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What could the gel like discharge with sperms be?
when i ejaculate i get gel like things in the semen, they are white. i have one testicle due to some operation in childhood. is this is the reason. iam trying to have a baby and its been 3 months since my wife and i are trying but no luck. iam worried its me! | Hi, First of all don't worry dear you are absolutely normal. Gel like thing in the semen is nothing but sperm and ejaculatory part which is normal. Couple is being considered as infertile when having sex for 12 months continuously and women not conceived. So keep having sex you will have baby soon. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pramod Kokare, General & Family Physician | |
Can protein leak from kidneys lead to ankles swelling up?
I have been having swelling in my ankles for last 8 months or so. My urine test showed leakage of proteins Doctor advised Kidney biopsy. the result was membranous nephropathy. Can you tell me what it is? And treatment? My email address is: YYYY@YYYY | Dear Patient,membranous nephropathy is in 80% of cases an autoimmune disease. It should be treated with immunosuppressive therapy if it is related only to your immune system (in particular we use rituximab, cyclosporine or the so called Ponticelli's schedule) and if in 6 months does not disappear by itself. However, this disease may be secondary to a large number of etiologies, that should be investigated and excluded by your nephrologist. There are new tools to understand the nature of the disease, in particular antibodies against PLA2R, which define an autoimmune form. The discussion may be very long, I can say that the diagnosis is only a starting point to a more broader clinical investigation. Let me know, | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Q. Is it possible for a woman with bilateral hydrosalpinx to get pregnant naturally?
Hi doctor, I am 28 years old and married. I am trying to conceive for the last four months but not achieved. I have done blood, all hormones and sugar test. They all are normal. But in TVS test, they have diagnosed that I have bilateral hydrosalpinx. From that, I am so tense. Could I get pregnant naturally? Please advise. | Hello. The ultrasound reports show that you have hydrosalpinx and bilateral endometriotic ovarian cysts (attachment removed to protect patient identity). Hydrosalpinx indicates a chronic pelvic infection which can be treated with two weeks course of antibiotics and endometriosis shall require GnRH analogues for six months to reduce endometriosis, post which a repeat ultrasound and HSG test would have to be performed to check for the latency of the tubes. The infection has to subside. You may follow up with all your reports. | |
What causes fever, eye pain and back pain?
Hi. My 13 year old girl has had a fever of 39 for past couple of days. She has a cough, severe pain in her eyes especially when they move and looks in different directions, and has severe back pain in mid to lower back. Would appreciate any feedback Thankyou. Justina | HiWelcome to the HCMI understand your concerns.You daughter seems to be suffering from either an inflammatory or an infective cause of illness. There could be many possibilities such as Viral fevers, connective tissue disorders such as systemic lupus erythematosus, a bacteremia etc. I would recommend you the following measures:1. Laboratory tests like complete blood count, C reactive proteins, ESR, CHEST AND SPINE X Ray, ANA.2. Start her on acetaminophen or ibuprofen for fever. You can repeat the tablet after 6-8 hours. If still persistent, you may give her Mefenemic acid I.e. Meftal P.3. A good rest and diet will be of help.You can contact your pediatrician for a good clinical examination. Many a times diagnosis can be formed by a good clinical examination.You may contact me with the reports so that I may help you in a better way.Take care. | |
What is the treatment for renal multiple cysts in the kidney?
Hai, my husband left kidney is affected by left renal multiple cysts. this problem for last 7 months. it will be cured or not?, URO doctor said multiple cysts not big problem, but left kidney very painful to my husband. There is any complete solution for this problem. This problem make any dangreous problem in future. We have no child now. Both are normal in all tests. Cysts may be problem for this infertility or it will be reasons for future. | Hello Thanks for writing to usSimple cortical cyst in kidney is a benign lesion of unknown etiology arising from renal parenchyma and it rarely causes complications.Renal cortical cyst is a very common type of kidney cyst and it is a fluid-filled sac.Small cysts generally doesn't causes symptoms and it is found in a routine examination for other issues.When cyst grows larger,patient may feel pain or pressure in back or sides,which often radiates downward.Renal cortical cysts usually doesn't require any treatment.Your husband only need regular follow up ultrasound scan.Renal cysts are nor related to infertility.Cause of pain need proper evaluation.Get well soon. Take Care Dr.Indu Bhushan | |
Is there sulpha in cigarettes? Itchy blisters, face getting hot
Is there Sulfa in cigarettes? I have a really bad allergy to Sulfa which will hospitalize me with Stephens Johnsons again, the more times I retriger it the higher risk I have of not surviving the next time it comes around and will kill me. Lately I have been breaking out really bad and not being able to control the itch and desire to scratch it and when I get to a point i get these blister type things and they pop almost like a pimple would, I feel the pop and can hear it sometimes and it is blister like which leaves me scratching even more to where I am leaving bad scabs and burn looking marks. Plus my face is getting really hot as though I have been standing over a steaming pot of water. If there is Sulfa in them I need to know ASAP. | Yes, there are lots of chemicals in cigarettes (1000s) and tar/benzene/formaldehyde are some of them with 40 carcinogens. So it is time you realised stopping smoking is the best way out. Sulphur and nitrates are definitely added but unsure in what proportions (will vary with brand) No tests can predict whether one will develop SJS to a drug, but if it is sulphur-related in your case, please steer clear of such drugs. Thanks. | |
Is a TKR recommended for stiffness and limited mobility in the knees?
Hello, my right knee is crooked because of damage to it. It is stiff and has limited movement, meaning walking is difficult. I have some pain, but not extreme. I have muscle wastage as I am unable to fully straighten the leg, even though I exercise. Do you think I am ready for a TKR. Email: YYYY@YYYY | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your history, Yes, as you have difficulty in walking, stiffness, and unable to straiten leg fully and physiotherapy is of little helpful then better to do TKR. Kindly consult with orthopedician for proper examination and treatment. Continue physiotherapy as advised. Take care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale | |
What does a lump on the neck indicate?
my 72 yr old husband developed a lump on the side of his throat that seems to have developed within the last 2 days. We attended an oyster roast 2 days ago & had plenty of steamed oysters. Not sure if that has anything to do with the lump.Thoughts? | Hello,Possibly lymph node enlargement following viral infection of the upper respiratory tract. It is recommended to consult an ENT doctor.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Bhagyesh V. Patel | |
Is it safe to fly with Pericarditis?
I have pericarditis which started about 8 weeks ago after implanting of an ICD. Symtoms have been improving but still present. Due for a vacation to Kauai,HI for 10 days. 8-10 flight hours in confined space. Is there risk with this trip and presurized cabin? | Hi ThereAfter going through the details provided by you i want to tell you that there is no risk in flying. Just be regular with your medicines and do not involve yourself in strenuous physical activities while outside.Good Luck and Enjoy | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
What causes dizziness with a normal blood test?
15 yr old - fainted for about 15 minutes rushed to the ER. CT scan of brain and chest xray all fine. referred to cardiologist who cleared her too. Blood test shows 11.2 Hemoglobin and 3.2 potassium. She continues to be dizzy and lightheaded and sometimes even feeling she is going to faint again. Now her hands are getting sweaty when she is feeeling like that. She increased her salt in take an fluids including gatorade. Please advise. | Symptoms described by you especially considering young female don't seems to be organic and can be attributed to anxiety. Try to find out precipitating factor. Also rule it organic cause by doing brain imaging and EEG. Hope my answer will help you. Take care. Don't forget to rate me. | |
What is the best treatment for a groin rash in a 7-year-old?
My 7 year old developed a rash in her groin area after a few days of taking penicillin..we quit taking it. She had hives on her body too..i am giving her benadryl..should i be putting anything on rash in her diaper area( she doesnt wear diapers, i m just uding that as the area) the skin is slightly discolred and peely. | Hi. The rash could be drug induced hypersensitivity associated with urticaria. But the rash in groin could be due to Tinea or a candidal infection. As there are multiple differential diagnoses, you should consult your Dermatologist to pin point the final diagnosis and the management depends on final diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist | |
What causes WBC to increase without any illness?
Hi, I am a female of age 25. Recently i had a annula health check up. In the blood test results my WBC count is 10900. Last year it was 7400. I had no fever or other illness recently. Is this count normal? Is there anything to worry about? All other results were normal. | Hi, dear. I have gone through your question. I can understand your concern. Your wbc count absolutely normal. It is the normal variation. No need to worry about that. Just be relaxed. You are absolutely ok.Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Suggest remedy for lumps in the groin area
Hi, I have 6 lumps. 2 hard lumps in my groin area, as well as 2 on my waistline.. They are sometimes very painful. I also had 2 more that were full of puss. I've been treated for mesa and now they have me on a stronger pennicillian.. What's wrong. Why wont this go away? Please help | Hi! thanks for sharing your problem with us!After going through your description, if I were your treating physician for this case of painful groin / waist-line lumps, I would like to have a culture sensitivity report first of all before anything else as it is very necessary to first identify the offending organism and I would like to consider following possibilities:1. tuberculosis of lymph nodes2. atypical tuberculosis3. acute suppurative lymphadenitis4. boils, syphilis, chancroid5. lymphomaA simple needle biopsy can also help in this case; therefore please see a surgeon for a definitive diagnosis and to discuss the possible line of treatment as this could be antibiotics with or without surgical debridement / excision of the lumps;regards! | |
Suggest remedy for blood clots
I was put on xerolto and took 3 15 mg doses - I started to bleed again - I was on heprin and coumindin and I also bled - I told my doctors [I got a second opinion on taking the xeralto after I bled on coumindin] and when I told the doctors I was bleeding on the xeralto - no one said what I should doI am not hemorghing - and I am passing blood clots If I go to the emergency room - what would they do to stop the bleeding. | Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. Most of them are dependent on inactivating various clotting factors, so fresh frozen plasma will be used to stop bleeding.2. Fresh frozen plasma contains the coagulation factors, which will replenish and allow clot formation.Hope it helps.Any further queries, happy to help again. | |
Cavity filled. Gums sore had advil. Face swelled up in morning. Applied ice pack. Is it normal?
Hi, I had minor dental work done yesterday on 2nd tooth from the front (right side). He had to get up inside the gum to smooth and fill a cavity. everything seemed fine last night, a little sore I tood (2) advil and went to bed. When I woke up this morning the right side of my face looked deformed from swelling up. I put Ice on it and it is getting a little better. My question is...Is this normal? | hi, as you gave the details about your problem,it seems that you have infection which has been spread to the root area of your tooth.i will suggest you please go to your dentist and get an x-ray done for that tooth.and after proper diagnosis only go for the treatment.because swelling may be because of abscess in that area which need drainage.so please follow all the given instructions.nothing to get worried. take care Dr.Gunjan Gupta | |
Am I having tooth infection?
SEVERE PAIN IN THE TOOTH,,,TOOTH IS BROKEN AND IVE JUST BEEN ON PAIN MEDICINE. 2 DAYS LATER I FEEL LIKE I WAS IN A WRECK . PAIN FROM NECK DOWN TO MY RIGHT ARM. WENT TO SEE A DR HE DX ME WITH TENDINITIS. COULD THIS PAIN BE A RESULT FROM MY TOOTH INFECTION? | Hi,Thanks for posting the query, I would suggest you to get a checkup done take an IOPA x-ray of the region, root canal treatment can be performed, take a course of amoxcillin clavunalate TDS for 5 days and dicloserratiopeptidase BD, Take lukewarm saline and antiseptic mouthwash gargles. Take care! | |
Heavy bleeding and cramping, scheduled for hysterectomy. Biopsy shows precancerous cells. Should i see an oncologist?
I am schedule for a hysterectomy Friday. My pap came back completely negative. I am having heavy bleeding and cramping for about 1 year now. My gyn did an ultrasound and it showed my uterus was VERY enlarged (26). She did a biopsy of my uterus and those results showed precancerous cells but NOT cancer. I trust my dr. but should I have went to a gyn oncologist. Maybe this is just my nerves but I a curious | Hi and thanks for the query,It might be necessary to see a cancerologist. A detailed clinical and paraclinical assessment is required to know whether the cancer or other nearby structures are touched or not. The biopsy at times might miss a diagnosis. Depending on the clinical review and results of specific tests, treatment options will be decided upon., In some cases chemotherapy or radiotherapy might be required. If not appropriately applied early in the treatment course, complications might be observed and this leading to aggravation of the clinical scenario.Thanks and kind regards.Bain LE, MD. | |
Severe back ache, cannot sleep. diagnosed as because of gas. Any exercise ?
Hello Doc,My mom is suffering from severe back ache , more like muscle pulls . She is not able to sleep or change postions due to this . The pain subsides for a little while leaving a shadow and pops up again . Initial treatment suggested this was because of gas. Is there any exercise that she can follow to get rid of this pain . Please help! | Hello, Thanks for writing to us. The pains that you have described are likely to be due to a muscular pain most likely caused by a wrong body posture. Taking mild pain killers and muscle relaxants will bring a short term relief. Regular exercise will be helpful. I suggest her to try back strengthening exercises by extension of the back muscles which can be taught by your Orthopedician or Physiotherapist. This will help to relieve the possible muscle spasm which causes the pain. Hope this helps you. Regards. | |
What causes low hematocrit level despite a normal endoscopy?
68 yr old white male. My hematocrit dropped suddenly 4 years ago, from 42 to hovering around 31. Cells are not maturing. Endoscopy, colonoscopy and bone marrow were negative. Generally healthy. Not symptomatic. Exercise regularly. Not low enough for transfusion therapy. No kidney disease. Iron is abundant. O2 saturation 97%. Is there a protocol to stimulate red cell production/maturity? | Hi,This is a tricky situation. You may actually be having a maturation defect or a myelodysplastic syndrome. Needs a repeat BM Aspiration, Trephine Biopsy with Cytogenetics and a few other tests (FISH/PCR-based). Once we have ruled that out I think we can observe your counts at a certain interval to know the trend of your blood counts.Hope this helps.Regards,Dr. Arijit Nag | |
Dry cough, lump in throat, runny nose. Different tests done. Has lung cancer. Nodule or lymph node discovered in throat. Throat cancer?
started 3 years ago with a dry cough and feeling a lump in my throat. still have cough and now its hard to swallow shortness of breath and wheezing so bad makes it hard to do daily activities or even talk, constant runny nose and at any time i lay down it feels like i m drowning coughing does not clear it. I have had every kind of test for everything I have seen ENT , GI, pulmonary and onc., I do have lung cancer but they say the lungs are not the problem lungs look good. They did find a nodule or lymph node pushing on the outside of my throat but say it s not cancer. | The cancer in your lung can spread to other areas in your body via lymph nodes which are interconnected throughout the body and also through blood. The node pushing on your throat is probably due to spread from your lung. You may need imaging studies to identify the cancerous areas and the mode of treatment whether surgical, radiotherapy or chemotherapy or a mix of these has to be decided. This will help treat your symptoms. I hope this answers your questions. | |
What causes bump on the neck and shortness of breath?
I have had a bump on the right side of my neck for the last year. My chiropractor seems to think it is my C1 but even though i have been adjusted it does not move. It is not painful but i am short of breath due to anxiety about it. I first noticed it a year ago but it has not gotten any bigger. It feels as tho it is attached to part of my spine. What could this be? | you might need to investigate further, it might be an enlarged lymph node or lipoma or it might even be carcinoma. you will need to check on other sign and symptoms of infection or of malignancy elswhere in the body. As far as investigations are concerned you can start of with an ultrasound of neck, if inconclusive a CT-scan followed by fine needle aspiration cytology and excision biopsy for conformation. | |
What causes pain near collar bone area?
I ve had a constant pain near my colar bone area of my left shoulder for the past couple of months. It started when I took a 12 hour road trip in July. The seats were not very comfortable and I thought it was from slumping over while driving but it has not gone away. The pain gets worse if I lay on my left side when I sleep and when I try to push or pull with my left arm. Do you have any idea what this symtom means? | Hello,It looks from your details that you may be suffering from adhesive capsulitis of your shoulder. I shall advise you to consult to your doctor for this.Till then you may do following to have relief:-Take a mild analgesic like Advil or Aleve for relief-Do warm fomentation with help of water bag for three times a day-Take help from your physiotherapist, who can teach you some exercises for this Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | |
Does positive IGM indicate typhoid fever?
Hi, my doctor suspected that I had typhoid fever, so he prescribed cefixme antibiotics, which gave me an allergic reaction. I stopped taking it and I feel perfectly fine. After 24 hours my test showed positive for igm. Does this mean I have typhoid or is it because of the antibiotics? | HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that if the typhoid is suspected then to get it confirm the best test is the widal test instead of going for antibody test, widal titration test is the gold standard test, hope this information helps you, take care and have a nice day. | |
Q. Can placenta percreta cause any difficulty during delivery?
Hi doctor, I am pregnant with my first child. I was diagnosed with preeclampsia in the first trimester. My obstetrician told me that I have a placenta percreta, and I will require a C-section. Additionally, my dentist has told me to make sure that the anesthesiologist should know about your difficulty in airway breathing because of trismus. I am worried about my delivery and want to know how to proceed? | Hi. If you have preeclampsia alone, then the delivery can be done under spinal anesthesia. As you also have placenta percreta, the surgery may be very extensive with more blood loss and hemodynamic instability so that general anesthesia will be the best one. Since you have trismus and difficulty in airway breathing, the anesthesiologist should always be ready with all the aids for difficult intubation and ventilation. For more information consult an anesthesiologist online --> | |
Can low blood sugar levels trigger seizures?
My 21 year old son has never an appetite to speak of....he forgets to eat, even when he was a newborn. His BMI is 18-19 and he has low blood sugar. He also has epilepsy which seems to trigger seizures when he has not eaten. can low BS trigger seizures? Could his appetite and metabolic condition play a role in his seizures? Could he have an underlying metabolic disorder? Are the doctors who specialize in this field? Thanks much Barb | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes they can. Immediate intervention is needed. Treatment also depends upon underlying cause. Please upload medical notes and investigation reports if available. Hope I have answered your query. Let me know if I can assist you further. | |
Can dialysis technician tell about the kidney progress?
hi im a 22 year old women who recently just got on dialysis its been three months since i been on here. and the question i have is do the dialysis tech post to tell you about your kidneys progress? because they don t tell me nothing i have high blood pressure and we still trying get that down when i first went to the dialysis center my blood pressure was good then it turn around and shot high my doctor gave me some more medicine but the top number still high. how can i get a high risk doctor or a better doctor that can help me? | Relying on dialysis technician for blood pressure control is not a good idea. Experienced technician might have idea but better to consult in charge nephrologist. If you are not happy with your doctor consult other nephrologist. common causes for uncontrolled BP are excessive salt and water intake. try to take bp medicines after dialysis finished. Regrading survival on HD is on average is 8 years. If possible go for transplant with which survival will be more than 30 years. All the best. if you have any questions feel free to consult me. | |
Q. Newborn is passing motion nine to 12 times a day. Is it a worrisome condition?
Hello doctor,My son is 25 days old and passing motion nearly nine to 12 times a day. What should I do? Should I go for any drops? Is it a worrisome condition? | Hello. Your son is absolutely alright. No worries. Following things are to be taken care. For more information consult a paediatrician online --> | |
What are the late stages of gullit cancer?
my dad as gullit cancer but he in so much pain with it and he hisn't letting on how bad his cancer is all he is doin is sleeping and im getting really worried now as i dont no whats comin or what stages there is to gullit cancer??he cant eat anything and now when he drinking even thats started to hurt i just feel lost and not sure what lie's ahead from here on | Hi,Thanks for writing in.Gullet cancer is another name for cancer of the esophagus. Since the cancer is involving the esophagus, it will help to know if the disease is in the proximal, mid or distal portion. The symptoms differ by the region of involvement. Largely all patients experience difficulty in swallowing and eating. In the upper third of esophagus patients complaining of pain and difficulty swallowing like lump in the throat.In the mid third esophagus cancer there is dragging pain in the region behind the heart and in lower esophageal cancer there is regurgitation of food.He should be provided adequate supportive care if the cancer is not operable Operability depends on the stage of cancer and if the wall of esophagus has not breached then it is stage I or II disease and surgery is possible.If the cancer has involved the wall and adjacent structures then there is stage III or IV disease. A metallic stent might be inserted in the lumen of the esophagus to help him swallow food comfortably | |
Is inhalation of burnt fumes a serious cause for concern?
I burned a plastic macaroni and cheese cup in my microwave and 5 year old 4 year old and 11 month hold in the house. The smoke was bad and I closed the door in the bedroom but then ran downstairs through the kitchen and then smelled downstairs so I took them to the car and called their mom to get them. Do you think they are okay? | HI inhalation of plastics which contains hydrocarbons are dangerous if inhaled for a prolonged duration and more quantum associated with suffocation.If these symptoms are there, show to a child doctor immediately,otherwise you can watch them carefully | |
How to cure swollen gums which is bleeding for 1 year old baby ?
my 1 yr old son had a feverf 104 for 3 days with swollen red gums his fever is now gone and he acts normal but his gums are still very swollen and red and bleeding now I dont know what i should do the drs said might need to take him to a dentist what could be wrong his gums r only swollen where his 4 teeth are on the top and bottom | hi welcome, A teething ring is generally a soft plastic device that can be chewed on and allows the baby to break down some of the gum tissue which promotes the growth of the teeth out of the gum..... Placing a wet washcloth in the freezer for a few minutes and then applying it gently to the gums can be effective, but care must be taken not to expose a baby's gums to coldness for too long.... Suggestions for chilled foods that might appeal to a baby include applesauce, yogurt, and pureed fruits. thanking u Dentists recommend brushing infants' teeth as soon as they appear. It is not advisable to wait for the teething process to be complete. Dentists may recommend against the use of fluoride toothpaste during teething. Not all parents are comfortable with the idea of using medications, and the U.S. Food and Drug Administration advises against it because of the risk of methemoglobinemia. Instead to treat the pain, parents should use teething rings and gum massage. | |
What causes scattered white spots in site after tooth extraction?
Hi I just had my bottom right back molar extracted on friday morning. I was in a good amount of pain but Its now Monday (72 hours after tooth extraction) and the pain is minimal just a lot of soreness and swelling. I heard swelling can peak at 48 to 72 hours post extraction so I'm not too worried about that. What I am worried about is how today when I woke up I noticed these white spots scattered around the site where the tooth was extracted and also a few on my inside cheek. They are not painful but I'm scared because I don't know what they are. What couls these white spots be? Dead tissue? Is this part of the healing process because I can't find anything on internet which worries me more. | Hello, Read your query as you have white spot on extraction site this can be deposition of food debris due to difficult in maintain proper oral hygiene , it can be periodontal flap also , dont be worried so much I will suggest you to follow post operative instruction given by your dentist , do warm saline rinses , take proper course of medication prescribed by your dentist . Visit dentist for follow up.Hope this will help you. | |
What causes a hard area beneath the skin on the side of scrotum?
I had a subaceous cyst removed last week by a surgeon in my groin area just along the side of my scrotum. The cyst was about the size of a peanut M&M. In the same area, today I have again a hard substance beneath the skin, oval shaped about the length of the incision, or 1 inch. Is this scar tissue or another cyst? | Hi, It is just the healing skin. Kindly maintain regular dressing and hygiene to prevent infection in the healed area. Antibiotics must be taken. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist | |
Diagnosed with borderline personality disorder & bipolar condition
I am a 48 year old woman who is taking 5 mg Zyprexa(olanzapine), 50 mg nozanan, 5 mg zopiclone, 300 mg effexor time release, as well as blood pressure pills and cholesterol pills. I have been diagnosed with borderline personality disorder and bipolar . Is it safe for me to take Champix? My psychiatrist is hesitant. | Hello, It is an excellent idea to stop smoking cigarettes for reasons of general health. Many can accomplish this without the use of products such as CHANTIX using things such as biofeedback, acupuncture, and other mindfulness approaches such as meditation, yoga, etc. If your psychiatrist is "hesitant" of your using Chantix then, I think it best you talk to them about alternatives. They know best what you should and shouldn't be taking in terms of medication even if it is for a very good purpose such as smoking cessation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist | |
Suggest treatment for measles in a child
My daughter Rouchelle is 14 months old and seems to have baby measels(Lexi her older sister had it at 16months). I just cant remeber what to do and not to do. She had a fever fit on friday night and the local dr gave her antibiotic and pain meds, what else should I do. Thank Philippa | Hello, Measles is a self limiting condition. Paracetamol and vitaminA are the treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain | |
What causes high temperature fever?
My 8year old son has had a fever for the last three days ranging from 100.2. To 102.7. He has never has a fever higher than 100.1 before. He keeps complaining of a headache, and hasn't done anything but lay around for three days. Should I take him in to see his doctor or to you think it's just viral | Most often such episodes of high fever are caused due to certain viral infections. Treatment with antibiotics does not help and irrespective of the treatment, it takes 5-7 days to recover. i would not get concerned if the child is active and fine but if the child grows lethargic or drowsy it could indicate a serious bacterial infection and the child should be rushed to a hospital without delay. If the fever lasts more than 7 days, other causes like typhoid might need to be considered. On the other hand, if the fever is associated with chills and rigors, it could be due to malaria or an urinary tract infection and tests to detect these conditions might be needed without delay. Headache or body ache are might not be specific for any cause and should get relieved with paracetamol. But if severe, medical advice should be sought. So, depending on the associated symptoms and the general well being of the child, you should be able to decide when the child needs to be taken to a doctor. | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Q. What causes presence of HPV virus after complete treatment?
Hi doctor, I was HPV 16 positivethree years back. Follow up Pap a year later showed positive for HPV 16 again. Last year Pap was normal but my Gyno doctor notes stated “pap normal but HPV still present”. I was told today that I had cleared the virus last year but why would he write HPV still present if I cleared it. Hysterectomy with removal of my cervix and uterus was done last year. Pathology of cervix and uterus were fine and normal. Last pap was 2 weeks ago. It showed abnormal cells in my vaginal cuff and HPV positive but it is not 16 or 18. The nurse told me it is a low risk type. | Hi. I understand your anxiety. The fortune thing is that even if last year HPV was present the treatment has been done in the form of hysterectomy. In fact it is over treated. I do not think it is a matter of concern. For your vaginal HPV, low risk types are rarely responsible for any cancer. Also If one is sexually active, HPV infection keeps coming and body deals with it by its own immunity. What should concern us is a persistent HPV infection in your vaginal smears. So right now just use barrier contraception like condoms and repeat vaginal smear at 6 months. That is all. Follow up is what is needed as you are a very low risk case. | |
How can HSV 1 be treated?
I have been tested for HSV 1 and 2. I am married and have a partner. I told my partner about it as soon as my husband told me. He got tested and told me he didn't have it but he was exposed to it. Is there such a thing as being exposed to it. I thought either you have it or you don't. Now he's telling me he just wants to be friends and not be together anymore. I feel so ashamed and rejected. I cry about this every day because before he was ok with it and we were careful and then all of a sudden he just wants to be friends. Do he have it or not? | Dear patient,I totally understand your frustration and how this is affecting your personal life.Regarding HSV 1 and/or 2 infection the following points should be taken into consideration in order to understand the situation better.1- In case someone got infected by HSV 1 and or 2 then the virus will be always present in the body but wouldnt cause a reccurence unless there are certain circumstances like stress, sun exposure, other infection, immunosupression ... So if your partner has been exposed to the virus meaning he has the virus but the virus is not replicating (sleeping mode).2- Reccurence means that the virus that was sleeping is now replicating and this will cause symptoms (vesicular lesions with an erythematous base : blisters with redness of the skin) and pain. Any patient who has been previously exposed to the virus can have a reccurence.3- The way to know if someone has been exposed to the virus is by doing IgG and IgM against HSV 1 and 2. if they are positive it means that this person has the virus. However to detect if certain genital or oral lesions are due to HSV (meaning reccurence) then a testing of the blisters (tzank smear and culture) or a PCR from a swab from these blisters can give you the answer.4- there is no cure for HSV, however in case of reccurence the treatment will be acyclovir 400 mg three times daily for 10 days.I recommend that both of you to do the labs mentionned above and hence know your status before taking rapid decisions.Best regards | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
What causes abdominal pain after keppra intake and what should be done?
When I take keppra it gives me abdominal pain, I feel bloated and the bottom of my back aches I wake up in the night in pain around 3am I've got a neurologist appointment next month do I tell him? I just can't cope in pain anymore it's taking over my life and making me so tired | Hi. This means Keppra is not suitable for you, you have to stop this. You have to tell this to the Doctor / Neurologist and change over to another medicines ASAP. | |
Does stinky semen affect the fertilization?
Hi Doctor, I m a 36 years old male and my wife is 32 years old. We are going through IVF treatment and this is our 2nd cycle. She had her transfer 2 weeks back and yesterday went for the pregnancy test and came out positive but today she had an appointment with her doctor and she was saying the number 16 she had was low for an IVF treatment where it should be above 100. She s saying that the semen sample I gave was stinky. I ve some questions regarding this matter. 1) Does semen being stinky affect the fertilization? 2) They retrieved 8 eggs from my wife and with my stinky semen produced 5 good embryos (3 with 8 cells and 2 with 7 cells). Since 5 embryos were produced it seems the stinkyness of the semen has no effect? 3) They wash the semen and said the movement of sperms were good before doing the fertilization so I don t understand that now they say everything else was good both partners weren t sick during the transfer and all went well except the semen sample I gave was stinky. I don t believe their reasonning and let me to think that they are looking for excuses. 4) Just up to 3 days before producing my semen sample, due to a dental treatment I was taking an antibiotic capsule for 7 days and I m wondering that was the only difference compare to previous sampling. Just couple of months before the treatment started I gave a sample for analysis and told all good and I didn t drink coffee or anything that would affect the semen for a month until the transfer is over. So wonder if this could be the reason and if so again does that has a real effect on getting pregnant after the sample produced good 5 embryos? I would appreciate some inside into it and if this cycle isn t successful, I would be even more careful and what should I do to be better prepare for the next cycle in food and health? thanks, Bala | Higreetings I presume that you would have heard it wrong.As you rightly said they will be checking for any sort of infections in your body very much before collecting and process it before ivf or icsi.So the question of stinky sperm is very unlikely. you please discuss with your doctor and clarify it.You can get a sperm analysis and update .Regards | |
Suggest medications for inflammations in foot
hi dr i had a deep cut in my foot i steped on smthg sharp got surgey and its the third week now i still have inflamation not directly on the wound but in the upper region and much pain i visited 2 drs they give me some anti inflametory and vitamins but im not getting any better whats is ur advice ? | HI THANKS FOR ASKING THIS ON HCM, THE INFLAMATION PERSISTING AFTER TAKING ANTI INFLAMMATORY DRUGS SUGGEST THAT THE WOUND MIGHT HAVE GOT INFECTED AND THE DOCTORS YOU CONSULTED WOULD NOT HAVE NOTICED IT. SOME ANTIBIOTICS WOULD CURE THE SWELLING.YOU CONSULT WITH THE SURGEON WHOM YOU MET FIRST FOR THE CUT. | |
What are the symptoms of throat cancer?
Can you advise me what symptons to look for when diagnosing throat cancer. I've had a persistant dry tickly cough now for at least 2 months. I haven't had a cold or been ill in anyway, and I'm a non smoker. I am a 63 year old male. It's not a constant cough, but persistant, and seems to be getting worse. It doesn't wake me at night, just troublesome during the day. My throat isn't sore or swollen.Thank you | nagging cough is a warning sign for cancer, but it doesnt mean its 100 percent cancer, its safe to get checked and rule out cancer.other reasons can be allergy to some agent you got exposed to recently and constantly around it.Meet an ENT doctor and rule out cancer. | |
How cure treat fatty lever condition?
I am suffering from fatty lever with sgpt 63. Doctor suggested ursocol 300 two times daily after meal. After taking the drug for 4 days, i am feeling pain in my upper abdomen. Is this pain is due to ursocol? How long i should continue this drug? My mother died due to liver cirrhosis last year? Is it a genetically transmitted disease? Regards,b choudhury, kolkata | Hithere is no specific treatment for fatty liver. Although ursocol and vitamin E are prescribed by many doctors, there is no concrete evidence for this.I advise you to do exercise and reduce fat in your diet.This is not a genetic disease and not always progressed to cirrhosisregardsDr Alok Kalyani | |
Suggest opinion whether to take birth control pill again on the same day
I accidentally took my birth control pill 14 hours early. I was taking a sinus pill and without thinking grabbed by birth control pills and took one. I take the Pill at 10:00PM but just took it at 8:00AM. Should I wait and take my next pill on time at 10PM tomorrow? Do I need to use back up birth control methods? | HiYou can take the next pill according to your usual schedule.No need to take extra tablets.If you are very anxious,barrier methods can be used for the day.Hope I have answered your query. Let me know if I can assist you further.RegardsDr.Saranya Ramadoss, General and Family Physician | |
Q. In case of broken heel, is it safe to keep the special boot on with the fracture blisters?
Hello doctor,I broke my heel three days ago. The specialist said it is the worst break to get. My question is, should I keep the special boot on even with the fracture blisters. It is painful as it rubs on the boot. Should I keep it on at night also? | Hello. Plaster or a synthetic boot is designed for walking, and if you have blisters then a boot is not advisable for the reasons that you have found and that also indirectly means that you are allowed to walk but in reality, walking or lowering your leg will make the swelling and blisters worse. You need to be on strict elevation will heel above heart and ice the area 10 minutes at a time till the swelling is down. This also means that most are your activities are to be done on the bed until the swelling starts to recede. | |
Will kidney function improve along with UTI after taking antibiotic in child?
during pyloneprotis stage or severe UTI infection dmsa test done and it was came that left kidney functioning 7% but now after antbiotic treatment through IV uti fully cleared now doctor told to do dmsa test again to confirm the improvement in left kidney function, female child 7 years age | It depends on 2 factors :1 . In what stage of the disease the earlier DMSA TEST was done? Interpretation of acute scan is different than post treatment or delayed scan. 2. whether the infection was chronic or recurrent? Size of the kidney and and presence of any scars influence long term management. So, after the second DMSA study, you can discuss with a pediatric nephrologist about the prognosis. Also, in some cases, there may be a need to rule out vesico-ureteric reflux ;if clinically suspected. | |
Suggest treatment for asthma and allergy
my son is 6 years old and has been diagnosed with Asthma. he has been coughing for a month. He has been on antibiotics and steroids. The cough has subsides somewhat but he coughs a lot only when hes eating only. not sure why but he is irritated by it and so are we. He s seen an allergist and was put on Qvar. | Hi,Asthma is itself a allergic disease due to cold or dust or pollens or grass etc irrespective of the triggering factor.You can go for pulmonary function tests if not done.Treatment is mainly symptomatic which might require inhalational steroids,beta agonists,anticholinergics as MDI or rotahaler as a regular treatment.To decrease the inflammation of bronchi and bronchioles,your son might be given oral antihistamines with mast cell stabilizers(montelukast or zafirlukast) and steroids (prednisolone) with nebulization and frequently steam inhalation.The best way to cure any allergy is a complete avoidance of allergen or triggering factor.Consult your pulmonologist or paediatrician for further advise. | |
What is the treatment for abdominal pain and nausea while suffering from cyclic vomiting syndrome?
My wife has been diagnosed with cyclic vomiting syndrome..........Is there anything we can do for the chronic stomach pain ...........She goes through vomiting attacks, with bouts of diarreha or constipation, sweats, severe stomach pAIN......Right now she has severe stomach pain and nauseau wityh vomiting..........She is 55... | HI. Associated diarrhea or constipation needs more attention than the vomiting as the root cause can be in the intestines giving vomiting as a reflex mechanism. I hope she has been well investigated for the intestines too. I would suggest to undergo such patients Contrast Ct abdomen, endoscopies ( camera endoscopy if available) , Enteroclysis if needed. It would be better f you consult a Gastro-Surgeon. | |
Had IUI and given HCG injections. Having mouth ulcers, severe pain in gums after taking duphaston. Is it a side effect?
Had IUI on 6th Nov 2013, given HCG injection. mouth ulcers and severe pain in gums after taking duphaston. Why ? Dear Doctor, I am 34yrs old .I had my IUI on 6th Nov 2013 and was given HCG5,000- for rupture, I am on Fertisure F, ecosporin , progonova. I am taking Duphaston and Susten 400 for Vaginal insertion after IUI. But I am having mouth ulcers and severe pain in gums after taking duphaston | Welcome to HCM.Duphaston is progesterone and it has not such type of side effects frequently.Mouth ulcers might be developed due to b12,folic acid deficiency.Otherwise it also occurs after stress,anxiety and spicy diet.Avoid oily,spicy diet.Lactic acid bacillus with b12,folic acid will be helpful.Intra muscular injections of b12,folic acid is advisable at this stage of IUI.Apply oral gel to get fast recovery.Keep in touch with your doctor. | |
What can be the red lump in my groin area?
Im 27 and I have a red lump in my groin area it feels rubbery and looks like it is filled with blood thought it might be an ingrowing hair but can't really see. Tried squeezing it but not a lot happens small bit of watery blood comes out. A little painful where Iv been playing with it | hi.The red lump in the groin is most probably due to a lymph node or a boil as you have mentioned. You have to undergo a proper clinical examination to be done by a Doctor who can catch many of the problems on your proper history and physical examination and can then guide for further investigations and treatment.Till then have a course of an antibiotic and anti-inflammatory medicines .... | |
Suggest treatment for lower back pain and acne
hi, i had unprotected sex a few times over the course of 3days around a week ago, my period is not due yet but i have been having lower back pain/ache, some sickness, excess urination and today my breasts have seemed swollen. what are the chances of me being pregnant and when can i take a test? | Dear patient There is every chance of pregnancy with unprotected sex but it depends on what day of menstrual cycle sex was enjoyed. If it was done during safe period of menstrual cycle then risk of pregnancy is nil. Apart from pregnancy unprotected sex leads to genital tract infection and you are having signs of infection. Is there whitish discharge? So start tab metronidazole 400mg thrice a day plus ciprofloxacin 500mg twice a day for 7 days. Pregnancy test kits are available over the counter and can be checked as soon as possible. But remember next time no unprotected sex and condom every time. | |
Suggest medication for a dull ache in the abdomen
i have had a dull ache on the left side of my abdomen between the crease from my leg to my vagina. sometimes it goes down to my leg and sometimes up into my belly. sometimes its a pain but usually a constant dull ache. but sometimes it does completely go away. not for longer than a day though really. what is it? im worries its cancer | Hi ! Good evening. I am Dr Shareef answering your query. Even though it is good to be concerned about one's own health, one should not become frightened or obsessive on cancer for a dull ache in the abdomen. If I were your doctor, I would go for a clinical examination of your inguinal region both in lying down and in standing position to rule out a developing inguinal hernia which could give rise to such discomfort. If proved otherwise, I would then consider an ultrasound of abdomen to rule out any intrapelvic organ pathology giving rise to such discomfort. Further management would depend on the result of clinical assessment and related investigations. Till then, you could go for an anti spasmodic drug along with a proton pump inhibitor for a symptomatic relief.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. I wish you an early recovery. Dr Shareef. | |
Suggest treatment for a weak heart
my dad have heart in 1984 that time do,nt have any technology in pakistan for bypass for heart now his heart wall are close and nt pumping proper he is really worry about this,do u have any idea wat we do so we can save his life,and his heart is very week,doctor said its dangerouis for bypass for operation | Hi,Have you discussed the option of Stenting with cardiologist, in one or few of the vessel. In weak heart doctors usually perform a test called as rest redistribution thallium test and if it shows benefit then they will do either bypass or stent. Also discuss the option of ICD or CRT device with your cardiologist which are life saving in weak heart patient. Also, regular medicine and healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging according to your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't be abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr Sagar Makode | |
Does high rbc count cause swelling in various body parts?
I was told by my doctor that test shows that my white blood cells are high, lately I have been having allergy problem I was just hospitalized for 5 days with rash outbreak and when I wake up in the morning my lips or my eyes or tongue, or hands, it varies different parts of the body on a different day, you think there may be a relation those parts of my body get swollen forgot to mention that. | Hello,Welcome, and thanks for sharing your concern I went through your query, and I feel, they could be allergic reaction and there is a relation in them.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks. | |
How can infertility be treated?
Hello , my name is Breona ! I am today to ask a few questions.. so I've been trying to get pregnant for the longest and still have no results I know it takes patience but this something I always wanted so i'm not understanding why I missed two days of my period usually I come on my period on time but I was late... so I was so worried that I might be pregnant and come to find out i'm not pregnant why is that ? I really was hoping for a blessing and good news today but it turned out to be a night mare idk if I might have problems with getting pregnant maybe it's just me | Hi I think there can be a variation of 7 days in your period date. That is a normal thing to happen. You can go for evaluation. Get a thyroid profile and prolactin level and a ultrasound done to see uterus and ovaries to find out the cause of infertility. Get a semen analysis done for your partner. You can go for ovulation induction with timed intercourse for conceiving. Hope it helps. | |
Q. My persistent heartburn has not healed even after taking medicines for more than 1 month. Why?
Hi doctor, I have persistent heartburn related symptoms for the last four to five months. I visited a gastro and he prescribed me medicines for 14 days. My conditions got better but not fully cured, so I was given another 14 days of medicine (including a proton-pump inhibitor). Soon the lockdown kicked in and I went back to my home. I meanwhile took Ayurvedic medicines for a month here. While it has reduced the duration of heartburn episodes, the problem has not gone yet. For the last month, I have mild heartburn (pain in chest) for 20-60 minutes in a day (spread across three to four intervals). 14/30 days my throat felt different. 7/30 last days had acid refluxes. But heartburn occurs daily. I have tried varying my diet, but have not found any significant changes. Is this a cause of concern that despite having medicines for 42 days, I still have mild heartburns occurring daily? What should I do? How long will it take for a medicine to show the effect? Should I continue the course and if so, for how long? And if yes, does prolonged usage of medicine have side effects? Or if left untreated, do they have side effects? I took Somproz initially for four days, Lesuride-25, and Deltone for 14 days, and for the next 14 days I took Lesuride 25 and Nexpro 40. | Hello. You have briefly and well described your history, and I understand that you have very genuine concerns. So, the problem you have is called gastroesophageal reflux disease (GERD). This is basically reflux of acid from the stomach to food pipe causing heartburn, sore throat, sometimes cough, and shortness of breath. Our stomach produces approximately 1 liter of acidic juices to help digest food. The acid produced does not usually come into food pipe unless someone has loose sphincter at the lower end of our food pipe which prevents acid refluxing into the food pipe. There are two further classifications of GERD. PPI responsive GERD, and PPI refractory GERD. Your symptoms suggest that you have PPI (proton pump inhibitor) responsive GERD since your symptoms are significantly improved when you are taking PPI. Even in PPI responsive GERD the symptoms may not completely vanish but are declined to a reasonable level and this may be in your case. For this, you just need to increase the dose of PPI. Instead of once daily dose, you can start taking it twice a day before meals. The rest of your symptoms like sore throat will go away once your acid reflux is suppressed well. Diet may or may not affect the GERD. However, there are certain precautions that you can do to prevent heartburn. Avoiding large volume meals, instead, take small but frequent meals. Avoid taking large meals at night or before going to bed. Give at least three to four hours gap after night meals before going to bed for sleeping. Raise the head end of your bed by placing a cement or wooden block down the head side of your bed. Or there are commercially available anti-reflux mattresses that can be used instead. Avoid wearing tight-fitting clothes and belts. So your concern about the presence of symptoms despite 42 days of treatment is valid, but you see the acid is produced daily, and the medicines can decrease the acid production for the duration of time they are in the blood, once the level of the drug declines from a certain point, the acid production takes over back. So taking a daily pill to control your acid production is the only effective way of treating your condition. No long term use and side effects. Well, all PPI are relatively safe and do not cause significant side effects if taken for years and years. However, there are studies that have shown renal damage, bone protein loss, and aspiration pneumonia but in practice, these side effects are not that common as elaborated in studie | |
What could appearance of a painless lump below a birth mark indicate?
I have a painless lump deep on my right side under a red spot which I developed 10 years or more ago. I was told the red mark was a birthmark (4" long and round). I developed the lump later under that red mark which is also long (2" and kind of mushy). Should I be concerned? | Hi,Change in color or size in birth mark or mole should require evOk and take aluation of the case.Consult your doctor and get examined.Ok and take care. | |
Any treatment for people with pcod to attain pregnancy?
hello doctor, since 6 yrs i am taking different types of medicines for pcod,now i have been prescribed for rejumet as i am now overweight even i am trying to get conceive for the past 4yrs but i am failure.is there any way to overcome with all this problem? | Hi,PCOD is very complex disease and sometime difficult to manage. Treatment response is variable. Treatment should be taken under experienced gynecologist after USG scan, ovarian follicle study and reproductive hormone analysis. If your period will not regular then drugs like Krimson 35 will help you to regularize period. One your period will become regular then you use following treatment to attain pregnancy: - Continue Rejumet: It will induce ovulation, and reduce insulin resistance. - Clomiphene citrate: increase maturation of ovarian follicle and ovulation. If ovarian follicle will not rupture under ovarian follicle study then HCG injection can be use along with Clomiphene for 4-6 cycle. - Progesterone pill: in luteal phase to support implantation and pregnancy. Tablet Ovacare also increase chance of pregnancy. If medicine will not responds then go for ovarian drilling procedure. At last problem persists then IVF, IUI is the last option. Avoid stress, take healthy diet in small frequent meal, take more fresh fruits and green leafy vegetables, drink plenty of water, do regular exercise and reduce weight.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar | |
Suggest treatment for hepatitis c
hepatitis c i have had chronic hep c since i was 11 at 12 i had interferon n riboviron combined treatment. after 6months they took me off the treatment due to my white blood cell count dropping too low. i have been out of contact with a specialist since then. im now 21 n curious about possible treatments. any suggestions? | HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that there is no specific treatment available for the Hepatitis C and what ever treatment available does not have that much promising results but need not worry if the person is having Hepatitis C then patient can complete the average life span, hope this information helps you, take care and have a nice day. | |
Rashes on thighs, bruises, headaches, spinal pain. Icing reduced headache. Treatment for rashes?
i have rash on thigh for two weeks, it itches, now feels bruised n is purple behind spots that ich. i have fibro, i am 36. have moved recently two months ago, water is from well, is brownish untill water softener instulled but now i have issues w getting soap off water is to soft. i became very sick a few nights ago, horrible headach and spine pain at the base of my skull . which passed w ice and sleep, i still feel lingering headach. any ideas regarding the rash/? | Hi,There can be possibility of insect bite hypersensitivity in yourself. Check for any bite marks or stings or any insects in your recent place.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 hydrocortisone cream and can take by mouth the antihistamine benadryl. | |
Q. My 3 months old baby has 6 mm ostium secundum ASD. Will it close without surgery?
Hello doctor, My baby boy is 3.5 months old. He was diagnosed with VSD when he was 2 months and his cardiologist asked for followup after a month. On out checkup his 3 mm VSD was closed, but the doctor discovered 6 mm ostium secundum ASD. He said that it can close spontaneously just like the VSD, so we have to check it after three months. We needed a second opinion so we consulted another cardiologist who echoed my baby and found out the same results, but he said that it is 6 mm superior secundum, but it will not close on its own cause of its position. Is it really true that my baby can get it closed only by open-heart surgery? I am worried about the scar and the side effects on my baby. | Hello, Welcome to iclniq.com. I understand your worries. No need to worry all will be fine. From my experience, ASD (atrial septal defect) of 6 mm can still close by itself regardless of its position. I will advise you to wait till your baby is 6 months old to have him checked again before a decision can be made to operate on him. It is safer operating on older children than infants. If it does not close, later on, scars would not be a problem. Scars will be minimal and be eliminated using cosmetic or plastic procedures. There is hardly any effects after surgery, he will live a normal life. I hope he gets better soon. | |
Q. I have occasional numbness of foot and neuralgia above collar bone. Does it signify MS?
Hello doctor, I have been experiencing numbness in my left foot. It comes and goes sometimes throughout the day and sometimes it is completely normal. This has been happening for the past year. At night, when I lay down the back of both my calves feel like they are rhythmically pulsing only when lying down. I am freaking out that it might be the start of MS. I am a 36-year-old female. I have also had a mild case of mono (age 20) and have read that can increase my chances as well as being of Scottish descent. I very occasionally have neuralgia in a spot right above my collar bone and it is always in the same spot and very random. The shock lasts for about a few seconds then disappears. This has been happening for probably for the past seven years. I have also read this can be an MS symptom. I am trying to decipher if my symptoms are anxiety-related or if I truly need to be concerned with MS? | Hello. Your symptoms are not typical of MS (multiple sclerosis). The numbness in your leg may be related to a pinched nerve. The pulsating feeling in your legs may be psychological or related to venous insufficiency. Regarding the pain in your face, it is not typical of trigeminal neuralgia which lasts for minutes and irradiates in the nerve branch territory. I recommend consulting with a neurologist for a careful physical examination. If suspicions are raised, a brain MRI (magnetic resonance imaging) may be needed. I also advise performing a nerve conduction study and a Doppler ultrasound of your legs to exclude the above-mentioned disorders. I hope this helps. | |
What causes cold burning sensation with shortness of breath in chest?
occasionally I have this cold burning sensation in my chest and throat. It's like I am inhaling cold air when I am just breathing. At these times I find it difficult to breath, and I am short of breath. One thing that I find to be consistent, is the fact that this generally occurrs one to two days after taking an allergy or cold medication. Can anyone help me with what may cause this? | i,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.I understood your health concerns and feel Concerned about them.Based on the facts of your query, you seem to suffer from-Bronchitis with Cold.Burning sensation in chest and throat- is from irritation of the cold air to the inflamed bronchial mucosa lining. Resultant increase in congestion of mucosa,chokes the bronchial and alveolar passages.This choking from inflammation- post-air trauma to the bronchial mucosa.This effect is seen mostly after 2 -3 days of taking medicines.This is becauseof the anti-muscarinic/ or anti-cholinergic effects of the anti-histaminics used in the Cold medicines.Remedy-Adequate fluid intake and Steam inhalations would reduce the irritation of the air linings and would reduce the cold burning sensation with shortness of breath in chest.Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard.Good Day!! Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | |
What are the symptoms of infertility in men?.
i,m 35 years old and masturbate daily and used to. my sperm is thick but not milky white. it is less in color. it also includes jelly like crystals and the color is watery. the output quantity is around 10 ml s at a time. is this normal or not. does this a symptom of infertiity | Hi welcome to healthcaremagic.I have gone through your question.From gross appearance one can not judge semen.I would advise to go for semen analysis thar rule out any pathology if its there.Hope i answered your question.Would be happy to help you Further.Take care. | |
Can reduced platelet count result in acute weakness?
I am a 33 years old woman. I suffer from acute fatigue and weakness. I got a blood test done which showed my platelet count as 1.25 lakhs. Can reduced platelet count result in acute weakness. I have no fever. Although body immunity seems to have gone down as I catch cold very frequently. | Hi, dear. I have gone through your question. I can understand your concern. You may have acuye viral infection. Platelets reduction is very common in viral infection. So no need to worry. It will become normal within few days. If you have any symptoms of bleeding then consult your doctor urgently and check your platelets count. Otherwise no treatment is required. Just drink plenty of fluid orally. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What causes spotting and early period after taking microgynon?
Hello, 2 weeks ago I went to pick up my normal prescription of microgynon 30 and had been given Levest. The pharmacist explained that it was exactly the same pill. Since taking it though i have had spotting and cant quite work out if it is spotting or i have come on my period early (started saturday - 5 days earlier than normal) and have been bleeding one day and then not the next. I am like clockwork on microgynon and am annoyed that i have been made to swop. If it is exactly the same drug why has it effected me like this? Thanks! | HiSpotting can occur while starting hormonal pills.Progestin may thin the endometrial lining, which can cause some bleeding initially. A thinner lining helps prevent pregnancy as a fertilized egg cannot implant as effectively. Other potential causes of spotting while on the pill include: Forgetting to take a pill for a day or more.You can finish this pack of levogest and again switch to back to microgynon. For the first 7 days of switching,use an extra method of contraception.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | |
Suggest treatment for acute diarrhea in an infant
Hello,my son is 2.5 months old. When he was 1.5 months,he had accute diahherea with green loose motions along with blood and mucous. After the motion test,got to know that the reducing substance to be 1.5%. So doctor advised to switch to zero lac. Otherwise baby was on exclusive breast milk. After introducing zerolac,there is no problem as such. I read in one of the Internet pages that blood in stool is due to milk protein intolerance. Doctors says it s lactose intolerance. When I try to give him breast milk,the problem re occurred. Tried twice,with a gap of 15 days.but no luck. Is this due to milk protein intolerance or lactose? Will my baby develop resistance against this ? On breast milk he had gained weight vigorously. But now his weight gain is slow. Any alternative for zero lac. Also due to the tasteless powder,my son sometimes resists having milk. What can be done? | Hi...Greetings from Chennai. After going through your question in detail - this is my opinion and this is what I would have done if I were your treating pediatrician.Possibility -1. Cow's milk protein allergy is a strong possibility as there as blood in the stool in exclusively breast fed baby.Suggestions -1. Mother should go off the cows milk products completely - including biscuits and chocolates and all products related to milk.2. Continue exclusive breast feeding and if it is not sufficient you can opt for Zerolac.3. Cow's milk protein intolerance in transient as it will go off as the kid grows up.4. Avoid all cow's milk products till the kid is 1 year age.5. Mother's milk is the best for good growth of the baby. Rather than stopping mother's milk, it is best for the mother to avoid all milk products and continue breast feeding.If you have any further queries you can approach me at the following link.You can approach me at the following link. Please find the link below.www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Regards - Dr. Sumanth | |
Dizzy with shaking of right side of body after blood transfusions for anemia
I'm 29 I have a history of anemia I had 4 blood transfusion so far and now I have been feeling dizzy and my right side of my body start to shake to the point I can't control it...can it be relate it to anemia? On my last lab test my hemoglobin was on 7.5 | Hi, dearI have gone through your question. I can understand your concern. You may have blood transfusion reaction. Chills and shaking is common after blood transfusion. 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 causes itching painful blisters between foreskin and penis head?
i had unprotected sex about a week ago, yesterday i noticed were my foreskin and penis head connect a cut, a little later in the day i had about 7 small blisters on the bottom part of my penis surrounding the cut i had, theres slight itching and slight pain, i am 40years old | HelloThanks for query .You have mostly acquired Genital Viral Infection (Herpes 2 )due to unprotected sex .Please consult qualified Urologist or Dermatologist for clinical assessment and get following basic tests done to confirm the diagnosis.1) Swab test and culture of fluid from blister.2) Urine routine and urine culture .Take anti viral drug like Acyclovir twice daily orally with topical anti viral cream cor local application.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil. | |
What do spots around sacrum in x-ray and chronic back pain indicate?
hi, im 41 years and ive had an isolated lower back pain, emanating from the left side of my sacrum for many years now, maybe 10 years. iv just had an xray and have to wait two days to see the doctor. but in the xray are two dark spots about an inch across, one over my sacrum and one off to the right side. i know i have to wait to see my doctor, but what could these dark shadows represent? thankyou kelly | In my opinion could be what we call compression fracture maintain bed rest untill you see your doctorGood Luck | |
What medication is suggested for sharp pain on breastbone due to coughing?
hi, I've been coughing for 10 days. yesterday I started having a sharp pain when I cough on the left side of by breastbone just under my top rib. is this just a bruise from coughing?Oh brother... nevermind. I didn't know I would have to pay for an answer | Hello,Welcome to HCM,As you are having cough for last 10 days, the infection is still persisting in the respiratory tract.Sharp pain in the sternum is may be due to infection spreading to pleura or vigorous coughing.Chest examination should be done to know the cause.I would suggest you take 1.Course of antibiotics2.Cough syrups to reduce the cough3.Oral AntihistaminesMedicines should be taken only after consultation from your doctor.Thank You. | |
What causes persistent vomiting in an infant?
A three months infant not breast feeding one . Always has gases and abdominal cramps always crying after milk formula . he takes all possible medication for this and we change the formula but no result. now in addition to that he has vomiting with a thick mucous from his stomach and pediatric said it is gastric juice what should I do I m a pharmacist by the way . | dear usergood news is that you are pharmacist so it will help alotat the begining i would like to tell you that these symptoms are common with infants and doesnot mean to worry about thatinfants till their 4th month of age have what is called infantile colic that resembled in gastric distension and gases and crying so most of infants are described taking simethicone syrup that help alot in relief of these symptoms and distension but you should give him simethicone after feeding not before it as the time of administration is important to have good effect ...also the preperation of the milk formula is important as manufacture recommend to how to dilute with water and amounts of powder diluted to certain volume of distilled water according to manufacture....water should be boiled then cooled before preperation of formula as micro organism in water can cause these symptoms...cleaning and boiling of bottle before use is very important also.....about the vomiting the most common cause of that is the reflux of gastric acid and it is normal problem with multiple infants but if the baby has over feeding it will be the cause...your baby should feed regularly every 3 hours that suitable for his age...over feeding causes more vomiting and more reflux............wish your baby healthy life | |
Does a collapsed lung require precautions for blood clots in the legs?
Hello my mother was just admitted. She collapsed at home at 2:30am because she couldn t breathe. My sister preformed CPR for approximately 8 minutes until the EMS showed up. They took over and took her to the local hospital about 8 minutes away. She had a collapsed lung and possibly suffered a heart attack due to her not being able to breathe. She was then sent to another hospital approximately 30miles away. She has been there now for 2 days. They have performed a procedure of a controlled hypothermia to protect her brain. They are now warming her up to evaluate her responses. They didn t take precautions for her possible blood clots in her legs (no leggings) and now they want to address this issue. They also want to preform an MRI on her brain without having her fully completing her (thawing out process). I believe it s too early to preform this procedure and the leggings were negligent on their part and should have been addressed at the beginning. | HelloI can understand your concernIf would be better to take precautions indeed but it is not mandatory if there is not an obvious cause.RegardsDr.jolanda | |
What causes random chest pain and heart palpitations?
What can cause this? Every day i get small amounts of chest pain randomly. I eat correct and exercise. I have no reason to stress and this has been going on since i was a child. I ve been to many doctors and none help. I get skipped beats that make me want to pass out. And i always hear my heart beat pounding away. I simply ignore it. After a while if the pain is bad it will start a numbness in my finger tips and travel to my arms. All my ekg s are normal and the doctor told me it was a innocent murmur. I have a relaxed mind so it s not mental. I know that for sure. Can you help me? | Hi, No chest pain should be ignored until fully evaluated. If the ECG are coming fine I'll advise you for a 24hr continuous ECG monitoring which is called as holter monitoring. Stress testing is necessary for you to rule out whether it is Cardiac chest pain or due to some other cause. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sameer Maheshwari, Cardiologist | |
Q. Is it normal to have fluctuations in BP after delivery?
Hello doctor, My sister gave birth around 10 days ago. She is 26 and it was her first pregnancy. She was discharged from the hospital within a few days and everything seemed normal. Last Friday night, a little less than a week after the birth, she went to the ER and was admitted back into the hospital with blood pressure at 171/117 and blurry vision. In these three days, her blood pressure has been going up and down, from over 200/120, down to 139/79. They have diagnosed her with postpartum preeclampsia. Last night her blood pressure spiked again, at around 1 AM, they moved her into the ICU. Her vision is still blurry, and it seems to have taken them hours to get the pressure back down. My main question is, is it typical for her blood pressure to still be fluctuating after three days in the hospital? Is it understandable for the doctors to be having trouble keeping the blood pressure down? My mom has been unable to see my sister since they took her to the ICU, because my mom cannot take the newborn, there. The only way my mom has gotten information is through my sister texting her. Even though my mom is still in the hospital, she says no doctor has talked to her since they moved my sister, and my sister is not in a great condition to make decisions right now. Is all of this normal? | Hello. She has developed postpartum preeclampsia. It is rare but possible that the patients could develop hypertensive crisis from preeclampsia. If that happened the patient will need to be closely monitored in ICU and due to the medications used to control BPs might drop her BPs too low therefore she needs to be in ICU until her BPs are stabilized. I would not contemplate transferring her when she is still in critical condition. Since the cause of preeclampsia has been removed (the baby and the placenta), we just need to wait until her BPs return to the normal state. Besides giving her medication they are trying to remove anything that could possibly stimulate her BPs such as stress. It takes time so please be patient. They are doing the right things. | |
Is swollen tongue related to meningeal cyst in spine?
Hello, good evening. I recently had an mri, of the spine. I was told I had meningeal cyts in spine. Ikve never herd of this before. I was advised I need to see a neurosurgeon. I had one other detail. Ikve had a swolen tongue for over a year. Could this be related? Thank you. | Those two are not related.Cysts in the spine can be seen pretty commonly, and most of the time they do not cause symptoms, so we do not do anything with them. | |
What causes high fever while treating ear infection?
Hi my two year old daughter is getting over an ear infection (7th day on antibiotics) and fever shot up to 102 out of no where. Simultaneously she also buckled her knee jumping on a trampoline Agee hours before fever jumped up. X-rays were fine and just got an email with her esr rates and they are 67. Is this bad? Won t hear back from her doctor until tomorrow | Hi. A high ESR is suggestive of an ongoing infection like an ear infection in your daughters case. The fever spike might be due to the ongoing ear infection. Severe pain also is found to cause fever at times. Follow your doctors advice on the antibiotic course. A dose of paracetamol can be given in case of high fever and severe pain. I wish your daughter a speedy recovery :) | |
Suggest treatment for severe depression
I have been taking Cetalopram 40mg for about 4 years , because of depression caused by marriage breakup, problems with my teenage daughter on drugs , looking after my elderly mother etc. I have been coping reasonably well up to the last 6 months, now i feel tired all the time , anxious, unable to cope. Would i be able to try a different anti depressant do you think, im just wondering if my body has become immune to Cetalopram. Bev | HiI understand your concerns.If you have symptoms in spite of taking citalopram then need to evaluate your diagnosis and require to add another medicines according to it.Sometimes combination of two different anti depressant give more response then single .But for that you have to consult and get re evaluation.Thank you.Still have a query then feel free to ask.Get well soon. | |
What causes penile pain during masturbation?
I am masturbating 3 times daily for some years and today while i was masturbating i felt pain in my penis and due to that pain i couldnt reach orgasm when i tried to reach to orgasm the pain increases so i stoped i need to know what is going on with me did i damage my penis by overmasturbating | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I cannot understand why you do masturbation excessively. Anything in excess is not joyous. Limit the masturbation to once a week. Masturbation to some extent is not harmful, but excess might harm the tissue of penis and urethra. Hope this helps. Thanks. | |
Suggest remedy for problem in breathing
Hi, I have been having some breathing problems and I was wondering if you think I may have asthma. I feel like I can t get a good breath, I ve had a cough since the beginning of June and when I laugh or cough it s very hard to catch my breath, and my chest has a tight feeling. This seems to flare up mostly at night. I have two cats and I m not sure if I have allergies. | HelloWelcome to health care magicThanks for your query. I think in your case first we have to evaluate you properly before diagnosing you as an asthmatic or you had developed allergy towards your cats.First you should take a chest X-ray and consult with a pulmonologist to rule out other pulmonary conditions. A simple peak flow meter testing for peak expiratory flow rate will give an idea about you problems. Further your can stay away from your cats and see if you get better.To confirm your allergic condition you can do specific IgE tests or radioallergosorbent tests (RASTs).Treatment for your pulmonory problem might involve administration of antibiotic therapy, anti-histaminic therapy (such as citrizine), and salbutamol can be helpful for the relief of bronchospasm (Chest Tightness).Consult pulmonologist and take further suggestionsWish you a good health.Dr Kidev.S | |
Should I continue colicaid to infant even after recovering as she is taking feed properly?
Hi my 3 months old daughter suffered from colic pain. So I gave colicaid drops twice a day. Regularly or 10 days. And she recovered so I stop giving colicaid. Then after 3 days she din take feed properly. Before giving colicaid she din take feed properly. Am breastfeeding her. And not giving any other supplement. But her din increase even 1 kg from birth. She was 3.5 when she born. So shall I continue with Colicaid even she is not having pain?? | Hi...whatever pain you are describing is not going to get better with Colicaid. This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to drink milk will gulp in air too. Unless the air comes out like burping or flatus this discomfort will be there and next time check if she is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. This will usually get better by itself.I suggest you stop giving colicaid.Regards - Dr. Sumanth | |
What causes inability to hold objects, tiredness and anger?
I seem to be dropping everything. I lose my grip and drop stuff. I am weepy, tired, angry, can t be bothered. All symptoms of some sort of depressions, but is the dropping everything part and parcel of it too? I just don t know how I feel about anything any more. | Hi, Your problem does not seem to be due to any neurological disorder. In my opinion, if you are depressed then you have a tendency to drop everything that comes in your way. You cannot concentrate on any work , then holding on to anything is also boring and unwelcome -so you drop it. Still, I would like a consultation with Orthopedic surgeon. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon | |
Auditory hallucinations, psychosis. Not improving with zoloft. Treatment options?
My 71-year-old mother has been diagnosed with late onset psychosis . She has constant, frightening, auditory hallucinations that have been going on for a year. She had an MRI that came back as normal. She has had recurrent urinary tract infections that have been treated with antibiotics . She is on Zoloft and an anti-psychotic and her mental state is not improving. I don t know what to do for her. Each step we ve taken seems to lead to a dead end. Any suggestions on a new line of approach in detecting the cause and treatment? Any response is appreciated. Thank you. | hello welcome to health care magic There could be various causes of late onset psychosis- 1) Organic brain injury/trauma/delirium (But visual hallucinations are prominent in that case) 2) Dementia 3) Depression 4) Schizophrenia (very rare in this age) Zoloft contains sertraline which is an antidepressant. In old age one has to give the dosages somewhat lesser than the adult dosages due to less efficient metabolism. But in any case, adequate dosage for adequate duration is required. I advise you to discuss all this in detail with the treating doctor for detailed assessment of causes of failure of the treatment. Incresed dosage or changing of medicines is probably required. Hope it helps Good Luck Regards Dr. Gourav Monga Consultant Psychiatrist | |
How long does i feel numbness post spinal tap?
I am going to have TKR in 5 days, I had the other knee done with epidural. He told me they have changed things and will put 1 block in above the knee and do a spinal. I had one bad experience with not being able to feel my legs for almost 4 hours. How often does this happen after a spinal, and does it depend on the medicine you are given? Help nerves are shot! | Hello dear, I have gone through your question and understand your concerns. Spinal anesthesia is usually a safe procedure with symptoms lasting for few hours and duration depends upon dose of drugs as well as sensitivity of patient. It usually doesn't cause any permanent damage to nerves. As you have gone through one operation be brave all will go well. Wishing you good health. Hope you recover early. Do get back to me for further queries. Regards Dr Neeraj Kumar Neurologist | |
What is the treatment for viral fever in a child?
My son is 16 months old..he is suffering from viral fever since 4days..i gave him frisium for the same..my son feeling sleepy whole day..i told to his doctor he said Stop the frisium bcuz i gave him almost four days..my son still having fever..so if i vl not give the dose for frisium then is dere is any problem like fit in fever...because still fever is dere..pls advice asap | Hi dear welcome to the HCM,Tepid water sponging is quite important when ever baby is warm.Paracetamol syrup @ 15 mg /kg 4 to 6 hourly to be given for the relief of fever.Frisium is for only anticipated febrile seizures, but it will not reduce the fever.Plenty of fluids to be given,Take care of the nutrition.Please consult your pediatrician as the fever has crossed the 4 th day.Hope the query is answered.thanks | |
How long will it take to heal staph infection drained in lower leg while being on oral antibiotics?
Hi Dr. Grief, My daughter has a staph infection that was drained on her lower leg. It has been 2 full days, and there is still redness and a large wound. How long should we expect the symptoms to persist? She is on an oral antibiotic. Thank you, Christy YYYY@YYYY | Hello,Welcome to HCM,Once any wound is drained it indicates there may be a cellulitis of the wound. Before draining any wound I think your daughter was given antibiotics to make less infective and need to continue broad spectrum antibiotics like combination of amoxicillin and clavulanic acid for atleast 7 days.As your doctor as drained the infection, it will take minimum of 7 days to clear off the infection.She need to take good nutritious food to boost her immunity and fasten her recovery.Thank you. | |
Suggest remedy for conscious hallucinations and panic attacks
hello i am a sixteen year old girl and i have multiple problems i want to ask about. the first is this problem i have, mainly when i am alone but sometimes when i am bored, i uncontrolably create scenerios and imaginary friends who i talk to and discuss issues with it is very complex and these scenerios tend to be things like pretending to be another person and living life as though i were them. they are also influenced by things that occur in my life in reality, like if i were to see a film i may pretend to be one of the characters, or i may pretend to be a celebrity. i am conscious that i am doing it but i can t seem to stop myself and i recognise that substituting reality for my fantasy is abnormal and needs to change. the second issue is that think i may have some anxiety problems because when i am alone, although they are decreasing in frequency, i have minor panic attacks which last about 5 minutes but i have 2 or 3 within the space of a hour. these tend to consist of shaking, feelings of nausea and dizzyness again i am unsure why i do this as i know there is nothing to worry about but they still occur. please could you tell me what these problems are likely to be and how to go about rectifying them. thank you, anonymous | Hello, thanks for the query. Your problem is quite interesting & let me know if I am getting it correctly, You are into habit of fantasy thinking & many times you do get so engrossed into your fantasies that you start sharing your problems, your thoughts with these fantasy. You are aware of these fantasy images all the time. So, my question is are you lonely, do you have friends to whom you can easily turn, share things, confide problems? So long as you are not distressed by these fantasy images its not a problem. You should consult a Psychologist, or your school teacher, your parent or any senior figure whom you can trust about these problems. I am sure your half the distress will melt away as soon as you shall open up & start discussing these problems. Lastly you can try practicing yoga & pranayam to get rid of your panic attacks. Do get back to me for further help. Good luck | |
Suggest treatment for upper chest pain
Hello, I have pain in the upper chest (only on the surface). When I consulted a doctor, she gave me hifenac and the pain reduced considerably. But, now the pain is back. Whenever I do sudden movement of body or arms, the upper chest area pains momentarily. Can you please tell me what I should do? | HIWell come to HCMI really appreciate your concern, what the symptom is given here I could say that the chest pain has to be taken seriously and it needs to be ruled out for the cardiac disease first so it is advisable to get done the EKG first, it may be muscular pain, hyperacidity if not the cardiac pain, till you get done the EKG you can try Tab Omeprazole 40 mg with Domperidone 20mg once in day, hope this information helps. | |
Red rash in the buttocks, no blisters, lotrimin ultra cream the solution ?
I developed a red rash in the crease of my butt crack from the top all the way down on the inside of the skin folds and have had for about 3 days! The color is bright red and no blisters but feels hot and sore. I looks like Intertrigo and I have applied OTC hydrocortisone cream and neosporin but not much improvement. I just swithced today and will try lotrimin Ultra cream antifungal. Any suggestions docs?. I am a male 51 and fairly athletic 170 lbs 6-1. I may of kept my work out clothes on to long after working out and moisture remained in the undergarments after working out for a few hours. Help would be highly appreciated. | hi yes u are suffering from intertrigo.it is a bacterial and fungal infection.use of antibiotic twice daily ,antifungal flucanazole weekly twice and atarax 25 mg at night and application of fucidin h ointment in the morning and nizral ointment in thre night can cure the condition.after the treatment apply candid dusting powder in the folds to prevent recurrences | |
What causes dizziness and low pulse rate with pernicious anemia?
I am 45 and in the past few weeks I have been dizzy, disoriented and my pulse is average around 58 (No I am not an athlete) bp 98/ 68 . I have pernicious anemia, but my levels with the injections turned out to be within range. I am scheduled for a halter monitor, just looking for some answers. | hello, Dizziness may be due to low hemoglobin and also low bp. So need to be on vit b12 supplements. Also monitor your bp, and still on lower side, increase fluid like water and salt intake. For, low pulse rate you need to get thyroid test done, and if normal you ll need ecg and holter monitoring, to further determine the cause of low pulse rate. | |
What causes tingling and numbness in the calf,toes and back?
I have tingling and numbness in my calf and a couple of my toes, also in the middle of my back. Can dehydration be a cause. I had a back fusion 9 years age, just had a MRI to rule out any issues - everything came back good, full blood test, no diabetes, no high BP, cholesterol is up a little. I dont sleep well and have a lot of stress on my job. | hi,thank you for providing the brief history of you.As I was going through the history of you, I can understand that you had a lumbar spine fusion in the past. Your other all parameters are normal.Since you had the surgery of fusion of the spine in the past, there will be a mild compression of the nerve by which you are getting this symptoms if tingling and numbness. This is called lumbar radiculopathy. Based on my clinical experience some patients have this kind of sensation in the legs post lumbar spine fusion. For which a physical therapy is recommended. As by performing the exercises for strengthening the core, pelvic floor, spinal muscles and lower limb muscles helps to reduce the symptoms and eliminate as well. As post lumbar spinal fusion, there is a change in the biomechanics of the spine as well as the muscles of the spine too. For which the rehabilitation of the spine is a must to avoid any recurring symptoms which were the priority for undergoing surgery.Also, that you have to give your 100% to rehabilitate the spine now as to avoid the future symptoms again. I have found 99% of success in my clinical experience. & the symptoms are due to muscle spasm for which initially the therapeutic ultrasound therapy and TENS therapy have helped a lot. Later stages a good spine rehabilitation protocol is implemented since you have surgery performed the protocol will be differences to get the torque in the muscles to the optimum.I wish and hope to see you recovered soon.RegardsJay Indravadan Patel | |
Q. I had an MRI and what does the white line on C4 and T1 indicate?
Hello doctor, I have neck and shoulder pain after a car accident. I had an MRI scan done and would like to know what the white lines on the C4 and T1 of the vertebra are and if I have any damages in my neck? | Hello. I have gone through the images (attachment removed to protect patient identity). The scan seems to be normal to me except for mild kyphosis of the cervical spine. This could be due to ligament injury or due to muscular spasm. I suggest we do dynamic flexion and extension X-rays of the cervical spine after a month of the damage. In the meantime, one should take care that one Sishir put excess pressure on the neck in the form of carrying heavyweights in hands or bending forward. The pain is most likely related to muscular spam and should subside in two to four weeks. | |
Suggest treatment for cold and nasal congestion
Is relent is good for my son he is about 1year and 6months old he frequently suffers with cold in the night his nose will be blocked every night after giving relent he will sleep properly other wise he cries continiously please suggest me what i have to do | Hi...Thank you for consulting in Health Care magic.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.Regards - Dr. Sumanth | |
What causes vomiting and breathing issues?
hello, my friends son has been throwing up for 3 days and has been having breathing issues.. he was taken to the local ER this morning and then admitted to the hospital for more tests.. do you have any suggestions as to what might be going on with him? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. He might be having pneumonia. For this he will need Chest X ray and some blood test anf doctors will give antibiotics. You didn't mention the age of the child. If I know age then can narrow down the diagnosis. Hope I have answered your query. Let me know if I can assist you further. | |
Can abdominal pain be related to the lactose intolerance?
my daughter complains that she has abdominal pain right at her belly button most days. She was diagnosed with lactose intolerance as a small child. She drinks lactose free milk and we try to avoid lactose. She s 15 now do you think the pain is related to the lactose or does this sound like a gluten issue? | HI.I can understand your worry for a baby who was lactose intolerant. This can be a gluten problem , but that does not cause pain at a given spot as you have mentioned. Considering the age of 15 I would suggest you to undergo certain tests to rule out more important issues like :::Ultrasonography- this helps in diagnosis of enlarged lymph nodes in the abdomen, appendicitis and other causes.CT scan to confirm if there is some finding on ultrasonography. So get a Physical examination done by a Surgeon and investigations of the blood, urine and stool and corroborate with CT / USG.Get a proper diagnosis and treatment . | |
What are the symptoms of schizophrenia? I am getting very worried about my 35 year old stepson. He thinks people are out to get him, that they are following him, even people he barely knows - like our neighbors who only know him to say hello. I m very worried as my husbands brother was schizophrenia, is this something that can run in families? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.In my opinion, symptoms of Schizophrenia are hallucinations that can be a single voice or several voices, and that can be commenting on what one is doing.Some Common symptoms are:-Commanding voices.-Thoughts being known to others--Poor self-care-Problems in attention--Planning social withdrawalIt can run in families, but it only means there is an increased risk.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Gayathri | |
I am fuzzy headed after the intake of medicines. Easy way to cure?
I have been on steroids and xanax for over 5 years. I am so fuzzy headed all the time that I can'function. It is not dizzy but fuzzyheaded. I have been to many doctors but none seem to be able to help me. I did go to phychiatrist last week and she cut back one xxanaz but still no better. I take 3 a day lowest dose available . Can anyone please help me? | DearWe understand your concernsI went through your details. I suggest you not to worry much. The symptom you are describing as fuzzy head is just an imagination or illusion. Let me explain. What will be the condition of a person who gets up at 9 O clock on a sunday morning and has nothing to do? His head will be fuzzy and he will be lazy. The fuzziness is due to the laziness. Being active, cures the laziness. Same is your case. You are being lazy or the anxiety problems makes you lazy and thereby fuzzy headed. Be active for a fortnight or so and you shall see the difference.Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck. |
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