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How to manage neck pain due to cervical pinched nerve?
have tried physical therapy,and several cortisone shots for cervical pinched nerve.(also arthritis in neck) both provide short term relief, but when my nerve is pinched,it is excruciating. is this something that could treated by a pain management physician? | hi,thank you for providing the brief history of you As you have tried physical therapy and cortisone I feel u should look ahead with muscle Strengthening of the neck region.Since the pinch of the nerve occurs due to the weakness of the muscles in the cervical spine and leading to compression of the nerve root.In my clinical practice we find that muscle Strengthening has been very helpful in many of the cases with cervical disc pathology.Also as you said that both are temporary relief like physical therapy and cortisone I feel physical therapy should focus more on the Strengthening of the muscle and this should stay longer. undergoing therapeutic ultrasound therapy and TENS therapy will be only a temporary relief but the major role is played by the exercises.Regards Jay Indravadan Patel | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Q. Which is an effective contraceptive that is safe for long-term use?
Hi doctor,My partner and I are living together and wanted to take monthly contraceptive pills. I am a 29-year-old male, she is 26 years old with no major health conditions. She has taken "Descon 21" tablets earlier and we have found it very effective. Therefore can we continue the same for long periods? (one to two years). Also, please let us know if any risk factor is present. Also, let us know if any other medicine is required. | Hello. Kindly mention your future plans for pregnancy. Personally, I am not in favor of hormonal contraception especially for long-term use as they harm the liver and suppress ovulation and decidualize endometrium. If you use it for two years, then immediate pregnancy might be difficult. Bones also get demineralized. Better to use condoms and Today vaginal tablets or spermicidal jellies. You can use nonhormonal contraception Saheli (Ormeloxifene) which has very less side effects. Consider the side effects. No need to bombard the body with synthetic hormones. Make clear choices weighing pros and cons. For more information consult an obstetrician and gynaecologist online --> | |
What are chances of survival with 26%lung capacity and CO2/O2 exchange of 41%?
I have been diagnosed with Pulmonary langerhans Histiocytosis X. 63 y/o white male and have been told my only hope for the future is a lung transplant. My PFT shows 26% lung capacity and my carbon dioxide/oxygen exchange last year was 51%, this year 41%. My doctor expects a continuing degradation and under pressure admitted that I have probably 4 years left. Should I obtain a second opinion? What are my chances of obtaining a lung transplant? Should I even bother to pursue this option? | Hello,Yes, you should definitely think about lung transplant. In fact, it is the only option of treatment for end-stage Langerhans cell histiocytosis. It is a chronic progressive lung disease. No treatment is available to halt the progression of the disease. Lung transplant is the only hope. So better to consult a transplant surgeon and discuss it.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Kaushal Bhavsar | |
Suggest medication for sleeplessness
I have sleeping problem. some incident or daily life any scene it seams that i have already view it earlier anywhere or it happens to me earlier also. and any tv show or movie effect my mind and create sleeping problem. I was under a nurologist treatment from last 14 year.but for now to whom i will consult ? | hithanks for using healthcare magicU should consult a psychiatrist for sleep disorder. Some time due to underline stress, patients do not get sound sleep at time. For this u can take low dose benzodiazepine at night time. If u dont want to take sleeping pills, u can follow some measures like dont watch TV or read book till late night, try to sleep at fix time, never check time again and again if u dont get sleep. u cam also try relaxation exercise before it. It would definitely help u.thanks | |
Suggest remedy for lupus
Experiencing some swelling, but mostly just an uncomfortable feeling. Could be due to extreme heat here in Texas? Maybe the beginning of a yeast infection? It s especially bothersome when I m up and about. I m 43, about 5 2 , and weigh around 185. Have lupus, Crohn s Disease and received a kidney transplant in 1998. | Please check for your kidney functions , considering your past history this must be evaluated to rule out lupus nephritis. | |
What causes right sided chest pain?
Hi I am 26 , F. Ive been having a sharp pain in my right side of chest for the past 7 months mostly when i sneeze.now the pain spreads upto my right shoulder.I experiance a similar pain when i suddenly put myself up from bed.I feel as though my chest is going to burst whenever I sneeze.what might be the cause for this doctor ? | Hello!Thank you for asking on HCM!I understand your concern, and would like to explain that your clinical symptomatology seems to be compatible with an extracardiac cause of your chest pain. It may be related to chest wall involvement (ribs, costocondral, intercostal muscle, skin, etc, inflammation) as well as a backbone disorder, or more profound involvement likie a pleural inflammation, etc.I recommend you to perform a medical consult by your doctor (GP or internist) for a careful physical examination, coupled by a resting ECG, chest X ray study, complete blood count, PCR, and if necessary cardiac ultrasound, etc. and additional blood tests.A painkiller medication would be of help.Hope to have been helpful to you! Greetings! Dr. Iliri | |
Suggest remedy for red swollen bruise in leg
Hi Doctor. I think I was bitten by a bug/insect/spider, i don't really know which. But I am really worried now because I have a big red swollen wound on my leg and the skin around it became dark/black; it looks like a bruise. At first, it was painful when I'm trying to move. It's been already a week. The pain got lesser but the wound is getting worse. What should I do? Please help. | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that due to bug bite there has been allergic reaction to the sting of the organism leading to swelling, redness and bruising can be due to rupture to any small blood vessels..There is also a possibility that there is infection at the site of bite leading to increased swelling and worsening of the lesion..I would suggest you to consult an Allergist or General Physician and get evaluated..In case of allergic reaction he can advise you to take anti-allergics like Allegra and apply Steroid ointment over the swelling and do cool compresses..In case of infection you can be advised to apply a combination of antibiotics and steroid ointment over the lesion..A course of Oral antibiotics can also be advised..If the lump is filled with pus Incision and Drainage can be done for faster healing..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
Q. 2. 5 year old suffering from stomach ache. Which medicine has to be given?
Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. | Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. | |
What could episodes of losing vision with writing and reading difficulty mean?
I have been dissociating, derealizing, and depersonalizing in episodes in the past year or so. They begin with a slow descent into derealization, followed by a slight headache seemingly toward the front of my brain. In the worse episodes one of my hands goes numb and then it switches to my mouth. Sometimes these episodes are slight, and only derealization and headache are present, while in the severe episode I am very detached from everyone around me and have issues processing language. During these it is also difficult for me to write coherently, often misspelling words I know. I also experience visual distortion, where its almost like I lose my peripheral vision, and long words written down are cut short when I tried to read them. I have a neurologists appointment in a couple months, but I m worried I may need an MRI sooner | Hello!Thank you for asking on HCM!I read your question carefully and understand your concern. Your symptoms may be related to partial epilepsy seizures or a conversion disorder. I recommend consulting with the neurologist for a careful physical examination and an EEG. If suspicions are raised, a brain CT scan or MRI may be needed to exclude an intracranial lesion ( tumor, vascular malformation, etc) of your symptomatology. Further lab tests (complete blood count for anemia or infection, kidney and liver function tests, fasting glucose, thyroid hormone levels, blood electrolytes), should be performed to exclude possible metabolic causes that may mimic a similar clinical scenario. If all the above mentioned tests, result normal the most probable diagnosis would be a conversion disorder, which would need a psychiatric consult. Hope to have been of help!Best regards, Dr. Aida | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
How to cure pain noticed at the left side of groin noticed after sex?
I get pain in my groin after sex (ejaculating) never have the problem when masturbating. Its on the left side of my penis just above my testicles. It goes away after a few hours but until then its a sharp stabbing pain that takes my breath away. Especially when standing up or moving around. | HiGREETINGS I can understand your concern I think you need to have a physical examination with urologist to rule out any infection like epididymoorchitis. If so it can be cured with necessary medicines.Hope my answer helps you. Regards | |
Q. Kindly evaluate my daughter's ECG report.
Hello doctor, I would like to send you my daughter's ECG for evaluation. This was taken at the ER. I think she had heartburn. We are now concerned about the abnormal report. | Hi. I have seen the ECG of your daughter. (attachment removed to protect patient identity). She has a condition called right bundle branch block. A right bundle branch block (RBBB) is a heart block in the electrical conduction system. Our heart is divided into four chambers, upper two are called atria and the lower two are called ventricle. Every heartbeat starts from the sino-atrial node in the right atria called pacemaker of the heart and is conducted to ventricles through bundle branches arising from bundle of HIS in the ventricle. The right bundle branch supplies the right ventricle while the left bundle branch supplies the left bundle. During a right bundle branch block, the right ventricle is not directly activated by impulses traveling through the right bundle branch. The left ventricle, however, is still normally activated by the left bundle branch. Though in 85% of adult population RBBB is a normal finding, yet as your daughter is in the pediatric age group it can be because of atrial septal defect also. A detailed history is required before concluding if its atrial septal defect or not. You have not mentioned her symptoms, does she had breathlessness, especially while playing? Does she have chest pain? Any history of recurrent chest infections in her childhood? Why was she taken to ER? Does she have gastritis or acid peptic disorder or heartburn previously? Does she ever had heart palpitation? Is she over fatigued as compared to her friend in doing the same amount of work? I need answers to the above questions before giving a further advice. Right bundle branch block. Atrial septal defect? Follow up with a detailed history. | |
Can folic acid tablets be started while trying to get pregnant?
hello...i want to achieve a pregnancy...i m 21 years old.my husband lives out of country...he is comeing back in next month....now.can i start to take a tablets of follic acid 5mg. i spent just 1 week with my husband and then he go back....and now after 6 month he is coming back....i m getting married in 24,09,2010 | Hi, Thanks for thequery.I understand your concern Actually folic acid taken 3 months before conception hrlps in building good health of the couple as well as prevents fetal anomolies .So you both should have it according to your plans for conception. Another thing I would like to suggest is.. he should visit around the date of ovulation ..(. which can be determined after observation for few months.) Mostly it is about 14 days prior to expected date of menstruation. Thanks. | |
My son has Nephrotic syndrome. how to avoid these infection ?
My son gets infection every 15 days. He has got nephrotic syndrome. could youpls tell me how to avoid this. He is 4 yrs old | hello shalina Primary causes of nephrotic syndrome are usually described by the histology, i.e. minimal change disease (MCD) like minimal change nephropathy which is the most common cause of nephrotic syndrome in children it is common in preschool children. the nephrotic syndrome is mainly due to the loss of proteins from the kidney causing fluid to acumuate in the interstitial space. Call your health care provider if symptoms which may indicate nephrotic syndrome occur. i would advise you to consult a pediatrician and get a regular follow up done with regular appropriate blood investigations Call your health care provider if nephrotic syndrome persists or if new symptoms develop, including severe headache, fever, sores on the skin, cough, discomfort with urination, or decreased urine output. Go to the emergency room or call the local emergency number i hope i have answered your question, take care and wishing your son a speedy recovery | |
Should tetanus injection be given to a child suffering from HCP porphyria?
My son is diagnosed with HCP Porphyria, one of the acute Porphyrias, and the school is telling us he needs a tetanus shot to stay in school. My research shows a link between tetanus shot and potentially inducing a Porphyria attack. AT 13 he s never had one (he s genetically diagnosed because of me) and don t want to induce one. Should he get the shot. | Hi, It seems your child has hereditary coproporphyria. There are a lot of medicines that can cause acute exacerbations of symptoms, but tetanus toxoid is very unlikely to cause so. If you can share the link with us, we would like to go through it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nirubhan Bharathy, Pediatrician | |
Constant cough causing him to vomit alot
hello, my partner has had a constant cough now for at least one month. with this he is always out of breath and sick. hes always feeling very hot. he went to the doctors last week but they gave him an inhaler to try even though they said he was not asthmatic. he has tried this but it is only making him worse. his coughing fits get worse after he eats and again continue all night even after he vomits. just curious if you would have any ideas what could cause this or what it would be. i dont know if this would have anything to do with this, but cystic fiberosis runs in his family. thanks Cass | also! he does not smoke at all.. it doesnt seem to be a phlem cough. | |
How to control ASO level of 317 IU/ml ?
Dear Doctor, I am Sudip Mukherjee (37/Male) from Burdwan District (West Bengal – India). I have a pathological lab. A few months (Probably_March’14) ago I feel joint pain on wrist and knee. 21/04/2014 = Then done blood test for Uric Acid, where result 7.1 mg./dl. & RF=14.2 IU/ml. Pain increasing day by day and compel to consult doctor then he prescribed (07/05/14) the medicine “Feburic-40” for ODHS_1 month. 19/05/2014 = CRP-3.4 mg/I, Rheumatoid Factor-5.2 IU/ml. 21/07/2014 = ASO – 251, URIC ACID – 9.0 mg/dl., CRP-3.5 mg/I, Rheumatoid Factor-6.5 IU/ml. Doctor change the medicine after shown the pathological report = “CIPLORIC-300” (ODHSx10) then BDPC. After taking medicine on 25/08/14 = Blood report of Uric Acid 3.7 mg./dl. And ASO-317 IU/ml. Now advise me, how I can control the ASO level. | Hi, ASO titres indicate previous exposure to streptococcal bacterial infection. It is difficult to tell whether your present problem is related to that., what ever it may be, elevated ASO in an Adult is not a concern. Your condition seems to me like gout which needs further evaluation. Just ignore the ASO. Consultation with a Rheumatologist will certainly help you. All the best. | |
Suggest treatment for stiffness and soreness in the knee
my husband (60) fell into a ground hole about two hours ago. he did a split and heard a pop from his knee. how can you tell the difference between a torn ligament and a sprain. he says the knee is getting stiff and sore. there is no bruising. should he be icing the knee? | Hello I appreciate your concernHe might have injured his knee may be due to ligament injury or a soft tissue traumaIn my opinion he should take anti inflammatory drug like ibuprofen for a week and take complete bed rest until it heals properlyif it persists even after that please consult a orthopedic doctor for an MRI of the knee to see for torn ligamentsIce application will definitely help himYou can also go for physiotherapy for speedy healingThanks for using our servicesBest wishes | |
How can pain in the inner thighs be treated?
Hellow Dr , my husband is 43 in age abd 130 kg in waight his hight is 6 feet i inch he is suffering burning pain in inner thigh, bbefoe this he had a pain in lower back and hip right side,he can walk and stand without pain but he cant sit dr says after x rays he might have siatic pain but after a lots if medicen he is not feeling better. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion this is a type of sciatic pain only ,the nerves involved are little higher ones.( L2-L3 nerve root). MRI of lumbar spine is required for diagnosis. The treatment will depend on the MRI Findings. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for infection in the navel area
Hello. I ve been dealing with some stomach issues as well as PID and ENDOMETRIOSIS. my navel began to have green pus and foul odor and I ve taken a range of anti biotic the past 2 months and nothings helped. They misdiagnosed me 3 times and now believe it s associated with my recent c-section 10 months ago. Help?! | Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should do swabbing from the infected area. Do Gram's staining, culture and sensitivity from the swab.Green pus is suggestive of Pseudomonas infection.Taking the treatment as per the report will cure you completely.Please take good care of local hygiene by regular cleaning and dressing. You can use betadine ointment and polysporin ointment at the time of dressing.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist. | |
Suggest treatment for lower abdominal pain
Hi, may I answer your health queries right now ? Please type your query here...I've got discomfort in the lower part of my stomach every now and again I am getting sharp pain through the lower right side. I have been feeling sick the last couple of days on and off! I have also got wind but i don't think that that has got anything to do with the pain. I haven't lost my appitite but to be honest when i feel ill, unless i'm throwing up, i still make sure i eat!! can you help me please!! | Hi. Thanks for your query and an elucidate history.You have a pain in the right lower side of the abdomen, wind , feeling sick, appetite is normal. The most probable cause of this is appendicitis or colitis called typhlitis.I would advise you to consult a Doctor to get examined physically to see for the signs that a Doctor alone can elicit.Get the investigations done as per his advise to confirm or rule out appendicitis or so. If positive for a appendicitis, get operated. If negative get a course of an antibiotic and metronidazole for 5 days and you will be fine . | |
What causes rashes that starts from back to arms having diagnosed with Lymphocytic Leukemia?
Hello my mother is 65 years old and would be considered in poor medical health. She was diagnosed with CLL (chronic lymphocytic leukemia) two years ago and has also had trouble with blockages in her upper arteries. She had a successful surgery to clear one of the blocked arteries and her cardiologist assures us the rest of the blockages are NOT life threatening and are not getting any worse at all. The concern is she now has a rash that originated on the back of her head and moved down her arms (the blockages were in her subclavian arteries). It has been 3 months and she just told me now. I have a BA in biology and the symptoms don t seem to fit either of her major problems. If it were arterial, I would expect necrosis of the finger dermis, not a rash. The CLL apparently may cause rashes but she has no swollen lymph nodes in either her neck or arms. I have a picture to accompany that shows the rash. I m sorry to trouble you but I am deathly afraid and don t know what I would do without her. She is also quite scared to go into the doctors and hear that she has weeks left to live (I considered stress as a cause for the rash)? She also had shingles 4 years back, but does not describe this rash as as painful as the shingles virus. Please help, I would be forever in your debt. | Hi, dearI have gone through your question. I can understand your concern. She has chronic lymphocytic leukemia. Her artery blockage has no relation with rash. Her rash may be due to low platelet count. In CLL it is very common to have low platelet count and it causes rash. She should go for complete blood count with platelet count. If it is low then take treatment for that. If needed platelet transfusion can be given. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What are the side effects of Valprol cr 500?
i am a 29 year male.i have been taking valprol cr 500 since last 5 years after consulting a doctors. i feel that may be i am having some sexual problem such as erectile disfunction etc. is it side effect of valprol or what? what should i do now? my family wants me to get married? pls help | Hello,Anti-epileptic drugs like phenytoin, carbamazepine and valproic acid may cause erection dysfunction. Please consult with your physician and he will advice alternative.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
Suggest treatment for swelling in elbow
My son fell on his elbow and another child fell on top of his arm. It happened just yesterday so it s still swollen and squishy around his elbow? He complains it hurts when he stretches his elbow? Any suggestions on if I should take him to see a doctor. | Hello, Usually, kids have growing bones and are quite flexible. This types of pain go away with simple hot water fermentation and crepe bandage. But to be on a safer side an x-ray is advised as bones are still into the growing stages and the bone end plates are prone to have inflammation, and that is the reason your son is complaining about pain at the elbow anterior aspect. Taking x-ray will be of choice. Post which support of elbow brace and hot water fermentation is advised. Slow and low-intensity range of motion exercises along with careful Strengthening will help improve the symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Should I see an orthopedist for cramps in my calf every night?
I tore my Achilles tendon last October. I opted to let it heal with the supervision of an orthopedist rather than to have the surgery. I wore a splint for two weeks followed by a boot for ten additional weeks. I had eight weeks of PT, during which we discovered that I also had plantar fasciitis in the same foot. I was discharged from the orthopedist s care and slowly returned to normal. I have three new phenomenon that I am not sure I should attribute to the healing process and I am wondering what specialty I should visit for help. Can a podiatrist help with the searing burn in my heel that occurs at least five days a week. Should I see an orthopedist for the new cramps in my calf that wake me almost every night? Lastly, who should I see regarding the ankle swelling that occurs regularly? Is there one doctor that can help with all these problems | Hi, For all your current problems I suggest you consult your orthopedic surgeon only. He will be able to tell you about searing burn in the heel, calf pain and ankle swelling. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopedic Surgeon | |
Ache in my brain during ejaculation
sharp ache in my brain during ejaculation | Hi.. Few individual especially men experience headache during sex.. It happens due to multiple reasons.. Some of the known causes include, over exertion during the act, quick climaxing, strenous posture and so on.. Apart from this dilatation of the blood vessels in the head can happen triggering the headaches.. You need to work on the above said factors to prevent such headaches or you may use pain killers an hour before the act. No sexual activity for some time may be a few weeks may also help... | |
What can cause feeling weak and shaky and heart palpitations?
I feel shaky and weak often - had bloods checked all ok - have a long history of anxiety and depression ( health anxieties) - palpitations regularly which again have been checked but I am convinced something has been missed. This shaky weak feeling seems to tie in with when my heart is being odd? | Hello!Welcome and thank you for asking on HCM!I passed carefully through your question and would explain that your symptoms are typical of a panic disorder or anxiety. You should know that during anxiety or physical activity the sympathetic nervous system is activated, causing increased circulating levels of adrenaline and noradrenaline, leading to palpitations and shortness of breath. Thyroid gland dysfunction can mimic all this clinical scenario too. Have you checked your thyroid hormone levels? Besides checking thyroid hormone levels, I would recommend performing an ambulatory 24-48 hours ECG monitoring to investigate for possible cardiac arrhythmia. If all the above tests result normal, you should consider anxiety as the main cause of your complaints. Hope you will find this answer helpful!Kind regards, Dr. Iliri | |
Is hard cyst near groin area concerning?
painless hard either cyst or swollen lymph node/gland in my groin area. in an awkward & embarrassing spot spot. under the skin mass. i am female, age 22. no other symptoms. prior to this incident, about a month ago- had swollen lymph nodes in my arm pits and necks that went away on their own without antibiotics. should i go to the doctor about this "lump"? could it be lymphoma? | Welcome to health care magic. 1.The history and present symptoms and location suggest enlargement of the lymph nodes.2.In this case its for sure that there is some lymph nodal pathology which needs to evaluate.3.Get an ultrasound of the lumps scanned, the ultrasound will help to assess the nature of the lump, its source and extensions.4.Followed by an FNAC - fine needle aspiration cytology will help in assessing the nature of the cells and possibilities of lymphomas.5.Possbilities of being lymphoma are there. So get scan and needful treatment. Good luck.Hope i have answered your query.Any thing to ask do not hesitate. Thank you. | |
I never feel hungry,What should i do?
i am 22 years old and so petite n m never feel like hungry. what should i do to improve my health? i will b very thankful 2 u so reply me soon please | Try to have fruits and juices as much as possible to begin with! then, slowly this will help u take a better diet. | |
When can I stop the medicine, Wysolon, given for low platelet count and what are its side effects?
Hi sir, am 22years old,,,,Daily am using 20mg of wysolon tablet at morng and nit times,because til 2years before itself I having less platelate count in my body..but I don't know what purpose to use this wysolon tablet..sometimes can I stop this tablet, immediately it showing teeth germ bleeding and clotting the blood in my body...what I do sir its my very biggest problem then how it possible to cure then how long to use this tablet??.anyother side effect will happen??? plz kindly ans me YYYY@YYYY this is my email id if passible wil u send answer to this id sir..... | Hi. Welcome to HCM.I beleive that u r suffering from ITP (idiopathic thrombocytopenic purpura) a condition of low platelet count.Idiopathic means unknown cause. In medical field we have something called Autoimmune disorder, means your body's own immune system is targeting and destroying your platelets. The treatment option in such conditions is giving immunosuppresant, that is what i guess your doctor is doing. This low platelet count is the reason y u r getting gum bleeding also. By taking wysolone (it contains a steroid prednisolone) usually u will be symptom free. If i am correct that u r suffering from ITP then dear there is no cure for this, but your doctor can stop the progression of the disease by giving steroids. But remember this dont ever stop wysolone tablet on your own, it is too dangerous to do so. Consult your doctor and then stop. If u still have query pls feel free to ask. Regards and wish u good health. | |
What causes slight swelling inside navel with uncomfortable feeling?
The area inside my navel appears to be slightly swollen. No larger than a pea. It is not painful on its own, but is tender and slightly uncomfortable (2/10 on pain scale) when you press on it. It also feels as though I am pushing something small back into abdomen when I press on it. Do you have any ideas? Additional info: yesterday I was helping someone attach a rope to a hook in the pool. it was difficult and I had to strain to connect it. I was on my knees pulling rope towrd my body. Abdomen did nothurt yesterday, and still only hurts if I press on it. | Hi. Thanks for your query and an elucidate history.The condition of a pea-sized swelling in the umbilicus which is tender and you get a feeling of pushing something in on pressure is called an umbilical hernia.This is a small gap in the wall of the umbilicus. You can consult a Surgeon to get an examination done and to decide whether you need a corrective surgery or not. In small sized umbilical hernia, where the content is always a fat-pad, surgery may not be needed until the opening is big enough to cause entrapment of the intestine to cause spigellion sort of hernial obstruction or causes any other complication. You can keep this under observation and get operated only if causes pain. No pain at straining at the pool is a good sign. | |
Suggest medication for Arthritis
going for a injection in to my hip of steroid also going to remove fluid from my hip been told i have arthritis. have also been diagnosed with heel spur and have gone for bone scan was told no fracture but they are going to talk to me when i go to get injection done the pain in my foot is there all day its getting me down what am i to do or could this be serious | Hello, Thanks for writing to us, I have studied your case with diligence.As per your symptoms there is possibility of calcaneal spur along with plantar fasciitis.It is advisable to wear low heel shoe to maintain centre of gravity of whole body.Shoe/footwear should be with soft sole. You can use silicon pad insoles.You may need x ray heel to see bony overgrowth.Start plantar exercises consulting physiotherapist also Physiotherapy like TENS and ultrasound will help.Take calcium supplement with vit D.If no relief with this line of treatment then local injection shot can give pain relief for longer duration.Last modality is minimally invasive surgery to release inflamed tissue.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 for neck pain and numbness due to disc desiccation
I had a MRI and have been in so much pain in my neck lower back also my right keeps going numb. the MRI said that i a degree of disc desiccattion,and cervical straightening of the cervical lordotic curve. please tell me more about this and how is it treated cause the pain is BAD. | Hello, The reading of the MRI is rather nonspecific with respect to your symptoms and in simpler terms suggests that you may be suffering from normal articular degenerative changes that accompany the ageing process. Cervical straightening of the cervical lordosis is often taken as a sign of muscle tightening or spasming that could account for some of the pain. Your best approach to treating this problem would be to start with some form of cervical physical therapy and even AQUATHERAPY itself may be very helpful given the MRI findings. Your doctor would best be able to counsel you on the use of acute pain management medications since they know your history and other medications you may already be taking. Surgery to correct this problem does not seem to be a possibility given the MRI findings. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist | |
Are there risks involved in masturbation?
Hi..Iam Vinu..age 20..Iam here to ask about risks of masturbation..i have this habit for about 1 and half years..at the initial times it feels good..but recently iam feeling a little pain in my right testicle..however it disappears after 2 days...is it normal??...pls send me measures or steps to do...waiting for your kind advice.... | Hello,The excess masturbation that is frequency more than 2-3 times in week can cause groin discomfort.So you can have pain because of that. However if testis pain present than investigate with ultrasonography of testis for primary work up. Yoga, meditation, less porn can help in reducing frequency of masturbation. Make short term and long term study goals which will help in reducing frequency. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
Suggest remedy for addiction to eating raw rice
hi i.m 23 and i have been eating raw rice since 9 years and no wit become so difficult that i just cant stop my self.... i want to stop eating raw rice, i've tried to substitute it with chewing gum, chocolates....... but it does not work i still get tempted.... it very embarrassing and i just want to get rid of this... | DearWe understand your concernsI went through your details. I suggest you not to worry much. So many people eat raw rice. This has become a habit and urge because your body is deficient in some of the nutrients which raw rice have plenty. Raw rice contains so many minerals and is rich in iron content. So you must get yourself checked up medically and find out which essential mineral your body lacks. Taking proper treatment to overcome mineral deficiency can only overcome your raw rice eating habit.If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
Suggest remedy for bruise on the back of rib cage and a small lump behind it
My 4mth old son has a bruise towards the back of his rib cage on the left hand side. It has a small lump underneath it like the size of a small bead. I m with him all day every day and he has by had a fall he has started rolling but there s nothing hard he could have rolled on to. It doesn t seem to both him or hurt when I run my hand over it. Should I take him to the Dr or wait and see if it clears up? He s had it about 3 days now. | Hi,Thanks and welcome to healthcare magic.The bruise usually heals within a weeks time.you may apply antibiotic ointment locally.Paracetamol or Meftal for relief of pain.No need to rush to the doctor immediately .If no improvement after one week you may consult your doctor.Hope this answer serves your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam. | |
Suggest treatment for stage 4 lung cancer
Thank you. My dad was diagnosed with stage 4 lung cancer. He has gone through 6 weeks of chemo and radiation treatments. It has now been 3 months since his treatment and he had another CT scan. The scan now shows all lymph nodes normal size and no new areas of cancer. Although the tumors remain in the lungs, does this mean the cancer is gone from the lymph nodes now? Thanks so much. YYYY@YYYY | hi.. its better you do the PETCT scan to assess the response to treatment or to see any residual disease...complete response is less likely in stage4 lung cancer.. sorry to say this.. but if PETCT doesnot pick up and he is asymptomatic, then you can just follow up...definitely review ur pathology ie, previous lung biopsy report also if complete response documented... | |
What caused stabbing pain in my forearm from the elbow to the wrist
I have a horrible, stabbing pain in my right forearm ranging from the elbow to the wrist. No bruising, and randomly, the pain shoots up to my shoulder. It is tender to the touch, and hurts worse when any for of pressure is applied to the elbow or forearm directly. | Hello,I have studied your case and I think that your pain can be due to either tennis elbow or cervical spondylitis. In these condition there is always severe pain. You need to apply hot water fomentation and take tablet Pregabalin M tablet one at night time. You can also start physiotherapy to improve muscle strength. Tennis elbow band can also be applied to elbow for pain relief. I hope these steps will be helpful for you.Let me know if there is any other followup questions.thanks | |
How can abdominal and back pain with diarrhea be treated?
I am 53 and have dealt with a dull lower adominal pain that never seams to go away. I am on pain meds that don't even touch this pain. It seams to move into my back area at times. It is always on my right side. I have had my gallbladder removed as well as my appendixs removed. All my female organs are removed also. Some times the pain is worse then others. I also have alot of trouble after I eat having to run to the restroom with bowel movements. I have been to doctors and say they can't find anything. Lately I have been having trouble feeling very sick to my stomach. I can't sleep more then a couple hours at a time due to the dull pain. I have the scope test done about every 3-5 years. Any thoughts or ideas. | Welcome to health care magic. 1.The possible cause for the back pain could be due to degenerative disease of the spine. For which the medication after some times will not give any resolution. 2.Treatment in this case is simple back exercises ( do as much as you can ) followed by physiotherapy.3.That should help to get rid of the back symptoms. If not them MRI spine and treatment accordingly.4.The bowel symptoms suggest me as IBS - irritable bowel symptoms.5.Treatment in this case is maintain dietary changes - Take more of salads,vegetables,fruits, and fibrous diet for better bowel moment.6.Avoid junk, spicy, fat containing food,alcohol and other addictions that will help. Good luck.Hope i have answered your query,any thing to ask do not hesitate to ask. | |
Will ketones during a pregnancy cause a baby to have low IQ?
I am 37 weeks pregnant and I have had Gestational Diabetes - this morning I found a large amt of keytones in my urine- this would be the first time- I am very concerned since I have read that having large amts of keytones can cause a very low IQ in babies later in life- should I be concerned? I have a call in to my endocrinologist- | Hello,I have gone through your query and understood the concern. The effects of ketonemia on the unborn fetus are not clearly known. Though it has been stated that there can be low IQ in the babies born after maternal ketone bodies are high, it is suggested that the actual reason behind this finding is the inability to maintain the insulin levels that could be causative. To this effect, maintenance of an effective diet is helpful to control the ketone bodies. Moreover, since you had only one episode and also as the baby is term, you need not worry. Hope this helps. | |
Suggest remedy for bend in spinal cord and back pain
My mother is 65 years old. She has been suffering from back pain. Yesterday I took her to the orthopaedic doctor. In the X - ray, we came to know that spinal cord is bended. The doctor told us, we can not perform any operation. Because your mother is 65 years old. With the help of medicines, we can give her relief. Now I want to ask you, is there any remedy for this problem ?V.KRISHNA PRASAD,VISAKHAPATNAM,ANDHRA PRADESH,INDIA. | Dear Mr. Krishna ,Thank you for your query at Healthcaremagic.com .For giving any suggestion on this case we need more detail like x-ray report , explanation about symptoms .If any patient come to me in this condition we examine the patient get all the test done and the start treatment .We start with Panchakarma therapy as per the requirement of patent and internal medicines . We take advise from the Physiotherapist for exercise schedule .The combination of Ayuveda and physiotherapy help a lot is such cases .I would like to advise you that you should go for expert Ayurveda consultation for your mother she will get maximum benefit from it .Regards Vaidya Naveen Sharma | |
Done radiotherapy for throat cancer. Has tumor in palate, back of throat. How to increase chances of survival?
Hi, My step dad has just begun radiotheraphy treatement for throat cancer - he is at stage 3. The tumor is in in his palate , the back of his throat and his neck. Scans indicate it has not travelled elsewhere. Surgery is not an option and chemo has been ruled out as he has macular degeneration and undergoes monthly injections to the only eye he has 30% vision in. Is there anything complimentary that could be used to increase his chances of survival? Thank you for your help, Mia | Hi, concurrent therapy with a biological agent like nimotuzumab may be an option. otherwise if radiation can be given with IMRT better dose distribution can be reached. consult with your radiation oncologist. | |
What causes indentation in skull base with hypotension?
In the last 2 months I have developed an indentation at the base of my skull on the right side. I have had no recent injury, but have also developed orthostatic hypotension in the last 6 months. Which type of doctor should I go to for these symptoms? | First i need to know the full report which made diagnosis of indentation of skull base. the treatment depend on how much it is and is it causing any compression on the surrounding structures or not.For orthostatic hypotension, you need to undergo few test to find possible cause. You can consult cardiologist (for orthostatic hypotension) and neurosurgeon (for indentation in skull bone) | |
Which sunscreen is effective for oily and pimple face?
hi..........im ano .....22 years old.... last 6 years pimple damaged my skin.......... my doctor suggest me depi white/sensitelial 55+ sunscreen........ and sebionex gel for washing face......which sunscreen will be better? my screen is so oily..... and too spot on my face.... how can i do? | Hello,Thank you for posting on HCM.For oily skin you need water-based sunscreen.Try SUNCOTE sunscreen gel by Curatio.Hope this will take care of your issue.Wish you best of health.Thank youDr Hardik PitrodaM.D Dermatology | |
Suggest remedy for depression while being treated for piles
I am a young person of 35 years, but look like a old person, skinny with sunken cheeks and eyes. my eyes look very dull. Sometimes I go blank in mind. sometimes is depressed and angry. I have piles problem. I am undergoing ulcer and piles treatment. I have taken health products by ownself but to avail. My relationship are facing problems. I am a ciggeratte smoker. please advise | DearWe understand your concernsI went through your details. I suggest you not to worry much. From the given description it is very difficult to diagnose your problem. I do see some mental troubles with you. But it is premature to tag it as depression. Most ideally, you are dissatisfied with life and your health conditions. This disappointment does not amount to clinical depression. Understanding yourself and your body should give you insight. Diseases are part of life. Healthy and happy living never means disease less condition. Learn to live with problems.In case if you need more explanation in this regard, please post a direct query to me in this website. I am happy to explain.Hope this answers your concerns.Good luck. | |
Q. Do negative troponin rule out heart problem, inspite of chest pain?
Hello doctor, I am a 44-year-old female. I get random chest pain either on the left side or on the right side that is painful to touch. There are some instances when it feels like my chest is going to collapse. This feeling lasts for a second or two. Almost like a lightning bolt has shocked me. There are other times where I feel like something is pinching or pressing on my left or right side of the chest. I have been diagnosed with costochondritis and GERD and prescribed anti-inflammatory pills plus Omeprazole. I also have high blood pressure and high cholesterol for which I take Losartan 25 mg, Hydrocholorithazide 25 mg, and Fenofibrate 145 mg once daily. I had an EKG done and that turned out normal. I went to the clinic two weeks ago as I had pain in the middle of my chest that lasted less than a minute. I had an EKG done again and it turned out abnormal. My blood pressure was elevated at 130/100 mmHg and I was having an anxiety attack. Although EKG was abnormal, blood tests came out normal and Troponin was negative. I am totally freaking out. Doctor says that I am fine but I should see a cardiologist to rule out heart problems. I am worried because several months ago my EKG was perfectly fine but now it is abnormal. Please help. | Hello. I understand your concern. Your troponin was normal, this is good because that was not heart attack. Regarding your ECG (electrocardiogram), I do not know what was the abnormality. I want to see your ECG to guide you accordingly. One thing I would stress that please reduce your weight as obesity is the most to many unwelcomed diseases. Obesity is a field in which cardiac diseases grow. Only reducing weight will solve many of your symptoms and worries. Regarding your chest pain, it is atypical and does not seem to be related to the heart. Take painkillers when you have pain. | |
What medication is suggested for Picks disease?
My brother is 56 and was loosely diagnosed with PICKS disease at 55....his wife promptly divorced him and he has been living in the basement of my mom's house (she is 80 with undiagnosed but I suspect alzheimers) for a year. He is on 300mg of bupropion xl and 10 mg (I think) of donzapril...He has no insurance any more so avoids the doctor, but cannot function well at all now. He can't remember things I just tell him and he is sooooooooooo depressed and panicked and helpless and he has no appetite or taste when he does eat.....I live 5 hours away and try to talk to him daily but don't know where to get help and wonder if these medications are hampering instead of helping....he really needs to have daily help but I don't know where to turn and I'm sure this isn't your area but I am so sad for him.....and his family doctor is pretty much "done" wih him because they can't understand the level of devastation he is experiencing..... | Hi,Thank you for posting your query.It is unfortunate that your brother has been diagnosed with Pick's disease, and moreover, his wife has divorced him.There is no cure for Pick's disease, and hence, no medications can be specifically given for this disease.Donepezil is effective in Alzheimer's disease, so, some doctors prescribe this for Pick's disease too, as patients with Pick's disease also have dementia.Bupropion is used for behavioural problems and it may be good to consult a psychiatrist to streamline his medications.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: | |
Undergoing infertility treatment. Failed IUI procedures. Rubella positive in the torch panel test. History of abortions
hi doctor, ive been married since 5 years. I got aborted 2 times and now me and my husband are in treatment . We have tried iui more than 4 times and the result is negative. Now ive done torch pannel test and the result is rubella IgG is 55 positive and CMV IgG is 62 positive. Dr tld me because of this the pregnency is getting delayed. I need a suggestion what is the next step to procced for pregnency. My age is 24 yrs and my husbands is 28 yrs. | Hello. Thanks for writing to us. The presence of IgG antibodies is suggestive of an active immunity in your body and not the active disease. You need to get the IgA and IgM levels also evaluated to detect the presence of infection for treatment. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
Is gallbladder removal necessary due to its problems?
I'm 24 years old. I'm have an appointment with a docter today about my gallbladder. Should a gallbladder be taken out? After only a few tests ''confirming'' that it is my gallbladder giving me little problems. And after reading about so many people that gallbladders have been removed and having a hard time coping with their lives now, I dont know what to do? Please help me! | Hi,Your symptoms may be suggestive of gallbladder stones so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are see more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time.Wish you a good health.Kindly regards,Dr. Ivan R. Rommstein | |
What can help in alleviating stomach pain during period and bowel movement?
Hi, the first 3 days of being on my period I get really sharp pains in my lower stomache when I try and have a vowel movement and my stomache feels very sore. I only normally go about once or twice a week anyway which is normal for me but it hurts that much that sometimes cry. I sometimes hold it in until my cycle has finished | Hi...this is not normal...you are constipated...the more you keep it inside the harder it will become as the body keeps on absorbing water from it...and so it will be more difficult for you to evacuate it leading to more pain and eventually you will develop anal fissure... so start a laxative in the night and eat more fibers like oats and bananas...Now, about the pain during menses...the intensity of pain varies between people as is their sensitivity to pain...take an analgesic during that time...Dr. Ashish Verma | |
What causes bump on head after falling down?
My 5 yr old son fell from his tricycle and has a bump on the back Side of his head I dint notice until 4 hours after he complaint as he touched it....at the time he fell I checked his head but dint noticed anything. I just rubbed some alcohol on the bump and put some vaporub...not sure if I should take him to the doctor s immediately or wait for any signs? It does seem like the bump went down a bit. | HiI am Dr Mittal.I have read your query.I think I can help you.There is a strong possibility that the bump is just a fluid collection after fall. It will probably resolve spontaneously.If he has no symptoms, just watch him.If there is any problem get to a ER and request a CT brain.I have tried to make it as simple as possible.Please feel free to ask a further clarification.Please click on HELPFUL.Best of luckDr Mittal | |
What causes a feeling of heaviness on the chest?
Week ago Wednesday I took 150 mg of prednisone then had six month ct scan done using dye. That Friday I got weak n w ent to bed. Went to my md. N called kidney dr said would b out of my system n 11 days r so. Been back to dr n to emergency room said I had ur entry track infection. I m still n bed so weak n tired. Chest feels heavy nausea feelin Did similar last test but not as severe. I only have one kidney left | Dear, welcome to HCM and thanks for choosing us. I share your concerns. There are following possibilities I can think of with symptoms you have mentioned, taking into consideration1 heart ailment (possibly transient attacks, can become real heart attack if not investigated and treated), chest tightness suggest this. 2 GERD (acid reflux from stomach to oesophagus),nausea suggest this.3 medicine induced gastritis4. lastly anxiety disorders. I would advise you to go in following waysGet an ECG done and discuss with your cardiologist. Cardiologist will be able to guide you for GERD too. For GERD you may require an endoscopy of stomach. If both are normal, . Lastly you may require a visit to psychologist. I hope my reply will help you. Please write to us or me for further information. I wish you good health. | |
What causes swelling in the face post tooth extraction?
Hi, I had #15 tooth extracted 10 days ago, swelling in cheek led to my going to the dentist in the first place. Tooth extracted, continued antibiotics that I started 6 days prior to extraction so finished them 4 days after extraction was done. 7 days later swelling was minimal but now after 10 days post extraction, woke up with swelling on face from my eye down to my jaw. Went and saw oral surgeon, was told its cellulitis and given augmentin 875mg for 10 days, follow up with him in 3 days. Wondering how long before swelling goes away? | Hi..Thanks for the query..Swelling on face after tooth extraction that was previously infected is most probably due to Infection spreading into the soft tissues leading to Cellulitis only..The time duration in which swelling will go away depends upon the severity of infection..So my suggestion is to continue taking the antibiotic Augmentin as advised because it is appropriate and along with it do cool compresses over the cheek....Take anti inflammatory painkillers like Ibuprofen..In case if there is no improvement or the swelling worsen consult an Oral Physician and get evaluated...Hope this helps..Regards . | |
What is the normal BP level in mid aged woman?
I am 54 years lady. My husband expired in april 2011 and i am not regular in my diet. Last night i was having a bad headche i cant even sleep and i hold my head with both the hands. I have survical problem as well. I had gone to lab and check my BP itis 90/60. Is there any risk. I amin stress as well due to some official problem for the last two days. Kindly suggest i have to go to doctor or any -------- Anu | Hi, dearI have gone through your question. I can understand your concern. Normal blood pressure in middle aged women is 120/80.You have headache and your blood pressure is very low. You need to take treatment. You should take lemon and salt water to raise your blood water. If it remains persistently low then you should 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. | |
Is dialysis needed for kidney shrinking?
i m 40 year old my both kidney get srink(small in size) since 1999. at present my s.creatinine is 4.0,blood urea is 114 and HB% is 6.9. i fill very tired and wikness. presently itake allopathy medicine like calcium tab,B.P tab amlodipine 10 mg.folic acid and iron tab. but can't relife. Doctors advise that you should go for dylisis. So please advise me what to do ? Anuradha deviBaridih JamshedpurPH : 0000 | Hi,Thanks for writing in.It is important to know the type of kidney disease you are suffering from. If hemoglobin is 6.9 then you have severe anemia and it needs to be corrected. Blood urea 114 and serum creatinine 4.0 also needs attention. It is important to consult a nephrologist and then proceed with management. The kidney shrinking since 1999 needs to be followed up with an ultrasound scan. Dialysis is a procedure by which the blood creatinine level can be brought down in an emergency. The nephrologist might also request a kidney biopsy to know the exact cause of kidney disease in your case. If you have high blood pressure or diabetes then that must also be controlled with medications. Fluid input and out put along with proteinuria also should be measured. Depending on serum creatinine levels, dialysis is usually repeated till the levels are maintained. | |
Q. Why do I get thigh muscle numbness?
Hi doctor, My uric acid in blood shoots up to 7.9. I do not have the problem or gout or kidney stones. How to reduce it? I have already started to drink lemon water the whole day. I have attached the photographs. I have only knee pain, which is at the backside of the knee while climbing up and down stairs for the last two years. Also, my left leg thigh muscle has localized numbness for the past five years. Numbness did not hurt, but bothers sometime. Numbness is not heavy if i use nail on it or scratch on it, I sense it well. How to cure this numbness? Is this serious? | Hello. Revert back with more clinical details to an orthopaedician and traumatologist online --> | |
Neck pain, headaches, backpain, stomach problems, BP. Prescribed Prozac. How does it help?
Hi, I am suffering from neck pain & headaches , also, I have back problems with L 3,4,&5 discs, I have stomach & B.P problems also, I take prescribed medication for. My Doctor has said that a medication like Prozac may help, he agree s that I am not suffering from depression , but say s that prozac may produce something in my body that may help me, can you tell me what it will produce & how it could help, just the thought of taking anti depressants scares me as I take a lot of medication already, many thanks Jon. | Hello. Thanks for writing to us. Prozac is an antidepressant but it also helps in maintaining a feeling of general wellness. Taking prozac will help in reducing the pain perception due to the disc problem that you are having and will help you psychologically. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. Praveen Tayal drtayal72@gmail.com | |
What causes an indentation in leg?
have an indentation on my right leg (halfway up the side of leg, between the calf and shin) that is not visible and can t be seen, only felt. when i apply my bodyweight onto that leg it bloats out about 5mm, what is it ? (I am 21(Male), Ice Hockey Player) | Hi, Consult an orthopedics and get evaluated. An MRI scan might be useful for further assessment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes difficulty in getting pregnant?
sir myself & my husband were together for 2months but i was not conceived every month i get regular periods but this month 35 days after i got my periods not conceived what could be the reason,then doctor told me to take Evion tablet also i am continues that also please give ur reason | Hello,If you have regular menses with ovulation and your husband's semen analysis is normal (if it does not have specific treatment from expert) you should have unprotected sex around ovulation day. In a regular menstrual cycle ovulation day is 14 day before the expected menstrual date. It can be definitely estimated by LH surge test at home.Once the ovulation day is known there have unprotected sex from the date of +ve LH surge test (or 2 days before the ovulation date) for 5days. Evion (vitamin E) helps in all the fertility functions, so continue with it. Pregnancy can be confirmed by HPT after 8 days delay in menstruation.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Vasudha Jayant Athavale | |
Q. Can there be rise in creatinine and uric acid during fever and cold?
Hi doctor, I am a 47 year old male weighing 90 kg with a height of 5'9", suffered with fever as well as cold routinely in the last month. My doctor advised me some blood test as my BP at the time of consultation was 130/110 but I was not having BP problems. The last checkup reveals normal BP 120/80. The antibiotic given to me works and I do not have fever after that. The blood test advised to me by the doctor shows normal reading except creatinine 1.19 and increased uric acid. My uric acid is normally on higher side and I was prescribed Zyloric tablets. Please advise me whether I am having any kidney related problem or not. My BP is normal without medication. What should be my line of treatment ? I have attached my lab reports including KFT, hemogram and urine test. I am worried. Please review the reports and help me. | Hello. I have gone through your reports (attachment removed to protect patient identity). During any acute infection serum creatinine can rise as a result of infection as well as dehydration. For a better judgment you need to get a repeat serum creatinine as well as uric acid done. This should give us a clear idea. In case if it is still high, you would require to get further investigations. So, get the repeat test done and write back to me with reports. | |
Suggest treatment for sciatic nerve pain
hello sir ,my wife is having pani in her back as well as both legs.the pain is acute.we consult a othopedic doc,who said thai she is havin sciatic nerve pain and ask me to consult neurologist..now she is taking gabapentin with vit b complex but pain is syill there.. | Dear,I have gone through your question and I can understand your concern.Consider to use for her sciatica also NSAIDs as needed: Naproxen (Naprosyn) 500 mg initially, followed by 250 mg every 6 to 8 hours. Please don't forget to give your valuable feedback and five star rating, to help me assist you in a better way. Click at 'I Find This Answer Helpful too'. Please, write a review about your experience with me. | |
High BP after taking repace h. History of regular alcohol intake and smoking. On medication for controlled diabetes, hypertension. Medication?
last 3 days my b.p is 150/100 after taken repace h. now which medicine suitable for me. i am 43 years old. i am drinking alcohol regular 3 peg & 7 pice cigarate regularly. my waight is 85 kg. last 7 years i taken diabetes & hypertention drug. diabetes is under control. last two days also disterbence of my sleep. so i am very tense. | Hi there. A blood pressure of 150/100 is not cause for any immediate alarm. Reduce your alcohol if you can because alcohol tends to raise your BP. Try also to get some regular exercise and chill out. Tension is no good. Be well and good luck. | |
Suggest treatment for lump on the shin
My daughter is 4 years old and I have been watching a marble size lump on her shin for the last two weeks. There was no apparent injury that I am aware of, it is painless, and has not changed size at all. I can move it a little but I do believe it is fixed. I am wondering what this could be or if I should have it evaluated?She is an otherwise completely normal, healthy 4 year old. If she had bumped her leg, as all 4 year olds do during the summer, could it still be part of the healing process? I have never noticed a scratch or any bruising in the area. | HiIt could be a lipoma. But, the exact condition is diagnosed by FNAC ( Fine Needle aspiration Cytology ). Please consult your Surgeon and get it done.If it is a freely mobile swelling, it can be removed. Nothing to worry. Regards | |
Q. My husband has suprascapular aneurysm. How to reduce the risk of rupture?
Hi doctor, My husband is 30 years old. He is generally in good health. Three weeks ago he noticed a pulsating mass above his clavicle. He has some shoulder pain, but no neurological or other symptoms. He went to his primary care physician and had an ultrasound yesterday, which reported that he has a suprascapular aneurysm measuring 2 x 1 x 2 cm. A referral was made to a vascular surgeon who was unable to look at his file yet. How urgently does this need to be addressed? Can anything be done to decrease the risk of rupture? His blood pressure runs 140/90 mmHg, and he does not take blood pressure medication. He is currently on Carbidopa or Levodopa for tremor. | Hi. Revert with the ultrasound report to a general surgeon online --> | |
What is factor V Leiden and anticardiolipin antibodies?
I have been diagnosed with factor V Leiden and anticardiolipen antibodies. They only time this has been an issue has been with pregnancy or surgery. Within 24 hrs I had a very painful raised red and hot to touch area come up on my knee. I absolutely hate going to the Dr or hospital unless its a must. What to do? | hello,this is a condition called anti phospholipid syndrome.and you need to be taking medication for blood thinning.in case this is occuring on the knee it could be arthritis, or simply an infection.you need to see a doctor who can work it out. | |
Is it dangerous to feel breathless?
for the past year i've been feeling breathless, feeling like i can't get enough air into my lungs, i can just be sat doing nothing and still have the same symptons, been to my gp about this three times and puts it down to stress it seems to be the answer to everything! i'm a young 48 and work full time, my regular meds are zapain and ibruprofin for a bad back which i've been on for approx 3years. I don't know what to do. lesley | Hi thanks for contacting HCM....Noted you feel like not getting enough air in your lung....First just consult pulmonologist and your respiratory examination done...If need to rule out asthma or COPD like causes pulmonary function test done by spirometry....If it comes abnormal then further investigation can be done....Here you might have stress related dyspnea as suspected by doctor...By excess stress panic attack can lead air hunger...So try to avoid stress...Early morning yoga and exercise good for stress relief....If needed you can consult pshychiatrist for further behavioural therapy and counselling....No need for worry..Take care....DR.PARTH | |
What could be the strange sensations behind my thigh on calf muscle?
I have strange sensations behind my thigh. Sometimes it s worse in the morning and is in my calf muscle. It s not muscle soreness, but a different sensation. I do have stenosis and arthritis in my back but I don t think it s sciatica as the pain is in both legs and it doesn t shoot down the legs. | hi you have a vague sensation in your thighs and calf which is sometimes worse in the morning . You have Stenosis and Arthritis also. In my opinion this abnormal sensation in your thigh and calf in coming from spinal stenosis . To confirm this we need NCV both lower limbs to see nerve pressure. In the meantime I suggest pain killers , muscle relaxant , pregabalin and spinal exercises. | |
Q. My daughter has left side spasm with muscle pull and vision deterioration. What could it be?
Hi doctor, I am the mother of a 15-year-old girl who was adopted. She has no family history and no medical history. She started experiencing back pain in her lower central back. The pain felt like sharp jabs at sometimes and dull at others. This pain progressed to the hips and shooting pains down both legs. She was seen by her regular pediatrician who sent her to get an x-ray of her lumbar spine. The test was clear. Her doctor recommended physical therapy. After starting physical therapy she was sent to a podiatrist to see if her flat feet were the problem. They were determined not to be. She has now been doing physical therapy for about three weeks and nothing seems to help. She recently experienced an episode where she was sitting, reading in class when all of a sudden her whole left side jabbed and got spasmed. She felt the pain the whole afternoon as it felt like all her muscles were pulled. She also experienced sudden vision deterioration and has just gotten glass for that. Could you please tell us what you think this could be? | Hello. I had gone through all the data that you have posted. I can understand your concern being a mother of 15-year-old and facing all this. I will try to help in my way. The first thing is complete detailed neurological examination is very important in this case. Due to the presence of a back problem with sensory symptoms for some time and sudden vision deterioration goes in favor of multiple sclerosis (MS). If the clinical examination reveals some abnormalities kindly go-ahead for MRI (magnetic resonance imaging) spine along with the brain. In MS it is common to have such episodes and more on extending the neck and weakness if any may worse with bath in hot water. Other possibilities include dyselectrolytemia, sciatica. So, kindly consult a neurologist for a detailed neurological examination and discuss possibilities with him and let him decide on further evaluation. | |
Q. I am suffering from health anxiety and scared of ALS. Please help.
Hi doctor, I am suffering from health anxiety, and I am scared of ALS. I started getting muscle twitches all over my body about six months ago. It started after I stopped taking Valium 10 mg daily for seven months (in suppository form). However, they still occur. I have discontinued Benzodiazepines (Valium and Xanax) for about seven months. I am very focused on my every movement. I have done two neurology exams (one by a psychiatrist and one by a neurologist). Both were normal. I also did two EMG on the same day. The psychiatrist did an EMG, a paraspinal EMG and tested 28 muscles altogether. His impression was healthy except for isolated fasciculation potentials in the right medial gastrocnemius. However, the above muscle was silent at rest with standard motor unit configuration and usual recruitment pattern. He said the study was healthy and did not suggest any motor neuron disease. The neurologist tested again because I made him do it. He did the nerve study and EMG directly on my right hand and arm where I am complaining as well as left hand, left arm, and left leg. He did not find any fasciculations and said it is all normal. The doctor told I do not have ALS. Both the doctors said there is no need to repeat the test. My questions are: Would the EMG directly pick up on the right hand if ALS were present? Should I be concerned about these fasciculations which can turn into something? If the fasciculation is due to ALS, will they show any other issues on the EMG? Can anxiety make fasciculation worse? Is it possible to focus on a body part so much? | Hi. Your symptoms could be related to benign fasciculation syndrome, which is associated with multiple muscle fasciculations in the absence of any neurological disorders. Of course, anxiety can trigger this clinical situation. As your EMG (electromyography) was normal, we can exclude any possible ALS (amyotrophic lateral sclerosis). ALS patients also have an abnormal physical exam (neurological signs). So, I do not think that you suffer from ALS. I would just recommend performing further tests: If all these tests results are normal, I would recommend discussing with your doctor on the possibility of starting Clonazepam, which is a Benzodiazepine which can help reduce anxiety and fasciculations. It is better tolerated when compared to Diazepam when used for a long time (it does not lead to addiction and tolerance). For more information consult a neurologist online --> | |
Suggest treatment for swelling on temporal bone
hi, a 3 yr old son have a swelling in his right side temporal bone which grows gradually after the injury which was occur 2 wks ago.it is non tender and not firm.what would be the diagnosis and how would i characterize the swelling in the physical examination | Thanks for your query, I have gone through your query.The swelling could be because a inflammatory origin due to the impact during trauma or it can be secondary to a fractured bone. Nothing to be panic, consult a oral physician and get a radiograph done like PNS or PA view to rule out any fractured bone. Meanwhile you can give cold and hot fomentation over the swelling alternatively every 10seconds for 1-2 minutes.I hope my answer will help you, take care. | |
Suggest treatment for kidney infection
My a1c has been in the low 5 s; however, after a 30 some 30 days in the hospital 2 months ago with I have swelled with liquid and my kidney doctor put me on Bemeutidt and have returned to nearly normal; however, a recent blood draw from my kidney | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Do a urine routine and culture to look for any infection and in case of urinary tract infection, you can start on antibiotics based on culture reports. If symptoms persist, get an ultrasound scan done to look for any lesions. Drink plenty of water. Wishing you good health. Thanks. | |
What causes swelling and brown lumps on hand?
my right hand is swollen and there are brown lump on both sides of it is also bruised and courses me pain when ever it is knocked. I am currently 15 and when i have seen consultants and doctors before they said it is a hemangioma but i would like another opinion | HI,Dear, Thanks for the query from you for your brown lump on both sides of rt hand with some pain after knocking.1-I feel concerned that you are serious to know why this lump has come up.2-In my opinion this brown tender lumps-are the hemangiomas.3-I would advise a second opinion from a ER skin specialist. This would give lead on your worry for the brown hand bumps.4-.If treated on this line, the fearing patient , should not worry you much.5-Hope this would solve your worry of the brown hand lumps.6-Wellcome to HCM for any more query. | |
Why the semen is not liquifiable?
IN MY SEMEN TEST I GOT THE REPORT AS LIQUIFICATION NOT DONE AFTER 2HOURS.I HAVE DONE WITH TRANSPECTAL ULTRASOUND AND CULTURE OF SEMEN..THE REPORTS WERE NORMAL.DOCTOR HAD SUGGESTED PATERNIA TAB,LIMCEE.AFTER USING THOSE FOR 15 DAYS,RESULT IS SAME SEMEN NOT LIQUIFIABLE.WHAT CAN I DO NOW? | the drugs you are taking are multivitamins. add some others like trifol plus or rechamp gold. it will help you a lot. so don't worry. hope my answer is thankful and helpful to you. take care and have a healthy life. | |
Increased heart beat, tingling rush in body, shaking. What could it be?
hi there, this incident took place today and i am really confused, i am 21 and work out everyday, today while i was taking a nap in the day my heart started pounding hard and slow, (slowing down) and i had a tingly rush through my whole body and i started shaking, more like vibrating, i was half awake but coudnt stop this no matter how hard i tried, it lasted for 20-30 seconds and was really scary, what could it be ? do i need to see a doctor ? Thanks | Welcome to HCM!I have gone through your question carefully and from that it looks like that you are otherwise a healthy adult, work out regularly and do not have any other stress/ anxiety. Now there has been an episode in which your heart was pounding hard, slowing down, there was a tingling rush all over the body and lasted for 30 seconds or so.I think you should see a doctor, had I been treating you I would go for an ECG and blood pressure, blood sugar levels etc.,checked. Only after this one can say what had happened. This thing should not be ignored.Please see a doctor atleast once .Hope this reply helps you outPlease ask if you have more queries related to it.Dr. Manisha Gopal. | |
Is Zerolac good for babies?
Hi doctor my twin baby girls are 4 month, up to this date we are giving them both breast milk and nan pro1. Recently we found that their stool color is green and they are feeling stomach problem. Now our pedic told change the brand to zerolac. Please advice about zerolac how much good is this to my babies | Hi, I had gone through your question and understand your concerns.Zeorlac is not a normal milk formula , it is lactose free soya based milk formula and used for lactose intolerance . It is good only if used for special recommendations. You have not described what stomach problems your baby is suffering . Green stool if not watery is not a cause of concern.Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.Take care .• DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination | |
Tremendous head pain with high BP post hiking. History of NASH with cirrhosis, portal hypertension. Taking quinapril, HCTZ, prilosec, advised increase in nadolol dosage. Suggestion?
Have a history of NASH (dx 3 yrs ago--called fatty liver disease at age of 25, said nothing could be done about it then, Never drank alcohol until age of 53--wine only) with cirrhosis and portal hypertension . Meds are nadolol , quinapril, HCTZ, prilosec . Went hiking the other day and after climbing a hill, was winded (haven t hiked in 2 yrsdue to surgery on both feet and ankle), and started having tremendous pain in my head that lasted about 1 hr, but head sensitive for 24 hrs. BP was 160/93 and one hr later,140/88. Increased my nadolol from 20mg to40mg a day. | Hi there... Your headache most possibly can be because of raised blood pressure,and in your case Nadolol is good choice,in addition to that if you have cirrhosis you can add Aldactone 25mg once a day at morning time that is aldosterone anatgonist useful both in cirrhosis and hypertension. Regrads. | |
What causes pain in the hips?
Hello, I m a teenage female who has been through hip pain since August of 2017 from marching band. This pain can change from stabbing, burning, pressure, and some I can not list. I have been to my local doctor and children hospital with xray and MRI done with no shown fracture, injury, or any abnormalities. | Hi, It might be due to neuropathic causes like sciatica. As the first line of management, you can take analgesics like Tramadol or Gabapentin. If symptoms persist, you can consult a neurologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. | |
How can backache and neck pain be treated?
I do go a pain clinic for back and neck pain. Lately my insurance is fighting paying for my injections. Because they think I don't tried excercises to help. I do I went to a pt both cannot afford to pay the copay. I still injections every 2 to 3 months. Surgery apparently not an option for either my neck or back. | Hello, I have studied your case.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.Some exercises which can be done for back and neck pain.extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg.Now lift both hand and leg simultaneously, 6 inch off the ground and stayPosition for around 10 breathes. Core stabilizing spine exercises will help.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.Some life style modifications to prevent pain– Take break every 40 min from computer and do some lumbar rotation, stretches, walk and get back to work. Sit with taking support to your back, and do not watch television constantly.I will advise to check your vit B12 and vit D3 level.Hope this helps. Wish you a speedy recovery. Take care | |
What is the remedy for cough?
my daughter went to bed in the evening as normal. woke up about 12:45am with symptoms sounding very hoarse, weazy and coughing- almost similar to a croup like cough. she appeared extremely warm to the touch but when temperature was taken, only 97 degrees via the forehead. this is not her normal cold symptoms . | Hi, As of now you can give her syrup Benadryl and if the cough is not better in 24 hours please consult her pediatrician. Do not make her cry or agitated. If she develops inspiratory breathing noise like stridor then she will require emergency medical attention. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
Is clindamycin shot necessary for toe infection due to clipping?
Well I clipped the side of my big toe and now it's infected red and swollen its better since I cut it I've been soaking in twice to three times when I can and applying Triple antibiotic ointment and anti bacterial bandages but I think I need a clindamycin shot. I am not a diabetic. | HelloThank you for asking question. I am Dr AdilIt looks like a toe infection or ingrowing toe nail. Bad method of clipping the nails is one of the causes. Remember, don't clip you nail in rounded form. Clip you nail in a straight line and don't clip the the sides which may grow inside the skin. Diabetes is a risk factor, but it is a common problem seen in non-diabetic and young patients in the department of surgery. The first line of treatment is topical and oral antibiotics. More commonly augmentin (amoxicillin clavulanate) is used as a first line agent. If condition doesn't improve within 3-5 days of the use of antibiotics then surgical removal of nail is an option that is usually considered. Usually problem solves after removal of the nail. The nail regrows., and you should adopt the necessary precautions. Don't clip the nails in circular line, clip them in straight line. I hope, you have got my point. Kind Regards.Dr Adil | |
Loss of memory. Used triazepam and diazpan. Have anxiety and depression. Help?
hi i think my freind has date raped me usin triazepam n diazepam together,i have no recollection of this n i certainly wouldnt of slept with this person knowingly but i woke up unsure of what had happened to me the next day ,i also am diagnosed with anxiety n depression n im told these shouldnt be taken why im takin prozac please help me | Hello Prozac is fluoxetine. It belongs to SSRI group. When this drug is taken it increases serotonin in brain. In depression and anxiety serotonin is assumed to be deficient. So this drug replenishes the serotonin in brain and improve the symptomatology of depression and anxiety. This drug is a safe drug, no sedation with this drug and also no long term side effects, so there is no harm in taking this drug. This will improve your anxiety and depression. You suspect your friend gave you triazepam and diazepam and date raped you. These drugs may cause ante grade amnesia, but I need further details to comment. You can ask again with detailed question. Thanks Dr. Seikhoo Bishnoi | |
Having noticed tiny blisters with water on palm & hand
I have had these, what looks to me like really tiny blisters filled with water in a tiny cluster in the palm of my hand...they don't itch, but when my skin gets dry around it, some really tiny pieces tend to flake off. I have absolutely no idea what these are, or how to get rid of them. Help?? | HI, thanks for using healthcare magicThe blisters may be due to different causes, the most common are :(1) infection eg hand, foot, mouth disease(2)allergic reaction to some agent that has come into contact with this area(3)traumaIt may be best to see your doctor for a review to determine the cause so that treatment can be initiated.I hope this helps | |
Suggest treatment for abdominal cramp with nausea
my dad is going in for Aortic Aneurism Repair on Tuesday. Today he wasn't feeling well. He had a cramp in his upper abdomen on right side underneath his ribs and in his back by his right shoulder blade. His blood pressure is 127/101. He was also experiencing nausea. | Hi ! Good morning. I am Dr Shareef answering your query. Though it it not intended to frighten you on the subject, if I were your family physician, I would advise you to take him to your vascular surgeon immediately without delay to rule out any possibility of various complication which the aortic aneurysm could give rise to with altered prognosis with such blood pressure reading. It might not be possible to give any further opinion on this over net without seeing the patient.I hope this information would help you in discussing with your family physician/treating doctor in further management of your father's problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | |
What causes sore tongue and splotchy irritation around mouth?
What could be causing my tongue to be sore on the sides, the rear roof of my mouth to be sore, and a red splotchy irritation around the inside of my mouth by my front teeth? Thought it may me an allergic reaction but really can't think of anything that I have done or eaten differently. | helloi have gone through your query. you have not mentioned your age.it can be due to trauma and irritation to the oral mucosa. if you have deep bite or sharp tooth it can cause the problem.visit a dentist to get it round off.another reason can be due to some oral habits like chewing tobacco and smoking.sometimes tongue soreness can be because of vitamin deficiancy.in that case tab nutrolin B plus can be taken twice daily for 15 days.maintain good oral hygieneavoid any bad oral habit if you have.rinse thrice with a good mouthwash.visit a dentist if problem persistsHope this ans helpsRegardsDr. Shesh | |
Prescribed with lonazep and buspin after a panic attack. No history of anxiety or depression. Can I stop taking these medications?
I have been taking Lonozep and Buspin for the past one month...actually I had high BP n got admitted in hospital..really I got panic on that day when my BP shoot up (180/110)..A psychatrist prescribed theses medicines...but I don t want to continue taking theses medicines since I don t have a history of anxiety and depression ...it happened only on that day..so I plan to quit taking these medicines..if I do so, will it be a problem? | Hello, Thanks for writing your query to us. Since you are taking these medicines last one month, i would advise you not to discontinue medicines suddenly. Kindly continue them as advised by your doctor. You may develop withdrawal symptoms if medicines are stopped suddenly. So dont quit your medicines without consulting your doctor. Blood pressure tend to rise during panic attack due to adrenaline that triggers the panic attack. Take care. | |
How can lupus be treated?
I found out 3 months ago that I have lupus. I don t know that much about lupus, and I don t really know what to expect. I Found Out 3 Months Ago That I Have Lupus. I Don t Really Know That Much About It Or What To Expect. My Name Is Donna. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Lupus is a long-term (chronic) autoimmune disorder which can affect any part of the body like skin, bone or organs, etc. I will explain a little about what is an autoimmune disorder. Here immune system is overactive.In our body, we have our immune system which fights against any infection in the body exposed anytime. But in lupus affected patient the immune system gets disturbed where the body's immune system does not recognize the foreign body (infectious agent) and healthy tissue. So, it indirectly damages the healthy tissues of the body by autoantibodies causing inflammation, pain, and damage to organs.It is non-communicable, not even by sexual contact. Each year to 16,000 cases reported each year. In the US till now 1.5 million people are affected with lupus. People with age ranging from 15 to 44 years are more likely to develop the disease. Mostly, women develop lupus.Risk factors are excessive exposure to sunlight, UV light, exposure to Epstein-Barr virus infection.It is true that there is no specific cure to it, but the disease progression can be controlled with relieve to symptoms like fatigue, joint pain, rash, and fever, etc.Usually, doctor prescribes patients corticosteroids and immunosuppressant with lifestyle changes. If left untreated or poorly treated develops complications like anemia and blood clotting disorders. Also affecting lungs, kidneys, heart, and lastly brain and nervous system.So do not worry people with lupus live their full life, but with care and the advice followed properly with regular medications. So, follow all the advice your treating doctor has advised with medications.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Anuradha Das | |
Suggest treatment for bloating and pain in abdomen
distended, uncomfortable bellyfor the last couple months (worse in the last week) I have had a bloated, uncomfortable abdomen. it is distended. I have cramps that come and go. my bowel movements are inconsistent. sometimes they are small and hard, sometimes the strain causes small amounts of blood. when I have a bowel movement, I don't feel satisfied. nothing is helping. I drink a lot of water, eat healthy and take probiotocs. I am a 27 year old woman. I have a son that was born on 1/30/12 and i am still breastfeeding. my last menstrual cycle was in April of 2011. I am 5'7 and 150 pounds. I am otherwise healthy and have never had stomach problems before. I am not on birth control or taking any medication. | HI.The causes of the bloating and pain in abdomen with all the other problems you have told can be due to :Intestinal infection, IBS or diseases like tuberculosis. First of all undergo a course of an antibiotic and Metronidazole for 5 to 7 days along with probiotics you are already taking. IF there is a complete relief, nothing to worry. If there is no relief , you have to go for further investigations::Blood, urine and stool tests.Ultrasonography and CT scan colonoscopy to rule out any ulcerative lesions or cancer or tuberculosis. The investigations will lead to the diagnosis and further treatment.' | |
What could cause feeling of tightened lungs, difficulty to breathe and dizziness?
It gets really hard to breathe, I feel like my lungs are tightening and I can get really dizzy. This is just at most times, Not even moving. And if I get up and walk around while this is happening, I can feel my heart beat in my skull. PLease help? I m worried. | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This narrates substantial amount of underlying respiratory infection .* Must get addressed with your physician for basic lab tests , x-ray chest for intensive management .Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards . | |
High abdominal pains. Took nexium. Immunologist suggests that my liver enzymes are repeatedly coming back high. What are the findings and required treatment?
I am a 40 year old female that has been experiencing high abdominal pains regularly for the past 14 years...since the birth of my first child. It began occasionally where the pains would present early in the morning around 4 and last for approximately 5-10 minutes. I would have them for a week or so and then they would go away for a few weeks. After several times I went to my doctor and was prescribed nexium. This did not resolve the issue. After a few years of the pains occuring more often I had an ultrasound and my gall bladder was removed. This pains intensified and began to occur much more often. I've been told IBS, and sluggish colon and so on. My concern is that recently...and discovered by an allergist and now an immunologist that my liver enzymes are repeatedly coming back high...could the pain have been from the liver all this time? Also, the pain begins as a hunger pain and rapidly turns into intense pain that begins in the high front area but ends in the back.....so what is happening to the body when it experiences a hunger pain? And the pain only occurs now at 5-6 in the morning and again by 9-10 if I dont eat a breakfast. | Hi welcome to Health care magic forum. Thanks for choosing H.C.M.Forum. You have got abdominal pain, since 14 years starting at 4 am lasts for 10 minutes. Occuring for few days and a gap of some days. Started after the birth of your 1 st child. You have used nexium, got gall bladder removed, but pain is increasing and of hunger with more frequency. It also thought as I.B.S.,and increased liver enzymes. At first your pain could be due to reflux of urine into kidney due to retension, and relieved by voiding urine. Liver enzymes increase, hunger type of pains, may be due secondary to gallbladder removal. (seen in some people only.) I advise you to avoid spices, junk foods, and oily foods to avoid irritation to the stomach, and kidney. Wishing for a quick and complete recovery. Best wishes. | |
Suggest medication to reduce SGPT and SGOT levels
My name is Santosh Singh,I am 30 yrs old male and was occasional Drinker and smoker, now totally quit drinking since last 8 weeks and smoke ocassionaly, I had following problems.:1. first, I was diagnosed with vitamin B12 deficiency since 8 weeks ago, I am continuously Taking Nurobion Forte 200mg and magnesium forte 300mg daily, still my B12 level is 180pg/ml, I had also taken 4 injection in last 4 weeks, I had serious tingling and colness in hand and legs and there is little improvement, how long does it take to recover, what may be main cause for the same and what should I eat.2. My SGPT level was 200 /l before 8 weeks and now it is 147u/l against normal below 50 and similarly my SGOT level is 75 U/L and now 60., Plaese suggest me way to lower these values.3. My thirt problem is my triglecerides level is 206 mg/dl, cholesterin 207 mg/dl, Please suggest how to control these. | Hello,Your SGPT and SGOT levels are within normal range now. Need not worry about that, Triglycerides will come down if you do daily exercise and avoid excess fatty food consumption.Get a complete CBC done and send the value for further interpretation.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Abhishek Kumar | |
Can just olive oil stop balding?
sir m just 18.. and balding is at its peak, and one of the hair consults i contacted suggests me olive oil of fiagro...is using of this oil is sufficient enough to stop balding. if not then please please suggest me some necessary steps to stop this..thankyou | Hello,Welcome to healthcare magic.I understand from your query that you are suffering from baldness.Olive oil alone cannot stop the balding process.We have US FDA approved medications like minoxidil and finasteride for it but you need to take it for a long time as we cannot cure the genetic problem but can halt the process.Minoxidil is a solution which has to be applied twice a day. Finasteride is a tablet which has to be taken with the dermatologist's prescription.Apart from these, you could do other treatments like Low light laser therapy, microneedling with stem cells and take oral biotin supplements to help accelerate hair regrowth.Hope this helps you.Take care. | |
Suggest remedy for sinus infection with swollen lymph node
Hello, I am actually asking a question for my son who is 26 years of age. He had a bad sinus infection, with swollen neck lymph node. Antibiotics were given. Didn t clear up. Went to a eye specialist, now his vision in the left eye is blurred, when he looks up one eye ventures off. He gets a swollen face on that side plus his eyebrows swell. A lot going on just a concerned mom. | He needs to get further evaluation. You don't say what the eye specialist found, but I am concerned about the blurring vision and especially the one eye veering off. Sometimes with a bad sinus infection, it goes deeper into the head and can affect the nerves, eyes, and even the brain. The continued swelling in the face and persistent lymph nodes suggest an infection that has become more chronic. Infection can develop within the orbits where the eyes are located and get into large veins in the head. If he were my patient, I would want to do a very thorough head and neck exam, and consider a CAT scan of the head/orbits/sinuses to see if there is any indication of this. Hope this helps. | |
Suggest treatment and diet plan for hair fall.
Hello Sir,I am 22. I am encountering severe hair fall since last one year!please suggest me a herbal shampoo,conditioner and hair oil! also suggest me what should i include in my diet to prevent hair fall? My hair look dull,damaged and frizzy because i have done hair colouring twice!i recently colored my hair in august. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is first important to understand the cause of your hairfall which is mostly multi factorial: diet/ lifestyle/ weather changes/ stress/ hereditary/ hormonal/ products usage etc to name a few. Once you get that in order it hardly matters what shampoo or conditioner or oil you use as they are only topical applications. A diet rich in eggs, green leafy vegetables, lentils, avocado, broccoli, nuts, pumpkin seeds etc will always be helpful in nourishing your hair. Hope I have answered your query. Let me know if I can assist you further. | |
What causes foul smelling wound?
my daughter fell and skinned her knee 3 days ago and she has had a Next Care water proof band aide on it and today she came to me and told me it smelled bad. I just took the bandage off. The area is red but not really oozing but even though we ve washed it, the wound continues to smell. What is that? | your child may have infected wound. When wound become infected it become red, tender, swollen and some time foul smelling discharge may be seen. you can apply local antibiotic cream like bacitracin there, with oral antibiotic ampicillin. | |
What to do for the lump on head due to fall from stairs?
My son fell down the side of some stairs, due to no railing at an Aunts house and hit his head on cement in the basement on Christmas Day. A bump never appeared and we had been keeping an eye on it. Last night he now has a bump that is soft/squishy. | Welcome to health care magic. Thank you for posting your query.I can understand your concern for your son. You are pretty anxious about him.Let me assure you that there is not much to worry.This lump on the forehead is perhaps a bruise only. Apply cold compress (ice packs) over that area twice a day for 4 days.It would have been great if you had mentioned his age or his body weight.Still I can help you out.If he complains of pain or cries out on touching , give him syrup paracetamol (125mg/5 ml) 10 mg/Kg/dose twice daily for 4 days.e.g if his weight is 20 Kg ,he requires 200 mg = 8ml = One and a half teaspoon like that. It is easy.You can also take him to a paediatrician . He /she can examine him and correlate clinically.Post any other question. We will be happy to help.Have a nice day. Regards. | |
What are the symptoms of potential leukemia & ebola?
i need help. i keep typing in symptoms a friend of mine has and i m getting leukemia and ebola! she has a bleeding nose, extreme fatigue, headache, skin rash and a stomach ache. i have all of those except the bleeding nose, but unlike her i have a stuffy nose. with her rash, it s red and bumpy, it looks like a lot of zits. and when she touches them they bleed. and a couple students at my highschool have been sent home with the extreme fatigue and stomach ache symtoms... i m really freaked out, is it just Mono or something? | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If there are a number of persons with the similar symptoms then leukemia is highly unlikely because this is not contagious and only develop in a few persons in a population. Ebola is contagious but it is highly unlikely as well since it is a rare condition that has mostly died down recently. Fatigue can occur with any illness, from a common cold to more serious illness because the body is using its energy to try and get well. Headache and rash are also common symptoms, these can also occur with many viral illness. Rash associated with viral illnesses is called viral exanthem, this normally resolves as the illness improves. Mono is a viral illness and this can be the cause but there are also a lot more viral illnesses that can occur. Most persons improve from mild viral illnesses within 7 to 10 days.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Michelle Gibson James | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Red bumps on skin, redness and itchy. What is it?
Hi, my husband has been having red itchy skin bumps all over his body for about 2-3 years now. H has seen family Doctor , several Dermatologists, an Allergist, etc. We do not believe they are bug bites. We do NOT have bedbugs...had house treatment x2, and our 2 dogs do not have fleas. I sleep in the same bed, and have never had these ( and my skin usually reacts very easily to any skin problem). He has been tested for bug bites, had numerous allergies testing (patches), herpes, etc. I am an RN, and keep feeling he has some sort of infection, or autoimmune reaction.I would appreciate any ideas, suggestions, assistance with his problem.Sincerely, Sandi W. | Hello,Red itchy skin rash for almost three years.When an allergy is this lost it turns it a state call chronic eczema.There it may be erythematous(Red) and itching.It is difficult to complete cure at this stage.We can only prevent another severe exacerbation.If it is so the steroids will be use.If you're thinking in the line of infection and autoimmune disease then consult you doctor for more information and help. | |
Q. My ECG report shows a mild blockage in my heart. What to do?
Hi doctor, Recently, I did an ECG. The doctor examined me and told me that I have a mild blockage. Please suggest. | Hi. I have gone through the attachment (attachment removed to protect patient identity). There is sinus bradycardia with a heart rate of 55 to 60 beats per minute, with a right bundle branch block along with left axis deviation. There are no significant ST-T abnormalities seen. It can also due to age or hypertension-related change. It needs evaluation and echo (echocardiogram) to rule out the possibility of coronary artery disease. So, you should undergo echo, and if it is normal, then stress test like stress thallium or CT coronary angiography can be done to rule out the possibility of structural heart disease. Also, do a thyroid profile. |
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