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What causes erection problems during sex?
I am 31 year old male. During sex am lossing my pennies stiffness and its hard to get back , It happens on some time only . i had masturbated a lot on my early stage is it because happen like that or due to stress or eating habits . if it how can i overcome & back my stiffness of my pennies to enjoy my sexual life.. | Thanks for asking in healthcaremagic forum Masturbation is not the culprit. Kegel exercise can help you overcome this. Search online for kegel exercise. All the best. Performance anxiety and stress can cause this. | |
Any medicine to get good sleep when having 65/110 BP?
I am 48 years woman having low blood pressure 65/110, I am suffering with no sleep in the night but sleep comes at the early morning at 4 to 5 am and sleep upto 10 am for 4 to 5 hours daily. Please suggest me some medicine for good sleep. My weight is 45 kgs, no diabetic ,no sugar etc . | Mam your BP, is in the low normal range and so you need not worry about the same. It's normal for many patients and rather studies have proved it to be beneficial. As what you describe you have problem with induction of sleep, ie. Getting to sleep, while you are able to maintain it. If you ask me for a medication, I will suggest zolpidem 10 mg as it is the one which no to minimum addiction as compared to the more widely used benzodiazepine plus it has faster action so you can try getting sleep with the meds and if you still can't take the med. It will be active with 30 mins, with a shorter action so you don't feel drowsy the next day Regards Dr priyank mody | |
What can cause pinching chest pains?
Hi i am Arun im 19 and having light pinch chest pains on my left chest it started 21 days before and continuing till now.i do not experiance chest pains while sleeping,it does not disturb my sleep..but when i eat rice i get light pain..what should i do to get rid of these pains..is that anything serious...or just a gas pain i can ignore.. | Dear Arun, Most probably your pain is connected with esophagus or stomach problems.For some period try not to eat food after which you have pain, don't lie down within two hours after eating.If your complaints don't disappearing after this, I would advise you to see your doctor for some examinations and medical treatment.Hope I could help youWishing you good healthIn case of further questions don't hesitate to askRegards, | |
If phentermine had an effect on accuracy of a HPT ?
I have been on Phentermine for a month. I recently had sex and the condom broke. I took Plan B one step the very next morning. I took two HPT and they were both positive. I was wondering if phentermine had an effect on accuracy of a HPT. | Hi Welcome to HCM Read your prob,such type of drug has more side effect, it affact the pregnancy n pregnancy test. if you are pregnant or plan to pregnant then stop it. it interfere the result of pregnancy. you should consult with your doc get blood test for pregnancy.if possible avoid this drug. | |
Should I be concerned for upper right back pain,getting greenish phlegm when coughing or sneezing?
i have this upper right back pain that has never been going away for quite some time now, i suspect its my lungs and now i have this cough that when i sneeze out and take out phlegm its greenish. i have been complaining for my back pain eversince and even without a cough before, i wanted to have a chest ct scan to see if theres nothing serious | NamastheWelcome to Healthcare-MagicGreetings of the dayGet an Chest X-Ray and take opinion about the same before embarking on CT scanIn case you need any further assistance, will be glad to assist you.Wishing you happy and healthy lifeTake CareBest RegardsDr Deepak K KMBBS,MS,MCH | |
Suggest treatment for itching and red color eyes of a 4 year old
my kid s eyes are red and itchy he is 4 yars old, it happens regularly , we showed to Dr , they prescribed some drops but , again and again this is happening, we are concerned by using regular drops to the eys please help me is there any solution for this? | HiWelcom to the HCMThe symptoms of your child are suggestive of allergic tendency to some allergens most likely aeroallergen. So, the most important part is to avoid identity and avoid allergens if possible. Also, visit an ophthalmologist for complete eye examination to rule out any ongoing infection, inflammation or high ocular pressures. Once the diagnosis is confirmed, it will be better to treat her/him by most definitive treatment.Hopefully this will help you.Take care | |
Q. What should I do if I have taken seven 500mg crocin(paracetamol) tablets together?
Hi, What should I do if I have taken seven 500 mg crocin tablets together? | Hi. If you indeed took 7 x 500mg crocin tablets which on the GSK website are paracetamol tablets, your total dose is 7X500mg = 3500mg of Paracetamol. The answer would depend on how heavy you are. Most of the time, the toxic dose is 200mg per kilogram. For example, if you are 70kg, the toxic dose or dangerous dose is 200X70=14000mg. So if you indeed only took 3500mg paracetamol and your calculated dose is less than the toxic dose, then it should not be a problem. However, if you have liver problems or have taken an overdose of paracetamol before, or you took paracetamol recently as well in other forms/shapes/sizes or you take other medications then this is not the case and answer. Also, if you developed pain on your stomach on the right, started vomiting, or feel unwell then you should see your doctor. If you are still worried, you should see your doctor or go to the emergency department with your tablets or tablet boxes so that the doctors know what you have been taking. Overdoses of Paracetamol are dangerous and can cause death if taken over the recommended doses.Ultimately, you should not take so much paracetamol so often and in large amounts. An adult can only take a maximum of 1g of paracetamol every 6 hours. | |
Is Imitinef Mercilet effective against Multiple Myeloma?
hello doctor my father is suffering from Multiple Myloma 3rd B stage. He is under treatment for 5 yrs. I heard that something medicine called Imitinef Mercilet. Which cures disease. is it true. Can we go with this medicine. My humble request for you to answer on this. | Imitinef Mercilet is the trade name of Imatinib Mesylate. It is used in treatment of Chronic Myeloid Leukemia. It does NOT have any proven benefit in treatment of Multiple Myeloma. | |
Suggest facial creams for dark skin
Hi i have been using skin lite from 1 year. i had a drastic change in my face color but the thing is that if i stop using skinlite for 1 week then again my face is becoming darker. May i have any other alternative for that? and can you please suggest me some other cream which gives me permanent solution? | Hi,There are two important factors involved in the dark skin :the one is Genetical and the other due to sunlight. The darkness is due to the activity of melanocytes in the skin. These melanocytes are the cells which regularly produces color/pigment known as melanin in the skin. These are superficially present in the upper skin known as epidermis. This is a tendency in us to get higher activity of these melanocytes at the facial area according to our genetic make up. It is seen on higher side in people of Asiatic origin than in white population. I prefer to use a cream containing Kojic acid with arbutin and mulberry extract in it.I suggest you to meet a dermatologist and go for best treatment under his/her guidance.Take care.Wish you glowing skin,With regards,Dr Sanjay Kumar KanodiaMD- Dermatology | |
I am suffering with generalized decreased sensation, kindly help me
I am doctor and i have a vague complaint since dec 3 09... on dec 3rd i have taken 2 large pegs (hard) whiskey (teachers) then after 2 days onwards i am suffering with generalized decreased sensation all over the body..i underwent total hemogram. tft etc all r normal... i was prescribed multivitamins. but i didn't find any benefit. moreover since a few days back i am having episodes of palpitations. can u please help me /? | Only alcohol resulting in such symptom???are you sure that you did not have these symptoms before?? get a neuro workup done..this might be something hidden, brought into light by your alcohol intake. | |
What could pain below ribs in a child indicate?
My seven year old son, has been complaining of pain in his left side just below his rib cage. This seems to be more pronounced after he eats. No symptoms of nausea or vomiting. He is scheduled to see his doctor in two days. What could be the cause? | Thanks for your question on HCM. I can understand your situation and problem. In pediatric patients, spleen enlargement is common. The most common cause for this is infection. And spleen enlargement cause pain in left side, just below ribs. So better to rule out splenic enlargement in your child. So get done ultrasound examination of abdomen. If this is normal then no need to worry much as muscular pain is likely cause for your child's symptoms. | |
Suggest permanent cure for HBV positive
My wife age 38 is HBV positive with acute measure and Dr. has told that she is not in carrier stage and does not need any treatment. The quantitive test result somewhere 625. Can this HBV get removed completel, does this quantity increases in future, what could be the effect on liver functioning in future. Please explain. | Thank you for posting query.Carrier state means that your wife is infected with HepB (HBsAg positive) but the replicating antigen of virus maybe negative and the viral load may NOT be high enough requiring treatment. Virus is in "dormant" phase.It is possible that the virus remains in dormant phase throughout and causes no harm to liver. Only one fourth of patients infected with HepB virus develop liver cirrhosis. therefore, one cannot be sure about her status. the viral load should be monitored and she needs to repeat test every 6 month or atleast once a year. you should also inform your treating doctor if you want to plan a baby. There is NO permanent treatment for HepB virus.however , all relatives of your wife including you need to be vaccinated against HepB (if not done yet).wish her good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik | |
What could cause pain under rib cage?
Hi i have pains right under my rib cage on the left side. It started shortly after taking clomid but i went to my doctors and said nothing was wrong. Also having trouble woth my bowels lately. This pain comes and goes. Weird but feels better when i eat. Please help? | Hello, It could be due to conditions like costochondritis. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
What is the lump on my inner thigh?
I have a large lump on my inner thigh, it looks somewhat like a spider bite. It has three or four white line across it's surface and when I squeezed it some liquid came squirting out, could you tell me what it might be? As a side not I just got off a detox diet, could that have something to do with it? | Hi.Yes this may be due to some bite-Diet has nothing to do with this. You have to take antihistamines and steroid under Doctor's prescription. Get to a Doctor for an examination. Visual inspection by a Doctor helps a lot. You may also send us the photograph of the lesion. ' | |
Is it safe to take Zoloft and buprens patch together?
I recently had blood work done and my liver enzymes were 152, I take pain meds for neck and back pain and xanax as needed. I started a buprens patch about 4 months ago for pain issues and I'm wondering if this alone could contribute a lot since it keeps a constant level in my blood. I also take zoloft...any thoughts. | Hi & Welcome to HCM.Using Butrans (Buprenorphine-opioid analgesic) Patch together with Zoloft (Sertraline-antidepressant) may increase side effects such as dizziness, drowsiness, confusion, difficulty concentrating or respiratory depression. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. Avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medications affect you.Hope this will help you. | |
Is pregnancy possible now with stomach and abdomen bloating?
hi, i have been married for 6 yrs for now. n i m not able to conceive. once i conceived in 2009 but the baby could not survive for more than 15 days in my womb.then i m still on infertility medication. now recently i started blotting so got my TSH tested it was 5.4. i m taking medicine for that.i m due for today for my mensus. now my doubt is it difficult to concieve at this stagemy abdomen has also bloated as if i m carrying. i get my peroids regularly. plz reply | Hi, I think you should go for IUI. You can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. IUI will be done the next day. Take progesterone for next 2 weeks. Do a urine pregnancy test at home. You can try like that for 3 to 6 months. If it doesn't work then you can go for IVF. Discuss with your doctor regarding this. Hope I have answered your question. Regards | |
How to get rid of nightfall?
hi,i dont want to msturbate as it effects mine health,but mine semen comes out while sleeping every 2nd day n i get forced to mesturbate so that,that extra semen cnt come out while leeping,but again as i dnt wanna mesturbate.isn.t there a way to control th making of semen. | hiii.welcome to health care magic.i have gone through your question.my opinion is that ,sperms produced will be ejaculated outside either via masturbation or via night fall.so dont worry in this mater.it is a normal thing.have nutritious diet.do yoga,meditation,exercise.avoid worrying and thinking about night fall.thank you.hope my answer would have helped you. | |
What causes numbness on one side of mouth?
i have a numbness on one side of my mouth and the tip of my tongue for 1 week. Im generally fit.i also have vitiligo on my face but its not too noticeable as im quite fair skinned. I suffer from constipation at times, fatigue, hair thinning, small seconds of palpatations and i find it very difficult to lose weight. i run/cycle about 40-50km per week for 2 months and have lost virtually nothing. i am watching what i eat.my recent thyroid bloods in july were ok and there was no anemia. there are nodules on my thyroid but only yearly scans were suggestedi took part in a duathlon a couple of weeks ago and got pins and needles oin my left arm . i think this was due to tensing up as i felt fine. could the numbness in my face be due to nerve entrapment from the run?any suggestions | Hello, Thank you for your question. I understand your concern. In my opinion the symptoms you describe are not due to a nerve entrapment. The nerve ( the Trigeminus nerve ) responsible for the sensibility of half of your face , is responsable also for the sensibility of half of the tongue ( same part) and not just the tip. Your symptoms are not suggesting a nerve intrapement . But I think that after having excluded anemia and thyroid disorders , a neurological examination followed by a brain MRI should be done to exclude another disorder like Multiple Sclerosis. Nothing to worry about. This could be a less probable diagnosis, but it is necessary to be excluded. In my opinion the more probabel cause could be psychological , but you have to exclude other causes to get to this conclusion. Wish to have been helpful ! Best Wishes, Dr. Abaz Quka | |
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 --> | |
Need guidance on dosage intake of AF-kit
I am Mrs. Banu. I was asked to take a dose of AF-Kit by my OBGYN for a mild pelvic inflammation. I have no idea which tablet should be taken after breakfast, before lunch and after dinner. The kit has 4 tablets with 1 fluconazole, 1 azithromycin and 2 ornidazole. Can u guide. | Hello, AF-kit consists of Zzithromycin, Ornidazole and Fluconazole. It is commonly prescribed to bacterial, protozoal, and fungal infections respectively. These three drugs which are to be taken orally at particular time like Fluconazole in the morning, Azithromycin in the afternoon and two tablets of ornidazole in the night. To overcome the stomach acidity caused by these medications, you can take a proton pump inhibitor like pantoprazole. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Can dietary supplements cause short term memory loss and eye movement?
hey i my age is 25 i was normal till the last 3 -4 years i took a dietray supplement and from that time i have an uncontrollable movement in my eyes(ups and down) especially when i m nervous i cant remember things my short term memory is gone can you help | Hello,You should check total blood count, magnesium and vitamin B 12 levels. I think you can use magnesium supplement and vitamin B complex supplements.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka, General & Family Physician | |
Q. How can I overcome pruritus ani? Please help.
Hi doctor, I have a skin condition. As per my research, it could be pruritus ani. But I am sure I would get a proper and accurate diagnosis from your end. I have a severe itchy bum and have been suffering from the same for almost eight years. I have never had the courage to consult a dermatologist in person because of the reason for a physical examination. All I am looking forward is a cure to it as it has been really disturbing lately. I would highly appreciate your suggestions. | Hi.I can understand your concerns as I have analyzed each detail that you have provided. I have managed lots of cases with matching condition and feel that you too will make good use of the information and suggestions. I am sure the problem can be managed even though it might not be possible to do so in a matter of days. The key to treatment is to let the skin heal, remove any cause of irritation, and break the cycle of itch-scratch which is bound to have resulted in thickening of the affected skin. | |
Have dis comfortable feeling in belly while sleeping. Had an operation for kidney stone earlier. What can the reason?
Hi, I wake up every night at 4am really uncomfortable from the belly. I have truble since recenty to pop due to an operation for a kidney stone but this happened before. I also have so very strong "heart attacks" wich are not panic attacks, it is a ball of air in my chest which at the beguining made me think I was having a heart attack.... any way, I am a very nervous person.... could this be reflux?to finish, my mother has no intestines because of something similar but I believe she was just misdiagnosed and ended up by being a lab rat.... | Hi, you have got abdominal discomfert, after operation for kidney stones, have feeling of heart attack, you are nervous person, your mother also got mis diagnosed and ended up. You need not get compared to your mother , any how you had gastric discomfert due to peptic ulcer , or gastric irritation due to spicy foods. It could be referred to the chest and mimic the heart attack, if it is confirmed it is different thing. It may be recurranc of the kidney stones also. If for my patients i will get the gastroscopy, and us scanning, for confirmation and prescribe antacid gel, omeprazole, if no kidney problem is found. Thank you. | |
Why am I unable to conceive ?
Hi, i am newly married women, i was trying to become pregenent, since 3 months i am tryning .its not working and during mensuration bleeding is overflow . i haved a regular check every thing is normal in reports. then what happend to me? | hi to be pregnant ,u should keep patience . it is consider as normal if you not become pregnant up to one year of regular sex. u have just 3 month dont worry take more time. if you r over anxious better to consult gynecologist | |
What should be done if a baby has swallowed a hair clip with no signs of choking ?
Hi I have a 15 month old baby. I suspect she might have swallowed an inch long hair clip which is about 1/4 inch wide. Not even sure if she swallowed it. There are no signs of choking or coughing. It is a hair clip ..metal locked into a plastic sheath. Not sharp smooth at the edges. Please can you advise what should be my course of action | Hello dear,welcome to health care magic forum.Kindly get to the emergency department as soon as possible. If confirmed, it needs observation till the clip is passed out in the stools.most of the time it passes with out any trouble.This can be confirmed by just an x ray.if no foreign body Is seen in x ray we can be confident.Take care. Thank you. | |
Suggest treatment for sprained ankle
I badly sprained my ankle on Sunday. It had an X-ray and he said it wasn't broken. I have grade 2 ligament damage. I have been trying to exercise it as advised. Everytime I walk on it, I feel sick. My gate is improving slowly but is still very limited. I have bruising and swelling all over my foot and ankle but also halfway up my shin. Is feeling so sick normal? | Dear sir /madam ligament sprain for the inflammation to settle down and to proceed for healing takes 3 weeks from onset of injury, It is recommended to elevate your limb under pillow, ice fomentation, give rest and Creepe bandage support. Yes ankle sprain has such morbidity, Which usually settles down with time. | |
How to cure Lymphedema of the right arm?
I developed right arm lymphedema after having a stem cell transplant for leukemia, possibily from central line damage? my right breast is also affected i am worried however, could it be inflamatory breast cnacer? my breast does exibit all of the symptoms listed but many are the same for lymphedema i guess what i am wondering is can the ibc cause right arm lymphedema? | Hello,Considering your past medical history, it is necessary investigate your breasts too. For this reason, I would recommend performing a mamography and a breast ultrasound. Nevertheless, you should know that arm lymphedema is quite common in this clinical situation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
What could cause scrotal discharge?
I want to know what is wrong w my scrotum! Ive had a discharge at the base near the anus and after closer inspection, there is a small hole about 1/16" .....today i had a sharp pain near my rectum (in between it and my scrotum) and when i ttouched and pushed on it, a greenish white fluid came out of that aforementiond small hole, which is a good inch forward....it gonna sound crazy, but its almost like i have a small "tube" running from my anus to my sac...and its very sore under my skin....if i start from my anus and kinda put pressure and push towards my sac, it will push out that liquid...i have no skin irritations, nor any pimples for pus to drain from...this has been happening once every few yrs since i was a little boy! Im 29 now...any suggestions (other than visit a doc)? I had undecended testes as a child with two surguries to fix the at age 4 and 5...... | HelloThanks for query .Based on the facts taht you have described you seem to have a Fistula in Anus .It is a tract that communicates from anal canal to the exterior in perineum ..You need to consult qualified general Surgeon for clinical examination and radiological test of Fistulogram to confirm the diagnosis .The only treatment option is surgery .Dr.Patil. | |
Can Strattera be taken instead of Ritalin for ADD?
I have ADD taken ridalin, currently becoming a problem, now being sent to psychologist. Taken off abruptly, to take straterra? This doctor felt to old to need ridalin. I font know but not taking me off without meonitoring or weining off. Concerned feel need second opinion. Also saying it is not allowed by government restrictions. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Both Strattera and Ritalin are approved for treatment of ADD and I do not think you need to worry as you are under guidance of a qualified doctor. I must assure you that Strattera is one among the good medication for the treatment of ADD.Hope I have answered your query. Let me know if I can assist you further. | |
What causes lower abdominal pain while coughing?
I keep having a sharp pain in my lower abdomen (right side) when I cough or sneeze. I have also had horrible stomach cramps and almost every time I eat my stomach gets tore up. I got the paragard inserted at the end of Sept. and have been having these problems for about a month now. Could these be normal side effects of the paragard or should I be worried? | Hi.Thanks for your query, read your history and understood your problems.Sharp pains in the right lower abdomen on coughing and sneezing, cramps can be due to Paragard insertion.This may not be directly related. There is an additional possibility of the Salpingitis or ovarian problem. Slight possibility of transmigration.I would advise you the following:Ultrasonography of the abdomen. X-ray abdomen in standing position.An opinion of a General Surgeon and a gynecologist... | |
Trying to conceive, purpose cervical flushing, previously caesarian delivery
i want to get pregnant again since my child is already nine years old.but my obgyne told me that i have to undergone cervical flushing so that my intestine and ovary will separate.maybe because i was a caesarian before that is why my intestine and ovary are together.what is the purpose of cervical flushing?please help me with my problem. | Hi welcome to HCMForum. So far my knowledge is concerned cervical flushing is a term for in vitro fertilization. {test tube baby} but the chances of succes are questionable. Intestinal adhesions are not advisible to retain. I advise you to consult a gastroenterologist for confermation of any other sites also after having c.t.scan | |
What is the home remedy for regularizing the periods and having PCOD?
Hi my periods are irregular and having pcod while I was on medication my period was ok but after stop taking the medicine it's irregular again I want to solve it properly n having a foul smell n white milky discharge also.. I want some home remedy or herbal | **1.Because PCOS can occur independently or secondary to other disease thus do check with your thyroid profile [for under active thyroid] and may cause impaired blood sugar level [diabetes], thus seek suggestion/opinion from gynecologist as to why your periods are missing/irregular, who will go for appropriate examination [P.V. [per vaginum/P.S. [per speculum] and Investigations [Ultrasound,Hormonal profile]PS. In Ayurveda PCOS is considered due to low metabolism (digestive fire) thus drugs given will work/function by increasing the Metabolism by acting as deepana, pacahana,ushna,tekshna, sukshma,lekhana drugs and thus reducing the symptoms.2. Avoid fatty food,curd,late night work,soyabean,milk,mustard oil,cabbage, and take moong dal,tambul,saindhav,tandulodak,coconut water, vegetable soups3. regarding foul smelling discharge:. foul smelling yellowish discharge could be trichomonal infection and since occurs now and then thus simultaneous treatment of your partner is also required [make sure conditions/pathologies cervical erosion, fibroid, polyp, PID [pelvic inflammatory disease] are ruled out]. this problem is common in diabetic patients [check with blood sugar level], patient taking broad spectrum antibiotics , patients on oral contraceptives and AIDS [check as routine]. ocal wash with trifla decoction. onion juice mix with honey. you can ask for prescription medicine like: chandraprabhavati, trifla churan, pushyanug churan, tab lukol, trivang bhasm, praval bhasm. | |
How does the bleeding due to hemorrhaging stop?
thanku. At 6pm tonight i took 1 of these tablets plus 2 cyklokapron tablets to stop the hemoraging NOW 4 hours later it is (i feel) almost stopped although it has not.Quite unatural. Would this cause my tummy to (block up?) swell? How does the bleeding stop? Where does it go? Should I have just let nature take its course? YES i have had trouble for many years and yes i am a worrier Gail 49 half years old | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Yes, it would stop bleeding. Its good, as it reduces anemia.2. No, it would not cause abdominal swelling. 3. It forms hard clot and stops bleeding from blood vessel. The blood stays in the blood vessel, where it is supposed to be.4. Excessive bleeding could be due to fibroid or endometrial abnormalities due to hormonal imbalance. Ultrasound abdomen and endometrial biopsy will be beneficial in management. Hope it helps.Any further queries, happy to help again. | |
Suggest treatment for allergy
Hi Doctor. I am 36 years old and I suffer from allergies. The winds were very high about a two weeks ago and set my allergy symptoms into overdrive. I have been taking my allergy medications, nasal rinse and nasal spray. I have had a sore throat for a couple of weeks and have pain eating. I noticed yesterday that I have enlarged taste buds also. My throat is definitely red, but I do not have any yellow or white spots on my tongue. I have also been terribly tired for the past couple of weeks. What do you think this could be? | HelloThank You for contacting HCM.This could be due to Sore Throat. As you have chronic allergy problem so i would suggest you following things:> Take hot water in a cup, add 1 table spoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.> Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.> Take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably.I would also suggest you to under go allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen and it will improve the problem.AVOID:> Dust & Pollen> Chilled water> Drinks> Spicy foodHope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health. | |
Is taking adderall safe for depression?
Im a 15 year old female. I take 10 miligrams of Abilify and 54 mgs of Concerta. I know the concerta helps with my mood better than the Abilify. And the abilify makes me gain so much weight. But im scared if I just stop taking my abilify for major depression I ll get worse. I ve taken 30 mgs of adderall xr before. (Illegally) But it curred my depression and adhd and made life so much better. I just dont know how to get my docter to put me on it. Ive heard of people getting it for depression and adhd. What would qualify me for that? Thanks (: | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Both abilify and concerta are good drugs for depression,but its unfortunate that you have not improved much on these medications. If you have a co-morbid ADHD, it will need a separate treatment with adderall. You can try explaining your doctor the problems you face with the attention and stress that the same has persisted way before the time when the depression was actually diagnosed. That will improve your chances of getting your prescription of adderall. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
Have tubercular meningitis. On steroid. any alternative treatment?
i am a dr.by proffesion(mbbs)my brother is having tubercular menigitis and has been on att since march 2012.no improvement.signs of arachnoiditis devolping.tb has spread to spine also.littleimprovements occur with steroids but after tapering condition worsons.thinking of ayurvedic treatment or homeopathic along with allopathy.please suggest | hello dr Your brother is suffering from tuberculous meningitis,with arachnoiditis and spinal involvement.He needs to be on ATT till march 2013,.Iwant to know whether he has received 6-8 weeks of initial steroid therapy along with ATT,especially streptomycin.Now he has already developed arachnoiditis, to go a head for intrathecal hyalurinidase along with steroids.Dont stop medicine he shoulbd be continuing drugs otherwise further complication can occur.Give him protein diet .Consult your neurologist for same | |
What treatments are suggested for re-occurrence of Kawasaki disease?
Hi my 2 year old son has a high temp and is walkin like hes drunk, he has red blood shot eyes with no discharge, he was monitored two months ago and was borderline diagnosis for kawasaki disease but all symptoms he had thrn cleared up with intro antibiotics, his symptoms are starting all over again, what should i do? | First with fever and symptoms suggestive of conjunctivitis , he may fit into incomplete Kawasaki...I suggest him to do echocardiogram for coronary aneurysm. He has to be IVIG if he has Kawasaki.. | |
Numbness in right side of forehead. Having eye twitches. Odd smelling throughout the day. Symptoms inter-related?
Hi, I have been having some weird symptoms in the past few months. The right side of my forehead started going numb every once in awhile. It s been happening a lot more often and now is numb almost 24/7. I also noticed that I started having really annoying eye twitches. This happens on my right side also. Another weird symptom is I keep smelling a really odd smell throughout the day. At first, I thought it was just a classroom I was sitting in, but now I m noticing it in random places throughout the day. Could these symptoms be related? What could be going on and are these symptoms normal? | Hello, Thanks for the query, I understand your problem I have noted your complaints. I feel that a possibility of epilepsy- complex partial seizure need exclusion in your case. This can be done by two tests 1. MRI scan of the brain 2. EEG test- a test which will tell us if you have seizures. These two tests will clarify the situation. Hope this clarifies Best wishes Dr Gopal K Dash MD, DM, Post-doctoral fellowship (Epilepsy) Consultant Neurologist and Epilepsy specialist Narayana Hrudayalaya Hospital, Bangalore My Blog in the Web site: | |
What causes excessive sleepiness and fatigue in a teenager?
My 13 year old son sleeps 20 plus hours per day and exhausted when he is awake. This has been going on for 6 months and getting worse. He was diagnosed with walking pneumonia 3 weeks ago and was given antibotics for it. He was also tested for mono, thyroid, iron, any ideas. | Hi..I feel he has got a chronic fatigue syndrome due to the atypical infection he has got. But sleeping 20 hours is abnormal and the atypical infections can often cause aseptic meningitis. I suggest you take him back to his paediatrician and get him evaluated so that we are not missing aseptic meningitis.Regards - Dr. Sumanth | |
How can I get rid of deep pores on my face formed after acne ?
Hi, I am 23 old girl. In my cheeks and forehead, i have deep pores formed after acne that is prominent in my face . Please suggest me better and simple ways to get rid of them permanently and make my face skin smooth with no pores. | Hi,Jayaji, Thanks for query, You can continue good acne cream, Apply zinc calamin lotion and moisturizing cream. Wash your face with luke warm water daily and the apply. ok and bye. | |
What causes clammy skin in babies after feeding?
When I am putting my baby to sleep she starts fussy and gets really sweaty. Her skin is cool to the touch and she feels clammy. I ve also noticed that this occurs while I am feeding her. She is 3 1/2 months old but this has been going on for a month or longer. | Hi Sweaty skin while feed is normal provided there is no respiratory distress (chest wall retractions with rapid breathing) ,she is gaining weight properly(I would like to know her birth weight and present weight) thanks | |
Blotchy red rash on legs, burning sensation, bruising. Causes and treatment?
I have a blotchy red rash on one of my legs. I dont remember getting bitten by anything and it burns like the worse razor burn i have ever had. It doesnt itch and it is spreading.I havent shaved my legs in over a week, and the rash is redder today with what looks like some bruising? I have only had it since yesterday morning. Headed to the drs this afternoon, but very curious about what this could be? | PLEASE THINK YOU HAVE CHANGED ANY SOAP,OILS FOR APPLICATION OR COOKING,CREAMS OINTMENT,DYE OR OTHER CHANGED ANY BRAND OT TAKING OF ANY ANALGESIC OR VITAMINS AND SUPPLIMENTS WHAT YOU DO TAKE ALLEGRA 120 MGM MORNING AND SYP PIRITON1?2 TSF AT NIGHT APPLY MOMETASONE LOCALLY DO FOR 3 WEEK AND IF AGAIN OCCURS AFTER STOPPING MEDICINE YOU CAN ASK AGAIN FURTHER | |
Suggest treatment for enlarged heart and high blood pressure
my grandmother has been admitted into a hospital for cellulitis and doctor found out she has a enlarged heart, however she already has highblood pressure also is diabetic which she dose take Meds for she s had a couple of heart attacks in the past about 2 decades ago pluse I believe 1stroke, after all she has been through she is very alert, she walk, bathes her self, and still shows to be very strong, she s is early 80 s of age, I know she s still alive and shows to be well with it be cause her faith in God through our Lord and Savior Jesus Christ, however I just wanted to get some info of the enlarged heart with skipping heart beats situation.. | Hi. Welcome to HCM. I understand your concern. First, I would like to recommend some tests for this diagnosis. It would be reasonable to do an echocardiogram, to assess the movement of heart muscle, to confirm or exclude a recent or remote heart attack as the main cause for this heart enlargement, as well as to assess the functionality of the heart valves. Furthermore, I would recommend a series of blood tests, such as cholesterol, triglycerides, renal function tests, liver function tests and electrolytes. From the symptoms and fitness you describe, she is probably in heart failure, class II of the NYHA (New York Heart Association) classification system. Since the damage to the heart is now factual, I would recommend starting her on treatment with furosemide (Lasix) 40 mg x 1 tb/d and ramipril 2.5 mg x 2 tb/d. If ramipril is counterindicated, then she can start on losartan 25 mg x 2 tb/d. This is added therapy, while I assume she is on proper medications for established diagnoses. Also, I would recommend that she should a diet free of salt. About the skipped heartbeats, she should be put on a 24-hour Holter rhythm monitor, to establish if these events are dangerous and how often they happen during a day. Then, you can consult her cardiologist whether to start also on amiodarone 200 mg x 1 tb/d, or not. I hope I was helpful with my asnwer. Take care. | |
Suggest treatment for abdominal cramping
abdominal cramping for 3-4 days. They seem worse about an hour after I eat or drink water. There is some mucous and occasionally undigested food but no...abdominal cramping for 3-4 days. They seem worse about an hour after I eat or drink water. There is some mucous and occasionally undigested food but no... | Hi.All such inter-related symptoms are seen in a patient , who has in intestinal problem, particularly on the right side - like appendicitis, severe colitis, crohns and so on. You need to undergo both Upper GI and Power GI endoscopy. Ultrasonography- preferably CT scan of abdomen. If all the investigations are normal , this can be said to have an irritable bowel syndrome. Once a proper diagnosis is made , it is easy to treat such problems. | |
Has diabetes. Had gall bladder removed. Diagnosed with psoriasis of liver. Had cancer. Treatment?
Hi my husband is a diabetic and he just had his surgery yesterday to remove his gallbladder and his sugar hit the roof or bottoms out. also last week they said he has dementia and now they tell me that he has psoriasis of the liver and its really bad. so can it be treated or what he is 66 years of age and back in 2009 he had cancer and he is soaber since 2009 or is he a walking time bomb. | Thanks a lot for putting your query in HCM.I think you were in lot of hurry while putting your query. I think it is cirrhosis not psoriasisWhat really bad means ,please upload investigations and do put all the symptoms he is havingIn 2009 cancer of which organ?Please upload all these then only further advise can be given. I hope you can understand it | |
Sharp pain in pelvic area, bloating. Sensitive bladder?
my question is similar to the one below (if you re able to see that) anyways, I ve had some dull and sometimes sharp (feels like trapped gaseous pains) in my pelvic area, pretty sure it s my bladder but I ve never had issues that lasted more than a few hours so, I guess I m not exactly sure--but I feel bloated, and sensitive when I walk or bend over to pick something up (I also have had four natural births in the past 7 years) no complications....not sure if it is an intestinal issue or a bladder or appendix problem----I ve had it for less than a week but it s not getting any better when I drink lots of water or try to stay away from caffine or carbination.....what should I try? and how do I know if it s something more serious than just a sensitive bladder? I m thin and usually super healthy and eat pretty balanced/healthy meals..... | Obviously not a "bladder" issue. You need an ultrasound abdomen done to rule out uterine/ovarian/tubal problems. If that is normal a lower GI work up. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Suggest treatment to increase weight of a child
hi I have a daughter.she is 2 years old.she has had gasteroesophagal reflux since 2 months after birth.she has eaten omeprasole since 6 months ago some of her symptoms such as vomiting recovered but she is very jadish and her weight is very low how can i help her? | For GERD, thinking of feed and positioning very important. Give_/position after every feed. And lansoprazole may be more helpful instead of omeprazole. Add ghee or sugar according to taste of child in feeds so it help to increase nutritive value of feed. And give frequent small diet. If anemia is there correct it. | |
What causes murmur in the heart of a child?
I have a 3 yr old son. When he was about 6-8 mos old his Dr heard a murmur and said it would most likely fix itself, well last wk at his 3 yr physical a different Dr heard it as well. They sent us to a Ped Cardiologist he did an EKG and said it was borderline and the LT side of the heart seemed to be working harder then the RT side so he did an Ecko and said it was normal and it was justa harmless murmur that some kids have but I don t understand y the Ecko was borderline and the LT side is working harder that the RT? Should I get a 2nd opinion? | Hi, A murmur in a child with normal echo is normal and it goes away with time. This type of murmur is called Innocent Murmur. As the echo is normal, their is nothing to worry at present and this murmur will go away with time. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameer Maheshwari, Cardiologist | |
What is the treatment for asthma , dry cough and low grade fever?
I'm 63 with asthma, usually well controlled. Dev dry cough for 2-3 last week. Called my pulmonary doc who put me on Z pack last Fri. Phegm was creamy yellow. By Sat pm had low grade fever up to 100.6 by Sun pm. By Mon phlegm was brownish Called pulmonary doc back on Mon- he switched me to Ceftin 500 2X day. Today is Wed and fever has been gone since yesterday morning. Feeling much better. Energy returning. QUESTION is: Is it safe for me to have dinner tomorrow (Thurs evening) with friend who is having chemo for breast cancer. I will have been on anitbiotic (seftin) since Mon night following 3 days on Z pack. Coughing is now minimal. Can you advise? | Hi,If you are recovering from cough with suptum and fever then it is good but need to continue the full course as per your pulmonologist advise.Now there is no question of dietary restrictions with anyone despite he or she on chemotherapy or not.Yes if you still feel not completely comfortable then you can have soft diet only for another couple of days and continue with your asthma medication.Thanks | |
How to increase penis size?
hi i am married now, my panics so small as like 2.5'' . my wife so crazy about that. I feel so tantion alway. so do you have any crime name or madicin, tell me please my life is now as like a black and white............ so please give me as early............ | DearWe understand your concernsI went through your details. I surely do not think your erect penis size is 2.5 inches. Even though that is the case, there is nothing to worry. You are a married man and you will be able to satisfy your wife with the same penis. I think you are worrying unnecessarily. Even a two inch long erect penis can satisfy any woman across the world because the pleasure nerve endings in vagina is available only upto two inches. You do not need any medicines to clear your problem because there are no such medicines available. Try not to worry about this. You may consult a psychologist online or in person for counseling.If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care. | |
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 --> | |
What causes liver tenderness after a steroid shot?
Hello! Last week I had an epidural steroid injection at the L4-L5 vertebrae area. While it may be too soon to judge the effectiveness of the shot, my liver feels tender whether I am applying pressure or not. Is this just my liver doing its job and filtering out a foreign substance or should I seek medical help from my PP? | Hi,Thanks for your query.A single shot of epidural steroid generally does not cause any harm to liver.The discomfort you are experiencing might be either due to your anxiety or some other cause.Wait for few days.If you still have the problem please consult a general practitioner to find out the exact cause.Hope this information helps. | |
Suggest medication for mild asthma
Hi,I have problem of common cold, the symptoms are continuous sneezing, blocked nose, headache specially at right side etc. When a take a tablet containing chlorpheniramine, or montek lc, I get temporary relief, but then again in a week or 10 days time, I get this common cold. During my childhood, I had the problem of mild asthama. Recently I was suggested by an ENT surgeon to take Fluxonase nasal drops which worked for me and I did not have cold for 2 months. Then again it developed because of change in weather. Should I go for CT scan, or should I keep taking dosage of Fluxonase as and when I get cold ? | Hi,what seems to be from your history is you have allergic rhinitis,deviated nasal septum may be possibility,fluxonase is good to relieve allergic rhinitis,along with it you can have analgesic and antihistaminic,taking steam inhalation will clear your sinuses,it will help,and regarding asthama it presents with cough at night,wheezing,breathlessness and has seasonal variations,you don't have any of this symptoms,o recommend you to continue with fluxonase if any symptoms like cough,breathlessness occur,please consult ent doctor | |
Jaundice due to enzyme deficiency (Dubin-Johnson syndrome.
I was suspected to have Jaundice. The tests of bilirubin showed 3.4 (conj. 0.9 & unconj. 2.5) and 2.2 (conj. 0.8 and unconj. 1.4) and SGPT as 36 and 34. The test for HBsAg was negative (using ELISA method). The ultrasonography of the whole abdomen revealed that only the size of the liver is 139 mm (co-axial length) and spleen is 136 mm (co-axial length), while the rest are fine. The test for Liver Function revealed that everything was fine except the Bilirubin level shows 5.7 (conj. 0.9 & unconj. 4.8) and SGPT as 36. I do not have any vomiting tendency nor do I feel weak. I have a sound sleep, my urine colour is not yellowish, but my eye ball is having some yellowish colour. Sometimes there is formation of gas in the stomach and the stool is not upto the mark. I drink a lot of water (around 4 & 1/2 ltrs.) daily. The doctor has said that this is a harmless jaundice and is due to some enzyme deficiency which is by birth. He also has suggested to lead a normal life and said there is nothing to worry. Now may I please be suggested that if this has really nothing to worry or if there is any medication available to rectify the problem. Looking forward for your valuable reply. | Hi Klaus welcome to HCM forum Looking to your problems, You suffer from Unconjugated Hyperbilrubinemia. It might be due to Gilbert syndrome not Dubinjohnson syndrome. Avoid Fasting , Heavy Exercises and dehydration. it does not require any medicine. Take care Bye Dr.R.murali | |
What causes low muscle tone and severe constipation in developmentally delayed child?
I have a 12 year old developmentally delayed daughter. She is going through puberty, no flow yet,. She has had low muscle tone and severe constipation since birth, it seems to be getting worse. Is it possible that her developing hormones are and ding to her constipation problems? | Hi,Thank you for asking question on health care magic.Hypothyroidism leads to constipation, developmental delay and low muscle tone.Replacement of thyroid hormone is the treatment of choice.Better consult endocrinologist to confirm the diagnosis and to outline treatment.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | |
Q. What may be the reason for pain on the back side of roof of the mouth?
Hi doctor, I have very bad pain on the back left roof of my mouth. My left top and bottom teeth, jaw and the left side of my tongue is really sore. I felt that there is a hard lump, which feels like a bone and it is excruciating to touch it. It hurts to swallow, yawn and makes my ear pop. The bump is back of the teeth, like near next to my tonsil. I have had cough, cold and sinus symptoms for a couple weeks and it is almost better now. My current medications include birth control pills, Topamax, Trileptal and Vyvanse. | Hi. I understand your concern and it appears as you are having, For both the above conditions you have to consult your ENT doctor (ear, nose and throat specialist) for examination and treatment as surgical intervention may be required to treat it. In the meantime, you can take tablet Paracetamol, antibiotics (preferably broad spectrum) and have adequate fluid orally. Do warm saline gargle at least two to three times a day. For further information consult an ENT otolaryngologist online --> | |
What cause red spots on penis after having unprotected sex?
I had a mistaken unprotected sexual encounter this weekend. Way too much alcohol and realized I woke up with someone that i had unprotected sex with. The Head of my penis is very sensitive to even my silk boxer shorts rubbing against them and on the upper side of the rim of the penis head are very tiny red spots. They are not bumps or warts, just look like red spots but also sensitive to the touch. Just really worried now as I have never done anything so stupid before. Just wanted a opinion before i make a actual Dr. Apt. | HelloThanks for query.You have developed infection of the glans penis (Ballanitis) following unprotected sex .If you do not the woman whom yo had sex with It is always safe to get basic screening tests for STD and HIV done to be rest assured about acquiring STD or HIV.In the mean while take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Dr.Patil. | |
How can speech delay in a toddler be treated?
My baby is about 23 months he always use his hand push me to understand his demand. His ear no problem. He can say papa, duck like this not Over10 words. His adenoids gland have problem. He want to say but can’t speak out. Make some sound which I not understand. What should I do | Hi, If he is 23 months old with speaking difficulty and using sign language then it is an indications that he needs to be worked up for - 1. Isolated speech delay 2. Autistic Spectrum disorder. 3. Hearing defects. I need to take more history to assess him. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
Bladder and kidney infection. Suggested temporary dialysis. Guide
My wife is in the hospital .She has a kidney infection .The doctor said if they dont start function better they would put her on dilas tempory. That may get them working better after they flush them. She had a blatter infection and was bound up and could not got to bath room .It hit her all at once and we took her to the hospital. | Good day!Is your wife diabetic ? Infection in the kidneys may cause it to temporary shutdown and if the creatinine is rising with subsequent increase in her potassium level, she may need temporary dialysis so remove the toxins in her body. Usually the kidneys will recover in a few weeks and renal function will be examined again if she can be weaned off dialysis. I would suggest and imaging modality like a ct scan or an ultrasound to check if there is an anatomical abnormality that brought her tne bladder and kidney infection. Things to watch for in the ct scan is hydronephrosis or stones in the kidneys and ureter. 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 pulmonary stenosis
I have mild pulmonary stenosis and I smoke. Sometimes I get a little light headed or tired after I smoke a cigarette. Does it have anything to so with my condition? Also if i smoke marijuana my heart beat speeds up and with smoking anything my hands get extremely cold, even in warm weather. Do these symptoms and my condition have anything to do with each other? | Thanks for your question on Healthcare Magic. I can understand your concern. Yes, pulmonary stenosis (PS) causes pulmonary hypertension (PH). Smoking also causes PH. So if you are smoking, PH can worsen. And this causes all the symptoms. So better to quit all forms of smoking. You can enroll in deaddiction center for this. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest treatment for a fever
Hi! I have a 7 month old baby she had fever since yesterday and i took her to have a cbc today and she came out with everything under range except for her monocytes. The expected range is 1.00 to 10.00 she has 18.00. She has green mocus, red eyes. What can i do do try and comfort her. | Hello, my name is Dr.Dorina Gurabardhi. I understand your concern. Some advices that I can give to you are:-give acetaminophen (Tylenol) or ibuprofen (Advil) for fever. -Dehydration may be treated by giving oral fluids or intravenous (IV) fluids. -If a child is vomiting, a drug to control nausea may be given by injection or by rectal suppository.Hope my answer was helpful, if you have any other questions I'll be glad to help, thanks! | |
Q. I had jaundice and total billirubin is 1. 8. Can I go for a trip abroad?
Hello doctor,I am facing a problem for jaundice for last 35 days. Around 20 days my total bilirubin was 15 and last week my total bilirubin is 1.8. Can I go for a trip to abroad? | Hello. What was the cause of your jaundice, I mean which type of hepatitis you had A, E, or some other type? Common hepatitis includes A, E which is usually harmless and in your case, since your jaundice is also settling, you have almost recovered from it. So with this bilirubin levels, you can certainly travel. I guess you do not have any symptoms now. Also, it might have come down further within last few days. So overall, considering the common type of hepatitis you had, I do not think there is any harm in traveling abroad, and this should settle in a few days. Keep diet healthy and avoid outside food as much as possible which is a common source of infection. For more information consult an internal medicine physician online --> | |
Has kidney failure. Had received wrong medication, infected catheter. Why is there severe cough?
My dad (60 years) has kidney failure for one year now (both kidneys damaged) due to wrong medication received from a doctor, he was on pd for a few mths after his catheter was infected, he has now began doing hemo once again after a surgery to get his fistula running. For about 6 months or more he has a severe cough that isnt going away, what can we do? | Hi,Please get at least a Chest X-ray PA view done. Also a few tests like CBP with ESR might be contributory. If there is no major problem as seen on Chest X-ray, he might improve with symptomatic treatment alone. Also, i hope his cardiac function is normal. In some patients with borderline cardiac dysfunction, the heart status gets worse after a fistula has been created, and this could contribute to cough and breathlessness. again , this can be easily detected on chest X-ray, and if required , 2D Echo. | |
What causes pain in abdomen below incision site of surgery?
I am 3 weeks post keyhole surgery for a gynae procedure and have been pain free until now. I have having awful pain in my belly button region below my incision. It is worsened on sitting up and on aggravating the area. Thee are no signs of infection. | Hi.The pain in the area of bellow the umbilicus after a Key-hole surgery without any signs of an infection is suggestive of an obstructing hernia. Get a clinical check-up, high resolution ultrasonography, exploration of the area and repair of the defect ASAP to avoid further complications. | |
What causes sharp pains in middle and left side of chest?
hi i have been having pains in my sharp pains in my chest,in the middle and the left flank, and in my left arm not all the time but quite frequently and im worried its something wrong with my heart im really really worried ,it gets worse when i sit down to relax please please help me !!!!! liz | Thanks for your question on Health Care Magic. I can understand your concern. Better to first rule out cardiac diseases for your chest pain because left sided chest pain, left arm pain are common in heart diseases. So get done ecg and 2d echo. If both are normal than no need to worry for heart diseases. Sometimes, stress and anxiety can also cause similar symptoms. So better to avoid stress and tension. Consult psychiatrist and get done counseling 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. Hope I have solved your query. Wish you good health. Thanks. | |
What causes a red bump on lower leg?
My fiance noticed a red bump on his lower leg, and initially thought it was a spider bite of some kind... Last night, he noticed the same sympton appearing on the other leg... around the same area, now when he pushes on both, it stays indented for a couple minutes... what could it be? | Hi! Good evening. I am Dr Shareef answering your query. Although it needs a clinical assessment with related investigations to diagnose the condition, possibly it might be some kind of vascular malformation (hemangioma), which got compressed on pressure, and took time to come back to its formal position. If I were your doctor, i would observe these for a few more days, and then decide on further course of action if it persisted.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
What causes dizziness after taking Amlodophine and Bendruflurozide?
Hi I am taking a blood pressure tablet amlodophine 5mg and bendruflurozide 2.5mg for high blood pressure. For the last 2 weeks I have been feeling dizzy. lightheaded and eye pain! I have had my blood pressure taken at home and it reads 137 over 64 and then 143 over 70 is this in the normal range? | Hello, The common cause can be migraine. I suggest to consult a neurologist if the symptoms will continue.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Q. What are the chances of pregnancy if one has had sex two weeks after periods?
Hello doctor, My last period started a month ago and ended four days later. I had sex with my partner two weeks after I got my periods. He did not ejaculate inside me but to be on the safer side I took an I-pill within two hours. Now, I am two days late and I have a brownish discharge since yesterday. I thought it was my period. But it clearly is not. What is it? Could there be a chance that I could be pregnant? | Hello. The days you mentioned are nearing the ovulation period. In a patient who has normal regular cycles of 28 to 30 days, ovulation occurs on the 14th or the 15th day when chances of pregnancy are high if you have sex on those days. You have said that there was no ejaculation inside the vagina and you have already taken an I-pill (emergency contraceptive pill) within two hours. So, there are very rare chances of pregnancy. Your current period is late for only two days and you have a brownish discharge. Sometimes due to stress, periods get delayed. You need to wait for four to five days more and I think you will start proper period. But if you do not start your period within a week then you need to do urine pregnancy test. I am sure you will start your periods. Stress is a big factor for delayed periods. For more information consult an obstetrician and gynaecologist online --> | |
What could cause pealing of skin with black 7 swollen toes?
Hi. The skin between my toes started pealing months ago. Now my toes are starting to turn black. Some are a little swollen and extremely itchy on a daily bases. Plus the right corner sides under both my feet s are a little swollen up is it because of me standing on my feet so much. Wearing bad foot wear or some serious medical issues. Please help | hi,thank-you for providing the brief history of you.A thorough clinical examination is advised.As the skin peeling off and the feet Turning black is not a normal or only a foot wear cause. Taking a dermatology examination will be surely of help.As per me it looks more of a bacterial infection due to which the skin is peeling off and the blood circulation is restricted. Having a thorough dermatology examination and a blood test should help us plan the further medical management.Regards Jay Indravadan Patel | |
Does viral infection get cured on its own?
Hi, mi daughter who is 29 had a severe cold and coughing 4 weeks ago, now she has headaches, sensitivity to light and sound, muscle pain. Her ANA results were high. Her PCP said it is all probably due to the viral infection and symptoms will go away gradually. what is your opinion? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.ANA positive is a sign of autoimmune diseases such as lupus, scleroderma, mixed connective tissue disease, autoimmune hepatitis, and others can occur. Symptoms vary by disease, but they may include rashes, swelling, arthritis, or fatigue. However, conditions such as infections, cancer, and other medical problems can also result in a positive ANA test.I think they are high due to viral infection she is having post viral state .Keep her in observation.Hope I have answered your query. Let me know if I can assist you further. | |
Chronic pain in the hips from liposuction related to breast cancer surgery reconstruction. Suggested 100 mg of gabapentin.
I have chronic pain, but especially at night, in my hips from liposuction related to breast cancer surgery reconstruction. It was done by an excellent plastic surgeon at UTSW Med Center in Dallas in 11/11. I think maybe some nerve damage resulted and I am looking for relief to sleep better. My internist is suggesting 100MG of Gabapentin, and I am hoping not to have side-effects that I read about. | Hi, Welcome to Health care magic forum. It appears that you have some to the nerves, in the hip area. It also may be due to the loss of supports near the nerves so having pressure from other sides and causing the pain. Avoid taking potato, other tubers, tomato, egg, chicken, and sea foods till the pain is relieved. As some one says you can use gabapentine for relief. I usually prescribe to my patient with such symptoms neurotropic injections for 10 consecutive days, and then periodically. ofloxacin diclofenac sodium, and paracetamol. Wishing for a quick and complete recovery. Thank you. | |
How to overcome the problem of having no erection?
hi,sir, i am a 53 year old person having alcoholic attitude and is a patient of diabetes by last 5 year normally maintained with medicine like glizid M. My problem is that i have no any erection even i used to see x movies to get erection but failed. would u like to advice me sir. | HelloThanks for query .You are known to have severe diabetes and chronic alcoholic since many years facing problem of loss of libido and erectile dysfunction since couple of years .This is due to following reasons 1) Uncontrolled diabetes resulting into Diabetic Neuritis which involves nerve involved in process of erection 2) Diabetic vasculitis causing loss of elasticity of arterioles in erectile tissue of penis .3) Diabetic atherosclerosis causing narrowing of blood vessels (Penile Artery ) carried oxygenated blood to erectile tissue resulting in to reduced blood flow to erectile tissue .Consult qualified Urologist for clinical evaluation and get following basic tests done to establish cause of your ED 1) Blood tests for sugar to see status of Diabetes2) Blood Tests for Free and Total Serum Testosterone levels 2) Color Doppler Ultrasound Scanning of penis to rule out /confirm vasculogenic cause for your ED ,Further treatment will depend upon results of these tests and cause of your ED .Dr.Patil. | |
Which countries restrict NRI's with HBSAG ?
hi, my i an indian. i hae planned to go foreign for job perpose. i have given my blood for checkup. result is HBSAG possitive. so please help me what r the countries is restricted HBSAG to allow NRIs. | Hi Some herbs are giving good results in hepatitis B and are under wide trials for this . The leading most herb is bhui aamalaki. I usually prescribe livomyn sy. punarnava arogya vardhini vati punarnava mandur and nirocil. | |
Suggest medication for an allergy
My 34-year-old son has had terrible allergies for years. His sinuses are now blocked (I've seen the xray) and surgery to clear out his sinuses has been recommended. In Nov. he experienced what seem to be several "auras", but not seizures. He saw his family practitioner who felt he was having atypical seizures and suggested he see an neurologist and get an EEG. The neurologist wants him to get an MRI which he cannot afford, even though he has health insurance. I'm wondering if his blocked sinuses could be preventing adequate oxygen to his brain and causing the auras. Crazy? He also sleeps poorly because he cannot breath. Thanks for any insight you can offer. | hi,Welcome to health care magic,Blocked sinus or chronic sinustis very uncommonly produce seizures for which if we would go for MRI or EEG investigations,generally comes normal.Sinusitis can be treated with medicines like antibiotics, decongestant, antihistamines and anti inflammatory drugs. Surgery is not a must for everyone. But if sinusitis does not reduce with conservative medicines ,and if sinusitis is recurring very frequently, may be 3 episodes in 6 months then we advise for surgery. And if the sinusitis is associated with nasal poylp, nasal mass, fungal sinusitis then also surgery is a must. Surgery for sinusitis is a endoscopic surgery. In this surgery mainly we clear the sinuses and provide good ventilation for the sinuses. We do have to cut the soft tissue, debride, drain and then clear the sinuses. It's a day care procedure, patient can go home the same day. Once the surgery is done,, there are very less chances for sinusitis to recur. And yes the operated area is treated as problematic area until and otherwise you are undergoing second surgery. In my opinion if this is your first episode of sinusitis then you can wait and watch. If you are a chronic patient of sinusitis then I suggest you choose surgery. Hope this information will be helpful. Regards | |
Can oral surgery be done with local anesthesia?
Hi my father is having lump in buccal mucosa inside the right cheek. It's painless and it's since 10 years. One surgeon advised us to operate it. But while undergoing pre operation check up, anesthetic department didn't want for full anesthesia as my father is having severe breathing problem. Now please suggest me can we go for the surgery with local anesthesia. Suggest me a good surgeon who is expertize on this in Kolkata, West Bengal Area. | Hi, dear. I have gone through your question. I can understand your concern. Oral surgery is possible with local anesthesia. If your father has breathing problems then you should not go for general anesthesia. Because there are many complications in high risk groups. So I would like to advised for local anesthesia. You can go it with any surgeon. Its common surgery. No need to worry. Just be relaxed. 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. | |
Can backaches cause chronic fatigue syndrome?
I have been under a lot of emotional stress the last two years. Since 2010 I have had two back surgeries which include two cages in my lower back. My pain dr has diagnosed me with chronic pain syndrome, lumbar Post laminectomy syndrome, Sacroiliac Joint Pain and Degenerative Spondylitis. I feel exhausted all the time. The only relief I get from my back pain is lying down. I want to know if all the back problems and lasting side effects can cause chronic fatigue syndrome? My name is K.Milliken, YYYY@YYYY | Hi, A backache itself does not cause a chronic fatigue syndrome. But the backache itself can be a part of chronic fatigue syndrome. Mild pain killers will help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Praveen Tayal, Orthopaedic Surgeon | |
Is an antiseptic containing mouthwash more effective?
My name is Tarah and I have a few questions regarding a science fair project involving dentistry. For my project, I am testing to see which mouthwash is the most effective on killing oral bacteria. I am testing Listerine, Scope, and Hydrogen Peroxide. My hypothesis is that Listerine will be the most effective because it contains an Antiseptic. Do you agree with my hypothesis? Why or why not? What ingredients are needed to potentially kill bacteria? To test my hypothesis, I am obtaining 10 samples from the back of a person’s tongue and growing them on petri dishes. Then, after waiting for about 24 hours, I will add 1ml each of Scope mouthwash using a dropper into 3 petri dishes with bacteria. I will do the same using Listerine and Hydrogen Peroxide. I will compare each dish with the one that has not received any mouthwash, and obtain my results. Should I have the person brush their teeth before I obtain the sample, rinse with water, or just plainly obtain the sample? Do you have any suggestions on improving my project? Thanks for your time and consideration. | Hello and welcome to HCMI am happy to know about your project.I think to have a proper result try to collect sample after patients brush their mouth and rinse with mouthwash.Mouthwash with cholorohexidine is better as it is already proved.but it can cause staining of teeth with prolonged use.You should be taking all these factors into consideration.Hope this ans your query.all the best for your projectRegardsDr. Shesh | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Is it safe and effective to take unwanted 72 5 hours after sex?
Hi, I had a sex just before 5 hours. Can i take unwanted72? Is there any side effects either like irregular period for this month or for some more months? Today is 7th of january. My normal period date is on 14 of month.What should i do? in how many days i will get my period after taking this unwated 72? I dont want take risk of period problem. | After going thorugh your queries first i say that be calm and plz make sure that next time u definetly use protection. As per your query there is no harm and you can take within 72 hrs of unprotected sex . But it is better to take it within 24 hrs of unprotected sex. Your period will be on your due date most probably or may be slughtly delay 2-3 days. Again saying that plz use protection next time . If not in said days then you have to see your gynae doc. Hope this will clear your doubt and help you lot. Best wishes for your health ... | |
Have hair-fall and red scars on hand. Have lupus and am anemic. Treatment?
Hi I am Sandra. I am ecuadorian but now I am living in Lexington because I am studying in UK. I am 25 years old and I have LES LUPUS SO I would like to know if this disease cure. I have lupus from I was 18 YEARS, and I was receiving treatment in my country, but now i´m not feeling well, my hair is falling and my hands have red scars and they get purple with the cold , some people advice me take vitamin E but I would like to know what kind of vitamin I should take because also I have anemia . I will be waiting for your answer, thank you | Hi You need to be on proper treatment for lupus. For anemia you she take iron and folic acid. | |
Experiencing discomfort in jaw. mild ache. What can be done?
Over the last few weeks I have experienced discomfort in the right side of my jaw in as much that when I open my mouth the jaw feels as though there is something that has to flick out of the way and sometimes it cracks, this is quite uncofortable.Last night the discomfort woke me and I noticed that the right side of my face felt as if it had got a pins and needles sensation together with my tongue.Although my face and ear are now uncomfotable like a mild ache the tip of my tongue is still tingly, any ideas or suggestions? | Hello dear Your condition seems to be related to bruxism i.e. grinding your teeth in sleep.this condiion hurts your jaw joint infront of your ear and if get more severe can compress your adjecent nerves and you might feel tingling or needle prick sensation in mouth. This condiion is basically related to stress and excess workout in gym. So just be relaxed, start meditation for atleast 10 minutes daily, have lukewarm milk before sleep,, and start taking OTC available muscle relaxants or painkillers twice daily .If possible do warm compressions from outside on area in front of your ear.wait for one week if feel relaxed then continue this for 1 month otherwise see your dentist. | |
Q. Why is Paracetamol prescribed, if fever is an immune response of the body to act as defense mechanism?
Hello doctor, Is fever an immune response of the body to act as defense mechanism against infection, why is Paracetamol prescribed to reduce temperature?What will be happen, if not used? | Hi. Very much impressed by your query. Yes as you said, fever is an immune response of the body to act as defense mechanism against infection. Most of the time Paracetamol is not needed if body temperature is not crossing >102 degree F. But any temperature >102 degree F causes many biochemical and physiological damages to the body, such as: Because of all this Paracetamol is used. But definitely not required for a low grade fever. For further queries, consult a general medicine physician online --> | |
What to do if having a probable diagnosis of CJD disease and cannot be fully diagnosed till death and having brain and nerve issues?
my husband has a probable diagnosice of cjd diease lumbar protein levels were 14-3-3 losing nerve function in legs and arms also has lesions on brain vision problems cant work tremors and start of dementia the neurolisgts gave us 2 years he says there is no 100% daigosis till death we are ar a loss what should we do I am already paying different drs for test and daignious I don t think I want to pay online again too sorry | If you are dealing with a neurologist who knows well how to use the 14-3-3 test then, the likelihood of an incorrect diagnosis is small. The 14-3-3 is best applied when the PRETEST probability of having CJD is HIGH..in other words, just on clinical history and physical examination the neurologist believes that CJD is high on the list of possibilities. Assuming the clinical diagnosis is highly likely to be CJD, the neurologist will likely pursue other testing measures such as an EEG and MRI of the brain with FLAIR and DWI sequences (more sensitive and specific in most patients than the 14-3-3 assay). The neurologist will also work very hard to rule out all possibilities of any other type of infectious or demyelinating illnesses (including inborn errors of iron/copper/zinc metabolism) as well as reversible or treatable forms of dementia in categories such thyroid encephalopathy and B12 deficiency. Under these circumstances then, the clinician will have done everything possible to find every other diagnosis. Therefore, if this type of comprehensive investigation does not yield any positive results then, what you are left with is the original presumptive differential which should be then, diagnosis of the most likely clinical diagnosis. This could be verified upon autopsy but in my experience it is rarely if ever the case that families will ask for that kind of confirmation if the workup as I've described has been carried out. In other words, the diagnosis is as certain as it can be under these conditions. If, however, this type of workup has NOT been pursued then, there is still more to do in my opinion to solidify the final thoughts and judgments of what your husband may or may not have.Just as an aside- I understand the implications and use of the 14-3-3 CSF assay in quite a bit of detail since it was originally developed and tested at my training institution during the time I was a neurology resident. The doctor who headed up the initial discovery of the protein and its subsequent approval for CJD screening by the FDA was Head of the Neuropathology Division at that time. Trust me when I tell you that we were intensely trained on when and how to use this test as well as its interpretation as well as when NOT to use it and when NOT to put very much stock into the results. Feel free to send more questions to: www.bit.ly/drdariushsaghafi and I would also appreciate your 5 STAR rating of our interaction. | |
What does a lump in throat indicate?
Hi I feel like I have a lump in my throat I thought my uvula was swollen but its more of a long hard bone in my throat be hind my uvula ....I have been sunbathing and was told not to because I'm on blood pressure meds I've been itching and had rash by where my arms bend could it be related? | Hi.Yes , this can be due to an allergic reaction.Take steroids under the guidance of a Doctor as the lump in throat of this type can be dangerous, can cause breathing and swallowing problems. | |
my boyfriend had surgery yesterday to remove fluid from around his lungs due to pneumonia. he was taken to the critical care unit after surgery. i was wondering two things. is it normal procedure to be taken to the critical care unit and also what is the difference between ICU an CCU? | Thanks for your question on Healthcare Magic.I can understand your concern. ICU is Intensive Care Unit. CCU is cardiac care unit.So in CCU, there are only cardiac patients who are having serious heart diseases.Where as in ICU, there are other seriously ill patients, other than heart diseases. So in ICU, patients who are having lung or kidney or liver or brain related serious diseases are admitted.Fluid aspiration from lung is major procedure. It can cause serious complications. So it is advisable to carry out this procedure in ICU set up so that if any complication arise can be tackle easily. Hope I have solved your query. I will be happy to help you further. Wishing good health to your boyfriend. Thanks. | |
Q. Is there anything abnormal on seeing my overall health checkup report?
Hi doctor, I am 38 years old. I got my blood test done for an overall health checkup. I am attaching my reports. I can see my heart and cardiology reports are not good. Can you please tell me whether there is anything abnormal? | Hi. I have gone through your attachment (attachment removed to protect patient identity). Your urine examination is normal. Your uric acid level is high, for that you are advised to take more vegetables and fruits and less meat (take low proteins in diet). Liver enzymes are high that can be due to certain medications or liver infection due to some viruses such as hepatitis B, or hepatitis C. Thyroid profile looks normal. The lipid profile is also high and deranged. It can be managed through lifestyle changes (more physical activity and weight loss). Persistently elevated lipid levels are harmful to the heart and blood vessels. Low iron levels may lead to anemia, and it is also harmful to the heart and its pumping function. Other markers look fine. I would suggest you go for lifestyle changes and that too on an urgent basis. Persistence is the key to success here. It may or may not be an overnight change, but it is mandatory. | |
Can levipil cause fits after meningioma surgery?
Hi doctor, my dad has undergone with surgery for meningioma twice in past 5 years... he is taking levipil tablet 500mg twice a day.... from past 1 week he is continuously getting fits in his left hand . It has become very weak.... is that any effect of levipil.... kindly help me with your suggestion ... other tablets are mellica, carzetol, epton | The fits your father developed may not be due to the effect of levipil. It may be due to the meningioma tumor which is probably recurring ; this needs immediate consultation with your neuro surgeon for evaluation of the meningioma recurrence and appropriate treatment. | |
What causes upper left back pain?
back painim 12 and i have been havin this weird back pain its in the high left of my back but whenever i move my right arm it hurts soo much i cant move, im 12 my weight is 100 and im not in a medicacion. ive told my parents of the high left back pain but they say its just a sprain. the pain is in the high left area almos to my shoulder. I dont know what to do it really hurts can you help me pleass. | The pain ur r experiencing is because of muscle spasm. I suggest you to start physiotherapy n reduce your weight. You r overweight for your age. As well take sm paikillers whn it hurts severely n apply ointment with hot fomentation. | |
Is it safe to take cough medicine with antibiotic and Prednisolone?
My son was diagnosed with a slight case of:pneumonia. He was prescribed an antibiotic and prednisolone, which he started taking yesterday. He has a continuous cough. Can he take cough medicine for the cough? He does not have asthma or any other chronic illnesses. | Hello, No, if he has pneumonia after some days after the treatment the cough will turn wet and these medications are not indicated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist | |
Is fluttering of heart related to concussion after being hit?
I feel off the back of a truck around 4 ft. Landed on side. No broken bones but really sore. A week later im am still sore. I had a episode that felt like my heart was fluttering. Can this be related to the contution ? It lasted about 3 min or so after I pulled a heavy pallet with a manual pallet jack out of a trailer. | No,it's not related to your previous accident,,but if it happens again, do ECHO imaging to exclude organic malfunction of the heart | |
Is it safe to have electrophysiology study for fast heartbeat?
Hi Doctor, docotor have suggested to undergo EPS test to my mother as sometime she feels her heartbeat goes very fast. I wanted to check 1) How safe this test is ? 2) How much time does this test takes? 3) What is success rate in the test ? 4) Can it get treated along with test? 5) Is there any side effect of it. 6) Approx cost incurred into this. Thank in advance, Brajesh | it's safe test, complication rate is not that high.Success rate is also good and diagnose and treat the patient in the same setting. success rate is around 80%time depends upon patient condition ranging from 30 min to hours.sideeffects like local hematoma formation and bleeding etc. | |
Q. What measure can be taken to reduce tooth pain as I am out of home?
Hi doctor, Since yesterday I am getting tooth pain in my upper left canine. It is paining four to five times a day and it is very severe pain. It is there for 15 minutes. Afterward, everything is normal. My question is what might be the problem? Can you please suggest any temporary relief medicine or technique from this pain for the next four days as I am on a tour. | Hi. Almost dental caries can cause pain whether it is constant pain or intermittent. According to your condition, it is almost caries bacteria cavitated inside the tooth and pain results from the infected bacteria reaching the pulp chamber (the sensory area inside the tooth). So, actually, you will feel pain and discomfort frequently. I suggest you reach a dentist as soon as possible but you can take analgesics to subside the pain temporarily. You can take Acetominaphen tablet 200 mg one tablet twice a day for five days. Also, if you could place small cotton with a little clove oil, it will be very helpful. You can apply the piece of cotton with clove oil inside the cavity of the canine 3 to 4 times frequently or you can use this technique at the time you feel pain. Bacterial infection. Acute pulpitis. Small cotton with clove oil. | |
What causes severe right sided abdominal pain?
Hi i am 25 years old married women, and today morning i got gare and unstable for some time and after that severe pain in lower right side stomac and i have visited doctor and they scanned and they said no problem report is clear and they said its only some food poision like that, is it correct or if have any idea about my symptoms please clear it for me its very usefull for me | Hi ! Good morning. I am Dr Shareef answering your query.If you had some food from outside, food poisoning might be a possiblility. However it should have been associated with loose motions and vomiting as well. Normal ultrasound excludes the possibility of a right sided ectopic as well. If I were your doctor, I would advise you for a urine routine, microscopic, and culture sensitivity test as sometimes a urine infection could also give rise to such symptoms associated possibly with fever.I would also clinically examine your abdomen to rule out the features of acute appendicitis, which is more of a clinical diagnosis than an ultrasound or other supportive investigations including a stool routine test for ova and cyst.In such a situation, I would advise you to wait and watch, and if the pain increases in intensity, to revisit your treating doctor for a review assessment of your abdomen.I hope this information would help you in discussing with your family physician/treating doctor in planning your treatment. Thanks for using the health care magic forum for your query on health. Wishing you an early recovery. Dr Shareef. | |
What does persistent pain in the lower abdomen of a 15-year-old indicate?
My 15 year old daughter has persistent pain in the left side of her lower abdomen. Sometimes it is sharp and limits her movement often it is burning but not sharp. It has been re-occurring for over 18 months now. We have looked and X-rays and done blood tests but nothing has come up. Her pain is real, and I need to figure out what it is and how to help her | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It can be diverticulitis like condition of bowel. USG abdomen scan will be more sensitive I detection of underlying etiology. Fiber diet can be taken more. Avoid excess spicy foods. Drink more water. If needed antibiotic course prescribed. Provide history regarding any treatment if Taken. If needed colonoscopy can be done. Consult gastroenterologist for examination. Hope I have answered your query. Let me know if I can assist you further. | |
What is the prognosis of a person having coronary artery disease with quadruple bypass surgeries?
My fiance has coranary artery disease. Has had quadruple bi-pass surgery. Three stents inserted with one failure and replaced. He is a white 50 year old. High blood pressure. Also, needs knee joint replacement, but they keep discouraging him from having the surgery. He keeps telling me he is not going to live long and I need to be prepared for this. His heart surgery was in 2007. Please give me an average life expectancy of people who have been through what he has. It s uncomfortable talking to him about it. I m going to be married to him soon, I need answers. Thank you Kelli | Hi, Kelli. That is a difficult and complicated question to answer. He has severe premature coronary artery disease. There are 2 important pieces of information I would want in order to help answer your question--the most important is: What is his Ejection Fraction (EF)? That is the "muscle strength number" of his heart. Has he just had blocked arteries treated with surgery and stents? Or has he had heart attack damage to his heart muscle? It is the latter, not the former, that greatly reduces a person's life expectancy. The 2nd question is: At what age did his parents die? Cardiac disease and cardiac mortality seems to be hereditary, although there are many factors involved, and many more treatment advances in medicines, cardiac interventions, and cardiac surgeries between his generation and his parents' generation that have improved survival for this generation vs. previous ones.One study from the Mayo clinic showed that in patients with 3-vessel cardiac disease (blockages in all 3 major coronary arteries) and a normal EF (normal is usually considered between 60-75%), the 5-year survival rate was about 90%. With 3 vessel disease and an EF between 35-50%, it was about 70%. With 3-vessel disease and an EF under 35%, it drops to about 50%.Of course, much depends on luck and medical care. Does he see his doctors regularly? Is he on "standard-of-care" medications that are proven to help reduce future cardiac events and/or decrease his mortality rate? These include beta blockers, statins, ACE Inhibitors (especially if he's diabetic or has had heart attacks or reduced EF), aspirin, maybe other anti-platelet drugs. Has he stopped smoking (or even better, never smoked)? Does he have diabetes (diabetics have higher death and complication rates in general and for many specific complications)? Is it well-controlled if he does? Does he have a defibrillator (AICD) if his EF is at or below 30%?As much as we know about mortality risks from chronic ischemic heart disease and chronic left ventricular dysfunction, there is much we don't understand. Two people can have the same combination of diseases, the same cardiac history, the same heart surgeries, the same EF's--and one can have severe symptoms while the other is "well-compensated" and has no symptoms and a much better quality of life. Even with those survival percentage graphs, we may know a percentage number, but we never know for sure who will wind up in which percentage group. All we can do is | |
Suggest treatment for nausea, dry-heaves and diarrhea in an infant
Hi my 21 month old toddler has had diarrhea the past 3 - 4 days. He has been refusing to ingest anything besides milk and rice cereal. If I try to get him to eat anything else he gags and on one instance puked. His poops have been gray/white/tan in colour as well. He has been generally happy and playful though. Does this just sound like a stomach bug or could it be something more serious? | Hello, If a similar patient comes to my old as u have mentioned that child is playful Nd happy, it's nothing serious. you can give Ors sachet mixed In 1 liter of boiled water Lukewarm within a day, Sporolac sachet two times a day and zinc 5 ml at night. as far as the motions don't contain blood you don't have to worry. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jilu Joseph, General & Family Physician | |
Suffering from severe acne
Sir, Myself Anuj Agrawal from Jagdalpur, Chhattisgarh! Sir i am suffering from severe acne problems! Sir there are a lot of pimples on my face and it is increasing day by day! Sir my age is 18! Sir i request you to help me as early as possible! | getting pimples in the growing age, that too in teen years is common, due to hormonal changes. Maintain good hygiene..and do not pick on them..read up on how to avoid them and the facts about them..I read them here on this site in the 'health articles' section about 2 months back..I have been following what they suggetsed..and now my pimples are so much in control..I was fed up when i came across the tips on ance here and the facts that made me understand and follow what to do. | |
Suffering from PCOD. Missing periods. Had i-pill after intercourse. Will this be the cause?
hiii mam...am hvng pcod frm last three years...frm last 4months i didnt got my periods..on last 27 th 1am i hd a intrcorse wth ma bf...it was a protected one..he spurt out in condmn outside my vagina ...for a double protectioni hd a ipil on 28th...what effect ipill on iregullar periods..?? wat should i do for get periods?am afraid of gettng pergnancy as he just rubbed pennis before d intercouse..?? whether i hv to take any medicines for gettng periods..i ws so tnsd.plz help me doc | Hello Thanks for your query. I pill can cause slight alteration of the menstrual pattern, but since you are already having PCOD, that causes the main effect on periods. You should definitely consult a gynecologist, as PCOD needs detailed investigation and treatment, even if you do not want a pregnancy. Morevoer, Ipill also has a slight failure rate ( 5 % if taken within 24 hours ), so please see a gynecologist for the same too. Take care. |
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