patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
Suggest treatment for abnormal behaviour
A friend of mine is bahaving abnormally for the past three months now. Some of the abnormal behavours are...Keeping mum most of the time, Chattering within herself, short tempered, getting angry when asked certain questions, likes to sit alone and so on...but eats well. Could you please suggest... | Hello,Thanks for choosing health care magic for posting your query.He/She seems to be suffering from some major psychiatric illness like psychosis. We will be needing a few more details to address the query.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
Panic attacks. Why do I get dizzy? Why does heart race?
I have suffered with what has been blown off as panic attacks since my early 20 s so for about 20 years now. I have at one point or another been put on every SSRI on the market and not a on e of them has ever helped me. My episodes start out of the blue when I am perfectly calm or at rest. It usually starts with a few PVC s(feel like my heart does 3 or 4 flips) then I get dizzy and its off to the races...my heart will start beating very hard and fast(up to 180BPM)...I never feelanxious til after this has been going on for several minutes. I have made several trips to the ER,some by ambulance over the last 10 years and the tachycardia and PVC s have been documented.but in the end I am always told panic attack but I really feel like there is more to this.. My question is this...I had some blood work come back abnormal 3 years ago while I was hospitalized for a flare of duverticulitis it was discovered that my Cortisol levels are way low and after a MRI/ MRA of my brain they found a pituitary microadrnoma that was the cause for the low cortisol and my HGH is deficient as well. Due to lack of insurance for a few years I have had no dither work up or treatment for this...could this be the culprit of my heart symptoms? I am not on board with the panic/ anxiety diagnosis ...just feels like something is being over looked. Thanks for your time. Missy | Hi, As in your previous ER visits panic attacks had been diagnosed. It is usually diagnosed when symptoms (like yours) occur with out cardiac illness. SSRIs are very effective treatment for panic attacks. But few patient do not responds due to some of the following reasons: -Hormonal imbalance (like low cortisol in your case) -Medical illness (like pituitary microadenoma in your case) -Thyroid dysfunction (possible in your case so get it investigated) So continue SSRIs and get concurrent management of above issues for solution. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com | |
What causes fever and abdominal distension in a child?
My daughter is 2 1/2 years old. She has a fever. It was 103.2. We gave tylenol and 3 hours later is was the same. It peaked at 104. We gave motrin at 3 1/2 hours post-tylenol and the fever is coming down. Her abdomen is very bloated looking. I'm concerned. . . | Bloated abdomen may be due to gasses, constipation, accumulation of fluid (ascites), intestinal obstruction etc.High fever with bloated abdomen warrants that you get your baby examined by a pediatrian to rule out some serious causes. | |
Should I go for a bone marrow transplant?
How long does R-Chop stay in the body? And is it wise to have a bone marrow transplant. I have non-Hodgkins lymphoma in the lungs and neck. I was at a stage IV. I have finished Chemo with good results. I have a 2cm tumor in my lung. I am 42 years old. Thank you | Non Hodgkins Lymphoma treatment and cure depends upon the subtype. From the details you have given I presume that it was Diffuse Large B Cell Lymphoma since you have completed R-CHOP chemotherapy. At the end of therapy PET CT Scan is repeated. Since you have mentioned that a 2cm nodule remains in the lung, PET scan will clarify whether there is metabolic activity high enough for a residual tumor in the nodule. If the PET scan is negative then the disease is in complete remission. However if the PET scan is positive for residual disease then you need to have a re-biopsy of the nodule to see that the disease has not changed its type. This can be followed by High dose therapy and bone marrow transplant.I hope it is of help to you.Please discuss it with your treating oncologist. | |
How to completely stop Asthma medicine through diet, exercise and alternative medicine?
I am M - 48 and have been suffering from severe Asthama since 30 years. However since 2008 I have followed a strict lifestyle change and have got rid of it 95%. Meditation, Prananayam, (not much Yoga) Strict fitness routine (i have a personal trainer), Strict vegetarian food, I sleep 9:30PM to 4:30AM. My Height is 163 cm, in 2008 my weight was around 50 and since last two years it has stabilised at 63. Now it does not bother me and does not effect my work. Apart from this i don't have any other health issues. Some times i still have to take one Puff of Foracort -200, once in morning and once before sleeping. This is for about 6 months in a year, when I get cough in the morning. At one time 2 puffs every three hours also wont work. I want to get rid of it completely. I am not looking for advice advocating that it is safe etc. to take inhales. Can some doctor advice me on this. With a strategy to get rid of medication completely, I am open to any stream ( alopathy, Ayurved, Homeopathy or anything else) | Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. It is really great that you have been able to improve your asthma significantly by meditation, pranayam, exercise, diet and life-style changes.I would like to know more about you like - Do you have any medical condition other than asthma? Are you taking any other drugs frequently/regularly? Do you have any other allergies - nose allergies, eye allergies, skin allergies, food allergies? Do you have symptoms like headaches, nose obstruction, facial heaviness, ticking in throat, repeated throat clearing, etc? Do you have symptoms like burning in chest, nausea, coming of fluid into mouth especially after heavy/spicy meals or upon lying down? Are you exposed to air pollution, dusts or smokes? Is stress a part of your life?Above details would help me to understand your complaints better and make suggestions more specifically.2. I would suggest you allergy testing, especially to common air borne allergens like - house dust mites, indoor molds, regional pollens, insect proteins and pet dander (if you have pet).This will help you identify the substances you may be allergic to and also to know the measures to avoid them.3. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works like vaccination to reduce allergy symptoms over a long time gradually.4. Personally, I would suggest you to have a Yoga trainer, who can teach you specific Yogasanas which would be helpful in asthma. (as you have mentioned you have not had much of Yoga)5. I would also suggest you a good multivitamin-multimineral with antioxidant as a diet supplement which improves your immunity. It is especially more important as such deficiencies are more common among those who follow a restricted diet.6. If stress is an important factor for you, I would suggest you stress reduction strategies like meditation and relaxation as stress can affect allergies & asthma adversely.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you a very good health ahead.Thank you & Regards. | |
Suggest medication for infertility
Hi doctorMy marriage was on march 2009 and trying conceive for last 1 andhalf year without success.Medicine Consuming :Flucose 150 tablet (One tablet on 4th day of last period - 22nd Sep2011)Folsafe (Daily)Zole F ointment for itching (Whenever required)And my husband is also having Vitamin E and Lyco - Q 100 daily. | Hi and Welcome to HCMIf you are planning to conceive from past one year with no positive results means that you need to get your ovaries tested. Folsafe is only a folic acid tablet. No hormone tablets prescribed.Get a sperm test for your partner done. If possible consult an infertility specialist | |
What causes trembling in little finger?
Hi , I have cervical rib. A few years back My left hand fingers were numb but after some exercises it was Ok. Now I have occasional pinky finger tremble ( two or three times a day for about a minute or less) but no numbness or pain. Is it due to again Cervical rib or PD ( Parkinson disease) I am 61 healthy without any Blood Pressure , Or Diabetes problem and absolutely no history of PD in family. I am very active , nice sleep at night , no sleepy sensation in the morning , no urinary inconsistency etc. | Hi,Actually it may be a case of Trigger finger, ulnar nerve pathology, ganglion, cyst, also this happens with overuse I suggest MRI for proper evaluation. I don't think it is related to your old injury due to absence of numbness and pain . Please click THANK YOU and consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan | |
Painful lump on jaw after molar teeth extraction. Taking painkillers. Normal?
I just had my lower molar extracted on thursday and I have a golf ball size lump in my jaw line and is in horrible pain.. we back to dentist today and he said that I do not have a dry socket but I have had one before and it seems as I do have a dry socket. I am having to take painkillers every 2 hrs. is this normal? he said it was a difficult extraction and that the gum tissue is very swollen..I cant seem to get the pain under control. what can I do? | Hi,Thanks for asking the query,The swelling can be as a result of trauma caused at the time of extraction. There could be a chence of any root piece left in the socket to rule out this you need to visit the Dentist and get an x-ray done. Take complete course of antibiotics and analgesic prescribed to you by the Dentist.Take lukewarm saline rinses and antiseptic mouthwash gargles.Apply ice packs externally over the affected area.Take care! | |
How can irregular period flow and occasional delay affect chances of conception?
Hi there, this is my first time on this site, and find it to be quite informative. However I still have some personal concerns which I would like clarified about my menstruation. Having started my periods at the age of 13, I always seemed to have them at irregular intervals, and on getting consulted I was always told by the doctors to get my weight under control and was also prescribed with Primolut N and Glucophage to bring my periods to a regular pattern (although I have been on the medications on and off based on different doctors suggestions, and my periods continued to be irregular). Now 27 years of age and married, did manage to shed off some weight at the age of 22 which helped to a certain extent as I now have my periods once a month but the interval between periods still varies each time including the flow of periods. Just to give an idea on the frequency (or infrequency for that matter!), for instance:- February 2012: Period started 20th - ended 25th- March 2012: Period started 31st - ended April 6th- May 2012: Period started 19th... likewise its always been hap-hazzard and what also worries me is the flow. During a proper period I have a moderate flow, but it's as though if 2 times in a row I have a proper period the following month there will hardly be much bleeding...such that I don't even require a sanitary pad. Would this kind of infrequency, and blood flow affect my chances of conception in the near future? I have had an ultra sound test done, and test results show my uterus to be normal. Is there any cause for concern and should any precautions be taken, as I would like to start considering pregnancy soon? Would really appreciate a feedback on this...thanks. | Hello,Thank you for asking your question at healthcare magic. I understand your concern. Long term history of menstrual irregularities can affect the chances of getting pregnant and need to be evaluated.Since you had been prescribed Primulut N and glucophage before, I am thinking the first possibility for the irregularities in menstrual cycle as Polycystic ovarian syndrome(PCOS) ,which presents with multiple cysts in the ovaries.It can lead to anovulation/absent ovulation and lead to infertility. Maintaining a healthy weight is very important in treating PCOS.There rare also medications available for treating PCOS and helping ovulation.Other causes of irregular periods like thyroid disorders, prolactin levels also need to be checkedI recommend that you consult your doctor for further evaluation and approriate management Hope I was able to help youPlease feel free to address any more concerns Regards, Dr.Lekshmi | |
How can i make my wound heal soon?
I have a hard layer of pus on the bend of my foot and leg after an injury earlier last week. I used hydrogen peroxide and mupirocin ointment but in vain.i m not able to dry out the pus off from my wound and its very painful. i have taken antibiotics and injections but nothing helped me. can anyone please tel me how to make my wound heal soon? | HelloWelcome to HCMThanks for posting your query in HCM.I understand your concerns.As you have already taken a course of antibiotics,you need to change the antibiotics that you are taking after confirming the specific organism that is causing infection.Also follow these measures that will help in faster healing of the wound.1.Keep the affected area dry and clean.2.Regular wound dressing.3.Do not take drugs that interfere with the body's natural healing process if possible anti-inflammatory drugs and steroids without doctors advice.4.Include foods rich in vitamin C in your diet. The body needs vitamin C to make collagen.5.Do regular exercise because it increases blood flow, improves general health and speeds wound healing.6.If you are a diabetic,control the sugars well.7.Quit smoking if you are a smokerHope i have answered your query.Thank you | |
What causes numbness and swelling in hands and feet?
Hi. I'm experiencing numbness and swelling in my hands and feet. But much worse in my hands. The left seems worse.. This is throughout the day periodically ..but mainly at night. I awake at night and feel as if I couldn'tmake a fist. Is this something serious? | Hello,You have not mentioned your age which is important in judging the list of possible causes.For example, after age 40 cervical spondylosis gets commoner and one of the signs of cervical spine spondylosis is numbness and swelling of hands and feet.Also, an underactive thyroid can make this worse.It is important that you see a Neurologist (Medicine not Neurosurgery) to begin with and get an opinion.Best Wishes. | |
What does a lump above the navel indicate?
I have a hard place above my belly button I can feel my heart beat if I push on it I beltch the gas radiates all over . Lower and upper stomach up under my ribs to my back and between shoulder blades. I berp and Berp it lessens but won't go away..I was told there is only over the counter Meds for gas they don't work an urgent care dr. Told me that..what causes this awful disconcert? Or who should I see this is awful. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The most common reason is para umbilical hernia or else. In our clinic, I recommend an ultrasound examination of abdomen & pelvis for confirmation of the diagnosis and further management.I hope I have answered your query. Let me know if you have any further questions. Regards,Dr. Bhagyesh V. Patel | |
How can joint pain be treated?
i am having joint pains on my lower extremeties my ankle joints and knee joints and hip joints when moving or when in motion but i am not sure what is the best supplements i can take that will really work to ease the pains or rewlieve it or prevent it to get worst. | Hello, Swelling, pain, inflammation or stiffness of joints are indicative of RA. Visit ER, get physically examined. Get tests for RA (CRP, anti-CCP, ESR) done. Get evaluated, get treated at the earliest. Your treating doctor will give you NSAIDS, Analgesics or DMARDS (to slow the progression of arthritis & save joints). Take antioxidants, vitamin C, garlic, Omega 3 fatty acid. Avoid sugars & refined carbohydrate, stay away from alcohol & tobacco, dairy, cut on salt & preservatives. Exercises & daily walking should be done. You may take the help of a Physiotherapist. Exercises make joints flexible & hence reduce the pain. Avoid a sedentary lifestyle. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician | |
What causes lumps in the neck?
My sister is 60 years old and has a tumor on her thyroid gland, a cyst on her salivary gland and multiple cysts in her neck. She is having needle biopsies on 6/23/11. She has a history of fibrocystic disease in her in her breasts and elsewhere. We are concerned about all of these lumps in her neck. She is also diabetic and has been on thyroid meds. for a few years now...none of them seem to work. We all all concerned about cancer and the fact that her insurance, Signa, refused to approve MRI s 5 months ago when the doctor found one lump in her neck... | Hi,Dear.Thanks for the query to HCM virtual Clinic.I am Dr.Savaskar attending on your query.I studied your query and understood your health concerns about your Sister.Cause of lumps in Neck-The neck lumps you have are of thyroid origin, whether primary and with secondary,needs to be worked out by FNAC,FDG PET/CATS SCan study.YOUR sister appears to suffer from MEN-muliple endocrinal Neoplasia Syndrome, and hence she has all these tumors of various glands as salivary/thyroid/breast etc.and is due to genetic/ familial reason.This is how you plan treatment with your doctor.Hope this would resolve your query.Write good review and hit thanks after reading this reply.Welcome for any further query to HCM and to ME.Wishing you early recovery.Dr.Savaksar M.N.M.S.Genl-CVTS,Senior Surgical Consultant. | |
What could cause shivering?
My husband woke up from a deep sleep the other night and was shivering, saying he was cold. I felt him, no fever and his body was warm - even his feet! He also said he felt like he couldn t catch his breath. This lasted for 10-15 minutes. Any ideas? | Hello, Infection is very probable with such symptoms. It may be a viral infection, or urinary tract infection, etc. Evaluation by the primary care Doctor is necessary.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
What causes small bump near anus?
it's a lump or a bump right next to the anus hole(its external), and it looks pinkish, like a large whart, Its about the size of a pea, and it literall feels like there is a pea in this lump. I can move it it around a little. It dosn't hurt, sometimes there is a little blood. I noticed it about 3 weeks ago, and it doesnt seem to be getting smaller. | Hi.Thanks for your query and an elucidate history.Yes, your observation is so right. This looks to be an organised small abscess. IT becomes painless and moves freely.You can leave it alone to be healing on its own or consult a surgeon to confirm and may be get excised to avoid any possible complication later on. This is the area under friction and movement all the time to walk, sit and work. So why to take chances ? | |
What could be the cause for fever, cough and burning urination in a child?
Hello. My daughter has what started out as a mild case of the flu but it has become worse with a high fever, deep cough, throwing up, achy. She just woke up to go to the bathroom and she started screaming cause it burned when peeing. She is 5. What could be the issue and is this normal? | Hi, By what you say I feel that your child may be going through a viral illness. I will explain to you how a viral illness behaves so that you can be more confident. Fever of a few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
What are IUI's success rate with sperms showing excellent progression?
I have been undergoing IUI at manipal hospital .My age is 31 .Have done 2 IUI's which have failed.Both the times th e sperm count after processing was s 20 milion. My husband has motility issue. Have undergone 3rd IUI last week. This time the sperm count after processing was 10 million with 80% excellent progression . What are the chances of IUI being success this time? | If motility good chances are better. You can also go for ivf. It will surely help you to become a mother. So dont worry. You will be having a baby soon.all the beat. Take care. | |
Q. Can high estrogen level during menopause cause ovarian cancer?
Hi doctor,I am 64 and in the postmenopausal stage. I had a hormone blood test and my testosterone was very low, less than 5. My vitamin D was low and my Estradiol was 73. I started to take supplements, all-natural like DHEA, vitamin D, HGH and Smilax. I just got tested again and my vitamin D is fine. But, my Estradiol is even higher and my testosterone is 114. Now, two days before, I took the test while on Smilax which I know has its effect on testosterone level. I am mostly worried about estradiol and ovarian cancer. | Hi. Your estrogen level should be low at the postmenopausal stage. But, your estrogen level is similar to the level of normal reproductive years. Estrogen helps bone but carries the risk of breast cancer, and uterine (endometrial) cancer. Estrogen therapy in the postmenopausal period also carries the potential risk of ovarian cancer. DHEA (Dehydroepiandrosterone sulfate) can help to increase energy and sex drive (libido) but not definite. DHEA is converted in the body to testosterone. | |
What causes persistent tiredness, sinus congestion and cough?
My wife has sniffles and caughs. After three days she feels in turn cold and hot. She does not have a fever but has congested sinuses and is uncomfortable. She gets up and soon feels week. She usually is on her feet all day and stays active, bur now she is in bed all day and feels very tired. What can I give her to get relief and recover? | Thanks for your question on Healthcare Magic.I can understand your concern. By your history and description, possibility of viral upper respiratory tract infection (URTI) is more likely in your wife's case.So follow these steps for better symptomatic relief. 1. Tell her to drink plenty of fluids orally and keep herself hydrated. 2. Tell her to avoid oily and spicy food, avoid junk food, avoid hard to chew food.3. Tell her to do warm water gargles and steam inhalation 4-5 times a day.4. Give her levocetrizine and paracetamol combination twice daily. This combination is available over the counter.She will mostly improve with all these in 2-3 days. If not improving then consult doctor. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks. | |
What could cause a possible build up of fluid in the ventricle?
The neurologist says that having looked at my husband s MRI it is possible that he has a build up of fluid in the ventricle. He has had chemotherapy for lymphoma in the central nervous system and these new symptoms which replicate a TIA are worrying to say the least. He is now losing speech and ability to process for up to an hour roughly every 10 days. The neouologist seems laid back but I am at my wits end as I can see my husband s personality changing and we are both losing confidence. He doesn t have another hospital appointment until May 15th which is for an EEG. We still await a cognitive assessment and then the neurologist will view the results and we should see her in 3 months! Help please. What do you suggest we do? | Hello dear,thanks for your question on HCM. I can understand your situation and problem. In my opinion your husband is having mostly hydrocephalus. It is narrowing of ventricles in brain. Ventricles are CSF (cerebrospinal fluid) transmitting system. So any narrowing in it can cause fluid accumulation. This fluid accumulation cause raised ICT (intracranial tension) and this can further cause compression on vital brain areas. This is the reason for personality changes and other neurological symptoms. Honestly speaking, lymphoma with neurological complications carry worse prognosis. You can ask for VP (ventriculo peritoneal) shunt to divert the excess fluid and thus reducing ICT. So discuss all these in depth with your neurologist. | |
How can penis dryness with cracked skin be treated?
I get cracks on the upper portion of my penis. The skin there on the penis becomes dry and gets broken during the time of intercourse. This happens regularly. I am 42 year old man and diabetic patient. Diabetics is under control. Due to this frequent cracks on my penis, I am not able to perform well during the time of intercourse. Please help me out-Srinivias | Thank you user for your query.There may be chances that you are having allergy to the condom, as the lubricant used in condom can cause allergy sometimes.As an initial treatment you can use any moisturising cream or it would be better if you can use any cream having triple action (steroids+neomycin+fluconazole).Avoid doing intercourse till your penis gets healed up completely as it might freshen up the wound again.If at all your penis skin won't turn up normal after two weeks show yourself to skin specialist.God Bless | |
What causes coughing fits, itchiness in the chest and slimy-sting like mucus?
hey.. im a 20 year old boy .. for the past 3 months i have been suffering from cough which come as fit either at night or wen i wake up in the morning . Mostly at nite . So i consulted a docctor and he gave me montek lc which i ate for a month. BUt it dint help much. SO he changed it 2 montek 10.. which i ate for another month and it dint help either. they wud supress my cough but then the sypmtoms would reappear. i went 4 a blood test and chest x ray they are fine just my eusophill is 10 % higher than normal. then i changed my doctor and he has given me ketasma saying i m8 have allergic bronchitis. my symptoms are coughing fits charactersd by ithchyness in my chest and slimy -sting like mucus . !! | Hi thanks for asking question.Here your eisiophils are high.So it could most probably allergic lung condition like allergic bronchitis or asthma.Take drug prescribed by doctor.Avoid allergen like dust, pollen , cold itmes or any foods to which you are allergic.For diagnosis of cough variant asthma pulmonary function test done for it.Second although chances are less high eosinophil could be by parasitic infection like by filaria or round worms.So PS for filaria at night and stool examination done for rule out it.Take care.Wish you good health.Dr.Parth Goswami | |
What are the medications for psoriasis that are not harmful to the body?
Hi, I am on oral steroids (Methotrexate) for servere psoriasis. They seem to be working because the psoriasis isnt as aggressive, but i am feeling worried about the long term use of the drugs. How long will i need to be on Methotrexate and what other medications could i be using that arent as harmful to my body or as depressing as this drug? Thanks Ben | Hello,I can understand your concern for severe psoriasis. It is an autoimmune disease where there is fast proliferation of skin within 4-5 days rather than 28 days of normal time.It depends on severity of the psoriasis lesions to give the proper treatment accordingly.Methotrxate is one of the best treatment but under dermatological supervision and proper regular testing of blood profile. it is not a steroid and there fore the side effects of steroids are not present.You can take further guidance form your dermatologist or from me. You can send pictures and take guidance accordingly at:bit.ly/drsanjaykanodiaTake care | |
Suggest treatment for pericarditis
Hi, I am a 35 yr old male and i was diagnosed with pericarditis resulting from a viral infection in aug 2009. I was then placed on an NSAID, naproxen 250mg twice daily which sorted out the problem. However, the pericarditis has re-ocurred about 7 times in the past one year and as a result, i am constantly on naproxen 500mg twice daily. I need to know if this medication is doing my body any harm and also, if i can continue exercising by playing squash. Also, i need to know if there is a permanent cure for the condition and if it can lead to more harmful situations like stroke? | Hello,You should stay at bed rest as long as you are ill. NSAID is the first choice for pericarditis treatment but when it happens more times (seven times), I would go with another treatment like corticosteroids. There is nothing to do with stroke. You should see your cardiologist for changes in treatment and echocardiography evaluation. You should take rest.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Anila Skenderi | |
Suggest treatment for varicocele
Hii. I am age 35 male. I am suffering from erectile Dysfunction and low sperm count which is leading to infertility. I got myself examined and found out i have Varicocele grade I. Please suggest me good medicine which gives good benefit and no side effects. Sunny | Hello,,If you have low sperm count then you could benefit from Varicocele surgery. Varicocele is known to cause low sperm count. So, you should go ahead with the surgery. Its not a very major surgery and has the potential to increase your sperm count. But, there are no guarantees. If you opt against surgery, then you can try medications.I usually prescribe a product from Himalya ayurvedics called Speman. I give it for three months and usually find a rise in Sperm count after three months. Choose what you want but I would advice in favor of surgery.Thank you. | |
Suggest remedy for pain in the right side and back
I was hit in he lower back area by a 100# tote that ridges on it with a handle.I was first told I had a badly bruised tailbone.i was sent to a chiropactoe for treatments not successful as he had to go internal.My tailbone is pushed inward.I was sent to another Dr.told nothing wrong wih the tailbone by xrays.I been to P.T.for 4 weeks and help.I have had 3 treatments to keep the tailbone in place.The pain is now in my right side and up my back.No UTI.I have only had xrays and a UA done.NO one can figure out the pain. | Hello, Sometimes inflammation left after yhe injury is the sole cause for pain,even after the injury heals. As per your history your x rays didnt shown any fracture,so there are high chances of bursitis as the cause of pain. You need to avoid pressure on your tail bone,need to do ergometric exercises,sit on tube pillows only. If even after 4 wks of physitherapy and rest your pain doesnt subsides you have to go for for evaluation with imaging. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Rohan Shanker Tiwari | |
Diagnosed with leukocytosis, severe anaemia. having heavy bleeding between periods, headaches, backpain, lower abdominal swelling, frequent urination. Suggestions?
I m having very heavy bleeding and between periods it smells like after you have a baby weird Severe head aches Sharp severe waves of lower back pain radiating to front abdomen, up to left abdomen under left breast, and down front of both legs Swelling in lower abdomen and feet Changes in bowel movements color and frequency Frequent urination Some brown spotting between periods as well Swollen lymph nodes that have not gone away for six months Night sweats Diagnosed with Leukocytosis without knowing the cause and I have severe anemia no cause is known I m 25 years old not on any medications generally otherwise in good condition I ve had three children in three years all healthy | Hello, Welcome to HCM, I am Dr. Das Look, your symptoms are really worrisome. You should consult with a hematologist immediately. One bone marrow study is very necessary. A flow cytometric analysis is must to rule out any possibilities of leukemia. Regards. | |
Q. What is the reason for chest pain that occurs with deep breath and pressing?
Hello doctor, I need an advice and an opinion about a chest pain I have been having for the past four days. About four days back, I was at the family farm doing some cleaning. It was dusty everywhere and so when I finished, I coughed and felt the dust went inside my chest. Since then, I have been having a chest pain, right above my right nipple, the pain is kind of in the bone. So, when I press on my chest bone beneath or above my right nipple, I feel some pain. The pain sometimes comes to my neck or my side, and today it came to the left side of my chest which got me worried. The pain usually happens when I take a deep breath. It is not continuous. A month back, early morning while I was at work, it was a dusty day. Shortly after work started, I felt a pressure on my chest and a shortness of breath. So, I went to the ER, and they transferred me to the cardiology unit because my troponin was elevated. It was at 0.7. They did EKG, and it was normal. Later on that day, my troponin was elevated to 4.3. So, they did an ECO, and it was normal. The following day, my troponin was down to 3.4. They thought I had some kind of blockage and so they did a cardiac catheterization and found everything was normal. there was no blockage. I have no diabetes or blood pressure. I follow a low carbohydrate diet with intermittent fasting. My blood pressure and EKG during my stay at the hospital was normal. So, I was diagnosed with pericarditis, an inflammation of the outer part of the heart. | Hello. There are two possibilities in you, first is of musculoskeletal pain, which is originating from muscles and bones resulted due to coughing and stretch over the bones and muscles. And another possibility is of viral infection which commonly follows such exposures. This leads to inflammation of pleura and pericardium (lining of lungs) called as pleuritis or pericarditis. Both the pain will increase on deep breathing. I guess you do not have any fever, cough, rhinitis, etc., which may or may not be associated. Was there any history of heavy weight lifting or trauma to the chest? This is unlikely to be caused by heart blockages and does not appear worrisome. But, considering the history of pericarditis in last month, you should get one hemogram with ESR (erythrocyte sedimentation rate), ECG, chest X-ray and troponin done especially if symptoms persist. Also, vitamin D levels, of which deficiency is very common and predispose to such musculoskeletal pain. We also need to rule out other infections of the lungs because such exposures frequently lead to infections and above investigations will help in deciding the cause. You may use Diclofenac gel or spray for local application for symptoms relief. So, overall the first possibility is of musculoskeletal pain, which I guess should settle in another 3 to 4 days and does not appear worrisome, but should be evaluated. You may need vitamin D supplements after its testing. | |
Is the sudden back pain because of progestrone medicine?
Hi Doctor, I am 35 yr old and trying for a baby since last 9 years. I have been under treatment for IUI, Last month I had gone for 3rd IUI. Doctor has given me progestrone pills for 15 days to be taken from 15th day of my ovulation. since last two days I have been suffering from seviour backpain. when pain starts it remain at least for 5 to 10 seconds. I am quite confused as well as worried about this pain. Is it because of Progestrone pills? Kindly guide . | Dear patient Progesterone do not lead to back pain. There may be other reasons. Have you suffered trauma or lifted weight? Is back pain first time or this has happened before? If it's first time and no trauma do not worry as it's mostly muscular pain. Take tab diclofenac plus thiocolchicoside combination twice a day for 5 days plus tab pantocid 40mg twice a day for same period. Apply volitra gel locally for pain relief. Do not worry. | |
Can i drink after taking vaccination for a dog bite?
dear sir / madam yesterday night the street dog bite my dog, suddenly i washed the wound with soap and took tt injection.and today morning i took vaccination injection.. can i drink now and if i drink is there any problem..and if i drink vaccination will work or not please tell me | Hello,Welcome to HCM,Rabies is a disease which is also transmitted by bite of the monkey, it is a 100% fatal disease but it is 100% preventable by proper and adequate treatment.As you were bit by a dog for which you have taken a shot of TT injection and antirabies vaccine. Active immunization with antirabies vaccine should be taken on days 0,3,7,14 and 28 (if the dog is healthy you can stop the vaccine after the third dose). The vaccine should be taken to the shoulder by the intramuscular route.There is no restriction of food and the water during the treatment of dog bite. If you are a alcoholic you need to avoid it since it may hamper the production of protective antibody titres.Thank you. | |
What is the meaning of having elevated SGPT result?
Hello, I really am in need of urgent help. I am a gastriris patient. I've had this problem since 5 years now. My endoscopy report is normal. However I have recently got my Liver Funtion Test done. I would like to share the result with you as the medicine I've been having aren't working. My SGPT (uv kinetic method) ifcc is 41 iu/L where as normal range is till 35. Pls help. Tell me what does it mean. | 41 IU of SGPT is not something to worry about. There is a variation of normal range. Some books consider a normal range form 0 - 48 U/L. The level goes in few hundreds during Jaundice. I will advice you to just ignore it. If someone will come to me with this report I will tell that it is perfectly normal. | |
What is the cause of vertical nystagmus ?
Every morning my baby will wake up with vertical nystagmus and sometimes he will have an upward gaze. It started 2 weeks ago when he was sick with a cold and ear infection. He had an EEG and the results were normal. We have an appointment to see a neurologist in two weeks. I am very concerned. What is the cause of this? | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Many times seizure disorders can get missed in the single EEG. What is required is multiple EEGS and if possible EEGs with photic stimulation. Seizure disorder is a most likely diagnosis but occulogyric crisis is also one of the possible etiologies and this can occur as a side-effect of some drugs. Is you baby on any medications? That needs to be checked. Your neurologist visit is certainly warranted. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
What causes strain and stiffness on back?
I am 24 male with 173 cm height and 71 kg weight. I work as a software engineer which involves lot of sitting job. Also from past 2 month i have started going to gym. From past 3-4days i am feeling strain in my back,its like it is very stiff. Whenever i Sit down or bend i feel a kind of strain in my back ,however it is not pain, is this strain or stiffness only called as a back pain or is it different from back pain? And what can be the reason for it as i am just 24 and i am physically active as i am going for aerobics for last 7 months. One more thing just to inform,i have lost 16 kg in last 7 months with aerobics,can that lead to this strain? I have heard that if once this back pain comes it is lifelong. Is it true or can it be recovered fully? and what precaution should i take.? Thanks for your answer in advance. | Hello,I had gone through the case and found that it might be cervical spondylitis and Vitamin D3 deficiency which causes pain and stiffness.Go for cervical x- ray and Vitamin D3 test.Avoid long time sitting and computer work. Avoid pillow. Do hand and neck exercise.Take Vitamin D3 once a week for 3 months.Hope my answer will be effective for you.Thanks | |
Noticed a painful swelling on right collar & suffering from gout
Hi, I have a painful, fleshy (spongey) swelling on my right collar bone with pain emanating up my neck - across my shoulder and top of my right arm, and even in my back. I have been diagnosed with diabetes 2 (but with my complications, I think it s 1, and the metformin is not working.) about 5 years ago. I suffer from chronic gout (recently lost 60 lbs after changing diet) I also have a fleshy lump on my ribs on the left side of my torso also extremely painful to touch. I also have night sweats, fever and chills, which comes periodically - with the gout?? The gout seems to be more chronic than ever before. These lumps feel like fire burning throbbing through the area.... kind of like gout - but I;ve always had gout just in my feet..... Help! I had a step infection in my blood stream a few years ago following a robotic hysterectomy surgery.... could this be infection that was not cleared up - infecting my bones? I am in major pain.... ready to go to ER but I don t have any money or insurance - husband just left after 20 years of marriage; I am ready to die. Help! | Hello, It could be an abscess or swollen lymph node. Consult a general surgeon and evaluated. A fine needle biopsy can be considered in case of diagnostic confusion. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Lump inside gum under tongue. Had root canal treatment. Suitable measures?
I had gone to a dentist and he did a root canal , it was perfert. You could see the whole tooth and the gum was even with all the other teeth . This is my lower gum. A week later I went to have a molar pulled because of a broken bridge work. It was my last molar in the left side lower. The dentist gave me 4 shots, the first 3 were bad enough but when he gave me the fourth one it was in the gum of where I had had a root canal the week earlier. I almost jumped out of the chair. After about a week the tooth that had the root canal, the gum start to swell and I was number thoughout my chin and lower lip . It has been two years now and many time back to the dentist and other dentists. I went back to the original dentist that did it, he s out for 3 months, very elderly, his son gave me an antibotic and it started to go down and feeling started to come back, I took it for 20 days. When I went back to him he said I have Mandibular Torii and it will like this forever. I have a numb lower lip (half) and the swellowing is on the outside and inside of the gum. I had a ultrsound done over a year ago and the neuologist said he could give me medication but I m on too much already and it would probably cause seizures. I said ok and kept going back to my dentists. Now my inside of my mouth, cheek and inside lower lip is swollen and effects me when I eat. I bite my cheek and lower lip. I told the dentist that gave me the antibotic there must be an infection is the antibotic helped. He disagreed. I plan on going to a ears, nose and throat doctor to see what he says. It worries me the lump is getting bigger on the inside of my gum under my tongue. Please help. Thank you. YYYY@YYYY | Hello,Thanks for posting your query in healthcaremagic forum.The lump under the root canal treated tooth may be due to-localised overdose of local anaesthetic solution deposited.Re-infection of root canal treated tooth.A detailed clinical as well x-ray evaluation is required in your case.Tooth has to be either extracted or root canal treated depending on severity of infection.Please do visit a dentist for further reference.Hope this helps. | |
Sore throat, hives on palms of hands post eating pistachios. Allergy to nuts?
I have a sore throat and hives on the palms of my hands that are starting to radiate around to the front of my hands. Notice it immediately yesterday while eating pistachio nuts . As far as I kinow I have never had a nut allergy but have heard that it could develop at anytime in life...is this true, could this reaction be because I am alllergic to pistachio nuts? | HI THANKS FOR YOUR QUERY ON HCM. YES THIS CAN BE AN ALLERGIC REACTION TO NUT. YOU NEED TO HAVE ALLEGRA OR LEVOCETRIZINE FOR THAT. AT THE SAME TIME YOU NEED TO HAVE AN ALLERGIC SKIN TEST DONE TO DETECT THE ALLERGEN AND APPROPRIATE IMMUNOTHERAPY MAY PROTECT YOU FROM FURTHER SUCH REACTIONS FROM SAME EXPOSURE. SO DO CONSULT AN ALLERGIOLOGIST. THANK YOU | |
What does "SGOT-184 and SGPT-229" suggest and how to reduce them?
hai Doctor,My father is suffering from fever n body pain for the last 1 week. his age is 56years.yesterday his sgot/ sgpt levels tested and the result was SGOT - 184 and SGPT-229.What does this indicate?Please advice on the diet to reduce the levels.Thank youRia | Hi dear thanks for asking question.According to history provided by you your father might have hepatitis as fever and bone pain like constitutional symptom present.Do viral marker of your father to rule out viral hepatitis.Following are some suggestion.As your father might have liver hepatitis rest his liver by taking very less oil in diet.Avoid outside food ...Avoid smoking and alcohol if have habit of it.Green leafy salad taken in lunch and dinner.Carrom seed and cumin seed crushed and mixture of these powder swallow with water.Take papaiya seed in lemon juice daily.Udiliv tablet can be taken for few days.Take rest.After month repeat LFT..Then after if liver enzymes elevated then we will think about other causes and carrier of hepatitis b if needed.Till now follow above instructions and your father will benefit from it.Dr.Parth Goswami | |
How to control mind ?
Hello sir, My partener has daughter 18 year old.She is not able to understand the things which cna harm to her. She will tear her own cloths , run out side not aware where she is going and also very aggresive even she beat her mother and also father and very difficult to control. Request advise. | DearWe understand your concernsI went through your details. I suggest you not to worry much. From the details you mention here, it looks like to me that this person is suffering from schizophrenia. Aggressive mood in this case cannot be controlled just by ourselves. Certainly she needs psychiatrist intervention and then intervention by a psychotherapist. Please do the needful. Do not delay.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
Q. What could be the cause for heaviness in the head?
Hello doctor, My husband has been having head heaviness for a month now and I do not know what is causing this. He has had a cervical scan done and other tests were done and he was told there is nothing wrong. It been two months now since this started and is a sudden onset. Prior to this, he used to work out a lot at the gym but not now as he is having numbness and tingling sensation radiation from the lower back down his right leg with severe pains in the morning. There is a moderate pain with movement. He is currently having back pain issues before this head heaviness started. He has had a CT scan done and the report is as follows: L1-L2 normal findings. L2-L3 disc bulge with thecal indentation and irrelevant effect. L3-L4 disc protrusion with caudal migration causing moderate canal stenosis and compression of the L4 nerve root at the lateral recess. Calcification of the disc noted posteriorly. L4-L5 disc bulge with thecal indentation and contact to the L5 nerve roots at the lateral recess. Impression: Essentially L3-L4 disc protrusion migration causing moderate canal stenosis and compression of the L4 nerve root at the lateral recess. I want to know what is actually happening. Some advice and recommendation and treatment options available in this situation. Also, how can we treat the heaviness in the head as is causing difficulty in sleeping? Are there any medications? Also, does the head heaviness got anything to do with this situation? | Hello. Your husband's lumbar spine CT (computed tomography)scan is indicative of a disk herniation, which is responsible for the pain in lower back and tingling sensations radiating in the right leg. It is not related to headaches. Considering these CT findings, I would recommend having some rest, avoiding prolonged standing up or sitting position and weightlifting. Physiotherapy and painkillers (Acetaminophen and Ibuprofen) coupled with a muscle relaxant like Flexeril. If the pain persists consulting with a spine surgeon. Regarding headaches, I would like to review his cervical spine CT scan report. It could be related to a wrong posture or a tension-type headache ( related to psychological or physical stress). For more information consult a neurologist online --> | |
What causes poor sensation in hands along with dizziness?
Hi so I m just going to get to the point. So I ve noticed that when I try to lay down on my stomach and arch my back even a little bit I start to lose sensation in my hands or I get light headed to the point wear I get drowsy. I don t know if this is a back injury or I m pinching something. I did gymnastics when I was younger so I don t know if this is an after effect. It s really strange but its in my lower spinal column on the same level as my kidneys. The areas that get weaker or numb are my arms to my hands. It also makes me not be able to move my hands as easily as I should be able to. Thank you for your time. | Hello!Welcome on Healthcaremagic!Your symptoms could be related to a cervical spine disorder, although your complaints are not really typical. For this reason, I recommend performing a cervical spine MRI study to investigate for this possible disorder. Hope you will find this answer helpful!Best wishes, Dr. Aida | |
What causes elevated levels SGPT and SGOT?
Hi,I am 28 years old.I had tested for sgpt & Sgot levels.Report showed SGPT 90 & SGOT 54 and Serum Bilerubin 0.7.Do i have serious liver problem????? I do gyming 4 days a week.I used take drinks (Only beer) previously but now i have stopped from past 2 months. Can i have whey protein supplement???? Please guide me | HelloIncreased SGPT indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.It may be related to past beer intake in your case.SGOT is non specific and it increases in many conditions.It is good that you are not taking beer completely.You may need few more investigations like routine hemogram,random blood sugar,lipid profile,viral markers,ultrasound of abdomen.I also suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.Get well soon.Take CareDr.Indu Bhushan | |
Suggest suitable remedy for flu
Hi, i am 28yrs old and have a 3 and a half yr old son! April of 2010 i suffered an actopic pregnancy resulting in my right tube being removed! we have since been TTC with no luck! we went an seen a specialist 2months ago where i was perscribed Clomid 50gm! im now in my second Month on clomid i finally got tested positive 5 days straight for ovualtion using the dip stick method! A week after ovulation i spotted very lightly for a day an ahalf only showing when i wiped myself! I am now 2 and a half weeks(day 45 of my cycle) late for my period , have done 3 pregnancy test all negative but am now testing positive to ovualtion again??? At the time of Ovualtion last month i did become quite sick with flu symptons so thinkin maybe this stopped me ovualting or something?? since the ectopic my periods have not been regular latest being 35days though! Before the ectopic i has 28days on time every month! The specialists and doctors say my other tube looks fine and are very confident that we will afll again on our own but suggested Clomid to speed the process up!! My main concern is what the hell is goin on with my body this month, im so confused and want to start a fresh month with clomid but when my period doesnt want to show it makes life hard! I have also been having pretty bad headaches over the last week and feelin bloated and tired! Thanks | Hello. Are u sure you are not testing pregnancy on diluted urine samples? You have to check pregnancy on early morning urine sample. As you said u had cough ang cold andmight had your ovulation delayed. Some times when there is a pregnancy also due to hormonal change you get positive test for ovulation. Best thing is you get your blood tested for beta hcg and intra uterine pregnancy as soon as possible due to the past history of ectopic pregnancy . | |
What is the remedy for the severe pain in the calf muscles causing difficulty in walking?
Hi I m Asmita from India. My son has been detected with viral fever since friday. He has been presribed cefadroxil dry syrup. He is complaining of severe pain in the lower calf muscles of his legs and is finding it defficult to walk. please guide me | Hello, As first-line management, you can take analgesics like paracetamol or aceclofenac for pain relief. We have to rule out possible causes like peripheral vascular diseases. If symptoms persist better to consult a surgeon and plan for an arterial Doppler. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes greenish yellow colored stool discharge from a baby?
HI Doctor, My daughter just turned 1, a week ago and since tuesday night she s had diarrhea. She did get 2 vaccines on monday but she s had them before with NO reaction. She s eating, and drinking like normal. Playing and sleeping fine. But the diapers are bad. This morning she had a greenish yellow color diarrhea, and now she had a yellow one, strange thing though it didn t smell like anything! What could be going on? I have a feeling she is getting more teeth (we have 7 already) Any insight would be great! Thanks | green color motions in kids are normal,Your daughter is fine.there should be no mucus or blood. it shouldn't smell awful. | |
What are the health hazards of pyria if teeth not pulled?
my mother has had pyria of the teeth for many years and is now almost 80 years old, I ve tried to convince her to get her teeth pulled because it is probably causing her health complications. I ve told her, her health could be a lot better if she would have her teeth pulled. Could you send me information on the health hazards of pyria, please, so I can read it to her from a medical standpoint? Thank you | hello and welcome to HCM forum, pyorrhea is a periodontal condition which occurs as a results of poor oral hygiene, hereditary factors ans sometimes is associated with a medical condition, it is good idea to guide your mother through this forum, first of all if your mother is not all convinced on getting her tooth extracted ,then it is better not to force her, in fact take her to a dentist and get her teeth cleaned professionally, do not worry about the teeth getting mobile after scaling,it is just a myth. also, i would suggest warm saline rinses, antibacterial mouth rinses(3-4 times/day), pyorrhea can increase the chances of heart diseases if she is diabetic,hypertensive or even if she is suffering from a present medical condition. i wish your mother good health, take care. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
FNAC report shows maturation arrest for sperm formation. Microscopic test shows sperms with no tails. What does it indicate?
Hi Doctor,I have Azoospermia with FNAC Impression: "Maturation Arrest for Sperm Formation" .Is this can be curable with any pills or tablets.Below is the Microscopic Examination Result:FNB of testes show secondary spermatids and scanty sperms with globular heads and no tails or rudimentary tails any. No inflammatory exudate. No progress to sperms formation.Please suggest. | HelloThanks for your query.In a word - No, this is not curable.Azoospermia can be of two types.One is where normal sperm formation is ongoing, but due to obstruction in the ducts, the sperm is not secreted.Second one is the testicular problem where the sperm formation itself is defective.Obstructive azoospermia can be treated.However, maturation arrest at this stage cannot be treated.It is better for you to consider pregnancy with donor sperm ( donor sperm IUI - intra uterine insemination ).As a few sperms are seen, you MIGHT consider TESE ( testicular sperm extraction ) and then ICSI ( intra cytoplasmic sperm injection ), but the results would not be good.Take care. | |
What causes painful bleeding lump in the anus?
Hi there I have a long lump that runs from just after my testicles(gooch) and links up with my anus. the lump itself it bleeds everyday leaving traces in my shorts and is very painful its quite large in size. I'm very confused as to what this is and where i should go with this if there is just something i can do without seeing my gp | HI.This is a fistula in ano and get a consultation of a General / Gastrointestinal Surgeon.You need investigations including MRI / Fistulogram to see the internal extent of the disease. You may need a few staged surgeries. Go for Surgery at the earliest. | |
Suggest treatment to reduce high BP
Hi My blood pressure has been really high this week 153/109 I m not feeling well, have a headache and like a Charly horse in my right upper side of my chest area I feel exhausted like I should be in bed, but then can t sleep Should I go to the er? I have a primary care appt next week | Hello!Welcome and thank you for asking on HCM!I read carefully your question and understand your concern. It is important performing a complete check up to find out the possible cause of your symptomatology. As your clinical situation has been like this for a week and you are still with the same symptoms, I think that you should wait for an appointment with your doctor until the next week. But if your clinical situation worsens (especially with chest pain or shortness of breath) you should go to the ER to perform a resting ECG and cardiac enzymes to exclude possible acute coronary syndrome. It is important performing also other tests by your GP to find out the possible cause of this clinical scenario: - chest X ray study- a cardiac ultrasound-blood lab tests (complete blood count, PCR, sedimentation rate, thyroid hormone levels, fasting glucose, kidney and liver function tests). You should closely monitor your blood pressure several times during the day and refer those values to your attending physician. An antihypertensive therapy should be started if your blood pressure stays most of the time at these levels. Meanwhile, I would recommend avoiding salt and caffeine intake with food and straining physical activity. Hope to have been helpful!Best wishes!Dr. Iliri | |
What causes loss of balance with increased BP?
My Mother n Law was at Doctor office for a check up and her blood pressure was dangerously high. Went to ER right away. After lowering the blood pressure (she has had issues in past).. She was able to stand up but when she went to walk her left leg crossed over the right leg and she fell. 4 weeks later it is still happening. They have ran so many test. Can not find anything wrong with her. Physical therapy has not helped. Brain cancer? Stroke? They can not find anything wrong..... | Thanks for your question dear it may be stroke you should have ct brain plain to rule out any acute problem if it was due to tumor then it was not sudden it should be of chronic nature thanks | |
Suggest treatment for a painful bump on the penis shaft of a child
Hi - I noticed that my 13-month old son had a white bump under the skin on the shaft of his penis. It is almost the size of a dried lentil, Doesn t seem to be hard. It is not pimple-like, but rather something that looks like it is right under the skin. It is especially prominent when he has a small erection because he has to urinate. | Hi, this is probably skin infection due to staphylococcus. You need to give antibiotic course of antibiotic like amoxyclav for 5 days. It usually takes 2 weeks time to completely heal. Take care. | |
Suggest treatment for asthma
There times when I am consuming liquids that a few drops touch my lower throat and will trigger a asthma like attack. I believe I read once that there is a name for this condition but do not recall what it is. Do you know what this condition is called ? | HI Well come to HCMI really appreciate your concern, it is happens when something goes in trachea and that causes reflux phenomenon and some time it may cause asthmatic attack, but this is not the common phenomenon but in your case it could be allergic asthma better to rule out this, hope this information helps, take care and have a nice day. | |
What causes bumps on back?
My 5 yr old Grandson has been getting red blind spots (bumps) on his back, sometimes on his shoulder and odd ones on other areas. Nobody seems ableto identify them They fade to leave a litlle bruise like light brown stain, and have been appearing over the past few weeks. | Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
What causes pregnancy symptoms and negative test results?
Hi, I need help! I ve been taking the mini pill(cerazette) for 2 months. two weeks ago i took my pill 15 hours late and now i am feeling like i m pregnant. I ve been urinating a lot and feeling pain under my stomach. I have taken a home pregnancy test 2 days ago and it came out negative. | Hi,Cerazette is a newer mini pill and its 99% effective if taken correctly. It has a window period of 12 hours, that is if you take it 12 hours later than the usual daily time it is still effective.You had a delay of 15 hours , but you did have a negative pregnancy test. You could repeat the urine pregnancy after a week to confirm that you are not pregnant.Also pain in lower abdomen and frequent urination could be a sign of urinary tract infection, you should get a urine routine and microscopy to rule out infection.Hope this helps.Regards. | |
Q. Due to fall, my mom has knee pain which aggravates while sitting and bending the legs. Plese help.
Hello doctor, Two months ago my mother fell down on her knees but did not seem to complain. Recently, she did a bit of house work for a few days and her knee is in pain especially in the back where you bend your leg. Pain is also notable when she sits down for an hour or longer and gets up, and also when waking after sleep. | Hello. Your mother has osteoarthritis of the knee and the fall may have stirred this further. The pain that you describe is at the back of the knee this can come from the knee cap as well as the degenerative tear of the medial meniscus. As there are a very little mechanical symptom like locking and giving way not there is much of an effusion I feel that the pain is from the knee cap. The pain in such cases can be at the back of the knee, pain is worse in climbing stairs or coming down, worse after having sat down for any length of time. This condition is called patellofemoral compression syndrome and can be helped with regular exercise and patellar gaping and a course of anti-inflammatory medications like Diclofenac or Piroxicam. In addition, she can take Paracetamol and Tramadol combination for pain. She will need to do VMO, gluteal, core strengthening exercise, and hamstrings stretches, in addition, she needs to avoid squatting. The physiotherapist can in addition give IFT or TENs to help. it will take 3-6 months for the pain to settle down. MRI also shows an incarcerated needle tip under the patella have but I need to have this physically checked if this was recent and was it from the fall on to a sharp object. | |
Loose tooth next to the front teeth. Any suggestions ?
My daughter has a very loose tooth next to her front teeth . When it wiggles, there is a small hole, where it SEEMS the root of the baby tooth is piercing out of ther gums! I ve called the dentist but they are on vacation until Monday, which is 4 days! The emergency answering service has yet to return my calls, ugh for at least 5 hours now!! Any suggestions to go to another dentist, or waiting until Monday to have it xrayed, or try and take the tooth out?? Her gums are definitely inflamed and hurts her, yet she is able to eat and play normally......i can help her brush her teeth and use kid mouth wash in the meantime.....any advice would be appreciated! | Hello & welcome, If you can see the root of baby or deciduous tooth coming out of the gingiva, then that particular tooth is close to shedding or exfoliation. If gingiva is inflamed, there might be slight infection in it that can be treated with the use of Anti-biotics & painkillers by your dentist only. Usually, such naturally exfoliating teeth don't require to be removed by dentist unless creating problems like in the case of your daughter. If the root is pointing out of the gums then it may be hurting opposing tissue along with the gum. So, best advise here will be not to wait for 4 days . Just approach another dentist & get that tooth extracted as soon as possible before it creates severe discomfort or injures surrounding tissue. Simply removal of the deciduous tooth will suffice in this condition. Take care. | |
What could cause extreme pain in foot?
I think I broke my foot, it don t look bruised or anything though, on a 1 to 10 scale pain it s a 10. Well, I was laying on my foot fora good 45 min straight and I felt it getting hella numb, so I ignored it until I couldn t handle it...I got up to walk it off and I lost all balance and started to fall so I tried to catch myself 5 times and my foot cracked that many times and i dropped to the ground. I can t hardly walk on it...i dont know if I cracked a bone or what...I ve felt a lot of pain but never this! | Hello, There are many reasons for pain that you are having like fracture arthritis tendinitis etc. I suggest you to go to hospital and make an X-ray examination to see what is going on because it isn't normal to be in such pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician | |
Suggest treatment for a hard lump on the base of skull
I have a hard knot at the base of my skull. It s hard and won t move but it s cause headaches and light sensitivity, also the headaches start right off the bump it feels. What could that be? I m not sure if they are related but I ve also had nose bleeds since this. | Thank you for your query.The base of your skull houses some important structures namely the occipital lobe ( responsible for vision), brain stem ( responsible for regulating important body functions like breathing,blood,heart rate and also houses several workhouses of the cranial nerves including the occulomotor which supplies the muscles of the eye) and blood vessels , contained in a narrow space, that supply the posterior part of your brain.Any space occupying lesion (SOL), a general term used to describe 'knots', 'bumps', 'tumours', in this area needs to be examined promptly especially as any pressure to adjacent structures , mentioned above , can cause compromise of these functions and Increased intracranial pressure.Nose Bleeds may occur to help relieve these symptoms . All your symptoms fit in this scenario. The SOL needs to be checked out right away by CT or an MRI of the brain and surrounding structures. Based on the size, type and other characteristics, a treatment plan will be made and initiated. This may include surgery to relieve pressure symptoms and effects.I recommend a prompt visit to your doctor to get it checked out.in the meantime, worsening ofy our symptoms, occurrence of new ones like, tremors, breathing difficulty, severe headaches, vomiting warrants a trip to the ER right away.hope this helps and you get better soon.wish you good health and feel free to get back to us if you need any clarification | |
What causes enlarged prostate and rapid weight loss?
My husband has been losing weight very rapidly and has no energy ,lack of appetite and can t get a restful sleep ! Has enlarged prostate and has been having a brown color in his sperm ! We have had a lot of test run like blood work and everything has come back normal ! He has been on cholesterol medicine for about two months , but stopped it about two weeks ago . He takes uroxotrol for enlarged prostate and a low dose aspirin is all he takes on a regular routine . We don t know what else to do ! We have gone to his Urologist and his PSA is 4.9 . He doesn t seem to be concerned ! Please help us !!!!! | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.PSA antigen above the value of 4 is considered as a malignancy in the prostate and should be biopsied. Though your PSA is not much high but it should be rechecked after a period of month or so.Brown discharge and every thing points towards the malignancy.Biopsy report will diagnose the type of malignancy and it's extent. This will help us in the further management of the ptostste malignancy.Prescribed medication are right and should be continued.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM | |
What causes body pain, tiredness and mood swings?
Hi, I have been going to bed with an aching body and i will be very cold to wake up being very flushed. I am always tired, I have been very moody I have very bad cramps and I also have trouble eating could you please help me to find out what s happening? | Hi, As a first line management you can take analgesics like Paracetamol or Aceclofenac for pain relief. We have to rule out possible causes like fibromyalgia. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
What causes sudden breathlessness when laying in bed?
i just had a panic attack. I was just laying in bed minding my own business and then it felt like I was suffocating and I couldn't breathe. I felt like I would pass out or die..that's how bad it hurt to breathe..that was the scariest thing that's ever happened to me. am I anemic? | Thanks for your question on Health Care Magic. I can understand your concern. I don't think your symptoms are due to anaemia. Anaemia causes breathlessness on exertion, not on lying down. So I don't think you are having anaemia. In my opinion your symptoms are due to stress and anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Counselling is very important along with drugs for control of stress. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Q. What is the recommended course of action for LAD stenosis?
Hi doctor, This patient is complaining of prolonged chest pain for three weeks now. Took medication for gastric issue and the pain has not subsided. I have attached the angiogram report. ECG performed several times and nothing abnormal in it. The angiogram report showed mid LAD 12 mm length and segment eccentric calcification. Soft plaque in LAD causing 50% stenosis. What is the recommended course of action? | Hi. I appreciate your concerns and can well realize the sensitivity of the issues. There is considerable calcification of LAD (left anterior descending artery). If it reaches up to 75% that is quite possible in the near future, then complications and consequences can be severe. In case of single artery involvement in coronary artery disease (CAD) it is best to have an angioplasty of the vessel with stent placement. For further information consult a cardiologist online --> | |
Could severe pain in feet while walking in a child be due to IVs being done through feet on birth?
My daughter was premature 4lb 2oz and all her ivs where done through her tiny feet. Today, a healthy 8 yr old complains about pain on both her feet. She had an xray at age 4 or 5 and revealed inflamation. Recently had had another xray and everything appears normal. My daughter randomly has excruciating pain when she steps and no pain medication appears to hrlp. I always put a warm compress to alleviate the pain but that is temporary. Any suggestions. Im freaking out and im scared. Please help. | hello... reviewed your question... now first thing make clear that if in previous 8 years she had not complaint anything about leg pain than these pains are not due to IVs at the time of birth... there are many reasons for these kind of pain including vit cdeficiency, vit d deficiency, iron deficiency and many others... also osteomyelitis and myopathies must be ruled out... need to consult pediatrician and orthopedic surgeon.... feel free to contact anytime to discuss reports and other things in future | |
Suggest medications for pain in foot
Not sure if I have a broken bone in my foot. A LOT of pain; outside middle section of my left foot. My 50 lb. dog jumped off the sofa and landed on the foot last evening. it hurt, but overnight... the pain became worse. No bruising.. but very painful | HiHope this msg finds you in good health.I have gone thru ur msg & understand ur concern. u can take paracetamol or analgesics. .take rest.. compression bandage. .local gelFeel free to ask me a FOLLOW UP QUERY anytime.Take care | |
How long will it take to get hard erections?
I started on a beta blocker about three weeks ago for my BP. It has helped, but I now find that I can't get or keep an erection. My Doc said this will go away after I stop taking the medicine. I've lost 17 pounds in two weeks excersizing and dieting. How long after taking the meds will I get my hard erections? | I doubt that with beta blockers in use you will get proper and sustainable erection. If you leave beta blockers you will need to see for alternatives to control over your BP. You need control.over both the BP and erection, herbals approach is best option for you. However, you can't switch to herbals instantly. You need to go gradually. Herbals do not have interaction with your current medicine of any system.Need further advise or treatment or package, please ask a direct question. | |
What causes abdominal pain?
my wife is suffring from abdominal pain.pain was not that much when it started 8 months ago.she use to have pain near her periods.and she used to have heavy bleeding.now the pain is so much high from 1-10 is no 10.her esr level was 54.and she had swelling in her body.doctors have done ultra sounds,xrays,but they cannot find anything.please give us advice what to do. | Hello, thank you for writing in to HCM.Few questions I need answers to before coming to specific conclusions:- Is the pain in relation to food intake (does it happen on empty stomach or only after eating) or is it in relation to her period? - Is the pain accompanied by any vomiting?- Does she also have loss of appetite?- Is there any discharge with her bleeding?- Are her bowel movements normal?Based on these answers one would be able to better diagnose your wife's problem, like if there are signs of loss of appetite, liver function test is needed.If the ESR was done more than a week ago, you should repeat the test along with CBC, abdominal CT, urine culture and sensitivity, occult blood as well as stool RE. Please get back to us soon with these reports so we can assist you much better.Meanwhile, anti helminthics can be given to her. if she's constipated you can give her mild laxatives at night. Penta prazole and Domperidone tablets on empty stomach should be started. If pain is severe, tablet Accuvin can be given SOS.All the best. | |
Suggest cure for a hole in my upper left leg
I have a hole in my upper left leg on the back side, I don't know what caused it but it's not healing. It's about the size of a nickle and is fairly deep and it bleeds a little and has pus. Any idea what it could be? it's somewhat painful too. | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems like there has been either hair follicle infections or Folliculitis leading to ABSCESS formation or there can be infection at the big bite site or can be due to Traumatic injury..I would suggest you to consult a physician and get evaluated and he can advise you to take antibiotics like Ciprofloxacin, if there is pain Acetaminophen or Diclofenac can be advised..Dressing can be done by cleaning the area with antiseptic solution, draining pus and applying Triple Antibiotic Ointment over it..If there is a hole the Physician can also pack it with a gauze dippee in antiseptic solution for asepsis and healing..Hope this information helps..Thanks and regards..Dr. Honey Nandwani Arora. | |
What is the solution for a pain due to blister like bubble on gum?
my 6 year old daughter has been complaining of pain in the back of her mouth. I took a look and there is.a blister like bubble on top of her gum where he back tooth looks to be growing out. The tooth has not yet broke thru the skin. Should I take her to the hospital? What can I give her for pain? | Hi..Can understand your concern..As per your complain pain and blister like bubble in a 6 year old toddler can be an "ERUPTION HEMATOMA" as it is the age for the eruption of a permanent molar and it would have even broken through the gum below the blister leading to formation of a Hematoma..You need not to worry about it as slowly when the tooth will erupt the blister will disappear..To relieve pain you can give Tylenol or Ibugesic kid to her..You can apply Lignocaine gel over the painful area with precaution to be precise in application as it is numbing agent and will numb the area it is applied..Cold packs can be relieving..Hope this information helps..If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation..Thanks and regards..Dr.Honey Nandwani Arora. | |
How can chronic lower backache due to improper weight lifting be treated?
Hi, I have a chronic lower back pain from last 5 years, I am 35 years, male. Earlier i was activated only due to some heavy or improper weight lifting or bending, once activated it was very severe and used to remain 15-25 days.But now since past 2 years it doesn t activate, as i take precautions.Now it remain 24x7 all the time, but mildly. It become severe when i sit, while bending my lower back. Sometimes my right leg becomes numb, but only right leg.I take Mobizox when it becomes severe. Please advise. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Lower backache with right lower limb tingling and numbness is sign of nerve root compression at the level of lumbar spine. Most likely cause is disk prolapse in young people like you.Diagnosis needs to be confirmed with x-ray of the lumbo sacral spine anteroposterior and lateral views and MRI of the lumbo sacral spine. MRI is very sensitive and specific for diagnosis of disK pathology.Meanwhile, avoid forward bending and weight lifting. Start pregalin group of medicine for relief from numbness in right leg. NSAIDS can be taken for back pain relief. Visit to an orthopedic spine specialist is recommended.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jayesh Vaza | |
How to get rid of dark mole like patch in my left groin area?
I have a dark mole-like patch in left groin area. Diagnosed as keratosis Also had jock itch with bad smell. Responded to treatment. Wart on right side removed and has healed. Are these related in some way or could they point to some other condition? What do you suggest? | Hello, If there is more than one wart, recent unprotected sex can think of sexually transmitted infection. If not it can be due to genetic or environmental factor. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | |
What causes elevated HDL, triglyceride and total cholesterol levels?
I have been prescribed fenibrate 160mg qd after seeing my primary care MD this week.... I am already on Simvastatin 40 mg po qd and Zetia 10 mg po qd and I take 1200mg fish oil daily . I was recently diagnosed with hashimotos disease and my Synthroid dose is 125mcg daily . My lipid panel 6 mo ago had come down and my numbers were in normal range and this week they are elevated and more than they have ever been. (Triglyceride 540, HDL30, and total chol 209) My Tsh is also back to 4.27 while being on the dose of 125mcg of levothyroxine. My question is two-fold....could my lipid panel by off again because of the Hashimotos, and is it safe to take Tricor along with Simvastin and Zetia. Of course I am distressed that my numbers are way out of range (even though I follow a nutricious diet and get some exercise and take my medicine). I am a 55yo female with a strong family hx of high lipids ,,,,,One other thing the Endocrinologist put me on in Sept 2016 was metformin 1000mg for a HgA1C of 6.1 (?? don t know if that was necessary but complied and now wondering if that has something to do with the elevation of the numbers on my lipid panel? Thank you for your time . PS I am an RN and have spent my life working in cardiac care services area so this is a real big concern to me. | Hello, There are many reasons that may alter cholesterol test results. Your test result is likely inaccurate. I advise you to take the test again. The test should be taken at least 1 week after from the current test and the medical decision should be based on both results. Hashimoto's disease is a hyper-functioning of the thyroid gland. High thyroid hormones are known to decrease cholesterol level in Hashimoto's disease. But cholesterol level may get increased in under-functioning thyroid gland. Regarding your medications: Simvastatin is a medicine that decreases cholesterol level by inhibiting cholesterol synthesis and has more effect on decreasing LDL levels. Fibrates (Tricor) decreases TG levels, and Ezetimibe (Zetia) decreases cholesterol absorption from the gut. The combination is more effective than using a single cholesterol medicine but combination Tricor with Simvastatin may increase muscle pain (myopathy). Metformin has no effect on test results, it was found to decrease cholesterol level. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest remedy for soreness,redness and swelling in wound
I had a glass vase fall on my ankle. It was a large gash that required 8 stitches. It has been 2 weeks since the injury and I have had the stitches removed. My question is that I think there could be glass still in the wound. It feels very sore to the touch, red, and swollen. What should I do? And should I be concerned? | HelloAs you mentioned that a large gash fell on the ankle , after stitches removal , still there is redness, soreness, swelling and very pain due to touch .All these symptoms m may be due to foreign body impacted in injured part( tenderness present ) .May be due to inflammation still exist, because swelling redness pain are an indication of inflammation ( infection ) .Get in MRI of injured part , consult a surgeon and get his opinion as physical examination will find out whether foreign body ( glass piece ) present or no.Good luck. | |
Suggest remedy for pain near rectum and hard lump under buttock cheek
Since Monday I notice pain near my rectum today after investigating further I found that I have a large, hard, lump mass underneath the skin on my left butt cheek, no it the rectum/anus itself but more so underneath the skin of the lower left butt cheek. My Dr. does not have any appointments open till the 20th. Should I go to the ER. Is it cancer? | Welcome to health care magic. 1.No the history you have given does not suggest any cancer, it only suggest a superficial/ subcutaneous lump with pain.2.That could be hair follicle infection, lipomas, or superficial abscess.3.Would recommend you to see the doctor / GP , he will examine the case and do needful investigations done.4.If there is any pus discharge / collection noted - a course of antibiotic would help.5.If in case its bigger a small incision and drainage would be helpful followed by the antibiotic treatment. Good luck.Hope i have answered your query.Any thing to ask do not hesitate. Thank you. | |
How is allergic rhinitis treated ?
I am suffering from nasal and throat conjugation and nasal bleeding, Sometimes my eyes are swelling and etching. I have gone through various check up, but no disease has been detected. However, a medicine specialist told me that I am suffering from allergic rhinitis and prescribed me to take Montek LC for 6 months. Is it the proper treatment of this disease or any others? Nasal bleeding and eye swelling has been stopped after taking Montek LC.but the nasal conjugation is still now. | Hi Probably what you received is not an appropriate treatment as all of your symptoms have not been relieved With the available information it is not possible to say what exactly is your disease. Most probably you have sinus infection. In sinus infection anti-allergy treatment may relieve some symptoms However you better show to an ENT specialist Take care | |
Suggest remedy for weight gain caused by fatty liver
i have been diagnosed with a fatty liver my weight seems to have rocketed I don t drink i have never smoked due to a lung condition i feel so uncomfortable with myself If i don t eat i seem to fill up with wind I have to take steroids and anti bionics on a regular basis, I am just about at may wits end.The GP. doesn t seem to know what to do with me. any advice at all. Regards Eve | Hi Thanks for query As per your history you are taking steroids regularly,One of the main side effect of steroid therapy is weght gain,Characterstically central obesity,Fatty liver is also du to steroids.,weight gain in your case is most likely not related to your eating or food habits,But is likely a side effect of continuous steroid therapy.For any further professional advice i would suggest you to mention your detailed history.why are you on steroidyou initial complaints and problems.Thanks | |
Muscle cramps, high BP, nodule on left adrenal gland and lesion on the left kidney. 24 hour urine test normal. Suggestion?
I have a 17mm nodule on my left adrenal gland and an 8mm lesion on the left kidney with lots of symptoms yet my 24 hour urine test came back normal...........I am 48 yrs old and have been taking blood pressure medicine since I've been 25 yrs old a few years ago I was told that my aldosterone level was high and was switched to a medicine called aldactizide........but after a car accident I've had in 2009.....a new Dr.(cardiologist) switced it out again.....yet I still Chase my blood pressure and get muscle cramps often????????????????? | Hi,Welcome to HCM,Since you have a nodule in adrenal gland ,it will be better to consult endocrinologist and discuss regarding management of the nodule if needed. adrenal nodule itself can give rise to increased hormonal level affecting blood pressure . you need to get check up and get tests as advised .electrolyte imbalance may be there due to hormonal disturbance leading to cramps proper diagnosis and management will take care of your problems . | |
Q. Will taking Carloc and Cardace for CABG lower BP?
Hello doctor, My wife was operated for CABG a year back and is taking Carloc 3.125 mg and Cardace 2.5 mg twice a day, among other medicines. Presently sometimes her BP goes down to 100/60. Is it due to the above-mentioned tablets? Should the dose be halved for relief? | Hello. I have gone through the reports (attachment removed to protect patient identity). Firstly, her heart function being low 25 to 30 percent, she has the tendency for low BP. So her BP will remain low. Over and above, Carloc (Carvedilol) and Cardace, both lower the BP. But, in her case, these medicines are necessary in order to prevent further decline in heart function. So, if she is not having symptoms like dizziness, excessive fatigue, they should be continued with the same dosing. Usually, more than 95 to 100 systolic is fine if not symptomatic. | |
What would cause erectile dysfunction after a prostate biopsy?
I had a prostate biopsy done last November. Full recovery was pretty fast; took just a few weeks. However, since the procedure, I started to experience some sorts of ED (i.e., lost of sexual desire, lack of full erection, involuntary semen dropping). That seemed to go all away after 6 months. I basically went back to normal. Then I went for a follow up check up with my urologist. He did the routine prostate check (with the finger). That happened about 3 weeks ago; since then I have been experiencing the same ED problems that I had right after the biopsy was performed. I wonder if these problems are still temporary side effects or they are permanent? | Hi actually prostate is the cause for ED in your case but smoking,Alchohal and diabetes also effect for such situation and Psychlogical effect also cause ED.1st take good diet,just relax your mind it may helpful if not than sildenafil 25mg may start if there in no contraindication like you are taking any nitrate containing medicine angina stroke or peptic ulcer you can start the sildenafil for ED,and some lab test like U and E,LFT,glucose LH and FH ,lipids and testosteron required if it remain permnanat | |
My follicular study result
my name arunima,age -26, follicular study day-13 ,endometrial thickness-14.7mms, right dominant follicle-21.5mms , is it normal? day-14 scan result - follicle ruptured, fluid seen in the POD, ovulation(+), please inform me doctor pregnancy chances today - day 16 I have back-pain doctor is it normal | HI Arunima! Welcome to healthcaremagic.com.Hi if succesful intercourse occured within the fertile period and there are good chances of conception.Please relax and donot stress.Getting stressed will not help in getting you pregnant.Back pain is very non specific sign.Take care. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Done seizures and convulsions. Taking eptoin and folvite tablets. Diagnosed with epilepsy. What to do next?
hi my name is vikas agarwal, doctor suggested that i got epilepsy shock or somewhat of that sort i got seizures and a day before that i even got convulsions now i am taking eptoin and folvite tablets i have done my MRI report and that was normal after doing EEG doctor told me that i have got epilepsy so what should i do next | Hello Welcome to HCM Epilepsy occurs due to abnormal electrical discharge from brain areas. Most of the times in epilepsy MRI report comes norma. MRI is advised only to rule of any serious pathological cause of seizures. Even in idiopathic seizures EEG comes normal during inter episode time. Eptoin is phenatoin and is a broad spectrum anti epileptic drug. It is a nice drug and it can control seizures effectively. Apart from taking drugs please follow following advise- - Never miss a dose of drug, if you miss a dose by chance then take it as soon as you remember missing it. - Fix a time for food, sleep. - Don't remain awake in late night. - Don't watch television from close distance, avoid bright lights in night. - Avoid loud DJ sounds. - For some time avoid driving alone. - Usually if you will remain seizure free on drugs for at least 3 years then gradual tapering of dose can be think of. Thanks | |
What are the chances of developing toxic shock syndrome after been diagnosed with staph infection?
My mother has recently been diagnosed with a Staph infection. She had surgery in January and a small area of the incision now has Staph aureus on culture. She has already been on antibiotics for 1 week and the wound has improved - redness and drainage has subsided. What are the chances she would develop TSS at this point? She is planning on leaving for a week long cruise on Saturday and has been advised not to go because she could get sick . | Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that it is very rare to develop toxic shock syndrome. It develops only when there is active infections. As your mother got treated there is nil possibility of TSST in him. So she can go for long cruise.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic. | |
Had chemotherapy for non-Hodgkin's lymphoma. Lump in the underarm. Should I be worried?
I have recently had chemotherapy for non Hodgkin s lymphoma . My last cycle of r-chop was in September . My illness was predominantly in my chest, underarms and neck. I have just found a marble size lump in the top right underarm but I was given the all clear in October after a PET scan . Should I be worried or do you think it could be menopause related. I m 44 but the doctor said I m having the menopause early due to the treatment. Many thanks claire | You should closely observe your marble size lump in your underarms in consultation with your treating Doctor. Sometimes it can be a residual node with necrotic tissue or granuloma which may not be of any consequence. However, we might need a biopsy procedure if this node does not resolve in few months' time. It is not in any way related to menopause. | |
How to cure acute anemia causing respiratory problems?
My mother, aged 69, shows signs of acute anaemia and we are trying to figure out the cause. She was hospitalised and treated a month ago for severe respiratory infection and given strong antibiotics. Side effects included tachycardia and significant drop in potassium levels, the latter of which was addressed with medication. She was discharged after 10 days, improved and regained her appetite. But for the last about 3-4 days she has been extremely tired and weak, has lost her appetite, finds it hard to swallow, is occasionally feverish, finds it a bit difficult to talk, and her feet and face are beginning to show signs of puffiness, all of which lead us to believe it might be anaemia. As she was thoroughly tested in hospital for kidney and lung problems, and given the all-clear, we believe this might be drug-related acute anaemia. Any advice/information would be much appreciated. Thanks. | Hi, dearI have gone through your question. I can understand your concern.She may have anemia. We should search for the cause of her anemia first. You should go for complete blood count, peripheral smear examination, anemia profile and ultrasound abdomen. this will give you exact cause of her anemia. It may be due to iron deficiency, vitamin b12 deficiency, hemolysis, blood loss or other cause. Then she should take treatment according to cause.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
What causes muscle cramps while on Humalog?
I take humolog for diabetics and have been on it for 3-4 weeks. Morings I start with 40 and add what ever my blood sugar levels are based on a scale. Lunch and supper start with 45 and the scale based on sugar levels. I ve noticed that when I started this medicine I have been having a lot of muscle cramping. Today has been my worse day. I cramp all over my feet, toes, stomach, under my breast, my back, hands. At night The cramps are on my toes and feet. I have not given my 2nd dose for fear that he cramps will get worse. My question is Do I stop taking the insulin. I have put a call into my Dr but have not heard from him yet. | Hello,Cramps do not have anything with insulin. Please see that you are not anemic or dehydrated also get lab tests for serum calcium, vitamin D and vitamin B12.You may take any over the counter multivitamin antioxidant combination.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi | |
Suggest treatment for atrial fibrillation
My husband has atrial fib and is on sotalol, has high blood pressure and was put on azor and since he was put on azor he has been back in afib twice and the last time has been 4 weeks and still is, saw cardiologist yesterday and wants to do another cardioversion he has had two in last 5 years, he did not want to talk about the azor since that was ordered by primary doc, I read that azor may interfere with atril fib is this true | Hello! Thank you for asking on HCM! Regarding your concern it doesn't look that your husband atrial fib recurrences have evidently anything to do with taking Azor. Amlodipine and Olmesartan (the 2 components of Azor) are not considered pro-arrhythmic drugs, and in general are well tolerated, except in patients with renal and kidney dysfunctions. A comprehensive investigation should be performed to find the eventually detectable reason of Afib, including a current cardiomyopathy, any thyroid dysfunctions, etc. A careful maintenance therapy with Sotalol (or even a more safe anti-arrhythmics) should be applied. Hope to have been helpful to you. Greetings! Dr. Iliri | |
What causes vaginal bleeding during pregnancy?
I am 10 weeks pregnant with my 4th baby and I have had wonderfuk straight forward pregnancies previously. Last night we had intercourse and today I have had bleeding on and off. I know this can happen, can it cause miscarrige and how long will the bleeding last if it is just because of sex? I spoke to my midwife today and she said just wait. I dont have any pain. | Welcomw and thanks for consulting at healthcare magic!I have reviewed the details in your query. It is nothing to worry about miscarriage. It will OK soon. In a couple of days the bleed should stop as this is just due to intercourse. Take care for future intercourse as trauma can be dangerous especially in first trimester.Hope it was all that you need an answer for. Keep in touch if you need further answers. I pray for the best times ahead.Healthiest Regards!Dr. Sumaira Kousar MD | |
What cause raised and itchy rashes on the butt crack?
I am a 16 year old girl and i am having a lot of problems. I have this red, raised rash near my butt crack that is very itchy. About the size of 2 quarters. Also, sometimes, not every day, it hurts to poop, it burns. I don't think these two things are related because the rash is not near my butt hole. I need a solution because it is irritating! | Hello, It seems to be fungal infection. I would recommend you to apply miconazole cream on the affected areas twice daily along with antihistaminic like tablet Cetrizine once or twice daily depending on the intensity of itching. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist | |
How to cure blisters inside lips and roof of mouth?
Thought I burned my tongue, didn't go away and became very painful . One month later was treated for thrush with 1 pill 100mg fluconazole & nystatin mouth wash, Calmed down but stayed low grade. Treated again with fluconazole, again almost went away but stayed low grade. I doubled the meds and took 200mg a day, again almost gone. (Used listerine/peroxide mouthwash throughout as well). Blisters on the inside of my lips and roof of mouth-CRAZY PAINFUL. Blisters were everywhere. Started fluconazole again 200mg a day for 2 wks | Hello!Thank you for posting in HCM.Thrush you are experiencing seems to be resistant.See your dentist for a antibiotic sensitivity test.You already used nystatin and fluconazole for the thrush.Use a OTC pain killer if necessary.Check if you are low on immunity.You did not mention if you are diabetic.Control your blood sugar levels if yes.Get HBA1c done every 3 months for management long term.Use mouthwash daily for a month till it is completely controlled.Take b-complex supplements with folic acid and niacin.Get it treated as early to prevent further spread.Hope this helps. | |
Is it advisable to take buta proxyvon pain tablets for heart patients?
Male. Age 66, Swelling of left inguinal area and left testes. The local physician prescribed combiflam twice a day and levofloxacin 500 one tab daily for 5 days. I find I am allergic to combiflam (ibuprufen + paracetamol). My lips got swelled. I stopped combiflam but continued levofloxacin for 5 days.I got little relief. He then suggested to stop the antibiotic and use butaproxivon tablets for pain. I am a heart patient (PTCA done in 2001) and regularly taking Losar, Deplatt 75 (chlopydogrel), Crestor 20 (Rosuvastatin) and Ezetimbe 10. Under this condition, is it advisable to take butaproxivon ?. Thanks | HiCombiflam contains ibuprofen + paracetamol.It is essential to know whether you are allergic to both the components of the drug. Butaproxivon contains diclofenac and paracetamol.If you are allergic to paracetamol ,then this drug should not be used.Instead plain diclofenac can be used for pain relief. Diclofenac can be used and does not have any major drug interactions.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | |
What causes watery stools while being on dumex dupro?
Hi, my son drinking dumex dupro step 2 now. But recently he s stools are watery & sometimes after each feed he will pass motion & sometimes when he farted, the stools will comes out watery. Is he allergic to the milk? Or is it normal as he s started his solid food? | Hi...in this age the kids keep whatever they find in the mouth and it is normal phenomenon to get diarrhea like this and it is most probably viral in origin. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - Dr. Sumanth | |
How to treat painful hard lump inside the right forearm?
I have a hard lump on the inside of my right forearm. It is the size of a quarter and it moves, gets bigger and gets smaller. It is kind of painful and it just appeared two days ago. Not sure if I should be worried or go to the doctor. I do not currently have a primary doctor so it could be a while before they can see me. | HiWelcome to hcmYou may be having lipoma that is fat lump which usually soft but can be hard when present along with fibroma. They are not painful. So for confirmation you should see a surgeon. Mostly this dosenot require any treatment.Regards | |
Pain in lower back, heard a loud noise, severe pain, no apparent bruise. Cure?
Hi, i sneezed this morning and my lower right back started to hurt very badly. It felt like something got injured on the inside of my body. I heard a loud noise from my lower right back, i checked to see if there was a bruise there but there was not any sign of one. I have very severe pain and I m thinking of going to a hospital if i do not get better. Anything you can help me with doctor? | Hi, Thanks for posting your query It seems you have developed muscle strain over lower back following sneezing, due sudden jerk and pressure. To reduce pain and for better healing- Do hot fomatation at site Apply musle relaxant gel 2-3 times a day Take antiinflammatory drug like ibuprofen to reduce pain and inflammation. Avoid forward bending and heavy weight lifting. And rest well. Hope this will helps you Regards Dr Saurabh Gupta | |
What causes swollen lymph nodes and itchiness after unprotected sex?
Hi, my son had unprotected sex several weeks ago. Last week he had pain and itching in his genitals plus his lymph nodes were swollen. He tested negative for gonorrhea and chlamydia. he was given a shot and several antibiotics before those tests results came back. He will see his doctor when he returns home on Tuesday. However, he is in a lot of pain,itching and just feels bad. Also the one lymph node is much more swollen than it was last week. I don't know if he should go to an ER where he is or just wait till he returns home. Any suggestions? | Hello and welcomethanks for your query. I shall make an effort to provide you with good professional recommendations specific to your questions.Based on the information provided by you it appears to be a case of STI (sexually transmitted infection)or some allergy to some substance that you might have come in contact with or inflammation due to injury during sex.You can soothe irritated skin with a cool soak. Water can wash away any remaining allergens and help inflamed tissues to shrink back to their normal size. Wearing breathable fabrics like cotton might also be helpful, as the inflamed skin might need to breathe in order to heal. You can apply any over the counter penis health cream.Itching over other areas can be addressed by keeping the areas dry and either using over the counter antihistamine cream or taking oral antihistamine medication.If it persists after few days or it intensifies, I advice you to see doctor for examination and further treatment.Yet again, I duly appreciate your query to me, I do hope that have found something useful to help you and I shall be glad to answer any further apprehensions. | |
Suggest remedy for breathlessness
Hi I am facing breathlessness issues since last one year since the time I am staying in bangalore and when I was in delhi i never had such kind of problem ....... what can be done about it? i have been smoking since last 4 years now but now i have stopped smoking. | Hi, If u are having breathlessness since 1 year staying in Bangalore,then there is no such connection or direct or even indirect relation with changing of place has caused breathlessness but..U can go for CBC ESR and Chest X- ray with pulmonary function test to get diagnosed if there is any kind of pathology.U consult pulmonologist urgently. | |
How to treat an adult onset asthma?
Hi I was recently diagnosed with adult onset asthma, it started when I was excercising 3 months ago and ended up in urgent care, I have been taking advair and bronchoinhalers, In the last few weeks my asthma has been an everyday thing, severe coughing, unable to breathe, heavy chest pain, my right lung hurts when I cough or breathe in and out, my right temple hurts when I cough, It has gotten to the point that my inhalers no longer work, I have to take them more than I should and end up with shortness of breath and coughing, today I started coughing a little blood and I can taste it in my throat, my throat feels closed up and it is worse at night, I can't even talk without losing my breathe and the mucus that omes up from my throat is thick stringy and dark green, I feel like I ma dying literally | Hi there, Thanks for your query. Aggravation of a well-controlled asthma, occurs whenever there is either, a secondary viral or bacterial infection of the lungs; or, broncho-inhalers are not taken properly. Constant cough and dark green phlegm is strongly suggestive of a bacterial infection of the lungs and need a course of suitable antibiotics urgently. You will be all right once the infection is cured and the dose of anti-asthmatic drugs/inhalers is modified as per requirement. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me and will prescribe the advised drugs in appropriate doses. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take care Dr. Rakesh Karanwal | |
How can allergic rhinitis be treated?
hello sir ,myself sachin and i am 24 year old . sir according to blood report my absolute eosinophil count is 510 which is greater than normal range and i am suffering from nose allergy whether it is due to eosinophil count or it is a other disease i dont know......this disese happens after every two or three days i have consult many doctors but i could not get proper cure of it . sir can you tell me how can i cure the disease | welcome to HCHi you are having increased eosinophil count..I'm also chronic sinusitis patient.1) avoid allergens, avoid cold environment, drink plenty of water, use steam inhalation , and use antihistamine medication regularly for 1 and half month .avoid the places where you get sneezing episodes and increased symptoms of cold , running nose e.t.c/2) consult doctor if you are having fever or shortness of breath | |
Suggest treatment for bacterial pneumonia and bruises on body
I was diagnosed with bacterial pneumonia on Sunday. I feel like I have gotten worse. Lost about 10 pounds suddenly. Have bruises that just appeared. Have had a low grade fever all week and sometimes up to 101 to 103. Any suggestions on what this could be. And very tired all I do is sleep and barely eat. | Were you prescribed antibiotics for the pneumonia? If it's been a week, you shouldn't be getting worse. You might need a different antibiotic for this particular bacteria. I am especially concerned about the spontaneous bruises. This could indicate a problem with low platelets in the blood (platelets help the blood clot when bleeding occurs), which can be caused by some infections and also some types of medicines.The weight loss, extreme fatigue, and loss of appetite are also of concern. The pneumonia, if it is severe enough, could affect your oxygen levels and this could have serious effects.I recommend you go to emergency and be evaluated for these possibilities. It sounds bad enough that you might even need to be in the hospital awhile and get antibiotics IV. Hope this helps. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.