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What causes lower leg fatigue while having low platelets?
Hi, less than 2 weeks ago I began having lower leg fatigue. Out of nowhere I hadn t been exercising. I went to my dr a few days ago and she ran a bunch of blood work. I was able to log on and see my results. Only thing low was my platelets at 144 ( normal being 150-450). This morning I woke up and noticed a bruise on my right calf. This evening two more bruises on the same calf have appeared. My legs still feel fatigued. Should I be concerned? | 144000 on 150000 platelets should not concern you. what about the other blood cells? your hepatic blood tests? however, If there aren't other diseases, beyond a viral infection that may give you low blood cell count (generally autosolving, don't mind) and fatigue, I cannot see any link between your problems. superficial bruises may be linked with a plt count far lower (<80-100000) | |
Does Beclazone intake for wheezing cause any side effects?
Sir, I am suffering from breathing problem i.e. wheezing, asthamatic condition, Dr. in clinic prescribed me Beclazone 50 (2 puffs twice a day) and Reliever if required and also Neuline tablets, my question is if I continue taking Beclazone will it be side effect of that, pls reply | Thanks for your question on Health Care Magic. I can understand your concern. Beclazone is having beclomethasone. It is inhaled corticosteroid. It actually treatment of choice for asthma. It is very safe and having least side effects. These are possible because beclomethasone is given locally (as inhaler) and not systemically. So drug will deposit directly in the lungs without reaching to other organs and hence systemic side effects are very less with inhaled beclomethasone. You just need to rinse your mouth after its use to prevent drug deposition in pharynx. So don't worry about long term side effects of Beclazone. It is having excellent safety on long run. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Back pain, hip pain, unable to stand, ankle pain. Diagnosed as PIVD. How to reduce pain?
I am suffering from back pain on the right hip. I do get pain when I stand for about 10 minutes or when I walk for about 300 mtrs. Initially pain was on right ankle. Now there is no pain on the ankle but only on top of right hip. When I visited Orthopedic surgeon , he has diagnosed it as PIVD (L5 S1). Now I request you to suggest me Correct Remedial measures to reduce the pain. | Hi, PIVD means your nerves being pressed upon by a disc. The symptoms as well as the treatment options vary with the severity. Remember, lifting anything heavy, sitting for long hours, sitting on the ground are better avoided for the present. Hot fomentation, a bit of physiotherapy will help. If you feel decreased power or sensations in the legs, get an MRI done. | |
How to get rid of pus filled bump on buttocks?
I have his kind of bump on my upper butt area. It is right where the crack ends and is on the inside of my right buttcheek. It is reddish/white and squishy. It hurts when I sit in a certain way and is just generally uncomfortable. I don t think it s a hemorrhoid because it s far from the anus area. Sometimes it hardens up and sometimes it gets squishy. It also feels worse when I sweat in that area. This is very embarrassing to ask you this but I d feel much more awkward trying to explain it face to face. I can send pictures if needed. | Hi,It seems that there might be having some bacterial infection might be due to lack of hygiene and cleaning due to poor approach of the site.Again due to its tricky position and remaining parts to-gather there might be having sweating and moisture will give ideal factors to bacteria grow.Clean the part and keep it dry and airy.Apply triple action cream locally.If infection is there go for one antibiotic medicine course for 3 days.Ok and take care. | |
What does SGOT and SGPT stand for and its effects?
Hi my Biochemistry report says my SGOT is 41.0 and SGPT is 85.0..... what does that stand for and what effect is it making in my body and what do I need to avoid in terms of food and beverages and which part of the body is it affecting and how serious is the above figure.... | Hi thanks for asking question.Sgpt and sgot are enzymes alt and ast that are present in liver hepatocytes...So whenever liver is affected they are liberated in blood through sinusoids and enzymes high in blood.You have borderline elevation of enzymes.So you might have fatty liver like conditionIf you are overweight loose weight .Alcohol excess intake avoided...Low fat diet taken...Use only good oils like canola , sunflower etc....Use less oil in cooking.Regular exercise done....Cheese, fried food, junk food , non veg taken very much less....Hope your concern solved....Dr.Parth | |
Q. What causes numbness in my hands and feet?
Hi doctor, I have numbness in my hands and feet for the past two years. It is worsening gradually. The last month, it has got significantly aggravated. The numbness starts with tingling. When I am trying to grab something, I am unable to grab it. I also suffer from worsening cognitive function as I have difficulty in thinking and forming thoughts. I have trouble in organizing my thoughts, and I have difficulty in retrieving my memory. I am confused most of the time. I also have this problem for about two years. But last month, I started to have difficulty to do my job, and I was unable to function normally. I also stagger sometimes, and I have trouble in balancing my feet. So I looked at my symptoms, and I thought that I have vitamin b12 deficiency. So I started taking supplements 1000 mcg a day. But even now also, I have a feeling that my condition is getting worse day by day. | Hi. You have vitamin B12 deficiency. Your symptoms are related to peripheral neuropathy. It is caused due to vitamin B12 deficiency. It is necessary to perform some tests to know the possible cause. You have to investigate vitamin D levels and vitamin B12 plasma levels for identifying the possible deficiency, thyroid hormone levels for recognizing thyroid dysfunction, complete blood count and iron levels, and nerve conduction studies to investigate possible neuropathy. If vitamin B12 deficiency is confirmed, start to have a high dose of intramuscular injections. In such case, I would also recommend performing a fibrogastroscopy and biopsy to determine the cause for the malabsorption of this vitamin. You should discuss with your doctor for doing these tests. | |
What causes pain in the lower leg?
Denzel, a 46-year-old man, is working with his physical therapist on a set of back exercises. Around four weeks ago, Denzel was helping a friend move and attempted to lift a heavy box. Since that incident, he has had severe pain in his lower back that extends into his lower leg. His health care provider prescribed physical therapy three times per week to treat the condition. What happens to cause this condition? a. Ligaments surrounding the spinal joints have torn due to traumatic injury. b. The intervertebral disk has shifted out of place, putting pressure on the spinal nerve. c. Decreased bone density has caused weakening of the vertebra, resulting in a fracture. d. Crystals of uric acid have deposited within the spinal joints | It could be The Intervertebral disc, that has shifted out of place and copressing on the nerves as the exit spinal cord. | |
What would cause bruising on my thighs?
I self diagnosed my family for scabies after three visits to doctor over dry skin and possibly allergies. We used the Prometerin treatment two days ago. We are still itchy but I understand it will take two weeks to shed the bugs from our skin. My question is why are my thighs bruised. Am I itching that much at night and causing bruising? | hithis seems to be scabies with secondary bacterial infection , can be due to the itching or the lesions getting infected.application of 10% benzyl benzoate or permethrin is the treatment for scabiesit is better to meet your dermatologist, to add up with one course of anti-biotics to prevent the dermatitis or secondary infection.please do not meddle or scratch the infected area.all the besttake care | |
Have stomach pain and diarrhea. And the pain is not continuous also. What can be done?
For the past 3 days I have been suffering from short stomach pains that last between 3 to 5 minutes at 15 minute intervals. This results in me having diarrhoea during each pain. What is Happening to me? I don't think it is food poisoning as I have had that many times before and that turns out to be one long stomach ache but for up to 24 hrs max. Can you help? | Hello dear,The symptoms as mentioned in your post can be due to Gastroenteritis.Management includes:1. Maintain adequate hydration by intake of fluids & ORS.2. Taking soft, plain, non spicy diet.3. Anti spasmodic for symptomatic relief.4. If bacterial infection is suspected, then antibiotics need to be taken under guidance of a Doctor.Since it has already been 3 days since you are having the symptoms, kindly consult your General Physician & start treatment accordingly.Wishing you a speedy recovery.Thanks & take care. | |
What causes less bowel movement with loss of appetite?
hi, my daughter is 3.3 years old now. for her motion is not going regularly..she is skipping mostly 1day some times 2days in between. because of this she is not eating properly.. she is very lazy for drinking water also..always I have to walk behind her with water for making her drink some water. please guide me on this.. In this September she is going to start her school. before that I want to do something for problem.. | Children do have this problem, only solution is to make them eat properly drink water fruit juices propped poty training,medicines for this is to be avoided as much as possible | |
Is Meftal p the right medicine for fever and cold in a child?
My son is 4 years old having couf & cold for last three days,for fever given crocin syrup,a couple of hours before his fever shoot to 103,given maftal p which supressed the fever,if same condition occurs can v give maftal p again?.is it safe to give? | Hello. Thanks for asking Healthcare Magic. It seems your son is suffering from an upper respiratory tract infection. Meftal P is usually given for abdominal pain. I would suggest to start with an antibiotic like amoxicillin 200mg/5ml, Give 5ml three times a day. You can give crocin syrup 5ml 4-5 times a day depending upon fever. You can give tepid sponging as well to reduce the fever. Keep him hydrated. Hope this helps. If you have any other queries/question please feel free to ask. Wish your son a speedy recovery. Thanks and Regards. | |
How long does Udiliv, Hepamerz and Silbostin take to reduce SGPT/SGOT levels?
I have high SGPT and SGOT ( 120 and 60) - I am a non-smoker, non-alcoholic, vegeterian, 5'7" and 71kg. It came down on its own about year back and it is back to high value now. i take Udiliv 300, Hepamerz and silbostilin. how long can i take these tablets. will there be any side effects | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your cause behind elevated liver enzymes has to be searched first. Fatty liver, chronic hepatitis, Wilson disease, drug induced, non alcoholic steatohepatitis, cholestasis etc might be the cause.Work up done are as follows: - Serum cholesterol- USG abdomen scan- PT-ESRIf fatty liver or NASH is the cause, then life style modification and exercises will help. Take more fruits and less fried foods. Ophthalmic examination is done for KF ring in the eye. Sometimes cmv, ebv like viral infection might be the cause. Cardiac history and Celiac history should be ruled out. If liver enzymes is persistent and elevated, then liver biopsy can be taken. Consult a physician for examination with keeping all this in mind.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami | |
What does lump on pelvic area indicate?
I found a lump on my pelvic area, but very close to the crease of my leg. It doesn't have a head like a pimple, and it's about the size of a marble. It usually does not give me any discomfort throughout the day, but it hurts a little to touch it or push on it. The lump is slightly red. What could it be? | Hi,It seems that you might be having enlarged inguinal lymph node giving this problem.It indicates that you might be having some infection in surrounding area.Consult your doctor and get examined.Ok and take care. | |
How common it is for histiocytosis patients to have spinal pain?
My daughter first had LCH of the spine (T4 vertebrae) in 2006, with a recurrence in 2009 (T6 & L1). Both times it was preceded with intense pain for several months that did not show up on any of the scans. She is now again in an intense pain cycle without scans showing the cause. how common is this in histio patients and could this pain now just be her "new normal"? | Histiocytosis is a general name for a group of disorders or "syndromes" that involve an abnormal increase in the number of immune cells that are called histiocytes.Symptoms in adults may include:Bone painChest painCoughFeverGeneral discomfort, uneasiness, or ill feelingIncreased amount of urineRashShortness of breathThirst and increased drinking of fluidsWeight loss.As per your explaination, your daughter have more of sinal pain that could be related to bone pain due to histocytosis also.If MRI scan report is normal then I suggest to discuss with your doctor for possible treatment option for histocytosis. For spinal pain I suggest she can visit a physiotherapist and take physiotherapy treatment and also follow spinal exercises which includes strengthening, stretching, twisting of spine. This will help to improve strength, flexibility and stamina of her spine.As per the condition called as histocytosis basically body's immune system will be over active and there will be more inflammation in body which is damaging the normal body cells also. So here I suggest to do regular exercise, balance diet with more of anti inflammatory diet plan, proper rest, and positive mental attitude will also help her to improve.Take care. | |
Any suggestion for suffering from symptoms of anterior tibialis tendonitis?
I think I have anterior tibialis tendinitis. I am a runner and training for a marathon on May 3rd. It is an old injury I think. I didn t realize what it was before but that was years ago. I was running last week and it was getting bad at times but would go away during my runs. The odd thing is that it really only bothers me to the point of stopping is when I am wearing my running shoes. Running or just walking around the house, if I have my running shoes on or any tennis shoes really it flares up and I have to take them off. Last week I went on vacation and the first run I went on it flared up so the next day I ran barefoot on the beach and didnt feel it at all. I have been icing it on and off for days. I have tried everything from adjusting my shoe to not lacing up as tight which helped for one 20 mile run a couple days ago but I tried to just go for a walk today and put my running shoes on and could barely walk without pain. My shoes are only a week old and they are the same brand and style that I have used for 3 years and several half and full marathons. I have good support in them but it feels like it is slicing into the top of my ankle. | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.In anterior tibial tendinitis rehabilitation, most important is to give it rest as much as possible so that it don't get inflamed easily when you are running. Secondly, use of brace during night will help in keeping foot straight, along with that stretching exercises of calf will also help. Contact a sports physiotherapist. There is tapping which is done for tendon for not getting inflamed. Also some eccentric loading exercises with pilates will work wonder in the condition. If you feel your shoe is slicing it, then trim the edges of the shoe or apply cotton padding at the edges. Any good shoe maker can do it I believe.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Harsh Swarup | |
Suggest remedy for right hypochondrial pain
A 30-year-old woman presented with a history of right hypochondrial pain that was constant associated with fever and vomitting.There was right hypochondrial tenderness with negative Murphy’s sign and renal punch with the abscence of guarding and rigidity in the right iliac fossa. what could be the probable diagnosis? | hi this is dr.subhadeep.thanks for the opportunity to help you.as per your description it looks like acute cholecystitis or acute on chronic cholecystitis.if it is acute on chronic cholecystitis symptoms won't be so severe and so Murphy's sign may be negative.pain can also be due to hepatomegaly as a result of hepatitis or there can also be some distal CBD stone.kindly tell me if you have observed or people told you that your eyes have turned yellow or you have itching sensation over your body or yellow urine or muddy clay coloured stools.these r all signs of obstructive jaundice due to distal BCD stones.to rule out GB or CBD stone following approach should be implemented:-1)complete haemogram and WBC count.if counts are high it shows acute infection with test for HAV,HBsAg etc.2) LFT3)USG4)CECT abdomen will be far superior to diagnose GB or CBD stone if renal parameters r normal.5)MRI scan if altered renal parameters.if you have GB stones with DM then you should undergo elective lap cholecystectomy at the earliest as diabetes can lead to emphysema or perforation of the gall bladder.if u have CBD stones or both GB and CBD stones then ERCP followed by sphincterotomy and then elective lap cholecystectomy after 7-10 days should be done.if ERCP followed by sphincterotomy fails then open CBD exploration or lap CBD exploration with cholecystectomy depending on the diameter of CBD , size of stone and expertise of surgeon.a surgical gastroenterologist handling this case will be a better choice.If it turns out to be hepatitis or fatty liver then patient has to take bland and carbohydrate rich , fat and protein free diet with tab liv-52 ds tablets tab udiliv and tab sylibion as directed by your treating doctor.very rarely right sided renal stones can give pain in rt.hypochondrium a CECT whole abdomen will be ideal if renal parameters r okay.if not USG or even X-Ray KUB after proper bowel preparation can be done. if the size of the stone is less than 5mm without hydronephrosis then he should be advised to take 4-5 litres of water daily,avoid high protein,tomatoes,spinach.should be put on t. Norfolk and syrup. citralka.if pain subsides patient is advised to review after 3 months for follow up with repeat USGif size of the stone is more than 5 mm with hydronephrosis then patient should be referred to urologist for further managementextreme rare case of sub hepatic appendix may also be there as RIF is free.in these case open or laparoscopic appendicectomy as per experti | |
How can I recover from typhoid?
Sir iam suffering with typhoid from a week and on medication,,, but feeling weak,, but since I have to return to my work soon,,,so wen I can recover completely from this illness,,,and plzzz can u suggest some medication to overcome this illness,,mine typhoid report was 1:80 thank u | Hi, Your widal test result not having significant concentration of typhoid. Your weakness may be due to viral fever or myalgia or electrolyte imbalance or anemia or anxiety, etc. Until examination is done it is difficult to say what it is. Avoid spicy food and alcohol avoid smoking and caffeine drinks. Drink plenty of water and green leafy vegetables. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
What causes snoring in a child?
HELLO MADAM AM MRS KAVITHA FROM RAJAJINAGAR.......I AM WORRIED ABOUT MY SON WHO IS OF AGE 10YRS AND IS GOOD AT HIS STUDIES AND IS DOING HIS 4TH STD..........HE SNORES AT NIGHT AND HAVE READ THAT IT IS NOT GOOD FOR HIS HEALTH SO THOUGHT OF CONSULTING PLS SUGGEST................ | HiWelcome to the HCMI appreciate your awareness. Snoring in a child is a sign of obstructive sleep disturbance which needs an evaluation. Many a times enlarged adenoids or bad posture can be the reason in this age group. You may visit an ENT specialist for complete evaluation to rule out enlarged adenoids. Also, the following measures will be useful:1. Avoid thick pillows while he sleeps.2. Treat nasal congestion and cough or cold with antihistamine such as Syp. Mantra or T- minic.3. Keep a room humidifier if the season is dry while sleeping.4. Normal saline nebulisations before sleep may be useful.Hopefully this will be useful. I would be happy to help you in future health related questions.Take care | |
Suggest treatment to control blood sugar and cholesterol
I have a total cholesterol of 223 and I am a woman age 55. I exercise about 3-4 times a week for 30-45 minutes. I know I need to cut down on sugar but besides that not sure what to do? I only eat chicken and fish but I love baked goods. I do not eat butter, I eat smart Balance or Earth Balance. I have eaten an avacado almost everyday for the past two months. My ldl is 131. How can I lower that? I also drink a glass of red wine each night. I drink a lot of coffee-2-3 cups per day | Try with balanced diet and regular 30-40min daily exercise ( eg.brisk walking) & then check lipid profile again. If it is still deranged, then we can start medicines but I m sure diet plus exercise will help. And check blood sugar level once and get examined ur blood pressure level. | |
How to remove skin pigmentation completely ?
I am suffering from what is being said as sun freckles since childhood. I have visited many doctors as well as skin clinic but to no avail. They have suggested that it cannot be cured completely. It is actually small brownish dots near my left eye. My blood reports are normal. And these marks tends to increase in summer. Can you please help me out.I m very worried because the marks are increasing towa irds my cheek also. | Dear Ms.Amropali Freckles and pigmentations can be taken care by medications and if they dont give results Co2 laser can give good results. Freckles and skin pigmentation occur due to excessive sun exposure and one needs to protect from harmful sun rays. SPF is a measure of UV-B protection which doesnot cause much of pigmentary problems. In order to protect form tanning , freckles and melasma one must use a sunscreen with UVA protection. So next time you buy a sunscreen look for UVA protection and not SPF... Happy Healing Dr.Rohit Batra www.drrohitbatra.com | |
Suggest treatment for infertility
i had conceived 10 yrs back premarriage and had got it aborted,2 yrs back i got married and trying hard to conceive but no results we have been to fertility center after all test they told us i done have right tube and my husbands motilty is low.pls let me know will i conceive | Hi welcome to healthcaremagic.I have gone through your question.Your right tube blocked!?Of one of the two tubes is patent then you can conceive from that side.I would advise to do follicular scan to make confirm follicles are developing.For low sperms motility i would advise to do color Doppler ultrasound to rule out varicocele, and to see vascularity of testes. And consult urologist for the same.Hope i answered your question.Would be happy to help you further.Take care. | |
Trying for a second child, stopped birth control pills. Have lower abdominal pains. Will it cause problem to conceive ?
Hallo Doctor,,,,,,am a lady aged 31 and i have a 6year old baby girl turning 7 in May have been trying for a second baby since 2011 December thats when i had stopped taking family planning pills.I also experience lower abdominal pains could it be contributing to my failure of not getting pregnant ,,please help i need a baby my daughter is getting old and lonely and it is worrying me day and night | Hi,Thank you for posting your question here, I will try to answer it to the best of my abilities.How long have you been having this abdominal pain and how bad is it? Have you had it looked at by a doctor? You should consider having an ultrasound of your uterus and ovaries done, to find out the cause. That may very well be the reason why you cant get pregnant.I hope this answered your question. | |
Laparascopic pyeloplasty surgery done in kidney. Stent inserted in stomach removed. Chest pain due to vitamin D deficiency. Solution?
sir, Laparascopic pyeloplasty surgery is done in left kidney on 20th june 2013,after that 1 dj stent is inserted in stomach ,which is removed after 3 months ,but after 1 month of sugery there is pain started in left side of chest,after investigation it is found the deficiency of vitamin D which was 29 n/mol. i am taking medicine from last 3 month for vitamin d,but still not feeling well.and chest pain continues till now in left side.sir please tell me what should i do ? | HiThanks for your queryVit D deficiency is unlikely to cause chest pain.I would advise you to get an X Ray of the chest along with an EKG to see if there are any other causes of your chest pain.Hope this helpsGood luck | |
Q. What to do for frequent drop in sodium level?
Hello doctor, My father is out of coma and on regular physiotherapy. However, we have a major concern now with frequent drop in his sodium level. Every five to six days his sodium level drops to 110-120. When that happens, his consciousness level goes down and stops body movement or response. He is given injection Sodium chloride 3% isotonic solution with Fludrocortisone one tablet per day. It takes about five to six days for his sodium level to improve around 130. When he starts responding, he opens his eyes and moves body parts. We have seen this three to four times since last one and a half months. Eight days back, his sodium level went down to 109 and currently it is 121, but he has not shown much of body movement yet. Normally, he recovers within five to six days. Please suggest what has to be done for faster recovery? What has to be done to prevent this happening again and again? I have listed the medicines he is taking currently. Initially Tolvaptan is given for 10 days (currently stopped). Fludrocortisone 10 g extra salt per day with liquid food, tablet Ofloxacin 200 mg, capsule or tablet Phenytoin sodium 100 mg, tablet vitamin B complex, tablet Losartan potassium 50 mg, tablet Metoprolol 50 mg and tablet Pantoprazole 40 mg. | Hi. I am sorry to note that he is having problems with sodium levels. I suggest the following. 1. Serum specific gravity. 2. Urine specific gravity. 3. Serum and urine osmolality. Revert back after the investigations to a general medicine physician online.---> | |
Suggest treatment for infertility
Hello doctor pls help me, my name is rinku n I am 40yrs old, I HV 2child age 20, n19 from my first husband, I HV my left tube blocked n bulky uterus now I am trying to conceive from my 2nd husband who is 34yrs old but could not, All r medical reports r normal except my problem. I hv done 2 ivf but failed can u advised me whether is it to possible to conceive again. | HelloYou didn't mention complete history.Your left tube is blocked and uterus is bulky.If right tube is patent then there is no problem in getting normal pregnancy .Tow IVF done but failed , need not to worry.First of all right down complete menstruation history.Study of size of dominant follicle is important .If follicle dominant ( however once in two months because of left tube is blocked hence ovulation only from right side ) then date and time of ovum release . Endometrium thickness .So please upload all these reports and thereafter it will be possible to say something about pregnancy.Good luck. | |
What should be done for difficulty in bending the left hand after an accident?
My son had a motorcycle accident last Saturday night. His left hand was really bad, but when he went to Urgent Care, they found no bones broke. He told me it doesn t feel any better, it actually feels worse! He can t bend his hand, and it is very sore. What do you think we should do? He had xrays also, but the PA said she couldn t see anything wrong in the bones, of his hand. | Hi, It can be due to muscular injury or ligament tear. You can consult an orthopedician and get an MRI scan to look for any muscle injury or thin fracture which cannot be visualized in X-rays. Hope I have answered your query. Let me know if I can assist you further. | |
Q. How to lower blood pressure? I am a chronic high BP patient and taking Amlodipine and Atenolol
Dear Doctor, I am a chronic High BP patient since 1998. Taking medications Amlodipine 5mg and Atenolol 50mg (AMLO Press-AT). Now the BP reading shows as 160/120. How to lower the blood pressure? | Hi. Since you are a case of chronic hypertension, you must regularly get your blood pressure checked from a local doctor and the dose needs to be adjusted accordingly either to increase or decrease. Investigations:- Routine investigations must be done including blood sugar, blood urea, serum creatinine, lipid profile, urine complete and ECG. I understand from your query that, you have been taking the same medicine and the same dose, and still the BP has not come down as 160/120 is a very high range and can be risky for your health. The dose and may be the medicine also needs to be adjusted after reviewing your overall health, monitoring your BP for a few days. If you can make a chart of your BP from time to time, day wise to know when and at what time does it increase to manage it properly. Also, take below mentioned precautions: Diet control is very important. Cut down on fats. Reduce the salt intake in your diet. Do not sprinkle additional salt from the top on food. Take plenty of fresh fruits and juices. (I assume that otherwise your health is completely normal and you are not suffering from any other medical or surgical conditions) Take salads. You must go for walk in the morning and evening as your health permits, brisk walking which can be done gradually as per the age and health. Avoid excessive tea, coffee. Avoid fried foods. Avoid alcoholic drinks, non-vegetarian. Take a basic healthy balanced, nutritional diet. Add sprouts and other variants to make your diet healthy. Please get back with the reports to a cardiologist online so that the medicine and dose can be adjusted accordingly --> | |
MRI scan on neck showed large nodule on thyroid, recommended fine needle biopsy, ultrasound. Is this for cancer confirmation?
Two months ago I had a MRI scan on my neck as I had a slipped disc. The scan also showed a large nodule on my thyriod and recommended an urgent fine needle biopsy and an ultra sound (This took nearly 7 weeks to come through.) My 1st question is had the MRI already shown cancer and is the test confirmation. Secondly, it has been nearly two weeks since he test and I m yet to receive the results, although I ve phoned daily after a week. Is this a good sign? Thirdly I have nearly all the symptoms of an under active thyroid, should I take this as a positive. Could I have both? | The nodules in the thyroid can be benign and at times malignant. You have to wait for your FNAC(fine needle biopsy) report and also the way the nodule looked on ultrasound. Only on MRI it cannot be commented that it is cancer. Having an under active thyroid does not rule out malignancy. You should receive your test results and then consult an Oncosurgeon. Rest assured relax. You will do fine. | |
What causes pain under breast after an injury?
I fell backward down 8 steps 2 days ago. Most of my pain is beter but right under my left breast and under my left arm hurt severely, especially when I stand up afetr sitting. I can't even stand to buckle my seat belt because the movement hurts so bad. | Hello,The cause of pain under breast, as per your history is Injury. For that, you can take tablet Brufen.Apply diclofenac gel or cream. Also, apply ice locally and go x-ray chest.Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedician.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shyam B. Kale | |
Q. Why are hairless patches forming in my beard?
Hello doctor, There is a hairless patch forming in my beard. The hairless patch feels smoother. Please help. | Hi, Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. For more information consult a dermatologist online --> | |
Asthma worsening. Started Seretide twice daily. BP elevated. Matter of concern?
I am 28 male and have been on Micardis 80mg. for best part of a year now my asthma has started worsening again so have started Seretide 250/50 twice daily but am finding my micardis is no longer effective and my bp is up to 141/83 should I be overley concerned? is this bp level ok to leave thouggh winter as my asthma was cronic and very difficualt to controll last winter. | Hi, Welcome to HCM, You are Hypertensive and having Bronchial asthma it is common to have worsening of asthma in winter. Please do not worry about your BP as 140/83 is not alarmingly high it could be reaction to stress of acute attack of asthma,please take care of your inhalation therapy like Seretide which good drug for Asthma. Please take less salt and monitor your blood pressure in case it is persistently high you should visit your Physician to adjust the dose of BP medicine. Please take care about asthma. Good Luck. | |
What causes recurring flu and difficulty in walking?
My 6 year old son has been sick with the flu off and on for a few months with daily headaches as well. He has a fever off and on as well. I have been switching with Motrin and Tylenol. He also couldn t walk for 4 days he was crawling around and would walk around on his tippy toes but would fall. He couldn t walk flat on his feet he complained of pain and when I tried to make him stand he just fell. I took him to the walk-in clinic on a wednesday and the doc said if he wasn t walking by friday to take him to the ER or back to the walk-in. So friday comes and he still couldnt walk so i took him in and they did blood tests xrays and a urine test...She said his liver was a little low on the count or something and his white blood cell count was a little low but due to him having the flu that could be why too so I guess I just want a second opinion on what you may think could be goin on....Thanks | Probably your child is suffering from viral infection which is causing fever, cough, cold and joint pain.Give paracetamol and ibuprofen for fever, OTC anti cough and cold syrups.If no relief within 3-5 days you will need to consult pediatrician for further evaluation.For further queries regarding this disease or its medications you may consult me at Healthcare Magic under section "Ask Expert " >>>"Ask Pediatrician".Dr. Khan Shoeb | |
Suggest treatment for fever
my 10 yr old has been sick on and off for a month he was treated for strep throat over a course of 3 weeks ist week amoxycillin then another course of amoxycillin then a course of augmentin which finally got rid of sore throat then he got a cough, fever low grade and was sick for a week and half, went to school all this week NOW he has a fever of 100.4 c/o of dizzy head feels heavy malaise symptoms... what is going on, he is normally very healthy, only PMH is bicuspid aortic valve which he sees a cardiologist once a year for. | Hi Dear,Welcome to HCM.Understanding your concern. As per your query your 10 year old child is suffering from fever which could be due to bacterial or viral infection. Need not to worry about it. You can give crocin syrup 5ml 4-5 times a day depending upon fever. Monitor dosage for child. If fever increases do tepid sponging as well with cold water. Use mist humidifiers in room. Visit pediatrician once if symptoms keeps on persisting. You should keep child dehydrated always. You can give child fevago also which contains paracetamol and is essential to bring down the temperature. Avoid giving spicy and sharp food to child. Avoid cold carbonated beverages.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
How can the back pain of my wife be cured which she is having after delivery ?
Hi, my wife is having a stiff back from last night and could not sleep for a single minute. She is a mother of 6 months old boy. The pain is so much that she is not able to sit down/bend or even lift the baby to feed him. Request your valuable advise to prescribe some tablet for her to get releif for the pain. Her age is 30 and she is 5 feet tall and her weight is 46 kg. | she should consult an ortho and go in for an XRAY. did the pain start suddenly or it was after some kind of injury. | |
What does skin rashes with WBC=3.2 mean?
I have skin rashes all over my body for 3 days and with a fever of on and off, i just had my cbc results.. All the rest are normal except my WBC =3.20 NEUTROPHILS=0.23 LYMPHOCYTES=0.73. What does this means?Please help im so worried i feel really very sick. Thanks | Hello, The symptoms seem to be related to a viral rash. I suggest using Calamine lotion for local application. I also recommend using Tylenol for fever. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Does my abdomen scan report suggest pregnancy?
hi doctor...! im 24 years old and i had a whole abdomen scan report..... according to the report my rigt ovary is measuring 2.8 x 2.0 cms and left ovary measuring 3.7 x3.4 cms and corpus luteum is seen in left ovary...... does this mean that i'm pregnant? | Thanks for using healthcaremagic.I understand your query.According to me,the reports actually doesn't necessarily suggest an ongoing pregnancy,rather just indicate that ovulation has occured.Usually to find out early pregnancy,obstetric scan is necessary.Hope i have answered your question.If any further questions,happy to answer.Take care. | |
What causes pain in my rib after treating infection?
Hi. I had a throat infection a month back and was treated with antibiotics. Along with the infection i also had a small pain spot near my right upper rib. The infection went away but the pain spot did not. I went to the doctor again and he told me i probably had a secondary infection in my bronchial system and prescribed me some anti allergy drugs . The problem didnt go away and there was a dry cough also developing so he got an x ray and pulmonary function test also done. The xray was ok except for small bronchila spots and the pulmonary test showed some congestion and reduced lung strength. At this time i was also having feeling of tightness in chest and some back pain specially on the right side upper portion and a feeling of unwellness. The doctor advised some non antibiotic medication including a inhaled capsule steroid powder. This was 10 days back. Today the feeling of tightness is gone and the cough is limited and almost gone but as dry as ever. I had a mucus only one day and that also with great effort. but that slight pain on the right side at time returns although not there the whole time. No discomfort while sleeping. The doctor had told me that it is something called naso bronchial allergy but shoudnt this have gone away completely by now? Pls advise what are your thoughts on this and what i need to do now | Hello Dear. You are probably having hypersensitivity pneumonitis. I will tell you in briefl about the condition and what precautions you need to take.Hypersensitivity pneumonitis is inflammation of the lungs due to breathing in a foreign substance, usually certain types of dust, fungus, or molds.Causes:Hypersensitivity pneumonitis usually occurs in people who work in places where there are high levels of organic dusts, fungus, or molds.Long-term exposure can lead to lung inflammation and acute lung disease. Over time, the acute condition turns into long-lasting (chronic) lung disease.Hypersensitivity pneumonitis may also be caused by fungi or bacteria in humidifiers, heating systems, and air conditioners found in homes and offices. Exposure to certain chemicals, such as isocyanates or acid anhydrides, can also lead to hypersensitivity pneumonitis.Examples of hypersensitivity pneumonitis include:Bird fancier's lung: This is the most common type of hypersensitivity pneumonitis. It is caused by repeated or intense exposure to proteins found in the feathers or droppings of many species of birds.Farmer's lung: This type of hypersensitivity pneumonitis is caused by exposure to dust from moldy hay, straw, and grain.Symptoms:Symptoms of acute hypersensitivity pneumonitis often occur 4 to 6 hours after you have left the area where the offending substance is found. This makes it difficult to find a connection between your activity and the disease. Symptoms might resolve before you go back to the area where you encountered the substance.Symptoms may include:1. Chills2. Cough3. Fever4. Malaise (feeling ill)5. Shortness of breathSymptoms of chronic hypersensitivity pneumonitis may include:1. Breathlessness, especially with activity2. Cough, often dry3. Loss of appetite4. Unintentional weight lossExams and Tests:Your dostor may hear abnormal lung sounds called crackles (rales) when listening to your chest with a stethoscope.Lung changes due to chronic hypersensitivity pneumonitis may be seen on a chest x-ray. Other tests may include:1. Aspergillus precipitin test2. Bronchoscopy with washings, biopsy, and bronchoalveolar lavage3. Complete blood count (CBC)4. High-resolution CT scan of the chest5. Hypersensitivity pneumonitis antibody panels6. Krebs von den Lungen-6 assay (KL-6)7. Pulmonary function tests8. Surgical lung biopsyTreatment:First, the offending substance must be identified. Treatment involves avoiding this substance in the future. Some people may need to chan | |
What causes stinging pain on brow bone of a child?
My grandson started complaining of wasp like stinging pain on his left browbone last night and this morning across to the middle. he has lot problems, takes 90 mg exlax for bowels evey day has allergies and asthma has swallowed meconiun when born almost died, should I be worred about this new pain. I made him go to school gave him ibrupohem too. | Dear concerned parent,There seems a possibility of an insect bite, a boil or a simple hair pull. Just look for signs of redness, swelling and pain to touch on the eye brow. Why is he on laxatives so regularly??You shall be taking him off laxatives as it is habit forming. It will cause problems in long standing. Improve on his diet, take consultation from a dietitian.His allergies and asthma may reduce once bowel movements are normal and he eats nutritious food regularly. | |
Can one go out while suffering from shingles?
i was diagnosed with shingles and only 2 pimple like ones showed teeny whiteheads im frustrated its under my rm in area where br strap crosses and i get pain spurts to my breast area can i go out with this the dr said its in the air and can infect someone | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Shingles can be contagious. You will not infect any one who had an episode of chickenpox (varicella) in the past. But if you make contact with the people who have not had chickenpox, then there is a chance of spreading infection to the other person. Keep in mind that shingles does not shingle in others, shingles can cause chickenpox in the contracted condition individuals. Hope I have answered your query. Wishing you good health. Thanks. | |
Have lichen amyloidosis, brown patches on body, itching. Taking Thyronorm. Help
Sir, I am Meenakshi Patel and I am facing severe problem of Lichen Amyloidoisis .There are dark brown patches all over the body with slight itching sensation.I am also having Thyroid problem for which I am taking Thyronorm tablet.Since last 8-10 yrs. I am suffering the problem of amyloidoisis.My skin specialist has given me some Vit.E medicine with some lotions but they are not enough.I want to get rid of the bad looking scars completely.Could you please help me .Will this disease have a bad effect on my married life? | Hi, Thanks for writing in. Hyperpigmentation can be due to postinflammatory changes. Sun exposure can aggravate pigmentation.Keeping the sunprotection is important to treat hyperpigmentation. Use sunscreen with SPF 50. My advise to you would be to use steroid based cream with moisturizer. Few treatments like microdermabrasion and fractional CO2 laser can help to spots effectively. Consult a good dermatologist who can provide you with these options along with effective oral prescription medicines. Lichen amyloidosis is treatable.It will not have bad effect on married life. Hope this helps. Regards DrSudarshan MD Dermatologist | |
What causes recurrent swelling in the glabella and dizziness?
Hello, my glabella keeps swelling periodically, for 4 years now, since I had a concussion, and 20 stiches in the center of my forehead up into my hairline. It make s me feel a little light headed...woud you happen to have any ideas as to why this is happening? | Hello!Welcome on Healthcaremagic!Your symptoms are not typical of any serious medical disorder. Anyway, the swelling could be related to any particular vein passing in this region. A brain CT scan would help exclude possible scull fracture, related to the head trauma. If the CT scan results normal, there is nothing to worry about. Hope you will find this answer helpful!Kind regards, Dr. Aida | |
Suggest treatment for night fall
Hi doctor, i'm 19 year boy. from 2 years ihave been masterbating and left it before 6 months, but I'm facing problems like hair loss, weakness, i'm very thin. But the major problem is that ther is night fall and fall(sperm) at time of toilet. Nothing good nutrition suits my body. | there is no medical treatment for nightfall.you have to be mentally stable to reduce that.take nutritious food .avoid thinking and watching porn.this is the main thing you have to do.try to mingle with friends and family.avoid being alone. | |
What causes shaky hands with nervousness?
I will think about something (ususally things in the future I have to do or second quessing the past) and feel nervous inside and them my left hand will shake. The nervousness inside will subside. I have this happen maybe every other day. What can be the problem? | Dear friend, it appears from your description of your problems that you are having anxiety related to your thoughts and excessive preoccupation over the same. I feel you are having a underlying anxiety disorder like generalised anxiety disorder etc. For which treatment is available both medicines and psychotherapy. You should consult a psychiatrist near by and discuss your problems. | |
Severe OCD, negative thoughts, fear of repetitive thoughts coming real. Any ayurvedic treatment?
Hi doctor . Am 32 years old and its been 4 years since I knew am suffering from OCD . I am not following any treatment since my parents are not supportive and they only scold me for doing repetitive tasks or taking too much time to do something which for them is something simple. The ocd was a new term for me and while reading on the internet I came to know that am suffering from it. As a child, I was suffering from this and used to get negative thoughts.Then, I used to cry whenever I felt irritated by the thoughts. I started to have phobias while being in buses or vehicles that move too quick. I behave foolishly and want the vehicle to stop. But what keeps me more worried is that I fear those negative thoughts might happen. I know OCD people have thoughts that are not real, but since I read the book the secret in which was stated that repetitive thoughts about something can make it real and can make it happen, I am much more worried. I think this book has made my OCD worst. I am always afraid that these thoughts that I do not want to happen may occur like said in the book. Today, there was a ritual for my grand parents who are no longer alive, and while performing those rituals i thought of someone whom i love the most. Now i fear that something bad happen to the person I love the most. I DO NOT WANT SOMETHING BAD TO HAPPEN TO HAPPEN TO THE ONE I LOVE THE MOST. I am worried since those rituals were performed to the dead persons and for me this is something bad.I am angry at myself for not being able to control my mind while performing those rituals. Please help me!! Is there any ayurvedic medecines that I can take to help since I also have my exams and I cannot concentrate at all. | HelloOCD is a disorder that is characterized by obsessions and compulsions. When these obsessions cause severe occupational and social dysfunction then need of treatment become necessary. As your parents are not supporting you and scold you for repetitive thoughts I would advise you to discuss with them about your problem. Show them content available on net that these thoughts are part of OCD. Visit a Psychiatrist for expert opinion. You have symptoms of agoraphobia and anxiety with OCD also so SSRI drugs as Fluoxetine will be very helpful in such case. Behavior therapy has also very long lasting effects.Thanks | |
How can I improve my daughter s speech?
my niece is 4 years old and she is having trouble speaking(mumbling) we have consulted few doctors but there is no improvement. do have any remdy for this isssue. And does it mean that she got serious problem with her throat. We are very worried about her? | Hi,Kindly take her to a speech therapist. There they will assess her speech to find out what exactly is the problem, its severity and decide treatment accordingly. For cases needing intervention, multiple regular sessions are needed but it will help.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician | |
Suggest treatment for ovarian cancer
Hi, my mom is detected late with ovarian cancer. pathalogical reports say that she is on stg IV with spreading to lungs.. she has her lapr surgery to remove ovaries and omentum removed in Hyderabad @ KIMS.. I am trying to see what is the best path fwd to save my mother.. she is 51 yrs old.. pls help | Hi, I had gone through your question. Your mother was diagnosed with stage IV ovarian cancer and underwent surgery. The next thing to do is to get the histopathology report.Treatment strategy is to give Chemotherapy . But the chemotherapy regimens are different for different type of tumors. So the exact regimen can be decided only after the histopathology report. Your doctor will decide on the regimen after seeing the report and assesing her cliniclly. | |
Hepatitis C infection, increased ALT levels. Taken interferon injections. How to reduce ALT?
Sir am 43 age now, in 2008 i taken course of interferon injections for six months due to discovering hepatitus C. After completion of injection course my HCV PCR become negative. now my ALT increased upto 97 point in the report. wat i do to reduct my ALT. am feeling no adverse health signs except weekness. is it dangerious for my health increasing ALT. | Isolated rise in ALT could be due to many reasons. You've not mentioned what other test reports were - i.e. S.Bilirubin, SGOT/Gamma GT etc.? There is no specific treatment for reducing ALT. It is imperative to find the cause of raised ALT and then treat the cause.I think you need to see the Hepatologist (Liver expert) again who initially treated you for Hepatitis C infection. | |
Need medication for whooping cough
hello, i have been experiencing random coughs for about 2 weeks. i usually cough a lot in the morning (usually with in 2 hours of waking up) and some times i would get a cough attack during the day. i am trying to take nitequill for 3 days. do i have whooping cough | Thanks for your question on Health Care Magic. I can understand your concern. No, possibility of whooping cough is less in your case. Whooping cough is caused by pertusis bacteria. And vaccination with pertusis vaccine is mandatory in childhood for prevention of whooping cough. You must have vaccinated with pertusis vaccine in childhood, so no need to worry for pertusis at present. Possibility of viral Upper respiratory tract infection (URTI) is more. So drink plenty of fluids orally. Do warm water gargles 5-6 times a day. Start antihistamines and anti inflammatory drugs. Don't worry, you will improve in 1-2 weeks. If not improving then consult doctor. Hope I have solved your query. Wish you good health. Thanks. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Can a wasp sting cause shingles?
I was stung by a wasp six weeks ago and had a severe and itchy rush for three weeks after that. This week I developed the same type of rush and was diagnosed with shingles, while I never had chicken pocks. Is there any possibility that the wasp sting caused the shingles? | Hello, According to me, wasp bite usually does not lead to Shingles. Shingles is due to latent varicella zoster infection in nerves. The latent varicella zoster infection is from past chicken pox. Very rarely, people develop shingles without preexisting chicken pox. Hope I have answered your query. Let me know if I can assist you further. | |
What are the infertility possibilities due to testicle problems?
Hello.I am a 23-year old male.Less than a year ago I was as diagnosed affected by orchitis of the right testicle and infection which with a medication-based care faded away until one month ago that I have been feeling pain of a mild nature which worsens by tight attire when seated.There is no problem with the left side but a minimal hydrocele involving both(according to the ultrasound tests). These tests also say that there is a 0.22cm cyst.During this episode I have not had any physical contact.My concern is how much is the possibilty of infertility and I really wonder why this is recurrent.Please also advise me of the related solutions.I already appreciate your kindness. | Hello there are significant chances of infertility due to orchiditis and hydrocele so early treatment is a must.In case you have any questions in future you can contact me directly on | |
Does thyroid cancer hamper fertility?
Hi. I am twenty five. I have been trying to conceive for almost a year now with no luck. I have just recently been diagnosed with papillary thyroid cancer. They have removed the right side of my thyroid where the cancer was and I am returning for surgery again next week when they will remove the left side of my thyroid. They are then going to start me on 100mg of eltroxcin. I am wondering if my fertitilty issues had anything to do with having thyroid cancer or will my fertility chances improve once I am on eltoxcin? | Firstly, your fertility issues had nothing to do with the development of this cancer. Also, the treatment being done is correct and scientific. Finally, the removal of thyroid will only adversely affect your fertility issues as you will become hypothyroid. Taking eltroxin will make you normal but the fertility issues will remain. Also, when you get pregnant, the dose of the eltroxin will need to be adjusted frequently. | |
What causes high SGOT and SGPT levels?
Hi my name is Andrea and my boyfriend had some blood work done and I am concerned by the results. His SGOT level was 110 and SGPT level was 207. He is not a big drinker. He is 6ft and weighs 217lbs, and is a weight lifter. He takes some supplements daily and also uses powder creatine and powder protien. My questions is, could those supplements be the cause to his high numbers, and if he stops taking the supplements will his levels go back to normal? | Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. I can understand your concerns. Supplements can cause this if they contain any hepatotoxic agent However there are many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest him to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce weight if you are overweight, avoid alcohol.I hope I have answered your query and this will help you . Wish you a good health | |
What causes cold liquid flow like feeling in head with pressure?
Hi, lately I ve been feeling nervous about what s been happening in my head. I have pressure in my head & it feels like a liquid is going through/falling in my head insid. When I feel that liquid substance going through my head which is always in my front or side but mostly infront, it s like the liquid is cool (like cold) I don t know what it could be.. it hurts sometimss but not that bad.. I just think the reason why it hurts is because of the pressure.. what could it be & is it bad? | I read your question carefully and I understand your concern.Fortunately though that description doesn't indicate any dangerous brain lesion. Such abnormal sensations are often related to anxiety. They are commonly associated with tension type headache, the pressure like headache you describe, which is as well triggered by stress and anxiety. So try to relax and not worry too much, if you have headache you can take an over the counter painkiller like Ibuprofen.I hope to have been of help. | |
What causes low BP while on medication for high BP?
my brother is 67 280 lbs very swollen..went to heart dr but gotta wait to get in for tests..his bp is usually 130/80..on his two bp meds he takes for high bp..the dr took himoff one med and said sometimes it causes swelling..hes been on it for yrs..and told me watch his bp and if it gets to high call him and he will raise the other med..that was 3 days ago..now his bp is 97/53..should i be worried | Hi,Thank you for your question.There are certain medical which can cause swelling in the body and the treatment for it is to stop that particular medication. Your doctor has taken the right step in this situation. The blood pressure that you have mentioned is within acceptable range and if the patient has no symptoms such as dizziness then there is nothing to worry about. Every human has its own adaptability.I would advise just to observe him and if he has any symptoms along with low blood pressure then you should contact the physician. Wishing you good health.If you have any further questions please feel free to contact me.Best regards. | |
What causes pain in chest and back?
Hi Doctor.I am feeling pain in my chest and back and also left hand and shoulder. I have checked with a local doctor who examined and removed an ECG. the ecg report and blood pressure was normal. Doctor said its b'coz of acidity and gave me a medicine. I am thirty years old. Can you please advise what is causing the pain??? Is it something to do with my lungs??? | Hi..The pain in your chest back and arm area could be originating from your neck. If upper neck bones are not free to move enough then there will be associated tightness in the muscles connecting neck and shoulder...which might be referred to chest and back if untreated...It is not necessary that you should have pain in your neck as well, you might have stiffnessc sometimes...If I were your treating doctor...I would like to examine your neck for intervertebral mobility and find out the facet joint or nerve getting irritated.....Mobilise your neck muscles and improve intervertebral mobility...I would recommend you to Keep icing your neck shoulder area especially around side of the neck... shoulder frequently...Gently knead the area to make out painful area over neck and shoulder and concentrate on kneading those areas...Keep your neck supported while sleeping...Maintain posture while working... especially if you happen to do desk job..not to bend too much time take frequent breaks..Ergonomic adjustments to be made to workstation to avoid prolonged neck bending...Gently stretch the neck and shoulder... to receive spasm and regain length of the muscles...If you have a Anti inflammatory medication prescribed to you earlier then have them for 3 days...Take rest..Avoid lying on the affected side.... shoulder...Once pain reduced you can start with neck isometric exercises...abd shoulder strengthening....Hope this is helpful for you...Kindly revert back incase you need any further assistance.... | |
Having lot of transfusions, why do I feel tired and breathless?
I am 41 and have had 14 units of , red blood in the past year the last transfusion was 05/16 this year . For two days I have been extremely fatigue !!!!l I feel like I have the flu /w lower back pain I feel full with with few bites of food .. When making my bed or walking from one room to the next I am out of breath , | Hi, thank you for asking Healthcare Magic.With this presentation, it is possible that you are running short of red blood cells. I would suggest you rush to Emergency Department for proper assessment and laboratory investigations. Apart from receiving blood, the exact cause of this frequent blood shortage needs to be known and may be treated if possible. I would advise you see a hematologist for that.I hope that answers your query. If you have more questions or any follow up query do not hesitate to write to us.I wish you well | |
Suggest treatment for pain under rib cage
I have a druidical ulser and pain under the left side of the rib cage and into the back this is very painful but my GP cannot find anything wrong he said. I have had this for 2 years and getting worse II feel as if I need to carry my stomic when I walk Can you help please | Considering you have mis spelt duodenal ulcer, high possibility of ostochonditis. Few sittings with the physical therapist will help, should not be a reason to worry. | |
Experiencing chest pain & nausea
I barely drank any alcohol about 4 hours ago (two beers and started drinking a little buy of vodka when I started to feel extremely nauseus), but I have been excessively vomiting for the past 3 hours. I am now experiencing chest pain and residual nausea. Have I been drugged? What could cause excessive vomiting when little alcohol has been consumed? | Mostly it might be related to the food you took in afternoon or just before or during the drink. Also maybe mixing two types of drinks may have caused it if you are not used to it. Also if you above 40 years of age do consider getting and ekg in the ER, if vomiting or chest pain persist s. Regards | |
Why am I unable to conceive since the last four years?
I am 37 year old and my husband 38 years. I am trying to conceive since last 4 years. My TSH report normal. Hsg of tubes showed normal tubes but there wad some infection. Although tb pcr report normal the doctor put me on ATT for six months. I completed course inSep 2011 and tried IUI in Oct but did not conceive. I conceived naturally in feb 2012 but blighted ovum and miscarried naturally. Then again conceived in sep 2012 naturally but the foetus did not grow beyond six weeks. No cardiac activity. Miscarried naturally on30 Nov 2012. The karyotyping of foetus showed tetraploidy. Then tried IUI in june 2013 but did not succeed. Had hysteroscopy in july 2013 and report was normal. Had again IUI in sep 2013 and failed. Again conceived naturally in dec 2013. But the scan showed twin gestational sac and monoamniotic and monochorionic pregnancy. Only one foetal node with cardiac activity seen at 7 weeks. During scan at 9 weeks the foetal node had no cardiac activity and growth stopped at 6 weeks gestational age. Had d&c on 1st feb. I was takin susten 200mg and aspirin 75 mg daily and folic acid during pregnancy. The foetus tissues have been sent for karyotyping and report awaited. Please advise me further course of treatment. | Hi there, I have gone through your question, and I think I have understood your concern. . I will suggest you the best possible treatment options. Please do not worry. It is sad to hear about your previous pregnancy losses. Please note that you are able to conceive , only problem seems to be that with continuation of pregnancy due to various reasons.I will suggest to get genetic testing with karyotype of both of you. As before , please keep B 12 and Folic acid supplements as before. As hysteroscopy findings are normal , structural causes related to uterus are ruled out. I hope this answer helps you . Thanks Dr Purushottam Neurgaonkar | |
How to use nebulisation with Budecort .5mg and Duolin 2.5 ml?
Dear Doctor, My son(3 years old) is suffering from running nose and suffocation for last 5-6 days.as per doctor its because of climate change to winter and prescribed nebulisation with budecort .5mg & duolin (2.5 ml). Does it means both to added togather and inhale..? Best, Liyan | Hello, You should follow the advice of your doctor. They can be taken separately as well as taken together depending on the health conditions. So strictly follow the advice of your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olgeta Xhufka, General & Family Physician | |
Suggest treatment for headache and body pain after treated cancer
sir.my brother wife hes bin affected by breast cancer two years before. then operation on one breast and remove it.and she took three chemotherapy also .after operation she was good filling .but now she hes pain her head continue from few days .if take some medicine no response right now.so what can we do please advise to as . | Hi,Thanks for writing in.Since the patient is having headache for a few days which is not decreasing in intensity therefore it is important to communicate to her doctor. She might require a CT scan of brain and this will tell us if she has any disease spread to the brain that might be causing her headaches.It is also possible that she is weak after surgery and chemotherapy. Her general condition has to be improved and she might be having anemia which is causing persistent weakness and headache. Please do not worry. | |
Suggest treatment for lower back pain and sharp chest pain
I fell down a flight of stairs I have lower back pain, hip pain, neck pain, inner thigh pain, rib pain, shoulder pain, abdominal pain, and I feel pretty warm. I don t know if I should go to the doctors or not . The pain is acute and at one point was having sharp chest pain. | Thanks for consulting at my virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. If you have only pain kindly take an analgesic tablet first. Even after taking tablet you still have pain or you have any sever pain why doing routine activity do consult a doctor. you need to take an X-ray to see for any injuries or fractures.1) tab. diclofenac 50 mg twice a day after food will reduce the pain.2) tab. ranitidine 150 mg twice daily along wit the above tabletHope it helps. If you need further, detailed and quick assistance related to any health issues in future, feel free to 'ask me a question' directly from my profile.Have a wonderful time ahead. Best Regards!Dr. Arunmozhi varman | |
Should i wait for improvement in the size of follicle?
Hello Dr. I am married for 5 years now. I have PCOD. I am under treatment for the same and Fertility.I have taken 3+2 (2nd 3rd & 4th day of period and 14th &15th day) injection fsh 75 iu. I had undergone follicular study and follicle size was 15 mm ET 12.6m on 14th day thereafter on 17th day size was same. should I wait for size improvement? | HAITHE follicle will grow at the rate of 1mm per day.usually rupture injection will be given at the size of 18 to 20mm.you can wait for 2 more days for follicle to grow. | |
What causes forehead pain with fever at night?
sir my daughter is 13 yrs old and fallen down from stairs no injury and no vomitings 21/12/2010 Total W B C ( TWBC ) 6800 Cells/Cu.mm 21/12/2010 Haemoglobin 11.6 grams% 21/12/2010 Polymorphs 65 % 21/12/2010 Lymphocytes 31 % 21/12/2010 Eosinophils 04 % 21/12/2010 Basophils 00 % 21/12/2010 Monocytes 00 % 21/12/2010 Absolute Eosinophil Count ( AEC ) 250 Cells/Cu.mm 21/12/2010 Platelet Count 3.5 Lakhs/cumm 21/12/2010 Erythrocyte Sedimentation Rate ( ESR ) 25 mm/1st hour but after wards she gets regular pain on forhead right side and gets fever in night .I did blood exam which is mentioned above .Kindly tell me what is wrong here SA Hussain,Visakhapatnam Steel Plant YYYY@YYYY 0000 | Hello, No association of fever with falling, though headache could due to some internal bleeding. we can plan a CT scan to rule out CNS bleeding. The second aspect should be kept in mind, it could be seasonal fever, during fever headache is usual complaint. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sachin Kumar Agarwal, Pediatrician, Neonatology | |
Suggest treatment for severe kidney infection in a child
my son is 21 and when he was a baby he had a severe kidney infection which caused damage to his kidney. This left with about 15% of the function in that kidney. at 5 years old he had a procedure to correct a problem with his bladder, which was allowing the urine to flow back into his kidney, and since then has been fine. about 2 weeks ago he became unwell, pain passing urine, pain in his flank, tired and with sweats. his doctor gave him a course of anti biotic but the flank pain, while it has eased, has not gone away. Should he be referred to hospital? how long does an infection take to clear and is it more serious because his kidney is already damaged? | Hi...I suggest you need to get him evaluated in a specialty center with good expertise in dealing with chronic kidney diseases. Courses of antibiotics like this is going to give only temporary relief. The duration taken for the infection to clear is not based on the remaining function of the kidney. It depends on the virulence of the organism and the patent's resistance power.I suggest you consult a nephrologist for this.Regards - Dr. Sumanth | |
Is krimson 35 a birth control tablet and will it prevent pregnancy?
hi Doc, im 25 yrs old unmarried girl. I am on medication of Krimson 35 as prescribed by my docter. On 4Feb I had sexual intercourse with my boyfriend. I also took I Pill within an hour after that. I have heard that Krimson 35 a birth control tablet. Is that so? Am i safe from getting pregnant. I got my menses on 24 Jan & got over on 29 jan. | Hi, I have gone through your question.Yes, Krimson 35 is an oral contraceptive, it contains ethinyl estradiol. In addition, it reduces the risk of ovarian and endometrial cancer, ovarian cysts and fibrocystic breast disease. It also helps to regularize cycles and reduce the incidence of anemia, premenstrual tension and pain during periods. If you were on krimson 35 at the time of intercourse, it is unlikely that you will get pregnant. But it is wise to do a urine pregnancy test and check if you have not got your period after Jan. Hope this helps. All the best | |
Have been under stress, unable to recover from past failures
Hi Dr, Im Anil,27 yrs, i have been in stress since long. All the activities i do and study gives me a temporary relief, when my day is about to end i feel like loosing something and doing something worthless. Unable to recover from my past failures. I was held in final yr practicals, denied my certificates on time by instutution for which i have to forgo my PG seat for which i got eligibility through entrance. All this happened 3yrs back. Since then im unable to prepare for another entrance and had to compromise myself with Fellowship Program. Financial Problems are raging the mess. Unable to attend classes, im unable to bear the fact that i have lost the oppurtunity to study the subject of my interest and in the college feel insulted when other PG s do what im not allowed to do as a Fellowship Trainee. Im surprised that when i look at my past 3 yrs, mostly i was under sleep inducers.im preparing for entrance now and unable to concentrate for long, Pls help me sir | hithanks for using healthcare magicI think u are in depression. In depression, person mainly think become his past mistakes and critics himself for them. Thinking become more pessimistic and sleep remain usually disturb. This is all in ur case. U should consult a psychiatrist for treatment. U need some antidepressants that would help u. U can also consult a psychologist for cognitive behavioral therapy. Dont worry u will definitely improve, but u need time.Thanks | |
Suggest treatment for homosexuality and masturbation
i am 22 years old boy,when i was in 6th class,1 uncle sexed with me,now i am sex attracted to many uncles not girls,my life is so confusion,i also very weak due to handpractice,plz ans me what i do,i listened by behaviour thearapy is the solution of this type of problem is it true plz ans me. | Hello, You are right. Behavior therapy can cure your homosexual affinity. Behavior therapy is also effective. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | |
What causes severe hair fall?
my age is 41,i had an operation for fibroid,removed my uterus .before operation i use to have a lot of hairfall,i thought due to hemoglobin less,but after operation also its not stopped so can u suggest me what will be the reason.medicine:tablet orofer xt and calcium tablet calslot this two tablet i am taking after operation. | HIWell come to HCMCommon causes of hair fall need to be found out, hormone imbalance, anemia, protein deficiency, endocrine, chronic illness, menopause, fungal infection of hair, idiopathic, your history of fibroid is nothing to do, and this may not be the cause, if this is low hemoglobin then this need to be corrected, in your case menopause could be the reason, hair fall can be stopped with, Minoxidile 5% lotion, apply this twice in day on scalp, this need to be continued for long time, hope this information helps. | |
What is the treatment for kidney stone of 5 mm ?
the size of kidney stone is 5 mm.. wats the procedure to treat it? pls suggest since my friend suffers a lot of pain | hi..welcome to healthcaremagic 5mm kidney stone passes out by itself..he has to take plenty of water,approx 6-7 litres...if conservative doesnt works then we can go for other treatment options | |
Suggest treatment for pain in pelvis and swelling in feet
Pain in lower right pelvis, in lower lumber and no appetite. My left lower leg and left foot extremely swollen and feel wet but are not wet. My heart feels like butterflies from time to time and sometimes my words come out wrong; Like the first syllable of one word in a sentence being in front of another word and vice versa or not being able the articulate a word I want to say. (I have been on 10emq Potassium, 20mc Furosemide, and 75mcg Levothyroxine for the last four months. My TSH was 42 four months ago when I began Hypothyroidism treatment and a starting weight of 455lbs. now 437.6lbs. 35 year old Female 5ft 6in tall) | Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, you need to rule out any infection and secondary deep vein thrombosis, consult your GP for examination and required investigations, and then only proper treatment be initiated.I hope that answers your query. If your want any more clarification, contact me back.Dr Narender Saini | |
What causes uncontrollable shivering in hands?
hand shivering..hi doctr i am a 22yrs old person.i have a major problem..my hand is shivering some time..i cant controle my self diz shivering..i see the neurology doctr..he check the thyroid test.but dat is normal..and i take the tablets ciplar&typlin(amitriptyline tab) but its not working..when i get tension it will be incease..i dont have any other helth problems..i have diz shivering problm at child age(8yrs old time)..in my family my father brother have diz same prblm.!.what i do sir..???plz help meee... | Hi,this shivering in the right hand is the tremors.There are many causes for this-idiopathic,thyrotoxicosis,anxiety neurosis .As thyroid tests are normal so it could be idiopathic or anxiety induced.I advise you to do yoga and meditation to control stress and take anxiolytics as prescribed by doctor .Thanks | |
Is leprosy hereditary?
Sir my sis wants to get married wid the guy whose grandpa is having leprosy white spots on most of d part of his body so is it so leprosy is hereditary how i will suppose to know that it is not n so want to know everythg regarding leprosy white spots . plz sir reply as soon as possible. | HIThanks for posting your query to Healthcaremagic . White spots may be due to leprosy but there are many skin conditions that can cause white spots other than Leprosy . So are you sure that he has Leprosy ? Coming to your question Leprosy is due to infection and not hereditary . It can get transmitted from person to person by close physical contact . If you need to know then he has to be tested ( Grandpa ). You need to do a split skin smear and look for Lepra bacilli. What I mean to say is unless you do a formal testing you wont come to know if it's leprosy or not . But one clue is there will be loss of sensation over the white spots so you can test by pricking with a pin over the white spots . Any clarifications or Queries feel free to ask. Happy to help you. Regards. | |
Suggest treatment for epididymitis despite taking Ciprofloxacin
I have been smoking meth for 2 months straight everyday. My testicles hurt extremely bad but come in episodes. The doc told me I have epidipimitus and gave me ciperoroflaxin. I have been taking it for a good 6-7 days and nothing has changed. Can someone explain this to me? Is it cuz if the meth or what can someone break it down to me. | Hi, You can get a urine culture and change the antibiotics. You can preferably consider cephalosporins like Cefixime. Hope I have answered your query. Let me know if I can assist you further. | |
Q. l got a sore hard lump after the removal of wisdom tooth. Is it normal?
Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. | Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> | |
How can low sperm count be treated?
Hi, I am facing low sperms count and pus cells in my semans from last 3 years. When ever i go to doctor they just advice me to sperms increase medication. When i use these medicines, my sperms levels goes up but when i stop these medicines my sperms level goes down ever 5% activity remains. What is the cause of this problem ? | Hello,Welcome to healthcare Magic.I have gone through your query and Would like to reply in detail as follows:1. Please let me know full semen analysis report.2. Old and new reports tooI hope your doubt is clarified. Let me know if you wish any other information.Regards,Dr. Mahesh | |
Q. Is it mandatory to get prostate biopsy for PSA 5. 7 with negative MRI?
Hello doctor, I had a 4.4 PSA and had an MRI that was negative. Six months later my PSA is 5.7 and even though the MRI was negative it is suggested that I should have a prostate biopsy. I am a 73-year-old male. I am certainly not that excited to have a biopsy. Any thoughts? | Hi. I can understand your concern about undergoing an invasive investigation without any symptoms. Let me explain you what does PSA suggest. Basically, PSA is secreted by the prostate as well as some other body tissues. It does not reach circulation and hence remains low in blood as long as the barrier between prostatic tissue and blood vessel is kept intact. Rising PSA is a sign that there is some tissue alteration which has resulted in breach of this barrier. Hence, do not be under the impression that rising PSA always means malignancy. But it is better to confirm the absence of malignancy by biopsy as, at a PSA level as low as 5.7, even in a unlikely event of report being malignancy, the chances of organ confined lesion is very high, which is easy to treat and chances if cure are high. Hence, it is better to undergo biopsy and get your fears allayed. As such, the biopsy is a very small procedure and safe in experienced hands. Wish you a safe biopsy and I hope the results will be benign. | |
Had anal sex, cummed inside anus. Chance of semen leakage into vagina and getting pregnant?
I had anal sex with my boyfriend about a week or two ago, I was facing up and he was stan ding, after he cummed inside my anus I went to the bathroom and wiped my vagina because I was all wet, what was on my vagina was just my cum, could there be any chance of semen leakage while I was going to the bathroom to get me pregnant? I have regular periods. | Hello, Welcome to HCM, I am Dr. Das Look, the semen that has leaked and entered vagina may eventually lead to pregnancy because, for pregnancy, one sperm is enough. So, you have to wait for your period. IF you miss that on the scheduled date, you can do a home pregnancy test for confirmation. So, there is chance of pregnancy. You have to be cautious. Regards. | |
I have hurted my tooth, please suggest me remedy for it
I was playing basketball when I got hit at 1 of my 2 big tooth. Its not out of its socket or anything. It looks aligned with the other tooth. Its just when i move it about 1/4 of a cm, it starts hurting. What should I do ? | Hi, A trauma to teeth can affect is vitality. Yous should consult a dentist and an Xray should be taken. The mobility of the tooth should be assessed by the dentist. You have not mentioned your age which is an important factor in determining the treatment. | |
What causes erectile dysfunction?
Hi Dr......I have problems with Ed and I dont have erections everytime I have sex with my wife.....Viagra,and Levitra dont help me.....I want to try L-Citrulline with 1.5 gram daily of L Argenine...I hear this combination will help me....but I take carvedilol for my heart2x a day....and I check in another webside this can not take it with nitrates.....what do you think or any other help I can get whithout any side effect with nitrates? | hiI understand your concern.Yes it is advisable to avoid it with nitrate.In fact Viagra also use with caution in heart patients.Now a days newly launched drug udanafil has very minimal side effect on heart and it can be taken with nitrates but do take advise of your doctor before taking drug.Tetrafall plus is newly launched enzyme with vitamin which will help to improve erection. Usually it is advisable to take daily for 3 month for better results.Do take advise from your treating doctors.Thank you.Wish you a very good health. | |
What causes rise in GTTP blood levels from 188 to 223?
My GTTP Blood level was 188 it was retested a week later and it was up to 223 what does this mean I don t seem to be getting any answers from my MD except for we have to test it again in 10 days a abdominal ultrasound was done and they said everything looks good | Gama Glutamyl Transpeptidase (aka Gama Glutamyl Transferase - GGT) normally presents in liver, pancreas, kidney and prostate. It is increased in Alcoholism, Cholestasis and Recovery from acute hepatitis.If Ultrasound is looks normal, it looks good. :) | |
Suggest a diet during chicken pox
my son is 14, he is suffering from chicken pox for last 4 days, he is being given antibiotic dose for 2 days by doctor, he does not suffer from cold, cough. He was feeling feverish but now his body is warm. He has blisters in his groin, butt, thigh, back, front, ear, mouth and face. He is complaining of chest and back ache, and uneasy feeling. What should be his diet? | you have to treat him with antiviral medicines (acylovir) about 500 mg 4-5 times daily for 5 days apart from antibiotics and normal diet with some analgesics (paracetamol 500 mg) can be of some help. | |
Inhaled smoke of a burning tire. Is there any health hazard? Child has asthma
We smelled of a burning tires and the wirst thing was our air conditioning was on so the smell was coming out from the ventilation of our air con. Is there any effect of inhaling the smoke of a burning tire? My daughter is asthmatic and I've got a 6 month old son and a 5 year old daughter and as of now I'm having headache and feeling dizzy. What shall I do? | Hi welcome to health care magic forum. Thanks for calling .H.C.M.Forum. You have got the smell of burning tyre from your air conditioner while it is working. First thing you have to do is get the air conditioner repaired, Because the fumes must be coming from the air conditioner due to burning of the wires in side it . If it is left like that it may continue to emit the same. As the fumes are of the plastic they will be thick in nature and diposited in the nose and bronchial tree, and cause irritation of the respiratory system. You have got headache and dizzyness , you would have inhaled more , it may be cleared in span of 1 hour, if you dont get relief , consult a physician. Regarding children if they are free of any symptom you don't worry , usually late symptoms won't be there. Wishing that everything is fine. Best regards. | |
Will the blood clot in extraction site delay healing?
5 days ago, I got #18 pulled out. Over this short time period, I developed white tissue over the extraction site but it came off while brushing my teeth. I still see the blood clot is intact, but will this delay healing as I thought the white tissue was granulation tissue and can I still smoke or am I at risk again?, | Hi Dear, Welcome to HCM.Understanding your concern.As per your query you had extraction of upper last molar tooth and after that there is formation of clot and white layer which is symptom of rapid healing as it is naked bone formation which is whitish in color.Clot got dislodged after repeated touching is a thing you need not to worry about as it is normal. It will not delay healing.Try touching socket area with tongue.I would suggest you not to smoke as it will delay healing. Try to avoid smoke till the time socket would not heal properly as it will cause inflammation and can leads to formation of dry socket.Maintain basic hygiene. Follow all the instructions given by dentist. Do warm saline gargles three times a day.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari | |
How can I relieve low back pain ?
EXAM DATE AND TIME: 07/1812011 09:15 AM MR. LUMBAR SPINE WO+ WITH GAD TECHNIQUE: Sagittal T1, proton density. and T2~weighted Images and axial T1 and T2-weighted images. Postcontrast T1 sagittal and axil scans. Contrast: 20 cc of Multihance PRIOR EXAMS: ComparIson made to MRI scan of 2/3/2011 FINDINGS VERTEBRAL HEIGHT: Vertebral heights are preserved. VERTEBRAL ALIGNMENT: Vertebral bodies are in alignment. VERTEBRAL BONE MARROw: Unremarkable. No abnormal enhancement. DISC SPACE: Mild disc space narrowing at L 1-L2. PARAVERTEBRAL SOFT TISSUES: Unremarkable. , I LEVELS L 1-L2; Unremarkable. L2-L3; Unremarkable L3-L4: Mild central disc protrusion with no canal or foramlnal stenosis. This is unchanged. L4-L5: Mild central disc protruslon with no canal foramlnal stenosis. Mild central annular tear This is unchanged LS-S1: Previous right laminotomy. There Is increased T2 signal seen in the posterior margin of the disc suggesting annular tear. There is mild enhancement of this region. This indents the thecal sac with no canal stenosis. There is mild indentation the S1 root in the lateral recess. Findings could be combination of scar and annular tear. These remain unchanged IMPRESSION: Small dIsc protrusions at L3-L4 and L4-L5 with no canal or foraminal stenosis. Previous laminotomy and L5 on the right side. Small central disc protrusion with annular tear noted at LS-S1 level. Mild enhancement could be due to adjacent scar changes. This indents the thecal sac and the right S1 nerve root in the lateral recess with no compression .. Findings are unchanged from previous examination of 2/13/2011. | THanks for the query The lumbar pain the due to disc protrusions u have at l3 l4 l5. Meet an orthopedician or a neuro surgeon for further work up and ask them for surgical options as well. For now u can take a tablet having aceclofenac with chlorzaxazone twice daily after food. Have a healthy living | |
Is excess masturbation harmful?
hi...i masturbate 5 times a week...is it ok or excessive....please tell sincerely...will there be any side effect like i would loose my power to have sex with girl or will loose power to give a birth to child...???please tell sincerely...and any good way to quit masturbating.... | HiThank you for asking HCM.I have gone through your query. It is not good to masterbate too much. It has a psycological impact that you might decrease interest over girl and prefer masterbation.And it also gives a prominent appearance of vein on penis. You can limit it by making you involve in activities like exercises or involve in games like volley ball batminton etc.Hope this may help youLet me know if you have any further query. | |
How to get pregnant with endo thickness 7mm at an age of 35?
i am saraswathy married 35 age and trying to conceive for the past 7years i have regular 28 cycle ovalation are good but endo thickness 7mm .last three month have very light period for fourdays i have check my follicular study ovalation stopped .but period regular 26days no pregnency please advice me | Dear saraswathi,Thanks for writing to healthcare magic.As you have been married for 7 years and now you are 35 I would recommend the following.detailed semen analysis of husband.Test for you:1, routine blood tests2. Thyroid profile.3. FSH,LH,PROLACTIN LEVELS. ON. 2nd day of period.4. Pelvic ultrasound.5. hysterolaparoscopy to check cavity and tube patency.if all tests are normal then ovulation can be induced with drugs and timed intercourse or inutero insemination can be done.Please write back if you have further queries.DR Bhagyashree. | |
What causes sudden increase in BP level despite having diabetes?
My Dad is 90 years old. He is currently taking shots to correct his prostrate problems through his neurologist. He has a horse shoe kidney. I stopped his glipizide weeks ago because it would lower his sugar level to the 40 s in the morning and now he has 98 readings in the morning. However, his blood pressure was always floating high to normal. Recently, too high 200 over 98. He is taking two medicines for HBP. What could be causing pressure increases? | Hello, I would explain that these spikes in blood pressure values could be related to the shots that he is taking. From the other hand, his actual anti-hypertensive therapy does not seem to be really effective in controlling his blood pressure values. For this reason, I would recommend checking first his kidney function tests and his blood electrolytes and then adding new drugs to his actual therapy or increase the doses, in order to have better control on his blood pressure values. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
I am having severe itching problem all over my body
I am having a severe itching problem all over my body, small bristles or pimples comes out n at that part of skin itching starts . I when i do burst it watery liquid comes out n it gives relief from itching. | Hello.. Welcome to HealthcareMagic... 1stly start avoiding fish/ raddish /salt with milk and milk products secondly start eating ayurveda medicines: panchatikta ghrta gugglu 1 tab three times a day mahamanjistha adi kadha/ kashayam 4tsf 3 times a day with equal water haridra khand 1 tsf with milk three times a day also go for virechana at some good panchakarma center thanks dr. bhagwan | |
What causes lumps in inner thighs around groin area?
Hi, i have jyst recently noticed a few lumps in my inner thighs around my groin area. There are two on each side, one big one small. They are painless and not really moveable. Im not sure how long they have been there. They seem to be more or less symmetrical. When i place my finger on it and apply some pressure i can feel a strong pulse. I dont know whether its my recent taking to baseball that includes a lot of hip rotation have anything to do with it. I just want to know if i should be worried and if i need to get it checked. | HiWelcome to hcmThese are mostly lymph nodes which are enlarged due to infection and since large vessles run just bellow it ,it gives transmitted pulsations. Other possibility is lump of vessle . For exact cause you should see a surgeon.Regards | |
How do you treat oppositional defiant disorder at home?
Hello sir, My son is 10 years old. He is suffering from ODD as per doctors from last two years. He is also taking tablets for the same. He become so much angry sometime so we are so much confuse how to handle him whenever he become angry. Can you please suggest how we have to behave with him in difficult situation?? | Hello, Definitely, parents have to remain calm, and make a good healthy environment for the child at home and outside, find out the reason for his behaviour and try to resolve that, behavioural therapy and calming exercises not on just that time but on regular basis are usually helpful. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. SHEHLA USMAN, Pediatrician | |
How can I remove the black spots caused by mosquito bites?
I grow up living around many mosquitoes in Jamaica. Whenever they bite me, it would itch me and causing sores, scars and black spots on my skin. I so ashame to expose my skin at all. How can i remove the black spots and scars within a week. Please help me, I REALLY NEED YOUR HELP | Hello,Thank you for posting The dark spots you are reffering to is called post-inflammatory hyperpigmentation.Apply a cream containing clobetasol and fusidic acid twice a day regularly and apply a good quality moisturiser.Take antihistaminics as required for the itching.Hope this will take care of your issue.Wish you best of health.Thank youDr Hardik PitrodaM.D Dermatology | |
How long does front teeth take to grow back?
hi, my son lost his front upper teeth due to fall in june 2012.now its around 4 month and no sign of permanent tooth. he is 5.9 yr old. I'm worried because after that his lower tooth is also fall naturally and new permanent tooth is came now.Now should I wait more or visit to dentist?? | Hello! Please do not be concerned. The Upper front teeth erupt at the age of 6-7 years. So there is still time depending on person to person. Kindly wait! | |
What is the treatment for epileptics?
My son Ansh caught infection of West Nile virus..in 2008,subsequently he was gone in status epilepticus..for 2 & 1/2 months, was on life support system for the same duration,after that when the frequency of seizures had been reduced , he was discharged with Trachaeostomy tube which was taken off in last July.Still he is on Tube feeding,not conscious but the body growth continues as normal,he just responds to body protection mechanism(reflex actions are normal)...but he does not respond to any instructions which is given by me.Kindly ask whether he can come out to be a normal or not..& how long it can take?? Medicines on which he is now are: Phenobarbitone 120mg. Phenytoin 200mg Frisium 20mg Encorate 1000mg Oxetol 600mg Levipil 2000mg Somazina...His weight is 42 kg, His Age is 12 yrs. | HelloBrain imaging like MRI can give a clue regarding the future outcome. As the child was in status and was also given life support there are chances of hypoxic(poor oxygenation) brain injury. 95 percent of brain growth occurs before 5 years of age so likely outcome is poor. It can be better assessed with MRI. Regards | |
Will taking multivitamin tablet effect me from getting pregnant ?
Hi, I am taking fefol multivatim 300mcg (folate iron) is OK to take as I am planning to conceive in the month of december, the side effect I got was getting a dark colour stool, but I was informed its due to non-absorbed/extra iron in the body, asked to still continue it. I am worried that will I get extra iron in my body, and is it true that extra iron can be harmfull to body and the future baby as wee, Do I continue taking it or stop taking theses tablets | Hi Welcome to HCM Read your prob, first you should get your Hb leval if it will be normal then stop it n if it shows you are anemic then take it. as after getting pregnant you have to take this type of tab because it helps development of baby n maintaing your Hb at normal leval. | |
What causes severe pain in the wrist and elbow?
my daughtes left hand has been turning blue on and off for a week. Somtimes swells somtimes not. pain is from wrist down hand at first nor elbow down. Coloration lasting differs somtimes 3 to 4 hours other times 1 hour. even when coloration goes arm hurs a little. when hands blue arm hurt BAD. Today she called from school hand is normal color but arm is throbbing and hurts to a 10 she says? | Hi, Consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. | |
What could pain in the genital with history of having blisters, swollen and sensitive testicle indicate?
I had a blister like on my genital 4weeks ago and my family doctor prescribed a antibiotic cream to apply localy .it took 3weeks to get better. Now I have a pain on the same side where the infection was in my lower abdomen and there is physical reverence of swelling plus my left testicule is very sensitive. What do you think could be the problem? | HIThank for asking to HCMI really appreciate your concern looking to the history given here I would say that your past history of lesion that you had and you had treatment for that that is nothing to do with the present complain of pain, this could be functional one you need to wait for sometime this would disappears if not the you can try the Tab Dicylomine three times in day, even if this is persistence then this need to be examined clinically hope this information helps you, have a nice day. | |
How to overcome the problem of looking at the sex organs of males and females?
I am 57 years old man. I had a problem of looking at the places of lower sex organs of male and female and afraid and not able to talk to them freely.This was started 27 years back and even though I took various medicines advised by psychiatrists I am not cured of completely. At present I am using paxidep 12.5 mg and lonazep 0,25 mg. Can anyboxy advise me what to do? | It has been so many yrs that you are facing a difficult problem.it is ocd dear or obsessive and compulsive disorder. Ssri helps but the dose you are taking is very less to be effective. Visit a psychiatrist , ask for increasing dose or change to fluoxetine. | |
What is the remedy for itchy penis, frequent urge to urinate without help from clotrimazole cream and antibiotics?
Yes, I have this rather embarrassing itch of my penis for over 3 weeks now.Was given clotrimazole to apply but the itch did not resolve. I was given some antibiotics (cefuroxime) which I have completed now but the itch is still not stopped. I often have an urgent urge to urinate | Hi,It seems that you might be having fungal infection.Apart from using clotrimazole cream you might require oral anti-fungal medicine like Flucanozole 150 mg once in a week for 4 weeks.Keep local hygiene clean, dry and airy.Ok and take care. |
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