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How long can a person live if brain is dead?
How long can you live if your brain is dead but you are still breathing Sadly my father had a cardiac arrest one week ago and has been in intensive care for nearly a week, it has come to light that it took 22 minutes to recusitate him he is breathing on his own but there are no other responses from him we have been told he is probably brain damaged due to the lack of oxygen. How long could he live like this if he is still breathing even though he is not awake | my friend is brain dead and only breathing 6 breaths per minute. her whole body is swollen. she is off life support. how long can she live like this. | |
How can fungal infection in the nails be treated?
I've recently had an issue with an aggressive (yeast they said) nail fungus. First my fingers.. Then it was clear, wore nail polish for 2 to 3 weeks and when we took it off, it was back and my nails are yellowed-orange and FLATTENED! My big toes have it. I'm keeping them way short, clean, soaking in lemon 2x day, and tea tree oil as well as occasionally fungus med-over the counter, for nails. Sugar is being avoided as much as possible as well as I do not drink other than one or two every few weeks. PLEASE!!! Help | Hello and welcome to HCM.Thanks for putting up your query over here.I would like to know whether you have got diabetes mellitus.Agressive fungal nail infection more common with diabetes mellitus.If I were your treating doctor,I would recommend,-Oral antifungals like fluconazole/griseofulvin for few months.Topical antifungals wont treat the infection.-Soak the feet in warm water and dry it.Dont let moisture to remain for long by avoiding wearing socks or shoes for long.Dont apply nailpolish over the nail.-Keep diabetes within control by medications,diet,regular exercise and timely follow ups with treating doctor.So visit to dermatologist/physician is necessary for the above mentioned pescription drug.Nail psoriasis als needs to be ruled out.Hope this information helps.Thanks and regards. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Suggest treatment for abdominal pain , fever , cough and sore throat
hello sir i had exposer 2 months back weared condom but it was of small size ,after two weeks i developed pain abdomen and diarrhoea, in the initial episodes my symptoms subsided with use of antibiotics( within 2 days )after 2 to 3 days of stopping antibiotics my symptoms restarted ( so restarted those antibiotics and many other drugs for 10 to 15 days ), however my diarrhoea subsided but am having persistent pain abdomen since last 2 months with ocassional loose stools, its crampy pain diffuse, increases with intkae of food only during day time,lost some weight also but no fever ,cough, sore throat, lymph nodes,thought possibility of HIV infection done HIV testing after 21 days HIV PCR RNA - below 20 copies. westernblot - non reactive HIV CLIA -Non reactive so my doubts - 1 Above results indicate am not infected ? 2 How much should be the HIV RNA levels in early infection at 20 days ? 2 Are my symptom persistent pain abdomen with ocassional diarrhoea s/ 0 acute HIV infection ? 3 How commom pain abdomen and diarrhoea in acute hiv infection without fever or other symptoms? 3 Are my symptoms related to medication side effects / food poisoning / anxiety ? please interpret my results and advise further. | Hi.Thank for your query. Noted your history of sexual exposure but with condom which acts as a good barrier. You developed diarrhea and loose stool which has continued for 2 months. HIV tests, western blot and CLIA done all negative. I would advise you the following:First of all stop worrying about something that you do not know of and follow the advise of your Doctor. Consult the HIV/ AIDS center for counselling and further examination and tests.Another important point you have mentioned is loose stools and pain in abdomen. The possibility of HIV causing this is definitely worrisome, but if the tests are negative, I would advise you the following:Repeat the tests for HIV.Stool tests for three consecutive days. Tests of blood, particularly for thyroid function tests and diabetes are a mustThis will give further lear diagnosis and a plan for proper treatment. | |
What causes pain in chest while breathing?
I m suffering form fever of 100f to 120f and i m confused what to do i have some sort of pain just below my chest when i breath its been 3 days that i m suffering form fever my height is 5.8 , weight 102 and i m 19 years old please help me out doctor. | HiThis is at least a bronchitis problem but you may have developed pneumonia so you need to see a doctor for an exam and a course of antibiotics | |
How can horsefly bite be treated?
I was bitten by aWhat I believe to be a horsefly Friday. I have taken benadryl to address the swelling and itchingBut during the day this makes me sleepy. Last night it reallySwelled up before i finally took another Benadryl.It iches and is qite swollen(weal?)...i do no have any sign of puss at the bite site.Shoud I be concerned or have I passed through the critical phase?Thanks!Andrea | Thank you for your contact to health care magic.I read and understand your concern. I am Dr J.D Mangukiya answering your concern.The horsefly is known under many different names in different countries, including deer flies, clags, gadflies or breeze flies. This can be dangerous because the horsefly can transmit parasites or diseases amongst its victims.Horsefly bites may take longer time to heal than other insect bites which generally take two to three daysMany cultures have developed remedies to assist with the pain of a horsefly bite. Icing the wound will help reduce swelling and dull the pain associated with a bite. You can also apply aloe vera, vinegar, Epsom salt, raw onion, mud, honey, a paste made from baking soda or vinegar to the bite to help reduce swelling and discomfort. Once you have applied a topical agent to provide relief, cover the area with a loose bandage to protect the wound and to help keep the remedy in place.You have already taken Benadryl for swelling and itching.so next you should try 1% hydrocortisone cream to the area to help eliminate these symptoms.I will be happy to answer your further concern.Thank you,Dr J.D. MangukiyaInfectious diseases specialist, TEAM HCM. | |
How to reduce stomach pain in a child while on medication for asthma?
My 6 year old granddaughter is full of life and a very happy child. Recently asthma kicked in hard and she is on some very strong medications. She complains of stomach pain on the bottom left and right and even up under her ribs all the way across. This is interrupting her class room time. Help | hi...she may have gastritis due to medication. give Pantaprazole 1mg/kg/dose twice a day. avoid spicy food and plenty of fluids. if doesn't subside in 5days contact your doctor for further evaluation.if you are happy with my suggestion kindly rate me.Dr.Surendra.H.S | |
Bad taste in mouth, had wisdom tooth pain. Reason?
I seem to be getting a bad taste in my mouth due to my wisdom teeth , the thing is i had my wisdom tooth since i was 19 and it has never been a bother. A few weeks ago i had a small pain on my wisdom teeth but it came and go with no problem, and then after that i have been getting a really bad taste in my mouth but no pains what so ever, i have something orange when i look at it, i tried brushing my teeth and it wont come out, and i have no idea what it is but its giving me a really bad taste which i know its infection. But still what is it? | Hello and thank you for your question. Most likely you have an infection called pericoronitis around the tooth. The bad taste you are sensing is bacteria, food debris and exudate. This infection can become quite painful. It would be best to have your wisdom teeth taken out. They are allowing a passage between your mouth to inside your bone putting you at risk for a very painful infection. Best bet is that your taste would go away with the removal of the teeth. Best wishes and good health. Dr. Ward | |
Suggest treatment for swelling and soreness in knee
Hi, I just got back to tennis after almost 10 yrs. (I am 63 yrs. old and active). My right knee has begun to feel tight behind the knee, my knee is a little swollen after a tennis lesson and there is soreness and just a little pain on the outer right side of my knee. A physical therapist told me I may have strained a labial ligament and perhaps have the start of arthritis or bursitis in the area. He suggested I rest the leg, ice it and take Advil. It does help a lot but then it comes back again now and then after a tennis clinic. Does this sound serious? I m afraid my days of getting back to tennis are numbered. | Hello, I agree with the doctor that the symptoms are related to tendinitis. I suggest using cold compresses in the area of the pain. I also suggest using Ibuprofen and rest. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
What to do for RSV bronchitis infection?
Mom has had a horrible virus infection RSV bronchitis was hospitalized now is soooo hoarse can barely talk doc suggests voice rest and it should get better her cough was non stop last week now gone down quite a bit minis 87 on abx ice chips I suggested for throat comfort please advise | Hello..Welcome to HCM..I am Dr Jigar(ID specialist). First of all it is important that this diagnosis is confimed and there is no secondary superimposed infection. For this test on secretions collected by bronchoscopy is advisable.RSV infection is not common in adults but chances increase in patients having decreased immunity and respiratory problems. So all these conditions should be ruled out by appropriate tests.For this infection early administration of ribavirin will lead to rapid recovery. Otherwise it is self limiting illness and symptomatic treatment is the main target.I hope this will help you. Wish you a good health.Regards.Dr Jigar. | |
Experiencing ankle & knee pain
I slipped off a curb 2 days ago and hit my knee on the underside of a car. my knee is painful and stiff, but now my ankle also hurts. I haven't been to the doctors or hospital as I haven't had time. Should I go and get it checked out? What could be wrong and is there anything that can actually be done? | hi i understand your concern pain in your ankle and knee are due to trauma most probably twisting injury it needs more check ups like xray and examination it may be nothing or may be ankle sprain that it needs rest analgesic even cast accordingly | |
Is white stuff inside mouth and throat normal after wisdom tooth extraction?
i got my wisdom teeth out on thurday.. it wasnt impacted i got it out because it got infected .. so everything was fine but now im notice a have a low fever but white stuff on the inside of my mouth.. and throat.. should i go tp the hospital? its kimda hard for me to swallow.. a tip please | Could be candidal infection, visit your dentist and take the appropriate medicine as prescribed. A swab might be taken to check for candidal hypae. | |
What causes lump on the anus with yellow color discharge?
Hello. I have this small lump just at the top of the split on my anus, When I wipe it after pooing there is a red/yellow/clear color liquid, it also seems to come out during the day frequently as my underwear have large blood stains on them. Could this be a hemorrhoid? I m a 17 year old male and straight. I am kind of hesitant to ask my parents to take me to the doctors because it is somewhat embarrassing. It has been happening for about 4 or 5 days now. | HiI appreciate your concernLooking at your history it could be hemorrhoids or a fissure in Anoif there is itching and irritation in and around the an us it could be fissurein my opinion you should visit the doctormeanwhile avoid constipation by take in liquid paraffin a stool softening agenttab pantoprazole 40 mgplenty of dietary fiberSitz bath twice dailylignocaine ointment to be applied locally if pain is there Hope this helps youthanks for your questionwish you good health | |
Suggest remedies for ketones during pregnancy
Hi I'm 32 weeks pregnant with my 3rd child, was up at a growth scan & clinc on wed just there .. They have said there is protine & ketones in my urine ! I'm a little worried about the ketones as they didn't really explain what they were ... And why I had them or if they would do further test ? ! Just that if I drink plenty of fluids & try not drink as much coffee or juice that it would flush out my system ? | little protein and ketone positivity is normal in urine and don't worry. But ketone positivity indicates either diabetes or low dietary carbohydrates intake. If diabetes ruled out, you need to take adequate carbohydrates. Don't be panic. Regarding protein, up to 300mgper day is normal in urine. All the best. if you have any questions feel free to contact me. | |
Does high BP lead to diabetes or kidney problem?
my BP is getting High by day by day. So i have visit the doctor who is Heart specialist named Dr Kiran Jain. He told me to conduct various test such as Lipid propret, 2d- Echo and color Doppler and ECG , Urene test. But all the test are normal. He has told me that none of u oragan have any probleam.But start taking BP medicine. My question is : my current age is 30, is that any case i can have debiatee or any kednet probleam in near futher. what type of rise i have to face in near futher. | Hello, Uncontrolled diabetes and hypertension are both the top causes of chronic kidney disease. That is why proper control of hypertension, as well as screening for diabetes for control, will help prevent early onset of kidney disease. In general, a target blood pressure of less than 120/80 is optimal and would lower the risk of kidney disease due to hypertension. I recommend frequent consults with your private doctor for appropriate medications and dose adjustment. A particular anti-hypertensive medication is good for preventing kidney disease, a group of medications called ACE inhibitors or ARBs. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Daryl Derick B. Dizon, General & Family Physician | |
Suggest an alternative medicine for storvas?
I had Angioplasty 5 years back. I, along with other medicines, am taking Storvas 20 daily for last 5 years to reduce Cholesterol. But the medicine is too costly and cannot afford the same. I want a cheaper generic medicine with same ingredients.Kindly suggest. | take garlic pills it will reduce cholesterol or u can take raw garlic with this there wii be no fear of side effects also | |
What causes numbness in both the feet and hands with pain?
I have had numbness in both feet up to my mid section and in both hand for almost 2 months. now it is really bad in my hands to the point that I have to look to see if I have something in my hands. also getting bad cramps in my hands & legs. I don t now know to explain everything that is going on, but in a lot of pain. I have had a cat scan of the spinal and brain. Spinal came back good but they found a white matter in the front part of the brain. do you have any idea what could be going on with me. Thanks Tracey 33 year old female | Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.This can beedemaorleukodystrophyyou need to consult a Neurosurgeon at the earliest Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care. | |
What could cause constant lower back pain, sudden sharp pain in buttock and hip while being on co codamol?
I have been suffering with lower back pain for a number of months. I have seen my GP who has sent my case to my local hospital. Over the last week the pain is more constant and I am finding it hard to stand after sitting and getting up in the mornings. I get sudden very sharp pains into my buttock and into my right hip. I am taking co codamol which are not doing anything for the pain. The pain is now always there and I am not sure if I should go to the hospital via A&E as my appointment is not for 2 more weeks and living with the constant pain is now getting harder to bare. Can you please advise | Hi, I have read your problem. Usually back pain is managed with pain-killers till 1 month period. If it persists beyond 1 month, then further investigations are done. Since you have a bad pain I will suggest the following: - Back pain can be due to many reasons. You should get x-ray lumbosacral spine done in AP and Lateral done send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. You may need stronger pain-killers which are available on prescription only. You can try ibuprofen or naproxen till you see your doctor. - Apply hot packs for 30 min in morning and evening . I hope it helps. You are welcome to ask further health related queries.If you have any further query, I would be glad to help you. Let me know if you have any concerns. In future if you wish to contact me directly, you can use the below mentioned link: Dr.Singh. | |
Q. Is it advisable to take Fentanyl and Suboxone together?
Hello doctor, I am getting a cardiac cath this morning. I am currently on Suboxone 12 mg, 6 in AM and 6 in PM. When I asked what they will be using to sedate, they said Fentanyl and Versed. I asked for Profol but got no answer. I spoke to a male nurse, not an anesthesiologist. If the Fenytal overrides the sub will I be in withdraw? Also, are there safety issues combining these medicines? Should I cancel this procedure? | Hi. Usually, for cardiac procedure anesthesiologist will prefer Fentanyl than Propofol because Fentanyl is opioid and it causes good pain relief and sedation and there is a high probability of heart stability and the chances of losing your breath and consciousness with Fentanyl is very less but still you will be made to sleep and remain pain-free. Propofol causes deep sleep. You may lose your complete consciousness, you may lose your breathing and go to mechanical ventilation. So it is always good to go head with Fentanyl and Versed. Your medication will not interfere with the drugs, do not worry. | |
What causes itching bumps along the top of butt crack?
I have bumps along the top of my but crack and they itch. It s more than one and ive had this for about 2 weeks and counting I scratchd so hard to the point the bumps would or whatever it is started bleeding. Now it looks like i have a ring worm or something on my ass crack. I have blistering type of liquid on my crack now. Do u have any idea of what it may be? | Hi.Read your history and understood your problem.In my opinion, this is a condition of dermatitis in the intergluteal region. The exact cause of this condition is not known, but this is treatable and can be cured.It usually starts as a itch, particularly n summer season. This is probable due to inability to clean up this area nicely with water, retention of the sweat, soap and so on.The itching causes small injuries and mild infection. The area may weep, gives fluidly secretion and causes more itching , particularly at night.Patients starts using whatever ointments are available or suggested by friends, family or local Doctors. Feels good, but the disease remains there to recur or have vexing and vanning. Many patients have some or the other problems with digestion or motion.I do advise all such patients as follows::-Clean the area with plain water as frequently as possible.-Apply liquid Povidone Iodine locally to the whole area and allow it to dry.No other ointments or lotions/ soaps / chemicals are needed.-A small course of an antibiotic and Metronidazole for about 5 days ( you need a prescription please- of a local Doctor)-This is basically a disorder due to deficiency of vitamins and minerals that the integrity of the skin is lost. So you have to have therapeutic dosage of Vitamin A and D and to continue as multivitamins which are available as anti-oxidant medicines for about a month or so. | |
31 year old taking concor for hypertension. Abdominal ultrasound showing bilateral renal calculi, increased cortical echogenicity. Treatment?
Dear Sir, i am murali, 31 years old. Recent married and i am having BP for past 5 years. I am under medicne - Concor 5mg. today i did my USG abdomen. I got the following findings. bilateral renal caculi without obstruction size: 4mm and increased cortical echogenicity of both the kidneys- Due to bilateral medical renal disease. Kindly expain me any complecated and treatment available for thses things. | Hi It seems from your reports that cause for your high BP could be due to kidney disease, which needs to be investigated. You have to get few investigations done like urine routine, renal function tests,urine protein estimation & if required renal doppler. As the renal calculi are not causing any obstruction surgical treatment may not be required. The cause for renal dysfunction if present has to be investigated. Any ways keep your BP in good control. Plz consult a nephrologist for detailed evaluation. Regards | |
Does calorie free and sodium free powders have same benefits as plain water to reduce creatine levels in the kidney?
My husbands doctor told him he needs to drink water to reduce creatine levels in his kidneys. He likes to add the calorie free, sodium free powders to his water does this have the same benefits as plain water. Before he never drank any water at all he drank coffee and diet soda only. | Difficut to comment unless you provide detail contents of the powMay be harmless. No additional benefit unless it provides significant calories! | |
Q. Will having intercourse during pregnancy cause any problem?
Hello doctor, The gynecologist told me not to have an intercourse because I was having some brown spotting but it stopped and I had a little bit of intercourse but now I am scared something happened, should I be worried? | Hi. Brown spotting may be due to vaginal or cervical infection. And infection can be from your partner or you can transmit to your partner. So that is the reason doctor told not to have intercourse. Continue the medicines given to you and drink more water. | |
What should he eat in order to improve the function of his single kidney ?
Thanks a lot my father is 63, he has removed one of his kidneys 7 years ago because it was poly kistic. What should he eat in order to improve the function of his single kidney? | Hi.. The diet that he needs depends on the present status of the kidney functions.. In general a diet which has low fat, low salt is needed.. Calorie consumptions must be just adequate to maintain his body weight, any thing more has to be avoided.. His fluid consumption must also be maintained strictly.. A dietician may be able to frame a diet based on his body weight, his present kidney function status and presence of other comorbid condition.. | |
Severe abdominal pain during period, fainted, on Metfal, non effective. Help?
My daughter age 19 suffers extreme/severe abdominal pain on the first day and the next half day of her periods. This has started for the las two years. On once occasion she fainted because of the pain. She was prescribed METFAL when she has the pain. However, this seems non effective when she has the pain. One doctor said Cyclopam is not to be used in such cases. One doctor said that this happens in girls closer to their marriage. Need advise on what medication to follow and if any tests are needed. Swapnil | Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. Your daughter is suffering with pain abdomen, during the first one and and half day of the period. once she fainted with pain. Used meftal but not effective now. The condition is called dysmonerrhoea, causes may be anaemia, pelvic infection, P.C.O.S. etc. I advise you to consult a gynecologist for diagnosis and treatment.She may need to have a trans vaginal ultra sound besides other routine tests for confirmation. She may need to be treated for anaemia, and infection. She can use dicyclomine and mefenamic acid combination for temporary relief. Wishing for a quick and complete recovery. Best regards. | |
Is there a permanent cure for high AEC count?
Dear DoctorI am suffering from hish AEC count (1400 cell/cmm) . I have been suffering from this from very long . So many times i took medicine . Is any permenent cure for this . ow can i maintain this at normal level . All days i am suffering from sneezing .thank youNisha | Hi,Welcome to health care magic and thanks for asking.The high eosinophil count, you are experiencing is due to allergy.For treatment of allergy, you can do two things:1. antihistaminics2. avoiding the allergen.Avoiding the allergen is important. If you do not know it, get an allergen test or IgE levels estimated. Once the allergen is removed, not further stimulation for eosinophil production would be present and it would reduce.Permanent cure is identifying and avoiding the allergen.Any further queries, happy to help again. | |
What causes right abdominal pain with hyperacidity?
Hi....I am Adeline am experiencing pain in my side(just above my right hips). I have undergone several laboratory tests like urinalysis, general ultrasound, and helicobacteria pylori blood test and it was all negative. I am still experiencing pain from time to time for almost two years now, wondering whats wrong. I also have undergone treatment for hyperacidity and still its the same.....help please! thanks | Hi Adeline,Thank you for reaching us in Healthcarmagic.As per your description if your ultrasonography,urinalysis and H.pylori test was negative,and you have got no relief even after hyperacidity treatment,then my provisional diagnosis would be kidney/ureteric stones.Sometimes these stones are too small to be caught in USG image.For imaging this the best test would be a non contrast helical CT scan.Drinking lots of fluids would be the best thing if your CT confirms it.Secondly it might be a Spinal cord injury due to some fall or blunt trauma or pulling heavy weight,which is irritating your nerve causing this pain.A CT of LS spine would confirm it too.Hope i could help it.Wish u a healthy life | |
Q. I need some medications to relax as I am nervous most of the time. Please help.
Hello doctor, I am a 26-year-old female. I am nervous most of the time and cry a lot because my dad passed away a month ago. I feel like there is no reason for life now, have no goals and moments without happiness. I thought about suicide several times, so I need some pills to relax me during the day time without sleeping effect. What should I do? I will never see my father again, which drives me crazy. | Hello. It is always painful to lose a loved one. Your symptoms are suggestive of an acute grief reaction to the loss of your dad. Grief causes significant emotional distress for some weeks, but usually, you will heal gradually with support from family and friends. To clarify, did you experience any emotional problems or mental health issues before your dad passed away? In that case, the grief can be more intense, prolonged, and you may need professional support like bereavement counseling. Usually, pills are not recommended for normal grief. But if you have any other underlying emotional problems, kindly consult your doctor who can assess and prescribe according to the need. I will advise not to isolate yourself during this period. Try to go out regularly even if you do not feel like it. Open up and talk to trusted family and friends, tell them how you feel. Try to eat daily and sleep well. Go for short walks and try to do your regular activities. | |
Suggest treatment for burning sensation in tongue after treated cancer
hi... this is kouser iam 40 years old. in 2007 i got surgery because i sufferd from tongue cancer... the doctors gave me radiation therapy and chemotherapy. due to dis i have problem my tongue is burning while iam eating even if i drink water...what should i do. is there any other treatment to reduce the pain of burning.. please anybody help me out with this...sorry for mis order sentence actully i dont know much english... thank | Good day. The radiation therapy given to face and neck area for tongue cancer has the following side effects:1. It burns out the taste buds resulting in loss of taste sensation. Most of the patients can only appreciate salty taste.2. It damages saliva producing glands resulting in xerostomia (dry mouth)3. It damages the mucosa (inner lining) of tongue, mouth and throat which causes painful and difficult swallowing.These side effects might improve with time but it is never a complete recovery. Lifestyle changes will help reduce the intensity of symptoms.I will suggest the following:1. Maintain good oral hygiene. Avoid menthol or chlorhexidine containing toothpaste and mouth wash respectively as they cause irritation of mucosa. Use only benzydamine containing mouth wash.2. Take frequent small sips of water instead of full glass at a time in order to keep mouth moist.3. Chew sugar free chewing gums to stimulate the residual salivary glands to produce saliva.4. Avoid spicy, sour foods. Generally salty foods are better tolerated in this condition.5. Use of suspension sucrulfate may help. Keep in mouth for 3-5 minutes and then swallow.6. If you have acid reflux or waterbrash, take treatment for it.I hope these measures help. If you have any further questions I will be happy to answer. Thankyou for choosing Healthcare Magic. | |
What causes nervous stomach with tingling in legs while taking neuropathy medicines?
i have been diagnosed with type 2 diabetes about 5 years ago but more recently have been diagnosed with neuropathy i have swollen discs in my back which i have been given a caudaul epidural which has helped greately and i have been taking lyrica for 6 months at first taking 300mg twice a day and now taking 150mg twicea day,at the moment i have something like a nervous stomach and tingling in my legs i cannot sleep at night sometimes i am not bad when i go to bed but soon after i have to get up and move about thhis is a really horrible feeling i also take cocodamol 30/500 and take 1 200mg tramadol before bed please can you help regards jim | Hello,The stomach issues can be related to the use of other medications. I suggest using a gastroprotector such as Prilosec in the morning before breakfast. The tingling in the legs can e related to peripheral neuropathy. I recommend to continue using Lyrica to treat these symptoms.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
What causes small lump below the chin while suffering from thyroid problem?
iam a thyroid patient.from tomorrow onwards iam noticing a a small lump below my chin.& while swollowing i can feel it.i got thyroid after pregnancy.i think 2 yrs.my thyroid s also not very high average.plz tell me the reason my age is 26 height is 5'1 and weight is 55.5kgs. | Hi..there are lot of condition which can can cause a swelling below your chin.. It could a lymph node or salivary gland swelling or blood vessel swelling etc. My advice is to get a ultrasound done followed by needle aspiration test from swelling..have a nice day..get well soon | |
Is pregnancy possible while partner having asthenoteratozoospermia?
Dear Drs,Kindly, my wife was pregnant but she aborted after only 1.5 month pregnancy , after 1 year i made CASA test and i find my self asthenoteratozoospermia , so even if i do the intra cytoplasmic sperm injection , how the bad malformed sperm will make an embero to be transplanted back in my wife uterus and what about the homeopathic therapy ? thanks | HIWell come to HCMActually if this is not advisable to conceive with sperm that you have then it wont make any deference whether you go for artificial insemination or insemination with coitus (Vaginal) there is no role of homeopathy and as matter of fact no medicine of any system of medicine would work here, hope this helps. | |
Q. Should I worry about ear congestion?
Hello doctor, I am a 40 year old male. I have been battling sinus problem, congestion and cough for about three weeks. Three weeks ago, I visited a clinic and I was given 500 mg Amox. I completed the cycle, but still had cough and drainage. So, I visited the clinic again, wherein I was given Decadron shot and was prescribed Afrin to be taken as needed, but not more than three days and Motrin. After the treatment, the cough reduced and drainage slowed down. Now, I am having pressure in the left ear, which I am assuming is fluid draining. I do not have fever. I am not taking any other medications and I do not have any other medical conditions. Should I be worried about my ear problem or is this just a part of the junk moving out? I had a chest x-ray and it was negative. | Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. I want to assure you that, you do not have to worry as everything is going to be fine if proper care and treatment is opted. There is a passageway that is, a connection between our throat and the inner ear. That communication is named as eustachian tube. When throat infection lingers on, it may spread through the communication tube from the throat to the inner ear. The same has happened to you and you need not worry much. It is just an inflammation. If anti-inflammatory drugs do not work fine, then we may need to go to another course of antibiotics to get rid of ear infection. I suggest you Ibuprofen (do not take Motrin concomitantly) along with Loratadine continuously for five days for ear inflammation. Let me know after that how you are doing to proceed further. Also, hot fomentation will work great for you. Please consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Avoid excessive coffee, beverages and energy drinks. 2. Avoid cigarette and alcohol. Revert back after five days to an internal medicine physician online.---> | |
Can lump in throat be a STD after sleeping with an unknown women?
i slept with a woman whom i am not sure of her hiv status, though she said she is negative but i have my reservation about that, i dont have headache or fever, but their is something like lump in my throat, my lymph node are not enlarge but i am afraid. | Hi.Thanks for your query.The lump in the throat can be simply due to a condition called Pharyngitis. This may not be related to sleeping with a woman.There are no known STDs which can occur in this form, so there is nothing to worry about.Consult an ENT Surgeon and get examined and investigated. Please tell him the history which you have noted here. | |
Suggest treatment for fever and chest infection
My daughter is 16 months old. From 1 week she is having a chest infection.her lower molar is being erupted.often she is suffering from fever.summer season is going on.she insist for water whole day and eating nothing. I hav given her cefixime trihydrate with cough syrup.what to do now.l m too mch worried about her health .she was also suffering from constipation but today she passes a green stool. | HIWell come to HCMAt the age of 16 months, all the symptoms that is being stated here would come around even without the medicine, in my opinion better stop all the medicines, and better start, Lyophilized lactobacillus sachets three times in day, hope this information helps you. | |
Q. What causes extreme swelling and pain in both legs?
Hi doctor, I have extreme swelling and pain in both lower legs and feet. I also have severe pain in both hands, on all fingers, both wrists, both forearms,both elbows as well as both knees. It is extremely painful for me to stand and walk. I had a CMP (comprehensive metabolic panel) and CBC done, which showed a hemoglobin of 10.4 and a sedimentation rate of 21. I have had a positive ANA, high C3, C4, and high CRP. I also had protein testing that showed high alpha 1 and 2 and high beta 1 and 2. My IgG was also high. Uric acid was 5.1. I have a strong family history of thyroid disease, PMR (polymyalgia rheumatica), CMT and Wegener's vasculitis. I am currently being treated for blood clots in both lungs reflux, Barrett's disease and anxiety. I take tablet Prilosec 20 mg, Xarelto 20 mg and Celexa 20 mg each once daily, and 50 mg Tramadol twice daily. My rheumatologist told me there is nothing more he can do for me and he considered my test results to be normal. Can you please tell me what could be wrong with me? Thank you. | Hello. I have gone through your history and the blood reports (attachments removed to protect patient identity) along with the photographs you have posted. Kindly get the following tests done: 1. Ultrasound of lower limbs. 2. Lupus anticoagulant. 3. Anti-cardiolipin antibody IgG (immunoglobulin G) and IgM (immunoglobulin M). 4. Beta 2 glycoprotein 1 IgG and IgM. Antiphospholipid syndrome (APS). Please start diuretics. Revert back with the detailed information to a rheumatologist online.---> | |
What is the normal blood sugar level in children?
HiI got blood work done for my kids for blood sugar.my 11 years old's level is 5.8 and my 16 years old has 6.0.The test was done early morning and they hadn't eaten anything after dinner.so it was like fasting whole night.Should I be worried? what are the normal numbers for this age kids? | Thanks for your question on HCM. No need to worry much for their reports as both are in normal range.In pediatric population, sugar level less than 6 is considered as normal.In other unit , in mg/dl , less than 110 is considered normal. | |
Mirena coil has to be removed if it has turned upside down?
Hello my name is lisa yesterday I went to the er because I could no longer feel my mirena stings and the did an exasm and the string were not there aftere an xray it has been deturmed that the coil is upside down and the strings are in my utrus. No I'm going for an ultrasound today I'm worried is this bad what are they going to have to do to get it out | Hi there,Welcome to HCM,Please do not worry.It is a known concern that sometimes intrauterine devices like Mirena can get inverted upside down. But it becomes necessary to remove such a device as it may not function as it is supposed to if it gets displaced.To remove the displaced coil is a relatively easy procedure and can be done in most cases at the Gynaecology OPD itself. This will feel like an internal examination to you, and may be only just slightly more uncomfortable than that as they may use a small instrument made specially to remove it for the same.It is not very long procedure and you need not worry as this removes the dislodged IUD which is in the womb very easily in 99% of cases.In a rare few if the IUCD is displaced further ultrasound guidance may be required. In a few more if the above procedure fails we may have to do removal under anesthesia with the help of hysteroscope or laparoscope. But this is required in very rare cases.Hope this helps.Regards. | |
Is pain in the arm and neck along with breathing difficulty after a leg surgery a serious concern?
Hello my husband just had surgery on his lef and his blood pressure is significatly liwer on one side and he insited on being discharged from the hospital he is home and everytime he gets up he is clamy and pale and has heart attack symtoms heaviness in his cheast hard to breath. Pain in his arm and shoukder and neck. Is he i imediate danger he wont ket me take him back in | Hi, If he is having difficulty in breathing and pain in the chest and arm it may be a sign of pulmonary embolism or heart attack. It is really important that he gets an ECG done and a visit and a physical exam at the emergency department to make sure about the illness. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammad Mostafa Ansari Ramandi, Cardiologist | |
Suffered from hemolysis previously. Eating everything except Fava beans. Continue?
I am 70 years old. About 10 to 15 years ago,I suffered hemolysis . I went 2 days later to the hospital( emergency section) because I got dizzy when I came off my bed and couldn t make it to the toilet. The doctors found out the next day that I have a G6pd deficiency and told me that if I had delayed 1 day my arrival to the hospital, it would have been too late. The day I had the hemolysis, I had eaten in the morning just a few fave beans. I told the doctor that I never had hemolysis before. I have been eating fave beans in big quantities all my life and never had a problem, so why now I have? He answered that things like that can happen any time or not happen at all. So don t ever eat fave beans again.....and a series of medicines .... From that day on I never had any problem. I ve been eating every thing what so ever exept fave beans. Now that I google through the Internet, I became afraid to eat anything and confused from the contradictions I notice about what to eat or what to avoid eating. P I will appreciate your advice. I am lost and don t know what to eat anymore. My wife tells me that for the last 10 - 15 years I ve been eating every thing except fave beans and nothing happened, so continue the same thing. Thank you in advance Tony. | Hi, Lets first began with understanding of HEMOLYSIS due to the "G6PD-Enzyme deficiency"- in a simple terms. The red blood cell in blood carry oxygen, now oxygen has certain free radical as well as superoxides which are present in the air as well as are formed in body due to various chemical reaction, not the RED BLOOD CELL is equipped with special chemical formation capabilities which uses "G6PD" convert the toxic free radical / superoxides into non toxic oxygen hence, protection the damage to the cell. The free radical are those which makes our skin wrinkle as we age and the exposure to such atmospheric and food free radical makes us look old, in case of the RED BLOOD cells they rupture them if their is G6PD deficiency cause the detoxification chemical is not formed due to absence of " G6PD Enzyme" and the rupture on these cell in known as hemolysis (hemo=blood , lysis=destruction) NOW I think it will make more sense to talk about the OXIDATIVE STRESS/ OXIDATIVE FOOD FAVA BEANS has a largest amount of oxidation content hence eating it will release huge amount of oxidization molecules making it harder for RBC with our G6PD to form the required neutralization/detoxification chemical and forces RBC TO rupture. *** following is the list of things having high oxidative power and needs to be avoided. 1) Too much animal protein in your diet. 2) Oils that have been heated to very high temperatures. 3) Preservatives in your food. 4) Drugs (over the counter and prescription as far as possible avoid it e.g. pain killer) 5) Alcohol. 6) Chlorinated water that you drink, shower in or swim in 7) Artificial food colorings and flavorings 8) Smoking / passive inhale of cigarette smoke. Follow are the list of antioxidant that will help to protect the oxidative crises 1) Fresh Fruits and vegetables ,eggs ( contains vitamin -C & Carotenoids ) 2) Vegetable oils (contains Vitamin - E) 3) Tea, soy, fruit, olive oil, chocolate, cinnamon, oregano (contains flavonoids). Hope it helps in making a decision, for your own shake, and "ANTIOXIDANTS" also fight agains "AGING" | |
What are the symptoms of potential asthma?
I have a small ate lactic band in right lower love and few subcentimetre sized lymph nodes in pretracheal and prevascular region ..my eosinophils are 9 and rdw count is a bit high and ige serum count extremely high . Pls suggest what do u think it is .. I did scans due to asthama | Hi,Welcome to health care magic,Asthma is itself a allergic disease due to cold or dust or pollens or grass etc irrespective of the triggering factor.Your high eosinophilia and RDW count could be suggestive of some allergy factor.You can go for pulmonary function tests if not done.Treatment is mainly symptomatic which might require inhalational steroids,beta agonists,anticholinergics as MDI or rotahaler as a regular treatment.To decrease the inflammation of bronchi and bronchioles,you might be given oral antihistamines with mast cell stabilizers(montelukast) and steroids (prednisolone) with nebulization and frequently steam inhalation.The best way to cure any allergy is a complete avoidance of allergen or triggering factor.Consult your pulmonologist for further treatment.Thanks and Regards, | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Is hemoglobim level 7.1 very low?
My husband's hemoglobin is 7.1. He is having his 5th transfusion tomorrow. He has type 2 diabetes and had part of his foot amputated recently. Are all these things related to his hemoglobin level? Is this hemoglobin level dangerously low? Can a low level br fatal? | Hi, Hemoglobin of 7.1g% is low. Normal level would be around 12-14g%.Low hemoglobin leads to increased load on the heart to pump and at advanced age can be serious leading to cardiac failure or arrest.Diabetes is not related to anemia and it is more genetics, insulin resistance due to obesity and low insulin.Diabetes could have led to amputation due to gangrene formation. Improved nutrition, weight reduction, supplements like vit B12, folic acid and iron is necessary.Any further queries, happy to help again.Dr. Prakash HM | |
What causes frequent vomiting in an infant?
my 8 month old boy has started vomitting 2 weeks (approx) ago. It smells like adults vomit (foul). It is not milky at all. I have kept a food diary and doesnt seem to be a pattern of food. It can appear slimy at times and its as if he eats and his stomach isnt digesting properly?? | Hi,Welcome to the HCM..Brief... it could be because of food intoleranceDetailed answer...As at 8 months of age most common cause of vomiting and indigestion is food intolerance .Now you have to note down what new food type he is introduced recently or few weeks ago.Some time food pipe tends to be narrow at this age especialy if infant has got premature delivery ,and needs to be given only small and frequent meals.For vomiting you can give syp .ondesteron according to weight.And note down wether he is not tolerating cow's milk or rice water or some other new food introduced and follow accordingly.Hopefully my answer is helpfull.Regards,Dr.Maheshwari | |
Severe pain in the stomach and right back, yellow discharge. History of complete hysterectomy. Advice
I have been having pains in my stomach for the past few weeks..I went for my yearly checkup last week..my Dr.. did a pelvic exam as I have had a total hysterectomy, he said everything looked good...However, the last few days I have had a yellow discharge on the tissue after wiping.. today my stomach has been hurting as well as the lower right side of my back.. I have also had several bowel movements today as well | Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. You had stomach pain,yellow discharge, since few weeks.today you had pain on lower right side of stomach, and several motions. Your previous pain could be different, and depends upon the place of the pain. If in the upper abdomen may be gastric irritation due to peptic ulcer, or irritant foods, gallbladder or pancreas pain. If in the middle kidney pain or upper ureter pain, due to infection or stone in that part,or due to worms in the intestine. If in the lower part, may be due to lower ureter, or bladder pain due to infection or stone in that part. Trichomoniasis or bacterial pelvic infection. Present pain is different and is due to gastroenteritis infection, and needs to be treated immediately, other wise you may go into dehydration. So i advise you to consult a doctor for diagnosis and treatment, and infusions. Wishing for a quick and complete recovery. Best regards. | |
Suggest exercises for heart ailments
I am 57 year man. 3 months back two stents installed because of double vessel heart desease. I have my BP in range of 140-90. I am on prasugrel 10, ecosporin150, avastro, losartan 50, betaloc25. I don't feel much problem except some pain in left hand. Not daily. I walk for 45-50 minutes and feel much better. What type of more excersise/yogasan and breathing excercise can i do? | HI 3 months after stenting after a myocardial infarction and 1 month after a planned stenting you are free to do any exercise you want you can live a perfectly normal life ,you are free to do every exercise apart from lifting weights more then 15 kg,infact a strenous exercise like brisk walking at a rate not less then 5km/hr a day for atleast 6 days a week should be done and is recommended ,you walk daily but this walk will be effective only when it is brisk in nature ,practically speaking you should be sweating after 45 minutesbreathing exercises like Anulom vilom and bhastika should be done daily for 15 minutesone thing to remember is that do not over do any exercise ...start slowly and increase gradually thanks | |
What causes rapid heart rate while on antibiotics?
I ve taken Azthromycin oral pills 3x weekly for 10 years after lung transplant, as well as Bactria 3x weekly. Bactria mwf am, azthromycin mwf pm. I ve experienced rapid heartbeat for a few months, usually at days end. Last week after having diarrhea for several days, Dr advised Imodium, which I did for several days. Diarrhea subsided, then two days later I passed a lot of blood with first bm of the day. Went to ER, and was admitted to hospital, where as I continued to pass a lot of blood. No cause was found, and neither the cause of severe chest pain, rapid heartbeat. I m now home, but am concerned about this medication being the culprit. What s your opinion. Thanks Shoot! Now I m ask to sign up and pay! Nope, can t do. :( | Hello! And would explain that tachycardia is not a common adverse effect of Azythromicin, but you should know that it can lead to diarrhea and electrolyte imbalances, which may trigger tachycardia. For this reason, I would recommend checking regularly your blood electrolytes for any possible imbalances and complete blood count for anemia. A cardiac ultrasound and an ambulatory 24-48 hours ECG monitoring would help exclude any cardiac arrhythmia. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. | |
I have a pulsating pain on upper left abdomen below ribs, Can it be from gastritis or something else ?
Hi. I have a pulsating pain (every three to 50 seconds) on the left upper abdomen just below the ribs from two days now. I have had gastritis problem in past and a little also now. Can it be from gastritis ? Do I need to visit a doctor or I can try with a diet first. Can it be something serious. Thanks | Hi, Welcome to Healthcare Magic Forum. It may be related to anxiety but may or may not be related to Gastritis. If you are overweight, reduce your weight by regular exercises, avoid spicy foods and drink plenty of water. Eat and sleep on time and avoid skipping meals and stress. Take Tab. Pantodac 40mg daily on empty stomach half hour before breakfast for 2 weeks. If pulsatile pain persists even after this, get a physical evaluation by a Doctor. Take Care. | |
Is diffuse hair fall permanent?
HI. I had a query about my hair fall.I was going through male pattern baldness from the age of 16 and now i m 24.but i had a rapid diffuse hair fall in last 2 months may b reason i understand is going on a crash diet for weight loss.i want to ask that whether i will recover through this diffuse hair fall or is this a permanent hair loss and what diet should i take now.Secondly doctor has given me medicine finasteride 1 mg popularly known as propecia too for stopping hairloss.but i have read and listened it side effects about impotency (erectile dysfunction).tell me please about this too .thankyou | Hi.As per your case-history you have male-pattern baldness exacerbated by dieting.My treatment advice-1. Don't panic. Stress increases hair-loss. Stop dieting and have good nutritious diet2. It can be controlled upto age of 30-32 as it is hereditary.3. Continue propecia for 3 months. It's side-effect is reversible and only felt during initial phase of starting drug.4. Apply minoxidil 2% solution 1ml twice daily. Continue for 12-18 months.Consult trichologist for further advice.Thanks.Dr.Harshit BhachechM.B.B.S,D.D.V.L | |
Have spinal cord injury. Blood clot on leg, hemorrhoids, hernias. On blood thinner. Thoughts?
my son was in a snowmobile accident one year and two months ago..he has spinal cord injury ..he is on a blood thinner right now ...has a large blood clot in top of right leg ..hemhroids..large one..two hernias.....he was supposed to have a colonoscopy but Dr.cancelled it because of his blood level....he has an appointment at Sunnybrooke hospital in two weeks....I personally see no reason why his clots and hemhroids..can not be removed...what are your thoughts on this matter...I am his mother asking these questions. | HelloThanks for posting queryA large blood clot in top of right leg, in medical language it is called DVT (deep vein thrombosis) of lower limbs Tendency of blood to form clot happen when there is prolonged immobilization mostly after trauma. Spinal cord injury itself is very high risk for clot formation in deep veins. Problem of this disease is this formed clot may dislodge and travel through heart and might obstruct large artery which is known as Pulmonary artery also known as Pulmonary embolism.Pulmaonary Embolism (PE) is potential life threatening condition, people can dye immediately in main pulmonary artery is obstructed. To prevent this life threatening condition blood thinner(anticoagulant) is used (warfarin or low molecular weight heparin) and if can correct underlying risk factor then it will be required life longManagement of anticoagulant is real challenging and things become more tricky if there is increased chance of blooding for example in your situation it is hemorrhoids they can bleed in the presence of anticoagulant. We usually keep balance if it actually starts to bleed then temporarily we stop blood anticoagulant and fix the bleeding problem and restart anticoagulantFor any procedure or operation then again temporarily stop anticoagulant and restart initially short acting anticoagulant injections post procedure. After few days when there no increase risk of bleed then we switch on long acting oral anticoagulant You discuss with whole issue with treating doctor and request them to have good liaisoning among different specialty doctor because require of one speciality may be undesirable to other and we have to find mid way toreduce the risk of life first then reduce the morbidityHope 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 to your son.Dr Jeetendra SharmaSenior Consultant Critical Care | |
Q. What are the home remedies used to treat sore throat?
Hi doctor, How can we treat a sore throat? Please explain about the OTC medications taken, and the home remedies followed to cure a sore throat. | Hi. These are the home remedies followed to treat a sore throat. Drink a mixture of lukewarm water with honey and lime juice a couple of times a day. It gives immediate relief. Grated ginger with green tea is quite helpful. Ginger has anti-inflammatory properties with a strong taste. It helps to calm a scratchy throat. Aspirin dissolved in warm water and salt water gargling is beneficial. It can be followed for a few days to reduce the inflammation. Do not drink the mixture if you have peptic ulcer disease or any other contraindication to Aspirin. Do warm compress on the neck on the affected side. It helps to alleviate the pain and soreness. Over the counter, Paracetamol can be taken orally twice daily. It helps to reduce inflammation and pain. | |
What is the solution for face and neck itching and joint soreness?
18 year old female 5 7 117 lbs. I went to a bonfire. Overnight developed hives (that is what the ER told me). They put me on 50 mg Prednisone and Atarax for 5 days. I have a red face, neck and arms that itches. It does go away with use of these meds but returns. This is almost 2 weeks now and I am now on the downside of a tapered prednisone and taking Zyrtec daily. My joints have become sore. It is hard to walk. Any suggestions as to what this might be? | Hello,I read carefully your query and understand your concern. Joint soreness can be related to rheumatoid arthritis. It should be excluded through examination such as rheumatoid factor. Meanwhile,I suggest to continue using antihistamines to relieve the itching such as Zyrtec.I also recommend using anti inflammatory medications such as Acetaminophen to relieve the join inflammation. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
What causes a lump on the back of the neck?
I have a small lump in the back of my neck it doesn't hurt or anything it's just there I just realized I had it on my body about 20 minute's ago when I was in the shower washing my neck what could it be ? Can we get pimples on the back of your neck ? It feels like a lump but it's small like a pimple size lump . | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.In most cases, this is just some benign subcutaneous lesion such as lipoma, fibroma or atheroma, and if there are no skin changes such as redness, pus discharge or pain, and fever then you should not be worried since it can be easily surgically removed under local anesthesia. Then if there are doubts it can be sent for the pathohistological analysis. Some more serious issues are rare. You can also wait and see if this will grow and then decide about surgical removal, nothing will happen if you wait for some time. Pimples may be on this area as well, but these are usually painful and red.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ivan R. Rommstein | |
What causes septicemia followed by severe coughing and chest pain in a child?
My name is Rajesh Kumar and am writing to you in context to my 8 year old son, Kumar Rishit. He does not keep well with his health quite often, has weaker immunity and is also allergic. I got your reference from the SGRH Website and hope you are the right Doctor that I am writing to. Hope you would respond to it, and then we can fix-up an appointment accordingly. Rishit has a history of poor health, as I would like to list his hospitalizations as follows - May 2007: Was hospitalized with Septicemia for 8 -10 days; treatment left him with partly impaired hearing loss due to Amikacin toxicity. Hearing is however better now. March 2008 & July 2008: Hospitalized with high fever June 2010: Hospitalized with severe coughing and vomiting 11 Jan 2011: Hospitalized with stomach pain and fever (3 days) 25 March 2011: Hospitalized for lower chest pain, fever (3 days) -- minimal pleural effussion in lungs found (both lungs), WBC = 21000 03 April 2011: re-hospitalized again as the pain did not recover (3 days) - minimal pleural effussions were persisting, WBC= 14000, treted with antibiotics and recovered. 11 May 2011: hospitalized for vomiting, fever, pain in stomach (3 days) - minimal pleural effussion recurrance in left lung, WBC= 38000. Discharged with antibiotics and is recovering. Tests carried out: (over the periods) CBC: Usually the WBC Counts are raised above 25000, Neutrophils above 80 MP/Widal/CRP-- Negative, no findings TB Feron Test-- Negative; carried out on 4th April 2011. CT Scan: show normal organs, except for minimal pleural effussion in the lower lungs; carried out on 4th April 2011 HIV I &II -- Negative; carried out on 12 May 2011 (were negative earlier also) Bone Marrow Biopsy -- Normal, no abnormality found; carried out on 12 May 2011 X-Rays have indicated the minimal pleural effussions since March 25, 2011 (fluid not enough to take out for testing) Chest/Abdomen Ultrasound -- normal report/all organs reported ok, except for minimal pleural effussion, after 25th March Rishit has been getting fever (infection ??) quite often since last 4 years, though he was quite alright during August 2008- June 2010. He was able to attend school only for about 25% of his school days, due to health issues during July 10-April 11. Now since he is getting into hospital every month, I am really very much concerned. Please advise. Thanks a lot. Rajesh Kumar | your son has recurrent bacterial infections which requires hospitalization and few of them can cause the pleural effusions like staph. and strep.so there seems to be an immunodeficiency not with the cellular type because the wight count is high , but with the antibodies, which is caused by hypogammaglobenemia .another uncommon disorder which can give chest and abdominal pain , fever and effusions is familial middetrainan fever , it's uncommon out side the middle east but it can occur so I recommend the following tests : immunoglobulin: IgG and subclasses , IgM, IgE.CD marker 18 and 16 FMF gene mutation by PCR I hope this helps | |
Suggest medications for ringworm infection.
sir, I am asking this question from India. i think i have got ringworm infection. (ring shaped fungal infection in the groin). I have applied itch guard for the past one week or so. itching has gone, but i still see dark marks on my skin. Should i use a different ointment to treat the above infection?thanks,venkat. | Itchguard contains the active anti-fungal medication clotrimazole which is an effective topical treatment for ringworm (along with many other fungal skin infections). The darkened color of the skin where the ringworm was could be due to the inflammation caused by the infection. This is a known medical phenomenon called "post-inflammatory hyperpigmentation". In any case, I usually tell my patients to continue using anti-fungal cream for at least a week after the symptoms resolve to make sure you have fully eradicated the fungal infection. | |
Q. How to correct vitamin B12 deficiency?
Hi doctor, I had vitamin B12 deficiency. My doctor advised me to have 10 injections. Now, my vitamin B12 is more than 2000. What should I do? | Hello. I had gone through all the data posted. Revert back with further doubts to an internal medicine physician online --> | |
What causes tiny bumps on jawline?
HI, I have tiny invinsible bumps on my jawline. They are invinsible to the eye,, but can be falt when touched. It is like a patch of rough dry skin and is the same colour as my face. My name is Puja, am 27 yrs. I have a low HB count and am taking iron supplements for the same. Also, i am prone to milia. | Hello,Your description indicates the bumps are located outside of your mouth on your cheek along the jawline. I do not think this would be from your mouth unless your saliva has irritated your skin. Viruses can be carried in your saliva. A heat rash is most likely with your medical history and description. Your sweat glands contribute to the condition. Keep your face clean and avoid hot and humid conditions. Keep hydrated. Contact dermatitis or an allergic reaction is possible.If you are referring to inside your mouth, I expect this to be from an irritant. considerations are:allergic reaction medication reactiondiet changevitamin deficiencyviral, bacterial or fungalburnI recommend warm salt water rinses. the medication Bendryl has anti-inflammatory benefits. other anti-inflammatory medicine includes Tylenol and Advil. Keep well hydrated. Proper nutrition Nd supplements as needed help your oral health. See your doctor or dentist if no improvement in one to two weeks.Thank you for your inquiry. I am glad to answer additional questions. | |
Hand shaking, family background of diabetes, dizziness. Why is it happening?
I have recently realized that my hand is hsaking all time. Thouse its not noticable but i can feel it. But it is very much apparent when i lift my hand or wrost or even hold somthing tight. I have a family background of diabetics but i checked my diabetic 3 moth before which shows nothing. Well before few days i had a argument with some one, and during the argument i stated to tremble very very badly and for a time being i wasnt able to speak. I was trying to speak loudly but wasnt able to say , somthing was blocking my words and felt little bit dizzy. I have noticed my shakeyess after that. Now i want to know why its happening. | may be its anxiety, anxiety can lead to such tremors and shaking or in other words nervousness, your family background of DM has nothing to do with your hand shaking . its purely due to nervousness, every one feel nervous at some time in there lives. however some people overcome it easily some exhibits symptoms like you. i can also advice you to be stress less, not to be intimidated easily, talk to a friend , don't keep stiff inside yourself, read good books. i wish you all the best , thanks for writing to us. | |
Suggest treatment for dry skin problem
hi.a friend of mine just noticed that her skin especially on her hands is getting dry.she said she has never had skin issue before(she is 44) and she can tell the texture of her skin has literaly changed;she was diagnosed with herpes recently and was wondering if that has something to do with that?and if it has is there anything product u guys can recommend?what can she do? | Hello,I understand and appreciate your good concern for your friend's dry skin problem.As your friend is in her forties so it is quite likely to get such kind of dry skin changes. She is into her peri-menopausal phase where there is change of hormones as well as more changes in the hormones are present.All these changes are related to less activity of oil and sweat glands leading to dryness of skin.In my patients I suggest to apply an emollient cream along with humectant cream multiple times a day. If there are cuts or fissure then proper therapy is required under dermatological guidance.All the best. | |
Q. Is Mometasone dangerous to use on Face to clear my acne pimples?
Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? | Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> | |
Is it safe to give Omnacortil solution for kid?
DR. I HAVE GIVEN OMNACORTIL SOLUTION TO MY 2 YEAR OLD CHILD 3 TIMES A DAY. when i consult a doctor he told not to give that medicine without his supervisin. that time i was scared , so i didnt tell him that i have already given my child that medication | HiThanks for writing to us.Omnacortil is steroidIt is unsafe to give without prescription.There are plenty of side feects including decreased immunityWishing your child speedy recoveryRegardsDr Arun | |
Can using andro gel cause liver cirrhosis?
Ok here is my question I currently have cirrhosis of the liver and for a good part of my life have been on andro gel I have looked into andro gels website now my cirrhosis is at stage 4 level b is it possible for the gel to be the cause of my cirrhosis bear in mind I am 33 and drink once in a blue moon | Hi, dearI have gone through your question. I can understand your concern.Androgel generally doesn't cause liver cirrhosis. Your cirrhosis may be due to some other reason. You should go for ultrasound abdomen and liver biopsy if needed. Consult your doctor and plan 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. | |
How long after my cholecystectomy surgery can i plan to get pregnant ?
hi, i am 30 yrs old female,blessed with a 3 yrs old girl.recently i have been diagnosed as having multiple gall stones biggest one 10mm in size,creating problems with my gi tract .i am planning for a cholecystectomy now...wanted to know how long after my surgery can i plan to get pregnant | Hi Welcome to healthcaremagic.com, now a day cholecystectomy is done laparoscopically. That means they will not cut and open your belly. They will insert telescope like thing and take out the cyst. You may maximum wait for 2 weeks to start your pregnancy process. Regards Dr. Jagdish | |
Q. My p24 test shows negative result. Am I safe from HIV?
Hello doctor, Is real time viral load reliable for HIV test after 14 days of sex encounter? I got normal result. I also did p24 on 15th day and get negative result. Now can I be safe from HIV? I use two condoms at the same time during intercourse and I do not know my partner's HIV status. With other partner, I just kissed her without any physical relation. | Hi. The answers to your queries are: If you had used the condom consistently and correctly, changed for each sexual act with one person, and it did not break or slipped off during the act and you removed it while the penis is still not soft, your risk of HIV is nonexistent. HIV cannot be transmitted by touching or kissing alone. The test you performed is highly sensitive and specific and gives accurate result. A negative HIV-RNA test needs to be complemented with fourth-generation HIV combo test at four weeks. If the result is negative, HIV rapid antibody test needs to be repeated at three and six months of last exposure. I hope this helps. | |
What can cause sharp pain in lower abdomen?
Hi we've been trying for a baby for 5 months. My last period was 6th feb although this was unusual and lasted 2 Days only. For over a week I have had almost pulling and sharp pains in my left and lower abdomen. I've tested negative this morning is there anything else this could be? | Hi.The cause of the sharp pain in the lower abdomen can be :Tubal pregnancy - with your history of trying for pregnancy.AppendicitisOvarian cyst twistingTO massSalpingitis and so on.The best way is to undergo an urgent ultrasonography, get a physical examination done by a Gynecologist and / or a Surgeon to ascertain the cause and get treated properly. To confirm whether there is an emergency. | |
What can be the reason for join pain and swelling?
hi, I m a 59 year old female with joint pain and swelling in my knuckles. also have been bruising very easily and very often. My platlett count came back within normal levels and I tested negative for reumatoid arthritis. what else can cause my symtoms. also I have had some weight loss but my appetite is good. | hi,thank you for providing the brief history of you.A thorough musculoskeletal assessment is advised.As you have pain in the knucles and you don't have RA it could be a overuse injury of the tendon. which can be helped with the help of a physical therapy.Also, weight losing happens due to various other factor for that a thorough assessment is needed.since the knuckles are getting swollen taking hot water fermentation and performing small exercises of the hand will be helpful.RegardsJay Indravadan Patel | |
Suggest treatment and diet for paralysis attack
Hello sir, my grandmother is suffering from paralysis attack from a month, her left part of the body doesn't work(she can feel sensation)! her age is near about 70 years! what type of exercise is required and also she is not able to eat (swallow) any type of food but she can drink.. please advice which kind of juice or anything we should give her? | Hi,Thank you for posting your query.I have noted your grandmother's symptoms and understand that she has paralysis of left arm and leg. In addition, she has difficulty in swallowing solid foods.She can take fruit juices, milk, soup, etc, which would be easy to swallow. Then, slowly, you can introduce soft solids such as banana, idli, upma, etc.She should also undergo muscle strengthening exercises under the guidance of a physiotherapist.She would get better over time.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Should sulfamethoxazole tmf tablets be continued to clear up staph infection from stitches due to foot surgery?
Hi. I had foot surgery Dec 31, 2013. A non cancerous wart was removed. The stitches were removed about 2 weeks later. i developed a staph infection, and was prescribed sulfamethoxazole-tmf ds tablet. i have taken the prescription for more then 3 weeks now, and altho it has cleared up somewhat, the would is still not healed(still scabbing), and I only have 1 tablet yet. Should I ask my doctor to renew the subscription ? | Hello,Thank you for posting on HCM.You are probably having post-operative secondary bacterial infection oer the site with anibiotic resistance. Thus i would recommend you to visit your doctor and get proper examination done. Antibiotic sensitivity test will tell us which antibiotic will work for the best and proper dressing and debridgement of operative site will help in removal of slough and debris, which could be hindering the healing process.Hope this will take care of your query.Thank you,Dr Hardik Pitroda | |
Q. Please suggest some medicine for flatulence, digestion problem and stomach pain in a 6 year old.
Hello doctor, I have a 6-year-old child. She has flatulence, digestion problem, and stomachache after eating. Today, her stool was like mucus. Please suggest some medicines. Currently she is on Neopeptine. | Hello. I understand your concern. Please do not give milk products for the time being. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Syrup Rantac 5 ml (Ranitidine) twice a day for five days. 2. Econorm sachets (Saccharomyces Boulardii) 1 sachet twice a day for three days. 3. ORS (oral rehydration solution) as much as she wants. If she develops fever, foul-smelling stool or blood in stool or tummy pain, then please consult a pediatrician as soon as possible. She may require to start antibiotics. Food. Stool routine SOS (if above-mentioned symptoms occur) Early dysentery. Give homemade food and plenty of liquid to prevent dehydration. | |
Q. When would a hepatitis antigen be considered as positive?
Hello doctor, Recently, a friend said he was hepatitis antigen reactive whose titer was 37.46/34.29. His doctor suggested a confirmatory test. At what level would the antigen be assumed to be positive? | Hello. You can revert back to me for further queries. For more information consult an internal medicine physician online --> | |
What causes severe abdominal pain during pregnancy?
hi, I am 31 weeks pregnant and I had a really bad pain on my upper stomach to my belly button, it felt like a menstrual cramp but more intense and today i experienced it again in my lower stomach. the baby is moving like normal.. is this normal? or what could it be? | Hi! Good evening. I am Dr Shareef answering your query. If I were your doctor I would go for an ultrasound of your abdomen to rule out any intra abdominal pathology like a gall stone disease not uncommon in getting precipitated during pregnancy , and also rule out by physical examination any chances of an appendix infection which might cause pain higher up at this stage. Apart from this, the ultrasound would also let us know the position and well being of the fetus, and the placenta as well. Further management would depend on the results of the physical examination and the ultrasound report.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef | |
What do big patches on the hands and nails indicate ?
rusty kind of big blotches on my right hand and on and around my nails i woke up this morning and i had rusty kind of big blotches on my right hand and on and around my nails i tried washing my hands and it didnt go away what do u think it is | hi there is no relation to liver in ur case apply hydrocortisone cream over it and take tab i have written wear full cloths | |
How to cure white spots on nose of a new born baby ?
My new born son Caden has white spots on his nose you can t feel them but you can clearly see them, and have been able to since his birth pls help me! He ll be a week old wed. | Dear Deep,first of all congratulation on becoming proud father of a son.Dear he is too young and some times during initial days of life some skin discoloration may be there in some kids. I do not see any reason for worry.Wait for some time they should be fine.Still if very anxious please ask your doctor to have a look at it.Bye and enjoy parenting. | |
How can a painful areola with pus and discharge be treated?
HI, my boyfriend has a painful spot on his right areola. It regularly 'builds up' when he can squeeze it resulting in a yellow discharge. This he has done regularly for some time but recently he is unable to squeeze and relieve the spot. It is becoming more engorged and painful. Can you tell me whether he should consult a doctor and what might be its cause. Thank you | Hello,You are right. He should consult general surgeon for detailed evaluation of nipple area. Your mentioned symptoms suggestive of breast abscess like condition.He should evaluate further with ultrasonography of local part. He should be given antibiotic course as well. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
Please suggest treatment for rash on the penis
So recently ive developed a rash on my penis recently and hasnt gone away(Im virgin), the rash doesnt hurt, burn, bother me in anyway which is why I thought it was my fungal infection tinea visicolor which dissapears for almost a year after cream treatment but always starts to come back. Its only on my penis getting larger in size. Its also slightly dry where the red patches are | Hi. Yes, from your explanation it looks like a fungal infection. You should consult an Internal Medicine Specialist and get evaluated and a thorough clinical examination can be done to rule out the exact cause. In case of fungal infection you can be advised a course of antifungal medicine like Flucanazole or Itraconazole. Also apply a combination of steroid and antifungal ointment. Maintain a good genital hygiene. Daily change your clothes and innerwear and also use cotton innerwear. Hope I have answered your query. Please let me know if I can assist you further. Regards. Dr. Honey Arora, Dentist. | |
Suggest remedy for hairfall
Hi,i am xxxx a girl of age 20 and m suffering frm androgenic alopecia and as i read your conversations earlier most of the doctors asked for pictures.i hav a traetment goin on which stopped my hairfall totally but den i have again come across of the hairfall again..is it due to climate??or should i take some other measure if yes then what? | Hello,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.Androgenetic alopecia is a type of progressive hairfall due to influence of your genetic and hormonal factors.If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc, your menstrual history and recommend some basic investigations like CBC,blood sugar,Thyroid function test.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-4 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda | |
What could cause Splenic rupture, have history of Cholecystectomy?
hey please can you tell me ,,, what causes the splenic rapture ? i took a medicine i should not take 3 days ago and i had splenic rapture! and 1 year ago i had severe inflammations in my gallbladder so i had to cut it off what could be your analyses ? ? | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.In most cases this happens due to trauma, which may be unrecognized. This should not be rlated to your previous surgery. It may be also spontaneous but this is very rare. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.DR. Ivan Rommstein | |
Could a prolapse cause backache radiating from mid spine to the right hip, sciatica on the left side and urinary retention?
Symptoms: lower back pain, radiating from spine at waist to right hip, sciatica on left side,urinary retention. MRI, T12/L1 minimal disc desiccation with nominal central disc displacement. lesion noted within and widening the right neural foramen most consistent with schwannoma. L3-5, facet arthropathy indents the thecal sac and results in moderate biforaminal narrowing and abutment of descending L5 nerve roots bilaterally. Tarlov cyst at S2. Neurosurgeon says tumor nor Tarlov cyst causing symptoms. Will have EMG/NCV soon. Worried about urinary retention. Urologist wants to try InterStim without looking at reason why I have retention. I want to find out why I m having all these symptoms and if they can be related before I have anything implanted. I m a 54 year female. Pretty healthy until now. If not neurological, can it be a possible prolapse? I ve had 5 vaginal deliveries. Should I try and see a urogynocologist? Recommendations are welcomed. Thank you | Hi, Urinary retention according to MRI report is due to neurological disorders. So unless the cause is not treated, it might remain. Till then anything like urologist is saying will certainly help you reduce your discomfort due to retention. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Peeyush Kumar Saini, Pathologist and Microbiologist | |
Q. Can runny nose and body pain mean influenza?
Hello doctor, My head hurts. I have got a bad runny nose, my whole body hurts, and feel very sick. Is this bad? | Hi. Your symptoms are quite consistent with influenza or the common cold. If you do not have a fever yet, you will be coming down with it soon. It is viral so it will run its course. Over the counter, Paracetamol will help with the fever and body ache. Do not take any other painkillers like Aspirin, Ibuprofen or any other NSAIDs at all. For now just stay hydrated. Drink plenty of fluids and get plenty of rest. You will begin to feel better in two days. However, if symptoms worsen or if you develop a yellow-green nasal discharge or a cough or if symptoms do not improve in a few days, you may need prescription antibiotics. But for now, just Paracetamol and fluids and plenty of rest. | |
8 positive pregnancy tests. Having fibroids, endmetriosis and adenomyoisis with an adenomyoma on uterine wall. What should i do?
lmp march 12/13. 8 positive pregnancy tests. u/s on tuesday showed 4.5 weeks 3mm gestational sac. hcg tuesday 1529, repeat on thursday 3060. I hae fibroids, endmetriosis and adenomyoisis with an adenomyoma on uterine wall. they are waiting now until may 7th for another ultrasound. is this a viable pregnancy at t his point. I do have queezyness all day which I didn't have with my son at all. when I was pregnant with him I was taking tests at 18/20 weeks because I felt nothing and only gained 7 pounds. I am also newly diagnosed with CVID and get ivig infusions monthly. I know I am still high risk just very nerous | Yes you are definitely high risk .This pregnancy is too early to be viable yet. You need another ultrasound,2 weeks later as you have scheduled ,to determine whether the pregnancy is viable. By 6-7 weeks,the fetal heart beat should be present. I suggest that just wait for the ultrasound you have scheduled. The symptoms you have are common in pregnancy. Be careful though since you are at high risk for early pregnancy loss due to the fibroids,adenomyomas. If monitored carefully im sure you will have a successful pregnancy. | |
Suggest medication for cough with mucus
Good mornging Doctor!! My mother is suffering from cough with lot of mucus, which is not coming out. She is suffering from Diabetes and under medication. She is about 59 years old. and her weight is about 65 kg. Kindly suggest a good mucolytic agent. | Hi thanks for contacting HCM ..According to history your mother might have mild bronchitis infection of respiratory tract ....It might be allergic or viral infection...Sputum examination and CBC will be helpful for it differentiation...Take antihistamininc drug like benadryl ...If cough troublesome mucolytic agent can be given like ambroxol cough syrup or tablet .....Drink hot water that help in cough breakage ...Excess fried food restricted for few days as they can aggravate phlegm...Steam inhalation for two to three times a day ....If still no benefit consult physician for auscultation....Take care | |
How to treat keratosis pilaris in kids?
My 3 year old son had some routine blood work done after suspecting an infection. Everything was normal except one white cell count was elevated and doc said that one is usually associated with allergies. He did a basic allergen profile blood test which showed a low allergy to dairy and an undetermined allergy to wheat and eggwhites. Doc said to try an elimination diet for a few weeks (including eliminating all gluten) then try to reintoduce foods and watch for symptoms. The problem is, I didn't notice much in the way of symptoms in the first place other than having a runny nose all the time and a rash which doc said was keratosis pilaris. He also had patches of dry skin on his buttocks. I started the elimination diet and the runny nose and dry patch of skin is gone but he still has the rash. I want to see an allergist for further testing but doc said it is not necessary. What do you think? | HI, thanks for using healthcare magicYou can consider visiting an allergist especially since the symptoms and results are not cut and dry.An allergist may be able to interpret them differently and help you formulate a treatment plan.I hope this helps | |
What causes fluid retention around the groin after removal of lumps?
I am calling because had a lump in groin area I am a female. It was a lump with lymph gland. Doctor did not do a biopsy first but did surgery and lump taken out an and a cluster of lymph glands removed. Came back was not cancer but plaged with fluid from those lymph glands draining into leg abdomen this happens every 2 months and painful because pushing on nerves effecting life and job and family and so painful with a nerve pain when that fluid gathers. Don't know what to do?? | Hello Dear, Warm welcome to Healthcare Magic I have evaluated your query thoroughly. * This is post operative fluid collection either infection or reactionary * Regular dressing care , antibiotics according to the fluid culture will cure the condition . Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance . Regards Take Care. Dr. Bhagyesh ( MS , FMAS - consultant surgeon ) | |
Suggest treatment for excessive hair loss with grey hair and pimples on head
hi doctor..please help me out as i lost my hairs excessively, and even i am suffering from grey hairs and pimples on my head too, i m just 28 years...i feel myself blocked of my hair roots...so is it benefit to give steam on my head for opening hair roots to get my hairs back...i already took many medicines, but now i don't wanna intake of medicines, i want my hairs back by some natural methods | hi dear gone through your problem.....are you on any medication go to some trichologist ...... he/she could suggest some treatment therapy like prp or prp with hair cocktails .....that will help you in case hair follicles are present in your scalp..... take healthy diet ......do yoga.... morning walk and eat healthy...key to healthy life | |
How to improve appetite in a child?
My 11 months old daughter doesn t like to eat anything . We tried all varities of food. She likes to eat herself. We tried that as we ll.. But of no use... Please suggest how can we make her eat... We consulted a doctor ghe gave one medicine but of no use... | HelloThanks for writing in HCMI had gone through your query and understood your concerns.I suggest you train her to eat food by saying that if she eats that day properly you will give her reward & give her small gift .this is reinforcement technique.Start her on syp aptivate i spoon thrice dailyHope this guides you. 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. If you do not have any clarifications, you can please close the discussion. Thank you.Wishing you good health | |
Suggest treatment for acute bronchitis
Hi doc, my 80 year old mom was suffering from acute bronchitis with persistent cough. She was administered various antibiotics in the hospital after her sputum and serum examination reveled the following:Sputum: Shows many gram positive cocci in pairs, chains and clusters Serum : Influenza A virus presentWhile she has been relieved from the hospital, she has been prescribed Nebulization with Levolin and Budecort twice daily. She is type II diabetic with 3rd stage CKD. Could you please suggest whether Levolin and Budecort will have any side effect on her and how long should she continue with the nebulization- 2, 3 or six months,Thanks MK Bhan | HelloNo Levolin and Budecort will have any side effect on her and she should use them for two weeks.RegardsDr.Jolanda | |
Tingling in legs, feet after riding in a car. On medication for high BP, seasonal allergies. Prevention?
After riding in a car approximately longer than 3 hours my lower leg and feet get tingly and I move them around a lot although that brings no relief but I can t just leave them still. Is there anything I can do to prevent this? I am on medication for HBP and seasonal allergies and I am a 49 year old female, weight 205 height 5 5 | there is blood circulation defect as due to long sitting pump of veins ae not able to push blood upto heart and fluids collect in legs and causes all theseapply crepe bandage after putting the legs in warm water for 20 mts put 2 - 3 pillows ta night under leg to get blood reached to heartget dose of bp titrated as some salts of bp causes thee in allergiescan take ebastine 10 mg od for 3 wk till you consult specialist | |
How safe is taking Epilex chrono for Epilepsy?
hi Doctor, I'm 33 year old woman. I've been advised by my Neurologist to take Epilex Chrono 500 mg for 3 months period since I have the symptoms of Epilepsy for past 1 year. I have also been advised to take Levipil XR 500 along with it. My I know what are its side effects? Harini | Hello Harini.There are side effects of both the medications.But you need to understand that effects of having seizures can be devastating as well.Some of the side effects of epilex chromo include Nausea or Vomiting, Diarrhea, Shakiness in the legs, arms, hands, or feet. Blurred vision, Dizziness, weight gain, Body pain, Skin Rash, Sneezing, Dry or scaly skinare other side effects.Side effects of Levipil include Drowsiness, dizziness, unusual tiredness, or weakness may occur. Some serious side effects, such as: loss of coordination,mental/mood changes (such as irritability, aggression, agitation, anger, anxiety), signs of infection can also occur. Levetiracetam can commonly cause a rash. A very serious allergic reaction to this drug is rare. Do inform your prescribing doctor if there is a significant reaction immediately.Best of luck, Dr Mittal | |
Taking zyrtec for allergies, what caused flu like symptoms?
I had a son with a PDD diagnosis second axis Asperger s syndrome. He s 16 yrs of age, generally health. He was dx with asthma exacerbated by cold or influenza. He is currently taking Zyrtec for his seasonal allergies. Today he now has a high fiver, heart palpitations, nausea and not himself. He is very lethargic, yet generally stays up very late on the weekends. Today he went to be before 1130 p.m. The last time his fever spiked to 105 he began having seizures. I do not want an unnecessary trip to the emergency room. Please advise. | hi thanks for your query.the symptoms in your child are more likely to be a "non specific lower respiratory infection".it can be precipitated with common cold and asthma.i strongly recommend antibiotics like tab levofloxacin 400mg bid for 5 days, along with tab domperdone and paracetamol.this should clear the infection and normalize his general condition.consult a chest physician for further queries.thank you | |
Suggest treatment for back pain caused due to an injury
I fell off a swing when I was little cause I got hit with something while on there but I landed weirdly and ever since my back has been agony. Doctors conformed I had scoliosis and hypermobility among other things but never looked into it that much and whenever I move in a certain way I can t get up again for a good hour or so | Hi welcome to HCMIhave gone thru your query with great concern . Though back pain is not a un common issue and is a consequence of an injury or incorrect posture. The cause is thought to be genetic, the body doesn’t make enough collagen or doesn’t make a good quality collagen, which is the principal structural protein of the body Collagen fibers give strength to ligaments, tendons, bone, skin and cartilage. Hence, the whole body can be structurally weakened! The ligaments that provide joint stability are loose and weak, which increases the risk of ligament injury or strain and can cause pain. Dysfunctional muscle patterns are common when the joints are significantly stressed, forcing them into unsuitable positions where they suffer strains. It is important to engage in activities that strengthen your muscles. Stronger muscles are better equipped to protect the joints they surround. They provide more stability, thus decreasing not only joint wear and tear, but also your risk for joint displacement.In case of injury there are precautions to be taken with professional guidance. Incorrect posture can be rectified substantially in just a few days with few precautions and Yoga pracyice . I would like to suggest to approach a good Physiotherapists who can help with retraining of muscle patterns and treatment of painful joints but the largest component is self management and therefore your own efforts will help a lot by doing yoga postures and modifying your food habits & life style , to srengthen your Immune system .Your immune system is your defense against diseases the invaders invaders .But when the immune system becomes weak, the disease cells can grow out of control , the disease overpowers .Here you have to work to strengthen your immune system by following a certainregimen --WHICHEVER POSTURES YOU DO , do them gently . Over exersion will lead you further sufferings .Out of all medical conditions, pain is the number one cause of insomnia. Sleep disorders is major cause of chronic back pain . Paradoxically, inadequate sleep can make back pain worse. This vicious cycle makes it ineffective to treat just one of the problems. Both the sleep problems and the chronic pain need to be treated. Massage with sesame oil help greatly in alleviating pains Sleep on hard bed is helpfull in straightening & strengthening your back muscles .your total health depends on 'what we eat ,when we eat and how we eat '. and your life style . Balanced Food contanin | |
Pain in the upper chest, throat and ears after exposed to bleach. Use inhaler for allergic cough deviant asthma. Will it make the symptoms worse?
i work in a wildlife refuge, last night someone washed all floors with an improper bleach dilution solution, like 25%. i worked in fumes while floor dried for about half hour. coughed all night. my upper chest throat and ears hurt; i use an inhaler , Qvar, as needed for allergic cough deviant asthma , will inhaler help or make worse? anything else? humidifier? | Hi, Welcome to HCM. Qvar contains Beclomethasone Dipropionate, it is steroid and can reduce your symptom. Bleach is responsible for causing irritation, it should subside in day, if the symptoms persists more then 2 days or the severity increases i advice you to see physician. Hope I have provided the information you needed. Wish you good health. Take care. | |
What causes lump in right pelvic area that hurts on applying pressure?
I just recently noticed a lump on my right pelvic area, about 2 inches above the penis and 3 inches to the right. It feels like a small ball, I seem to have the same ball on my left side but it isn't as inflamed or stuck out as the left side. Another thing different is that when I push down on the right side lump it hurts, feels like a bruise. I didn't hit myself or anything. Something else that might be linked to the pain; About two-three weeks ago I had a smaller pea sized ball above my right testical that was hurting me. I felt around and squeezed on it a bit to try and get an idea on what it was or could be exactly. The pain went away an hasn't resumed since. I really need help, I'm worried on what it might be. | Welcome to health care magic. 1.The history suggest that possible cause could be a inguinal hernia.2.In this case you need to get an ultrasound scan, that would help to assess the defect and contents of the lump and extension.3.Presence of any strangulation and blood supply will be assessed.4.The symptoms seems like strangulation is there, at the same time the scrotal scan will be done to evaluate the related causes.5.In this case treatment of choice will be operative to correct the defect. Good luck.Hope i have answered your query.Any thing to ask do not hesitate. Thank you. | |
Suggest OTC medication for recurring itchy scrotum
in early september it was very hot and i wore jeans and was unable to shower or change my boxers for about 5 days. on the 4th day my ball sack itched really bad and I scratched excessivly and that night it felt as if my ball were on fire. since then i have reoccuring bouts with this symptom of my balls will itch and then scale up and peel only in two spots that touch my inner thighs. I have been using lotrimin AF, but this seems to only work til its cleared up. About two weeks after i stop using the lotrimin the itching returns... is there something over the counter that I can get to cure this problem | Hello,It may be due to fungal infection. For that you may apply ointment containing clotrimazole and hydrocortisone locally. You may take tablet loratidine for itching. Avoid sweating. Maintain proper hygiene. Use loose cotton clothes. Hope I have answered your query...Let me know if I can assist you further.Regards,Dr Shyam kaleFamily and general physician | |
Pain in rib. Urinating a lot, blood in urine, some time dark some time light. Kidney problem?
Hello, and thank you, I have had a pain in my left side kind of hard to explain where it is just under my left rib, I have been uriniating allot and one day I had a small amount of blood in my urine, not allot just a little bit on the paper. It is a sharp pain and sometimes it is really painful. Generally I feel well, I keep active but when the pain comes it is powerful and very painful, I urinate allot at night although i dont drink anything after 8 pm, sometimes my urine is darker yellow and sometimes does not look like it has any colour, sometimes not allow comes out, I am thinking it can be my kidneys? | How old are you?does the pain radiates to your that side thigh?Do you feel any dragging sensation in your left hypochondrium(below rib)Do you have pale appearance(anemia and jaundice)how is you stool.any constipation?diarrhoea? cramps? sounds with pain(borborygmi?i suspect two things1)spleen for darknening of urine explains but for that hemolysis needs to be ruled out, so do Blood smear , Full blood count, Retic count , serum LDH. serum haptoglobin, coombs test. MP test if you have any recent travel history.and must do an ultrasound for spleenomegaly or renal calculi as it will help my both suspicions(next down narrated)2)now the blood in the urine with painful micturition is a hallmark sign of renal stones. Boy you should clear out that possibility by an ultrasound, simple Digital x ray KUB. Intravenous pyelography, do a simple Urine Routine Exam too. i am sure it will helpmean while treat symptoms. Get antispasmodics, Analgesics, Drink alot of water, get some urine alkalizers, be on a soft diet.get some multivitamins if you are anemic and do the investigations to be out of the woods,I will be here if you need me. RegardsDr Shafi Ullah Khan | |
How can chronic lower backache and sacral pain be treated while experiencing numbness in the extremities?
I have chronic lower back and saccryl pain. my hands and feet go numb and tingle quickly. at times my fingers or hand will jerk or tremor, my eye sight blurs and I am always tired. the longer I sleep, the more I want to sleep. my balance is off, I stumble, and I have difficulty walking when I first wake up. my hands and legs and arms and sometimes my abdomen is swollen when I first wake up. I have psoriatic arthritis, but the tx isn t helping, I am seeming to only get worse....HELP PLEASE | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It looks like your nerves are affected due to psoriatic arthritis. It looks like spondyloarthritis is affecting mainly your pelvis, hence you are getting pain in the sacrococcygeal region. Take Acetaminophen (Tylenol), NSAIDS, Ibuprofen for relieve. Visit ER and get blood tests done to see the RA factor and advancement of arthritis. You may need a surgical intervention. To help alleviate pain and to reduce inflammation, you may need injections, eg., Lidocaine local anesthetic along with some anti inflammatory medication. Pain, numbness, tingling sensation is because of nerve damage, see a neurologist and get all investigations done. You need medications. Take care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K. | |
What causes irregular periods after discontinuing birth control pills?
I was on previously on birth control to regulate my cycle and came off of it in September. My cycle has been somewhat irregular since then, but I have still been having periods every month. I had unprotected sex last month (pull out method), but had my regular period two days after. It has now been 5 weeks since the first day of my last period, and I have taken several at home pregnancy tests, which came out negative. Could the late period still be due to me coming off of birth control? Or should I go to the doctors to get a pregnancy test completed? | Hello,I have gone through your query and understood the concern. You had the intercourse just before the onset of your natural period and this makes it safe. Please note that ovulation occurs two weeks prior to the onset of the next period. Home pregnancy tests read well when performed 3-7 days after the missed period. You should also take into account the irregularity of your cycles in recent times. You have to count the longest cycle duration and if it passes this date also, then consider it as a missed period. You can get the blood test for a better clarification and see a specialist for further management. Hope this helps. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What causes headache along with tingling sensation in left arm?
Dr. XXXXX, My boyfriend has had severe headaches for a week & his left arm has been tingling & numb for a month. He is an an alcoholic. He has been for 20 yrs. We don t think that is the problem. He has been diagnosed with high blood pressure. He was prescribed Atenenol for the last 2 yrs. He was taking it but stopped 5 months ago because he didn t like the way it made him feel. The side effects were a lot of dizziness. He has health insurance but refuses to see his physician. I am in the medical profession also but can t get through to him. Do you think this is a blood pressure issue or something neurological? He refuses to consult his PCP for further information. I m very worried. Your feedback would be very much appreciated. Thank you. | Severe headache for a week associated with tingling in one arm need to be investigated. Need to rule out any ICSOL in right cerebral hemisphere. i would advice you to get MRI Brain or NCCT Head of him. and consult a neurologist to find the cause of severe headache | |
What is causing softer erection and lower sperm count?
YES PLEASE... I AM 50... AND RECENTLY EXPERIECING A SOFTER ERRECTION WHEN INVOLVED WITH MY WOMAN... AND LOWER SPERM. I AM PRETTY PHYSICALLY ACTIVE FOR MY WORK. I HAVE A SERVICES BUISNESS IN FLORIDA. I EXCERCISE A COUPLE TIMES A WEEK.... I EAT PRETTY WELL... I WATCH MY SATURATED INTAKE.. DO YOU HAVE ANY IDEAS.. WHY. | Hi, dearI have gone through your question. I can understand your concern.Problem in erection and low semen volume may be due to many reasons.Any kind of illness, mental stress, or other disease can leads to problem in erection. You should consult your doctor once if problem persistent. Drugs like sildenafil is available to enhance the erection but it has many side effects and it must be taken on written prescription only.Low semen volume is not a cause of big worry. Just be relaxed.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health. | |
Is unprotected intercourse worrisome?
Hi, I nees some information about antibiotics (Penicillin) and the Progestogen-only pill Cerazette. Im taking Penicillin since Monday 3 pills per day. Cerazette i take each day at the same time! Yesterday i had unprotected sex with my boyfried, should i be worried? | Hi You did not write why you are taking penicillin.It is good to know that you are taking cerazette regularly at the same time. Taken in this perfect way cerazette is very effective i.e.> 99% in preventing pregnancy. But it does not protect you against sexually transmitted diseases.So having unprotected sex is a cause for worry.If you see excessive vaginal discharge/ vaginal itching/ ulcers or rashes on the vagina see a genitourinary specialist/family physician. Henceforth make sure that you practice safe sex by using condoms.I hope I have answered to your satisfaction. If you have any further queries do contact me through healthcare magic |
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