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Cau Instaflex joint support be used for arthritis in the hip?
Hi, may dad suffers with severe osteoarthritis in the right hip and experiences severe pain in that area. He also has a pace maker and is on different medication for his heart. He wishes to know if he can use instaflex joint support for the arthritis in the hip | Hello, Yes, the instaflex joint support will help for hip arthritis but also the importance has to be given to strengthening the muscles. Some flexibility exercise. Some range of motion exercises. You can contact a physiotherapist who can help your father and put him under the geriatric rehabilitation program. In my clinical practice of over 12 years, most patients with OA hip are responded well to physiotherapy along with medicines. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest treatment for infertility
I'm from bangladesh. I passed my couple life near about 13 years. but we've no issue.we visit a renowed gyecologist Prof. Dr. TA chowdhury near about 5 years.He tried his best to overcome this problem. but after acertain period We moved from him. It may be 5 years we not visit any doctor in this regard. In the time of our treatment doctor complete test in his way. doctor also done leproscopy my wife. Now I want to know about our task and whats the probale way to an issue. pls. help us. | Hi welcome to healthcaremagic.I have gone through your question.You had wait for 13 years, with all reports and measures, but you didnt mentioned that your reports are normal or not?Although after such a long time i would advise to go for IUI intrauterine insemination or IVF invitro fertilization are better options after consulting a g gynecologist.Hope i answered your question.Would be happy to help you further.Take care. | |
Is it correct to have blood pressure checked after eating?
I took my blood pressure shortly after eating. It read 148 over 73 with a pulse of 63. I am a 51 year old female. Is it not good to have your blood pressure read after eating and is this a high reading? I haven't had my reading in a year or so because usually it reads 118 over 78. | Hello!Thank you for asking on HCM!Regarding your concern, I would explain that these values of blood pressure are above the normal ranges and may be indicative for possible arterial hypertension. It is not common to have high blood pressure after eating. I would recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x ray study and some blood lab tests : - complete blood count- fasting glucose- kidney and liver function tests- blood electrolytes- thyroid hormone levels- cortisol plasma levels, etc. to exclude other possible secondary causes related to high blood pressure. You should closely monitor your blood pressure different times during the day (in sitting position, 15 minutes after total relax) and refer these values to your doctor. Some lifestyle modifications are helpful to reduce blood pressure: - a balanced diet (low salt and caffeine intake)- a lot of physical activity (walking 4 km per day is recommended)- lose weight if your are overweight. Hope to have been helpful!Best regards, Dr. Iliri | |
Suggest treatment for pain and calf swelling
I have had right calf swelling an pain for thirty days now. It hasn t got better or worse. I woke up with a burning feeling in the middle of right calf I did not have charile horse just woke up to it. The pain moves around every couple days in my lower leg right now it is behind my right knee and I cant bend it all the way without a lot of pain its been that way for a week . I am 50 years old and do a lot of Manuel labor and weight lifting for a hobby but did not hurt it doing either one. But I have had sore butt muscles and hips for about four months before this. And I have no history of blood clots. And no redness in leg. It just aches after work mainly but pain behind knee is only when I try to bend it all the way.I have no back pain but my hamstring feels like something needs to pop. What could this be. | you have two possibilities 1 is a DVT which u can test by putting calf in streched possition for 1 min then release , if u get sudden strong pain you need. doplar as soon an posdible2 is that your having disc or lumber spondylosis problem in which case you need to do a lumber MRI u can test this by standing on your heels with foot in dorsiflextion (toes up) while leaning forward with trunk if pain goes away then it is probably your back Hope my answer helps youGood Luck :) | |
Have diabetes. Should I extract all teeth together? Scared about healing and anesthesia due to diabetes
I m 67 years old male. I have diabetes and am taking 2 500 mg pills of metroformin a day for about 2 months. My dentist suggested me to extract all my teeth - 18 (eighteen) of them including 4 wisdom teeth - in a single operation and next put denture , next after healing put 8 implants (2 up, 6 lower), next make a permanent bridge on lower jaw supported by 6 implant and removable denture in upper jaw supported by 2 implants. Of course I am scared, and don t know how my diabetes can affect healing and how anestesia medication will affect the diabetes. Should I extract all teeth on one time? I will definitely appreciate very much any opinion and suggestions. Thank you so much for your time and consideration. Regards, Edward | hello, sir if your dentist is advising you to extact all your i would suggest you to take second opinion also .if all ur teeth are really in bad condition and need to be extracted then i would suggest extract of your upper and lower teeth of one side at a time.first as a doctor i would suggest you to preserve your real teeth and extract them only in a condition they cann ot be treated at all. regards dr.sapna dr.sapnai | |
What causes the hardness of the vein in the penis?
On my penis the vein that runs up the very middle on the top, the dorsal vein maybe, is very very hard. from the very bottom of the penis to around 3/4 up towards the head, when erect it is even harder and feels similar to a guitar string. im also currently suffering ED, lacking morning erections and weak erections | HelloThanks for query.You have noticed dilated vein on the dorsal aspect of your shaft of the penis.This is a dilated tortuous tributary of Superficial Dorsal Vein of Penis ,his is seen in 20-30% of men and has no significance at all.It can not be a cause for your problem of ED.For problem of ED you need to consult qualified Urologist for evaluation to find out the cause of your ED and further treatment.Dr.Patil. | |
Why does my ankle feel cold after knee injury?
I injured my knee two days ago, went to the drs today and they believe its a minscus injury, Tonight my lower leg from mid calf to the ankle feels cold despite a blanket on it and is cold to the touch. where as the other leg is not cold to the touch..is this something to be concerned about? | Hi, As due to meniscus injury there might be weakness of muscles which in turn might be leading to pressure over the Nerve onto its course and leading to disruption in the nerve mechanism causing cold feeling. Using knee brace , doing hot water fermentation, exercises like - static Quadriceps, static hamstring, straight leg raise and ankle toe movements will help reduce the pain by improving the muscle strength. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest remedy for lump on head post an injury
I bumped my head really hard on my granite counter tops about an hour ago. I was kneeling looking through a cabinet and when I stood up I hit full force. The top middle/left of my head. I felt the jolt into my upper jaw and saw stars momentarily. Now dizzy and tired. Slight pain throbbing. Probably a mild concussion?? | hi.do you have any loss of consciousness at that time? observation and application of cold compress will do for now. if you have any occurrence of vomiting, loss of consciousness, persistence of swelling and pain, a consultation with your doctor is best for clinical evaluation. yes, it could just be a concussion or a contusion. other intracranial problems (i.e. bleeding) must also be ruled-out. ct-scan may be of great help in ruling out those problems.hope this helps.good day!!~dr.kaye | |
Child suffering from right hemiparesis, speaks two words together, undergoing rigorous therapy, taking medicines. Any other treatment required?
I have a daughter who is 2 years old now, is suffering with right hemiparesis and is undergoing therapy and taking medicines like normabrain, leofen, shelcol and carnisure. By doing riggorous therapy for her right hand , will she be in a position to use her right hand for eating and writing or she has use her left hand for everything? Also I am concerned about her speech , she has started using 2 words together but sometimes calls me, my hubby and mom as mom itself ? SHould I be concerned ? Is this normal? Are there any additional steps I need to take apart from therapy and medicines? Please advice | HIThank for asking to HCMI really appreciate your concern for your daughter you did not mentioned the cause of hemiparesis, looking to age of the patient the chances of recovery is some what good (Still it is depends upon the underlying cause ) physiotherapy is the only option that can bring the good result, rather than the medicines, hope this information helps you, have nice day. | |
Suggest treatment for sudden reduction of weight after treated asthma
Hi doctors, I would like to ask few doubts abt my health. I am 27 yrs now, when i was child, i use to get wheezing and coughing regularly.then my mom consulted a doctor they found dat i have asthma..i was around 8 yrs..dat time.My mom was 2 shocked to knw that as in my family history no 1 has asthma..then i started having tablets for it..but As i started growing old wheezing and coughing problem increased it started coming more frequently...My nose will be always blocked , sumtimes continuous sneezing. I was never able 2 sleep properly at nit. before some yrs a doctor suggested foracort 200 to prevent me frm asthma attacks..i was using that but still i was having cold ,running nose ,sumtimes fever , sneezing regularly..just before 3 months my weight started reducing , i was having ulcer in mouth, when it was cleared, still i was not well. suddenly after having my food i use 2 go for motions..it was not loose motions..but i started going atleast 7-8 times a day..n after laying down on bed i will start coughing..then i went to doctor.. After hearing my symptoms doc told i have acid reflux.. n he gave me Sompraz morning before food, mondeslor at nite and metaspary 2 use. After taking these medicines, my wheezing , coughin, nausea feeling and frequent bowel motions has stopped. My sleep quality also improved.. but still my weight is going down, i was 65 kg but in 3 months i became now 56 kg. M worried abt my weight reduction every week. I just want to knw the reason y my weight going down? Can u find d reason? | first of all you should rule out the pulmonary kochs' infection bt doing chet xray and sputum examination.then you should be rule out for abdominal kochs' by abd sonography and ct scan.in no positive finding and you are still lossing weight take trial AKT for three months and watch the result and review it. | |
Will steroid affects the sugar level?
HI I just took the steroid injection yesterday to help the baby s lungs develop faster and today I took the sugar blood test and it came out high. I m 30 weeks pregnant and they and when I was 20 I took the sugar blood test and it came out good. Do you think the steroid made my sugar levels high? | Hello, Steroids can cause transient increase in blood sugar level. You have to control your blood sugar by adjusting the insulin dose, because diabetes in pregnancy can cause many complications including difficult delivery. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
How can severe pain in the lower back be treated?
Sir , I am 32 years old woman ,6 years ago I fall down upon stairs and feel some pain in lower back position. And after one year of the same I suddenly felt a serve pain in my lower back and unable to move for few days.since 2010 the pain was move around my leg,knee,thigh , hip and lower back rapidly .on 2012 after my marriage I got treatment with a injection steroid and vitamin D and felt better for three years and during the period I born a child with cesearian delivery But last year I faced a small jurk during travel by auto and felt pain in my lower back and hip and it s increased rapidly.Through out the treatment presently I diagnosed with HLA B 27 POSSETIVE and MRI finding scorolollitis with both hip joint effusion.Then I started injected with. Injection Remicade 5 times 5*300mg and nsdi medicine during the year but relief gain for short time one or two month the pain is again and again come. No relief . please suggest me what should I do or what treatment should be taken for the same . | hi sir/madam,Thanks for your question on Healthcare Magic.Line of treatment as per Ayurveda:-The general principles of treatment of vata dosha are adopted in case of katishoola (low back pain). It includes various measures to suit its varied clinical entities, stages and associated complaints.1. Snehana (oleation) – by sneha dhara (pouring oil), abhyanga (oil massage), avagaha (tub bath with oil or oleaginous medicaments), kati basti (retaining medicaments on the back) etc.2. Swedana (sudation) –avagaha sweda (sweating treatment with tub bath), pizichil (kayaseka), nadi sweda (sudation through a tubular device – local sudation), panda sweda (sudation through medicated paste or powder) etc.3. Mridu Samshodhana -mild purgation.4. Basti (medicated enema) like eranda basti, vaitarana basti, pippalyadianuvasana basti etc.Formulations indicated in Low back ache as per Ayurveda:-1. Dashamoola kwatha.2.Maharasnadi kashaya.3. Rasnaerandadi kashaya.4. Sahacharadi kashaya.5. Gandharvahastadi kashaya.6. Trayodashanga guggulu.And for local application these oils will help:-1. Ksheerabala tail.2. Mahanarayana tail.3. Dhanwantaram tail.4. Maha narayan tail.Avoid these for better results:-1.Bitter, astringent and pungent food2.Cold water3.Fear4.Exhaustion5.Standing6.Driving7.Cold food and beverages etc.Yoga is also very helpful in treating your back ache.Now for your backache do these yoga aasana:-1. Ardha Matsyendrasana(Sitting Spinal Twist).2. Dhanurasana (Bow Pose).3. Marjariasana (Cat Stretch).4. Balasana(Child Pose).5. Halasana(Plow Pose).6. SUPTA MATSYENDRASANA(THE TWO KNEE SPINAL TWIST POSE).7.Adhomukha Shwanasana (Downward Facing Dog).8. Urdhva Mukha Svanasana(Upward Facing Dog Pose).9. Paschimottanasana(Seated Forward Fold).Follow these yogas you will get best results for your problems.Hope i was helpful.Have a healthy day. | |
What causes tingling in fingers?
My Dr. Put m eon Topiramate 50 mG for weight loss. I am on humalog via insulin pump and found my glucose to fall very low from time to time. I am also on Amlodipine 2.5 mg and Triamt/HCTZ 37.5 -25 tab.Is one of these medications a bad mix? OH, also having tingling in fingers. | Hi,tingling in fingers can be due to end number of factors for which a proper assessment is needed. but at most times it's just about weakness of the muscles around the spinal column and the supply it does in upper limb from shoulder to fingers. why don't you just try taking proper diet and some small neck exercises for strengthening the neck muscles. Also look to strengthen the upper limb muscles which will help you avoid the tingling and you will surely be helped.I wish you a speedy recovery.thank you | |
What causes severe back pain that radiates to hips and legs?
I went to er Friday night for severe lower back pain. They did a ct scan and it was normal. They said it was probably a muscle strain and gave me pain meds and muscle relaxer. It s been 2 days and I m still in pretty severe pain. I can t walk, sit down, stand up, sit up from laying without a lot of help. The pain radiates into my hips,legs and sometimes groin area. I can t reach far with my arms without causing pain in my back. I can t move my legs very much without pain, I can t even wipe myself when going to the bathroom. The only relief I get is slightly reclining in a reclining chair and thats still painful. Should I go to my primary doctor tomorrow or give it a few more days? | Hi,You said you underwent a CT scan and it is normal. Then it will be literally a muscle spasm. By meeting up a physical therapist he will help you alot. Ask for a Therapeutic Ultrasound therapy and TENS for the pain. It will help you reduce the spasm and pain as well. Doing a little of core stability exercises will surely help and make your core stronger to avoid any aches and pain in future. | |
How to treat a bump at back of mouth?
hi on the tooth all the way in the back of my mouth i have a bump the size of a #2 earaser and now my whole mouth hurts and my tonsol hurts please help me | Thanks for your query, I have gone through your query.The pain and bump over the tooth can be a pericoronal abscess, that is collection of the pus below the gums over a wisdom tooth. Consult a oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed.If the space is not available then you have to get the wisdom tooth removed. Mean while you can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic). Do saline gargling. i hope my answer will help you, take care.I hope my answer will help you, take care. | |
Q. Why does anesthesia awareness occur?
Hello doctor, Why does anesthesia awareness occur and what is done to monitor it? | Hello. Anaesthesia awareness is quite common in previous times due to unavailability of short-acting anesthetic drugs. It occurs mainly because of inadequate depth of surgical plane achieved. So in general terms patient is under the effects of anaesthesia but they are still aware about their surroundings. Nowadays monitors called as BIS (bispectral index) monitoring can be helpful to prevent awareness during anaesthesia. For more information consult an anesthesiologist online --> | |
What causes awful pain in between breast that shot up neck?
just had awful pain in between breast that shot up neck. I took a baby asperian and laid down. layin down didn't help. as suddenly as it came, the pain left. I have a cold at present. It was a bit scary (the pain). Took blood pressure and it's 121/72 | Thanks for your question on Health Care Magic I can understand your concern. Possibility of aspirin induced gastritis and acid reflux is more but better to rule out cardiac chest pain first. So get done ecg and 2d echo first. If all these these are normal then no need to worry for major heart diseases. Aspirin is known to cause gastritis and hyperacidity. So this will cause reflux of acid in the esophagus and this will give central chest and neck pain. So take antacid like proton pump inhibitor at present. Avoid aspirin tablet. Drink cold water. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What is the cause of a slow heart rate at rest?
5 yrs. Ago my son was given metoprolol er 25mg from the ether Corp. He took the med 4 days when he just went to sleep and died instantly. I then heard. That ether corp Was known to maybe double dose the pill looked larger then my friends same. Med And mg. My son was 33 yrs old.married 2yrs and. Had a 10 month old son. He died on Christmas evening 2008 My son was born with complicated heart defects, but had his corrective Surgery when he was 5. He did very wellj Except for some a fib he otherwise had a slow heart rate, especially at rest My question to you is why would. His team of cardiologist put him on a betA blocker when they new he had A slow heart rate especially at rest. And maybe the med was. More than 25mg I feel that med caused my sons death .I m sorry to go on and on,but I feel like my son died of a slow heart rate And went into heart failure and not v fib likeThey think..no. autopsy was done.could that. Have been possible Especially if the med was doubled dose? Thank you for your time | Hello , I have gone through history of your son.I can understand your concern as mother.first of all let me tell you that metoprolol 25 mg is not high dose .secondly slow heart rate usually does not produce sudden death .I would like to know what exactly was defect in heart and what surgery was performed ?many a times congenital defects though surgically corrected may have residual problem which may trigger arrhythmias and sudden cardiac death.I would like to know what was report of autopsy?I certainly respect your emotions as a mother ,but its my duty explain what may be truth.I would be surely interested to know autopsy report.My condolence to family. | |
Have gum infection after pulling tooth. Have pain in esophagus and cheek. Cure?
My dentist put me on this antibiotic, because of a gum infection that started up after pulling the tooth . I am finding that I have more pain at the site, spreading into the cheek, Also, I am experiencing moderate pain in my esophagus , from the adams apple to below the breast bone. It is a strong cramping feeling, and I generally feel rotten. Is this caused by the clindamycin HCL? | hello and welcome, The gum infection and pain post extraction is due to the development of dry socket. Usually this occurs in traumatic extractions. i would suggest you to take frequent warm saline gargle. Irrigation of the socket using betadine and hydrogen peroxide may be helpful. the socket can be dressed using ZOE/IODOFORM PASTE to enhance healing . Please take complete rest,avoid stress for a minimum of 7 days. meanwhile take complete course of antibiotics. maintain good oral hygiene. take care. | |
Suggest treatment for a painful lump on the foot
Hi , my sandal felt a little painful on my right foot tonight, and when I removed it , I noticed a lump on top of my foot . It s not badly painful, but hurts a little when I put weight on it. - mysterious lump? My email is YYYY@YYYY Thank you , Shelly | Hi, A sore lump on the anterior of your top of right foot,seems to be due to the Ganglion Cyst.Treatment-Hot Fomentation/Anti-inflammatory drugs under guidance of your GP is suggested.If no relief and causes more discomfort,CT study with Arthroscopic removal by Laser ablation is the best treatment with low recurrence ,which is a challenge with open surgical treatments mostly.Hope this reply would help you to plan treatment with your doctors.Will appreciate hitting thanks and review writting,to help needy patient visitors to HCM.Welcome for any further query in this regard.Good day.Dr.Savaskar M.N.Senior Surgical Specialist. | |
What causes pain in swelling in knees?
Hi! Ive had swelling and pain in both my knees for a couple weeks now. started with left knee than wennt away than right knee now both knees. crunching noise in left knee only when going down stairs lots of pain when going to sit or stand. Terrible pain to even get on my knees. NO injuries to knees or trouble before. Did start after back sprain three months ago and therapy. | Hello, Usually most of the times there is a profuse weakness in the quadriceps muscles which gets unnoticed. Also as time passes most people will have degenerative changes in the joint. Lack of exercise and reduced physical activity leads to weakness and reduced joint space leading to symptoms like swelling, crunching noise etc. I will advise you to start doing exercises like - core stability, spinal muscles strengthening exercises, hip muscle strengthening exercises, static quadriceps, static hamstring, straight leg raise etc. In the most advanced stage doing balance board training will be helpful for the stability of the joint and improving the muscle imbalances. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest remedy for pain in ribs
I have pain in my lower left side (between above the hip bone and side of lower rib cage near the kidney) that is palpable to the touch for about 4 months now. Abdominal Ultrasound shows no organs abnormalities or enlargement. Pain can be felt on the back of rib cage sometimes near kidney area but mostly on the sides. Blood tests shows all normal levels. MD advice can be muscular related. Need additional advice of what might be causing it. Thanks! | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It seems like a condition called costochondritis, other possibility is muscular pain that develops after physical exertion. As of now, you can take analgesics like Ibuprofen or Diclofenac for pain relief. Also, try anti inflammatory drugs like Serratiopeptidase too. Generally, the pain will settle in a couple of days with this symptomatic management. If pain persists for long, better to consult a physician and get evaluated. Wishing you good health. Thanks. | |
Suggest remedy for swollen feet
What is the best natural way to relieve fluid from my foot? Treating a small open wound with a Healing salve. It got infected- used antiboitic cream- now the salve. Still having problem with pain and swelling and fluid. Please help. Do you recomend honey? | Dear patient if there is delayed wound healing swelling is common due to healing process and increased blood supply to the foot as part of inflammatory reaction. keep.limb elevated and wear crepe bandage. Swelling will reduce once healing is complete. Honey should not be applied on the wound. Betadine ointment or betadine powder should be applied to the open wound. Daily dressing and antibiotics such as cefixime should be taken. if wound is not healing please consult plastic surgeon around your area. | |
Is joint pain a side effect of Pyzina intake for Lungs tb?
my mother is74 yrs old, taking treatment of lungs tuberculosis, being given 1250mg Pyzina 400mg Combutol and R CIN 450mg, she has acute joints pain in her right leg. Please tell whether it is side effects of any of the above drugs, if so, what should she take to cure this problem ? | Hi, Based on the history your mother seems to have developed gouty arthritis apparently caused by the medicines Pyzina and Combutol. After confirming the diagnosis she may be given a non-steroidal anti-inflammatory drug like indomethacin or naproxen. Ask her to take plenty of oral fluids. A low steroid with tapering dose may be required for severe attacks. You do not need to discontinue Pyzina or Combutol. Recurrent attacks may occur while taking these medicines, consider rheumatologic evaluation for acute gouty arthritis attacks and possible use of colchicine to prevent recurrent attacks. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali | |
Had stroke. CT scan shows microvascular ischemic disease. Cure?
we have a relative who had a stroke 2 months ago; a ct scan of his brain reported chronic permiventricular white matter microvascular ischemic disease; s/p occipital craniotomy with left cerebellar encephalomalacia as well as dilatation of the fourth ventricule and old right basal ganglia lacunar infarct. question is: is there a cure for this? what should be our next step toward his rehabilitation? | Thank you for contacting Healthcare Magic. Your relative has suffered from ischemic stroke, which refers to loss of blood supply to parts of brain (as mentioned in the scan report). This is often due to risk factors such as diabetes, high BP, high cholesterol, etc. Most often, complete recovery is not possible. However, the following steps would ensure good recovery and prevent strokes in the future. 1. Use of antiplatelets such as aspirin (lifelong) 2. Use of statins such as rosuvastatin (lifelong) 3. Control of risk factors (if present) 4. Physiotherapy Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad | |
What caused swelling in my face after I was sprayed in the face?
I was sprayed in my face by an employee at the bowling alley last night with some cleaning chemicals, my face swole up and i was rushed to the hospital. Could it have been ammonia in the chemicals? Does that mean that i am allergic to that chemical? | Hi I did review your conditionYour reaction of face could be due to direct toxic effect of the chemical or allergic contact dermatitis.I would recommend you to first get treated for your current condition and then later on have a look at the cleaning chemical contents manual.It will then help to know what caused it. Main concern is allergy but in most probable scenario its a alkaline agent that must have caused it and its due to toxic effect.I hope this helps.wish you all the best.Thank you for choosing healthcare magic. | |
Suggest treatment for chronic COPD
I have used Spiriva twice for conflicting diagnoses of chronic asthma or COPD. Oral Prednisone did not work for me and neither did Spiriva. I take Ventolin Prn and Symbicort BD and my peak flow is never better than 190 and is usually lower. I have very poor lung function tests, most recently only managing the score of a 90 yr old and I am 62. I am allergic to most antibiotics. My recent chest xray was clear tho I have hyperinflated lungs and a small granuloma which I was told was a result of being exposed to tuberculosis at some stage. I have had lung issues all my life and was diagnosed with asthma in my late 20 s. What treatment would you suggest for me please Doctor? I ll have to leave it cos I don t have money and didn t realise I had to pay for your help. | Hello dear, thanks for your question on HCM. COPD ( Chronic Obstructive Pulmonary Disease ) is progressive disease affecting lung functions. It will need lifestyle modifications and inhaled drugs (bronchodilators). Treatment of COPD is as follows. You need to do all the steps simultaneously to achieve better control. 1. Quit smoking if you are smoker.2. Start triple drug in inhalation. LABA ( long acting beta 2 agonist ) and inhaled corticosteroids ( ICS ) with anticholinergic drug.3.Enroll in pulmonary rehabilitation center where Chest physiotherapy and deep breathing exercise Are done.4. Take adult respiratory vaccines like pneumococcal and influenza vaccines. They will prevent future lung infections. So better to consult pulmonologist and start all these simultaneously. | |
What causes soreness and inflammation on nipples of a child?
..my five year old daughter is complaining of sore nipples. The left one is a little red. Both of her nipples feel like a hard tiny seed. I do not think it is our detergent. We use the same kind for the past two years. Any ideas? Surely, this isn t puberty related. | It's likely to be because of friction due to the tight dress? are they swollen or not? is it painful? This is s common problem even in boys and it will go by itself as at this age pubertal changes do not occur unless it's precocious. Avoid tight synthetic dresses and if still persists and the swelling is more than 1.5 inches, then you can visit a doctor for it. | |
Is hemoglobin level of 7.6 a cause for concern?
My hb level is 7.6 . There is no interal /external bleeding as per lab tasts. I am diabetics since last 25 years. I was on tab. Now on insuline. 25 and 15 units morning and evening. My diet os not bad. Since last one week I am taking livgen tab daily one. What are the tests to be done to be done to identify the reason for it? | Hi, being a diabetic with low haemoglobin is not good. It might indicate a kidney problem. Please do tests for kidneys. Livogen may not be enough--regards | |
Are pain in the toe bone and difficulty in walking symptoms of turf toe?
Hello there My name is Damien and I am a very active person I do a lot of athletics, basketball and football however sometimes when I play football and just after I hit the ball with quite a bit if power I begin to feel pain near the area where the bone of a toe is.the pain is often so strong that I can barely walk but last for short period of time but still hurts a bit for the rest of the day I ve done research about it today because my football couch told me to and I found something called turf toe which has mostly the symptoms I have and occurs in the same area so I m not quite sure whether I should get checked out at local doctor or is it something that will cure by itself? | Hello, Symptoms sounds of turf toe. Taking an X-ray is better or maybe an MRI is most appreciated. Taping the toe can be useful to avoid injuries. Use taping every now and then on a continuous pattern except sleeping so the healing occurs and the pressure applied to the ligament is less. Do try some foot exercises. Like picking the marbles with toes with taping on. Also, do balance board training so it helps correct the muscle imbalances and improve muscle strength. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
What causes bumps on the face after taking Visalus shakes for weight loss?
I started using the Visalus shakes for weight loss 2 days ago. Today I woke up with pretty large bumps on the right side of my face. Within a couple hours it went to my left side of my face and alittle on my neck. Of course I was panicking too. It s been about 5 hrs and the biggest part of the bumps are gone but I am still really stressing about it. Does it sound like I am allergic to something in the shakes? That is the only thing I have changed. | Hello,Sometimes herbal shakes may cause allergy to few patients. It may be acne or hives. Use tablet levocetrizine twice a day for five days. Stop taking shakes and see. If improvement is there then better to change it.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu , Internal Medicine Specialist | |
Can a torn shoulder muscle cause severe pain in the shoulder?
Last Friday I m pretty sure I popped my shoulder out of place and then when I moved my arm it popped back in place. I went and saw a doctor and got an X-ray. They said they didn t see anything. So they said I strained it and put me in a sling. Over the last couple days I have been in extreme pain. I have tried taking pain medicine and icing it and nothing has helped. Could I have possibly torn something? | Hello, Most probably it is due to torn muscles or ligament injury. You can consult an orthopaedician and get an MRI scan( ligament and tendon involvement is not detected in X-ray). As of now you can take analgesics like Ibuprofen or Diclofenac for pain relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Suggest treatment for elevated BP during pregnancy
My daughter in law is 9months and week pregagnat we brought her to the doctor for her regular check up and we came to know she is having high bp 160/100, during the preganacy she had thyroid and her blood sugar was also on border line .... Doctor has admitted her in hospital I hope alll goes well please advice what should be the course of the treatment | Hello dear,I understand your concern.In my opinion the continuous monitoring is required for both mother and fetus.But one good thing is appearance of high BP at late months of pregnancy.Because if the BP has started early it results in growth restriction of fetus.So don't worry the BP can be controlled by antihypertensive medicines.And the well being of fetus can be known by ultrasound and Doppler.And as the sugar is borderline diet management like low carbohydrate diet might be needed.The thyroid hormone level should be under control and that is known by doing thyroid profile.Inspite of taking antihypertensives if the BP is not controlled then the termination of pregnancy is planned.Nothing to worry.Hope this helps.Best regards... | |
Fever with severe body pain and less sleep
Doc,I have fever (100-101F) for the past four days. No rashes, no irritation, nothing abnormal. very little sleep due to severe body pain. no specific joint pain but entire body. no vomitting loose motion. If I take crocin it subsides for a while but then again shoots up. what shold i do?Thank you Doc | HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that this is viral infection and you need to wait little time for this to come around if the symptoms does not improved then this case should be brought to investigation like complete blood count and urine examination, take care and have a nice day. | |
Suggest treatment for high blood pressure
I just took my blood pressure for the 1st time since I was like 15 I guess and it was 148 /99 I'm 28 male not much exercise not overweight but have been a heavy drinker for a few years. then I got anxious and took it again and it was 157 / 110 like 2 minutes later. I heard apple cider vinegar can help alot? I'm going to check it tomorrow. but I;m worried it could have been high for years since I havent checked and damaged my heart or organs? or am I to young for that? I haven't been to the doctor since I was a kid either never had any problems | Hi,This is Dr Sameer, cardiologist.Any blockage >70% needs intervention. As the blockage in your patient is 95.8%, it will need Angioplasty.Keeping on medical therapy will only prevent further blockage & will not remove this blockage. So treatment of choice in your patient is Angioplasty.ThanksTake care | |
Q. Does masturbation cause arm numbness and pain?
Hi doctor, I have been masturbating for about 11 years and from a few weeks my right elbow started paining. Numbness had appeared recently. I am a software engineer and I am working with computer for the past 11 years. When I sleep on my back and have my forehands over my chest, they become numb sometimes. So during sleep, I have to switch pose. But in side pose also, if I have my hands bent the forehands become numb after a while. So, consciously I have to keep my hands straight. Apart from this, I also get some pain on my right elbow. Coming to my habits, as I am a software engineer I work about 14 hours on the system per day. I also used to masturbate daily by seeing porn in the mobile. For this, I would lie on my back and hold mobile in front of me with right hand. This over time started to cause pain on my right hand especially at the elbow due to mobile weight. Also, during long drive my right elbow pains and slight numbness felt now and then. It is not so much intense that I am unable to work, but it is disturbing and I do not know how to put them to rest. I read on the internet as it could be due to ulnar nerve and I seem to have subclinical hypothyroid. I am going to start taking thyroid tablet in the morning. Please help me for my pain. | Hi. I have read your question with care and understand that you have numbness of your hands when you sleep. For further information consult a neurologist online --> | |
Suffering with hepatitis A, have fluctuating bilrubin, high SGPT, severe itching, on udiliv. Guidance?
Hi doctor,for last one month i am suffering from hepatitis A . I was also admitted to hospital for 10 day.My bilirubin is fluctuating from 1.8,5.6,10.2,13.8,10.5,20.2,18.3. however SGPT is around 48 from 1800. now am having also one more problem is sever itching cant sleep for couple of week. Taking Udilive as medicine. kindly guide........ | Hi, Udiliv is not the medication for itching. Stop this medication immediately. The medication for itching due to jaundice is cholestyramine. Onesachet per day for at least 6 days till itching stops. Liver tonics like hepamerz for 4 weeks will help in regularising liver function. I hope this naswers you querry. With regards | |
What causes lack of energy?
I am a 55 year old male with ankylosing spondalytis. I recently had blood work done to go on Enbrel. I have no energy and was wondering could I be anemic. My white blood count was 12.1 with red blood cell count 4.91, hemoglobin 14.1, hematocrit 42.5 and absolute neutrophils 9837. | not anemic but a vitamin deficiency is common due to malnutrition. and mal absorption..get a healthy diet full of fruits and vegetables ...exercise regularly ..drink plenty of water centrum man tablets and omega 3 . | |
What causes hip bone pain and bulge coming out after sneezing?
I have 2 questions regarding pain in my side: 1 is a shooting pain in front of hip bone which makes me double over but it comes and goes. The other pain is one I had for a while whenever I sneeze, stretch, or twist suddenly a bulge comes out and causes excruciating pain. | Hello,Feeling of something coming out with pain denotes towards presence of hernia. I shall advise to consult your general surgeon at this earliest. The pan in front of hip bone may be part of it. Relief from one issue will simultaneously correct other issue. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | |
What treatment is suggested for tiny painful lump on the roof of the mouth?
Hey there I am 20 years old and I have had a tiny bump/lump in the roof of my mouth now for maybe 2 months, there has been no pain and it hasnt changed shape or size since i felt it first with my tongue. I used mirror angles to get a closer look at it today as I have started to worry because it hasn't disappeared. It is white and is slightly raised out from the roof of my mouth and there is no red rings/patches near or around it. I've done some searching around the internet for photos but haven't come up with anything similar, would be great if you could help! | good evening dear the problem which you are describing seems to be a palatal tori, is that lump hard??? if it then it is most likely to be a tori, in this case you have nothing to worry, it is like an extra piece of bone in your roof of mouth, if it irritating you while speaking or eating, you can get it excised by a oral and maxillofacial surgeon nearby your locality. | |
What does peripheral neuropathy condition suggest?
\\\\\\hey I have had chronic PN (Peripheral neuropathy) for 13 years. My friend, being treated for bone cancer and has also developed it, due to treatment drugs. For the PN, they prescibed Pro Gabalin to reduce PN effect. Does this mean this drug CAN help with PN, or as my condition is chronic, would this drug have little effect. Advice please. Alun C | Hi,Thank you for posting your query.I have noted yours and your friend's symptoms.Pregabalin is used to treat the neuropathic symptoms such as tingling, burning and pain due to peripheral neuropathy. Pregabalin does not do anything for the cause of peripheral neuropathy (such as cancer or drugs or diabetes, etc.).So, if you also have pain, burning, or tingling due to peripheral neuropathy, then, pregabalin capsules would help you. It does not matter whether you have the disease for 13 years!I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
How to treat thyphoid?
hie docy..bharti here...suffering frm typhoid frm last 10 days....i m on medicine..my ailment is almost cured...but i m feeling very weak n dont feel like eating ...how many more days it will take for me to be normal..help..my age 26,weight--54 kg n i hv never had any serious health problems ever | Hello, Thanks for using Healthcaremagic. I had gone through the data you have posted. general weakness after typhoid fever is common and may last for 14 to 20 days. you need to take good diet rich in fruits and appetizer syrup like Bayers tonic..Hope this helps.. | |
What are my chances of getting pregnant at this time?
Ok so i gave a guy a handjob, the washed my hands with soap and water and dried them off with a towel. then sat around for like 30 minutes, then used to water on my hands to wash my face. then i touched myself, not inside my vagina, just the clit. can i get pregnant still? | Hello dear,I understand your concern.In my opinion there is no chance of pregnancy in your case.There is chance for pregnancy when semen is ejaculated inside or around the vagina during the fertile period.Just by touching the genitals does not result in pregnancy.There is obsolutely no chance for pregnancy.Avoid stress.Hope this helps.Best regards... | |
How long does fissures take to heal?
I have a L5s1 fisure and a protrusio in a disk. I couldn t move and its 3 weeks almost and still have some pain eventhough I am taking my medications and going through therapies. How long does it take for the fisure to close and be able to go back to normal life. | Hello, With proper rest and physiotherapy it will take six to eight weeks for complete recovery. Consult a spine surgeon for expert opinion. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family physician | |
What causes white tongue along with a crack in spite of medication?
My partner has a white tongue and a crack straight down the centre he has been to doctors who have given him medication for oral thrush this hasnt cleared it up at all he has had it for about 5 month he also gets dry mouth he told me he had test for diabetes about a year ago what else could be causing this !!! | Thanks for your query, I have gone through your query.The fissured tongue or cracks over the tongue makes the tongue more vulnerable to fungal infection like candidiasis. since you are giving history of dry mouth, even that can result in candidal infection since there is no cleansing activity of saliva. You have to get your blood sugar level checked to rule out diabetes where there are more chances of candidal infection. Continue the antifungal drugs for 1week, maintain tongue hygiene by proper brushing.I hope my answer will help you, take care. | |
Suggest remedy for lumps
Just leaned against my bannister, and felt pain at top rim of my navel, feels like a small lump, and when pressed, it hurts, I'm a 57yr. old male, overweight, (belly), otherwise in good shape. Today is the only time noticed, any ideas /suggestions ? Would really be appreciated ! | Hello! Welcome to HCM.Obesity & that you noticed it on leaning, in navel area, all are suggestive of an umbilical/epigastric hernia.Is there any impulse in the swelling on coughing? If yes, hernia.Do you have chronic cough or constipation or straining at urination or heavy weight lifting? as these predispose to hernia due to increased intra-abdominal pressure.Usually the defect is palpable (felt with fingers).Ultrasound can be done to confirm diagnosis in case of any doubt.Many such patients are operated in my hospital for hernia repair with mesh placement.Hope this helps.Wish you healthy life.Thanks.Regards. | |
Suggest treatment for cough and cold in infants
Dear Dr, My son is 2.5 year old. on 14 feb 2011, he has got fever,cough,cold. My doctor have given the mentined below medicine for 5 days Amicacin(.6mcg od for 5days) Turbutaline(5 ml TID for 5days) Adevent(Amoxycilne and culti for 5 days(5ml BID) cetrizine (2.5 for 5 days). Nabulizer also. Till yesterday he was absulety fine but yesterday evening he has again got the snizzing,Cough,cold. Dr suggested, Levofloxacin and mentoukloest kid( 1/2 od) Advent (5 ml BID) Turbutaline(5ML TID). Why he suffering from Cough and cold so fast. Pls suggest what type of precaution have to taken by us | Hellothe medicines you are giving are absolutely fine.You should continue monteleukast kid for atleast 2 months.kindly give a detailed history regarding family history of allergies.Also give me the past history regarding total number of doctor visits,also mention the reasons.i would recommend home remedies to prevent cough and cold like a teaspoon of honey in luke warm water daily and avoidance to cold drinks and icecreams,dust,sour drinks,candies etc.as they all can trigger cough and cold very fast.Hope it will help :-) | |
Why my son s left rib sticks out?
my 2 year old son s left rib sticks out so much I can feel it even when he has a jumper on his right side sticks out to but not so much do you think I should get a second opinion as I have been to my doctor and he said it s normal but over the past two weeks it seems to have got bigger | Hi....by what you quote I feel that it could be an exostosis or over growth of the rib. Usually it is benign. But an important history you are giving is that, There is sudden increase in size of the over growth. This requires evaluation. I suggest you take an X-ray chest AP and Lateral views and review with your pediatrician.Regards - Dr. Sumanth | |
What treatment is suitable for dry skin and an oily t-zone ?
I ve been using a certain moisturizer on my face for over a year now. Seems like when I run out of it for a few days, I skin gets a bumpy texture. By the way, my skin is dry without the moisturizer But before using this moisturizer ever, I ve never had any skin problems on my face. So when I start using this again, the bumps go away. some bumps around my mouth and nose look like pockets of oil. The rest of the bumps, even on my eyelids , just look like like raised skin, and they are on every milliliter of my skin, no smooth skin to be seen. Looks even worse in the sunlight. Someone help me. | Hi, Thanks for query, Wash your face with good face wash 3-4 times in a day. Use branded moisturizing lotion containing vit E. Avoid constipation, Take plenty of water. Take green veggies and fresh fruits. Avoid stress and tension. Ok and bye. | |
Suggest treatment for severe stomach pain
Hi, My mother gets severe stomach pains. It is so bad that she sometimes vomits from it. She drinks warm water to make her stomach feel better. She started on a colon detox 2 weeks ago and also some bitter crystals since she is constipated. It went well for a while but now the pain is back. She has been to 2 doctors. One treated her for stomach ulcers the other for galbladder/stones. Nothing worked. Lately there is now blood in her stools. I need advise. Jessica | Hi Jessica.Thanks for your query and concern for your Mother.It looks from the history you have provided that your Mother has severe pain as there is vomiting too. Warm water is really not a solution for gastritis nor the colon detoxification has any proven value. In fact the bacterial flora may be disturbed. I would advise your to take her for:-Ultrasonography-Colonoscopy and upper GI Endoscopy. to get a proper diagnosis so that the proper treatment can be taken . | |
Had tooth extraction. Maybe developing dry socket. What is the cause?
I had a tooth extraction on Friday, I am concerned that I maybe developing Dry Socket. Simply because I don't see the blood clot any more (there is some greenish spitty thing in the space), and the tooth next to it is hurting. Granted, I am a victim of bruxtism (really sharp molars)...do you think this maybe the cause of my pain. | Hello,Thanks for posting your query.Dry socket developed post extraction can cause pain.I would advice you to take complete course of antibiotics-analgesics prescribed.Dressing the socket with ZOE may be helpful.Irrigate the socket with betadine or warm saline.Maintain oral hygiene well.Avoid anxiety and take rest.Hope this helps. | |
Will an accidental intake of a tile cleaner damage the teeth?
While cleaning my bathroom I sprayed tile cleaner and unknowingly got some on my toothbrush. When I went to brush my teeth I started to brush then tasted a bit of cleaner so I spit it out and rinsed out my mouth. I do not think I actually swallowed any but on the bottle it said if swallowed you are to contact a physician. I feel fine but I would just like to make sure that it will not make me sick or anything. | Thanks for your query, I have gone through your query.Nothing to be panic or worried since you have spit the cleaner. If you get any stomach pain or vomiting then you consult a oral physician or general physician. Nothing will happen to teeth, but the mucosa might get affected, it may result in chemical burn or contact stomatitis. These conditions may cause burning sensation or ulcerations. If you have any of these symptoms then consult a oral physician.I hope my answer will help you, take care. | |
Need suggestions to cure vertigo
Hi my name is Liz, i have an 82 year old mother, who mentally great, however she is now in an aged care facility due to lack of mobility, she is now using a walker. She complains of her feeling like she is carying a watermelon around, she feel extremely dizzy the room often turns upside down for her. She is now at the point she doesnt want to leave her room. The doctors here in Tasmania, Australia, just say oh probably old age vertigo. She is so unhappy. One doctor two years ago mentioned to us after a brain scan that it is to do with cerrebullum being cloudy and messages are having trouble getting through to her limbs, other doctors have said they dont think this is the case, but they dont knowmwhat is her problem. She does have high bp and is on meds for thatCheersLiz | Hello, Thanks for your query.There are a few things that you should follow to prevent vertigo. They are as follows -* Change your position slowly, especially when going from a lying or sitting position to a standing position. When you get out of bed, sit on the side of the bed for a few seconds to gain your orientation and allow your circulatory system to adjust.* When walking, focus on distant objects. Do not look down at your feet. Avoid walking in dark areas or on unstable ground. * Use a cane, walking stick, or walker for support and to give additional pressure and touch (tactile) orientation.* Avoid activities that move the head up and down repetitively.* Try to avoid keeping the head tilted back for long periods of time, for example painting or dusting above your head.* Be cautious when using medications that may cause balance problems as a side effect.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Are low body temperature and sleeping for long duration normal after surgery?
My husband is in the hospital with a surgical infection in his arm. They have told me it is MRSA. He goes back to the operating room tomorrow for the 3rd time in a week for debridement and cleaning of the wound. His temp has been normal the past few days and his blood pressure has been close to normal. The last few times they took his temp it was lower then normarl and he has been sleeping all day (more then usual). Is this something more to worry about? | Hello there,I am dr.milan an infectious disease specialist answering your question.Its MRSA so its need strict attention. Cause of lower blood temperature is that during surgery some blood loss is always happens so because of that body temperature is going down for some time, but it is body's normal phenomena. So not to worry.And for the more sleep, they are using many a kinds of drugs so, many of them have sedative action more or less amount. So in that case you need not to worry. Just go through the guidelines of your treating surgeon.Hope i have given appropriate guidance to you.if you have any query you can consult me anytime.Give me star rating according to your satisfactory level.Thanking you. | |
Suggest best method for pulmonary ablation for atrial fibrillation
I m scheduled to undergo a pulminary ablation for A-fib. The cardiologist is using the RF method, but I just spoke with someone today that had his dine using the cryo ballon method. Apparently the procedure is done in much less time(less anesthesia) and his Dr. said it was the better way to go because freezing the tissue produces more complete scar tissue? I m 54 years old and don t want to spend the rest of my life on Eliquis and Amioderone, but am getting more nervouse the more I read. Thanks for any advice you may have. JJ | Both the methods are equally good, and the anaesthesia risk and time is not significantly different. I would suggest it with your doctor and whichever procedure he is comfortable with, go ahead with that. However cryo ablation has more recurrence , if the cardiologist is not well trained with its use. Regards Dr Priyank Mody | |
What causes headache with nosebleed as he has metal plates in head?
My partner suffers from Steven Johnson syndrome due to an accident back in 2004 he has metal plates in his head he recently has felt as if the metal plates are cracked and moving apart now for the past 3 days he has had a severe headache followed by a severe nose bleed that lasts for anything from 10 mins to 30 mins resulting in the headache clearing He is awaiting an appointment with neuro surgeons any advice | Hi,I would explain that his symptoms could be related to uncontrolled high blood pressure or an infection (considering the fact that he has metallic plates inside his head). I would recommend you to closely monitor his blood pressure values. It is also important performing some other tests: - a brain CT scan - complete blood count- coagulation tests- PCR, sedimentation rate for inflammation. Hope to have been helpful! Wishing all the best, Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Aida | |
What causes an elevated SGPT?
im 29 yrs of age,5'11". my problem is about elevated of my sgpt,my doctors told me to diet and exercise,and im taking now livolin forte 2 times aday,after 2 months when i came back to lab.test it increased the result from the previous one.from 209u/l to 284u/l..my dr.also prescribed me omacor(eicosapentaenoic acid + docosahexaenoic acid) for my LDL from 3.68 to 3.98 mmol/l...i have already undergo for different screening for heppatitis ,all the screening test is non-reactive(negative)...im not dringking liquor ,nor smoking...please help me regarding this matter...thanks!!!! | Hi thanks for contacting HCM...Here your liver enzymes high and lipid profile not good as LDL high....Your hepatitis serology test negative. . So you could have high cholesterol induce gall stone or fatty liver .....For that USG abdomen done ..The drugs you are using are right ...But try to do daily more exercise and take low fat diet...Avoid saturated and junk foods ..Good food for liver taken like ....-onion -carrot -spinach -mustard green -dandelion -avocados -Indian gooseberry -apple etc.....Use good oil in cooking like sunflower ...If still enzymes high even though with lowering lipid than biopsy can be done for further work up.Take care ... | |
What can be done for feeling of brain moving around inside skull?
Daughter, age 16, suffered concussion, got kicked in head during soccer gameon Saturday morning. Went to ER Sunday afternoon, no CT or MRI, since only symptoms were dizzy and lightheadedness. Now she says that she can feel her brain moving around inside her skull. (on Monday evening) Any need for concern? | Hi, There can be many causes of lightheadedness and dizziness. May be it is because of the trauma she sustained. Other causes can be diseases associated with cervical disc disease (may be associated with neck posture-related issues). It could be associated with some diseases of the ear(infection or neuritis). Besides this, there are simpler causes like anemia (low hemoglobin), hypoglycemia (low sugar), prolonged fasting, low blood pressure, vitamin deficiency, stress, anxiety, or lack of proper sleep. Hence, I feel- Take a well-balanced diet with lots of fruits and vegetables. Maintain proper posture especially while working and sleeping and take good sleep for 7-8 hours.She can even start to take some multivitamins. But If still the symptoms persist then do go for some investigations like- (complete blood count, vitamin B12, vitamin D, sugar levels, electrolytes, ECG and X-ray cervical spine) most important will be MRI Brain. This will help us to make a proper diagnosis and plan proper treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Milinda Gupta, Internal Medicine Specialist | |
Taken antibiotics for tooth abscess. Have jaw stiffness, pain in joint, ear pain. Will it go away?
I had an abscess tooth about a month ago and I took antibiotics and had it pulled, now I have stiffness and aching in the jaw joint on that side and it is also causing my ear to ache. Is this common and will it eventually go away or is it an indication of more infection. I have had other abscessed teeth removed without antibiotics and did not have this problem. | Hello and welcome Mr. Chenson, sir first of all I want to assure you that symptoms you are feeling are not of any direct indication of infection. To rule out any thing the information is slight incomplete. this may be a muscle spasm due injection given to you while extraction, or if removed tooth was wisdom tooth the pain may be referred one. In that case no need to worry simple painkiller like FLEXON-MR & warm saline rinses will help you. secondly weather the tooth was in upper jaw or in lower jaw and after how many days after extraction you start feeling pain. and the last if you feel any rise in temperature or swelling at the site of removed tooth then this is remaining infection & you have to visit your dentist. | |
What is causing my left knee pain?
I am a 29/F, 5 3 and about 170lbs. I have given birth to two children with no complications and have no significant medical history. For the last 6 months whenever I sit with my legs crossed for an extended period of time and I go to straighten my legs, I have significant pain and stiffness in my left knee. What could be causing this? | Hello,I read carefully your query and understand your concern. Stiffness of the knee can result from poor posture.I suggest :-Switch sitting positions often.-Avoid crossing your legs or ankles.-Stand up frequently.-Take short walks.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
Suggest treatment for breathing problems
Hello DOC Iam getting sudden deep breaths often. The best way I can describe it is like when you have a good, hard, long cry and afterwards, you have the hiccup-type deep breaths. This is what it is like. In between these episodes, however, my breathing appears to be completely normal. | Thanks for your question on Healthcare Magic.I can understand your concern. Your breathing difficulty is associated with crying. So no need to worry for any lung diseases because breathing difficulty while crying is due to stress and anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest treatment for dry cough with chest pains
About 3 months ago I got a really bad dry cough and it stuck for about a month and a half, and I thought it went away, but I would still slightly cough(not dry cough) in the morning and before I go to bed sometimes for about a couple of weeks. After that it went away. This morning I woke up with a terrible cough and really bad chest pains every time I cough which is every few seconds to every few minutes. The first time I got sick I asked a doctor he said a virus was going around, but this time it seems like it's the same symptoms but worse and with chest pains. | Thanks for your question on Health Care Magic. I can understand your concern. You are having chronic cough with chest pain (pleuritic). Both are commonly seen in bronchitis and lower respiratory tract infection (LRTI - pneumonia). So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray 3. PFT (Pulmonary Function Test).Chest x ray is needed to rule pneumonia. PFT is must for the diagnosis of bronchitis. You may need antibiotic, inhaled bronchodilators and inhaled corticosteroid (ICS) according to the diagnosis. Don't worry, you will be alright. 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. | |
How to gain energy while on medication for depression and high bp?
I take paroxetine for depression and take lisinopril for high blood pressure but, I wanted to take something to help give me some energy.. What can I take?My age is 35, I'm female, I'm 5'4 and weigh about 212lbs | Thank you and very pleased to answer you.your body mass index or BMI is 36.126 kg/m2 Normal weight BMI IS under 25Class II Obesity BMI is equal or more than 35 and under 40. you are a Class II Obesity and you suffer from hypertension and depression.Obesity is a risk factor in high blood pressure, especially android obesity (i.e. an excess of abdominal adipose tissue). Weight gain in adulthood, particularly in the abdomen, is the consequence of several factors: age, hyperactivity of the sympathetic system, a change in energy yields, a bad reaction to stress, relative hyperphagia that can be caused by drug medicine or other circumstances, hyperinsulinemia, Insulin resistance, these factors being favorable to the increase in blood pressure. The obese have a higher blood mass whereas the renal flow remains stable, the ratio of renal flow / cardiac output is therefore lowered which leads to chronic renal ischemia (hypertension). It would appear from recent studies that abdominal fat develops intense metabolic activity, that is to say that it is the seat of a permanent turnover, which leads to an increased release of free fatty acids in the portal circulation, causing hyperinsulinemia and insulin resistance. Moreover, it seems that during its metabolism this abdominal fat produces pathogenic substances, especially angiotensin II, especially at the time of digestion (angiotensin II: very important factor of arterial hypertension).Therefore, the obese hypertensive must imperatively lose about 10 to 15% of the starting weight, this gradually. It should be noted that every kilo eliminated causes a drop of 1.6 mm of mercury for the systolic and 1.3 mm of mercury for the diastolic.The adjuvant treatment consists of taking anti-angiotensin drugs, in particular the LOSARTAN which is an exclusive antagonist of angiotensin II receptors, and which also treats hypertension.Of course, angiotensin I inhibitors that inhibit the transformation of angiotensin I into angiotensin II, (example LISINOPRIL) which is responsible for arterial hypertension, retain their full value.Then I would change you Lisinopril to Losartan 50 once daily and I would like you to consult a dietician. For your depression treatment, some study incriminates paroxetine as a cause of obesity, but you can consult your pshychiatrist about possibility of changing it.Best wishes | |
Suggest treatment for elevated levels of SGPT
hi my name is ravi, i am 26 suffering from high SGPT since last four years, having treatment also, its ayurvedic treatment, but after having all sort of precautions also the results are unfavourable, as in am monitoring it for couple of weeks, the 1st week the result was 102, 2nd week it was 72 bbut the third week again it was 92.... i am very much worried as my job also depends on it, i am in merchant navy | Hi welcome to the health care magic I need to know cause for elevated sgpt level Don't try any self medication for your condition Your following report should be done.... _USG abdomen _serum bilirubin estimation _Hbsag ELISA _HCV ELISA _Serum cholesterol If you are having fatty liver or non alcoholic steatohepatitis then udiliv can be prescribed and low fat diet consumed So depending on cause I can give further comment Hope your concern solved Take care | |
Trying to conceive for 2 years, aged 39. Recommendations?
Hello!!! I just went to see my GP & told her the last two visits, (about 2yrs), I have been trying to concieve. She says to get on clomid ASAP, but I am overweight & am concerned that it will be difficult to find someone to perscribe it. I have been losing weight, but turned 39 at the end of Feb. & can't wait any longer, I feel it is worth a try!!! Also, I do have a a son who just turned 19 and had no problems cocieving him, but age is no longer on my side... I'm desperate!!!! | Hi,Thanks for the query.If your cycles are regular ovulatory cycles,then no need to use clomid.Clomid will help in inducing the ovulation only.If your cycles are irregular, better to get evaluated for the cause for it. And take treatment accordingly.Then if your doctor suggests you can go for clomid.Maintaining ideal weight will help in regularization of the cycles and in fertility.If your general health is normal, age may not affect the fertility much.For more details you can ask me through: care. | |
Can allergies cause alternating heat and cold with vomiting?
I am 25, and weigh about 155. I am usually pretty healthy. Mostly have problems with allergies. In the middle of the night Saturday, I got very hot and felt like I was going to pass out. I am been hot since then, and keep going from hot to cold. I threw up once last night and once today. | hello,thanks for the queryyour symptoms can be due to excessive acid formation in your stomach, a condition known as acid peptic disease.you need to take antacid syrup also include dietary fibers in your diet.drink plenty of water atlest 4 to 5 lit per day. For vomiting you can take an antiemetic.thank you | |
What causes pain and swelling on the pubic area?
i have swelling in my right side of the pubic mound. i am male 31 yrs old. Had my appointment with an urologist on 8th Sep and he asked me to go on just anti inflammatory drugs and take rest. its been almost 2 weeks there is still some faint pain and swelling . Any suggestions on medication | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Until examination of the area it is difficult to say what is the problem?? It may be hernia or hydrocele or varicose veins or muscle tendinitis etc.. Until examination is done it is difficult to say what it is. Please consult your surgeon and get scan the area of abdomen and get treated accordingly. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest remedy for swollen butt crack
I have a sharp pain at the top of my butt crack.. It is excruciating when touched and hurts when sitting or lying down on my back. There no is bump to be seen. The pain feels like a large stabbing sensation. I can feel a little swelling on the right side. | Hi and welcome to HCM. The pain you are feeling in your butt crack can be due to a condition called, Coccydynia, (tailbone pain or coccyx pain), generally feel worse when sitting or with any activity that puts pressure on the bottom area of the spine. 1.To treat this, do dry icing for 10 min for 3- 4 times /day, this will reduce the swelling and pain, and avoid sitting on hard surfaces. 2.Use a tube or a soft cushion while sitting on a chair.3.Take an ultrasound therapy from your nearest PT center.The pain if not chronic should take 2-3 weeks to disappear. I hope this information is helpful to you. Take care and have a nice day :)Regards, Dr.Nidhi Sood, PT | |
Can severe pain in the hip area that is relieved by Prednisone the sciatic nerve ?
I have been having severe pain in the hip area. There is no shooting pain down the leg. Predisone relieved the pain. Stop taking it two days ago and the pain had returned this morning. By noon there was no pain again. It seems to get better through the day. Could this be the sciatic nerve? | Yes, this pain is due to compression of the nerves in the spine but you are not doing right by taking Predinisone as it is very toxic and habit forming drug. I would recommend you to take pregabalin M one daily and hot water fomentation. You should also avoid weight lifting and forward bending. If pain continues then you should get MRi of the spine to confirm the diagnosis. | |
What is the treatment for the lung cancer and the Crohn s disease?
I was reading Dr Js posting and I wish to God I could find a doctor like him. Why are all the docs so afraid to give it out? I have Crohn s Disease, GAD, my baby died when he was not even 4 months old, and among many many other really good reasons for needing it ......I just found out my dad has lung cancer that has made a happy little home in his brain....and it brought the whole family....7 lesions total. The healthcare system is falling apart. | Hi,Sorry to hear about your family.Thanx for the query.Lung cancer treatment depends on stage of the disease .In early surgery +/- radiation therapy is the treatment.In advanced cases treatment is surgery/radiation therapy and chemotherapy.In metastatic cases patients are treated with chemotherapy.In crohn's disease surgery and long time medication are needed. | |
Suggest ways to toilet train a child
I own a preschool for over 18 years. I have toilet trained over 1200 children. I have a preschooler that is cognitively on task, her verbal skills are great. She urinates on a toilet but soils her underwear. She says she will Not go on the potty, she likes the hot poopie in her pants. All types of rewards have been offered, nothing works. How can we get her to go #2 on th toilet?? | Hi,Thank you for asking question on health care magic.Usually preschoolers get potty trained easily,that under skilled and experienced person like you.He is not getting trained means he is mentally subnormal.Better consult pediatrician or pediatric neuro physician.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | |
What causes severe cough and sharp pain in the head?
I had a bad coughing episode rendering me temporarily unable to breathe and had sharp pains shooting in my upper chest. It was very scary. What was happening? I also had some sharp pains shoot through my head. Both disappeared once I was able to breathe again. | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you are mostly having acute bronchitis. It is viral infection of large airways. It causes bronchospasm and this in turn causes chest pain, cough, breathing difficulty etc. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with antibiotic, inhaled bronchodilators and other supportive drugs. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What could brown patches on genitals in pregnant woman indicate?
hello DR,im pregnant for 22 weeks.3 days ago i noticed a brownish patch on my undergarments indicating a bleeding in other words.moreover my hiv test is negative but for my vdrl test there s a ratio of figures indicated...can you please explain me all this..thanking you | Hi.Some amount of spotting is common during pregnancy, and although you are past your first trimester; but I would still recommend you report the same to your doctor so a check on your pregnancy can be conducted using an ultrasound. But in my opinion, nothing too serious to worry about.Best wishes. | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Suggest treatment for lumps in arms,hands and abdominal area
i am 25 yrs old.i weigh 60 kg.n i had an oral operation for eating gutka in 2006.i dint discovered these lumps at that time.my body has lumps in stomach area and arms and also in hand....4 to 5 lumps is big bt nt visible ..but i can feel it.and i dont get any pain...i eat a lot of chicken.almost everyday.are these lumps dangereous ? and how it came on me..please help me..should i operate the lumps and take out | Hi,Dear thanks for the query to HCM.Cause of the lumps you have is as follows-a-Multiple-Lipomatosis- which are -Benign and Non-Cancerous lumps.Has no connection with the lump of the Oral Cancer.So Dont worry for it being Cancerous.Treatment-I would advise you to Consult a Surgeon-Who would treat it as follow-a-No surgery is needed as these lumps are not dangerous Like your Oral Cancer.b-If any of the lump becomes painful-Surgical Excision with Biopsy would be needed.c-Eat less of chicken as it adds up more fat to your body and these lumps are of the Fat -below the skin of your body.d-These lumps came to you by heritance from your family and your brother or sister may also have it.2-Still if you are worried , You may get it removed -for psychological relief from Surgeon-on demand.Hope this would help your worry to take proper steps for health.Wellcome again if you have any more query in this regard.Have a Good Day. | |
What causes knee pain and smelling of metallic odor?
Good Evening, My Daughter is currently taking Vitamin D2. She started with 50, 000 mg and then a half of a tablet for three days and and then a whole tablet. Lately she has been complaining about a pain in her knee, being very tried and smelling a metallic like odor. she has been on this dosage for 2 weeks. Does this sound like a big concern? Thanks for your help! | Hi there.The metallic odour could be due to menses if she is in menstruating age group. Pain in the knee could be due to growing pains if she is in growing age. Nothing to worry. The pain shall get relieved on it's own. | |
How to treat the condition of bell s palsy?
I had bells palsy 2 yrs ago and it didn t heal! Now when I get hot my eye draws shut my right side of my face pulls up, the right temple hurts bad and my left arm hurts and starts to tingle!! It s weird that all this happens as soon as I walk outside when the temperatures are high!! | Hi, The onset or worsening of neurological symptoms involving cranial nerves with heat as a trigger is called Uhthoff's phenomenon. It is not clear to me that the Bell's palsy is exactly tied to what is happening and in fact, there is a chance that you are not suffering from true Bell's palsy to begin with but rather a central nervous system mimicker. My recommendation is that you speak with your primary doctor and ask to be referred to a Neurologist for the purpose of going back and relooking at the diagnosis of Bell's Palsy in the light of your neurological symptoms which are exacerbated by heat. There is a good chance the neurologist will order tests and studies on you such as an MRI of the brain and cervical spinal cord with Gadolinium contrast. This may disclose the reason for these problems. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist | |
What causes pain in chest and arms?
i do not have an appitite.I am on omerprozole.I was given this by my docor for possible ulcer.I was also suffering from stress ,mild depression and high blood pressure .I am 33 yrs. My question is that i get a pain in my arms and chest at times.It moves around.My blood pressure is under control.What is causing this pain? | HiAs you explain the history these are sogns of anxiety and stressTake carefully the medication and nothing bad will happen Dr.Jolanda | |
What is the treatment or Eczema in a child?
Hi Doctor. I am asking this question for my son of 14 yrs old. He has an allergic like skin irritation of blackish color of about 2.5 cm area on the leg where the socks comes in contact(just above the angle) and he had itching on it. the doctor said it can be an eczema like change and gave some medicines and ointments after that it was subsided even-though the discolored skin is still there. Now we use only cotton socks. my mother has eczema for years on the legs. So i want to know whether this disease is completely curable or not? what is the latest in eczema management -not for the symptomatic management,but what is the latest treatment for a permanent cure if available? and which place? Thank you | Self-care measures, such as avoiding soaps or other irritants and applying creams or ointments, can help. Avoid skin irritations, avoiding extreme temperatures, and using bath oils, lotions, creams or ointments to lubricate your child's skin. Light therapy (phototherapy) is the recent technology, but it has its own sideeffects. Consult a Dermatologist in your area. | |
Suggest treatment for painful lump on inner thigh
I have a lump under my skin on my upper inner thigh next to my genitals. It hurts alot when I touch it and feels like a clump of cells. It looks somewhat bruised and is swollen. If you can help me to identify if this is a serious problem I will be more then greatful. Thank you so much | i think it is niot a thing to worry about!possibly it is a sebaceous cyst or a benign lesion like neurofibroma or hemangioma.it you are still worries just go for an FNAC test that will conclude the matter.all the best! | |
Has jaundice, stone in gallbladder, SGPT, SGOT values abnormal. Hepatitis E curable?
my aunty aged 46yrs. Her problem is she is having jaundice and doctors are saying the reason for this is her stone deposition in gall bladder. Her SGPT value is 2863U/L, SGOT value is 1952U/L, bilirubin value is 5.4 mg/dl . She is having hepatitis E . Can you please tell me the possible treatment for this disease. Is hepatitis E curable? | Vaccines against HEV are in development [95-99]. Two large placebo-controlled trials found that vaccination was more than 96 percent effective in preventing infection in high-risk settings Little information exists regarding the efficacy of pre- or post-exposure immune globulin (IG) prophylaxis for the prevention of HEV . There is at present no proof that immune globulin, including lots produced in countries where HEV is endemic, confers protection against hepatitis ETravelers to endemic areas should engage in practices that may prevent infection, such as avoiding drinking water of unknown purity, uncooked shellfish, and uncooked fruits or vegetables.Treatment of infection remains supportive. Case reports have suggested a benefit from ribavirin, suggesting it might be an option for chronic HEV infection, but more data are needed | |
What causes lower backache after reducing alcohol intake?
When you significantly reduce alcohol,and your back starts hurting on either side of your spine, what could that be? That was a gyp! MAke me type all that only find out now I have to pay for the answer. It would have been nice to know that ahead so both of our last 20 mins would not have been wasted. Thanks | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Alcohol and backache do not have any relation with each other. The pain may be due to some other causes. You can take analgesics like Diclofenac pain, if pain persists better to take an MRI spine to rule out conditions like disc prolapse which can also cause similar clinical picture. Wishing you good health. Thanks. | |
Suggest treatment for joint pain
Hi Dr, I started using Medrol 4 MG last night. I had foot joint pain at night. Shortness of breath has improved but my feet joints are painful and my head seem to be spinning with some sort of pressure down towards the neck and ears are getting blocked. Is this something to worry about. Am expected to use medrol for the next 28 days. Was struggling to breathe. I underwent a vaginal hysterectomy in December. | Hi,In my opinion If you will be taking this medicine for a long time, it is very important that your doctor check you at regular visits for any unwanted effects that may be caused by this medicine. Blood or urine tests may be needed to check for unwanted effects. Medrol is kind of cortisone which may cause a lot if side effects. Talk to your doctor right away if you have more than one of these symptoms while you are using this medicine: blurred vision, dizziness or fainting, a fast, irregular, or pounding heartbeat, increased thirst or urination, irritability, or unusual tiredness or weakness. NSAIDS like Advil, muscle relaxants are recommended. Please give positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan | |
Suggest treatment for allergic bronchitis
Hi Doctor, I'm father of 18 months baby. From last 3 months she is suffering from Allergetic Bronchitis. Due to that she is not eating and suffering with running nose, sneezes and water coming from eyes. We are using Cipla Huf Puf and Montair CXT tablet. Please let us know is there any remedy for this. Please help us and do the needful. I will be waiting for your reply. Thanks RK | Thanks for your question on Healthcare Magic.I can understand your concern. I have gone through the drug list you have mentioned.These drugs are appropriate for allergic bronchitis. Best treatment of allergy is identification of allergen and if possible complete avoidance of it. So get done detailed allergy report to identify things allergic in her.Once you avoid allergens, she will start improving. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks. | |
What should be done after water breaks during pregnancy?
I Think I ve Just Gone Into Labour. I Have Felt Some Water Trickle Down My Leg. It Happend When I Wan On My Laptop And I Havent Moved Since. It only just happend 5 minutes ago, i cant get to the phone to call a ambulane either. I feel the urge to push but i dont know weather to push or not. I Can Hardly Move and i was wondering if i could get some live help from you to deliver it? | Dear Mom,If you are getting pains, you are in labour. However, the water trickling down your legs suggests that your bags of water have been ruptured. If it is without any pains, you have risk of infection if the labour does not start. If you are full term, you should be delivered ASAP. If you are premature, doctor has to do something to stop the leaking. From your apprehension, it appears that this is your first pregnancy (primi). After the initiation of labour, it takes more than 16 hours to deliver for the primi. So you need not worry. Please keep your laptop aside, get up, get your phone and call the Obstetrician. Your baby will not get hurt. By just sitting in a place, you are increasing the risk of complications of your delivery. Dry labour may lead you to the caesarean section, or even may cause risk to the life of the baby. I hope you have got the message and will take prompt action to move to the maternity home. Dr. Nishikant Shrotri | |
Suggest medication for back pain
I am to have a ct angiogram of messengering vessels w/cath i would like to know how this is done. The reason im having this test is since March of this year i have dropped from 147 lbs. to now 112 lbs.When i eat it hurts to go to point at chest bone it feels like food is in a ball and gives me lots of pain. I have had throat scope done they nods came up pre cancer went back in removed all. I have scans and x- rays this is last test i guess. The other symptoms are sweating back pain very bad red blotches on legs and always dizzy and off balance. When I m sitting get sever pain under left rib gage. My mother had neuropathy and passed from it . Can you tell me if this sounds like chest problem with artery blood flow. Sorry i dont know right words. | You have not mentioned your age which is very important factor in case of back pain. For treatment you can take some pain killer like ultracet or biozobid-plus only when your back pain is worse enough or disturbing your routine work. Apart from this you can take some calcium supplements like shalcal or toscal-gem once daily preferably in afternoon. You can do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advice you to sleep on a plain surface as it is very helpful in case of back pain. | |
How safe is having sex with break in the frenulum?
If i have anal sex with my girlfriend will my frenulum break? its thin because i masturbate a lot and im scared if it breaks ill bleed to death. Im 22 years old and i dont want to die. if it breaks while i still be able to use my penis and eill i die?? | Frenulum will not break that easily and one will not belled to death. So don't worry about that. Since anal orifice is tight, it can hurt your frenulum badly if you don't use lubricants adequately. Also there are more chances of infection being contacted by having anal sex. So take adequate precautions by using lubricants and wearing condom. Enjoy but avoid rough sex. | |
Suggest treatment for strained intercostal muscles
I have been having pain over my ribs and around to the side since July. Since it had such a burning quality, my Dr. started me on Neurontin. The pain and burning are much better, but now whenever I cough or sneeze, I have to splint my ribs right in front under my breast. Yesterday, I got into a coughing fit and it felt like something was tearing. So now it hurts to take a deep breath, and it feel shredded up in there. Just today I wrapped my ribs with one of those heating pads. The pressure seems to help. What is the treatment for strained intercostal muscles or cracked and bruised ribs? | Thanks for your question on HCM.I can understand your situation.In my opinion you should first get done chest x ray to rule out internal lung damage and rib fracture.If chest x ray is normal than no need to worry much. You mostly have muscular injury.So try to follow these steps for better symptomatic relief.1. Avoid heavy weight lifting.2. Avoid strenuous exercise.3. Avoid movements causing pain.4. Avoid bad postures in sleep.5. Apply warm water pad on affected site.6. Start painkiller and muscle relaxant.7. Wear chest belt to avoid mobilisation of painful site. | |
Can a broken blood vessel cause reddish spots on the hand?
Hi have broken blood vessels on the back of my hand. They appear as small red dots. My hand was purple at first but that cleared up leaving my hand darker than the other one. Went to dermatologist , he had blood work done but no answer from him yet. | Hi, Based on the information that you have given I would say that the first test we would look at is your platelet count. One of the causes for such red spots is a low platelet count. If your platelet count is OK the other possibility is a fragile or weakened blood vessel . Weakened blood vessels may show up as spots or discolouration etc. Medically this condition is called vasculitis. The possibility of autoimmune disease should also be ruled out . Tests such as ANA are used for this along with clinical findings. Certain medications may also produce such symptoms. Sometimes there is no cause . Please post your complete blood count, ESR, peripheral smear,LFT, ANA lab test reports here for further assistance in providing more information regarding your condition. Best regards. | |
Teenager. Cold feet when sick, sinus headache, congestion, allergy. Detected depression, no signs. Remedy?
My daughter 14 sleeps a lot and has very cold feet when she gets sick. She has missed 15 days of school so far this year alone and has sinus headaches, congestion and allergies a lot. She has had allergy testing and is only mildly allergic to mold. The doctors say she is depressed but she does not show any symptoms of being depressed at home. She is not on drugs!! What do I do to get her healthy and back to school. | it can also be foor protein related as some food proteins start suddenly with body proteins get clinical immunologist advise to get blood serm tests for specific antibodies for milk wheat potato and other food withdraw those to get results | |
How to remove thorn stucked in knuckle?
On Friday I was pulling weeds and a blackberry thorn from a bush punctured my knuckle. Now it is stuck in my knuckle and is swelling up. I tried getting it out but it wont budge and now it s hard for me to even move my finger. What do I do to get rid of it? | Hi,It seems that thorn stacked in knuckle producing infection swelling and pain.consult your doctor and get this thorn removed.Afterwards go for regular dressing.Go for one antibiotic, anti-inflammatory medicine course for 3 days.Ok and take care. | |
Suggest alternative remedy for chondromalacia patella
hi im diagnose with chondromalacia patella,my doc just giving me pain pills ang he jujst gave a cordosone shot that help a little but still have lot of pain going up and down , I request for specialist , I don t know what to do, getting tired of this pain I don t want taking pills all the time, what should I do? | hi,thank you for providing the brief history of you.as you have already met the ortho and on pills the pain relief will be symptomatic. Chondromalacia patella is a cause of pain in the front of the knee (anterior knee pain). Chondromalacia patella is one of the most common causes of chronic knee pain. Chondromalacia patella results from degeneration of cartilage due to poor alignment of the kneecap (patella) as it slides over the lower end of the thighbone (femur).As now by this you can understand that there is a change in the kinetics and kinematics of the joint mobility leading to pain symptoms.I will advice you to undergo physical therapy as it can help you correct the muscle contraction And also help to correct the biomechanics of the muscle and joint.In my clinical practice most cases respond well to physical therapy.Regards Jay Indravadan Patel | |
What causes decrease in hemoglobin?
My mom is 82 years old and diabetic for 20 years. She is on Amalong H for BP and Insulin lispro and humalog for Diabetic ciontrol. She started having Low Haemoglobin and Iron difficiancy and this was followed up with Iron tablets and Vit c and Vit D and . Her haemoglobin came to 12.5 and now she has UTI with E-coli. Pl. help | Hi, dearI have gone through your question. I can understand your concern. Iron deficiency is very common in female. It may be due to nutritional deficiency or blood loss. She should take iron rich food and iron tablets. For urinary tract infection shr should take antibiotics like levofloxacin or norfloxacin according to doctor's advice. She should drink plenty of water and also check her sugar level.Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Suggest treatment for enlarged prostate after hip surgery
Thank you. My Dr. just put me back of Terazosin but didn t tell me why. I have an enlarged prostate and am using a catheter after hip surgure 7 weeks ago. I thought the medicine he was prescribing was for nausea which I have been experiencing ever since myt surgery. | Terazosin is a alpha blocker drug and it is meant for high blood pressure and BPH (benign prostatic hyperplasia). | |
What causes loose and sticky stools?
My baby is 13 months his stools are loose sticky and he is going quite a bit. Now his bottem is irritated which im treating with calmoseptine cream from from work. Im a cma for a colorectal surgeon so i see weird poop everyday so this alarms me. Why is it sticky and loose? | Hi...this could be a mild viral associated diarrhoea. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Being sticky and loose doesn't mean any serious bacterial infection.Regards - Dr. Sumanth | |
How to treat breast tenderness on left,tightness and pain around chest?
I have tenderness -similar to a very tender bruise under my LEFT (not right), breast, and it extends to under my left arm (cancer in lymph nodes?! -hope not). I also got some shooting pains in that area yesterday but today they are gone. I don't feel the tightness of chest described as signs of a heart attack - just the shooting pain that's pretty much gone and the extreme tenderness that persists. I should also add that it feel like there's a kind of numbness all around the left shoulder blade -skin has totally duller sense of feeling than anywhere else. Bad news -I'm a long term smoker. My guess is this is an inflammatory repsonse to plaque buildup in my heart valves/arteries. Whta do you think I should do, (besides not smoking)? | HIWell come to HCMI really appreciate your concern, I had gone through the history given here, I would like to say you that stop getting different weird ideas about the pain that you are having it is not the pain due to what you are thinking but it seems to be a muscular pain, most of the time it is due to anxiety and stress, so try to come out of this, better to stop the smoking it is not good for health, right now it may not be the cause but better to stop it, hope this information helps. | |
Severe pain, mild fever after root canal procedure. History of pulpectomy. No relief with Tylenol. Help
Hi, late afternoon I had a root canal done. Right after the procedure (as I was driving home) I started to experience unbearable pain. 1 1/2 weeks ago my Denrist put me on antibiotics and did a pulpectomy (left the tooth open to drain). I cannot sleep. Woke up with a mild grade fever and horrible pain. It is worse now than before I had the root canal done yesterday. My Dentist is aware of the pain and gave me 4 Tylenol 3's. it has not helped and I cannot take Ibuprofen or Aleve. Help? | Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. You got rootcanal treatment done in the late afternoon. after finishing procedure you are feeling severe pain. One and half weeks back your dentist put you on antibiotics, and did a pulpectomy, (left the tooth open, to drain, )it is worse now than before. It appears that you had an infection of the teeth and gums. the pain is unbearable means, the antibiotics he has given are not sencitive to the bacteria, present in your mouth. Anaerobic and aerobic antibiotic combination should be used, for relief. pain killers other than the ibuprofen may be used . Wishing for a quick and complete recovery. Best regards. | |
Can vaping of nicotine help to treat fibromyalgia?
Hello! I have been vaping for about 4 months. I have Fibromyalgia, severe neck and back pain, I get spasms, have trouble sleeping, excessive tiredness and difficulty with concentration. I take zanaflex, cymbalta, carbatrol and lyvoxerine(thyroid med). I have been wondering if you would know about the good effects of nicotine? I do feel some of my meds may be able to be lessened since vaping. I will be talking to my docs about this when I see them but was also curious if this has been a common question lately? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is non-zero on pain effect. It was being evaluated as a non-narcotic pain medication about a decade ago but nothing came of it, so I suspect it isn't very helpful and there is a real risk of addiction to it. The pain effect, however, if it were to occur would also occur with any other nicotine like the gum and patch. Although addiction is a risk, the pain effect would occur in 2 days or not and addiction is time dependent and usually takes longer than 2 days. Cannot say in your particular case, but generally, a time effect could be used to try it out. Hope I have answered your query. Let me know if I can assist you further. | |
Is mild oligospermia in sperm test a major issue?
have done my sperm test and result is 15 million per cumm. Active motile is 70%, sluggishly motile = 25%, non motile 05%, puss cell = nil hpf 0-1.morphology abnormal 05% normal 95% overall analysis is MILD OLIGOSPERMIA. Doctor has asked me to take maxoza sachet twice daily for 3 month. I just wanted to know more about this (if is this an serious issue) also somehting on diet and should i avoid smoke for come out of this. pls suggest | Hello, The sperm count is almost normal and nothing much to worry about it. Continue your drugs. Nothing much to worry and your treatment is in the right track. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
How to cure lump on the chin after hitting?
Hello, A couple of hours ago, I fell on concrete while ripsticking around my neighbor hood. I fell on my chin and my right knee, but I am more concered about my chin. There is a large bump, uneven from the right side of my chin, and is not by my jaw. I iced it, and also took ibuprofen. My parents say it is just swelling, and it will go away later. Now, 3 hours later, I notice not so much of a difference. Also, the results are that there is no damage done to my gums, and teeth. But there is a cut and some scrapes under, and on my chin. I can move my jaw perfectly, some with my neck and shoulders. I m getting pretty scared, and confused. What do you think it is, and how can I fix this without going to the doctors? | Hi,Dear I am worried about the concerns you have about going to a doctor.Thanks for the query.Advise- 1-AFter indepth study, I Would advise to wait and watch-with first-aid-dressing of the bruised chin.2-AS the movements of the jaw are normal and painless, with neck,though post-fall recovery of the bump on the chin is not much- in 3 hrs.3-post fall-Bony bumps subside in 6-10 hrs.4-So dont get scared -But be careful-if the lump increases or does not reduce after 8-10 hrs.5-In that case attend to the surgeon in your area, who would treat it in right manner, depending on the situations.This is how you would get the cure and care of the lump on the chin-post fall.Hope I have helped you in solving your query.Wellcome if you have any more queries in this matter. |
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