patient_message
stringlengths
22
2.5k
doctor_response
stringlengths
41
2.5k
dialogue_context
stringclasses
1 value
Suggest treatment for burning sensation in brain, excess sweating and tiredness For past few days I have this burning sensation in my brain and facial skin,my forehead will start sweating a lot,feeling of tiredness and giddiness.It feels like something has captured and pressed my brain.....please help,even i have the problem of neck pain
Hello!Welcome on Healthcaremagic!Your symptoms could be related to tension type headache. Anyway, I would recommend performing some tests to exclude other possible causes like inflammation. For this reason it is important performing a complete blood count, PCR and sedimentation rate. A cervical spine X ray study would help exclude possible chronic degenerations of the cervical spine. In case all these tests result normal, I would recommend starting treatment with sertraline or amitriptyline. Hope you will find this answer helpful!Kind regards, Dr. Aida
Good doctor for psoriasis in Hyderabad iam affcted by psoriasis on past 3 years. i feel so depressed. pls suggest a good skin doctor in hyderabad.. pls help me... send the details to talathkausar91@gmail.com
HELLO WELCOME TO HCM... YOU HAVE PSORIASIS SINCE LAST 3YRS. WE HOMOEOPATH HAVE GOOD MEDICINE WITHOUT ANY SIDE EFFECT . FOR THAT WE REQUIRED DETAIL HISTORY FOR SELECTION OF MEDICINE . SO IF YOU WANT ONLINE HOMOEOPATHY FROM ME THAN MAIL ME drvipul2001@yahoo.com . MEET AGAIN FOR BETTER HEALTH
On Eptoin, occasionally miss a dose. had seizure a few days back, phenytoin test done. Suggestions? Gud Evening Doc, I am taking eptoin since last 10 years. But somehow i always misses a dose. As a result i was never able to complete my 3 yr course and have seizures in between. Few days back also i had a seizure. I am on a medication of 4 eptoin 100mg tablets every night. Few days back i gone through phenytoin test and the resulting was 38. Doctor found no symptoms of this excess level in me as i can walk normally my vision is clear. So to verify the report again i went through the same test from different lab but the result was same i.e. 38 . What could be the reason and what can happen to me at this level
Can you please let me know what test was done: Was it is Phenytoin therapeutic level or toxic level? When was the blood sample taken in respect to your dose of medicine? If the level of 38 is a therapeutic level, it means that the drug's level is well above the dose needed for preventing the seizures. it is good that you have been checked for side effects of high blood levels of Phenytoin. What this means is that the dose of Eptoin can be brought down. If you continue to have Seizure activity inspite of adequate Phenytoin, then your doctor needs to consider whether another medicine needs to be added. Which medicine this is depends on the type of epilepsy that you suffer from. Hope this helps?
Do eating disorders cause infertility? Hi I'm a 25 old gal I have been eating soil or some call it rock for as long as I can remember ,now I have stopped and it's been over six months now and I have been trying to get pregnant I can't. can it be a result so soil rocks . Coz I have had a child years ago
Hi I think it can't be related to soil or rock. Get yourself evaluated by a gynecologist. Get a thyroid profile and prolactin level and a ultrasound done to see uterus and ovaries. You cam try ovulation induction with timed intercourse for conceiving. Talk to your doctor regarding this. Hope it helps.
Suggest medication for fungal infection in the inner thighs around the scrotum I am having fungal infection in my inner thigh around my scrotum. It gets really sweaty and itchy at night while I am sleeping. How to stop sweating & itching? I wear loose pajamas but still the area gets sweaty even though the weather is not hot or humid.
Hello,For fungal infection on the thigh, you can take tablet Flucon or tablet Terbinafine and tablet Allegra. Also, apply Ketoconazole ointment locally.Keep that area dry. Wear loose dress. Wash all your clothes in an antiseptic solution. Kindly follow with detailed history or consult a dermatologist.Hope I have answered your query. Let me know if I can assist you further.
Suggest remedy for communicating hydrocephalous due bleeding in brains My son, mohd yusuf, 5 years old suffering from communicating hydrocephalous due bleeding in brains since 5th day of his birth. Please Advice me about unani medication in this regard. My email is YYYY@YYYY . I will be greatful to you for ever.
Most of the doctors do not treat hydrocephalus unless there is pressure signs and by and large communicating type is safer compared to obstructive hydrocephalus. Remember one thing that there is no medical treatment for hydrocephalus; if your son's head is growing bigger and bigger with vomiting, lethargy and seizures, you must immediately see a neurosurgeon for VP shunt procedure.
What causes mucus discharge while spitting? Why do I spit up mucous every time I use my inhaler for Asthma? It is miserable and I spit up morning and night at the use of the inhaler. Why, I have never smoked, but did live with a smoker for 7 years, but I am now 61 and haven t been around it for years. I am upset with choking and spitting up of mucous.
Thanks for your question on HCM.I can understand your situation and problem.Mucus production in asthma patient can be due to1. Infection2. Poor control of asthma (lung inflammation and irritation)So better to consult pulmonologist and get done1. Chest x ray to rule out lung infection.2. PFT (pulmonary function test) to rule out worsening of underlying asthma.If infection is present than you may need antibiotics.If worsening of asthma is there than you may need additional inhaler or increasing dose of pre existing inhaler.So better to consult pulmonologist and discuss all these and start treatment accordingly.
Suggest safe food for infant apart from breast milk Hi Doc! I have a 4-month old baby and he is currently in 6.9 kilos. I mixed my breastmilk and Enfalac regular because I had to work. I also started to feed her with Gerber. What milk is best suit for ages like this aside from my milk? Can you recommend other milk brand? Is it safe to feed her with solid food this young?
WEANING OF BABY START AFTER COMPLETION OF FIVE MONTHS OF AGE,TO BEGIN WITH WE START WITH LIQUID DIET WHICH CAN BE SOUP,JUICE,DAL WATER,RICE WATER,SOUP OF VEGETABLE ETC THEN GRADUALLY TO SEMISOLID FOODS BY 6-7 MONTHS SOLIDS CAN BE ADDED ,MEANWHILE CONTINUE BOTH BREAST MILK AND TOP FEED FORMULA OKOK
Trying to conceive. Taking medicine for thyroid. Effect on conceiving? nothing
Hi,You did not specify what medication you are taking for your thyroid problem, whether you are hypothyroid or hyperthyroid. Also, you did not say if you are trying for conception with any medical aid. Hypothyroid states are better treated as conception with a defective hormone state may lead to several complications if pregnancy occurs. There is no harm in continuing medication even after conception, in fact, it is useful. Hope your query is clarified. Good luck.
Q. Faraway objects appear blurred. What should I do? Hello doctor,Sometimes, the faraway objects become blurred as well as I cannot see the writing in class on the board clearly or the slides on the projector. But, the problem is that it is not regular. Rather sometimes, as I can see everything clearly like when I go to the movies I sit at the back still everything is clear. What should I do? Do I need an eye test as I have done it last year? It was clear at that time. These symptoms were still there but not frequent as now.
Hello. We need to know if you are far-sighted, that means hyperopic. They usually have good vision at a young age. But the vision deteriorates with aging and when stressed. For that, you may need a cycloplegic refraction. The other thing may be tear deficiency. Use refresh tears every four hours and increase the blinking rate when you have blurred vision. For more information consult an eye care ophthalmologist online -->
Suggest treatment to get pregnant i m 26 years old,i m trying for baby since 15 months.all my &my husband reports are normal.i consult many doctors but no any happines,dr.told me your reports are normal,so you can do intercouse daily,review after 3 months.i m very helpless.i m from kolkata,please give me right suggestions.height=5.5inch weight=68kg.age =26
Hi welcome to healthcaremagic.I have gone through your question.Your both reports are normal thats good.Sometimes despite normal reports couple fail to conceive.You do intercourse in your fertile period on alternate days. Consult a gynecologist for further procedure. Iui is also a good option.Take care.
What causes numbness in the hands and legs? In the last 6 weeks to a month I have lost muscle mass and have numbness in two to three fingers on both hands. The numbness is in my legs as well, I have middle right side back pain. I am also having trouble walking and getting up from a kneeling position, severe fatigue too. My condition is worsening every week. Had a brain MRI done two weeks ago and all was great.
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your history, it may be due to spondylosis, kindly do MRI neck and back after consultation. You can take tab. Pregabalin, tab. multivitamin with folic acid after consultation. Continue physiotherapy as advised after consultation with orthopedician. Keep yourself hydrated. Take a balanced diet. Take care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale
Have TBI, problems with muddled thinking. Taking toprol, improved focus, concentration. Would more COQ10 or omega3 help? I have a TBI and have problems with muddled thinking. I was taking my Toprol at 9 a.m. at work and at bedtime. This week I changed the time for my morning Toprol to 1 p.m. This seems to have improved my focus and concentration at work, but now I am muddled after work. Would more COQ10 and/or omega3/6/9 help this? Is there anything else that might help?
Hi,Thank you for posting your query.Cognitive symptoms following traumatic brain injury (TBI) spontaneously improve over time. However, CoQ 10 and omega 3 fatty acids may help (there is no hard data in literature though regarding their efficacy).Another medication that could help you is piracetam.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My blog:
Reason for passing out before vomiting I had a bout with vomiting in witch I pass out right before or during vomiting. This is very disconcerting and I worry about falling and aspirating. I'm only out for about 10-15 seconds. This happened even from a prostrate position in which I rolled over to vomit. Should I be concerned about the syncope in th first place as well?
Thanks for contacting HCM with your health care concernsYou are concerned about passing out with vomiting. This is actually a very common condition and it is called vasovagal response. When you become nauseous your bodies nervous system overacts and drops your blood pressure. There is nothing you can do other than lay down and wait for the low blood pressure to resolve. When you are nauseous and vomiting it is very important that you prevent dehydration which will compound your syncope. Be sure to stay well hydrated as the best you canI hope this answers your question. Please contact HCM again with your health care concerns and questions
How to get pregnant after previous abortion ? hi doctor ,i am 23 yr old got married in may first i get prganancy due to my studies i aboted through doctor prescribtion,secont time i get conceived but i have taken the tablets in 50 days ,Is there any pblm for my next preganancy plz explain in detail,if there is the pblm tell me how to take care myself Explain in Detail for the pregenancy tell me do s and Dont s hereafter
Hi,thanks for query.Repeted abortion can definately affect the chances of future pregnancy.Please take care to avoid unwanted pregnancy.If you are not planning right now,yuo should use some method regular contraception to avoid pregancy. wishing you good health.
What does severe backache on the left side indicate? I have severe pain on my left side of my back for the last weeks. I tried Tylenol, Ibuprofen and now Naproxen it doesn t go away. Last 2 days I saw a about 1 inch red bump at the middle of my back and it is very itchy an on the left side of my back there is also red rushes and under my breast rib it hurts sometimes
Hi Greetings from HealthcareMagic! I will suggest you to take Ayurvedic medicine which are safe and give you complete relief. Tab yogaraj gugglu 2 tablets 3 times a day and take haridrakhanda 1 tsp 3 times a day for your itching and for your skin problems. Take it for good result. Regards, Dr. Naser Jani, Ayurveda Specialist
36 year old having chest pain. Trop T negative and TMT normal. Elevated uric acid in lipid profile test. Pain due to this? Hello Doctor. I am 36 yrs old and 2 weeks back I had pain in my chest on the left side. My Trop T came Negative and TMT normal. But when the Uric Acid and Lipid Profile was done, both are exceptionally high and hence the doctor told me that the pain is due to uric acid problem and will take time to subside after the medicine starts. Please advise. The pain is still there but mild and I do not have any breathing problems.
HIThank for asking to HCMI really appreciate your concern and from the history given here I could say that the chest pain could be due to hyperacidity and in my opinion this need to be treated with Tab Omeprazole 40 mg once in day and Tab Chlordiazepoxide three times in day , this is nothing to worry, take care and have a nice day.
Will I feel discomfort while taking Diltiazem after mild heart attack? I was told that I have had a mild to moderate heart attack and now take diltiazem 180 at night , then my MD stated that I was lucky as the type of heart attack that I had was the one that kills young suddenly it is in the lower pointed part of my heart that no longer works according to the cardiologiest Should I feel discomfort from time to time?
hellothanks for posting here. going by your description, you seem to have vasospastic angina or prinzmetal angina or variant angina. in which your arteries go into spasm. for the same you are on diltiazem. it will prevent the spasm from occurring further. it usually will not cause you time to time discomfort. check your BP and pulse when you are feeling discomfort. you have to be on diltiazem to prevent spasmthank you
What causes pain in testicles after masturbation? Hello doctor. I am 31 unmarried male and masturbating thrice a day from last 4 years. I know its excessive but I have now got a habit of this. But from the past 2 weeks I have noticed that after masturbating I develop pain in my left testicles. The pain continues for hours. There was no such problem earlier. Now I have stopped masturbating that often. I do twice a week only. But still the pain is there. The pain is not severe but a light pain in left testicles only. My testicles size are normal. Shall I quit masturbating as it causes pain these days? I do not have any other symptoms.
Hi,Thanks for writing in.The severity of testicular pain caused by over masturbation develops in stages. During the problematic stage, the sufferer experiences initial testicular discomfort. The severe stage causes lower back pain, while the addictive stage creates chronic fatigue.In the final, severely addictive stage, men experience all the aforementioned symptoms, including major testicular and groin pain.Please check your masturbation habit and do it 2 - 3 times a week and do it slowly.
What causes cough and weakness with hilar prominence? I m finding weekness from the last 2 months , having cough from last 20 days, weight loss n loss of appetite but not able to diagnose the exact problem, took chest x-ray that shows 1) cough in the left lungs 2) right hilar is prominent?vascular? nodal. please suggest
Hello, I am sorry that you have been struggling with this for 2 months. A possible disease that is characterized by coughing and enlarged hilar lymph nodes is sarcoidosis. If your symptoms are typical, you many not need any further tests. If your symptoms are not typical however, you may need a further work up. The first next step would be a CT of the chest to evaluate the lungs and the lymph nodes. Based on this, bronchoscopy may be required. This is where a long tube with a camera and light at the end of it is inserted through the nose or mouth down into the airway to inspect the inside of the airway and possibly take samples of lung tissue or lymph node tissue. I hope you feel better.
Have been diagnosed with costchondritis. Biopsy said seborrheic keratosis. What does this mean? I am 54yrs old, and have been diagnosed with costchondritis numerous times since my 20 s. I was a letter carrier, and carried a satchel on my shoulder. I also am on a disability for SI Joint Dysfunction. For the past 3 yrs I get these eruptions of bumps, sometimes scaly on my scalp, and now one on my elbow, sores in my mouth, with EXCESSIVE amounts of mucous in the back of my throat, and a feeling as though the palate is swollen or the back of my throat is swollen. ENT said initially I had swollen tonsils, and prescribed an antiobiotic mouthwash which helped. But it keeps coming back. He sent a scope down my throat, and said everything looked clear. 6 yrs ago, during an endoscopy it was found that I had a yeast infection in my esophogus, and prescribed meds to clear it up. I have severe non rheumatoid arthritis since my 20 s in my hands. I ve had one partial rotator cuff tear , and one now has nerve impingement due to spurs. I am a bone spurrer on my hands, as well. I asked my rheumatologist if it could be psoriatic arthritis , since I ve always had arthritic conditions or ligament issues, and now am getting these skin eruptions. He didn t think so. Well, when the one on my elbow went into a bump and got another recurrence on my scalp I asked to get a biopsy. The biopsy diagnosis is seborrheic keratosis. For over 2 yrs, I ve had monthly (it seems) episodes where I feel as though I can t get air. My oxygen levels are always in the 98% range. A pulmonary function test results: Pulmonary Obstructive Disease and told to take an inhaler. (doesn t really seem to help) 4 out of 6 of my bloodworks showed high levels of CO2. Now, recently, I am being woken up, numerous times throughout the night with a feeling of panic, as though I m not getting air. It is VERY painful to sleep, as laying on my ribs causes pain. One night last week I woke up to excruciating stabbing pains in my left lower rib. Normally, this pain is more of a gnawing pain on both sides lower ribs. Sometimes the gnawing pain moves to the center just to the right of my lower rt rib. Because this is becoming worrisome, I saw a dr. in my clinic, since my reg dr. was unavailable, and he is also a DO. He said he could try some myofascial release, and some adjustments. He said I would be sore the following day, but that within 2 days I should know if it helped. He also told me to take 440 mg Naproxen twice dai
you dont have to use animal proteins as they cause the problems and increases inflamationyour is case of animal protein reaction causing inflamation of systemsand harmonal imbalances leading to the problems get blood serum tested for food specific antibodies for these milk wheat egg rice potato nuts and other food you takefood causes these problemslatest study shows psoriasis is continuous irritation by food when you withdraw food components according to blood tests maybe 1-3 you will start improving in 3 wktill then continue sympatomatic rx and be sure of results after the above tests all systems will recover slowly
What causes low grade fever in the evenings? For the past 7 days I have been getting a low grade temp (99-100) every day. It starts around 5 PM and lasts until 11:00 pm. My face and eye lids get real hot, my body gets achy and I begin to run fever. The next day, all of these symptoms are gone.
Hi There After going through your query I understand your concern.I would like to tell you that low grade fever in the evening can be because of multiple reasons like, viral / bacterial infection, inflammatory conditions, malignant tumor or some medication side effect. Persistent fever more than 3 days needs a medical evaluation because it be cancer related too.Kindly consult with a Physician for diagnostic and physical evaluation.Hope to have been helpful.Kind RegardsDr. Navneet Bansal
Q. Kindly explain the abnormality present in my coronary CT angiogram. Hello doctor, I recently went for a coronary CT angiogram. I received the following report. While my GP explained my arteries were clear, he did not explain the anomaly apparently, which is in the middle line of the page I have attached. Should I be concerned about this? What does it mean exactly? Thank you.
Hi. Welcome to icliniq.com. We are here to help you. I have studied your report (attachment removed to protect patient identity). For further information consult a cardiologist online -->
Suggest treatment for dark scars on skin in a 3 year old my 3 year old daughter get dark scars from frequent scratch due to insect bites. am afraid these dark scars will not dissappear.I used hydrocortisone and bactifree for these scars.please advise me for dark scar remover for toddlers and effective itchiness prevention..thank you
Dear parent , it is not safe to use hydrocortisone ointement regularly on the skin of a 3 years old child. there are many ointements that tend to lighten the color of the skin. but it is not safe to use them for children . I recommend that you follow a natural remedie such as massaging small drops of fresh lemon juice on the dark area once or twice daily.
What to do if a child falls and hits his head? My 8 month old baby was sitting on the counter while filled his bottle. I always stand at the edge holding him, but the bottle knocked over and spilled so my quick reaction was to grab it, which left him without me holding on. He instantly leaned back and fell right off of the counter. He fell to the ground.. About 3 or 4 feet and fell onto the wood floor on his back hitting his head. What should I do? He is letting me touch his head and anywhere else it doesn t seem to be in pain but he seems very tired.
Hello. Welcome to HCM. If the baby has normal reactions your will be ok and do not need to worry, but do not let the baby fall asleep. Interact with him, keep him busy. If the baby sleeps for more than 2 hours wake him up and interact. If the baby does not respond to you take him to the hospital to be checked by a doctor. If the baby is totally normal than everything its ok.
What is causing numbness and stiffness head to toe? Over the last 8 or so months I have been experiencing the following symptoms on a regular basis: numbness from headato toe, sometimes more severe and in random spots more pronounced than others, with a overall loss in sense of touch; head aches; stiffness and soreness even with out any exercise or over exertion.Other symptoms that happen more sporadically: sleeplessness; chest pains; faint pulse; cramping including in the chest and abdomen sometimes seeming to be my diaphragm cramping/spasm; blurred vision with migraine head aches; loss of appetite; shortness of breath and metal taste. Not all of these always happen together or with the same frequency. Doctor has tested for metal poisoning: zinc lead mercury, hepatitis, aids, and vitamin deficiency all which came back negative ct scan from a hospital visit found no fluid in the brain and no tumors.Sometimes the numbness is random like part of a finger or hand or face well be numb and have a pins and needles feeling other times like when working with my hands above my head they will go numb and get stiff as well as my legs if doing stretches while laying down and my legs are elevated.
hi ..these symptoms are multiple system and is not specific to a problem..usually stress and anxeity are the causes...and in your case I think vitamin d and b1,2,6,12 are a bit disordered..
Q. Is it advisable to use Aloe vera for dark circles? Hello doctor,I am 26 years old, and I have never used any product for my hair or skin. I am working in IT night shift, and I have dark circles. I came across a video from a bright side that Aloe vera can reduce dark circles. So I wanted your suggestions on this. Can I start using Aloe vera gel for my skin and hair? And for hair can I use it as a styling gel which means can I leave it after applying on my hair or I will have to wash it after a few minutes or hours? Please advise.
Hello. See the dark circles you are having are due to awakening at night. So during the night shift, try to relax your eyes in between. You can use ice packs to soothe your eyes once or twice. Take fresh fruits and vegetables, also for dark circles and do not let them increase because they are hard to cure at later stages. As far as Aloe vera gel is concerned, you can use it on your hairs and skin. But make sure that it is 100 % natural. If you are using it as a styling gel, then you can wash it after a few hours. I will not recommend you to leave it on your hairs. I hope you understand my point.
Suggest treatment for chronic hives infection I have been breaking out with chronic hives for about four months straight now, primarily on the bck of my thighs, slightly below armpits, back of my neck, as well as my lower back and buttocks. I have gone to see an allergist and they did an allergy test to see what I am allergic to. They gave me a steroid shot that lasted for about 4 weeks, and then the hives returned. I get them everyday usually in the evening and Benedryl and it doesn t really help much anymore. I scratch uncontrollably and the areas are extremely red. It also moves to different areas of mybody, but mostly on the areas I named above. I have also broke out with the hives on my face at times, my hands, bottom of my feet etc,
Thank you for following up. I suggest-1.Hypoallergic diet- avoid chocolate,market juice,concervatives,birds meat,seafood,nuts, semolina, tomato soup, boiled meat water,oranges,honey.2.Albendazol 1 tablet 1 time 3 days3. Charcoal 1 tablet/10kg/day for absopbtion of allergens, you can divide dos4.Allegra(fexofenadin)1 tablet once for 10 days.5.LiV 52 2 tablets 2 times after 20 min before meal for 1 month.6.Dexametazon 1 ml intramuscular once 2-3 days.7.Chlorpheniramine maleate 2ml intramuscular once a day for 5 days Recovery soon Regards Dr.Sagar Gaurav Shrivastva
Having gluten intolerance, milk intolerance, irritable bowel, chronic lymphocytic leukemia. Considering paleo diet with very low fructose. Is this realistic? Hi I have gluten intolerance, along with milk intolerance, irritable bowel and chronic lymphocytic leukemia. I am considering going on a paleo diet with very low fructose. Is this realistic? I m concerned with wt. loss. I cannot afford to lose any more.
Hi, Welcome to Health care magic forum. You are gluten and lactose intolarance ,and using paleo diet, with very low fructose. If you use very low calories,there will be weight loss. Without the gluten and lactose you can use any thing.The avoiding the vegetables etc also can cause I.B.S. Take more of green leafy vegetables, pulses,sprouts,and protein rich foods. Chronic lymphocytic leukemia is a different thing and to be treated separately. Wishing for a quick and complete recovery.
Trying to concieve, friable cervix, doctor used silver nitrate to stop bleeding. Can this be fixed? I have been trying to conceive and recently been experiencing some unexplained bleeding/ spotting. I went to my Dr. and was told I have a friable cervix , he used some silver nitrate to hopefully stop bleeding and also ordered blood work. Can a friable cervix be an issue with trying to conceive??? Will the silver nitrate fix the problem?
Hello Welcome to HCM forum Friable cervix and bleeding requires more investigations like pap's and colposcopy. Cryocauterization or Leep should be done if required It can be pre cancerous also so better do the proper treatment before conceiving Best wishes
What causes severe pain in the upper quadrant after eating? My mother is 67 y/o and having right upper quadrant pain, had gallbladder removed 10 years ago and a history of bile duct stones. After she eats, pain worsens. LFT's were drawn yesterday and Alk Phos was 111, ALT was 318, AST 261, Total bili 1.6, Direct Bili was 1.0. Her eyes and skin have a slightly yellow tint. Would another bile duct stone cause this elevation in LFT's and should she go to the ER, her GI specialist is out of town?
This surely shows that she still has some problem with bile duct with obstruction due to stones. Its better to grt in touch with a gastroenterologist and he may do an ERCP to remove such stones. If nit done problem mey increase in severety.
Need medication for pinching & stabbing pain under the left rib I am having a pinching stabbing sensation under my left rib while laying down. If I sit up and lean to the right the pain begins to dull? My left rib is sticking out a little more than normal and it feels like a bubble or something under it. It's extremely painful!
Hi. I can understand your concern. It would be advisable for you to get a chest x ray done. To look for any lung infection. Consult a pulmonologist for the same.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
What causes feeling of warm in the chest? i have a warm feeling on the left side of my chest, it feels like when you take cough medicine and the warm feeling you get when it goes down. But this stays on the left side of my chest all the time. i also get numbness is my wrist and shortness of breath. what could it be?
Hi. I can understand your concern. It would be advisable for you to get a chest x ray done.Ideally ecg and 2d echo should be done first in your case. If both are normal than no need to worry for heart diseases. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
Need treatment for side effects after using iv drug. iv drug use associated with intense side effects I have a friend who.has been using Meth via syringe for aprox 8 yr and just recently he has had some body aches after getting high. the last couple times he complained of real bad ear pain on the left side where the bottom of his ear connects to his head along with aches and pains in most of his joints with sharp pains that shoot randomly in different parts of his body.
Hi,Thank you for your question.According to your question,I would say he should immediately see a physician.Since he is an iv drug abuser and his symptoms vary which includes ear pain(mastoiditis/otitis Media), joint pain could be septic arthiritis and there could be many more reasons.He should get a thorough physical examination with a blood work up done which includes HIV serology testing,Complete blood count,joint aspirate looking for any infections etc.Also methamphetamine has serious adverse effects includes high blood pressure,chest pain ,decrease in appetite leading to anorexia and low immunity.So lot of things can be interelated and tangled.Please take him to a physician as soon as possible.Hope I could give you an overall picture.If you have any more questions, I would be happy to answer.Thank you,Moumita Chakraborty
Q. I am suffering from stomach cramps and diarrhea. What should I do? Hello doctor, I am having bad stomach cramps that I can feel through my throat and diarrhea for the past one week. Kindly advice.
Hello, Welcome to ilciniq.com. Please follow the following prescription. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. IBS (irritable bowel syndrome), abdominal flatulence, and diarrhea. Buscopan (Hyoscine ButylBromide) one tablet three times a day. Eucarbon (Charcoal) two tablets three times a day after meals.
Can a person have both multiple sclerosis and lupus? My 25 year old daughter has been diagnosed with MS. She had 2 MRIs and spinal plus loss of use on the right side of her body. Lupus keeps being mentioned because her SED rate is high. We see a PA tomorrow for results of some blood work the neurologist ordered. It is being sent to her GP but we are seeing the PA. My question is can you have both MS and Lupus? She has no fever, no rash, no joint pain, but two separate blood test say SED rate very high. They want to treat her with copaxen. When or how do we get a final diagnosis?
Hello, It is rare for the same person to have both MS and lupus. The symptoms can be different, however, there are strict diagnostic criteria for both the conditions. So, your doctor would be able to correctly make a diagnosis after reviewing the reports. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sudhir Kumar, Neurologist
Q. What is the ideal frequency of intercourse when trying to conceive? Hello doctor, I am a 24 year old female and having PCOS. I am currently trying to conceive. The hormonal profiles for me and my husband are normal. My doctor prescribed me to take Letoval 2.5 mg daily once from day-1 of my period until day-10 along with Nacfil Forte tablets daily twice after a meal. Now USG on day-10 and day-14 shows no ovulation. I am so upset. My queries are: Is there a chance of ovulation in subsequent days? Earlier, I was having irregular periods. Does it mean that I ovulated in earlier months? Whether we should have intercourse daily or after a gap of one day? Please help me.
Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an infertility specialist online -->
Suggest treatment for severe leg pain My husband has neuropathic leg pain plus they say a trapped nerve he is 73 insulin dependant He has had 2 operations on the leg now so painful He also has stomach problems Recently a doctor put him on morhine patches plus he has cut out alchol he feels sick and lost weight And still has terrible leg pain This is making him feel depressed Yesterday they gave him lyrica and dulexitin plus noteil all this cannot be good Do you think he is getting withdrawel sytems Thank you Vivian
hiyes, alcohol withdrawal should be gradual,it is possible.pain medicines are sometimes less effective with alcoholics.consult an orthopedic doctor also to rule out local leg and joint problems alsobest wishes
Suggest treatment for depression and insomnia Good afternoon...can you please refer me to some reputable resources re: depression, specifically in what ways can parents of an young adult assist/support their child? My 21 year old nephew, college junior recently share that he is dealing with depression (feelings since 11/2014). He had shared this his sports coach, referred to psychologist (whom he has seen weekly for 3 weeks), next follow-up may be prescribed medication. He admitted to increased alcohol intake, which made him feel worse; and of insomnia. He is not suicidal - his immediate and extended family are close - his parents have seen him several times since he shared this info. We all want to support him - and not say or do anything which may be counter-productive. Appreciate any reputable/evidence-based resources. Thank you YYYY@YYYY
DearWe understand your concernsI went through your details. From the given description, I see very few symptoms with which I can say that the patient is depressed. Proper diagnosis is the key for cure. If he has been diagnosed with depression, the best way towards cure is to consult a psychiatrist and get treatment. A combination of psychiatric medicines, psychotherapy and meditation works well for depression. You can consult American Psychology Association web site for depression resources.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck.
What causes kid to do tongue grabbing? My 15 month old just recently started grabbing and playing with her tongue. I don t think there is any swelling. She doesn t seem to be in distress or discomfort but is a little irritable. she has all 8 front teeth, and 3 of her first set of molars have cut through the gums. Is the tongue grabbing a result of teeting or could it be something more serious?
Hi, thanks for asking. I can understand your concerns. First two years of life are the sensory motor stages where child learns by exploring every thing including their bodies. So grabbing and playing with the tongue is normal part of the development.You need to be concerned only if she is doing it whole day and not taking interest in any other play. Otherwise just ignore it or gently direct her towards the other kind of play.I hope I have helped youThank you.Dr. Meera Kotecha Developmental and Behavioural Paediatrician.
Slight pain and frequent urge to urinate, What should I do to get rid of this problem ? Hi, I am 30 years old female. 3 months ago I got UTI for the first time, it cured after taking antibiotics . But even now sometimes I get slight pain and frequent urge to urinate. I am drinking atleast 2-3 litres of water everyday. I have done urine culture as per doctors advice but it says no significant bacteria present. What should I do to get rid of this problem?
Welcome to HCM. If there is no signficant bacteria than no need to worry,Take always RO water with TDS around 200 to 300. If it persists than go for sugar test. Consult urologist for better guidance.
Could tongue burning sensation, redness and swelling be due to an allergy? Hi I'm 33 and after eating certain foods by tongue has a burning sensation, turns red and feels slightly swollen. This has happened with things like pineapple, kiwi fruit, lemon juice on salad, hummus etc Would this be an allergy? It settles after taking an antihistamine, but takes several days for my tongue to look normal again
Hello,Welcome to Health Care Magic.Thanks for writing.I am Dr.Saddiq-ul-Abidin. I have read your question completely, i understand your concern and will try to help you in best way possible.I am sorry to know about what has been happening with you lately. According to the history you have given me and description of symptoms how they start , how they continue and how they cured i am of the opinion that you indeed seem to be having and allergic or inflammatory reaction to certain foods.Like other parts of the body tongue too can be irritated by certain chemicals contacting it which in case of tongue are foods. There are certain irritants in foods which can cause inflammation on tongue. The foods which you have mentioned in your list are foods which mostly have a preservative and have some ingredient among them which is canned.Canned foods can have certain irritants and preservatives which can cause such symptoms , you can avoid this problem by simple changes and care.Here I would suggest you certain measures which you can take to avoid this problem in future.1) Avoid preserved and canned foods.2) Make a list of foods which irritate your tongue and avoid using them.3) take an anti histamine like Citrizine 10mg at night daily when you are having inflammation. 4)Brufen or tylenol can also help in relieving pain and inflammation.5) Nsaid gargle solutions and Somogel can help too in relieving pain and inflammation.This problem can be easily controlled and cured but will need active care and attention.I hope this answered your question.If you have more queries I am happy to answer.Otherwise rate and close the discussionRegrads.Dr.Saddiq ul AbidinM.B.B.S(Licensed Family Physician)Resident Medicine.
Convulsions, taking antiseizure drugs. MRS shows gliotic lesions. History of grade 11 tumor. What does this mean? Hallo! my brother was operated on to remove grade 11 tumor last year, then went through several sessions of raiotherapy. lately started experiensing severe convulsions every 2 weeks, the last one was Fri last week where he had three in hourly intervals despite being on antiseizure drugs. MRS showing gliotic lesions.What does this mean?
Hi, welcome to HCM. Main cause for convulsion is gliotic area in brain. It means area which is damaged due to old pathology and it is now being shrunken in size. It leave multiple signals to brain cells, which are not cordinated . It causes seizures. It may be due to radiotheraphy. Also if there is residual tumor left then it may also cause convulsions. You need to consult operating surgeons and take proper advise for the same. Thanking you.
What causes blood during brushing? Hello doctor,Last January I went to India where my dentists found out that my one half of last molar on left side is fallen out.That empty space needs to be filled out.and he did.Now I see blood when I brush my teeth since last week..reason?I also feel slight pain.
Thanks for your query, I have gone through your query.The bleeding while brushing could be because of the gum infection secondary to the deposits. If there is a gap in between the natural teeth and the replaced artificial teeth then food can get accumulated and cause infection of the gum resulting in bleeding gums.Consult a oral physician and get yourself examined to rule out these conditions.if it is gum infection get the teeth cleaned once and maintain oral hygiene after that. You can use mouth wash.I hope my answer will help you, take care.
Q. What does abutment of the nerve root mean? Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
What causes bumps on stomach and breast? Hello i am really confused about what it is i have.it started with boils under my armpits iwent to the doctor and was given antibiotics.then i developed 2 ringworms and which i started using blue star.now i have alot of bumps on my stomach and breast.what could this be?
Hi, I understand your concern. 1. The boils you had under your armpits are due to possible skin/hair infection. That's why your doctor prescribed antibiotics. 2. Ringworms are fungal infection of the skin. Here, there is a case for discussion. As the ringworms skin eruptions started immediately after starting antibiotics, my suspect go for possible allergy reaction to that antibiotic. As you have developed a lot of bumps on your stomach and breast, then, this for me, confirms allergy. I suggest to stop that antibiotic, and to report to your doctor as side effect. 3. You can also provide a photo of the bumps to me if you need further specific opinion. Hope it helped!Dr.Albana
Red bumps on hand, itchy, prescribed prednisone, increasing. Is this normal after being on the prednisone? I went to doctor last Monday with red bumps on hands that itched. He thought was some kind of allergy . Put me on Claritin 2x aday. Didn t get better, actually got worse and then I broke out in hives all over body. Went to dermatologist and she put me on 20 mg prednisone . I m on day 3 now and was getting better but I noticed several more red bumps on body today that itch. Is this normal after being on the prednisone.
it is allergy and you need to corelate cause of allergy anything can start reacting to cause allergy canbe soaps shampoo creams body application matwrials medicines for other ailmentsit may take 3 -4 wk with medicine to clear initially it behaves like this even with steroidsstop steroid after short course add anti allergic ointment and tab for 3-4 wkplenty of warm water with low protein diet for 3-4 wk
Suggest treatment for allergic cough in a child My Son 5 Years old has allergic cough ( Croop cough) since last two years.Its only in Bahrain he is having this problem.In India he doesnt have this issue,infact india is more polluted.We are giving him cereflow and montair on dialy basis as preventive.But still he has and every time it starts it goes very extreme and is controlled only by giving Gupisone (Steroids).Not sure how to Prevent this.
Dear parent,As per your description the child gets attack only when in Bahrain. Are you living in a joint family in India? Which city do you live in, because India as a whole is not polluted. Do both the parents are working at Bahrain, and living the child with day care or care taker? In that case check on the treatment of them with the child. Or he is missing large family.Pay attention to what triggers his attack. Try to remove trigger.Start anti allergic and sustenance medicine from India itself.Start him on nebulization, plain water, three to four times a day. teach him how to do it and ask him to take it many times a day. he is old enough to do it (by nebulizer).Keep medicines ready always, as soon as you see first symptom, give him bronco dilators, and take medical advise ASAP.
What causes intermittent abdominal pain while having fatty liver and elevated wbc? For the past month, I have had intermittent abdominal pain (not centered on any one location.) It periodically gets better or worse with no real pattern. I have also had yellow stool for much of this time (with four or five days of normal stool during which the pain vanishes or reduces). I have done an ultrasound, urine test, and blood tests, and the doctor said my gallbladder, liver, and pancreas look normal and tested normal. The only things unusual was I have a bit of a fatty liver and a slightly elevated white cell count in my blood. The pain is minor, an inconvenience more then really painful, and it appears most commonly in my upper right abdomen, but can appear in any location, usually only one place at a time.
HI.Thanks for your query and an elucidate history. This looks to be due to chronic intestinal infection ORIBS- irritable bowel syndrome as all your tests are normal except for the fatty liver and elevated WBC. Since WBC is high, it is better to take a course of an antibiotic and metronidazole , who knows it is amoebic hepatitis as it appears the same on ultrasonography. The most important test of stool is not done till now- get this done, helps a proper diagnosis sometimes. Review ultrasonography after the 7 day course.
What are the side effects of vyvanse? My son has been prescribed vyvance for adhd. However, he s already taking 5ml twice daily of Depokote and 1ml twice daily of Keppre for seizures. A friend of mine s daughter was taking vyvance and she is now blind. Any other cases of blindness or bad side effects I should know about.
Hi, i don't think that blindness in your friends daughter is due to Vyvanse, blurring of vision is reported in overdose. At usual doses tics like movement can occur. Other symptoms occurs in overdose likeabdominal or stomach crampsblurred, blurred vision, muscle pain or stiffness, nervousness, restlessness, seeing, hearing, or feeling things that are not there, seizures, shakiness in the legs, arms, hands, or feet, sweating, trembling or shaking of the hands or feet, violent actions. I hope this has helped you. Wishing your child good health. Take care.
Is ceramic demon braces ideal for irregular and crowded teeth? HiI have recently choosen braces treatment. I have very irregular and crowded teeth. I am not convinced with my treatment. I have chosen ceramic demon braces. I was told it will take 3 years for my teeth to be perfect. I recently undergone tooth extraction resulting in mouth ulcers..it was done after fixing braces and in the process my braces were affected.I am paying appproximately 80000 Rs for this treatment. Can someone advise me the approximate time it would take and if the process that I am following is ok against the price I am paying and most importantly my treatment.Age 24height 5" 3""
hi... ceramic braces cost more... i cnt comment on price...every place and doctors to doctor price varies.nothing to worry.and let me know place (city)where you are taking your treatment.take care
Is it dangerous if the liver has coarse parenchymal echotexture in a hepatitis-B positive person? Sir I m a hepatitis b positive, yesterday I done ultrasound and the liver is marking in report that Normal in size 13.5cm with coarse parenchymal echotexture. No Sol seen. IHBR not dilated. Portal vein measures 10mm dia. Is this dangerous? What can I do? Please help?
Hello, Take antiviral therapy for hepatitis B. tablets are available in the market and would be taken for a minimum of 3 months. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ramesh Kumar, Gastroenterologist
Suggest symptoms of bawasir/hemorrhoids dear sir madam pls let me know the simptons of bawasir bcs i feel some harshnes and my weight gone loose 2-3 kilo and also my digesting gone low but gentaly i m looking as its and not feel any pain or any unfittness pls tell me is it a simpton of bawasir and what i do in this situation thanks
Hi, symptoms of hemorroids are pain at time of defecation, bleeding in stool. feeling of something coming out from your analcanal etc, you should take more green leafy vegatable and plenty of water. avoid constipation. you can apply lignocain jelly at that area for pain relief. and if needed you can go for surgery for hemorroids.thanks for using health care magic.
Is propel safe to drink inspite of being prone to polydipsia? Good Morning. I had a question about my Father-in-law who is prone to polydipsia from schizophrenia. He has been informed by a doctor to *only* drink Propel (which after review has very little sodium) and told to avoid water, etc. What would your suggestion to be?
HiI understand your concern.How it can possible to diagnose polydypsia in schizophrenia.It is only excessive drinking of water due to disorganized behavior.Due to excess water there is dilution hyponitremia.It is necessary to give less sodium supplement other wise due to diuresis electrolyte imbalance occur.Please consult nephrologist to get best help.Restrict water intake is the best key to treat it.Propel can be given.Still have a query then feel free to ask.Thank you.
Can back pain be due to kidney stones? Back pain around waist below ribs for a couple months, had 2 ct scans doctors say don t know why - had kidney infection took med to clear, now clear but still have pain....ct shows had stone but not now...so need to know if I should get 2nd opinion ???
Hi,Thanks for writing in.There are many reasons for a pain in the lower ribs other than a renal stone. The commonest pain I can think of might be associated with your ribs and muscles. I say this keeping in mind that your CT scan is normal and the pain is more in the ribs and anterior chest wall. There are conditions like costochondritis which is an inflammation of the cartilage component of ribs and this does not show any features on CT scan. Apart from costochondritis, there can be muscle spasm causing such a pain.If the pain is from the inside then I will suggest you to get an endoscopy done to look for gastritis features in the stomach. This usually causes burning pain behind the sternum and related to long hours of fasting.A kidney stone if not present will not cause these symptoms.
Suggest remedy for asymptomatic polyhydramnios at 25 weeks management of asymptomatic polyhydraminios. My wife is 25 weeks pregnant and doctor said that the amniotic fluid is more than normal, therefore we would like to know whether it will make any problem for baby or the mother and it occurred due to any other reasons. Diabetes test is not yet done. We really appreciate you if you could advise us on this matter.
Hello dear,I understand your concern.In my opinion the increased liquor might be due to number of reasons like fetal anamolies,placental anamolies,diabetes in mother etc.All the above causes should be ruled out by ultrasound,blood tests to rule out diabetes in mother.Iam happy that ultrasound is normal and the fetal and placental anamolies are ruled out.And the diabetes should be ruled out by glucose tolerance test (GTT).The common complication of polyhydromnios include increased distress for mother, preterm labour etc.Nothing to worry.Avoid stressIf all the above said reasons are ruled out then the polyhydromnios spontaneously gets normal by term.So relax.Hope this helps.Best regards...
What causes painful swelling in the foot while having a bunion? I am having pain on the top of my foot - the toe next to my big toe. It appears to be a little swollen. I don’t remember hurting it in any way but it’s painful when I walk. I do have a bunion on that foot as well so I don’t know if that could have anything to do with it or not.
Hello! Welcome to HealthcareMagic! I have studied your case,There is possibility of gouty arthritis which usually involves toe.In gout there is accumulation of uric acid crystals in joint mainly foot. This leads to swelling and redness in foot.I will advise to do blood inv like complete blood count ,uric acid level, X ray foot and ankle.If uric acid is raised and gout is confirmed you need to take medication and diet restriction.Till time take analgesic and neurotropic like methylcobalamine.For gout you may need medicine like zyloric and, allopurinol you can start then according to blood uric acid level consulting his treating doctor.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Thank you for contacting us. Take care Regards, Dr. Vaibhav Gandhi, Orthopaedic Surgeon
Can Norvasc be taken in place of Concor? I am diabetic patient for last 20 years and on insulin, also using medicin for blood pressure and cholesterol. for last 7 years i am using Concor 5mg (Merck), last week doctor advised me to use Novasac 5 mg instead of Concor . Need your expert opnion for the Change in medicin . Inaddition also using Tritace 10 mg for blood pressure. regards Aleem Ansari
Hello, Thanks for the query.Novasac 5 mg is Amlodepine 5 mg a calcium chennel blocker used as hyptensive to reduce blood pressure. Tab Cocor is besoprolol, also used for high BP but a beta blocker. Both have action in reducing high BP, but mode of action is different. It is difficult to see why the doctor has asked you to change, unless the BP control is not as expected. Amlodepine is a fairly potwnt drug in reducing BP but can also cause swelling of feet and legs. You may ask the reason for changing the drug. Thanks.
Taking Primolut for ovarian cyst. Have pain, morning sickness and depression. Chances of infertility? Hello Doctor I am 28 years old and married for 4 years now, just last month discovered that i have a 5.5 cms cyst in my ovaries and my doctor has put on primolut twice a day for 15 days, but i am in severe pain and also morning sickness and depression . I need some feedback of what r the chances that i will go through a surgery and what are the chance i would get infertile. also for your information i had a miscarriage last year. Thanks ( awaiting your answer)
Hi, Thanks for your query. There is no chance of you becoming infertile after cyst removal. In fact it will help your follicles to grow. the surgery might help you to reduce your pain also. I hope I answered your query, Regards, Dr. Mahesh Koregol. IVF & Infertility specialist.
Cant walk steady, shaky due to a spine incision. Suggessions? My brother-in-law is 79 years old and cannot walk steady. He can stand and move his legs around but when he starts to walk he is very shaky and has to stop and then start again. It is like his brain will not tell him to walk. He just had a small incision in his spine for this but it did not help at all. Any suggestions?
Hi,Thank you for posting your query.I have noted your brother-in-law's symptoms.We require more details regarding his surgery. What was the diagnosis prior to the surgery done on his spine?Also, for imbalance, we also need to evaluate his brain by doing a brain MRI. Blood clots in brain (infarcts) can also cause imbalance while walking.Physiotherapy with gait and balance training would help in recovery. I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information.     Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: My blog:
What causes swelling in the ankle after an injury? Hi! I got hit with a softball about five hours ago at a game I had, and I just wanted to make sure that there wasn t any serious injury to it. My ankle is swollen, it hurts to walk on, and when it is stationary, it gets this weird feeling, almost tingly.
Hi, It may be ligament sprain. As a first line of management, you can take analgesics like Acetaminophen or Diclofenac for pain relief. Apply ice packs and keep the affected foot elevated using pillow. Generally the symptoms will settle in couple of days, if symptoms persist you can consult an orthopedic and get an MRI scan done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain
What could be the bump on back of neck? I have a bump on my back neck which is the size of a small golf ball, however, every male in our family has had it and got it removed in their 40's and 50's, it is non-cancerous and does not hurt, it does once in a while bother me as it seems when i sit down i can feel an irritation in my back neck, like a pulling in the back of my neck, i am thinking of getting it cut out, or do i really need to if it does not inter fear with every day routines.
Hi,From history it seems that there might be having chance of Lipoma which is non cancerous.If it gives some problem then you can get it removed.But you may not go removal unless it increases in size or gives some problem.Ok and take care.
Allergic to super glue. Redness, blisters on chin, jawline, nail bed. Suggest hypo-allergenic nail glue? Around the time i turned 30 I developed an allergy to super glue. It starts out way underneath the nailbed when I do my nails , but also presents on my chin and jawline as itchy, red, and feels like my skin is stretching too far. Is there a truly hypoallergenic nail glue out there? If I don t get the nails off really fast, the fingers swell , get TONS of tiny blisters, and crack and bleed eventually
Hello and welcome to HCM Appearance of small blisters on nail bed, chin and jawline after applying nail glue indicates allergy to the chemical present in the nail glue. The management for allergies of this kind is to completely avoid the substance which is causing the allergy. A group of drugs known as 'anti-histaminics' help in preventing and clearing the allergic reaction. Corticosteroids may also be used under the guidance of your doctor. Clearing away the allergic reaction is easy to treat. However, prevention of the reaction can be achieved by using the nail glue under the cover of the drugs but under supervision of a doctor. Thanks and take care Dr Shailja P Wahal
Does chest pain with murmur requires a surgery? Hi Gooday. I was having chest pains for the past 7 months, this was happening on the left side of my chest, i went to the cardiologist and he found out the i have a mimar. i have pains on the left of my chest. i get tired wihen i have to walk up stairs when i am lying in bed and just sudden pains. will i need to go for surgery. regards shawn
Thanks for your question on Healthcare Magic. I can I can understand your concern. Heart murmurs are commonly seen in valvular heart disease. You are also having chest pain and breathing difficulty on walking upstairs, so possibility of heart failure dye to underlying valvular heart disease is more. In severe cases, surgical correction is the only treatment. So better get done ecg and 2d echo. 2d echo will tell you about severity of the valvular heart disease. IThis will also decide whether you need surgery or cardiac supportive drugs. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
What causes severe itching under the scrotum and anal opening? hi, i have a problem with severe itchyness on and under my scrotum. About 10 years ago i had the same problem i think but it was in the upper part of my butt crack. then i put on some considerable weight when i started on a methadone program, and as i gained weight it worked its way to my crotch and settled where is is now, have tryed everything, antifungal, cortisone, ecxema, and psorisis creams, powders, and my doctor gave me pills for a yeast infection, didnt work.
Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be sign of uroinfection o urinary stones and some other genital infection but this is less common. In every case, antibiotic therapy may be required so test should be done as soon as possible so that appropriate treatment can be started. Till that try to drink plenty of fluids, avoid sexual intercourse and rest.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
Can a steroidal injection treat back pain at the lower thoracic levels? i m having severe back pain at the lower thoracic levels. I have a congenital deformity of L-5 S1 fusion, aka 5 1/2 . However now the SEVERE pain is in my back at waistline. Nothing relieves this. I m a patient care tech on a busy surgical floor full time, I m also a massage therapist part time. May there be a need just for a steroidal injection? Dawn Leigh White, LMT, NCTMB da
you need a work up if the pain is debilitatIng. they are usually X Ray, ct scan and / or mri of the lowerothoracic spine. only after that the management can be decided. steroid injections are usually not given in this part of the spine.
Q. Is it fine to take double dose of Norgeston to control bleeding? Hello doctor, I am a 35-year-old woman and I have been prescribed the POP contraceptive pill and not the combined due to occasional migraines. I also have varicose veins. I have had very frequent bleeding apart from the periods and am now on the third brand called Norgeston which has not helped to stop the bleeding. I have heard that taking a double dose for a month can help to contain the bleeding. Is that fine to do?
Hi. I have some additional questions for you: 1. How long have you been taking these POP (Progestin-only pills) contraceptive pills? If you just started to take the POP pills and your body is adapting to them, maybe increasing the dosage is an option but if you have been for more than three months with POP pills, I do not think you will get any improvement increasing the dosage. 2. I understand you have had these bleedings with all the three brand names. And what is the reason you had to change brand names? Which kind of secondary effects did you have? Names of the other pills you tried? 3. When you say bleeding, do you mean red blood like period or brownish spotting? Every day? Or randomly? This kind of bleeding or spotting may be due to many different reasons like the most likely reason is (as you suggested) that you are taking a low dose of Progesterone and if you increase the dosage (two pills a day for two weeks) probably you will get to control it. But we must have other reasons into account, such as a possible early pregnancy (and in this case we are talking about a thread of miscarriage). Please, have a urine pregnancy test done. Sometimes, (no need to worry, but need to verify) it is a polyp or a small fibroid inside the uterine cavity that may not respond to the hormonal control. In this case, my advice is to go to your Gynecologist, because she or he needs to do a vaginal scan to verify the uterine cavity. Sometimes it is another hormonal problem not related to your cycle (thyroid). That may produce this bleeding and if you doublé the Progesterone dosage, you will not get to reduce the bleeding.
Need medication for compression fracture in D12,shoulders & legs Hi,I had a compression fracture in D12 around 5 years back, and was recommended physiotherapy sessions for back stretching. However, the backpain seems to be consistent which is not extending to shoulders, neck and to some extent pain in legs as well.
Hello, I have studied your case. You may need to see doctor and get MRI spine and further investigation.You need decompression if fracture is compressing spinal cord.If there is no neurological involvement then conservative rest is sufficient.Spinal cord compression may increase over long period.Later on follow rehabilitation and physiotherapy.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.
Suggest remedy for vaginal lumps I have red, purple bruised lumps around the vagina that swell up and pop producing puss the are really sore and I've had them for about 4 years I've seen 4 doctors and they haven't found out what they are.i'm 13 years old, 1.62 cm in height and weigh 9 stone. My medical history is good.
Hi, welcome to healthcare magic. Red pustule formation is nothing but folliculitis which is common in the region around the vagina and mons pubis due to excess of oil secreting glands. For prevention of these folliculitis also known as hidradenitis suppurativa, you should maintain local hygiene. Also, when it appears please take antibiotics like amoxycillin and clavulante in the beginning itself so that it may resolve before the pus is formed. Hope you will get well soon.
What causes soreness and purple coloration in knee? Melissa (14) has seen orthopedic, had xray this week and MRI is for wednesday. She cannot bend her knee. No injury just a slow progression to not being able to bend. anyway, today she woke up and her leg has a purple hue to it (below her knee to her ankle). Not her toes. It is subtle but if you compare the two legs you can see a slight purple coloring. Her knee has been purple this past week but not even as purple as it was, just slightly. What should I do?
Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, this could be vascular growth, or tumor affecting her knee joint. the MRI will clear this doubt, but one thing is clear, since its without trauma and its stopping the knee joint, its not a good sign.I hope that answers your query. If you want any more clarification, contact me back.
Suggest treatment for headache and eye pain in a child 3 year old. Complaining of head hurting and eyes hurting. Seems a bit lethargic, but still talking and somewhat active. Do I just do a tylenol/Ibprofun switch off or take her to the after hours clinic? Won't really let me take the temperature, but the ear thermometer said 101.
Hello dear,Thank you for your contact to HCM.The way a child exhibits a headache may be related to many factors, such as beginning of viral or bacterial infection, genetics, hormones, stress, diet, medications, and dehydration. Recurrent headaches of any type can cause school problems, behavioral problems, and/or depression. Actually, you an use the rescue medication purchased over-the-counter, such as analgesics (pain relievers), to stop the headache-Tylenol,Ibuprofen is enough. Keep your baby hydrated with plenty of water.Tylenol an be given in the dose 15 mg/kg every 4-6 hours,that too only if fever more ,than 100F. The common site of infection is throat. That's why pay attention to her gurgle. Take care! Kind regards Dr.Svetlana
Red bump over front teeth. Advised root canal treatment. Opinion? I had some bleeding when brushing my teeth (very unusual for me) I thought it may be an alergy to a new toothpaste i started using.. Pronamel my teeth became so sensitive i had to use a staw to drink everything..(hot or cold) then i woke one morning my whole face was swollen.when to ER..and was diagnosed/treated for a sinus infection ..some swelling went down and I noticed a bump over one of my front teeth..pussey at times..I have since seen Doctor and dentist ..taken several rounds of Penicillen and Amoxicillian (?) and now on my 4th round of Doxycycline ..that seems to help the most(no puss now) just a red bump still remains. My dentist said I may need root canal or just rootcanal therapy..to see if if goes away with these anibiotics ..if not to follow up with the root canal..ithink I may have cracked a tooth while eating (like biting onto a grain of sand) about 6 months ago..
Hello, Bleeding during brushing and flossing suggests gingivitis. Plaque and food accumulates in relation to teeth cause gingivitis. Gingivitis can also occur because of vitamin C deficiency. To avoid bleeding during brushing, it is important to brush and floss regularly and maintain a good oral hygiene to avoid deposits around teeth. You can also use a mouth wash to reduce bacteria in your mouth. Mouth wash is a chemical adjunct to plaque removal. If gums are swollen, then you can do warm saline rinses 3-4 times a day. Take more of lemonades and citrus fruits or vitamin C supplements if there is deficiency of vitamin C present.Without clinical examination, it is difficult to give definite diagnosis. You can refer to an oral surgeon or a pathologist if you are apprehensive.
Are vomiting and diarrhea post a head injury a concern? Hello. My 2.5 year old son fell at his daycare today. He hit his chin and has a pretty bad cut (no stitches needed). The daycare put ice on it for 10 minutes then put a band aid with some Neosporin on it after. All of this was around 4pm. He seemed completely fine when I got him home. He was up running around and playing like his normal self. I changed the band aid twice before he went to bed around 9. About 2 hours before his bedtime he has 2 diapers full of diarrhea (normally he only poops once, maybe twice a day, this was poppy diaper #4 for the day, first 2 were solid). And right as he got into bed he had a coughing fit and then puked everywhere. Should I be worried about a head injury or is this ok?
Hello,A blow to any region of the head has the potential to temporarily cause increased pressure within the head. When this occurs, sometimes the child can vomit. If the head injury is mild, then there may only be 1-2 episodes of vomiting. Other signs to watch for after a head injury: -a headache -dizziness -different sized pupils -stumbling gait Head injury does not cause diarrhea. I feel it is likely that he acquired gastroenteritis (most likely due to a virus) from another child at daycare. You can manage his upset stomach and intestines by offering him 2-3 oz of fluids every couple of hours. When he has no more vomiting and acts hungry, you may resume solids. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Arnold Zedd
How to treat chronic hair loss? hi.. i'm Mr A, my question is i'm suffering from cronic hair loss, i do use unipexil, phytotricovital but its increasing its hair loss more and its been weeks i did not even wash my hair from fear of hair loss..plz do advice.. i'm 27 , measuring 1 mt 72 and 68 kgs
Hi Mr A,Thanks for posting here.You may be suffering from male pattern baldness, which is usually hereditory.You can use minoxidil 5% solution 1 ml twice daily and take tablets like biotin suppliments and finasteride 1mg. You need to meet a dermatologist for further treatment. newer therapies like PRP therapy and stemcell therapy are other treatment options.If you have an advanced baldness hair transplantation is the choice.Take care.Hope it was useful to you.Take care.Regards.Dr shilpa bhat DermatologistSubodha skin hair and cosmetic clinicBangalore
Have UTI. On cipro. Feeling nausea and less urination. Urine culture done. Is it kidney infection? Hi... I have had a UTI for about 5 weeks now.. Five weeks ago, I went to my dr. and he prescribed Cipro for 10 days.. the UTI is still present and i am nauseated and am only peeing slightly but often. How long does it take before it turns into a kidney infection? My doctor is now having my urine cultured which wasn;t ever done in the first place. I am just concerned that it could have travelled to my kidneys. I am also getting diarrea also. Can you please help? Thank you ... Laura
Hi laura, Urine infections are common in women and can be treated with 5 to 10 ays course of antibiotics. if you have not responded there can be many reasons. confirm diagnosis with help of urine routine and urine culture test to see if any pus cells are there and any what antibiotic is going to be effective in your case. presence of diabetes, blockage to flow of urine are other factors which need to be ruled out. as far as your question weather infectin has gone to the kidneys ( pyelonephritis). this is suggested if you have back pain, high fever, incease in blood tests of TLC and serum creatinine. in which case treatment with injectable medicines controls the situation better. hope this helps
I got a sharp pain along with air in uterus when peeing. what can this be ? Hello I am 23yo, 5 6, weight 124lbs and have always been healthy. My question is. this morning I went to use the bathroom and I got a sharp pain on my uterus when peeing along with what felt like a huge air bubble and I only feel the sharp pain when peeing. I have never felt this way before and I dont know what it can be. also when wiping, there is a slight tint of blood on the tissue.. what can this be ?
You need some tests done to rule out urinary tract infection and renal calculi.
Could blackened sight in the morning, dizziness and feeling of small seizure be due to low BP? Sometimes when I get up or am walking my sight will blacken for 5-10 seconds and I feel real dizzy and sometime I have collapsed and I fell like I have a small seizure? Any thoughts? I have low blood pressure and am quite light but all I drink is water no pop.
Yes it may be due to low blood pressure or might be due to hypoglycaemia. so whenever you feel like that take glass of water or juice with salt and sugar. Check your blood sugar level and blood pressure.
How long will typhoid fever last in children? My grandson is 21months old and he is treated for typhoid in Melbourne from last Friday.he was treated with cefataxime for one week ,he had severe diahorrea and high fever ,now he is better but in evening his temperature goes to 38 :8 still and goes down after 3hours,he is still on injections . I am worried .pl guide me it wii take how much time or fever last. Thanks Pratima
Hello,Typhoid fever is treated normally for ten to fourteen days. But I can understand your concern, fever should go down by one week. In some children, it takes more time than usual, but I would recommend that you should go for a repeat blood culture of your child, get its preliminary report that comes in three days (the usual time is seven days). Also, consult your treating physician again whether to change antibiotics or not depending on the report and the general condition.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Musfirah Tahir
Q. How long should my husband and I wait to try for a baby if we did cocaine? Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Suggest treatment for fluid in lungs hi please help me..my husband is 49 yrs old..my husband has fluid in his lungs,i am so worried,he just had a colon resection surgery two weeks ago because he got an infection something to do with diverticulitis..i really dont know what to do,could you help me abut what he should do,the food that he must eat..please im begging you
Thanks for your question on Healthcare Magic. I can understand your concern. Fluid in the lungs is known as pleural effusion. Your husband is having pleural effusion after abdominal surgery (colon resection). This can be due to either of the following causes. 1. Infective etiology 2. Fluid resorption in the pleural cavity after abdominal surgery. Tobacco confirm this, we need to examine and do certain tests of fluid. So consult pulmonologist and get pleural fluid aspiration and send sample for fluid routine and microscopic examination and culture examination. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.
Reddish, very dark urine with funny smell, passed one kidney stone. Scheduled for ct scan. Dialysis needed? I am 52 yr. old female. I have had reddish very dark urine and it smells funny, I also have passed one kidney stone. The urine has been like this for around six months and getting worse. I am scheduled for a ct scan at hospital on May 14,and an office visit with an instrument going into the urethra on the 22 of May. I am really scared and wonder why my Dr. waited so long to have these tests done. I keep thinking that I might have to go on dialysis. I'm scared of results.
Madam,You are 52/F, C/O passing reddish, very dark yellow colored urine for the last 6 mths. and it is getting worse now. You passed one stone, but when?. You have been advised CT on may 14th, and without knowing what is the CT report you have been advised to have cystoscopic examination on may 22nd HOW?. See once you have started to pass Reddish vey dark urine or passed stone which ever is ealier, a complete urine analysis along with USG of abdomen concentrating on KUB area and X-Ray KUB area should have been done. These investigations will reveal all the possible causes of your problem. Only if USG abdomen is not conclusive CT is advised.If the reddish, very dark color urine contains RBC, an assessment should have been done whether reddishness starts in the initial, middle, end of urine or through out.As you have passed a stone (should have been a small one to pass on its own) we have to look for any other stone is there anywhere from kidney to bladder.As per the investigations results treatment should have been advised along with certain dietary restriction as per the type of stone (stone analysis) I also wonder why the investigations and treatment was delyed this much.Do the investigations as I mentioned and take treatment accordingly. You will be alright. As long as your kidney is functioning well, you are passing urine freely, and your kidney funtions are normal (urea and creatinine) NO ROLE OF DIALYSIS.Best wishes
Should Folitrax be continued for psoriasis due to side effects? Hello. I am 26. I ve been suffering from psiriases for 23 years now. Recently have been proscribed to take folitrax 15 once a week, calcerol once a week and psoracure capsules twice a day together with the psoracure ointment. So fact is that i breastfeed. And after i took folitrax, during the first week i found discomfort and some kind of a grey color Wart kinda thing?!? Can it be from folitrax? And shoukd I stop breastfeeding? Should i continue folitrax? I dont know what to do.please help me. Thank you.
hi, welcome to HCM,STOP folitex(Methotrexate) immediately as you are breastfeeding. methotrexate is contraindicated in breastfeeding mothers. Serious adverse reactions from methotrexate in breast fed infants occurs. there are lot more drugs like short course of steroid, topical Vitamin D analogue (Calcipotriol) which should be used at this stage.thanks
Q. Can you recommend a product for acne scars? Hello doctor, I am currently having acne on my cheeks and I am applying Benzoyl peroxide gel on my acne. It only reduces the inflammation but bumps are not reducing. I also have pigmentation caused by acne before. What may be the reason? I usually get cystic acne bumps on my cheeks. The acne clears and comes again. I have red pigmentation caused by acne. Can you recommend product for acne and pigmentation as well for controlling further breakouts. I want to know which sunscreen and moisturizer to use?
Hello. This provisional advice provided by me stands subject to the actual examination of report or image (attachment removed to protect patient identity) and is based entirely on inputs provided to me. It should be correlated with clinical findings. You should know that you are in your teens and getting acne is a common thing. What we are concentrating is the acne should go away easily without leaving any scars of pigmentation. For that I suggest you use a good daily face cleanser like Spongy Sal foaming face wash.Do not rub your face after applying it. Just spread it evenly, gently and wash it off. Never use soap for cleaning face. Do this once during the day and once at night. After cleansing the face at night apply Epiduo gel over the acne (Adapalene and Benzoyl peroxide) and apply gently until gel absorbs in skin. Do not massage or rub too vigorously. You will experience some itching early on but do not worry. The gel will dry up the acne and it will be late off. Avoid going in the sun directly or if you have to wear a good sunblock off about SPF 50 plus and then go. This is the treatment as of now for your acne.Follow this for two weeks and give me a follow up. Then I will consider starting other medication gradually as you get more familiarized with the acne treatment. Hope you follow this regimen carefully and do not stop or overmedicate by yourself.
How can severe backache be treated? My 87 year old Mom has had a gnawing pain her back for over 2 weeks. She had an overnight stay in hospital where they ruled out UTI, CT of lumbar spine was negative, and a negative BMP. They sent her home to take 500 mg of Tylenol every 4 hrs with oxycodone as needed when pain is worse and some Lidoderm patches. She saw her PCP for a post hospital follow up two days later, they told her they could feel impaction, so they put her on Miralax. She has had loose stools off and on now, but feels her pain is still the same since her initial hospitalization over 2 weeks ago. She has had no appetite for over 2 months. She is going back to her PCP tomorrow, as she called them today asking to come in. Any thoughts? Suggestions? Thank you so much.
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.Consult your GP for further treatments.hope this was helpful.have a healthy day.
Suggest treatment for hematoma during pregnancy I am 7 weeks pregnant with 29X5X6 mm haemaatoma. Is it considered very big ? I had taken fertgyn 2000 inj last week and duphastone tablets for last one week. Today we consulted a second doctor and he has advised Susten injection followed by tablets. Are medications provided by both the doctors same ?
Hi, I have gone through your question, and I think I have understood your concern. I will suggest you the best best possible treatment options. 1 ) First of all do not panic. 2 ) Take rest. Continue with your routine pregnancy medicines , like anti emetics and nutritional supplements. 3 ) About your treatment - Injection Fertygyn is human chorionic gonadotropin. It is the hormone secreted by placenta to help and support pregnancy. Tablet Duphaston is a type of natural progesterone, also a support hormone. Susten is a natural micronized progesterone. All the medicines are safe and helpful for pregnancy. 4 ) I usually suggest following treatment to my patients with similar condition -Injection like Fertygyn, 5000 I U once a week till 14 weeks of the pregnancy. Tablet Duphaston or Susten 200 twice a day till 14 weeks. Also Vitamin C 500 mg twice a day for ten days. Tab Pause 500 mg 3 times a day for 5 days. I will suggest you to take rest. Be calm, think positive. All things will be fine. May God bless you with a bundle of joy. I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar
What are the side effects of pepcid complete tablets? In oct 2011, I had a severe heartburn incident in which I took 4 Pepcid complete tablets in 12 hours. Over the next several days, I have developed a severe lower left intestinal pain that radiates in the side and back area. The painful spot is permanent and will not go away. Antibiotics have helped, but only to a point. I cannot sleep on my left side, the pain that arises is terrible. Is this necrotising entercolitis? I am 52 yrs old with a history of IBS and excessive acid, Pepcid usage has been higher in the prior 6 months.
Hi,The cause of abdominal pain should be identified. Upper gastro intestinal endoscopy and abdominal ultrasound should be done. Your symptoms mostly suggest peptic ulcer complications.Helicobacter pylori is a bacteria that can cause gastritis. A course of multi-drug regimen of antibiotics will be required to reduce the infection.Injectable proton pump inhibitors may be required to reduce complications and heal the ulcers. Also any history of fever, blood in stools, renal stones or diarrhoea should be ruled out.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician
What causes shrinking of penis at peak stage? when i have intercourse at the peak stage my penis shrinks.i dont know what happens..a sudden spark through my body and penis shrinks which i am not able to explain..not always..this has happened about 5 times..i have been married since april 6 2014. but when i masturbate there is no problem.
DearWe understand your concernsI went through your details. I suggest you not to worry much. You have not given your age. Most of the sexual erection and shrinkage problems are mainly due to undue anxiety about sexual intercourse. For you this happened about 5 times. Married for almost 4 months. How many times this did not happen? That is what you should count on. Count positive aspects and remove anxiety about it. You will succeed.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
Suggest remedy for severe pain in left thigh I have been under an MD Vascular surgeon, who diagnosed Vascular venous insufficiency minor,, left foot and has issued me a compression stocking. and using at night , I stopped for about 4 days, due to small sore on ankle. (last 4 days now) all of sudden left thigh at nights getting painful intermittent in deep. comes and goes during night . awake and walking it disappears for hours but now last two hours am., it shitting me sharp pain again. I am cardio patient, AF, using Pradaxa, since FDA approved 2 year ago.is this phlebitis or DVT? signed Jim. email address YYYY@YYYY
your sign and symptomes sugesting DVT.you shoud go for coagulation profile and D-Dimer and fibrine spliting product evaluation.consuld endovascular surgeon and restart anticoagulants
What causes a swelling under the left arm while on Rituxan? I have Foliculor non-hogkins lymphoma in the left abdomen 6-7 cm, for which I am treating with Rituxan infusion but now I have swelling under my left arm, left peck, lower abdomen, inner thighs on both legs. The tumor seems to be shrinking in the last CT scan with contrast. I am also experiencing itchy burning eyes 24/7, raspy voice, blurred vision, ringing ears. I have ruled out allergies though testing with allergist and EN&T. Your thoughts? Accept what terms?
Hello, Welcome to Ask a doctor services. I have read your query. It is good to know that the tumor is shrinking. Swelling that you are experiencing in your hands & feet is a side effect of Rituxan. You need to report without delay to your treating PCP, you need to be examined & medications need to be monitored or altered. You should keep your PCP informed about any other medications you are taking. Stay away from addictions. Hope I have answered your query. Let me know if I can assist you further.
Suggest treatment for lower back pain I am having lower back pain when sitting or trying to get up. It doesn t hurt why lying down or after I have been up a minute or so and get stretched out. Someone thought it could be kidney related or maybe a bladder infection.. Also, I am taking ibuprofen. Wondering if it would be helpful to put ice or heat on it? I am a 54 yr old male. Work in a factory on my feet a lot on concrete floors.
HelloLower back pain may be due to many reasons like musculoskeletal causes,pelvic pathology,genitourinary causes etc.You need proper clinical examination and routine investigations.Investigations include routine hemogram,renal function test,urine RE/ME,ultrasound of abdomen.Ultrasound of abdomen is important in diagnosis and treatment.Proper treatment depend upon findings.Get well soon.Take CareDr.Indu Bhushan
Can i get pregnant if semen leaks from vagina after intercourse? Hi. Me and my husband are trying to get pregnant and this will be our first child. I wanted to ask, when we have intercourse and he ejaculates inside after he pulls himself away a fluid comes out of me. Is this normal? or is there something wrong with me? I ask because I'm thinking if its his siemen that comes out of me then how would his sperm mate with my eggs?
Hi dear and thanks for your query.Dont worry if the semen go away from your genital ways ,because it is normal .Semen have other components except spermatozoids.Spermatozoides go to fertilised your ovum and other components go away.Take folic acid prior of conception.All the best
Both tubes have cysts, used birth control for period regulation. Any safe methods to get pregnant ? hi my name is AAAAA from Trinidad&Tobago both of my tubes have cysts and i tried birth control to regulate my periods but i don t see my periods every month and i haven t seen it or the year i am 25years old and i want to know what i can take to bring my periods regular and get me pregnant , i was and have never gotten pregnant all the try i tried please help me doctor the safe way to please thank.
Hi,In the present scenario, you should see an expert infertility specialist and get properly examined and investigated. The cause of your tubal cysts should be treated and tubal patency and function tested. The cause of your irregular periods should be diagnosed through hormonal assays, trans-vaginal sonogram and treated. You should maintain a healthy weight, avoid stress and eat healthy. Hope you find this information helpful. Take care.
Suggest treatment for tightness in chest,cough and breathing difficulty Hi, may I answer your health queries right now ? Please type your query hercomplaining of a sharp pain in the right side of his chest. He says his chest hurts when he breathes deeply or coughs. This is a problem, he says, because he has been coughing a lot, has difficulty drawing breath, and feels a tightness in the center of his chest. e...
Thanks for your question on Healthcare Magic. I can understand your concern. By his history and description, possibility of bronchitis is more. Bronchitis causes bronchospasm. An this inturn causes cough, chest tightness, sputum production and breathlessness. So better to consult pulmonologist and get done 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. He may need inhaled bronchodilators and inhaled corticosteroid. Don't worry he will be alright. Hope I have solved your query. I will be happy to help you further. Thanks.
Is shooting range for boy with external and internal stitches? my husband wants to take my 12 yr old son to shooting range(hobby) but my son has stiches from a fallin which he hit his head on concrete fireplace, and has 2 internal stiches and 5 external stiches, my son is his old self again but being we dont know if hes having blackouts or seizures(hes going to be seen by a Ped Neurologist for tests) is this safe? im so worried, my husband saids its ok.
eg:don't warry at all but I see give antibiotic oral and anti inflammatory to avoid infection and regular clean on stitch every day Beta din and antibiotic until remove stitch
What can cause elevated WBC count? My husband has a white blood cell count that has been creeping up thru the years. It is around 23,000 now I think. He finally got a bone marrow test and we are awaiting the results. I noticed he has a nasty toe nail fungi’s on his big toe. He is also type 2 diabetes. Could this be helping that count to high? Also he has not been to a foot doctor for this. Should he go to get that checked and mention it to his hemotologist?
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, infection can lead to high WBC counts. Moreover, a chronic leukemia can also cause this and bone marrow examination and other blood test can diagnose this. Hope I have answered your query. Let me know if I can assist you further.
Q. I got toric lenses to correct astigmatism. Can I switch to regular lenses? Hello doctor, I got toric lenses to correct my astigmatism. Can I switch to regular eye lenses? I want to have colored eye lenses, but it is not available in toric lenses. And how long will it take to correct astigmatism?
Hello. You have not mentioned how much astigmatism you got. If it is negligible, then it will be fine with the spherical lens only. If it is significantly high, then you must need toric lenses. You can get a customized contact lens from some good optician or lens dispensing shop according to your refractive error and color of your choice. Usually, refractive error changes up to 20 to 22 years of age. Astigmatism or cylindrical number is less likely to correct automatically with age. But you can get laser treatment for refractive error correction after 20 to 22 years of age or when your refraction is stable for up to 6 to 12 months.
Is it to be concerned about the bumps on the skin after giving vaccine to child? After giving my daughter tetnus and meningitis vaccination at her doctor s office on friday morning, that afternoon she develped small skin bumps on her upper arms around the shot area and it spread downward juar before the elbow . The bumps were itchy a little bit but not any more. The bumps are not red. what could they be from.
mlld bumps can me there after vaccination.usually self limiting.mild analgesics like paracetamol can be given for short duration.
What do you suggest for PTSD,depression and anxiety? Hi, I've been suffering from a unknown mental disorder that's affecting my life. I kept searching on different disorders and I found a couple that sounds very close to mine symptoms. First off let me tell you a little bit about myself. When I was born I had hearing issues, couldn't hear and lost a vast amount of learning. When I got my adenoids removed I started eating as could taste food, I also had surgery and got tubes in my ears. Always had problems with my hearing. I was mis diagnosed with ADHD and was on three different medications which didn't work. Later I found out I didn't have that I just had a learning disability but as I have problems with that I still feel something is wrong with me. I always hit myself in the head or arms and legs. I had a sleep problem ever since I was a baby. Slept during the day and stay awake at night. It doesn't matter what I do to change my schedule I still can't change it around. When I was 14 I was attacked and hit in the face with brass knuckles which caused a traumatic event which I can't forget. Doctors told me I have PTSD but I think I have more that that as well. I have suicidal thoughts and I self harm, hit myself, cut my arms. I have an impulsive behavior in masturbating as I do it daily. I have daily episodes of anxiety and depression. I have difficulties controlling my emotions and do know how to act on them. I feel misunderstood, neglected, alone, empty and hopeless. I have intense anger issues that result in me being weird with people. If someone gets me mad I act weird and laugh out loud like a crazy clown. I throw fits and punch my head or slam it on the wall or if I'm laying down the couch. In school I had a hard time concentrating, I got distracted easy, I had a hard time making friends. I never had a girlfriend. No sex, nothing. I'm 22 now. I see weird things from time to time like a cat that's not suppose to be there or a person walked by me and there's no one. I never could get a job or stay in something I liked. I just recently got everything done for college. Went for one week and dropped all my classes because I wanted to walk across the United States. If you can please tell me what's wrong with me and if I need medical attention and medicine. I kept reading different disorders and this really resembles borderline personality disorder which I have. Please please help me. I don't know what's wrong....
HelloIt looks more like Obsessive Compulsive Disorder. Please get yourself screened on Yale Brown Obsessive Compulsive Scale .Dr Saatiish Jhuntrraa
Q. Why am I devoid of quality sleep? Hi doctor, I am on CPAP for two years and my AHI is in normal limits. But, the quality of my sleep is not good. My body and brain are not at all relaxing during sleep. I have aching muscles. Please guide.
Hello. It seems that you might have developed some sleep issues mounting for insomnia. As you have mentioned that you are using continuous positive airway pressure (CPAP) and your apnea-hypopnea index (AHI) is well maintained, this sleep issue might be related with some underlying psychological issues. Underlying anxiety or mood related issues can escalate such kind of sleep disturbances. Also, sleep issues can lead to physical burnout and can precipitate the psychological issues. Hence, a timely intervention should be done to prevent such psychological issues from developing. If you feel like having any such psychological issues, do provide the details. Also describe your sleep issues in detail, so that it can be dealt effectively. Revert back with the details to a sleep medicine physician online -->
Does high BP have a relation to fibroid? Hi Doctor, I m 45 and has had fibroids since 23. Have 2 boys 16 & 13. While pregnant had low blood pressure but after delivery on routine checks in 1999 had slight high blood pressure. Was not medicated but jus monitored. Had myomectomy in 2001 & 5yr Mirena. Fibroids are back with vengeance and in Oct last yr put on Nifedipine Sustained release tabs 20mg coz BP was 144/104. Get terrible headaches from the med. Any relation between fibroids & high BP & is that the best medication? I m slightly over-weight of late. Thank you
welcome to hcm ..no there is no relation between fibroids and high bp .as nifedipine gives you headache you can take other more tolerable drug as amlodipine tab 5 mg once a day ...please take care of your weight ..as reduction of weight also decreases bp