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Q. Can I use Kojivit gel to get fair skin?
Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. | Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> | |
Could the pain at the episiotomy incision be due to abscess or blood clot?
I had cystocele and rectocele repair 5 weeks ago (with pelvic floor repair), put on tindamax and metrogel for bacterial infection in last 3 weeks. Now I have a lump (pea to grape size) next to my episiotomy incision. Very painful....worried it could be abcess or blood clot. | Hi,It seems that there might be having painful irregular scar or there might be having some infection on incision site.Consult your treating doctor and get examined.Keep local hygiene clean and dry.Ok and take care. | |
Suggest treatment for thyroid cancer
Hi doctor , I'm from Brunei , currently my cousin got thyroid cancer but after she do another ct scan the thyroid dissappear but surprisingly her lungs was fully covered by the cancer cell, she was ask to do the chemo after the result of her bone marrow test then chemo will be on the next day, please advise doctor what can i do to save her, any alternative way of treatment? at the moment i asked her to take B17 tablet,golden lypres . But the doctor still insist to do the chemo,but i know chemo is killing rather than curing , please advice | Hello dear. I appreciate your concern. It is sad to tell but it is very advanced stage of disease. Only therapy which will prolong the survival is chemotherapy.Hope you understandThanks | |
Suggest remedy for sudden heart palpitations
Hi after lunch I was watching a movie (relaxed) and my heart started to beat really fast and it felt like it was going to pop out of my chest, it doesn t happen often though. I thought I was having a miny heart attack but I m only 16 and although it could happen to anyone i thought no way. I looked on the internet and it said something about a heart palpitations. | Dear, Welcome to HCMWe understand your concernsI went through your details. The present heart palpitation you complained could simply be due to stress. Usually, body rhythm changes after food. To digest food, body needs more oxygen and blood and automatically heart beat and blood pressure is increased. You watched absent mindedly the palpitation and got obsessed with it. When you started watching the heart beat, body considered it as stress and took preventive measures. Rapid heart beat is body's preventive measure to overcome stressful situation. Don't worry. You may consult a physician for necessary evaluations.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. | |
Should i be worried of the bumps on penis after rough sex?
Had a very much needed nite with my wife Sunday nite some over due alone time. Things got rough and during sex i felt the bottom sides of my shaft hurting felt like my hair was being pulled. Woke up Tuesday had some pimple like bumps with my a hair coming out the middle of it i popped them put a little alcohol on my shaft, a little tender help should i shave or be worried | HelloThanks for query .Based on the facts that you have posted I would state that you have developed Staphylococcal infection of hair follicle(Boil) on the shaft of your penis.You need to take broad spectrum antibiotic like Augmentin and anti inflammatory drug like Diclofenac twice daily .along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals and private parts with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Do not attempt to shave the private parts as there is risk of spreading infection to other area .Do not worry .It will get cured within a weekDr.Patil.. | |
Is it harmful to masturbate at 13?
hiee... respect sir I drop sperm at age13 for rubbing my self for my pleasure... I am feeling annoying for many weaks coz this age is very small this activity in future I have done relationship with any girl after dis acitivity.... and my sexual part is growing in future ..... | Hi. It is not harmful to masturbate at your age. Happens by curiosity. Let this not be a habit as your age is for studying and playing. Hold on for as much as possible. | |
Taken antibiotics and steroids for pneumonia. Took allergy shot. Blocked ears due to swollen eardrum. Advice?
Was sick with pneumonia , took 2 rounds of antibiotics and 2 rounds of steriods. Started feeling better for about a week. Best I had felt in over a month. Went back to Allergist and took my allergy shot, which I get every three weeks now so I have been on them for a while. Few days after, I felt sick again. My right ear is totally clogged. Not much pain. Went back to Doctor another round of antibiotics and Allegra D and still no relief. What can I do to unclog this ear. She said the eardrum is swollen due to fluid behind ear. I don t feel like I have a lot of fluid. I don t have stuffy nose. And it doesn t start running after taking the Decongestant. I have tried nose spray. Heating pad , oilive oil. I feel like I m drowning under water. It s starting to give me panic attacks. | CASE OF ACUTE SINUSITIS DUE TO ALLERGY NO DECONGESTENTS,NO STEAM , TAKE XRAY PNS DONE START TAB METROGYL 200 MGM TWICE A DAY TAB TYAB MONTAIR FX TWICE A DAY NEOSPORIN EYE OINTMENT IN THE NOSE APLLY FOR TWICE A DAY TAKE FLUNARAZINE 5 MGM NIGHT NO EAR /NOSE DROPS DO FOR 3 WEEK POST THE RESULTS WITH XRAY PNS | |
Could pulmonary fibrosis cause weakness and shakiness?
I have pulmonary fibrosis and just got real weak and felt shaky. I also took Trazodone last night. Could that be a side effect? I won t just fall down dead from the fibrosis, will I? Won t I gradually lose oxygen? I have an oxymeter and felt fine a few minutes ago. | Thanks for your question on HCM. I can understand your situation and problem. Trazodone is tricyclic antidepressant and can cause side effects like tremors, giddiness and dizziness. So your symptoms can be due to side effect of trazodone.But in IPF (Idiopathic Pulmonary Fibrosis) patient low oxygen and high carbon dioxide can also cause these symptoms. So better to get done ABG (Arterial Blood Gas ) Analysis first to ruleout this.If ABG is normal than consult psychiatrist and change trazodone to other safer and newer antipsychotic. | |
what are the possible adverse effects of angiography?
I experienced chest pain for around 4 hours on the night of Dec 4th. Over these 4 hours I took one digene fast melt, eno, digene fat melt, 3 gelusil chewables with some gap. I also tried spice 'Ajwain' with salt. But nothing helped. Fearing heart attack i took a Dispirin. Subsequently I felt better after half hour. Next day I experienced acidity like feeling in my food pipe, some pain in back and arms. The pain was travelling from back to arm which is similar to symptom of Heart attack. I visited Apollo Hospital and consulted specialist from General Medicine department. He referred me to ECG. They observed 1 peak and said this might be normal or due to heart attack and suggested Angiography. everything was ok from result of angiography. I am 33, do not smoke, drink occassionally (not more than 3 times a month and that too max. of two 30 ml pegs each time), run half marathon every year, exercise twice a week, not obese. I feel the cardiologist should have taken all these into account before going for angiography. Was it a wise decision to go for angiography ? what are the possible adverse effects of angiography ? what precautions should i take now and for what period ? When will it be ok to start gymming again? pls advice. thank you | Hi and thank you for asking! Going for angiography in a patient with chest pain and ecg abnormalities is the wise thing to do.Appart from radiation damage there aren't any other side effects of angiography for a long period. You shouldn't worry about side effects. The only precaution you should make is to avoid future exposure to radiation. Wish you health. Dr. Shehu | |
How to calculate exact date of conception?
I was recently at my first sonogram saying i conceived on the 10th of july and my due date is april 2nd. My boyfriend and i have sex and he always cums inside me....recently i had a new partner and we had intercourse on the 14th of july....he did not cum inside me.....with my conception and due date should i be worried it was the guy i slept with on the 14ths child? | HelloWelcome here.As the second guy did not cum inside you, there are no chances of pregnancy with that intercourse. Do not worry about it.Hope this helps.Thanks. | |
What causes bump on the eyelid with swelling and numbness in the part of the head?
out of nowhere i noticed bump on eyelid and swelling, also 1/3 of my head (the left upper part area) was numb as well. later on that evening probably about 5 hours later i noticed a patch of like 10 or more little white dots (like little white heads ) on forhead a little above my left eyebrow. i squeezed them and some white puss came out just like popping a zit would do. i noticed as i was squeezing above my left eyebrow i felt tightning and pullling/ i felt some discomfort & minor pain nothing too seriouse, when i would eithe squeeze or even just touch that spot just slhtly above left eyebrow would cause an area on left side of head like size of small apple felt like tightning and pullling like my hair being tightend and pulled tight against my head felt like something inside my head was doing it | Hello deari really appreciate your concernLooking at your history this could be due to rupture or infected acne Your symptoms are suggestive of inflammation of sebaceous glands and hair follicleif you can.upload me a photograph i will be able to guide you better meanwhile don't manipulate much with these lesionswash it with an antiseptic soap and apply antibiotic ointment like clindamycinyou may require a course of antibiotics like doxycycline under supervision of your doctorHope.this helps youwaiting for your replybest wishes | |
What does rate of fluid in liver indicate?
My mother has just been diagnosed with cirrhosis of the liver. She just had a liver biopsy and we are waiting for the results. She has ascites and had fluid drained on April 18th (3 liters) and again on April 28th (6 liters). Does the rate of fluid build-up indicate she is at the end stage of cirrhosis? | HIWell come to HCMI really appreciate your concern amount of ascites fluid is not the criteria of prognosis but clinical condition, vital organ function, biochemical tests, if these are affected then this is not good sign, hope this information helps, have a nice day. | |
Suggest remedy for shortness of breath and body ache
hi iam ram 29yr..my ecg,tmt,echo are negative.. Bp,sugar and cholostrol are normal..last year went for endoscopy and in esophages lax jt at 40cm and mild reflux grade 2.. My question is when i go for gym and lift some light weight i can feel that something hitting back in my throat and the same day im unable to breath properly and started getting pressure in my left chest and burping with pain in the chest and with in 2days i got cold .. And i feel shortness in breath. Alday i feel tired and dull and body ache.. Even my chest x-ray,pft,barium swallow came normal..but if i burp and cough more i il get pain in upper abdomen..can anyone help me out what to do.. | You might be getting these symptoms, may be due to presence of mild hiatus hernia,that may slip in more with lifting some weights, causing excessive symptoms such as belching, breathlessness and abdomen pain some times.You may try cardio exercises rather than weights training. following life style changes some times help. Avoid caffeine, tobacco, alcohol. Avoid too spicy food, do not lie down for about 2 hours after meals, take dinner lighter foods, Sleep with head slightly at higher level than feet. | |
Are missing periods and bloating normal after inserting mirena?
Mirena IUD this year in may is two years that I have Mirena IUD at the begining I had a period n spotting which I thought it was great. But then after couple of months I haven't had a period at all, Is that normal? But there's day I feel bloated feeling like I'm 4mths pregnant. Is that normal too? | Hello,I have gone through your query and understood the concern. About 20 percent of people using Mirena can develop absence of a period or 'amenorrhea'. However, if there is more than 6 weeks interval since the last period pregnancy should be excluded, as this is the first time. If amenorrhea is established, there is no need to worry. In the current scenario, therefore, I would ask you to go for a pregnancy test and a sonogram of the pelvis, preferably in the trans-vaginal route to clarify. Hope this helps. | |
Suggest treatment for endocarditis after mitral valve replacement
I am a 64-yr. old caucasian woman who had a mitral valve tissue replacement 8/28/14. I have had endocarditis twice, in 2008, and in August 2014. At the time of the valve replacement, 4 of my molars which had deteriorating fillings which were done during childhood, were removed. My question is one which each of the doctors I have followed up with, the epidemiologist, heart rhythm, surgeon, have not given me the answer to the question I have: If I have a replacement valve, do I still have mvp? If so, why - that is what I don't understand. How did I go 58 years with no problem with endocarditis, and for the first half of my life did not take antibiotics at the time of any dental work, and didn't acquire the disease until I was 58? I live with the horror of the possibility of this happening again, and the fact that my new valve will wear out about the time I am in my 70's. Can I undergo surgery for a third time while in my 70's? I am following everything the doctors have told me to do, including different methods and mouthwashes for my gums, which my dentist told me are very healthy at this time. I don't think they were ever unhealthy, but my deteriorating fillings were causing me to use toothpicks constantly. | Hello,Please keep in mind that taking antibiotics prior to dental treatment is a prophylactic measure. Anytime there is bleeding, there is a chance that bacteria in the oral environment may enter the blood stream. Certain tissue and replacement valves are prone to affects of exposure to the bacteria.Consider having your oral bacteria analyzed to see your particular strains. Discuss this further with your dentist or visit a periodontist, gum and bone specialist. This is what I would recommend to my patient with your concerns.Your cardiologist should be able to discuss your condition with your dentist and advise if any additional precautions are necessary with your health history. Many surgeons require good dental health status prior to surgical clearance. I avoid nonemergency dental procedures for the first few months following surgery. Dentists follow a standard antibiotic prophylaxis regime prior to dental treatment. I follow guidelines set by the American Heart Association.Thank you for your inquiry. I am glad to answer any additional questions that you may have and hope you find my information helpful. | |
Is knee pain a consequence of cartilage breakdown?
Does breakdown of Cartliage cause knee to give away...I hd a Cortisone shot put in today at the DR. and he said I had Arthritis...and breakdown of Cartilage.My knee has been giving away with me...and is swollen on the inside and painful...Thank You | hiin osteoarthritis, cartilage wears away, glucosamine and chondroitin sulphate medicines and diacerin are known for cotrolling wearing process, so ask your orthopedic doctor.Physical therapy is also helpful thanks | |
Q. My 15 year old sister has seizures, and her brain activity is abnormal. Please help.
Hello doctor, My sister has been having seizures. So, we consulted a doctor, who said she has abnormal brain activity. Her EEG showed abnormal spikes. Currently, she is taking Levipil 1000, twice a day. What is going on with my sister? No one is explaining anything, and the medication is affecting her behavior too much. Please help. | Hello. I have read your query and understand your concerns. I hope this answers you. If you have more questions, feel free to write back to me. Please do not forget to mention the symptoms of the patient along with the description of the behavioral change, which will help us in pinpointing the probable cause. Thanks again. Revert with more information to a neurologist online --> | |
Q. As I am having a history of miscarriages, will taking hCG injections help me to continue pregnancy?
Hello doctor, My lmp was on five months ago. I was spotting for three days during my lmp and got a positive strip test after seven days. My beta hCG level on the day of a positive result was 126, and after two days, it was 125. I am being told that I will get periods in two weeks but told to continue folic acid and multivitamin and come for ultrasound in three weeks if no periods come. I have a history of miscarriages, and I am 35 years old. Can hCG injections help me or should I consult another doctor? Have I miscarried or there are still chances? | Hello. Unfortunately what your doctor has said is right. Spotting in early pregnancy is normal. But a fall or no rise beta HCG is a poor sign. Beta hCG is a hormone produced from fetal tissue. At a level of 25 mIU/mL urine test is positive it doubles in 48 hours. So if the result of 7th is 125, then on 9th it should have been around 250 or more. Only healthy fetal tissue can produce an adequate amount of this hormone, so indirectly we get to know the health of the embryo even without seeing it. So it just means the fetal tissue is not growing. There can be lab errors, so to be on a safer side doctor has asked you to come for scan, to confirm. If you are worried about the repeated miscarriages, have yourself and your partner checked for any problem. Causes like blood sugar levels, thyroid hormone problems, or prolactin hormone abnormalities, any structural problems in the uterus or any problem in semen. Do not lose hope, if you are getting pregnant without much help, no matter what the outcome is, then you will surely have babies. I hope I have clarified your query, do write back if any more questions. | |
What causes pus to come out of pierced ear?
My 7 year old had her ears pierced 6 weeks ago. She was able to change her earrings this past Sat and now there is puss with a little blood in it. I put the posts in neosporin and have been cleaning her ears with peroxcide but is not getting better. what is your advice? | Hello,Welcome to HCMAs the pus is coming out of ears,it seems to be infected.So,keep applying the topical antibiotic ointment,along with it take full course of antibiotics like amoxclavulanate orally.Keep the area clean and dry.Wipe it with antiseptic solution and warm water with dry cotton.Hope you are happy with the answer.Thank you | |
No severe pain, is my wisdom tooth impacted or infected ?
Hello Doctor , My wisdom tooth pain started on 9th Jan and it was severe.I took pain killers for first 4 days and it provided temporary relief.I started taking antibiotic Ampoxicillin since 13th along with ibuprofen.Pain has reduced a lot and now there is no pain at all while brushing,opening mouth or by touch.I feel slight pain or some sensation in jaw muscles or cheek muscles attached near the tooth.Is it just eruptive symptoms or infection or impacted tooth symptoms? Pain is not bothering,just that if I delay visit to doctor.Will it internally cause a problem?I am coming to India in March.And here dental charges are extreme.Please Help!! | Hi, An erupting third molar would cause pain and discomfort which would subside gradually. An xray of the tooth should be taken to determine the actual position of the tooth. If the tooth is impacted it should be removed surgically. Medications are only a temporary solution to the problem. So visit your dentist at the earliest. | |
Q. Will Ashwagandha interfere with anesthesia during lymph node removal surgery?
Hello doctor, I did not realize my surgery would be so soon. I have been taking Ashwagandha and an Omega 3 supplement. I am having an enlarged lymph node removed in my neck under general anesthesia as an outpatient procedure. Will it be safe to undergo this procedure under anesthesia in a few days? I heard this might interfere with the effectiveness of the anesthesia. | Hi. Removal of a lymph node is not an extensive surgery. So, no need to worry much. As far as anesthetic risk is concerned, you may face the following problems because of your high BMI (body mass index). As far as Omega-3 supplement is concerned, it has nothing to do with anesthesia drug. Ashwagandha is a herbal drug, it also has no significant interaction with drugs used to give general anesthesia. So, keep yourself motivated and anxiety-free. For more information consult an anesthesiologist online --> | |
Is Lipisafe good to take for stomach pain and constipation?
Iam 29 yrs male sir I have ldl cholestrol nd am used fenocar 67 10 mg nd i got stomach pain nd constipation after 10 tablets i stopd nd doctor adviced me to take lipisafe 10 mg bt still am feeling the same can u suggest me to take other medicine is it so healthy medicines or nt which iam taking | Hello!Welcome and thank you for asking on HCM!I would like to have some more information regarding your blood lipid profile. You should know that fenocar and lipisafe are two different types of drugs and are used for different purposes. The first is used to lower triglycerides, and the seconds acts mainly by lowering cholesterol levels. Both these drugs have similar adverse effects. I would like to read your blood lipid profile, before recommending any other drugs. From the other hand, LDL cholesterol levels are not a confident indicator of your cardiovascular risk. Total cholesterol/HDL ratio or LDL/HDL ratio are better indicators of your cardiovascular risk. Anyway, here are some nonpharmacological ways to lower LDL levels: - a diet rich in omega 3 food (fish, olive oil, fish oil, walnuts, etc.)- a lot of physical activity (gym, yoga, jogging, swimming, etc.)- stop smoking- try to reduce your weight if you are overweight. Hope to have been helpful!Best wishes, Dr. Iliri | |
Q. I have polymyosistis. Shall I follow my regular exercise plan?
Hello doctor, I have a health and exercise question. I am 24 years old and I weigh 293 lbs, 5'9". I have polymyositis. I started a new workout today. I did five pushups, five reps, five squats, eight reps, 20 standing stiff leg ups, seven reps, five flys, eight rep, 10 curls, 10 reps using two eight lbs gallons of water. Not all at once, alternating between arms and legs. I wanted to know if it was fine for a starting workout. I also had 151 grams of protein so far today and one gallon of water to drink. Is this fine for a starting plan? | Hi. Having polymyositis, you should start with a fewer resistance exercise and more of stretching exercises to improve flexibility. Yes, the exercise plan you made is fine for a good start. But maintain the muscle length through stretching exercises before initiation of the workout. Protein content increased by 250 gms per day and one gallon of water. Drink enough water before the workout. Take equal amount of rest in between the sessions. It helps the recovery of muscle soreness. It can include aerobic exercises. Count your heart beats to increase the time period. | |
How to identify implantation bleeding?
Hi, I started bleeding 2 weeks earlier than my period. I was confused so I looked it up, and it mentioned something about implantation bleeding. I shrugged it off thinking it was nothing and went on. The next day I felt funny and up until now (for 2 weeks) I have been having pregnancy symptoms and gaining weight. My period is also 2 days late as of right now. What I m wondering, is if I m pregnant or is it normal?? | Hi, I understand your concern. Actually implantation bleeding is seen around expected day of menstruation. So your is less likely to be implantation bleeding. It's possibly the ovulatary bleeding.. whch occurs on the day of ovulation in few cases. Now if you had sex within 2-3 days of the bleeding, you may conceive & the funny feeling( which is experienced so early very rarely ) and also delay in periods may suggest it. The confirmation would be by blood HCG testing just today / urine pregnancy test after 8 days delay in period. Thanks. | |
Is pregnancy possible after having unprotected sex followed by taking depo shots?
Ok my boyfriend an I been together for bout 3 months. For 2 weeks straight we had unprotected sex , but he didn t cum inside me. I got the depo shot 3 weeks ago. Iv been feeling both symptoms pregnancy ones an the depo ones. I took a p-test 5/30/14 that evening came back negative. But I felt flutters in my lower stomach 2 weeks ago. I m waiting till Monday to go see the dr. But I would like to know now if I am pregnant or not. | Hi,You are having unprotected sexual relations for 3 months while you have taken Depo shot just 3 weeks ago. You definitely stand the risk of pregnancy. Depo offers you protection from pregnancy only after you have taken it. The intercourses done before Depo are not protected. However, your pregnancy test is negative; hence you are not pregnant. Depo shot has progestational ingredient as an active principle. Progesterone does cause gastric disturbances, weight gain and breast symptoms like heaviness and tenderness. So you need not be concerned about these symptoms as due to pregnancy when your pregnancy test is negative. For your gastro-enterological symptoms, some good antacid might help you. If it does not give you any relief, please report to your Gynaecologist. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Nishikant Shrotri | |
What could painful bubbling sensation in limbs and abdomen indicate?
Hi. I have been feel a bubbling feeling off and on throughout my limbs and abdomen for about two years now. My limbs are now slightly achy and suddenly varicose veins have popped out on my skin. I'm 39 years old now. Know what might be happening? I weight appr. 240 lbs. I am 5'4". My blood pressure elvevates off and on but I'm not on any medication now. | Hi.Thanks for your query.Read and understood the problems.You have a bubbling feeling in the lower limbs and abdomen 2 years. Now you have varicose veins too. Your weight of 240 lbs and height of 5'4'' indicates that you come under the category of Obesity as the calculated BMI is of 41.2.This obesity is the main important reason for your painful bubbling sensation in the limbs as varicosity and associated lymphedema cause this sensation, as may be the same problem in the abdomen.Another possibility of Hypothyroidism and Diabetes increasing these problems should be considered. I would advise you the following:-Get the detailed blood tests done including- CBC, lipid profile, thyroid, kidney, liver, sugar, HbA1c done to see for all the metabolic disorders.-Other tests related to cardiac, abdominal and chest status - Color doppler and ultrasonography of both the lower limbs and abdomen.-Start weight reduction programs .-Start using the stockings for varicose veins.-Get the opinion of the specialists in concerned fields and you will be better. _Get the surgery if indicated. | |
How can i be sure that i have been diagnosed correctly with mental illness?
Hi last year I was told that I have borderliline personality disorder with major depression this year after a different consult was told its anxiety disorder and mood swings could be due to BPD was on 150 mg pristq have just been weaned off that and will be going onto 25 mg Zoloft found the pristq stopped all happy moods but didn't stop the mood swings any other way been doing research online and found that I can relate myself to a number of different illness how can I be sure I've been given correct diagnoses please help my life struggles due to how I can be Grace | Hi, Thanks for writing to health care magic. If you doubt the diagnosis made by your doctor take a second opinion. If the second doctor also makes the same diagnosis then there should be any doubt regarding the diagnosis made. If you think you have not given a proper history or so please give a complete and detailed history which may help in making a correct diagnosis.Continue to ask further queries as required. Hope this helps. Take care. Dr Y V Siva Sankara Murty,M.D.(Pediatrics)Associate Professor,Pediatrics. | |
Q. How can we manage insomnia by ayurveda treatment?
Hi doctor, I am suffering from insomnia for a few years. I had also taken some sleeping pills. Now I am willing to take Ayurveda treatment. Please suggest. | Hi. Insomnia is a disorder of sleeplessness. There are several causes that cause this condition like stress, anxiety, disturbed lifestyle, disturbed sleeping routine or other medical conditions. It can be managed naturally through ayurvedic medicines and procedures. Panchakarma therapy is one of the best options. There is another method called Shirodhara. You can take oral medications and meditation. Treatment includes: Along with medications, you should try to resolve your disturbed schedule, stress and anxiety. Avoid spicy and fried junk foods. Avoid smoking and drinking, if you have these habits. Do regular yoga like suryanamaskara and pranayamas. Do meditation in daily routine. For more information consult an ayurveda specialist online --> | |
Diagnosed with autism. Had hernia repair surgery. Giving enemas. What can resolve this?
My son is 7 years old and was diagnosed with Autism when he was 4 years old. He had hernia repair surgery as an infant and it seems since then he has never had regular bowel movements. Sometimes he can go as long as a week without a bowel movement. We give him enemas but, sometimes even then nothing happens. I'm extremely frustrated and would really like to resolve his gut issues so he can begin developing at a more rapid pace. | Hi,Thank you for your query.Constipation has nothing to do with the hernia repair but is a nutritional problem. You need to ensure that your son has increased roughage in his diet along with increased water intake to control the constipation problem. Diet modification needs to be done and I suggest that have a look at the article on constipation and high fibre diet at hope I have answered your query to your satisfaction.Wishing your son an early recovery.Regards,Rajiv K Khandelwal | |
Suggest permanent treatment for recurring Psoriasis
I have been suffering from Psoriasis for the last 25 years. My doctor gives me Folitrax @15 mg injection, weekly once for 4 weeks. I get alright after I take this dose, then after every three months the problem relapse. Please advise whether to repeat the same medication or to take up some other treatment. | Dear friend, in allopathy there are not any complete treatment of Psoriasis.In allopathy treatment for psoriasis is only symptomatic. Relapse can decreased by stress free life, proper sleeping specially in night and avoid drugs that can exaggerated psoriasis..In Ayurveda (but at rare places in india) complete treatment is possible.Being doctor i was also suffering from palmar plantar psoriasis and taken but i completely cured 7 year ago by ayurvedic treatment . I felt the pain of psoriasis so i can better understand your problem dear. Thanx for query. | |
What causes weakness and nausea when suffering from spherocytosis?
Hi i have spherocytosis and im feeling really sick. Most of the time by blood does not effect me and im fine, but for the past 4 days i have been feeling really weak, feeling like im going to vomit, looking very pale, yellow whites in eyes, no appertite atall, headaches, im 19 years old and i had parvoB1 virus when i was 7, all my symtoms from then are happening again, i know you can have the same virus twice. What should i do | HI Welcome to HCMI have gone thru your query regarding weakness and nausea when suffering from spherocytosis ,is indeed a matter of concern . Any body suffering of this from your family ,far or near ?Spherocytosis is a hereditary condition caused by genes inherited from the parent. A less common digestive tract disorder is obstruction of the intestine, which causes vomiting because food and fluids back up into the stomach . because of the obstruction due to liver disorder and presence of toxins in our system due to indigesion , constipation , lack of sleep , lack of activity level and lack of proper nutrition , resulting weakened immunity . most probably your syptoms are suggesting the doubt of being Jaundice .And Jaundice is not a disease but rather a sign that can occur in many different diseases. The liver organ is considered a fire or pitta organ in Naturopathy / Ayurveda. Good health of the liver requires the balance of the pitta dosha . If the liver is overloaded with toxins it will burn too hot and become inflamed causing problems throughout the body. The imbalance is treated with a combination of dietary and lifestyle changes as well as herbal remedies to increase immunity . Jaundice is the yellowish staining of the skin and sclera (the whites of the eyes) that is caused by high levels in blood of the chemical bilirubin. The colour of the skin and sclera vary depending on the level of bilirubin. When the bilirubin level is mildly elevated, they are yellowish. When the bilirubin level is high, they tend to be brown.Some how and somewhere your digestion system is responsible for all symptoms you are facing presently .Try to remove the cause ,health will automatically follow you .. In fact,Your body is always fighting something -- an infection, a toxin, an allergen, a food or the stress response -- and somehow it redirects its hostile attack on your joints, your brain, your thyroid, your gut, your skin,your kidneys or sometimes your whole body .Your immune system is your defense against invaders .But when the immune system becomes weak, the disease cells can grow out of control , the disease overpowers .Here you have to work to strengthen your immune system by following a certainregimen --Your total health depends on 'what we eat ,when we eat and how we eat '.I would like to suggest you to follow regimen as below to take balanced diet containing all essential nutrients , fiber ,vitamins , minerals in natural form -fruit veges ginger ,gar | |
Diagnosed with PID, sepsis, abdominal pain, painful sex, bleeding. No infection. What is it?
Hi, I was diagnosed with PID last year after being admitted to hospital with sepsis. Before I was admitted My symptoms were abdominal pain, pain with sex and bleeding after sex. All these symtoms are now back but have had blood tests etc and no signs of infection. When I was admitted with sepsis all my bloods still showed no signs of infection. What should I do? | hi there, PID means pelvic inflammatory disease and it could be the inflammation of the fallopian tube along with the uterus and also the inside of the abdominal cavity .Infection causes inflammation and when it heals with the help of antibiotics or on its own it leaves behind scarring or in this case adhesions which may occur between the different organs present in the lower pelvic region. These adhesions cause pain whenever the organs are moved due to having sex or any manipulation of the external genital organ. The bleeding post sex need s to be evaluated with the help of a PAP smear exam to rule out any cervical pathology. You may visit your gyn and get yourself evaluted with the help of an ultrasonund to rule out any other pathology. If there are adhesions they need to be freed which can usually be done laproscopically or by open surgery if required. Do get yoursef evaluated. Take care. | |
How to get rid of epicanthal folds?
Good morning, I have epicanthal folds because I m half Asian, but I don t look exotic at all. I don t want monolids, I know there is no surgery to get them. I would like to hold a surgery to accentuate my epicanthal folds and lift my outside corner of the eye up, so I would look more Asian. Thank you very much! | hi...i can understand your worries...you got epicanthal folds,,for epicantal fold there is surgery available kn own as blephroplasty or more or more specifically epicanthoplasty...in this procedure we remove the extra tissue over the upper eyelid..day case procedure on local anaesthesia.. there will be a scar on upper mostly not visible..i will add that there is no medicine available for epicanthal folds...you will have to visit your plastic surgeon...hope this will help..thanksDR IHSAN | |
What causes pain in penis?
I m 46 years old , last night I had a really bad pain towards the end of my penis, when I was going to the bath room. I hurt so bad that I stopped urinating, and then I noticed a squirt of blood. The pain lasted about an hour. This morning my underwater had several nickel size blood stains, and when I urinate, the first little bit is red, and then is normal urine color. It hurts while I m urinating, and then for about an half an hour after. I have no other problems that I know of, no fever,and zero pain any where else | Thanks for asking in healthcaremagic forumIn short: May be due to urinary stoneExplanation: Blood in the urinary tract is mainly due to injury /stones. SO, as per your description of stoppage of urine in between and bleeding after that, it is pointing towards the urinary stones. So, please visit doctor and go for its investigation. | |
Suggest treatment for pain
my pain is horrable nothing that percribed helps. first non norcodic , then 5mg. of oxycodone every 6hrs. as needed for pain. Dr.it does contain the pain. im told only take when pain reachs level 8, levels to drops within 15 min. but pain never goes away, only drops 3, then 2 hrs its hitting 6-7, 4 hrs its8-9 ,5hrs bang ten and crying. va wont or the say we don t want you tobe an asdic.. just shoot me | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.There are several features on this post are crying, just shoot me, which are statements that might indicate depression or other psychological issues that is contributing to the perception of pain.Does contain the pain. I am told only take when pain reaches level 8, levels to drops within 15 minutes, but pain never goes away, only drops 3, then 2 hours, it’s hitting 6 to 7, 4 hours its 8 to 9, 5 hours ban.This is a very worrisome statement. Narcotics do not act to remove pain. They change perception of it. At best, with heroin (a closely related drug) you still get all the same issues and about the same duration of action but maybe a bit more unconsciousness and not die.So, as with any pain:• See about actually getting something fixed.• Your body will automatically limit activities that are painful and this will make you move funny.• Partly to overcome this and partly to overcome the pain, increasing activity, adaptation, making other areas hurt, and will help the pain (physical therapy).In this particular case being evaluated in particular for psychological issues.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Matt Wachsman | |
Failed IVF cycles. Extensive infertility testing done. Homozygous mutation in immune testing. Optimal treatment options?
After 2 failed IVF cycles (secondary infertility ), my husband & I had extensive infertility testing, including FULL immune testing. All normal except... HLA-C match: 07, 07 (me), 07, 04 (husband) HLA-DQa match: 4.1, 4.1 (me), 4.1, 1.1 (husband) MTHFR A1298C: homozygous mutation What would be the optimal treatment for the above??? | Hello. Thanks for writing to us. The mild mismatch on immune testing cannot be treated with medicines. It suggests the degree of incompatibility between you two. Going for a repeat IVF is the only solution left with you for conception. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
What causes growth of pink skin tag under the tongue?
I have a small, pink skin tag under my tongue, and it has a tiny white tip. It has been sore for the past week. I noticed it about a year ago, and my dentist said it was a skin tag. This past week, when it started hurting, I noticed it has grown a little bit since a year ago. I am going to my dentist next week to have it checked. Do skin tags under the tongue grow, and is the small white tip normal? | Hi,Thanks for posting the query, I suppose that you might have developed some kind of tissue growth this could be due some kind of trauma i would suggest you to consult to an Oral Surgeon get a checkup done, at home take lukewarm saline and antiseptic mouthwash rinses, take multivitamin suplements, apply hexigel oral ointment topically over it, Hope you find this as helpful,Take care! | |
Is taking in 2 5mg pills before root canal procedure best option?
I have an appointment for a root canal at 9:30 in the morning. My endodontist prescribed 2 5mg pills to be taken 1-2 hours before the procedure. I have read elsewhere that it is best to take one pill earlier, and then one pill 1-2 hours before the procedure. What would be best? I have a sever needle and dentist phobia. Also, I read that Valium stays in the system for quite a long time. Will I be able to drive after 24 hours? | Hello,Thank you for asking your query with us.As you are are mentioning that your dentist has prescribed you the medication to be taken 1-2 hour before the procedure, yes it is the correct method to start with it, as it will be sufficient for you.Yes you will be able to drive after 24 hours but not immediately after treatment.thank youHope it will help you | |
Black heads, white heads, pimples on face, marks on face. Treatment options?
since three months i am getting pimples on my face (blackheads,whiteheads, & big size pimples ). On some parts of my cheeks i have got pimple which are like balls inside skin and pains when touched. i am really worried as these pimples are leaving marks and scars on my face..please suggest me what to use on my face and which medicines should i intake. | Hi Shabnam, Firstly use a salicylic acid based face wash and water based moisturiser meant for oily skin to keep your skin nourished. Also get all your comedones (black heads and white heads) extracted regularly and avoid facials. Consult a dermatologist to advise you a treatment plan best suited to your skin. For acne multiple treatment options are available like antibiotics, isotretinoin, topical anti acne gels and creams. Also one can take Glycolic acid or salicylic acid peels. Similarly for scars, one can go with microdermabrasion, micro needling or lasers once the active acne lesions have healed. Once your skin has been assessed, then only according to severity of acne, treatment can be advised. Take care. | |
Will prolonged pushing, pulling heavy objects increase the degenerative process ?
I am a 53 year old female. I have mild multilevel spondylosis and multilevel foraminal narrowing. Prior to May 2011, I had no symtoms of neck problems. I am shocked by the results of my MRI. Would repetitive work such as mine of 5 years, pushing, pulling, 500lb. carts, lifting erogonimacally incorrect, increase the degenerative process ? | Hello, These degenerative changes of the vertebral column are closely related to the heavy work that you have been doing. For this reason, I would recommend trying to avoid weight lifting and trying to maintain a normal posture. Physiotherapy and a cervical collar can help improve your situation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
Is it safe to ejaculate daily?
For a healthy 44 year old male, 5'7', 150 lbs, good healthy. How often should I ejaculate to stay healthy? I have heard if you do it too often your hair thins, you cannot build muscle, etc. If you have a wife that is healthy and desires sex daily am I causing problems having sex daily? | Hello, Daily sex is not harmful if you are physically healthy and active and if your partner is also healthy and active. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist | |
What causes arm function loss after a fall injury?
So my mother fell down two flights of stairs at the post office just over 2 weeks ago. She went to the DR. immediately and got an xray nothing is broken but she has since lost the functionality of her arm. it doesn t hurt all the time but just when she tries to use it. I am worried about her she has her arm in a sling and has been resting it. She has no insurance and I told her to alternate ice and heat on it for 10 minutes out of every hour. Is there anything else she can do? | A problem which needs attention from the physiotherapist !!perhaps your mother is about 50 +, and as she fell the whole body weight must have been taken by the shoulder. In such injuries the damage is due to injury to the muscles and nerves. So the movements become painful and restricted. So, at this time a consultation with a ortho / phsio would be helpful, as a diagnosis is essential. You are doing well with rest and heat to the part. But gentle exercises must be started such as taking the arm out, small circular movements with the arm hanging in front of the body, taking the hand to the back of the neck, You will agree that these are best demonstrated and taken up in a gradual manner.To help in local repair you may use Diclofenac cream massage, three times a day after local fomentation. The cream used should be upto the middle crease of your index finger. | |
Suggest treatment for furry tongue and retching during pregnancy
hi, im 15 weeks pregnant and ive been suffering with a furry tongue, ive had morning sickness up till 2 weeks ago and my nausa feeling has stop but due to my furry tongue and the taste in my mouth i am still reaching and being sick and im finding hard to eat and drink. pls help, many thanks... lian. | Hello dear,i understand your concern.In my opinion furry tongue might be due to vitamin deficiency.Take healthy nutritional diet like fruits and veggies daily along with egg,meat,milk and fish.Also take vitamin Bcomplex supplements.Consider getting HB done to rule out anaemia.Dont worry.It will subside with adequate nutrition and apt treatment.Take adequate fluids upto 3 litres per day to prevent urinary tract infection which are common in pregnancy.Hope this helps.Best regards... | |
What causes white bumps and warts on the scrotum?
Does Varicocele cause white bumps on the scrotum and along with warts on the scrotum and shaft of the penis? I noticed these things start to develop around the age of 13. Way before i have ever had intercourse with anyone. If not Varicocele what could this problem be? | Hello And thanks for sharing your concern with us.Following conditions can result in such manifestations on scrotum skin :1. pilar cyst2.folliculitis3. fordyce spots4. warts may be because of herpes5. fungal infectionAs the symptoms appear much before than your first intercourse so it's possibly not much serious issue . Follow these tips:- wear loose undergarments- maintain optimal hygiene of affected area.- don't touch the affected area so often.-Use benzyl peroxide for washing affected area.- always practice safe sex.I would recommend you to consult this issue further with Dermatologist or Venereologist for proper treatment .Best Regards,DR.S.TOMAR | |
Is inability of a year old infant to crawl and walk concerning?
my granddaughter is 12 months old. She has great fine motor skills with intact pincer movement and can transfer objects from one pincer grasp to another. She babbles and says dada, mama and dog. However she does not like to bear weight on her feet. She rolls over and that is how she gets from point a to point b. Should we be worried that she is not crawling, pulling herself up or walking at this point? | Hello. I just read through your question.Pulling to a stand is a ten month milestone. Taking steps is a 13 month milestone. It is not necessary to worry about a child who misses a milestone by a month or two. Any longer than that, is concerning. Usually, a few sessions with a physical therapist can be very helpful. I recommend discussing this with your pediatrician and getting an opinion. | |
What causes numbness in lips?
A couple of weeks ago my lower lip and chin went numb. I went to see my dentist and he sent me to a specialist. The specialist examined me and came to the conclusion that my nerves were okay, and he had no answer as to why I was numb. Please help!! Thank you. Karen | Hi karen The numbness on your lower lip and chin gives a direct suspicion on nerve damage . since you have'nt mentioned if you underwent any dental procedure , i cannot come up to a direct conclusion of what might have caused it . Also i suggest you to take a second opinion regarding nerve evaluation which will co-incide with other findings illustrating the particular nerve damage. take care | |
What could cause pins and needles feeling in hands?
The last few days I ve noticed a pins & needles feeling in my hands & feet. This morning, I noticed in those same areas, I have tiny red bumps under the skin. I ve a cold with hot/cold sweats since the beginning of the week. Could they be related? | Hi, These could be symptoms of peripheral neuropathy. Kindly rule out diabetes and any other metabolic disorder. Let a physician look after the patient. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon | |
What causes neck pain and tingling sensation in arms?
about two weeks ago i was berry pickin and fell down a hill...same night i slept bad and woke up very sore in my shoulder blade. thought i had slept wrong. well its been two weeks and my symptoms have changed. the pain moved from my shoulder to the center ofthe top of my spine up my neck...now for the last couple days my arm and underneath and starting to pull on my chest i ve had musle spasems so feirce that my arm moves and jerks uncontrolbly. the pain and tenderness is almost unbaralbe. i have numbness and tingleing threw out my arm and fingers. it feels better with pressure in the spots and im not sure if ive just pulled a musle or if i have blockage of some kind | HelloTingling sensation in arms may be due to nerve involvement in cervical spine.As you had history of trauma,it is important to screen cervical spine.You may need cervical spine MRI.MRI can detect disc prolapse,nerve involvement etc.Proper treatment depend upon findings.You need proper evaluation by a orthopedician.Get well soon.Take CareDr.Indu Bhushan | |
Irregular periods, stopped contraceptive pills, pain in legs,nausea, bloating, Hypothyroidism. Taking levothyroxine. Advice?
Hi, last month my period was late and very light when it arrived (unusually so). I am now over a week late again, I have severe bloating (compared to normal) achy legs, nausea and indigestion (which I have never suffered before) as well as tender breasts. Pregnancy test a couple of days a go was negative. Felt sharp pain during sex which is also unusual. I was diagnosed with slight hypothyroidism last year and up until last month was on 25mg levothyroxine- my dose was increased to 50mg as I was feeling like the 25mg wasnt working. I have recently stopped taking contraceptive pills (2 months or so). I understand that my hormones may be a little out of kilter but worried it might be something else? Don't know whether to stop taking the levothyroxine and see if my period comes! | Hi, Thanks for writing to us. The chances of pregnancy in your case may be there. You should not stop taking levothyroxicin because you are a case of hypothyroidism. You should consult a gynecologist for urine, blood test and ultrasonograhy to rule out pregnancy. Good luck. Take care. | |
What causes sudden chest pain,dizziness and blood rush to head?
Today while at work I was walking and feeling fine when I felt a sudden pain in my chest and I then had a dizzy spell that last approximately 4-5 seconds and I believe that I felt a sudden blood rush from my chest to my head. Once it was over I felt fine and continued to work the rest of the day. I am not on any medication and do not have any health issues. Is this something that I should be concerned about and do you have any ideas on what this could be? | Hi. I can understand your concern. Ideally ecg and 2d echo should be done first in your case. If both are normal than no need to worry for heart diseases. GERD (gastroesophageal reflux disease) can cause similar kind of chest pain. GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. You can take proton pump inhibitors. But along with drugs you need to follow certain below mentioned lifestyle modifications for better symptomatic relief. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Loose weight if you are obeseDon't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
What causes stomach pain after sciatic nerve injury?
I took a hard fall down stairs the other day, I went and got checked out with xray and they say I irritated my psyatic nerve. This was on Tuesday. well now when I try to have a BM it is really painfull and now I am having horrific pain in my stomach on the left side | Hi, According to your symptoms its difficult to find out exact problem. In such situation there are 2 common possibilities. first is that you must be suffering from acute gastritis if you are on any pain medications. Second thing is there might be some internal injury on left side which has gone unnoticed. For this you may have to undergo some other tests like xray and ultra sound abdomen. So pl. consult to your physician for the proper diagnosis. Do not neglect the pain . Take care and get well soon | |
Could I get pregnant?
i had unprotected sex on my last day of period....and he did ejaculate. could i get pregnant? | Hello Welcome to health care magic forum there is absolutely no chance of pregnancy,as the ovulation occurs in the mid cycle Wish you good health Disclaimer | |
How to get rid from gastric trouble ?
hi doctor ,i am having gas in my stomach.my stomach is looking like a preganent women.Please tell me how to reduce gas in stomach. | You have gastric distension due to gas. It happens, if the gastric acid produced in stomach acts on the mucus layering. One way to prevent is, that you have food at regular and timely intervals. For the current condition, please take Syrup gelusil, 5 ml three times daily and Cap. Omez 20 mg two times daily. | |
For persistent lower back pain, should I visit pain management,neurologist or somewhere else?
i have lower back pain since 18 months. I went under physiotherapy, dry needling, electric stimulation treatment but the pain goes temporarily and starts back. i got these treatments at three different places for couple of months (each place). Now you suggest me where to go - pain management, neurologist or somewhere else. | Hi!Welcome to HCM!Pain in the low back can relate to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, muscles of the low back, internal organs of the pelvis and abdomen, and the skin covering the lumbar area.Since you have underwent physiotherapy and tried three different places so I would suggest to consult a neurologist.Get USG, MRI done becuse treatment of low back pain should be directed toward a diagnosed specific cause.Hope this helps! | |
Swollen and painful keloids on arms. Any medication or cream?
I've got keloids in y arms due to a second degree burn. But it looks like my nerves in the keloid areas are swollen it it is really painful. I had my keloids injected already but after a couple of wks, it's beginning to be painful again. I think that it's the nerves that are really painful. What medicine or cream can you recommend to me? | Hi swollen and painful keliods due to burns are very tough to treat.try to use contractrabex cream or hexilak silicone gel or kelocote ointment over the lesions and use a painkiller and chymoral forte to decrease inflammation.after pain is subsided.intralesional steriod mixed with hyaluronic acid once in 15 days can cure the condition within 3-4 months .if they are smaller keliods | |
What are the side effects of Gemer?
hi, i am 42 and am diagnised with type 2 diabeties, i am advised to take gemer 1 full tablet before lunch but when ever i take this medicine i have sever headache and it disturbes my blood pressure...can you tell me if it is the side effect of pill i am taking. | HiYes,Headache is a side effect of Gemer tablet.Hypoglycemia as a result of high dose may also cause headache. Checking your blood sugar and titrating the dose can reduce the symptoms.Usually the symptoms will subside in the following days since your body will adjust to the blood sugar change.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | |
Why do i need to take Tiffa test during pregnancy?
iam 37 years old and in 14th week of my 3rd pregnancy. i hav had 2 c sections , the last being 14 years ago. my previious 2 pregnancies had no complications whatsoever.right now also i dont really hav any probs. but to b on d safe side my gynae has advised inj. hucog5000 weekly and 1 susten 200 daily. she wants me to take d tiffa test next month. why do i need it? and can i know gender of my baaaby by dis test/ | Hi dear, I have gone through your question and understand your concerns.TIFFA is targeted imaging for fetal anomalies, and it is a detailed ultrasound in which the congenital anomalies in the fetus are ruled out.It should be done in all pregnancies at 18-22 weeks of gestation.It can tell the gender of the fetus, but whether it can be revealed to you or not, depends on the rules of your country.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma | |
Q. How to manage the rash that appeared on my penis?
Hi doctor, A rash appeared on the crown of my penis before three weeks. A reddish mark appeared on the head of my penis. It does not hurt during urination. I had done an HIV test, and the result came as nonreactive. | Hi. I have gone through the attachment (attachment removed to protect patient identity). There is a rash, but it is minor. It usually happens after sexual intercourse. I recommend you apply Mupirocin ointment twice daily for two weeks. It will get cleared soon. Do not use soap over it and avoid having sex for some days. | |
Can Hiatal Hernia be aggravated after an accident?
I was in a car accident. I was in the drivers seat and was hit at a high speed squarely on the passanger side of the car. I had a Hiatal Hernia before the accident but now it actually hurts and I can feel it almost all the time. Could it have been aggrevated form the seatbelt during the accident? | Hi and welcome to HCm. Thanks for the query. Yes. raised intraabdominal pressures which can be seen in such trauma can cause aggravation of previous hiatal hernia and it may be what you are experiencing. It can cause stomach pushing more to thorax. You should do gastroscopy and barium swallow to rule out this so that apropriate treatment can be considered. Wish you good health. Regards | |
Fatigue, body pain, weight gain. Blood test shows high LDL and HDL, glucose intolerance. Virus related?
Hi, I have been fatigued to a greater degree than usual for over a month now, after some sort of flu virus. I hurt all over when someone touched me, but that seems a little better now, but my back still hurts. Blood tests show high ldl and high hdl , and glucose intolerance. I also have mild asthma-like symptoms although I have never been an asthmatic. Sometimes my legs feel heavy and its hard to move around, and sometimes this symptom goes away. My back always feels sort of uncomfortable all over. I am also gaining weight without trying, 72 kilos now, after being overweight at 67 kilos for a few years, big waist circumference . I am a 55 year old woman, married, and quite content really. Is this fatigue just virus related? | this is not vieus related the medcines touhve taken for virus mat have caused this ypu go dor complete examination for blood tests thyroid fuction tests are most important after the whole tests we can find out conclustib | |
What are the symptoms of tendonitis in armpit?
I am 33 yr old normally fit and healthy female. I am 7 months post natal. I have a 4 month history of recurrent low grade fevers (37.5-37.8), recurrent sore throat and malaise. I also have occasional night sweats. I have tender armpit and groin. My gp says tendonitis in armpit. I am post c section so not sure how I ve torn tendon. Normal fbc esr. I don t feel that this 4 month history is right. Any ideas on further investigation? | your simply having common cold and sinusitis try using cold medication but becarfull they will make you sleepy put alot of cloth at sleep and sleep wellavoid unnecessary exposure to wind or any air current | |
What causes abdominal pain and constipation?
My 4 year old child, weighing 15kg has abdominal pains has abdominal pains on and off especially when feeding. She takes long when she goes to poo and at times nothing comes out. The initial poo is hard but the remainder isnt and is not bloody. Her doctor has been treating her for constipation with no much improvement. Any other possible causes | Hi Dear,Welcome to HCM.Understanding your concern. As per your query your child have symptoms of abdominal pain and constipation. Well there can be many reasons for symptoms you mention in query like food poisoning, inadequate fibres in diet, lactose intolerance, intestinal Ileus or due to electrolyte imbalance in body. Need not to worry. I would suggest you to consult gastroenterologist for proper examination. Doctor may order stool test , ultrasound , endoscopy along with that take history. Doctor may prescribe laxative , ornidazole or albendazole along with ranitidine. For now eat light and non spicy. Avoid spicy and sharp food and keep your head elevated while lying down. Drink plenty of fluids and take diet rich in multivitamins.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What forces me to drink litres of water while masturbating?
hello whenever i am alone at home i start watching tv sometimes i start watching youtube videos containing obscene videos while seeing this i start litres of drinking water from a bottle along with mastrubation.I am a non alcoholicbut i am addicted to ithow can i get rid of it??? | DearWe understand your concernsI went through your details. Nobody becomes addicted to water. In your case you started relating the water drinking, masturbation and porn watching and therefore this has become a habit for you. Just an obsession. You need to control it yourself. No big deed. Understand the body requirements of water in those circumstances and learn from an expert whom you trust. In the meantime don't worry, for this is just a habit.If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care. | |
What causes lack of concentration, tiredness and short term memory loss?
I was suferring from FITS when i was 5 years old, I was in treatnment for 9 years, As per Dr's instruction i used to eat Valparin 200 for 9 years. , Now I am 26 years young, I am unable to concentrate , i feel tiered often, I am unable to memorise , kindly advise | Hello, in cases like your who have been having episodes of fits since childhood are prone to develop memory problems in adult life. there can be two possible reasons to this-1.the fit itself: Each time there is a fit, some neurons are lost and there by after several episodes, there is decline in brain functioning. This leads to decline in intelligence.2. OR this can be due to some mild to moderate depression. This is a treatable condition and must be looked into for improvement.So, get an IQ done , if that is okay, you should meet a neurologist/ psychiatrist for future management.Wish you good luckDr. Manisha. GopalMD Psychiatry | |
Does MAC spread to the rest of the body?
Hi, can I answer your health question? Please type your question here...Hi , I am diagnosed with MAC , like to know if Mac can spread to rest of my body? Should I start treatment imediately? I am 67 years old female. I am trying to get appointment for a second oppinion with DR Jose Montoya , but i have difficalty doing so . Can you HELP ? PLEASE Thank you for YOUR help, Zorka Kabic .... Stanford Med record # 0000 | Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you that MAC or Mycobacterium Avium Complex Bacteria has same pathogenicity as of Mycobacterium tuberculosis except it is more sensitive to drugs than M. tb. You have to start the treatment for it. It is not emergency condition but you can start as early as possible. I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you. | |
What causes fatty lump and stomach blotting?
had ct scan i am not over weight was given results yesterday but nothing was said why i got this fatty lump and no offers of any treatment i am really worried ive gone off my food and when i eat i feel fully bloated it looks like i am pregnant ive also got gall stones can you help me please from mags age 58 | Hi, dearI have gone through your question. I can understand your concern.Your fatty lumps can be due to lipomatosis. There is no need of any treatment for that. For gall stone you should go for ultrasound abdomen. If you have obstruction or infection in gall bladder then you should go for cholycystectomy. Otherwise medical treatment can be taken. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
What could cause penile inflammation?
Everytime after i masturbate, My penis feels inflammed. I feel like I always have to pee. I feel like I have to pee a lot but it's only a little. I am a virgin and I am 18. Seems like I ejaculate faster that I used to. The problems been going on for a year or so now. What do you think is going on? | DearWe understand your concernsI went through your details. The penile inflammation after masturbation is usually caused by the roughness with which you masturbate. The foreskin of your penis is attached with the tip of urethral opening. The frequent agitation due to masturbation causes the inflammation of the tip and thereby you feel frequent urination urges. I suggest you to be soft while you masturbate. You don't have to worry about premature ejaculation. Let the appropriate time and occasion come, you shall then see the actual.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. | |
Alzheimer s, issues with agitation, combative. Any drug that could be used to get him out of bed in morning?
My husband has had Alzheimer's disease for about 7 yrs. He is in Memory care and we have some issueswith agitation and he gets combative. He is on Xanax 4 times a day but is worse when they try to get him out of bed.Is there a drug they could use before they attempt to get him up in the morning??? Would there be something theycould give via patch. | HALOPERIDOL may be given to combat to control agitation & irritable behavior.It is a primary degenerative cerebral disease of unknown etiology,may be aluminium toxicity.No specific treatment.Drugs to control the symptoms may be given. | |
Is klinefelter syndrome and azoospermia curable?
Hello DoctorMy husband is diagnosed with klinefelter syndrome non mosaic(probably) and underwent a tissue biopsy which reported no sperms but atrophic and hyalonised sertoli cells and stroma with leydig cells. is he treatable to produce sperms and father his own biological child? | Hi welcome to healthcaremagic.I have gone through your question.In klienfelter syndrome if there are no sperms or azoospermia due to damage to sertoli cells then its impossible to retrieve.As these cells can not be regenerated or it can not produce sperms now.So he cant become father on his own.Hope i answered your question.Would be happy to help you further.Take care. | |
What causes fever and swollen gums?
My daughter is 2. She will be 3 in November. She has all of her teeth in and we brush them everyday. This morning she woke up saying her teeth hurt. Her gums are red and swollen. I just used her toothbrush to move her cheek out so I could get a good look. When I took the toothbrush out it was red with blood. I didn t brush, I just used it to push her check out. I gave her 5ml of Tylenol at 8:45 tonight. At 9:20 her fever was still 101.9. She is in the middle of a growth spirt right now. But I can t imagine that would cause her gums to be red, swollen and bloody or give her such a fever. | Your daughter may have a viral illness affecting the mouth as well. For example, hand foot and mouth disease can cause mouth blisters as well as swollen and painful gums. The presence of fever makes this more likely. Check to see if you can find small white spots with red rim in her mouth and small blister like lesions on her hands or feet. | |
Low sperm quantity. Prescribed Proxeed Plus. Recommended medicine?
hi. Dr. A Chakravarthy. My name is rizwan and i m from Pakistan. I have a problem in my sperms. Doctors say that My sperm quantity is low. My wife was pregnant in our 1st year of marriage, but DNC occured due to certain reasons. Doctors said that the growth of baby was very slow so we have to go through DNC. Now It takes three years to my marriage and still trying to conceive. Some doctors in pakistan recommend me Proxeed Plus and also using it from the last month. Sir, What medicine can u recommend me to improve my sperm quality and quantity to conceive. Please do reply. regards rizwan arshed YYYY@YYYY YYYY@YYYY YYYY@YYYY | Hello, Welcome to HCM, I am Dr. Das Look, whatever your doctor says, one thing is clear that you are fertile. The previous pregnancy is a proof of that. I think you should take a second opinion. Now a days, the definition of low sperm has been changed. So, you should consult with an infertility specialist with the semen analysis report. I think you do not need anything. Hope, this would become helpful. Reagrds. | |
What does this EKG report indicate?
I went in today for a pre-surgery check with my primary care doctor (family practice). I am scheduled to have a C3 through C7 anterior disc fusion on April 5. After my doctor checked me out, he indicated that he cannot clear me for the surgery until I see a cardiologist. He gave me a printout of my ekg that says st junctional depression non specific. I am supposed to get the clearance for the fusion two weeks prior to the surgery, but an even bigger concern is the abnormal ekg. I am a 50 year old white male who is treated with medication for high blood pressure and very high cholesterol. Is the st depression indication something that should alarm me? Or is it a common incident in someone of my general health? | Hello,Since this is the major spine surgery you're scheduled for and your family doctor wants to make sure that you don't have any underlying cardiac issues. Though ST-segment depression >1 mm is significant and may indicate compromised blood flow to a specific portion of your heart. But before jumping to any conclusion it's better to visit your cardiologist. He may advise some more cardiac-related tests including Echo and Excercise/Persantine Stress test to get a better view of your heart. And will clear you for your surgery based on the results. Good Luck with the procedure.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ameet Kumar | |
Hearing voice in head advising to do things, if not bad things will happen. How to overcome?
hi there i have recently started hearing a voice in my head that tells me to do things either to myself or to others and if i do not comply bad things will happen wich makes me scared to venture outside this happens all the time and i dont know what to do i have considered killing myself a few times please help thank you. | Hello sterky thanks for question First of all ask yourself whether the voices you are hearing in your head is your own voice or its coming from outside? then whether others are able to hear this voice? or they are not understanding your problem? if these voices are vague sounds or well formed voice? are you able to control these voices by closing your ears? are you able to sleep properly? usually hallucinations are one of important symptom in some psychotic disorders which resembles symptomatology you are describing.. and they are usually distressing to affecting individual, and usually ask to do derogatory things. Second possibility in such situation is in obsessive compulsive spectrum, person is compelled to do a particular thing otherwise some bad will happen. Its more or less similar to magical thinking. Dear friend in both of the situation you should consult a good psychiatrist. And don't worry treatment is possible in both cases. Try to interact with family members and discuss with them regarding the problem. thanks and hope you are satisfied. take care kindly rate | |
Can Plan B be taken after unprotected sex to prevent pregnancy?
Hi! I had unprotected sex on June 23, I was on my 8th day of my cycle (it lasts 32 days) so to be safe i took plan B on June 25. I had a 4-5 day period on July 2. And Yesterday morning (July 28) I had sex but the condom got stuck and my bf had to take it out. He checked and he said it was dry on the outside and all fluid was in but did notice some drops outside me. so if I count my period count from July 2, I am on my 27th day. Should I take plan B again just to be safe? And if so, what are the long-term effects? Will it affect if I want to get pregnant some day? I can understand it messes the cycles and one can feel terrible for a while. That I don t mind.. What worries me if I will be able to get pregnant later. Basically, what are the risks in all sense of taking plan B twice in a cycle/month I appreciate your responses!! | Hello,I have gone through your query and understood the concern. If I were to treat you, I would not suggest using the emergency contraception twice in a single month. In fact, the use of the emergency pill should be restricted to once or twice per year since the high hormone content in the pill is going to disrupt the hormone milieu badly creating menstrual disturbances and difficulties in conception in future. As you have already taken once in this cycle, your next natural period is likely to get delayed by a week or two. Hence, it is difficult to say if you are going to ovulate if at all, and if so, when in this cycle. Taking another pill is definitely going to add to the problem. Please wait for your next period and if you become overdue by ten days see a specialist for further help. Hope this helps. | |
What causes burning around the penis?
uhh .. I am not sureI was searching for images ... I have a burning around my penis .. it resulted from doing stuff to myself .. I thought it was like a rope burn kind of thing but then searching on the internet I wasn't sure if I had a real problem ... examining my penis head there was a white bump. That after I played with it popped off. I have diabetes and I am married but I have not had sex with anyone except my wife in 10 years and we dont have sex very often. I know that she has herpes in her mouth but it hadn't been apparent .. I have been working from home and I haven't been showering every day .. I found information on herpes but also on this thing called balantis. Trying to figure out what to do | Hello. With your history of Diabetes it is most likely Balanitis. I suggest you see a Surgeon who can examine you. without examining it is very difficult to say what it is. There could be super added infection over the Balanitis. Only after examining can anyone advice the treatment. Do not worry and see a Surgeon whenever possible. Meanwhile keep it clean by washing with soap and water twice a day and wiping it clean. Dont leave it wet for long as that may cause progression of fungal infection.Take care. Dr Rishi, New Delhi, India. | |
3 fillings on left side, jaw hurts when mouth is wide open. What should I do ?
Hi, I went to the dentist Jan 7 2013 and had 3 fillings done on my left side and now my jaw hurts when I open my mouth wide and to bite down it feels like my jaw is dislocated it doesn t close smooth.what can it be and what should I do ? Also forgot to mention I went to the dentist maybe 2 weeks before and got fillings on my right side and it didn t leave my jaw hurting...Thank you in advanced | Hi,Thanks for asking the query,Difficulty in mouth opening occurs due to any trauma, accident or can be due prolonged opening of the mouth at the time of dental treatment.I would suggest you to take muscle relaxents for three days.If your filled tooth is still hurting i would suggest you to go for an x-ray of the tooth, root canal treatment will be required.Take a course of antibiotics and analgesics under the prescription of your Dentist.Take multivitamin suplements.Take lukewarm saline rinses.Hope this helps out,Regards.. | |
Sudden fall on the ground, mild seizure, disorientation, trembling after the episode post a glass of wine. What could be the cause?
my partner was drinking a glass of wine (the first of the night) and started coughing, then dropped his glass, then fell on his back and looked like he was having a seizure. he is not a heavy drinker, he just happened to be drinking wine when this happened. it only lasted a few seconds but he looked dazed and his right arm pulled up and shook slightly | Hi welcome to healthcare magic presently if your partner is asymptomatic and doing well then there is no cause of major concern. Cut down on his drinking and possible complete abstinence, if he develops one more such symptom then consult a physician. Take Care | |
Suggest remedy for pain in joints
hi I am angelia castro ihave had surgery on May 15th 2014 and every joint seems to hurt the drs are telling me to walk to strengthen my back muscles but I just don t have any energy or desire to do this I want to but then don t do it because my knees hurt so bad | Here I would like to know which surgery you have undergone?. Since the information is not available let me tell you about your other issues.You have told you have pain in all joints as well in spine and there is a weakness too.This symptoms shows you have calcium and vitamin D deficiency or it can be related to rhematoid arthritis also. I suggest to talk to your ortho and physio and then start taking medication after doing proper check on bone mineral density test along with blood test for calcium, vitamine D and rhematoid factor.Here one more thing I suggest is all ladies should take calcium once they cross the age of 35-40 and since its going to be life long its better to have it from natural suppliment brand to avoid any side effects. Now once you start with this along with protein powder for muscle strength I am sure you will be able to do physio also properly for further exercises and rehabilitation.Suppose if your rhematoid report comes positive then take suggestion on medication with doctor but also consult a dietician for anti inflammatory diet because this too helps a lot in pain relief.Also use hot and cold pack when ever it pains a lot but prepare your self mentally and keep doing exercises for rehabilitation.I am sure this will help you if you follow the suggestion properly.Take care. | |
What causes lumps on the left side of the neck?
I woke up this morning and I found 3 lumps on the left side neck. The top one is largest, around 3 peas size. The other 2 are pea size, 1 halfway down, and 1 at the base of the neck. They are a little bit painful to touch, the left side of my neck is generally a little stiff too. Last week I had been suffering from painful headaches/migraine attacks. | Hello,I read carefully your query and understand your concern. The most common lumps or swellings are enlarged lymph nodes.These can be caused by bacterial or viral infection.I recommend to do a complete blood count and an x-ray of the neck for further evaluation.Meanwhile,I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
Could the fumes from the oven have damaged the toddler?
Hi, I was melting a little fudge cake in the microwave when I noticed smoke coming out the top, could the fumes have done damage to me and my toddler? It smelled really bad and filled the house but I opened windows and doors but the smells only just going. | Thank you for the query.Burnt fudge fumes usually does not cause any problem, unless both of you were in the closed room for longer period.But by your description it is clear that you realized it at early stage and got open air which is right thing to be done.Take the toddler out doors and he shall be happy to have a fresh piece of the fudge cake in open air. | |
Is potassium effective in lowering bp?
how long does a potassium would take an effect to the body? just like eating a banana...do i have to wait for how many weeks before i can say that it really has an effect on somehow lowering the blood pressure?-45 y/o 160 lbs.5'4''primary hypertensive | Hello!Welcome on HCM!Regarding your concern, I would explain that our potassium levels change during the day, depending on what we eat. Eating a banana can raise your potassium levels within hours (the time needed from your gut to absorb it). From the other hand, our potassium levels should remain without some limits (not too low, not too high) , in order to keep our body balances. I recommend making other modifications to yuor diet in order to have a better control of your blood pressure: - reduce salt and caffeine intake- perform a lot of physical activity- try to lose some pounds. Hope you will find this answer helpful!Kind regards, Dr. Iliri | |
Why does patellofemoral syndrome have more pain when climbing stairs?
Hello, I am an student physiotherapy and we had to search for something about the "knie-in syndrome" in relation with the "patellofemoral syndrome. I have searched at the internet and in books but we can't find something about it. We had to know why someone with the "patellofemoral syndrome" have more pain when someone go off the stairs than if you go up the stairs. Do u maybe can help me with this? already thank you | Hi,When u climb down the stairs the patellofemoral joint is the most strained. When climbing up its the tibiofemoral component. So there is more pain while climbing down because of the joint involved. | |
What causes positive pregnancy to turn negative after urine test?
my period came a week a half late so i decided to take a pregnancy test and they came back positive then i went to planned parenthood and they said that i was pregnant but when i went to my school health center a couple of days later and the took a urine sample and it came back negative then took my blood and my HCG was an 8. Could i possibly be pregnant | Your first test was wrong because your bld levels are low. urine tests can never be negative if once positive. It means your first test was false positive. | |
Is swelling in the groin area related to open heart surgery?
Hi, After open heart surgery I notice a swelling in the groin area. Over the past couple of years the swollen area has grown much like a hernia. Could this be a femoral hernia due to the heart/lung attachment procedure? Does it make a difference during surgery if the surgeon is expecting an inguinal hernia but it turns out to be femoral or can he proceed and just repair the appropriate area.? | Hello,Thanks for the query.It is unlikely related to your cardiac problems.Consult a general surgeon and plan for an ultrasound to make a diagnosis.Once the diagnosis is confirmed surgical correction is required irrespective treatment of inguinal or femoral.wishing all the best.Thanks | |
Is heart failure related with shortness of breath,heart palpitations and mitral regurgitation?
My doctor diagnosed me with High BP and prescribed Toprol XL (100 mg) one a day, Diovan HCT (16-12.5 mg) one a day, Lasix (40 mg) twice a day, KLOR-CON M (20 tab) one a day. I am also a RA patient. My symptoms are lightheadedness, shortness of breath, heart palipitations, and swelling of the lower extremities (legs and feet). My doctor says I have a small amount mitral regurgitation. Is diagnosis and my symptoms, would be considered heart failure? | Hi, As per your doctor, you've mild MR which can cause occasional palpitations and mild shortness of breath.however, it doesn't point to heart failure. .it may be an early sign but get an echo done ane if echo is showing normal functions then doesn't seem so. if you're having leg swellings also,then I suggest you consult a cardiologist aa you may need aggressive treatment. and it may early sign if heart failure | |
What could be causing sore throat, headache and fever with chills?
My daughter had gotten sore throat, fever with chills, severe headache and backache symptoms started Monday this week. Went to the doctor on Tuesday, they did a rapid strep culture. It was negative. She has been in bed since. They sent it off to the extende culture. Called me today and said it was negative. Yet, Wednesday night, her throat was covered with white puss pockets. The doctor would not treat her and was going to make her wait for an appointment which would not happen for 2 weeks. If it is not strep, what could it be? She is 16. | Hello,Thanks for the query.It could be a bout of pharyngitis or step throat.Consult a general practitioner and start a short course of antibiotics preferably amoxclav.Do warm saline gargles also.If symptoms persists you can consult an ENT specialist and get evaluated.Wishing all the best.Thanks | |
Can a lung nodule cause chronic coughing?
Can a nodule grow big enough in 6 months to cause chronic coughing? I know 6 months ago when I was first diagnosed it was only 4mm but I m worried that this cough is something more. It started as Bronchitis but is still here and my lungs are clear and my x-ray came back clear. I feel like I have something stuck in my throat and ant extra activity (even just talking) causes me to cough, sometimes so bad I have a hard time breathing. My doctors believe its my asthma but I breath just fine. I ve rarely ever had and issue with my asthma over the last 20 years and now all the sudden I cant stop coughing. Please some insight! | i think you are correct and have adequate insight with your disease.if the nodule is very close to the large airway it could well cause severe coughs...avoid allergic materials and take some antiallergic to reduce your symptoms1all the best................ | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What is flossing?
I read in magazine that the best way to keep the mouth clean by regular brushing 2 times a day and also to do flossing 2 times a day. what is this flossing, how to do it? | Hello there , Thanks for writing your query, Flossing of the teeth is a procedure of removing plaque or particles stuck in the teeth. It is done by a dental floss , which are available commercially in various forms . it is available in the form of thread like structure and small brushes. Flossing is done in inaccessible areas where tooth brush cannot reach such as interdental areas. proper flossing helps in maintaining good oral hygiene by restoring good gum health. approach a dentist and learn about the proper flossing methods, i hope this helps , take care. | |
What causes itchiness in the crotch and entire body after taking Pyridium 100mg?
I ve been taking Pyridium 100mg for 10 days, after a UTI and TURP. Twenty-four hours ago, I began to itch, first in my crotch and then all over. The itching is intense. I ve been using Cortisone cream 1% and taking Benadryl to help ease the discomfort. Today I have splotchy red places on mylower arms and hands; I assume it s from scratching. Please advise. | due to medicine you are getting the effect if you need to continue medicine use anti allergy tablets daily during the Course of your medicine | |
What causes loss of appetite in a baby?
Hi, may I answer your health queries right now ? Please type your query here...Hi my name is Christina.My baby girl she is 6 months and 2 weeks.She picking everything to her mouth and even eating habit has changed mean low appetite.Should i deworm her at that age? | Hi...Thank you for consulting in Health Care magic.I take this opportunity to tell you certain scientific facts and relieve your distress -1. An active is a well kid even if she/ he is not eating well.2. Development of a kid is as important as or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents we need to be more patient and feed than less quantity but more aliquots per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause drowsiness.You may de-worm her and the dose is Albendazole 200mg today and repeated after 10 days.This is a prescription drug and you will require a doctor's prescription for this.Regards - Dr. Sumanth | |
Q. I am 8 weeks pregnant and having pink mucus vaginal discharge. Is it normal?
Hello doctor, I am 8 weeks pregnant and having mucus bright pink vaginal discharge for the past two days. I do not have any pain. No nausea or vomiting. Is it normal? Please help. | Hello. The evidence of bright pink discharge during early pregnancy is definitely abnormal and is termed as a threatened miscarriage unless proved otherwise. This calls for a visit to the emergency department to meet the gynecologist for a per speculum examination to rule out cervicitis and establish the origin of blood either from the cervix or intrauterine. If intrauterine, then an ultrasound transvaginal is mandatory to rule out any retroplacental bleed. | |
Kidney test reveals bilateral renal calculi and small vesical calculus. Is it normal?
SirKidneys both are normal in size ane echotexture.Rt kidney 10.6X5.4cms. 4mm calculus noted in middle calyx, no hydronephrosis.Lt kidney 10.3X5.5cms. Same to rt kindey.Bladder 5mm calculus noted .Impression;- BILAYERAL SMALL RENAL CALCULI.SMALL VESICAL CALCULUS. | Hipresence of stone in kidney and bladder can not be normsl and that answers your queryBladder stone may pasd out without interventionThe other stone may require surgical intervention bTake care Dr Lal Psychiatrist | |
Suggest remedy for hair loss
Hi i am suffering from regular hairfall since last 1 year i have used livon hair gain and many more other oil products but i havent found any positive results yet. Day by day i am loosing my hair so please suggest me any medication through which i can overcome with my problem. | Hello dear,The causes of hair loss/thinning of hair are:1. Environmental factors2. Stress3. Deficiency of certain minerals, vitamins & amino acids in diet. e.g. zinc, Vit B complex, lysine.4. Hormonal causes like Thyroid disorder, etc.5. Any incidence of surgery, shock, etc.Management includes:1. Treating the underlying cause2. Avoidance of stress3. Dietary modifications4. Minoxidil solution to be applied locally to stimulate the hair follicles5. Multivitamin & mineral supplementationIf hair fall is still not under control, it will be better to consult a Dermatologist to find out the underlying cause & start treatment accordingly.There is no need to worry. Your hairs will grow back again.Wishing you a Good HealthTake care. | |
What can cure curved discs and scolicis, other than a surgery?
my back has curved discs and scolicis(sp)the dr. said I needed an infusionand it was a major operationand I am 68 years is there anything elese that can help me ? I don t have money to pay for this I m on a fixed income and I m disable.Thank you much! | Hi,Thank you for posting your query.I have noted your symptoms and it is unfortunate that you require surgery, a major one, and you do not have money to pay for that.Other than surgery, physiotherapy would be very useful. This would include back and neck extension exercises, IFT/ultrasound for pain relief, etc.Also, if you have nerve-related pain, then, medications such as pregabalin capsules would help.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
MRI showed disc bulge on L4-L5 due to bad fall, increased pain after tested positive for carcinoid and treated. Due to colonoscopy?
Had a bad fall on ice in 2007, MRI showed an annual rent or something like that and disc bludge on L4-5.Since 2008 to about 2012 I learned to live with a pain level of about 3-4 out of 10. During 2012 I noticed the pain increasing in strength and coming on earlier and earlier in the day. I had a colonoscopy last June 2013 a tumor was cut out in the anle area and tested positive for carcinoid. It seems since this procedure my L5-4 pain has increased significantly. I had an MRI in August 2013 with significant progression of the L5-4 and L5 sitting on the root nerve. From June to now almost November the pain is unbearable. Could the change be from the colonoscopy ? | Hi,Thank you for posting your query.The pain is neurogenic in nature and is related to the nerve compression due to disc prolapse at L4-5 level. The nerve compression can lead to pain in the back as well as radiating pain in the legs. This pan can get worse on exertion, walking, coughing, etc.Colonoscopy is unlikely to have aggravated this disc prolapse. In my opinion, the worsening of symptoms noted after the colonoscopy is coincidental. You would benefit from medications such as pregabalin or gabapentin capsules in relieving pain. If pain persists, please consult a neurosurgeon, who may plan for an epidural injection. I hope it helps. Please get back if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
What does the following follicular study report suggest?
My follicle size was DF1: 20×14mm and DF2: 15×13mm on day 14. I was given hcg injection 5000 on day 15. Today is my 17th day follicle size is DF1: 23×17mm and DF2: 20×13mm and not ruptured. I am having pcod and was having clomid and menogon injection. How long does it take to rupture after hcg? | hello user,after 36 hours of hcg injection,rupture occurs...it can take 48 hours..in my opinion take high dose of hcg 10000 im .your follicle study shows size is increasing... | |
What causes pain at the bottom of rib cage and elevated liver enzyme levels?
Hello. I recently went to the doctor with moderate to severe pain at the bottom of my rib cage. My doctor ran some blood tests and found that my liver enzymes were twice the normal amount (I m not sure of the actual number, I am waiting to here back from the nurse) and my d-dimer was 550 or 5.5, I m not sure which it is (I had a double pulmonary embolism in 2009). I called the doctor to get my ultrasound report and the nurse told me that there was nothing new (I have 3 cysts somewhere, I am assuming on my gallbladder, but she did not say) and asked me if the stomach medicine the doctor gave me was helping. I told her no and she said she was going to call back the doctor. I am really worried that she will put me off like she has before and this pain will not go away. I am a 38-year old female who has hypothyroidism, fibromyalgia, and tachycardia that appears to cause my hypertension. I take Lopressor, levothroxine, and Lortab. What should I do and should I be worried? | Hello , thank you for your question ! Unfortunately i find it difficult to give you the best answer , because of the lack of information . You said your d-dimers are 5.5 or 550 mg/l . It is normal your d-dimers to be up to 0.5 mg/l . D-dimers are suggestive of trombosis and if you were my patient i would be really concerned about you ,if they are 5.5 . Pain in the upper part of the abdomen is suggestive of in first place of cholecystitis (infection of the gallblader with or without gallstones ) Ussually it produces nausea and vomiting . It can also be gastric ulcer or gastritis . If you have a hystory of gallblader infection , it is common to have infection of the pancreas , due to the connected lymp system . I strongly suggest you to see a doctor ( preferably Gastroenterologist ) for the final diagnose . You should undergo ultrasonography , blood tests and probably fibrogastroscopy . If you are not planning to see a doctor soon , you could start diet 1a (google it ) and take spasmolitics when in pain Hope that ould help you .Best regards! | |
Tiny white bumps in the back of mouth
I have been having tiny white bumps in the back of my mouth that are fluid-filled. They usually burst from me talking because my teeth sort of rub against them. Also, sometimes the inside of my cheeks feel patchy and it takes a while forthat to go away. Can anyone tell me what exactly is going on? | Hello,Thanks for writing to us.The fluid filled white bumps are abscess,which developed due to-chronic cheek biting/deep caries/periodontitis etc.I would advice you to get a thorough clinical as well as radiological evaluation done by a dentist to rule out cause of bumps.The pus has to be drained and curetted.Take amoxycillin along with analgesics.Rinse your mouth after every meals.Brush and floss your teeth daily.Swish with warm saline frequently.Take care. | |
How to confirm pregnancy?
hello dr. iam 19 years old ,femalei have got my regular periods and i still am scared if i am pregnanti had HCG TEST too and it shows negative.i can feel my heartbeat in the left side of my belly button and that makes me more nervous.can i know if it is normal or should i consult the dr.are the HCG TEST'S always correct ? | Hello and I hope I can help you today. Any woman having unprotected sex is at risk for pregnancy, however, You do not have to worry about being pregnant right now because the HCG test is extremely reliable if performed correctly in diagnosing pregnancy. The most common sign of pregnancy is a missed period. If your period is coming regularly every month, it is extremely unlikely that you are pregnant. Feeling your pulse on your abdomen is not unusual when you are thin, you are just feeling the beating of your abdominal aorta, which is the large artery connecting your heart to your legs. So in your situation right now. you can rely on the results of the pregnancy (HCG) test and feel confident you are not pregnant. I hope I was able to answer your question and that this information was reassuring. Best wishes, Dr. Brown |
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