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Can any online doctor help me with the following results?
mass left lower abs and small heria in side mass is hard and breaks apart swelling across lower abs .had a kidney removed with a large mass 1998. lost all muscle left side in 2014 intestines all fell to lower abs.Mass is goes completely across lower abs .moves every breath taken pain all the time .mass is hard and breaks apart into small parts go into hips ,have hard time sitting .much pain DO YOU KNOW WHAT IS WRONG ? | Hello and welcome to HCM.As an Urologist, let me advise you to get examined by a Urologist.From your description, it appears to be a recurrence of the previous mass of kidney, or a similar mass. After check-up, you'll need to have urine and blood routine tests,including creatinine,sugar,LFT, ultrasound scan of abdomen, and most likely a contrast CT( CECT) scan of the abdomen, with a chest X-ray.According to reports,further treatment will be advised. You're welcome to send a copy of the reports to me,for an expert opinion.Dr.Matthew J. Mangat. | |
Can I have a baby through IVF as I have Kartagener syndrome?
I'm afemale with syndrom kartagener I can not have a baby in normal way i want to ask you can i have a baby through ivf ? And if i can this means he will not like me?i am sad.i want to have a baby after7 years that past my wedding. please answer me i live in iran-kerma 27 years .60 weight.when i was born i have this problem | Hi , How are you doing ? Kartgener's syndrome is a congenital condition , where the cilia or hair like structures in the tube are missing. You can definitely have baby through IVF.As your tubes don't have the power to push the egg from the ovaries to uterus, we can bye pass this by IVF. Procedure will be 1. Get completely evaluated2. Have a scan to know health of uterus & inner lining of uterus 3. have Serum AMH to know how many eggs in ovaries4. Husband evaluation.If all fine, which I pray will be.You will be given hormone injections & many eggs will be stimulated, once they are mature , they will be taken out under ultrasound guidance . That day your husband's sperms will be collected, each egg is injected with one sperm & embryo / baby is formed. This is frozen in your name. 1-2 embryo is kept back into your uterus. Once you deliver , after few years you can have keep next embryo. You can keep embryos till they get over. They are your babies !!Why wouldn't he like you ? You would have accepted it for sure if this was his problem. Don't worry, you can surely have a baby , Inshallah. Hope I have clarified your queryAll the bestDr.Balakrishnan | |
How long does the hand, foot and mouth disease last?
I have been exposed to hand, foot and mouth disease. I am an elementary school teacher. I started with a fever and horrible blisters on one of my tonsils yesterday. I also have body aches. If this is hand, foot and mouth, how long should I expect to be away from school? I also have lupus and I am immunosupressed. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. HFMD is a harmless disease and it will generally subsided by five to seven days with conservative management. HFMD is a disease of children and you have to consult a GP before making a diagnosis. As of now you can take paracetamol for fever and body ache. A short course of antibiotics is preferably Amoxclavvcan be taken for five to seven days. Wishing you good health! | |
Suffered from kidney renal function disease, high BP, low Hb, urine culture shows E-coli. Need alternative ayurvedic treatment
SIR,I AM JUST 23 YEAR OLD. I M SUFFERED FROM KIDNEY RENAL FUNCTION DISEASE, HIGH BLOOD PRESSURE NEARLY 210, SERAM CREATININE IN URINE IS 0.7, LOW HAEMOGLOBIN NEARLY 11.6, ALBUMIN PROTEIN IS ALSO PRESENT IN MY URINE WHICH IS ++++. IN MY URINE CULTURE TEST , THERE IS ESCHERICHIA COLI BACTERIA ALSO GROWN. BEFORE 1 MONTH 15 DAYS AGO, SUDDENLY I HAVE SOME SWELLEN IN THE FEET , BUT I DONT CARE BECAUSE I THOUGHT THAT IT WAS DUE TO COLD , BUT THIS PROBLEM INCREASE, AND I CONSULT TO ALOPATHY DOCTOR , AFTER THAT MY SWELLEN HAS OUT BY INJECTION AND SOME EDEMA TABLETS BUT I AM NOT FEELING WELL EVEN NOW FROM INSIDE ,SIR I BELIEVE IN AYURVEDA FOR COMPLETE TREATMENT AND I DESERVE A LOT ,,,,,SIR PLEASE SUGGEST ME THE RIGHT WAY AS SOON AS POSSIBLE ,,,THANKYOU | Dear sanjay dubey Going by your reports I believe that you are only suffering from malignant hypertension and nothing more. Though this is capable of causing renal involvement but thank god that is very minimal for thetime being. All that is neede is prevention and treatment for hypertension. Be regular with your medicine and you will have no problem with kidney if you maintain your BP. Donot miss your dose for hypertension. Diyva mukta vati will help to control it. A mild diuretic will keep your kidney and BP normal. punarnava mandur is drug of choice foryou as this will increase HB and reduce oedema if any and help kidney function normally. Dr. Rajesh Lakhanpaul | |
Q. I have a large bruise at the back of left thigh along with some smaller bruises. Please help.
Hello doctor, I woke up a few days ago with a large bruise on the back of my left thigh. Unsure of how this happened, as I do not remember or have knowledge of hitting this area. I was drinking heavily the night before but do not believe this is a reason for the bruise. I have been working out a lot last week and possibly thought it could be a muscle bruise. I am more concerned with the shape and placement of the bruise and effective area of smaller bruises around the larger one. I have never got random bruises. I do suffer from anxiety and this is making it factor right about now. I am currently on Prozac. | Hello, Welcome to icliniq.com. I have seen the attachment. (attachment removed to protect patient identity). Your bruise is clearly due to hematoma. You should get a USG (ultrasound) of your thigh. Take some rest and bruise will disappear gradually. Also, if there is severe pain at that location, then x-ray should also be done to rule out any fracture. Muscle tear. USG of left thigh. X-ray of left femur AP (anteroposterior) and lateral. Muscle tear. Femur fracture. Take rest. Review after the USG report. | |
What causes abdominal pain and vomiting?
my friend just asked me if I knew anything about the causes of smelly feet. She hasnt been feeling well and both her and her children have been having abdominal pain, vomiting and loose bowels and bloating. do you think that the smelly feet are part of the symptoms and if so, what would be the cause? | Hi, Smelly feet is due to increased sweating in foot and damp footwears. Its not related to the other symptoms, which point towards gastroenteritis ( food poisoning).I would suggest that they take a course of antibiotics in consultation with a local doctor, as the dosage for her and the children will be different. Also give them preprobiotics to replenish good gut bacterias.Plus they need to take care of what and where they eat to prevent recurrence.For the feet, just keep them and the footwears powdered and dry.Hope i have been helpful.RegardsDr. Ashish Verma | |
Is pregnancy possible despite negative pregnancy test results?
Hi... I m 20 and divorce i got light bleeding in my periods date (21/3 ) and yet now i m getting light bleed i checked my pregnancy on (24/3) with kit but its negative ... Is there is still chances to get pregnant? Plzz hlp me to abort if it have chances i dont wanna take risk for my chid with my divorce hsbnd | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.I don't think you are pregnant because of negative pregnancy test and also light bleeding that is the begging of cycle. Hope I have answered the question. Let me know if I can assist you further. | |
How to get rid of early fall and erectile dysfunction?
Dear Sir, I m suffering from Early Fall since day one. Now even erectile problem has also got added to it. There is no sensation of having a Sex during the times I try. My partner is frustrated because of this & life has become difficult now to even lead on. Pl. help out in some way. I ve been prescribed with Sustimax 30 mg for 60 Days. My ID is YYYY@YYYY +0000 Thanks with Due Regards, S.K. Bajaj | Hello SK Bajajyou need not yo worry, I am here to help you out in best possible waythis could be due to any of following conditions 1.Hormonal imbalances like low testosterone2. Poor nutrition3. Stress and anxiety 4.hostile environment for sexin my opinion you should try to rule out these possibilities one by one likespend more time in foreplay make a conducive environment for sexdon't take too much stress and don't fear about performance anxiety avoid smoking and alcoholhave good balanced diet with multivitamin supplementsHope this helps you please feel free to ask for more clarification I will be happy to help you regards | |
Vaginal dryness, loss of period, liver damage. Addicted to painkillers like Vicodin, Percocet. Reasons ?
Hello I am 19 years old, i m 5 3, and weight 110. I used to be addicted to painkillers like Vicodin and Percocet . After I stopped taking them, which was very hard I might add, I found out I have liver damage. I was wondering if either liver damage or pain pills can mess with vaginal health. While I was taking the pills I had vaginal dryness , loss of period, and I was getting BV ALOT. Will these problems be gone if I continue taking extremely good care of my liver? | Dear FriendPain killers like vicodin taken chronically for ill health or for recreational purposes always harm you , as in your case affected your liver.Good thing is you stopped.There is no well known relationship between pain killers and vaginal dryness.About your liver , I can comment the best only if you share withh me your liver function tests and ultrasound abdomen.Don't consume then again and say no to alcohol.Good Luck | |
Suggest medication for sharp pain in chest and abdominal area
I am wondering If I need to see a Doctor in referance to a sharp pain that only happens when Iam extremely panicky or nevuos... It runs from my chest straight down in to my lower abdomen and it sits there untill my nerves are fully calm... but it seems that since I almost was in an accident a few days ago there been a sharp pain in my abdomen every since. Can you help me please... It doesnt hurt when I go to the bathroom and my bowels are normal, so is my urine.. its just this pulsating like sharp pain that moves to my abdomen when nervous or in panic. | Hello, I understand your concern and would explain that your symptoms could be related to a panic attack. Nevertheless, I would recommend consulting with your attending physician for a physical exam and an abdominal ultrasound. Some other tests (a resting ECG, an exercise cardiac stress test, blood electrolytes, complete blood count, PCR, ESR) may be needed. You should discuss with your doctor on the above tests. If all these tests result normal, you should consider anxiety as the main cause of your complaints. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
Can we stop taking Flouxetine causing side effects affecting work?
Hi my husband in taking Flouxetine and is having side effects of loss of memory and poor consentration, he has been taking the tablets for around 3 month should he stop taking then straight away as this is effecting his work aqnd he is unable to see a GP until tuesday evening? | Hi,It is not advisable to discontinue Fluoxetine abruptly. Abrupt withdrawal of antidepressant medication like Fluoxetine SSRIs if used for more than 6-8 weeks result in 'discontinuation syndrome' characterized by anxiety, irritability, headache, vertigo, tremors, flu like state, fatigue, and myalgias. Its dose should be gradually reduced over several weeks under the supervision of his treating doctor thereafter an alternate effective but a safer antidepressant should be replaced.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Suggest medication for swelling and pain in knee after dog ran on it.
My dog ran into the inner part of my left knee. Has been very sore since, especially when going down the stairs. I made the mistake of trying to run a few days after the injury and now, even several days later I am in excruciating pain. I have mild swelling, which ice is not alleviating. | Well, obviously, an anti-inflammatory. Aspirn or naproxen are anti-inflammatories, tylenol or ibuprofen at over the counter doses are not. BUT warm compresses may help. Certainly trying to elevate the leg and staying off it will help.BUT, it seems a lot of swelling and injury and duration of problem. There might be more occurring like damage to cartilage or tendons. IF persisting a week, an orthopedist is generally needed for evaluation. | |
What to do for unbalanced walk?
I AM VERY UNBALANCED I` VE NEVER FALLEN BUT EVERY TIME I WALK I AM WOBBLY. TODAY I ACTUALLY ALMOST TRIPPED OVER MY OWN FOOT. ONE AND THREE QUARTER YEARS AGO I HAD TO USE EAR DROPS FOR THREE MONTHS BECAUSE I COULD NOT HEAR WELL AT ALL.THREE MONTHS WAS THREE DIFFERENT TIMES OF USE BECAUSE AFTER I GOT MY HEARING BACK I HAD TWO EARACHES, ONE AFTER THE OTHER. I DO NOT HAVE AN EARACHE NOW AND HAVE NOT FOR THE PAST 9 MONTHS. 9 MONTHS IS THE LENGTH I HAVE BEEN UNBALANCED. IS IT AN INNER EAR INFECTION OR WHY DO I FEEL UNBALANCED. I DO NOT AND NEVER HAVE FELT DIZZY AT ALL. WHY. | HiWelcome to healthcaremagicI have gone through your query and understand your concern.Your problems can be due to infection of middle ear or cerebellum problem. You may be needed MRI of brain to see the cause. It will be better to visit neurologist for this problem. You can discuss with your treating Doctor about it.Hope I have answered your query.If you have any further questions then don't hesitate to writing to us . I will be happy to help you.Wishing you good health.Take care. | |
What causes swollen and red ear lobe in a child?
I have a 14 month onld with a right swollen and red ear lobe. It didn t seem to bother him earlier in the evening, but at bath time he was swatting at it and when he touched it he cried. I am uncertain as to what to do for him and will likely take him in tomorrow to get checked out. | Hello. I just read through your question.This could be a mild infection, or it is possible that maybe that part of his ear was injured.Either way, your doctor will be able to diagnose it and recommend an appropriate treatment plan. Meanwhile, cool compress will help, if the baby allows. | |
While masturbation along with milky discharge rarely reddish blood is present. Is there any cut in penis?
I have recently been masturbating at least a dozen times a day. I stopped after erections began to hurt badly. Now a discharge is present sometimes clear most of the time milky and rarely it redish as if blood is present. I have no STDs. Did I break my penis ? | Good Day and thank you for being with Healthcare Magic! Too much of everything is always bad and a dozen times a day of ejaculation would cause edema and inflammation to the penis. That is the reason for the bloody ejaculate and clear to milky fluid that comes out. I don't think you broke your penis but you need to let it rest until the pain and edema subsides. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes. | |
Suggest treatment for allergies
I know I have allergies, was tested as a kid 30 years ago, they said was basic allergic to almost everything, anyway having some issues, and newer live in mate, smokes and has 2 dogs, wondering if they are causing issues form me. If I go into see a doctor, could they tell me and how would they test / check if that is my problem? | HelloYou were tested for allergy about 30 years ago .If you are still feeling allergy and having these symptoms , they may check allergy test.Symptoms of allergy are , nasal itching, watery rhinorrhea, nasal obstruction , sneezing, post nasal drainage. Few persons also have headache, conjuctival symptoms , impaired smell morning cough . Dust , mite , pollen , pest ( cockroaches ) pet animals ( dogs& cats ) , smoking ( active & passive ) , sudden fall & rise of temperature .These are predisposing factors for allergy .Tests ,1 Skin dermal test for various allergens .2 Rdioallergosorbent test ( RAST ) . These tests are performed for allergy .Hope this information will be helpful for you. | |
How to prevent recurring bumps all over the labia?
Labia majora hard bumps that come and go. All over the labia. Hurt to touch, slight Itch. No puss. Under skin, like a cyst. My OBGYN said its just my glands. Really?! No other explanation. I want to know WHY I have them. Why they come and go. What can I do to prevent/cure. I have never had them before. I m 35 years old. Been practicing abstinence (complete) for 3 years. Wash with mild soap everyday. No new lotions/soaps/detergent/undies. Nothing to explain. Please help me understand. | Hi,It seems that this problem might be due to blockage of sweating gland giving rise to bumps formation.This might be due to razor bumps or allergy to synthetic inner wear allergy.Nothing to worry, apply triple action cream locally.Wear cotton inner wears.Keep local hygiene clean and airy.Ok and take care. | |
Had a lap appy. Is diaphoretic, high pulse. Incisions appear weepy. Little purulent drainage. Suggestions?
Hi, my husband had a lap appy yesterday. He is home now and still has an auxiliary temp of 99.8. He is diaphoretic and has a bounding pulse. Is this normal after abdominal surgery? The incisions are covered with op sites but do appear to be weepy with one that has what looks like a small amount of purulent drainage. He had 24 hours or IV cipro and flagyl and was sent home on flagyl and levaquin along with oxycodone for pain. He is alternating between feeling hot and cold. At what point do I take him to the ER? | Hello,Fever and Pus collection at the site of surgery indicates that there is infection.This infection may cause delayed wound healing and create post surgical complications.He may need1. Pus culture and sensitivity.2. Good wound care.Consult your surgeon at once. | |
Does Rytmonorm have any adverse effect on Atrial Fibrillation?
Dear Doctor, Alcohol, Atrial Fibrillation & Life after... I get blotted, noxious after drinking only one glass of white wine. Although I do not drink much, I ve had a couple episodes of atrial fibrillation in the past 2 to 3 years. These episodes were serious enough for me to be kept in the ICU of the hospitals I went to. Both lasted for 48 hours+ followed by a couple of days of watch time. Ever since the second episodes, I was prescribed to take Rytmonorm 150 coupled with Coraspin 300 to avoid any blood clots. After 2 years on the treatment, I ve hoped that my heart would be clear of the problem and tried to get off of the medicine. Within 24 hours, my heart started to beat erratically, enough so that I immediately reached for the pills... Along with my heart beating awkwardly, I ve noticed an almost instant pain in my head coupled with a slight but persistent confusion... I have repeatedly told about the combination of effects to a few doctors only to be dismissed at once as there doesn t seem to be any correlation with the heart/brain (as per the doc s opinions)... I have gotten a check-up with my cardiologist a couple of weeks ago and he recommends that I stay on the medication (one of my valve (top?) is 4cm wide whereas it should be at maximum 3.8cm (from memory, and I can t remember what was what exactly). Also, there was another measure from the ECG of 450ms or such between beat... Where it should stay under 450 or 430... Again, I do not recall the exact lingo... My question is simple. Are there any known adverse effect to taking a medication such as Rytmonorm, does it affect the initial problem (atrial fibrillation)? Is there any way to remedy the problem without resorting to ablation (which has a low success rate) or cut through the electrical system (old style)... I really would like to get off the medication. Thank you for your time and feedback on this case. Best Regards, Frederic | Hello,Ritmonorm is for rhythm control that means if you have had episodes of atrial fibrillation that have been resolve in sinus rhythm you must take these medicines, to stay in sinus rhythm and to prevent episodes of atrial fibrillation. If you were my patient, I would consider an anticoagulation treatment (Xarelto), because of your atrium diameter. One side effect of Ritmonorm is an elongation of qt seg on Ecg. So if I were you, I would continue using Ritmonorm.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Anila Skenderi | |
Neck pain and small painful lump above collar bone. Is this just swollen glands? I have neck pain and noticed a small painful lump just above collar bone area of neck..pain is running up from lump. I thought it was maybe a neck strain but also feel very tired. When I press on the lump it hurts and I start getting mucus build up in my throat. What does this mean? | it could be a sequestration dermoid cyst or a plunging ranula. The history and location you have provided is too non specific for me to come to a diagnosis but I would advise you to go to a doctor for a full examination of the swelling and make sure that he/she rules out metastatic lymph node although that is highly unlikely in your case.I'm sorry I could not be more of a help. | |
Having stuffy nose with blood spots. Sounding congested. Nose sore on outside, crusty within. Is this nasal cancer?
Every morning I wake up can t breathe have to blow my nose when i do there is always blood that comes out I also can hear mynself takinfpg funny like I am congested my students said I sounded funny as well, My nose feels somewhat sore on outside and very crusty on inside. I did smoke for over twenty years and recently quit but very concerned it may be nasal cancer . | Hi welcome to Health care magic forum. Thanks for calling H.C.M. As you describe your problem is E.N.T. problem, so you should consult an E.N.T. surgeon for diagnosis and treatment. Possible causes could be allergic rhinitis, adenoides, papilla of trabiculae. etc. There is very very little possibility of cancer. You may have to go for M.R.I, besides other routine tests for confermation. Thanks . | |
What causes numbness in left arm and high heart rate?
I m a 29 year old female. About 10 pounds over weight Last night I woke up with a heart rate of at least 180 bpm and my left arm was numb (I woke up flat on my back) I sat up and after a minute it went down to 115 bpm. I layed back down and my arm went numb again so I sat back up and tried breathing steadily for a few more minutes and then finally layed back down and fell asleep once my heart went down below 100. Ive been waking up frequently to numb arms even though I was not laying on them. Thoughts? | Hi welcome to health care magic,I understand your query and concern.Your symptoms are suggestive of Ongoing Myocardial ischemia. I advise you to get an ECG 2D Echo,lipid profile,he CRP,Troponin I.I also advise you to stress echo done and chest x ray immediately.Also monitor your blood pressure and heart rate.Take drugs like clopilet,Ecosprin,lipid lowering drugs,pantop immediately. Avoid smoking and alcohol.Also take drugs like clonazepam by consulting your doctor.Also take fruits like apple,pomegranate.Take salt restricted high protein diet.Coronary angiogram with or without stenting is the treatment of choice.Exercise regularly for 30 min.Also Meditation,yoga,breathing exercises will help.Consult your cardiologist for expert management.Post your further queries if any,Thank you. | |
How to treat lump in the chest between the breasts?
My partner s daughter has an internal lump in the left side of her chest between her breast s- its sore to touch and getting more and more painful - she feels like it is coming closer to the surface. She is also getting sick vomiting and is off school. Her mum doesn t have time to take her to the dr today so I m just checking with you to see if there should be more urgency!! | Hi, dearI have gone through your question. I can understand your concern. She may have some soft tissue tumor or bone tumour. It doesn't look like emergency. She can take analgesic drug for pain relief. After one or two days she should go for ultrasound study or x ray accordingly. If needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What is the treatment for back pain?
The past few days I started having severe pain on my back on the right side it s midway down my back and it feels like its inside. I have a long history of back pain but this is completely different when I get up from a laying or sitting position it actual takes my breath away and the pain worsens. I thought I might have pulled a muscle but it s getting worse each day. | In my opinion you firstly you should get an MRI of your Lumbar-sacral spine done. For immediate relief have some pain killer and some good muscle relaxant. Do not lie down on soft mattress use hard one instead. When getting up from bed always take a lateral position first then hang your legs down first and then get up. DO not strain your self or over exert. Take complete bed rest for 2 weeks just walk in room and come and lie down. After 2 weeks start with some back strengthening exercises. Do some hot fermentation if pain is unbearable. You will be fine in 2 weeks. | |
Can Clindamycin cause chest and leg rashes with swelling?
I took Clindamycin HCL 300 MG Caps for 7 days. A few days later I got a red flat rash on my chest, & on my lower legs. Is this from the Clindamycin? Also, will it go away by itself, or do I need to take anything? It doesn t itch or hurt. But my ankles are a little swollen. | Hi, Any drug can cause hypersensitivity reaction. Does the rash disappears after stopping Clindamycin? In such case, the possibility of the rash being due to drug, is high. Rarely, drug induced hypersensitivity is associated with severe symptoms. So, I request you to consult your Dermatologist for proper management. Hope I have answered your query. Let me know if I can assist you further. | |
What causes pain in the chest and arms?
I have been told that I have Gerd.I take Dexilant 60 mg 2 times a day and Zantac 300mg 1 time at night.I have had a complete cardio work up twice and 2 nuclear stress test.Several Ekgs have been done and all test come back good.I still continue to have mild chest pain and discomfront and sometimes pain in my arms.Gallblatter has been removed and this has been going on for more than 3 years.Should I still be worried about heart blockages and ask for a Hearth Cath.? I am a 46 yr. old male Thanks Lynn | Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for heart diseases or coronary artery blockage because your extensive cardiac work up is normal. Your symptoms are due to GERD (gastroesophageal reflux disease) only. Along with medicines, some lifestyle modifications are also important for better symptomatic relief in GERD. So follow these lifestyle modifications. 1. Avoid stress and tension, be relax and calm. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Quit smoking and Alcohol if you have these habits. 5. Keep 2-3 pillows under head in bed to prevent reflux. 6. Loose weight if you are obese. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What diet to follow for reduced kidney function and gout?
Hi- I have reduced kidney function and get gout quite often. Can t seem to find a list of foods which would be good for both conditions. I ve seen lists to avoid for each, but one food good for kidney function is bad for gout and visa versa. Thank you. | Hello and welcome to HCM.As an Urologist, i would like to know, how much has your kidney function reduced. I will give you expert opinion regarding diet, based on that.Gout dietary advice is given, depending on blood uric acid level.In general, avoid or reduce, red meats.If you've also done, 24 hours urine uric acid, depending on the level, dietary advice can be given. You can send your scan and blood reports here, in my name, for expert opinion. | |
Are hyper bowel sounds normal after gallbladder removal?
Had gallbladder removed 5 weeks ago. I have one or two BM's per day. The color of the stool looks ok; however, when I wipe there is a yellowish brown color on the toilet paper. I have also been taking Cipro and find that I have hyperbowel sounds. Is this all 'normal' after gallbladder removal? | hi.noted history of hyperactive bowels post cholecystectomy. your antibiotic might be causing the stomach upset. it is best if you do a follow-up consult with your surgeon, for clinical evaluation. also, if the symptom is persistent, a shift of abtibiotics may be recommended.hope this helps.good day.~dr.kaye | |
Burning sensation in stomach, upper abdomen. Taking antibiotics. Endoscopy done. Can it lead to cancer?
sir , o am facing pain in middle portion of stomach with burning sensation , in upeer abdomen , i am in medication for long time , more than a year , have done endoscopy also , report was fine , i am fearing that as bcz the pain and burning sensation in my stomach is still thr , can it lead to cancer , what is your advice , i have done endoscopy before an year ago | Hi thanks for youir qiestion. Your are having pain abdomen and burning sensation.These are symptoms of acid peptic disease(APD).You had endoscpy one year back.What was your H Pylori status?( it is a bacterail infection of stomach picked up during endoscpy and is respponsible for APD).Antibiotics itself can lead to gastritis ( inflammation of stomach).APD usually don't lead to cancer.I would suggest you to consult nearby physician and get your H Pylori status checked by repeat upper G i endoscopy. You may need treatment for H Pylori eradication (if presennt) and gastritis.You should avoid other causes of APD like cigrette smoking,alcohol,spicy food and drugs espicially pain killer. Hope this answers your qiestion. | |
Is cough and wheezing while breathing a normal side effect of an emergency intubation procedure?
I had an emergency intubation done on me 1 month plus ago and I still can hardly speak and my throat feels closed up and swollen and I can hardly get any air. It hurts...I cough and I wheeze when I breath...is this part of the normal healing process and what can I do? I take benedryl and use cough drops and cloroseptic numbing spray and steam my throat and try not to talk...any thing else I can do? What treatment would a Dr. do it I was to go to them? | Hi, Any intubation procedure effects ware off after 48-72 hours of the same. At the period of 1 month, possible bronchitis, pneumonia or other issues have to be sorted out with X-ray chest from your consultant. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel | |
Q. I am unable to maintain erection even after GAINSWave treatment. Why?
Hello doctor, I have had ED for several years now. I am able to get an erection but I am unable to maintain it. I have been going to a men's clinic for seven months now and they have done the GAINSWave treatment and implanted a testosterone pellet last week. After all this, there has been no improvement. I have been using the ICI injections and that maintains the erection. Sildenafil is effective sometimes, but not consistently. I have also improved my diet and exercise. I also have delayed ejaculation during this, but in the last 10 days, I am unable to ejaculate at all either through sexual intercourse or masturbation. I have been on SSRIs (selective serotonin reuptake inhibitors) in the past but stopped taking them six days ago. At this point, I am at a loss and would like to get another opinion and some direction. | Hello. Your lipid values and blood sugar values are absolutely normal (attachment removed to protect patient identity). I would like to say a few points here. Lisinopril HCTZ (Hydrochlorothiazide) is a combo of two drugs in which HCTZ has erectile dysfunction as one of its side effects. Hydrochlorothiazide need to be replaced with a different drug or removed. You are on three antihypertensives Lisinopril, HCTZ, and Amlodipine. Is your hypertension that severe? Testosterone implant may improve your libido but may not benefit ED (erectile dysfunction) always unless there is a gross hormonal dysfunction. SSRI group of medicines are prescribed to delay ejaculation. I do not know why were you prescribed one. That is the culprit which has stopped your ejaculation totally. Better to discontinue it. Instead of Sildenafil for erection, you can try tablet Tadalafil 10 mg (Cialis) after consulting your andrologist. The erectile effects of Sildenafil are short lasting whereas Tadalafil has prolonged effects and one pill on Friday will make you have a wholesome weekend. It may even stop the need to have intracavernosal injections. One investigation which I would suggest you is a penile doppler which gives an idea of blood flow to the penis. GAINSWave is an addon to cure you fast. Penile doppler study. ED. | |
Taking Depo Provera, constant and light bleeding. Cause?
Hi, I started taking the Depo Provera birth control injection in November of 2011. The first month went fine but since December of 2011 I ve had constant light bleeding . I took my last shot in June of 2012 which was supposed to wear off by the beggining of September 2012. However the bleeding has continued. i ve only had a few days (15 at the most) where no bleeding has occured. What could be causing this? | Hi thanks for your question. It takes about 3 month for your body to adjust to Depo provera.Your body needs to get used to hormone progestrone which is content of Depo provera,similair to other hormonal birth control pill.As your body is adjusting to Depo provera .It is likely that you will experience spotting (irregularbleeding) or prolonged heavy bleeding like periods .This is considered normal However if bleeding is very heavy consult your gynaecologist. Hope this answers your question. | |
Can taking Tramadol and Oxycontin for MVA cause nausea?
I was prescribed Tramadol for pain related to an MVA over 5 years ago. I only take it PRN and occasionally will take an Oxycontin, but only with significant pain. I have noticed since I started using these I will have bouts of nausea even when I am not taking the drugs. Since I use these perhaps once/week or less, can the nausea still be related to the drugs? Thank you for your help! | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Tramadol and oxycontin are both opioids and nausea and vomiting is one of the common side effects of both drugs. Tablet domperione 10 mg needed to be taken half an hour before taking tramadol to prevent nausea and vomiting.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jayesh Vaza | |
How can kidney stones in the right renal pelvis be removed?
I am a 57 year old female. Protein and blood were detected in my urine. I have scarring in my longs, I use 2.5 LPM oxygen. I had a CT scan which indicated that I have a 13 mm kidney stone in my right renal pelvis. What procedure will be used to remove it. Also is a 13 mm stone considered big? Thank you, LGC | HelloThanks for query .You have been detected to have stone of a size of 13 mm in pelvis of your Rt kidney .Since the stone is bigger one you can not expect it to pass out spontaneously .There are two options for treating this stone 1) Extra corporeal Shock Wave lithotripsy (E.S.W.L).This is a non invasive modality where stone is fragmented in small pieces by external source of energy so that these small fragments can easily pass out through urine ..This is a non invasive technique and does not require anesthesia nor hospitalization However you may need to do it 2-3 times at a weeks interval till the entire stone is fragmented completely .2) The second alternative is to take out the stone out by a key hole surgery called Per Cutaneous Nephro Lithotomy (P.C.N.L.).This requires hospitalization and anesthesia the only advantage of this technique is that it is carried out in one sitting and one can resume work within 4-5 days.Dr.Patil. | |
What causes chest pains that radiate to back between my shoulder blades?
I m having chest pains that radiate to back between my shoulder blades. B/P 108/72 pulse 65. I have an enlarged heart that pumps at 52%. I take cardizium xr 300 I. The mornings and took my linsinipril 40 about 3.5 hrs ago. Chest pains have been all day. Pain at 7-8 all day. | Hello According to your concern you should do a chest X Ray for evaluating your lungs. Regards Dr.Jolanda | |
What is the permanent cure for fungal type infection in groin area other than Quadriderm ?
im having some fungal type infection in my groin area for the last 2 months.. initiallly i tried Quadriderm cream... It worked... But it has again reoccured and the condition has worsened... It has now spread to my belly region .... i have tried various combinations of clotrimazole, beclamethasone and neomycin but to no avail.. now the area appears slightly swollen with a typical ring pattern.... Im a Veterinarian.... So i tried these combiantion of drugs.... Im nt getting cured.... Plz advise. | Hi,Welcome to HCM.I understand your concern regarding recurrence of ringworm infection.The most common causes of recurring fungal infection include inadequate treatment, not maintaining personal hygiene and increased sweating in those areas which predispose to repeated infection.I am also suspecting antifungal resistance in your case which could be the reason for recurrence.I suggest you undergo a fungal culture and sensitivity for a skin sample from the groin area and get a prescription for an appropriate antifungal based on the test results. This treatment has to be continued till 6 weeks at least to avoid recurrence.Keep those areas clean and dry and maintenance of personal hygiene is a must.Avoid tight underwear and clothes to decrease the sweating in those regions.Thanks. | |
Suggest treatment for itchy eyes and scratchy throat
experiencing itchy eyes, swelling of left side of face and around mouth and intermittent scratchy throat. Swelling and itchy eyes has occured in the past 48 hrs. What action should i take if any? Ive been on Palperidone for 0ne month. 1.5 milligrams at bedtime | HI, thanks for using healthcare magicYou may want to try the use of an oral antihistamine. This would help to relieve any allergic symptoms that you are experiencing.Antihistamines are over the counter medications.Allergies can occur to foods/medication/environmental allergens.If it recurs may need to determine exact source of allergens.I hope this helps | |
History of post PTCA. Ultrasound shows prostatomegaly. Loss of sexual desire, burning sensation while urinating
i am aged 59 years old retired. i have a history of post ptca. recently i was feeling buring sensation while voiding urine and also had to uninate freequently and urgently. i went to doctor. urine culture test was conducted. the result is e.coli species grown in culture. he prescribed some medicines. after medication condition was almost normal. it was 10 days back. after that i was asked for psa test. psa is 6.3 . after that i was asked for untrasound scan of kub test. the result of the test is grade - ii prostatomegaly. size of the prostate size : 4X3.7X4.4cm volume = 35cc urinary bladder is normal. no evidence of calculi. both kidneys are normal in size. the doctor advised me to approach urologist problems at present since one year suddenly i lost 90 % sexual desire. still if am feeling light burning sensation while voiding the urine. please help me | Hello Thanks for your query.You had burning micturition with increase in frequency and urgency.As per culture report your Dr has prescribed antibiotics and your symptoms have reduced to normal.Are you taking any medicine now for enlarged prostate.These drugs have side effect of decreasing libido.The loss in sexual desire could be related to the age Pl consult some Urologist.who will be able to assess you clinically and prescribe medication.. | |
What causes pain and swelling in legs after fever?
Hi Doctor, My wife (age:32) had a severe fever for 3 days and after fever her body started aching and swelling. Now its one month she is having leg pain (in palm) and swelling. Two weeks before she was recovering ( i mean the pain and swelling was less) but now again her legs started paining with swelling. | Hello,I have studied your case and I can understand her situation. Post viral fever body can developed myalgia and arthralgia. I would suggest you to start her on following medications.1.Tablet HCQ 2.Tablet Etoricoxib3.Hot water fomentation I hope these steps will be helpful for her. You need to discuss with your doctor before taking these medications.thanks | |
How to treat hair fall which has left a spot on scalp?
Hi, may I answer your health queries right now ? Please type your query here...Hi Dr.My girl friend has a hair fall suddenly of a one rupee coin size, she noticed it 2 weeks back, I got to know only today. Can you please let me know what exactly it is and how to cure this. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to your complaints it seems to be alopecia areata. I would recommend you apply topic steroid like Mometasone lotion on the affected areas twice daily. Hope I have answered your query. Let me know if I can assist you further. | |
Q. My wife repeatedly gets a swelling in her underarm. What is it?
Hello doctor, My wife develops swelling in her underarm from the last 2 to 3 years. This swelling is painful, and she is not able to lift her hand. After a week, this swelling discharges a bad smelling puss and blood. This happens every 2 to 3 months. Two years back, we consulted a surgeon, who incised the swelling and gave it for histopathological testing. The reports confirmed it to be fat related to the lymph nodes. From last year, this is recurring but with less pain than earlier. Can you advice whom to consult now? Thanks. | Hi. Revert with more information to an internal medicine physician online --> | |
Suggest treatment for back pain due to curved spine
I have a problem with my back which I have had for years. I was told that I had a slightly curved spine. In the last months it has got worse. I have been getting a lot of pain. Like when sitting down and then I get up and I can not stand straight. I m all bent over. | Hello there ! Curved spine or Scoliosis is a condition where your spine shows a C shaped or an S shaped curve when observed from the back . In a C shaped curve , the concave side muscles are shortened and weak , while the opposite side muscles are lengthened and weak. Some curves are reversible , others are structural and cannot be reversed. In either of the cases , the aim is to strengthen the paraspinal muscles , to help reverse the curve in the former case, or prevent worsening of the curve in the latter . If left untreated , it could cause symptoms similar to yours , due to undue pressure on the joints above and below the curve , including the pelvis , knees , and higher up in the shoulders , neck etc ! There are very specific exercises for scoliosis , which you physio will be able to guide you with . you will need a full fledged back rehabilitation program . In addition , your physio will also be able to tell you if you may need any kind of footwear modification . Also , check your posture often . People generally tend to sit in a position which aggravates the curve , as that itself is the most comfortable position for them! check with your physio about workstation ergonomics . Taping , pain relief modalities , and intense exercises will help you in this condition. Do seek a physio opinion . Tc. | |
Suggest remedy for possible jock itch on both sides of groin
I have a rash that has developed in my groin on both sides. It did itch in the beginning but for the past few days I've been spraying Lotrimin AF on it and that burns a bit. I also shave the area probably twice a week. I've been in the gym excessively for the past month so I believe it is jock itch. Can you advise me on this? | Hi.Welcome to HEALTHCARE MAGIC.I have gone through your query and can understand your concerns..As per your complain rashes over both sides of groin that itches and red are commonly due to Jock Itch and can be commonly due to fungal infection..It can also be due to moisture accumulation at the site of groin folds leading to bacterial proliferation..I would suggest you to wash the area 2 to 3 times a day with a mild soap and water..Keep the area dry and clean..Wear loose fitting and cotton undergarments..You can apply a combination of Clotrimazole ointment like Lotrimin along with anti biotic ointment and steroid ointment..Limit the workout to prevent rashes due to friction and rubbing..You can also apply Zinc oxide ointment over the area..In case of no improvement in a week consult a Dermatlogist and get evaluated and he can advise you oral antifungals or antibiotics depending on the cause of rashes along with topical treatment..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
Suggest treatment for severe anger disorder and anxiety disorder
Hi, I want to ask question about my friend.She looses her temper so soon. Always in a aggressive mood, compliant to her husband that some of her friends on vacation she also want to go , if her husband say no then huge fight shouting abusive agrument. Please help | DearWe understand your concernsI went through your details. Anger and aggression are emotions. Anger comes when you become irritated. Irritation happens when you don't like something, or when something is repeated. When in emotional high, it is quite natural the person looses the control and starts shouting and use abusive language. this is a common aspect.This explanation does not mean, there is no problem at all. As you mentioned, anxiety disorder, depression, ADD and explosive disorder could also trigger this type of aggression and outraged behavior. Surely your friend need to consult a psychologist / psychiatrist for assessment. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | |
What causes swelling of the calf?
hi ,my dad was working in the barn ...hes 80 yrs old...using the bobcat[tractor}this machine you use mostly foot controls....anyway the next day[today] his calf is swoolen and it hurts to touch his foot....my brother drove him to hospital 2 hrs ago...should i be really worried? | Hello, The pain in the calf can be due to muscle spasm or cramps caused by overwork or stretching. This usually improves with rest and pain killers. Nothing to worry. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon | |
Is there any side effect after consuming expired medicine?
My 7 year-old son had a fever 4 days ago, I gave him an ibufropen 3 times before discovering that the medicine has already expired. Today, he has fever again. I am worried that it might be the effect of the expired medicine. What is the effect of taking in expired medicine. Do I need to take my son to the hospital? | HiExpired medicines lose their potency and will not be efficacious when used. Otherwise, they do not cause any side effects. Certain preservatives used may cause any allergic reactions or vomiting. In case of such symptoms, the child requires medical examination. You should also use new ibuprofen since fever may not be reduced with an expired drug.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician | |
What causes pain in forearms and lump in arm?
I am going to the VA on 1/12/12 so I was just trying to find a free answer to my hurting forarm, after about three days I felt my arm and found a lump about as big as a marble and soft. It hurts when i push on it. My mother died from bone cancer that started in right arm. | Hello,Your symptoms are not suggestive of cancer, because it does not hurt. The fact that it hurts, is indicative of local inflammation or infection. For this reason, I recommend consulting with your attending physician for a physical exam and some tests (complete blood count, PCR, ESR and an X ray study).Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
Suggest treatment for chronic coccyx pain along with neuropathy in both legs
I am a 68 year old male, not diabetic and no other underlying conditions except controlled high blood pressure and depression. For the past 4 years I have had chronic coccyx pain accompanied by neuropathy in both legs and pubic groin pain, and pain when I urinate. The pain is very severe at times I have had a multitude of tests after seeing all the major experts (neurology, gastroenterology, orthopedic surgeon, urology, rheumatology, pain management, etc.). All the major blood tests, 2 MRIs, CT Scan, colonoscopy, sigmoidoscopy, nerve conduction, physical therapy and steroid injections have not resulted in a diagnosis. The only finding is a slight nerve conduction deficit in my right thigh. So no definitive diagnosis. I now take Cymbalta, Narcos & Lorazapam. I took Gabapentin and Lyrica which did not help and the Narco s are starting to not help much. The Cymbalta, however, has improved my depression. I have been offered surgery to remove my coccyx but am told that results are 50\50 and there is a very long recovery period and high risk of infection. I cannot relate this condition to a specific event but I have had a multitude of falls while doing sports such as skiing, biking, etc. and other types of falls during my lifetime. Any suggestions? Thanks. | Hi there, thanks for your question. Coccyx pain is one of the few conditions in medicine, where treatment can be frustrating to both the patient and doctor. One of the most important things needed is patience with the condition. You should try using a coocyx cushion which is a inflatable balloon kind of thing. Use this cushion in all situations , whenever u have to sit. while sleeping it is better to sleep on sides , rather on your back. Since you have tried all options anasthetic injections or surgery done by an expert might help. I would suggest you to meet a well trianied spine surgeon and consider injections or surgery after his or her consultation. Since its an area of sensitive skin , definitely there is chance of infection and akin breakdown. so your intensity of pain and doctors assessment will give best chance..All the best. regards. | |
Suggest remedy for breathing problem and back and stomach pains
Everytime I try to fall asleep I wake up periodically noticing that my breathing is getting shallower and shallower, I'm too scared to go to bed and never wake up. If it help I am only 14 years old and have been experiencing back and stomach pains all day. | Do You have not told me your weight if you are overweight it can cause sleep apnea but at present it looks like it is part of your anxiety your complaints about the stomach pains doesn't seem to be due to any medical problem you are still young for any medical problems but if you already get checked for any storms otherwise that got some biofeedback and do that exercise thank you okay Laura | |
Have pain in the abdominal area. Feeling a lot hungry, weak, hard to breathe. Suggestions?
I have a sharp stabbing pain right above my belly button but below my chest bone. It feels like I'm extremely hungry but I have eaten food to satisfy that, and it wont go away! I feel very weak. The pains come in waves, and when they happen I find it almost hard to breath. The pain also radiates to my upper back. I have no idea what this could be. | It is likely that you have a stomach ulcer or maybe just an erosion. See your doctor.What to expect: Your doctor will first do an EKG to rule out a heart problems as it can rarely present as abdominal pain. If you are over 50 years of age, your doctor will suggest an endoscopy ie putting a tube down your throat and taking pictures of your stomach. He will then treat you accordingly. If you are less than 50, your doctor will start you on an anti acid drug like Nexium. and follow you up for the next 2 weeks. He will also recommend dietary changes and habits that you may have that could exacerbate your problem. | |
Getting hives after having cold and cough. Is it possible to be allergic to cold and cough medication?
Is it possible to be allergic to cold and cough medication? I get hives every time I suffer from a cold and cough. Can it be that my resistance is low and the hives come out then. I also get hives when I am feeling some stress but they are easily managed on these occasions. The hives are usually only on my inner arms and wrists during these occurence. During a cold I have hives on my abdomen, inner arms, waist , upper legs, on my hand and cheek . Hand and cheek are new | YES THE ALLERGUES CAN BE DUE TO COLD AND COUGH MEDICINESTHE PARACETOMAL BRUFEN CALCIUM IRON VITAMINS MULTIVITAMINS AND DIET SUPPLIMEWNTS SOME ANTIBIOTICS LIKE SULPHA OR MICROLYTES CAN INCREASE THISIN COUGH AND COLD USE PURE ANTIALLERGFICS LIKE FEXOFENADINE EBASTINE MONTELUCAST AND BRONCHODILATOR SYP IF YOU WANT CAN GO FOR ALLERGY TESTS AND TREATMENT FOR CURE | |
Suggest treatment for nervous weakness due to dengue hemorrhagic fever
hello sir,recently my mother got dengue hemorrhagic fever,so the dengue virus infected my mother's braindue to that my mother got nerve weakness, so how many days it takes to recover from this kind of nerve weaknessand doctor told if any she got fits in between the treatment the treatment must begin for scratchso can you kindly answer for this | HIThank for asking to HCMI really appreciate your concern for your mother you have not exactly described the neurological symptoms that your mother have, if you have not done the CT scan then in my opinion you need to get it done, this would give the exact picture or damage done by the Dengue fever but this would come around soon this may not be permanent damage, hope this information helps you, have a nice day. | |
What causes difficulty walking while on Eption and Levipil for seizures?
my father is 80 years old and is suffering from seizure disorder. he is taking eption pill and levipil both. these days he is not able to walk and stumble down frequently leading to severe ortho problems. are these two medicines affecting his health adversely. | He could be having coordination problems. He needs to be evaluated for Parkinsonism, Cervical spondylosis. Consult a Neurologist. | |
Does Ivermectin need to be taken to control Strongyloides?
Dear Doctor, I'm a female, age 66, 140 lbs weight and from Jamaica. I was diagnosed with strongyloides 22 years ago after 6 weeks of continuous diarrohea. For the last 3+ years I discovered Ivermectin thru' the internet and obtained same and have taken the tablets, 2 each 3mg every month. I've been doing very well until recently I had gastrointeritis and in a stool sample, was discovered an unidentified worms looking like a pinworm that appeared to have two tails. I've not taken any Ivermectin since April am and currently out of stock. I was given Amoebriz. I have been experiencing stomach pains since yesterday, taken Baralgin and Zantac - it helps. Stool sample tested recently [27\09] did not show any parasite. Question: do I need to continue taking Ivermectin every month to control the regermination of the Strongyloides? Your answer[s] will be greatly appreciated, with thanks. AllieMc | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.First of all you should diagnose the parasite.Haphazard and blind taking of ivermectin won't give you good response. So in my advice you should first diagnose as what is the parasite that has makes you ill and accordingly we can take the treatment.Different parasite requires different mode of therapy. Strongyloides usually infects immunocomprmise patient. So if you are not of that category person you are probably not infected with the strongyloides and the coming out parasite is something different.As you have taken this much of antiparasitic drugs in my advice you should take the further drugs under clinical and laboratory diagnosis.Please adopt good hygienic practice. Good hand washing, do not walking on bare foot, eating hygienic only foods etc. This will be the supportive measures that can be helpful.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
What causes shaky hands with diabetes and depression?
hi sir my father is a diabetes and chronic depression patient for last 8 yrs. he is on regular medicines. from last 2 months his hands are shaking without reason. the doctor is telling its not due to any of the depression medicines and told to see a neurologist. can u plz suggest me wt to do? | Hi, First of all, diabetes causes our body to loss important vitamins such as: vitamin B complex, besides uncontrolled blood sugar can cause a direct nerve damage, resulting in tremors and loss of balance. So, he should regulate blood sugar and take some vitamin: Vitamin B complex twice per day after meals and one ampule vitamin B 12 every week can help with his case. Some anti-depressant drug such as: Fluoxetine 20 mg can cause tremors. The routine check of blood pressure is mandatory for him. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mustafa, Neurologist | |
Any natural food or fruit to control indirect bilirubin level?
dear sir,i hope you are fine.i am Rashid 25 Years old.my bilirubin level is.TOTAL BILIRUBIN 1.93 mg/dLDIRECT BILIRUBIN 0.57 mg/dLINDIRECT BILIRUBIN 1.36 mg/dLplease guide to me natural food or fruit for control indirect bili level.i am waiting your good response.Thanks | Hello,Your bilirubin level is elevated. Kindly let me inform your diagnosis so that further comment can be given. The following an investigation can be planned--USG abdomen scan -Serum HBsAg ELISA testing -Serum HCV antibody testing -Serum HAV Elisa ab-testing -Peripheral smear examination -Serum LDH -According to reports and cause further specific treatment given. For jaundice take sugar cane juice, Apple juice, Indian gooseberry etcetera helpful in jaundice. -Take semisolid diet more -Avoid high fatty foods -Junk foods avoided -Consult gastroenterologist for examination and get prescription.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami | |
What causes inflammation on birthmark?
Hello, my son, who is now 3, has a birthmark on his back that his first pediatrician consistently asked if it ever became inflammed. He was under 1 when we moved, and at that point, it never had. Since then, on several occasions, usually when it has been very hot (we moved to a desert) it has become inflammed and white in the middle, a lot like a bug bite or pimple. None of his other doctors have showed any concern of this, but his first always wanted to know if it ever had done this. What could be the cause? | Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
Q. On taking medications, my postnasal drip has become thick. Why?
Hello doctor, I am having postnasal drip for the past one month and had tablet Azee and Montair LC and took steam inhalation, but I think it got aggravated and the drip got thick because of it. I then consulted an ENT and he gave Nasomac AF spray, tablet Alaspan AM and Raciper 40. No improvement since seven days and then he gave Acetylcysteine 600 mg. The mucus comes out by coughing and I have to constantly clear my throat. I looked at the back of the throat and I could see white mucus dripping. I am 34 years old. | Hello. I understand that you are having constant post nasal drip. Is there any other symptom that is bothering you? Is there any lump sensation in the throat? Any nose block or runny nasal discharge? Any facial fullness? Did you ever have this problem before this month? The treatment given by your ENT appears to be correct and complete considering the symptoms you have told me. But are you using the spray in the right way? Antihistaminic, mucolyte and spray together should decrease the postnasal drip unless there is some pathology inside the sinuses that is producing constant mucus. Please tell us more details of your problem. Continue the same medicines for now. Take a picture of the back of the throat with open mouth showing the details of the mucus drip and send it to us. Please let us know if you are using the spray in the right way. If you are doing everything properly and this is the only symptom you are facing, then probably we need to check the insides of the nose using nasal endoscopy and a CT scan of sinuses. Next, is there any allergy that you suffer from? Do you smoke? Is your workplace ridden with dust smoke or pollution? | |
What could cause blood associated sperm?
very first time i experience this,blood in sperm. Is it anything serious.i use to masturbate weekly twice when i do i use to tight my penis with my hand often not to ejaculate & to extend the orgsm.i am 34 male & not yet married,planning to marry soon.i am scared of this now.pls reply | Hi, It can be due to: 1. Infection2. Renal calculi 3. Injury4. Obstruction / BPHHope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | |
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 --> | |
Is there any home remedy to cure burn marks caused by applying garlic on pimples ?
i used raw garlic on my face to get rid of pimples which has left burns on my face leading to marks ....please suggest a home remedy to cure these marks i have burns due to applying raw garlic for the pimples on my face ... which have left marks on my face ...please suggest some home remedy for curing these marks and getting my original white skin back | hi u need to consult dermatologist by using home remedy ,u have already spoil ur face there is myth that home remedy is safe and effective pimple is due to infection and hormone ,so no home product is effective ,so dont try it again. for scar and spot u need to apply some cream . avoid sun exposure . dont rub over it just sponge over it | |
What causes lower back pain after trauma?
Hi i was recently a passenger on a motorbike and it accidentaly hit a pot hole on the road where the impact made me jump on the seat and on landing i felt immense pain from my lower back going up to ma head. since then my lower back has been extremely painful such that i cannot sit on a hard surface. what could be the problem? | Hi, I had gone through your question and understand your concerns. In my opinion you need imaging stydy of your lower back in order to rule out important damages to your spine. I suggest you to consult your primary care doctor and to discus the possibility of the imaging study of your column. First thing to do is plain radiographs of lumbar column and tail bone to check for bone damage. If there are any doubts for bone damages or if your back pain travels down the leg (s), then you need more accurate evaluation and imaging with MRI. If there are no damages in imaging studies, or your back pain is located only in your back, there is possible damage of soft tissues (whiplash). In this case rest and pain medications should relive your pain. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. | |
What is the risk of pregnancy after missing a contraceptive pill?
Hi, I am on birth control pill (Meliane 0.02 mg Ethinyl. 0.075 mg gestodene) I just lost the last pill of the pack. Yesterday should be the last day I took from the pack then enter 7 day break. What is the risk of pregnancy? Should I have extra contraception method while continue the 7day break ? Thank you. | HI You have just missed last 1 pill that do not cause any pregnancy, you do not need any other contraception can wait till you get your period | |
Suggest treatment for severe cramps, headache and abdominal pain
I have been TTC and I had my period on the. 19th of April. And before my period. I experienced severe cramp, haedache. Abdominal pain onth first day of my period. I experienced spotting which was unusual. But d second and third I had normal period on th fourth I had brown discharge after the period the symptom before my period resurfaced and now. I feel like there is something in my tummy. I ve backache I did a pt but was negative d movement I feel in my tummy at times I feel in my. Belle botton area I feel pain. In my pelvic region the pain in my belle btton I feel when I sit. Or lie down pls what s going on | Hi did review your concern.Your problem can be due to either premenstrual syndrome, dysmenorhhea with migraine or it could be some pathology with ovary. best initial test would be to do a abdominal ultrasound and rule out any ovary problem and your suspicion that there is anything in your tummy.I hope this helpswish you all the best. | |
Q. There is low TLC after delivery. Why?
Hi doctor, The patient is my wife. | Hi. Kindly find answers of your questions as below. Your total leukocyte count and platelet were low initially. But gradually it has been improved so suggest recovery of any unnoticed infection. Moreover, the peripheral smear examination report was normal (attachment removed to protect patient identity) and not showing any abnormal cells that warrant further investigation. You have to still repeat CBC after few days. The TSH is high, so hypothyroidism should be ruled out. For that repeat TSH estimation after few days and investigate with T3, T4 estimation as well. If there is any abnormality, then gradually all counts go down or high and peripheral smear shows abnormal cells if blood cancer is present. It is difficult to say one reason for low WBC. But the infection can be possible. If no cause is evident then ANA estimation can be done to do work up for autoimmune disease. If your CBC values do not fall within the range in the next few days then hematologist can be consulted for a detailed evaluation. If hypothyroidism is confirmed then Levothyroxine should be started. | |
What can cause difficulty in swallowing and dry mouth after taking Hydrocodone and Acetaminophen?
I just had dental work done and I have taken 1 Hydrocodone 5MG-Acetaminophen 325 MG tablet for pain. This was previously prescribed to me from a previous dentist for pain. Currently I have been having to swallow a lot and my mouth is dry and cannot swallow. I have to take a sip of water to be able to swallow. | Hi, It looks like the dry mouth is the cause of difficulty in swallowing and can be due to the medicine that you are taking. There can be some other causes like severe dehydration, side effects of medications if you take any, salivary gland dysfunction, nerve damage supplying salivary glands, oral infections like thrush, Sjogren's Syndrome, etc. -For dry mouth chew sugar-free chewing gums. -Drink plenty of water. -Avoid regular mouthwash and use a specialized mouthwash that is formulated for dry mouth patients like Biotene. -You can also instill artificial saliva drops. -Suck tart candies as it also stimulates saliva flow. If it does not improve consult an Oral Physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora, Dentist | |
What is the remedy for the rashes and bumps all over the body due to cod fish?
Hi had codfish fridders for diner had not eaten this in over ten years two hrs later got a rash on my foot and shoulder. At 2 am got bumps and lather all over itchy redness like hives. Been taken benidril every 5 hrs get a little reilf what else can I do seems more pronounced now | Hello,Welcome to HCM,The symptoms suggest me that you are having a food allergy.For your symptoms I would suggest you to take1.Cold pack over the bumps2. Oral antihistamines. 3. Oral steroids If the symptoms are getting worse you may need injectables like avil and hydrocortisone, to get these injections you need to consult your doctor and you requires hospital admission. Thank you | |
Diarrhea, blood cells. Having reversal of ileostomy. Had cancer of a polyp in rectum. Suggest?
I am 9 days post op having had reversal of my ileostomy. I had a cancer of a polyp next to the top of the rectum . A small piece of the top of the rectum was removed with about 6 inches of colon due to the fact it had benign polyps and the surgeon did not want to leave this piece of colon. I am well in myself but experience very loose motions about 2/3 times a day plus blood +++. I am really frightened that the scaring is breaking down in the rectal area with the bowel movements. I sometimes wish I had not had this reversal op as I have no councellor or advice on what to do. I am 67 yrs. | Hi, The information supplied by you is not adequate, for better understanding of the condition details of the polyp its location and colonoscopic finding to be mentioned, also the surgery detail is necessary. Anyway blood per stool may be due to simple bacillary desentry, surgical complication is unlikely. Consult your surgeon. | |
Do tiredness, weakness and breathing difficulty indicate anemia?
Hi, I have anemia (ever since I was born) and so far from what I have researched online regarding about the symptoms, such as tiredness, weakness, hard time breathing, etc. What caught my attention is that those with anemia can have some difficulty in thinking clearly. I ve always thought that I just get brain fogs, even though I have a hard time trying to express/say what I want, but end up saying things that does not make any sense. I forget things easily within a snap. How is this? What can I do to improve my concentration and anemia at the same time? | Thanks for asking on Healthcaremagic. First of all it is important to document what type of anemia you have. It could be microcytic, normocytic or macrocytic depending upon the underlying cause. Then we have to find out the cause of anemia. Is it because of a deficient intake or iron, b12 or folic acid. Is it because of malabsorption or simply increased blood loss. Once the cause becomes clear it is easy to treat it by countering the underlying cause. Hope it helps. | |
Was given vicroprofen for shoulder pain and inflammation. This helped with anxiety and depression. Suggest?
I was given vicroprofen for shoulder pain and inflammation on the same shoulder....i noticed that this med also helped with my anxiety and depression and i wanted to know if this med could also be taken for these conditions, i want to feel better. what are my options? i have told my doctor that meds that have been prescribed me for my anxiety and depression only make me sleepy and i cannot function well, but that the vicroprofen helps with all my conditions and i can function normally on a daily basis when i take it as prescribed. i have missed work and time with my family when my depression and body aches, could this pill be enough for me? | If vicroprofen has improved depression and anxiety, most likely you had secondary depression.In cases of secondary depression, if depression improves with optimum treatment of primary medical condition, then there is no indication for taking antidepressantsMedical evidence wise, Vicroprofen is not an antidepressant and is not used in primary depression / anxietyIn your case, I do not see any reason to continue it for long time, as an antidepressantGood luck | |
How to lower SGPT level?
urgent please. i want to lower the SGPT level.i did blood tests for an embassy because i want to travel for work, the maximum level of SGPT that the embassy approves is 65. at first i had my SGPT level 71, i dieted so to lower my SGPT for a short time, the SGPT level went up to 79. i dieted even more for a longer time, the level got up even more to 82 . i need to lower my SGPT level to a maximum of 65 to get my visa accepted in the embassy, is there any medications that can work on my liver enzyme SGPT to a maximum of 65?? please urgent | hi, It is important to understand that elevated liver enzymes is a consequence of some underlying level liver disease like fatty liver or alcoholic liver disease.liver enzymes may drop down with some drugs like Ursodeoxycholic acid. you can try that drug and it is safe. Wait and see the response . All the best | |
Can my ten year old with rheumatoid arthritis take imodium for diarrhea?
Can my ten year old with rheumatoid arthritis take imodium to help her with diarrhea. I can t get a hold of her doctor at the moment. She takes indomethacin 50mg 3 times a day and methotrexate 1x a week. she also takes an anti-acid. She weighs 120 pounds and is 5 feet tall. | Hi, I'am Dr Suresh K Yadav MD (paediatrics), I had gone through your question and understand your concerns,Imodium which contains loperamide is not recommended to be used for diarrhoea in children less than twelve years of age unless prescribed by a doctor. I do not think it going to cause any interaction with indomethacin and methotrexate . More important is use of oral rehydration solution to take care of hydration .Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questionsTake care. | |
What causes skin rashes in a child?
My son was screaming all night and I didn t know why until I took his shirt and diaper off. He has a rash all over him that looks like a sunburn. I used some Burts Bees baby lotion on him last night that I haven t used on him in months. Could that be it? I don t usually put lotion on him. | Hi, Skin conditions are best diagnosed only after seeing directly. I suggest you upload photographs of the same on this website so that I can guide you scientifically. Please revert back to me with images so that I can guide you better. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | |
What treatment is suggested for fluttering sensation in the lower left abdomen?
hello I am a 63 year old male,aside from bad knees I am in pretty good health,still working. I am having a fluttering sensation in my lower left abdomen near the crease in my leg about even with my pelvic bone feels like a cell phone vibrating about every half second. any advice would be appreciated | HI.The fluttering sensation like the mobile vibrating every half second can be a damgerous problem. Consult a Surgeon to get a clinical diagnosis, auscultation for any problem with the iliac or femoral artery like constriction, narrowing or so. You have to undergo an urgent ultrasonography and color doppler and get admitted for further care treatment. | |
What is the thick lump filled with pus swells again after it is popped?
large pimple on backside like a pea at first thought it was a lump that had to be cut off, after a few months of observing it and not seeking a doctors advice , I pressed it and a thick paste white thick paste come out and the pea size pimple becomes smaller or empty after sometimes it swells back again fill with this thick puss . what is it? | HI. This is a classical example of a sebaceous cyst. If this comes again, please consult a Surgeon and get it operated . | |
Can I have full dentures at age of 22?
i am 22 years old and all 28 of my teeth are bad unrepairable for my funds i want to get full dentures and i have the money but every one keeps telling me i shouldnt cause im so young i jjust wanna be able to smile at my husband and two small kids again what do u think | thanks for your query, you can go for complete denture after removing all the teeth if they are in a state where you can not save them..if the teeth can be saved by root canal treatment for some teeth you can save them and retain the permanent teeth, because whatever teeth we replace will not give strength of natural teeth... i hope my answer will help you... | |
What does painful lump on testicle with stomach pain indicate?
I found a small lump on the top of my right testicle. The pain is pretty sharp and intense at times and other times it is almost non existent. It is almost like my right testicle gets in the way when I do simple things like sleep. Now I am experiencing a stomach ache. Possibilities? | Hi,Looking to the history it seems that there might be having developing direct inguinal hernia.When hernia protrudes you got pain or feeling of testicle coming in the way.But when it subsides you feel better.Consult surgeon and get examined.Avoid constipation and cough reflex.Ok and take care. | |
Q. My Klebsiella count is high. Is it of concern?
Hello doctor, I am feeling a discomfort sensation in the urine bladder (I feel like passing urine every time) since the last one and a half months. USG and urine route are all normal but culture seems positive. Please let me know whether blood culture report is also normal. No fever and no issue in passing urine. Currently, taking Alfoo and Bladmir 25 mg but discomfort is not gone. I am not on any antibiotics. Reports are attached. Can you tell me wether urine culture report is normal? The count is over 1,00,000 for Klebsiella pneumoniae. The urologist told it is normal. | Hello. I have checked the attached files thoroughly (attachment removed to protect patient identity). In my opinion, we should clear the Klebsiella infection first and then watch for improvement. First, I would like to know if you have increased frequency. In order to clear the infection, I suggest Bactrim (Co-trimoxazole) 200 mg tablet every 12 hours for five days. Culture will be repeated after one week. For more information consult a urologist online --> | |
What could it be if having chronic cough at night and metallic taste in mouth when coughing?
I had been diagnosed with bronchitis back a few months ago during the winter but I still have a chronic chough, usually at night but occurs at other times as well like when laughing, and I have a metallic taste in my mouth when I'm coughing. What could this be? | Thanks for your question on Health Care Magic. I can understand your situation and problem. Cough at night time and with emotions like laughing is mostly seen in asthmatic bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If this is suggestive of obstructive airway defect than you need inhaled bronchodilators and inhaled corticosteroid (ICS). Antihistamine and anti allergic drugs are also useful in this condition. So consult pulmonologist, first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. | |
Are sinus arrhythmia, marked left axis deviation and minor inferior repolarizations disturbance a matter of concern?
My EKG says: sinus arrhythmia, marked left axis deviation consistene with LAFB RSR in V1 and V2, low QRS voltage in precordial leads, minor inferior repolarizations disturbance, consider ischemia, LV overload or aspecific change, flat or low negative T in aVF with negative T in lll, minimal right-precordial reploarization disturbance, consider feminine pattern, flat or low negative T in V2 V3, ECG without significant abnormalities. What does all this mean? | Hi, You are probably having IHD (ischemic heart disease). A common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rakesh Rai | |
Feeling tired, sleepy and depressed. Advice?
hello,im 17 years old and i constantly feel drained.recently i found out my grandma who i am extremely close to and live with my whole life is dying with lung cancer . depression has hit me but mentally and physically im exhausted,i over sleep and wake up still without energy,previous tasks which i done now seem difficult,advice? | Hi Amber It is quite natural to be affected by the fact that your grandmother is ill and it is normal to be sad. If you have someone who is close to you, you should speak to them, sharing your feelings may help you. If the feelings of depression become overwhelming and/or you develop thoughts of self harm you should speak to someone close to you and a doctor as soon as you can. If your grandmother is able, try to spend some time with her, talk and read to her, let her know that you are there. It may be difficult to see her looking ill but if you don't get to spend this time with her , it may make you feel worse later and it will also help you with closure. Remember the times you would have spent with your grandmother when she was well and embrace these times. Unfortunately death is part of the natural part of life and happens to each and every one of us. Your grandmother had the oportunity to participate in your life and no doubt ,even when she is gone, what she has taught you will live on in you. Let your life be a reflection of her | |
Being an Asthmatic, can I slowly wean off Foracot inhaler?
i am an asthmatic. i am taking foracot 200 inhaler daily 2 times as suggested by doctors. can i slowly reduce the intake of this. as i dont want to take steriods, for it side effects. i am doiing ayurvedic medication alonside and doing pranayam aswell. can i slowly stop this foracot inhaler as my condtion improves? | hiin my opinion you can taper the doses very slowly wit following life style modificationyou can go for breathing exercises and herbal preparationyou can do allergy testing and allergy can be avoided with aggressive environmental control measures like1.Removal of carpet in the bedroom or over concrete.2.If you are sensitive to pet allergens, permanent removal of the pet is recommended. 3.Keeping the household humidity level at less than 50 percent to control dust mite and fungus growth.4. using insecticides will help control cockroach populations. 5.Patients who are sensitive to mold and outdoor air pollution should consider limiting outdoor activities when these levels are high. 6.Patients with asthma should avoid exposure to tobacco smoke.7.probiotic-supplemented yogurt resulted in reduced inflammation and reduced allergic symptoms8. antioxidants vitamins C and E, selenium, and zinc. Omega-3 fatty acids from fish, and other supplements such as the herb Petasites hybridus are also used to decrease inflammation.Hope i have answered your querythankstake care | |
Is it possible to concieve if having irregular periods?
hi doc gud eve. i was wonder i have menstration but somtimes delay 3 to 5month what shoudl i do it is posible to get pregnant even irregular period i try to have a bby but the result is negative but my monthly is delay.doc plzz explaine to me thnk u so much | Hi, I think you should go for evaluation Do some tests like thyroid profile and prolactin and an ultrasound for your follicles. These can tell you the cause of your irregular periods and then we can find a solution for your pregnancy.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya | |
Upper abdominal pain and bright blood with bowel movement, please help
My brother has had a pain in his upper abdomin for some time,right in the middle ,for maybe over a year now, of course he has been to the doctors a few times and they have prescribed various antiacids but this has done nothing. More recently, in the last 2 months he is seeing bright red blood when he goes to the loo. What tests do we need to ask for? as our doctor never does any and i'm very concerned and want him to be checked out. Many thanks | Hello.Welcome.There should be an ultrasound abdomen done along with gastroscopy.Bright red blood in stool indicates a bleeding lower down in descending colon or rectum for which colonoscopy would be ideal.Consult a Gastroenterologist for the diagnosis and treatment.Good luck. | |
Suggest treatment for anaemia and chronic renal failure
my aunt is 40 years old and is suffering from hyper tension and USG report shows small kidney and pathological report creatinine, blood urea potassium found raised and acc. to Dr. it is a case of CRF and patient is anemaic. PLz suggest the proper treatement for this disease.. | Hi and welcome to HCM. As an Urologist, i can understand your anxiety.Your aunt is suffering from CKD/ CRF with H.T. and anemia.You should've written her Hb,creatinine,urea,uric acid,and electrolytes level.She'll need to have a kidney biopsy to know cause of CRF.In the long term,she'll need to undergo a kidney transplant.Anemia is corrected by giving plasma infusions and erythropoeitin.The earlier she has a transplant,the better for her.If you've any other doubts,send her reports to me,as a direct question.Dr.Matthew J. Mangat. | |
What causes burning sensation during ejaculation?
my sperm releases with burning and some times sperm not released outside and urine also releases with burning and small amount releases slowly. i have suffered with this problem from 5 years. once my urine totally stucked, i have gone to urologiest and taken treatment after 4 months same | Hi, You have to investigate with urine and semen culture report to find causative allergen. The antibiotic than prescribed accordingly. Drink more water to maintain hydration. Avoid intake of excess spicy foods. You should consult to good urologist for detailed examination. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
What causes breathlessness with heart pressure and pain?
Sometimes it is very difficult to breathe because when i try to breathe deep it feels like something is pressing on my heart and it hurts. i feel like suffocating sometimes. i've received check ups from different doctors but they said they can't find anything out of the ordinary. Please help. | Thanks for your question on Healthcare Magic.I can understand your concern.No need to worry much for major diseases as your repeated check ups are normal.Sometimes undiagnosed stress and anxiety can also cause similar symptoms.So consult psychiatrist and get done counselling sessions.Try to identify stressor in your life and start working on its solution.You may need anxiolytic drugs too.Don't worry, you will be alright with counselling and anxiolytic medications.Avoid stress and tension, be relax and calm.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What are the symptoms of stomach flu?
I had what I believe was a bout of the stomach flu. Symptoms included cramps in lower intestine area and chills throughout the day. The cramps and chills are gone, however, my stomach is still a bit sore. I noticed that my stool had a couple of brown sections and am assuming this is from the lining of the intestine getting irritated? | Hi, i do care for your concern.Your symptoms suggest more of an parasitic infection of the small intestine, most probably giardia.I would advise to Start on drug such as tinidazole single dose along with antacid which would help you a lot.this infection do cause mucous secretion in stool, need not panic as this can be controlled by medications.maintain adequate hygiene, avoid eating from fast foods, and have purified water for drinking, as this would add to the help.If you do not have any clarifications, you can close the discussion and rate the answer. | |
Suggest cause for tingling feeling in arm with chest pain
Tingling feeling in left arm like it is asleep, but not quite. Can feel heart beat. Tensed up feeling in left side of chest, occasional small pains mostly going from shoulder towards center of chest. In previous cases, heart beat very fast and/or hard. | Thanks for your question on Health Care Magic. I can understand your concern.Left sided chest pain, radiating pain in the left arm and fast heart beats are more suggestive of heart diseases like Coronary artery disease (CAD).. So immediately consult cardiologist and get done 1. Ecg 2. 2d echo 3. Stress test (trade mill test) 4. If required Coronary Angiography. If all these are normal than no need to worry for CAD or other heart diseases. Sometimes stress and anxiety can cause similar symptoms.. So avoid stress and tension, be relax and calm. Don't worry, you will be alright, but first rule out cardiac diseases.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Suggest treatment for trigonocephaly
My daughter was diagnosed a few days ago with mild trigonocephaly. A few months ago she had to get hearing aids, has a sppech deficit, and delays in reading and comprehension. Is this from the her new diagnosis, will it get worse, and is there treatment? She just turned 7 years old. | Good afternoon..!!Trigonocepaly with multiple growth concerns definately needs correction.So it's better to visit pediatric neurosurgeon for further evaluation and management.Thank you, have a nice day..!!! | |
Is gallbladder removal necessary to prevent gallstones?
I found our earlier in the year that I have a 23 mm gallstone . The doctors weren t vey helpful as to what I needed to do about it and I am worried that it will get bigger and turn into something serious. Is it worth having my gallbladder removed to prevent this ? | Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.Gallstones most often remain asymptomatic and do not require any treatment.Only gallstones cause symptoms require treatment and the definitive treatment is removal of gallbladder. The symptoms could be right upper quadrant abdominal pain, jaundice etc.Gallbladder is removed in these circumstances to prevent complications and to prevent formation of more stones which can lead to complications later.I hope that answers your question.Regards,Dr.R.K. | |
What causes bleeding and swelling of gums?
HI,I am having problem of bleeding gums,swollen gums.I am feeling tired always even after a good rest.Minor headache always and having light fever in night.heavy Hair loss since 5 months.Skin becomes dull and one brown color pea size mole appeared inside of my right ear. Please advcie.. | HiBleeding gums are due to dirty teeth & poor oral hygiene. If there is calculus & plaque deposition then it lead to swollen gums which further leads to bleeding.You need to go for oral prophylaxis.Visit your dentist for scaling & maintain proper oral hygiene by regular brushing & flossing.RegardsDr. Neha Sumra | |
Pain in upper right side. Blood and urine test normal. Appendicitis?
Hello I recently have been having a pain in my right upper side. The pain only last about 5 seconds and happens like every month to 3 months. Just random times, I recently went to the doctor they did a blood and urine test and said everything was perfect just my main concern is I m scared it might be a appendicitis or something. My brother is going to the doctor tomorrow so am I with him. I was wondering if I should ask the doctor again? But I like just went a few weeks ago I m just worried. It might be something around that matter. Again my doctor did blood test , Urine, And felt my stomach . I was just wondering what should I ask tomorrow and what are the signs of appendicitis I m not running any fever and feel great just beside the little espiodes of like 5 second sharp pain in my right uppder side | Hi friend, Welcome to Health Care Magic Appendix in on the right lower side! - so it s not appendicitis. There is liver and gall bladder on right upper side. But the pain is not for seconds - it will be minutes or longer. It may only be anxiety. Anyhow, routine urine, stool and blood tests /with ultrasound - will clear your doubts and give re-assurance Take care Wishing speedy recovery God bless Good luck | |
What causes bleeding & a cramp like feeling?
Hi, I had a lot of blood, now I have cramp like feelings, & ongoing, pulsating. It hurts right in my anus hole now. I had surgery a couple months ago, laporoscopic, removed scare tissue & an ovary. I am on a diet that GI specialist suggested, more fiber & such, I'll start w/that | Hello,Thank you for contacting HCMI understand your concern, I am Dr Arun Tank, Infectious Disease Specialist answering your query.Such problems are common when on fresh surgery. I advice you to continue the diet prescribed by the GI specialist. You can use Drotaverin as you are having cramp, please take the medication under your doctors guidance.Hurting on anus side is the reffered pain which you are getting at the site of the ovary.Please start some walking on whole day, because once you start walking the pain you are getting is reduced.You can ask for further queries here on bit.ly/DrArunThank you,Dr Arun TankInfectious Disease specialistWe wish you a best health at health care magic. | |
Q. I have eye dryness post LASIK. What to do?
Hello doctor,I am 24 years old, male. I had LASIK one year before and now I feel dryness in my eyes. I use refresh tears but do not feel it effective. Please prescribe me any medicine so that my eyes does not remain dry. | Hi. Dry eye post LASIK is quiet bothersome, here are a few things you can try. Refresh liquigel- This has twice the concentration of the drug as in refresh tears. You can use it upto 6 to 8 times a day. Some patients do report transient blurring with this medication which goes away in a few minutes. Hot fomentation is quiet useful in a majority of cases- Wrap your hands around a hot coffee mug making your palms warm, close your eyelids and give this warmth to your eyelids by pressing your palm against your eyelids or the traditional way is to soak a clean cloth in water that is comfortably hot, squeezing out all the water from the cloth and then pressing the hot cloth to your closed eyelids atleast for 10 minutes, twice a day. Clean your eyelashes and eyelids with cotton buds soaked in baby shampoo. Try to keep the area around your eyes and your eyelids as clean as possible. I feel you should improve with these. | |
Suggest treatment for sore swollen breast after breast augmentation
Hi, I had breast augmentation several years ago,when removing the stitches the dr. left one in,that became infected. It has always been sore to the touch. Lately it is swollen hard lump and it is red. I think its scar tissue,but what has caused the red skin? thankyou | Thanks for your query at HCMI suggest that you need to get examined by a doctor as you might have developed an abscess. Which might need drainage and send for gram stain & culture sensitivity for bacterial and fungal infection. Depending upon sensitivity result start appropriate treatment. You will have to start antibiotics and analgesics.Take care! | |
What is the remedy for difficulty to open the mouth due to nerve problem ?
Hi, My father has a problem in his mouth,he finds it difficult to open his mouth due to pain.the same problem exists when he eats something.we thought that it was due to poor teeth and removed it.even after that the problem continues .finally the doctor s found that it was caused by a nerve ...what to do? | Dear Manikandan, As I can understand from you post your father is not able to open his mouth and he has pain while doing so. There can be many causes for this problem- an infection in a tooth, muscular spasm, pericoronitis (infection of the third molar), problem related to temporomandibular joint. As you said you doctor said "it could be due to a nerve". This is a very generalized statement and I would advise you to take you father to a Dentist who is qualified to understand you father's problem. The possibility of a bad tooth can not be ruled out until a proper clinical examination is done. In case you have any other queries please feel free to contact me at +91-7838386006. Dr. Manish Juneja BDS, MDS, DNB, Cert. Oral Implantology New Delhi www.thedentalhealthclinic.com | |
How to get rid of lump on right side of the neck?
Noticed the other day on the right side of neck one maybe 1-1.5 cm, hard, movable, painless lump. Feels like a BB. Directly above it is now another one except it is smaller. I had mononucleosis as a teenager and it feels nothing like this. I am not, nor have I been sick. I am in my mid thirties. | HiSwelling in the neck along the sides, is most often related to infection in the ear or, throat. Since the lump is painless and quite small, don't bother much. However if it increases in size, or becomes painful, then do consult your doctor for further treatment. Regards |
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