernia and severe thigh pain? | Hello, The thigh pain is not related to an umbilical hernia. The pain in thigh can be a muscular pain that usually improves after rest, mild pin killer and a hot compress in the area. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | |
Will I conceive as I have PCOD and irregular periods ?
is clomiphine and atropine are same? i donot know the meaning of ovulation is induced. iwant to be preg but pcod overweight irregular periods is on the way suggest i want to be preg i took inj atropine. | Hi Welcome to HealthCareMagic both the drugs are different... atropine is anti cholinergic not used for conception or pregnancy, clomiphene is ovulation inducing drug... first the periods needs to be regularised... only then its safe to conceive... consult a gynecologist for more information and treatment....Hope i have answered your question.. TakeCare.. | |
Q. Why am I having fatigue, increased saliva and throat pain after unprotected sex?
Hello doctor, I had unprotected sex with a sex worker three and a half months ago. Two months later, I started having ARS symptoms, fatigue, diarrhea, dizziness, sore throat, mouth ulcers. Just a day before that I had protected sex with a sex worker but my penis was not fully erect and did not insert deeply. So I think contact with the vagina may have occurred, but I do not remember, not sure. But I got an unprotected blow job or oral sex from her. Two days later, I got a p24 antibody combo test which was negative. A few days later I got DNA PCR which was negative. 11 weeks after first exposure, I got western blot which is negative. 12 weeks after first exposure, I got CMIA rapid which is negative. Two days later, I got RNA PCR for HIV 1 and 2 which were negative. This was 30 days after second exposure. Six weeks later, I got an antibody p24 combo CMIA which was negative. I still have symptoms of fatigue, increased saliva highly, throat pain. I am very worried. Please tell if my tests are conclusive. I read about people seroconverting late and I am worried. Also, one another person whose status I do not know also had daily dizziness, diarrhea, mouth ulcers and leg pain like me. Please help. | Hi. First, HIV symptoms are non-specific and are common to most infection and are referred to as flu-like symptoms. HIV infection symptoms in the acute phase often go undetected and are self-healed without any active intervention due to an intact immune system. These symptoms are only effective if they occur 2 to 5 years after exposure due to a crippled immune system. So far, in your condition, these occurring infections are stress related due to over activity of hormones (vagal stimulation) causing diarrhoea, running nose, sore throat. Mouth ulcers are moreover due to vit B complex deficiencies, dizziness can be due to a simple ear problem. So, do not worry about being infected, once the fourth generation is negetive after 28 days, then nothing to worry. You are free of infection. | |
What causes a painful hard lump under the nipple?
I have a painful flat hard lump under my right nipple for the past 2 months or so. It feels similar to the painful lumps I got in both nipples during puberty. But I'm 34 now and haven't had those lumps in a long time. I know what most likely caused this sore lump though, I rub them almost every night, sometimes for 2-4 hours at a time because it is very pleasurable in a sexual way. I have been doing this for over a year, but have only developed this painful lump in the past 2 months. It came on gradually, but seems to shrink a little when I don't rub it for a day or two. And when I do rub it, it seems to soften up after a few minutes and seem less painful. But, in the morning the lump hard again and is more swollen and painful, What is going on? I only rub them lightly over my shirt and don't ever chaffe my nipples. | Thanks for your question on HCM. I can understand your situation and problem. In my opinion you should consult dermatologist and get done clinical examination to rule out infection. Skin infection is common if frequent rubbing is done. Another and more likely possibility is hormone induced changes in nipples and areola. Rubbing causes sexual excitement by producing oxytocin. This oxytocin is responsible for enlargement of nipples and areola during sexual excitement. It also causes dilatation of lactifarous glands and ducts and this can cause swelling under nipples. Oxytocin also enlarges montegomary glands. So all these can cause swelling under nipples while Rubbing. But better to rule out infection first. | |
What causes painful spasms on the back while on Bystolic and Losartan?
I m not sure if you answer questions like mine, but here it is. I have hypertension and take Bystolic and Losartan. Lately, my blood pressure has been creeping up a bit. I am having very painful back spasms. My P.C. wants me to take Meloxicam and a muscle relaxer. She wants me to double up on my Losartan while taking the Meloxicam because of its tendency to raise blood pressure. I take 50mg of Losartan daily. I haven t been able to reach my cardiologist to get his input. Does this seem like a reasonable course of treatment? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The painful spasms in the back can be related to an electrolyte imbalance or a muscle overactivity. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal |
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