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Does a lump on the butt need medical attention?
My daughter is 17 months old. She has a bump on the outside of her butt. When I popped it lots of puss came out, the bump went down but it was still firm under the skin. The bump has redeveloped in the last two days. Does she need to go to the doctor. | Hi,She does need to go the Doctor and get examined. It could be an abscess or a Cyst containing secretions of Dermal glands.Either way, she should see a Doctor or a Surgeon and it can be removed by a small surgery.Take care,Dr Rishi, New Delhi, India. | |
How do steroids help asthma?
Does we have antidose for Steroid.actually ,my wife taken some ayurvedic/traditional drugs for cure of Asthma,after two months she found her total body getting swelling,so discontinued the medicine.upon enquiry the person who'd given those medicine admitted to used some steroids.though for Asthma she take the help of inhaler and under control but,her body is in swelling condition for last one month and feels severe pen while walking.plz advise the remedy. | Hello,Thank you for asking at HCM.I went through your wife's history and would like to make suggestions for her as follows:1. Side effects of steroids are more common if they are taken orally or injections. I would first think that she has had side effects due to oral steroids which were mixed in medicine.Common side effects of oral steroids are weight gain, diabetes, high blood pressure, gastritis, and many others...2. Many of the inhalers for asthma also contain steroids, but they are in inhaled form and they are minimally absorbed in blood. Hence they usually do not cause such side effects. Hence, they are much more safer for long term use as compared to oral steroids.3. As she has already had side effects, unfortunately there is no antidote. Side effects of oral steroids can decrease with time (a few months) after discontinuation. Though she will be able to use inhalers as per her doctor's advice.4. For better asthma management, I would suggest her to consult a pulmonologist or allergy-asthma specialist who will assess her symptoms in detail and will prescribe necessary treatment.5. I would also suggest her regular yoga & pranayama, regular exercise like walking which increases immunity and lung capacity over long time.6. I would also suggest her a healthy diet rich in vitamins & minerals which will gradually improve her immunity over long time.7. Regarding pain while walking, it could be due to overweight, but it is important to know exactly which part of leg is aching to guide further. An orthopedic consultation may be helpful if pain is severe/of long duration.Hope above suggestions will be helpful to her.Should you have any further query, please feel free to ask at HCM.Wish her the best of the health ahead.Thank you & Regards. | |
Difficulty in breathing and feelings of suffocation in dreams, broke up with partner, under stress. Advice?
Hi Doctor. I'm experiencing difficulty breathing and feelings of suffocation in my dreams. I broke up with my partner of 11 yrs, 8 months ago and my father died 2 months ago. I also met a girl 6 months ago and I'm wondering are her insecurities contributing to this. They certainly cause some stress in my thoughts. Is this because I didn't give myself enough time to get over the last relationship. In truth, I still have feelings for that woman. Thank You! | Hi there ~I understand your concerns and that you have been having troubles sleeping lately since you have met this new person who you seem to have a liking for. I believe that the sleep difficulties can be treated easily, if that is what is preventing you from having a normal relationship with her. In my practice I use various medications to help with sleep per se like sleep aids or medicines that help with sleep but are not habit forming. You need to visit with a local qualified doctor who can take a good history and perform a physical examination before getting your medicines prescribed after appropriate tests.I hope this helps answer your questions and allay you anxiety. Take care and have a lovely day! | |
Is it safe to take Udiliv 300mg & mecobion-od for high SGPT/SGOT levels?
I tested very high SGPT/SGOT levels. SGPT level is 122 and SGOT is 149.I have been advised to take Udiliv 300mg & mecobion-od twice daily. Would like to know if it is ok to have such medication and how serious may be my present condition and effect on my health. Is Any precaution I may need to take and any possible risks, as I am extremely tense about the situation. Many thanks in advance to advise. | Hi, dear. I have gone through your question. I can understand your concern. Your srot and sgpt is high. You have somr liver disease. Udilive and mecobion is very good in liver disease. You should take it. Also take low fat and high protein diet in liver disease. You will become normal within few days. Don't worry. Just be relaxed.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. | |
Tingling sensation on top of penis. Irregular bowels. Pus cells found in urine test. Remedy?
Hi, I have been experiencing a tingling sensation at the top of my penis , I do not feel it all the time, when I press against the urine pipe I can feel it. I have had more than one case of anal discharge , however both times when my bowels were pretty messed up due to alcohol and food. My doctor gave me Trimethopin which i have taken but the symptoms are still there. I did a urine test and there was pus cells found inside but said there was no infection. They want me to take another one, however I leave the country soon. What do you think it is? | I would recommend taking a course of antibiotic to see if it makes it betterPlease rate 5 stars. I strive to provide you the best answer for your question! | |
Abdominal discomfort, belching, indigestion. Hida scan to be done. Can cancer be ruled out?
Hi, im 33 years old i have mild, reoccuring upper right abdominal discomfort. along with increased belching , gurgling stomach and lots of undigested vegetables in my stool. I was on aciphex for years because of gerd but was switched to dexilant for gastritis . I have had the belching and gurgling for about 4 months and the upper stomach pain for almost 2 months. i am very regular with my bowel movements (once a day) so i dont see how it could be ibs. these are the tests i have done so far: chest xrays (normal), ekg, cbc, liver and pancreas enzyme blood tests (all normal), upper gi series (showed some thickening of rugal folds), upper endoscopy with biopsy (mild gastritis and gerd, negative on celiac and h pylori), gallbladder ultrasound (normal), ct scan of abdomen and pelvis with contrast (normal), and colonoscopy (normal). I am scheduled to have a hida scan with cck this week. My question is with the tests i have had can i safely rule out any cancer of the organs in my abdomen (pancreas, stomach, liver ect). thank you | Dear friend, welcome to HCM. yes, with these extensive testing, cancer is ruled out macroscopically. you have gastritis, not much helped by current meds. have you changed eating practices and checked if it works? your current medication is a good one for acid suppression. may add a gastrokinetic. if not helping, should consult a gastorenterologist for rare dyspeptic syndromes. Take care and pl. keep me posted on your progress. | |
What causes chest pain in individuals with a normal ECG?
I am 32y old man having chest pain for last 4 months..I have an ECG that came back normal..Also got physical examinated by doctor and he ruled out any cardiac related problem...But my chest continue have pressure and pain almost daily..Can u tell me any medicine to get relief | Hello,Likely to be gastritis or anxiety-related issue. Primary relieving guidelines- Drink more liquids to maintain hydration.- Dietary preference to avoid spices, nonveg which provokes gastritis.- Regular walking, deep breathing exercises.- PPI as omeprazole with tablet paracetamol two times a day helps.- Avoid smoking, alcohol consumption if using.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Bhagyesh V. Patel | |
What causes stomach ache,nausea,vertigo,,numbness in hands and feet and back numbness?
yes, I have several symptoms that seem strange to my doctor. I have had a CT, and echo cardiogram which my doctor said is normal . I do not drink or take any medication I can find that would CAUSE these problems however, stomach ache, nausea, vertigo, numbness in hands and feet, and back numbness that goes all the way down to right butt cheek now... I am sick of feeling like this and am afraid it is getting worse. can you tell me some things I can check? Misty Hancock, Clinton, LA. | Hi,your symptoms stomach ache, nausea ,vertigo ,numbness of hands and feet and back are due to anxiety neurosis .You are advised to consult psychiatrist for this .Thanks . | |
Is tingling and numbness in the hands and feet related to diabetes?
I have tingling and numbness in my hands and feet often while in a sitting position. I have just recently been diagnosed as having minimal plaque in my arteries. I am overweight about 35 pounds. I am 63 years old. There is a family history of diabetes. I have dark urine the first few times I go in the morning. | welcome to hcm. ...as you have dark urine please go for comolete urine examination ..and secondaly go for complete lab test as blood sugar level first thing in morning and then 2 hours after meals and HbAic ...yes this tingling sensation is usually related to diabetes as presentation of diabestes neuropathy ..i also recommend vit b 12 level amd vit d level testing and advise neurotonic as methylcobalamin as tab neurokind next once a day for 2 weeks ..as there is family history of diabetes and atery problem in leg also please take serious care of your sugar ..bp and lipid profile ...if you find my response helpful please vote so ..if you need further clarification you can contact ..with regards dr varinder joshi | |
Suggest treatment for multiple cysts in both the kidneys
HiMy father has been diagnosed with Chronic Kidney Disease, due to multiple cysts in both his kidneys. we started the treatment around 6 months back when the blood creatinine 3.2, inspite of the the medication and diet control, his creatinine level constantly increased and now the in the latest report taken yesterday it stands at 12.1. The blood urea is 138. Doctors have recommended dialysis and ultimately transplant. Is it the only way out? I have heard of newer techniques of transplant involving removal of spleen in the process also i have heard of use of embryonic stem cells. I came across an article on steroid free kidney transplant. Please guide me on the course of action to be followed. | Hello and welcome to HCM. As an Urologist and kidney transplant surgeon,i can understand your anxiety. You've not written his age,which's important.In CKD,there are only two options: 1.Transplant or 2.Dialysis: hemo or PD.With the level of kidney function your father has,he will need hemodialysis.Then consider a transplant. Steroids are given routinely, initially.Recently,certain centers are trying to stop the steroids early,as it has side-effects. Other anti-rejection drugs are given for a lifetime,without steroids.If you've any doubts,send all reports, as a direct question to me.Dr.Matthew J. Mangat. | |
Suggest treatment for sharp pain in the breast
I m having a painful sensation, where my upper left breast feels like it is being pricked with many needles, or a bug is biting it. I don t see any bug bites, or signs of a bug, but where it stings, there is a red mark (similar looking to a rash, but it is not swollen), please help! | Hello,I have studied your case and I think that it can be due to allergic reaction or it can be due to nerve compression. I would suggest you to visit orthopaedic surgeon and see if there is nerve compression in the neck. Also avoid applying any cream or any soap over that area. I hope this answer will be useful for you. Let me know if there is any other followup questions.thanks | |
What causes dizziness and increased heart beats?
for the past two weeks I've been experiences light hotheadedness, weakness throughout my whole body, fatigue,dizziness a fast racing pulse where it feels like my heart is racing but when I put my fingers on my wrist it feels like it's a hard beating pulse but not fast and my body specially hands start to shake with my pulse...what could be causing this? | Hello, Thank you for trusting HCM.General fatigue could stem from many reasons. among which psychological, stress. Nevertheless its very important to get your heart rate monitored properly, and a general check up with your doctor will help you both mentally and physically. kind regards, Dr. Nazzal | |
What causes skin rash after swimming?
My two year old daughter has had a rash on her bottom that peeling and seems to be getting worse. We noticed it right after we went swimming, but right after the pool I gave her a bath. I was wondering if it sounds like its from the pool or maybe something internal causing it? | Hi,As she got rash on her bottom after swimming this can be due to chlorinated water or contaminated water.Apply Caladryl lotion or triple action cream for 2-3 days.Avoid swimming for few days.Ok and take care. | |
Pain in jaw and ear, right molar extracted. How long will this pain last?
yeah I had bottom right molar taken out last Friday. I went back to dentist on Monday due to pain in jaw and ear thinking I may have dry socket but he said it was fine and just to make sure there was no infection started me on meds. Its still hurting so I went to my md dr and now they are telling me I have tmd due to the tooth being pulled what caused this how long is it going to hurt what can I do about it do I need to go back to my dentist | Hi there, Thanks for asking your query, Yes you need to get back to your dentist.this has resulted due to trauma after your wisdom tooth extraction.Once the treatment starts pain will subside.and your dentist will request you to get CBCT or MRI scan for further dislocation of disc.your dentist might put you on muscle relaxant, anti-inflammatory and analgesics.if your dentist happens to be an oral surgeon everything is going to be fine.check whether your treatment covers under dental insurance(if you have one).if conservative measure fails the last resort would be surgery.Until then follow the post extraction instruction has recommended by your dentist. Have soft diet,stay hydrated and maintain good oral hygiene,Physiotheraphy can also be helpful to strengthen the muscle.hope this will help you,regards,dr.naveen | |
What are the symptoms and treatment for hypoglycemia?
yes what are symptoms of hypoglycemia and and hyperglycemia? I have been feeling really sick for the last couple of months. I have a lot of other medical problems but this this one has really been kicking my butt. I have a lot of autoimmune diseases. I didn't think about diabetes until a couple nights ago and a had I had a fruity odor to my breath. I had not eaten and was drinking water. So that's what made me think about this. I have always ran 60 -90 blood sugars . I used 5 of my mother's test strips and her prodigy tester. I was NPO and had only had drank water. 1St at 9:30 am 149, 2nd 1:45 167, 3rd 147 4th 30 mins. after snack 119, 5th 158. Can you please let me know without checking me what you think.Thank Sir/Madam | Hello,Symptoms of hyperglycemiaAs such there are no symptoms in particular.But in some following symptoms can be seen*Generalized weakness*Unexplained weight loss*Itching private parts*Increased frequency of micturition*Burning feet*Blurring of visionSymptoms of HypoglycemiaIn mild to moderate cases,they may have giddiness,hunger,sweating,numbness tip of nose and tongueIn severe cases,it leads to unconsciousness,and even coma.Reason for fruity odor to your breath is due to Ketosis as a result of your starvation.Your blood sugar recordings does not confirm the diagnosis of Diabetes.As you have mentioned that you are having autoimmune diseases,its better to get Glucose Tolerance test to rule out Diabetes.I wish you good health.Hope my advice was helpful to you.would be happy to answer further queries. | |
Suggest treatment for heart palpitations and vision problems
I am a 32 year old female. Diagnosed with pac s two years ago. Had occational palpatations, last two days had pains with vision problems. Vision problems only last few seconds, pain in my chest lasts for about an hour. These are off and on. Wake up several times with heavy pounding in my chest at night. Is this still part of pac | Hello, I would like to tell that your symptoms are suggesting some underlying heart disease which requires a proper cardiac checkup which includes ECG, echocardiography and a Holter monitoring for min 48 hours. Get these tests done and consult a cardiologist personally for proper physical and diagnostic evaluation and treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | |
What causes shortening of penis size while on treatment for multiple sclerosis?
I have ms and was taking Solu Medrol for quite a while to offset it when I had attacks , my penis has gotten smaller/shorter by 2-3 in. could have this steroid this ,aside from having severe ED i AM 51. i need answers for me and my wife of 21 years and we have 2 children trying to find some help and answer s , thx JOE | Hi,Thanks for writing in.Multiple sclerosis is a condition which affects the small vessels and nerves throughout the body including the penis. It is possible that the vascular supply and nerves to your penis are affected and causing severe ED. These symptoms are more during the first 3 to 24 months of the illness and might persist for a longer duration in some men. Your penis has not become shorter but there is apparent shortening due to the involvement of vessels and nerve fibers.Please consult your doctor and continue treatment for ED and multiple sclerosis. Taking steroids alone is not a possible cause of your apparently reduced penis size which you have noticed. Please do not worry. | |
Q. Following RCT and crown, my gums are swollen. Why?
Hello doctor, I had a root canal performed before four months and a gold crown was fitted before two months. The tooth number is 14. The tooth had a crack in it a few years ago and finally became irreversibly inflamed and required a root canal. My tooth is still sensitive to pressure while chewing and the gums between tooth 14 and 13 continues to be painful while flossing. Sometimes, the gums between those two teeth will bleed slightly while flossing. I also have occasional gum inflammation on the side that is towards the inside of my mouth. There are no open contacts visible on the crown and the dentist has taken x-rays to make sure that there is no cement stuck in the gums. The pain went away once after he did some scaling and cleaning, but returned in a few days. Could the current pain be caused by food getting stuck? I am keeping the tooth very clean with daily brushing and flossing. Occasionally, I will brush the tooth with some Listerine to keep it infection free. I am wondering whether the crown fitted badly. I am currently taking Cefadroxil. Thanks for any advice. | Hi. I have gone through your query and understand it. X-ray of the root canal treated tooth. For further doubts consult a dentist online.---> | |
What is the reason for child to get abdominal pain and passing green stools and cyclical fevers?
My 3 year old gets cyclical fevers every 3 to 4 weeks. Fever ranges from 100 to 104 and lasts 4 to 5 days. With this he complains of belly aches and passes light green stool. He only wants milk during these episodes and eats very little. My concern is abdominal pain and green stool. Can it be ibuprofen every 6 hrs? | Hi,Thank you for asking question on health care magic.Ibuprofen do not serve the purpose.Your child needs an antidiarrheal like ofloxacin with ornidazole and an anti spasmodic like cyclopam syrup.Paracetamol 15 mg/kg 3-4 times daily along with tepid sponging will reduce fever.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | |
Periods twice in a month after stopping bc pills. Recommendations?
Hi, I'm 27 year old. I was taking birth control since December last year; however, my husband and I decided to have a baby in August, so I stopped taking the pill. Since I stopped taking the pill, I have been getting my perior every 2 weeks. It means 2 month of crazy periods. I used to be regular before birth control. What would you recommend? | Thanq for your interest in Health care Magic .com.You better take Progesterone tablets 1 tab.per a day from 10 th day of menses to 25 th day every month for 3 months and then stop,i think you will be ok. | |
How to treat low BP and bad cough post dialysis in a heart patient?
My husband continue to have real low blood pressure after dialysis and has a bad cough. He is a heart patient but he doesn't take his Coreg on the day he goes to Dialysis. He bottoms out and he is drinking 1.1/2 liters of water per day so there is no dehydration. | HIThank for asking to HCMI can understand this problem, the low blood pressure can not be it self, there certain obvious causes for this and that has to be treated accordingly, fist thing this should be confirm, in your husbands case hypovolemic status could be cause and chances of some oozing or leaking of blood is likely, in short underlying cause of hypotension need to be treated, hope this information helps you have good day. | |
Can i get pregnant inspite of having sex during ovulation?
Hi Doctor , I have taken fertigyen infection on wednesday and my egg is released during the scan test taken on thursday.We had intercourse only from tuesday to thursday and i fall sick from friday with stomach pain and became week.How chances are there to get pregnant ? After infection for 5 days i have body heat and lower abdomen pains..What could be the reason for my sickness ? | Hi,Thanks for writing to HCM .Yes there is high chance for you to get pregnant as your timing of intercourse was correct. After egg is released it survive for 12 to 24hrs . And sperm survive for 2 to 3 days in uterus. These ovulation causing drugs are hormones and also fertigyen cause lower abdominal pain and pelvic pain and als weakness , vomiting sensation, depression as side effects. Dont worry they will reduce soon. | |
What causes stomach pain with movement, wetness, headaches during a pregnancy?
hi doc. im 21 weeks pregnant an mon i hurt my belly trying to get you an i have a appt. wit my doctor n th morning but im a little worried cause im use to feeling alot of movement all day n i havent felt any movement since i hurt my belly/ there is wetting comin from my private . dizzy n head aches and my feet ankles are huges should i call 911 | these symptoms can suggest a psychological fear and there may be a threatened abortion so get a USG done as early as possible | |
Q. Please suggest a medicine for adequate erection.
Hi doctor, I am 65 years old. I am a diabetic as well as take hypertensive. I am taking medicines for the same and both are under control. I want to improve my sexual performance and need medication for adequate erection. | Hello. I can understand your concern. Revert with the details to a sexologist online --> | |
How long should i continue 'olmezest-20' to control blood pressure?
Sir, My age is 29,Weight 99KG.Gender Male.Suffering from tension .Last week contacted doctor.I have been advised to take BP medicine (Olmezest-20). Now after a week my BP is 135/85. How long i have to continue the medicine? Is there any after effect of medicine if it is taken for long time ? Is the medicine is strong o miled. | Hi,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.Hypertension once diagnosed is usually a lifelong ailment which is easily manageable with drugs and some changes in lifestyle.You need to walk daily- brisk walk lasting at least 35 minutes or a total of 10,000 steps per dayYou also need to restrict your intake of salt to not more than 1.5 grams a day. Avoid marketed products with added salt.Avoid fatty mealsThis way you can reduce and sometimes even totally eliminate your requirement for drugs to control your blood pressureFollow with your doctor on a monthly basis. Maintain a home based blood pressure record. And donot change any drug doses without consulting with your physicianI hope this answered your question, if you have more feel free to ask.Regards.Dr.Asad Riaz.General and Family Physician.. | |
How to reduce the pink color on the underside of the foreskin?
Dear Sir, I am black in colour and my penis too. But when I pulled back my penis foreskin, inside it is a pink pale colour which is never matching to my body or penis colour. It seems and looks very ugly! Kindly suggest me a medicine or ointment to reduce this colour. By birth its colour is like this only. And I sat earlier some time in sunlight so that the colour to be reduced. Just after some time there came black dots which made it more uglier than earlier. Please help me | HelloThanks for query.In every individual the inner layer of foreskin is always pale and not of the same colour like outer layer due to the fact that the melanin pigment is not deposited in inner layer making it to look pale .The colour of the foreskin has no significance .There is no medicine that can help to change the colour of the foreskin.Dr.Patil. | |
Suggest treatment for COPD and emphysema
I have COPD and emphasema. Lately I ve had very fatigued legs from morning and all day long making it difficult to exercise or to walk to lose extra weight that I have gained in the last few years. Does this fatigue have to do with my condition? or is it something else? I have yearly blood work and checkups with my dr. | Thanks for your question on HCM.Since you are having COPD ,your present symptoms of leg pain and fatigue can be due to COPD.Long standing COPD can have complications like1. Generalised muscle weakness2. OsteoporosisSo both of these can contribute to your present symptoms. Obesity can be the other cause for this.So better control of COPD with calcium and vitamin supplement is needed. And loose some weight too. | |
What causes intermittent pain after tooth extraction and bad odor?
doc i recently had a tooth extract the pain goes and comes i been taking hydrocodon. but helps little... its been 4 days now and i dont kno if i have an infection because i cant tell and i dont kno what it looks like. i also has a bad smell /order from my mouth but i frequently used salt water . how can i tell if i have an infection or is all of this normal. also every now and then i used a piece of spoonge to wipe the infected area an does i see like a white looking pus or a gel looking and it smells very aweful any help or ideas please?? | Thanks for your query, I have gone through your query.The pain and the halitosis is because of the dry socket, that is nothing but infection of the bone in the extraction site due to dislodgement of the clot after extarction and food lodgement in the socket area. Nothing to be panic, consult a dental surgeon and get that area cleaned and keep a medicated dressing containing eugenol and metronidazole. Mean while you can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic).I hope my answer will help you, take care. | |
What causes difficulty in chewing and swallowing food in a TBI patient?
my friends husband is in a nursing home, 74 year old suffering from a severe TBI two years ago. He has recently started pocketing food in his mouth. He is not chewing and swallowing as he should be. The nursing home is not that concerned......what can it be from? a possible stroke? | Hello!Welcome on Healthcaremagic!His symptoms could be related dementia or to a stroke. For this reason, I would recommend consulting with a neurologist for a careful physical exam and some cognitive tests. A brain MRI would help investigate for any brain lesions. Hope you will find this answer helpful!Best regards, Dr. Aida | |
Suggest treatment for lump on vaginal lip
Hi doctor, I am a 29 year old female and believe I have a bartholin cyst on my left vaginal lip. I noticed a lump appearing a couple of days ago after shaving but more so since this afternoon it has turned very very red, swollen and sore! I'm in a lot of pain and can barely sit down! As its gone 7pm do you think that this would be advised to take a trip to the local out of hours surgery to see if they can give me something to help with the pain? I have never had one before. Many thanks | Hi,It seems that you might be having old Bartholin cyst get infected giving this trouble.To get temporary relief from pain take anti-inflammatory medicine like Ibuprofen with paracetamol or Diclophenac with paracetamol with Rantac.Ok and take care. | |
Q. I am ANA positive with limb and muscle weakness. Is this UCTD or MCTD?
Hello doctor, I am currently struggling with a flare that is just not getting better. My symptoms started three years ago. At that time my ANA was high positive, lupus anticoagulant positive, but nothing else specific. My symptoms are joint pain, swelling, severe fatigue, severe hand swelling, severe Raynauds, GERD, nausea, constipation, dysphagia, eye swelling, occasional strange rashes from sun, and muscle weakness. My ANA is high positive, speckled. RNP, chromatin ab, and RNP (but anti smith is negative?) are positive. Scleroderma, anti-DNA, and Sjogrens ab's negative. I also have Hashimotos but the thyroid is functioning fine. I was recently put on Prednisone 10 mg daily. My doctor is not increasing the dose because of psychological side effects. I have an eye exam to start Plaquenil this week. My joint pain and GI symptoms are now under control. I am now struggling with limb weakness, muscles burning (like I am lifting weights). I am unable to work and live completely independently because of it. When my doctor assessed muscle strength she said it was abnormal (4/5 against resistance, lots of muscle shaking). My ESR and CPK were normal but I was not experiencing muscle issues at the time blood was drawn. I am getting more labs done and will possibly be referred to a neurologist at my next visit in a few weeks. My question, based on the positive labs and symptoms, what diagnosis is likely? She has said both UCTD and MCTD, not lupus because of the symptoms. What is your general opinion? And out of curiosity, what is the difference between RNP/sm and sm ab? My current medications are Prednisone 10 mg QD, Cymbalta 60 mg QD, Flexeril 10 mg QHS, Naproxen BID. | Hello. I believe your diagnosis is Overlap syndrome, scleroderma with myositis overlap. Your symptoms do not fit into one connective tissue disease. It is probably overlap of two diseases going on. Lupus I will not be too sure, as you do not specify symptoms pertaining to it. Neither it is UCTD (undifferentiated connective tissue disease). MCTD (mixed connective tissue disease) is more of a diagnosis of antibody only if U1 RNP (ribonucleoprotein) is positive. But in either ways management does not change much. But the antibodies you have to go more in favor of myositis with scleroderma overlap. For management point of view, you would need to increase the steroids dose. 10 mg is not gonna take care of the muscle disease. Plus you need a steroid sparing drug like Azathioprine or Methotrexate along with Plaquenil. ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) can be normal in scleroderma. So it is not much a criteria to follow up. Key is your muscle weakness, which needs to be taken care of before it keeps getting damaged. Sorry to say, but your doctors are taking it a bit slowly as at this stage aggression is needed. Psychiatry side effects will not come at a lower dose. I would recommend 30 mg at least to begin with and then start a tapering schedule. I hope CPK (creatinine phosphokinase test) and LDH (lactic acid dehydrogenase) levels have been checked as well. Lastly, make sure that a 2D echo to look for pulmonary artery pressure and HRCT (high resolution computed tomography) of the lungs to look for any lung involvement has been carried out. I hope this helps. Scleroderma with myositis overlap. CPK, LDH, 2D echo, HRCT thorax. Avoid cold exposure. | |
Suggest treatment for abdominal pain
I am on day 7 of a 10 day rx of Flagyl and Cipro for diverticulitis (never had it before) and I am having extreme abdomnal pain, feels like really bad gas but cannot pass gas. From blogs I ve seen this appears to be a somewhat normal side effect. I am having many bowel movements. Please advise. I have a call into my doctor (8 am this morning, but have not heard back yet) Thanks | Hi ! Good afternoon. I am Dr Shareef answering your query.If I were your doctor, I would also add an anti spasmodic to your medications, and also advise you for an ultrasound of abdomen to rule out any fluid accumulation over there. If the symptoms increase, then I would suggest you to report to the ER of your nearest hospital, where you might be put on IV antibiotics, and IV fluids with nil orally for a proper bowel rest.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | |
What is the remedy for back pain after unsuccessful induction?
after the unsucessful induce labor i start having back pain for almost 4 days now...I was induced 4 days ago...i have little dark bood spot evryday and i need to pee time to time and it hurts so much,,,,It is much back cramps when i am sleeping. i cant even stand...and it goes way when i walk or change position...it hurts ever 30 mins or 1 hr...it depends...and goes away...my due date is on 20...what should i do | Hi,If the induction of your labor has been unsuccessful, you should be reassessed by your obstetrician as it may be necessary to consider a cesarean section.Regards,Dr K A Pottinger | |
What causes high RBC cells?
Hi, I am a 27yr old female who has struggled with have extra large red bloodcells and want to know what might be wrong with me and what might be causing this.I do not drink,My folate levels are fine,my b-12 levels were very low 3 years ago but we corrected that and i get them checked regularly,the are always fine.I am not anemic,my doctor is puzzled by this and can not figure out why.I am terrified of having something seriously wrong with me and worried i am being misdiagnosed,please help!I also go through frequent spells of dizziness,feeling faint,muscle weakness/stiffness,fatigue,chest pain and abdominal tightness/pressure and i feel like i cannot get enough air. | Hi, dearI have gone through your question. I can understand your concern. Thete are many causes of large wbc count. Vit b12 or folate deficiency, alcoholism livet disease are the common cause. You should go for liver function test. Your all symptoms are not related to your large rbcs you may have some other disease also. You should check for cardiovascular disease also. 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. | |
Starting watching porn and masturbating. Resulting in study deterioration. Suggest ways to overcome this problem?
hello sir i m a Engineering student and was considered bright in school.Now in college i have internet facility all day.I started watching porn and masturbating.It has been Two years now.I.My performance has been deterioratingand i cant explain to my parents as to why .Please suggest some ways so that i can overcome this bad habit as this is killing me i am losing my hair and weight and i cant recall things (memory loss) | Hi there ~I understand your concern. The urge to masturbate is normal. However, if you are doing it excessively and wasting time and energy on this process, I recommend that you change your schedule. It would be beneficial to have a room mate as well to make sure that you are sticking to your schedule. Losing hair and weight are not symptoms of overly masturbating, but not taking care of yourself. Again, sticking to a schedule will help. I hope this helps with you memory and recall as well. Consult a psychiatrist if things are not getting better. I hope this helps.Take care and have a lovely day! | |
Suggest remedy for chronic bronchitis
I have chronic bronchitis, bothers me worse in November & February....having trouble breathing, doctor doesn't seem to be concerned with it, can't breathe properly, can't sleep much, feel like I'm suffocating, I am using my deceased husband's oxygen machine right now, but don't know what should I be doing? | Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, you should definitely consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. Best treatment for bronchitis is inhaled treatment. You will definitely improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Can mold cause bronchiolitis in infants?
My 3month old daughter had bronchilitus at 4 weeks old and has recently had the sniffles. In our property that we are renting there is mould growing on the outside walls, landlord and estate agents have been notified and nothings been done. The moulds been in the flat for a year atleast and removed every two days in places (mainly outside walls within) could this be the result of my daughters health problems since being born???? | yes it may be, because mould is one of the reason for allergic bronchitis.if there is anyone in the family who has allergic problem, then it goes in favour of allergic bronchitis | |
Suggest medication for enlarged scortum
I am 70 years old. I have a history of cirrhosis, i think early stage. have not had alcohol for two years, recently I have noticed my testicles hanging much lower, though the scrotum itself does not seem noticably enlarged. would this be related to the disease? | HelloThanks for query .You have been detected to have early stage of Cirrhosis of the liver and have noticed your testicles to be hanging down lower though Testicles do not seem to be noticeably enlarged .The hanging of the testicles has no significance at all .It entirely depends upon the atmospheric temperature .As regards your doubt for enlargement of testicles I would suggest you to get Ultrasound scanning of the scrotum done to be rest assured about presence of fluid(Hydrocele) which does happen in a patient with liver cirrhosis . However there is nothing to be worried about it .Dr.Patil. | |
My mom is having facial Numbness problem, please suggest her
My mom is having problems with her face. She said that under her left eye and jaw is a strange numbness and tingling. What should I do ? | Hi well come to Hcm. There is posibilty of trigeminal neuralgia. In future there is all the chances of developing pain in that area if it is trigeminal neralgia. Thanks | |
What causes swishing sound from head?
I am a 67 year old woman. I recently started hearing a noise in my head. It s difficult to describe but I ll give it my best shot. It is a swishing sound. Like the sound that comes out of can of hair spray.....or the sound of bristles from a broom scraping the floor. It is sometimes accompanied by dizziness. I also have been somewhat hyper lately as well. Without an exam, does anything come to mind? | Hello, Your narration seems to be suggestive of tinnitus.Such a complain usually arise from abnormalities of ear related structures. Associated dizziness, vertigo or hearing loss may be of concern. In some people tinnitus may be of vascular origin more prominent in night. You need to consult an E N T specialist or neurologist for proper evaluation and diagnosis. Audiometry, blood pressure measurement, local ear examination and imaging may be required. Sometimes it goes on its own but I will suggest you to consult specialist. Hope this information will be helpful for you. God bless you Thanks Dr Neeraj kumar Dm neurology | |
Q. Is my hCG level indicating failing intrauterine or ectopic pregnancy?
Hello doctor, I am pregnant about five weeks. However, my Hb is 13.2 but beta hCG is 106.2 and after 48 hours it was 108.4. Is it failing intrauterine or ectopic? Or what should I do now? Currently, I am not taking any medicine. | Hello. You should get a serial beta hCG levels done after 48 hours each again and also an ultrasound pelvis to check if fetal pole has arrived. The rise in beta hCG levels is less than 63 % of course and indicates a possible chemical pregnancy. Do not be in a hurry to abort. You can safely wait for two weeks and observe and follow up with ultrasound and beta hCG levels. | |
What causes severe dehydration while on chemotherapy for a spinal tumour?
Hi, my daughter is 26 and has tumour in spinal cord. Biopsy left her unable to walk on her own, but was helpful for treatment. Proton Radiation did not work. First round of chemo gave her rashes and tumour is growing. new chemo is oral 5 day s on 25 0ff. Mayo Clinic is overseeing, UofM did surgery. She has been to ER for dehydration 3 times. what else can we do to help with dehydration that works?. Thank you Jeff. What a shame, a person in need of help for a loved is being asked to pay for compassion and help. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. For dehydration she needs to drink atleast 3.5 litres of water per day. Also fruit juice such and coconut water helps. She can also add oral rehydration sachet with her water thrice daily. Hope I have answered your query. Let me know if I can assist you further. | |
What can cause a belly button pain?
belly button painI had some slight pain if I put my finger in my belly button and pressed a month ago and then it went away the next day. just yesterday i bent over and felt it again but when i pushed on it lightly it was sharp and so painful. I didnt get much sleep last night because im having slight discomfort when lying down. all day today I can feel its there and the pain has lessened but when I put my finger in there and slughtly press I feel the discomfort mostly in the back top of it. I dont feel a hernia bulging, im 105 lbs, 5'0" , my gland is in front of my right ear noticeable by rouch and so is the on on the rt of my lower mandible. two days before I had the recent belly button pain I was up a coupld times with cramping pains to the point where I thought I was getting my period but didnt. Im taking a vitamin A mostly every day because Ive been having so much acne for reasons I cant figure out. ive never had acne. i dont eat fast food, I cook all my meals, I eat glueten free meals, I dont eat znything with added sugar and I have a mild case of lactose intolerance, cant have real milk and certain cheeses, no creamy stuff. Ive never had suergery or babies. I cant think of anything else. Im asking for help this way because I cant afford insurance. | Hi. It is OK with Insurance or no insurance, health is wealth. :: The cause of an umbilical pain is usually the hernia or umbilical infection , granulaoma or so. It can not be really attributed to something else unless there is a positive finding.Gone through all your history. It is good that you have a great disciplined life. The swellings looks to be lymph nodes in neck and in front of the ear , not related to umbilical pain.:: Please check for any redness or swelling in the umbilical area, clean with spirit or betadine. | |
Will taking i pill cause problems in conceiving?
Hi doctor,I am age 30 years I have been taking Ipill for 1 year like 2 times a week to avoid pregnancy.I missed in july and got pregnant I did not want a baby so used unwanted kit. I and my husband are trying since 3 months to get pregnant but its not happening.Please suggest do I need to visit a gynacaelogist for help?Is it due to usage of Ipill for 1 year I will never get Pregant?Please help | Hi,Welcome to Healthcare magic.I am Dr Ramadevi Wani. I appreciate your concerns.Please be reassured that Ipill does not affect your fertility. It may only cause temporary irregularity in menstrual cycles.It would have been nice if you had provided me some more information like age, BMI, regularity of cycles etc. Since you were pregnant once, you do not seem to have any apparent fertility problems.Relax. You will conceive again. Among couples trying for baby, 80% conceive in the first year and 90% by the end of second year. So don't be stressed.Consult Gynecologist if you do not conceive in a year's time.To increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three times in a week.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic. | |
Suggest remedy for shin splints
Hello, I am a 33 year old mom of three. For the past one and a half months my right leg has hurt. It started with what I though might be shin splints, so I decided to stop any activity that I was doing (which wasn t much). The pain is now in my calf and foot. I went to urgent care about 3 weeks ago and they did an ultra sound for blood clot (negative) and an Xray (negative). It is still very painful, keeps me up at night (have tried heat, ice, advil, haven t done any activity in about 1 and a half months). I am going to see a vacular specialist today and I m not sure what to expect. Please help. | Hi, Such type of pain usually occurs in vitamin-D deficiency associated osteopenia. You need to get calcium and vitamin-D supplementation as far as blood clots in leg veins is considered,you need to get an venous Doppler done to rule out the same. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon | |
Suggest treatment for cerebellar atrophy
Hello, My I have a friend that was diagnosed with Cerebellum Atrophy several years ago. She came to visit for a week s vacation. My heart was broken for I haven t seen her in quite a while. She was beaten and left for dead about 20 yrs ago and has in developed this condition. She has gained a tremendous amount of weight 185 at 4.11. She loses her balance, takes a few seconds to compose sentences; she has issues processing her thoughts, slow speech or premature speech (childlike at times). She s suffers from Hi Blood pressure, diabetes, suffers spinal pain from the atrophy and weight, and suffers (in my opinion, depression) she eats and eats all the wrong foods; she doesn t exercise at all...! The week she was with me....She had to eat what I fixed (I m a health nut) But she would sneak and eat foods she shouldn t have...! As a friend what can I do when she comes to visit again? Are there support groups? She 54 and looks 60. I m in shock! I want to help my friend...She says there s not cure...! But, I strongly believe in healthy foods, exercise, yoga and meditation. Please Help and Advise. I love my friend dearly...We ve been friends for over 30yrs...! Her condition is breaking my heart...Feeling Helpless! | Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!I read carefully your question and would agree with you on the fact that there are some treatment symptomatic options to her actual therapy. First, I would recommend checking her hormone levels (cortisol plasma levels, thyroid hormone levels, fasting glucose, HbA1C, blood electrolytes, etc.) to check for any possible metabolic disorders. It is also necessary consulting with a dietitian and make some changes to her diet in order to make her loose some pounds. Physical activity can help improve her situation. But as she suffers from gait disorders, I would recommend swimming as a possible activity, as aerobics is not easy in her situation. Consulting with a psychiatrist is necessary too. An antidepressant can help improve her mental situation. I remain at your disposal for any further questions, whenever you need!Hope you will find this answer helpful!Best regards! | |
Q. I feel pain in my right kidney area while coughing. Is it normal?
Hello doctor, Five years ago, I had a kidney stone but it was small and went through the urine. Now, the problem is, I got common cold, fever, and cough. Common cold and fever were gone after taking medicine but the cough remains. I thought it will be alright after some time but it did not get better and I have cough until now. It is already two weeks. Now, I feel pain in my right kidney side while coughing. Is it normal? Please advice me. | Hello. After careful analysis of the history you have provided, I would like to let you know: Firstly, the pain that you experience in your right kidney area as mentioned, would be an outcome of the chronic cough. Chronic cough leads to muscle strains and tear. Secondly, there is also a chance for recurrence of kidney stone. Having said that, I would like to know: As of now, you do not need to worry as chronic cough is the most likely reason which is quite a common scenario. For now, you need to: Do follow up with details for the above queries. Stay healthy and positive. For more information consult a general practitioner online --> | |
Suggest treatment for seizures
Hi for a couple yrs now I ve been having a lot of seizures. I ve never had them before. Now I get a light headed feeling and feels like my brain is swelling on a daily bases. What I m really concerned about is now I have a small brown circular dot close to my wrist and a thin reddish brownish streak going down towards my elbow. I didn t think much about it until I noticed it s gotten longer. Please help I m scared I m also broke just need to know if I should go to the er. | HIWell come to HCMI really appreciate your concern, if this is the seizure like symptoms since last couple of years so it must have been investigated for underlying cause, and if not then it need to be investigated and most advisable tests are CT brain and EEG, it is for to rule out the grand mal seizure if these are unremarkable then it could be hysteria only, your age and gender are missing here else something more could have been thought, hope this information helps, take care and have a nice day. | |
One year old baby has e.h.cysts in stools, please suggest treatment for it
Hi, my one year old son has been passing sticky and slimy semisolid stoold since past one week. his stool report showed 2-3 pus cells ans e.h.cysts. he had earlier got stomach infection twice in last month.has he got amoebiasis and wat is best treatment | He should be put on antiparastic medications to combat this issue. He might not be eating right I guess as he has been having such issues on a frequent basis. So pay more attention on his food habits. And also washing his hands with a good soap each time after defecation. Also the dirt under the nail should also be cleared as it can carry the worms. | |
Is long duration course of antibiotics needed for child with water infection?
My grandaughter had a water infection when she was 5months old she has been on antibiotics since she is 8months now. The doctors ave said she cud be on them until the age of 4, she has also had 2 scans on her kidneys but have both been ok. Why is she on antibiotics for so long | Hello, It is challenging to come to diagnosis with a limited history provided in the query. However, the use of long term antibiotic therapy is called for patients who suffer with immunodeficiency. The antibiotics prevent the risk of acquiring recurrent severe infections in such patients. As you have mentioned your grand child is five months old; it is likely that she is suffering from some form of rare congenital immunodeficiency. In this condition the normal infection-fighting system of the body does not function fully, making the person prone to severe infections. Apart from antibiotics other forms of treatment available for such patients includes antibody infusion, and stem cell transplantation. In addition, kidneys are usually normal as the immune cells are usually a component of blood. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ayesha Shareef, General & Family Physician | |
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. | |
Chances of being pregnant after stopping Ortho Evra patch?
I am 27 with 3 children. My fiancé and I decided to try for one more. I was on the depo shot for around 3 years and the ortho evra patch for almost a year. I stopped using the patch about a month ago. Had a period followed by ovulation. We are actively trying to conceive and I think I am having symptoms of pregnancy. What are our chances of me being pregnant now? | Hello,Thanks for sharing your health concern with us. It is good that ovulation has returned after stopping the patch. If you have had regular unprotected intercourse during the ovulation period, you have very good chance of conception. If you have been plotting the basal body temperature, you will notice a rise in temperature at ovulation which remains persistent if conception has occurred. The earliest test for pregnancy is the estimation of the serum beta-hCG titres, done 7-10 days after ovulation. Hope you find this information useful. Wish you good health. | |
What causes lower back pain along with sleeplessness?
My husband has been complaining of lower back pain for quite a while now, now he has been complaining that he can t sleep at night because he feels very bloated, do I need to worry? He is a very busy person, work all day and when he gets out of work he has 4 soccer teams to practice. | Dear patient Too busy at work with stress , anxiety and inadequate rest is most common cause for back pain now a days. Ask him to change his schedule and make it more flexible with adequate time for rest and sleep. Sleep for 7 hours a day is must. Take tab diclofenac plus thiocolchicoside combination twice a day for back pain. Also Xray of lumbosacral spine anteroposterior and lateral views needed to rule out bony abnormalities. All the best. | |
Is there anything to support my back?
I am age 91 (male) and in good health (I think). I do have a back vertibra problem because I ruptured my vertibera about 15 years ago by attempting to lift somehing that was too heavy. Is there any particular support for my back that you would suggest? | Hello, Surgical fixation is not recommended at this age. You can use a CASH brace for symptomatic relief. Consult an orthopedician and he will prescribe the suitable brace for you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes severe back and neck pain?
hi.am 24yrs old girl.I am married for 3 years now. I have been suffering with severe back problem since 2009.Its been gradually increasing day-by-day. I have consulted many doctors, but no one has told me what exactly is the problem.And am also suffering with severe neck pain. these are some of my test results :Sacralization of L5 with narrowing of L5-S1 disc space and exit foramina (taken in feb 2010)-scoliosis with concavity to left side due to muscle spasm.(feb 2010)-discal bulge at L4-L5. (feb 2010)My bone scan result (taken in november 2011)Physiological distribution of traces noted in the axial and appendicular skeleton.FDG uptake noted in the iliac side of both SI joints, left more than right with sclerosis noted on corresponding CT sections.Focal uptake noted in the petrous temporal bone lateral to mastoid aircells - s/o infection. Please tell me what is the problem? my neck problem is also in a very bad condition.i cant be in one position for more than 1/2 n hour.And my back problem is worse before and during periods. We haven't planned for a baby yet.And will there be any complications during pregnancy because of my back problem. please reply. thank you. | Hello I have studied your case As per your symptoms there is possibility of sacro ileitis which is common after pregnancy.I will advise to check your B 12 and Liver function test, CBC,ESR,CRP via blood.As you are losing your weight there is possibility of malignancy.Till time continue your medication.Postural yogic exercises may help you You can contact directly on my profile for further assistance. 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 | |
What is the treatment for penis pain in a child?
My son is 8 and unsercumsised. He has just told me that his penis is stickingout and hurts so he pushed it back in. noticed a little bit of blood at the tip of the penis also he has some pubic hair is all this normal and hoe do i explain to him. Or is something wrong?. | Hello, Skin conditions are best diagnosed only after seeing directly. I suggest you upload photographs of the same on this website so that I can guide you scientifically. Please revert back to me with images so that I can guide you better. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | |
Is Indian swine flu a contagious disease?
I ordered merchandise from a storekeeper in Chicago which hours after fell seriously ill with the Indian Flu. I believe he meant the Indian Swine Flu. I m worried now when the merchandise arrives by mail that I will contract this illness as I have a 4-year old daughter and pregnant wife at home. How long would such germ last on my merchandise before it dies? | Hello, Thnx to contact us. I understand your concern. If I am your treating doctor I advice you that flu is very contagious disease. It may come to your child also. Even after a death it will be infectious. I advice you to start treatment with antiviral treatment. You can also think of admission in the ICU. If you have anything else to ask, kindly contact me.Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease. | |
Suggest home remedies for fever
hello Dr. my father is 55 yrs old. he is suffering from fever but is feeling cold inside and is badly shivering. he has diabetes. he currently is not able to move and is not in a position to be taken to the hospital. and the place we live in is a remote area. hence there are less chances of any dr. to come here right now. please guide me some home remedies to make his temp. low so that we can take him to the doctor... its urgent. | Hai,Kindly cover him some thick clothes covering his head and all over the body to reduce the shivering.Give some hot water with electrolytes (salt) that will balance the body temperature as off now.keep giving some hot water mixed with ginger juice frequently.monitor the temperature and his glucose level with available kid like thermometer and glucometer.Thank youhope i answered your query | |
Suggest treatment for pain under the leg and knees
I was at the gym this morning and I must have stepped wrong, severe pain on the left side of my leg just under the knee. Very tender to touch and it hurts like heck. Going up and down stairs does hurt. Knee cap and all is in one place. Could I have pulled something? Some pain does radiate down the leg and up the thigh. | In my opinion you are describing lateral meniscal injury , i recommend an MRI to confirm start on NSAIDs (alphinturn) 3 times a day till then , also wear a knee brace physical therapy can easly fix the problem and help you avoid surgeryGood Luck | |
Find a lump on the breast, Should I be concerned ?
is 23 too young to find a lump on the breast/ I am 23. I found a knot on my left breast a couple of weeks ago. I cannot tell if it is a lump, cysts , or bone . Should I be concerned? There is no history of Breast cancer in my family. | It is good that you dont have a family history of carcinoma. Also I appreciate you on finding out the lump by yourself. So now your next step is to get it confirmed with your doctor either your Gynecologist or a General surgeon. You have mentioned of the possibilities and they are the same but needs confirmation with an examination and even investigations if necessary. | |
Could redness and itching under foreskin be due to silicon gel?
Hi, I have noticed redness and itching under my foreskin. Very small bumps are also there but they are almost non-visible. My partner and I have recently experimented with silicone gel during intercourse and I am not sure if that is the reason. Also, this has never happened before. Please advise | HelloThanks for query .Itching and redness of foreskin strongly suggest infection of foreskin (Posthatitis) However can be due to allergic reaction to gel that you are using during intercourse as a lubricant .Are you diabetic?You need to check your blood sugar levels to rule out /confirm diabetes .You need to take broad spectrum antibiotic like Cefotaxime along with anti inflammatory drug like Diclofenac twice daily along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Have protected sex and avoid using Silicon Gel .Dr.Patil. | |
Suggest treatment for swollen lymph node under the ear
swollen cervical lymph node in neck under ear, had flu a month and a half ago and it swelled up then and ever since it has still been there. Now i am having pain in the area my right ear hurts some and bad shoulder and neck pain and numbness of my right shoulder and whole arm and on one occasion my entire right side of my body. very fatigued also | Hi, dearI have gone through your question. I can understand your concern. You have enlarged cervical lymphnode. It can be due to reactive hyperplasia, tuberculosis or lymphoma. Reactive hyperplasia is the most common condition. You should take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Q. Is there any permanent solution for myopia?
Hi doctor, I have a congenital squint problem. Till 12 to 13 years of age, my eyesight was good. Then, I developed myopia. It is mainly because of television. Now, I am 21 years old and have power glasses of -3.5. Is there any permanent solution for my condition? Please explain even if it is a surgery. Thank you. | Hi. Revert back with the photos to an eye care ophthalmologist online --> | |
Q. Will diastolic dysfunction lead to heart failure?
Hi doctor,I am a 46 year old male. My height is 184 cm and weight is 98 kg. I have been having balancing problems for over a year. It is some form of sensory ataxia. I also have compression in C4-C5 and C5-C6 cervical spine. I also have severe sleep apnea. I had some breathlessness and chest discomfort last year. I had a positive TMT and had an angiogram. The result was minor plaques. Since then, I was given Ecosprin 75, Monotrate 10, Dilzem 30 and Atorva 10. Again, I have breathlessness. Also, my chest pain is on and off. I feel fatigued and tired. Again, I had an ECG and Echo. The ECG was similar to the last time with T-wave inversion. Last year Echo showed mild concentric LVH and mild diastolic dysfunction. My latest echo reported mild concentric LVH, moderate diastolic dysfunction with increased LVEDP, dilated LA, sclerosed aortic valve and mild PAH (PASP=40mmHg). I have enclosed the above reports for your reference. Are my symptoms of breathlessness and fatigue due to diastolic dysfunction? Or due to my sleep apnea? I am not able to use CPAP due to body jerks and discomfort with CPAP. Is this diastolic dysfunction serious? Will it lead to heart failure? My BP is usually 140-150/80 mmHg. Is there a chance for minor blocks in arteries having become bigger? What course of action should I follow now? | Hello. I have seen your report (attachment removed to protect patient identity) and keen observation. Yes, diastolic dysfunction can cause heart failure. But, we need to find out the reason here. Sleep apnea is one additive factor and need to treat it. Also, you need to control your hypertension more. Reduction of weight along with medication will help to decrease diastolic dysfunction and mostly your symptoms. For further information consult a cardiologist online --> | |
What are the symptoms of athlete s foot?
For the past week, the forth toe on my right foot has been bothering me. At first I had pain and a burning sensation as if an ant bit me. When I looked at my toe I saw and felt nothing except a small pimple like bump. The toe now itches especially when wearing close toed shoes. Just yesterday, the same thing happened to my left foot middle and second toe. Only this time there was no bump. Today both feet are itching. Is this athlete s foot? | I feel you are using pointed shoes, can you tell me the shape of your shoes? wear wide shaped shoes in the front, that will solve your problem. | |
What causes swelling on top of the rib bones?
Hello, my husband has an area of swelling on his left side under his chest muscle but on top of the rib bones. It is not painful but is tender to the touch. He is in otherwise good health and no strange symptoms. The swelling has gotten larger over the past few days | Thanks for your question on Healthcare Magic. I can understand your concern. The swelling you are talking about is mostly due to costochondritis because it is tender on touch. But better to get done ultrasound examination of chest and local part to rule out other causes of swelling like abscess, nodule, mass etc. If ultrasound is normal then no need to worry much for this swelling. Ask your husband to do following things for 1 week and swelling will subside. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Apply warm water pad on swelling area. 5. Take combination of painkiller and anti inflammatory drugs. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. | |
What does growing, swollen, pink spot on scrotum suggest?
Hello, Ive had a stressful couple of days now. Ive been worried about this small spot on my scrotum. Its where the shaft and scrotum meet. Its small, bigger that a hair follicle, but not as big ass a pee. At first I thought it to be like a pimple or something so I messed with it until I was swollen. Then it was red and pee sized. But if I leave it alone its just slighty raised pink and shiny. It had dry skim on it once so I picked at it. I know thats bad but I did. It scabbed over and then the scap fell off next day. Now its just really small shiny and pink. Still slightly raised. Sometimes it looks like a pimple about to come to a head but never does. Cant tell if it itches or just the normal itchy scrotum. Please help. Had a ssimilar experience a year ago but it was just an ingrown hair. But I cant remember if this is the same thing. | HelloThanks for query .Based on what you have described I would say that you have what is called as Sebaceous Cyst over scrotum.The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin.Normally they fade away without treatment however they need to be treated if increase in size or get infected.Please consult qualified General Surgeon for clinical evaluation and further treatment.If needed it being a big may need to get excised in Toto (Completely along with the sac).Dr,Patil. | |
Constant chest pain, dizziness. Due to stress or stomach ulcer?
HI, I have constant chest pain, it's a dull pain i have all the time, it sometimes feel like a squeeze feeling and other times dull, I have been having these pains for a couple of weeks, my gp puts it down to stress and then I went back as it got worst and then said it seems like a stomache ulcer but the medicine did not work, I also get dizzy at times | Hi Your condition may be due to both Stress(Anxiety Disorder) and Stomach ulcer rather Acid Peptic Disorder with or without H.Pylori Infection. If you are not getting relief managing your Stress, You can try medications like Histamine 2 receptors antagonists - Cimetidine, Ranitidine, Famotidine can be given in divided doses. Or Proton pump inhibitor - Omeprazole, pantoprazole, and lansoprazole can be given in morning empty stomach. Anticholinergic drug like probanthine tab or clinidium bromide alone with or without chlordiazepoxide given 2- 3 times before food help to reduce pain. If no relief, H. pylori infection may be present, treatment is combinations of 2 antibiotics (e.g. Clarithromycin, Amoxicillin, Tetracycline, Metronidazole) and 1 proton pump inhibitor (PPI), sometimes together with a bismuth compound. In complicated, treatment-resistant cases, 3 antibiotics (e.g. amoxicillin + clarithromycin + metronidazole) may be used together with a PPI and sometimes with bismuth compound. An effective first-line therapy for uncomplicated cases would be Amoxicillin + Metronidazole + Pantoprazole (a PPI). In the absence of H. pylori, long-term higher dose PPIs are often used. More over habit of smoking or using any form of tobacco preparations, cosumption of alcohol, tea, coffee, ifrequent use of analgesics for headache or body pain should be avoided. | |
How to treat throat infection, diarrhea and fever in a child?
hi doctor. My 3 year old daughter was down with throat infection and fever. She was prescribed Alex+ cough syrup, crocin and clamp (antibiotic). She started with watery motions today morning and shes already passed thrice. all three times were completely watery and a lot of motion. Kindly advise what i could administer to be used in conjeunction with her above medicines. I suspect the antibiotic is causing the diarrhea. | Hi Dear Welcome to the watery loose stools. could be due to the clamp.Probiotic like neutrolin B to be added to get some relief.If the loose stool are severe that it will better to shift some other antibiotic like ofloxacin.Hope the query is answered.Thanks | |
What causes muscle and joint pain?
I have been experiencing pain in my joints and muscles for many years. Recently, I am having pain all over my body and now my jaw is starting to hurt constantly. My doctor says it is arthritis but I feel it may be something else. I do suffer from IBS and recently I have been overly emotional. Could these be signs of something other than arthritis? | HiArthritis means joint inflammation. But what is the cause has to be seen by investigations especially of blood. If they indicate any specific type than drugs are given to control damage and reduce inflammation and pain. | |
Rib cage pops and clicks when I breath, been stressed, painful. Is it connected to smoking?
hello either when im laying down sitting sometimes standing up and I take a deep breath my left side under my rib cage makes a pop or clicking sound?started today maybe lastnight I had a family crisis lastnight can stress have anything to do with it also I really haven t ate the past 2 days maybe one meal related also I heard it could be guess it doesn t really hurt but more of a weird feeling but when I sit it feels uncomfortable also I do smoke cigarettes maybe 5 a day at most | Hello there ~ The popping sound that you hear is possibly the same mechanism as when you pop your knuckles. Yes, there are joints in your rib cage too. If you feel like stress may be adding to it, I suggest that you try relaxation and deep breathing exercises, as an alternative to cigarettes. It may also be helpful to get a chest X-ray just to clear any doubts about any rib-cage problems. If you are still not satisfied, please consult a doctor. Take care and have a stress-free day. | |
Suggest treatment for blockage in the blood vessels
Sir, I had by pass surgery during 1996 March. For review the tests & CT Angiography were taken last week and test results are normal except cholesterol level (ie) Total 204 , HDL, 39, LDL 134. CT Angigraphy reveals some blocks in the grafted vessel. I have NO BP, Sugar Pl. advise any medication can dissolve the blocks, if so pl. advise. | Hello, By angiography, the incidence of restenosis/blockade is significantly higher than clinical restenosis because many patients have mild restenosis that does not result in a recurrence of symptoms. The management of clinical restenosis/blockade is usually to repeat the PCI with balloon dilatation and placement of a drug-eluting stent. Once a patient has had restenosis, the risk of the second restenosis is further increased. The risk factors for restenosis are diabetes, myocardial infarction, long lesions, small diameter vessels, and suboptimal initial PCI result. Anti-platelet drugs (aspirin,clopidrogel) and statin +/- nitrates are all that are required for those patients who are unwilling for Target lesion revascularization (TLR) or target vessel revascularization (TVR). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist | |
Q. I want to go off antidepressants but have trouble sleeping. What can I do?
Hello doctor, I am 22 years old. I have been on the following antidepressants for two years. Morning: Modapex 50 one pill, Depakene, Lamotrigine 25 mg one pill. Night: Clozapex 25 mg half a pill, Mirtimash 30 g half a pill, Depakine Chrono 500 mg one pill, and Anafranil 75 mg half a pill. I used to take more but I stopped them over the past two years. For example, I used to take double the mentioned dose about nine months ago. I recovered from depression a couple of months ago. I started detoxing but with my doctor, the process was going way too slow and I have gained 45 kilograms over the past two years (25 in the past two months alone!) my muscles, my bones, and my joints started to hurt really bad because of my weight. Nothing works. I go to the gym every day, I workout but still I eat way too much because of the drugs and I cannot control it. My doctor does not want me to stop despite every hardship that I face and even refuses to decrease half a pill from the prescription. However, three weeks ago, I decided to cut all medications once and for all. I lost 7 kilograms, I stopped eating too much and just by cutting down the drugs I saved not less than 1800 calories per day. I started going to the gym more regularly. But here is the problem. Clozapex 25 and Mirtimash make me sleep and without them, I cannot sleep. No kidding, I have not slept in the past three weeks more than a maximum of 70 hours. Even those 70 hours, they are full of nightmares and I usually wake up after two hours with my mind confused and afraid and I cannot sleep back. I want to sleep. My eyes grew tired because I have been opening them for way too long. I do not want to give in and get back to the drugs because I am sick of them and I have had enough. I am not going back but I also want to sleep. Just a single continuous eight hours of sleep without any nightmares. I usually get nightmares that are very weird. I do not even know how to describe them. Mathematical problems and complicated solutions that are presented to me (in my sleep) and I keep thinking about them until my head hurts and I wake up freaked out. Please tell me what to do. I thought that after three weeks it would get easier but it is not getting easier. I have no side effects at all from any of the drugs only the disturbance of sleep. Some of them were written on them that if you would stop them suddenly you would risk getting seizures b | Hello. Because of stopping the medication you have a problem with sleep. You should try some sleep medication for a short time and then taper it. I suggest tablet Diazepam 5 mg before sleep. It is Benzodiazepine group drug and long duration, but it is addictive. So, you must taper it within four to six weeks. Or you can try tablet Zolpidem 5 mg before sleep. It is a good medication but it is not so effective like Benzodiazepine. Zolpidem does not get you addicted. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Or you can try tablet Melatonin which is a normal nonprescription medication. You can get it online or over the counter. The non-pharmacological ways to sleep better are: Hope this will help you. For more information consult a psychiatrist online --> | |
What causes painful lump on collar bone?
I have a painful lump on my right collar bone right at the end by the sternum and it radiates pain to my arm, shoulder, neck. I have had this lump for about 4 years now and it is sometimes painful other times not painful but still present. It is very obvious and can even be seen through my sweaters. I have had night sweats badly for about 2 years now but was pregnant so just figured it was that. I have experienced a great deal of unexplained weight loss for over a year now to the point I dropped to 105 lbs (normally around 120). I figure the lump is probably just muscle nots since I feel it in my neck and shoulder blades but should I be getting it checked it is getting to the point I can barely move my arm. | Hi, dearI have gone through your question. I can understand your concern. You have lump with weight loss and sweating. It can be enlarged lymphnode due to reactive hyperplasia, tuberculosis or lymphoma. Or it can be some soft tissue tumor like neurofibroma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What is the reason for having low heart beat?
Dear Doctor, My age is 37 height 91cm and weight 85kg. Today I check my heart beat and BP and it become heart beat: 54 and BP 130/91. what does this mean? 2 years a go my doctor found that there is a thickening int he wall of my hear and he put me on the medicine Atenolol Denk 50 since last two year. He said the thieckning is due to blood pressure. I kindly request to give me a clear picture of what it is. Thanks, Tedi | Hello ... before telling u anything I need to see Ur ecg and echo. Whether Ur hypertensive...blood pressure on long term can lead to thickening of heart muscle .. one reason your heart rate Low due to medicines effect . . If no symptoms then no need to stop medicine.. Take care | |
Can yeast cause rashes over my neck and chest?
I have always had problems with yeast. Went to dermatologist a week ago due to a rash all over my neck and chest. She prescribed diflucan 3 tabs 200 mg per week for 3 weeks. I am so constipated and just feel bad. Is the diflucan probably the cause of this? | Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you that diflucan may be the cause of it. But if the fungal infection had caused you the rash it is adviced that you should continue and complete the treatment.I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you. | |
Shortness of breath, upper back pain, lightheadedness, excessive sleep. What is the reason?
hi i had been having shortness of breath ever since i could remember, but i had been able to compensate for it by mouth breathing, although my breaths still feel as though it's never good enough. I usually have symptoms like lightheadedness and feeling sleepy almost which is slightly relieved by consciously breathing deep and fast. at the moment i also have upper back pain. this is my normal, except for the back pain, what could i possibly have?i decided to go see a doctor but my appointment is not until 2 weeks from now | Hi,Thank you for asking question on health care magicyou possibly have bronchial asthmafor the time being take a beta agonist like salbutamol or terbutalineyou have to rule out lung infection sooner or laterif possible have chest x-ray doneconsult your physician at yhe earliest opportunityHope this answer will serve your purposeTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | |
Feeling excessively tired & having back pain,headache & breathing issues
I have been feeling excesivly tired and have been havig alot of neck and upper back pain accompanied with headachs and my breathing seems a little harder i am only 21 and i am a smoker, i am also wonderig if this could be caused by mould in my apartment? I have not seen any signs but it is an older building. | Hello, It is nothing to do with an old house or mould. You need to stop smoking as it is causing weakness, also take good nutritional diet and also check for your hemoglobin, vitamin D, and B12 level. If there is a low level of vitamins then it can cause weakness also. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Naveen Kumar Sharma, Orthopaedic Surgeon, Joint Replacement | |
Can i get pregnant after stopping birth control?
hi my name is leslee and i was on birth control(depo prevera) and the last one i took was in may and now im off of birth control and im trying to have a baby im on my period right now i started my period december 3rd and my doctor that i have been seeing told me i can get pregnant, and my ovulation day is thursday december 9th so can i get pregnant? | Hi, I think you can get pregnant. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Generally it takes 6 months to one year for ovaries to regain it's function. If you are ovulating, then you can get pregnant now. Hope I have answered your question. Regards Dr khushboo | |
What does Pus cell:3-4,non motile -10% and epithelial cell:1-4 suggest?
hi... i am Subhasish ganguly...i am 30yrs old and my weight is 75kgs.I had a semen analysis today. the report is :Quantity 3ml,colour- gray white,Viscosity-normal,liquification time-35mins,pH-alkaline,total sperm count-36millions/ml,RBC/HPF-occasional,pus cells-2-4,Epithelial cell 1-4,rapid progression 25%,forward progression 65%,Non motile 10%,Morphology-Normal 80% abnormal 20%.Is such a report Normal?Please help. | HelloThanks for query .Based on the report of your semen analysis that you have posted I would like to make comments as detailed below All the macroscopic characters like appearance ,viscosity .liquefaction time and Ph are within normal range .The total sperm count of 36 millions is little low than accepted range of 15-20 millions per ml of semen (Oligospermia) Morphology of sperms and Motility of active grade sperm being 25% and progressive to be 65% is normal to effect pregnancy .Presence of 2-4 pus cells suggest infection and needs to be treated with antibiotic like Doxicycline twice daily for 34-6 weeks .Repeat semen analysis after two month on completion of antibiotics .Dr.Patil. | |
How can I keep the inflammation down due to stage 4 throat cancer ?
Hi Doctor, I have stage4 Throat-Cancer and can suffocate any Day/Min. cause my Food-and Air-pipe are closed/almost. I try to drink only good stuff like Juicing but all that stuff seems to inflame and swell on my throat, how can I survive when everything good I drink/eat makes me inflammation? how can I keep the inflammation down, what is the best to drink/eat, I have not much time left, have to try anything and I'm losing to much weight (I am very hungry) Thank You, George 323-257-9257 | Hi, dear I have gone through your question. I can understand your concern. You have throat cancer of stage 4. So no treatment will cure the disease. Chemotherapy and radiotherapy work as palliative treatment. For your inflammation due to food you should take anyi inflammatory drugs to control that. You should go for insertion of Ryles tube. Tube feeding will help you. 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 could be the rash on back of neck and fingers?
Hi I have a rash on the back of my neck in two spots one near my hair line right in the middle which is small like in size but a bigger bump and then two whole fingers (side ways) below it is a lil bigger patch but low in height ways...it doesnt itch it burns....what is this or what may have caused it... | Hi,I can understand your concern for the itchy rash on back of neck and fingers. I can make a possibility of Allergic dermatitis. In Allergic dermatitis there are eruptions along with moderate itching and in more aggravated cases there is appearance of more redness which persist for more than multiple of days.The only precaution you must follow is not to touch, pinch pop or squeeze any of them other wise it can get infected and can cause complications.You can apply medium potency steroid cream application of fluticasone cream. You can additionally take antihistamine benadryl or loratadine by mouth. Go for your routine blood test and check for any abnormality in hemoglobin level and thyroid statusTake care. | |
How to treat an elevated ESR level?
My daughter is nine and had a blood test earlier this week and it came back with and ESR level of 17 the doctor hasn't looked at it yet as i need to ring back later I was just a bit concerned as it al to do with a raised lump which we think is a gland in her neck | HIThank for asking to HCMI really appreciate your concern looking to the history given here let me tell you something that the elevation of ESR is not matter but the underlying cause of this is great concern and this need to be found out and treat accordingly, because elevated ESR is indication of some pathological process and not the disease it self, hope this information helps you, take care and have a nice day. | |
What causes raised protein levels during pregnancy?
Im 36 weeks pregnant an i went into the emergency at about 33 weeks, an was told i had a trace of protein in my urine. The doctor didnt think anything about it, so neither did I. I then went back to see MY doctor at a normal prenantal appoinment, and he was concerned because I had raised blood. We didnt think much of it because i had walked 15 mins to my doctors office an I havent done much excerise latley. Last night I looked up what protein in my urine could possible mean. What does this all sounds like to you? | The presence of protein in urine may be due to high blood pressure, diseases in kidney or liver. So check BP and liver and renal function tests. If normal, then repeat the urine test after 2 weeks. | |
What causes left sided chest pain and shortness of breath?
Hi, may I answer your health queries right now ? Please type your query here...My brother has small round bruises up and down his arms, on the top of his hands, and fingers. He has been abusing prescription pain killers for about ten years. He was sent to the emergency this weeked with shortness of breath, color of skin turned white to gray, left sided chest and back pain around his heart all while he was sitting on the couch. Two days later he has the same pain. My brother refused blood work but had a ecg. Heart attacks run heavily in immediate family, one being my father. My brother is 39 years old, single, and no children. He has refused rehab many times and said he does not have a problem. My brother is a smoker,1pk in 2 to 3 days. Three or four days before chest pain he was shoveling and his work is very physical. Is this his body telling him it cannot take the abuse anymore? Could you give me some more ideas about getting him help for drug abuse? Very concerned sister and family | You can't tell him what to do. You can only tell him what you are going to do. If he smokes and abuses medication, he needs to have evaluation for the possibility of coronary artery disease, kidney disease and liver disease. Unfortunately, no matter the amount of discomfort this causes you and your family, he must choose for himself. | |
Why is MDMA causing tightness in my body?
Hi. I am a 23-year-old female, very healthy (runner training for a half marathon and eat a mostly organic, vegetarian diet including lots of organic produce). I took 3 pills of MDMA earlier today (over the course of 6 hours), but noticed some tightness in my left bicep and the muscle behind my left shoulder after taking the first pill. I didn t end up getting a high from taking the pills, which leads me to believe that they were not pure MDMA (but the absence of a high seemingly excludes the possiblitiy of a presence of other drugs). This was the first time I have ever taken Ecstasy or pure MDMA . I m now having chest tightness and a rapid heartbeat (regular, just very fast). and the most concerning part to me, is my left wrist feels tight, almost like its being squeezed by a blood pressure monitor. And my left had is tingly and stiff. What could be going on? | Hi, It could be a heart attack. Methamphetamine is often sold as MDMA and it will increase the stress on the heart. going with three at a time is quite dangerous. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | |
Urine has bilirubin, low levels of indirect bilirubin. Taking HCTZ. Concerned
I recieved a letter from my Doctor that gave me my blood work and urine results since I just went in for a yearly pap. it said my Urine had 1+ Bilirubin so they ordered a hepatic panel to check liver function and the only thing they reported is the indirect bilirubin was .1 which was a tad low but PA said it was okay. They just didn't really explain what any of that could mean. I'm 30 year old female, the only prescription drug I take is hctz 12.5mg. I read online you're never suppose to have Bilirubin in your urine so it just concerns me and the dr's office is closed right now | hi.. thanks for using HCM..you have bilirubin in urine and indirect bilirubin is raised..this suggest unconjugated bilirubin is increased due to disease in liver..you could be having hepatitis..see your physician for the investigations to know the cause for hepatitis..management is supportive.. change the diet with low fat, high carbohydrate diet.. multivitamins, liver enzyme preparations, and liver protective drugs like silymarine.all the very best.. | |
Suggest treatment for cyst in gall bladder
hello....i have three nos. of cyst in gallbladder 3-4mm size...there is no pain and any other problem...wht to do now...age 36 yrs...5'3''...and 15 yrs before...i have gone through a severe hepatitis B..but after that....for a long time...i had no such problem.that should be mentioned.... | hi. noted history of cystic lesions on the gallbladder. observation may be done. but even if you're asymptomatic, it is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. additional diagnostics such as liver function tests, and management (medical and/or surgical) will be directed accordingly. definitive treatment is surgical removal of the gallbladder or cholecystectomy. an elective (scheduled surgery) has lesser chance of developing complications vs an emergent one. discussion with your doctor re plan of management is advised.hope this helps.good day!! ~dr.kaye | |
How to treat bone spurs on top of toes?
my knee caps were smoothe when I was 14,now they re lumpy/cratered-no trauma..I have some bone spurs on the tops of my toes. I am 67. what s going on?..can I fix it? my feet have gotten slowly numb over the last 10 years. I have been taking methyl cobalamine 500 microgram bid for about a month. now I can feel some pain.. what tests do you suggest? Thanks, Jonathan | Hello, If is is painful you can opt for steroid injection for long term pain relief. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain | |
Had diarrhea, bloating. Have a colonoscopy lined. What should I do meanwhile?
I recently had pain & discomfort, gas, diarrhea , bloating , etc in my abdomen and I was referred to a gastroenterologist ....when the doctor examined me before scheduling a colonoscopy a pelvic exam was not done even though I had lower abdominal pain. For the procedure I wore a gown & paper pants with an opening in the rear. I was lying on my left side and the nurse started the drip, the last thing I rememeber was the back of the pants being opened. When I awoke the pants had been removed, is that normal? I was wondering if the doctor might have done a pelvic exam while I was in the prodeure room. | The procedure that you have described is absolutely routine and normal. The left lateral is the customary position for this procedure and it is done under light sedation so as to make it painless for the patient. That is the reason you dont remember anything.In all probability, the doctor must have done a pelvic examination at the same time and he must have deferred it for this reason only, that he will do it under anesthesia. Else it would have been painful for you. | |
Can ashwagandha brahmi combo cause anxiety?
I've tried ashwaganda brahmi combo and the first week I felt so much better,had more energy ...etc,then when I got my period had very intense anxiety simptoms.Do you think this might be do to those supplements.I started those to help with stress!Thank you | Dear User,Thanks for using health care magic.Generally Ashwaganda and brahmi are used for anxiety symptoms and there is no evidence that these itself can cause anxiety symptoms.Thanks | |
Suggest remedy for pain after bursting of Bartholin cyst
4 days ago I noticed I had a bartholin cyst it burst two days ago and is still draining which is normal for me. I ve gotten these often since I was about 17 (now 22). I went about my normal routine but it seems to be a but more painful then normal I m on antibiotics but I was wondering if antiboitic ointment would hurt or help if I put it on? | you can use antibiotic ointment pervaginally...it will be helpful....you have not mentioned which antibiotic you are taking...if you are not having antibiotics then take Tab Levofloxacin 750mg ODointment clindamycin for per vaginal applicationtake Sitz bath (sit in a bath tub containing warm water )for around 15 min dailynd don't have sexual intercourse until it heal | |
Which oil massage is recommended for clubfoot after surgery?
namaste , this is about a one jaer old boy suffering from clubfoot . he had have a surgerie on both hamstrings and his legs have been plastert in order to generate a normal form and stability of his feet and legs when he was born . my question now is , would it be helpfull to give him carefull massages for instance with balashvagandha thailam , or which oil would be the best for this childs case ? | Hi.... there is no role for oil massages in allopathy. I suggest you not to do that as sometimes it might turn out to be deleterious. Rather than this, I suggest you go ahead with physiotherapy.Regards - Dr. Sumanth | |
Are low cost dental braces advisable?
I want to get braces for my teeth. When I went to the doctor and then the doctors had to check with my insurance. My insurance then in return said getting braces isn t medically necessary so they told me that my insurance won t cover it. What ways can I get braces that is cheaper please help? Are there any programs that offer cheeper prices to get braces. If there are please let me know about the program. | Hi..Thanks for the query..I have gone through your query and can understand your concern..As per your query there are a number of insurance companies that cover dental braces as it is a costly Treatment..So please write back your location so that I can tell you about the plans and programmes that cover dental braces..As the location is a must as the facilities vary from area to area..Secondly the regular stainless steel dental braces are comparitively cheaper as compared to clear or tooth coloured or other advanced braces systems..So please give e the above required details so that I can guide you accordingly..Hope this information helps..Regards. | |
What causes swelling in lips with red color around lips and nose?
My wife is having an allergic reaction. Her lips are swelling and the area around her nose and mouth are red. The last time this happened, her lips swelled to 5x their regular size and after a few days, started to blister and bleed painfully. The doctor we saw previously told us that this was a food allergy. We're suspecting that she may be allergic to sulfites, as we had wine last night. We've taken 2 Benadryl so far. What do you recommend we do since it's Sunday and allergists/doctors are closed today? | What u need to do is to start tab levocetirizine 10 mg daily along with tab prednisolone 10 mg 1-1-1 daily. This is a severe kind of allergy that she has, called angioedema.Better see a doctor if you can today in the emergency room or tomorrow early morning | |
Trying to conceive, femilon, irregular periods, no cervical mucus
hi.I got married two years back and we are trying for a baby last one year.I had undergone pelvic ultrasound scan 4 months back and was taking femilon tablet for 3 months.After that i got my period again after 18 days .Is this side effect of familon and today is 15th day after my last period and there is no mucus at all.all these are side effect of familon...is there any chance to conceive if there is no cervical mucus.. | HOW YOU CAN KNOW MUCUS PRESENT OR NOT DISCHARGE DOES NOT MEAN MUCUS BUT IT ALSO MEANS INFECTION,WAIT MORE DAYS FAMILON EFFECT WILL GO AND THEN YOU WILL CONCEIVE IF EVERYTHING IS IN ORDER.DR.RANJU,DGO.,MS. | |
What causes heart palpitations on hearing a noise?
why do i jump every time i hear a noise my heart beats fast like am scare for any litter noise i hear i get a scare feeling do i have a problem with my heart i went to my heart dr had stress test it came back find i am taking bystolic 5mg for high blood presure can bystolic be the cost of it need to know thank you | Hello, Yes, you need blood pressure medication called beta blocker as metoprolol. It will control the high bp and fast heart rate. Start deep breathing exercises, pranayaam or kapal bharti exercises. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Varinder Joshi , General & Family Physician | |
What are the symptoms of hernia?
I ve been experiencing pain whenever using my stomach muscle as I bend over, something seems or feels like it shifts out of place n what seems this round hard bump occurs on my right side a few inches beside my belly button, I have to straighten out n it seemingly feels like it goes or rolls back into place as the pain subsides. I had a CT scan n was told it was clear of infection or hernia, what could this be n would the CT pick up any other causes such as cyst or AAA? Please advise | Hi,Reply-and Advises-1-mail the photograph of the lump ? hernia-when it comes ,2-mail the CT-report-copy -3 and the CT-plates -scanned photos.,4-In the mean while try to avoid Couching positions-to avoid -complications of the issue-4-Put a abdominal Belt till definitive cause is found and treat started.Thnks .Wellcome more queries to fix this serious painful problem... | |
What could cause severe dizziness ?
This afternoon i was over come with severe dizziness and lack of balance. i do not feel ill, really. no headache, no ringing in the ears, no blurry vision, a slight nauseated feeling and i just can t seem to get my balance. everything is learching to the right...my head feels like i have a heavy weight inside. | Hi,Thank you for posting your query.I have noted your symptoms. The underlying cause of your dizziness could be either peripheral or central.Peripheral causes are mostly related to ear disease and in this case, symptoms of dizziness get aggravated with change of posture of head or neck.In central causes, there could be a lack of blood flow to brain, leading to a stroke, which can cause similar symptoms.A clinical examination would help in differentiating the two.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Suggest remedy for hard lump around collar bone
Hi I have had a hard lump about the size of an olive around my collar bone i went to the GP when I first noticed it he said he couldn't feel anything and I am a working mum thats why I'm tired all the time. The lump is still there it is not visible you have to feel it under the skin. It is definatley more apparent. I now have been suffering with terrible back ache and more recently chest aching pains. I am very tired and my neck area often aches although the lump itself is not painful. | HI,Dear,Thanks for your query to HCM virtual Clinic.I studied your query in all the details put forth by you.I understood your health concerns about the hard collarbone lump.Treatment for Cause about the hard collarbone lumps-The facts of your query indicates that you had a which your Gp could not locate, but lately causing tiredness with terrible back ache and chest aching pains and with neck ache.All these symptoms indicate that you might be a case of chronic infection- such as TB Lymphadenitis / Lymphadenitis (NHL or HL)with rising systemic complaints of aches and pains of body parts lately .and with progressive growing up of its systemic toxic / rhuematic effects, I would suggest to Consult PCP or ER Physician to do ESR and Complete Blood Tests.and to rule out other causes of systemic complaints with the hidden subcutaneous collar bone lump.Primary Treatment-Hot fomentation/ Infra red lam radiation of the collar bone,With Anti-inflammatory for few days.If no relief add Antibiotics, under cover of your family/treating doctor ONLY.As many other causes need to be ruled out by Second opinion from ER Surgeon /Physician or family doctor and hence I would suggest your doctor's Second Opinion,If need be your doctor would plan for you permanent cure option by--Surgical Excision with HPR Biopsy of the lump(to rule out NHL or HL -start of Hodgekin's Lymphoma-which is least possibility unless proved by HPR)would confirm the cause of it and your doctor would plan its treatment according to its cause if need be.Hope this reply would satisfy your query and would resolve the worry with it.If you feel satisfied with this reply,don't forget to hit thanks and write excellent review comments,which would improve my rating for new needy visitors to HCM.Welcome for any further query in this regard to HCM.Have a good day.With Regards,Dr.Savaskar M.N.M.S.Genl-CVTS,Senior Surgical Specialist |
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