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Can I take Celexane for heterozygous factor V leiden?
I have heterozygous factor V leiden and am about to take a 5 hour flight so have been prescribed Clexane injections 40mg. I have just started menstruating and am now worried that I should not take the injections. Please help as information found so far in my internet searches have not been clear. | Hello, There is high risk of excessive menstrual bleeding while you ate clexane. However, it will not be a problem. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Suggest remedy for muscular pain
A few days ago my right knee and thigh swoll up and pain in that leg also noticed a lot of stuffiness in my sinus and flem. I don t have any insurance because I lost my job but wondering if there is something over the counter I can use. I am taking diurex right now | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have muscular pain along with sinusitis . Well there can be many reasons for symptoms you mention in query like rheumatic fever , haemarthrosis or seronegative arthritis . Joint swelling can also occur due to injury cyst like baker's cyst . I would suggest you to consult ENT specialist as well as orthopedic surgeon for proper examination . Doctor may order CT scan for sinusitis and also for knee . ENT specialist may prescribe antibiotics like amoxicillin or penicillin along with decongestant or expectorant . Orthopedic surgeon may prescribe anti inflammatory , muscle relaxant or may recommend surgical removal of cyst . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What causes blood in vomit during pregnancy?
I am pregnant with 7 weeks to go, and still get morning sickness, which is mostly just bile. i was sick tonight, but not bile, it was big lumps which were hard to bring up, and there was alot of dark red blood. even the lumps looked like blood. I now feel as though i have lumps stuck in my throat as it hurts when i swallow. what could this be? | Hi there, I have understood your concern. I will suggest you the best possible treatment options . 1 ) First of all do not panic. 2 ) Whenever there is increase in the acidity of stomach it also causes irritation of lower end of food pipe.At both places this acid causes superficial injury to the lining of food pipe and stomach. This leads to bleeding . This blood comes out with vomiting. It is fresh red if it is recent bleeding and dark red if it is old bleeding. The stuck up feeling is due to irritation and spasm of food pipe. 3 ) I will suggest you to take small and frequent feeds. Avoid deep fried foods and bakery products. sucking Of ice cubes helps A lot.Tab Ondem MD 4 mg twice a day before food for ten days will be of help Also liquid anesthetic antacid like Mucain gel 2 tsf thrice a day for 5 days will be of help. I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar | |
How to treat painful lump on right buttocks?
Hi,I have a hard lump on my right buttock cheek about 2-3 inches long. It is below the skin and it is hard to touch. When I touch it is painful but not painful enough that I cannot press it. I had visited a doctor who gave me an antibiotic tablet but the lump is not decreasing. Please advise.Regards, Ramesh | it won't vanish just because of antibiotics as it is an infected sebaceous cyst and it needs FNAC test for confirmation followed by surgical removal.all the best!............. | |
How long can a liver tumour patient on palliative care, survive?
A friend who had stomach cancer was treated with chemo and was in remission. Later it spread to his liver and he also had jaundice. He now has a tumour on the liver and one appearing on his neck and the hospital has withdrawn all treatment and recommended palliative care. How long will he be able to survive.... | Hi,Sorry to hear about your friend.To me it looks like a advance stage of ca stomach with metastasis to liver.Ca stomach with metastasis has very poor prognosis even with best possible treatment and survival depends upon patient to patient may be 3-6 monthsThanks | |
How can i stop using 'lomela' and get healthy skin?
I am using lomela since 6 years regularly. Now if i apply it daily, my skin remains healthy and beautiful, but even if i dnt apply it for 1 or 2 days, my skin is ugly as hell.. i feel steched skin.. it becomes rough, very dark and white heads starts appearing. I cant stop it even after experiencing redness in the skin most of the time(on of its side effects). how should i stop it and still look good?? Im 22 years old,, wheatish, Indian. | Hi,Thanks for writing to us.The side effects that you are having right now is because of steroid in lomela. So basically you are having steroid abuse.My advise would be to stop it right away To counteract redness, roughness, darkness and whiteheads, please follow these suggestionsUse a mild face wash like cetaphil/episoft/cutirinzUse a good moisturiser( elovera/efatop PE) twice in a dayUse clindamycin nicotinamide gel full face twice in a day to reduce bumps.Take an oral antibiotic like doxy 100 mg twice daily and a good skin supplement rich in vitamin c antioxidants etc.It is advisable that you meet a dermatologist near by as six years of lomela abuse must have damaged your skin irreversibly to some extent. Also you may use ask a specialist feature of this website to upload your face pics for a detailed discussion.Take care | |
Q. My period is late by 16 days. Am I pregnant?
Hello doctor, I had my last period a month back. I had unprotected sex six days later. I did not take any pills also. Now, my period is late by 16 days. Last week when we had sex, I took a pill. Is there any chance for pregnancy? | Hi. As per your query, you had periods a month back. But six days later in which month did you have unprotected intercourse, last month or this one? Also, when did you take the pill? Please specify for further guidance. Revert with more information to an obstetrician and gynaecologist online --> | |
Could a course of prochlorperazine cure swaying feeling with lightheadedness?
Hello, I m a fit 51 year old male. I ve been swaying about like someone who is drunk for 6 days and feeling light-headed. My doctor prescribed a course of 28 tablets (Prochlorperazine) 4 days ago. When I woke up yesterday I had double-vision for about 10 minutes. I woke up this morning I had double-vision for nearly 30 minutes. How long will take for both conditions (dizziness and double-vision) to permanently clear? | symptoms u are describing needs urgent evaluation of brainstem....especially as it is associated with diplopia. Get MRI brain done. Prochlorperazine will give u symptomatic relief.....but it's important to find etiology for permanent cure...regards. | |
How to increase sperm count?
Hi This is vinod here. I had an habit of masturebulation from the begining of 17 and had sexual relation ship since when i did B E.Now i realised is my sperm count is less and penis size also small. Please advice which capsules do i need to take to increase my sperm count? | Hello, There is no drug to increase sperm count. You can go for a sperm analysis to check whether your sperm count is really low or not. Consult a urologist and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
How to treat burning mouth syndrome?
I have had burning mouth syndrome and burning in other mucous membranes. Are they related? I got this 9 years ago. It is so painful and it had subsided but started up again very suddenly 2 weeks ago. Is there any new information you could give me regarding treatment? | Thanks for using Health Care Magic.Read your query.Burning mouth sensation as you have mentioned is usually of unknown cause, though some conditions like severe vitamin deficiency, stress ,dry mouth, diabetes , GERD ,allergies can aggravate the condition.I would advice you to get a complete blood profile to rule out any systemic conditions like diabetes, thyroid,nutritional deficiencies and get them treated.Drink lots of fluids and keep hydrated,avoid carbonated drinks .Avoid alcohol and reduce stress.Hope this was useful.Thanks and regards. | |
History of pulled molar. Had canker sore on tongue, pink bumps on back of tongue. Worried
i had a molar pulled last year thet was an absess and very infected and painful ,i had donated blood in the same week and the next week i came down with a bad case of flu ,about 2 weeks later i developed a canker sore on my tongue it was painful and cant rememember having one there before though i have had them my entire life after eating sugary foods it went away after a couple of weeks and then i noticed i had pink bumps on back of tongue and almost corrugated on sides with a small white patch towards the back i became very worried as it lasted several weeks after i went to the doctor they gave me antibiotics that didnt help its been over 6 months and has seemed to get better but not completely plus have to have molar on otherside pulled am currently putting white oak on gums overnite . | Hi,Thanks for asking the query,Canker sores occur due to physical or chemical trauma.It could be an ulceration or a sort of infection.A thorough clinical examination and evaluation by the Dentist is required.Apply Hexigel oral ointment topically over the affected area.At home take lukewarm saline and antiseptic mouthwash rinses.Avoid eating of hot and spicy foodstuffs.Take multivitamin suplements.Hope this helps out,Regards... | |
Q. Is it possible to cure piles permanently without surgery?
Hello doctor, I thought that I had hemorrhoids because I feel bulge at my anus, that is poking me around my anus, and it is irritating me while sitting, walking, standing causing itchiness though I did not see any skin tag. I am only 19 years old boy and I weigh about 52 kg, my height is 5.4 feet. I do not want any surgery, but I want to get cured of this piles permanently without any surgery. | Hi. First of all, you should be confirmed that it is hemorrhoids. If it is external or internal hemorrhoids, external cause pain and internal cause bleeding. Also, let me know if you have constipation. If yes, use capsule Colace 100 mg BID and avoid constipation, take a sitz bath twice daily. Sitz bath is simple. Take warm water in the tub and sit in it for 20 minutes, do this procedure for 15 days. If it does not improve, get it checked with some doctor to see if really there are hemorrhoids or something else. | |
Suggest remedy to come out of agoraphobia with no help from any medications
Hi I'm suffering with AGORAPHOBIA and am practising stillness meditation twice daily. I also take herbal capsules called A2X twice a day. I find street crossings, even quiet ones very very difficult and am poor in car parks churches and all wide open spaces like shopping centres and all wide open spaces very very difficult. Why is this? will I get better? When? Please contact DARKIE at YYYY@YYYY | Hi,From what you have mentioned, you seem to have symptoms of Agoraphobia. Agoraphobia can be managed with the help of medications and and behavior therapy.I would suggest you to consult a psychiatrist. You might be started on one of the selective serotonin reuptake inhibitors like sertraline or paroxetine. You can also chose therapy like cognitive behavior therapy, if someone trained in it is available in your area.Relaxation training in form of progressive muscular relaxation will also help you.Hope this information was useful.Best wishes. | |
Could high fever and headache in a child be a matter of concern?
Hi, my 8 yr old son has a fever that went from 98.6 in a hour to 100.4. He won t eat or drink and cries off and on saying he has a headache (which I gave him children s chewable tylenol.), also complaining of feeling like throwing up (but hasn t yet). Should I be concerned enough to take him to emergency room since Doctor s offices are closed? | Hi, 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 the viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Suggest treatment for heat seizures in infant
Hi. I m planning a trip to the south of France this summer with my nine month old daughter. My mom has me freaked out that it s going to be too hot for her because the place we re staying doesn t have air conditioning. We ll have fans going and open windows. Plus of course I ll keep her hydrated. Should I be concerned? I m also looking for information on heat seizures. If she has one, what do I do? What would be the consequences for her? | if you are going to keep her hydrated and make a balance between the heat exposure and the type of clothes she will wear , then you don't have to worry about anything . heat seizures or in medical terms febrile convulsions are not caused by excessive heat exposure, they are triggered by fever because of an infection or inflammation in a genetically predisposed children . so , there is a family history of febrile convulsions and you worry that your child is going to have one once she got fever then all you have to do when it happen is not to panic , keep her on her left side , don't put anything in her mouth and seek medical help . usually prophylactic antipyretics are useless , many pediatricians prescribe rectal Diazepam in recurrent febrile convulsions , and non of these you should worry about .I hope this helps | |
Q. Will Minoxidil with Eclipta Alba help in hair regrowth?
Hello doctor,I am suffering from alopecia. Can I use Tugain Foam 10 % Minoxidil hair gain treatment as well as Morpheme Bhringraja (Eclipta Alba) for hair and skin care 500 mg extract 60 Veg capsules together for the better result? | Hello. I read your question but unable to understand what kind of alopecia are you having and how severe it is. If it is in the beginning stage, Minoxidil can reduce your hair fall. Use 5 % Minoxidil instead of 10, as 10 can be very irritating to the scalp. Eclipta alba has reported hair growth properties but research is more in favor of locally applied ether or ethanol-based extract rather than oral medication. But yes, there are reported benefits in grown factors seen with Eclipta alba, so you can continue taking that. Take supplements containing biotin like Follihair for augmenting the growth. If your hair growth is still not satisfactory, please discuss with your dermatologist about starting you on low dose Finasteride. (1 mg alternate days). Review with us after one month. | |
What causes brown spots on penis glans?
My boyfriend has irregularly shaped brown spots on his glans. I don't want to make him feel self conscious but I also don't know if they are signs of an std. They are unraised, almost like freckles, and totally painless. What is this, should I get checked? | Hello, Brown freckles on glans commonly are Penile melanosis also called penile lentiginosis. They are not infections, harmless and do not require any treatment. However, you can get him physically examined by a GP & get confirmed about the diagnosis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nupur K, General & Family Physician | |
Suggest treatment for knee pain
I have a bite on the upper portion of my butt and I have been putting Neosporin on it. Since the bite I have random slight knee pain in that leg and it occasionally gives out. I am now thinking it may be from a brown recluse spider. I garden outside. The bite happened a little over a week ago and I am now putting the two incidents together. The original bite with the red circumference was about the size of a quarter. Anything making sense here? My knee still gives out on occasion with some mild pain behind it. Related? What can I do? | I personally don't feel it's related. your knee has been going out mainly because of ligament injury . you noticed it after insect bite. report to orthopedician for knee instability | |
Suggest medicines for cluster headaches, crushed disc and fractured shoulder
I have Chronic cluster headaches crushed disks in my back and a fractured shoulder . Can you fill heavy duty narcotics. I have 25 + years of medical records. At one time I was getting Demoril shots once or more a week when living in Ca. I live in Idaho can you help ? I am allergic to Diluaded. | hi you have 25 yrs of medical records and are taking narcotics. Narcotics are regulated prescription drugs so I will not be able to help you . I suggest that you contact your doctor for any need for such drugs. On the basis of your medical records they may be able to help you. | |
Pain and numbness in toe and leg. Had Foraminotomy for sciatic pains. Any other treatment for pain?
I had a left L5-S1 Foraminotomy four weeks ago because of severe sciatic pain for years. The problem is that I have no improvement with numbness, pins and needle pain from my behind to my toe on my left leg. The surgeon said that it will take time for the nerve toheal because it had been compressed for so many years. What do you think. What can I do other than taking pain medication . I really cannot stand this anymore. Thank You | Hi,one thing you should clear in your mind this type of spinal surgery primarily meant for relieving you severe pain and secondarily for numbness and tingling.so if your pain improve 50% after surgery it will improve with time.and as your surgeon explain you that your problem was chronic numbness and tingling part will take time to improve but how much and when it is difficult to say to any spine surgeon.so along with pain killer you can start pregabaline and gabapentine which will improve your neuralgic pain as well as tingling part. | |
What causes rashes on the upper arm?
my rash started on upper right arm. it started with a little circle of dots and 2 weeks later it is spreading down to elbow in red lille hard dots or bumps that itch. some of them go in dotted line and some go in half o circle but there kind of hard and clumped together. they can itch at times very bad unless I take benadryl. there is no puss or scabs. I had this last year and it spread slowly and dermatologist took biopsys and all kinds of test and couldnt figure out. it went away about 2 months later. I just cant figure it out. it doesnt look like any of these rashes i have been looking up. any ideas? | Hello, Seems like a fungal infection. ai suggest you use a topical antifungal e.g either clotrimazole or ketoconazole cream. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kakkar S., Dermatologist | |
What are the early signs and symptoms of miscarriage?
For the passed three weeks I ve been experiencing nausea, and a week ago began to have dizzy spells, the worst being yesterday when I nearly fainted, and today where I could do nothing but lie in bed. Adding to this, I have not had my period for entire month, until today, though, today was different. A large portion left my body, it was a deep red, about the size of two pinky fingers, along with a blood flow. After this exited my body, the blood stopped and so did my dizziness. I am under the impression that this could be a miscarriage, but if so, does that explain the symptoms? I do not have a family doctor to go to, they are very difficult to get in my city, and was unable to sit and wait in a clinic due to my dizziness. I m hoping by tomorrow that it will be gone, though the nausea remains. Can someone please explain this to me and perhaps aid me in what I should? | Hello thanks for your query. I m sorry you are having a tough time. It would have been easier to determine if you had a miscarriage if you mentioned the date of your last menstrual period and if you had a urine pregnancy test done at home. Its not possible to day with absolute certainty that it is miscarriage you have had though it looks like that according to the signs you mentioned. Please try these things to make you feel better.1. Hydrate yourself by drinking plenty of water.2. You can take an over the counter anti emetic or ranitidine tablet 150mg half an hour before food once or twice for a day or two to help you with nausea.3. Maintain menstrual hygiene.4. Get plenty of rest.5. Eat nutritious diet to help you recover soon.You may expect your bleeding or even spotting to stop in a couple if days.You can still do a urine pregnancy test with morning urine sample to confirm miscarriage. Hope this helps. Take care. | |
How can ADHD be treated?
I am an instructor of 12 graders. There are 11 students in my class. One of them, a male, has an IEP, diagnosed with ADHD, how can I best help this young man to be ready for adulthood. He said he wanted to be a plumber but did not take any plumbing classes. | Hello,I can understand that he needs to be started on Methylphenidate or Atomoxetine drug. Consult your doctor regarding this.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Soujanya | |
Skin rash on upper arm, dry mouth, constipation and broken veins in legs. Have austio arthritis. What is the cure?
I am 59years of age and I have been diagnosed with austio arthiritis. I currently suffer from a skin rash on my upper arms and frequently experience dry mouth and also constipation. I also have broken veins in my legs. My current weight is approx 13 stone. I am 5ft 2.5 inches in height. I sometimes get pain in the lower rib cage left side. | Hi,I can understand your concern for the multiple of problem along with skin rash.After reading the query, in my opinion it appears to allergic dermatitis. In this condition there are rash with eruptions along with moderate itching. In more aggravated cases there is appearance of more redness. In this condition a thorough history of contact allergens are to be taken and accordingly a specific diagnostic technique known as patch test is to be undertaken.I suggest you to apply medium to high potency steroid cream application because are best effective in these condition. I would have opted for either mometasone or clobetasol cream. For you problem of broken veins - it is known as Purpura. Take a lot of vitamin C in your diet whcih will strengthen the blood vessels.Dry mouth and constipation is caused by less intake of water or liquids. So increase fiber diet and water intake. | |
Suggest treatment for frequent cough and cold in a child
my daughter is 2 years and 5 months old, she is getting frequent cough, cold and very high fever. Every month sge is getting this. This time my dr gave her calpol 250, bricarex a, and enzocart. but no improvement. Getting blood test CBC, MP and Urine test done. Earlier also she has taken lots of time to recover and got blood test also done those were normal. Two queries i have 1. How she will be recovered this time 2. Once she recoveres what can i give her so that the frequest fever cough and cold can be avoided. | Hi dearWelcome to HCMExposure from the people suffering from the flu and RTI should be avoided.Improve immunity with high protein diet.Iron syrup andultivamins to be added.Antihistaminic and decongestant medi to be added.Steam inhalation to be done.Hope the query is answered. Thanks | |
What causes the kidney to be smaller when compared to the other?
to day my daughter had done a ultra sound test for some gyne problembut the person who was doing the test told me that my daughter's one kidney is smaller than the other he said he will do it again on saturdaybecause he said that sometimes it happens due to gas problem age 16 yrs height around 5 feet and her medical history is perfectly ok I mean to sayshe has no problem please help | Two common causes for one small kidney are chronic pyelonephritis where recurrent urine infections lead to shrinkage of kidney however most of the time the person is asymptomatic as other kidney is normal. Other common condition is a condition called Renal artery stenosis where the person presents with high BP. Nothing to worry. Consult nephrologist in your area. All the best. if you have any questions feel free to contact me. | |
Will stomach upset medicines cause body pain and skin rash?
My sister has diabetes, sugar levels normal at the moment. She has had an upset stomach for several weeks and her Dr. gave her meds for it. Now she aches all over and has a red rash on her hands. The Dr. is not available at this time. Please advise......... I am unable to pay..... | Hi,Any history of fever should be ruled out. In the absence of fever, analgesics and antihistamines along with antacids can be used to reduce the symptoms. If abdominal pain still persists, complete blood count and abdominal scan may be needed for further management.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician | |
Suggest treatment for pyoderma
What is treatment for piaderma? I am 61 yoa, 5"6, 155, had ulcerative colitis for approx 20 yrs. Recently had surgery for colon removal and developed piaderma. Have been referred to a dermatologist but until then, is there any remedy I can do? Is getting progressively worse, ulcers increasing and bleeding. | Hello,Welcome to HCM,Pyoderma means pus in the skin and can be caused by infections, inflammation and neoplastic etiologies. Any condition that results in the accumulation of neutrophilic exudate can be termed a pyoderma. But in general practice most commonly pyoderma refers to bacterial infections of the skin. Normal resident bacteria of skin such as staphylococci, streptococci, Micrococcus and Acinetobacter can lead to this condition.The treatment of superficial pyoderma is with appropriate antibiotics for not less than 20 days. Fluoroquinolone group of drugs helps in treating this condition.Topical antibiotics may be helpful in superficial pyoderma. Bacitracin and polymyxin B are more effective against gram negative bacteria, if it is the cause of infection.Thank you. | |
Suggest medications for chest infections
HI doctor my brother has very deep cough i guess its because of smoking what medicine do you suggest to cure this chest infection He is a male, 34 years old. He had some treatment from a local doctor but it was not>0 answers, 1 views Posted in General Health Posted2 minutes ago Reply Now »Abnormal cervical lordosis My father around 65 suffering form above problem also, CT scan says decrease in C5-C6. | Respected user , HiWarm welcome to Healthcaremagic.comI have evaluated your mix query indicating query for your brother and father intermingled with each other .* For chest infections you need first to get it diagnosed with basic lab tests x-ray of the chest and then consult with all the reports .Hope this will help you for sure .Welcome for any further assistance .Regards dear take care . | |
What can be the reason for severe pain in the joints?
my doctor just said the test results came back and I have high uric acid..i don t know anything else until i see her in a month.. i have been having a lot of joint pain and read something about crystals getting in the joints??? what other symptoms are there or can there be.. I m having weird things going on and am hoping it has something to do with this..thanks | hiJust do hot fomentation and take non steroidal anti-inflammatory medicines like advil. Avoid red meats,cheese, bakery products,alcohol, and food stuffs known to raise uric acid.Show to a specialistbest wishes | |
Q. What is the treatment for numb and painful hands and fingers?
Hi doctor, I am 58 years old and currently working in a meat shop, working always in frozen foods. My problem now is about my hands (fingers). It is numb and painful. I always feel this everyday and wake up with numb and pain. Any medicine or vitamins aside from Vitamin B1, B6, B12? | Hi. Long time keeping hand in freeze or ice cold things, your blood vessels constrict to avoid heat to escape from the body. Continuously blood vessels constriction will not allow blood to reach to the hand tissues and nerves. So, numbness and pain comes. If you are diabetic or hypertensive, condition will be worse. So, in between your work just rinse your hand and fingers in warm water, not very hot. Use thick rubber gloves to avoid direct cold to your hand. | |
Suggest treatment for fever and throat infection in a child
My 5-year-old daughter is suffering from severe fever and throat infection for the past 1 week. The doctor first prescribed Azithral 200 suspension and then Advent Forte syrup. The fever has not subsided and she developed severe cough, which results in vomiting everytime she had food or medicine. Yesterday, the doctor diagnosed it as severe acute tonsillitis and added Zanocin syrup to the regimen. She also started passing greenish, mucus-like consistency stools everytime she urinates. For that, he added Junior Lanzol and Bifilac. Even then, she is having fever, but the intensity has decreased somewhat. The doctor told that only if the throat infection gets cured, the fever will subside completely. I am worried about adding the antibiotics up and up and is it safe to give all those medicines at a time? In addition, she takes Meftal-P suspension for fever also. Please give elaborate answer and advise what is the next step is to be taken? I have seen an indication that zanocin is not safe for use in children in the information leaflet given along with the medicine. She is taking Grilinctus for cough also. | Hi...Thank you for consulting in Health Care magic.Fever of 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 duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do.YOUR CHILD DOES NOT REQUIRE ANTIBIOTICS.THE LOOSE STOOLS ALSO ARE DUE TO ANTIBIOTIC ASSOCIATED DIARRHOEA.Keep her hydrated well.Regards - Dr. Sumanth | |
Suggest treatment for broken wrist and buttocks after falling down
Last Tues I fell and broke my wrist. I also bruised my left butt cheek. It was about 6 inch bruise now its Sunday it has widened and doubled in size. The color has changed from black to mottled red with dark edges. It is burning and very sore. Should I get it checked out? | hello healthcare user, i would like to ask you if you have visited a orthopedic surgeon for broken wrist? if not then you need to consult soon...i would also ask you to get and xray done to find out any fracture in wrist....you can apply antibiotic lotion over butt bruise ,aral antibiotic may also be required..thank you | |
Q. Please suggest some anti-allergic eye drops for seasonal allergy.
Hi doctor, I suffer from seasonal allergy every year. It starts from the month of August till December for the past 15 years. When the season changes, I get running nose, excessive sneezing and itchy watery eyes. I also have an intolerable itching in the eyelids and in the corners of the eye. I am using Flomist nasal spray and Cetirizine tablets for the nose. I am not able to concentrate on my work due to my eye allergy. I also used I-Kul eye drops and other eye drops, but no improvement. Please suggest some anti-allergic eye drops. | Hi. Revert back with the photos to an eye care ophthalmologist online --> | |
Q. What is the best treatment for psoriasis?
Hello doctor, I am suffering with Psoriasis. Please suggest treatment. | Hello. I saw your photograph (attachment removed to protect patient identity). You are having psoriasis and I would like to tell you about your disease. Psoriasis is a relapsing condition and usually exacerbates in winters. It will not spread to other people by touching. It will not affect your internal organs. It is treatable but not curable. It will get cleared but can reappear. Nothing to worry about it. As it is in limited area only application of topical steroids will suffice but if there is more body involvement then we will start oral medicines. Presently, I am prescribing your treatment and you can review in 20 days. Papulosquamous inflammatory disorder. Liver function test and complete blood count. Chronic plaque psoriasis. Topisal 6% (Clobetasol propionate)ointment for local application in evening, tablet Levocetirizine 5 mg evening. Coconut oil for local application in evening and morning. Use oil or moisturizer. Keep skin supple. Review after 20 days. | |
Suggest treatment for allergy to dust
Hi Doctor,I am 30 years old male. I have recurrent allergies which involves by nasal tract and throat..happens because of dust.. Over the years, I have experienced that I am very allergic to dust. And whenever this happens, I get fever also and feel tired and exhausted. A family doctor has advised taking Montek-LC tablets once a day for three months.. What should I do? | Hello.Thank you for asking at HCM.I went through your history. I would like to ask you a few more questions like - Since what age are you having the symptoms? Did you have any time breathing difficulty or wheezing? Does your occupation involve exposure to fumes/smokes/dusts? What is the freuqnecu of your symptoms? Do you have more of nasal congestion or more of running nose and sneezing?However, from your given history, I would make following suggestions to you:1. Were I treating you, I would also prescribe you a combination of montelukast and levocetirizine (just as your family doctor has suggested) for at least 2-3 months regularly.2. If you have severe nasal congestion or features of sinusitis (such as headache, facial pain, etc), I would also add a short course of intranasal corticosteroids in addition to above.3. In addition to above, I would suggest you regular steam inhalation which may help your resolution of symptoms earlier.4. Personally I would suggest you allergy skin testing which may identify the substances which are causing troubles to you and the measures to avoid them.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. Please do not smoke if you smoke. 6. A healthy diet rich in vitamins and minerals (e.g., adequate amounts of green leafy vegetables, fruits, sprouts, etc) will also help you in a long run.Hope above suggestions will be helpful to you.Wish you a fast recovery and the best of the health.Should you have any further query, please feel free to ask at HCM.Thank you & Regards. | |
Suggest remedy for swelling of tooth
Hi I have a steel teeth in my mouth. It has happened before 4 yes. Now I am getting in wisdom teeth. There is a one tooth between wisdom and steel cap teeth. And gum is swelling at wisdom tooth. Doctor is saying that because of the steel cap teeth wisdom teeth got effected. My doubt is that between there is one more teeth. But that is fine. Doctor is saying that steel cap should be removed and crystal cap should be use and should remove wisdom teeth.cost of removing wisdom teeth is 5000 and crystal cap is 15000. Layser treatment. Is it ok? Pls suggest me | hello thanks for consulting at hcm..firstly you need iopa radiographs and opg if necessary-- to check for extension of lesion,, then remove the steel cap so that pressure is relieved,,check for place if wisdom tooth can erupt into oral cavity,,if it is impacted then definitely it has to be removed,,either ways get all the investigations first and take a course of antibiotics and analgesics,,also get a thorough examination by another oral physician,,so thereby taking another opinion,, hope it helps,,take care,, | |
Could dizziness/lightheadedness be related to grand mal seizure?
Hi there :) about 2 or 3 weeks ago I had a grand mal seizure. I went to a neurologist and was told to get an EEG and MRI done, however, I was heading off to college and the appointment was never actually made in all the chaos. Anyhow, I ve been feeling extremely dizzy and lightheaded on and off for awhile since then. Could they be related? And am I just being paranoid or is it potentially important. | Hi, I had gone through your question and understand your concerns.It is not clear if it was your first seizure or had others before. While headache is common after a seizure it is not common to persist two weeks after.I highly recommend you to do as soon as possible a cranial MRI, preceeded possibly by an EEG.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
What causes burning in chest after having food?
My chest burns every time I eat and sometimes when I m not eating been happening for two days now. Started after we found out my fiance is pregnant that possibly didn t help but that s just the time frame its in the area of my chest that feels like when something you swallow gets stuck going down slow like pills. I do take diet pills but they never felt the burning just the going down slow part. on a pain scale its a 2 I ve been told its heart burn but it s been 2 days now. Please help | Hello dear, thanks for your question on HCM. I can understand your situation and problem. In my opinion you are having GERD ( gastroesophageal reflux disease ) mostly. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain.So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux. 7. Avoid alcohol and smoking if you have these habits. 8. Loose weight if you are having obesity. Don't worry, you will be alright. | |
Suggest treatment for rapid heart beat and high BP
Took a pre workout stimulant called noxipro. It was a sample pack so I figured it was 1 serving. Well it happened to be 1.5 servings. I Was feeling good until my heart rate sky rocketed while working out. I couldn t really catch my breath, had shortness of breath, and had terrible cotton mouth with loss of appetite. Took it at 11am and now at 745pm I still feel a little different. But the symptoms went down a bit. I did check my blood pressure and it was at 138/78. That was at like 2:30pm. It s usually around 126/80. I don t know if I m freaking myself out and having anxiety or what but I d like to know if I need to go see a doctor in person. I don t want to have a heart valve issue now. | Hi welcome to HCM.I understand your query and concern.Atrial fibrillaton is known to cause Rapid heart rate and fluctuations in blood pressure.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a daily is useful.Drugs like antihypertensives and antiarrhythmics will help.Reduce the intake of fatty and fried food.Electrophysiological study with or without Radiofrequency ablation is the procedure of choice in your case.You may also need Coronary angiogram to look for any co existent blocks in the heart. Consult a Cardiologist and discuss for further expert management.Post your further queries if any.Thank you. | |
What causes intermittent stabbing pain in the groin area?
I am having intense, shooting pain in my groin area. I can t tell if it is in my right groin or in my right ball sack. It is very sporadic and relatively infrequent. the pain is intense, like a stabbing pain. it doesn t last long. I can t point to a pattern. it s been occurring for several years at odd times and sometimes when I am in bed at night lying prone. I am a 60 year old male. Do these symptoms point to anything in particular? | Hi, It might be due to urethral stones. You can get an ultrasound scan for to look for any possible urethra stones. If symptoms persist, you can consult a urologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain | |
What to do for asthma and sinus infection in child?
My daughter is 7 years old, 4ft1in and 70 lbs. She has had respiratory issues since she was 6 months old. At age 3 she was diagnosed with asthma and was on a daily pulmicort treatment administered via nebulizer. Over the last 2 years her symtoms have appeared more allergy related and less asthma-like. We have gone to the doctor numerous times and she has had several sinus infections, and quite a few ear infections. She s had numerous doses of antibiotic for the sinus infections and the last one she had was treated for 21 days. We saw an allergist who tested her for common allergies found outside and in the home. She tested neg for allergies so he referred us to an ENT. We visited with the ENT and he suggested having her adenoids removed, which I agree with. In the meantime, she coughs like she has a cold but doesn t feel bad and there s still some sneezing and stuffiness. She also gets hoarse at times or at least a noticeable change in the sound of her voice. Could these issues be result of problematic adenoids? Could it be that I need to get a second opinion on her allergies? I do believe the surgery will help but even after numerous dr visits, I am not sure this is the only source of her issues. Concerned Mom | children with adenoids are more prone for allergies and wheezing episodes.if ENT surgeon advices for adenoidectomy its better to go ahead as per his advice. | |
Should I be worried about my BP?
im 64..had a triple bypass and corotid done 6yrs ago....iv lost 12 kilos lately and my blood pressure is now..95 /60/....i take pills for blood pressure and cohlestrol...have stopped taking p-lavix as it scares me...take asprin.....is my boold pressure a problem | Hello and welcomeWell. Your bp is coming down and the lowest value is 80/60 and is common in cardiac pro Lem's.As you have cardiac problem so up to 90 is a ceptable but beyond that you will go to hypotension and your body will go into trouble.If you are symptomatic like dizziness lightheadedness and even fainting then you should go to the ER at once.If you are stable then consult your doctor tomorrow to fully asses you | |
How to cure the congested cough that prevents from sleeping and causes vomiting in a child?
my 6 yr old daughter has had a cough for 3 weeks. she has now started gasping for air about 1 hour after going to bed and usually ends up vomiting. this only happens one time but is now occurring every night. episode lasts for a few minutes. our pediatrician evaluated her last Friday and said her lungs and chest sound clear. she started her on Claritin which has not helped and we started her on Zithromax 2 days ago. I will be calling our pediatrician tomorrow. any ideas? | HiWelcome to the HCMI have gone through your question and understand your concerns. I see such cases routinely in my clinical practice. Most common reason for such cases is an allergic tendency of child leading to cough, nasal congestion and enlarged adenoids leading to breathing problems especially in lying position.I usually recommend the following measures to help such cases:1. If possible, avoid allergens responsible for the episode. It can be airborne, insects, soaps and detergents or food products. 2. Start her on Syp. Benadryl or Chlorpheniramine for antihistamine effect. It will also help her sleep peacefully.3. For nasal congestion, you may use Azelastine spray which has local antihistamine effect. It helps to relieve nasal congestion and post nasal drip.4. Use a room humidifier while sleeping if the weather is dry.5. Continue with Zithromax as many a times atypical bacterial infections lead to such episodes.In case the problem continue, take an ENT specialist opinion.Hopefully this will help you. For further questions, you may contact me.Take care | |
Suggest treatment for infection from wound
My husband got a scratch at work a week or so ago. Now there is a hard size bump, his arms hot to the touch and he says it feels bruised. The wound has a milk like looking fluid coming from it with force. Now he s saying he is cold as if running a fever. I need to know either how to treat it or if this is an emergency room visit. | Hello, thanks for posting on HCM.According to what you have mentioned, it seems the wound must have got infected and the milk like substance is pus which has formed there and that is the reason for fever also.It means there might be abscesses cavity formed within the wound which might require examination whether to drain it by giving it incision or it can be left alone with only antibiotics. I would advise you to go to consult a doctor who can examine the wound and abscess cavity for whether it requires incision and drainage or can be managed with antibiotics alone. I hope I have given satisfactory answer to your query, if you still have any more query kindly write back to me and I will be happy to help.Thank you. | |
Which is the best energy drink for weakness causing due to chemotherapy?
My dad if suffering from bone cancer and he is on the Chemotherapy. His sugar level keeps going up and down and then he looses energy every now and then. Will drinking Lucozade, Rell bull and all these energy drinks be healthy for him? If so what healthy liquid can he take to give him energy. Thx Jayvee | Fatigue is cancer patients is not entirely due to malnutrition but also due to certain chemicals called chemokines secreted by cancer cells. cancer fatigue requires good nutrition and also psychological support. He can be offered energy drinks available in the market. But apart from that he also requires good protein and calorie intake and adequate intake of liquids | |
How to cure severe chest pain ?
Hi, i am a 20 year old 5ft tall 100lb girl...i havent had any medical conditions. i am physically fit and ocasionally active..i have been having bad chest pains around my heart that go down my back. i havent eaten anything in 4 hours... i took gas x and that hasnt helped although when i stand up i get some relief...this has been happening a couple nights a week for the past month..i drink a lot of diet pop, so i am wondering if the carbonation might have something to do with it? what is wrong with me? | Hi,Take pantoprazol 20 mg twice daily Anand it will relieve the pain.Take careCome back if you have any further questions | |
Heart issue symptoms. Echo cardiogram normal. Had xanax. Sharp chest pain. What is wrong?
i am 53 year old male in good health playing basketball 2 days a week I have been checked out about a year ago for heart symptoms echo cariogram stress test everything came out okay . I was said to have stress and given medicine for it. I have taken xanax a couple of times and it just makes me tired and i sleep to much. So i dont like to take it i had severeal sharp chest pains very localized at the breast plate and was short of breath after a short walk this morning. I never have any symptoms when playing mostly at rest. | Hi. It is very common to present with atypical symptoms in this age group. If all your investigations comes out to be normal and you are able to play well and able to enjoy everything than it is just a somatic complain which can be ignored. But if your symptoms persist or you have any change in mood and Enjoyment level and have stressors you may need to get evaluated for depression as these can features of it Depression with somatic complaints is common in this age group. Need detailed evaluation by a psychiatrist for this Take care | |
Suggest treatment for seizure disorder and vomiting
I am on Eptoin (3 tablets) and one LEVERA 500 since the year 2007 because of seizures. From August, 2009 to March-2009 had did not have any Seizure. The doctor reduced my medicine to one LEVERA in March-2014. I again had seizure. Since then I have again been put to Eptoin (3 Tablets) and one LEVERA 500. I was going on well and without any problem had gone to various official tours. I developed a sudden stomach flu recently wherein I had loose motions and vomiting. During one the bouts, my family says that my eyes went up and body also stiffened. Loose motion & vomiting cannot be predicted it can come again in the life without any pre indications. How to prevent the seizure in such a situation. | Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question : How to prevent the seizure in such a situation.Answer : The best way is to avoid Stomach Flu, by avoiding eating foods which are likely to be contaminated. Try foods like biscuits etc which are relatively safe. If that can't be done, please do a repeat EEG and check the seizure potential as of now. Based on EEG, we can further decide Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Suggest treatment for severe vomiting and fever
My son was vomiting and had a slight fever.we gave him Tylenol and it helped the fever but he had diarrhea for 2 days. At first it was green then yellow and at times gray colored. My son is acting better and normal and staying to get hoods appetite back but still having light colored stool.is that something i should be worried about | Hello, Welcome to Health Care Magic. I read carefully your query and I understand your concern.You do not have to worry about, as long as your child is acting normally and drinking and eating enough. The condition you are describing is benign. Normally, the brown color of the stool is made by a substance called bilirubin. When stool passes through the intestines rapidly as is your sons case, diarrhea, there may be little time for bilirubin to undergo its usual chemical changes. Thus, stool can appear green in appearance due to rapid transit. Mild diarrhea usually passes within a few days and kids recover completely with care at home, rest, and plenty of fluids.Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you and your son a very good health. | |
Q. I have hard lump under the penis shaft. Is it smegma?
Hi doctor, I am a 31 year old male. My height is 6 feet and weight is 84 kg. My medical history includes psoriasis, hyperuricemia and essential primary hypertension. I am taking Cilacar 10 mg (Cilnidipine) one tablet daily after dinner at 9 PM for hypertension. For psoriasis I am applying Propygenta NF cream - combination of Clobetasol propionate and Neomycin sulfate cream. For scalp topical 3% lotion - Clobetasol propionate 0.05% and Salicylic acid 3% lotion. My uric acid is under control by drinking 3.5 to 4 liters of water regularly. My current blood pressure is 120/80 mmHg. For the last 14 months, there are flat hard lumps at the base of the penis just under the shaft. For this reason, I had visited a local urologist last year, but he suggested me to clean my penis under the shaft. This is to inform you that I have not cleaned my penis till the age 30. I am an uncircumcised male. As advised by the doctor I have cleaned my penis under the shaft with water. I do not masturbate regularly. But, since eight months the intensity of masturbation increased to four times a week till date. But for the last two weeks, I am feeling mild pain at the side of the lump. The size of the hard flat lump is more or less the same. Even if I press, there is no pain on the lump. My urinary flow is very good. No blood, discharge or foul smell under the shaft. The penile shaft is smooth. There is no burning sensation during urination and ejaculation. I am very much concerned. How to get rid of this occasional mild pain? What is this lump all about? Is this years of smegma deposition? Please help me out. | Hi. I think the lumps that you able to feel are nothing but smegmoliths. These are nothing but concretions of smegma, if not cleaned for a long time. Are you able to retract your foreskin completely? If you cannot, then you may be having phimosis, which can be managed by circumcision. This will also prevent further accumulation of smegma. For further information consult a urologist online --> | |
Why my father is passing black stools?
My father had gallbladder surgery four week ago. he had a mild case of pancreatitis and colitis. His blood cultures also tested positive. He was very sick. The last few days he has had some black stools and he normally he has high blood pressure. The last few days his blood pressure has been 90s over 50s. He has no energy. He has had a very difficult time getting around. This is totally unlike him. He is 80 years old and a very active person. Should we contact his doctor about the black stools? | Thank you for posting query at HCM.you need further evaluation as soon as possible. Most likely, a lesion in stomach or upper GIT tract."Black stool" reflects "bleeding" from upper gastrointestinal tract.he needs to Undergo ENDOSCOPY to rule out any bleeding lesion in the GIT. Make an appointment with a gastroenterologist asap.meanwhile,- avoid salt and spices- avoid alcohol and smoking- take nexium 40mg before a breakfast (once daily) hope to answer your concern.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik | |
Trying for pregnancy. Had ovarian drilling. On humog for ovulation. Brownish discharge after taking meprate. Any suggestions?
hi mam i m 28 yrs old trying to conceive. i did ovarian drilling for pcos 6 month back. my Dr gave Humog 150IU ing for ovulation. 2 times i got 24-28 size ovum but lastmonth same dose was given, the ovum size was 14-15. and also i took meprate 10 mg for ten days . my LMP is 16th april nd i got on and off light brown discharge on 25th april nd 27th april still i didnt get proper flow. what it indicates i m very frustrated is any chance for pregnancy. please help me | hi, i think you should go for STI screening and follow-up. the abnormal discharge could be a sign of PID, so just chec-out with your doctor. thanks | |
Suggest treatment for baby suffering from bacterial infection
my son is 13months old he is having fever with cough and chest congession since 20 days all test shows bacterial infection paeditrician gave fever at night. him gentamycin antibiotic and salbutamol cough syrup as soon as his antibiotic course is over he again had fever and chronic cough especially | Hi,How many days he was been on antibiotics? Was it gentamicin alone, or any other antibiotics given together?Gentamicin alone is not a good choice for treating chest infection in children. For sever cases, I used to add a penicillin group of drug also. Also, this may need further evaluation with chest x ray and blood culture. Kindly get back to your pediatrician.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician | |
What causes severe pain in the lower abdomen and back?
I have had this in the past but cannot remember what it was called. My doctor had me go to physical therapy and it helped. I have mild intermittent pain in my lower abdomen and lower back. It does not keep me from doing the things that I want and Advil seems to help. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, Advil will help. Hope I have answered your query. Let me know if I can assist you further. | |
what is the side effect of inhaler?
Hi I am asthmatic and am taking a new inhaler now- called Formonide. I am 22 yrs old/F and have asthma since childhood. I had a attack 10 days back and then was given this inhaler. My asthma is better now but I have white patches and slight burning on my tongue and side of mouth since 2 days. I never had this before. Is it a bad effect of the inhaler and what should I do? | Hello. Thanks for writing to us. You are having a fungal infection of your oral cavity due to improper use of the steroid inhaler. Maintaining a good oral hygiene with topical clotrimazole lotion will help in reducing your symptoms. Be careful to rinse your mouth everytime after you use the inhaler to avoid oral absorption of the steroid. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal | |
Suffering from bladder infection. Expecting to be pregnant, is taking antibiotics safe during this period?
Hi I am in Egypt on holiday and think I have a bladder infection as I have the same symptoms as when I previously had one. So I have been to the pharmacy and they have given me zisrocin which is a anti biotic and urinex which are both supposed to be safe during pregnancy as I might be pregnant and I would like a second opinion please | Hi thanks for your question. You are having bladder infection that is what you have diagnosed yourself from previous experience.Bladder infections are very common during pregnancy.There are good number of antibiotic which are safe during pregnancy.zisrocin is azithromycin which is not good for bladder infection.Amoxicillin clavulnate will be better and safe.urinex is natural urinary analgesic and safe during pregnancy. Hope this answers your question. | |
Is it advisable to use a lipstick that has been exposed to cold sores?
Hi, i want to know if i should dispose of my makeup like lipstick and foundation and facial powder that has come in contact with exposed cold sores as to not spread the virus or have it to be continuous although being treated or reoccuring. What do you think? Should i purchase new makeup or is it safe to use what i already have? | Hello,I can understand your concern. The lipstick and make up that may have come in contact with the sores of herpes simplex virus may be contaminated with the virus that may infect you again after you have been cured from the disease.Thus, my advise to you is to not to use the make up that may have come in contact with the cold sores of herpes simplex. In addition, if possible, do not use make up on the sores as the chemicals may irritate the sores.I hope this answer helps you. Thank you for choosing HealthcareMagic. Take care.Best,Dr. Viraj Shah | |
Will Zeptol cause side effects to the baby if taken during pregnancy?
Hi I am Monika and 23 years old. I am taking Zeptol 200 & 300mg and Clobakem daily from 1 and half year. I came to know that I am pregnant just few days back. What is the side effect of these medicine to the baby. Is it ok to stop consuming both medicine. | Hi there,,Zeptol (Carbamazepine) and Clobakem (Benzodiazepine) are given for epilepsy control. And the fact that you are taking two drugs would mean that it is not under very good control. Could you tell me more about when was your last epileptic seizure ? And when did you last visit a neurologist.Epilepsy itself poses a risk to pregnancy and discontinuation of the medications is not advisable as it can cause the seizures to recur and this could harm both you and your baby.I would strongly recommend you to take Folic acid 5 mg from today itself. Also get your obstetrician to see you immediately and get an ultrasound done to see if the exact weeks of pregnancy.You will need to follow up with your neurologist to taper the dose of the medications depending on how well your epilepsy is controlled.Epilepsy and medications used to treat it both are known to defects in the unborn baby. The risk would depend on a lot of factors, but is usually less than 5 %.Taking folic acid before getting pregnant and during pregnancy can decrease the risk to a certain extent.Regular ultrasound and first trimester screening will be required to see for the proper development of the baby.Hope this helps.Regards. | |
What causes frequent attacks of fever and ear infection in a 14 month old?
My 14 month son has had 4 fevers 39 and one as high as 40.5 since January I have taken him to ER twice and we have seen the Dr. numerous times He has been diagonised with an Ear infection once. He has yet another high temperature which has lastest 3 days and is pulling on his ear. He is such a active little boy (when hes well) and he is so horrible to see him like this sleeping all day off his food etc. I feel Im getting no where with my Dr.s please help! :( | hellothis could be due to either bottle feeding or probably your child is prone to allergies.i wana ask do you have a family history of allergy or asthma?.it could also be due to some serious health issues like immunodeficiency states.i would recommed you to go to a pediatric ENT specialist in your hometown and have a detailed checkup regarding chronic infection of your ear | |
What is the treatment for lymphatic blockage in left leg?
i have had lymphatic blockage in my left leg since june 2000 due to an accident.i was reading online and came across the use of cabbage poultice&elastic bandages which av bin using for over a week now.its actually reducing the swelling on a gradual note but my skin is peeling&itchy,i don t knw if its right or what other natural methods an i try?thks | hi,thank you for providing the brief history of you.As you mentioned you had a lymphatic blockage since 2000 due to an accident, the extent of the injury to the blood vessels needs to be estimated by using the ultrasound scanning and also the doppler test. Once we know this, there will be a treatment plan designed specifically for it. Also, for the swelling, performing regular lower limb muscle strengthening is important. As medicine and natural methods are more of symptomatic relief. The focus has to be made to make the muscles stronger as to avoid any space for the fluid to accumulate. Also, exercises will help improve the metabolism and keep the lower limbs at the optimum.I have seen many chronic lymphedema cases, and the exercises have helped them alot for reducing the swelling and also the over all functioning of the lower limbs.RegardsJay Indravadan Patel | |
Suggest remedy to stop frequent loose motions in toddler after eating
My son is 1.8 years ....since he was of 3-4 months his motions is always loose and he do motions 7-10 time . his weight is 10 kg and he very active...doc always give probiotic but they are not healpful....once he had food just in 5 min he vl pass stool .please suggest some med..... Stool is semi solid type sumtime whatever he eat pass as it is in stool....he like apple but u can find apple unprocessed in his stool plzzz help me.... | Hi...this is not a disease. This is called gastrocolic reflex. In some kids when the food is consumed, the stomach distends and contracts and the same wave form might go through down the intestine till rectum and push out whatever is there in the rectum.A 20 month old weighing 10 kg I'd not too bad if his activities and development is normal. Please do not worry as this condition will settle by itself as the age processes. No need to use probiotics. They are not going to help and not indicated.Regards - Dr. Sumanth | |
What causes heaviness in chest with breathlessness?
every so often for the past couple months my chest (solar plexus, or lower area?) feels heavy and I have a difficult time breathing, not necessarily shortness of breath, but like I have to suck in a lot of air to feel like my lungs are opening enough. compression of sorts. sometimes if i breathe and listen when this happens i sound a little wheezy. i m not sure why? | Thanks for your question on HCM.I can understand your situation and problem.In my opinion you should consult pulmonologist and get done1. Chest x ray2. PFT (pulmonary function test) to rule out early bronchitis.Because difficulty in taking breaths, wheezing etc can be seen in early bronchitis.So better to first diagnose yourself and start appropriate treatment.PFT will also tell you about severity of the disease.And treatment of bronchitis is based on severity only.So consult pulmonologist and get done PFT to rule out bronchitis. | |
What causes white lines on nose of 6 year kid?
My 6 year old daughter has a faint white line across her nose. In recent days it is becoming more noticeable. (my husband asked how she scratched her nose) I ve never noticed her rubbing or pushing on her nose. Is there a name for this I could research? | Hi, 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 I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
Can bepanthene and biotin be safe for hair loss?
i have a question about hairloss...? can bepanthene and bioton (which are vastly prescribed for hair loss) be dangerous for you in any way? I mean, I have heard they may work or not, but I want to know if they are in any way harmful or have effects afterwards? | Hello, There are no side effects of biotin and Bepanthene. You can use them for hair loss without worrying. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist | |
What could be the reason for having pain in jaw, thumb and left chest and numbness in palm?
Hi, I am 34yrs old.male.Recently I observed that my left hand palm get numb and the thumb gets pain very severe.This happens when I drive the bike and holding any thing for certain time like 1minute or so. the pain is very severe, and it gets off when i make my hand straight. And from the past few days left side chest above the nipple area is paining, Stinging pain, When I press that area hard the left hand gets the shock kind of thing, and the jaw is also paining. Recently 15days back had gone through all the test, everything is normal, ECG is also normal. please help me in diagnosing my problem. | In my opinion the possibilities could be nerve entrapment in your neck,thoracic outlet ..An xray of cervical spine can show you the diagnosis .NCV test for radial nerve also can help . | |
What causes pain in the stomach and ribs?
My stomach has been hurting off and on for the last week and today my ribs have been hurting really bad along with my off and on stomach issues. What could it e and how can I stop it? I did start getting a depo shot for birth control about a month ago. | Hello welcome to the health care magic According to history it could be viral gastritis like presentation Take rabeprazole 20 mg OD for week.. Avoid gastric irritants like... _excess spicy foods _excess tea, coffee _smoking _stress etc... Cooked oatmeal help in soothing stomach Yogurt will also beneficial If no improvement than we will do further work up Consult physician for examination if needed | |
What could severe headaches, constant hunger, fatigue and back pain indicate?
I m 14 and I have really bad headaches that last around 5 minutes and happen throughout the day, all of my back seems to ache, I am constantly tired and can t be bothered doing anything or socializing with anybody, I always feel hungry even after I eat, and my eye twitches all the time (don t know if that has anything to do with that) what s going on? | Hello!Welcome on HCM!Regarding your concern, I would explain that your symptoms seem to be related to Cluster headache or SUNCT. I recommend consulting with a neurologist for a careful neurological exam and some tests: - a brain MRI- complete blood count, PCR, sedimentation rate for inflammation or infection- blood electrolytes Based on the above test results, you should discuss with your doctor on the possible treatment options. Kind regards, Dr. Aida | |
Q. My virgin girlfriend has severe pain after first sexual intercourse. Please help.
Heey hoping you are doing okay dr. My virgin girlfriend and I had our first intercourse two days ago now and she started experiencing pains.. Severe pains she has to lie down on the floor to ease.. When i asked her she says it is more than her menses pain.. What could be the problem... | Hi, We are doing fine,thank you, hope all of you are also doing good. When a lady's hymen ruptures, that is after first sexual exposure, there will be few tears in & around the external genitalia & also the vaginal wall. These will be the point of entry of minor infections already present in the normal vaginal flora & also in the semen. This will be more if you have not used a condom. These infections will enter the uterus & thereby into the pelvis / lower abdomen. causing cramps on & off, similar to the menstrual cramps. You don't need to worry. All you need to do is avoid sex for few days, till pain subsides fully, have a short course of any antibiotics ( like Tab.Azithromycin 500 mg daily once for 5 days or Tab. Levofloxacin 500 mg daily once for 5 days ) Use any of the antispasmodics ( usually used by women during periods for pain) like Dicyclomine , 2-3 times per depending on severity of pain. Use condom during sex. Hope I have clarified your query, do write back if any more queries & for your feedback. All the best | |
How to treat fatigue and dry mouth?
I am 68 years old retired person and had by-pass heart surgery two years back. I am on dose of daily pills after my surgery and had been advised to minimize the water intake by 1.5 litres a day and drink only when thirsty. Since last 2 weeks I have following problems: 1) My mouth is getting dry. It is summer here so I am drinking small sips of water to quench my thirst but felling dry mouth very often. It leads me to drink more water and urinate without any relief from dry mouth. 2) I am feeling tired most of the time mostly after using stairs or short walk unlike earlier, so lie on bed to rest most part of the day. 3) Due to tiredness or I am sure the reason but I am feeling sleepy most of the time when lie on bed. 4) I am also feeling weakness now a days for no specific reason. Please note, I do not have problem of blood pressure and it is normal. I do not have diabetes with normal diet. Please advise if you diagnose anything unusual. I am remote part of small city and may need to travel distant place to see specialist in this summer, so your assistance would be very helpful for me. Y.P. Singh | Hi welcome to healthcare magic,I understand your query and concern.Your symptoms are suggestive of heart failure secondary to ischemic changes in the heart leading to heart failure.I advise you to get an ECG,2 D Echo,lipid profile,hsCRP immediately to confirm the diagnosis.Drugs like clopilet,ecosprin,atorvas ,inotropes like digoxin will be helpful.Coronary angiogram with or without stenting will be the procedure of choice.Consult your cardiologist for expert management.Hope I have answered your query at the moment,Post your further queries if any,Thank you. | |
Chronic lymphoma, enlarged prostrate. Radiation therapy scheduled, cancer cells on forehead. Prognosis?
my husband is 74 years old 3 years ago diaggnosed with chronic lymphoma today microglobulin 5.9 deos it need urgent treatments also sufferes from enraged prostate wears cateter scheduled for prostate surgery plus 2 months ago had squamous carcinoma removed from forhead cancours cells remained and is scheduled for radation on forehead which problem most urgent my mail is YYYY@YYYY | Hi there, Thanks for your query. If I understand correctly he has old diagnosis of lymphoma and the question is whether to go for prostate surgery first or radiation first for forehead skin cancer. In such situations, cancers treatment is a priority and should be done first. Prostate surgery can be considered later. Take care Regards | |
What is the cause of ring like patches on the body?
hi doc i have been taking unienzyme for the past 3 months but i have of late started developing or rather experiencing complications like itching inside my asshole and ring like patches on my body so whats the way forward should i continue with the drugs or what because am still left with a packet for one month | Hello, Unienzyme is not related to anal itching and ring like patches on the body. You can continue with the drug. There is likely a parasitic infection which is causing itching and patches. A dermatological review is necessary for clinical examination. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Loveleen Sharma, General & Family Physician | |
What causes bumps on buttock cheeks and groin area in toddler?
My son is 21 months old and he always get the little bumps that look like zits/whiteheads. Usually he gets them on his upper butt cheeks or above groin area. Sometimes on his upper leg. I usually put diaper rash cream on them and they go away after a week or so. What could it be? | Hello,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.Please revert back to me with images so that I can guide you better.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani | |
Suggest treatment for broken wisdom tooth
I am a 25 year old male, 5"10, 160 lb, i have a broken wisdom tooth which is abcessed, i went to the er and was prescribed penecillin and motrin, my chest also hurts almost like a pain in my heart sometimes, i have shortness of breath especially when going to sleep, and feel fatiged very often.I have had chest tubes from an accident almost four years ago, could this be from the abcessed infection, what should i do | Hello,You have been informed of an abscessed tooth which indicates an active infection. You must eliminate this infection. Treatment involves a root canal or an extraction. Most likely you will choose to extract a wisdom tooth. You describe a complicated medical history and must discuss these details with your dentist or oral surgeon before any extraction is planned. You are explaining systemic effects of an infection. I cannot rule out your other medical conditions as contributing factors. Continue to take anti-inflammatory medications. You may need an additional prescription of an antibiotic to control the spread of infection. Please do not continue to delay treatment. Rinse and avoid chewing in that location as well. Keep well hydrated, proper nutrition and balanced vitamins. Continue to practice good daily dental hygiene.Thank you for your inquiry. I am available to answer additional questions. Please plan a dental visit soon. | |
Have infection on breast. Reports shows FNA breast lump. Suspected as breast cancer. Should go for operation?
my mother in law has a small infection on the brest which cause her to get a medical report as instructed by a surgeon . the medical report says FNA left breast lump: Suspicious smears C4. the doctor suspect this may be for breast cancer but he wanted to under go for a operation before confirm. please tel me wheather to go ahead or not | If FNAC is suspicious of cancer, you need to go for biopsy. Biopsy are of two types. if the mass is large, you can go for trucut biopsy where a needle is passed into the lump and tissue is removed, almost similar to FNA but needle bore is wide. If the lump is small, best would be excision biopsy where the entire lump is removed and sent for biopsy. Biopsy is mandatory for final diagnosis | |
Q. My brother is 91 kg. Suggest a diet to reduce his weight.
Hello doctor, My query is regarding my brother who is 24 years old. His height is 5'5" and weight is 91 kg. How can he reduce his weight fast? He does not go to gym because of his right leg ligament problem. Kindly help us. Thank you in advance. | Hi. Lifestyle modification. Diet plans. Keep a control in having fast and junk foods. Follow the given diet and revert back after 15 days to a nutritionist online.---> | |
Does enlarged prostate cause problem in conceiving?
My husband has an enlarged prostate or something that is causing a blockage to make it difficult to urinate. They have given him medicine to take to help this. He is not taking it while we are trying to get pregnant, though. He has had this since he was 24 years old. He is now 34. Last year we got pregnant, but I had a miscarriage at 10 weeks. The baby did not grow after 7 weeks, but we did see the heartbeat. We then got pregnant after trying for six months, and it resulted in an early miscarriage (5 weeks). I was tested and have Factor V Leiden (heterozygous) so the RE has given me Lovenox shots to take after ovulation to help with implantation. I have also been tested for everything possible, and all is normal with me (hormone levels, uterus shape, tubes clear, chromosomes, etc). My husband has not been tested for anything except to see that his chromosome makeup is normal. Should my husband be tested with a sperm analysis due to his enlarged prostate? | Hello,Most of the time, there is no relationship of enlarged prostate with conceiving, miscarriage or infertility except husband has chronic prostitis or underwent any surgery or dry orgasm that is retrograde ejaculation, but these chances are rare at this age.The causes of recurrent abortions are chromosomal or genetic abnormalities. There are many tests to find out these abnormalities like hysteroscopy, MRI abdomen and pelvis, Tests for antiphospholipid antibodies, Hormonal tests with thyroid function test and many more.For this, I will suggest you to consult with infertility specialist and do all tests as advised including sperm analysis.Hope I have answered your query. Let me know if I can assist you further. | |
Q. Can cafe-au-lait spots cause neurofibromatosis?
Hi doctor, I have noticed three to five cafe-au-lait spots in my body in which three of them are confirmed, the other two were light and was not examined by my dermatologist. I do not have enough spots to be diagnosed with neurofibromatosis 1, but I was scared that I could be affected with neurofibromatosis 2 later. I have permanent tinnitus, but neuromas were ruled out, which was cleared on seeing a clear brain MRI. I have no tumor in my brain or any other signs except these spots. Should I expect these tumors to appear in the following years, or there is any possibility to have these spots as a benign symptom? I have no cutaneous schwannomas. My aunt on my maternal side has them. I may also carry a red hair gene, which may make the spots more frequent. Please help me to clear this. | Hi. Having some Cafe-au-lait spots is usually a benign phenomenon, that you need not get worried about it. In order to diagnose NF (neurofibromatosis), there are many criteria that you will not meet. Please send me some photos of the spots in order to be fully reassured. Please tell me, if you have any other skin changes. Also, tell me about the average diameter of the spots. For more information consult an internal medicine physician online --> | |
What causes numbness and tingling sensation in the left quadrant?
Hello. I am experiencing skin numbness isolated to the dorsal surface of my left quad. The numbness is of the skin only, and sometimes presents as a sharp stinging, especially at night. If I press against the front of my left hip bone, I can trigger a nerve response similar to if you hit your funny bone in your elbow. The response can be felt down the surface of the skin on that left leg into the numb area. The area is also hyper sensitive to almost any stimulation. This has been present on and off for over 10 years, but seems to be more persistent as of late and possibly getting worse. I did read somewhere that some nerve that serves that area can be affected if it runs across the top of the hip bone in that area... Seems that I read it could be surgically fixed... Any ideas or recommendations?? Thanks. Brian Hauser YYYY@YYYY | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have noted your symptoms. These could be related to meralgia paresthetica, where the skin nerve in outer aspect of thigh (lateral femoral cutaneous nerve) gets pinched under a ligament in groin. Initial treatment is with medications such as gabapentin or pregabalin capsules. If medicines do not work, then, a minor surgery can be done, as you have mentioned. Hope I have answered your query. Let me know if I can assist you further. | |
Q. Low-lying placenta at 19 weeks. Is it safe to fly with this condition?
Hi doctor, I am in my 19th week of pregnancy and yesterday, I came to know through the scan that my placenta is anterior low lying, that is, 1.9 cm beyond the os. I have a flying travel planed on 25th this month and I fly back on the 9th. Is it safe to travel? | Hello. You are in your 19th week of gestation with a low lying placenta (just 1.9 cm from the os - placental margin). Ideally, 2.5 cm from os is considered safe. So, travel with flight or any other mode is not recommended in your case presently. Also, an absolute no to intercourse as well as this may cause threatened miscarriage/antepartum hemorrhage due to jerks or exertion while traveling. Usually, the placenta naturally climbs up by 32 weeks of gestation when the lower segment of the uterus starts forming. So, presently you have to be careful and if the trip is avoidable, it should be avoided. For more information consult an obstetrician and gynaecologist online --> | |
Is aspiring vitamin pill into lung concerning?
a few days ago i was taking a vitamin just as i was ending a conversation and it felt as though it did not travel down my throat but possibly down my windpipe? I'm just wondering what would be the possible effects of if i were to have aspirated the vitamin into my lung? | HelloWelcome to HCM. I have gone through your description. You have mentioned that you felt the vitamin pill not going down your thrust but into your wind pipe. Did you have any symptoms during that. Any food or foreign body that goes into the lungs causes a very severe cough during the episode. This is a defence mechanism of the lungs to protect against aspiration of foreign bodies. The cough persists for sometime and if the thing is not expelled with cough then it settles down blocking one of the smaller airways. This may lead to chronic cough, recurrent infection and pneumonia. If it blocks the smaller airways, and there is recurrent pneumonia then it can be removed with the help of a procedure called Bronchoscopy which removes the aspirated body under video guidance. As in your case you have not mentioned any severe cough while swallowing the pill or any chronic cough or recurrent lung infection thereafter, I do not suspect that you have aspirated the pill into your windpipe. So unless you had the above symptoms there is not much to worry about. Wishing you good healthRegards | |
What causes noise while opening and closing the jaws?
Hi, For the last couple of weeks I have been hearing a noise and feeling some discomfort when I open and close my jaw. Before that there was at times a sensation of pulling a muscle in the back of my neck on the same side. I am 62, 5'3" about 230 pounds. My medical history encludes a heart stent about three years ago, my gallbladder removed about ten years ago. I have a long history of grinding my teeth and I toss and turn a lot in my sleep. | Thanks for using Health Care Magic.Read your query.The clicking of the jaws and the popping sound during chewing suggests TMJ problem,which is further aggravated by night grinding (bruxism).I would advice you to visit a Oral and Maxillofacial surgeon and get it treated ,and for night grinding he may provide a night guard which will help th stress on teeth while sleeping.Reduce the stress levels as this also plays a role in night grinding.Hope this was useful.Thanks and regards. | |
What causes pain in various parts of the body and hypersensitivity?
I have seen multiple doctors since I became ill with a virus in February. Since then, I have been experiencing pain in various parts of my body, both a deep ache and hypersensitivity to touch. These locations vary daily. Additionally, I have recently developed a headache that will come on quickly and I can hear my heart pounding while my head throbs in pain. The doctors have run multiple lab tests, all of which have come back normal. They did an abdominal CT - normal. Colonoscopy - normal. They are just kind of brushing me off now. Something very painful is happening inside my body and I don t know where to turn now. | it may be post viral arthralgia or seronegative rheumatism. Get ESR and CRP blood investigations done and proceed further | |
How to diagnose sharp right-sided pain in the neck?
MRI report showed that I had two bulging disc with a 2 millimeter bolt and a third one that was causing an impingement but when I went to the spinal surgeon or an orthopedic specialist they reviewed the films and told me that there was nothing wrong this is been since September when I got the MRI done and the neck pain on the right side of the neck is getting very sharp and migrating around to the collarbone and now my right collarbone is protruding out seeing the orthopedic doctor again today and they still tell me nothing is wrong | Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. Consult a neurologist and plan for an MRI scan for further assessment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Is a week old formula milk safe for child?
My husband just prepared a bottle using premade formula that he found in the fridge. However, I believe that this formula was opened more than a week ago. Once I realized what had happened, I dumped the bottle and open formula and started to nurse her. I am not sure if I should I be concerned. Are there any risks/warning signs that I should watch for? | I have gone through the details and understand the cause of your concern. A premade formula was stored without maintaining proper sterility, there are chances of bacterial overgrowth but generally it will cause curdling of the formula milk which you would have easily noticed. Since that was not the case, I hope you can relax and there is no cause of concern. Diarrhoea or vomiting are signs to look out for but if these do not occur, you may rest assured that things are just fine. | |
Q. When I try to unclog my ear, there is an air passing sound. Please suggest medicine.
Hello doctor, I got a slap on my ear and then I also got a bump in my head. After that, when I try to unclog my ear, it gives me an air passing sound and there is a hearing loss also. Please suggest a medicine. | Hello. The symptoms you are telling about may suggest a possible traumatic perforation of your eardrum. That needs to be ruled out at the earliest by an ENT specialist. Pure tone audiometry. 1. Eardrum rupture. 2. Eardrum trauma without perforation. Traumatic perforations heal by themselves in the majority of cases. The ear needs to be kept dry. Occasionally, antibiotics and antihistaminics are required. Avoid water getting inside the ear. For more information consult an ENT otolaryngologist online.---> | |
Having severe body pain after being prescribed with valparin and levipil due to burr hole surgery for brain haemorrhage
Hi, My mother who is 87 years had a fall and because of which had bleeding in hte brain and convulsions. She underwent burr hole surgery about a year back. She has been asked to take 200mg of Valparain chrono both in the morning and in the evenig along with Levipil 300mg also both in the morning and evening. What are the side effects of these medicines. She is complaining of severe body pain, and her co-ordination is not all that godd. | HIThank for asking to HCMYour mother's complain and the medicine has nothing to do with one another, moreover the side effects of this drug are very minimal like drowsy feel, nausea, but this will come around after few dosage, have nice day. | |
Suggest treatment for social anxiety disorder and depression
My 22 year old son is going to be seeing a doctor in a week for headaches and a possible seizure. I m wondering if I sent his doctor an email to inform him of his high anxiety levels, social anxiety, depression, etc. That he s suffered since middle school if she would keep it confidential and not tell him I contacted her. It would do some real damage if he knew I contacted his doctor. I don t think he would lie to her but he doesn t see himself as the family does and may not bring up these issues. This is the first time he s agreed to go to a doctor and I really just want to be sure she knows. Should I let it go or will it be kept between us? ?? Thank you. Cathy | DearWe understand your concernsI went through your details. You do mention that your son agreed to see a doctor for the first time. In that case it is also sure he realizes the seriousness of the issue. he understands his problem. This is the correct time for you to take your son into confidence. I suggest you to be with your son when the consultation takes place. You may chip in whenever opportunity arises. that would be helpful. Your son may not know the details of his childhood and only you will be able to tell those. Nothing wrong in telling facts to the doctor. Be truthful and faithful. Don't exaggerate. You may email the details to the doctor. But usually doctors do not attend cases with presumption. go ahead. Everything will be alright. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
Q. Can I take an antibiotic to clear the infection in my tooth?
Hi doctor, I have an infection in my tooth and swelling in the gums. Can I take an antibiotic to clear the infection? | Hi. Yes, you can take antibiotics. Take Augmentin (Amoxicillin and Clavulanic acid) or Penicillin. Take three times a day for a week. Get an early appointment with your dentist for an examination. If you are willing to save the tooth, go for root canal treatment if it is possible or else go for extraction of the infected tooth. For more information consult a dentist online --> | |
High SGOP, SGPT with fatty liver, breathing problems, do not smoke or drink. What treatment should be taken?
High SGPT , SGOT Hi my SGPT is 190 and SGOT is 87 with some fatty lever. I am 32 years old and having 88kg weight. My height is 5-10, No treatment and medicine are taking by my self. I am not smoker and not a drinker. I got breathing problems if i run only for 1-2 mins. Please advice the following. What treatment I have to Start? Dietary Plan? (What I have to eat or Not) Any exercise? | Hi, It is good that you don't smoke and drink,but there are many other causes of fatty liver and liver dysfunction,you seems to be over weight so you should visit a Doctor after that physical examination will decide what investigations are required so as to know the cause of your breathing problem and high liver enzymes level. It would be unethical to demand treatment in such forum. Along with routine test , Liver function test and pulmonary function test may be X ray chest and a Sonography of abdomen will give answer. Healthy diet and exercise is always good for health. After evaluation of results proper treatment can be formulated and you will be alright Take care of your health Good Luck | |
Suggest treatment for dementia
My husband is diagnosed with Alzheimer s and dementia (71) yrs old. Been hallucinating constantly all day. The dr in Cleveland clinic prescribed quetiapine 1/2 tablet of 25 mg. tonight was his first dosage. Should he eat with this pill. How soon will it take effect | Hello!Welcome on Healthcaremagic!Regarding your concern, you should know that you may take quetiapine with or without food. It does not matter. Is effects start around one hour after taking it. But you should know that its main effects in the first weeks are sedation and calming anxiety. Its effects on the hallucination are usually seen after a couple of weeks. Hope you will find this answer helpful!Best regards, Dr. Aida | |
Had missed birth control pill. Had sex. What to do?
Hi. I m on Sprintec ( norgestimate and ethinyl estradiol ... 0.250 mg/0.035 mg). I m usually very accurate with my bc, but i ve been recovering from an intestinal infection in addition to a bladder infection and haven t been myself lately. I was supposed to start my new pack of bc on March 13th, but didnt until the 14th, because that was the soonest i could get my prescription. After driving 12 hours yesterday, I forgot to take my pill . I doubled it today, but didn t realize i had forgotten it until after i had sex. My question: Should I take plan b just to be safe? | Hi,Thank you for posting your question here I will try to answer it to the best of my abilities.Yes, I think you should take an emergency pill just in case. There is always a chance of conception when you have intercourse after missing a pill, so to be on the safe side take an emergency pill as soon as possible.I hope this answered your question. | |
Q. My husband behaves rudely all the time. Kindly advice.
Hello doctor,My husband is mostly sad and depressed. He cannot listen a word against him or his family(mom, dad & sister). He gets mad and behaves very rudely with everyone if they do not agree to what he says. He fought with his boss in his company for silly reasons. He abuses me emotionally and mentally. He hides from colleagues and friends about his marital status, to some he says he is not married and to some, he says he is married, and his wife stays with his family and works in a bank (but I live with him and work in MNC). He always uses to tell a lie to me in small things also, he is never ready to accept his fault. Even if it is evident that it is his fault, he will never agree. He was flirting with some girl and went to meet her, and I got to know this when I checked his phone when I confronted him, he got mad at me. He is not ready to accept that he is at fault. He never answers my questions, always diverts the discussion. He does not have any plan. He hates my family for no reason and always say abusive things against them. He says he loves me but never let me live happily. In short, he is still right. Is he mentally ill? | Hello. I can understand your concern. Considering the history of the symptoms you have mentioned, there are few possibilities. One is some underlying mood disturbance which could part of bipolar disorder. This should be appropriately evaluated to make a diagnosis. Repetitive mood swings, keeping grudges, anger outbursts, repetitive lying, etc., are seen commonly. Such symptoms can occur as part of some personality disturbance. Anger, irritation, etc., could be related to personality issues. Please talk to him and if possible, consult a psychiatrist. Mood stabilizers can be used to control his anger and mood swings. | |
Pain in the lower back while sitting down. No constipation. Should I be worried?
I have a pain in the lower left side of my back. The pain becomes worse when I sit down suddenly or go to the bathroom. When I sit down to start to go to the bathroom it s a quick sharp pain that causes me to bend over and then slowly eases into a dull ache. I thought it might be built up gas, as if I was constipated, but I m not and the pain has been going on for a few days now. | Hi. Thanks for choosing HCM. Please note that your symptoms can be due to various reasons. But it is wiser ruling out the serious ones like the prolapsed disc in the vertebral column. There are some clinical tests which can reasonably detect what could be the problem by your doctor. However do the following- 1] Give sufficient rest to back. 2] Hot water / bag / electric patch fomentation to the back. 3] No massaging please. 4] No exertional activities for 2 weeks. 5] X-ray of lower back [ MRI of lower back if needed] You have not mentioned your gender as in females pelvic problems may have to be looked into. | |
What causes shortness of breath?
I need help identifying what is wrong with me. I ve been having trouble breathing and I can t or I have extreme trouble catching my breath. I become breathless just sitting on the couch! I get a stuffy nose and I cough constantly which makes it even harder for me to breathe. I feel contractions in the left side of my collarbone/chest area when I breathe. I have trouble sleeping and when I do fall asleep, I ve been told by my family that I seem to struggle greatly and wheeze when I breathe, making it so I m only able to get shallow breaths. They have to wake me up and move me so I can actually BREATHE. I ve been wheezing when I breathe and debate to actually call 911 or move me. That s how bad it is. Please, help. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Wheezing, chest contraction, shortness of breath etc are commonly seen with Asthma and bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose disease but it will also tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). In severe cases oral steroids (prednisone) is also given. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. | |
Does high level of tlc cause cancer?
Hello doctor I mean a post renal transplant patient with a good function of kidney.but my tlc is very high somewhere between 0000_0000. Doctor says it is okay. But I might worried whether is has something to do with cancer?my all para meters really good. Plz help. | Welcome to Health Care Magic.My dear friend only high tlc is not associated with cancer until it contains abnormal cells in blood.As you told that your doctor says its okay then its mean he has already checked your blood film.I suggest you not to worry about it.Just follow your doctor.Thanx for your query. | |
Suggest treatment for cat bite
our housemate was bitten by my cat a month ago, the cat is ok till now and my housemate seems ok too, the cat never had rabies shots, but my housemate didnt want to take the anti rabies vaccines. but im telling her that she should. should i really insist that she takes it even after a month from the bite exposure passsed? thanks | Brief Answer:No Rabies Immunization required.Detailed Answer:Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services.I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.Based on what you said, there is no need of rabies vaccination for your housemate. When there is incident like this, the pet animal is observed for 10 days. If the animal is healthy and doesn’t develop any symptoms after 10 days, then there is no rabies exposure occurred and thus your housemate doesn't need rabies vaccination.It is recommended to vaccinate your pet cat against rabies and other known vaccinations. It will prevent you and others around you to get such diseases. Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow up to see how you doing.Regards!Dr. Ali Raza | |
Suggest treatment for chest pain
Hi,f mraiy eI nandswer your health queries right now ? Please type your query here... hi my friend is having sharp pains in her chest, shes swetting and everytime you talk she hears a beeping noise in her ear, she refuses to go to the hospital, i dont no what else to do thanks | Thanks for your question on Healthcare Magic.I can understand your concern. Sharp chest pain, sweating, sound in ear etc are characteristic symptoms of heart diseases.So better to take her to hospital and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test).If all these are normal then no need to worry for heart diseases. There is no option other than going to hospital. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks. |
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