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Suggest alternative remedy for bilateral shoulder impingement in both shoulders
Hi Im a 42yr old fitter welder ,I was diagnosed with bilateral shoulder impingement in both shoulders as well as elbows with tendinitis both forearms ,Ive had shoulder surgery with little improvement in shoulders and no improvement in fore arms it has been 18 months since symptoms started. I m unable to work at the moment and near future ,do you fore see this will change or would the pain and tightness be a permanent thing. | Hi,Thank you for providing the brief history of you.As in my clinical experience, we do not find shoulder impingement cases to undergo surgery as the physical therapy has helped to the majority of patients. In shoulder impingement the ROM of the shoulder is restricted and regaining back through exercises is always possible, as research supports this as well. In case if you have undergone the surgery, than post surgery a better physical therapy rehabilitation plan has to be implemented for future goals. Incase if this is missed, you can start the post surgical shoulder rehabilitation program to get the shoulder functionality back.RegardsJay Indravadan Patel | |
What does the following blood test result indicate?
hi. my blood test are as follows, anything seem not correct? have been having test for a year but obviously do not understand them, esr 20 crp 17.6 Hb 13.7 mcv 90.1 wbc 5.8 neut 2.96 plats 243 alt 18 alp189 serum creatine 67 ana negative | Hi, dearI have gone through your question. I can understand your concern. Your esr and crp is high suggestive of some inflammatory disease. Your rest of yhe reports are almost normal. Your alp is high. You should search for inflammatory cause in your body and start anti inflammatory drugs accordingly. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Severe anxiety, nausea, low appetite with diagnosed RA having history of ocular stroke. Any thoughts?
I have recently been diagnosed with RA, and am on 400 mg of hydroxyxchloroquine...I have pains in my hand joints and wrists, and when I saw the dr I didn t tell him about all the pains I was having, not really understanding what was going on and I thought I was just soar from not doing yoga anymore. in the last few weeks since I saw the doc and started meds, I am having more pains in more places and more intensity, im also suffering from severe anxiety..,.not really understanding what is going on. I also have bowl problems and the pills are making me nauseated and appetite has changed a lot.. I was told to call and book an appointment for 3 months from now..should I call earlier and tell them whats goingon? I keep thinking because I am worrying maybe im just noticing little things I didn t before...I am not sure what to believe with all the blogs...its scaring me the rate that my body is changing. I am 31 years old/. ( also had a ocular stroke 2 yrs ago..lost left eye sight and im also scared to lose my vision with the meds and the effects...)...any tips, resources to read or advice? | Hi, welcome to Health care magic forum. It appears that you have hyper acidity due to the drugs you are using for the rheumatoid arthritis. Which in turn may cause the increase in pains. I advise you to consult your doctor for the sake of gastric hyper acidity, and relief. I usually advise to my patient with such symptoms neurotropic injections for 10 consecutive days, and then periodically. Avoid taking potato, other tubers, tomato, egg, chicken, and sea foods till you get the relief of pains. Wishing for a quick and complete recovery. | |
What causes severe foot and ankle cramps that radiates to stomach?
I have severe foot and ankle campsevery night. About an hr apart. Last night they were so severe that I became sick to my stomac as I could not put any weight on my foot at all. I even felt faint from the pain nd ended up lying on the floor for awhile. | Hi you have severe cramps in foot and ankle every night, sometimes so severe as to make you faint. In My opinion this kind of pain ( cramps) occur because of two possible causes- 1. Spinal canal Narrowing ( Spinal Canal Stenosis) 2. Osteoporosis. I suggest you start on pain killers , muscle relaxants and Get MRI + Bone Densitometry done. Rest of treatment will depend on reports. | |
Have pcod. Want to conceive. Taken clofert 100, mucomix, FSH injections and provigil 5000iu.
hello madam, i am 25year old n i have pcod . it ia 2years to my marriage n now m planing to concieve. i went to 2 gynecologist for consultant. last monnth on feb 20th i got my MC n folling that i took clofert 100 and mucomix. besides that gynec. given 9 injection of f.s.h 75ml. n on my 16th day she gave provigil 5000iu. n tld me to get personal contact with husband after 24hrs. that is i took injection in the night near 8pm n nxt day we contacted. n after 16 day my result was negative . my question is that other gynec. told me to have personal contact after 36 hrs.. so it is the timing problm or how many hrs within we should do. | Hi, Thank you for the query. treatment of infertility is a continuous process and both the partners should be investigated . A healthy sperm live in partner's genital tract for 72 hrs.,and the ovum lives for 24 hrs after follicle ruptures. It will always be better to get personal contact regularly in fertile period if the couple staying together in that period.Alternate day contact is also good enough.please discuss with you gynecologist and continue treatment. Hope you get the result soon . | |
Suggest treatment for painful lump on the buttocks
I have found a 2 lumps on my buttocks, it s inside my bum cheeks but near the perenium one of the lumps on the left and one on the right, they have been sore for days and I found my self struggling to walk tonight with it as they were rubbing off each other when I walk. The lumps are really hard and are slightly red, is this something I should be concerned about? | Hi.Thanks for your query.Most probably these are abscess developing out of the boils.I would advise you to take antibiotic and anti-inflammatory medicines. You have difficulty even on walking. Consult a Doctor and if the swellings are not subsiding, it would be wise to get the incision and drainage done for an early recovery. Keep the area clean with application of liquid Povidone Iodine. | |
What causes lower back pain going to the right ribs?
Hi, I am suffering from lower back pain going to my lower right ribs. I've undergone blood test, urinary test, whole abdominal ultrasound and even kidney xray but found nothing on it. Also lately i feel thirsty all the time. Is there any other kind of test that I need to undergo in order to determine the cause of this?. | Hello, I have studied your case. Due to compression of this nerve root there is pain in your ribThere is another possibility of costochondritisI will advise you to do MRI thoracic spine, HRCT [CHEST] and EMG- NCV [nerve conduction study]For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | |
Suggest treatment severe cough in a child
My son had a slight fever on Wednesday of last week, it seemed to be gone the next day, as he seemed much better as well. However, Sunday night he got a heavy flem-like cough that only lasts for 20-30 minutes but it made him vomit at the end of the night while he had fallen asleep. The cough gets bad while he s sleeping (for a short period of time), and I m not sure if he s swallowing the flem OR if there isn t much flem for him to spit. We gave him cough & cold syrup as of Sunday & gave him fever reducing Advil syrup as of yesterday. Should we keep doing the same or should we be addressing something else? | Hi...Greetings form chennai..By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a paediatric pulmonologist who is near your place.Regards - Dr. Sumanth | |
What could cause a teenager to have instability, headaches, nausea and severe noise in ears?
I am only 17 years old and i have been having bloody noises ,light head, feeling like im going to get sick and i have been really shaky and whenever i walk. I have also had really bad headaches were everything just bugs me and makes everything worse what could this be? | Hi,Thank you for posting your query.I have noted your symptoms. The most likely possibility in your case could be migraine. In migraine, one can have headache, nausea, vomiting, dizziness, lightheadedness, etc.Symptoms may repeat at frequent intervals.In addiiton, we need to exclude vitamin B12 and vitamin D deficiency. You should consult a neurologist for detailed evaluation.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Suggest treatment for fibromyalgia
I m 28 and I just noticed very large, bulging dark green veins running completely across both breasts. I m not sexually active. I ve had extreme weight gain due to my birth control implant 2 years ago. I stopped taking it about a year ago. I have fibromyalgia. That s all. Why do I suddenly have these veins? They weren t there a couple weeks ago. | dermatologic conditions are hard to discuss without seeing them. Mostly though, these are normal and are due to either the veins getting bigger or the skin over them gettign thinner (common with weight loss and/or smoking). | |
Do Ecosprin and Enoxaparin help my baby gain weight during pregnancy?
Hello Doctor! I am 36 years old and 23 weeks pregnant. my doctor says baby weight is not up to the mark and is around 250grams and lag of 3 weeks. Doctor prescribed me Argiprime sachets 2 per day, ecosprin 75 and Enoxaparin Injection 40MG 1 per day. I have been continuing shelcal HD 12, Orofer-XT. My EDD is on 18/12/17. Will these medicines help my baby gain the required weight before I go for labour? | hello dear,i can understand your concern regarding your baby's health.Ecosprin and Enoxaparin cannot cause weight gain of baby directly but they actually prevent yours baby growth retardation.they prevent thrombosis and hence improves placental perfusion.in other words your baby will have appropriate nutrition and it will grow well.the other things which you can try;-1.adequate bed rest2.avoid sternous excercise33.addition of seasonal fruits in your diet. | |
Q. What can cause waxy buildup on the roots of hair?
Hello doctor, I am an 18 year old female. For the past two years, I have had this waxy buildup only on the roots of my hair. It feels sticky, oily and stiff. None of the shampoo I have tried has fixed it. The problem goes away a couple of days after I dye my roots. I am wondering if there may be a problem with my scalp. Please help. | Hi. I have seen your query and concern. Oily skin and excess sebum secretion. 1. Seborrheic capitis. 2. Tinea capitis. Seborrheic capitis. I would suggest you Sebowash (Fluocinolone) shampoo twice weekly. It has to be applied on scalp and left for 15 minutes before you wash. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You should not apply hair oil. You can use conditioner and shampooing regularly rest of the day. Revert back after a month to a dermatologist online.---> | |
What causes severe pain in left knee behind the kneecap?
I fractured my right ankle playing volleyball about 6 years ago. I had a surgery following the injury due to scar tissue on top of same ankle. Six years later, I have severe pain in left knee behind the knee cap on back of my leg because of favoring the right ankle. I never felt like the arch healed properly. I don t know what else I need to do. I have gained weight because both legs hurt by end of my workday. I m a teacher. I no longer am able to play sports and just want answers! | Hello, It is necessary consulting with an orthopedist for a physical exam. Some tests are necessary too: - a right ankle MRI test - vitamin D and calcium plasma levels - nerve conduction studies - a Doppler ultrasound of the leg vessels. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
What causes sore lump under the stretch mark?
Hi i have a lump under my stretchmark which i thought was a boil or spot of some kind. It started to get irritating so I tried to pop it. A clear substance accompanied by a bit of blood came out but now it is bigger and even more sore. Can you help in any way? | Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns.Cause of the sore lump under stretch mark-In my opinion the lump under stretch mark is mostly due to bruise on the stretch mark, with bleeding under the skin with hematoma.As you poked it, more trauma lead to more hematoma with more soreness of the lump with increase in size.So please avoid poking that lump.Tab anti-inflammatory and antibiotics under cover of ER doctor would resolve the lump and soreness in 5 days time.Consult ER Surgeon if the lump grows and trouble increases.Consult your ER Surgeon if need be , who would treat it accordingly.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N. | |
Does color rise in hair of a cancer patient cause any side effect?
I am a nurse educator at a cancer center, and have a patient who is receiving Folfox. Although she has not lost her hair, it has thinned. She did ask about using a hair dye, and we advised against it. What about a color rinse. Would this still be considered in the same category, and cause undo side effects. I was unsure. Thank You | Hello, I don't think there is any harm in using a hair dye or color rinse in a patient with cancer. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kakkar S., Dermatologist | |
Teenager. Detected sludge in gallbladder, swelling in pancreas. Due for surgery. On painkillers, no appetite, difficulty in digestion. Help
my daughter age 15 had swelling in pancreas and later we found that she had sludge in gall . we admitted her to hospital the discharge her after giving some anti biotic and some pain killer injection, and they said after swelling is gone we will remove gall by surgery. Now she feel pain almost 24 hours sometime it reduces with painkiller sometime it is very high. she dont feel like eating and cant digest also. now she started talking other medicine of gastro doctor but no releif yet. what we should do. | HelloIt seems your daughter is suffering from gall bladder stone induced pancreatitis. Though surgery is indicated for this condition as the cause for pancreatitis are gall stones, one needs to investigate properly as gallbladder stones are not very common in teenagers. In pancreatitis it gets difficult for the body to digest food and the patient suffers from pain. You need to avoid giving anything oily or rich in fat to your daughter. Encourage her to take non spicy food and lot's of fluids. Avoid keeping her hungry for long, encourage her to take small frequent meals like 5 times a day.After proper blood investigations to rule out any other cause for gallbladder stones you should opt for surgery.Wishing her a speedy recoveryRegardsDr. Gaurav | |
Cause of similar symptoms before gall bladder removal few years after the removal?
I didn t know this site existed. :) My question is that I had my gallbladder removed a few years ago and now I m having similar symptoms to what I had before removal, this many years later. Is this possible? If it was something to do with my liver ducts now wouldn t that have happened shortly after surgery? | Dear Friend.Welcome to HCM.i am here to help you.Post Gall bladder removal you can have dyspepsia , as a result of Acid peptic disease.I would advise you to get a repeat USG to look for :1. CBD stone2. Pancreas.I also advise you to avoid fat as much as possible in diet.Also , you may take drugs like Pantoprazole with Domperidone for symptomatic relief.Stay Healthy. | |
Is it normal to bleed after taking BC pills and have period like cramping?
Hi, my period just ended last Sunday Dec 29th, two days later I had unprotected sex about 40hours later I took plan b which was on Jan 1, after I took it I started having stomach cramps then 5 days after I started bleeding heavily and having period like symptoms today is the second day and I am still bleeding and having cramps is this normal? Thank You | after taking birth control pill..sometimes bleeding may occur although it is not a common side effect unexpectedly...as it happened with you...u can visit your gynecologist for taking meftal spas for cramps...and cbc n follow up if bleeding doesnot stop... | |
What causes periventricular leukomalacia in a child?
19 months baby, with low birth and hasn t cried after the birth, in the last four months of time he had 3 episodes of febrile convulsions and today he had an convulsion with no fever, lst time when diagonised in CT sacn it shown as PERIVENTRICULAR LEUKOMALACIA? would like to know what might be the problem for my child | Hi... by what you say I feel that your child is having periventricular leukomalacia which means the lining around the fluid content of the brain is having a pathology, which is leading to this particular problem of seizures or fits without fever. He requires further evaluation and an MRI brain along with anti seizure medication.Based on his motor development and neurological evaluation he might even require physiotherapy.Regards - Dr. Sumanth | |
Can high prolactin and dysmenorrhea cause infertility ?
pls help me i need your answers.. i want to become pregnant .. Inabilty to conceive bcoz i have a dysmenorrhea every month.. i have also irreg periods.. sometimes 26.28.30 n 31..before i had a problem i took vit e which i didnt know that its not good for me i was delayed for 2 weeks thats why i really thought that I was pregnant but i had few test its still neg after that i had menstruation..what is the cause of higher prolactin?is that the prob thats why we cant conceive?pls reply..thanks! | Hi welcome to healtcare magic Dysmenorrhea doesnot cause infertility.. there are many causes for high prolactin.. main cause is prolactinoma.. but this will not be in your case.. recurrent RTI can lead to infertility... you needed to be clinically evaluated.. | |
How long after quitting smoking fertility returns to normal?
My husband and I have been trying to get pregnant for 1year and half. I quit smoking 3 weeks ago, I have smoked for about 10 years. I was wondering how long it takes for your fertility to go back to normal or if it ever does? This is my last month I can take Clomid before we have to go to a Fertiliy Dr. | hai,i appreciate for quitting smoking.Normally after quitting smoking 3 to 4 month will need to get regularize and healthy ovum from ovulation. In addition to that you should follow a healthy food habit,lifestyle etc. along with the medication.follow the below advise:Add fig,dates,pomegranate, green leafy vegetables,ragi,folic acid containing fruits and vegetables..Take foods like Almond,cashew, in your daily food intake.take wheat,urad dal,and dal prepared with ghee. take diary product like milk,yogurt,cheese,butter etc. Avoid alcohol,fried,junk foods and caffeinated drinks.take 4 to 5litre of water.do walk for 3 to 4 kilometer.sound sleep advised.Follow it for 2 to 3 months and get opinion from a infertility specialist.thank youhope i answered your query. | |
What causes abdominal pain and steatorrhea?
I had a Whipple 3 years ago, for a benign cyst on duodenum. I still experience abdominal pain and steattorrhea, frequently. Now I am having only dark green stool. Currently taking Creon 24000, two wth every meal. I'vehad ct scans and scopes done, but they don't know what's wrong. What do you think? | Hi.Thanks for your query.Your history of Whipple's note. This is the reason for steatorrhoea. It looks that you have developed IBS thereby the action of Creon is not sufficient. You may have to take a tablet to reduce the motility and the problem may be solved. This may be the same reason you have pain in abdomen and the tests are so negative. Just get the following tests done to add on for a diagnosis. ::::Enteroclysis on a fluroscopy machine to see the motility , obstruction , kinking and related problems. | |
What causes cloudy urine with rectal bleeding?
My toddler has cloudy urine, I noticed it last night when he went to the toilet on his potty. When I cleaned his potty after he had been to the toilet it looked like wee with blood on the toilet roll. However, he is not complaining of pain. What should I do?? | You need to consult doctor and ask for investigations like urine examination, stool examination, CBC etc.Cloudy urine may be caused due to urinary infection, proteinuria, stones, hematuria etc. | |
Are there any medicines to control anger?
I am a 22 year old girl.i jst get angry on a small thing.i try to overcome with this habit.but m nt able to control it ! Small matter turns into a big issue due to my short temper habit.i need some suggestion.is there any medicine which can control it??? Plz help me out ! | HiThanks for using healthcare magicAnger may be part of your personality. In that case, you need anger management which include change the topic which make on angry, drink water if you get angry, try to speak in alone to get frustration out of mind, do relaxation exercise that would keep you calm. In medicine, you can try oxecarbamazepine after psychiatrist consultation.Thanks | |
What causes sore lump below my collarbone?
hello . my shoulder feels like i have pulled it , same time as this caused me discomfort i found the tiniest lump just below my collarbone feels like a bruise when touched . its on the same side as my bad shoulder are these conected and what are they x | Hi,Dear,Thanks for your query to HCM virtual Clinic.I studied your query in all the details put forth by you.I understood your health concerns.Cause of the health problems you queried-There are many causes of the lump below your collar bone.Its sore to touch and is with history of pulled shoulderCause in your case-With the above data,you seem to suffer from--Coraco-clavicular ligamental contusion with shoulder pull.The lump and the bruise is due to the shoulder pull causing coracoid trauma by the pull.-Possibility of coracoid fracture also needs to be ruled by Xray of the shoulder part.-Other possibilities of acromioclavicular associated trauma needs to be ruled out,as it could be missed.Hence would advise you to consult ER OrthoSurgeon , who would rule out other causes of such a lump and would help you out with the fist hand information.So take his Second Opinion, on the above suggestion,as he would advise you with fist hand clinical information.Hope this would resolve your query with full satisfaction.Welcome for any further query in this regard to ME by direct question at HCM.Write excellent review and hit thanks, to narrate your experience ,which would improve my rating for many other visitor's to HCM.Wishing you fast recovery.Have a good day.Dr.Savaskar M.N.Senior Surgical Consultant.M.S.Genl-CVTS | |
Suggest treatment for sore forearm after workout
I went to the gym Monday and did an arm workout. It was the first time I have been to the gym in a while but I didn t push myself extremely hard. Well there was a little soreness Tuesday but today its extremely bad. It hurts so bad I can t even straighten my arms. The left arm is significantly worse than the right bit they are both really bad. The pain is in the forearm area. Any help would be greatly appreciated. | HiHope this msg finds you in good health.I have gone thru ur msg & understand ur concern. apply local gel..hot fomentation. compression bandage. analgesics and anti inflammatory tablets will helpFeel free to ask me a FOLLOW UP QUERY anytime.Take care.God bless. | |
What causes shortness of breath after a chest infection?
Hi Andrew,I was at the doctor last week and was prescribed antibiotic for chest infection.I have taken the course. My chest infection has cleared up but I am short breath and extremely tired with pains in my muscles.should I go back or just rest for a couple more days.appreciate your comments. Thanks, Michael | Thanks for your question on HCM. In my opinion you are having post infectious bronchitis. Bronchitis is inflammation of larger airways. And it is very common after chest (lung) Infection. So better to consult pulmonologist and get done PFT ( Pulmonary Function Test ) to rule out bronchitis. PFT is needed not only to diagnose bronchitis but can also tell about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilators and antihistamine drugs. So consult pulmonologist and discuss all these. | |
Is there any treatment for hernia other than surgery?
i have two sergical hernia's on next to my belly button and one in my groin that aparently is tearing more about the size of a cantalope with a base ball protuding from it. is there any other way than surgery to heal it. Ive been wearing this belt thing sence my last surgery in 08, ended up in er cause i could'nt move, said it was tearing, folowed by them sending me home after telling me i needed surgery but they would not do it until i had quit smoking for six weeks. I threw up and had horrible diahrrhea for seven days after. | Hi there, thank you for posting your query on healthcaremagic.You seem to have a strong tendency to hernia's i can understand the pain you are passing through. Sadly there isn't any treatment for hernia apart from surgery, medicines or no other alternative system of medicine have treatment for the same.Make up your mind for surgery as it would help in a longer run for a better lifestyle.Moreover Hernia's if untreated lead to complications like Inflammation, Strangulation, Obstruction, etc. Thanks & Regards,Dr. Kunal Lokare | |
Ultrasound showed cyst in kidney. What is no intravesical echoes seen?
The right kidney measures 11.4 x 5.5 cm. the corticomedullary thickness is 1.3 cm. left kidney measures 10.3 cm x 5.1 cm the corticomedullary thickness is 1.2 cm... What is no intravesical echoes seen? A cyst measuring 1.4 x 1.5 x 1.5 cm (previous exam 1.75 x 1.42 x 1.41 cm) is noted in the inferior pole. please advise. thank you so much.. Also my prostate gland measures 6.1 x 6.9 x 5.2cm. it weighs 117 gram (previous is 171.52 grams) my email: < YYYY@YYYY > | Hellowelcome to health care magicYou didn't mention about the symptoms you have?age?You just mentioned about the presence of cyst in the inferior pole of kidney..and also about the enlargement of prostate gland...Do you have any difficulties during urination..?or observing the blood in urine?Consult urologist for further suggestionsThank youDr.siddartha | |
Suggest treatment for restless leg syndrome
I have had restless leg syndrome for over 20 years. I had been treated by a neurologist in the past but he moved out of state so my primary care physician just continued to refill my prescriptions for me. Recently the RX doesn t seem to be working as well unless I up the dosage. I concerned this isn t the best solution and feel I should have an evaluation and need to find a doctor. Is a neurologist the best choice? | hi,as mentioned by you about the restless leg syndrome, little description will help you understand how the medicine works and what can be the long run story of it.As medicine will act as a symptomatic relief, since the principle is to work on the PAIN GATE THEORY, and it will surely help you.Also to understand here is any pain killer on a long run will not be good as it may damage the kidneys and later pain killer will be contra-indicated in your case.As you mentioned about the Restless leg syndrome, reaching close to the root of the cause will be insightful. There are three test which will help to us to help you better with low dosage of medicine. The first test if - EMG, NCV and MRI of lumbar spine.The nerves provides both - the sensory and the motor signals. When the nerve is having disruption in its course it may give the sensory and motor dysfunction.Performing regular exercises for the core, pelvic floor, spine strengthening, hip muscle strengthening and lower limbs strengthening will be advisedAs i have been dealing with many cases of RLS, and all responds well to the therapy with combination of the Medication and exercise. You can discuss the same with your current physician.RegardsJay Indravadan Patel | |
Suggest medicine for abdominal pain
Abdominal pain and othersI have quite painful abdominal pain in my right side between my hip and navel. It's mainly wheb ai walk.butbut is really bad. Also, ive had vagonal discharge for a few years now and my gynocologist said because im not sexually active there is no.obvious reason. He suggested an internal which i.refused. It happens everyday and is a yellowish colour. its not my bladder but im only 17. a few months ago i went in to the emergency department for severe abdominal pain. Because i had my period they reckoned it.was cysts bursting.on my ovaries. but no tests were done | HI.The best way is to get a clinical diagnosis by a Gastroenterologist / Surgeon and undergo the tests as advised like CT scan and so on .Your history is more suggestive of appendicitis or pelvis inflammatory disease.You may have t undergo a course of proper antibiotic course and then decide what next as per response of the treatment and the findings on CT | |
Suggest treatment for bruised gums from falling
My son fell and hit the side of his face on the floor. There was no bleeding, but there is a huge bump on his gums on the side that he fell on. The bump hurts to touch, but otherwise isn't painful; just very swollen. Does he need to see a dentist about this? | Hi..Can understand your concern..As per your complain swelling and bruising of gums after injury can happen due to inflammation caused due to injury..It may also be due to internal bleeding due to rupture of blood vessels causing bruising and lump formation..It may also be associated with fracture of the jaw bone if there is difficulty in opening and closing of mouth and pain .I would suggest you to take your son to a dentist to get him ruled out for the cause of him signs and symptoms..The dentist will take desired x rays and clinical examination to give correct diagnosis and treatment can be planned..Till the time you can give him cold packs by wrapping ice in a cloth and placing intermittently over the affected area..In case of pain painkiller in child doses can be given..But you should visit a dentist soon..Hope your query is solved..Thanks and regards..Dr.Honey Nandwani Arora. | |
Is tender, painful lump on middle finger with severe pain in back and elbow while having tendonitis in shoulders and elbow related?
I had a bad pain in my left hand, a couple days later I noticed a tender lump on my middle finger in between the knuckle and middle joint. I also have bad bouts of pain in my back, tennis elbow, and have had tendonitis in my shoulder and other elbow. Is this all related? | Hi..I would like to clarify that these injuries what you have like back...shoulder elbow and hand may not be related directly to each other while they might cause due to oveuse and get compensation, leading to injuries if one joint is not working as or its range and capacity....I suggest you to kindly get it treated at the earliest to avoid any long term complications.. as we need to ascertain these issues are mechanical problems or due to some hormonal or abnormal metabolism...I suggest you to kindly ice up your joints frequently..Dont strain your joints too much..Support your back to maintain posture...Kindly fix up your appointments with a orthopaedic doctor for a check up.Hope this is helpful for you...Kindly revert back in case you need any further clarification... | |
What causes low hemoglobin level?
HI, I'm a 28 yr old woman. I recently went to skin specialist for treatment of acne. The doctor suggested some blood/urine test. In the test the haemoglobin level shows as low at 11.7; ESR - 56; testesterone value -120. Urine appearance as turbid, bacteria-present, Pus cells - 20-25/HPF, Epithelial cells -6-8/HPF. Request your rough diagnosis | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. You are suffering from urinary tract infection with mild anemia. 2. You need to get a urine culture and sensitivity test to identify the type antibiotics needed for treatment.3. Get a hemogram done to identify the type of anemia. Start on iron and Vit B12 therapy. Testosterone is increased and possibly the cause of acne and needs to reduced. Eat nutritiously with less oilHope it helps.Any further queries, happy to help again. | |
What causes difficulty is retracting the penis during an intercourse?
according to what i have generally seen or heard, the front skin of the penis can be retracted during intercourse much easily. in my case skin remains there. to pull it back it requires more pressure & yet it pains. is it ok? can i have a normal intercourse with this? | Hello, Penis foreskin is supposed to be retracted while you have sexual intercourse. At least foreskin should be movable back and forth. If it don't, you may experience pain during intercourse. Therefore, the best option is try to retract the foreskin with the help of oil massage. Further you can go for a simple surgical method called circumcision. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | |
Suggest remedy for oral thrush with tongue soreness
hello. I think I may have a case of oral thrush from using dulara 2 puffs 2 times per day. tongue is sore, some cracks and bumps plus some white film. looks like photos online. is there anything I can try at home e.g. salt gargle, or does it require a prescription fungal medicine to get rid of it? | Hi Dear,Understanding your concern. As per your query you have symptoms of oral thrush with tongue soreness which seems to be due to fungal infection due to poor immunity which remains persistent and leading to formation of thick white layer in oral cavity and its surfaces. Need not to worry. I would suggest you to maintain complete oral hygiene and visit oral pathologist once if symptoms keeps on persisting and start treatment after prescription. Go for biopsy of lesions if symptoms keeps on persisting. Avoid sharp, hot and spicy foods. Take Amphotericin B and maintain complete oral hygiene. Avoid stress and take Probiotics like Yoghurt in diet.Hope your concern has been resolved.Get Well Soon.Best Wishes,Harry Maheshwari | |
Have multiple myeloma. Taken Bortezomib and thalidomide. Done serum electrophoresis. Body pain, fever and weakness. Why?
Hello Sir/Madam, My Mother was Diagnoised with Multiple Myeloma two months back. Her Plasma Cell was 40%. Her Microglobulin level was 2170 & albumin was 2.51 With M Spike. After diagnoising, Treatement was started with Bortezomib with Decamax. She has Received Two Cycles of bortezomib in two months. She has taken Thalidomide for 10 days & beacuase of Severe constipation our Doctor has asked to stop taking thalidomide. Last week we have gone for the Serum Electrophoresis report again & this time her Albumin was 2.55 & Beta 2 Microglobulin was 2387 and here total protein was dropped to 5.5 also M-Spike was absent in the report. Currently her Complete blood picture is normal. Our Doctor has given her linezolid 600mg last week as she had got some infections. After taking the tablets she is getting severe body pains, mild fever & weakness. Please Advise why it is happening. | Hi, you should mention age of your mother. probably she is a bone marrow transplant candidate so doctors have decided to put her on bort/thal. these type of drugs may be associated with some myelosuppression. infection is common. antibiotics are prescribed. now bone pain may be due to skeletal involvement. skeletal survey needed. consult your oncologist. | |
Red lump behind two front teeth. Consult Dentist?
Hi, I have a red lump behind my two front teeth on the roof of my mouth and sort of growing on the teeth behind (best description I can give), and it is slightly painful ( I had hot pizza last night which inflamed it). It has been about 2 weeks and hasn't gone away. I don't have dental insurance so I don't want to go to the dentist unless necessary. I floss and brush and have white straight teeth. | HiI think since you says that you have pain and you have about 2 weeks with that lesion you must go to your dentist because mabye is a deecay tooth or is just a truama from hot pizza.Anyway is necessary to examination your dentist the teeth. | |
Suggest treatment for chronic diarrhea in a 1 year old baby
Hi, My boy is 1 years old and has been having diarrhea since 25th April. We went to a pediatrician yesterday but the diarrhea has not stopped after taking the medicine 3 times since then. Should I seek another doctor advice ? What food should he avoid ? Thank you very much. Yours Sincerely, Kwan Wee Sim | Hi,Thank you for asking question on health care magic.If the child is having diarrhea continuously for more than 3 weeks along with malnutrition and weight loss, it is called chronic diarrhea.Better consult a pediatritian for thorough investigation and treatment under his supervision.Some times he may need hospital admission.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | |
Suggest treatment for ligamental joint pain
My husband has been experiencing bilateral generalized ligamental joint pain and stiffness lupus and ANA negative . The best way he describes it, is that it just hurts, even to get out of bed and get dressed in the morning. These symptoms have just occurred over the past 6-8 weeks or so. He gets some relief with NSAIDS but not entirely. He complains of a lot of his discomfort in his hips and in the groin area. | hi,thank-you for providing the brief history of your husband.As he has a pain, and on medication, which helps him to get ease of pain, he should try undergoing physical therapy for strengthening the muscles and a non-invasive way of handling pain by Therapeutic ultrasound therapy and TENS therapy.Usually patients in my clinic respond well once the physical therapy is initiated and muscles are Strengthened.RegardsJay Indravadan Patel | |
Is confusion and delirium a sign of a seizure and can it reoccur?
my husband was just released from ER stating he had a seizure and they gave him keppra, and took his driverslicense as well.. He has not had a seizure in 7 years he used to take Dilantin and then change to tompimax. but then was taken off because he had not had a issues and now here were are 7 years later in the hosp again. This time they found him on the job site, was dazed and confused but seem s to be okay. Why does this happen? and do I really know it was a seizure labs and CT came back normal? | Hello ma'am.... I am a neurologist. Yes confusion and delirium are signs of seizure...and it might recur if non compliance to drug or low dose of drugs...One thing he developed sudden onset of altered sensorium.... two possibilities...one is Seizure and second is stroke... CT is normal but it is like poor visual quality go for MRI Brain...and if it is normal then go for EEG....byt after all negative also you have to continue Keppra as seizure disorder do not have any 100% confirmatory diagnostic test. | |
What is the meaning of increased echogenicity in liver?
i have done the sonography it says liver is normal in size and shows generalised increased echogenicity of parenchyma all other reports are normal and i also dont consume alchol and usually take veg diet i am an indian national plz suggest what does it mean and what is the cure of it | Hi thanks for asking question.Noted increased echogenicity of liver perenchyma.The possibility could be non alcoholic fatty liver by obesity like causes.It could be by hepatitis and sometime cirrhosis like cause.Here you need is to do liver function tests.According to which treatment can be guided.Sometimes increased echogenicity could be by glycogen storage disease or hemochromatosis like condition.If you have symptoms and no cause clear then biopsy can be taken.If liver function test abnornal then just follow few instructions like....-Avoid trans fat-fruits and green leafy veg-Avoid refined food-regular exercise-Avoid smoking-omega 3 fatty acid oil helpful like olive or sunflower like oil-Avoid cheese, meat, butter, chips etc.Repeat USG and liver function test after approx.month and after following above measures.I hope your concern has solved.Dr.parth | |
Suggest methods to improve memory power
Dear doctor i am using voxidep 50 from last 5 months,i am a very intelligent man an engineer(b.tech ) electrical working in electricity board.30 yr,male,i am under the treatment of a psychiartrist from 1 year.my main problem is very low memory i do all works correctly but my brain is slow.say the usage and side effects of the tab.i do any activities like mad.my doctor does not correctly diagnose me.my doubt is ,is it is a mental or neuro problem. | DearWe understand your concernsI went through your details. I suggest you not to worry much. I do not think that you have these problems. Anyway answer these questions and come back to me.What was the movie you last saw?If you see an interesting movie, will you be able to remember the story?Do you remember any story of any movie which you saw earlier?Ever forget to eat food at the right time?Ever forget anything urgent related to job?If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
What causes burning sensation in the kidney?
I have had over several months a burning sensation in my left kidney......no other symptoms of burning while urinating, or pain. The last few day it is constant and can be relieved by a cold compress. I am on antibiotic for bronchitis . Is this serious? YYYY@YYYY | Good Evening,Thanks for give information,According to burning sensation symptoms in kidney,might be kidney stones,or pyelonphritis(kidney infection)you need to Ultrasound investigationsUrine analysisCBCkindly consult with urologistThanks for consult Regards, Dr,Naeem. MD | |
Suggest treatment for cough and chest congestion
I had a bad cough and some congestion and went to the Dr on Wednesday, (walk in place, not my regular doc). She said i had bronchitis and sinusitis and gave me clarythromicin and Nasonex (using the Nasonex sparingly). My cough is better, not completely but bertter, but i feel like crap, and tonight am running a fever of 99.5-99.7 (orally) This is after being on antibiotics for 3 full days. Shouldn't the pills have made me feel better by now? And why would i develop a fever NOW? And lastly, i read that 90% of bronchitis is viral, so antibiotics won't work. How did she diagnose me as bacterial with no blood tests - just listned to my chest and looked in my throat ? (she said the throat was not red but one of my ears was. I still have some cough and feel a bit wheezy in my chest. I am 59, male | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* Guidelines for your doubts - Require additional intake of decongestants , anti pyretics for better relief- Fever may run along with antibiotics too .- Many times doctor prescribes antibiotics for prophylaxis to prevent secondary infection .- Viral infections do take time to recover .- Along with medicines , deep breathing exercises , YOGA , gargles with salted lukewarm water added peppermint oil recovers faster .- Avoid smoking ,alcohol , exposure to dust , pollens .Hope this will help to clear your doubt .Wishing you fine recovery .Always feel free for further doubts .Regards . | |
Does nerve damage caused by a neck fracture cause swelling in the legs?
My husband had an accident almost a year ago and broke his neck. Nerve damage was the result. Now he has swelling and blueness in his left leg with some pain on the back side, vomiting without warning, decreased appetite, sleepy all the time. Is this normal side effects of a broken neck? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Neck injury doesn’t cause pain and swelling on the foot. If symptoms are persistent, you can consult a physician and get evaluated. Wishing you good health. Thanks. | |
Suggest remedy for cough,nausea and headache after inhaling smoke from a fire accident
about an hour ago I breathed in smoke for about 10-15 min. in an almost out of control fire ( we put it out). immediately after the fire I began coughing up black mucus. since then my lungs and throat feel like they are burning, when I try to speak more than a few words I begin coughing up a creamy white mucus. I have a headache and am nauseated. When I move around i become dizzy. Should I go to the ER or will the symptoms pass over time? | You should go to the ER given the symptoms you have of headache and nausea, which can be indicative of carbon monoxide toxicity, which can be serious. The smoke likely irritated your airways and caused irritative bronchitis. | |
Q. Can I use Kojivit gel to get fair skin?
Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. | Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> | |
How to treat stage 4 cancer?
Brother has stage 4 cancer in small intestines. Tried to remove with surgery, did not work. To weak for chemo Now the Dr.s say there nothing else they can do. Advised us to contact hospice. Brother wants to fight for his life. Has lots of family support. Do you recommend hospice. or wait to see if he gets stronger by eating , and then get chemo | Dear,Chemo also works only if patient is in fit condition to receive it. If he is literally very week and if he is not able to take of his own orally it is better to hospitalize him for parentral nutrition therapy and subsequent chemotherapy. In stage four chemotherapy, conventional or targetted is the only option of treatment.Truly,Dr. J. Ticku | |
Undergoing dialysis twice a week. Any other option other than going for transplantation?
hi i m 27 years old married female , undergoing dialysis from dec twice a week do i have any other option then going fr transplant | hi manali, dialysis is an option to get rid of ur waste in the blood. there are different modalities of dialysis. you can consider them if u r present dialysis program is not good. transplantation is other option but there are lot of things before u get a transplanted kidney. u need to see a transplant nephrologist ( not a transplant surgeon) to get this checked out. you are young and u might be a good candidate for it...let me know how things went | |
What causes leg pain when suffering from high BP?
I am a cardio patient with a previous MI and by-pass surgery. Currently being treated for recent elevated BP. Over the last 24 months, I ve been experiencing leg pain, An angiogram shows a blockage in each leg. I m scheduled for leg stints next month. Will this reduce my elevated BP? | Hello , What you have is generalised atherosclerosis,Like the narrowing of the arteries of the heart due to plaque caused the attack , narrowing of the leg arteries caused the leg pain . Stenting the arteries would help relieve the leg pain particularly on walking. also in future it would help prevent gangrene which could happen because of decrease in blood supply to the leg . It's contribution to blood pressure is not direct and hence should not be the reason for putting the stents . Regards Dr. Mody | |
Suggest solution for proper functioning of kidney
My wife had appendiceal cancer. She had CRS and Hipec surgery followed by traditional chemo. She has done very well except for some pain in her abdomen that seems to get a bit worse. Pet scan show some shadows around the kidneys and we are have a CT scan tomorrow. They told her that her kidneys weren't functioning perfectly before and appears that they aren't functioning quite right now either. Was wondering what your thoughts were. Thank you | Hello and welcome to H.C.M.As an Urologist, i can understand your anxiety.If PET scan is showing some shadows around kidneys, spread is possible. If kidneys are not functioning well,CT scan is contra-indicated. MRU is done.Her creatinine will show exactly,the function of kidneys.With kidney failure,chemotherapy also is problematic.Surgery, if considered, is high risk.You may send the MRU scan reports, as a direct question to me,for opinion.Dr.Matthew J.Mangat. | |
Suggest treatment for breast cancer
MY DAUGHTER HAS ALL THE SYMPTOMS OF BREAST CANCER BUT DOES T HAVE ANY HEALTH INSURANCE AND IT DOWN TO ONE DAY A WEEK AT HER PRESENT JOB. SO SHE NEEDS SOMETHING REALLY CHEAP OR FREE. WE LIVE IN ALABAMA. SHE REALLY NEEDS TO BE CHECKED OUT. CAN YOU HELP HER? | Hi, dearI have gone through your question. I can understand your concern.First of all she should go for fine needle aspiration cytology or biopsy to confirm the diagnosis. Treatment depends on stage of cancer. She should go for mammography also. If it is cancer then she should take chemotherapy. Then she should go for surgery. Modified radical mastectomy with lymphnode dissection is the treatment of choice for surgery. She should also go for her ER, PR and her2neu status. If this receptors are positive then receptor antagonist therapy is helpful. Consult your doctor and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
How to treat neck pain?
Hi doc,I'm having a really bad pain in my neck, particularly in the upper half connect the lower part of the head. I recently went to the doctor and was informed that I had acute muscle spasm. I have been taking medicines for the ladt few days but the pain hasn't subsided yet. It hurts even more after I go out for a drive. Could you tell me whats the best way to get rid of it? | Hi...Your neck pain is due to reduced mobility in your neck vertebra...This could be caused due to poor posture and imbalance of muscles...Don't worry..I suggest you to kindly do..Lot of icing frequently...maintain posture...support your neck while sleeping...Gentle massage over neck muscles...Gentle stretching of neck muscles...continue anti inflammatory medications as per prescription....Support your neck with soft collar while travelling...once pain subsides you can start with chin tucking exercises...Neck isometric exercises for back and side neck muscles...Hope this is helpful for you...Kindly revert back in case you need any further help in this regard | |
What is the treatment for hair fall?
Hello doctor,I am 29 years old and have hairfall sice 3-4 years.Is fenpecia and tugain 10 safe to use and if used for long time will it have any sideffects.And there are also some feedbacks in thw websites that if we discontinue finpecia the hair grown in that period will be falling again.My doctor has recommended this to take for 3 years.Please suggest . | Hello and welcome to HCMFirstly, you should know the possible cause for your hair fall, and we need to correct the same. Genetic or male pattern balding is most common. Stress and unhealthy diet causes deficiency in the body, and therefore causes hair to fall and become unhealthy, and makes the growth slow. It will take time and good treatment for new hair growth.It is a common complaint and could be also increased due to stress, work, hair styling products, dandruff, change in water etc commonly.Also you need to check for other causes like thyroid problems, low iron /hemoglobin, any illness like fever, typhoid, any long term medication. Any genetic hair loss, or balding in the family could make you more prone to hair fall.You can check with a dermatologist regarding any tests required to check for these causes.I would advise you to start on a hair supplement capsule like Keraglo Men or Follihair daily for 2-3 months to see improvement with applications advised. Any treatment needs to be taken for a few months regularly to see good results. Consult the doctor regarding how long to continue fenpecia and tugain but do apply it regularly and do not stop till advised so.Be sure to take a nutritious diet and adequate rest, avoid stress. Avoid harsh chemicals.Finpecia tablets will help you a lot if you have a genetic or family history of balding. It would be better to slowly reduce and stop the finpecia after consulting your doctor, if you ever experience any side effects. But they are usually rare. Some patients do have a bit of hairfall on stopping treatment but it is usually temporary. So dont stop any medication suddenly.Use a suitable shampoo and conditioner like Hair4U.Hope this helps you | |
Suggest remedy for pain in my lower back followed by constipation
hello grief, i have pain in my lower back for 1 month now. i sit on chair for long time everyday but now i feel pain at my lower back area. i have not went to doctor yet. i am 23 years old so pls advise me for what should be done. i am very worried. i have constipation for long time as well. | I have gone through your question and appreciate Your concern. U should consult orthopaedic spine specialist AndGet Mri of spine done to reach correct diagnosis. It appears to be mechanical back pain bcz of long sitting Hrs.U should leave your chair every hour and do some stretching exercises. General measures to improve the back pain are Avoid bending forward and lifting heavy Weights. Hot fomentation thrice a day. Muscle relaxants and analgesics will help you. Local Analgesic gel for local application. Lie on flat hard bed. Muscle strengthening exercises will help you In long term. Thanks.U can write me back for any query. | |
What is the hard and tender lump on the side of my neck?
20 year old , only history is high cholesterol , dermiod cyst, removed at age 16 months. I have a lump size of 2 inch on right side of neck, at my colar area. red with a pulse in it, at time, the same side of my neck, is tender to touch, lump is hard in areas. | Hi! thanks for writing to us !If I were your doctor and had you presented to me with this problem of the hard and tender red lump with pulses on the side of your neck , I would like to consider following possibilities, as per my experience of ultrasound, CT scan and needle biopsies:1. abscess2. infected lymph node could be tuberculosis3. infected benign cysts like sebaceous cyst, branchial cyst, thyroglossal cyst4. hemangioma or infected lymphatic cystTherefore, redness and pulsation means infection and you might need urgent antibiotic therapy; please see a surgeon today for a direct examination and proper line of management...Regards, | |
Is it possible to get pregnant while taking Tetralysal?
is it possible to get pregnant while taking tetralysal? I have the coil but my doctor told me it would not work with this acne medicine for three weeks. I have two days to go before completeing the three weeks. Could I get pregnant if I and my husband have done something? | Hello, and I hope I can help you today.If you have the coil, there is no reason that it would not be effective while taking an antibiotic. The interaction between antibiotics and birth control refer to oral contraceptives only (pills). The hormonal coil only delivers hormones to your reproductive organs, so it would not interact at all with any pills you are taking.So in summary, you are still protected from pregnancy with the coil, so you do not have to worry about any additional protection from pregnancy.I hope this information was helpful and best wishes, Dr. Brown | |
What causes sweet smelling urine and hair loss in a 5 year old?
My 5 year old has a sweet smelling urine at times, and I don t think this is normal. Now I noticed a lock of her hair on the floor, and she said she didn t cut it.? I m not sure if something happened to her hair at school or if it would just fall out like that. I now wonder if the smelling urine and hair loss could be a symptom of something else. What could this be? | Hi...by what you quote I feel that this is fitting into a condition called Maple syrup urine disease. This is not a life threatening condition, but definitely needs evaluation. i suggest you get back to your pediatrician and get your daughter evaluated.regards - Dr. Sumanth | |
Q. How severe is the damage in my MRI report?
Hello doctor,I have an MRI report for my right shoulder. I had a car accident and would like to know if the car accident could have caused the injuries that are in the MRI report. I would also like to know how severe the damage is. I had a steroid injection done a week before the MRI was taken. There is only an image file, not dicom files. I made a mistake while loading the MRI report. | Hello. The three main findings highlighted in the MRI are, 1) Rotator cuff- there appears to be little evidence of a recent trauma with only an intra substance delamination but no tear. And some bursal fraying as adjacent fluid again degenerative is not traumatic. 2) Acromion and subacromial space findings are degenerative and not traumatic. 3) SLAP lesion mentioned could be traumatic and ideally needs to be confirmed arthroscopically as sometimes anatomical variation may mimic the findings. The symptoms that you have mentioned in the arm do not primarily appear to be coming from the shoulder except for the clicking sensation. Is the click painful or only perceived annoyance. Finally, what was the response been to the injection to the shoulder? Was it given intra articularly or subacromial? Have you had an MRI of the neck and has there been any improvement of the sensory symptoms in general. Have you tried Pregabalin? | |
Q. How accurate is the HIV testing after five weeks of exposure?
Hi doctor,From the last one and a half months, I am in crisis. I tried having sex six months back. That day I did not get erections so she gave me oral. I did not perform vaginal sex because of non-erection, and whatever I have tried that was protected. But I had unprotected oral sex where she gave me a blow job. After two weeks, I have noticed a bump on my penis. I went to my doctor (skin specialist) and he gave me a few medicines for one week. Doxycycline (two times in a day), Zifi (one time in a day), Lycopene, one cream. He also first asked me to go for VDRL test but next moment refused. Still, I tested for VDRL which comes negative (test happen after one-week medicine course), although the bump on my penis now fully healed (after 2 to 3 weeks).I have also tested for HIV RNA and HIV 1 and 2 antibody and p24 antigen, both came negative after five weeks. HIV 1 and 2 fourth generation antibody test negative on the sixth week. My doctor advised me Doxycycline for next one month but I am not taking it for past four months. So, my Doxycycline course goes like one week (two capsules in a day), two weeks (one capsule in a day). My question is how much I can rely on HIV testing after five weeks. RNA and antibody and antigen test accuracy related to the window period after five weeks. Should I again continue with Doxycycline as I got a new bump on my face? Is that syphilis too? Why I got a new bump on my face (picture attached). Which test I have to go for again to detect syphilis or get HIV status? I am facing fever like feeling since two weeks after exposure where fever is not measurable (not more than 98 even) but extreme body aches. Two times I got loose motions too. Itchy body. | Hello. I have noted your concern and I have viewed the attachments (attachment removed to protect patient identity). Insertive oral sex has a negligible risk of transmission of HIV. Moreover, your HIV screening test (p24 Ag and anti-HIV antibody test) is conclusive. This test has a short window period of 2 to 3 weeks and is considered conclusive after that. The bump on your face seems like an acne lesion. Is it painful? I suggest you apply Clindoxyl (Clindamycin) gel once a day. No need for oral Doxycycline. Since it has been seven weeks since your unprotected oral I suggest you take a screening test for HSV and syphilis (VDRL) and again at 12 weeks for a conclusive result. There is no need to retest for HIV. For more information consult an HIV AIDS specialist online --> | |
Suggest treatment for chest pain in mornings
Hi im 42 yeats old, not overweight and im waking up in the mornings with a central chest pain like someone sitting on me, and a back pain around the same area. I have had these pains before but not when waking up. I have had stress tests, tilt tests, ECG's, holter test etc and on all they have found nothing, but now the pass month or so I am getting the pain when I wake up and it lasts for around 10-15 mins. Any ideas. | Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for heart related pain as your extensive cardiac work up is normal. Central chest pain commonly seen with GERD (gastroesophageal reflux disease). GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest tightness, central chest pain, back pain etc. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid stress and tension, be relax and calm. 3. Avoid large meals, instead take frequent small meals. 4. Take pantoprazole tablet on empty stomach. 5. Keep 2-3 pillows under head in bed to prevent reflux. 6. Quit smoking and Alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
How to cure ringing in left ear,raised heart rate,dizziness and slurred speech?
Hi, I m having loud ringing in my left ear it only happens when I get my heart rate up then I m feeling sick and dizzy, I have been having memory problems slurred speech and balance issues. I have a doctors appointment on the 12 of October but this is getting worseby the day and I have been to the er three times for it and also burning pain on the center of my spine between shoulder blades also having a lot of pain in both arms. I m wondering what this could be? | Hi,I understand your situation. Your heart rate situation could be the origin of you problems. This condition could be associated with neurosurgical deficits like dysarthria, loss of balance, ringing on you ears. Visiting your doctor should not be delayed. You could be experiencing transitory ischemic cerebellar attacks.Pain at your shoulders is another condition to be determined. Differential diagnosis is large and this too should be done from your doctor. It could be cervical discal herniation, intramedullary syrinx, pulmonary pneumonia etc.....Hope this will help, wish you the best | |
Q. I have a static sound in my ears after I was exposed to a gunshot noise. Kindly advise.
Hello doctor, I was exposed to a loud noise (gunshot). Since then, I have a static noise in my ears when it is really quiet, and I get a pressure at the back of my head that often turns into a headache. Sometimes, I also get a tone in my right ear. If I do some physical activity, I may have dizziness. This has been going on for six weeks now. I have been to an ENT and did various tests (attached). None are showing hearing loss, and since the tests are clean the ENT cannot determine what is wrong. | Hello. Do revert with more information. I will be happy to help you. Revert with more information to an ENT otolaryngologist online --> | |
How to treat upper arm swelling?
I have had swelling in the upper left part of my arm for nearly 2 months. My neck and collar bone are now swollen as well. I have left side upper back pain, and in the back of my left leg. Leg foot swells up and down depending on the day but everything else stays consitantly swollen. Extensive testing has been done (MRI s for MS, upper back MRI, chest x-ray, lupus, scardiosis, etc and everything is normal). I do have an elevated white blood cell count (12,500) upset somtach, some stomache ache, extreme fatigue and I just overall do not feel good. Any ideas? | Hello, Consult an orthopedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Is long term masturbation bad for health?
I have a really bad habit...of masturbating just after I wake...it s an addiction and I know I need to stop....well after masturbating my bones just sourt of crack when I stretch them..my arm to be specific...my question is long yerm masturbation bad...? | HiThank you for asking HCM. I have gone through your query. Masterbation doesn't have such side effects on body. But over doing it is not good as it decreases liking normal sex if you have a partner. Your body problems should be due to awkard positions you might assume while masterbation. You can involve in any hobbies or talk to someone which all helps in deviating from that. You can have proper exercise every day which exhaust your excessive energy in body and there by decrease urge for masterbation. Hope this may help you. Let me know if you have any further queries. | |
AMH 5, have follicles in ovaries, fertility chances less. Hormones normal. Chances of getting pregnant?
hi i just found out my AMH is 5 i had my overies checked out i had 4 folicles on my left side ( but not good as got no left tube removed after i fell pregnant 6 months ago was in the tube) and 3 folicles in my right. DOC told me my fertility chance is low and to get a move on. Hormones were all normal progerterone was 58. What are my chances of falling pregnant ? kr Sandy | Hi SandyLow AMH means that the reserve of good quality eggs is low. Without good quality eggs, a viable pregnancy will not happen. You can try with the help of ovulation induction drugs. They might help to develop at least one or two good sized follicles. But there is no guarantee. You other option is IVF with donor eggs. | |
What causes anger and frustration after child birth?
i just had twins 5 months ago.. recently i cry all the time for no reason, if my babies cry i cry, sometimes i get very angry and frustrated. some days i cannot do anything just lie there and think about things, i know i am overthinking but i still do it. i just dont feel like the same person i was 12months ago. i dont know what wrong with me. | Hello,You are most probably having full blown depressive episode and you need treatment else it is difficult to get better soon.Drugs like sertraline or escitalopram will help a lot. They are mild and non sedative and you can continue taking care of your twins effectively.Within few days you will feel better and will be able to have grip over your thoughts.Usually post partum depression starts early after dilevery but it can be late in many cases; generally it can be a relapse of past depressive illness or a new illness itself.Reasons can be - altered chemicals and hormonal levels after delivery ; added emotional and work stress of new borns,etc.So, start medicines and get well.Hoep the reply is useful for you.wish you speedy recovery.Dr. Manisha GopalMD Neuropsychiatry | |
What causes clear discharge from anus with testicle pain?
I have clear liquid leaking from the anus that gets all over me when I sleep and during the day. And my testicles hurt like I have another hernia and my upper legs have a unexplained pain! I ve lost 10 pounds in the last 2 weeks also. Any idea what it is? | HIWell come to HCMI really appreciate your concern, here the chances of infection need to be ruled out and this might be due to inflammation caused by infection unless you rule out this it can not be treated with antibiotic but of course pain can be managed with "Tab Ibuprofen 400 mg" three times in day, hope this information helps, take care and have a nice day. | |
Mentally disturbed, doing hand practice, feels weak. Suggestion?
hello,sir my name is mukesh from india , sir i am mentally distrub as a result i am arrested under the problem of hand practice now i am not married is studying in alone as a result i am doing regularly hand practice i have been feeling weekness in my body . i want to release this problem would u suggest me how i can comeover this problem . my mail id YYYY@YYYY . | hi..please consult a psychiatrist regarding your mental health..also he can help you to guide regarding proper sexual practice..have a good health.. | |
Suggest medications for temperature in Hemiplegia patients
My Father (62) is hemiplegia patient from past 6 months, now he is suffering from Kidney Infection. Doctor suggested to use Urimax D & Levofloxin. But he is getting fever now and then... please suggest me what medicine should I use to get control of temperature Thanks Ravi Kiran | Hello, Well, the doctor has already prescribed you antibiotics. If no improvement then takes antibiotics according to culture and sensitivity report. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anuj Gupta, Spine Surgeon | |
Suggest treatment for conjunctivitis
Hi there, I am writing to ask about my daughter, she is eleven months old normal weight and height for her age. She is suffering from conjunctivitis, but also has a temperature of 38.8. We re worried it maybe something more! Hope you can help, Mark | hi, welcome to hcm. Can understand your concern.Conjunctivitis or inflammation and redness of the conjunctiva can be due to viral infection, bacterial infection or due to allergy to dust or other allergens.* in viral infection, there is clear discharge from both eyes, fever and nasal discharge can be present.* in bacterial infection, there is purulent discharge and usually one eye is involved. Fever can also be present.* in allergic conjunctivitis, there is history of contact with dust or other allergens in environment. Running nose is mostly present.An examination by ophthalmologist should be done so that proper diagnosis and treatment can be advised.I hope this will help you. Wishing your child good health. Take care. | |
Q. I have nightfall problem and testicular swelling. How to treat it?
Hi doctor, I am 27 years old. I have a nightfall problem for a week. My right testicle has pain on the back side. I had epididymitis before a year, and I had treatment for it. Now, the pain and swelling are gone. But my nightfall problem is not stopped. My penis head is white, and it does not have sensitivity. My left testicle has swelling. Please suggest me a solution. | Hi. For the diagnosis and treatment of testicular swelling, you must visit a urologist or surgeon. A course of antibiotics and anti-inflammatory drugs will help you to settle it down. Nightfall is not an illness by itself. The semen is produced continuously, and if it does not have a natural outlet, it comes out in the form of nocturnal emission or nightfall. It has no bearing on your physical energy or vigor. If you feel uncomfortable, you can start taking tablet Clonil 25 (Clomipramine) at bedtime for a month. It will help you. | |
Can drinking aloevera juice act as a stool softener?
i was told by my doc to take a stool softner in prep for my surgery april 5 . i was looking up some info on stool softners and the chemicals that are in them and chose to look for an alternative and found out that aloe vera juice would be just as good. just curious if this is correct. for your information, i will be taking a large cyst out... possibly a mesenteric cyst or omentum. thank you all the info would be great! | Hai,Aloe vera will be helpful in loosening the stool if it taken in raw form (gel- flesh inside the leaf washed with water and than to take 5 to 10 g)as aloe vera juice extract will not be that much helpful in softening the stool.but aloe vera juice got many\y good health property like healing wound,anti oxidant,fat dissolving etc.thank youhope i answered your query | |
Need treatment for protruding tailbone after falling down
I am 55 and 2 months ago I fell down really hard right onto my tail bone. I have always had a large protruding tailbone. At first it was still large but felt bruised. Anyway, I started to notice that my spine and lower back started to pop and crack when bending or even going up stairs. It was loud, almost like firecrackers going off. It isn t really painful, but not comfortable. Then I noticed that my tailbone has almost disappeared. It is so small now. Again, it doesn t really hurt. It aches at times and there is like a full, congested-like feeling in my lower belly and pelvis. Achy. Almost like cramps. I exercise almost every day, but certain movements are very uncomfortable due to the popping...it sometimes feels like something is shifting. I had X-rays done last week and the doctor says they are normal. But how can that be? Something is certainly wrong. :( | Hello, I have studied your case. For resistant coccydynia sacral local block injection may be helpful. Prolotherapy [local injection] may also work for sacral pain.Consult your doctor for injection.Physiotherapy like ultrasound and interferential therapy will give relief.I will advise to check your vit B12 and vit D3 level.Continue sitz bath and use of ring cushion.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. | |
Can Montelukast be used as preventive measure for asthma in a child?
my child of 8 yrs have allergic asthma and during winter they suffer the 1-2 episodes. This time she is well after therapy of nebulization with clenil and clenilc compositum,also taking 4th or 5th time course of montelukast 5 mg.My Q is her doctor has advised clenil nebulization with 0.5ml daily for more than few weeks even she remained on nebulizatioln for 3 weeks now is it safe to continue as preventive measure and about montelukast course again and again every year. thanks | HelloThis type of allergy is a precursor of asthmatic allergic bronchitis i.e. ASTHMA .But unfortunately peoples in India don't accept this , as I have noted.When such patient visit my clinic I prescribe them to take montelukast+ bambuterol ( combination 0.2 mg /kg body weight ) one tablet in the night and patient respond very well . I don't prescribe nebulizer or steroid inhaler .In my opinion this is safe drug for asthmatic allergic patient.When patient become symptom free, stop the drug and symptoms recurs , start the drug .Since asthma is an allergic disease and patient have to take treatment , whenever feel discomfort.Avoidance for dust , mite , mold , fungus , sudden increase or decrease in temperature , pollen , fumes , smoking help in asthmatic cases .Hope this will help you.Hot coffee and steam inhalation also act as bronchodilators. | |
re headaches and piercing pain in the head signs of brain tumor?
I am having headaches and odd sensations/piercing pains in my head like pins being stuck in my head. Sometimes this is at the temples and other times in the back of my head. I sometimes will have a dull ache in the backside of my head. I had a detached retina and surgery in June. My vision is in flux but seems more blurry. I also have constant tinnitus. I have an upcoming doctor appointment but am wondering if I should get in earlier for an MRI. What are the symptoms of a brain tumor? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I suggest you not to worry too much about brain tumor and wait for the appointment with the doctor. Head ache generally may be associated with many conditions including anxiety and stress.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand | |
How to cure pain due to lump in mouth?
I had 4 wisdom teeth removed 7 days ago, I have 2 very hard larger lumps on my lower jaw line, and the pain is still frequent, I'm assuming from the swelling from the lumps. I'm beginning to get concerned as the pain is not subsiding. I continue to rinse as directed, as well as apply ice and heat, nothing seems to help. Any advice would be helpful. Thank you. | Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have mentioned that you undergone wisdom tooth extraction 1 week ago now you had hard swelling dont worry it can be bone also which do warm saline gargle two - three times a day and go to dentist for check up and if there therenis bone in socket go for alveoloplasty. Hope this will help you. | |
Tiredness, hair fall. Iron, thyroid tests done. Had iron infusion. What is the normal iron level?
I live in NZ. Is the iron count/recommended levels different for different countries? I had an iron count of 5 in February. Underwent an iron infusion. I didn t feel too bad at the time and not that much noticeable after infusion. Feel a bit tired again. Had iron level tested last week. 17. I am also waiting for thyroid result. My hair has been falling out consistently and now noticeably thinner. What is an acceptable level? Thank you. | Hi, Welcome to HCM, The expected range of iron can differ slightly in different countries due to their traditional food habits. Reference range of serum Iron in female is 7-30umol/L(SI units) or 40-170 ug/dL(traditional units). As soon as you receive your thyroid reports, consult your physician with reports. Thanks for trusting Healthcaremagic and posting your query. Hope you found my response to your query informative and helpful. If you have further concerns in this regard, you can submit those with Healthcaremagic as well. With good wishes, | |
Severe lower abdominal pain. What could this be?
Hiya my name is demi and I am 21years old. I had severe lower abdominal pain I could barely stand up the pain hurt that much I cried. I just wonder what this could be it lasted around ten minutes the really sharp pain now I can still feel it if I press on my belly or move around. I looked on symptom checker and it said pregnancy but I have a coil in and have for around a year now.Thanks | hi,thank you for your querylower abdominal pain can be because of many reasons-1.dysmennorheoa or period pain is the most common type2.constipation3.muscle cramps4.bladder stones4.pain due to shifting of the intra uterine device5.uterine causes such as endometriosis,ovarian cysts\i suggest you should take an ultrasound and complete blood picture to pinpoint the cause.all of the above causes are treatable so don't panic.thank you for your query,wishing you good health | |
What causes fatty liver disease symptoms for non-alcoholic ?
hii doctor,my husband is suffering from fever ,loose stool and continuous vomiting from wednesday onwrds..his sgot and sgpt,bilirubin levels are still normal..he went through clinical examinatin yesterday in a local clinic in our city itself,as per clinical symptoms doctor diaganozied as fatty liver disease..my husband is not a chronic alchaholic person,but he regularly uses beer..still ne is sick..i am actually confused about his symptoms...but he couldnt eat anything and the vomitus is yellowish clear fluid..can u give me a proper answer pls? | Hi,Thanks for writing in.There are many causes of liver showing fatty changes (i) Increased intake of fatty foods and alcohol(ii) Over weight and obese patients.(iii) Those who have fatty liver running in family members.(iv) Any liver condition that is changing appearance of liver.(v) Mild fatty liver can also be there in many normal peopleYou can get his liver function test and lipid profile done to know if the liver enzymes are raised and cholesterol numbers are increased. Please discuss results with your doctor and take required treatment if your tests results are higher than normal.Total calories in food should be 2200 kcal and low fat food is suggested with decrease in amount of beer. Please do not worry. | |
What causes swelling of ankles with knee pain in the elderly?
Hi I have mild swelling in my lower legs near the ankle. When I press on it it leaves a dent. I am 52 years old with no history of heart problems. I have a job that I sit for long periods. I have bad knees and have some pain in the knee. Could the fluid be traveling from my knee? | Dear patient swelling in the knee joint does not travel to ankle. If dent is there after pressing it means you are having pitting oedema and cause is systemic like liver or kidney issue apart from heart problem. You need detailed clinical Examination and need to visit physician nearby your area. Meanwhile keep limb elevated and apply crepe bandage. | |
How should dry scalp, dandruff, pimples with itching be treated?
Dear dr. Since Last few months I have dry scalp, lot of dandruff, small pimples which are itching. Whenever applied coconut oil to the hair it will be comfortable. Used 20nex-T shampoo 2. Keraglo AD Shampoo but no relief. I am 65 yrs old male and diabetic since last 5 years under control with Metformine 500mg twice a day. Kindly advise me. Thanking you. Krishna, Bangalore | Hello,Welcome to healthcare magic.I understand from your query that your are having dandruff and boils on your scalp.The shampoos that you have mentioned are good shampoos for dandruff.However, do not oil your scalp. Oiling your scalp worsens dandruff. Dandruff is caused by a yeast like fungus which grows well using the oil in the skin secretions. Oiling your scalp will further promote its growth. You could apply oil only before bathing and wash it off completely with a shampoo.The small pimples which you have described are called as folliculitis. It is an infection of the hair follicles which also could be due to excessive oiling.Use an antibiotic cream with 2 % mupirocin twice a day for 5 days.If this also does not help, you could consider a course of oral antifungal called itraconazole. This has to be prescribed by your doctor.You may also have to consider scalp psoriasis as a possibility.Please discuss with your doctor.Hope this helps you.Take care | |
What could cause swelling and hardness of testis despite inguinal hernia repair?
My husband had inguinal hernia repair 9 days ago. He had swelling and bruising of his genitals. However, since then the swelling and bruising has completely regressed in one testicle and his penis. His other testicle is still swollen to twice is normal size and rock hard. No soft points in any part of it at all. | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Surgery in this area may cause hemorrhage some times.This hemorrhage may get clotted in some arra, I suspect it in your testis of one side. Hard testis may be because of the clotted blood.But direct visual examination can confirm the status. I advice you to do physical examination of the testis and related genitalia.If it's simply hemorrhage than you can wait for some time to get hemorrhage retract.In case of any infection or malignancy you can take antibiotic or chemotherapy as per the case. Please take doctors guidance before acting.Please avoid injury to the related part.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM | |
What causes shortness of breath with heaviness in chest?
I went to the emergency room on wed. night due to a heavy feeling in my chest, rapid heart rate, shortness of breath, dizziness, nausea and vomiting,and I have had neck pain and back pain for a few weeks now.. the only thing they did in the ER was an EKG and and took my blood pressure in the lying down, sitting and standing positions.Then they just said... your heart is beating a little fast but its not irregular so we're going to be discharging you and we believe this is due to a virus. I left there at 5:00 am thurs. am.. here it is Friday and the heaviness in my chest is just finally starting to get a little better.. still have a terrible headache, but now new symptoms.. my hands and feet are swollen and there is some numbness in them and my urine is dark orange. Should I go to the doctor ... a different one.. to see what is going on?? I have had the headache the entire time.. for three days... which I believe caused my nausea, I am 44 year old female. I am 5'1" and about 97 pounds. | Hey there,According to me you must consult a different doctor very soon.As it seems some major problem related to your blood or kidneys. | |
Forehead above left eye looks damaged,not flat,romberg disease
i have problem on forehead above left eye my forehead is not flat it looks like damage i consulted my family doctor so he told me its romberg diease which needs cosmetic surgery like fat graffting so please can you tell me excactly which treatment & cost of the same | Hi, It is important to know the course of your disease since it is best to consider surgery after the disease process has burned itself out otherwise the results might not be appreciable in the long term. The treatment of Romberg's disease varies but the general method is filling in of the atrophic tissues. Depending on the area involved, a variety of materials can be used. It is generally not advisable to use fillers for a large area because of their cost and the need for refilling a couple of times. The best material is either fat grafting or a dermofat graft. There is a degree of absorption in the long run which can be quite unpredictable so that revisions can be needed and because of which the area is overfilled in the initial stage. Ultimately, however, the fat or dermofat graft that tends to stay stays for a long duration of time and gives appreciable results. | |
Done semen analysis. Trying to have a baby. Help
Hi Doctors I am 30 year old got married on april 2012 and i am trying to make wife pregnant since 6 months i know her ovluation period it 12th o 18th day from menstrual period. I have arthritis since 10 years and i m taking 25 mg diclofenac sodium t.i.d. .. Even while having sex you put pillow below the buttocks and have correct in ovulation period. and My Semen analysis report is Vol : 1.5 ; Appearance : Turbid ; Reaction : Alkline ; Fructose Test: Positive ; Sperm count : 32 ml; Liquefaction time 30 mins Motility Actively Motile : 30% Sluggishly Motile 20% non motile 50 % Morphology 45 % and my Semen impression says : Normal Sperm count with decreased Motility and abnormal forms. Request to help RJ | Hi, You have been trying just since last 6 months. Even when everything is absolutely fine, chance of conception in 6 months is 70%. Also it appears that your wife's tubes have not been checked. You can just check that in consultation with doctor (by HSG/SSG) & if tubes are OK, you can safely try for another 4-6 months without worry. Wish you good health. | |
Suggest treatment to avoid pregnancy in woman with high prolactin and renal problem
I had an unprotected sex with my boyfriend last wk friday though he didn t cum inside me,suddenly i am scared of maybe conceiving and don t know what drugs to take to be sure I don t get pregnant,please advice me on what to do bearing in mind that I ve an issue of high prolactin for some time now that ve seized to stop even with the medications I took in the past also I have a case of renal problem.Please come to my aid,waiting patiently to hear from you | Hi there,,If you are having a high prolactin levels it is unlikely you are ovulating normally, making you get irregular periods.You need to take mediactions for the same, after meeting an endocrinologist; also for the renal problems you need to get in touch with a nephrologist immediately; as kidneys are very vital organs and you need to make sure they function well.For contraception that will not be affected or will affect the above diseases you should consider Copper-T, an intrauterine device, it is safe, long term and does not have any hormones in it.It is very very effective as well and can be fitted easily on OPD basis. Get it inserted after your next period, 8 or 9th day after the start of the period to be sure that you are not pregannt .Hope this helps.Regards. | |
What causes fluttering in head and dizziness while on treatment for cholesterol/BP?
Yesterday I had a fluttering feeling in the left side of my head followed quickly by dizziness and nausea; I almost passed out. When the fluttering sensation subsided I noticed that my vision was blurry. The dizziness and nausea lasted several minutes and the blurred vision lasted several hours. I m 54, male being treated for high cholesteral and blood pressure and I m over-weight. Do I need to see my doctor? Should I be concerned? | Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that your symptoms could be related to a cardiac arrhythmia. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG a cardiac ultrasound- a chest X ray study- complete blood count for anemia- blood electrolytes for possible electrolyte imbalance- thyroid hormone levels to exclude thyroid gland dysfunction. An ambulatory 24-48hours ECG monitoring would help examine your heart rhythm for a prolonged time and exclude possible cardiac arrhythmia. Hope you will find this answer helpful!Kind regards, Dr. Iliri | |
Suggest treatment for a tooth infection
I am a 50 year old healthy female 5 weeks post op with left tkr. I had s cracked tooth I didn't know about, and it has recently gotten worse. There is no pain, or swelling, and I see the dentist in two weeks. I have been reading about infection of my tkr due to dental problems. Should I be worried, as I do have a bad taste coming from that tooth. I called my is who gave me an RX to take before the dentist. What about until? How common is an infection after tkr? Thank you | Hi..Thanks for the query..If you have a cracked tooth and there is bad taste from the tooth then it is a clear indication that the tooth is having an infection and although it is not painful bur it can flare up and become progressively painful and swelling can occur due to infection..Although if you have undergone total knee replacement 5 weeks back then the tooth infection is less likely to infect the area of surgery as there must be appropriate healing by now, but the tooth infection is left untreated can cause septicemia..So my suggestion to consult an Emergency room and get a script of antibiotics like Augmentin and gargle with antiseptic mouthwash solution..Do warm saline gargles..As soon as you can see a Dentist , consult the dentist and get an x- ray of tooth done and if tooth can be saved immediately get the Root canal done or else get the tooth removed..Hope this helps..Regards.. | |
Fell down from bike. Lost consciousness and had acute chest pain, back pain and loss of balance. Suggest?
On the 18 March of this year I fell down when driving a motorcycle after being blocked by a big and strong brought down wire across a road, the hind part of my head hit against the tarmac road surface. O lost my consciousness for a short while. For a few weeks I had to bear acute pain - on the chest part, my back just below the shoulders and the lower part of my back. After a three weeks I began to sense loss of balance, particularly when temperatures fall? what does that mean? How can I improve my health? | Hi,Thank you for posting your query.Based on your symptoms, it seems that you did not have a serious head injury and your symptoms are related to concussion.This can lead to dizziness, imbalance, headache, nausea, etc. These symptoms due to concussion are self-limiting in nature and subside in a few weeks.You can get better with vestibular rehabilitation exercises.If symptoms persist, you may get a CT scan of the brain done. I hope it helps.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist | |
What causes indentation and swelling on the forehead after an injury?
My son ran into the corner of the wall in the hallway. He was running pretty fast and hit his head. He has moderate swelling and what feels like an indentation on his front skull when I felt it. Is this because of the swelling or should I take him to the ER or his pediatrician? | hi, thanks for the question. yes that indentation can be due to the swelling. in that case the swelling will come down in 2-3 days. if am your treating doctor i would advise brufen and hot fomentation.yes you should see a doctor. | |
Suggest methods of correcting a child s behavior
my 5 year old is in kindergarden likes her teacher likes her peers been to doctor been to counslor but cant get her to stop in class we were punishing her standing in corner making her stand instead of sit taking away resecc then the couslor said no not to punish her to reward her for not doing it in public but nothing is working we have sent extra work for her to do cause once she is done what she is doing she starts again i have sent her favorite books pic of her family im pulling my hair out please give me some advice | Hi, Hiccups are common in newborns. Don't worry they are just due to swallowing of air while feeding. After every feed take the baby on shoulder and pat on back till she burps. Another thing while hiccups you can just breast feed or give her pacifier it will do.if then also not reducing with decreased feeding then take her to pediatrician to get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prasanna Lakshmi, Pediatrician | |
Why am I sometimes fatigued with high BP and consistent sounds that I hear?
Sometimes especially when driving I am overwhelmed with fatigue and I need to pull off the road and close my eyes. It could be the middle of the day. I am a fairly fit 44 year old woman and very active. This just started in the past year or so. I have controlled high BP and after hearing consistent sounds in my carotid a Doppler revealed 25-49% blockage in both carotids. Could that be responsible for the sudden onset of fatigue? | hello welcome to the forum As per your description, your symptom of fatigue is probably related to haemodynamic etiology........(High BP and blocked carotids)..... I advise you to consult a cardiologist/general physician for detailed evaluation as soon as possible Wish you good health Thanks | |
Can cancerous cyst break during operation and the cancerous cells spread to other organs of the body?
Hello Doctors. I have a very confusing question to ask. Hope you can give me a good answer. There was a cysts of about 10 cm in my mum s uterus and she just removed it last week. The doctor in charge of my mum s case told her that the cysts is actually a cancerous one. It is about stage 2 going to 3 and he advice my mum to go for 6 chemo . My mum was really afraid and we went to several doctors and they gave the same advice too. Yesterday, we met another doctor, and he said that, during the operation, the cysts is supposely remove together with the uterus but the doctor in charge of the operation broke the cysts and causing the content of the cysts flows out. That s why the operation extended for about an hour because of the cleansing inside the stomach. The doctor now advice her to go for the treatments is to prevent the cancerous cells from growing and spread to another organ . I just browse the web and found that there is a Dr.Simoncini in youtube, he taught the people to take sodium bicarbonate instead of going for the chemo. Now, can this be trusted? | If we believe your doctor that your mom has stage two cancer she should have undergone total abdominal hysterectomy and bilateral salpingo oophorectomy which mens complete removal of uterous and both ovaries and tubes. After she recovers from surgery she needs external pelvic irradiation because you have to sterlize the pelvic lymh nodes whose possiblity of positivety is 25 to 50 percent. it is around 45 to 50 GY in 4 to 4.1/2 weeks time followed by brachy therapy to treat the vaginal vault. This is the domain of a Radiation Oncologist. after this according to grade of the tumor she can be put on Adj. chemotherapy or simply hormone therapy. The concerned Oncologist will decide what should be the actual management of the disease.The disease can by monitored by doing marker assays before treatment and after treatment which is the level of CEA and Ca 125. To me the stage two cancer of the body uterous is completely curable after complete treatment. | |
How can full term conception with childbirth be successfully achieved?
hi this is shakuntala from canada, i deleverd pre meture baby in june 22nd 2009, bcz of my high bp(22 weaks baby gal), doctor said due to stress i got and it was un contorlable and delevered pre mature baby, and after that again i concieve october 2009 ( i measn lmp was oct 7th), after that they did all blood tests and everything was normal, but again i got missed abortion, they said i have clot and there is bleeeding, baby groth has been stoped, i realy worried about all these things, u please tell me when can i concieve and which medicines have to fallow before concieve | Hi, Thanks for the query. I understand your concrrn. I am sorry to read your suffering. Yes.. a full term delivery can be acheived with proper gynecological advise&few lifestyle changes during pregnancy. -Before planning for a baby.. you should get a full medical check up &investigations to exclude possibility of raised blood pressure./any kidney (urine) infection .If at all mild. bloid pressure is found.. itshould be tr.eate.d &kept in normal level before getying pregnant. -A healthy lifestyle with sufficient dietary supplements with a balanced diet&vitamines &minerals in optimum amount./mild physical exercises like walking or yoga exercises/sufficient dound sleep of 8 hours .in a day/avoiding excessive physical or psychological stress./pranayama,dhyan &meditation would help for keeping positive. -Regular ptegnancy check up & strict intake of advised medicines timely. Yhus expertadvise &self csre eould get your dream come true. Thanks. | |
What do red spots in the mouth indicate?
l had a small cold sore and I used Abreva and it worked. But now I have a few red spots inside my mouth between my front teeth and my bottom lip. Besides the red spots (about three of them) there are little minute spots with a little white center and my lips (all around the outside) are constantly feeling "gooey" and I have to keep using tissues to remove the soft white substance. Other wise, I feel fine! | Hello! Welcome to HealthcareMagic! The bumps or sores inside mouth can also be due to viral infection causing cold sores as in few cases cold sores can appear inside mouth too. Also the sores can be canker sores. So my suggestion to you is to consult an Oral Physician and get evaluated. An oral swab culture can be done if the infection is suspected and then treatment can be planned accordingly. In case if it is due to viral infection only then you can be advised anti-viral medication like Acyclovir, Valacyclovir etc. Topical antiviral gels like Valtrex can be advised. In case if it is due to canker sores then doing warm saline gargles and applying antiseptic oral gels like those containing Chlorohexidine can help. Doing antiseptic mouthwash gargles is also helpful. Take Vitamin B complex daily till they heal. Hope this helps Regards, Take Care! Dr. Honey Arora, Dentist | |
Suggest treatment for lump in arm pit area
When I breast fed my first born which was 9 years ago I had developed a golf ball size lump under my left arm. It was so painful. I went to see a doctor and he told me it was a milk duct that was pooling milk. He gave me an antibiotic and the lump went down. Ten years later and 2 more breast fed babies until about 1 year ago I still have a small lump in my left armpit area and my left arm will numb. It seems to act up before my period or if I am over tired or stressed. Should I be concerned?? | Hi, dearI have gone through your question. I can understand your concern. You may have some enlarged axillary lymphnode, axillary tail of breast or galactocels. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. 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. | |
Suggest treatment for bump above belly button
I have a little bump right above my belly button, sometimes hurts when I urinate but other then that don t feel a thing, kind of have to dig to feel it also! I m thinking it s a hernia for I had this for two years or so, I also have like 5 lipomas in my body, wondering what you think? | HiWelcome to hcmHernia goes on laying down and becomes prominant on standing and coughing. But to defferenciate it from lipoma you have to show it to your surgeon. Lipoma dont requires surgery always but hernia should be operated since there is always risk of conplecations like obstruction.Regards. | |
What are the early signs of fibromyalgia?
What are the early signs of Fibro myalgia? I have had sore necks and back since I was a teenager including mild joint pain since I was in my late 20s(I am now 48). My sister has suffered from fibro for years and I never considered it could be the cause of my pain. I have tried physio and had a really good chiropractor for years, but it never seems to fully recover and I go through bad bouts of neck or lower back pain. I also have an extremely bad memory and do get brain fog. The worst thing of all is I get cronic restless leg syndrome and need to exercise my legs on average about 3 times a night when it is mild, up to 7 times if going through a bad patch...( wondering if just lack of sleep is adding to brain fog?) I have always been a healthy eater and exercised (walking as running hurts my back). I also suffer from its seems like a tender or hyposenstive stomach. I went on a gluten free diet 4 years ago and this has helped, but lately (and it seems when my back is really sore), I get nausea at night and in the mornings...can a sore back lead to nausea as these seem to go hand in hand lately. Thank you for your time | HiYou must consult a neurologist also for restless leg syndrome, there are specific treatments for it.Fibromyalgia usually doesn't manifest as joint pains , but mostly aches and pains in soft tissues in various body places.You may try pregabelin and methycobalamin tabs and amitriptyline after consulting a rheumatologistThis may be prescribed if rheumatologist rules out other forms of arthritis and just in case fibromyalgia is a cause.A arthritis profile blood test may be advisedBest wishes |
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