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What causes chest pain with soreness after a trauma?
Bent over to reach for something and hit the middle of my chest between my breasts hard on the dining room chair. It hurt a lot but went away. It s the next day and it s starting to become more sore/painful. I decided to put ice, but should I be concerned? I don t think I ve had a difference in my breathing. I don t feel pain when breathing in or exhaling deeply either. | Thanks for your question on HCM.It looks like superficial bony injury only.But in blunt chest trauma atleast chest x ray is needed to rule out internal organ damage.So get done chest x ray.If it is normal than it must be superficial bony pain. Try to follow these.1. Avoid painful movement like banding or stretching. 2. Take good painkiller and muscle relaxant. 3. Warm water pad application on affected side.4. Avoid exercise and heavy weight lifting for 1-2 weeks. | |
Suggest remedy for getting pregnant
hi. i am 22 years old and got married 4 months ago. i am trying to conceive. my periods have been irregular since i was 15. my onset of periods was age 14. my period comes one and a half months late but not each month this happens. sometimes they get irregular and come after 45 days-50 days. i made many ultrasounds but the reports remained clear each time.just after my marriage i made an ultrasound and it was forund that there are numerous multiple follicles in my both ovaries suggesting them to be polycystic. my LEFT ovary is enlaged measuring 39mm * 18mm and my RIGHT ovary is measuring 38mm *17mm. no cyst or mass seen in both ovaries. my endometrium measures 8mm thickness. no free fluid seen in POD. my uterous in anteverted in position . no polyp or fibroid seen in uterous.. now i want to know from u that can i conceive and produce baby with polycystic ovaries, with multiple follicles? is there any treatment for it. what should be done then? any precaucians taken? can i get pregnant? | polycystic ovaries are very common disorder it affects ovulation so you have to take ovulatory drug fertyl 50 mg from second day of menses for 5 days | |
Suggest methods of attaining pregnancy
Hi doc. I am 23 years old and unmarried. I was diagnosed with PCOS about a year and a half ago and was put on metformin and a water pill by the endocronologist. At the time I was diagnosed my BMI was 34.9. A year and a half has gone by and my BMI is at 30.6. (Even though I'm still wearing the same size) My partner and I have been having unprotected sex to try to conceive for three years now with no luck. What should I do? I still can't have a normal period without the help of birth control. I am going back to the endocronologist in three months. Should I ask to be put on Clomid? Will he put me on it since I am unmarried? | Hi,You will need to try and further reduce your BMI. This not only increases your chances of a pregnancy but also lesser chance of complications during pregnancy. Also water pill should not be taken during pregnancy as it can affect the baby. This medication has to be changed before you plan a pregnancy. Since you are not having a normal period on your own, you will need ovulation induction with either clomiphene or injectible gonadotrophin if clomiphene doesn't work ,but before that you need to rule out all other factors, such as male,tubal.Unmarried status should not be an issue.So, first step would be to consult your doctor and change your water pills.Hope this helps.Regards. | |
What precautions can be taken after a monkey bite?
Hi Dr. Today mng at 4 am a street monkey has bitten me. I had taken ARV. Vaccine and some more injections and medixmcune. Dr advised me to take 4more doses with gap in each dose. There is any food restrictions or any other precautions please advice me Dr.. There was any problem or side effects with monkey bite please tell me doctor. | Yes, rabies prophylaxis is recommended for monkey bite also. One dose of the vaccine is administered on days 0, 3, 7, 14 and 30 intramuscularly. Injections must be given into the deltoid region. There is no restriction of food. Advice 1. Clean the wound with betadine liquid2. Injection Rabipur intramuscularly on days 0, 3, 7, 14 and 30 3. Injection Tetvac IM stat – one dose4. Hot fomentation with slight warm water5. Ibuprofen 400 mg after meal per oral if pain is intolerable. Otherwise avoid itI hope this information will help you. I will be happy if you ask another questionThanks | |
What is causing the phlegm to stuck in his throat?
My 8 year old son has been constantly clearing his throat for some time, I took him to the pediatrician last month, she precscribed a nasal mist for him, but it was not covered,(he doesnt want something up his nose either). Now he is complaining and crying because he says there is phlegm he cannot get out. It seems to be stuck in or around his throat. He is making barking noises and really trying to get it out. I dont know what to do for him at this point, any suggestions on what could be happening or causing this? | Thanks for asking Healthcaremagic. Phlegm is formed as a result of bacterial infection. I would suggest to give him a syrup which contains terbutaline and Guaifenesin which help phlegm to loosen and come out. Give him 5ml three times a day. Steam inhalation is also helpful. Tell him to have plenty of fluids and donot forcefully try to get phlegm out as it can cause further damage. He can be started on appropriate antibiotics if still the problem persists. Hope it helps. Thanks and Regards. | |
How to overcome fear while speaking in public?
I recently fainted while public speaking while experiencing a very rapid heartbeat for about an hour and was later diagnosed with atrial flutter as my heart rate had climbed to 140-160. I automatically converted back to about 80 bpm about an hour later at the hospital. I had a similar episode a year earlier. I am taking toprol, baby aspirin and losartan. I am also having a atrial ablation in 9 days. How do I overcome my fear of fainting again and should I refrain from any public speaking or anxiety producing situations until after my procedure? | Hi and thanks for question.many person have stage fear or social anxiety in which whenever he try to talk in public he have severe anxiety episode. first thing I will suggest u that u shall talk in front of mirror to reduce your anxiety and gain your self confidence. second start talk with a people u feel comfortable than involved in conversation. start pranayam which help in overcome your anxiety. take propranolol in low dose for sometimes when ever u have conversation which reduce your anxiety level. thanks | |
What causes clusters inside upper lips?
Hi I have found little clusters of dots inside my upperlips on the left and right side I was wondering if it was an std I also did fight in a boxing match is when I also noticed tiny white dots on the corner of my inner lip there in clusters the size of salt granules | Thanks for posting your query to HCM.You need not worry about it. As correct diagnosis depends on proper visual examination of the area, I would suggest you to visit a dentist and if needed a dermatologist for proper examination and treatment.Hope my answer will help you. | |
Suggest medicine for knee pain
I have knee pain in the right leg. It is caused when i hold the knee for sometime (say watching movie in theatre, or some bus travelling for 1 hr). When i walk, run there is no pain but when i hold the knee and release the leg there is pain (there is no pain when i hold the leg fully or stretched fully). When consulted the doctor, he ask me to take 3 tablets (Enzomac, Rantac and Movon) and also pshsiotherapy. Want to know the cause of knee pain | Hi, There are several reasons for pain in the knee. Pain that increases while standing and sitting for long periods of time may be seen with a muscle strain, muscle imbalances, or with osteoarthritis. It would be a good idea to check for swelling compared to the other side by looking at the knees in the mirror. If there is swelling, the following regimen can be attempted. POLICE is currently the best therapy to treat the symptoms and the underlying condition. POLICE stand for: - Protection - Optimal Loading - Ice - Compression - Elevation Protection involves preventing the knee from getting injured further. This is done by avoiding exercise, excessive standing, or excessive sitting. Optimal loading involves doing basic rehab exercises like static quad stretches, knee extensions, clam exercises, and knee slides. Post this, Icing the area for 15 mins every hour can help as well. Lastly, sleeping with raising the legs by placing a few pillows under the leg can help move blood flow to the heart as well. Some people may benefit from over the counter painkillers as well. In case all of the above does not help reduce the pain, it would be a good idea to get imaging like MRI, X-rays, or a bone density scan done. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Vignan Rachabattuni, General & Family Physician | |
Suffering from mild abdominal pain. No continuous pain. What should be done?
hello Dr My self rajnish verma i am 33 year mail.I am experiencing pain in right side of stomach since from last few days it is between the liver and abdomen .It is not a continuos pain some times i feel all of sudden a mild pain will occur and it will diappear in less then 1 minute.Pl suggest me what to do?i am getting worried for my health. | Hi ! Rajnish, The location of the pain suggests two or three different possibilities. If the pain is related to your intake of meals and is also associated with nausea or voimiting, stomach problems such as ulcer or some form of inflammation of the lining of the stomach called Gastritis is a possibility. If the pain follows after eating some fatty food, then you have to think about gallbladder problem. I suggest you undergo an upper G.I. series (X-ray studies) and also have a sonogram of your gallbladder to see if you have gallstones. Good luck ! | |
Can I get pregnant with ovarian cyst?
hi i have a girlfriend she now 17, 2 years ago she wouldnt have her period for 9 months but she went to a doctor he told her she had ovarian cyst and gave her med (hormones) beginning this year she started bleeding, on april we had unprotected sex till may 20, begining of may she would throw up nause, vomiting, headace, and bodychange. On june 8 she had a negative result on a early preg test but june and july she had early menustration on may she was late my question is will she be able to be pregnant; if not what can we do? | Hi, I think she can get pregnant. But first of all, she should be evaluated. Do a thyroid profile and prolactin levels. if any treatment is required, it can be started. For the pregnancy, medicines are available to help. You can discuss with your doctor whenever you plan to go for pregnancy. So, no need to worry about it. Hope I have answered your question. Regards Dr khushboo | |
What does this X ray report of spine indicate?
Here is the xray results of my lumbar spine. Findings: Loss of lordosis. Severe disc space narrowing L4-5 similar with reactive endplate changes and sclerosis. 1 mm retrolisthesis at this level similar. 1 mm anterolisthesis L3 on L4. No spondylolysis. Minor osteophyte formation elsewhere lumbar spine similar. Impression: Loss of lordosis with severe disc space narrowing at L4-5 similiar, subchondral sclerosis and osteophyte formation similiar. What does all this mean and what is the treatment for this ailment. | With such presentations of x ray reports in my clinic, I would say there is a degenerative vertebral and discal disease that needs further investigation with dynamic x ray ( flexion/extension) of lumbar column to measure correctly listhesis, and lumbar column MR imaging to evaluate correctly disc disease (probably disc herniation and degenerative disc disease). The treatment ( surgery or conservative), will depend on imaging studies and your symptoms ( i. e. if you have only back pain or pain that radiates in one leg or both, if you have urination problems or not). So I suggest you to discuss those possibilities with your local Neurologist or Neurosurgeon. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. | |
What causes legs to be slightly turned out?
hellomy name is amy and i have a 4 month old daughter and her legs r slightly turned out, what do i need to do? my doctor tells me to wait she gets about 9 months and they should fix themselves but what if they don t and she s delayed from her walking or crawling? | Hi, slightly turned out legs at 4 months of age is normal and it will get corrected as the child grows. This slight outward shape occurs due to position of legs inside womb in pregnancy and it gets corrected as the child grows. However, you should start vitamin d drops 400 IU per day till 9 months of age. Take care. | |
Suggest treatment for sharp stabbing pain in lower leg
I have a sharp, stabbing pain in my right lower leg right above the ankle. It comes and goes in a matter of 10 seconds. Sometimes a day can go by with no pain and other days it may occurr a few times a day. It makes no difference whether I m standing, sitting or reclining. I m a healthy person who is not on any medication, other than Boniva.. | Hello, As this pain looks like to be due to nerve entrapment in the course of it. Doing core stability exercise and spinal muscle strengthening exercises should help. This occurs due to the muscle weakness and abnormal posture. Once corrected things should be fine. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
What causes elevated AST and ALT levels?
Our 17 year old had some routine labs drawn and has elevations in his RBC, Hgb, auto monocyte, eosinophil Count Abs, AST/SGOT (137), elevated total protein, albumin and globulin (3.7). I am nurse of 20 years and am curious about CA or kidney disease. I have an appt with his PCP in the am. thanks Wendy RN MSN | Hi, dearI have gone through your question. I can understand your concern.He has high AST & ALT. They are liver enzymes and their levels increase in liver damage. It can be due to viral infection, alcohol, drugs or toxin. Don't worry about high rbc count or protein. He doesn't have any cancer or kidney disease. He should go for ultra sound abdomen and complete liver function test. Then he should 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. | |
Does less than one HCG level cause pregnancy?
I got my periods on 25th Aug and had a intercourse on 8th. Just after the intercourse I postinor2 pill and I still didnt got my periods. I went for a blood test on 27th and it says HCG level is less than 1. So I do need to worry that I'm pregnant....... Pl help........Thanu | Hi,B Hcg levels less than one is an insignificant value for B Hcg. Just wait for your periods and don't be apprehensive. If you don't achieve your periods in a week or so, then further work up can be thought for.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Anjali Jain | |
Gallbladder bent and septated after an accident, no visible irritation in digestion. Is everything normal ?
A young female who had a sensitive gallbladder all her life, and ate accordingly, had normal/quick digestion regularly and everyday. Had a traffic accident in 2011. after which an abdominal ultrasound was done in January 2012., and the results said that the gallbladder was bent and partially septated, without any dilatations or concrements, but a slightly inflamed membrane. The person had no issues related to that, ate according to needs, had no problems. There has been stress in the persons life for the last six months, the person had high cortisol and strong reactions to gluten and sugar foods. The person has been eating loads of food for months, yet is not gaining weight, and has eaten both gluten, sugars, vegetables, meat. No visible signs of irritation anymore, yet the cortisol is still high. Is it possible for an abdominal ultrasound done this week to say that the gallbladder is smaller, perfect in shape and has no inflamation whatsoever? And that in spite of the massive food intake and the normal level of physical activity, the person lost weight/is gaining none, the food comes out undigested every 5 days or so, with no signs of bloat, inflamation and all the laboratory results being in a normal range? | hello there! Thank you for asking. the gall bladder is fine. Over cautiousness is making you worried and no need to be. Not gaining weight despite food intake with no complains of GIT except undigested foo dcoming every fifth day out. Well that is an issue and needs workup. why is the food not being digested a question needs to be answere. Starting to assess pancreatic functions would be a good start. And what patient perspective of not gaining weight could be ideal one for a doctor. If the BMI is below 25 and above 20. You have no thing to worry about.See the gastro enterologist and see a dietitian for dietry plans. I am sure they will sort out one for youhope you get well soon and i am sure you are wellregardsDr S Khan | |
Burning pain after intercourse. On depo shot. Mood swings and getting angry. Side effect of birth control?
I am experiencing extreme burning pain during and after sex since I relieved the depo shot birth control.. I'm also very moody and annoyed easy for silly things and basically an emotional reck., my question is will this go away if and when I stop getting depo ? will I ever want to have sex again? will it always hurt now or will my body and sex life go back to normal and enjoyable once the shot wears off? I've had the shot twice and I'm due for my next shot in a week and will not be getting it., I've alway been bleeding the entire time since my first shot not heavy but enough to bother me... | Hi dear user,thanks for your query.Irregular bleeding, decreased libido and emotional disturbances are side effects of depo provera. Painful intercourse may be due to some local infection.In my opinion, you should take antibiotic and antifungal treatment for local infection after proper prescription. I hope that once effect of depo will wean off, its side effects will also disappear and your life will come out to be normal again.Hope this helps. Good luck. For any further queries you can directly reach out to me on the following URL: | |
Could hair loss and itchiness of pets transmissable to humans?
I have a dog & 2 cats, all of which seem to always itch & lose hair. They pull out they re hair sometimes, unlike your typical grooming. Could this be associated with the infected hair conditions & if so, could this have been spread to humans or visa versa? | yes there are disease that can be transmitted from pet to humans , bacterial and viral infection . hygiene should be maintained . | |
Missed period after taking primolut n tablet
after taking primolut n tablet for 6days periods not yet come after taking primolut n tablet for 7days twice in a day from 19th to 25th day.period is missing for 5 days what will be the reasons | hi welcome to HCM. For postponement of periods *tab PRIMOLUT-N 5mg BD i.e. one tab n morning and one tab in evening *when the requirement to postpone period is over stop the drug and period will follow within a week. *it is safe *it is presumed that postponement of period is required for few days only.You should not take this if you are pregnant it causes fetal abnormalities.so you wait for 1 day or 2days thn you consult respective doctor ok | |
Suggest treatments for gilbert syndrome
hello siri have gilbert syndrome which cause many problems.i met to a doctor but he advised no need of any treatment.now i am taking homeopathy treatment from 2 months which gave me relaxation very much.can i continue to take it and can it will be treated completely ? | Hellothere r not much options in allopathy for your disease so if homeopathic treatment is giving u relirf kindly continue wiyh it and no there is no permanent cure for it | |
What treatment do you suggest for my hair loss as I've androgenic alopecia and no allopathic treatment has helped ?
Sir, I have taken the allopathy treatment for hair fall which includes Finax tablet and hair 4 u for controlling hair for almost three months. And that hasn t helped and i am having androgenic alopecia . And he is saying tat now there is no treatment available in allopathy. So I have turned to the homeopathical treatment.Is it good way? And are there any treatments available for me in allopathy? And i also have a problem of seborrheic dermatitis . Now its gone so should i use the shampoo for the rest of my life for cleaning of the scalp. | 1.Family history of hair loss? 2. Multiple cross sectional studies have found androgenic alopecia homologous to PCOS in female. 3. biopsy is/may be needed to exclude other causes of hair loss,whereas histology will/may demonstrate perifollicular fibrosis. 4. is your testosterone and DHT level checked? 5. treatment modalities can be from hair transplantation to latest Low Level Laser Therapy (LLLT) 6. If your health care provider finds any hormonal imbalance then FDA approved Propecia finasteride is the drug/treatment of choice. 7. Take diet rich in Vit.C, sulphur,iron,zinc,Vitamin B complex and essential fatty acids,Avoid junk, processed foods, take well balanced green leafy vegetables,fruits,protein,salad. 8. Yogic Postures like Vajrasana and Pawanmuktaasan are helpful. 9. use a mild shampoo once in a week, but don't apply oil to your hairs or use tight caps/hats. | |
What does this blood test report indicate?
my three year daughter has fever 103 celsius with little bit shivering. Malaria and Typhoid are negitive. ESR is 30. (differential Leucocyte COunt) Neutrophils 69% Lymphocytes 17% Monocytes 13% Eosinophils 0 (Absolute differential Count) Neutrophils 11.5% Monocytes 2.17 Eosinophils 0.017MPV 10.2 PCT .221 PDW 19What it might be ? | HiThanks for writing to us.Looks like viral feverNeed specific tests for dengue, typhoid, malariaWishing your child speedy recoveryRegardsDr Arun | |
Q. There was light bleeding after taking emergency contraceptive pill. Is it normal?
Hello doctor, I and my girlfriend had unprotected sex 10 days before. She took Unwanted 72 on next day and had periods on the same day which was also her due date for menstruation. She was facing a problem that her periods was not clear but it lasted for four days. Is there any chance of pregnancy? Is it fine to have light bleeding after taking the pill? | Hello. Unwanted 72 is an emergency contraception pill. If taken within 72 hours, it is effective up to 95 % to prevent pregnancy. Also, she got the periods on the same day. All factors are against the pregnancy to occur. It is very unlikely to get a pregnancy in your case. Light bleeding is common after taking the pill. | |
Will increasing zoloft dosage cause anxiety?
I am experiencing acid reflux which I never had it before even before the HPlyori was confirmed. I am on the 5th day of Nexium ph7. It was started from the 3rd night. Last night, I need to sleep at a sit up position to avoid the reflux. Should I go back to the doctor? | Hi there.Thanks for writing in.I don't think right now there is a need to visit the doctor at this stage. Continue the medication as advised by your treating physician.Do try to follow other measures like:1. Avoid oily, spicy, fatty food.2. Avoid carbonated beverages, tea, coffee, smoking and alcohol.3. Regular exercise 30 minutes a day 5 days a week.4. Avoid lying down immediately after having a meal. Wait for at least 2 -3 hours after your meal before lying down.5. Wait for 2-3 hours after meal before exercising.6. Drink warm water at regular intervals.If symptoms still persist in spite of medication and above mentioned measures, do visit your doctor.Hope this answer was helpful to you. Regards,Dr. Divya Kuttikrishnan | |
What could cause knots on head?
sometimes i get knots on my head and 2-3 days later they go away. Not painful or anything like that. My wife of a year has just recently felt them and is freaking out that i need to get to the doctor. It is something i have lived with my whole life. I do sometimes get migraines, but maybe once every three months. Please help get her off my back with an explanation. Thank you | Hello, Your symptoms could be related to local inflammation or inflammatory lymph nodes. Another possible explication would be the remodelation of the skull bones, which is a common and continuous process. I don't think that anything serious is going on as you have a lot of years living with this phenomenon. Anyway, I recommend consulting with your doctor when these knots appear for a physical exam. Checking vitamin D plasma levels is necessary too. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
Paranoia, irritability. Currently taking Saphris, cymbalata. Prevent psychosis?
Currently taking Saphris(5mg daily for 4 days) tapered from .5 for 3 days then up. Also taking cymbalata(30mg) tapered down withing the 3 day period of starting saphris. Also taking Clonazepan (.5mg) usually 1-x daily. Questionable paranoia and irritability since I ve started the Saphris. Don t know how to take it, is it a side effect or just a delusion . I have not felt so irritable as to where i felt a lack of control since starting this and feel it is alarming especially since the medication should prevent psychosis like symptoms...I am concerned. | Hello Welcome to Health Care Magic Saphris or asenapine is a newer drug and it is very useful in psychosis and bipolar disorder. Cymbalata is duloxetine and is used in depression, anxiety and fibromyalgia etc. When ever any drug like duloxetine is started a rebound increase in anxiety occurs along with irritability. But these side effects go after 1-2 weeks. Your complaints like paranoid, irritability etc. may occur with asenapine as during initial phase of therapy with antipsychotic drug, subjective and objective restlessness, irritability occur, which is also called akathesia. Although this type of side effect is common with typical older antipsychotic drugs and newer drugs are devoid of such type of side effects. Still there is a risk and we can assume that the symptoms are due to asenapine. I advise you to visit your psychiatrist and take opinion regarding the problem. Proper dose adjustments will help. Thanks Dr. Seikhoo Bishnoi | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
What causes lightheadedness while on Losartan for BP problem?
I have been taking Losartan potassium tablets 25 mg for about 9 months for a blood pressure that would range anywhere from 140/90 to 120/80....i went to a chripractor latley and i noticed i was feeling light headed so took my blood pressure for a few days in a role...its been anywhere from 120/85 to 90/70....when feeling light headed its the lower one.. I have my own blood pressure cuff at home..could the ajustments ive been given lower my blood pressure back to a normal range...I dont want to take pills when my blood pressure is so low...could this hurt me if i do??? also should i stop them right away since my blood pressure has been in mornings anywhere from 110/85 to 90/70....Can i stop them cold turkey or slowly ... | Sir losartan is known to cause ortho static hypotension, it means when you change position from sleeping to sitting or standing, the blood pressure will fall Due to gravity and that may be the reason of dizziness. All your reading are in normal to lower normal, so I will suggest decreasing the medication gradually and than weaning off. Regards Dr priyank mody | |
Will the local orthodontist be able to continue treatment after getting braces done in Ethiopia?
Hello, im 14 years old and I am currently in Canada but I will soon be residing in Ethiopia. I have consulted an orthodontist in my area and I am in need of braces. But I would really like to get started with my treatment in Ethiopia. I have many friends who have got their braces done there and I am well aware that there are clean, good quality places. I will be staying there for a while and I believe I will save a lot of time by getting started. But the thing is, I am going to come back to Canada. So my question is, will my local orthodontist be able to continue my treatment? | Hello, Thank you for consulting with HCM.Yes definitely your local orthodontist will be able to continue the treatment in Canada, you just have to keep all the records of your previous orthodontist, as it will help him to know the current condition of your treatment.Hope it will help you. | |
Trying to conceive, LD pills to delay periods, grey slimy piece seen
hi , i am 35 year old i have passed 2 years infection but it is 5 years that it is cured and not even any symptoms. and i have tried to become pregnant for 4 years but nothing happened.this month i used LD pills to delay my period and now i'm on my period and experienced 2 white to grey slimy pieces . i'm really worry and no reach to doctor ... please answer me soon | Hi,Thanks for the query.The pieces you mentioned could be bits of endometrium.As you taken tablets to delay the periods, that might have led to overgrowth of the endometrium.And now as the withdrawal bleeding started, possibly the endometrial bits are also coming along with blood.So no need to worry.Possibly the bleeding will end as your usual period.For more details you can ask me through: care. | |
Suggest treatment for lump in the butt cheek
I m found a rather large lump on the inside of my right butt cheek. It s very sore and hard to sit straight down without have to slow myself and lean when wanting to sit? I don t like going to the doctors about this so I looked online and it said something about a boil? Please help? | HiWelcome to hcmYou are having abscess/pus in butts which needs to be drained. It is not a simple boil. Treating yourself according to your net knowlage is very dangerous. Delaying treatment may cause sepsis and very deficult to treat. So show it to the surgeon as early as possible.Regards | |
Q. I had unprotected oral sex. Am I in a danger of HIV?
Hello doctor, How risky is unprotected oral sex? I received an oral sex from a commercial sex worker for about 10 seconds. I do not have any cut or sore on my penis and I do not know about the HIV status of that girl? Am I in a danger of receiving HIV? I feel slight muscle pain in my forearms. Are there any signs of danger? | Hello. You are not at risk of HIV (human immunodeficiency virus) from receiving oral sex. Again, muscle pain may be due to some other causes, not a sign of STD (sexually transmitted disease). For more information consult a dermatologist online --> | |
Suggest treatment for severe joint and body pain
My sister in-law aged 55 yrs wt 55 kg having severe joint/ whole body pain for last 5 yrs. Present ESR is 40. Osesto / rheomotoid arthiritus both negative. Been put on stearoids / HCQS and NSAIDS with no confirmed diagnosis after thorough investigation. Pl advise. It is better if a rheomotologist replies | hi,i am not a rheumatologist unfortunately, but i am an orthopaedic and know about such conditions.let me tell you what i know, that rheumatoid arthritis is a condition in which the body's defence mechanism faultily fight against some parts of the body. that is for eg joints.when this happens your joints pain. and to detect this is a test for RA factor .. but unfortunately this test is not perfect and you may be a case where you have rheumatoid arthritis but the test is negative ... it is an indication since ESR is high and that means inflammatory reactions are going on in the body...the best way to confirm this diagnosis is to start treating it as suspected rheumatoid arthritis ... if the medicines work ... then you know you have the disease correct and can proceed peacefully with the treatment.otherwise newer tests are present but they all have limitations. like anti-ccp ...but i suggest carry on with your doc.regards/ | |
How to avoid getting depressed?
Hey, Well, since the start of the year, I have been really down. Things have happened at school, and I lost a friend, have no friends, am a loner etc. I ve had many fights at school and at home. like, nearly every day. I haven t had the best childhood and I ve got repressed memories. When my mum reminds me about events that happened during my childhood it suddenly hits me very clearly, and then, I can t stop crying. I ve been bullied by my family, cousins and peers for like, my whole life. I have screwed up to friendships-the most important ones to me. I ve caused another person to have depression, and I suffer from a lot of guilt. I didn t know I was hurting them-and worst of all they were my best friend. In the end they left the school. :( But, right now, I have insomnia and I am always very down. I feel anxious, stressed, upset, and angry because of the things that have happened. I can t stop crying and sometimes I suddenly have trouble breathing and I just have to take deep breaths to calm myself down. And inside, I have a sinking feeling. I can t remember the last time I ve been happy for at least a day. Just yesterday, my only friend, ended the friendship with me. I keep having this attacks when I m really really upset. I keep on crying and I m never cheerful. I hardly even smile anymore. What s wrong with me? | hifeeling low is normal and happens with everyone..depression is a state of mind which can hamper our daily living..here are a few things you should remember1. dont linger on to your past..as we are destined to move forward and not backwards2.be confident.bold..as you are a unique soul and no one can control your life except for yourself3.believe in the almighty ..be optimistic and pray on a daily basis4.be self dependent..dont depend on your friends..it is possible that people dont want to be frnds with you looking at your negative attitude5. practice yoga on a daily basis6.life is a beautiful gift to the mankind..dont waste it in pitty matters..live for yourselfregards | |
Is this a safe combination?
Hi! I am a caregiver for someone who s mother has me give her a concoction at night (by g-tube) of phenobarbital (4 tsp.), benidryl (sp?) (2 tsp.), Miralax, infant gas drops (5), liquid melatonin (4 dropperfuls), a crushed Herbalax, and sometimes ibuprofin on top of that--plus she gets Nexium. (Please pardon any spelling errors.) Do you see any problems with combining all this? I don t feel quite right about it--especially with all the red coloring in it. | Hi Thanks for writing to us. Yes if you are giving as per your doctor prescription no need to worry.These can be given together. Wishing your child good health. Regards Dr Arun | |
Q. Is it normal to have a lot of free fluid in POD while trying to conceive?
Hi doctor, I am 32 years old female. I went today for the third follicle scanning on the 18th day. It showed the rupture of follicles, and there was a lot of free fluid seen in a POD. But in my second follicle scanning, on the 14th day, it showed no free fluid. Is it healthy to have free fluid or something wrong? | Hi. I have gone through the attachment (attachment removed to protect patient identity). Your follicles have ruptured, and hence today you have free fluid in the pouch of Douglas on the scan. You should have intercourse today to become pregnant. Were you given any tablet for the first five days or injection for the rupture of follicles? Let me know the treatment you have received in this cycle, for better guidance and treatment. For more information consult an obstetrician and gynaecologist online --> | |
What causes fever with vomiting and fatigue?
My 4 year old year old is running fever .(102.) He has been running fever off and on for three days now. His other symptoms include, loss of appetite, thirsty, vomiting and extremely tired. they did a CBC and it came back normal. so I am afraid that it is tonsillitis. But he just came out of one 2 weeks ago. | Fever with the other mentioned symptoms could be caused due to some viral infections. Tonsillitis is one possible cause which may have either a viral (eg. Epstein Barr virus) or a bacterial cause (like Streptococcus) but is associated with sore throat. | |
Suggest treatment for small painful bumps on the penis
Sir Good Morning, I am 42 year old man last 15 days i fill aching inside my panis after 3 or 4 days there was boil there. after that there is some other boil and leakage like water. I apply some talk on the spot its ok. after one weak i have sex with my wife we fill aching there and same repeat above mentioned. please do advice for the same. a.k.verma | Hello Mr AK VermaI had gone through your question very diligently and I can understand your concern Bump followed by aching inside the penis might be related to Inflammation inside the penis.Here I would like further information for better assessment of the conditionSince how long you have this problemany history of unprotected intercourse? If I were your treating doctor I would have advised you for battery of test like blood for hemoglobin, CBC, Liver and kidney function test, blood sugar, urine testing for microscopy as well as culture.Meanwhile you should take plenty of fluids 3 to 4 liters a day.You can take Ibuprofen for pain inside the penis.Avoid sex or use condoms until you recover fullyBest wishes | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Suggest treatment for borderline personality disorder
my son was diagonosed with borderline personality disorder.. now he is on trozodone and fluxotin.. he is 23 years old. i dont understand how this happened.. he was always a happy down to earth humble loving child, teen. He left to military- marines reservist- lived on his own for 2 years now back home, mad, sad, wont share or include us. He is sad he has to take these meds and diognosed with this illness. what can i do.. | Personality disorders have their roots in childhood. If your child was a humble and sincere child earlier, i feel that the diagnosis of borderline personality shoul be rechecked. Mood disorder should be considered as a differential diagnosis | |
Vomiting, stomach pain after eating, blood in stools. Pregnant?
Last night I ate some chicken alfredo from an italian place and later began throwing up and having stomach pains. I thought I might have gotten food poisioning, but through the night I kept having pains like I needed to go to the bathroom, but when I did blood just came out. The pain I m having is right below my belly button and is kinda like menstreul cramps . Also I had sex almost two weeks ago so I don t know if I could be pregnant or not. | Dear Denae, hello. According to your symptoms you are having severe intestinal infection. Blood in stool and pain abdomen are indicative of that. You should take antibiotic and antiamoebic treatment after taking consultation with your doctor. Please have your stool examined. For confirmation of pregnancy, have pregnancy card test or blood Beta HCG level. Hope this is useful to you. Thanks and take care. | |
What causes accumulation of fluid in fontanelle of 3 week old?
My baby is 3 weeks old and yesterday found out that he has fluid build up in his fontanelle. We go tomorrow for a ultrasound. I m just wondering what the best and worst out come of this could be. Is there a chance it may be nothing or is it very likely that surgery will be the outcome? | hi, thanks for the question. if your childs head size is increasing rapidly, then it looks like your child has hydrocephalus. a condition in which the there is excessive accumulation of fluid (CSF) in the ventricles of the brain. | |
Why does one have a sweet taste in the mouth?
Today i got my stitches removed 1 week after a wisdom teeth extraction.I have no problems.. i even dont feel pain anymore.. but 3-4 hours after the stiches removal i started feeling a light sweet taste in my mouth thats of course after the bad taste of the medicine that the dentist put there after the removal of the stitches was gone.Thoughts? | Hi,Thanks for posting the query, If you have no pain and no symptoms then you dont need to worry everything is fine , there is no specific reason for sweet taste could be because of the medications, or some foodstuff, dont worry take lukewarm saline rinses at home, maintain a good oral hygiene.Hope you find this as helpful,Take care! | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
What causes hives and itchy swollen spot at the injection site?
I have had a series of issues over the last 8 weeks. I have been having hives. I went to an allergist/immunologist and they ran multiple tests. ANA panel was positive 1:160 speckled pattern. He sent me to a rhuematologist who ruled out lupus and Rhuematoid Arthritis. I became pregnant during this time and then had a miscarriage at 6.5 weeks. I bled so bad during the miscarriage I ended up in the ER and had a D&C, was very anemic. I am still having hives and when blood is drawn I get an itchy swollen spot right at the injection site. It is not a reaction to the latex, very confined to the puncture area. I had the same kind of bleeding when I had my daughter and had 2 blood transfusions. Any thoughts? | Probably it is a disorder related to your coagulation get detailed evaluation by a hematologist like bleeding time, clotting time, and other coagulation parameters. You will need a detailed evaluation for the same. | |
Suggest treatment for severe shoulder pain
hi I developed R shoulder pain after a motorcycle trip out west last summer ending in September pain became unbearable October saw family DR X-Ray reveled inflammation dose of steroids gave relief but pain returned and started in L shoulder and I have been getting increasingly tired and gained 15 pounds and as I am obese I think people are taking it for being lazy . of witch I am not but it is becoming a effort to exercise. I am 59 y 345pounds male please help I once weight 400 and had gastric bypass 2008 had a gun shot wound in 1976 pure led ball never removed in r leg inside the tibia | Hello, I have studied your case.It can be shoulder rotator cuff injury which may need MRI for confirmation.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor.You may consult physiotherapist for further guidance. He may start TENS ,or ultrasound which is helpful in your case.You may need to take rest for early healing.Also check your vit B12 and vit D3 in your blood.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take careRegards Dr Vaibhav | |
How to treat decayed tooth?
i just wanted to as about a dental problemits conserning a 10 years old girl her upper fourth decidious tooth from midline is badly decayed and a chronic infection and a sinus develoved over the tooth on the gingiva next to it , the chronic state has been for as ong as 1 year , should she extract this tooth or restor it with any dental material to preserve it till the permenant successor appear | Hello:)Welcome to HCM.You are referring to a deciduous molar which has a abscess. I do not know if you got the x-rays done and checked with your dentist.The successor premolar erupts at the age of 13-14 years,nearly 3 years from now.It is ideal to do a root canal treatment to save the space for successor tooth.However, if or not a root canal can be done can be decided only after clinical and x-ray interpretation.I suggest you to consult your dentist and treatment done.Do not postpone or the infection will spread. Regards. | |
Is it safe to travel abroad while after treatment for facial cellulitis?
Hi i have facial celulitis..im still in hospital..im in hospitl 9 days now and i am on i.v. 9 days.i was told today another 2 or 3 days stay snd then medication at home orally ..but my question is im going on holidays in 6 weeks ,is it safe to fly abroad and also exposure to sun ... | you can go if you dont have any signs and symptoms of cellulitis left . if on the end of 6 weeks still you are symptomatic then it is better to delay your holiday . but personally i think 6 weeks are ample of time to heal yourself completely if you follow your doctor very well . | |
What causes difficulty in breathing and heaviness on legs?
last night i was at a loss of breath when i got up in the middle of the night to pee. I started to pee and all of a sudden I couldn't catch my breath. when I went to stand up to grab the phone, all of a sudden it felt like my legs were not working....I couldn't even walk. my feet were so heavy and afterwards I just went to bed...woke up feeling fine. | Hi,Breathlessness and lower legs swelling can be cardiac symptoms. So get some tests done immediately like a ECG and 2D Echo and get them evaluated from a cardiologist. Hope I have answered your query. If you have any further queries, you can contact me.Regards,Dr. Sameer Maheshwari | |
What does my ECG suggest?
my ecg says moderate mid-and left precordial and high lateral repoloriztion disturbance consider ischemia LV overload and or digitalis negative T in l aVL V4 V5 V6 with small negative T in V 3 i was givin this to bring to cariologist my apointment is not for 3 weeks i am active doing zumba should i refrain from this activity for now and what does this mean | Hi welcome to hcmI understand your query and concern.Your symptoms are suggestive of Ongoing Myocardial ishemia leading to Antero lateral wall MI.I advise you to get an ECG,2D Echo of your heart,lipid profile,hsCRP.Troponin I immediately to confirm the diagnosis.Monitor your blood pressure,heart rate immediately.Drugs like clopilet,ecosprin , atorvas, betaloc,pantop.Avoid stress and anxiety.Avoid smoking and alcohol.I also Exercise daily for 30 min.Coronary angiogram with or without stenting will be the procedure of choice.Consult your cardiologist for expert management and follow up.Post your further queries if any,Thank you | |
Suggest medication for diarrhea
Our daughter is 6 months old. She is taking an antibiotic for a sinus infection. I changed her sheets to a darker color and noticed that her head is sweating (it could have been doing this all along, but I never noticed until yesterday). It is enough to leave a large wet spot. She has also has had diarrhea. Should I be overly concerned for SIDS risk? | Hello, Why what you say and with a precedent history of antibiotic you say I feel that this could be antibiotic-associated diarrhea. Probiotic with saccharomyces boulardii will be very useful here. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | |
Laproscopy done for ectopic pregnancy. Trying to conceive. Periods irregular, PCOS. Prescribed glucophage, merional. Treatment?
dears,,,, i was having an ectopic preg. last year , i made laproscopy without removal of the tube. since last august i was trying to conceive but every month the period was not coming on its time and at last i discovered that i am having pcos ..my doc. had prescribed me glucophage .. and merional this is the third month to use merional .. iam waiting my period today as every month since using merional it comes on 20 th .... i cant wait to have pregnancy .. and if not what could be my next step .. and i am afraid of having ectopic again | Hello Thank you for your query. Firstly, you should consult an Infertility Specialist. PCOS leads to irregular periods and irregular ovulation. Hence, you might need treatment in order to ovulate and conceive in the form of ovulation inducing drugs and / or injections. Moreover, you need to have your fallopian tube patency assessed, as that might lead to infertility, specially since a previous ectopic can damage or block the tube even if it was not removed. Your partner's semen analysis needs to be done. All said and done, consult a Specialist for detailed work up and treatment Take care. | |
What does this semen analysis report indicate?
Dear sir , Can i become father my siemen analysis reports are voulme .8ml,colour -creamish,viscosity-fair, PH-8,FRUCTOSE-PRESENT, SPERM CCOUNT 12 MILLION, VIABLE SPERMS-30%, ACTIVE MOTILE -10% , SLUGGISHMOTILE-20%, NON MOTILE-70%, PUS CELLS -2-3 , FATS - +, IM 30 years , Height 6 2" , Weight 115 Kg Please let me know can i have a child with this report & what are medical options. | Hello, The motility of the sperm is low. Consult a urologist and get evaluated. A scrotal Doppler is required to rule out conditions like varicocele. If your partner fails to conceive, you can opt for newer techniques like IVF. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Q. How can we manage seizure disorder and a learning disability?
Hi doctor, My daughter has been suffering from a seizure disorder from her birth and has been taking AED. She is 13 years old now and at present she has been taking Valparin Chrono 500 and Levipil 750 both twice daily. She attained puberty before two years and presently studying in sixth standard. She has a learning disability, forgets everything very quickly and needs to be treated specially. But it will not be possible on the part of that school as the school does not provide any special classes for learners with LD or does not have any provision for CWSN. On the other hand, there is no any institution in my locality which provides special education to CWSN. Under the circumstances stated above, I have left no option except to enroll her in an open school and give necessary support to her. Now my question is will it be fine for her in the future to lead a life without any social development? | Hi. Your daughter has two independent medical problems. The seizure disorder needs management with medications. Her learning disability needs appropriate assessment and remedial work. I do understand that most schools do not offer remedial teaching and they leave the parents with no option other than NIOS (National Institute of open schooling). However, in most cities, there are organizations which are involved in remedial teaching for children with LD (learning disability). You can look up such organizations in your town. Also, children with LD are normal in social and occupational spheres. For more information consult a neurologist online --> | |
48 hs after taking Levonelle 1500 pill am I still infertile ?
Took Levonelle 1500 on friday morning and have had unprotected sex on sunday morning (48 hs after the pill ) . 48 hs after taking the morning after pill am I still infertile? | Pill should be taken within 72 hrs of unprotected intercourse not vice versa. | |
Q. How can I stop IVF failure?
Hello doctor, I have had three IVF failures. Latest failure -four embryos transferred, two -day 3, two -day 5 (blastocyst with array), negative beta hCG. I want to know the reason for the failure. | Hello. I am sorry that you had an IVF failure. The causes can be many, right from immature poor quality egg fertilization, inadequate endometrialization, inadequate post embryo transfer medical support, previous endometriosis or any subsistent pelvic or vaginal infection or a UTI, improper technique, implantation failure, poor initial ovarian response as in your case with poor AMH levels, life-style factors like smoking and drinking are also contributory to reducing chances of an IVF success. It is always best to treat and cover each factor before opting for this expensive procedure. Please share your reports and protocols or medicines offered during the procedure to evaluate and guide further. | |
Which hair oil is best to be applied on grey hairs after lotion therapy?
my son is 9 years old. he is having grey hair . the doctor prescribed him altris lotion to be apply on scalp at night. my question is after applying the lotion ,whether i can apply oil next day or should i have to shampoo and then apply oil. which oil is best to apply . doctor also has prescribed biotine tablets. | Hello,Thank you for posting on HCM.Yes you may apply oil or shampoo the hair next day morning. Ordinary coconut oil will be good enough for him.Continue the rest of medications as advised for atleast 3 months to appreciate any results for grey hair.Thank youDr Hardik Pitroda | |
Can a soft tissue appear after losing a teeth?
My 6 year old just lost her fourth tooth (front top) and there is a piece of soft tissue looking substance left behind where there should be an empty space. It isn t hanging, but looks more like a piece of food stuck there. I had her rinse several times, first with warm water & then with warm water & a little salt. Is there something else I should do? | hi,Thanks for asking.Due to improper resorption of teeth there might be a small remnant of tooth structure. Its not much of concern. you can visit a dentist near by who will extract the remaining part of the tooth. | |
How important to take wysolone after knee replacement surgery?
Hello Dr. Deepak. The orthopedic surgeon who did the knee replacement surgery (both knees) on mom 12 days back has prescribed wysolone. I realized that this is a steroid drug. I wanted to understand how important is it to take this drug and why is it prescribed. Thanks.Chintan Sarda | Dear patient. Thank you for your question.Let me start off by saying I am not DR. deepak and since you have posted this question in a public forum any orthopedic surgeon can answer it.Post replacement steroids is rare as steroids decrease immunity by increasing blood sugar and inhibiting the production of white blood cells which fight off infection. Post replacement the chances of infection increase.The only conditions where steroids should be given is1) Your mother os a patient of rheumatoid arthritis and was on steroids before the operation2) She was on steroids for a different reason.STeroids , post replacement if given should not be given for more than 3 days and that too low dosage so please ask your doctor the reason for giving steroids and to stop them before 2 weeks are up | |
Suggest treatment for bulging vein on the foot
My right foot got stepped on pretty badly in soccer today and I took off my sock later that afternoon to reveal my vein is bulging out, I did some research and some people said it was a good thing for the blood flow, although It still hurts bad when I touch it. | Thank your for your question. As long as there is no active bleeding there is no problem with the vein bulging out.U see it is a sort of a physiological reaction to trauma for vessels to be inflamed after they are exposed to traumaI have been a soccer player myself so trust me when I tell you ice it and rest for a week. As soon as the pain subsides you are good to go. | |
Q. I am hard of hearing due to piston in ear. What is the treatment?
Hello doctor, I got a piston in the right ear 30 years ago. I am 58 years old and 84 kg weight. I feel hard to hear now. I have attached my recent audiogram result details for your reference. | Hi. From the available information, it seems to me that you might have a condition called otosclerosis. Otosclerosis is a condition in which there is abnormal bone growth in the ear which prevents the sound vibrations from being conducted adequately from the external ear to the inner ear. This can be confirmed with a test known as a tympanogram. Once it is confirmed, you might have to undergo a revision surgery which is done by a surgeon. In most cases, it improves the hearing considerably. If it does not improve with this, you might have to opt for a hearing aid. For further information consult an audiologist online --> | |
Suggest treatment for hair loss and change in colour
hello! my friend is working on construction site and he is always surrounded by cement dust he has started loosing his hair and his hair colour is changing into light brown and have also becoming very dry, so you please suggest some treatment or medicine on this? thank you. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of hairfall and dry skin, my treatment advice is 1. Take good nutritious diet full of green leafy vegetables and milk. 2. Apply an emollient cream like Enmoist cream twice daily on dry skin. 3. Take an iron supplement and vitamin B12 supplement once daily for 3 months. If problem persists then consult a dermatologist. Thanks. Dr. Harshit bhachech. MBBS, DDVL. | |
What causes intense back pain long after spinal fusion surgery?
I had lower spinal fusion surgery about ten tears ago. a couple of weeks ago my back started getting painful in the area of the operation. it has become progressively worse each day tot the point that it takes a half hour to feet out of bed and I m able to walk with great pain.I don t know what kind of doctor I should consult. I don t want more surgery | See acute back pain can be of due to many reasons, it may or may not be related to your previous surgery. But pain is severe and also radiating to your legs or thigh, you might need some investigations for that you can again consult to orthopedics surgeon. Check your lifestyle too-daily bike or car driving, sleeping patterns, weight lifting etc. Don't be afraid, but just visit the nearby hospital so that your doubt gets cleared by some investigations. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
What are the signs of having tuberculosis?
my TB IgM is 2.3 (positive), IgG is 188(dubisious), IgA is 88(negative), Blood CBC,ESR normal, MT negative< sputum for AFB negative,i have cough for 2 wks and early morning hemoptysis present, but no H/O fever, night sweats, weight loss,weakness,anorexia or chest pain..... do i have tuberculosis? | Thanks for your question on Health Care Magic. I can understand your situation and problem. In my opinion, you should get done chest x ray or CT thorax to detect tubercular infiltration. Your blood report like IgM for TB is positive but mantoux test is negative. Your sputum for AFB is also negative. So we can not say it is 100% tuberculosis. You might be having tuberculosis as you are having cough with hemoptysis. So further evaluation with chest x ray or CT thorax is needed. Because some radiological findings like upper lobe infiltration, cavitory lesion, tree in bud appearance etc are characteristic of tuberculosis. So if any of these is present than you may need anti tubercular drugs. Bronchoscopy with BAL (bronchoalveolar lavage) analysis is also more informative in diagnosis of tuberculosis. So better to get done these investigations first to rule out tuberculosis in your case. Hope I have solved your query. Wish you good health. Thanks. | |
What is the treatment for fever , stomach pain and burning eyes?
My 3 year old had a 104 fever last night complaining of stomach pain and burning eyes. I took him to the doctor yesterday when the fever was much lower (101) and the ruled out strep. I was worried about strep because my neices had been visiting the week prior and they had it. He also complained of congestion in his nose, but nothing came out when he went to blow his nose. Could this be a sinus infection? | Hello,You can do the following:1. Provide him with a lot of hot fluids.2. Syrup Paracetamol four times a day if fever persists. (In case if the fever is above 100 degrees Fahrenheit, then do cold sponging).3. Syrup Zentel or Bendex single dose along with dinner.4. Syrup Bonnisan one teaspoon, twice daily for a week.5. Nasoclear spray, if there is too much nasal congestion. If symptoms persist, consult a pediatrician immediately.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Arun Gangadhar | |
Suggest treatments for severe cold,cough and mucous
Hi 2 nights ago I could not get warm at work. I shivered all shift then came home and sweated all night in bed. I have no nose phlegm but am occasionally coughing up very thick mucus. I sound very chesty when I cough. And had some sharp pain last night when I coughed or breathed in deeply. | Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of lower respiratory tract infection (LRTI - pneumonia) is more. You are having fever with chills, cough, thick expectoration, pleuritic chest pain (pain on coughing and deep breathing). All these are characteristic features of pneumonia. So better to consult pulmonologist and get done clinical examination of respiratory system and Chest x ray. Chest x ray is must for the diagnosis of pneumonia. You will need antibiotics, mucolytic, expectorant drugs. Drink plenty of fluids orally and keep yourself hydrated. Quit smoking if you are having this habit. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Could the severe cramps in the thighs be caused due to Bystolic having varicose veins removed?
I have been experiencing severe cramps in my thighs at night. Could these be caused by Bystolic? I take 5mg at night and 2.5 in the morning. I have had ultra sounds and varicose vein removal prior to taking Bystolic. I never experienced the cramps before taking this medication. All lab work returns perfect such as potassium and magnesium levels. I stay well hydrated, also. These cramps are unlike charley horses. They are extremely painful. I am unable to move much less walk when I have these. Any ideas and/or suggestions?And yes, I have tried putting a bar of soap under my mattress and drinking pickle juice and tonic water. I dread going to bed at night but am becoming exhausted. Please help. Thank- you | In my opinion bystolic could have provoked and old problem like hip or back arthritis , i recommend you do back and hip x ray to confirmGood Luck | |
Severe pain in hip and back, regular headache. Biopsy positive for prostate cancer, had radical prostectomy. On lupron. Suggest
Dec. 2010 I had a turp and the biopsiy was positive for prostate cancer. My urologist started me on lupron. In march 2013 I had a radical prostecemy. My gleanson score was 5+4. I have six days left of radiation and have had two more lupron shots. My hip and back have really started hurting. I have daily headaches. Should I stop taking the lupron. | Hello user,I don't think you should stop lipron as it reduces testosterone production in body and helps in reducing size of prostate cancer, and reduces further recurrence of left out prostate tissue into full blown cancer.You are rather advised to have a MRI/CT scan of your back and hip region to rule out metastasis of prostate cancer to these regions !!Hope I have answered your query. If you have any further questions I will be happy to help.Regards,Dr Hari Om ChandrakarMBBS | |
What causes stiffness in the finger?
In this summer heat I do yard work from about 8am until noon when I can t bear the heat any longer. I sweat immensely and try to take in as much water as I can. Once I get home some of my finger stiffen up. what is causing this and is it dangerous? | Hello,What I can infer from your complaints is that, you are getting finger joint stiffness post your work.Although you have not told me your age, this is common after doing heavy work in some individuals. I suggest you to take it easy for a few days and then decide how it goes.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Santosh S Jeevannavar | |
What causes red spots on penis tip?
I have a small little cut where the forskin connects to the penis And I have a white build up under the forskin that i have never had before its slimy and its all over the tip and other skin bellow (usally covered by the forskin) It covers the skin but rubs off and Im pretty sure its dead skin About a week ago is when i got the small cut/tear and its been very sore but has calmed down and has very little swelling but has seemed to swell abit lately. At first i had a few red spots on the tip under the skin but now i have red blotches and they arnt round actually they look like theyre the bits that the white skin has fallen off.My penis doesnt hurt apart from the sore forskin and sometimes during intercourse it stings a lot and a couole of days ago it would sting from just pulling the skin back But ive been with my girlfriend for 3 months and she is clean of any stds or STIs and i havnt had unprotected sex with anyone in well over a year. | Hi there and thank you for your question.I can appreciate your concern regarding this issue and I'll try to help you were I can.Judging by the symptoms you have noted in your inquiry, it sounds as if you might have a fungal infection of the head of the penis. This condition is called fungal balanitis and caused by the fungus Candida albicans.Now, candida is a normal fungus found in the vagina and is present to help with regulation of the normal organisms found there. If your girlfriend had a fungal infection (colloquially also known as 'yeast infection'), then it could be a way that you have been infected with this fungus. it doesn't mean that your girlfriend gave you an STD but rather a common infection women get via the sexual intercourse route.You can ask your pharmacist for clotrimazole cream and apply it liberally to the head of the penis 2 times a day until the issues resolves or for a maximum of 14 days. Once the symptoms have resolved, then continue applying the cream for another three days so as to make sure you kill off all the fungal spores so that this issue doesn't recur. Before applying the cream, just make sure that you have cleared as much of the discharge from the head of the penis as possible.If the problem still persists then you should consult your doctor as you may need to have this condition treated with oral antifungal medication.I hope this helps and good luck. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Suggest treatment for headache due to bleeding in brain
I have a head injury from about a year ago due to getting a baseball to the back right side of my head. I had bleeding on the brain and a hair line fracture to my ocipical bone? I am still experiencing head spins and am wondering if that will go away? | Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!It is quite normal to have persistent head spinning after a head concussion. It could be related to an inner ear disorder due to the trauma. For this reason, I recommend consulting with an ENT specialist and performing labyrinthine tests. An EEG is also necessary to exclude possible seizures, which may mimic this clinical situation. Hope you will find this answer helpful!Best wishes! | |
What does extended gum/skin growth between two teeth in a child indicate?
my six year old daughter has what appears to be an extended gum or skin growth between her two front teeth on the bottom. It seems to have grown. The dentis didn't observe but I found it. She sent us to an oral surgeon for follow up but doesn't think it is anything serious. | Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain extended gum growth in between the two front bottom teeth can be due to gum inflammation causing swollen gum while it can also be due to spacing between the teeth causing gum to overgrow in that area..It can also be a high frenulum attachment..It is true that is not appearing to be anything abnormal and you need not to worry about it..You can consult a Pedodontist and get evaluated and the cause can be clinically evaluated and then only treatment can be advised..In case of gum infection scaling and antibiotics will help..If it is high frenulum attachment then surgical relieving of frenulum has to be done..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
How can acute hair fall be treated?
I started loosing hair since from age of 13years, i am 33yrs male. Now i have lost most of the frontal hairs. i want to know the remedy. I would also like to know the effectiveness of hair transplantation, its result, side effect, time taken and about good hospitals offering this facility at bangalore or ranchi. presently i m using Mintop 5% solution for last 2years. | Hi Dear,Understanding your concern. As per your query you have symptoms of hair fall which can occur due to stress, improper hygiene, fungal infection and could be due to hormonal changes. I would suggest you to start with Minoxidil lotion first to get proper results Do mild head massage. Apply Indian gooseberries. You should consult dermatologist once for proper examination. The doctor may order skin patch test, blood test, allergic test and physical examination and may prescribe supplements like Omega-3 minoxidil spray, and Vitamin E. Doctor can check your reports and only then can let you know about results and side effects if any as sensitivity varies from individual to individual.Hope your concern has been resolved. Best Wishes,Dr. Harry Maheshwari | |
MRI showed no acute abnormalities, ischemic changes seen, has frequent episodes of dementia, history of seizure disorder. Suggestion?
My mom s recent MRI results: IMPRESSIONS: NO ACUTE ABNORMALITIES ARE SEEN. MODERATE DIFFUSE VOLUME LOSS WITH MINIMAL TO MILD PERIVENTRICULAR AND SUBCORTICAL SMALL VESSEL ISCHEMIC CHANGES ARE SEEN She only started becoming very confused in March and I have searched for answers, including possible hereditary thyroid issues, but the only real answer is that this is dementia and could be related to early onset Alzheimer s (and mini strokes which I don t understand) - the other issue that began in March, and is not related to UTI is frequent urination as often as 15 to 30 minutes. She is almost 76, never had many problems other than developing a seizure disorder 12 years ago, but that has been controlled with Keppra. I am trying everything possible and have seen many specialist, but still think I am missing something? | Hi, Thank you for posting your query. First of all, I would like to reassure you that the MRI abnormalities in your mom's case are minor, and there is no need to worry. Keppra (levetiracetam) may cause confusion, and so, if possible it should be stopped and replaced with another anti seizure drug such as sodium valproate. For mini strokes (small vessel ischemic changes), a blood thinner such as aspirin, should be started. For diffuse volume loss, no specific treatment is available. It could be normal for age or it could be a part of Alzheimer's disease. This can be confirmed by a clinical examination by a neurologist. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist | |
How to treat sharp pain in my shin and knee bone poat horse riding injury?
I was riding my horse at a trot and she ran me into a fence. The end of which hit me hard the shin bone. It s swollen and hot, I can walk on it but I can t put weight on it for a long period of time. I get sharp pains every now and then. Since I hit it farther up (6 inches from top of the knee) I feel pain in my knee too. Should I go to the ER or wait it out? | Hi, It could be a contusion only. As a first line management you can take analgesics like Paracetamol or Aceclofenac for pain relief. You can also apply ice packs for faster recovery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Suggest treatment for anxiety and hormonal imbalance
I ve been having anxiety symptoms For 6 yrs. My doctor says its anxiety and hormone imbalance. Yet no test show any imbalances and they will only do certain tests. I started having panic attacks back in february of this year. They are awful. Sometimes I have skipped heartbeats heart flutter heart beats hard or fast but rarely over a 100 beats a minute but it feels like its running a race. The heart palps really scare me, but the heart doctor says there is nothing wrong I'm just anxious. Can u help? Any advise also the dr says I have pmdd I'm 37 yrs old | My dear friend. It appears to me that there may be some psychological factor playing role behind your anxiety. More likely you are having generalised anxiety disorder with panic disorder. You need to check your thyroid function tests too as hyperthyroidism can cause anxiety too. Next is to visit a psychiatrist to start anti anxiety drugs like escitalopram along with benzodiazepines like clonazepam for some time.propanolol can also help. Lastly you should do some relaxation exercises too. | |
Q. How much dosage of Sildenafil is advisable for erectile dysfunction in a diabetic?
Hello doctor, I am 54 years male, having erectile dysfunction and diabetic for the last three years with HbA1c value 8. Can you please prescribe the dose of Sildenafil? | Hi. Erectile dysfunction can be due to many conditions including psychological and underlying like diabetes, hypertension, thyroid dysfunction, atherosclerotic disease and some medicine such as antipsychotic, some antihypertensives. So you need to be evaluated to find the cause of erectile dysfunction. Drug therapy includes Sildenafil, Tadalafil, Vardenafil, and injection Alprostadil can be used. These are prescription only drugs, so you need a prescription for the same. Sildenafil and related drug are contraindicated in a person taking nitrates. The starting dose of Sildenafil is 50 mg in most cases and depending upon the response the doses can be decreased or increased. It comes in 25, 50 and 100 mg dose. I would like to inform you that diabetes is one of the leading cause of erectile dysfunction and taking Sildenafil alone will offer temporary relief so you need to have good control of your diabetes. | |
How can severe backache be treated?
About a year ago I found out I had 2 herniated disc s and a bulging disc. I had a baby 3.5 months ago. Now my back is hurting so bad. I can t sleep at night, I cry because it hurts so bad and I have called into my job twice in the last week because I couldn t walk or move because I would cry it hurt so bad. What do I do? | so you to have to repeat the MRI to know the recent changes and to know if you have to proceed to surgery.You should keep sleeping in supine position avoid (twisting your back,prolonged sitting and standing,straining and lifting heavy weights.)You should wear lumbosacral belt.You should receive the following medications:meloxicam 15 mg twice daily Pregabalin 150 mg once before sleepthiotacid 600 mg twice daily after mealtizanidine 4mg once daily before sleep | |
Is chest pain and acidity signs of hiatus hernia?
Hello doc I am 27 yrs age and suffering from the symptoms like pain in the center of the chest, feeling od pressure in chest area, cant lay down, sometimes acidity. I have strong doubt it is hiatal hernia. I suffering from last 2-3 months and its getting worst now. Is it Hiatal Hernia, is yes then which treatment should I take for healing this. Thanks | yes chest pain and acidity are signs of hiatal hernia.You should take care af your diet, eleminating foods that agravate and big meals.Be carefull with caffeine and smoking and start on antiacids. | |
Suggest remedy for minor chest pains
I've been having some minor chest pains, I think it's muscle related but I just want to ask. I've just starting working out again, and when I move my left arm around, I get a sharp pain in the left center part of my chest, a little below where my heart is. It only happens when I move my arm, it doesn't affect breathing or anything. Should I be concerned? | its muscular pain only.As you are getting with particular motion when you exert your particular muscles.Avoid doing exercises/postures where you are getting pain.Do some muscle relaxant exercises .Or you cal also take some muscle relaxant.Avoid doing work for few days involving muscles of your upper limb. | |
Q. l got a sore hard lump after the removal of wisdom tooth. Is it normal?
Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. | Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> | |
What can cause popping sensation and severe pain in the knee upon bending it?
A few days back I kneeled down and my knee made a loud pop and I felt severe pain and it felt hot. Now everytime I bend my knee enough, it pops and I feel the same thing.I struggle to be able to straighten my leg as well. I can still walk but my leg feels uncomfortable when I do. What do you think is the cause? | Hi, Consult an orthopedician and get an MRI scan to rule out any possible ligament injury or foreign body which can cause similar symptoms. Hope I have answered your query. Let me know if I can assist you further. | |
What causes elevated levels of alanine transaminase in blood test?
Hi, My name is Saurabh.I have gone through complete blood test.In the report i have found that Alanine transaminase is increased.. it should be in between 0 to 37..but it is 52.... what is the reason? and what should i have to do to come in range... please suggest. | Hi.Thanks for posting query at HCM.NO need to worry.retest liver enzymes after 3 to 6 months.Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.hope to answer your concern.regardsDr Tayyab Malik | |
Lower back pain, mood swings and nausea. Trying to conceive. Pregnancy test report negative
hello, i am 20 yrs old, married and currently trying to get pregnant. i am 12 days late and been having lower back pains, mood swings, loss of appetite , nausea and discomfort on the left side of my ovary and cramps that come and go...i took a test a week after intecourse and i got a very fain positive then two days later i took another test and got a negative im confused.... oh i had intercouse on the 5th and now its the end of the month | Wait for a few more days.If you dont get spontaneous menses you should repeat the pregnancy test .If its negative again,see your doctor for some blood tests,ultrasound. Get your thyroid and prolactin checked. | |
Q. How can I treat the small painless bubbles on the arm?
Hello doctor, I have these small painless bubbles on my arm for a long time now (almost two years). First, there were not much but now they are spreading all over my arm slowly. It makes me uncomfortable in wearing short sleeve clothes. Please help me. | Hello. These are comedo or blackheads (attachment removed to protect patient identity), are small bumps that appear on your skin due to clogged hair follicles. These bumps are due to the production of too much body oil, the buildup of the acne bacteria, irritation of the hair follicles when dead skins cells do not shed on a regular basis, undergoing hormonal changes that cause an increase in oil production, taking certain drugs, such as Corticosteroids, Lithium, or Androgens. Choose oil-free lotions, and sunscreens to avoid making your problem worse if you are using some. You should once visit the dermatologist for examination. These are treated with Benzoyl Peroxide lotion 2.5 % applied two times a day. You need a wash and keep your skin clean and oil free. Exfoliating scrubs dead skin cells and can help reduce blackheads. | |
What causes difficulty in breathing?
In the past few months I have been having a hard time breathing and have to gasp for air and this is through my day it becomes worse when I eat. It does not burn Just feels like I can not breath normally like I use to. I have asthma But I don't feel its that because I am not wheezing | Hi. I can understand your concern. Asthma is most common allergic disease which is not a curable disease but definitely controllable, by controlling the same you can lead a symptom free life. Usually presents with cough, wheezing, difficulty breathing and chest tightness. If not treated appropriately can be life threatening.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). It will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS).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 obese | |
What causes severe leg cramps in the thighs of an elderly female?
I am a 65 year old female. EVERY time I walk I experience severe leg cramps in the thighs. Resting stops the pain but when I resume walking so does the pain. Can t even walk through a mall. I know I have 5 bulging disks and I know walking with a grocery cart helps. What could this be? | Hello, Claudication is common in atherosclerosis. Due to reduction in the circulation nearby consultant. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parkavi Gunasekaran, General & Family Physician | |
Q. Kindly suggest the diet to improve my health.
Hello doctor,My height is 165 cm, and my body weight is 79 kg. I want to start doing exercise, and I want to become healthy. I want to know about what diet I must follow to improve my health. How many proteins, carbohydrates, vitamins, minerals, fats do I need to consume daily, and what diet I must take? | Hello. An average man needs 2500 calories to maintain, and 2000 to lose one pound of weight per week. At present, you are overweight BMI is 28.7. You have to reduce, but healthily. Choose whole foods instead of processed food, and avoid sugary drinks. Keep healthy food readily available. Fruits, vegetables, lean meats, fish, eggs, and nuts. Eat more fish than meat. Use whole grain flour in baking recipes and eat in smaller plates. Calculate 2000 calories. That means eating the equivalent of six ounces of grains each day, which includes 2.5 cups of veggies, two cups of fruit, three cups of dairy, and 5.5 ounces of protein-rich foods. Divide your food out over five meals like three slightly larger meals (breakfast, lunch and dinner) and two smaller snacks. | |
What can be the reason for severe pain and burning sensation in the stomach?
Hi My mom 55-56 years old is having severe buring sensation and immense pain in in her stomach area. she vomits out whatever she eats and no medicines seems to be working on her. She hasnt been able to throw out waste since like 5 days now.what is wrong with her and what tests should i do and how much will it cost me..Please advice ASAP.Thank you for your advice. | HI.The symptoms of persistent vomiting, acidity and burning sensation in the stomach along with constipation can be due to an intestinal onstruction. Considering the age of your Mother I would like to advise upper GI endoscpy, CT scan of the abdomen , colonoscpy and other blood, urine and stool tests ( after enema) to see the cause of these. You may please consult the Surgical Gastroenterologist. We have to rule out Colorectal Cancer, Gastric ulcer or cancer, Tuberculosis of the abdomen. This may give a guideline for the further investigations and management. | |
Stool test: Consistency-loose,colour-green,mucus-present,pus cells-8to 10phf
6 month old baby girl stool anlysis .... GROSS consisitency : loose color ; greenish muscus : present blood : absent CHEMICAL EXAMINATION PH : Alkaline Reducing substances : Present (+) MICROSCOPIC EXAMINATION Pus Cells : 8-10 /hpf RBCs : Nil Ova : Not Found Cyst : Not found Others : Nil | Hi...this is a completely normal stool examination. Nothing to worry about it. I guess you would have done this after she developed some loose stools. It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
What does SGPT level of 96 suggest?
sir just wanted to know that my sgpt level is 96 and i doc have said to me that my liver is a faty liver,and he said that with faty liver it normal that you sgpt level 96 a bit high ,so i want to know if i can lower it a bit and what vitamins can i take in lowering sgpt | Hi there, Thanks for posting in HCM.Your SGPT of 96 is significantly high.The most common cause is nonalcoholic fatty liver disease and it is confirmed in your case.You also need to get tested for other common causes that include hepatitis B and C infection.Obesity, diabetes and high cholesterol are common causes of nonalcoholic fatty liver.So try to reduce weight if you are obese. Check your blood glucose and cholesterol levels.I hope that answers your query.Regards. | |
How to get conceived soon?
Dear Sir,I am 33yrs old, married 6yrs ago and trying to concieve since 3yrs. i had 2 failed iui's and laproscopy (found mild endo in douglas pouch)and also D&C twice(found proliferative endometriosis).but since 1 yr i am bleeding heavy and for many days (upto 1 month). am not able to take the pain of this bleeding ...........i desperately need a child...plz suggest what should be my next step? plz reply me nad suggest me | haitreating endometriosis with ablation and control it with gnrh agonists will help you to some relief from pain and bleeding.if it is severe you may need invitro fertilisation to get conceive.consult an infertility specialist. | |
Suggest treatment for tietze syndrome
I have been told I have a severe form of Tietze syndrome.....I have been on morphine and other pain meds for 2 years now and I am getting worse. I dont have lapses of it, I am always in excruciating pain and can barely move...I have been told I have to live with it now as the steriod injections did not work, infact they made me worse....is there any surgery I can have to help? | Thanks for your question on Healthcare Magic.I can understand your concern.Tietz syndrome is severe form of costochondritis.Till date there is no known cause of this.Similarly till date no treatment is discovered which cure it completely.Yoi can try alternatively ice packs and warm water pad applications on affected areas of chest.Tramadol patch on affected chest area is also beneficial in some cases.Anxiolytic drugs like clonazepam, diazepam are also given to see if it works.Rib belt application should also be tried.No surgery is available for this.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Weird taste from saliva, ulcers on gums, excessive thirst. Taking topamax, folic acid. Suggestions?
Over the past three weeks my saliva has tasted strange, almost a burning sensation and my gums have ulcerated a bit. I find myself wanting to drink more water. I thought it could be medicate by have gotten off for a week or so but still happening. I am taking topamax and was taking Deplin (folic acid). I also take estraiol and progesterone but have never had a problem with either. | These symptoms are probably the potential side effects of the medication you are taking.Here are some easy ways to prevent or reduce the adverse effects of various drug therapies. Maintaining a good oral hygiene affects the general overall health and helps you feel better.Eat dry nuts and other foods that stimulate salivary flow.rinse your mouth well many times a day.Reduction in dosage of the drug or changing to an alternative drug may help. | |
What is the longevity of stents without thrombosis?
My mom just had two stents placed in two of her coronary arteries, the right coronary artery and the left cirumflex artery. The cardiac surgeon said there was no need of a CABG surgery and stents would work but now we keep on hearing that there are chances of Stent thrombosis in these DES stents. The stents used for my mom are Biomatrix stents, i have heard there are less chances of stent thrombosis with these stents. How long can these stents work for if there is no stent thrombosis? | every stent have chances of stent thrombosis ... it depends on many factor like type of stent lenght size and how patient deal with medication and healthy lifestyle ... stent put is des so dont worry for stent part ...just keep healthy lifestyle and regular medication ...if any chest pain do one ecg and follow with ur doctor ... | |
Should I be concerned for the pain in the arm where the injection has been administered?
I had a mri with contrast, never had reaction in the arm before, but, this time, arm still hurts at the injection site, but, the arm is not swollen or discolored, mostly feel the pain internally in the arm around that site...almost 2 weeks now, should I be concerned? | HiHope this msg finds you in good health.I have gone thru ur msg & understand ur concern. nothing to worry. its thrombophlebitis. apply local cream. it wil gradually improve Feel free to ask me a FOLLOW UP QUERY anytime.Take care.God bless | |
Suggest treatment for my moms mental status
My Mom Act Awlful to me !!! ;(((My Mom iss soo ... i dont know how to describe it !!! I just dont know what to do !!! She is playing an online game like farms and etc . She has no time for me ! She has no job and she isnt doing anything !!! She is just playing , but she wants me to clean , to bring stuffs to her , to go shopping for food and etc ... And when i say NO ! She becomes super nervous and she starts yelling at me and her mood is always changing ! Every time when something that she wants not happen .. she becomes soo nervouss ...... !!!!!! And for whatever is she nervous for she gives it to me !!! She blames me !! Always when she is not in a mood , no one can be !!! She is always trying to ruin it !!! And she stopped smoking really hard and now she is smoking again and i want to stop her but every time when i say something to her she yells at me " im gonna broke your head" "im gonna hit you and you gonna shut for forever " "i hate you " and etc .. and its always in front of othet people !!" And im always keep my self not to cry in front of her and other people and then when im alone im crying and remember everything again and again every second word that she said !!! So it hurts me so much !!! And after yelling this just after 5 minutes , she acts like nothing happened !! But it happened !! And i remember it !!! Everytime when smth like this happens i remember everything years back !!! I feel like that broke my childhood so much !!!! :xxx And every time i feel so broken that i even wanna die !!! Memories from my childhood are so much like when she cut my hair , because she didnt know where i was !! She knew that i love my hair more than anything and it was so long !!! I beggin her so.much not to do it i fall of my knees anything then finally i seat on the chair and she got all my hair and i was so scare i thought that she just gonna cut a little !! But she cut all of it !!" She made me like a boy !!! i couldnt breath i fall on the ground and i started yelling , screaming , pulling ! I do it for hours !!! When anyone got closer to me i started pushing him off and i cried so much that i get sick !! Days after that i still seizured !!! My Mom was so sorry that she did it ! She was sorry a minute after that !!! She said im sorry im so sorry a million times ! She bought me stiffs and others so i forgave her , but this is a memory that i wont forget!!! When i was little 7-8 years old we left to the park and | HiThanks for using healthcare magicI think, she is in depression and in that case, she needs proper treatment with antidepressants. Whatever , you have mentioned and written, is towards depression. Easy irritability is part of depression and it would improve with treatment. You should consult a psychiatrist for diagnosis and treatment. In case, you need any help, you can ask.Thanks | |
What causes inflamed tissue around Achilles?
The tissue around my Achilles tended is so tender and am unable to touch my heel at all. It hurts to walk in the morning and evenings. Unable to wear shoes at this point. The MRI only showed the tissue was inflamed. And I was told my body is producing extra flood to protect the surrounds area of the heel. What would you make of these symptoms? Please help. | i feel you are suffering from the inflamation of your achillis tendon which is called achillis tendanitis. dont worry it is an inflamatory condition ,not a serious thing such as cancer or infection. it is better to consult a rheumatologist. depo medrol injection to most painful point will reduce your symptoms remarkebly. |
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