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What could a hole on back bone near hips?
from last few weeks i m observing that the down side of back bone near hips ,there is a little dimple like hole, & when i use a tissue in that place there observed some liquid like bloos & radish clour, i cant determine what is that, but i feel no pain on that locaton , may you told please what is this hapening with me,? a confused 1, | Hello,Such presentation in my routine OPD incline my doubt towards presence of sinus (Pilonidal sinus). Although this is not an emergency but a doctor consultation is must. In early stage general measures like:- Keeping that area clean- If it is infected then, it has to be drained. In that case it may become painful. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopaedic Surgeon | |
Suggest remedy for sharp pains in the abdomen after abdominoplasty
I had a tummy tuck 8mths ago and had a quick and smooth recovery. In the last 2wks ago, I have had sharp pain (like knifes stabbing me) above my incision scar and the pain pulsates. It feels like a knot and seems to pulsate for a few minutes. Is there anything I can do to stop these pains. | Hi.Thanks for your query.Abominoplasty is an extensive operation and needs a large dissection, hence the internal scar also will be big and has varied course of recovery over the first 9 months and then settlement over the next period. Since you have got the Abdominaoplasty 8 months ago, the scarification might have caused you such a pain due to nerve entrapment or hernia at the incision lines. I would advise you to get this checked by the Surgeon , get ultrasonography of the abdomen and abdominal wall .. IF neurological pain, take medicines , if hernia get corrected by surgery. | |
Feel fatigue, weakness. On Percocet, Adderall. Have anxiety. Diagnosed ovarian cancer.Have suicide headaches. Suggestions?
I have had MS for seven years and I have debilitating Fatigue and Chronic debilitating headaches! I cannot function with the pain, weakness and Fatigue!!! It took me several months after my Diagnosis to determine what would take away the headaches and fatigue!! many of My Neurologists patients took Percocet and it really helps me to make it through the day!! For the Fatigue I started with Provigil back in 2006 after diagnosis and it made my head very foggy!!! I did not like it at all !!! After trial and error with many different meds, right now, Adderall is the best medicine I have found to help with my Fatigue!!! I take 3 Percocet a day for my chronic headaches and My Neurologist doesn't want me to take them!! It is extremely frustrating when you know how the medicine you are taking helps you and your Dr disagrees with you!!! I also have Anxiety, Panic Attacks, and Depression!! It is very scary when you know with MS you can Debilitate very quickly!! My Neurologist wanted me to go on Gilenya back in 2010, although I did not!! in April I saw my Dr and I was supposed to go on Ticefidera(BG 12) and they were supposed to send in my registration and I never received the medicine!! The odd thing is that I had Breast Cancer at 29 years old, and I do have the BRCA1 GENE!! My Mom also had Breast Cancer when I was 21 and 5 years later was diagnosed with Ovarian Cancer!! In March of 1998 when I was diagnosed with Breast Cancer, My Mom was Dying of Ovarian Cancer!! She lived with the Ovarian Cancer for 4 years and died at the age of 60 after my last round of Chemotherapy( Adriomycin and Cytoxin )! My Aunt also was diagnosed with Ovarian Cancer and lived with it For 4 years as well....what I just cannot Conceive is My Neurologist wanting to put me on 2 oral Meds for My MS when they Drastically lower your white blood counts, which I have read in many Articles that if you have had Cancer or have it Presently, One should Never go on that type of Medication... I just am at a loss here and do not know what to do here!!!! The MS Disease appears Invisible on me, which is Good on 1 hand but Extremely Frustrating Because I look fine on the outside most of the time, although have Debilitating Chronic Headaches, known as Suicide Headaches and also the soooo very Frustrating Debilitating Fatigue!! It's very Hard for other people to understand what I go | Hello friend,Thank you for posting your query through Healthcare magic. I feel really sorry for you for taking a lot of chemical drugs for a long period in your past life. I feel for sure that these drugs have made all your problems from bad to worse.I am a Homoeopath and I do not know how you will take my advice. You are wrongly under the belief that your health is very much depending on the drugs you take. No it is not like that. You can make you healthy by thinking in the right way. Your individualistic features, your constitutional peculiarities and your genetic inheritances make you think in these wrong ways. YOU are in a wrong track and I think it is not too late to come back to the natural line of thinking about your health and disease. You have written a lot about your diseases and the drugs taken so far. But you have not mentioned anything about your genetics, hereditary disease tendencies, life situations, your physical and mental reactions against them etc. Body and mind speak the same language.If your body is sick your mind also is sick. You can make changes in the mind and then you will see that your body also becomes healthier. My advice to is to reduce the drugs gradually and to stop at the earliest. In the mean time you have to approach an expert Homoeopathic physician who can cure you. Cure in your case is to offer better health than the present. If not able to find an expert Homoeopath in your reachable locality, you can get back to me with your detailed case. I can even send to you a case record format on request in which you can develop your case and forward that to me. After studying your case I can help you with the right genetic constitutional remedy that will rapidly and permanently cure you and will offer many more years of healthy life in future.If you opt for Homoeopathic treatment, get back to me.With Best wishes, Dr. C. J. Varghese | |
How to get relieved form the pain caused due to a surgery on side of spine?
yes I had surgery on my right side of the spine to remove a piece of the disc to remove the pressure put it is 11 days already and I am having sever pain on my right led doctor told me to take gabapentin and still hurting what can I do for the pain to go away | Hi, welcome to our site. I am Dr Saumya Mittal.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryI think you should be more patient. There will be some pain as the post op surgical wound heals. It is obvious to have some pain during the phase after some painAlternatively you can have some exercises to strengthen the muscles. However since you have had surgery, I would suggest you talk to the surgeon first.Try the conventional pain killers, temporarily. A repeat MRI may be doneI hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck.I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.Please do understand that some details could be extracted from a detailed history and examination.Looking forward to your return query with the details asked so that I can help you further.(If the answer has helped you, please indicate this) | |
Suggest remedy for hard lump and bruise on thigh
I fell 6 days ago on my left outer thigh. The bruising started immediately and the area is huge, from the top of my thigh about 10 inches long and wrapping around the outside and half way around the back of my leg. It is all different colors. What worries me is that it is still very painful, and there is a large hard lump on my outer thigh that is about six inches by six inches should I be concerned, and what kind of doctor do I go see? Thank you,Kelly | Hi.Thanks for your query and an elucidate history. Read and understood that your description of such a large lump is obviously suggestive of a large hematoma. Such large hematomas can occurs only if:- Vein or artery has been ruptured in a potential space.- You have coagulopathy of any sort.- taking some medicines that cause delayed clotting.I would advise you to rush to a Doctor or ER and to get investigated for any coagulation defect, Ultrasonography of the area to see that it is a hematoma.It can be aspirated and compression bandage given. Correction of any coagulation defect. I hope this answer help you for proper and early diagnosis and treatment. | |
Is fluid in the lung curable at old age?
Hi my mother is 70 years old, for the past 2 years she's been going through dyalisis 3 times per week. Her heart is functioning at 25%, she is having problems breathing. My mom was just admitted to the hospital due to fluid in her lungs. What are her chances of getting better? | Thanks for your question on Health Care Magic. I can understand your concern. Honestly speaking, this does not carry good prognosis in your mother's case. She is having low heart pumping (25%) and chronic kidney disease (dialysis dependent). So her heart and kidneys are almost non functioning. When these two organs fail in their work, fluid tend to accumulate in the body. This is the reason why she is having fluid in the lungs. This also causes breathlessness. So breathlessness and fluid in the lungs suggest further deterioration in heart and kidney functions. And hence this carries poor prognosis. Chances of getting better are very very less. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. | |
Pain above belly button. Diagnosed wheat allergy, tender to touch. X- ray, blood report normal. Cure?
Hi, I am 50 year old female and have had pain 3 inches to the left of and just above my belly button. Have been diagnosed with severe wheat allergy and despite not eating wheat, still have the pain which comes and goes. Its quite tender to touch and is worse when standing up. Have had x-ray and bloods taken but came back normal. I was directed to WWW.WWWW.WW which I was told is a free service. I Hope this is correct. | After elimination diet it will take 3-4 week to subside the symptomps But for confirmation you get blood serum tested for specific antibodies for Wheat get also tested for milk,potato,rice after the results and confirmed for food allergies go for sublingual immunotherapy for foodallergies which is latest and promising for food allergies | |
Not able to conceive. Regular periods. Is overweight a problem in conception?
hi im married 6 months back we r planng for child im bit stout and my periods are regular and im not having any tyroid problems too we are tryg our best for child and im taking folic acid tablet daily from 20 days can you please suggest me to get concieve in any other ways is there any problem for to concieve ove weight my height is 5.3 -and my weight is 74 im 28 yrs old after marrg i gain weight pls helpme out and suggest me what precautions i have to take to get pregnant thanking you | Hi, thanks for using healthcare magic Normally a couple is only assessed for fertility issues if they have been trying to conceive for at least a year. At this point both persons can be evaluated. There is a condition called polycystic ovarian syndrome which is associated with increased weight, infertility, cysts on the ovaries, insulin resistance, abnormal hair growth. It is diagnosed with blood tests measuring the levels of various hormones and also by an ultrasound looking at the ovaries. I hope this helps | |
Having colon infection. Not responding to antibiotics. Swelling on the feet due to kidney failure. Will the swelling spread to the upper body?
My Aunt went in Hospital a month ago for a colon infection. Antibiotics did not work. She was put on La six for the retaining of fluid. She is now had here kidneys shut down. Glassy eyed, very small amount of modeling on her feet . She is given 10 mgs of morphine every 4 hours for the pain. We were told she had 24 hours, but that was 2 days ago. How much longer can she linger like this and if she is showing some modeling how fast will it take to move up her body? | Hello madam/sir,Your problem of swelling of the feet needs evaluation. It could be due to protein leak in the urine. The chances that the edema will progress upwards would depend on the amount of protein leak or degree of renal failure.Kindly get a serum creatinine, 24 hr urine protein, urine routine examination done and revisit your physician.Hope i was of help. | |
Q. I have a terrible upper back and shoulder pain, and I feel drowsy. What to do?
Hi doctor, I am a 32 year old male, and I have a terrible upper back and left shoulder pain from past two years. The pain is radiating to the left side of the chest also. Whenever I move my neck, I hear some sound. With this pain, I feel drowsy and light-headed full day. I am not able to do routine work or sit still for a long time. I feel as if I am going to fall, so I keep moving my legs and body in the chair at the office. Even when I am lying on the bed, I feel as if I am going to faint. Whenever I feel drowsy, I feel that my heartbeat has stopped. From the past five days, the symptoms are becoming severe. I got an MRI of the neck two years back, which was normal. I have elevated cholesterol levels, and my triglycerides are around 400. My ECG was normal, but during an echocardiogram, the doctor said that there is a hole in the heart. Because of this extreme pain, I am not able to concentrate on my routine work, as I feel drowsy throughout the day. I do not have any pressure at home or work. Only because of this pain, I am very worried. I have consulted many doctors, but they give me some painkillers, which does not help relieve the pain. What should I do now? | Hello. Revert with more information to a fitness expert online --> | |
What is the cause and treatment for gum bleeding?
Hello Doctor, I have a severe gums problem and taking treatment for it. Slowly the blood stopped when I spit and when I brush also it is reduced. But when i sneeze for three or four times and then i spit... I see blood in saliva .Please let me know what all tests i would like to do for this. | Thanks for your query, I have gone through your query.The bleeding can be because of the infection in the gums secondary to deposits. The bleeding particularly after sneezing is because of the negative pressure created by sneezing. The other possible cause can be because of the respiratory tract infection and rupture of terminal arteries. Nothing to be panic, get your teeth cleaned and consult a ENT surgeon or pulmonologist and take an opinion.I hope my answer will help you, take care. | |
What is the treatment for rapid heart beat , tingling in the face and lightheaded?
I have been to the hospital 4 times since janurary due to erratic heartbeats, tingles in the face hands and feet, sweating on the palms and feet, lightheaded. I have had a EKG blood work a echo and everything came back fine. When i sit down or get up sometimes my heart feels to beat very heavy. everyone and all research i have done tells me its panic attacks but i am still worried it could be something more serious. Any suggestions? | Hi,If your overall work up for SVT IS negative then it may be a panic reaction. But before labelling it panic, a full elaborated cardiac and noncardiac tests are must. First thyroid, anemia, pheochromocytoma, any drug or addiction.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Deepesh Agarwal | |
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 --> | |
Teenager. Sleeplessness after taking D veniz50, axepta 18. Wildness and depression without medication. Help
my daughter is 14 years old weight 78 kgs psychiatrist given herD-VENIZ 50 AND AXEPTA -18 NOWbut she is not getting sleeps till late nights she sleeps by 3.a.m. or 4 a.m. earlier she used to take AXEPTA 10 AND DAXID 50 MG, because of medicine change she is getting sleepless nights or what and if she dont take tablets she gets wild and depress even counseling is also there pl. reply a.s.ap. | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail.Axepta is a stimulant and that is responsible for the sleep disturbance. Increase in the dose of axepta has led to this disturbance of sleep. Probably Axepta has been increased to control the ADHD symptom. Probably she can take a hypnotic to help her with her sleep. Counselling has to continue as patient of ADHD are prone for depression and she is alreday on D-Veniz.Stop her coffee if any. Let her do some aerobic exercise in the morning. Cut down on computer and TV use at night and let her take a warm bath just before sleep.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddyWish you good health,Dr. Srikanth Reddy M.D. | |
Psoriasis, dark patches on feet. Using lobate-gn. Diprovate-S plus safe to use?
I had psoraisis for about 2 years. when medication it was almost cured but the dark patches remained. I have stopped the medication fo last 6-8 months now. since last 2 weeks i am finding the patches have been darkened on my feet . I used Lobate-Gn initially Now my friend recommended Diprovate- S plus. I have not consulted the doctor now. Is it safe to use and will it lighthen the patches? I have thyroif with TSH level 6.0 and also pre-diabetic with medication. | Hi, Welcome to HCM. First of all, you are using a drug recommended by your friend? Psoriasis is a complicated disease , which needs close observation and using very specific and sophisticated drugs. Even sometimes methotrexate like drugs are also used. The symptoms you told may be an alarming condition. Get physically examined by any dermatologist for further management. so, it is not safe to use these drugs. | |
What are the symptoms of bipolar disorder?
Hi there, I m wondering if my son might be bipolar. He s 27 and gets into legal trouble when he is out of work, with time on his hands; he is aware of the signs and can predict that he will probably be arrested again. Being out of work or other regular life stressors (which cause depressive symptoms in him) usually prompts his alcoholism...and then the cycle continues...He s been in trouble and on probation pretty much since he s been 13. He ll complete the terms of probation which usually includes addictive treatment, regularly celebrates the completion of is term and then gets into trouble and it starts all over again. I am seeking information if this is just alcohol addiction (a really bad drunk who gets confrontational and abusive), or if it may include another underlying illness. (Note: His father s side has several individuals who aren t quite right - father s mother, father s brother, and father has been in and out of prison since my son has been about 8.) He has always been unable to accept blame for his actions...it s always somebody else s fault - he regularly deflects. | hai * As name suggests BIPOLAR have two poles 1. depressed side 2.manic side * Depression with Mania or two or more manic episodes constitutes Bipolar *But the symptoms and signs should not be explained by any medical or neurological cause or use of substance * so first get a physican consultation *next try deaddiction *if symptom persist then go for Mood stabilizer as prescribed by your Psychiatrist | |
What causes fluctuation in liver enzymes?
My two year old daughter has fluctuating liver enzymes and slightly fatty liver.She is going to a specialist in Birmingham,Al. She lives with her mother so I am concerned if her diet is the contributing factor.She has an upcoming biopsy coming up soon to see what is causing this or if its possiby a genetic condition.I have heard that its usually diet or medicine intake related though.How serious is this? It has me extremely worried. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Slight elevation of enzymes is not significant and may be related to diet. Some genetic conditions like Gilbert's syndrome has persistently high liver function test, it doesn’t cause any harm. Let’s wait for the biopsy results to come. Wishing all the best. | |
What causes recurring stomach infection and stomach ache?
Hi I had a severe stomach infection a couple of months back and ended up in the hospital with spasmodic stomach ache, loose stools and vomiting. After 4 days of treatment with Normetrogyl IV and Buscopan IV I recovered. I had the same problem a week back with less severity. I was in the hospital again for a day with Cifran IV and it got better. I have the same problem today but the frequency and severity of the problem is lesser than before. What is wrong with me? I am also a renal transplant recipient (Nov 2003) and I am on immunosuppressants. | Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints.Your problem is due to (Gastroenteritis) Please find my advice below-:1)Take BRAT(bananas, rice, applesauce, toast)during this time2)Avoid under cooked sea foods and contaminated water.3)Take vaccines for S typhi,vibrio,rotavirus,4)Take CASTROV-AZ tablet 2 times a day upto 7 days5)Take LACTOBACIL capsules 2 times per day when you take any antibiotics.6)Do Stool exam time to time and check pus cells .I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks, | |
How to get pregnant by taking prenatal vitamins?
I m trying to get pregnant and been taking prenatal vitamins since april 2014. I had a miscarriage but in January 2014 at 8 weeks pregnant, the doc said to wait 2 menstrual cycles and start trying again, is August 2014 and we re still trying....I ve been taking prenatal vitamins since april...any other advice please | Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic .Sorry to hear about your previous pregnancy loss. 2 ) please fully trust in your treating doctor .You are rightly advised to wait for 3 months before you plan to get pregnant. Also, it is a very right advice to start prenatal vitamins. Usually, I suggest to start with Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. 3 ) As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you have unprotected sex act in the fertile period, at least on alternate days, then you stand chance to get pregnant. Also, you can Get HSG - hysterosalpingography done, to know about the patency of your fallopian tubes.I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar | |
What causes painless spot behind the tooth on gum line?
When flossing there is a spot behind my tooth right on the gumline that hurts. It doesn't hurt to eat, or brush....only when I floss....it's like an open nerve or something. Or like a cut?It's been there for months. I don't see anything though. What could this be? | Hi,Thanks for posting the query, According to your clinical symptoms i suppose that you might have developed a cut in the gingiva while flossing, i would suggest you not to floss the area for a week or two, apply Dologel oral ointment topically over the affected area at home take lukewarm saline and antiseptic mouthwash rinses.Take care! | |
What is the treatment for a malunited rib?
hi my name is matt and im a 29 y.o. male suffering from a malunion of bone in my left first rib. It has always for the past few years given me some amount of pain and discomfort. however now it has slowly become increasinglyunbearable to the point where I am considering having a resection performed. I asked one specialist abuot this and hesaid he did not feel comfortable performing an operation on me due to my relitively young ageand still | Thanks for your question on Health Care Magic. I can understand your concern. Rib fracture should not be operated. Rib fracture should allowed to heal by itself. And no surgery is needed even if it is malunion. The basic reason for this is flat nature of rib. One can not do screwing or plating in such flat bone. So rib fractures are always treated conservatively. At present you are having inflammation at fracture site. So avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Start painkiller and muscle relaxant drugs. Apply warm water pad on affected site. Wear rib belt to prevent mobilisation of rib. By all these you will definitely improve. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What does my MRI results indicate?
HI MY NAME IS XXXX, I just got my results for my Mri findings read as follows-Presistent mild diffuse marrow signal heteregeneity. This has worsened in the interim with a diffusely nottled apperance now present throughout all of the visualizied osseous structure.No acute vertebral fracture . Schmorl s nodes are again seen at several of the vertebral endplates. what does this mean and do i need to be ovrly concerned? sc | I read your query and I understand your concern.The report describes chronic degenerative changes of the vertebral column. Since it used terms like "persistent" and "again" I suppose these changes have been noticed also in prior imaging tests you may have undergone and there has been mild progression.These findings don't describe an immediately threatening condition, no reason to panic. However to judge how significant they are it would be useful to know your age and the reason the exam was required. If your age is advanced it could be as a result of the frequently encountered age related degenerative changes of the spine due to the wear and tear over the years. Hope to have been of some help. | |
Q. Do beta blockers cause hair thinning?
Hello doctor, I am 44 years old and diagnosed with preliminary hypertension. All my tests including ECG, TMT, 2D echo, brain CT scan, pulmonary embolism (to rule out the cause for sinus tachycardia), 48 hours Holter monitor, chest X-ray, lipid profile, and kidney and liver function tests. TMT, 2D echo, CBP, and vitamins are normal. I was prescribed Metoprolol tartrate 50 mg twice a day, Hydralazine hydrochloride 25 mg twice a day and Amlodipine 5 mg twice a day. As I had slightly high total cholesterol I was also prescribed Atorvastatin 10 mg. Doctors suggested two changes to the above medicine regime as follows: Stop Hydralazine hydrochloride. Take Metoprolol succinate (extended release) instead of Metoprolol tartrate (immediate release). So, currently I am on Metoprolol succinate XL 50 twice a day, Amlodipine 5 mg twice a day and Atorvastatin 10 mg once a day. My BP is very much controlled (110/80 mmHg), and heart rate average is 70 to 80 beats per minute. At night time it drops to 60 to 70 range. My cholesterol is very much under control, the total is 140, LDL is 73, HDL is 43. My specific questions are as follows: Since I changed to Metoprolol succinate, I have identified that my hair is thinning. Does beta blockers cause hair thinning? Can I switch back to Metoprolol tartrate (immediate release) or is there any other beta blocker which is as effective and safe as Metoprolol and does not cause hair thinning? Metoprolol is also causing my HbA1c to go higher. It is now 5.4. Within one month of taking Atorvastatin, my cholesterol level has come down. I have been taking Atorvastatin for last one year. Can I stop it now? I do regular exercise. I walk 20 to 30 minutes on all days. | Hello. From the description it appears, you just have hypertension and no other problems. Firstly, just for hypertension, now beta blockers are not given as a first line medicine. It is given after calcium channel blockers (Amlodipine), ACE (angiotensin-converting enzyme) inhibitors (Telmisartan) and Hydrochlorothiazide fails. However, there is no harm in having it as a first line agent. Sometimes in less than one percent patients, Metoprolol can cause hair loss and also it does raise the HbA1c which does not require any treatment and it is acceptable. So considering these things, it is better to switch on other medicine like Telmisartan (Telma CTD 40/12.5 mg once a day). Also, if you want you may switch to Tartarate as well, but since its an immediate release formulation, blood pressure control may be inadequate at a later time period after medicine consumption. Also, the HbA1c issue will be there with all beta blockers. Another alternative beta blockers you may have Nebicard (Nebivolol) 5 mg once a day which we will increase gradually. So it is more like your personal preferences. But, seeing all these things, it is better to switch on to Telmisartan. If you are fine with hair loss thing then may be continued on Metoprolol. Succinate and Tartarate both can cause hair loss. You may stop Atorvastatin, continue to have healthy lifestyle including diet, regular exercises. Get lipid profile repeated after six to eight weeks to see for sustained control. For more information consult a cardiologist online --> | |
Swelling in gum, had scaling
i am 25 years old married and my weight is 70kgs.i am facing gum problem.sometimes i get my one or two gum swelled and somtimes there is no problem.i have benn operated once for it by the process of scaling.but after a year it came back again so pls i request u to suggest me some tips that can be done at home for its curing | Hi, The problem you are facing is known as Gingivitis. A scaling of teeth should be done atleast once in a year by a dentist. Change your toothbrush once in 3 months. Flossing of teeth once daily is very important to improve the health of your gums. Clean your tongue using a tongue cleaner every day after brushing. | |
Suggest treatment for abdominal pain after sex
Hi dr am 39 yrs old and having lower abdominal pain after sex and even orgasm . i had two laproscopic surjuries . can u pls suggest what can be the problem my second surjury was to see whether it is endometrioses but it came out negative .My dr find no endo but the apendix was there and they removed it. | Hi.Thanks for your query.The foremost and the easiest way to get a proper diagnosis is a manual examination by per-vaginal manual examination. To see whether pain can be elicited. this will guide for further investigations and treatment accordingly. Even the Psychological part can be explored and you may need an opinion of a Sex-therapist and may be treatment if there is no organic lesion found on CT and other investigations | |
What does severe pain in the upper back indicate?
Dear Doctor--Writing on behalf of my Mom. She is 81 years old and right now she is experiencing excruciating pain in her upper back/torso. Additionally, this pain has caused her to develop a large red rash on her back that burns but does not itch. What could this possibly be? | Hello,Common causes of pain in the upper back are:- 1) Injury or trauma 2) Improper posture 3) Pulled muscle or sprain 4) Spondylosis 5) Herniated disc 6) Arthritis 7) Referred pain due to cardiac issues and many more. You can give tablet Aceclofenac. Apply Diclofenac gel or Volini spray. Do physiotherapy as advised. Take a rest. You can do x-ray back after consultation. I will suggest you review here with detailed history or consult with the orthopedician with reports. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shyam B. Kale | |
What causes warm sensation in my lower left leg?
Hi,I have been feeling a warm sensation in my lower left leg (calf area) that lasts for a few seconds at a time and is erratic. This has been going for almost a week, there is no pain, and it is not warm to the touch. Any idea what this could be and if I should see a physician to get an examination? Also, if I see a physician should it be a neurologist or a general practicioner? Thank you. | hi,thank you for a brief history. if you are having a warm sensation in your leg in the calf muscle area, we should check one of the things, are you a diabetic? or having any swelling or injury in that area? meeting up a physician initially to do a test to find out uric acid levels as the beginning. Second to check is for you thyroid levels, then as the test comes the diagnosis will come closer. as a physician will be able to assess the area and decide the proper test for the same. based on the reports coming the physician will guide you for the best. having a consultation with a physician is never a bad idea. post that any further need arise then a specialist will be directed. for time being you can try keeping the leg over the pillow and do some ankle toe movements while you are lying down on your back.also you can try doing some straight leg raise while on your back.this should work and give you ease.if the symptoms persists then physician is always there to help undergo any special test.with the grace of God I wish you a speedy recovery | |
Is abdominal pain and missed period a serious problem?
Hello I ve missed my period for about two months and I already took 4 tests and they had all came out negative .. Te problem is that I have a sharp pain on my right bottom abdominal and it doesn t hurt that much it s just a. Sharp pain that come and goes .. I know it s not my appendix because I got it taken out almost two years ago so what could it be? | Hi.Thanks for your query.Tubal pregnancy is a possibility by you have said the pregnancy tests are negative. I would advise you get an ultrasonography done to rule out tubal pregnancy- sometimes the tests may be negative if the fetus is dead. it will also help to rule out other problems related to the ovary and the Fallopian tube.Per-vaginal examination by a Gynecologist / a Surgeon is very very important and can guide sometimes. | |
Can second dose of antibiotics for bronchitis causes any effects to smell and taste?
I was diagnosed with Bronchitis 2 months ago. The first series of antibiotics did not kill the virus, so my doctor prescribed a second (stronger) dose. The antibiotics seemed to cure the Bronchitis, but I haven't been able to smell or taste since that time. | Thanks for your question on Health Care Magic. I can understand your concern. Change in taste can be due to antibiotics but loss of smell perception is not due to antibiotics. Some antibiotics like clindamycin, azithromycin, metronidazole etc alter the taste of mouth. But no need to worry for this. Once antibiotic is stopped, you will start tasting normally. Loss of perception of smell is mostly due to viral infection. It is due to inflammatory changes in mucosa. No need to worry for this also. This will normalize by itself once your viral fever is treated completely. Hope I have solved your query. Wish you good health. Thanks. | |
Suggest remedy for infection post circumcision
dear sir,i am take circumcision surgery before 7 month.due to heavy infuction on my top of penis.affet removing the top lair skin graduly affected pain..due to this i am hospilaisd for along.. yet i could get better heal...now i am regulary clean the wond with pottasiam permaganate puryfy water...aply proppy genta cream..tab betnasol tb.2-1-0.ever day...in the labreport no huv, cancer,ather allergy,etc... if get better heal.. i am 44 years married .pls help me... | HIThank for asking to HCMI really appreciate your concern and looking to the history given here I could say that better keep the wound clean and just stop applying what ever you applied, and every thing would be fine take care and have a nice day. | |
Why is my sons left scrotum large?
Hi,My 11-year-old son told me sometimes his left scrotum is much larger than the left side. So when he had the annual the doctor checked on him and said it was fine. But on that day it wasn't large at all. Later on he found it larger again. Should it be a concern? | HelloThanks for query .Occasional increase in size of the scrotum could be due to presence of Inguinal Hernia and needs to be confirmed .Please consult qualified General Surgeon for clinical examination and get following basic tests done to confirm the diagnosis.1) Ultrasound scanning of abdomen and pelvis.If confirmed he will need to undergo surgery for hernia repair .Dr.Patil. | |
What could dull pain and pressure in ribs following an elbow impact indicate?
Hello I was jogging it was wet outside slipped and land on my elbow which pushe on my run now my upper rib below my right breast is sore and swollen I'm able to move in every direction and I can take deep breaths but at the very end of breathing inward I feel dull pain and pressure is it broken or bruised | thanks for your questioni completely understand your questionactually you got an injury while jogging.pain in chest needs to be evaluated by a chest xray ,to see if any of the ribs is broken or fractured.u need to consult a pulmonologist to request for a chest xray.falling on ground can cause a muscle injury or a fractured rib both of the possibilities are there bu t it is very difficult to say without viewing the chest xray.thanks /regardsfeel free to ask more questionsmay god bless you with good health | |
Suggest treatment for postherpetic Neuralgia
I have constant pain in my head and have been diagnosed with POSTHERPETIC Neuralgia. I am taking Lyrica which doesn t help at all. I rub Capsasin into my hair and it just burns. Is there anything else I can do to stop the pain. It is unbearable. Thank you. | Hi Dear,Understanding your concern. Postherpetic neuralgia is a complication of shingles, which is caused by the chickenpox virus. if you experience persistent pain due to postherpetic Neuralgia you should consult neurologist for proper examination . Post-herpetic neuralgia is easy to diagnose based on your symptoms and medical history . Doctor may prescribe lidocaine patches , anticonvulsants gabapentin like Neurontin other then lyrica and in case of severe pain doctor may also prescribe stronger painkiller like tramadol . For now you can apply anesthetic cream for relief from pain and itchiness .Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Suggest remedies for swollen and painful wound
Dear Doctor, I had a swollen reddish Big Toe at front and later developed a puss. Accordingly Doctor removed the Puss. But the wound is not healing even after 2 weeks and it hurts when Toe strikes even gently and it again started to become reddish and swelling. But no pain when touched. Please suggest some home remedies if possible. | Hi,From history it seems that you might be having nail bed infection giving rise this problem.Due to injury there might be having soft tissue infection, swelling under the nail, it takes more time to heal.What is required is go for regular dressing preferably by doctor so that he might clean the wound properly with removing of pus, blood and slough.Go for one antibiotic medicine course for 5 days.This will bring proper healing.Old nail might come out and new nail will come.Ok and take care. | |
What causes high fever with pain in legs and rashes on body?
My husband got down with fhigh ever (102 d) from last 3-4 days.he is feeling acute pain in his legs and joints. Now the rashes also apperars on his body and face, although the fever got down.doctor has doubt abt dengu, but i am going through the symptoms of dengu and Chikungunya, which are almost alike.plz suggest test which can differentaite and diagnose the desease ASAP. | Thanks for posting your query to health care magic. As I understand your symptom are suggestive of some viral illness .Yo odnt need to worry as this kind of manifestation are seen in may viral illness .To rule out Dengue Blood test are available you can go for Dengue NS-1 antigen and IgM antibody testing .Chikungunya can be rule out as rashes are uncommon here . Further you should go for platelet count as it falls during dengue if you find it below 1 lac consult your heath care centre .Feel free to communicate if you have any query .regards,Dr.Manish Purohit | |
What are normal cholesterol and blood pressure levels?
I am a 41 year old woman at 5ft 2 & weighing 14st ( which I have lost 2st in last 6 mths ) my blood pressure was 156/80 & cholesterol was 5.4 a month ago... since then I was diagnosed with b12 ( at 129 level ) & folate ( at 3 ) which I was having terrible problems i.e hair falling out, muscle fatigue, tiredness, depression & worsening of asthma symtoms , they started me on b12 injections 2 weeks ago ( 1mg weekly for 4 weeks followed by 1mg every 3 mths ) & 5mg folic acid daily , i have only had my second injection and I have a cholestrol level now of 4.5 and blood pressure 112/70 all my symtoms have improved but is my blood pressure & cholestrol levels ok? as I dont understand much about it,,, I have not changed my diet so is it down to the b12 injections? | Dear Ma'amThanks for your query.Blood pressure of 112/70 is optimal. Serum cholesterol of 4.5mmol/L is also fine but usually we take LDL cholesterol as target rather than total cholesterol. Symptomatic improvement may be due to vitamin replacement, however level of cholesterol usually does not correlate so well with vitamin B12 or folate levels, neither it is expected to come down in two weeks. The weight loss may be contributory. Feel free to discuss further.SincerelySukhvinder Singh | |
Reason for stomach discomfort after stopping the medication?
I was taking Pantoprazole but stopped taking it a couple of weeks ago, now I am experiencing stomach discomfort during the night and it is effecting my sleep, I have tried natural supplements to keep my stomach challenge in check but that doesn't seem to be working and here I am questioning pantoprazole again as a solution? | HI. If stopping pantoprazole is causing a problem , I would advise you to undergo upper GI Endoscopy as a first thing to diagnose what is it in the stomach and duodenum that you need pantoprazole..A proper evaluation by a Gastroenterologist is a must. You have to follow other measures too : soft bland diet/ no spicy and oily food / no beverages/ small frequent feeds / no smoking or drinking ( if you are taking)/ most important is stress-free life/ Al these help a lot to get the problem solved. | |
What causes chest pain, nausea and numbness and tingling in left arm?
Hi I m hoping this will help I recently got diagnosed with anxiety and panic attacks I have been a smoker for about 20 years at a half a pack a dayfor the last couple months I ve been feeling like I have a dead arm on my left side with tingling and numbness sometimes ....on and off I have been feeling a pulling pain from my neck to my chest for the last couple of weeks but yesterday at work I felt it and it made me nauseous and the feeling has not gone away all night I feel like it is worse when I take a deep breath but it is very uncomfortable | Thanks for your question on Health Care Magic. I can understand your situation and problem. Possibility of anxiety related symptoms is more but since you are smoker, we need to rule out cardiac cause for your chest pain and arm discomfort. So first get done ecg and 2d echo. If both are normal, than no need to worry for heart diseases. Your symptoms are mostly due to anxiety and stress. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. So avoid stress and tension, be relax and calm. Don't worry, you will be alright. And quit smoking as soon as possible, it is not good habit. Hope I have solved your query. Wish you good health. Thanks. | |
Suggest remedy for lumps in leg
My 6 year old daughter has developed a small lump on her upper leg about 3 months ago, it is not painful, i have been advised it needs to be removed and a biopsy done to estbalish whether it is benign or not, should i be worried that it could be cancer if so what type ? Thanks. | This is usual presentation of a Lipoma, a collection of fat. However to be sure it does need removal and histopathologic evaluation. | |
What causes blood in stool after an accident?
My friend and her husband were in a head on collision one week ago. She is moving slow and having left side pain, today she had bright red blood in her stool. I begged her to go to the doctor again. She was thinking fractured rib could this be a spleen problem? | Hello,Blood in Stool may be due to hemorrhoid or fissure or fistulas. Possible that bowel injury lead to bleeding.Until examination is done, it is difficult to say what it is. Please consult your doctor so that he will examine and advice scan abdomen treats you accordingly.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Penchila Prasad Kandikattu | |
Suggest medication for typhoid
Hi, may I answer your health queries right now ? Please type your query here...im nasir age is 28 yers afther 12 dayes fever from taiyphad .my widil test is positev.im used medicins on tab.augmintol.625mg.tab.panadol.5dayes.but fever is not cantolor | HelloAs you mnetioned that Widal is positive and you are having typhoid fever .The drug of choice for typhoid fever is as folow.Ciprofloxacin 500 mg twice in day for 14 days is drug of choice .Antibiotic is not recommended in most cases as it does not shorten the duration of symptoms and is associated with increased rate of relapse , a prolonges carrier state , and adverse reactions .So I recommend you please take complete treatment as your doctor advise .Few doctor also advise Injection ceftrazone 1 gm twice in day for 10 days .So consult your physician and get his opinion.Good luck. | |
What causes fever, red cheeks, rhinitis, pharyngitis and cough?
10-year-old boy seen in Urgent Care today for what we thought was a sinus infection. Blood pressure was taken and was low at 80/40. Diagnosed with allergic rhinitis and pharyngitis and cough, prescribed steroid tablets (which he has not started yet). Every morning (for past several months) he already takes 10 mg Zyrtec, Pulmicort 90 mcg, and Flonase 50 mcg nasal spray. 5 hours later he now has temp of 100.5 and bright red cheeks. What could this be. | Hi.... a short febrile illness with symptoms like this along with rdd cheeks is suggestive of a viral illness called exanthem subitum. This is usually a self limiting disorder, but it will have very high grade fever. If he develops rash all over the body or extremely lethargic even when the fever is at the normal temperature, then, I suggest you get him back to the nearest Emergency Room.Regards - Dr. Sumanth | |
Can inflammation lower the kidney function?
I recently was treated for a kidney infection and a week later had to have two uric acid kidney stones removed. I was put on Potassium Citrate and Flomax after the surgery and found that one or both of them made me ill. I have stopped both medications but my doctor call me today to tell me that my urinalysis and blood work show blood in my urine and lots in inflammation in my kidneys. My kidney function is also running at 50% and it was normal several months ago. Can the inflammation be the cause of the lower kidney function? | Hi, It may be due to infectionHope I have answered your query. Let me know if I can assist you further. Regards, Dr. Indu Kumar, Radiologist | |
Have hypothyroidism, depression. Will working in night shift effect health?
Hi, I have hypothyroidism which was found out when I became ill with depression , it was realised it was due to tiredness & shift work including nights. I have not be doing nights for 7 years they are now wanting me to return to nights which I say is detrimental to my health. Is there anything I can do or any information I can source to proof this will be the case? | Hello........ Thanks for your query. Hypothyroidism can mimic depression in many cases and they share common symptoms that may augment each other. Regular sleep wake cycle is required to avoid precipitating mood disorders and in that sense night shift may not be apt in your case. You can request your authorities with necessary medical documents to sort out the issue. You can use information from NIMH (National institute of mental health), USA website to augment your treatment records and to demonstrate that adequte sleep is mandatory considering your medical history. Hope you found the information useful. Regards Dr Sundar Psychiatrist | |
Suggest the duration of treatment for prostatitis
Suffering from prostatitus,my urologist has suggested Loxof by Ranbaxy,Niftran and Urimex by Cipla n Urikind n suggested urine culture for sensitivity.Please suggest duration for treatment.Whether the abve disease is completely curable. Please advise. | helloThanks for query .You have been diagnosed to have Prostatitis and is prescribed Loxof,Urimaxand and Niftran by your Urologist .Prostatitis is a notorious disease and embarrassing both for patients and treating physician .It takes long tome to get cured hence one has to take appropriate antibiotic for 6-8 weeks .I would suggest to get swab test and culture of urethral discharge obtained after doing prostate massage so that you can take appropriate antibiotic as per culture report .This will help to resolve the issue faster .Dr.Patil. | |
Diagnosed saint louis enchephalitis for symptoms of severe headache, dizziness, numb face and arms, slurred speech. Recommend
I am looking for information on the treatment for Saint Louis encephalitis after the anti virals have been given with no improvement. My son has had this disease since August, it was not properly diagnosed until early October. His symptoms remain the same, unbearable headaches, dizziness, sometimes numbness in his face throat and arms, slurred speech, memory loss, his eyes are very sensitive, he cannot tolerate light.To date the treatment recommended is rest and fluids, the body will heal itself. | Hi,Thank you for posting your query.At present, the treatment is mainly symptomatic and supportive. No specific treatment can be given at this stage after four months of encephalitis.Also, these symptoms are the residual symptoms of the encephalitis, due to involvement of brain during the infection. The active infection stage is not present now.Medications such as betahistine would help in relieving dizziness. He can take naproxen for headaches. I hope my answer helps. Please get back if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Suggest remedy for chest pain in diabetics
Whaat should I do if I'm having sharp stabing pains in my chest on the left side? I'm diabetic, have high blood pressure and have high choleteral and I'm taking medications for the diabets, cholesteral, high blood pressuer, but I'm having this pain in my chest1 It was comming and going and this morning it has been more consent. | Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, we should definitely rule out heart diseases for your chest pain. You are having diabetes, hypertension, dyslipidemia, all these are risk factors for heart diseases.So better to consult cardiologist and get done ecg, 2d echo, stress test and coronary angiography (if required).You will need anti angina, anti platelet and other cardiac supportive drugs. Don't wait, immediately consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Noticed bumps all over the testicles
hi there i have a bumps all over my testicles through anus. but most of them is at my but cheek. red and black bumps. no blood at all. i am sexually active wearing condoms. i have no fever. i search the internet the most probability was a crabs but they said i need to get a fever. is this just a normal rash? | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.This type of pain and location is suggestive of epididimitis which is inflammation of part of testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequances. MAsturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | |
Can menopause symptoms cause high blood pressure?
Hello, I am 56, female, 135 lb, 5ft 6inches. Non smokers. My blood pressure is very good 120/70 116/75/ 119/72 etc. I am in the middle of menopause or very close to the end. i check my blood pressure once a week. i notice that when I am having hot flashes , my blood pressure range between 131/80, 130/85 129/87 etc. When the flashes stop for a couple of months, my blood pressure goes back to the normal range. Is it possible that Menoapuse symptoms can elevate it? Thanks Rose | Hello, Yes, for sure, menopause can cause elevated blood pressure, it is a normal syndrome in fact, and it will go away by its self. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Salah Saad Shoman, Internal Medicine Specialist | |
What causes increase in pancreatic lipase levels?
am i speaking to a real person?I had walnuts the other night along with 3 ibuprophen (we painted all day)...and 2 double jack and cokes....30 minutes later i was in the er. and being told it could be pancreatitis lipase levels of 646 my family dr. says maybe acid reflux or gall baldder | Hi & Welcome to HCM.I can understand your concern.Incomplete data like serum amylase? any ultrasound scan done? and other liver function tests???It's suggestive of acute pancreatitis.A normal lipase level is 0-160 U/L.If the pancreas is damaged, these digestive enzymes can be found in the blood at higher levels than normal. Amylase levels more than four times normal levels, or greater than 450 U/L, and lipase levels greater than 400 U/L, are likely to mean there’s damage to your pancreas or pancreatitis.Since you had consumed the whisky double jack last night it probably seems to have triggered the inflammation or damage of the pancreas.You need to undergo the other lab tests as mentioned above and to take proper treatment in the hospital.Hope this would help you. | |
Should I continue Bifilac capsules and Mynberry Compound syrup?
hii...i m siddharth from Mumbai, India..... I had been takin Bifilac capsules n Mynberry Compund Syrup...for almost a month.... On taking both the medicines ...i used to have pain in my stomach n nausea......still my doc told me continue the medicines...... | Hello, It depends on the indication behind your doctor prescribing these medicines. Are you on antibiotics for any infection? Or is there any condition that causes protein deficiency? Mynberrys compound syrup has side effects like stomach pain and nausea. Stopping the medicine is a decision that should be taken by your physician. I would suggest you visit your physician and get an opinion about stopping the medicine. If he suggests you can replace mynberrys syrup with healthy protein diet based on the diet recommendations given by your healthcare provider. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jasmine Jagan, General & Family Physician | |
Having lower back pain. What could be the reason?
Hi, i want to ask you what probably the cause of my lower back pain. I have problem with it since mid last year, it's not that bad, sometimes it feels okay but sometimes it's really painful that i have a problem where i have to bend ( tie my shoes, etc). I have already do the urine test, the result turns out good. I also have already get the x-ray scan, and it also good. Well, i have a slightest pain in my lower left stomach, and i'm a woman. Do this have any relation with it? What could be the cause of it? Or could be this be a somatization? | Hi,As per your your description the cause of lower low back pain seems to be muscular. You need muscle relaxants, Analgesic gel for local application,along with physiotherapy and exercises to get rid of you problem. Further you should undertake consultation from Orthopaedic surgeon near to your place. However getting done MRI would give a better idea about reason for your back pain.Take careDr Anoop khandelwal | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
While under treatment for secondary infertility, when can I test for pregnancy?
Hi, I am 24yrs old female facing infertility problem. 4 years back I got a baby girl in my first pregnancy, after that I have not conceived due to PCOD problem. Recently I had Laproscopy as per my doctors suggestion and I am using medicines to conceive. My questions is I am using Duphaston from 14th day and Dubagest from 16th day. I have stopped Duphaston 1 week back and Dubagest 2 days back., My last period was 8th Jan, Can you please let me know when can I get my period if I am not pregnant., and If I am pregnant when can I go for the test? | Hi,Thanks for writing to HCM.After stopping duphastone tablet if you are not pregnant then you may get periods within one week .If you are pregnant the test may be positive after 30 days /+ 1week of your last period. i.e after 8th feb irrespective of you are taking duphastone or not. Taking duphastone doesn't affect pregnancy test result.Hope I have been helpful.RegardsDr. Ashish Verma | |
Is atypical lipoma retroperoteneal terminal ?
hi my sister has atypical lipoma retroperotoneal left side excised twice now mri with contrast showed infiltration in l4l5 with backpain some doctors said it is terminal other want to operate and said that the mri report is wrong because atypical lipoma sclerotic type never infiltate locally in bone please help email catnottiger@yahoo.com many thanks | Hello. Thanks for writing to us. A lipoma if it is showing infilteration on MRI needs to be operated before it turns carcinogenic. Also the infilteration may increase and affect other vertebrae also and slowly the nerve compression symptoms might appear. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drtayalrakhi@gmail.com | |
What causes spasms?
StomachachesI'am a 15 year old female. Whenever I get my period I get strong pains in my stomach(the upper part of the tummy), and I can't get rid of them without painkillers;sometimes I take aspirin, and sometimes codeine, depends on how strong the pain is. But recently, about the last 6 months, those spasms came to me outside of my period time, especially before I go to bed... Shall I be worried? | Hi. Yes .Actually the pains of cycles are n the lower abdomen and never in the upper part. This indicates for a proper clinical evaluation by a Gastro Surgeon and investigations if needed.Never take aspirin.There is a possibility of other intestinal problems like enteritis/ abdominal lymph nodes/ appendicitis/ ans so on, which has to be diagnosed properly for a targeted treatment. | |
Obstructive jaundice, dark stools and urine, sleepy, weight loss. Danger?
My husband has been diagnosed with Obstructive jaundice (multiply gallstones), he has an appointment with a specialist, but not until 7th August. But over the last week his colour has gone worse, so has his urine (very dark) and stools (very pale) He is also sleeping all the time and loads of weight has dropped off him and only eating once a day - is he in danger?? | If he has documented gall stones with obstructive jaundice and weight loss the stone might have been impacted in the bile duct. He requires an urgent MRCP , and if the impacted stone is seen an ERCP with clearance of CBD. Consult your specialist at the earliest. | |
What causes intense abdominal pain after gallbladder and appendix removal?
I have had abdominal pain for year and half I have had my gallbladder and appendix out no one knows what is wrong blood test seem normal had upper gi and colonoscopy and everything normal please help very intense pain right below rib cage above belly button right in the pit of my stomach | Hi and Welcome to HCM, Pain may be due to gastric ulcer or hepatic amaebiasis. Do urine study for bile pigments and bile salts. Do serum blilirubin, ova cyst study in stools. Did you take any hepatotoxic drugs? The symptoms may be due to food or water. Are you smoker or alcoholic?. Do you take timely diet?. This may not be due to post op complications. Wish you speedy recoveryThanks you | |
What causes cramping in the abdomen area?
Hi I'm 27 years old, I've had two babies. I'm not pregnant and don't expect to become pregnant ever again. For the past two days I've been having severe cramps. Feels like I'm having contractions only I'm not pregnant! It is in the middle area of my stomach is where it starts out and radiates all over my abdomen. I've also been having pain In my bladder only there is no bladder infection. It feels like somebody is pulling it out, very painful. I need some advice please help me! | Hi.The symptoms you have explained may be due to prolapse of the uterus along with prolapse of the urinary bladder called as cystocele. You need to get an Examination by Gynecologist in a position that the prolapse can be checked on straining purposefully. IF this is so, you need to go for pelvic floor exercises due to your young age of 27 only. | |
Does a flat red sensitive spot on the vulva indicate genital herpes?
I have a flat red spot on the outer edge of my vulva. It doesn t hurt, just feels sensitive. I suppose it could be genital herpes, but I m very low risk. I can t get in to see my doctor until later next week. I am headed to the beach, and concerned about getting it more irritated with sand and water. | Hello,This is Dr. Klarida Papaqako answering your question.Genital herpes is painful in general, and not just sensitive, and it will have lots of vesicles with fluid next to each other. Since you are low risk, I would not be much concerned about it.Other options possible to be, from your description are: -- Infected hair follicle (foliculitis), since the vulvar area is very prone to having that kind of infection. Keep it clean, and try to not irritate it. In general its self limited and does not need oral treatment.-- Bartholini cyst, which may come from infected gland and/or duct. Keep an eye on it, because if its not getting better, but its getting bigger, you need to check it to a doctor to see which in the actual diagnoses.Hope the information helps,Take care. | |
Will the rash/hives and fever be due to spider bite?
Hello. My wife was bitten from what I think may be a spider. There was a red area around the bite about 7 inches around. She went to our Dr, and she gave her Antibiotics to take. The Dr did not know what kind of bite. My wife had a fever of 102 about the third day after the bite, she had a fever for about two days, till it subsided. Now after a week, she had developed a rash/ hives around the bite, it s about 5 inches in diameter. We have been putting tree tea oil on it, it seems to be going away now. Was this a spider bite? We live in Machias Maine, Thanks! | Hi, Thanks for posting in HCM. Based on the description, it appears that she would have been bitten by an insect, and most probably spider. Since she is already on antibiotics, she needs to complete the course as prescribed. The bite site needs to be taken care by washing the area twice daily with mild antiseptic solution like Savlon. Take care to keep the wound clean and healthy. In case she develops rise in temperature, she can take Tablet.Paracetmol 650mg. For rashes and hives, she need to take Tablet. Levocetrizine 10mg once a day for 3 days. Hope the information provided would be helpful. Wish her speedy recovery. | |
HI I have been having dizzy spells like the whole room spinning and it never goes away I turn my head or bend over or lay down it gets worse also last night I felt like I was having a seizer in my sleep I woke up feeling like I was having elctric shocks going thru me and felt like my eyes were going back and forth really fast I have never felt any thing like this before please help me I have no Insurance | Hi well come to Hcm. From your description it looks like you are having severe vertigo. In severe vertigo many a time it is so severe that pt becomes scary, at times shouts by feelig as if he is falling. Vertigo usually benign could be due to common cold, viral infection, perforation of tympanic membrane of internal ear, recent travelling, air travel etc. Drugs like stugeron, vertin etc are being used for it.Consult your doctor to rule out any other neurological condition responsible foe that. thanks | |
Are there any diet which can control palpitation of heart?
Are there any foods that calm heart palpitations. I have infected tooth and today got heart palpitations. I ve had them on and off for a few years I am wondering if my halfway done root canal is culprit. But also found out I had anemia and low pott. At one point too so not sure. But now my gum above this tooth is swollen up and I had heart issues first time in a few months. | Hello and thank you for using HCM.I carefully read your question and I totally understand your concern.Heart palpitations has to do with electrical issues in the heart. There are some electrical impulses that generate in a part of the heart different from normal sinus rhythm that cause a premature heart contraction. During this, you might experience a palpitation, e skipped beat, an anxiety sensation.This electrical issues might happen because of different reasons like stress,coffee or alcohol consummation or pathology's like anemia, hyperthyroidism, active infections or congenital heart diseases.As you explain, you once had anemia, and we don't know if you still have, You have a swollen gum, this meas an infection of your gin give, an active infection. These are some factors that might cause heart palpitations.So, the first thing is to menage your tooth infection, your anemia if it is any. I will also recommend a cardiac echo and a blood analyze.There are not specific foods to calm heart palpitations. There are some thinks that you should avoid like caffeine products, energy drinks because they rise heart frequency. Sometimes regular physical activity improves heart frequencies and this palpitations.So, I will recommend you to resolve your tooth infection, follow this instructions and thinks might improve.Hope I was helpful.Best regards. | |
Q. My pupils are big after cataract surgery. Why?
Hi doctor, I had cataract surgery. I can see objects only with the rigid lens and it is blurry. I cannot read anything. My eyes still get hurt by bright light and my pupils are big. Why? | Hi. After the cataract surgery, pupil may remain dilated due to surgical trauma to constrictor pupillae muscle or iris is damaged and becomes atrophic. Some drops also cause pupil dilation. Make sure you are not using any dilating drops with red caps such as Tropicamide, Cyclopentolate or Atropine. There is also a condition called Urrets-Zavalia syndrome in which pupil remains dilated after any kind of eye surgery. So, pupil is actually just like the shutter of the camera that controls the amount of light entering into the eye. When the pupil is dilated more light enters that cause photophobia or blurring. Blurring may also be due to intraocular edge effect. Other causes of blurring could be astigmatism. You have not explained when the surgery was done and which procedure was done? Please mention whether it is phacoemulsification or extra capsular cataract extraction with IOL or without IOL (intraocular lens) and whether the surgery was normal or complicated. So, the first thing is refraction has to be checked to know whether your vision improves with glasses and contact lens or not. Complete eye examination needed for other causes of blurring like postoperative inflammation or any other complication. So, I would advise you to get your eyes examined and get refraction. To solve the dilated pupil problem some surgery may be done or you may use colored contact lens. Colored contact lens will do the same job as a pupil. Revert back with more detailed history to an eye care ophthalmologist online --> | |
Q. I have ringing in ear post ear infection. Why?
Hello doctor, I had an ear infection but my ear infection has gone now but very low pitched ringing in my right ear is not stopping. | Hello. The symptom you are experiencing is called tinnitus. Tinnitus is not always due to a sinister cause. Simple conditions of the ear like wax or ear infections both of external ear canal and middle ear can cause it. First and foremost you must know that tinnitus may be aggravated by apprehension and anxiety. You have to make a conscious effort to ignore it. Most of the times, it does not need any treatment. So be assured most likely to be a benign condition. I would like to know the duration of symptoms and whether it is unilateral or bilateral. Are there any symptoms of hearing loss and giddiness? Did you have any earache and prior history of upper respiratory tract infection? you may do a hearing test which will give us further insights. For now, you may just wait and ignore it. It might resolve in a few days. | |
What causes rubbery stool?
my daughter is 3and has a history of constipation and was admitted to hospital yesterday with stool that looked like rubber and was stuck in rectum .it looked like intestines were out. DRS said they have never seen such a thing.but they were able to take it out.why was the stool rubbery long and not breaking up | Hi thank you for choosing healthcare magic. I'm sorry to learn about your child. Your child happened to have severe constipation which lead to the rubbery stool and the intestines were pushed out when she was straining due to the hard stools. But some conditions have to be ruled out for this severe constipation and later your child will require long term stool loosening agents which have to be given regularity for atleast another six months along with that you have to modify her diet to include fruits, vegetables and plenty of fluids.Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care. | |
Suggest treatment for burning and bruise on penis
Hi, i was using a sex toy, and did not put enough lubricant on it, thus the next day, my penis had a little bruise and a mild burning sensation at times, especially after masturbation and is still like this a week after, how long will it take to get better, and is there anything i can use to make better? | Hello, You are having bruise and inflammation due to rough sex with the toy without application of lubricant. For that, I suggest you apply topically vitamin K cream over that. I suggest you take vitamin C and anti-inflammatory drug like ibuprofen for five days. It should be healed within the next week. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician | |
What causes backache and burning sensation in the stomach?
I currently have ibs but had managed it pretty well. This past week I started having burning stomach and backache just before obdominal cramps and soft stool or diarrhea. It lasts longer than my ibs usually does and happens every time I eat. I have thin stools when they are slightly solid. I have Ean app that on Friday to see internist. I just want to make sure these are not symptoms of something I need to deal with immediately. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Can be due to gastritis or a hiatus hernia. Hope I have answered your query. Let me know if I can assist you further. | |
What is the treatment or ways to remove the 11mm stone from kidney?
Hi Doctor, I had 11mm stone in left kidney and 11 mm left ureter , 8mm & 4 mm in right kidney. Met an urologist last week and had laser surgery and stent was placed in both the kidneys after the surgery(Dr. said stent will be removed after three weeks) After one week, i had automated flow of urine and i went to another urologist as the First Dr. who did the surgery was out if station. He told me to take X ray and uv scan and told me that stent in left kidney got misplaced. He removed the stent from left kidney. However the scan report shows still 11mm stone is there in left kidney and 8mm stone is there in right kidney(stent still there). stone which was in urter and 4 mm stone in right kidney is not there now As of now dr. said lets discuss once the Dr.(who did laser treatment) came from vacation. What should i have to do now.?? How to remove the 11mm stone in left kidney. Will 8mm stone on right kidney will not be there after stent removal? | Hi, You have B/L renal calculii with left ureteric calculus . Probably your ureteric calculus was removed if in mid or lower part or pushed in if around PUJ and followed ESWL ( can't comment as you have not provided the detail of your operation) hence not visualized in xray . In ESWL calculus are broken in small fragments so that it can pass through small passage (5mm) of ureter through urine and spent provide easy n broader passage preventing clogging of calculus . Fragmentation of calculus depends upon consistency , size , shape , hardness ....etc hence sometimes does not fragmented n requires multiple sitting . Now as stent misplaced following (which can happen) surgery or probably ESWL Not given to left side ( as B/L in case ESWL should be given in different sitting) and Fragmentation of Rt renal calculus was complete so they are still there ( and can be commented after detail of sx ) So in my opinion you need to have multiple sitting of ESWL to remove calculii or in your case PCNL would be treatment of choice . Do stone analysis test and maintain diet accordingly , drink lots of fluids .Hope this ll helpThanks n regards | |
Suggest Tramadol dosage for severe pain in the back and legs
There is a bilateral facet hypertrophy at L4-L5 and L5-S1. There is mild rightward an rotational curvature of the lumbar spine which may be positional or secondary to mild scoliosis. No fractures, subluxations or bone abnormalities are seen. The sacroiliac joints are well preserve. Please explain. I am sorry I really don t have no money. I just wish I could have a doctor, because my doctor. did t, really explain every thing to me. See because If she don t inform me about every detail. I couldn t help her and do my part to take care of my health. Example . One time I was told I was vitamin D defeiciency 2014. Now that I can pull up my records. I read about the problems she told me. I read what vitamin D deficiency problem can lead to. So now I feel I am in worse condition than when I started going to the doctors. I am very fatique, I have alot of pain in my back and legs. I can hardly do much. I can t walk alot,sit alot, even lay down alot, So I am honestly always hurting. And then she just what o give me 30 tramadol, so that is only one a day. I have a hard time trying to do my shores with the medicine during the day. She might as will just shoot me. I am tried of hurting. Sorry I just need to get this out to another doctor, and needed an opinion. | Hello, You can take tramadol. In severe cases, additional drugs like hydrocodone can also be considered. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Chronic bronchitis. On medicines, nebulizer. Getting jitters, lack of sleep. Suggestions?
I have been having trouble with my asthma/ chronic bronchitis . I have been to the ER 2 times in 4 days. Lots of things have been done and one of the treatments is nebulizer treatments. Albuterol/Atropine every 4 hrs. I have the jitters from these. I am not sleeping because I keep jumping and waking myself up. I have had massive doses of Solumedrol , been on Azrythromyicin, now doxcycline, and prednizone. I can t be without the med nebs almost cant even make it to the 4 hr mark. But these jitters are driving me crazy!! I even took 4 Nitetime sleep aides trying to get some sleep. What do you suggest? I am getting worn out. | Asthma has to be controlled with steroids. You will have to take oral or injectable steroids till the severe symptoms are controlled along with nebulization with asthalin/albuterol. Atropine inhalation should be avoided as it may dry up the air passage and cause restlessness. As the symptoms are controlled, you will have to switch over to inhalers like foracort or seretide accuhaler. | |
Do I have cancer due to use of tobacco? Why is mouth irritated?
Dear Doctor, I was a gutka ( tobacco) user for more than 18 years and left before 3 years . It was good for me earlier and now for more than six months I am not able to open my mouth more than one inch wide. I suspect I am affected by cancer and ind idgestive system also i have so many problems now. My jaws are aching and I feel very irritated often in inside mouth. What is the next step i can do with simple test to findout and what is the treatment to open my mouth immediatly, atleast to give me some confidence. Kindly help me. I am from south of India. | Hi, Welcome to HCM, I am Dr. Das firstly, the disease you are suffering from is most probably, diffuse sclerosis of oral mucosa. But the disease must have to be confirmed by doing biopsy from oral mucosa. So, you have to go to any dentist or oral surgeon. then go for biopsy test which will confirm what you really have. | |
Abdominal pain after I drank heavily, small lump in the stomach area. Any ideas ?
hello, I couple months ago I had a rough night where i drank too much, and the next day I had abdominal pains in the stomach area, the pain has come and gone, but I had noticed that a small lump had developed there, it normally isn t painful but sometime it is but mainly if I kind of poke at it, any idea what it could be? | Hi, Doodoolips, Thanks for query. It seems that you might have developed Gastritis causing this problem. It is also possible that your liver might be affected due to alcohol. Go for ultra sound of stomach and liver. Quit alcohol. Take Omiprazole tablet. Avoid fried and junk food. Ok and bye. | |
Is it advisable to change to demerol from morphine due to high heart rate?
My 15 yr. old grandson is in recovery from taking hardware out of his leg. He is on morphine iv and his heart rate is running 130-150. Should they change the morphine to maybe demerol? will morphine cause tacycardia after surgery if he could be reacting to it. Never had morphine before with previous surgeries. | Morphine per say will not cause tachycardia, The higher heart rate may be due to the pain, as a reactionary phenomenon. I would suggest you may consult your doctor and uptitrate the analgesic, if that is the case. Also rule out local cause of infection, if the site of removal of hardware is warm, red, swollen. Demerol is also morphine based analgesic only and will have similar effect on heart | |
Is eosinophils count of 12% curable?
Dr. Sir, I am working in steel plant as an Engineer,the place is very dusty, last 2 to 3 month I am suffering from cold & cough, today I have checkup from one Medical Physician he is diagnosis Eosinophils, the % of Eosinophils is 12%, let mw know the diease is curable or not | Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. Eosinophil is marginally raised. Normal levels are 1-6 %.2. Due to allergic condition in previous days, and associated cold and cough, it would have increased.3. Avoid allergen and once your cold and cough are under control, the eosinophil levels will come back to normal levels within a month.Hope it helps.Any further queries, happy to help again. | |
What does feeling of strained muscle indicate?
i have a strained muscle type feeling in my upper back just left of my spine..I have had it off an on for about a year..I am worried its lung cancer..I am a smoker (14 years) 33 year old white male. Should I worry ? My doctor seems to think its muscular in nature, but im wondering could this be caused by a tumor pressing on the muscle? very scared please help. | Hello, I have studied your case. Due to compression of nerve root there can be pain in your back and chest.Due to occlusion of vessels there can be burning sensation.This can be related to smoking also.I will advise you to do MRI thoracic spine, HRCT [CHEST] and EMG- NCV [nerve conduction study]For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
Suggest methods to correct an aggressive behavior
I have an 11 yr old adopted son with XYY.Due to his aggressive and difficult behaviour he is in residential care.In the u.k.doctors are reluctant to treat with meds.but I am a nurse and I am reading about the use of drugs such as olazapine,valporate and oxacarbamaze in the u.s.Do you think I should ask for him to be trialed on these drugs?I am desperate to give him some quality of life..so far that is very compromised.. | Hello Aggressive behaviour is common in this age and boys tend to have sense of independence which cause them to defy orders of parents. Most of the times aggression is positive in form of verbal aggression and also physical aggression. Passive aggression is also common. Most of individuals improve with time but if the aggression is not tolerable and cause significant dysfunction then there is need to consult a Psychiatrist and Counsellor. Medicines like Sodium Valproate can be used to decrease aggression but only under expert supervision.Thanks, hope this helps you | |
What causes huge lump in the throat with swollen lymph nodes?
i am awaiting to see the ear nose and throat at the hospital as i have enlarged lymph nodes on the left side of my neck and a movable lump the size of a golf ball that keeps banging on my windpipe. All my bloods have come back normal. These swollen lymphs have been about for almost a yr but have noticed the large lump 3 weeks ago. What can this be im terrified? | Hi,Dear,thanks for the query to HCM virtual Clinic.I studied your query and understood your health concerns.The lump on the left side of the neck indicates old tonsilitis on left side.The lump on the windpipe,seems to be normal Thyroid,as your blood tests are normal.Plz confirm if thyroid tests are done by your doctor and that they have come normal.Hope this would resolve your query.Welcome for any further query in this regard.Write good review and hit thanks,if this reply helps you.Have a good day.Dr.Savaskar M.N. | |
What causes fruity breathing smell in children?
hi sorry to bother you my child is 4 years of age and few occasions over the month she has vomitted in the morining but felt fine. When i come in from work yesterday i could smell sweet fruity smell coming of her breath so i tested her urine an dthe keytones were +++ very high later on last night i checked her urine again and there was none what do you think this is I hope you can help me and give me advice | Hi..Welcome to HCM..As per your complain fruity smelling breath occurs when there is excess ketone production in body due to breakdown of fat..It gives the breath a typical fruity/acetone smell and can be seen in cases of illness like viral and other infections..Another most common cause for acetone breath can be Diabetic Ketoacidosis.In case if your child is smelling ketone like breath even in the absence of any illness then it can be an alarming sign of Juvenile Diabetes and you need to consult a Paediatrician and get him evaluated and a thorough clinical examination and investigations like blood test can help in diagnosis and will be treated as per diagnosis..Hope this helps..Regards, | |
What causes high SGPT?
Hello,My father in law has gone through liver transplant two years back. He was doing quite well and was very stable through out this 2 years. However, now his result shows high SGPT, SGOT and GGPT.Could you please help what is going wrong here?Many thanks,Sanchita | Hi thanks for asking question.Noted your father in law has done liver transplantation...Now enzymes elevation.So should be investigated.Here it could be chance of hepatitis b or c infection.Viral marker study done for it...And yes if history of hepatitis b or c and transplantation Done because of it then probably this infection should be sought...There are also chances of transplant rejection ...So should be searched for...If needed for correct diagnosis biopsy can be done....Take care...Dr.Parth | |
What causes potassium level to drop in cancer patient?
I am just trying to see if there is a cause for my step mother's pottassium to drop. She is undergoing the process of finding out where her cancer has originated but they cannot do any surgerys, etc. until her potassium is in normal range. I t will come up with medication, but then drop again. I was just looking for what might be the cause. | Thanks for your question on HCM.There are many causes for potassium loss in cancer patients. But the most common ones are.1. Poor oral intake.2. Excess loss in urine.3. Excess loss in stool (diarrhoea).Cancer patients tend to have poor appetite. So their oral intake is low.If cancer has spread in kidney than this csn alter the function of kidney and cause excessive loss in urine.Cancers patients are prone to gastrointestinal infection as their body defence is weakened. So diarrhoea can be the cause.Better to start potassium supplements. | |
Does masturbating lead to back pain?
hi, i am 14 years and i have been mastrubuting once per day for 1 year, i am a national team basketball player, my athletic abilities arnt as before and my lower back hurts aslo many other body parts, and i stopped getting taller, could you please tell me if i stopped mastrubuting will i gain everything back? | DearWe understand your concernsI went through your details. Masturbation could cause back pain not because of its negative health effects but because of the strain associated with it. The physical position you take while masturbation and the physical movements are important and excess strain can cause back pain. Otherwise, there is health problems with masturbation. Masturbation cannot stop your growth also. Stopping masturbation is not a wise alternative. You may masturbate thrice a week.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | |
Is a bleeding lesion on the skin dangerous?
I have two small bumps on my scalp, just above my right ear. I hadn't really even noticed them until a few weeks ago when blood starting pouring down my face and chest. Not sure if I maybe scratched it. I went to the doctor and they said it was an insignificant lesion. However since then I have had two other days where it bled.. I am not talking a little blood.. it was ALOT of blood. Today is the 3rd time it has happened. Basically I have to hold pressure to it until it stops bleeding, this can take approx. 30 minutes. Then just worry about when it will start bleeding again. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per my surgical experience, the bleeding lesion on the skin may be pre cancerous lesion or else. My recommendations - keep the part clean with antiseptic liquid. - apply sterile dressing to cover the part. - discuss the need of excision biopsy with your consultant. Take care. Regards. | |
Elevated bilrubin post liver resection to remove tumor. Had taken antibiotics and benedryl for arm infection. Has this increased the level?
I just had a liver resection to remove a tumor that measured 2.4 . It was hcc and it was right in middle of liver. I was recovering nicely and all lab work is normal but my bilirubin has gone up to 18.for the last two weeks it was fluctuating between 8 and 11. Last week I was put on antibiotics for an arm infection and benadrl to sleep. Could this be having an effect on numbers | The medications which you are taking are unlikely to cause the increase in bilirubin. There is a high likelihhod of obstruction to the bile duct. IT would be advisable to get a USG done immediately. If the results are equivocal then MRCP would help in ascertaining the cause. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
What do you suggest for severe rages and abusive tendencies?
My sister has severe rages, abusive tendencies, and appears disorganized. She has had a long history of escalating quickly. She is unable to carry on a normal conversation without becoming angry. Her attitude is "Its all able me". she lacks empathy and appears to act jealous of others. She has never been married nor has she had children. However, she wants others to think she knows more than the person she converses with. It seems the older she becomes the worse she is. Am I correct in saying that she could have a personality disorder. If so what personality disorder could it be? I thought maybe on the line of Narcissism. | Hi,Yes, she may be having a personality disorder, though she would also need assessment for other mental disorders as they are often co-morbid with personality disorders. As to the type of personality disorder, some of the traits that you mentioned are consistent with a diagnosis of narcissistic personality disorder. However it is usual for people to have traits of more than one personality disorders, thus having a mixed personality disorder. She should be assessed for other personality disorders as well, especially borderline personality disorder.Best wishes. | |
What causes flutters in the chest and light headedness?
have had a heart attack and 4 bypass in 2008, started taking pravastatin june 25. Have had coffee 2 cups and tea today. now having flutters in my chest lightheadedness. my blood pressure is 113/55 and pulse is 58. Normally my pulse is 80 or 90 s | Thanks for your question on HCM.In my opinion you are having arrhythmia which gives you feeling of flutters in chest.And your pulse are very slow.In my opinion you should immediately consult your cardiologist and get done ECG and 2D Echo To rule out cardiac arrhythmia as you are at high risk of this due to previous heart attacks and bypass surgeries..Due to low heart rate, blood supply of brain is reduced and this can cause giddiness and lightheadedness.So we need to treat it as soon as possible. So consult cardiologist and discuss all these. | |
What causes bumps on both sides of labia minora?
I have a few bumps on both sides of my labia minora. One of the bumps protrudes a small amount, but the others are small bumps. I recently shaved and hadn't noticed them before. They do not look like warts and I was at the gyno for a pap a couple months ago and she didn't say anything, but I didn't notice them at the time. They do not hurt or cause any discomfort. Any ideas? | hi.based from your description, yes, it could be folliculitis. this usually occurs after shaving or when a hair is accidentally pulled out and it gets infected. it could also be a cyst, or an inflammatory reaction which is starting to form an abscess. a consult with your gynecologist is best for clinical evaluation. medical and/or surgical management will be directed accordingly.hope this helps.good day!!~dr.kaye | |
What causes a sharp lump on the chin?
Hello. I have a lump on my chin. It is a non-moving sharp lump. It is on the left side of my chin. You cant see it on the outside. But it can hurt at sometimes. People feel it and they say it is most likely a bone spur. But im not sure. | Hi Dear,Welcome to HCM.Understanding your concern. As per your query sharp lump on the chin which is not very obvious from outside could be because of salivary gland dilatation which could be seen as a lump in chin area, it could be because of sebaceous cyst as well. Need not to worry. Visit general surgeon once and get it examined. Go for ultrasound to check the exact cause and to make out diagnosis. Go for massage therapy of this particular area. Take proper course of antibiotics to subside infection. Digital manipulation techniques will help to reduce this. Chew on citrus substances. Incision and drainage is the option if not treated medicinally with the advice of general surgeon. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What causes itching on testicle and penis after anal sex?
HI Doctor From time to time i make anal sex with my girl friend and after each time i have itching inside my testcul and penis and out side too...and it can stay like this for months ..one friend talld me some black african girls cause this when making anal sex because my girl is balck african .. it sound funny but that what he said | Hi,There are lot of chances to get contact with faecal remnants during anal sex...which might irritate the skin of glans and shaft of penis leading to irritant contact dermatitis. That causes itching in genitals and scrotum after anal sex. So, my advice is to avoid the anal sex... okHope this helps.Regards.Dr.Ilyas Patel,Dermatologist | |
Should i be worries about the itching and stinging while healing from chest infection?
I was recently on antibiotics for a chest infection. A day after stopping them I developed thrush. Pretty severe itching and stinging And fissures along my perineum and between the butt cheeks. This morning they have begun to bleed. Is this normal in the healing process?i took fluconazole 4 days ago | Hello, The symptoms seem to be related to an allergic reaction to the antibiotics. I suggest using antihistamines such as Cetirizine 10 mg to treat the itching. I also suggest soaking in warm water for 15 min to relieve the anal fissure. I recommend using Preparation H cream for local application. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Suggest remedy for pulsating sensation in the ribs area
Hi, im 26 years old, and over the past couple days, ive been having this pulsating feeling over the left side of my rib area. Its not painful, but it is giving me some discomfort. I dont have any previous medical conditions that are related too this. Any idea what it could be? | Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are mostly having stress and anxiety related palpitations. But better to rule out arrhythmia (disturbances in heart rhythm) because this can actually also cause similar symptoms. So get done ecg, 2d echo and Holter monitoring (24 hour continuous monitoring of ecg). If all these are normal then no need to worry for heart diseases. Stress and anxiety appear more likely in your case. So avoid stress and tension, be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What could be the reason for heaviness in chest, throat, upper abdomen and pain in the back?
Hey Dr, I have this feeling of heaviness in my chest, heaviness in my throat, pain in my upper abdomen, pain at the middle of my back and a hollow/ strange feeling of deepness or like a hole in btw my chest and my upper abdomen. I m so scared Dr, pls what is wrong with me Thank you Pam | Hi. There can be many reasons for this symptom-complex, the commonest can be due to heart problems like myocardiac infarct. Another possible reason may be related to oesophagus. I would first advice you to undergo EKG/ ECG to rule out heart problem. If this is normal would like to go for x-ray of the chest and upper GI endoscopy. This can be a serious problem unless proved otherwise, needs urgent medical attention. | |
What causes cough?
my chest hurts in the middle and my lower back hurts when i breathe i have had a dry hacking cough for 3 weeks went to er and they gave me tussionex which didnt help i waited five days and went to my dr.he gave me allergy &antibiotic injections also clairnex and antbiotic pills called avelox.im still coughing and now vomiting w/diarreah what could this be.i am asthmatic and i have bronchitis i am 40 years old and i am overweight i am 5'3 and 290lbs | Thanks for your question on Healthcare Magic. I can understand your concern. Since you are asthmatic, your continuous coughing is mostly due to acute exacerbation of asthma. And best treatment for this is inhaled treatment and you are not taking it so you are not improving. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes low BP and faster heart beat?
BLOOD PRESSURE IS LOW i.e. 96/65. Sometime taking breath very frequently & feel wickedness from throat to chest after like survive from high fever. I must inform that since few weeks being doing very hard works in this summer.Please, tell me the reason | Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that your symptoms may be related to dehydration (low water intake and increased sweating related to the hot weather and physical activity). A chronic anemia and other metabolic disorders (adrenal gland insufficiency, thyroid dysfunction, orthostatic intolerance) could also cause this clinical situation. I recommend consulting with your GP for a careful physical examination, a resting ECG and some blood lab tests : -complete blood count (chronic anemia)-PCR, sedimentation rate (inflammation)-fasting glucose-blood electrolytes-kidney and liver function tests-thyroid hormone levels-cortisol plasma levels. A head up tilt test is necessary to exclude possible orthostatic hypotension. Meanwhile, I recommend you to take plenty of water, avoid working in hot places and straining physical activity. Hope to have been helpful!Best wishes!Dr. Iliri | |
What causes weakness,light headedness and feeling like fainting?
im young and i hardly ever smoke but when i was i got really weak and light headed and callasped and felt like i was going to faint while standing , why did this happen? i googled it and some people said that it happend to them and they found out they had a heart dieses? | Hi,Thanks for writing in.Dizziness can be due to many reasons and can happen due to decreased blood flow from heart to brain. When it happens, the blood flowing through the vessels from heart to brain might have a reduced flow. These are by the carotid and vertebral arteries on either sides. You might require a brain scan and other investigations to study the flow of blood to the brain.There are also many other causes of dizziness within the brain like a small stroke like episode or any infection.Dizziness cal also occur due to problems in the inner ear and balance mechanism of the body. | |
What to do if having anxiety, depression, sleeplessness, nausea, weakness, loss of balance after being diagnosed with cancer?
Hi, my husband has. Cancer ,small cell aggressive. It has spread to hi abdomen, chemo and radiation. Have not. Worked, Dr just warnTo keep him comfortable, however , although he is not in pain, he has. Terrible anxiety,depression ,sleeplessness,and nausea... Weakness in his legs. And loss of balance... What can he take to address. All these symptoms? | All his symptoms are suggestive of depression. Depressive symptoms are seen in some cancer patients especially as time progresses. Since the main aim of therapy towards the end life is to keep the patients free of pain and symptom free, he needs to be treated for depression. Tricyclic antidepressants are the drugs of choice since he has sleeplessness also. | |
Suggest treatment for severe stomach pain
Hiii... can u please tell me the tests done for abdominal or intestinal tubrculosis..??As my stomach is paining at right side.. so the doctor ask me to test it for tuberculosis..!! Soo.. can u pls help me.. and please tell me that is it communicable and can harm my family members..? For this what are the precautions i will have to take..!' I will be highly thankful to u! | HelloAbdominal tuberculosis can be classified into the Tubercular mesenteric adenitis,intestinal tuberculosis, omental or tubercular peritonitis.The first investigation is blood test which can show increased ESR with raised lymphocytes count.Then an USG should be done to find out any enlarged and matted lymph node,thickening or adhesion of the intestinal wall or any collection of fluid.The next investigation may be CECT abdomen for better delineation of anatomic abnormality or if USG is doubtful. Sometimes there may be formation of cold abscess or mass,then aspiration of pus or USG guided biopsy of mass may be needed.The pus should be sent for test of tuberculosis.A test called Quantiferon gold test may also be advised for diagnosis.Tuberculosis is a communicable disease and mainly spread through droplets.Most communicable is pulmonary tuberculosis.Chances are very very less in abdominal tuberculosis if not associated with pulmonary TB.If there is only abdominal TB no specific precaution is needed.Regards | |
Could a trace amount of protein found in urinalysis due to having protein shake and 1 tsp of creatine everyday ?
Just had a urinalysis which showed a trace amount of protein . I drink a recovery protein shake per day and ingest 1tsp of creatine a day. Could these things be the reason for the test result and is this something I should be concerned about? | Welcome to HCM. Detection of protein in the urine, combined with a microscopic exam of urinary sediment, provides the basis for the differential diagnosis of renal disease. Sometime it may affected by diet.Better go for urine test after 3 to 4 days. If it is present again than go for further investigations to rule out the diagnosis. | |
Kidney stones. Ultrasound shows calculus in midpole of left kidney. Cause of worry?
Hi doctor, My USG report showed 5mm calculus in the midpole of left kidney . and doctor prescribed me with normaxin as he told that the pain fore stone is unbearable..but as my pain is mild and sometimes pinching in nature it may be due to gas.. Is there anything to worry about the 5 mm calculus???will it require a surgery? | Hello, 5mm calculus usually doesnot cause any problem. Surgery is not needed at this stage. But you need to take certain precautions. Drink plenty of water, Avoid/minimize intake of junk foods, meat, cola, excess dairy products. By taking these precautions, you can reduce risk of recurrent stone formations. Wish you good health. |
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