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Suggest treatment for a chipped front tooth
Hi, may I answer your health queries right now ? Please type your query here...I chipped my front tooth and cant get to the dentist til tuesday. I have a water polo tournament this weekend, is there anything I can put on it til then to keep it covered | Thanks for your query, I have gone through your query.The chipped tooth cannot be covered with something by your own, you need to consult a dentist and get it treated, Mean while if you have sensitivity in the tooth, you can use desensitizers like strontium chloride(sensoform or sensodyne).After your tournament you can get the tooth restored either with composite if the fracture is not involving pulp. If it is involving pulp, then get it treated with root canal treatment and crown.I hope my answer will help you, take care. | |
What causes high blood pressure during winter?
Sir, My blood preasure is high in winters as compare to the summer season. What is the reason and what should i do to maintain good blood preasure during winters. (I am already taking 1 tab. of Telmisartan+Amlopres tables in morning). Thank you | Hello and thank you for using HCM.I carefully read your question and I understand your concern. You should not worry about. I will try to explain you something and give you my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values. During summer and high temperature our body experiences vascular dilatation of arteryes, meaning that the arterial lumen become bigger and as it normaly happenes in a tubular structure the pressure decreases.In winter, because of low temperatures our body experiences periferic vascular constriction, meaning a smaller diameter of arterial lumen leading to higher pressure. This is normal and happens to all people. Sometimes we recommend patients to lower medical dosage during summer.If you have higher values during winter than you can try to rise your medical dosage through this period.You can also discuss whith your doctor adding another medical class if you are on maximal dosagetof your current treatment. Hope I was helpfull. Best regards, Dr.Ervina. | |
What does the following MRI report indicate?
my daughter s contrast MRI showed she had a Slap Tear . During surgery to fix, they couldn t find the tear. Dr. mentioned shadowing on MRI s. I haven t got a clear explanation to what went wrong. Is that a normal thing with MRI s? I am happy because she didn t have a Slap Tear, but just confused. | Hi there. Thanks for the question at HCM. It's good news that slap rear could not be found during the procedure. Artifacts are quite commin in muskuloskeletal MRIs.It is possible that shadow of some other soft tiaaye overlapping on the native structure of labrum in shoulder, giving the appearance of a tear. Also MRI is an observer depedenet investigation. Interpretation can change based on who is reading the films. The best and confirmatory test would be to see the tear during surgery. Hope this helps. All the best.Regards. Dr.SBK | |
What causes dry cough after taking Namenda?
I have been taking Namenda for about five weeks and have developed a hacking, dry cough. I am convinced it is the drug but do not want to discontinue abruptly. I currently am taking 28 mg per day. My doctor is notavailable because of the weekend. Can you help me? | Hi,Dear,Thnks for the query to HCM-yes its the side-effect-due to the allergic response of the respiratory tissue to the Namenda.If the hack and dry cough is not much,you may continue it-and consult your dr.tomorrow.If the discomfor is not bearable then you may report it to us for the exact treat at that time.Wellcome for any more query.Hope your query is attended to your satisfaction.Thnks. | |
Generalized body itching, white bumps on wrist, smelly urine. What should I do?
About 10 days ago I went to the doctor because I was itching all over my body and developing a rash; they prescribed some anti-histamines. I still wake up with a rash and have just started getting itchy hands and feet at random times, sometimes with white bumps on my wrists. I also have smelly urine . What do you think I should do? | Hello, Your urticaria may have been triggered by an urinary tract infection, but if the symptoms of smelly urine has happened after the urticarial eruption it is generally due to either long acting antihistamines or steroids (occasionally given for bad urticaria) that tends to concentrate urine. Have plenty of water, get a urine dipstick or c/s studies and if there is evidence of an UTI, get antibiotics but continue the antihistamines until 4 weeks or at least a week after the infection has cleared as well as the itchy rash. Thanks. | |
Can hyper sensitivity to pain killers be a sign of kidney problem?
I have been diagnosed with having 2 uteruses (didelphys) after having my 2nd c section. I was told I need to have an MRI of my kidneys done to check for abnormalities. I have not had this done yet as my copay for MRIs is extremely high. I have always been super sensitive to pain medication, I was given 5mg percocets after my wisdom teeth were removed and I was knocked out for hours (I am over 250 lbs). I am curious if my hyper-sensitivity to pain medication is due to possibly having only one kidney or some other kidney abnormality? Is there any other way to know how many kidneys I have that is less costly than an MRI? | you can do ultrasound of abdomen. also DMSA scan can give you where are your kidneys. there is no correlation with percocet and kidney. | |
How can persistent left- sided shoulder pain be managed?
Hi, I have had pain under my left shoulder blade that is getting worse over the last two weeks. There doesn t seem to be a knot. It hurts while sitting stationary and wakes me up at night. 800 milligrams barely takes the edge off. Sometimes the pain goes up to my ear, under my arm, around to my chest muscle and sometimes down through my elbow to my fingers. I try to stretch the area as well but it only hurts more. I was thinking of making a doctor s appointment but was wondering if there is something I can do at home to help as not to incur medical bills. Thank You, Trace | Hi, Your pain may be due to cervical spine disc herniation. Pain in the shoulder radiating to the fingers and arm is due to nerve root compression. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jayesh Vaza, Orthopedic Surgeon | |
How does Duphaston tablets help in conception?
we are trying for a child from last 3yrs...doctor prescribes us to take xfert tab..twice a day. yesterday & today after scanning today she injected ovigyn 5000 & prescribed us to take duphaston- 10 mg daily one tablet a day to from 8th march(after two days). How it will be helpfull to concieve? | Hi,Thanks for writing to HCM .Duphastone is trade name . It cantains hormone progesterone. This hormone helps in maintaining the early pregnancy by increasing blood supply to uterus and providing nourishment to the embryo.It also prevents early abortion. So it is given after likely fertilisation in those who have done infertility treatment. Means who have taken ovulation inducing drugs and hcg for rupture.You will conceive soon . Be stress free .Hope I have been helpful .Regards Dr.Deepika Patil | |
What causes pain in the back of the head?
How can I keep the pain in the back of my head/base of skull that comes when I laugh too hard. IT happens at other times also when my spine is in certain positions exercising. IF it is arthritic can I minimize it. If it is neurological can i stop it. | hi,thank-you for providing the brief history of you.A thorough neuromuscular assessment is advised.As the pain comes during certain position that a thorough neuromuscular assessment is advised.As you are getting this pain, little understanding of the biomechanics of the cervical spine is needed.As we grow older, there leads to degenerative changes occuring the bones, muscles, joints, ligament etc. For this understanding the proper biomechanics of the cervical spine is advised. Also, due the position of the head over a longer period there might be a possibility of losing the lordotic curve of the cervical spine.Understanding the proper biomechanics and then undergoing physical therapy should give you outstanding results.RegardsJay Indravadan Patel | |
Suggest treatment for high blood pressure
My daughter is 33 with 2 small children, she has just been told by her Doctor she has high blood pressure 190/85. The doctor referred to the type of Contraceptive pill she is on. She will have a monitoring band on her this Monday for the day. Is this something I as her mother should be really worried about. I have told her to go off the conraceptive pill as of today. Also she has had endometriosis. | Hi welcome to HCM.I understand your query and concern.Contraceptive pills are the main cause of elevated blood pressure in your daughter's case.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Drugs like antihypertensives like beta blockers and ace inhibitors will help.Reduce the intake of fatty and fried food. Endometriosis can be managed with other depot hormonal preparations.Its always safe to maintain your blood pressure under 125/80 mm of hg pressure.Consult a Cardiologist as well as Gynecologist for further expert management.Post your further queries if any.Thank you. | |
How can a swelling at the base of the penis be treated?
I am relativley overweight and have recently become sexualy active. That being said, i have noticed a swealing around the base of my penis, specificaly around the base of the scrotum and a quarter of the way up the scrotum. The tissiu is hard and does not cause pain, my concern stems from the fact that this swelling comes and goes be it after intercourse or just randomly. In short, i have intermitent sweling of my pubis pad, and it does not hurt. But i do not know what it is. | Hi, Consult a urologist and get evaluated. It can be a minor contusion or superficial infection. As of now you can take analgesics like Acetaminophen for pain relief. Hope I have answered your query. Let me know if I can assist you further. | |
How can chronic depression be treated?
i have a feeling of being stuck i try hard to manage more than one world where i want to belong and too often find both collapsing and being lost with noone to talk to. the more i try to balnace both worlds i see one falling apart and making my life very difficult. often i find myself out of focus which is making me very scared as i am a hgih achiever and there is always alot of pressure on me. since recently i have started living alone and had been feeling very lonely for no special reason and often had gone out partying and drinking to help myself feel free but i dont feel right | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.In my opinion, it is needed to rule out thyroid dysfunction and low hemoglobin. Also, it is very important to try antidepressants and cognitive behavioral therapy with a trained therapist. It is very important to exercise for half an hour and maintain a good diet. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Gayathri | |
How to treat infected wound?
I was running and my rolled, my right knee and elbow caught me and got pretty scraped up. I went to the doctor for my ankle, and they "cleaned" out my wounds. This happened Monday, and I still don't have scabs on either wound, they are just covered in a few layers of yellowy pus like goo and I got it mostly off my knee, but can't get it off my elbow...what can I do? I can tell they are infected, they are causing redness around the wounds... I have been putting neosporin on them and using peroxide, but I can't get the goo off my elbow! Help!!! | Hello,For an infected wound if the local antibiotics are not helping its better to use systemic antibiotics like Amoxyclav 625MCG twice daily for 3 days and can extend it by two more days if there is no response.Take a multivitamin once daily for better healing.However continue cleaning the wound with normal saline.Hope my advise will help you.Do no hesitate to ask any further questions. | |
Q. What is non-alcoholic fatty liver disease?
Hi doctor, I am a 30 year old male. My weight is 85 kg and my height is 174 cm. I am non-smoker and I do not drink alcohol. My problems are gas formation, uneasy feeling after meals and lack of energy. My bowel does not get cleared properly and I feel too much tired after hard work. My heart beat become too fast during this time. I also have breathing problems after running. I have attached my recent blood test report for your reference. Please check and help me with your suggestion. | Hi. I have gone through your reports (attachment removed to protect patient identity) and your complaints. Revert back after 15 days to a general practitioner online --> | |
How to cure mosquito bites at the back of the knees?
i have this "mosquito" bites on the back of my knees, which was swollen, itchy and red. then it spread to a semi circle shape with liquid oozing out every time after i bathed. the next day it spread to the back of my another knee. i keep discovering new "bites" after i wake up and they are now all turning purple. it has even spread to my thighs and feet. i went to my GP and he just gave me antibiotics and a cream to apply. i even had slight fever when i visited him. the medicine does not seem to be helping and its spreading even further. | HI, thanks for using healthcare magicIf the oral antibiotics are not effective , you may need to see your doctor for reassessment. It is possible that the infection is resistant to it and you may need an alternative.The use of anti inflammatory medication may help with the fever and reduce the inflammation associated with the bites.This includes medication such as ibuprofen, naproxen, cataflam.You also need to wear protective clothing and insect repellent to prevent new bites.Check the surroundings for any collections of water (even a bottle cap can breed mosquitoes).I hope this helps | |
Why are my ALT and AST higher?
Hi, Just had blood tests. My alt is 32 and my AST is 28. I have been treated for uterine cancer 3 years ago. I have an over active thyroid, under dr. care. I am overweight but have been exercising and have lost 15 pounds. Why are my ALT and AST higher than before, 18, 21? | Thanks for your question on HCM. In my opinion you should not worry much about your slightly elevated SGOP ( AST) and SGPT (ALT). Since you are obese, possibility of fatty liver is more. This is due to excess body fat which is accumulating in the liver. And cause fatty liver. This can give slightly alteration in liver function and cause slight elevation of ALT and AST.No treatment is required except weight loss and exercise.So continue exercise and avoid oily, fatty and junk food. Eat healthy food. Repeat ALT and AST after 2 months. | |
Child having minor symptoms of epilepsy, want to know permanent remedy through homeopathic medicines. Advice?
hello, Dr. AAAAAAA I am anjani Sharma here from Ahmedabad iwant to cht with you about the problem of my Son who age is 6 y 9months he is suffering from the very minor symptoms of epilepsy in the morning time for half a minute there any medicine in homeopathy which remove this disorder for life time | 1. what minor symptoms of epilepsy are there,please mention or specify? 2. was CT-brain and EEG of the son taken if yes what were the observation? 3. what is the FREQUENCY of the symptoms so as to distinguish whether your son is suffering from Epilepsy or Seizures? 4. at this age, going by the history, it can be labelled as petit mal or absence type of epilepsy,unless proved otherwise. 5. any history of fever,brain development disorder? Is his Immunization schedule complete (till date) 6. avoid carbohydrates rich diet, reduce any mental stimuli (if there). 7. treatment will be decided by your health care provider after proper evaluation. | |
What causes problem in child leading to home oxygen therapy?
My 3yrs old son is on home oxygen therapy now.On jan 3 2011 bronchoscopy was done bcs air isnt passing into his right lung puss has removed from right lung after that pneumonia had spread in both lungs.he was ventilated for 11 days( at high frequency also )from then he was on oxygen therapy on 2lts and his upper body has enlarged near rib cage we ask doctors about it . They said it is due to bcs of pressure applied by the ventilators.They said the problem was lower lobe had damaged(CT-scan report).Doctors said it will take 6monts to come out of oxygen.Now nearly 1yr over but no recovery .Now as we are asking ow much time it will take to come out of oxygen,they said nothing.Now was on steroids(omnacortil) & inhaler(puff). Pls tell what is his problem and his chest diaphragm is enlarged ,i tink it is barrel chest is it right or not | My dear child your son has a condition called bronchopulmonary dysplasia following a severe attack of pneumonia ,that has caused one lobe of lung to be damaged .There are 3 parts in the lung ,the tubes called airways that allow air to pass through ,there are the air sacs or alveoli that exchange the oxygen and carbon dioxide and then the part of the lung inbetween .basically lining is destroyed and the elasticity is lost .This causes a lot of bbreathing problems -----and also he cannot exchange gases and his oxygen level will be low unless extra oxygen is given.These are the things one can help the repair process in the lung-----1.Give him very good nutrition ,high energy formulas will help and vitamin supplentation especially vitamin A .Ca,Phosdphorous and Vit D for integration of Chest wall bone cage.2.Gentle chest physiotherapy 3.Protect from recurrent viral infections --good hand hygiene,avoid too many visitors ,do not take him to malls or crowded areas ,4.avoid smoking,pets ,perfumes,carpets near him.5.Medications like inhaled bronchodilators to keep airways open ,courses of corticosteroids 6.Protectors like monteleucast 7.regular vaccinations 8.There will be gradual recovery ,may take a year or more ----follow up with a pulmonologist is a must,who will rule out some inherited disorders like cystic fibrosis and also with general pediatrician .I am sure with regular dedicated care your son should improve. | |
What causes pain in right side of my stomach after eating?
I have bothered with certain things that I eat. I had a colonoscopy last Wednesday and everything was good. The next morning I had sausage for breakfast and shortly after I started with a pain on my right side and my stomach bothered me all day. I have not had any more pain but my stomach seems not settled with a couple of things I have eaten. | Hi.Thanks for your query. If the pain is initiated with certain foods this is an allergy and intestines respond by spasmodic contraction to get the thing removed out of the system. Colonoscopy may be absolutely normal in such cases. It is possible that you are suffering from Irritable Bowel Syndrome. I would advise a Contrast enhanced CT scan in all such cases to rule out any organic problem like appendicitis, lymph node enlargement, small bowel problems like thickening or obstruction due to a particular cause. The primary treatment is avoidance of all such food and beverages which enhance this problem. If the stress is a contributory factor, it has to be treated by psychotherpy , avoiding activities causing stress and anxiety and if required , some medicines , | |
What are all the symptoms of STD?
questionsat a party lastnight i made a mistake and tried smoking crystal meth so because of that i haven't slept yet but i also gave oral to a guy friend who said he had no stds but today my mouth is a little sore could it be an std? and if so could o give it to my daughter by sharing food? | DearWe understand your concernsI went through your details. Sexually Transmitted diseases are of many kind including Chlamydia, Gonorrhea, Hepatitis B etc. Each one of them having different symptoms and some of them may be common symptoms. Many men are quick to assume that if they had a sexually transmitted disease (STD), they would know it. While most STDs do cause symptoms, many are easily mistaken for other conditions. In some cases there are no symptoms at all. The symptoms of an initial infection can include:Fever and flu-like symptoms.Genital itching, burning, or discomfort.Swollen lymph nodes.A feeling of pressure in the abdomen.In your case, sore mouth does not indicate any STDs. But Both primary and secondary syphilis can show up on your face, and this usually happens by having oral sex with someone with genital lesions. Primary syphilis of the face will usually appear on the lips as a large, open sore. Sores may also be present on the tongue or inside the mouth. Secondary syphilis can have a range of symptoms. Some raised bumps may appear in-and-around the mouth, a reddish rash may appear all over the body and the infected person may even suffer abnormal hair loss (alopecia). Secondary symptoms are also likely to arise from infection due to genital sex, not just oral, as well.I suggest you to consult a physician for further follow up. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | |
Q. Is it safe to switch to Wellbutrin while on Cymbalta?
Hi doctor, My current medications are 60 mg Cymbalta for depression and 300 mg Seroquel for the sleep disorder. I am in my 40s and I have had a few episodes of depression during my lifetime. I was lucky enough to be able to attend a psychiatrist in a country I lived in for a long time. It was a great help. My question at the moment is about medication. When I was quite depressed I took Cymbalta and another antidepressant which I am fairly certain was Wellbutrin. I dropped the secondary antidepressant after a year or so as I began to feel better. I am just considering using it again as I am now in a state of emotional upheaval due to a family death. I have just got in touch with a GP for an appointment in the next two weeks. What I would like to know is, it safe to take Cymbalta, Seroquel, and go back to Wellbutrin? How would I work the dosage? Would I start with 150 mg of Wellbutrin and possibly go up to 300 mg? When should I take the antidepressants? Can I take them both at the same time, or do I need to space them out? I am not prone to seizures and I have never had one. I am a female. | Hi. Thank you for taking help from a psychiatrist. You can take Cymbalta and Seroquel. You are already on both medications, so you should continue both medications. If you fill depressed then take tablet Wellbutrin 150 mg once in the morning for a short period of time, then we can taper off within 6 months. If you do not improve your depression on 150 mg of dose after 15 days then we can increase the dosage as per requirement. You can take medications together and you do not need to space out. But you must take Seroquel at night as it causes sedation. Even you should follow some non-pharmacological management as mentioned below. 1. Do exercises daily for 30-45 minutes like walking. 2. Do meditation for 20 minutes daily. 3. Eat healthy home cooked foods, avoid junk foods. 4. Spend quality time with friends and family daily. 5. Spend time for creative hobbies like read good books, write journals, painting, drawings, learn new skills or language or musical instruments. 6. Take enough (7-8 hours) sleep daily. 7. Avoid tobacco or alcohol or any substance abuse. I hope this helps. | |
What does severe pain in the lower back indicate?
I have a pain which starts in my lower back on the right side and spreads up my back like a slow burn. It only happens once I am sound asleep. After I have been sleeping about two hours, it wakes me up out of a dead sleep. That s how much it hurts. The pain reminds me of a menstrual cramp. It is very uncomfortable. Only taking ibuprofen seems to help. The pain subsides after about two hours after I have taken the ibuprofen. What is this? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Get ultrasound abdomen done and see if it's a renal stone. Usually, pelvic cysts may present with pain in the back in the region you are pointing to.But, renal stones can't be ruled out until you get an ultrasound abdomen report.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rana Ahsan Javed | |
Is jaw bone and throat soreness normal after tooth extraction?
I had my teeth cleaned and my bottom wisdom tooth extracted 4 days ago. My jaw bone is still very sore and tender to the touch. My throat is still a little sore too; especially when I swallow... as well as the adjacent teeth ache some....is this normal in regards to recovery? | thanks for your query, i have gone through your query. the pain will be there near around the extracted wisdom tooth if they have removed the bone while extracting the tooth. consult your oral physician and get the extracted site irrigated with saline and betadine. do saline gargling and complete the course of antibiotics and analgesics. i hope my answer will help you. take care | |
What causes clay colored stool in an infant?
Hello, My 1 y.o. son has been having clay colored stool for the past few days. I am wondering if it is due to a change in his diet as he recently started whole milk last week or a more serious concern (lack of bile as I was just studying this in my nursing school content)? Thanks in advance! Jenna | Hi...clay colored stool could be the initial manifestation of a hepatitis which is going on sub-clinically. If he also has high colored urine and loss of appetite, then it could be a viral hepatitis most commonly. I suggest you get a urine analysis done and if it is showing bile salts and bile pigments then get your son seen by a paediatrician.Regards - Dr. Sumanth | |
Suggest treatment for dry cough and painful lump on gum behind molar
I have had a slight sinus cold, dry cough and sore throat for the past week. My cough has mostly subsided but now the right side of my throat hurts and there is a swollen painful lump behind my lower right back molar. I had my wisdom teeth out years ago. I think it is correlated with whatever virus i had but not sure if it s somthing i need to be concerned about. Thanks | Hi,It shows that there might be having some infection in the root of molar tooth or forming root abscess.Go for one course of antibiotic and anti-inflammatory medicine course for 3-5 days.Ok and take care. | |
Suggest treatment for cough with phlegm
I have been coughing uncontrollably with a feeling of mucus or flem in my chest and as much as I cough, nothing with come up. It is worrying me because I have an eating disorder (bulimia) and have heard cardiac arrest can be common. I am very scared and cannot sleep due to this discomfort in my chest and this coughing. | take tab pantop 40 od bbf tab abflo - N 1 tab BDsyp arodil 10 ml tdsif not corrected gofor sputum gram staining and culture sensitivity | |
Suggest treatment for high SGPT and SGOT levels
My brother is under treatment in hospital for Dengu.His blood platlattes came to normal from 36000 to 148000 during this treatment.But his SGPT & SGOT levels are higher than 1000.Please advise me about,1.specialist doctor in this area to consult in Pune or in ahmednagar.2.what is probabalie desease ..?Hepatatis ?3.Precaution to take regarding diet and other if any 4.If possible let me know name of medicins that can cure this. | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.AST (SGOT) and ALT (SGPT) are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common casue is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis,s irrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionaly done Then appropriate treatment can be started.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | |
How to stop getting weird dreams at night and reason for loosing weight?
Hi sir I'm MD hear when I gonna slept i get a dreams in night like that I have go on kooma Dan how it spread my sperm I don't know I will get shock how it came out so I request u to help my problem as fast as u can thank u and I'm loosing my weight why? | GreetingsWelcome.Well for your bad dreams which can be described by the term Nightmares you can ask your doctor to place you on a drug named as Amitriptyline at dose of 10 or 25 mg at bedtime, this drug will take care of your nightmares/ bad dreams.As far as your unintentional weight loss is concerned there can be few common causes that need to be ruled out such as diabetes and Thyroid dysfunction, so kindly get your blood sugar levels and TSH , T3 and T4 checked , if one of these come out to be the cause then it shall be treated accordingly .I hope this helpsRegards. | |
What causes numbness in leg and difficulty in urinating?
I FEEL SURE MY HUSBAND HAS HAD AND IS STILL HAVING MINI STROKES. WE HAVE HAD EVERY TEST DONE THAT THE DOCTOR ASK, THE LAST THING SUGGESTED WAS ANOTHER MRI OF HIS BRAIN BUT IT HAS NOT BEEN SCHEDULED YET. WHAT SHOULD I DO AND HOW SOON IS IT NECESSARY. HE CANNOT WALK HIS LEFT LEG IS NUMB AND HE IS HAVING TROUBLE KNOWING WHEN HE IS USING THE BATHROOM, BOTH URINATING AND BOWEL MOVEMENTS. HE STAYS CONFUSED ALL THE TIME . | Hello,Sorry for your distress.The confusion is a sign of a problem with the brain. The leg numbness and bathroom problems can be due to a problem in the brain or spine.A condition which may tie all these in is known as normal pressure hydrocephalus.An MRI of the brain should be able to identify this condition and I would advise you to get that done.The MRI of the brain is also a good way to check for stroke.All the best.Dr. E. Kwasa | |
Suggest treatment for concentration difficulty despite taking Alprax
i am addicted to alprazolam . i take some 15-20 mg alprax. i wanted it at first get high but now there is no physical or mental high even after so many tablets. i don t know what to do . i don t like to live like any more. is there any way to get back to my school/college days zeal and ambition and full of energize. help me doctor this time because i have seen lots of psychiatric both counseling and medication. no one can put me back faith in life and daily work schedule. is it possible for me to get back my old character and thought process. actually I am always very ambitious and talented too. but some how things turned opposite my aspiration, failed miserably, my girl friend left me. it was one very set back for me. i got into heavy depression and started taking medicine. now i think everything for me is gone except death. if you can come out of me and make me a man of 25 years back. you honestly tell me doctor; if there is still chance for me living haply, positively, and a significance life. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. First of all I must assure you that there is always chance for recovery. As I can see that you are addicted to alprazolam which is definitely treatable disorder. Secondly Ilike to inform you that lack of concentration is known complication of alprazolam abuse and treatment of alprazolam addiction can help you with lack of concentration. Hope I have answered your query. Let me know if I can assist you further. | |
Should Fixcom be continued more than 2 months after no relief from chest problems?
Hello, I had my chest problems 8 months ago and My doctor advised e to take Fixcom 4 for 2 months and Fixcom 3 for 4 months, i've done that already but after 2 months I feel the same way, do I have to undergo another Xray or take more medicines of Fixcom 3? | Thanks for your question on Health Care Magic. I can understand your situation and problem. You are taking treatment for tuberculosis. Fixcom 4 and Fixcom 3 are combination of anti tubercular drugs. You have taken correct dose for correct interval. Recurrence of TB is common. And in your case possibility of recurrence is more because you are feeling similar symptoms after completion of treatment. So better to consult pulmonologist and get done clinical examination of respiratory system and chest x ray. You may need sputum AFB culture and sensitivity to rule out MDR (multi drug resistant) tuberculosis because MDR tb incidence is high in recurrence. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Is there a chance pregnancy after using birth control pills?
My boyfriend was at my house 11 days ago and pretty much we did oral and there was a little bit of precum and about 5 minutes later I rubbed my clit area on the underside of his penis for a few seconds. I am on the birth control pill but I m still scared that maybe I could be pregnant. I started my period today (I usually start on Wednesdays) and it s brown like usual but I can t help but still be scared. My boyfriend thinks I m overreacting and sometimes I think so too. Could I be pregnant? | Hello dearUnderstand your concernAs you are already on the birth control pill, pregnancy is not possible (if you are taking it regularly without missed any pill).Birth control pill is very effective in preventing pregnancy and failure rate is just 0.5-1%.Pregnancy is not possible as period is already came.So do not worry. You are not pregnant.You can clear your doubt by doing urine pregnancy test. It will definitely come negative.Hope this may help youContact HCM for further health issue.Best regardsDr. Sagar | |
What causes watery sperm and suggest treatment?
I'm having a watery sperm yet i dont know why and sometimes its a little bit thicker and i'm so confused and i've gone for urine microscopy,culture and sensitivity which proof negative..does it mean i can reoroduce.what's the cause and the possible solution. | masturbating often can leads to watery sperm..accordind to studies,masturbating more than 1 time a day,leads to severe problems.if you have doubts about fertility kindly do sperm analysis in your nearest lab and confirm your fertility. | |
What could cause restricted foot movement?
I woke up in December unable to bend my toe. a few weeks I felt shock at the pad of my foot. I began having neurological issues.looking back it all began in September. I was feeling fatigued and I kept having pressure in my ears and behind my right eye. my foot is now changing colors when I take a shower it s always but is now beginning to turn red and blue or red black and blue. I feel like blood is rushing to it sometimes. I feel pain when I try to walk on it sometimes. I also have muscle spasms throughout my body or or my muscles are jumping throughout my body. I have sharp pains in my head constant ringing in my ears pain behind my ear stabbing pain in my temple area and in my ears.I have brain fog sometimes I ll go somewhere forget what I m supposed to be doing. I even had one moment where I was in the shower and I lost my hearing and my vision was fuzzy .first night vision came back and then my hearing came back shortly thereafter. It was ringing really loudly. I can t think of any other symptoms except my hand was shaking really bad after a shower. I do have migraines facial pains my hips pump but I walk up and down the stairs and I have lower body weakness. I have been to two orthopedic doctors, two podiatrist, a spine specialist, a neurology, PCP and scheduled to go to another neurologist and a neurologist special as well as a spine surgeon. I have had a MRI of the brain that was clear and the MRI of my lumbar spine. The report showed spinal stenosis and epidural Lipomatosis. The spine specialist looked at my lumbar MRI and thought my spine looked fine. he believes it is neurological. the podiatrist felt it could be RSD my orthopedic doctor and PCP felt it could be MS. But no one knows for certain. I also had an EMG done and it showed that I had something wrong with my back. currently I have pain in my neck oh my spine between my shoulder blades and tightness in my lower back. Do you have any idea what could be wrong? Sincerely, Tamika | HiI would like to suggest you to take simple pain meds like Tylenol or advil, methycobalamin tabs,pregabelin tabs.You may consult a fibromyalgia clinic or a neurophyscian who may give you prescriptions for above drugs.Amitriptyline also daily shall relieve your other problems, various aches and painsThanks | |
What causes shortness of breath post an abortion?
I had an abortion three weeks and three days ago and I was fine for the first week after but then I started losing so much blood I d go through a pack of 20 maxi pads in one day up until a few days ago. Bleeding has stopped but I ve also lost feeling in three of my fingers and my feet are so swollen and just keep getting bigger. Also have shortness of breath and feels like I ran 10 miles after only taking ten steps and almost every time I just stand up my head starts to pound for a good 5 minutes . is this normal THREE weeks after I got the procedure done? | Thanks for your question on Healthcare Magic.I can understand your concern. No, these are not normal symptoms after abortion. Possibility of anaemia (low hemoglobin) is more likely because of heavy bleeding after abortion.Anaemia can cause feet swelling, shortness breath, head pounding etc.So better to get done hemoglobin estimation and if low then start iron supplements. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What does hemoglobin-9.4 and hematocrit-30.5 in blood test suggest?
I had some bloodwork done and my doc is sending me to another doc cause my bloodwork is not normal can you please help and explain to me I m scared here wa my bloodwork numbers Hemoglobin...9.4 Hematocrit...30.5 Mch....23.6 Mchc....29.8all these are low These are high .... Platelet count ...542 Rdw ...19 What can this mean thank you | Hello and welcome to HCMThere is nothing to worry.The blood reports suggest anemia or reduced hemoglobin.Anemia is caused by reduced hemoglobin or reduced red cell mass.The values indicate low hemoglobin, low hematocrit, low MCHC and low RDW.These values tell that there is decreased concentration of hemoglobin in the red blood cells.An increase in RDW is caused by variation in the sizes of red blood cells.A peripheral blood examination is required to assess the morphology of red bloos cells.All these investigation will determine the type of anemia and thus treatment of anemia.An elevated platelet counts is seen in infections, post hemorrhage, post-splenectomy, and rarely malignancies.Correlation with other blood findings is required to know the cause of high platelet counts.Thanks and take careDr Shailja P Wahal | |
What causes stomach ache and unconsciousness?
before 2 weeks from today, my father got a stomach-ache, & he was Unconscious, & hospitalized.According to the doctors his CRP is high & PUS CELL range was 15-25.also he had a high fever for Continuously.& after 4 or 5 days time he is getting normal & again the same thing happens..So plz let us advise about this situation!! | Hi.Thanks for your query and an elucidate history. Getting unconscious after stomach ache along with the findings of CRP and Pus cells you have noted is highly suggestive of septicemia due to severe urinary tract infection.He has continuous high fever, the attack is recurrent. I would suggest the following in such a situation::MRI of the brain to find out any problem in the brain or its coverings.Spinal fluid tapping and to send it for chemical analysis.Culture and sensitivity : of the blood, urine and spinal fluid.Routine blood, urine tests must have been done- these need to be done repeatedly to review the progress. Also to follow kidney function test.Get an opinion of the Urologist, Neurologist .get the treatment as per the reports of C/S examination. | |
Why does an IUI treatment fail?
I have undergone IUI treatment for the first time and got failed. Doctor told me that My EGG is in very interior position (that is the reason for my infertility and my eggs are good only) I have to undego second one will it get succeed???? Pls advice | HAI WELCOME TO HCMiui will give 10-15% success in cumulative cycles.you can try 4-6 cycles with ovulation induction with follicular monitoring.keep trying. | |
How to treat numbness and tingling sensation in the hand while having carpal tunnel syndrome?
I am a singer and guitar player and am having trouble with carpal tunnel ...numbness,,,tingling...can t sleep well because of the pain...I am 80 years old, but still active...I would ask you, what would you do if you had this situation...would you suggest the operation or exercising to try to eliminate the problem? | I will suggest you to take Ayurvedic medicinetab mahayogaraj gugglu 2bd cap neurowin 1tds it will solve your problem | |
Suggest remedy for pain and fever
am 34 yr old female,wt.45,ht. 130 cm,suffering from pain right hand finger pain at metatarsal jt.,with swelling at rt. index finger,pain in left elbow jt.,pain in both ankle ji.,pain in both sole.,since 3 days no fever,mother having history of seronegative RA,taking pain killers, having difficulty while walkig , kindly suggest treatment | you can use hot pack to relief pain .moist heat can also used active movement for hand arm elbow and strengthening exercises. take physiotherapy treatment it will help full in stopping conditions to be worsened up ,for swelling elevate with the help of pillow will help to reduce swelling and ankle to movement and static quads that will be helpful for her wish here good health. | |
How to get rid of soreness and white coating like on my tongue?
I've been snorting and occasionally smoking meth for about a month or so and I've noticed that I have sores and a coating of white on my tongue and my tongue is actually sore. Also I think I've been biting my tongue maybe when I sleep cus I grind my teeth really bad.. Anyways I want to stop the sores and the biting are there any ways to make things better on my mouth? Oh and the fucking acne... I've never had acne ever my body is smoother than a babies butt and I've been breaking out on my back and arms and even on my legs a little. What does that mean and how do I stop that? | Hello:)Thankyou for posting in HCM.Quit smoking immediately.This burning can be due to smoking as well.You did not mention if the white coating on tongue is scrapable.I suggest you to consult your dentist for a clinical evaluation.If necessary, you must go for a biopsy, to check if it is a lesion or just bacterial growth.Maintain good oral care.Brush,floss and mouthwash.You did not mention if you are stressed. stress and worm infestation most commonly leads to night grinding. You can use albendazole if you suspect worm infestation.Ask your dentist for a night guard.This will dissepate the grinding forces.Acne can be because of hormonal imbalance.See your physician reg. this.Apply quadragel ointment thrice daily on the tongue ulcers for relief.Regards. | |
Suggest remedy for cold and cough
Hello ! My baby is one year & 21 days her weight is approximate 12 kg she is having frequent problem of cold & cough whenever whether change she get the problem of cold & that remain for 10 - 15 days. I use to give her Wikoryl & prospan syrup but it dose not effect much can walamycin helpful for her pls advise | Many thanks for writting.Remedy for cold and cough.1.it is due viral infection because of poor hygiene.2.wash hand and dry it.3.avoid contamination of sharing.4.use mask if other person are infected or be isolated from them.5. bed rest , plenty of water and keep good hydration.6. paracetamol syp 15mg/kg q 4hrs.7.chlorphdnramine syp 1- 2mg bid8.normal saline nasal drops or spray for nasal discharge. | |
Is slight fatty liver, gamma gt 140 while having smoking habit and on citalopram for depression serious?
My last blood test a few months ago indicated I had a slight fatty liver and my gamma gt was approx 140, ive had same bloods again and my ggt is 138, i dont drink,am female height 5ft 5 and weigh approx 12st, smoke quite heavily and suffer from depression and take 20mg citalopram, what could this indicate? | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.This is not serious condition at this point but if there will be progression of liver damage and GGt then it may be problematic so it would be good do check liver markers frequently, do ultrasound and avoid alcohol and hepatotoxic medications, however Citalopram is not one of these if taken in recommended dosage.Kindly regards. Wish you a good health. | |
How to cure cough and throat infection ?
I have cough from last 2 months and throat infection from last few months. Consulted 3 doctors, followed the course, but still not progress. Doctor asked me to carryout few tests - viz .. Sputum, Blood, Chest Xray & nose xray. In chest xray report, doctor has mentioned DNS on right side. What is this, i couldn't understand. Please advise. | Hello dear , hiWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* DNS is deviated nasal septum , can give repeated bouts of respiratory infections .* Guidelines for better recovery- Gargles with salted lukewarm water added peppermint oil 3 times a day .- Balanced nutritious diet .- Avoid excess sugar , oily , spicy , non veg , chilled beverages .- Atmosphere with dust , pollens has to be avoided if needed use triple layered face mask .- Avoid smoking , alcohol if using .* Follow up after 3 days about the progress .Hope this will help you for sure .Wishing you fine recovery .Regards . | |
What causes fainting spells, breathlessness and light headedness in asthmatic?
I have asthma and have been using my inhaler frequently for two weeks. While sitting at my desk at work, I'll feel dizzy as if about to faint and very weak - this has happened twice today and another time 10 days ago. Lately walking makes me feel a bit faint and out-of-breath. I have a feeling of fullness and when I take deep breaths, I feel very light-headed and I'm exhausted most of the time. Thank you | Hi,I had gone through your query and understand your concern.Frequent need of using inhaler (?Salbutamol) indicates that your asthma is not under control.All these symptoms are producing most likely due to poor control.If I were the treating physician, I would perform objective test and advise step up management:>Salbutamol inhaler as required to relieve symptoms>Steroid inhaler twice daily which you need most to prevent and control asthma>Other medication if requiredSince this is a prescription medicine,I would suggest you to consult with your local doctor or respiratory medicine specialist to confirm the steps of asthma control and get treated accordingly.Hope this helps you.If you have additional questions or follow up queries feel easy to write us.Wish you good health. | |
What precaution is to be taken while having cold, cough and runny nose?
Hello, my coworker was just diagnosed with influenza, we spent all day together yesterday in a training indoors...she sat next to me. Its early in the season so I didn t have flu shot. ..I have a cold right now, symptoms include nasal congestion, cough, runny nose.. . is there anything I should do in advance? | Hello, If your colleagues having this infection you may avoid exposure to respiratory secretions while she/he coughing or vomiting. Don't touch directly her hands if touched don't keep near to your nose. Isolate him or wear a face mask and visit less frequently. you can take flu shot if you're under risk. If you already exposed to the infection then take rest to isolate yourself from the starting of the symptoms to 24 hours after recovery of symptoms. Use water vapour inhalation and salt water gargling thrice a day for five days. Drink plenty of water and liquids. Use Paracetamol and bronchodilator thrice a day for five days. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Penchila Prasad Kandikattu , Internal Medicine Specialist | |
Pain in lower back left side. Taking medication, still painful. Referred to neurologist. Opinion?
i went to my doctor complain ing of back pain in lowetleft side around mywaist he wrote arthopathy 716,90 and 724 as my diagnosis to my short term insurance .i was taken off work for 4 weeks i still feel the pain but i originally thought i pulledamuscle now i have BEEN REFERD TO A NUROLOGISt want to know why would this get claim denied | hi i had gone through your query and understand your concerns. i would come up with two most possibilities to fit your condition .these include1.first possibility is,RENAL STONES;ultrasound scanning for KUB may confirm the diagnosis.2.second possibility is,DIVERTICULITIS;inflammation of balloon-like protuberance due to excess Gas pressure in intestines.often caused by additives in food,or low blood sugar.x-ray with barium enema may confirm the diagnosis. diet to follow;-high fibre diet which produces large volume of faeces requiring wider diameter of colon,and gas. -refined food food lead to hard stool.softer stools do not strain the gut.I hope this is helpful for you, thank you | |
Does kidney infection or antibiotics delay menstrual cycle?
i have kidney infection 1 week before my period. the doctor gave me tavanic 500mg as an antibiotics for 2 weeks. I am now 20 days delayed in my period but I have done pregnancy test when I was 10 days delayed and it was negative. Does the infection or antibiotics causes the delayed of my period? | Hello dear,I understand your concern.In my opinion the infection causes stress in the body leading to hormonal imbalance.This hormonal imbalance might cause irregularity of periods.So dont worry.Take adequate fluids upto 3 litres per day to prevent urinary tract infection.Wait for spontaneous onset of periods.Take healthy nutritional diet to strengthen the body to fight against infection effectively.Best regards... | |
What is the treatment for pain in arm?
Hey, Im 15 & on January 4 wich was Saturday we got 16in of snow here in Michigan so Sunday I was out shoveling for about 2hours lifting arms about to chest area then Monday for a good 40min then Tuesday I wake up with my left arm (above forearm area) sore & a aching feeling is this a big issue I have been taking over the counter pain reliever but only works for few hours | Hello!In my opinion You need rest and splint for Your hand. Pain will go away in period of 1 week. Using pain killers is dangerous, You should consult with Your primary doctor | |
What are the side effects of steroid while having asthma?
my son will be 3 in april. he went to the doctor today with swollen tonsils. His speech is effected with words beginning with c,k,g and his snoring is aweful. the doctor wants to give him a steroid shot in 1 week if they don t go down-doctor said it was virally induced-but did say there were side effects. What exactly are the side effects? He also has asthma and has had the swollen tonsils for 3 weeks. | Hi,Steroids reduce inflammation and pain due to any cause. They suppress all the immunity response of the body by inhibiting all the chemicals causing inflammation. Steroids are very useful in bronchial asthma.A short term use of steroid shots for 3 to 4 days may not cause severe side effects. Long term use of steroids for months can cause peptic ulcer, hypertension, diabetes and osteoporosis. Inhaled steroids can cause sore throat and oro-pharyngeal candidiasis. Hence gargling of the mouth should be done regularly after using inhalers.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician | |
What could sweating, chills and shivering following a flu-shot indicate?
My husband wakes up soaked from sweating and has chills so bad he is shaking what is wrong? He was given a flu shot and also a z pk for a cold the Dr was treating him for. Now he wakes up soaked with sweat and has the chills so bad he shakes and then he feels hot after a while | Hello,rigor is usually a sign of serious infection although sometimes viral diseases may cause it as well. Influenza is one of those diseases. Other common causes include urinary tract infections, pneumonia and cholangitis. Since he's been treated for a cold, a respiratory tract infection is the most likely cause.He should return to his doctor for an assessment. Diseases that cause rigor should be promptly diagnosed and treated.I hope I've answered your question. Please let me know if you need further assistance.Kind Regards,Dr Panagiotis Zografakis,Internal Medicine Specialist | |
Suggest treatment for high BP,headache,blurred vision and nausea
my blood pressure has been running high for the past 3-4 months, it used to run 120/80 average all my life (51yrs) today I checked it twice and the first was 160/101 pulse was 110 (pulse has always ran high all my life around 100) and the second reading was 164/104 pulse 96. The readings were about 2 hours apart. I laid down and slept about an hour and that usually helps. Symptoms that I have on and off are headaches, nausea, blurred vision and light headed or foggy, (sometimes just one or two symptoms and sometimes more)hard to explain. Thought it was just side effects of my meds but then tied it to my blood pressure. This is not a daily occurence but they do seem to happen more often. I am not on any bp medicine | Dear sirall the symptoms that seem to have are because of the raised blood pressure but the cause behind this must be evaluated and treated at the earliest for which you need to attend a cardiology clinic as soon as possible | |
Bone pains after taking steroid medicines.
Hi , I am Shazia (name changed) , my mother has joint pains .This is a long story . She had allergy 3 years back so we did all treatments Allopathic ,Homeopathic and Ayurvedic .During the Ayrvedic treatment she was given Aesteroids so the Allergy was treated completely but the nerves of hands and legs got damaged . Now she has continuous pain in her legs inthighs she has a fluid which stops the movement of legs , as per the doctor if she gives more stress on that part the bones can facture , Please advise | Your mother probably is suffering from a condition called Steroid induced Cushing's Syndrome. Corticosteroids affect bone in three main ways; 1) Loss of bone mass, 2) Loss of bone protein and osteoporotic lesions, 3) increased urinary excretion of calcium and phosphorus leading to bone loss. She should be evaluated by an endocrinologist and undergo tests like overnight 1-mg Dexamethasone suppression test or a 24-hour urine test for Cortisol. She may need further medications depending on the test reports. The patient should eat foods that are high in calcium and vitamin D and low in fat. To prevent the risk of fractures in patients taking steroids, prevention of falls is important. Drugs such as the Bisphosphonates may be prescribed to prevent bone loss but you need to meet an orthopedician for this. | |
Liver problem, jaundice, loss of appetite, nausea, gastritis. Have protein in urine. On antioxidants. What am I suffering from?
Dear Sir,I am 46 years old, For few years I face Liver problem, 2 years back I got Jaundice, the Jaundice has been cured, but since then I am not feeling totally normal.Constantly I am feeling loss of appetite, sometimes Nausea, Gas Problem etc, When I take medicine for Gas, and using some home remedies, like antioxidant, I am not getting normal sleep.I mean when I go to sleep at around 10.00 PM, I wake up around 2.00 AM or 3.00, and after that I am not getting sleep.But for few days when I am not taking any medicine or herbs, that time I am getting good sleep. But during that period I have a lot of Gas problem, Food is not properly digested, and in stool I can see undigested food.Can you please help what this problem is?I have searched Internet, when some one follow Liver Flush, they get good sleep, but in my case this is just opposite, when I follow some method of Liver flush, the sleepness go away.I also feel few amount of protein in Urine, when Ithe test report comes for Urine Culture, it shows Protein in Urine, trace only. But sometimes I can see in urine, lot of protein, bubbly Urine etc.I have normal BP, Normal Sugar, no heart problem.Can you please help and let me which desease I am suffering from ?Thanks for your help.Imran Ahmed | Welcome to Healthcare-Magic and thanks fot the query.i am not sure if these 2 things are related but proteins in urine can be sign of uroinfection or some kidney disease. sometimes nothing abnormal can be found. your liver is something else. the right cause of jaundice should have been established and most common this is hepatitis or gallbladder issue but sometimes it may indicate some more serious conditions and you need to do ultrsound or ct scan to verify is there any liver or pancreatic lesion.all other symptoms can be sign of liver damage but also sign of any othe bowel disease such as IBD,gastritis or crohns.Wish you good health. Regards | |
What causes loss of appetite followed by vomiting?
My 2 year old hasn t been eating well would say loss of appetite for about 6 days. Onset she had two bouts of vomit. No fevers. Drinking liquids fine. Plays & otherwise ok. However she just had a foul smelling diarrhea with what looked like coffee grounds in it. Do you think this is a virus ? | hi ,your child recently suffer from gastroenterits which cause decrease apetite.please give him frequent liquid diet along with a probiotics sachet .you should also give him a zinc syp.for 2 weeks...thanks | |
What causes persistent fever?
i am a 68 year old man . i have grade I prostate . have persistant low grade fever for last 20 days now. pain in groin area through to the knees, difficulty in flexing thighs, low back pain , lower abdomen pain , shortness of breath, nausea, have lost weight in the last few months. am a reformed smoker. i had stones in bladder but gone with medication. got all tests done incl psa, TSH, x ray of chest, mycobacterium (for tb), ultrasound of abdomen, endoscopy, cbc, urine microscopy, RA, IG m but they are all in the normal range. diagnosis is unclear. pls help. i am distressed. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Persistent fever for more than three weeks with unable to come conclusion after all investigations after 1 week of hospital admission is called pyrexia of unknown origin. Common cause is: Bacterial infections like abscess, tuberculosis or endocarditis or HACEK group infections etc, Hepatocellular biliary infections, Brucellosis, Lyme's disease etc. CMC infection, EBV , Herpes virus infections may cause above symptoms. Hope I have answered your query. Let me know if I can assist you further. | |
Is high BP likely to result in heart attack?
hello. my husband suffers high blood pressure, an insurance company don't want to life cover him as his reading was 196/100 (his meds were finished and he had to get more). I now feel like he's a walking heart attack and am worried sick. I don't know what his reading is whilst on meds, but know that the reading is much lower. He's 43, smokes about 10 cigarrettes a day and drinks socially. Am I being paranoid that he's going to suffer some sort of major heart attack soon or is he okay as long as he takes his meds? | Hello, I had gone through your question and understand your worry.-The normal range for high blood pressure is 120/80 mmHg. At 196/100 mmHg it is quite high but reversible. -In my clinical practice, I first advise patients with high blood pressure to stop smoking and do a generally modify their lifestyle.Partaking in regular exercise like walking and eating healthy. -Always remember to buy necessary medications before they get finished and take medications as prescribed. - Continuously increased blood pressure till 196/100 is a risk for a major cardiovascular event. Please ensure that he adapts to the changes and hopefully he will be fine. Warm regards | |
How to treat a bruised tailbone after falling in ice?
I fell Ice skating over 2 weeks ago. I feels like I bruised my tail bone, but the pain wasnt that bad. This morning I woke up and could hardly walk. Every step i take causes pain. How do I treat something like this and why is it more painful now that when I first injured it? | it's a contusion of sacral or coccyx bone.. rest well. ice that area often to heal the structure around. after a week slowly stretch the muscles around the hip and pelvis | |
Itchy eye, sneezing, coughing, itchy chest. Allergy or respiratory infection?
Hello, i have a question about coughing. I have mild allergies so I get the itchy eyes and sneezing but now i am starting to experience bad coughing and it mostly happens at night. When I first start coughing its just a few coughs here and there but then the coughing starts to be constant and when it does it makes my chest itch really bad and it hurts, can someone please tell me why this is happening. I dont know if its due to allergies or because I may have a respiratory infection . | hi, you have upper respiratory tract infection and allergic conjunctivitis. see your physician for the treatment. you need antibiotics, antihistaminics, analgesics. see also ophthalmologist. see respiratory ways are hyper responsive airways,hence whenever u have upper respiratory infection, you will have wheeze because of hyper responsive airways. | |
Can Cilatopram be taken instead of Zoloft?
I have been out of my zoloft for about 4 days and started having weird effecta like i normally do if i miss a few doses, i take the lowesr mg,50mg. My mom used to take the same thing but her dr switched hers to cilatopram 20mg because its cheaper. Since i havent had my medicune she gave me one of hers. Is this okay for just tonight | Citalopram and Zoloft are not interchangeable medicines. They belong to the same class of antidepressants but it is not advisable to take one in lieu of another for a few days or even a day.You should get Zoloft again. If you wish to switch completely to Citalopam, then discuss the same with your doctor. If you switch to Citalopam then you should take it regularly as per doctor's instructions.I hope this answers your question. | |
Why am I angry, irritated and suicidal?
do I need to see a doctor?I often feel really low and depressed , im angry and irritated by small things. I often feel sucidial and that theres nothing to live for. but after a few weeks or sometimes days I no longer feel like this. sometimes my head is filled with thoughts and I feel like my head will explode if I dont stop thinking and then I just get a headache. im 18 , female. I just want to know if this is anything I should show a psychiatrist? | DearWe understand your concernsI went through your details. I suggest you not to worry much. I assure you that you do not have any mental issues. You do not have to see any psychiatrist if you keep yourself busy. Sometimes young people have these kind mood problems mainly because of disappointment. Mind you, this is not clinical depression but disappointment.At teen age, human brain is so vibrant and creative, that finding a suitable task becomes very difficult. The tasks at hand are so boring and slow. They become lazy, irritated, angry and disappointed. Coupled may be the affairs and boy / girl friends. Every disappointment contributes to the laziness anger and irritation. Eventually lethargy overwhelms. Thinking and talking about suicide at this juncture is normal, but you should make sure that the behavior is not sustained. You have to find some tasks which keeps you active.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
Is inclination to play female characters in a drama, a disorder?
Hi,I am from chennai. Before my marriage, i used to act as female role in dramas. After marriage, i left this because my wife does not want this. Past 6 months, i am having a thought of acting female role again in dramas. Whether this habit related to hormone problem? or is it some other personality? | DearWe understand your concernsI went through your details. I suggest you not to worry much. I think you are only inclined to play female role in dramas. Nothing more. There are several male bharathanatyam artists and how many you know have female behavior? I remind you of this because you are from Chennai. Please do not misunderstand things and put yourself in trouble. You have a passion for female role in dramas. That is all and that is good. just leave it at that and enjoy acting.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. | |
What causes metal test when coughing?
I just turned 62 a little over average weight 5ft 7in and have under active thyroid ,and colesterol meds otherwise not many more problems accept this real bad metal tase when coughing it is soooo gross.I have never experinced this in my lifetime. Don't know what to think about this and I am not liking it for sure.. | HelloThanks for posting here. The metal taste you are having in your mouth can be related to acidity. I suppose you suffer from hyperacidity symptoms also. Please take a course of pantoprazole 40mg twice a day 20 mins before meals. See if that helps. Also as you mention you have been coughing, what is the reason for your cough. Hyperacidity can also cause chronic cough. But other causes of cough should be excluded. please do a chest x ray and a pulmonary function test to evaulate cause of cough. wishing you good health. Regards. | |
Why is my grandson shaking his head side to side?
My grandson just had a heart catheter which caused his heart to have an irregular heart beat for a couple of hours. It did go back to normal but now he shakes his head from side to side constantly, could it be that he s in pain? He will sometimes do that when he s fighting sleep but it s not constantly. | Hi,Welcome to HCM forum,I would need more details on this. 1. How old is your grand son?2. What exactly was the procedure done on him and when?3. IS he on any medications ? If yes, details?4. How often he does this? Is this continuous or he calms down by himself.Kindly revert to me with the details. | |
Can itching and inflammation be due to an allergy with food?
hi,I have high blood pressure. I took my tablets three hours before I went to sleep. When I woke up I ate some mussels with fresh cream sauce. I started feeling inflamed and itchy. Could this be an allergic reaction? If so will allergex( tablets for allergies) help? | Hi, thanks for using healthcare magicIt does sound like an allergic reaction likely to the mussels or the cream sauce.Allergex would help.You may also want to consider allergy testing to determine if you are allergic to shell fish so that you can avoid further contact.If a person is continually exposed to an allergen, the allergic response would progressively worsen.I hope this helps | |
Suffered from kidney infection. Having burning sensation, blood in urine, pain above pubic bone. Could it be STD?
i am currently suffering with passing blood when i urinate, it also burns and i get a pain just above my pubic bone, and i get it every time i try to hold my urine in. i have seen the doctor nearly every week for the past 4 months and have suffered numerous kidney infections yet they can not seem to find the problem and no antibiotics have helped, i am currently on a waiting list to have my kidneys scanned which could take up to 6 months. the doctor mentioned it could be an STD but that is impossible as i am not yet sexually active. | HelloThanks for your query.Based on the facts that you have posted it appears that you have hematuria,burning urination since last four months and have been prescribed antibiotics with no satisfactory results.Hematuria can be due to other causes like stone in urinary system or tumour in urinary system and needs to be investigated in detail by doing following tests.1) Urine culture 2) Ultrasound scanning 3) I.V.P.(Intravenous Pyelography.4) C.T.scan of the urinary system.5) Endoscopic examination of bladder .chronic UTI .Please try to get the appointment earlier with Urologist and follow his advice for further treatment.Dr.Patil. | |
Why am I experiencing abdominal tenderness?
Yes, I have been experiencing abdominal tenderness. It is not pain, it is very tender. It feels like nothing I have experienced. It does not feel like gas and I have no fever, no constipation or bloody stools. The best way I can describe it is to say that it has been very uncomfortable although it has not stopped me from any activity or work. It is more annoying than anything. It is as if I am suddenly away of something that was never there. It has been about 10 days since it first started. it seems to be worse right after I eat something. It is only tenderness but has been constant for about 10 days. What could this be? | HIThank for asking to HCMI really appreciate your concern and looking to the history given here I could say that this is vague complain of abdomen pain, this could be nonspecific in origin but still it is advisable to get the ultrasonography test, this would clear the certain doubt, take care and have a nice day. | |
Have bipolar disorder. Taking Lithium. Recommend young doctors in California
My 44 yr old daughter has just been released from Los Colinas Detention Facility and is now going to be living with us in Rancho Bernardo Calif.(0000) She has Bipolor Disorder and needs a new Pscy. She is a medi/med patient. Can you recommend any younger doctors in our area that accept her insurance coverage? She has her lithium for the next week. | I would recommend a good younger doctor (psychiatrist), named Dr Basant Pradhan, at Lee cooper university | |
What causes tingling and pain on left side of the body with headaches?
im 13 years old and the last month or so ive had really bad pains and tingly feeling down the left side of my body and headaches, i cant concentrate, sometimes my heart starts beating really fast and i get out of breath and have blackoutss, im scared, please help! | Tingling and pain on left side of body with headache could be due to hypertension, anxiety. But you should do an ECG to rule out heart involvement. | |
Suggest remedy to relieve gas trapped in chest cavity
I have had trapped gas in my chest cavity for three days now, I burp and burp but the gas never seems to go away (mind you im not burping big, just small ones) I also experience panic attacks so It's feeding on them, also with this gas come shortness of breath please help. | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you are mostly having stress and panic disorder related GERD (gastroesophageal reflux disease). So first of all consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Once your stress and panic is treated, your GERD and burping will also subside. For quick relief in burping at present, do following things. 1. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. 2. Take pantoprazole and levosulperide combination twice daily on empty stomach. 3. Go for walking after meals. 4. Quit smoking and Alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Can Ayurveda help to increase sperm ?
hi im farah.. m married from last 8years but didnt conceive yet... ma husband have the problem of nill sperms he did medicine many where but failed every where dr advised us to adopt so its gone 2yr i adpoted baby gal.. nw shz of 2.5 ... i very happy with her.. but stil i want to conceive plz help me out from dis blame dat m baanj n all... can ayurved help to increase sperm? m25 yr female n ma husband is of 37 hz healthy 83kg in weight n his height is 5.10. | Welcome to Healthcare Magic Good Day Absence of sperm usually indicated block to the tubes that transport the sperm. IVF can help in such cases. Kindly visit Hospitals who do IVF and take a consult and this can be treated and you can get pregnant with your husband's sperm. It requires few tests to see if his sperm will fertilize your egg, for this you need to consult the Gynaecologist in such a Hospital. | |
What could cause extreme fatigue in a child?
My 12 year old son is very tired day 3 no other symptoms that i have noticed he sleeps 930 to 630 then off to school. he eats well and excercises regularly between PE and soccer. he not over or under weight he 5 ft 94 lbs. what could be worng no matter how much he sleeps or rests its not enough | Hi....I suggest you advice him to stop the exercises inbetween PE and soccer and then see the difference. By what you say I feel that he is getting himself over burdened by physical exercise.Regards - Dr. Sumanth | |
History of hysterectomy and posterior repair. Have chronic duodenal neuralgia. How to help the pain?
Hi, i have had a hysterectomy and posterior repair in 2007 and have had the mesh all removed and vaginal wall rebuilt. I suffer from chronic puedenal neuralgia as well as vaginal, rectal,tailbone and left thigh pain since then. My pain is constant sharpe shooting, tingling and stabbing pain. I have had 8 puedenal blocks as well as a hypogastric block and gangelon block at tailbone with no relief. Is there anything that I can do to help with this pain other than meds and more surgeries? | Hi,Thank you for posting your query.It is unfortunate that you are suffering from pain despite surgery and nerve blocks.You would benefit from neuropathic pain medications such as gabapentin, pregabalin and duloxetine.You can get these medications on a doctor's prescription.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.comMy blog: | |
Suggest treatment for swollen and painful ankle
Hi, I fill during a hike last Friday today is Wednesday, I cut my leg in the middle of my shin bone and its swollen down to my ankle. There is no pain when walking but it hurst a little when I touch the bone. At the hospital they gave me Curam 1g and Fucidin , I ve been taking it for three days now but the swollen is still there. What should I do please. Thank you. Yaser | Hello,I have studied your case and I think that there can be ligament or soft tissue injury of the ankle which has caused these symptoms. I would suggest you to apply some splints and do some rest. You can also apply hot water fomentation and volini gel local application. I hope these steps will be helpful for you.Let me know if there is any other followup questions.thanks | |
Can Clindamycin be taken for tooth infection?
I hope you can answer my question. I have a tooth infection and was wondering if Clindamycin HCL 300 would be ok to take for the infection? I'm going June 30 to have all my teeth pulled so I'm not going to a dentist till then. Can you help me please? Thank you | HI...WELCOME TO HEALTHCARE MAGIC.CLINDAMYCIN CAN USE TOOTH INFECTION BUT WITHOUT ORAL EXAMINATION BY DENTIST AND WITHOUT ANY SUGGESTION NOT USE..MENTION A COMPLAIN WHICH IS RIGHT NOW PRESENT..CONSULT YOUR DENTIST FOR FUTHER DIAGNOSIS.I HOPE MY GUIDANCE HELPFUL TO YOU.THANK YOU. | |
How can a child’s tantrums be managed?
Good evening, I am concerned for my granddaughter. She just turned 3 yrs in November. These are my worries: limited food variety intake, difficulty with transitions, self harming behavior, very easily frustrated. However, speech/ language appear WNL, as do gross and fine motor skills. No overt vision or hearing impairment. Social skills appear age appropriate. She likes both active and still tasks. NKA, no known health concerns. Could you suggest where to start? I think perhaps a developmental pediatrician would be best ? Thank you for your assistance. Rebecca | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. By what you say she is just having temper tantrums and as you said developmental pediatrician would be the best. Tantrums may happen when kids are tired, hungry, or uncomfortable; or because they can't get something (for example, an object or a parent) to do what they want. Learning to deal with frustration is a skill that children gain over time. Tantrums are common during the second year of life, a time when language skills are starting to develop. Because toddlers can't yet say what they want, feel, or need, a frustrating experience may cause a tantrum. As language skills improve, tantrums tend to decrease. This is what you can do to avoid or prevent tantrums - 1. Give plenty of positive attention 2. Try to give toddlers some control over little things 3. Keep off-limits objects out of sight and out of reach 4. Distract your child 5. Help kids learn new skills and succeed 6. Consider the request carefully, when your child wants something 7. Know your child's limits Regards. | |
Suggest remedy for asthma during winter season
i had asthma problem in before 4 year ago and it start again i have feeling cough in chest and not able take proper breathing while sleeping this thigs are happing specially on winter season.Actually I'm working in abroad so i have taken some medicine according to my doctor advice that are following....1. Levoling -2 Mg, Doxolin-400 Mg, Droxyl-500 mg and formonide-200 Inhaler. so it can i take this medicine regular or i have to change it ? | Hello.Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would mostly agree with your current treatment for asthma symptoms. I would not give an antibiotic (Droxyl-500) if you don't have fever, it will not be beneficial.2. Were I treating you, I would add montelukast in your regular treatment, it will reduce allergy-asthma symptoms.3. Please make sure that your technique of using inhaler is correct, so that desired amounts of drug can reach your lungs.4. I would suggest you to take Doxolin-400 only under doctor's prescription as it can have many side-effects. Levosalbutamol inhaler is better and safer than Levolin-2 tablet in my opinion.Hope above suggestions will be helpful to you.Should you have any other query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards. | |
Q. My single vaginal hole has two different sections inside. Why?
Hello doctor, I have my one vagina hole, but it has two different sections inside. Like there is a skin inside, and a penis or finger can either go left or right, and I do not know if this is normal or not. | Hello. I will feel sorry that you have the congenital disability of your reproductive tract, the vagina, and it is called a septate vagina. Only surgery can cure it. You need to see your gynecologist as soon as possible. If the defect is only in the vagina, you need not have to worry much, and it can be cured easily by a simple surgery. Whereas if the internal organs are also duplicated, you need to do a series of surgeries and treatments. | |
Q. Are Elisa, RNA PCR and Tri-Dot sufficient to rule out HIV?
Hello doctor, I had unprotected sex with a girl, but a sperm has not come because I was inactive as I have drunk. This happened last month. After 23 days, I had RNA PCR, and ELISA both came negative. Then after 7th week, I had antigen, antibody test, which came back negative. In the 10th week, I went for Elisa test 0.4, and it was non-reactive. After completion of the 11th week, I went for Tri-Dot and that also came negative. Should I wait for one week, or is it sufficient for me? Please help me to come out of this situation. | Hello. Guidelines says that you should repeat the test after 12 weeks of exposure, but because you have undergone test many times, you are almost sure that you do not have HIV. But it is better to repeat once after 12 weeks. You need not be anxious as most likely it turns to be negative as there is no hint of any symptoms and on previous test results. | |
Child suffering with hepatitis A, taking liv52, Bcomplex. Advised omnacortil. Is it safe?
sir my daughter 9 years old girl suffering jaundice for last 45 days ...at the begining her bilrubin rate was 2, then 10 days back it increased to 9.9.......3 days back it was 9.6..........during this peroied one doctor adviced to give B..complex syrup and one ayurvedic medicin named Liv.52 ( himalaya).............then 3 days back i consulted a gastro enterologist doctor. he advised to give omnacortil 20 mg for one week and omnacortil 15 mg for next one week........she s sffering hepatitice A.............is ther any problem with give that tablet......any hight or weight problem or any other side effect.........please advise | hi thanks for your query as per discussion your child is a case of chronic active hepatitis and there is beneficial role of steroid like omnacortil (prednisolon) for decrease progresion side effects of prednisolone are --swelling, rapid weight gain, feeling short of breath; severe depression, bloody or tarry stools, coughing up blood;report to your doctor if any of them occurs dose of prednisolone are given as per weight and the doses your daughter have are adequate. take care | |
Suffering from stomach gas, severe constipation. Having GERD. Done liver test. Is it a liver problem?
sir, i am 30 years old. today i got my liver function test report . my alt is 87 and ast 38. alkaline phosphates 65, total bilrubin 0.8. i am suffering from stomach gas, severe constipation , stool color is pale yellow. i have to take laxatives to empty my stomach. Also i am having GERD . kindly suggest me what should i do.. is this a liver problem or IBS thanks | Hi umarsaeed1983m It seems that you have 2 separate issues. The liver enzyme elevation is nonspecific, however you should have further evaluation by a liver doctor (gastroenterologist or hepatologist); you should make sure you don't have any sort of viral hepatitis (such as hepatitis A,B or C), fatty liver (currently the most common cause), autoimmune liver disease, etc. Your gastrointestinal symptoms are something probably unrelated, and yes you could have IBS-constipation, however before commiting to that diagnosis a gastroenterologist would probably modify your diet, test your for bacterial overgrowth. I highly suggest you visit a gastroenterologist (stomach / liver doctor). | |
Suggest medication for pain in neck and shoulder blades
I have pain at the base of my neck, left side mostly, and back my the shouldef blades. for about 3 days. now, since yesterday I swallow food and the pains intensify in my neck AND the spine. I tried icy hot but it doesnt go away. need help as to relief methods please | this is because of the spasm in your neck muscles secondary to cervical spondylitis. you need to apply any analgesic gel/ointment before the heat application. along with this you shall require muscle relaxants and analgesic combinations for 3-5 days to settle the pain. you cold take a combination of aceclofenac with myoril or ask for a prescription from your GP | |
What causes elevated heart rate on standing for long?
Please type your query here. Since this query is directed to our panel of specialists and super-specialists, please mention your problem in as much detail as possible. Do not forget to highlight your Age, Gender, Medical History and Treatment History of the problem you are facing.Female 30yo 18wks pregnant would like to speak to a cardiologist. When I stand up for long periods my heart rate goes up high and I get out of breath I have to sit down. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It is pretty normal in pregnancy to have these issues. Pregnancy is a high volume state and standing for prolonged state pools down blood in your legs, and the reduced blood return makes your output less so the heart has to beat more to compensate for low output.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Muhammad Adnan Iqbal | |
What is the cause of lower abdominal pain after previous abortion?
Dr,when i was 19year old i had an abortion.till 1 year every thing was normal after that i started feeling lower abdominal pain inside my vagina.now it is three years of abortion still im feeling heavy pain.plz help me what are the reasons of this pain. | Hello!Thank you for the query.Generally pain a year after abortion seems to be not related to the abortion. Lower abdominal pain can be caused by urinary tract inflammation, uterine inflammation, ovaries cyst and many more. I suggest you to do not wait any longer and not ignore them. Please visit gynecologist at first, have transvaginal ultrasound. Abdominal ultrasound and urine analysis should be done as well.Hope this will help.Regards. | |
What is a heart murmur?
my son is 5 yrs old when he was born they never sais anything about him having a heart memur.But when he turned 5 they said he does.they said if he gets tired easy to have it check out more.Well what does it mean to have a memur and can it be life threating | Thank you for presenting your problem.Sound produced by blood flowing across a heart valve if heard by stethoscope is called murmur.Sometimes holes in heart walls which are present by birth may cause these sounds.It may or may not indicate heart disease.In thin chest individuals we may hear such sounds without any disease.They are called innocent murmurs. In addition if a person is anemic also we may hear murmur without any heart disease.Any way need not worry and consult your doctor and he will advise you if child requires further evaluation, | |
What causes pain and stiffness behind the knees?
I am a 56 yo male, that runs marathons and does yoga. I have pain in the back of my knee, it is sore and stiff after I sit a bit and move from sitting to walking. After I walk a bit the soreness deceases. The pain started as a weird feeling behind my knee cap after a yoga class. Then the next am I ran 3 miles and had to stop due to the pain. | Hi, Pain and stiffness in the knees can be due to developing arthritis (RA or OA). Pain and stiffness behind the knee are usually due to Baker's cyst. Baker's cyst can also cause swelling behind the knee and also stiffness and discomfort while flexing the knee. There are times when Bake's cyst goes away by itself but at times it needs to be treated. Visit ER, get all tests for RA done and get diagnosed. RA or any injury to the knee commonly triggers Baker's cyst formation due to excess secretion of synovial fluid. Physical therapy, steroid injections or drainage are effective in treating Baker's cyst. Get evaluated and treated at the earliest. In the meantime, for relief from pain, you can take NSAID (Naproxen.) Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician | |
How to stop nightmares of a car accident?
My son was in a bad accident that he was the driver. Everyone was ok. His car was totaled. We finally replaced his car with one very similar to the one he wrecked. He is complaining he isn't sleeping well. Nightmares about the accident. What should we do | Hello, he is having PTSD after the near fatal accident. It is seen quite commonly after such life threatening events - the survivors have such complaints.Usually these complaints are self limiting and recovery occurs in a week or so.But if the symptom increase or persist then meds are given.Zolpidem 12.5mg is good for sleep and paroxetine 12.5-37.5mg takes care of anxiety, irritation, fear and other related symptoms.So, please try to give him courage to tide over this phase but if the symptoms are persistent or increase- start drugs.Wish you good health.Dr. Manisha GopalMD Psychiatry | |
Any suggestion for severe abdominal pain and high BP in a child?
Hello,My grand daughter has been suffering with severe abdominal pain for 9 days. She is not running a fever, no vomiting, no diarrhea. She has had high blood pressure for 6 days. She eats in the morning and is feeling pretty good, then come early afternoon abdominal pain, high blood pressure. She is on an IV and has had multiple blood work done, several ultrasounds and x-rays. Doctors can not find an answer. She is four and has a blood pressure 138/111 when pain occurs. Does anyone have any suggestions? | HIThank for asking to HCMIf the investigations have not detected any abnormality then no question arises for worry, this could be kind of colicky abdominal pain which is nonspecific in origin, for the blood pressure, that needs to be monitored continually, and should be measured with paediatrician, with specific instrument, and that is not the matter of concern, you just take it easy every thing will be okay soon, have nice day. | |
How to confirm fertility?
Home|FAQ’s|Search Private AreaPasswordLogout [ Back to Listing ] Name [ Age ] / Sex:Mr VIGNESH.D.V [ 27 Y 1 M ] / MaleCustomer ID:44579 / 72372Sample Recieved on:13/01/2012 09:44Report Date:13/01/12 12:52Referred By:Dr. CHITRALocation:T Nagar TEST NAMERESULTREFERENCE RANGECLINICAL PATHOLOGYSEMEN ANALYSIS (WHO 1992)Period of Abstinence 4 days Mode of Collection Self .Liquefaction time > 90 MinutesColour Whitish Opaque Volume 4.2 ml> 2mlViscosity Highly Reaction Alkaline MICROSCOPIC CHARACTERSTICS Sperm Concentration 67 > 20 millionsMotility 50 %50 or moreMOTILITY GRADING (GR I +II=50%)Gr I Fast & forward progression 20 %Gr II Slow /Sluggish forward progression 20 %Gr III Non Progressive 5 %Gr IV Non motile 55 %SUPRA-VITAL STAINING (EOSIN Y)VIABILITY 65 %(Viable >75%)Agglutination if any Absent NilFructose (Qualitative) Positive PositiveSPERM MORPHOLOGY (WHO 1992) (Normal 83 %Head Defects 10 %Neck / Midpiece defects 4 %Tail Defects 3 %Amorphous Matter Nil Pus Cells Occasional /hpfRBCs Nil /hpfEpithelial cells Nil /hpfIMPRESSION Spermatogenesis in acceptable range with reduced motility REMARK -NA- Time of Collection 9.01 am ** END OF REPORT **©2010 Primex Healthcare & Research Pvt Ltd. Home|FAQ’s|Search Private AreaPasswordLogout [ Back to Listing ] Name [ Age ] / Sex:Mr VIGNESH.D.V [ 27 Y 1 M ] / MaleCustomer ID:44579 / 72372Sample Recieved on:13/01/2012 09:44Report Date:13/01/12 12:52Referred By:Dr. CHITRALocation:T Nagar TEST NAMERESULTREFERENCE RANGECLINICAL PATHOLOGYSEMEN ANALYSIS (WHO 1992)Period of Abstinence 4 days Mode of Collection Self .Liquefaction time > 90 MinutesColour Whitish Opaque Volume 4.2 ml> 2mlViscosity Highly Reaction Alkaline MICROSCOPIC CHARACTERSTICS Sperm Concentration 67 > 20 millionsMotility 50 %50 or moreMOTILITY GRADING (GR I +II=50%)Gr I Fast & forward progression 20 %Gr II Slow /Sluggish forward progression 20 %Gr III Non Progressive 5 %Gr IV Non motile 55 %SUPRA-VITAL STAINING (EOSIN Y)VIABILITY 65 %(Viable >75%)Agglutination if any Absent NilFructose (Qualitative) Positive PositiveSPERM MORPHOLOGY (WHO 1992) (Normal 83 %Head Defects 10 %Neck / Midpiece defects 4 %Tail Defects 3 %Amorphous Matter Nil Pus Cells Occasional /hpfRBCs Nil /hpfEpithelial cells Nil /hpfIMPRESSION Spermatogenesis in acceptable range with reduced motility REMARK -NA- Time of Collection 9.01 am ** END OF REPORT **©2010 Primex Healthcare & Research Pvt Ltd. My husband went for sperm analysis ans the report came to be as follo | yes he is fertile,this test is normal.. the count is 67 mil/ml and the normal level starts from 15 mil/ml.. motility is considered normal starting from 40%.. and normal forms is considered ok if above 4% and he has it above 80% | |
Suggest treatment for a pus filled lump on inner thigh
im a 23 year old male and i had a lump on my inner thigh area that swelled up and caused some pain. the size decreased over time and i thought it was a hernia from working out. just a couple days ago it popped, leaking a fair amount of blood and some puss. i think it is hidradenitis suppurativa and i was wondering if there are ways of handling it without going to see a doctor. | Hi,From history it seems that there might be having ingrown hair follicle infection or might be due to friction of thighs.Clean the part with antiseptic lotion and apply antibiotic cream.Go for one antibiotic medicine course.Keep local hygiene proper.Ok and take care. | |
Sudden pounding heart rate, dizziness, ringing in ears, tingling in right hand
2 days woke up withpounding heart rate,dizziness,ringing in ears,tingle in R hand. VSS 98.2 86 20 130/70. Have IDDM,Hypothyroidism,Arthritis,Depression | Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that your symptoms may be related to anxiety. The tingling in your right hand may be caused by a pinched nerve during sleeping (a mild form or Saturday night palsy). It is usually transitory and recovers spontaneously. But it can be associated with a panic attack in the morning, when you wake up with this feeling. Depression and hypothyroidism are closely related to anxiety. I would recommend consulting with a neurologist and performing a nerve conduction study to exclude possible pinched nerve in your upper limbs. Did you experience other symptoms like difficulty speaking, head spinning etc?A transitory ischemic attack could also cause this symptomatology. Your past medical history is really concerning and every suspicion shouldn't be underestimated. I recommend performing a Doppler ultrasound of the neck vessels, to examine the blood flow to the brain and some other blood lab tests: - complete blood count- PCR, sedimentation rate (inflammation)- coagulation tests - fasting glucose- cortisol plasma levels- kidney and liver function tests- blood electrolytes, etc. If all the above mentioned tests result normal, the main cause of your symptomatology would be just anxiety. Hope to have been helpful!Best wishes, Dr. Iliri | |
Q. Can I have a chance to become pregnant even after taking Yasmin?
Hi doctor, I removed IUD recently as I was not sexually active. I had unprotected sex after a week, and I took Yasmin. I read that increased intake of Yasmin can work as an emergency pill. I took five tablets in the afternoon, another five tablets after eight hours and again five tablets after six hours. I got my last period before a month, and it was delayed for two days when I had unprotected sex. Can I have a chance to become pregnant even after taking Yasmin? | Hi. Please tell the exact time of IUD removal, the precise time of the last period, current period and the last exposure. | |
What causes dryness and itching all over the body?
Hi, my skin all over my body has become really itchy and dry over past few weeks and its getting worse. I go all my bloods done and all are clear but my gamma gt in my LFT is 100 which is not worrying me unduly. Have you any explanation as to waht is causing this itching? | hi, welcome to HCM,in winters Xerosis is most common cause of itching.apply emollient lotion all over the body 2-3 times daily.Tab levocetirizine 5 mg once daily at night.avoid bath with hot water, use lukewarm water.wear cotton cloths first then wollen cloths.hope this will help you.thanks | |
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 chest pain and shortness of breath?
The pain in the left side of the chest comes when sleeping on the left side of the body and changes the subject of pain from day to day and comes in the form of pulses for 5 minutes and then disappear, and sometimes I feel shortness of breath at night | Thanks for your question on Healthcare Magic. I can understand your concern. You are having recurrent bouts of left sided chest pain and occasional breathlessness. So possibility of heart related diseases like heart failure or coronary artery disease (CAD) is more. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. Ecg 3. 2d echo 4. Stress test (trade mill test) 5. Coronary angiography (if required). You may need diuretics and other cardiac supportive drugs on the basis of these reports. Don't worry, you will be alright. But first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
White spots on the legs since childhood. How to get rid of them?
Im 16 and have had white spots on my legs and arms from a young age and i don t know what it could be, what its from or how to get rid of them if its even possible. Is it possible it could be my genetics? They arn t lumpy, itchy or painful but seem to be small dots of white discoloration. When i tan (which i hardly do, so i dont see how it could be from too much sun exposure) they dont tan with the rest of my skin, they just stay a pale skin tone. Please help me! | Hi , Thanks for writing in. The problem can be vitiligo ,Idiopathic guttate hypomelanosis etc. Hypopigmentation would need long period of treatment with photosensitizing drugs. Without actual visualisation of the skin it is not possible to comment on nature of pigmentation. Visit a dermatologist for proper examination and diagnosis who can also provide you some clinic based procedure like surgery and laser. Hope this helps. Regards DrSudarshan MD Dermatology. | |
Does medication for typhoid fever have an effect on IVF treatment?
Hi. I had gone for hysteroscopy and laproscopy in sept.2011 two fibroid of 2cm operated . mycobacterial DNA PCR detected could finish on e month medicine in 3 months later didn t take med. Had IUI in May 2013 unsuccessful. Then in nov took med for ivf and the day ivf was to be done for 102 fever typhoid later didn t visit gynaecologist fred up of medicine what next.guide | Hello, when dealing with fertility issues itself can be heart breaking the treatment protocols associated can make it more difficult. But having said that desire to parent a child needs a great deal of commitment and motivation from your side. Please have patience and take care of yourself before attempting for another time. I assume you were suggested ivf when your DNA PCR test results were positive and does your tube test( hysterosalpingogram) reveal blocked tubes? If the answer to these two questions is yes, there are few things I would like to tell you.1. DNA PCR does not reflect an ongoing TB infection in the uterus. It is more appropriate to treat when RNA PCR comes positive. But the facility to test RNA PCR is not available everywhere. Having said it is very important to finish entire course of anti TB medication as discontinuation leads to drug resistance which is a public menace and for you as well.2. Secondly, did you mean you didn't undergo ovum pick up due to typhoid fever or is it embryo transfer. If its egg pick up, nothing can be done but you need to undergo another ivf. If it is embryo transfer and embryos are frozen, you can undergo frozen embryo transfer anytime after your endometrium is ready either naturally or with medication.3. If your tubes are open, you can consider iui for 3 more cycles if your husband's semen analysis is normal.4. The chances of natural conception is difficult to predict in your case as you haven't mentioned your age, duration of infertility , other issues etc..Hope you see good days soon. Good luck. | |
Could I be fertile after missing a pill of alesse?
I have been taking the birth control pill alesse for 2 weeks, never missed a pill and ive taken them the same time everyday, if i was not taking the pill around now would be my fertile week, and the pack says after seven days i should be protected but im just wondering what the likelyhood of me being pregnant is and if i should take the plan b (morning after pill)? | HiWelcome to Healthcare-MagicGreetings of the dayIf you have religiously been taking pills as told by you, then there is n cause for concern.There is no need for taking emergency contraceptive pillIn case you need any further assistance, will be glad to assist you.Wishing you happy and healthy lifeTake CareBest RegardsDr Deepak K KMBBS,MS,MCH | |
What causes red itchy bumps with pus on legs and back of arms?
For two months. Have been experiencing red bumps popping out legs and back of arms. Some have pus and very itchy. Some spread and popped up on hair line and face. Possible shingles???? Lots of stress. Checked for fleas. Nothing. Relocated from Colorado to Florida. Flew down. But started the day before flew may 2nd | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have symptoms of red itchy bumps with pus on legs and back of arms which occurs due to allergic reaction, bug bite, stress, anxiety, clogged pores of sebaceous glands of skin with dead bacteria, sleeplessness. Need not to worry. I would suggest you to take antibiotic like azithromycin 500 mg.You should wash legs and back of arm areas with neutrogena oil free. Wash these areas with mild soap and cold water twice a day , exfoliate your skin once a week , apply aloe vera gel and apply azelaic acid containing cream twice a day. If condition doesn't improve in a month then consult dermatologist for proper evaluation. Doctor may prescribe hydroquinone cream , retinoids or recommend procedures like laser therapy and dermabrasion. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Took Unwanted72 pills after having unprotected sex. Have delayed periods. Chances of pregnancy?
Me and my wife had unprotected sex 2 days before her periods date. Her period date is generally around the 18th of every month. She had unwanted 72 tablet after approximately 36 - 38 hrs to avoid pregnancy. Now the date is 22nd and she has still not got her periods. Can taking the pill delay her periods ? We both are worried. Please reply and suggest if there are any pills that can avoid pregnancy if she does not get her periods.Awaiting an early response. Thanks, Deepak | Hi,Thanks for the query. Emergency contraceptive pill can alter the menstrual period depending on the period of menstrual cycle when the tablet was taken. As she has taken the pill in the second half of the cycle, it might have postponed her periods. For more details : she has taken the emergency pill within 72 hours, the possibility of pregnancy is less. Possibly she will get withdrawal bleeding in 7 to 10 days. Better to wait till that time. If she didn't get withdrawal bleeding even after 10 days, consult gynecologist once and take tablets to induce withdrawal bleeding. Take care. |
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