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Need treatment for pain on the ribs with asthma
im a 14 year old girl and I am having pain in the left side of my ribs when I do anything physical. I do have asthma but I don t think that s the cause of this pain the pain usally makes me fall to the floor crying for 5 minutes then graduly goes away its been happening for a wile now and the doctors at the doctors office are not very helpful id lke to know something about what I can do to get rid of the pain in any way? I don t take pills im against anything that isn t natural | HiYou must get examined by a doctor .He will hear your lung and heart sounds, touch where it hurts to find out whether it's from inflammation of rib or muscles.You may apply voltaren gel after hot fomentation to ease any inflammation.It's always good to consult a doctor who will help you with your problem,which is possible after examining to find cause. | |
Suggest treatment for lack of concentration
dear sir....my best friend is studying final year of mechanical engineering in an university of good reputation. he has an extraordinary vision and intelligence over many aspects. but since few months he is constantly complaining me that he is lagging concentration in every aspect and his performance is degrading day by day. he wanted to be normal but he could not. he will ask me to help him overcome but i really could not. he complains me that there is something in his head which makes him feel worse and thus he wanted to die...please help me guide him and bring him back, sir | your friend is having depression which is causing all his problems. in my opinion drugs like escitalopram and clonazepam will help him a lot to elevate mood and increase his concentration.so do not worry visit a psychiatrist as these drugs he will get on prescription only.he will be fine in 2 weeks after taking treatment.hope my answer helped you.take care.plz rate the answer. | |
What causes swelling and pain in the abdomen?
yesterday I had toast and juice for breakfast and then lentils with white rice and lettuce salad for lunch. Prior to lunch I suffered a migraine headache, took some tylenol and it helpped a bit but it left so tired. After eating I got a stomach pain. I thought I ate too much, when I got home I napped and when I woke up I had a very bad stomach ache and my abdomen was swollen. I tossed and turned for a couple of hours until I vomitted. It left me shaking and with a sored lower back and limbs. Today I woke up with a very mild stomach ache but my body feels as if I was ran over by a truck. Specially my legs, it makes it difficult to walk. | Such a severe pain causing tossing in bed is usually due to ureteric colic.Stone in ureter causes obstruction to urine outflow and smooth muscles in ureter contract excessively to overcome this obstruction & this causes severe pain.In such cases, I advise X-ray KUBU, ultrasound of abdomen, renal function tests, serum amylase & lipase.Empirically I give antispasmodics, pain killers & diuretics. Advise to drink 2-2.5 litres of water in 24 hours. Definitive treatment is according to reports.Hope this information is useful to you.Thanks. Regards. | |
What causes tiredness wand joint pain with muscular dystrophy?
Hi, my name is amy. i have muscular dystrophy and a twisted spine. this, clearly, causes lots of pain. However, recently I ve found out about the disease Chronic fatigue syndrome. I ve been feeling extremely tired, my joints ache more than usual and i m in pain 24/7, plus i ve been unable to pay attention like I use to and these are all side affects. How likely is this? | you need to go on A proper diet and a proper exercise plan to improve ur endurance and delay the fatigue level. I recommend to visit a physical therapist and take a proper exercise prescription. you may have developed another issues. but a proper exercise plan will be of help. | |
What causes lack of bowel movements for 2 weeks?
my son has not pooped for almost 2 weeks now i have had to give him a lax twice to make him poop. for about a week now he has been throwing up everyother night he dont have any flu like or bug or fever? my ped told me to give him an enema so i did yesterday and he pooped will if thats what u would call it. hes been drinking alot of liquids but lil or no food and still hasnt pooped my ped said to get an xray what do u think i should do ? | Hi Dear,Welcome to HCM.Understanding your concern. As per your query your son is having symptoms of lack of bowel movements for 2 weeks which could be due to many reasons such as - Due to decreased gastric motility- Inadequate intake of fluids and fiber rich diet- Eating a lot of dairy products- Some medications like antidepressants, acidity.- Irritable bowel syndromeNeed not to worry. You should avoid intake of sharp, spicy and hot food substances. I would suggest you to consult gastroenterologist for proper examination. Doctor may order colonoscopy or other tests to look for blockages in your colon , barium studies and blood test for hormonal changes. You should start with drinking a lot of water , do light exercises and avoid fatty and heavy meals. Doctor may prescribe fiber supplement, osmotic laxatives , stool softeners and medicine to reduce acidity.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What is the treatment for Chronic Obstructive Pulmonary Disease?
My mother was diagnosed with mild COPD. She was a social smoker for many years then had second hand exposure. She has mild dyspnea and only one hospitalization at 89 yrs. old when she developed a viral chest infection? She doesn t tolerate Flovent. Is she ok to be off regular inhaler use? | Thanks for your question on HCM. Since your mother is a diagnosed case of COPD, I advice her to consult pulmonologist for better treatment of COPD.Treatment of COPD is multifactorial. Try to follow these.1. Complete avoidance of smoking is the priority. 2. Inhaled bronchodilators. If flovent is not suitable for her, there are many other drugs available. So better to consult pulmonologist and start inhalers.3. Chest physiotherapy with deep breathing exercise. 4. Pulmonary vaccination with adult pneumococcal and H. Influenza vaccines to prevent future infections.So we have to follow all the steps simultaneously for better control of COPD. | |
Suggest natural treatment for swollen parotid gland
Hi, I had a swollen parotid gland in Dec. 2009 and had an mri and biopsy and my specialist said it was nothing to treat surgicaly. Today I have had swelling in the same gland and am curious as to why it may have come back and any natural treatments you may suggest as I have lost health care coverage. Thanks! Francine | HIWelcome to H C M Don't worry..No treatment is required .Normally it is due to viral/allergy.Avoid cod drinks,Advised hot saline gargles three times a day .Take Expert opinion from a E N T Specialist.Thanks | |
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 --> | |
Suggest treatment for hair loss
Hey DocI'm a 25 yr old girl. I have been suffering from the problem of Hair thinning and hair loss since past 12 trs. Though I was born with thick curly hair, but they were reduced to almost nothing when I entered my teens. earlier I never paid much attention to them and thought that i would regain my hair with the passage of time. when i turned 18, I became quite conscious of my apperance (as every other girl of my age is). This problem has been plaguing me since then.I have tried a lot of medicines (under the dermatologist's vision) over a period of time, but, nothing worked out. As my hair are curly and un-manageable, I got them permanently straightned. I have been experiencing much more hairfall since then.Also, i have developed a big patch (about 2 inches long and 1inch wide ) in the middle of my head (towards the back side).Moreover, i have lost several hair in the crown area of my head (my hair have become so thin that one can virtually see my scalp).I have been suffering from a low self esteem and avoid people/gatherings. Please suggest me a sure shot way to arrest hairfall and increase the hairgrowth manifolds.Thanks. | Hi, I would recommend you to go for certain lab tests like haemoglobin, serum ferritin levels, serum vitamin D levels, serum vitamin B12 levels and thyroid function tests.Start with minoxidil 2 per cent lotion on the affected areas of the scalp and take hair supplements like tablet follihair A. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | |
Suggest treatment for liver flukes
my friends' daughter was recently diagnosed as having liver flukes. they have made their way to her stomach and intestines, and she has begun throwing up these flukes. no one in our area knows really what to do and the 'strongest' medication that is supposedly available hasn't helped. she has no insurance and no gastroenterologist is willing to treat her without it. we have done research and one in 2.7 million americans is suffering from this parasite infestation. what do we do? | dear friend you have not mentioned the age of the patient.there ate anti parasitic drugs available which are effective in case of parasitic infestation, but none of them would generally be available OTC. please take help of govt assisted medical schemes for proper treatment. | |
Suggest treatment for back pain
Hi. I have had a sore throat for about 5 days with no other symptoms but body aches. Then it finally went away and started to feel better. Today it is back and hurts again with aches. I should mention I have been up since 4am traveling and switching planes and had a nonstop day. So body aches and throat is back. Should I be worried or does it just sound like the first day i felt great I wore my body out and my immunity lowered when I wasn t 100%? PS. I ve had strep throat before and it is PAINFUL like can t even swallow so I don t think I have strep because not near amount of pain. Throat is red though red veins are prominent. | Hello. Thanks for writing to us. The body aches that you are having can be due to a post viral syndrome. You can take a mild pain killer and take a hot shower for symptomatic relief. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal . For future query, you can directly approach me through my profile URL drtayal72@gmail.com | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Q. What is the reason for burning sensation and pain before sneezing?
Hello doctor, I am 38 years old, male. Whenever I am about to get multiple sneezes just before I get burning and intense pain inside my nose and sinuses. Especially if am around the kitchen or anywhere in the house, especially if frying is happening in kitchen. My sneeze smells bad most of the time. What is the treatment? | Hi. It is clear that you have allergic rhinitis, especially for indoor substances as fried oil and maybe carpets or anything else at home. You need to use intranasal corticosteroid spray once daily as Avamys (Fluticasone furoate) spray. But for the bad smell, I need to know if you have a sputum coming out after sneezing and if it is present, what is its color? | |
What are the side effects of Betnesol Injection?
Hello All, My Wife is pregnent (32 weeks) and yesterday we went for her regular checkup. As per all reports and my wife s condition is perfectly all right, her blood group is B +ve. But doctor has writen to take 3 Amp of Betnesol Injections 2 days (with 24 hrs gap). My wife has taken Dose of injection for 2 days. Today i was reading the articles about this injuction and i am much worried. Could you please advice if there is any harm for my wife and baby in taking the Betnesol Injection. | Hi,Betnesol (betamethasone) is a corticosteroid commonly prescribed to increase the surfactant levels to enhance the process of lung maturity in preterm babies thus to prevent complications involving the heart, lungs and brain in the new born.Common side effects in the mother include high blood sugar, increase appetite and weight gain, heartburn, gastritis or stomach ulcer, muscle weakness, or high blood pressure. It may also cause mood changes, anxiety, confusion and sleep disturbances.Common side effects in the baby include temporarily slowing of the baby's heart rate and body movements, and slowed growth. It may also cause the baby to make less of its own steroid hormones after birth, but this usually resolves on its own and rarely causes any problems.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Q. Can single dose of cocaine result in blood in urine?
Hello doctor, My step daughter who is eight years old had belly pain, blood in anus and urine. Her organic father is a drug addict; we think he gave her Cocaine to eat. Would there be symptoms of having Cocaine? Please guide. | Hi. I can understand your concerns. Revert back with the above reports to a child health specialist online --> | |
How to get rid of minuscule inflammation around mouth?
i have some small minuscle inflammations around my mouth, they become dark after a while and the skin sheds....previously my derma told me its caused due to some drug....but i have not taken medication of any type for months and yet it keeps coming back....it causes hyperpigmentation and is embarrasing....please help | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have minuscule inflammation around mouth which could be due to allergic reaction, stress, hormonal changes, use of wrong cosmetic product. I would suggest you to take anti allergic like Allegra 60mg twice daily for 3 days and Ibuprofen in case of pain. . To alleviate swelling and any type of inflammation you can go for steroid injections and topical medications. Maintain oral hygiene. Apply dologel on area of inflammation. Drink plenty of fluids. Apply cream containing kojic acid to lighten inflammation. I would suggest you to consult dermatologist again for proper evaluation ,doctor may prescribe antibiotic course for 6- 12 weeks and may also prescribe medicine like isotretinoinHope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Suggest treatment for glandular fever
Hi, My little brother who is 16 has been diagnosed with glandular fever. This was about 6 weeks ago, he’s tired all the time and has a low white blood cell count. Over the past 2 weeks he has been getting worse and even fainting. This morning while taking him to school he fainted while driving, it was very scary. He is now fainting about twice a day and we live in a rural town and cannot get into see a doctor again until Friday. He also had a large lump on his neck, the appeared last week but went away after a couple of days. He is a very fit and healthy kid, he was born with his heart on the wrong side but fit as a fiddle apart from that.Is there a chance he may have been missed diagnosed? Is the fainting anything to worry about, he is well rested and eating and drinking right just like the doctor said but is not getting any better. | Hello there,Glandular fever has symptoms just like the flu but a more aggravated. Fatigue, fever loss of interest in doing anything. Normally the symptoms last for about 2 weeks and it takes another week to make a full recovery. Let your little brother have plenty of fluids as the dehydration is due to a loss of fluids and a dip in blood glucose. You can give him light foods like bananas, coconut water, porridge, juices preferably fresh or even lemonade with some rock salt added to it. Even Tang mixed in water is good. If he still has bouts of fever you can give him crocin 250 mg twice a day. Make sure he has something to eat or drink every 3 hours and that will help to rectify his tiredness.I appreciate your concern for your brother but glandular fever is something which looks much worse than it actually is.Hope this helps,Please feel free to address any further queries to me, | |
What food and medication should i follow to reduce white rashes on legs and stomach ?
hi.. This is sandy from banglore... I have some white dots on my legs and stomach...those are becoming bigger..and spreading...from last 1 1/2 years...i consulted a doctor ...he said to stop eating sour items like tamarind,mango,lemon....like things....eventhough i stopped it ...its fully not decreased...tell me what food i have to take in order to decrease its effect... thanks in advance | welcome to healthcaremagic may be you are having vitiligo/leucoderma consult dermatologist and take treatment | |
Am I having abortions because of hypothyroidism ?
Hi sir, I am 30years old 4years back married. I have hypothyroidism and periods irregular and i got 3 missed abortions what is the reason please can you chat with me | Hi Welcome to HealthcareMagic Hypothyroidism itself is one of the cause for infertility. Hypothyroidism can lead to irregular periods and miscarriages . You need to control your thyroid level. With normal thyroid level your periods will become normal and chances of getting pregnant will increase. Other causes of infertility need to be investigated. Consult a gynecologist for further management . Take care. | |
Will a lung site after TB treatment still transmit disease through air?
One of our employees in UAE is suffering from TB Adenitis. She was sent to her home country for treatment. She has now presented a certificate from a pulmonologist stating that the site is non infectious and non communicable after medications for 2 weeks...If the lungs are clear, can we risk bringing her back? Will it be transmitted through air to others? | Hi thanks for asking question.TB is spread by aerosol route through air during infective stage of TB.Mostly without treatment in initially 2 to 3 week it is highly infectious ,but with starting anti TB treatment chances are less because these drugs are highly effective in killing bacteria.Even now chest is also clear of that employee.And that employee has taken drug for 2 week.Also pulmonologist give him non infectious certificate.So yes that employee can be taken back for work,And TB can infect you only if you have low immunity.So try to maintain your immunity with proper diet.Encourage that employee for complete drug therapy to completely cure TB.I hope i have solve your query. | |
How should hair fall following fever and rashes be treated?
after i got high fever for 3 days 2 and half month back i started getting rashes in my body than my body skin started getting very dry after i went to skin specialist it got better my hair was also falling but i never gave much attention but now i started noticing that bunch of hair falls when i take hair bath and my hair has become very scanty. | Hello. Thanks for writing here.The hair fall you are describing here is called Telogen effluvium.It is caused by sudden emotional or physioloigical stress. Fever you had 2 months back is the stress in your case.Hair cycle includes 3 phases: 1) Anagen : active growth phase of hair follicles.2) Catagen: end of the active growth of hair follicles3) Telogen: the resting pahse of hair follicles.In telogen effluvium there is accelerated shedding of hairs in telogen phase.Telogen effluvium is a reactive process and resolves spontaneously. The main part of treatment is Reassurance.You will get your hair back within 3-6 months though it is difficult to say the exact time.In my opinion you can take tablets containing biotin and zinc. These micro nutrients are essential for hair growth though it is difficult to say how much you will be benefited.You need not to worry about this.I hope I have answered your query.Thanks and regards.Dr Chintan Solanki | |
What causes puss filled rashes?
My 6 months old child had fever measuring 102F.when consulted urinary tract infection was diagnosed.but after 2days child has rashes all over the body which is reddish in colour and some with pus filled in.doc advised ATARAX and dermocalm lotion .what may b the reason for the presence of rashes | Hi, Perhaps he has miliria (rubra with periporitis). It is due to excessive sweating from high fever and blockage of sweat ducts. I suggest that you continue with the calamine lotion as well as Atarax syp. In addition I suggest you to apply a topical antibiotic e.g neosporin ointment or mupirocin ointment for the pus filled lesions. Hope I have answered your query. Let me know if I can assist you further. | |
Q. Is it fine to have hepatitis B symptoms for a week only?
Hello doctor, Please, I was diagnosed with hepatitis B positive last week. I had the symptoms for about five days but now I am feeling better without any symptoms. What does that mean? | Hello. I need to know these things first. 1. How did you come to know about having hepatitis B, usually HBsAg (surface antigen) is detected in the routine kits? 2. Had there been, any past history of jaundice? 3. Were you immunized for hepatitis B in the past? 4. Were there any other tests performed to check for chronicity of hepatitis B? What happens in hepatitis B is if the virus is not acquired by birth (like acquired during adult life), the body can clear the infection in about 90 to 95 percent of the patients, but in about 5 percent cases the chronicity develops. But, if the virus is acquired from mother at the time of birth, then the chances of hepatitis B, being chronic are very high. If one has been immunized for hepatitis B in the past and active immunity has developed, then even if the body gets an infection from hepatitis B, the body can eliminate the virus on its own. You should get yourself tested for chronicity for hepatitis B, for that get yourself tested for IgM anti-HBc (antibody against core antigen), if it is positive there are high chances you had an acute infection which your body can fight out most of the time (~95 %), but, if it is negative then you need to get yourself worked up for chronic hepatitis B, and if eligible, should start treatment. | |
What does an indentation over the sacral area indicate?
Hi..my sister noticed a small indentation over the sacral area on the gluteal cleft 4 days ago. There is no mass of hairs or cyst over the indentation. It is a well circumscribed non inflammed indentation. Should we go and seek for medical attention to see if it is related to any bony deformities/spina bifida/ renal problems etc?Thank you in advance | Hi,If this dimple is painless and doesn't increase in mass I wouldn't worry. Usually they don't need any medical treatment. Rarely, sacral dimples are associated with a serious underlying abnormality of the spine or spinal cord. Examples include: Spina bifida. A very mild form of this condition, called spina bifida occulta, occurs when the spine doesn't close properly around the spinal cord but the cord remains within the spinal canal. Hope the above information helps you. Let me know if I can assist you further.Regards,Dr. Ahmed Aly Hassan | |
Is it normal to have abdominal pain after the wet dreams?
Hi im im already 22yo from philippines. I dont know how exact the explanation is this. I experience rarely wetdreams it is giving me painfull abdomen because its totally cant comeout (sperm) because if going to happen i got awake. Few years before if its happen it does not getting hurt beacause all the fluids comeout normally. (Sorry for my english)Is there medical explanation ?What risk in my health i need to know?How can i relieve the pain of my abdomen?Is it normal that already 22yo gets wetdream? | Your wetdreams are incomplete that is causing you abdominal pain. First thing I would like to know is type of pain and exact location of pain. If it is burning pain occuring during urination it is due to semen stasis in the urethra. If it is so then you should immediately get up of your bed and do urination. This might help you. I also suggest you to drink more water which avoids the chances of urinary tract infection.Your complaint is purely episodic associated with wetdreams so it is not suggesting any hidden health disorder.This is completely normal to have wetdreams at this age. | |
Q. I suspect myself to have parathyroid disorder. Please help.
Hello doctor, I am a female, with 5'4" in height and 155 in weight. I suspect I may have a parathyroid disorder. About two years ago, I was diagnosed with Fibromyalgia. Doctor did blood work and also told me Vitamin D was very low. He prescribed high dose Vitamin D. I suffered from my first battle with kidney stone about a month after the Vitamin D was started. I have terrible pain that feels like my bones in my thighs and behind my shins. My joints in my hands hurt so bad I cannot grip things. I had gastric bypass before six years and since have lost 135 lbs. My symptoms have only gotten worse since then. I always thought I had fibromyalgia, but the medication has never helped me. I suffer from chronic migraines which my neurologist has me on Botox every quarter. I am deeply depressed because I was always in terrible pain. The ER is starting to think I am a drug addict and need to see if it is something else other than fibro that is causing my pain. | Hello. Welcome to icliniq.com. Your symptoms of fibromyalgia can be explained by Vitamin D deficiency. Now why vitamin D deficiency is there has to be evaluated. There are many causes of Vitamin D deficiency, and yes, hyperparathyroidism is one of the reason. But the prevalence of hyperparathyroidism is less. The other causes of Vitamin deficiency are the low intake of Vitamin D rich food, less exposure to sunlight. Also, your Roux-en-Y gastric bypass decreases Vitamin D absorption from food. So presently, I do not consider parathyroid as the cause of your problem. Coming to your kidney stones was any urine analysis done to find out what kind of stone you had? Because the intake of Vitamin D increases absorption of calcium from the gut and high calcium can cause kidney stones. Also, because of your Roux-en-Y gastric bypass, there can happen increased absorption of oxalates which can cause kidney stones. So it is essential to know what tests were done for kidney stones. Till then continue your Vitamin D supplementation, get serum uric acid, serum PTH, 24-hour urinary calcium, and oxalate tests done and revert. You can start Gabapentin for your pains. Any clarifications feel free to ask. | |
Can cyst and fluid near brain cause any developmental issue?
my son is 5 months old and had and MRI dont they found a little bit of extra fluid aqround his brain but not enough to be worrined about. But when they did the MRI they found a Cyst by his brain on the back of his Head. he has seen a specilest but i want to know could that harm his development? Will he need surgery? its a farily large and they say not to worry about it. He also has level 5 reflux in both of his kidneys that he may need surgery for when he turn a year old | Hiyou have to wait and watch. Many times cysts and fluid in brain doesn't affect development of child. It depends upon amount of fluid, site of brain surrounding the cyst and whether size is increasing or not. You need to keep tab on head size . Regularly follow up with pediatrician. If head size is increasing adequately its ok. if it is increasing too rapidly consult your specialist. | |
Should the wisdom tooth be removed or can I get the root canal done ?
My wisdom tooth was half broken & it was not paining. So the dentist filled it with cement. After one year, now it has started paining & the filling is getting removed in small parts when i eat something. Should i get the wisdom tooth removed or get the root canal done. Pls suggest. | Hello, your treatment depends on many factors:- 1) your upper wisdom of same side is present or not- if your upper correspondent tooth is absent get it extracted. if it is present then dentist has to evaluate how complex the tooth root morphology is . 2) wisdom tooth normally have curved and fused roots, so your treatment depends on the x-ray investigation. if roots are in the favorable pattern and can be negotiated prognosis will be good. 3) if the decay is very deep and reached the root level get it extracted. before any procedure get an X- ray done and check for upper wisdom. thanks. | |
Q. Why do I feel like urinating immediately after I pass urine?
Hi doctor, I am a 36 year old, active male. My height is 6 feet and weight is 175 lbs. Previously, I had Zoloft for anxiety. Now, I am just doing exercise, eating healthy food and vitamins. I have been diagnosed with prostatitis a few times in the past few months. I was also diagnosed with this roughly three years ago. The symptom includes feeling like urine stays on the tip of my penis, thus the constant feeling of the need to urinate. There is no real pain, just discomfort and I have always had a problem with hesitation and fully emptying my bladder. I have taken Bactrim for three to four weeks and now, I am on a 6 week cycle. I have gotten better and it came back twice during this cycle. I literally have the feeling that I need to urinate right after I urinate. I had a prostate examination three weeks ago and said that it was slightly enlarged, but not concerning. I had an ultrasound of my bladder and emptied almost all, but a few left in. My urine was tested for infection and came back negative. PSA done and there is no cancer. I am looking for advice. Thank you. | Hi. I have gone through your history and treatment details. uroflowmetry and transrectal ultrasound of prostate. Revert back with the reports and detailed history to a urologist online.---> | |
Q. How to cure chronic post-nasal drip and change of voice?
Hi doctor, I am 19 years old. I have been living with persistent allergies in my whole life. I have chronic post-nasal drip. I have lost my voice and get some sort of sore throat, whether that be laryngitis or strep throat. I had the same thing thrice in the past three months. This is especially difficult because I sing in my school's advanced chorus. In addition, because of the chronic post-nasal drip, I have to clear my throat a lot. My sinuses are congested frequently. Over-the-counter drugs provide temporary relief, but I have reached a point where I am tired of taking Mucinex or Benadryl every couple of days. I was wondering if I am a good candidate for sinus surgery. My mother and grandmother have both suffered from similar symptoms in the past and they both have had the surgery. It has seemed to help them overcome about 85% of their previous issues. Please help me. Thank you. | Hi. As you said, you have chronic post-nasal drip with a change of voice. According to me, it is chronic sinusitis with chronic laryngopharyngitis. The diagnosis of chronic sinusitis must be confirmed and I suggest you get a CT PNS (paranasal sinus) done and send me the pictures. For now, I suggest a Fluticasone nasal spray twice daily, tablet Montair LC (Montelukast and Levocetirizine) once daily and capsule Pantoprazole once daily. Also, take steam inhalation and avoid high pitch singing while you have a sore throat. One more thing, I want to know is that whether your voice has become hoarse or you cannot sing because you have a feeling of a dry throat. For further information consult an ENT otolaryngologist online --> | |
What is the age of doing sunnah?
Till what age a person can undergo Sunnath operation ? I am now 32 years old not married, virgin. Is it possible for me to do the operation ? I heard about the recovery will take one month but how about the pain and dressing style ? Travelling and others please specify. thank you | DearWe understand your concernsI went through your details. Sunnath or popularly known as circumcision, is a very simple surgical procedure with which the extra foreskin from male penis is removed. Circumcision can be performed at any age and there is no risk at all. Recovery time will be from a week to one month according to the situation. It is a surgical wound and it takes its time to heal. There is no risk in traveling after a week. Nothing to worry for you. Go ahead and consult a surgeon.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. | |
What is prescribes if a baby sleeps more by taking syrups ?
Sir, my one and a half months old child is undergoing treatment for dry skin (red markings on his face) at a dermatologist. Apart from a moisturizer he has prescribed practin syrup for him (7 drops before breast-feeding twice a day ). After few doses my child is sleeping all the time, gets up for 5 to 6 min drinks some milk and again goes to sleep. Please advice regarding this. | Hi, I'am Dr Suresh K Yadav MD (paediatrics), I had gone through your question and understand your concerns,It is due to sedative effect of practin syrup which contains cyproheptadine , Cyproheptadine is prone to cause sedation , so my advise to you is to stop practin and consult your doctor regarding this , either reducing doses or use do any other medicine , or use of topical medicines only is going to help.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questionsTake care. | |
Is Cannabis oil used to treat stage-2 bladder cancer?
I have been diagnosed with bladder cancer stage 2, n aggressive in nature(as explained) by Doctor. I want to of alternative cure such as cannabis oils/ b17 etc, rather go for bladder and prostrate removal as suggested by my doctor. If the alternate option is, how long does it take to show results of regression of. Cancer cells.?.? | there is no evidence of result outcome of alternative therapy in bladder cancer. so not possible to comment on it | |
Could delay in periods and cramping in lower stomach indicate pregnancy?
My period is 8 days late. I have mild cramping, mild headacts, feeling sick to stomach but no vomiting. I took 2 home pregnancy test bu they came back negative. My cramping is more in my lower stomach but not like an ovary cramp. I stay hungry...My last period was December 30, 2011. Could I be pregnant? | Hallow Dear, The first cardinal symptom of pregnancy is missing a period, which you have. The other cardinal symptoms are Nausea & vomiting with pica, frequent urination and Breast symptoms; of which you have nausea and vomiting but the rest two are missing. Of course, they appear about 10 days after the missed period. Anyway, cramps in the abdomen is not a classic symptom of pregnancy. Since, even 8 days after the missed period your pregnancy tests are negative twice, you are not pregnant. Still if you want to endorse the diagnosis by some other test, you may opt for Beta hCG test on your blood. The cramps you are having in lower abdomen are more indicative of impending menses. If you do not start menses within next 4 days, you may take some Progestational preparation for 5 days with the advice of your Gynaecologist. Then within 4-7 days you will get withdrawal bleeding. I hope this helps you. Dr. Nishikant Shrotri | |
Q. l got a sore hard lump after the removal of wisdom tooth. Is it normal?
Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. | Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> | |
Q. What are the treatment options for Internal Hemorrhoids?
Hello doctor, I could feel a lump near my anus from around 5th of December. About 3-4 days back it burst and I could see blood coming out while cleaning after passing stools.Now the bleeding has reduced, but I can still see blood oozing while I wipe the area with a tissue.I was diagnosed with internal hemorrhoids about 2 years back (had one instance of bleeding).But the doctor said I did not need any treatment then.Can you please see the picture (attachment removed to protect patient identity) and suggest the required treatment? | Hi. In this type of hemorrhoids (internal hemorrhoids), we first give medical treatment and if the condition does not improve, then we can consider for endoscopy and surgical treatment. Advice: Provide details about any other illnesses (if you have) because, we need to identify the causes of this problem. The lab tests that have to be done are CBC (Complete Blood Count) and LFT (Liver Function Test). Revert back with the reports and a detailed history to a medical gastroenterologist online for further follow up --> | |
Suggest remedies to lower creatinine level to normal
Hello Doctor My Mom's kidney size has beed shrunk. Her Creatinine level was 5.06 . Age-52, Doctor told that this is chronic renal failure but such high level of creatinine was due to infection. So after medication for infection, creatinine has come down to 3.3. So how can this be reduced further. If Creatinine level continues arnd 2.5 - 3, is it fine ? Can diet control help this | hai, High creatinine level can be controlled by certain restriction to food intake.Low-protein, low-salt and low-creatinine diet can help in controlling high creatinine level by reducing building up of metabolic wastes and relieving burdens to the kidneys.keep her free from getting infection.avoid heavy physical activity.thank youhope i answered your query | |
Q. Can Zoloft and Concerta be stopped in depression patient without side effects?
Hello doctor, For the past three years, I have been taking 100 mg of Zoloft and for the past five years, I have been taking 36 mg of Concerta. While taking them, my mood was pretty consistent with only a few times of feeling slightly depressed. But while I took them, I still was overthinking and had stress that consumed my thoughts. But, even when my mood was consistent, I still felt kind of boring. It could be from outside factors like school but I still have excessive thoughts about things outside of school. After taking the medicines for so long and having switched from different medicine before and trying different doses, I thought maybe it is time to cut out the Zoloft altogether. So I went to 50 mg, then down to not taking it at all about a week and a half ago. For the first 10 days I felt pretty much the same but for the past three to four days, I have been very irritable and today especially feel completely numb. Also, today for the first time since stopping Zoloft, I felt the stress and overthinking that I usually felt while taking Zoloft. I have been trying to find the right medicine and amount of medicine for about a total of six years to feel my best. I am not sure if I am just overthinking. Stopping it makes me think that I will be more depressed which makes me actually believe and feel that it is just lack of sleep mixed with female hormones. I really need to find the underlying issue of my feelings and figure out what is best for me. Ideally, I would like to feel my best without medication but the Concerta works well for me. I am not sure if the Concerta plays any role in my mood and stress. I really need guidance. I had Lexapro in the past for the same issue. | Hello. Firstly, regarding Zoloft (Sertraline), it is an antidepressant medicine which increases the level of serotonin in the brain which in turn aids in a normal mood. If such a medication is tapered suddenly or stopped suddenly then rebound symptoms of anxiety and depression occur. So it is advisable that if these medications are to be tapered then it should be done gradually. Also, these medications should not be stopped till the patient has become totally stable and normal. Even upon reaching normalcy these medications are to be taken in a maintenance dosing course before one can plan on tapering or stopping them. It would be advisable that your main complaints are discussed in detail so that a proper medication regimen can be planned. Now on to regarding the use of Concerta (Methylphenidate), it is basically a psychostimulant which is usually prescribed to children suffering from ADHD (attention-deficit hyperactivity disorder) who have poor attention and concentration span. If it is taken by a non-patient, though it may help in improving concentration and attention. It carries a high risk of addiction. So, it is advisable to stop Concerta. For more information consult a psychiatrist online --> | |
Suggest remedies for swelling of lower lip after a meal
HI For the 2nd time in as many months, my husband s bottom lip swellsed up 2 to 3 times its normal size. He has no symptoms other than that - no itching, headache, flushing or any normal symptoms of an allergic reaction.It happened this afternoon after a normal lunch - roast beef and swiss sandwhich, pickle, a few chips and a Dr. Pepper to drink. He took a Benedryl when he got home about a half hour ago, but the swelling hasn t gone down yet. | hello As I see from your question .your husband might be suffering from allergy ..this allergy can be due to some specific food item or other things..I advise you to visit your physician at the earliest. | |
Should tetanus shot needs to be given after a incubation period?
PATIENT CAME INTO CLINIC, HE HURT HIS FINGER AROUND CHRISTMAS ON RUSTED BARB WIRE. NOW, THREE WEEKS LATER, SEVERE SWELLING, NO FEVER NO STIFFNESS BUT NO FOREIGN OBJECT IN XRAY. PATIENT HAS NOT HAD TETANUS SHOT, AT THIS POINT HE IS PAST INCUBATION PERIOD, BUT WOULD YOU RECOMMEND GIVING THE SHOT AT THIS TIME? COMPLAINING OF A GREAT DEAL OF PAIN? | Hello,Welcome to HCM,There is no point in giving tetanus injection after a period of three weeks, for this patient you can give tetanus immunoglobulin, which is a ready madeantibodies which helps to combat the tetanus spores from releasing the toxins like tetanospasmin and tetanolysin.This patients symptoms looks like having cellulitis of the finger and requires broad spectrum antibiotics like Tab Augmentin, twice daily for 5 days, which will act on the staph and strep infection and control the symptoms.Thank you. | |
What causes painful lump under the nipples?
Hello. I am a 54 yr old male. I am having a painful lump under my right side nipples. This has been going on for a week now. I have warts on my nipples and the right side nipples has now dots of wounds. I have hypertension taking up Cozaar and Amvasc. I do not know what this is. Please help me. | Hi, dearI have gone through your question. I can understand your concern. You may have some benign breast lesion like cyst, fibroadenoma or fibroadenosis or sime cancer. You should go for mammography and biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Why is my son only drinking water?
My son is 6 tomorrow an has been sick twice in the last 2 1/2 hours he is drinking water an has gone back to sleep he s hardy eaten today but has been ok throughout the day will he be ok tomorrow do you think if he doesn t eat, last food he had was about 5pm??? | Welcome to healthcare magic.Dear parent Vomiting hopefully improves after he wakes up.But considering it does not improve Give him a dose of Domeperiodone and Oral rehydratin solution (ORS).Once he tolerates he can start normal feed.Ors will also correct any fluid and electrolyte imbalance.Good luck | |
What causes stomach pain with flatulence?
My daughter is 13mth old and has been experiencing pain in her tummy for the past week which is mostly happening at nite and causing her to wake every 2-3 hours and cry for 30mins-1hr. She cannot get comfortable and screams loudly then will pass gas. She is still on baby formula for a morning and night feed and was previosuly diagnosed with acid reflux at 10 weeks but this seemed to work itself the past 3months. What could this be, how can i help her? Is she too old for colic? | Hello. Welcome to HCM. Stomach pain can be caused by a virus or from something she has eaten. Watch for any specific food that your daughter may have eaten these days and don't give this food to her for a week. if this doesn't work i suggest you switch your formula brand. Colic is very rare at this time. After bottle feeding try to burp her to get out the air in her stomach. | |
Q. My homocysteine and lipoprotein values are elevated. Is it worrisome?
Hello doctor, I have homocysteine value 23.6, and lipoprotein 31.5. ECG and TMT are normal. Is it serious? As I smoke, is it normal because of my smoking? Do I need to visit a doctor? | Hello. I have gone through your reports (attachment removed to protect patient identity). This is not worrisome. Lipoprotein is just borderline, and you just need to have a healthy lifestyle to control it like low oily, fat and calorie diet along with regular exercises at least 30 minutes a day. Lipoprotein correlates with cholesterol. So, once you should get your lipid profile done. Homocysteine is elevated to some extent which is usually due to vitamin B12 or folate deficiency. So, you need to get the level of vitamin B12 and folic acid done, and supplements, if either one is deficient. Thirdly, you have mild prolapse of the mitral valve in echo which is not usually worrisome but should be kept under observation. So, you get echo done every two to three years. So overall, it is not worrisome, but smoking is always injurious to health. It increases the risk of many illnesses. So, effort should be always to cut down on smoking and it is best to avoid it. For more information consult a cardiologist online --> | |
Is it safe to take Montair, Levolin and Combihale for a long duration of time and what could be the possible side effects?
I am taking montair lc one tab , livolin 2 puff twice, combihale ff 250 2 puff twice daily from last one year. After diagnosis of asthma. Is it safe to take that much medicine so long. Is there any alternative. What are the side effects of these medicine. Feel very tired all the time. | Hello,Welcome to HCM,Is is not safe to take these medicine for long time. in case of emergency use it is ok otherwise not. These medicine have many side effects after consuming for long time.Homeopathy have a sure solution for asthma. You can be free from these medication too without any side effect.Homeopathic treatment is based on total understanding of patient on physical and mental level. And that's why detail history of patient is needed for proper homeopathic treatment. Your problem can be cured permanently with homeopathy.So consult to good classical homeopath nearby you or contact us.Have a better health. | |
What could be the cause of constant stabbing pain in right testicle?
My husband just woke up with a stabbing pain in his right testicle. He says it is a 10 on the pain scale. It is just constant and he doesn t know what would cause this. He didn t have any injury to that area today. Is this something that will go away or should we go to the ER? | Sudden stabbing pain on testis implies that it is torsion of testis. Does he have swelling as well? If yes then, Take him to ER as soon as possible. He needs to get treated as soon as possible. | |
Small, pin-sized dots on the lower legs, no itching or pain. Had been camping all day. Is it a bug bite?
About a month ago, I notice little red, pin sized dots on my lower legs. it actually looks like someone took a red ink pin and tried to color on me. they do not hurt, itch or burn . well, they went away, we went camping, so i was thinking it was a bug bite , but no one else in my family had them..........well, they came back, noticed them, yesterday and because of the rain, I have not been out side or camping......any idea? | Hi,After reading your history it appears that you might have developed allergic dermatitis to some contact allergen or due environmental agent. I advise you to not pinch or pop the area otherwise these areas are very prone for getting secondary infection. You can apply an steroid cream such as cortisone cream. If itching is present then can take benadryl accordingly. Apply a plenty of moisturizers over the affected area. If these increase the n consult a dermatologist for higher treatment | |
After an unprotected sex i took mifepristone, could i be pregnant ?
hi i had unprotected sex on saturday and i took mifepristone and i had sex again on sunday without taking any drug then on the 31st of april i had a heavy flow | Thanks for the query. If u had bleeding then it is unlikely that u r pregnant but just to be sure get yourself a urine pregnancy test. Have a healthy living | |
What causes rash around stomach and torso?
my husband has a rash around his stomach and his upper torso. I've not changed laundry detergents, products, etc. It is itchy. He keeps grasping at straws trying to figure it out; he's gone as far as thinking its scabies. I am fine have no rashes or anything neither do our four kids. Any thoughts. | HelloThank you for contacting HCM.Actually it is quite difficult to diagnose/suggest a skin disease without seeing it. As far as scabies is concerned, following things if present in family suggests scabies:1. Itching between fingers.2. Severe itching specially at night and you get awake.3. More than one family member involved.There are multiple causes of rash on body. Which can be as simple as an insect bite and can be complex diseases as well.For itch i would suggest you to give:> Tab. Zanlan 10mg (Cetirizine) 1 tablet at night for 4 days.> Tab Sigmar 10mg (Ebastine) 1 tablet in the morning for 4 days"Zanlan" causes sedation so i advised at night while "sigmar" does not cause sedation so it can be taken during the day time. Both these will help in controlling the itching BUT at the same time consult your nearest doctor if :> Condition starts to deteriorate.> Condition does not resolve in 2-3 days> Any other problem starts.Hope it will help you and make your husband well soon.Thank You | |
Suggest treatment for anal warts
I have a story that leads to a question – im a smoker and a heavy drinker – so much so you could call me an alcoholic – I smoke a little bit of pot – only a couple of times a week and not very much either – sexually deprived coz my boyfriend hasn’t been interested for long time – I have had 5 seizures – I have had a ct scan and an MRI and an EEG – all have, as far as I know are good with no . . . nothing to cause concern – as far as I know – I have been prescribed dilantin – I haven’t been diligent with taking them – just every now n then – recent doctors visit was a week ago and had blood tests and all come back good – no cause for concern – I have got internal anal warts – how do I get rid of them??? A friend gave me some olanzapine – I haven’t taken any – should I ??? | HelloAs you mentioned that you are having ANAL WARTS so read this carefully:Anal warts are usually multiple and present that same characteristic features as warts elsewhere . Simple warts respond well to treatment by precise applications at weekly intervals of 25 % PODOPHYLLIN in liquid PARAFFIN.If warts are large or residual warts require DIATHERMY.Hope this will help you. | |
What causes swelling on foreskin?
Hi, Im a 16 year old boy. Today when I woke up my foreskin was swollen.. It was swollen around the "string" that goes from the "head".. I had sex fpr several hours 2 days ago, but I'm the only one she has been with so it couldn't be any sexual disease(?). I've been looking around and it might seem like some kind of infection. But then again, it might not. My foreskin are pretty tight but not to tight to really be a problem. But the "String" seems to short and it can hurt when I pull back the skinn too much. Could this be just a symptom that I should take it easy after a long and fairly rough sex act? Greatfull for quick answer because Im very worried! | If it was your fist sex experience or very rough sex this could be normal due to exertion. you could apply locally some lubricating oil. If problem persists you should consider visiting physician. | |
What does hard lump on inside of ankle, surrounding sore area indicate?
This past wednesday, after being home for an hour or two, I noticed that I had scraped the skin off a small area on the inside of my left ankle. There is a hard lump underneath the spot, and it is very sore all around the area, sore to walk also. Now the skin has very little coloring to it, but the soreness is continuing. Thinking it is a bruise from banging the ankle with my other foot. | Hi! thanks for sharing your recent health problem with HCM!After going through your description, as I feel or if I were your physician, I would like to consider nothing but an infective pathology in this case!Regarding the scrapping, skin ulcer, soreness, hardness, color and painful movements, I must think that there is some recent infection only with soft tissue involvement and in worse case ti could be some kind of arthritis or inclusion cysts also!Therefore, you must see a physician for a clinical examination, dressing if necessary, rest and some antibiotics only!regards, | |
How to get rid of severe sinus infection?
I have had a severe sinus infection for a week now... I am completely unable to breathe out my nose, and my tonsils are so big that even breathing out my mouth is hard. I have been to a doctor and he has prescribed medicine that I have been taking, but it's doing nothing to help my throat. I have red and white lumps on my tonsils, and even swallowing water beings me to tears, it's so painful. My doctor seemed to think the meds would help my throat too, but every day I continue to get worse. I am in so much pain, and even pain meds like Ibuprofen or Acetaminophen aren't helping anymore. Is this common with a sinus infection, or is it something else? | Thanks for consulting me at HCM. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns according to latest medical practice guidelines.It is not only Sinus infection. You also have severe Tonsils infection and this is not a case to be dealt on such conservative therapy. Mostly there is need of a surgery. Maybe you have nasal Polyp or have a deviated nasal septum and that needs a surgical correction. Medicines don't work in these cases. And for tonsils, we have to see if this is manageable through medicines or surgery is inevitable.Please go to an Otorhinolaryngologist for proper evaluation and treatment and he will go for complete evaluation and will treat according to the lab results. Hope I answered all of your questions. Please click on 'I Find This Answer Helpful' and don't forget to add your precious positive feedback to help me able to assist you better in future too.For any disease you have, a timely follow-up regarding treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow up to see how you doing. Remember to write down my name in the start of your question next time, & I will be with you right away. I am available 24/7 for providing you expert medical opinion on any health issue. Have a blessed time ahead.Regards!DR. MUHAMMAD HANIFUSA | |
Dizziness, nausea, slurred speech. Taking carbamazepine. Normal ECG and blood test. What could it be?
Approximately a month and a half ago I starting having these random dizzy spells. I would usually get them in the morning. I would become really nauseous and I would feel like my eyes were being forced to go cross-eyed. It s as if I was looking through a tunnel that was closing in. At its worst the whole room would literally be spinning. During these dizzy spells I wouldn t be able to walk and my legs were weak and would give out on me, they felt like jello. My vision gets so bad that I wasn t able to read things because of the moving room. I saw a doctor they said I had vertigo and gave me betahistine . I went to my family doctor for a second opinion. They said it was likely an inner ear infection and wanted to prescribe the same meds for vertigo. I still felt fuzzy for the remainder of the day. When I got dizzy again and I took the pills, they did absolutely nothing for the dizzy spell. The next day I was dizzy the entire morning to the point that it affected my job. This carried on randomly for the rest of the week. There was no connection to the dizziness and a certain activity, it would strike whenever. There was no pattern that I could notice. However, part way through the week I remembered that my family doctor had upped my prescription of Carbamazepine , which I ve been taking for nearly 2 years, from 800mg a day to 1200mg a day. I had started taking the larger dose on the Sunday before the dizziness originally started so I thought that maybe my doctor had upped the medication too quickly and it was giving me negative side effects. I was required to stay on the higher dose for 2 weeks and then get blood work done. During those two weeks I was dizzy nearly every day. After getting the blood work done I went back down to the 800mg a day dose and things seemed to get better for nearly a week. I was sure it was the pills that had caused this. Until yesterday, when I went to try snowboarding. Around 9am while waiting for the lesson to begin I started to feel hazy again. At about 9:45am during the orientation of the equipment and how to get set up I began feeling dizzy and nauseous again. This continued but I didn t say anything, my surroundings weren t spinning but I was unsteady and couldn t focus. At about 10:30am while trying to ask the instructor a question I noticed my words sounded weird. For about 5 minutes while talking I was having a really di | Hi,Thank you for posting your query.It is unfortunate that a clear cut diagnosis has not been arrived in your case.The possibilities include peripheral vertigo due to labyrinthine dysfunction, or migraine with vertigo. An MRI scan of the brain would help in excluding other internal brain problems.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist | |
How to get rid the swelling and bruise in the shin?
I hit my shin pretty hard against a metal object 5 days ago. It hurt but I kept working. I work 12 hour shifts on my feet and even though the pain has eased up some the swelling is still really bad. The bruising has now started and is down to my foot. The swelling goes from the middle of my shin to my ankle, especially when I remove my socks. Is this normal? I work on an off shore oil rig and won t be back to town for another week. I just want to know if I could be hurting it more by standing or should I find a way to see a doctor? | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that due to traumatic injury to the shin there has been inflammation of soft tissues leading and accumulation of inflammatory exudate in the soft tissues leading to swelling.Bruising is due to ruptured blood vessels leading to accumulation of blood into the soft tissues..As you are able to walk and the leg is bearing weight there does not seems to be any bony fracture..I would suggest you to take Ibuprofen for relieving pain..You can do cool compresses to reduce inflammation, pain and swelling..You can apply Heparin gel to fade away bruising..You can elevate your leg while lying down..Apply Analgesic gel like Diclofenac to relieve pain..In case of no improvement in a week consult an Orthopedician and get evaluated..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
Suggest treatment for repeated dengue attack
I'm from Bangladesh, my wife is suffering dengue for the 3rd time at present, the examination for ICT Dengue IgG positive & IgM negativeplatelet was 150, then 190 & today 195. I feel that after the 1st affectionIgG was not disappered from her blood, so she's suffering dengue repeatedly. As per local doctors opinion, none of the oral medicine can be used when dengue repeat for the 3rd time except paracetamol none of the pain killer sud be given only herbasol saline are being pushed on her blood everyday since from last five days. Pls adviceme how to get remedy | Thank you for your contact to health care magic.I read and understand your concern. I am Dr J.D Mangukiya answering your concern.Repeated attack of Dengue is not due to IgG but it is due to mosquito bites by aedes aegypti .Dengue IgG positive & IgM negative indicates that u have dengue infection in pastRepeated infection by dengue virus becomes more severe than past infection .Doctor’s opinion is right not need more medication except paracetamol; and simple pain killer and plenty of oral/iv fluids.To avoid repeated infection you should keep away yourself from mosquito breeding place or protect yourself from mosquito bites by mosquito net or repellant.Platlet count is enough and no need to worry more at this stage.I will be happy to answer your further concern.Thank you,Dr J.D. MangukiyaInfectious diseases specialist, TEAM HCM | |
What is the solution for minor paralysis, throat pain, bulging veins when swallowing?
gud mrng dr. my wife is suffrinf from minor paralysis according to drs.since 4 year..she is suffring from pain in throat and veins of side head getting swallow...her age is 23 years...dr. prescribed OLMATE-500mg for 1.5 years..but before three days again she suffered from that attack..so what is the solution plz help thank u | Hello. Thanks for writing to us. Your wife is having multiple problems that are likely to be related to atherosclerosis and increased cholesterol levels. She needs a detailed evaluation to find out the problems she has and then treated accordingly.I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal ,drtayal72@gmail.com | |
Suggest treatment to cure rash on the bottom side of penis head
I have a rash on my the bottom side of my penis head it is red and doesn't it burn or anything but it won't go away not sure what it is but I wear compression shorts a lot throughout a day and sweat a lot but I tried using a anti fungal cream and it hasn't cleared up can you help me? | Hello I appreciate your concern. At the beginning i would like further information for better assessment of the condition like Your age and relevant medical historyany history of unprotected sex in recent past?In my opinion you should wash it with antiseptic solution and keep it clean an moist by applying antiseptic or antibacterial ointment like mupirocin instead of antifungal cream.You should take plenty for fluids to maintain good hydration and urine output.Maintain good hygiene, wear loosely fitted undergarmentsIf it doesn't subside in 2 to 3 days than you should visit your nearest doctor for physical examination and investigations for STDs.Hope this answers your questionplease feel free to ask for follow up question or if you have any more doubt, I will be happy to help you Best wishes | |
Is it normal to have sports induced asthma and anxiety?
Hello! I have just noticed that I have some bumps on thebackof my tongue on both sides leading towards my throught (like two diagonal lines) . I have caught myself breathing deeper recently but I also have sports induced asthma and some anxiety... Are these normal? | HiWelcome to Health care magicI went through the history you have posted.It seems from the history that you are having bumps on the back of the tongue. These are not normal and they require evaluation and treatment. The common causes like stomatitis, oral ulcers needs to be ruled out.Do consult your doctor for further evaluation and treatment.Do write back to me for further questions.Thank you for writing to health care magic.With regards | |
Is it dangerous to have mucosal thickening?
I have a history of having allergies (i.e. I sneeze and get a runny nose if the weather outside changes). For the past 2 months I started to get headaches stretching from left temple to the right and in the middle of my forehead. I would take Tylenol, Excedrin, or Advil, but they really wouldn't go away. A recent CT showed that I have mucosal thickening with mucus present in the left maxillary sinus. The same thickening along the inferior aspect of the right sphenoid sinus. Plus partial opacification of bilateral ethmoid sinuses due to the mucosal thickening. Bilateral mastoid air cells are normally aerated. Do I have sinisitus? Is this the cause of my headaches? What remedies are available to alleviate the mucosal thickening and get me back to normal? I also heard that this is not a very serious condition but I am still concerned. Thank you. | Hello,Thank you for asking at HCM.I went through your history and would like to make following suggestions for you:1. Yes, having headaches and mucosal thickening in sinuses, I would first think of sinusitis. Sinusitis is usually result of infection or log standing nose allerigies. Apart from nose symptoms, it can also cause headaches, post-nasal drip (feeling of mucous trickling into throat), recurrent throat clearing, etc.2. In patients with sinusitis with mucosal thickening, I usually suggest intranasal corticosteroids and combination of levocetirizine and montelukast for at least 14 days. 3. Regular steam inhalation twice a day and regular saline irrigation of nose cavity are a very useful simple remedies for long-standing sinusitis. It helps to drain the mucous from sinuses and recovery of mucosa. However, it has to continued at least for 14-28 days and please be cautious to avoid burns. 4. I always suggest my such patients to take plenty of warm fluids during the day and avoid exposure to dusts, smokes and air pollution as much as possible.5. I would also suggest you allergy testing to identify the allergy causing substances. 6. I would agree that it is not a serious condition but appropriate changes in diet, environment and life style can control it progressing. Sinusitis is a chronic condition and the more chronic it becomes, it can become difficult to treat and it requires longer treatments. Hence I would appreciate your efforts to know about the condition.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead and a very good recovery.Thank you & Regards. | |
Constant stabbing and lower abdominal pain
I ve been having lower stomach pains constant and stabbing for 3 days now..hurts worse when I use the restroom (little to nothing has been coming out), sit down or stand or lie completely straight also I have a low temp of 96.3 at the moment and I ve been having stabbing pains in my left big toe since this afternoon. Any idea???? Please and thank you- I m 29 5 9\ | Hi,thanks for query.You might be having some infection or indigestion in your stomach.Constant pain needs some treatment.Take anti spasmodic for pain,drink more of liquids,take light diet and do proper rest.The low temperature could be because of pain.Stabbing pain in toe could be due to some injury or inflammation in nail bed.Please talk to your doctor if is bothering you much.bye. | |
What causes problems in ejaculation?
I have a problem with ejeculating daily.some times several times especially at night. It has gotten to the point I can t sleep without doing it. And. I was wondering if there is any thing over the counter I could take to help with this. It also makes me fell very run down the next day. | DearWe understand your concernsI went through your details. I suggest you not to worry much. Semen is a waste product. Semen is produced within the body whenever you are sexually aroused and accumulates. Body has to throw it out at any cost. Masturbation and sexual intercourse helps to throw out the accumulated semen. If these are not done, body has its own mechanism to remove the waste product. Body usually removes the accumulated semen through urine and nocturnal emissions. Nothing to worry. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
Nausea with vomiting all day, tender and swollen breasts, excessive sleep, fatigue, light spotting. On ortho evra patch. Pregnancy or side effect of patch?
Hi. I started using the ortho evra bc patch two months ago, but it fell off early and i am having nausea with some vomiting all day every day for the past 2 weeks, tender, swollen, hot, painful breasts, serious fatigue sleeping 18-22 hours a day, lower back pain, cramping, and slight spotting. Do you think this is due to the birth control or do you think it may be a pregnancy? | hi,these symptoms could indicate hormonal dysfunction as well as pregnancy. Since you said, that the patch fell off early, there could be a chance of pregnancy. You need to rule out pregnancy first. If that is ruled out then these signs are due to hormonal dysfunction due to the patch falling off. | |
Q. I am having pain in the scrotum. Is it torsion or detorsion?
Hi doctor, I am a 48 years old male. I do not have diabetes or hypertension. I had on and off pain in the scrotum for two months. I felt better after I had a course of Doxycycline for seven days. But one day I ran to catch a bus and at that time I felt some pain. Again I am experiencing the on and off pain, but this time the pain is restricted to the area in the left scrotum. My general surgeon advised me Ofloxacin for a week and then I had Doppler, urine and blood examination. My high resolution color Doppler ultrasound findings are as follows. Left testis - 40 x 21 x 29 mm, normal in size and echotexture. There is no mass or lesion or calcification seen. Right testis - 46 x 19 x 26 mm, normal in size and echotexture. There is no mass, lesion or calcification seen. Epididymis is normal in size and echotexture right 10 x 8 and left 11 x 9. There is no evidence of hydrocele and varicocele. Is it torsion and detorsion? Will Doppler show that? Also advise further investigations. Please guide me. Thanks. | Hi. Revert back with the investigation reports to a urologist online --> | |
Is abdominal pains and heavy bleeding normal after surgery?
I am 46, peri menopause, 4 hernia surgeries in one year along with gall bladder and merkels divertcuilm surgery. Opened from sternum to belly button now have mesh holding me closed. Problem:pain around my belly button sight ( last surgery 12/12) and bleed heavy after heavy lifting...... Normal? | hi.noted history of several surgeries for hernia and recent abdominal pain associated with heavy bleeding. is the pain associated with redness, swelling or warmth over the operative site or not? post-operative pain can occur even for those who have been operated on several years back. pain/discomfort must be tolerable in character, resolving spontaneously. if the pain is persistent/progressive, it is best if you do a follow-up consult with your surgeon for physical examination and clinical evaluation. re your heavy bleeding, it is best if you consult with a gynecologist with regards to this matter. your abnormal menses may be due to your menopausal status, but other gynecologic pathologies for abnormal uterine bleeding (such as endometriosis, myoma, etc.) must also be ruled-out.. diagnostics (such as ultrasound, blood counts, etc.) and management (medicla and/or surgical if indications are found) will be directed accordingly.hope this helps.good day!!~dr.kaye | |
How many days will it take to get normal SGPT?
I got my blood report,my liver became a bit fat,its right lobe measures 18.5 cm,whats the normal size?my S.G.P.T(ALT) is249 ,so m taking some medicines now,how many days will it take to get normal sgpt?will i be able to take alcohol(1/2 pegs) in future? | HelloIncreased SGPT indicates liver injury and it may be due to many reasons like hepatitis,alcohol intake,altered lipid profile, medicines,auto immune causes etc.Liver is also enlarged in size.You need few other investigations like random blood sugar,liver function test,lipid profile.You may need to take some medicines after proper evaluation.I suggest my patients to take tablet ursodeoxycholic acid 300 mg twice daily for three months.It helps in regeneration of liver cells.It may take 4-6 months to get SGPT to normal level,but you should avoid alcohol completely.You should also increase your physical activity and avoid fried and fatty food.Get well soon.Take CareDr.Indu Bhushan | |
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 causes appetite loss in an infant?
I have a 14 month old that all she wants is milk and isn t eating very much and is filling up a lot more pee diapers and poop diapers are decreasing. she is teething also, but have history of type 1 diabetes. if I took her blood sugar what would be a normal fo rher age? | Hi,Thank you for asking question on health care magic.The growth in the second year is slower than first year.3 kg baby will become 9.5 kg at the end of first year, but she gains only 2.5 kg in the second year reaching 12 kg maximum.Nothing to worry and his appetite will improve in due course but you have take more time for feeding with tender loving care.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | |
What causes rise in BP with pain in chest and left arm?
Hi, may I answer your health queries right now ? Please type your query here... My husband 31 yrs old is experiencing uneasiness, discomfort and his BP is high 140 - 150. 2 days ago, he had shooting pain in his chest area and pain in the left arm, i took him to a doc, the ecg was normal and his enzyme test is normal as well.He is still having uneasiness and discomfort and bp is still high. He refuses to take tablets as he feels he is too young to start taking tablets.Kindly advise if this discomfort continues, is it something to be worried abt or is it just some digestion problem and it will be alrite in time | Hi, Thanks for the query. According to the history, your husband seems to be hypertensive and is having chest pain. Even though the ECG was normal, I would suggest getting an Echocardiography done. The enzyme test sometimes comes normal if done too early in a heart disease. As far as age is concerned, yes he is young but it is quite common these days to see young hypertensives to have heart disease. I would suggest a repeat visit to your cardiologist, get an Echocardiography done and take medications as advised by your doctor. Hope I have answered your query. Let me know if I can assist you further. | |
How can itchy skin allergy on the body be treated?
hello i'm 32 year old woman,1.62cm tall, 70 kg. since three years ago i started having this skin allergy....it comes all day long and everywhere in my body and it looks like red long scratches and the problem is i cant stop scratching myself because it hurts. it comes even at night so i cant sleep. i went to many doctors but no allergy medicine works . the last doc i went to gave me this diprofos injection and zaditen and zantac.....the allergy is much better but now i feel dizzy all time, i gained weight and i cannot sleep at all.....is this normal? | HI, thanks for using healthcare magicZaditen is an antihistamine and mast cell stabiliser. Antihistamines can sometimes be associated with weight gain through changing certain chemical pathways in the brain.It is possible that this may be contributing to your weight.It may also be contributing to your dizziness.Singulair may be another option for you.I hope this helps | |
Can Ponstan be given to an infant for fever?
Hi. I have a 16 month old with temp of 38.6 this am. Wondering about giving her ponstan. Seems fine, still eating and drinking, slightly lethargic and clingy but still happy enough and not in discomfort that I can see. usually use neurefen,but someone told me pons tan better at reducing fever. What say your? | Ponstan (mefenamic acid) is very effective in controlling fever and can be given to a child of 16 months of age. Ponstan (mefenamic acid) is more effective than Nurofen (ibuprofen) but both are good medicines and can be given. Most of the fevers in children of this age is due to viral cause and does not need antibiotics. The medicines that you mentioned are enough for managing the fever. You may also give sponging with water at room temperature. | |
Does Monocef-cv cure dry cough?
Hi, My 2 years old kid has got dry cough with fever from past three days and currently Monocef o cv and Ibugesic medicine is been prescribed by a doctor but still fever comes if we miss any does per day three times..pls suggest the Monocef-cv cures the dry cough? and for how long fever will be cured? thanks Akhilesh | Hi Welcome to the HCMI understand your concerns but don't worry. The most likely reason for dry cough and fever in this age group is a self limiting viral infection or bacterial tonsillopharyngitis. Monocef o cv is an antibiotic which covers a broad range of bacterial infections which may be responsible for the symptoms. I would recommend you to give acetaminophen for fever spikes along with antihistamine such as Chlorpheniramine for dry cough.Hopefully your child will improve in next 2-3 days. In case he develops worsening of symptoms, breathing problems or any other symptoms then do visit a pediatrician for re examination and evaluation.Take care | |
Is it safe to take ambien after taking advil PM ?
I took some advil PM about 6 hours ago, following an evening out including some wine, to help me sleep when I got home. I have still been having trouble sleeping and just took 1/2 an Ambien (5mg)- I had forgotten about the advil PM I took earlier and am kind of freaking out about an overdose (I expect and am fine w/ some side effects, just wanted to make sure I didn t accidentally take a lethal combination!) | Hi, It is not safe to take ambien while on advil PM. Cosuming wine together with advil PM and ambien may cause profound drowsiness, dizziness, increase, confusion, difficulty concentrating and gait disturbances. This combination may also lead on to impaired consciousness or coma which can be fatal. Advised to go the emergency room of your nearby hospital immediately. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali | |
What is the procedure for a kidney transplant?
hello sir, i'm a conic kidney patient and i wanna transplant. but no one is there in my family who can donate. so my cousin ( Son of my Bua) is interested to donate. here in PGI they told me that they cant accept this type of doers. is there any facility to transplant. if yes then what should i do. | law of transplantation is that donor should be a voluntary donor and no transaction of money should take place in the process. | |
What does the BP reading 126/43 after exercising indicate?
I was just at the clinic and they took my bp before exercise and 2 minutes into exercise. My blood pressure went to 128/35. They wanted to verify so a bit later we tried again and they took my BP 1 1/2 minutes into the exercise and it was 126/43. They were very concerned and told me they would be calling my doctor and getting back to me. What could this type of BP mean? | Hello,Here, the diastolic bp is low. This may occur due to exercise only so get it checked 30 min after cool down and if remains similar then need to get auscultated once and may need echocardiography. Hope this helps you. | |
Should i be concerned about back pain if i have mild spinal stenosis with disc slippage?
Hello, I woke up this morning with sever lower back pain rendering me almost unable to walk and having to use crutches to help with the weight bearing aspect of it all, Is this something to be concerned about or maybe just a wrong twist or turn in the night? I wasn t awakened in the night with pain ,nor did I have any pain before I went to bed. It has continued for several hours, I have tried aspirin/ice/heating pad not much relief at all, when I get up and set it aggravates the pain to a point I must lay back down, I have a had a headache off and on with it but no nausea. I do have mild spinal stenosis with disc slippage. Not needing surgery at this point. I am just getting over a sever head cold/sinus infection that lasted 3 weeks. That left me really tired and weak and seem to be having a hard time getting back to my old self. I don t really like going to the doctor unless I think it is really medically necessary or cant stand the pain. Is this something to be concerned about or just maybe more ice/heat/aspirin? | First, you should do some investigations like CBC, C reactive protein and rheumatoid factor. This may be symptom of graves disease. You must follow up with rheumatologist. I hope you are well. | |
Does Vaso-occlusive crisis cause painful urination with testicle pain?
In Vasso Occlusive Crisis is it common for testicles (Balls) to hurt most of the day and to urinate with pain even though the infection that was in the prostate is not there anymore? If so can a ultrasound detect Vasso Occlusive Crisis and is this a factor among many other symptoms for Chronic Fatigue Symptoms? J Flores, 31 years old, 6'2, 154lb, epilepsy,psychosis, prostate infection | Hi, The vaso occlusive crisis can cause testis pain due to decreased blood supply to testis. The Sickle cell anemia like hemoglobinopathy can be the common cause for that. For that you need to investigate with CBC and HB electrophoresis by HPLC method. The infection in testis and prostate can cause urinary pain. Antibiotics need to be prescribed for that according to culture report. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
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 --> | |
Suggest treatment for COPD
I am a 53 year old male a little overweight and have COPD and is disabled. My BP use to stay around 115/75. The last 2 days it has been going from 113/63 to 159/92 at rest. I have had a few cardio work ups and they are telling me that they don't see anything that is wrong. Could they be missing something ? | Thanks for your question on Health Care Magic. I can understand your concern. COPD is chronic obstructive Pulmonary disease. It is chronic, progressive inflammatory disease of airways. Treatment steps are as follows. 1. Inhaled bronchodilators and inhaled corticosteroid (ICS). 2. Chest physiotherapy and deep breathing exercises. 3. Smoking cessation if you are smoker. 4. Adult Pulmonary vaccination with pneumococcal and Influenza vaccines. Along with exercise above mentioned other things are also needed for complete symptomatic relief. So consult pulmonologist and discuss all these and start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Varicose vein found on the liver in sonogram. Need any treatment?
I went for a sonogram because my stomach . They did not find anything wrong with my stomach but they found a varicose vein on my liver . My doctor told me not to be concerned unless my liver or the side that my liver is on started to bother me. Should I get a second opinion??? I find it concerning that there is a varicose vein on my liver. | Hi, The description which you have given is not clear. Status of the veins near the hilum need to be mentioned to arrive at a diagnosis.Please give accurate details of the ultrasound report. regards | |
Suggest treatment for a painful lump on the forehead
My son was playing football and knocked into my forehead with the back of his head very hard. I have a lump above my eye on my forehead that is that is pretty big...larger than a quarter and smaller than a golf ball. I have been icing it. Should I go to the hospital? Can I have any internal bleeding? | Yes I would recommend you to go to hospital and get it checked by a doctor .. There might be some hematoma formation which might or not need drainage.. The bleeding will mostly be under the skin.. | |
Started iron tablets. Test results show Ferritin 9, Iron 53, TIBC 498. Suffer fatigue, dizziness and pain in neck and chest. Guide?
on 5/14/13 Ferritin 9, Iron 53, TIBC 498, RBC 5.59, HGB 16, HCT 49.6. Started Iron tablets 6/11/13on 7/31/13 Ferritin 43, Iron 157, TBIC419, RBC 6.3, HGB 18, HCT 55.4. Normal EPO and JACK2.Immediate onset of fatigue late May 2 episodes of dizziness, constant painless red flush of neck and chest, white inner eyelids, pale nails, cold intolerance. Also have 3.3 cm kidney cyst. Creatinine generally runs 1.4 or 1.5.On TRT since 6/12 and no blood issues until 7/13. Is this TRT related? Anemia? Polycythemia? | Hi, You are on Testosterone replacement therapy (TRT) since june 2012 and has various issues like 2 episodes of dizziness, constant painless red flush of neck and chest, white inner eyelids, pale nails, cold intolerance and wants to know if its related to TRT. TRT is related to increase in "red cell count" but none other symptoms are related to TRT. They may be related to "THYROID HORMONE IMBALANCE" and need to checked for that.Thanks. Hope it helps.Dr.JAY PATEL | |
How to treat nasal congestion and burning sensation in the throat?
Hi, my name is Jasmine. I m 13 wks pregnant and recently developed some kind of sinus/throat issue. I m not sure what to do. I ve been raised to just tough it out but my symptoms are persistent and I can t sleep with fear I will stop breathing. When I do finally rest I usually am asleep less than an hour and wake startled or delayed. My throat hurts and my nasal is conjested on either one side or the other. Ice makes my tonsils and my throat feel better but once I stop using ice it leaves my throat burning. Idk what to do can you help? | Dear Jasmine ,I totally understand your concerns regarding your medical condition especially that you are pregnant.The following points should be taken into consideration:1- It seems that you have a viral infection, you have to monitor your temperature and make sure you are not febrile. Symptomatic treatment is enough. In your case you have to avoid NSAIDs during pregnancy, hence you can take paracetamol 500 mg 2 tablets every 6 hours as needed for sore throat only. Anticholinergic spray like ipratropium can be taken in your case to help with nasal congestion however you shouldnt take any medication with pseudo-ephedrine because they are associated with malformations in pregnancy especially during the first trimester.2-regarding the feeling that you will stop breathing there are two main factors for it : 1- your tonsils are enlarged making your airway narrow 2- your nasal discharge can go backwards and these secretions can block you airway, taking anticholinergic nasal spary in addition to elevation of the head during sleep will help remarkably in this symtomsI want to reassure you that this is not a serious medical condition and it is most likely self limited.Best regards | |
Sore penis. What could be the reason?
My husband has recently began to complain with a sore penis . As if it were bruised. It has now been several weeks and the symptom has not went away. He has no other symptoms, no burning during urination and no discharge , no bumps. Although he says he has been faithful I am worried this is an STD . I recently started showing signs of a possible BV infection but have not had any painful urination, bumps or discolored discharge either. Just a n odor after we have intercourse. Could this be the cause or should I be worried it is something more or may he in fact have an STD? | DearWe understand your concernsI went through your description. I suggest you not to worry much. You have not given your age. With no other symptoms pertaining to STDs, that part should not be suspected. The odor during intercourse is normal and is due to intercourse itself. The soreness could be due to lubrication problem. Get to your gynecologist and get a confirmation about this lubrication problem. Use of proper lubrication should clear the problem.Hope this answers your query. Available for further clarifications.Good luck. Merry Christmas. | |
Suggest treatment for excessive leg cramps in children
Hi My daughter has bad leg cramps after sitting on the toilet so after she get up she runs out to sit crouched on the floor until the cramp fades away. She has always had this issue with no improvement. her bloods tests were ok. She is now 8 years old and still suffering from the same. What could it be. would physiotherapy help? | HelloLeg Muscle cramps are very common in females my advise for youTake plenty of water, fluid intake will dilute toxins.Physiotherapy with ultrasound and Tens will help you, you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself.Take potassium rich diet.Hot and cold fomentation to leg. You need to continue you medication for couple of month to see effects.Add tab methylcobal 1500 once day.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 careHope I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer, please give your review at the end of the discussion. | |
Do i have risk of HIV transmission if got slight damage in the inner part of upper lip while having oral sex?
Hi Doctor, Last week I had oral sex with my girlfriend(she gave me a blowjob). Then she fingered her vagina and put that finger into her mouth and breast. Then I sucked her breast and had deep kiss. I had slight damage in the inner part of my upper lip(was bleeding only when pressed by teeth). Do I have risk of HIV transmission? | HelloThanks for your query,based on the facts that you have posted it appears that you have oral sex and contact with vaginal fluid of your girlfriend with lips having a cut on inner side and worried about acquiring HIV.If she is HIV positive, though it is not a vaginal sex ,the possibility of getting HIV viruses transmitted through this can not be ruled out .Please get your basic screeningtest for HIV done noe and repeat the tests after 3months to be rest assured about acquiring HIV.Dr.Patil. | |
Q. I had my periods after 2 months and now am having periods for 18 days now. Please help.
Hi, My age is 21 years. I had my periods after 2 months and now I am having periods for 18 days now. Though there is no pain or heavy flow, I am worried. Please help. | Hi. So, you should consult a gynaecologist online immediately for proper investigation to rule out the cause and get treated accordingly --> | |
How can memory be improved while suffering from Alzheimer s disease?
I have alzheimers since 2008 - 2012. I started on Aricept and have since added Namenda. I don t see any improvmement, however. My memory is still very good, but I d like to find something that will actually slow the dementia down. Being somewhat skeptical, I believe that a cure- for any disease- can only be sold to a person ONLY ONCE, while treatments can be sold many times, so a TREATMENT is much more profitable for BIG PHARMA, since it can be prescribed many times. Are there any medications that can boost my memory? I know that I will eventually lose the fight, but I would like to at least keep the brain function that I still have. Thank you for any reccommendations that you can provide. | in my opinion it is necessary to check thyroid levels, b12 levels , and treat those in case of abnormalities in terms of alzeihmers it is necessary to do brain exercises sudoku, crosswords and so on eat healthy moderate exercise | |
Constant gas and bloating after IUI, abdominal pain after eating food. Medication?
I had an IUI done on Saturday at by a Reproductive Endocrinologist . That same day I started to experience a lot of cramps, gas, and bloating . My abdomen was painful to touch. It has been 6 days and while the pain and cramps are gone, the gas and bloating is not. Constant belching and passing gas is not at all common for me, and I m concerned. About 5 minutes after eating something I feel an ache on the left side of my abdomen and feel like I need to use the bathroom. Help? | These are symptoms of Ovarian hyperstimulation syndrome or OHSS and likely classified as mild. OHSS may worsen though if you conceive this cycle. This condition can prgress and be dangerous. It should be monitored by your physician and bloodwork will be required. Good luck. | |
What causes the penis to hurt when urinating?
Please bear with me. I have been to my GP and a urologist, and they checked me out, but I don t feel like they listened to me. My penis hurts constantly. Specifically the urethra and the meatus. Some key symptoms: it hurts more when I have to urinate, when I urinate and immediately after urinating. If I fart while I pee or try to cut off mid stream, it hurts much worse. The pain is pinching. When I ejaculate, I leak semen for an hour. If I get an erection, presemenal fluid drips out within a minute. My semen seems extra sticky, as in sticks penis to underwear making a painful situation worse. Semen will dry and clog my penis if I fall asleep. I ve had runs of ciproflaxin and other antibiotics as I have struggled for 18 months to get a diagnosis. No STI. Prostate never more than a little mushy . There seems to be a nick on my meatus, but it never bled. The symptoms will lessen periodically, then return. | HelloThanks for query.Based on what you have stated I think you have painful urination and ejaculation mostly due to either 1) Prostatitis 2) Stricture of Urethra.Please following basic tests done to confirm the diagnosis.1) Seen Examination and semen culture 2) Radiological tests Cystourethrogram to rule out narrowing of urethra (Stricture Urethra).If proved to be due to infection You will need to take long term course of antibiotic like combination of Trimethoprim and Sulphamethoxole for 2-3 months along with anti iflammatory medicine like Diclofenac twice daily.Dr.Patil.. | |
Will taking cephalexin capsules affect pregnancy?
hi i was no cephalexin capsules 500mg for 5days because i was having bacteria infection, thou i had a spill condom after my period five days later, i took postinor two tablet contraceptives pill, i just discover am pregnant i want to know if the drugs will have effect on the baby. my last period was july-11-2012 | Hi,Cephalexin is an antibioitic (first generation cephalosporin) which is commonly prescribed to treat various infections caused by susceptible bacteria. It does not cause any harmful effects on the growing baby and hence it is considered to be safe during. There is nothing to worry about it.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Can increased PSA evidence of metastatic ca prostate progression?
* Diagnosed with m in 2010 and initially treated with Hormonal injections, anti-androgen tablets and bisphosphonate ( Lucrin, Androcur to Casodex, Zometa)* Radiotherapy in 2011 for ?Bony pain* Started on Chemotherapy with Docetaxel (Textotere) 2013* Now rising PSA and evidence of disease progression on CT and Bone scan | Good Day and thank you for being with Healthcare Magic! Yes a rising serum PSA is almost always considered as an evidence of cancer activity and progression. A rising PSA is considered as treatment failure. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes | |
What does the semen analysis regarding sperm count indicate?
Dear Doc, My semen analysis shows: Is it good, poor, or excellent? Am I goanna be a father? 1- Quantity 4.00 ml 2 - 5 2- colour Grey-white Viscosity Normal 3- Liquefaction time 30 min 7.2 4- Total Count 110.00 million/ml 5- Motility at 1 hr: Motility at 2 hrs: -actively 40 % >50% -actively 40 % -sluggish 10 % -sluggish 10 % -non motile 50 % -non motile 50 % 6- Abnormal forms 40 % 7- Leukocytes (WBC) 0 - 2 cells/hpf <5 | Hello,The given semen analysis report is perfectly normal and nothing abnormal there to worry. The sperm count and motility (proportion of active and healthy sperms) are well within the normal range. According to this report your fertility will not be affected. If your partner fails to conceive, better to consult an infertility specialist and plan for newer techniques like IVF.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes constant fever in kid?
I HAVE A 3 YO BOY THAT LIVES WITH CONSTANT 103-105 FEVERS. VERY RARELY DOES THS HAPPEN DURING THE DAY, HOWEVER EVERYNIGHT ALMOST, AT LEAST TWICE A WEEK, I WILL WAKE UP NEXT TO HIM BECAUSE HIS BODY IS SO HOT, IT BURNS ME. HE HAS BEEN TO DOCTOR AFTER DOCTOR AND SPECIALIST AFTER SPECIALIST..........WE HONESTLY DO NOT KNOW WHAT ELSE TO DO???? MY CHILD EATS TYLENOL AND IBPROUFREN LIKE CANDY. | Hello, I just read your query.* See in babies constant fever may have many reasons. You did not mention here that have you ever performed any blood investigation and urine examination. *Because urinary tract infection is one of the most common cause in babies behind fever.* In blood examination you can ask your doctor about Total leucocyte count( if it is raised it will indicate about infection in body), CRP(it will also indicate acute infection), widal test( for typhoid). If you already performed all tests and all are within normal limit.*Then I would advice you to go for an ayurvedic medicine named Giloy ( tinospora cordifolia), you can take fresh giloy if it is available nearby you and make juice of its stem and give 5ml of its juice twice a day with water to your baby. If your baby does not find its taste good then you can add sugar or honey in it. If fresh giloy is not available then take dry giloy. Add some giloy in one glass of water and half water remains, then you can give it to your baby in two parts. Giloy is very helpful in curing fever.* Whenever fever is there, do sponging with fresh water. Ice water sometimes cause shivering in baby, so do whole body sponging with fresh water for 5 to 10 minutes as it will also help in lowering fever *Give him fresh fruits and vegetables, juice, soups, liquid and semi solid diet as in fever all these things are easy to digest.* I hope you are satisfied with my answer and find it helpful. Thank you. | |
I am taking fertyl 50 and having PCO will I be able to conceive ?
i had unprotected sex for 1 year now ive had PCO now its treated...can i still get pregnant?? am i infertile?? i ve been taking restor f for months now and fertyl 50 for 4 days....we really want to have a child...thanks for any answer.... | hello, since you are already treated for pcod you can conceive now. continue the the drugs given by your doctor. try to maintain sexual relatioship during your fertile period.it will maximise your chances of pregnancy. take care | |
Painful and itchy rashes, applied lambasil anti-fungal, alcohol, hydrogen peroxide resulted in bumps
While in Florida on vacation i developed a very bad rash starting at my tail bone and working its way up my back. It was painful and VERY itchy. It was hot and I was sweating quite a bit every day. I was wearing clean clothes daily. I remember itching back there and the next day I was broke out horribly. When I came home I began cleaning teh area with 90% rubbing alcohol and applying lambasil anti-fungal to the effected area twice a day. It has mostly gone away, but it's been two weeks and the crack itself is still red and has some rash. I switched out tonight for hydrogen peroxide after the alcohol. It burned quite a bit and cause white raised bumps to form all over the red areas. Am I doing the right thing? I'm without health insurance so a dermatologist isn't available to me. The itching is driving me mad worse than any pain I feel. | Welcome to HCM.It seems to be photo sensitivity (sun burn) reaction on the back and gradually increasing due to perspiration and later on development of fungal infection inside.Take levocetrizine to subside itching and nsaid to subside pain and infllammation.Apply calamine lotion with skin cream containing steroid and anti fungal agent.White raised bumps might be due to hydrogen peroxide application.Avoid to exposure in sun light.Wear cotton inner wear to soak the perspiration.Get examined by dermatologist for proper guidance and medical management. | |
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 is the prognosis after a cardiac arrest?
Hi My mom has had a cardiac arrest 12 days ago.The doctors managed to get her BP and pulse back through CPR but she has been unconsious since then.An EEG scan has been done but the doctors say that she does not have fits of the brain and we need to wait for her to wake up.She does react to pain and to tickling.She yawns at times,occasionaly moves her feet.There is shivering in her hands sometimes.Please advise as to what are the chances of recovery and gaining conciousness - Thank You for your time!! | Hello,She has suffered hypoxic damage to the brain, and she is in coma. No one can really predict whether she ll come out or not, or if yes when she will come out. But as you mentioned she is showing some response, she has fair chance of recovery and we should keep our efforts going. Proper diet and vitamin supplements, in no otropil.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode | |
What will be the side effects of Clamp Kid Forte suspension over dose?
Hi Dr, My kid is having viral fever and she was advised to take Clamp Kid Forte suspension every 12 hrs. Accidentally I gave this medicine today morning at 7:30 and again at 10:30 instead of giving the same at evening 7:30. She is active now. Nothing visible from outside. Any problems? Thanks, Sreedevi | Hello,I have gone through your query and here is my advice. As per your history you have given 1 extra dosage. Well, if she is active and no other problems then there should be no issues and need not to worry.But in case she is getting loose stools, vomiting or excessive drowsiness then I will advise you to take her to Emergency room immediately.Till then keep her well hydrated and watch for the symptoms. Hope I have answered your query, let me know if I can assist you further. Regards, Dr Shyam Kale | |
Suggest remedy for bruises in shin
I slipped and fell in a grocery store yesterday I have a slight bruise that swelled up on my right shin I have been putting ice packs on it and taking anti inflammatory, I did however fill out a accident report with the manager of the store, is there anything else I should do | Hi ..Can understand you concern..As per your query about buises on shin due to fall in a grocery shop..Well,putting ice and taking anti inflammatory will be helpful..along this you should apply any antiseptic ointment over it if seems to be infected..And if you feel much pain you should go for an xray .I hope the information helps you..You are welcome to have any further query on HCM.Take care. |
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