patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
Can lack of second stent increase the chances of a heart attack?
My husband just had a stent put in his coronary artery - he has had several before including a 3 vessel bypass and a ballloon to open the first blockage he had (which produced a heart attack and damage to his left heart muscle. The doctor also told me that my husband has an artery , the mammary artery, that remains blocked . He said the thought of putting two stints in but they would likely close as it is too long - my question is what will this mean to his day-to-day functioning and is it likely to cause another heart attack? the doctor said the stent he put in should give him a good improvement. | Dear Mrs,To give you a complete answer I need all his discharge papers, his last echocardiography answer and the loops of his last coronary angiography and stenting.However, based on provided information, if his Mammary artery is completely blocked, then there is no risk of another heart attack, and sometimes, when an artery is blocked the other one starts supply the region of that artery, or if he already has had a heart attack in that region in the past, then it will cause him no further harm.If his doctor told you that he will improve after the stent he has put, most probably it was an important artery and he will feel the difference soon.Wish a good health to your husbandIn case of any further questions, don't hesitate to contact me with more detailed information.Regards,Dr Baghdasaryan | |
Q. My brother with OCD is scared and homesick. How to help him?
Hi doctor, My 19-year-old brother was suffering from OCD and it started kicking back in, for the past 20 days. He basically has a checking problem. He is currently a freshman at a University and was doing well for the first two months. Last month he went back home and was returning back to the University and that is when he started feeling homesick. During the journey, he felt for a moment that he going back to an unsafe place. This feeling was because of a crime movie that was shot in the city his university is in. That made him feel uncomfortable and at the same time the results of his mid term were told to him and he misinterpreted them and thought he scored less, but the real scores were very good and he did the best among his class. But he was affected by all these thoughts throughout the journey and right now he fights homesickness and is scared about the place he lives in and also checks continuously if he is able to understand what he is being taught in the class rather than listening to the class. I am scared for him and his future. | Hi. His current symptoms are also probably due to OCD (obsessive compulsive disorder). He has fear due to a crime scene of a movie and is feeling very homesick. This is happening because of severe anxiety due to OCD. If he has never consulted a psychiatrist then he should visit for evaluation. Fluoxetine or Fluvoxamine which are SSRI (selective serotonin reuptake inhibitor) drugs are the drug of choice for severe OCD. The drugs help to control OCD symptoms in about four to six weeks. For very severe symptoms low dose antipsychotics can also be used. Visit a psychiatrist for help. | |
Sore throat, cough, difficulty in swallowing and asthma. On antibiotics and steroids. What is the reason?
I had a sore throat and a cough before christmas whitch i was given an antibiotic, i felt my next was swollen aswell and hurt to swallow , i have asthma , it didnot improve so i was given another dose of antibiotics and steriods as i was wheezing at night and morning, ihave finished the tablets and it did improve, but now the back of my tounge hurts my throat hurts and i am coughing, i live in a thatch cottage which one of the doctors at our surgery, said a thatch and asthma dont mix doyou think that is true? | It is possible that thatched roofs and the dust they generate can trigger asthma. All airway infections can also trigger asthma in a person whom is pre- disposed to allergy. You have an airway infection at present , seeing as initial treatment did not clear it , I would suggest that you see your doctor again for a throat swab to determine the causation and effective treatment , as cortisone can be contra indicated if the infection is not under control . Your current attack of asthma can also be treated with other drugs , examples are beta-stimulant s and leucotrine blockers . If at all possible see a physician well versed in treating asthma. | |
Suggest therapy for asthma
I am 48 yrs, started coughing on Thursday morning went to a health care center the doctor prescribed diphenhydramine cough medicine and paracetamol for pain and fever to use if necessary.I am slightly asthmatic also......a fever has been going and coming and i am a bit worried as to what may be causing the fever can u help me.......do u think i needed an antibiotic to help clear my lungs | Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would like to know more about your fever to avoid unnecessary antibiotics. As most of the fevers are viral and do not need antibiotics. Unnecessary antibiotics cause no benefit and sometimes may cause harm.2. If your fever is more than 101 F (without paracetamol), then it is a significant fever. In that case, I would suggest you to follow-up with your doctor who will examine you again, may suggest investigations like complete blood counts, and may prescribe an antibiotic, if necessary.3. In asthmatic patients, simple viral throat infections can also last longer, as compared to other non-asthmatic individuals. 4. For my such patients, I do not prescribe antibiotics unless patients show signs of bacterial infections like toxic look, yellow, thick expectorations, yellow/pus-like spots over pharynx, possibility of bacterial sinusitis, etc. If in doubt, I usually suggest complete blood counts, which may suggest type of infection the patient could have.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you a very good recovery and the best of the health ahead.Thank you & Regards. | |
How to treat the lumbar scoliosis?
I am 56 and have over the years developed mild to moderate scoliosis in lumbar region. Back surgeon told me little how to correct it; PT means well but they are not telling specific muscles to stretch or strengthen. They ve given some good general stretches but I want to aggressively and scientifically reverse this. Should I bring the dray to PT with me and ask for more specifics? Can scoliosis be reversed? | If scoliosis is mild, it might not require any treatment. Only if its moderate to severe degree or for cosmetic reasons, its need to be corrected. And the treatment of scoliosis is primarily surgical. Medicines are not effective. Physiotherapy can help in strengthening the back muscles and help in halting progression of scoliosis, but physiotherapy cant correct the scoliosis. Dont be aggresive on exercise because it can cause overstreching of ligaments and can be hazardous | |
Low platelets, increase in liver enzymes, low b12 and magnesium. Concerning?
I have been dealing with low platelets for a year now usually running in the 80s, but they have fallen in the 40's and my liver enyzmes or up. My b12 is right at the border of low, low magnesuim etc. I just want to know should I be concerned, they was saying itp but with the low b12 and liver they are sending me back to hemotologist. | Hello and welcome to HCM,Low level of vitamin B 12 indicates deficiency of vitamin B 12. Vitamin B 12 deficiency leads to anemia.Increase in liver enzymes is caused due to damage to the liver cells. This damage can be caused due to infection, inflammation, etc.Low magnesium levels indicate deficiency of magnesium.It seems you that you are suffering from multiple deficiencies.You need to consult your doctor for nutritional supplements and prescription of health supplements- Vitamin B 12, folic acid, vitamins and minerals, etc.Low level of platelets can be due to idiopathic thrombocytopenic purpura (ITP).A history of low platelets for more than six months, suggests chronic ITP.This conditions is commonly treated with steroids.Consult your doctor for the prescription of the drug.Thanks and take careDr Shailja P Wahal | |
Suggest treatment for restlessness and crying in a child having reflux problem
my daughter now 10 mths diagnosed with reflux at 2 weeks old on .05 liquid zantac once daily. has always been uhappy, cries always, always had a cold, attacks her ears, shoves fists in mouth extremely hard to put and stay asleep...pulls legs up while rocking her off upright, leans forward while sleeping. as i have slowly introduced foods the texture is more chunkier and she is becoming so bad.... all symtoms are tripled and she is waking up all night instead of just stiring and farting badly at night. HELP im going insane my patience is now on overload!! | calm first.. feeding a child in the age group of 9 - 18 months ia an art. children start developing independency and they hate being fed. give them food in a bowl of their favourite colour and choice. put her food in it. let her spill and eat on her own. if you are using a feeding bottle kindly throw it away . that may be reason of frequent resp infections. apply coconut oil all over body. give a nice body massage with it and make her sleep. make her food energy dense with oil and ghee | |
What causes greenish sticky stool in an infant while on Metrolag?
Hi doctor, My baby is 6weeks old and completed treatment foe amoebic infection. She was given Metrolag (7days). But she is still passing slightly greenish and little sticky stools. She was also tested for Reducing Substance test which has come out positive. What does this mean. Otherwise she is gaining weight. Birth weight 2.97 kg. Present weight 4.27 kg. Please suggest. | Hi...Thank you for consulting in Health Care magic.What your kid is having is not a diarrhea and is only a gastro-colic reflux. It is quite common for babies of this age group to pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated.When the baby takes milk , the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastro-colic reflex. Do not worry. 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.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
What could cause pricking pain in chest?
sir,am johnson from Bahraini have pin pricking little pain in my left side chest near my front sholder. please advise, why this pain may? it is not always... some times only it comesif i feel pain i cannot turn that moment... my body should be constant and relax after some time pain will go.... please advise | Hi thanks for asking question.Here you have no respiratory or cardiac symptoms so that causes seems to be very less in your case.First your pain might just be because of muscular strain.Excess exercise, heavy weight lifting , improper bed posture might be the cause.Give simple analgesic for that.Hot compress may be helpful.Second it could be referred pain from acid reflex or ulcer.omeprazole can be taken for it.Third it can be because of costochondritis or myositis.Complete blood examination and CRP test done.Take analgesic or antiinflammatory drug for its initial treatment.Avoid stress.I hope my suggestion will be helpful to you. | |
Will Postoval help me conceive?
Hi, I had no period for 1 year then I went to my Dr because I am try to conceive she put me on postoval, I've started it a month ago and 7 days ago I started with my period can I get pregnant while using postoval and is it possiblefor everything to be ok now I don't have pcos my insulin is normal if I'm trying now will I be able to get pregnantThanks | Ya post oval contraceptive u can use but other things which u should do are serum tsh and serum prolactin den do hsg on day 8th den do follicular study after taking clomiphene from day two den follicle size increase to 18 mm den rupture den iui for early results | |
Suggest treatment for a painful lump on the hip
i hit my hip on a railing nearly two weeks ago.. it was the middle of the night so i went back to sleep. the next day i felt sore, saw a bruise but no lump/knot within 2-3 days later i started to get a lump.. now it s nearly 2 weeks later... i don t have the bruise any more.. just the knot... i even tried to massage out the lump.. it s only gotten bigger should i go to the ER... | Hi,Dear,Good Morning and Thanks for your query to my virtual Clinic At HCM.I studied your query in depth and understood your concerns .Causes for painful lump on hip as follows-Mostly they are - could be Abscess in post-trauma Hematoma on the hip with infection in it,due to which it has increased in size.Treatment-Tab-NSAIDs -like VoltarenTab-Amoxycycline 250 mg x three times a days Dressing and Surgical I and D for Acute on Chronic Abscess.Check with ER Surgeon and check your fbs and pps,and plan for-Scraping of the Chronic abscess wall and adequate drainage. Don't worry of them,as they could be relieved with proper treatment.Hope above reply would help you to relieve of the issue you have.Welcome for any further query to ME and HCM.Wishing you a Fast Recovery.Write Good review for the benefit of my new patients.Click thanks ASAP after this.Have A Good Day.With RegardsDr.Savaskar | |
Could having undergone root canal lead to numbness in one side of the jaw?
Hi, I am experiencing numbness on my left jaw. It may be related to a partial root canal I had done about 2 weeks ago. I have been on antibiotic for 1 week since because of severe pain. Also I am suppose to take 1000mg of Tylenol and 800mg of Ibuprofen q 6 hours. I have been doing this now for about 2 weeks. I am waiting for a real root canal. My smile is cricked. I have an appointment to see the dentist who did my temporary root canal on Monday. I just worry that I might of had a stroke or something. I had a severe reaction on my right eye 2 days ago, may have been from a dry shampoo, I saw my MD about that. The right eye seems to be improving with a perscription ointment. My MD is new and she did not notice anything different about my mouth. It has felt sort of numb for several days now. It is like dental novicain shots that are wearing off. | HiThank you for your query with HCM.after looking into your problem as such root canal treatment wouldn't cause numbness unless if your doctor traumatized your nerve which passes just below the roots of back teeth either during the treatment or while giving anesthesia.O would suggest you to visit your dentist and explain the problem .hope this helpfulV | |
Should Chymoral be taken for the abdominal pain?
hello,doctor i had cyst operation doctor advice me to take chymoral forte and last yr i had my operation sometime i am getting pain in my side so dr advice me this tablet should i take or not pls suggeset me my height is 5.3 and my weight is 49 my age is 43 | Hi.Thanks for your query.Yes, Chymoral forte may help you in pain in abdomen.This tablet helps to reduce the swelling and thereby the pain is controlled. But before you start such tablets , it is better to go for some investigation leading to a proper diagnosis.Go for blood, urine and stool tests ; and also important to undergo ultrasonography of the abdomen. I think you my need more than this tablet. | |
Suggest remedy for hair loss
i doc iam 25 years of new delhi ,and have lost too much hairs in last 2 years i would like to do the hair transplant but dont know where to go as i hv seen the advertisements of advancehairstudio ,richfeel and asianroots but dont know enough about them.Also i would like to have it by an experienced doc.so please help me.please reply me on YYYY@YYYY | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your complain hairfall can occur due to a number of causes like Androgenic Aloepecia cused due to sensitivity of hair follicles to androgenic hormones and genetics while other causes comes under Telogen Efluvium caused by fungal infection,nutritional deficiency, stress, long standing illness, side effects of medicines..You should consult a Trichologist and get evaluated and he can advise you investigations like hormonal assy, blood tests, trichogram, dermoscopy to rule out the exact cause of the problem and treat you accordingly..You can be advised to apply 5% Minoxidil lotion over the scalp..You can be advised to take Biotin and multivitamin supplements..You can also be advised to tke Finesteride orally if there is androgenic aloepesia as it suppresses androgens..You should massage the scalp with warm coconut oil..You should take a nutritious diet and drink plenty of water..You can also discuss about platelet rich plasma and Mesotherapy..If nothing works then getting hair transplant is an option. You can check. if the studios tgat you are seeing has an Expert Trichologist or Hair Implantologist or not and then only proceed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora | |
Suggest medication for ruptured blister which looks like a wound.
My son has a blister which has ruptured and is now looking more like a wound. He complains of itching. It appears the infection is spreading around the large wound as I noticed 3 other new blisters deevloping around the wound. I've bought Calamine to apply to the sores. Will Allergex be helpful? | I warmly Welcome you!Thanks for consulting me at virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns.Apply triple antibiotic topical cream 3 times a day and Lidocaine topical gel 3 times. You didn't mention the age of the kid. Anyway go with the treatment, after getting a prescription for antibiotics from his pediatrician.Hope it helped you today. If you need further, detailed and quick assistance related to any health issues, feel free to 'ask me a question' directly from my profile. You can also attach Lab reports and pictures directly from the question window, or by emailing it to attachments@healthcaremagic.com with the Subject as, Attention: Dr. Muhammad Hanif, and the lab reports and images will directly reach my inbox for review.May you get very well soon and have a wonderful time ahead. Please don't forget to give your valuable feedback and five star rating, to help me assist you in a better way in future too. Please, write a review about your experience with me.Regards!DR. HANIFPHILADELPHIA, USA | |
What is the life expectancy of 90 year old lady with stage 3c rectal cancer?
My mother is 90 has.stage 3c rectal cancer, crossed over to the bladder and four lymph nodes. They re suggesting chemo, radiation, and surgery to remove the tumor once (if) it shrinks. She s had four strokes, doesn t walk and has high blood pressure, and very frail. What would be her life expectancy . | Hi and welcome to HCM. It is always hard to predict such things but considering her diagnosis and age,prognosis is poor and it may be up to several months. Thanks for the query. Wish you good health. Regards | |
Enlarged gallbladder wall, stabbing pain in abdomen after drinking alcohol, hands swollen. Reason and cure?
I recently was told i have an enlarged gallbladder wall after going in for yellowing skin and eyes. My doctor isn t concerned and wishes to take no further action. Last night i drank quite a bit of alcohol. Today i am experiencing sharp stabbing pain in my upper right abdomen and have been having bowels that are yellow oily liquid. Also my hands are swollen. But i don t have a fever . | hello You had jaundice and enlarged gallbladder recently. That means that your liver is also affected. ALCOHOL is totally prohibited in your case. Alcohol consumption can affect the liver could also cause pain in the area of the bile tract, or in the liver itself.Abdominal pain is not easy to diagnose, especially for a lay person, so you should not simply assume that you have a gall bladder problem. Apart from the location of the pain, there are several factors that are taken into consideration when diagnosing abdominal pain. Alcohol can also cause fluid retention in your hands and feet, also known as peripheral or dependent edema leading to swelling . Since this pain seems to develop after consumption of alcohol, it could originate in the stomach itself. You may be suffering from stomach ulcers or gastritis (inflammation of the stomach lining), which is being aggravated by the alcohol consumption. It is important that you do not neglect this problem. I hope this will help Best wishes | |
What is the lump on the base of my son's skull?
My son age 7 has a lump on the base of his skull behind his ear the size of a marble. He says it is sore to touch, and I have notice one coming up at the other side too, although it is smaller. He seems healthy, but has been tired recently. Should I take him to the doctor? | Hello!Welcome on Healthcaremagic!This lump in this region could be a reactive lymph node related to a pharingitis or inner ear infection. For this reason, I recommend consulting with his pediatrician for a careful physical exam and some blood lab tests (complete blood count, PCR, sedimentation rate). Hope you will find this answer helpful!Best wishes, Dr. Aida | |
What does the following lipid profile result indicate?
I am 67 years old female. My lipid profile shows a total cholesterol level of 282, HDL - 74, VLDL-20, TG-101 mg/dl, Cholesterol/HDL ratio-3.81, LDL/HDL ratio-2.22. My B.P was 140/78 and Im non-diabetic. Kindly analyse my lipid profile and let me know about my risk of being susceptible to heart disease. | Hello Your findings suggests raised cholesterol level.Other findings like HDL,VLDL and triglyceride level is within normal limit.You may need few more investigations like routine hemogram,random blood sugar,liver function test,renal function test,ultrasound of abdomen,urine RE/ME.I suggest tablet atorvastatin 10 mg single dose at night.It will control cholesterol level in blood.You should increase your physical activity in the form of exercise and brisk walk.You should avoid fried and saturated fat.Take lot of fruits and vegetables in your diet.Persistently increased cholesterol may cause heart disease.Take CareDr.Indu Bhushan | |
Q. How to cure bad odor caused due to stomach problem?
Hi doctor, I am a regular alcoholic. The problem is that I have bad smell due to stomach problem. Suggest me how to cure bad smell. Thank you. | Hello. With little changes in diet and lifestyle, it is possible to remove the bad smell. | |
How effective is safe is taking Fertyl tablets to conceive?
Hi...its been 15months since i got married and planning to have kids now. i tried for 2 months but failed.how long does it usually takes to concieve? do u think i can start using fertyl tablets now? if i use how far can that tablet guarentee me to get pregency? | Hi I think you should try for at least 6 months if your periods are regular and you are not having any problem. After that you can go for fertyl tablets which is used to induce ovulation. It increases the chances of pregnancy to 7 to 10 percent which is 5 percent in a natural cycle. | |
Does masturbation cause urinary incontinence? I used to masturbate frequently. I am a 36 year old male, 5'7", 165 pounds, who takes medication for schizoaffective disorder depression type, so I take an antidepressant (Zoloft) and antipsychotics (Haldol and Clozapine). I also take Ativan for anxiety and Zocor for cholesterol. I tend to become incontinent when I eat and/or drink too much before sleeping. Whenever I take a deep sleep (even if it is a midday nap), I urinate in my sleep. I also have considerate trouble with "leaking" during the day if I do not get to a restroom fast enough. Can masturbation be a contributing factor to the incontinence? | Dear user,Thank you for writing to HCM.I can understand your concern regarding urine incontinence.Masturbation is a part of normal sexual activity and it does not have any hazard. It does NOT cause urine incontinence.None of your medications likely to cause urine incontinence or urge incontinence (leaking).Urinary tract infections or lesions of spinal cord, inflammation of prostate, urinary obstruction are common causes of urine incontinence.You should consult a physician for the same.Wish you good health and recovery. | |
How to treat sore lump on right buttock?
I have a lump on my right buttock. It is sore when I sit or in certain positions. Sometimes it is very painful and sore, other times not so much. It is under the skin. It is near the anus. I went to the ER, referred me to a general surgeon, met with the PA at the office. Told me that it looked like inflamed tissue. Seems to get worse, then a little better, then worse again. Should I be worried about the diagnosis? Could this possibly be something else? | Hello,Thank you for using healthcaremagic.I read your question and understood your concern.I could be an infection of the root hear , or pilonidal cyst , so you need to see the surgeon for proper treatment.Dr. Selmani | |
Does extreme reflux and nose/mouth bleeding indicate pulmonic artery rupture?
My husband passed away a few days ago. He had HBP, congenital heart malformations and CAD. He had heart surgery 3 years ago to replace his pulmonic valve and to resize his pulmonary artery which was more than twice the normal size; also, his LAD was bypassed. When he died, he was experiencing extreme reflux, profuse sweating, had blood coming out of his nose and mouth. No autopsy was performed. Do his symptoms point toward a rupture of the pulmonic artery or something else? I am a very private person and would like for this to remain confidential. | hello,I have gone through your query.Thanks for using.I can understand your state of mind regarding cause of death of your husband.I need to know whether the cause of death was sudden.because of rupture of pulmonary artery will be catastrophic and would lead to instant death.bleeding from nose and mouth could be due to pulmonary oedema of heart failure also.so it is difficult to judge Such cause.Rupture of artery might occur immediate post operative resizing the vessel.my consolationsDr.Rajesh Teli,MD. | |
Will neosporin help in healing torn foreskin?
two days back while having sex i have torn my foreskin badly its (not the frenulum) its a big cut i have been applying neosporin it looks like its healing. the question is will it heal completely and is there any other medical attention that is supposed to be given. | hi torn foreskin is the commonest problem of male whenever there is sexual intercourse.it is best treated with azithromycin 500 mg daily once for three days and application of fucidin or mupirocin ointment twice daily and use of zinc supplementation can also help. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
How can depression during pregnancy be treated?
Hi, m 6 week 2 days pregnant & feeling very depressed all the time, only negative thots all time. I feel this is affecting my baby health so I want to abort it. I am on dupuston, pregcret 200 since positive pregnancy. Also on HCG injection every week. I had 2 miscarriages earlier a year each. This was unexpected pregnancy but instead of being happy I am feeling very depressed, always feels like to be aborted. Trying very much to be positive but still not able to. So if I stop dupuston, pregcret/ sustain tablets will this start my periods back. Plz help me plz... | depressive symptoms are common in pregnancy.with medications majority of symptoms can be controlled.If you are having a depressive episode abortion can further complicate things and there is a risk that you can develop severe depressive disorder.my advice id to consult psychiatrist.please give ultrasound scan details and family history of any mental disorder.i would recommend startimg you on ssri.hope u will be better soon.. | |
What causes a tingling sensation of worm inside the skin of forehead?
My husband said he has felt something odd - sort of like a worm under his skin off and on for a few weeks - on the side of his head moving up to his forehead. Today after he was in the whirlpool there is now a large vein on his head where he felt this tingling sensation. Is this a vericose vein? Should we be worried? Will this go away? | the answers are maybe, maybe, and depends. a superficial vein in itself is not worrisome at all, it's only if the vein represents another hidden disease does it become a medical problem. as with all problems in life there are many possible causes and just as many serious ones as not so serious. only a doctors visit will be able to sort that out | |
What diet to follow to get normal sgpt and sgot?
Hi doctor, this is Ondre gomes,19,my sgpt and sgot level are 320 and 127 respectively.around 13 days back it used to be 3010 and 2180.so can yu plz help me out by telling me the do's and don'ts and what all food I can eat?. . I've been eating boiled rice,fruits and vegetables these days. . and its christmas in next 2 days. I even wanted to ask if i can drink if possible ?thank you!! :) | Hi Ondre Gomes. Since the SGPT and SGOT levels are coming down nicely within 13 days, they will be normal soon. Full bed rest is still the mainstay of treatment. The food you are taking are absolutely correct. continue with same. NO DRINKS AT ALL... at least for 3 more months. Merry Christmas- it comes every year- not hte health. | |
What causes fever and red dots all over the body?
Hi I have an 8 month old baby and she has had a high fever since Tues. took her to the Drs and they said that her ears, nose and chest were all good, but her fever was too high to be teething. So I took her home and kept giving her advil every 6 to 8 hours to manage the fever. Last night she did not sleep well at all she cried every hour then went back to sleep she never does this. And this morning when she woke up she has all these red dots all over her.....mostly on her head and a little on her chest and back. They seem itchy as she keeps rubbing her head against me and stops crying when I rub them. What can this be and should I take her back to my Drs or straight to the hospital? Thank you for your help with this I am really concerned. | fever with red spots (rashes) is seen in viral fever, it could be measles, high grade fever is seen in initial 2-3 days of viral fever, start combination analgesic, feed adequately. further needs detailed history as duration of fever, other symptoms as Ari, loose stools, vomiting,, pics of rashes to confirm diagnosis, so needs to visit your pediatrician | |
Mucus in my throat. Had sinus surgery. Use netty pot, nasal sprays. What else can be done?
I have excess mucus draining down into my throat. It is very thick while sticky stuff that I have to wipe out of my mouth. I have had sinus surgery; been check for allergies; use netty pot; use nasal sprays; had my house checked for mold and nothing seems to help. It is really bad and I have fought this for three years and have had no help. I have taken several sinus medicines. | sinusies are always affected by allergy even if you get operated they flare again because you havenot treated allergies if you want cure you consult wih allergeologist who will be able to fing allergy and trat by desensitisation therapy till you get tretment you can use allegra 120 mg morning and syp piriton 1/2 tsf night with warm water apply neomycin h eye ointment in nose bd and sea water drops in each nostril at night these will work as preventors for your allergies till you gety treatment of allergis | |
Q. How can stomach problems be treated after having had a gallbladder surgery?
Hello doctor, I am a 27-year-old female who is 5 feet 3 inches weighing 140 pounds. For the past four months, I have been dealing with stomach problems such as diarrhea and bloating and lack of appetite. It did turn out that my gallbladder was functioning at 18% and just last week I had a laparoscopic surgery and had it removed. I have never had stomach problems in my life and they do not run in my family either. The only family medical history is heart disease. Anyways, I am a bit paranoid. I have never had issues with my stomach and it has been a week since the surgery and I still do not have a great appetite. I have problems with my stools too. In the morning they are horrible then later I have semi-solid stools. I would probably have to go two more times and I find yellowy diarrhea. In the harder stools, I have noticed little red spots that make me nervous. What can these red spots be? The surgeon told me that everything looks good. But, can there be cancer or Crohn's? I have not been eating any items red in color. I actually still have quite a healthy and a low-fat diet. Please help. | Hello. I went through your detailed summary. Hope your queries are cleared. For more information consult a medical gastroenterologist online --> | |
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 --> | |
Are prostrate problems related with erectile dysfunction and low semen flow?
Hi, I am 51 year old man and it takes longer to get an erection. last shorter, and when I ejaculate, it is less intense and less semen flow than a year or two ago. Also, when I get ready to ejaculate, my anus and left testicle tightens up with some discomfort like a strain or muscle spasm. Is this a potential prostrate problem or something else? | Hello,Yes, you are right. As in case of benign hypertrophy of prostate, for example, BPH (Benign Prostate Hypertrophy) which cause retrograde ejaculation, so low semen content.The causes for erectile dysfunction are psychological, stress, fatigue, diabetes or other chronic illness.The treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with sex expert.Hope I have answered your query. Let me know if I can assist you further. | |
How soon should mitral valve prolapse be operated upon?
MITRAL VALVE PROLAPSE (PML)MITRAL REGULATION SEVERE (MRJA-14 SQCM.) NO MS NORMAL LV SYSTOLIC FUNCTION LEVF 60 % PAH. IAM TAKING OLMEZEST H.40 AND ATTENOL 50 ONE DAILY. DOCTOR TELLING TO REPAIR MY VALVE. WHEN IA HAVE TO DO THE OPERATION. HE IS TELLING TO EARLY AS POSSIBLE. MADHAVAN | Thanks for your question on Health Care Magic. I can understand your concern. You are having severe mitral regurgitation (MR).You are also having MVP (mitral valve prolapse). So your mitral valve is almost failing. Mitral valve is most important valve in heart. It is responsible for cardiac output. So problem in mitral valve will cause decreased cardiac output and this can cause hypotension and sudden cardiac arrest (death). So to prevent these life threatening complications, better to treat MR and MVP. You are having severe MR, so surgery is the only option. So don't wait foracort surgery, get done mitral valve replacement as soon as possible to prevent life threatening complications. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes pain in head when suffering from teeth pain?
I have facial upper jaw and teeth pain it is mainly on the right side it started having pain after A sinus infection 3 years ago it gone it is less in the morning and afternoon it gets worse I also get pain in my head at the back left side only time don't have pain is when I sleep and wake up with less pain in the morning once Im up it starts all over again. it a stinging and on going pain is helped when I eat or chew | Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have mentioned that you have facial pain in upper jaws it can be due to Carious tooth and due to Periodontal problem due to Pocket formation is there or Abcess formation in any tooth is there which causes Refferd pain in your Head , For this you should consult dentist get Investigations done , IOPA x-rays done or if any tooth is Carious or Periodontal problem get Treatment done . Hope this will help you. Wish you good health. | |
Q. Is it possible to get thinner dorsum after resolution of swelling post rhinoplasty?
Hi doctor, I am a 23-year-old girl. I underwent a rhinoplasty six days ago. Today my surgeon took the cast off, and I saw my nose with a lot of swelling, I have a concern that I will not get the shape as I want a thinner dorsum. I am uploading the pre-surgical and post-surgical pictures. Is it possible for my dorsum to get thinner after the resolution of the swelling? Or will it remain the same? | Hi. I have gone through the attachment (attachment removed to protect patient identity). Many of my patients will have trouble, so I do not assure them before surgery as the actual results take time to show due to swelling. I hope your surgeon must have convinced you and so you are looking for the second opinion. It takes up to three to six months for the swelling to subside completely. But you will be expecting a decrease in swelling after seven to ten days. Do not get worried and enjoy your holidays. Wait, and you will get an excellent result. For more information consult a plastic surgeon online --> | |
How to ascertain the growth of molars?
My daughter is 17 months old. She has been running a fever, 101-103, for two days now. She has no other symptoms, slight runny nose. But she has been drooling & chewing like crazy. She has eight teeth already. Through all her other teething we never had any fever just pain. Do you think she actually is getting her second set of molars? I can not feel any swolleness in her gums. | HIWell come to HCMThere is no specific symptoms for eruption of any teeth, what ever the symptoms your daughter has that is not the sign of the teething although there are many misbelief for teething, eruption of teeth take place without any sign and symptoms, hope this information helps. | |
What could be the blood blister near inner thigh and groin?
I am 25 year old female. I recently got done with chemotherapy and radiation treatments for hodgkins lymphoma located in my neck. I have what appears to be a blood blister in between my inner thigh and groin. Ever since cancer, I am now on the very cautious side of everything. What could it be? | Hi, dear.I have gone through your question. I can understand your concern. You may have low platelet count whicj leads to blister. Or some other cause. You should go for complete blood count and coagulation profile. 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. | |
Will I be able to have an erection? Will the intake of viagara damage my health?
I AM 79 YRS OF AGE have been treated by radiation three years ago and currently have PSA tests every six months. My current reading is 0.016 and the last hormone treatment was nearly two years ago. I have not experienced an erection for quite some time and of course not been involved in intercourse with my wife. My question(s) is 1. Am I too old too have sex again? 2. Will I be able to have an erection? 3. Will I be able to take Viagara etc to help me reach this goal or could it damage my health in other ways? | Hi. #1. No, men are never old to have sex./ #2. Yes , it is possible to have an erection if the nerves supplying the penis have not been damaged due to radiation or weak due to aging. #3. Viagra can help only if the nerves are intact. This is the medicine which is not to be taken if you have heart ailments. | |
What causes itching around the anus with soreness below the scrotum?
I am 28 yrs old guy. I have itching around Anal for sometime now and found a sore below the Scrotum which causes immense pain. I visited a Doctor, a Urologist and he mentioned that he did not see any major abnormality in the region. However, when I told him that I am having itchiness and there is a sore which has been causing pain he prescribed medicines for 5 days. Surprisingly, when i met him today and told him that I am experiencing a pain in the Anal region, he frowned. Is it not the Urologist that should be consulted for Anal pain? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can take deworming medicine like Albendazole. If still itching persists consult a skin specialist. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for severe stress and depression
I am a 62 1/2 year old Black Female. I tend to be very, very emotional and depressed lately. In the past three years 3 of my loved ones have passed away: my husband, my mother, and my oldest brother. Am I menopausal compounded with grief? And what are the symptoms and what can I do about it? Thanks | Hello,Thanks for putting your query on HCM.I can understand what you are going through and I am sorry for losses that you have faced.Its common to feel depressed after loss of loved ones but since is affecting your functioning treatment is required.If I had similar patient visiting my clinic I would have started her with low dose antidepressant like Escitalopram 10 mg for 6 months and then would have tapered it down slowly before stopping it.Hope I have solve your query.If you have further query please feel free to ask. | |
What causes my son s greenish stools?
hi, my son is 7month old and his stool is greenish in colour for quite a long time,for about a month or so. i was so worried and examined its stool but the report was normal. There was no digested RBC or anything .But still couldn t find the reason of the colour of the stool.Doctor prescribed enterogermina 5ml two times a day for 5 days.Before that my son was having Neopeptine drops 3 times a day but there was no change in the colour. i just want to ask what could be the cause of this green colour stool.Is there anything serious? Is it safe to give prescribed drug enterogermina to my baby. | I don't think he needs ANY treatment. You should stop worrying and start enjoying life. Enterogermina might sound like a good medicine as it is so expensive, but believe me, your son doesn't need any treatment, as his stools are normal FOR HIM. The undigested and chemically digested by-products of his bile are green in colour, hence the green colour of his stool. | |
Is fatty liver curable?
my dad is 61 year old and he has diabetes but doesn't take insulin. Due to pain in abdomen, and fullness he took a ultrasound. The ultrasound report detected gallstone collapsed and mild fatty lever. Would you please suggest whether it is curable or serious and he will require surgery? | HiFatty liver is due to so many causes.first we have to think fatty liver is due to Alcoholic/ Non alcoholic.if its due to alcoholic try to stop drinking alcohol.it can be due to diabetes so best is reduce carbohydrate intake, include green leafy vegetables.it doesnt require surgery.fatty liver is reversible.dont worry.try to change life style.everything wil be fineThank uWith best regardsVasundhara | |
How to treat a small hernia at the bottom of the lip?
Hi.I have what seems to appear like a small hernia on my bottom lip. Its a vein which is dark blue and very near the surface of the lip. Sometimes it's swollen and appears bluer. It happened while my orthodontist was fitting a wire and my lip got caught between a bracket and the wire. How can I gat rid of this?Your advice would be much appreciated. | thanks for your query, i have gone through your query. the he swollen area could be because of trauma causing mucocele, once it ruptures it leaves a tissue tag kind of thing. nothing to worry. apply topical anesthetic and analgesics like anabel gel or mucopain gel. avoid trauma or injury to that area. i hope my answer will help you. take care. | |
How to cure a lump on the spine for a new born?
HI,my dughter is newborn with spina-bifida meningeocele, she has not had surgery as doctors told she is only six months old. She is crawling nicely and she is starting to get up. She got a small lump on the spine. Can you please advice me when the actual age of operation or surgery for the child would be. | meningomyelocele is grade 2 arnold chiari malformation; needs Mr brain and spine to evaluate to what degree your baby is affected; needs completed neurological evaluation of legs and constant check of head circumference. I believe as you said it's just a lump on back may not need surgery now but brain and motor functions are important for assessment. | |
Hair loss due to dandruff. Have a good diet. Seek homeopathy help?
hello sir/ maam i am a 24yr old female suffering from hair loss due to dandruff and some sikn problem , my skin is very dry in dull and looks patchy, in spite of haveing good diet and sleep, please suggest, some say it may be coz of dandruff wch fall on skin due to wch i am facing sikn problem, please suggest, as i am evey going through homeopathy treatment wch did not benifint in any way | 1. any form of stress (physical/mental/emotional),use of strong shampoos and frequent changes with hair products, polluted environment,under nutrition,improper hygiene habits,excess intake of sweet and oily food? 2. is hemoglobin level,Thyroid profile normal? 3. DANDRUFF rarely causes hair loss or baldness. However,severe seborrheic dermatitis may cause patchy baldness,hair loss. 4. Include green leafy vegetables,whole grains,salad,almonds,carrots,amla,seasonal fruits in your diet. 5. Avoid spicy,greasy,oily,fried foods and too much oiling and use of hard shampoos on your hair. 6. Use of Brahmi oil helps with dry hair,insomnia,mental calmness,itchy and scaly scalp. | |
Can inhaler be used after taking nyquil for allergic reaction to some food?
My husband has been dealing with symptoms of an allergic reaction to some food he ate. Symtoms include chest congestion tightness of chest and overall feels crappy. He took some Nyquil (dose for an adult) But now he says he is having shortness of breath. Should he use his inhaler after taking the nyquil? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.I went through your husband's history and would like to make suggestions for him as follows:1. The contents of nyquil are not effective against bronchospasm (that causes chest tightness and breathlessness).2. So were I treating you, I would suggest him to use inhaler like salbutamol or levosalbutamol for shortness of breath.3. I would also suggest him to avoid the foods that he may be allergic to. Common foods causing such allergies are milk, peanut, tree nuts, wheat, eggs, fish, shellfish, and soy.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parin N. Parmar | |
Suggest vitamin supplement to treat emphysema
I am a 52 year old female non/never smoked, however I was diagnosed in 2004 with emphysema. My father was a smoker and he died of emphysema. My husband is an Amway associate and we have taken the daily vitamins for 20 + years. My question is, Is there another supplement of vitamin I could add to the daily to help with my emphesema and breathing difficulties. | Thanks for your question on Healthcare Magic. I can understand your concern. Yes, along with vitamins you should add anti oxidants. Anti oxidants are very useful in emphysema especially in limiting progression of disease. Newer pulmonary (lung specific) anti oxidant, Picnovit (pine bark extract) is now available. And it is having excellent positive effects in emphysema patients. So you can add this without any harm. Also enroll in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are done. These will also enhance your lung functions and reduce breathing difficulties. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest treatment for soft lump at the right of the head
My partner has discovered a relatively soft lump at the rear right of his head, which is giving him sharp pains, he's had it for about 1 week now, before he was getting headaches. I've felt the lump, and it feels as though it has liquid inside, it does move slightly when pushed. Approximately half an inch in diameter, and raised?? | HI,Dear,Thanks for the inquisitive query to HCM.1-I studied your query in depth.2-In my opinion ,1 wk old soft -painful lump , is -"pyogenic abscess with the boil" in the scalp of the rear end of your head.3-Treatment of such 1/2 inch-scalp-abscess is by "incision and drainage " with antibiotics and NSAIDs and would be over in 1 wks time.4-Hope this would solve your query to your satisfaction.5-Wellcome for more queries to me On HCM.6-Thnks once again for your inquisitive query.Have a Good Day..!! | |
I and my husband have Chlamydia and my periods are irregular, What are my chances to conceive ?
Hi Doc, so my husband and i had clymidia for a few yrs not nowing about it! =( now i have irregular periods and we want to start trying for a baby! the last 2 menstral cycles when frotm 36days to 17 days so i have no idea when it will be the rite time to have intercorce? is it going to be hard for us to become preggas?? | Hello there.. welcome to healthcare magic forum.. You need to consult A obg Specialist first in order to see whether your period can be regularized or you might need some hormonal support to get pregnant..So please consult a doctor and discuss with them about your quires. Hope this helps. take care.. | |
Can cirrhosis of the liver cause blood to appear in urine and semen ?
Can cirrhosis of the liver cause blood to appear in urine and semen? can cirrhosis of the liver cause blood to appear in your urine and blood? I am 40 yrs old. Black male. I found blood in my urine the first time at age 25. It didnt happen again until my mid to late thirties. In my thirties, i found blood in my semen as well. I suspected prostate cancer , but my PSA score was 0.87 and my digital exam of my prostate was negative for nodules or BPH. I suspected that I might have herpes , but tested negative as well. I dont drink, smoke or do drugs. No history of high blood pressure , heart issues and etc. I noticed this happens after sex or masturbation. Just dont have a clue as to why this is happening and trying to get to the cause. | No. Cirrhosis by itself in isolated cause does not cause the above symptoms unless compounded by other congestive or indirect effects. You have neglected a very important issue when you were 25 years old, anyway now that you are presently having symptoms - causes in the Urogenital tract need to be explored by other investigations as well, along with a complete STD screening. Blood examinations, Urine tests etc also needs review. Consult a physician immediately, rather than pondering the cause. And do not attempt to do the Prostate examination yourself - it needs a technique that would be known only by a qualified physician. | |
Is there anything I can do to clear my intestines without high quantities of fluid and laxatives for colonoscopy?
I have made two attempts to drink the prep for a colonoscopy. First the gallon prep and then the 64 oz prep. I threw both up for some reason. I have had colonoscopies before and had no problem with the prep. Is there anything else I can do to clear my intestines without the high quantities of fluid and laxatives? | Hi...you can be on liquid diet for 2-3 days and clear fluids on the day before colonoscopy... also you can have the 64 oz prep mixed with a areated cold drink to mask its taste...Dr. Ashish Verma | |
Is frequent urination and back ache related to kidney problem?
After drink water i go have a pee maybe 5,6times in the evening and have to wake up midle night also.when i do smth event seat few back ache.is that i got trouble with kindney? Again,i dont know how to solution w mosquito,they eat me anytime anywhere.tks | Hi,Thanks for writing to HCM.If you are a male...you are having benign prostatic hypertrophy....if you are female... its urinary tract infection....Get an ultrasound scan done and a urine routine examination... and show to a doctor there.Dr. Ashish Verma | |
Q. Kindly go through the abdominal CT scan and explain the health condition.
Hi doctor, I have queries regarding my mom's health. She is suffering from some abdominal issues. When she had a CT scan, they found an impression with the liver. I attached her report and please tell me if there is a serious issue. Yesterday she got admitted with intolerable abdominal pain. Her doctor asked us whether she had any injuries on that area. But she never had any injuries. They prescribed some medicine and asked her to take an injection for two days. She was discharged home in the evening and last night she got severe abdomen pain. She is worrying a lot and crying all the time. She is getting pain while she coughs. She is unable to sleep and has constipation. I totally rely on you to get suggestion. | Hi. According to the CT scan report (attachment removed to protect patient identity), there are two problems. In the liver, there is hemangioma which is a benign tumor meaning it does not cause any harm. If it increases in size, then it is resected. The other problem is with the muscles of the abdominal wall in which a small amount of blood is accumulated which is causing pain. It can occur after some trauma or injury to the site. It will also resolve in a few days. So I think hopefully she will get fine in a few days. Take care. | |
Does breathing and visions problems occur after gall bladder removal?
my friend had gall bladder removed yesterday. Was getting morphine intervaniously at hospital and switched ot oral fast acting 30mg just before trip home. Now having some breathing and visions issues along with worry and insecure thoughts. Trying to get her to relax, breath and change thoughts. Any more I can do for her? She has oxycodone at home and I m thinkind it might be better to take that than the morphine when pain returns. Seems to getting a little more settled down. any suggestions? | HelloThese symptoms are due to anxiety and fear of pain. Ask her to relax ,stop breathing through mouth,emphasize slow breathing and talk positively.DR SAATIISH JHUNTRRAA | |
What causes swelling of lips after self biting?
Hello for a few years now I have been biting my lip and it s been fine but today I bit my lip and now it s swollen up it s really painfull at first it went numb now it s hurting badly and it s pushing back on my teeth my lip has never swollen up before when I did it please can you help me | Thanks for your query, I have gone through your query.The swelling over the lower lip can be because of the inflammation secondary to trauma by biting the lips. The other possible cause can be a mucocele due to trauma.Nothing to be panic, consult a oral physician and get it evaluated. If it is a inflammatory swelling, then you can take medicines like analgesics with antiinflammatory drugs like diclofenac 500mg BID and serratiopeptidase BID for 5 days respectively. If it is a mucocele then it has to be surgically excised. Consult a oral physician and get it treated as early as possible.Do saline gargling. i hope my answer will help you, take care. | |
Suggest treatment for high BP and heart rate
HI IV NOT BEEN FEELING TO GOOD TODAY EARLIER MY BLOOD PRESSURE WAS PRETTY HIGH IV BEEN DIZZY FEELING SICK AND ANXIETY ALSO HIGH HEART RATE OF 88 HAVE RESTED IN BED ALL DAY BEEN SLEEPING QUITE A LOT JUST I FEEL A LITTLE BETTER JUST TOOK MY BLOOD PRESSURE AGAIN ANG GOT A READING OF 147/80 AND A HEART RATE OF 67 IS THIS ACCEPTABLE I DONT SUFFER WITH HIGH BLOOD PRESSURE SO FEEL A LITTLE ALARMED BY IT EARLIER IN THE YEARD I SUFFERD LOW BLOOD PRESSURE BUT BEEN OK TILL LAST NIGHT WHEN THIS STARTED | hello,I have gone through your question.Thanks for using HCM.Your heart rate of 88 is certainly not high.Normal heart beats vary between 60 to 100.so you need not worry for heart rate.you appear quite anxious.i would like to know your age to guide you for pressure as above age of sixty BP upto 150/90 is normal.If you are below 60 then BP less than or equal to 140/80 is normal.your systolic BP 147 is mostly due to anxiety and will not need any BP medicines.I would suggest you to take low dose anxiolytic Like Tab.Alprazolam 0.25 mg at bed time.This should solve your problem.continue for about 2 weeks.yoga and meditation will help you a lot.My best wishes. | |
Noticed redness and pain on the two knuckles of the right hand
My 2 knuckles are really red on my right hand, they sting and when I put lotion on it, it stings. They are really dry and they have cracks in the red patches. when I put cold water it feels a little better. I have eczema and I was just wondering if this is eczema? | Actuallly, these are symptoms of eczema, and the treatment is by cortisone topical cream. The treatment always continues long time and the case may recurrent. | |
What causes swollen gland under the jaw?
I have a swollen gland underneath the left side of my jaw when eat spicy food. It usually doesn't bother me, only when I eat something spicy, like the spice irritates it. It swells the gland under the back left jaw, and my saliva gland all the way up in my mouth on the underside. How concerned should I be? | HelloYou need to make sure whether any cavity is present on that side in any tooth...it usually is painful, but as such you do notchave any pain i beleive.Does the swelling go away completely after sometime?Sometimes the gland opening might be blocked causing the saliva to accumulate leading to swelling and later it subside as soon as spocy food is removed.you need to visit a dentist soon as it can get painful soon...thank you. | |
Experiencing bad mood swings, always had a non-stressful attitude. Cause of change?
i am 49 years old and have started having bad mood swings. i have always been happy go lucky, laughing never stressing. now i am ready to bite anyones head off for no reason and find myself getting depressed for no reason. then the next day or two i am fine. then after a couple of days i am back to biting heads off. lucky ia can usually bite my lip and walk off before i hurt anyone feeling. but i was never like this before. any idea. | Hello, Thanks for choosing health care magic for posting your query. From the description that you have stated it appears that you are suffering from a mood disorder like cyclothymia or dysthymia . Some times it can also be a personality disorder. For the problems such as these, you need to consult a psychiatrist who can evaluate you in detail and discuss with you the treatment options - both psychotherapy and pharmacotherapy. Hope I am able to solve your concerns. Wish you good health | |
Rash below belly button, aggravates when foreplay is initiated, scrating. What could be this?
Hello, My girlfriend has a rash, below her belly button. The patch of skin is tough, almost scar material in nature. It is usually tolerable but seems to aggravate when foreplay is initiated and she scratches it, incessantly, subsequent to intercourse? She's had it, since before we started dating, almost two years now; we thought it might be a nickel allergy but no treatment seems to make a decisive improvement. It is obviously of serious discomfort, to her, any thoughts? | Hi, Welcome and thanks for posting your query to HCM. After reading your query it seems your girl friend is suffering from Lichen simplex chronicus. It is a condition of skin where there is a vicious cycle of itch - scratch and itch. So once you start scratching it causes more itching and it further aggravates the situation by scratching. As with defense mechanism of our skin, it gets thicker and thicker after scratching. So, in your girlfriend's part, after your foreplay and subsequent to intercourse it initiates the urge to scratch and then the rest of situation as above. For the relief part, ask your girl friend- DO NOT SCRATCH. She has to control her scratching tendency. It is very well treatable by steroid cream s and round the clock antihistmines under dermatological guidance. In between you can ask her to apply petroleum gelly for multiple time a day. So be stress free and relieve her tensions also !! With best wishes, Dr Sanjay K Kanodia MD (Dermatology & STD/Venereology) | |
Q. Is Doxycycline a safe drug for abdominal pain?
Hello doctor, A few days back, I was diagnosed with minimal B/l hydrocele with the right simple epididymal cyst. The doctor gave me some medication, and the pain was gone. After a few days, I have to travel to another place for office purpose. Hence I took my medication in case required. I started the gym as well but now and then I have that pain in testicles and lower abdomen. I could not find the prescription tablets, and hence pharmacist suggest me to take Doxycycline. But after taking these pills, I have unbearable pain. I can attach all my X-ray and reports, but I could not find the option to attach files. Please suggest what to do? | Hello. Doxycycline is a treatment for any infection for urine. It usually does not cause abdominal pain. For the cause of abdominal pain need to be found out. You will need sonography of abdomen to see for cause if the pain is too severe then physical examination by a doctor will be required to see for the cause. Pain in testes can be due to infection of testes is called orchitis. Or occasionally lifting heavy weight can cause torsion in testes that are emergency condition and has severe pain. If pain is not critical, then you can take tablet Paracetamol for pain and continue Doxycycline for seven days. And will review with sonography of scrotum again. If you have any doubt, you can ask me. | |
Suggest medication for asthma
my mother is 75yrs and she is suffering from astama and when i joined her in hospital they gave medicines and well now.but later they asked me to take her to nefrologist and then i took her then they asked me to take tests 1. ultrasonogram of the abdomen and pelvis in that report they have given kidneys : right kedney not visualized, and left kidney 91 x 47 mm and left kidney is normal in size increased cortical echotexture of grade ii noted cortical thickness is normal no calculi/ hydronephrosis 2. complete urine examination: test macroscopic examination : colour : yelloappearance : cloudyreaction: acidicspecific gravity : 1.010protein : present (+)sugar : nilMICROSCOPIC EXAMINATION :Pus cells : plentyR.B.C. 10-15 /hpfepithelial cells: 2-3 /HPFCASTS: NILCRYSTALS nil now she takes only liquid diet and nothing else. of course she is too hungry and asked everything. PLS SUJJEST ME WHAT IS THE ACTUAL PROBLEM | Hi,Apart from asthma,what reports you have attached is indicative severe urinary tract infection (urine reports showing plenty of pus cells) and either her right kidney has shrinked or dysmorphic or removed if she had undergone nephrectomy.Anyway,she needs to be detailed medical history and thoroughly clinical examination by a urologist to get ruled out any other kidney pathology.She should continue her regular asthma treatment and might require antibiotics (quinolones specially levofloxacin in high dose or amixocillin with clavulanic acid) to combat urinary infection completely with other symptomatic treatment.So,better take her to urologist immediately. | |
What causes elevated bilirubin levels?
My 17 year old has an elevated direct bilirubin level of 0.4. Additionally, in the past 2 months, he has experienced 3 different episodes of a few hours of severe vomiting and diarrhea, no fever, feels fine after episode is over. Each time it begins in the very early morning hours (3 - 5 am). Thoughts or ideas? | Welcome to Healthcare Magic. Thank you for posting your query.I can understand your concern for your son.A direct bilirubin of 0.4 is not a thing to worry. The recurrent episodes of vomiting and diarrhoea are a thing to be concerned of.He could have Gastro-esophageal reflux disease , gastritis or gall stone disease. It is difficult to point out a diagnosis without actually examining him.I would suggest you to - not worry- Get an ultrasound of the abdomen done- Get his blood Liver function test , Hemoglobin, total count , ESR , amylase , lipase done- Get an upper GI endoscopy doneGet him to visit a gastroenterologist. He/she can examine him and correlate clinically.Hope this helps.Have a nice day.Regards. | |
What causes severe sharp pain in the neck?
I have an odd neck pain, it doesnt actually hurt until I turn my neck wrong way or move too suddenly then it feels like I got electorcuted , I end up not moving for that moment as the pain is bad, its like I disloacted my neck temporaily, pain goes to front to ears sometimes, can bulimia cause this, i cant seem to do normal movements with my neck without getting that sharp pain anymore, this started about a week ago when I thought i slept the wrong way and it would go away | Hello,You seem to have sprained your neck. This commonly occurs due to bad posture or improper sleeping positions. I would recommend you to use pain relieving gel (local application) along with hot fomentation. Please consult a physiotherapist for correcting your posture and also to strengthen your neck muscles,Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Santosh S Jeevannavar, Orthopedic Surgeon | |
Miscarriage, emitted gestational sac without fetal parts , mycoTB, low serum beta HCG, taking krimson35, akurit, cervifert, amycordail, duphaston, folGI, follicular study, negative urine test. Pregnancy chances?
mam/sir, im 29 yrs old. before one year i hav miscarrage .automatically some sac like thing came out after 60 days.send that sample for lab.repots says that gestational sac4x3x3 with no fetal parts. pregnacy confirmation is also difficult on that time. urine test is negative for 2 times and third time it was weekly negative and serum beta HCG IS 130M/MUL .i hav pco s and pcr test is positive for myco tb.getting treatment simultaniously for both(krimson35,akurit for past six months) .last month (LMP) is april 7th 2012 i go for follicular study on 13th day rt ovary follicle size is 8.7mm,7.4mm and left ovary 6.3mm endometium thickness 8.4 on 15th day rt ovary15.1mm 14.3mm left ovary 10.1 endometium 9.7mm 0n 19th day rt ovaryt largest follicule is not visualized c/o rupture left ovary 10.1mm endometium 10.4 and also i have taken these medicines akurit ,cervifert,amycordail syrup from day 5. dhupaston tablets for 15 days from day 19. i didn t get periods till date on day 35 i go for urine test its is -ve.and also on day 44 it is also negative. so my Dr again gave duphaston and folG1 for 10 days. im little bit confusing whether im pregnent or not.shall i take duphaston again with out pregnancy.plz Dr im expecting for your answers | Hi, according to your description, ovulation has occurred. normally when ovulation occurs either menstruation should start within 12 to 16 days or pregnancy has to be there. But there are exceptions to this also. Now if we consider the normal things there is a chance of pregnancy. But as even on 45th day your urine pregnancy test is negative, you better to go for transvaginal ultrasound which will rule out presence or absence of pregnancy. depending on the result you can take further treatment. take care. | |
How can cheek bites be treated?
I have been biting my tongue and inside of my left cheek. This is involuntary and only happens when I talk.My tongue goes to the left and then the biting occurs. A CT Scan and MRI of the brain and both were clear.My dentist, primary care physician and neurologist think it is neurological but nothing shows up on the CT Scan nor the MRI. | Hello,As per your query, you have symptoms of cheek bite which seems to be due to improper dentition, increased stress levels and odd chewing habits. This occurs very commonly. Need not to worry about it.I would suggest you to visit oral and maxillofacial surgeon once and get it examined and start treatment as per cause.When dentition have excess gaps or very less gap then it causes flap of cheek to come in between the teeth so dentition needs to be corrected in that case.Drink plenty of water and do meditation to reduce anxiety levels. Chew on sugar free gums.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari | |
Suggest treatment for heart palpitations in a 52 year old female
I am a 52 year-old female and have started to experience heart palpitations that last all day long. They are more noticeable at certain times than other, but they never really go away. I have read that palpitations are normal, but nothing I ve read addresses someone who is plagued with them all day, every day. What can possibly cause such a chronic problem? | Mam palipation may be due to increased awareness of normal heart beats. It's important to establish the type of palpitations, because u have it everyday lasting for practically a long time, get an ecg done during the episode, if is more rarer a 24 hour holter may help. This will help know what is the frequency and what are the features of heart beats. If anyone of then shows heart beat which is normal but more than 100, we should rule out causes like increased thyroid, anemia in your age group, however if the type is not normal a review with your doctor for the treatment is warranted. However if the above test prove that the heart rate is normal during your symptoms, do try ignoring the symptoms. Maybe peri menopausal period is the time whereby many patients have similar symptoms. Hoping this will help Regards | |
Suggest treatment for muscle weakness in the thighs and calves while exercising
I have been having difficulty with walking for exercise. I get a feeling of muscle weakness and fatigue in my thighs and calves. Need to stop and rest a few seconds. Walking for 10 minutes is about all I can do, as opposed to being able to walk one mile in 20 minutes. | Hello, As your endurance levels have gone down and fatigue is setting in faster, you need to change to aerobic exercise which is in high intensity like the jumping jack, doing sit and stand in a chair for 1 minute where the repetition should be around 45+/-. With both these exercises, your endurance levels will increase and you will be able to walk longer. Also managing the pattern of warmup - brisk phase - cooldown will work. When you do walking divide the number of minutes into 3 equal segments which will help to follow the above pattern and improve the endurance levels too. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Cause for red spots above the lips of a child?
What is it when you have a child and she has little tiny red dots above her lips and she says they dont bother her what can it be. She just got it this morning i believe she drank orange gatorade and idk if that was the case she never drinks it or could it be something serious? | Thank you for posting your question.Red dots on the skin could be due to a variety of reasons, one of them as you correctly mentioned could be allergy to citrus drinks.However, other causes like viral rash, irritant dermatitis due to application of irritant substance on skin(cream/powder), removal of upper lip hair or allergy to any other agent ( ingested/applied) should also be considered. If the rash is not very severe and not progressing, then watchful waiting could be done. At the most some antihistaminic a like certizine and local calamine lotion could be used. However, if the rash is found to be increasing or if associated symptoms are seen, then a medical consultation is advised.If you have any more doubts regarding the case, kindly write back. | |
Q. I have small red dots around the vaginal area. Please help.
Hi doctor, My problem is I have irritation and small red dots all around the vaginal area. It is like razor burn. This happened a year ago when I used an electronic hair removal device in the pubic area. I got some sensitivity and redness, and I ignored it thinking it to be an irritation that gets to the skin after shaving. But it did not disappear. I used some disinfectants, creams, exfoliating and peeling, and continuous moisturizing, but no development whatsoever. There is no itching or anything, but I only have redness and irritation. Sometimes, I feel a burning sensation when I exfoliate or moisturize. I have attached a photo of the same issue. | Hi. You should not use any exfoliating agent in the pubic area when there is already contact dermatitis. It leads to more inflammation, erythema, and burning sensation. Please send good quality clinical photograph and revert. Please mention what creams you have applied. Revert with more information to a dermatologist online --> | |
What causes lightheadedness and nausea while working in a flight?
I am a flight attendant (2 months now) and I have been getting sweaty, lightheaded and nauseated while working my flights. What is the cause? I drank a lot of water today so I don t think it s dehydration. I fight to keep from passing out. I never experienced any of this while flying as a passenger b | it almost sounds to me as if you are developing or have developed some symptoms consistent with motion sickness. it also could be that as a passenger since you were never required to put attention on two specific tasks that you could ship your attention at any time to other things and thereby stave off any onset of motion sickness. however, as a flight attendant you have to be doing certain things in a repetitive fashion at times which does not allow you to shift attention as frequently so that symptoms of motion sickness may develop. think of what happens to some people who drive in automobiles and get terribly sick if they are to be reading anything or even just riding as a passenger but as soon as they become the driver things settle down. maybe you need to be flying the plane! LOL. Try some over-the-counter preparations for motion sickness and see how they work on a couple of flights and let us know. | |
Can pregnancy be terminated after 21 weeks?
hi am in 21 weeks of pregnancy . With recent ultrasound test amniocetesis test i found my baby has bilateral cleft lip and doctors say that the child might have genetic disorder too which can be confirmed only after delivery . is it possible for me to terminate the pregnancy right now ? | Hi,A detailed ultrasound can help to know if the baby has other structural abnormalities. A fetal 2D echo of fetal heart can help see if baby has abnormalities of the heart .Termination depends on which country you reside in. In India it is absolutely not allowed after 20 weeks.The cells collected at amniocentesis can rule out any major genetic abnormality. Bilateral cleft lip can be surgically corrected after birth by a paediatric surgeon. Regular scan of the baby can help monitor if it is developing any abnormality.Hope this helps.Regards. | |
What does this kidney biopsy report indicate?
Hi My Wife age 22 had kidney biopsy last week and the report claims 40% kidney damage it says "12 glomeruli out of which 5 are obsolescent. Impression: Native -focal segmental glomerulosclerosis, collapsing variant" . She is experiencing serious back pain and Doc (neprologist) started with tablets - Wyosolone and shelcall for this week and said will start with STEROIDS from next week. She often gets BP above normal and terminated pregnancy last month due to the above reason. Pls advise if this is totally curable and also advise if she can concieve a healthy baby in the future. | Unfortunately collapsing FSGS is a very bad disease. She needs aggressive treatment.Steroids is a good initial option. How she responds to steroids is very crucial thing for further prognosis. About next baby , difficult to say at present. If she gets good result with steroids, there will be an option for planning pregnancy but it takes time of atleast 2 years. All the best. If you have any questions feel free to contact me. | |
Should I try interferin and telaprevir to treat Hepatitis C?
I have been diagnosed with Hep-c for Twenty years. Are there any new drugs that I can look forward trying as I have tried telepraver and RIBA virin and interferon and it nearly killed me. Thank You Doctor for your time. My e-mail is YYYY@YYYY | A new drug combination recently came out that does not require the use of interferon or ribavirin. It's once a day, minimal side effects, and has a very high cure rate. The only problem is that it's extremely expensive, and only approved for treatment of genotype 1. The combination is of 2 drugs called ledipsavir and sofosbuvir. The brand name of the combination is Harvoni. I believe there is another combination coming out soon or may actually be approved by now. But in any case, there are choices to anticipate very soon. Check with a liver specialist or the doctor who treated you before and get started on the improved meds. Hope this helps. | |
Suggest treatment for chest tightness and dry cough
Generally healthy never smoked, exercise regularly. For the past 2 weeks developing dry cough, heavy tight upper central chest tightness, feeling lethargic. Cough becoming more frequent. Should i wait or go to RMO phobia with dr s last went 2yrs ago with shingles. Tight cough is a little concerning. Thank you karen | Thanks for your question on Health Care Magic. I can understand your concern. Chest pain with cough are commonly seen in bronchitis and lung infection. Get a chest x ray done if it is normal, no need to worry for lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
What causes irregular heartbeat?
Hello, My mom has symptoms like irregular heart beat(sometimes feeling like heart beats in neck and stomach), no burp, dizziness. She has Cervical Spondylosis and she is 52 years old. Kindly let me know what can cause this symptoms your help is appreciated. Thanks! | Madam she need evaluation further to rule out any cardiac arrhythmia and ischemic or rheumatic heart disease.Please get your ECG , echo and routine blood test done.Regards | |
Suggest treatment for tenderness in neck.
I have neck problems, tried chiropractor, but made it worse. Had scoliosis and my neck is very tender. I sleep with a scarf wrapped around my tender neck and my head on a gel pillow. I tried foam but it did not help. I tried a bean pillow but did not help. What do you suggest? | Hello, I have studied your case. Due to compression of nerve root there can be pain.Also there can be large disc bulge which is compressing over spinal cord.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give you relief.I will advise to check your vit B12 and vit D3 level.If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
Is loss of memory normal after waking up form medically induced coma?
If someone wakes after being in medical induced coma for approximately three days, is it normal for her to not be able to speak, she seems angry, making loud sounds, looking past me ,and flailing arms to try to pull tubes out. Is this a sign of permanent brain damage? The patient had a heart attack in the hospital, and left unattended for an uncertain amount of time before being found in bathroom floor, among other health issues. | loss of memory after coma is very normal it is known as delirium in which patient is having self muttering and irrelevant talking. so do not worry she will be fine after correction of electrolyte imbalance. hope you got the answer. tae care. and do not forget to rate my answer. | |
What causes weak stream of urine after treated kidney infection?
I am a 45 year old female who suffered bad kidney infection and kidney stones 3 months ago since that time after being treated in hospital i have been urinating fine however within the last 24 hours i have a urency to urinate but only a stream is weak and only little amount will come out. I have no burning or pain. | HelloThanks for query Absence of burning or pain while urination with only urgency for urination is mostly due to what is called as Over Active Bladder (OAB).Normally one gets sensation of urge to pass urine after bladder gets filled up with 200-250 ml of urine ,however in OAB there are involuntary contraction of bladder even when it is filled with just 30 -40 ml of urine resulting into Urgency and passing a small quantity of urine .Please take anti muscuranic drugs like Solifenacin twice daily .It will conroll the involuntary contractions pf bladder and thereby help to reduce urgency.Dr.Patil. | |
Suggest treatment to increase sex drive in men
Im dating a guy of 24. He has normal penis, but cannot get it up, unless i do a blow job. He says, that he wants me, but this problem arrises only with me as well (with other girls its ok). So am I not good enough for him, or, on the contrary, he likes me? | HelloThanks for query.Your boyfriend does not get good hard erection when attempting to have sex with you which otherwise normal when having sex with other girls.This is due to what is called as Psychological Inhibition .You need to discuss the issue amongst yourself and sort out the problem Help of a qualified Psychiatrist will be of help to you .Dr.Patil. | |
How can amenorrhea and acne be treated for a successful pregnancy?
Hi im 25 married girl i was diagnosed pcos due to amenorrhea 7 months back according to ultrasound i was having 8 cm simple cyst in my right ovary and many cysts in left ovary my gynecologist advised me to take neodipar 500mg TDS and wait as 8cm cyst may resolve while taking this medicine and no surgical intervention required.its been 5 months im taking this medicine but still no periods and im also facing acne problems.what can i do now?can i start diane 35 for 1 or 2 months and continue neodipar which im already taking bcoz of my acne or i should avoid any external hormonal stimulus and wait till my periods come naturally without any withdrawal medicine or diane? i dont know what to do as i realy want to resolve my acne amenorrhea and realy want to be pregnant | Hello , thanks for the query.Polycystic ovary is a very common problem which causes irregular periods. Let me help you understand few things.1. As you mentioned about your 8 cm right ovarian simple cyst is unlikely to resolve on its own as its size is bigger and it may need to be removed surgically. You may try to get ovarian drilling( about 4 punctures on each ovary) at the same time to help you ovulate( egg release process) regularly.2. Neodipar (metformin) is currently recommended in women who have intolerance to glucose (prediabetic like state) . But as you seem to be amenorrhoeic for a long time it helps if you continue it. For best results you need to maintain your weight by diet and exercise if you are on heavier side.3. If you are planning conception your doctor may suggest you ovulation induction drugs to help you release egg and conceive.4. Diane 35 will help you with acne but prevents pregnancy.5. For resuming your periods you may take T. Regesterone 5mg twice daily for 5 days . you can expect your periods once you discontinue medication. Hope this helps. Take care. | |
How to get a normal sleep for a person with depression?
i take adderral xr but can t go to sleep till 5 in the morning then i can t get up till 3 or five in the morning plus i take cymbalta for deppresion for i had a back fusion so i take perocet for pain is that ok or does it affect the adderral xr ? why cant i sleep at night because i am under doctors care dor deppression and i take lamictal desyrl klonapin and ambien at night also i don t know what to do also taking adderral give you demdemenyia or brain damage.thank you kathy | HiThanks for using healthcare magicAdderrall is a stimulant and if you take it daily, it would effect on your sleep, Better to avoid it for few days. Cymbalta is good antidepressant, but it has good response on somatic symptoms rather than depression. Better to shift on antidepressant like trazodone oor mirtazapine to get sound sleep. You can take klonapin and ambien at night. Take parocet on sos basis for pain.Thanks | |
What causes tiredness and hotness in neck/face while had an ablation?
I fell of the zip line flat on my back and I m having pain in my right lower back where I had an ablation done in April. When u fell it knocked the wind out if me and I was disoriented for a minute. My worst complaint is my neck my face feels hot and I feel tired all of a sudden | Hi, your concerns are valid, I would advise you to take some rest and analgesics for a few days, if you feel better, its ok, if not then consult your doctor. | |
What causes chronic fever?
My 10 year old son gets fever around 102 in the night only. We started with Vitcofol syrup from past 3 weeks and the fever symptoms are showing up from few days but he is normally active and fever only records soo much on the thermometer but looking wise he seems to be perfect. His haemoglobin is low. He weighs 30 kgs | Hi dear,I understand your concern. There different causes of fever: 1.Infection-perform stool culture, stool for cyst ,ova 2.UTI-do urine analysis.3.Viral infection | |
Will i get hepatitis after using my mother's syringe who has the same?
i incidentally pricked my left hands middle finger with my mothers insulin syringe an hour ago ...she has hapetitis C since 8 years ...she got treated twice but her viral load has again increased...when i pricked my finger with the needle, i quickly washed it with water and soap n after that i tried to take out the blood from my finger as much as i could n then again i cleaned it with dettol..now im afraid...will i get hapetitis C?...and in how many days ill be infected with the virus if i have to take the hepatitis test just to check whether ive got the virus or not? | Hi there ,I understand your concern, and you have done right by washing your fingers with soap and water thoroughly beside this no immediate post exposure prophylaxis is required in hepatitis C. I would advise you to consult your physician to check your mothers HCV RNA now and if it's negative then chances of transmission is negligible and you should also check your anti HCV,HCV RNA and LFT now( this tells about your past infection and not from this exposure) and if it is negative then you should repeat same test at one month and at three months and if it's negative at three months then you are safe.I feels sorry about this incident and hope it would come negativehope this answers your quarryregards Dr Rajesh K Meena | |
Suggest treatment for liver cirrhosis
I had a lobectomy 4yrs ago. They removed the right love of my liver and a 4.3 x 5.0 tumor. Needless to say recovery has been long and difficult with a lot of pain. Naturally I have a left lobe which is fully involved with cirrhosis. So far my left lobe has not shown signs of failure. I would like to nurture any function and regrowth possible. I have taken methadone 120 mg in 3 divided doses per day. Is this the optimal pain reliever or would something else be as effective but gentler on my lobe? | Hi and welcome to Healthcaremagic. Thank you for your query. I understand your concerns and I will try to help you as much as I can.This is serious disease if cirrhosis is present and quitting alcohol is the most important thing that should be done. Also, medications which are hematotoxic should be avoided. This is necessary to prevent disease progression which is lethal in most cases. At early stages it can be treated with these measures but but in case of progression.Diet should be balanced and healthy and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on drinks with lots of sugar like sports drinks and juice. If there is viral hepatitis as underlying cause then antiviral medications are required.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | |
What causes dizziness when i stand up?
I feel fuzzy every day this week. Feel faintish when standing/walking for more than 10 min. Even now just sitting my vision is slightly blurry. Only other symptoms I have is diarrhea. Pretty much every time I shit I get bad cramps and then very soft/watery poo. I can t even shop right now cause I always have to race back out to my truck to sit. I ve got blood work done but results aren t in yet. But the doc seemed to think it was nothing and to drink more fluid. Which I always do. They checked my blood pressure the first time and it was normal. Second time (next day when I got second opinion from other clinic) it was lower than normal. They ve also mentioned low blood sugar. But why wouldn t eating a chocolate bar help? Anyway, I m worried they won t see anything in the blood work. What the heck do I have? | As you say you have diarrhoea and detected to have low blood pressure. The dizziness which you feel in standing and walking may be near syncope episode. Loss of fluid from body in form of diarrhea can cause these syncope like episodes. you need to consult a gastroenterologist for your diarrhea. | |
What is the treatment for stomach pain in a child?
My 12 year old daughter has stomach pain for the last hour and a half. I have given her Pepto and nothing is helping. She can not stand up straight. I have a heating pad on her right now. The pain subsides, doesn't go away, then come on really bad! She has had a little diarhia. | Hi,From history it seems that she might be having acute gastro-enteritis giving this trouble.Give her antispasmodic medicine like Colimax or meftal spas, half tablet.Give her ofloxacilin, tinidazole combination type of medicine for 3 days.Give her plenty of fluids and ORS liquid.Give her light diet.Ok and take care. | |
What treatment other than IUI can one take azoospermia ?
my husband is suferring 4m azoospermia?we r trying from d last year bt got no result?doctor told to go for IUI treatment ,bt we dont want it. I want a child of my own husband plz help us we r helpless.we cannot spend so much 4 the treatment.plz help us.he got all the test done,thrice he did sperm analysis bt there was no spermatozoa found whereas his LH,FSH& PROLACTIN IS VERY HIGH | IUI is has a low chance of success at what sounds like 4 million sperm/microlitre level. Low LH, FSH indicate low testicular response to stimulation. High prolactin levels may signal an underlying thyroid abnormalitiy or my be medication related. Once these potential issues have been addressed, have your husband checked for Testicular Varicocoeles by a MALE infertility specialist... these often run in families and are frequently missed. Do your husbands testicles every retract to his abdominal wall??? If not varices may be an issue. IVF may ultimately be your only option. 50% of all fertility is male related. | |
What could cause an indent of 4-6 inches long on head?
hi i have recently noticed i have an indent on my head i am 50 and the top of my head has always been smooth. the indent is about 4-6 inches long and about the width of a pencil. is this normal or should i have it checked. I was diagnosed with Graves disease approx 3 years ago also. I am also having body aches/leg muscle tightness. | this type of complain as 4- 6 inch indent on head does not occur in myaesthenia gravis. this may be normal as beningn lesion, but thid is not related to graves disease. have you any history of head trauma.if history of trauma then it will improve soon, so nothing to worry. but if no history of truma then consult skin specialist . also you have ache and leg muscle tightness, this may occur in graves disease. please do thyroid profile and if abnormal report than consult physian | |
What can be the reason for a continuously sharp pain in the left area of my stomach ?
I have been feeling pain in my left area of my stomach for almost 3 days.It feels as if my intestine is twisted somewhere in there.I also can feel a pulse at that area.Why? | Hi Gretings from health care magic The severe pain on left side of stomach can be due to ureteric stone. please go for USG of whole abdomen. Take light diet, drink sufficient and plenty of water. Thank you | |
Want to conceive. On siphene 50mg. Should i take extra precautions while travelling before the ultrasound?
hi, i am not pregnent but wan to conceive my doctor advised me to take siphene 50mg and my first ultrasound for follicle monetry will be on 12 march,2012. i just wan to know if i have to take extra precautions while travelling before the ultrasound. Will travel on bumpy roads could affect the growth of egg or not ?? | Hi, Welcome to HCM, I do not think traveling on bumpy road will affect growth of follicle. You have to avoid traveling on bumpy road when you get pregnant. Ok and bye. | |
What could be the reason for frequent sneezing and runny nose?
Hi, I am from Pune. For last 1-2 years i have got some allergy problem. It starts sneezing and runny nose all of sudden. Couldn t figure it out so far that when and why it happnes. Initially it was once in a while. However, for last 2 months it is happening very often. Could you please suggest what kind of doctor / treatment i should go for.? | Hi, Iunderstand your concern regarding your skin problem and I hope I am able to help you in the same.You seem to be having an allergic tendency.Frequent sneezing, running nose and skin itching and frequent allergies are all part of the same spectrum.You need to continuously take good antihistamines to tide over the acute phase.I would advise you to see a physician or a dermatologist for the same.Hope it helpsDr Geetika Paul. | |
What causes infertility inspite of taking Duphaston and Fertyl?
HI,i am 28 years old and have been trying for pregnancy since last one year. i have taken fertyl 100 mg (day 2 to day 6) along with duphaston ( day 22 to day 26) for 3 continuous cycles and i have still not conceived...what could be the reasons ? i am diagonised with a poly cystic ovary 3 years back. what is the next step? | Hi welcome to healthcaremagic.I have gone through your question.You took these medicines but i would advise that they should be followed with follicular scan to see whether follicles are developing our not.Again i would advise to do histosalpingography HsG if not done to rule out any tubal blockages.And also make confirm that PCOD( polycystic ovarian disease) is not there as it's a prime cause for infertility.Make confirm that your husband has normal semen report, so if not done then get it done.Hope i answered your question.Would be happy to help you further.Take care. | |
Is jaundice curable?
sir,i m 26 yrs old. Few days before i have done blood test and came to know that i have hepatitis b.My reports are as follows S.BILIRUBIN-1.0,S.G.O.T.-119,S.G.P.T.-142,S.ALKALINE PHOSPHATE-252,HBsAg-POSITIVE,HbeAg-0.51,HbcAb IgM-0.21.In 2006 december I got JAUNDICE and my BILIRUBIN was 17.5.Now is it possible for me to get cured completely and lead a normal life? | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I canJaundice is usually sign of certain liver disease and high bilirubin value. Causes of jaundice vary from non-serious to potentially fatal. Levels of bilirubin in blood are normally below 1.0 mg/dL (17 µmol/L) and levels over 2-3 mg/dL (34-51 µmol/L) typically results in jaundice High bilirubin may be due to liver diseases such as cirrhosis or hepatitis, infections, medications, orblockage of the bile duct In the developed world the cause is more often blockage of the bile duct or medications. Blockage of the bile duct may occur due to gallstones, cancer, or pancreatitis. Medical imaging such as ultrasound is useful for detecting bile duct blockage.Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is present surgery is typically required, otherwise management is medical.[Medical management may involve treating infectious causes and stopping medication that could be contributing. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | |
What causes frequent urination and penis pain?
I am having to pee a lot. It also hurts a little as I am peeing, like something is blocking my urine. Inside the end of my penis hurts and I also notice that I also have a little pee on the end of my penis when I am done. I have not been sexually active in quite sometime. I also just got over C-Diff. Any thoughts? | DearWe understand your concernsI went through your details. Frequent urination, burning and obstructing sensation of the penis usually points towards urethra inflammation, calculi or other renal related problems. I suggest you to consult a physician if your problem is persistent. In the mean time, please drink lot of water.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. | |
Q. Is there any way to get amnesia through anti-epileptic medications?
Hi doctor,This is for my dad. He has epilepsy and is now 52 years old. Last Saturday, he went on his normal routine of getting ready but did not know what happened and he walked out of the house without any clothes. When we asked him if he was okay, he said yes. But after the whole episode, when we asked him if he knew what he did, he said no. We do think that his epilepsy is triggered by less sleep and the only medication he takes is Gabapentin. We think that he is getting depressed because he has a loss of appetite, loss of weight, slowness in activity, concentration problem and occasional mood swings. His current neurologist does not do anything and all he does is keep doing a blood test each time. | Hi. Thank you for your question. History of epilepsy and intermittent episodes of confusion with loss of memory of the episode (amnesia) is concerning for seizures. For the workup of seizures, he should get routine brain wave testing (EEG - electroencephalogram) or a long-term EEG monitoring to identify any abnormal brain discharges which can cause a seizure. Other things to look at it is head imaging like CT head or MRI brain (if not done already) as it is not uncommon for elderly patients to have blood collection around the brain (subdural hematoma) to present with altered awareness or confusion. I agree with blood tests as an initial test to look for metabolic encephalopathy due to deranged blood electrolytes level and body metabolites such as BUN (blood urea nitrogen), ammonia, etc. Please do not hesitate to reply if you have any other questions or concerns. | |
What causes swelling on the foot?
Yes...for about 5 months my left foot has been swollen on the top. It was not injured. It doesn t hurt...it just gets swollen and tight and by the end of the day the toes are all fat and swollen as well. I don t know what type of doctor I should see for this. I have RA & Psoratic Arthritis, but both have been in remission for several years and I am not an any medicines at this time. My Psoriasis has been flaring on my scalp, but nowhere else. I don t have a regular GP...so not sure where to start. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The pain in rheumatoid arthritis is typically painful, for that any type of arthritis is always painful unless you are on any painkillers. Since you don't have pain it can be a pedal edema which has numerous reasons. So I would suggest you to consult an internal medicine specialist and get a full physical examination done. Hope I have answered your query. Let me know if I can assist you further. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.