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How should pustular psoriasis causing odor be treated?
Dear sir, My name is Vithal Joshi, and I am of 37 years aged male. I am suferring since last 12 years pastul Psoriasis. It effects on my whole body, having pus in them and finally it flows out from the patches. It gives a very bed smell. Weekness is also attached during this period. Weight loss is also occures. It attacks on me, in any season. Please guide / help me. thanks. | Hello. Thank you for writing to us at healthcaremagicPustular psoriasis is considered to be severe type of psoriasis. Pustular psoriasis is usually managed in a hospital based ICU setting.Pustular psoriasis is an unstable form of psoriasis and is most commonly the result of sudden withdrawal of steroids (oral or topical); topical irritant therapies like coal tar, anthralin are also implicated in precipitating pustular flare.Infections and pregnancy are other common reasons for pustular flare.In pustular psoriasis there may be associated systemic symptoms like fever, chills, weight loss etc.Systemic treatment with either Methotrexate, Acitretin and cyclosporin is the treatment of choice for pustular psoriasis.Topical treatment usually comprises emollients. All other topical treatments like coal tar and steroids are discontinued in pustular flare.Besides specific treatment of pustular psoriasis, general measures like monitoring of fluid and electrolyte balance, pulse and BP, Intake and Output charting are an essential part in the overall managment of pustular psoriasis.I suggest you to visit a dermatologist. Your dermatologist will tell you in more details about this form of psoriasis and available treatments and also do the needful.Regards | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
What causes pounding heart beat at the age of 22?
Hi, I am 22 years old and I am suffering from fast pounding heartbeat from last 1 year. This happens to me after walking, climbing stairs and after lifting little weight also and the pounding heartbeat stays more than 20 minutes. It gets fast then slow then suddenly fast and slow and it freaks me out I feel thirsty and it’s like I cannot take even a single step ahead. I went to hospital in emergency they did ECG test and even the blood test they said everything is normal they just asked me to avoid caffeine but now I am anti-caffeine person but still it happens to me after taking a little walk even… please help me as I am helpless.Thanks!!! | Hello,This can be a cardiac arrhythmia like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holter monitoring. So visit nearby cardiologist for these investigation.Also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiological studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode | |
Is bulky uterus a problem to get pregnant?
hi doctor, i am 24 and i have daughter, is 5yrs old. but i havent got another pregnancy yet. so i consulted doctor and she suggested pelvic scan. it is reported that mine is bulky uterus measures 7.6x4x4.9cms. my question is "is it a problem to get pregnancy? | hi healthcare magic, your size of the uterus is normal.. since you have conceived once I don't think their is major issue.you need to get evaluated why not conceiving please check for ovarian reserve , hormonal profile. after that we can plan fertility treatment. | |
What is the treatment for bleeding ulcer?
It was discovered that my brother had bleeding ulcer, it was cortorized. His white cells are elevated and he decided not to have bone marrow test. He was given 6 pints of blood still his total count is only from 7 gone to 8. Now potassium is low. I really want to tell him something on the phone that could help in some way . | Hi, I appreciate your concern for your brother and the will to help him.See in any illness, and for the fact any mater if there is hope the patient does well than if there is less or no hope. so first and foremost tell him that his miseries can be all removed if he helps in treatment and the ulcer can be got rid of, second to live we need motive, so find some motive that motivates him towards treatment, be it his marriage, having kids, having loved someone, or owning a new car or house once he is cured.I hope if you try patiently and calmly, understanding the mental status of your brother and the stress both mental and physical he would be going through, you will develop enough empathy to help him out and if he sees your efforts as true, and sincere he is bound to respond.Good luck. God Bless | |
How can allergic itching on the skin be treated?
I have been to see 3 different doctors and 2 dermatolgists for the same thing, 2 derms said dry skin prescribed Tricialome cream . Since July of last year, I have been getting raised marks on my skin that looks like pimples sometimes and sometimes 1 sometimes several in the same area. My skin itches like something is crawling on my skin, I feel like a pin prick sensation sometimes, sometimes I feel fluttering on my skin sometimes I feel like a allergic reaction itch. The itch is usually the same all the time, I have 1 good day 5 bad. I usually get these pimple like things on my scalp, breasts, under breasts, neck and shoulders and buttocks. Very rarely any where else. I thought it was scabies, no and I have cleaned and cleaned, changed everything to senstive skin, no hot water, lotion twice a day, laundry soap clear and free. I was on meds that i thought was causing this, stopped taking them, nope. They keep giving me Tricialome cream again, vanacream. I thought maybe we had bed bugs no sign of them its been 8 months, I have cleaned carpets washed all the clothes in the house looked through everything never found a live bug in that time. My son who lives with me no spytoms at allI feel like I am losing my grip. I am on a daily athistamine and lotion with vanacream, I take 5 minute or less showers warm, no loffa dove senstive skin soap in privates ...PLEASE HELP | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of allergic dermatitis, my treatment advice is - 1. Don't squeeze the lesions as it may worsen the condition. 2. Apply an emollient cream like Enmoist cream. 3. Take an antihistamine medication like Levocetirizine. 4. Other treatment options are oral and topical steroid given only after consulting a dermatologist. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest diet and precautions to be followed during typhoid
hi doctor my brother is 10 year old and he is suffering from fever from last 8 days and today in diagonosis he is suffered from typhoid. medicines are (XCEF 100DT AND AZITHROMYCIN)IS IT OK AND WHAT PRECAUTIONS AND DIET SHOULD BE GIVEN TO HIM FOR A SPEEDY RECOVERY? | Hi welcome to the health care magic I appreciate your concern for using this site to solve problems.... For typhoid continue prescribed medicine and complete the course of antibiotic.... Follow below helpful suggestions.... -take rest -fluid given more -small meal taken with frequent interval -fruit juice more -personal hygiene maintained with frequent hand washing -Avoid fried foods and fried non veg for few days -potato, boiled chicken etc can be given If after two week no improvement than further work up will be decided Take care Hope your concern solved Consult physician for examination and further discussion about typhoid | |
Suggest treatment for hair fall
Hi, I am 29 professional. I started losing my hairs like never before. I thought it may be because of change in water(hard to soft) and the polution at first, but its not stopping even till today. Its been 3 months now and my hairs are getting thin day by day. Is it normal to have hair fall? Someone suggested me to use Bitozed(Biotin+zinc), but not sure it will work for me. or Will it have any side effect after use? Please advise the best solution for my age and condition. Thanks in advance. | Hi, I would recommend you to undergo certain lab tests to find out the cause of hair loss.Get your hemoglobin, thyroid function tests, serum vitamin D levels, serum vitamin B12 levels and serum ferritin levels. Meanwhile, start with bitozed tablet. It doesn’t have any side effects. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | |
What causes fast pounding heart rate in ears?
Hi every time i get up my heart will pound fast and i can feel it beating in my ears. A visit to my doctor last week had a blodd pressure realy high 192 and cardiac rate 137 then twenty minutes later 106 BP, whats is this do u know. age 35 small build 105lbs. | Hi,You hear pounding heart beats in your ears because of high blood pressure and fast heart rate. You should undergo some examinations, such as tests for thyroid, kidney to find out the reason for your high blood pressure. Meanwhile you should receive treatment because such blood pressure is harmful for your organism.Hope I have answered your query. Please let me know if you have any further questions.Regards,Dr. Lilit Baghdasaryan | |
How to treat heart attack?
my brother in law had a heart attack. He was given cpr but it was around 30 minutes before his heart was beating normally.He is unconcious and now ventilated and sedated, but cannot be roused. Will he regain conciousness ? and what can we expect best and worse case senario. | Hello dear,I.extrimally sorry about you brother. As a medical terms, your brother heart may be stop more than 5 min. At the.time of attack, in this case your brother brain has hypoxia and he will go in hypoxic brain coma. Thus type of pts may has been recover or may not be. So please let him try to doctor untill last breath. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What causes intense abdominal pain with heart pain?
ok so i woke up today and i started to feel a intense pain in the same spot as my period paion it would work its self for the front thenn go to the back, and would get stronger and stronger, then after a few mins of that my heart started hurting like someone was stabbing me, and keep going back a forth to my lower back then my heart. its the most intense pain i have ever. then i would try to walk around but would have to stop on the floor because the pain was getting wrost. i have no clue what to do. | Hi, thanks for posting your concern in the HCM.I think you should immediately consult your local physician or visit the ER of nearest hospital and get an ECG and Trop-T done.If they come out to be normal, you may need further tests to rule out ischaemic heart disease, peptic ulcer disease, pancreatitis etc. Hence, you may need a TMT, blood for LFT, amylase, lipase, UGI endoscopy.For the time being, pleasd have Pantoprazole 40 mg tab stat.For any further information, please write back.Regards | |
Suggest treatment for stealing habit in children
Hi, I have a 15 year old son who has taken mine and my daughters clothes for years now. I have tried talking to him about this, asking what he does and how I can help him. He tells me he doesn t need help and that he is fine. The problem is that he takes them without permission. Sometimes he destroys them, he cuts the legs off of the pants, or cuts them in half and then tapes them together with duct tape. I m afraid my husband will find out and I want to help my son, but I don t know who to turn to. I don t want my son to think something is wrong with him. I have offered to buy him clothes, but I ask him to please stop taking our stuff. What do you suggest? | hi MAM, I could understand your agony. Please show your child to a psychiatrist with out delay as you will be aggravating the problem by concealing,Also find out the reason on discussion with your son in detail and his behaviour with his friends and at school | |
How to treat a bump on the gum?
I have a small bump on my gum and am worried. It has happened twice before and within the last three month. The first time I had a dead tooth without any pain, just the bump. The second time I had to have a root canal. Do I need to see a specialist or what? | hellooo....going through your query i must say that the bump in gum is due to the dead teeth...though the tooth might be dead from outside but it might have infected from down...and after root canal also it can be infected...so u might have to take amoxicillin n metronidazole for 5 days and see..still if its increasing...have to better meet the dentist...its just a usual phenonmenon..nothing to panic in this...be happy...everything will be fine...have a nice day!!! | |
How to reduce sgpt levels in blood?
gud PM doc...im 65 yrs old. my question is how do i can lower my SGPT which is 97 in level. I do take my daily maintenance medicine for my heart. i also take solosamet tab for my sugar. i do take everyday 2 teaspoon of mixed ampalaya, turmeric and cinnamon powder (to normalized my blood sugar). i also take cayenne powder as food the heart. Today I stop taking the solosamet tab. Pls comment Thank you... | Hi.Thanks for posting query at HCM.are you over weight or obese?Alcohol ingestion and obesity are common causes of fatty liver disease.viral causes ( HepB and C) should also be excluded. if positive for any of the viral cause, visit treating physician or hepatologist. advice:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound.- 2 tsp pure olive oil early in the morning before breakfast daily would help to maintain sugar level. you may use for a month and record your fasting and random blood sugar daily.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik | |
What causes hard palate and teeth swelling, soreness with nose bleeding?
My hard palate behind front 2 teeth is swollen and sore. Also, my 2 front teeth are very sore/sensitive and have been for a few days. I'm assuming this is associated with the fact ive been suffering from runny and/or stuffy nose that i thought was allergy related, but got more concerned yesterday when i started having nosebleeds. Any suggestions? | Urgently see a maxillofacial surgeon or as the swelling could be due to some injury or tumour in that region..a xray of jaw will rule out the same. | |
Suggest treatment for dizziness in bronchitis patients
I am experiencing EXTREME dizziness upon standing from a sitting position. My legs are elevated but my head is not reclined.I am taking prednisone, levaquin, and an inhaler Symbicort to treat bronchitis.Blood pressure went from 137/75 to 123/70 to 106/64 in just minutes. I almost blacked out. | This drop in blood pressure from the lying to sitting to standing positions is called "orthostatic hypotension", and is likely what is causing your dizziness when you stand up. The medications you listed are generally not causes of orthostatic hypotension. Common medications that can cause this are blood pressure medications. If you are not such medications, you should see your doctor to evaluate you for various causes that could be doing this, which can vary from endocrine to neurologic causes. In the meantime, take your time when getting up; try to stand up in stages especially in the morning when you are getting out of bed. Sit up first for two minutes, then put your legs over the side of the bed for two minutes, then stand up with support for two minutes, and if at this point you don't feel dizzy, proceed to walking without support. | |
What causes pain in chest while breathing?
what causes my chest to hurt sometimes, and little while ago i was laying back in recliner and sat up and it hurt and then when i was breathing. also sometimes my left shoulder hurts but i have been to the hos and all test come back ok. what could cause this. | Hello dearWarm welcome to Healthcaremagic.comI have gone through your query thoroughly .* When rest of the causes are eliminated from the physician evaluation , the reason remains is psychosomatic manifestation of underlying stress or anxiety disorder .Hope this clears your doubt .Regards . | |
What is the treatment for vomiting and fever?
Hello, My daughter is 5 yrs old yesterday morning around 5 am she woke me up saying her stomach was hurting my youngest daughter 2 yrs old was sick had some kinda stomach virus that included vomiting, fever, no appetites a cold the usual stuff it comes with so I assumed my 5 yr old got it as well she s having the same symptoms she keeps complaining about her stomach hurting bad, her arms hurting, itchy throat so I think she s meaning sore throat, she has a cough too the stomach pains come & go she ll be fine for awhile then all the sudden she s crying hurting again my youngest daughter wasn t completely feeling the way she does I ve been doing research to see what I could be I ve seen it could be a stomafluch flu the doctor office is closed today I know they say it has to play itself out I just wanna help her could you give me any advice of what it possibly could be & what I could do to help if I can.? | Hi...This looks like viral induced vomiting and diarrhea and pharyngitis.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. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
What could cause dizziness and loss of appetite?
My son is 24 years old. He is feeling dizzy and extremely tired. 3 days ago he fainted after feeling like he was going to throw up. He was able to eat something, but then felt chilled and exhausted. He seemed to do better for a couple of days, and now today is starting to feel the same symptoms but has no appetite. My son has been very healthy and has never had a serious health issue. He is a college student and is not currently living at home. I've suggested that he go to his student health clinic, but wondered what could cause the dizziness, loss of appetite. I am concerned that he may faint while driving to/from class. | Hello and welcome to HealthcareMagic.Feeling dizzy and ill is not a very specific finding, meaning it could be a manifestation of many different conditions, so more info or tests might be necessary. Also it is not clear since when have the issues appeared and whether you have had any tests.One possibility for light-headedness would be anemia, which commonly manifests with dizziness andtiredness.Heart rhythm and function abnormalities would also lead to insufficient blood supply to the brain and other organs so would also justify those symptoms.Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well.If the symptoms have appeared only very recently it might be a simple transitory viral infection which are generally transitory and need only rest and hydration.So I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, EKG.I remain at your disposal for other questions. | |
Suggest treatment for polio in legs
Hi, I am attacked by polio, Age 29 years. My left leg was infected it is smaller than right leg. I am walking my own legs by support of my left hand pressing my left knee. So I can't walk only 20 mts. also. Now I would like to surgery my left leg so please suggest me which surgery is curable.It is possible/impossible? If it is possible where it is. | Hello, Now a days surgery for polio is very much possible.Most of the orthopedic hospitals are doing that. There is a center at udaipur (Rajasthan) India known as Narayana hospital which is doing free polio surgery.You may google it & check for addresses and other information. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mukesh Tiwari | |
What causes lower back pain with loose stools?
Hi I m having a lower back pain, and sometimes a neck pain for the last two weeks. I have no abdominal pain or cramps. However, I having loose stools for two days now. I have to go about 4-5 times, but only before evening. There is some sound coming from the lower abdomen as well. Thanks so much | Dear- thanks for using our service and will give you my medical advise for this situation. You might be having an infective process that is creating the loose stools. Due to this, there are multiples electrolytes as sodium,potassium, calcium and magnesium that you loose in the diarrhea. Water is also part of the looses, all of this will create a metabolic imbalance that can give you pain.I recommend you to consult with your doctor because it has been more than one week with this complaint. You might need a stool sample for bacteria and parasite to find out the reason of your problem.I hope that my advise has been helpfulDr.Sara | |
Are Mefloquine and USP advisable for malaria?
I was given four pills..white with #54 and 111 on one side and was given four pills sealed in silver with mefloquine HCl tablet USP 250 mg to treat or prevent malaria since I will be traveling to Africa soon. Are the pills the same and are their safer drugs I can take? Thanks for your help. | Hello,Yes, either of these pills is advisable for malaria. The white pills bearing an imprint of "54 111" on one side and a dividing line on the other side contains the antimalarial drug Mefloquine which is same as that of Mefloquine HCl USP. It can be used to treat or prevent malaria.Since you're planning to travel to Africa, should take one dose of Mefloquine per week starting at least two weeks before traveling to Africa. Then you should continue taking one dose per week while there, and for four consecutive weeks after leaving. Generally, it is well-tolerated, however, it can cause dizziness, difficulty sleeping, anxiety, vivid dreams, and visual disturbances. In rare instances, it can cause seizures, depression, and psychosis. When they occur, these side effects start within the first few doses of the medicine. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Mohammed Taher Ali | |
What are complications of small heart?
I'm a 65 year old female, 5'6", weight 195, taking anti-depressants. Otherwise in good health. I have a small heart. Having this are there any health issues I could have? I've had stress tests done, but haven't had any issues. My father had by-pass surgery, then died 15 years later of heart failure. Can having the small heart cause a stroke? | Dear Mrs,You have normal stress test, which means that there is no coronary artery disease and your heart sizes are enough for your organism.For avoiding further problems, I would advise you to try to have normal weight, exercise regularly and follow healthy lifestyle.Take careCome back if you have any further questions | |
What cause body ache and shoulder and neck become tender?
Hi I've being feeling achy all over for about 5 days my shoulders and neck are tender to touch as is my lower back and it hurts when I move or bend in certain ways I also now have 2 ulcers at the back on the right side of my tongue that hurts when I swallow but is also hating my ear.Thanks sara | Maybe ur suffering from viral fever and myalgia, eid severe vitamin b defiency.pls get evaluatd eid a physician | |
Are antibiotics recommended to treat pus cells shown on urinalysis causing abdominal pain?
hello doc.. my query is i already take antibiotic last 4 days ago name is monurol,, antibacterial but now i get urinalysis my pus cell increased from 0-2 to 0-3,, 4 days later,, is antibiotic not effective? or ill ask another antibiotic,, i still have abdominal pain ,, | i think the medicine is not working due to resistance of bacteria to anntibiotic these are the chancesi suggest you to go in for urine culture which can tell you the exact antibiotic working on the bacteria causing the urinary infectionyou can have lot of fluids and liquid antiseptic syp which excretes through urine till you get results of culture | |
Is it safe to take AKT 3 during pregnancy?
Hi i have TB Gold positive result i have completed AKT 4 for 4 Months and my gynaecologist suggested me AKT 3 for 2 months now i complted Akt 3 for one month, My MC date 18th Feb but i didn t found HCG pregnancy test possitive, is it safe to take AKT 3 during pregnancy, is there any side effects | Hi, Thanks for the query. I understand your concern. AKT kit is a three pronged weapon to combat TB. There are no specific side effects of the drug on pregnancy/ fetus though routine side effects like jaundice/ allergic problems/ neuralgic side effects remain.. but you already had been on the kit for last 5 months & did not have any side effect.. so be relaxed,& follow your doctor's advise & get rid of TB the earliest. It's already 2 months after your last menses & home pregnancy test would have been + ve by now... provided you had regular menstruation. - I would advise for detaining pregnancy ( in case it's not there at present )complete the course/ get your general condition improved & plan for a baby later on. - If pregnancy is +ve at present, carry on. Continue with anti TB drugs as advised/ take routine pregnancy check ups with nutritious diet, sufficient iron, protein & vitamin supplements & ideal pregnancy life style. Thanks. | |
What might be the prognosis for low platelet count if bone marrow and aspiration results are normal?
I am currently seeing a hematologist for low platelets. my abdonial ultrasound can back good today, only 2 tiny liver cysts. My platelets 2 days ago was 61(previously were 40 and 47) Today she recommended a bone marrow biopsy and aspiration to check for cancer, I think. If that is clear what would be a reasonable guess into the next step? | Hello, I hope that the bone marrow biopsy and aspiration come out clear. Of these come out then an autoimmune disease is possible. In this case, you may use corticosteroids to suppress immunity. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olgeta Xhufka, General & Family Physician | |
Suggest remedy for dry cough with itchy patches on the palate area
I started a cold and dry cough two days ago. This afternoon I noticed some burning inside my mouth when eating warm soup and I have some red areas and irritation in the back of my throat, roof of my mouth and sides. There are no white patches as of yet. What should I do to prevent this from getting worse, do you think this could be strep throat ? | Hi..Thanks for the query..Symptoms of cold and cough with red areas on the palate, inner cheeks and throat area is all due to infection only..As the mucosal surfaces are irritated and inflamed due to infection, therefore there is burning sensation while eating or drinking anything that has spices..So my suggestion is to consult an Emergency room and get a throat swab culture done..It will help in ruling out whether it is bacterial or viral throat infection..At times there is viral infection with secondary bacterial infection..In that case you will be advised antibiotics like Azithromycin, anti inflammatory painkillers like Advil, Aleve etc, do warm saline gargles, antiseptic mouthwash gargles and suck throat lozenges..You can also suck lozenges with numbing agents to reduce pain and burning..Hope this helps..Regards. | |
What causes pain in back of foot when walking for long period?
Hello, the back of my foot randomly starts to hurt after walking for a long period of time, after dancing for a long period of time and when i wake up in the morning. It also starts to hurt when i first walk on it after not being on it for a while. This is just in my left heel. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.I think you have plantar fasciitis which is the inflammation of the plantar fascia due to overuse. Your complaints are characteristic with this condition.I suggest you the following:• Start stretching exercises for plantar fascia and Achilles tendon.• You can use insoles on the shoe with arch support.• Sleeping with night boots (for 1 month) helps to keep the fascia long during the night hours.• Some physiotherapy procedures such as shock wave therapy may help but you have to go at the physic center.• In severe cases we can immobilize the leg with a short leg walking cast for 6 to 8 weeks.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Edvin Selmani | |
How to cure chronic dull abdominal pain?
Dear doctor, I am a 35 year old male with chronic dull abdominal pain. I am skinny fat, 5 71/2 and 125 lbs. I have been suffering from this condition for the past 5-6 years. I have seen a doctor over this issue a few years back but nothing came out of it. He did all sorts of tests, no stomach or intestinal ulcer, no gas trouble, no appendicitis, no stomach or intestinal worm, no hepatitis or lacerations within stomach or intestines, no presence of helicobacter pylori . He did a barium test. Stool test and blood test came clean. At the end he gave me some medication related to stress (I think, based on the info on the leaflet found within the drug case) which i discarded as I found it amusing that he would treat me for stress when I was having trouble with my abdomen and stopped seeing him. Also ECG results came -ve. The dull pain doesn t affect me during daily life. Only when i press my belly i feel it. When I eat, after some time I feel my belly to be throbbing as if my heart is in my belly. I did my own research online and found my condition closest to Chronic functional abdominal pain. I don t suffer from bouts of diarrhea or vomiting or pass blood in stool. I don t feel any pain during bowel movement and I have one every day. I went without gluten once for a few months, it felt slightly better but the dull pain didn t end, i.e it has no effect whether I have gluten in my diet or not, i get the same throbbing sensation some time after I eat. Looking forward to your diagnosis | Hello!Thank you for asking on HCM! I understand your concern. Your symptoms seem to be related to irritable bowel syndrome , which is a common intestinal condition characterized by abdominal pain and cramps; changes in bowel movements (diarrhea, constipation, or both); gassiness; bloating; nausea; and other symptoms. It is known that stress can worsen the situation. So the doctor who wanted to treat you for stress has not been wrong. This is not a life threatening condition. All the tests result normal, like in your situation. Much about the condition remains unknown or poorly understood; however, dietary changes( more fibers and avoid caffeine and spicy food), drugs ( like buscopan, antispastics) , and psychological treatment are often able to eliminate or substantially reduce its symptoms.Hope to have been helpful!Greetings! Dr. Iliri | |
What causes knee pain?
I started having knee pain at the back of my knee. It started very suddenly-I was just walking.I m a fairly active person I run several times a week but I m 47 years old and I was reading it could be a couple of things what is the best way to get this diagnosed? | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain pain at the back of knee can occur due to causes like Hamstring injury, Baker's cyst, posterior meniscus tear, arthritis, knee sprain etc..I would suggest you to consult an Orthopedician and get evaluated and a thorough clinical evaluation and investigations like x Ray, MRI, CT SCAN and blood tests can help in making a confirmatory diagnosis so that an appropriate treatment can be instilled..You can be advised to take Anti-inflammatory painkillers, muscle relaxant, cool/warm compress depending upon the problem, physiotherapy to strengthen the muscles and improve movement, while at times surgical correction might be required..You should also avoid vigorous exercises, long hours of sitting or standing continuously and loose weight if obese..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
Suggest treatment for small sized kidneys
My sister's both kidneys are smaller in size. around 8''. Doctor says CMD practically lost. creatinine is 2.8. ESR is also high. B.P. is now 150/100. She is only 30 years old. Mother of one girl child of 4 years of age. Is she curable??? what is her actual problem? Where can i do her treatment? - Mahua Das, Kolkata -Cell no.0000 email id: YYYY@YYYY | Hi, I had gone through your question and understand your concerns.First thing I want to tell you is function of the kidney once lost is lost we cannot revert the function back but we need to maintain the remaining function without loss. For the stage of kidney disease she is having transplantation is the permanent solution. She is still in early stages but due to hypertension the situation may go worse in future. So early treatment is necessary. She does not need dialysis at this point but we will manage her with medication. If she is my patient I will manage her medically after seeing necessary investigations like -renal function test-serum electrolytes-phosphate-calcium-pth-urine analysisHope this answers your query.Regards,Dr.Alekhya. | |
What causes swelling in leg?
Hello, my leg swell a lot and it has been very uncomfortable for me. I have asked my Dr. they tell bad circulation in my left leg. They ask if I exercise N etc. the answer Yes I do I am activity. Can you please tell what could be causing my leg to swells? Yaoke (Thank you) Esther | I have studied your case history.You may use stocking to reduce swelling of leg.Active and passive leg exercises. Exercises against resistance will help to increase tone of leg muscles so you can reduce leg swelling.Medications like furesemide will decrease swelling you can start that consulting your doctor.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
What is the treatment for anxiety and tachycardia?
hi im a 23 yr old male 155lb have a bad history of anxiety but have had it kept under control sometime through medications , for the past year or so i have had excessive tachycardia , lightheadedness and constant body twitches , wat could be the cause ? | DearWe understand your concernsI went through your details. I suggest you not to worry much. Tachycardia is a heart rate that exceeds the normal range. You must understand that, In general, a resting heart rate over 100 beats per minute is accepted as tachycardia. You must consult a physician or cardiologist to confirm that you do not have any other problems other than anxiety. Once confirmed, you can start psychotherapy treatment. You need to change your lifestyle and streamline your metabolism and thinking pattern. Psychotherapy should be of immense help to you. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Suffering from pimples, acne, recurring condition. Using sofradex-f cream, clindavid gel. Suggestions?
hello..I am 25 years all.. I ve been suffering from pimple and acne for the past 1year. two months back my doctor has prescribe me to apply sofradex f cream and Clindavid gel to be mix together with the same proportion and apply two times daily. for 1month i can seen changes.. but now again i am having the same problem.. i ve stop using that cream... what should i do... i need help.... | Hello , Thanks for writing your query to us. You should not completely stop any medicines without consulting your doctor. You should continue the medicines which your doctor has prescibed. You are bound to get acne flare up once you stop the treatment. 1 month time is too short for complete cure of acne.Other thing you should maintain a good skin care regimen daily without fail. Use sunscreen before going out of home. Take care. | |
Can there be a risk of pregnancy after periods are over?
I had unprotected sex on friday/saturday/sunday. Saturday my period ended. I took plan b on monday in the late afternoon. Can i still have a risk of getting pregnant. Also i felt movement in my abdomen and I have had one child already and it felt exactly like that but i still have periods they are just more unusual . Also my periods and ovulation differ every month. | Hi dear and thanks for your query.Chances for pregnancy after you have passed periods are almost zero.Movements that you feel in your abdomen haven't relation with pregnancy because and if you were pregnant is very early.Fetal movements feel later ,usually in the second trimester between 20 to 22 weeks .Feel relax and don't be paranoid .All the best | |
Suggest treatment to get pregnant
hi.my name is tk i have a problem falling pregnant.i have always had problems with my menstruation,so my doctor recommended that i take biphasil contraceptives and they have been working to help me get my period every month.if i stop taking them i do n;t get my period.so my fiancee and i have been trying to fall pregnant whilst still on the pill,i would skip taking my pill for a day or two hoping that it will disturb my preventing but nothing has happened so far,all my tests come out negative.someone told me about taking the ovacare pill.please help* worried* | Hi I think you will have to undergo evaluation first to find out the reason for your periods problem. Get a thyroid profile and prolactin levels and a ultrasound for follicles done. If everything is fine you can take some medicines for ovulation. talk to your doctor regarding this. | |
What causes chest pains and dizzy spells?
Hello, for the past couple of weeks I have been getting randomly chest paints along with dizzy spells. I feel very week when this happens and hard to focus or concentrate. Last week the chest pain was very sharp and it lasted for about 5 minutes. I am not taking medication and I am 27 years old. | Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that your symptoms could be related to a cardiac arrhythmia, although it is not really typical at your age. Other possible causes to consider would be: coronary artery disease, panic attacks or a musculo skeletal pain. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests to investigate for the possible causes: - a chest X ray study - a resting ECG and a cardiac ultrasound to examine your heart function and structure- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during a prolonged time and investigate for possible cardiac arrhythmia- complete blood count for anemia- thyroid hormone levels for possible thyroid gland dysfunction- blood electrolytes for possible electrolyte imbalance- PCR and ESR for inflammation- a blood lipid profile. A cardiac stress test would also help exclude possible coronary artery disease, if suspicions are raised during the above tests. You should discuss with your doctor on the above issues. Hope to have been helpful!Kind regards, Dr. Iliri | |
What causes pain in the groin area and lower back?
.I have groin pain in right side sometimes sudden sharp pain and lower back pain and stomach pain on right side his causes me to feel sick this pain is getting worse as week goes on | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Probably due ureteric colic. stones in the urethra. Get the ultrasound scan done to diagnose the problem and treat accordingly. Drink more water. Could be also due to appendix. So finally an ultrasound scan will help in diagnosis. Get the scan . Hope I have answered your query. Let me know if I can assist you further. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Suggest treatment for stomach infection & nausea
My daughter is on Embrel and therefore has a low immune system. She is having symptoms of the stomach flu- nausea and diarhea. Her temp is orally 96 F and has dipped down to 95.6 F. as well. We bought another thermometer and it was confirmed with that one as well. She is not normally that low. What do you suggest? | It could be a viral o bacterial intestinal infection. But other symptoms like blood or mucus, could indicate definitely bacterial infection. In that case, you can do this:1. Do a copro analysis, to look for amoebas, or parasites.2. Hemogram: to detect white blood cells level (which indicates infection)3. Empiric treatment of symptoms, with probiotics, like lactobacillus every 8 hours, or other, Hioscina bromuro every 8 hours, and metoclopramide every 8 hours.4.After getting results, maybe specific treatment like antibiotics, if there is a bacterial infection, would be needed. But you should consult again, in order to administer antibiotics as well.Hope your daughter gets better soon, and this information is helpfull.Good bye | |
Can consumption of pork increase the ALT in the blood?
In regards to an elevated ALT liver test, I have not had any alcohol in about 2 weeks hoping that my ALT would have decreased beloq 149. Yet today I had a blood test and it was 179. I had pork over thw weekend (Carnitas) besides that I can t think of anything else. Can pork increase ALT? | Welcome to health care magic.My dear friend as you asked about pork,that it can affect liver because trichinosis is type of parasitic disease that can harm the liver. Trichinosis is contracted from eating under-cooked meat (usually pork) and it affects the bile ducts that drain the liver and alter ALT.Second thing is that you also have history of alcohol drinking but you did not tell about past history of alcohol intake duration.In alcohol drinking patient ratio of AST/ALT is very important. The AST:ALT ratio of more than 2:0 is suggestive of alcoholic liver disease.I suggest you to avoid alcohol and do ultrasound abdomen and complete liver function test after aproaching nearest physcian.It will help to know liver status and cause for raised ALT.Thanx for query. | |
What causes discomfort in penis?
Hi. I am a 22yr old male. Since last night, I ve been feeling a bubbly feeling under my penis(close to my scrotum). it doesn t hurt but it really irritates. not sure if it s related to stress but I ve been really stressed lately.I d really appreciate any information you have on this. Thank you | Thanks for asking in healthcaremagic forum Stress cannot cause discomfort in penis. Masturbation/sexual intercourse sometimes can cause this including any inflammation/infection. Please provide details regarding this for further suggestion. All the best. | |
What causes fluttering feeling on upper left side of rib cage?
I have been experiencing a fluttering feeling or maybe perhaps a small muscle palpitation on my upper left side at the bottom of my rib cage. No pain is associated with the fluttering. I am a 30 treat old female no chance of being pregnant. What could this be and should I be seeing a doctor about this | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have read your description and in my opinion this is better ignored at present since there is no pain. It could be due to anything but not very significant. If you have persistent symptoms then check up and tests are required including Chest X Ray , Serum vitamin D3 and Serum vitamin B12. Hope I have answered your query. Let me know if I can assist you further. | |
What causes shortness of breath despite a normal EKG report?
The past few years, I have been experiencing a progressively worsening shortness of breath, syncope, and recently, and many other symptoms that were diagnosed as pulmonary hypertension. I was examined by a cardiologist and a pulmonologist including a couple of EKGs, an electrocardiogram, a sonogram (right term?), etc., but an angiograph proved normal blood pressure in my heart and pulmonary artery and no other heart defects. These two experts are at a loss. What else might it be? I didn t know what PH was, let alone what all of these other conditions might be. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to the history you provide there are other causes of breathlessness despite heart problems such as lung diseases. For his you should discuss with your doctor. Regards Dr.Jolanda | |
What is the normal dosage of Depakote to control bi polar tendencies?
my husband had been put on lexapro which caused him to becme hyper and eventually manic due to lack of sleep. He is 58 and has never shown bi polar tendencies before. They have diagnosed him as bi polar and put him on depakote. He has been on it for 4 days now and has been stable all four days, he seems like his normal self. They have decided to increase his night time dose to 1000 mg not sure why and they are not answering my questions. So he is on a total of 1500 mg's total a day. What is the normal dosage for this type of medication. Why would they increase his medicaton when he seems level and fine? He is a new patient to them so they don't know what is normal for him. His personal care physician wants me to get a 2nd opinion when he is released from the psych unit he is at right now. | Hello,The standard dosing for depakote is decided on basis of weight of patient. Its dose is in the range of 20-30mg per kg of body weight and average being 25mg/kg.The higher the dose, the more monitoring of side effects would be required.Thanks. | |
Do my baby need antibiotic if her urine analysis shows Epith Cells: few and WBC: 2-5 hpf?
my baby is a 3 month old and her body weight is 6.4 kgs. i have her urine examines and here is the results: Epith Cells: few; WBC: 2-5 hpf; rbc: 0-2 hpf; bacteria: rare; Threads: rate; A. Urates: rare. does she needs to take antibiotics? thank you | Hi, yes your child needs antibiotics as along with pus cells, RBC are also present. I would also like to know whether any swelling over eyelids is present or not and how is the blood pressure of child. I hope this has helped you. | |
Suggest medication for back pain while on zoloft for depression
I have taken oxycodone for back pain and now I am taking tramadol. Th problem is I am being treated for depression and Zoloft shouldn t be. Taken with tramadol. I am taking 400 mg of tramadol a day but it s not getting rid of all the pain. What do you recommend for pain? | do not take any medicine without investigating the causeshow an orthopedic doctor, treat the cause of your pain | |
Q. Suggest me homeopathy medicines for food poisoning and stomach pain.
Dear Doctor, I am suffering from food poisoning and stomach pain. I have loose motion (diarrhea) too. Please help me with homeopathy medicines for this problem. | Hi. Please let me know from how many days or hours have you been having this trouble? Do you have any other symptoms like vomiting, sweating, dizziness, tearing in the eyes, excessive salivation, mental stress, and stomach cramps? Please provide me all the details so that I can help you better. | |
What is the constant high fever in a child?
13 month old with a temperature up to 38.8 goes down with tylonol now back down to normal today then woke up screaming uncontrollably (never cries) what could this be? she has alot of teeth esp the side big ones all came in at once a bit ago. could it be possible that its a sign of two year molers? | 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.I DO NOT THINK THIS IS RELATED TO MOLARS.Regards - Dr. Sumanth | |
Is a trach vent obstructive in case of choking?
I have a question about my sister, she was put on a trech (vent in neck to breath on air) you know while she is asleep, she hooks it up at night she is in nursing home,and wants to come home. If I let her come home, and say she started to choke on something, would I have a hard time helping her because of the breathing tube. | Hello,Yes, it would very difficult for you to handle if she chokes her tracheostomy tube at home. You need a suction machine, sodium bicarbonate solution, suction catheter etcetera. And above all, you need expertise in suctioning. So if you are planning to bring her home, you need to keep one nursing assistant round the clock for all these. Otherwise, for you, it will be very difficult.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kaushal Bhavsar | |
Have abdominal pain, spastic colitis, cold sores, no discharge. Had hysterectomy. Is it the same diverticulitis?
I am A 57 YR. old woman who had to have a Hysterectomy 15 plus years ago, after having # s of Female problems. I was left with one ovary for purpose of hormone. I haven t had intercourse for years and when I Attempted it was IMPOSSIBLY was painful. I have been having profuse sweating ,abdominal pain Spastic Colitis and bouts with Cold Sores primarily in & on mouth. Now I have had sores inside the nose felling similar to the cold sores on the mouth. I Have not noticed any discharge or odor. ,The Abdominal Pain isn t the same as Diverticulitis either Having several bouts with that..I don t have any income or insurance so I ve gone untreated at this for very long time So what do you think? Shall I call the HEARST!! THANK YOU FOR LISTENING TO MY PROBLEMS. Sincerely BEVERLY GAYDOS | Hi Ms Beverly,Thanks for your query.Firstly, painful sex was apparently due to dry vaginal internal lining as part of post-menopausal state (post-hysterectomy). Hormonal replacement therapy will certainly be of great help.Further, excessive sweating and abdominal problems are apparently due to Irritable bowels, which is commonly due to mental stress/anxiety. However, colonoscopy (if you can afford the cost) will confirm the diagnosis, while ruling out inflammatory bowel diseases and diverticulosis. Eat high fiber diet or, add psyllium husk/powder 20gms/day to your diet, which will be of great benefit. A regular course of anti-depressants + anti-anxiety drugs certainly gives relief. Regarding the cold sores in and around mouth, extending to the nostril, are most likely due to flare-ups of old herpes simplex infection. There is no curative treatment, though it disappears almost invariably, over a period of few years.Also, oral herpes can also be associated with genital infection. You may give a trial of anti-viral course, such as acyclovir/vancyclovir which would relieve vaginal infection.Consult your doctor and apprise him of my opinion. I am certain that he agree with me, order required tests, and- based on the reports- will prescribe suitable treatment as advised.If you find my response helpful and informative, do not forget an “excellent” rating to my answer, to encourage all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice dayDr. Rakesh Karanwal | |
Can Jaundice medicine cause brain damage?
My relative is 34 years old and she is undergoing treatment for jaundice since the past 10 days, it was observed today that she was behaving uncharacteristically,on reaching the hospital the doctor has admitted her in the ICU. I would like to know if the medication has had side effects on her, also is there a possibility of brain damage | Welcome at HCM I have gone through your query and being your doctor I completely understand your health concerns.... What are medicines he has been using for jaundice? Is there any comorbidity associated?? In my opinion he hasn't got this problem due to drugs. It is most probably due to other pathology.. It is better for him that he has got admitted in ICU so that proper workup would be done to reach the final diagnosis.. Medicine used for jaundice doesn't cause brain damage in ten days. Continue with your treatment.. May he get well soon Regards Dr saad sultan | |
What is the treatment for fatigue and body pain?
I have been increasingly fatiqued and constant pain throughout my body, Shooting pain and constant stabbing pain mostly in my shoulders and wrists and upper back, knees. I was diagnosed with fibromyalgia years ago but only had a few flare ups a year. It now seems to be constant (if it is fibro) My tiredness is overwhelming. I wake up after 8 hours of sleep and still need to lay down in a couple of hours to sleep. I have to take at least 4 aspirin every 6 hours or so to cope with it. And even then I can feel the pain a little. (in my hands, wrists it is the worse around my thumbs) I can t get into a doctor for another 2 weeks but wanted to know if this sounds like something that needs attention sooner? Thank you very much | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If I were your doctor, my first choice of medications for you will be antidepressants followed symptomatic treatment for pain. Antidepressants works really well for fibromyalgia. Therefore, next time you please discuss with your doctor and get a prescription for antidepressants. I hope I have answered your question. If you have further queries, I'm happy to help. | |
Can electrical cardioversion cause excessive fatigue in a heart attack survivor?
Three weeks ago I was in the hospital emergency room and had a heart attack. I flat lined and they had to shock me to get me back. They had to shock me four more times to get my heart beating like it should. I m 82 and this is my third heart attack (first was 1999 and second in 2000). After going through rehab in 2000, I got to where I was running 6 miles in an hours time, three times a week until my knee got bad. My question...is it normal to feel this weak like I do? It wasn t like this in 2000. | Hello,Since it is the third time you have a heart attack, you need to be more careful about your health and take the necessary precautions. Your body needs time to recover since you had a major cardiac event. You will feel tired weak, and you should not be in a hurry to start back running or walking like before. Kindly take your medicines as advised by your cardiologist, follow dietary precautions, include fruits and vegetables in your diet. Watch the color of your urine, if it's dark yellow means you are dehydrated, which can be also one of the cause for your weakness. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Aparna Amritsagar | |
What causes lightheadedness after coughing?
I was laughing and moved my head really fast and started coughing and felt lightheaded after like i was going to faint and my legs were like jello. I feel a lil better now that was like 15 mins but got a headache. Did I just lack oxygen to the body from coughing and laughing so hard | Hello ! Thank you for your question on HCM! I think you are right and the laugh and coughing may have caused a gap of oxygen perfusion to your brain. Another explication would be the abrupt raise in the intrathoracal pressure causing a vagal nerve response and other changes. The muscles of your face and neck may be contracted from hyper extension during laughing and cause headache and dizziness. So you see that there are a lot of possible explanations to this situation , but nothing serious, to be worried about. Hope to have been helpful! Best wishes!Dr. Abaz Quka | |
Should I continue Diovan 80 mg if my BP is reduced substantially?
I used to take Diovan 80 MG for hypertnsion. Recently I had to undergo angioplasty and my bp reduced substantilly, sometimes falling to 110/80 or 100/70 Should I continue Diovan? One doctor suggested that Diovan is not for hypertention but to stabilize heart. Pls enlighten me. | Hi,Diovan is a medication that regulates blood pressure and also has a beneficial effects on heart. It is possible that your doctor prescribed Diovan not only for regulating blood pressure but also for those effects. Blood pressure 110/70 is good, but if you have tendency for a lower blood pressure, then Diovan dosage should be revised. You should talk to your doctor about the possibility to decrease the dosage, the smallest dose for Diovan is 40 mg.Take careCome back if you have any further questions | |
Can I eat tulsi leaves for infertility problem ?
Does consumption of Tulsi leaves lead to fertility problems? | Hi Welcome to HealthcareMagic. There are not many studies to prove that Tulsi leaves consumption causes infertility.Moreover in Ayurveda , Tulsi leaves consumption is said to decrease problems of infertility. Take care. | |
Can pregnancy happen by having intercourse before a menstrual period?
can a girl get pregnant 6 days before expected period , well i had unprotected sex 6 days before still got period but im feeling a lot of cramps ? my last period was on may 10- 14 /// and on the 31 had unprotected sex i want to get pregnant and nothing is working | Hi, you can get pregnant if you had contact 6 days before your periods. Do a urine pregnancy test if your periods delay. If it doesn't work, then you can be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Take progesterone for 2 weeks from day 16 of your cycle. Consult a doctor. Hope I have answered your question. if you have any other query I will be happy to help.Regards Dr khushboo | |
Pain in kidney area, constipation. Laser surgery done to remove kidney stone. Normal symptoms?
I had a procedure last week where they went up with a laser and broke up a kidney stone , I just was able to take the stent out after a week. I have felt good for two days but woke up with bad pain in my kidney but I also feel constipated. Is it normal to have pain in my kidney or do you think I am still passing stone fragments? | Hi Welcome. It is still possible to have stone fragments, retained and being passed out. Kindly consult if 1. There is fever. 2. Nausea / vomiting 3. Blood in urine. 4. repeated abdominal pain not responding to regular pain killers. Hope this helps. REGARDS | |
Is the sperm count with 10 million/1ml normal?
Viscosity – High Reaction – Alkaline Normal Range: 7.2 – 8.0 Morphology - Head - Neck -Ttail Motility – Active - 10% Sluggish - 5% Death - 5% Non-Motile - 80% Count- 10 million / 1ml Other - Pus cells presented. What is the condition? is it normal? | Hi, the count is slightly low. But more importantly 80% are non motile. And the presence of pus cells all suggest some infection. I suggest you get a semen culture done. That will tell you what organisms are growing and what antibiotics to treat them. Have the antibiotics for two weeks and then get a Semen analysis repeated. You should be alright. Do not worry.Take care,Dr Rishi, New Delhi, India. | |
My stomach will increase it size sometimes, after which I find difficulty in breathing. Is this related to gastric problem ? | hi, your complain may be related to gastric problem indigestion and stasis can sometimes cause fermentation and flatulence giving rise to distension of abdomen .recurrent g i infection may also be the reason of distension of abdomen . get a check up with physician and get investigations done if required . chronic constipation also prevents normal passing of flatus and distension of abdomen. avoid constipation,take healthy balanced diet that better be non spicy and easily digestible . get a check up and discuss. wish you good health. | |
What are the risks involved in repair of mitral valve/valve replacement surgery?
my most recent echocardiogram shows: the posterior mitral valve leaflet most likely has flail chordes tendinea causing the severe mitral valve insufficiency. Does this need a repair of the mitral valve or is a valve replacement necessary? What are the risks of this procedure and the normal recovery time? | Hi,In your case if valve anatomy is normal then mitral valve repair may suffice. Mitral repair would be the better choice as it has got less operative risk, no need of post op anticoagulation. Although both are big procedure with high operative risk which depends on various patients factor usually between 5 to 10%. Recovery time is around 2 weeks.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode | |
Could rash on penis with white discharge and bad odor be due to sex during menstruation?
My partner and I had sex when I was menstruating. he has developed a rash, which is painful, white spots and there is a foul smell emanating from his penis. There is also a burning sensation when he urinates. I only had a burning sensation immediately after the act. What is the cause of this. I am very concerned. | Hello, It is possible that the rash on penis with white discharge and bad odor be due to sex during menstruation. The burning sensation, white spots etc could also be due to that. Vaginal-penile sex during menstruation can spread yeast infections, causing the head of the penis to become inflamed. Please consult a doctor for diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | |
I am 43 years old and want to have a baby
I am 43 years old and whish to have a baby... I am 5.3¨and I weight about 145, I have a 13 years old dauther | Hi Well come to HCM You have not written Your Gender. For female this age is less fertile, so get done your ovulation repor and consult your Guynaecologist. By good luck | |
Suggest medication for pain in arm and low grade fever
My daughter fell in the shower 5 days ago. She has been complaining of her arm hurting, but we were told nothing was wrong. She is still complaining and has been running a low grade fever at least for four days. She is 12, 108 pounds, 5 2 , and has epilepsy. I am not sure what could be going on. | If there is no open external injury then there are very few chances that this fever is due to trauma.This may b due to some seasonal viral illness or other infection. so consult with a local pediatrician. | |
What causes a lump in the lower back above the pelvis?
I have a red lump on the right side of my lower back just above the level of the pelvis. What could this be? It has been there a couple of months and causes no pain except when sitting in a car seat for long periods of time, when it is pushed very hard or when it is knocked | HI.This is most probably a sebaceous cyst or a lipoma. Get a consultation with the Surgeon to confirm and it is always better to get this operated for two reasons.One - the disease is removed Two- you get the perfect diagnosis. Please go ahead. | |
What causes vertigo and fatigue after having BP medicine?
I have been diagnosed with high blood pressure, and am currently taking Metopropol (after a few years taking Atenolol). I exercise regularly (walk approx 4 miles a day (approx 4.0 mph) sometime in our neighborhood with steep hills). Since beginning blood pressure medication, I have been experiencing a lot of light-headedness, dizziness, and weakness. I passed out once, and have been very careful since then. I had a headache last night that kept me awake most of the night, and when I got up, I felt like passing out. For a couple hours, I would exert myself at all, I had to lean over to keep from fainting. It was definitely worse when I would climb stairs. I ate breakfast (a vegetable and fruit smoothy), drank lemon water, and a couple other glasses of water, and after taking a 45-minute nap, I feel better, but I still feel faint - even when walking across the room. This light-headedness began when I started taking blood-pressure medicine, and I have assumed that is why the symptoms have continued. | Hi, there are many causes of dizziness and fatigue after the use of medications for hypertension such as a sudden fall in blood pressure, orthostatic hypotension, symptomatic bradycardia.These causes are related to syncope and pre syncope you reported (fainting and feeling faint). It is important you check your pressure during these crises, write down the values and lead to his cardiologist. Another way to search is to ambulatory blood pressure and even a Holter 24 hours to assess the possibility of bradycardia (slowing the heartbeat).In the investigation of syncope we should do an echocardiogram to rule out diseases such as severe aortic stenosis, exercise stress test and even a tilt test (patient is lying in a special bed that after a few minutes is placed in standing position for 30 minutes or more).As you see, it is not something simple, an experienced cardiologist is necessary to define exactly what is happening to you. For now, check your blood pressure, write down and bring to the cardiologist of your choice.Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health. | |
What are the expected symptoms of kidney stones?
A Dr told me I have high oxalate levels in my blood causeing kidney stones.......i have recently had gastric bypass.....im sure thats the reason because I DONT TAKE MY VITAMINS AND CALCIUM RIGHT! What other problems could this create or should i expect......im trying to take my meds better now. | Hai,High level oxalate indicates you are taking high oxalate containing foods.Vitamins and calcium will not help in reducing the oxalate level in blood.Poor intake of water will lead to increase in oxalate content in blood. oxalate crystals may produce stone.kidney stone will give you pain in the back depend upon the stone formation in the respective kidney. It will be a radiating pain,to the down pelvis . urinary infection,urinary tract obstruction,burning sensation while passing urine,blood in urine can be experienced.thank youhope i answered your query | |
Suggest remedy for pain on root canal done tooth
Hello I had a root canal done about 3years old and suddenly this week the pain strike again super painful half of the root canal is missing. I can't get to my dentist until Monday what can I do to ease the pain? I have been taking pain killers nothing's working help!! | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain and explanation of the symptoms it is clear that there is reinfection in the tooth as you told that half of the root canal is missing so there is bacterial re-infection leading to severe pain..You should immediately consult a dentist and get evaluated and get an xray done to rule out the status of the root canal filling and possible underlying infection and Dental abscess formation..As of now you can take antibiotic like Augmentin 625mg three times a day and Ultram [Tramadol 5O mg] three times a day, Pantoprazole 4O mg once in morning empty stomach..Avoid chewing from the affected side and also avoid intake of extreme hot and cold foods and liquids to prevent irritation..After evaluation the dentist can either do a re- root canal treatment or extraction depending upon the condition of tooth.Hope this information helps..If you find the answer helpful please give me a Five Star Review and click on found the answer helpful as a token of appreciation..Thanks and regards..Dr.Honey Nandwani Arora.. | |
H.Pylori infection, Lymphocytosis. On precpac. Blood tests shows elevated WBC, abnormal CBC. Causes for blood disorder?
I was diagnosed with H pylori and have the precpac, but wbc are elevated and the ER Dr., called me back after a visit in the ER and said I showed sign of Lymphocytosis need to follow up with my PCP. I did but he is not doing anything because he insists that the elevation is related to my pylori and my GI Dr says it s not. I am very concerned my wbc is at 14.3 and rising. Should I seek another opinion or just see a blood dr. My cbc s (4) all came back abnormal. My mom just went yesterday to a specialist because she has a high WBC also. Please help getting worse and no one seems to know why. | hello and welcome to HCM,White blood cell counts (WBC counts) are raised in infections and leukemia.leukemias are characterized by very high WBC levels (over 50,000/ cubic mm).However, the WBC count can be lower in case of leukemias. They are called sub-leukemic leukemias.In infections, the WBC count is also increased.An increase in lymphocytes (as in your case) can raise the WBC count.Lymphocytes are increased in chronic infections.H. pylori infection can lead to lymphocytosis since it is a chronic infection.Treatment of H. pylori infection will clear away the lymphocytosis and raised WBC count.Get the differential white blood cell count (DLC) in your mothers case.The DLC helps to determine the cause of infection.Thanks and take careDr Shailja P Wahal | |
Is cannabis oil an effective alternative for chronic pain?
I have had trigeminal neuralgia for the past 7 years. My neurologist is presently treating me with amitriptyline l50mg at night and hydrocodone 7.5 as needed. I usually take 1/2 hydrocodone at night only but have to take ibuprofen in the daytime to keep the pain down. This time the pain has been constant since Oct 2016, and I would really like to find an alternative treatment as I do not like to take so much medicine. I just purchased the herb lnositol powder to mix with B-12 liquid. What do you think about Cannnibis oil for treating this? Jane Hines, Benton, KY | Hello, Cannabis oil can provide symptomatic relief, however prolonged use is not recommended. You can opt for other analgesics like gabapentin or tramadol for pain relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Can a child suffering from cold be administered Monocef tablet?
My daughter is 4 years old. 8 months back when she was suffering with severe cold, doctor has given monocef o 100mg syrup. Would like to know the difference between Monocef o 100mg syrup and Monocef O 100mg tablet. Can we give monocef O 100 mg tablet to 4 yrs Kid | Hello, Both the syrup and tablets contains same active ingredients. If he can swallow, you can safely give tablet as well. Keep in mind that in children the dose is purely based on weight. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Is there a substitute for penicillin in homeopathy?
Hi, My child age of 8, has a mild Sidenham Chorea, no signs of previous ARF. EEG, MRI scan, Videocardiogram dont show any damages. Is there a homeopatic cure or substitude of the penicillin he is supposed to take for at least another 10 years? Thank you, Svetla | **1. since chorea is a delayed manifestation of rheumatic fever [jones major criteria] and appears after a long latent period from the antecedent streptococcal infection, thus other manifestations [ARF/EEG/MRI] may be normal when chorea appears, thus regular supervision and follow up is necessary.2. Make sure that the attending physician examine the heat for any valvular lesion, search for exophthalmos, butterfly rash in face, signs of hepato-cellular failure, K-F ring in cornea or polycythemia.3. Penicillin is the safest and drug of choice for the above said pathology, which will prevent infections and complication like SABE [subacute bacterial endocarditis] PS. In Ayurveda we along with Penicillin give Immunomodulators for increasing the immunity which will help him ward of opportunistic infections. [kindly consult in your locality] | |
Spinal fusion, heavy period, vomiting, dehydration, have annibanoid hyperemesis syndrome. On morphine. Done ultrasound. What is it?
im a 39yr old female,i just had a spinal fusion surgery on my back in December. in December I missed my period,january comes I get my period but its really heavy and then I started vomiting for 8 days straight when my period was over s were my symptoms, then febuary comes same thing I get my period and vomit for 8 days again,now march just before my period started I vomited for 8 days then my period started and I vomited for another few days . ive been hospitalized for dehydration 5 times since jan. before my back surgery I was on a high dose of morphine for pain but im off it now and have been for 6 weeks my dr thought it could be my receptors in my brain he also said I didn't have any of my own endorphins to fight pain so I need to work on building them back up.but even now my dr is confused by my symtoms and is now sending me for a colonoscopy ive already had an ultrasound that came back normal and blood work came back good to except my white cell count has been concistantly high since this started I believe my cell count was 13,000 . the er dr last night asked me if I use marijuana and I said I did for my pain cause I cant take pain killers so the er dr told me about a study being done called cannibanoid hyperemesis syndrome,never heard of it before but he's the only dr ive seen to mention it. | It is not that your spinal fusion got to do with pain, suceesful surgery will prevent all movement there and nerve impingement so cause for pain is not it.Your doctor should gradually shift you on alternative pain killers if at all needed.Heavy periods and vomiting has got something to do with hormonal imbalance probably, and a gynecological consult is necessary.If USG is not finding anything, simple anti-emetics before periods must be taken and may be prescribed by gynecs specialist after giving you internal check and hormonal profile.If you are having abdominal pain , then maybe colonoscopy may be necessary for bowel symptoms/findings that has made your doctor think on those lines. | |
What causes spike in SGOT-184 and SGPT levels?
Hi doc ,Gone throgh liver prfile test , SGOT-184,SGPT-140, alkaline phospahte -140. Feeling tirdness , normal urine and stool,diet is same . Pls suggest why is gone through high , some antibitics that docs given for abdominal infection that I take from last one week . | Hi, dearI have gone through your question. I can understand your concern. Your liver enzymes SGPT, SGOT, alkaline phosphatase all are high. It is seen in liver damage. It can be due to hepatitis, alcohol, drugs or toxins. You should search for the cause. Go for hepatitis profile. Stop the drugs which are known to cause liver damage. Take low fat diet. Avoid alcohol and smoking. Consult your doctor and plan accordingly. 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 a very good health. | |
What causes ankle pain and tingling sensation in the toes?
When I rotate my ankle there is slight pain. when I rub my foot I get tingling sensation in my toes. Ankle pops every now and then. It this cause of concern? I don t remember twisting my ankle in any way. This is only happening with the left foot. | Hi...Your ankle pain and tingling sensation is due to some minor impingement of muscle and nerve around ankle....this could have happened in a previous episode of ankle twist or following an ankle injury....or walking in a uneven surface...I recommend you to kindly Do..Lot of icing in the painful area...Ankle stability exercises...and strengthening...likepushing a sand bag towards the other leg...pushing the sand bag towards outwards..away from your body...keeping a sand bag on your toes and lifting your toes up and down...Single leg calf raises..Standing on a single leg with eyes closed...Stretch your calf muscles. .gluteus..frequently...Wear a well cushioned for wear...Hope this is helpful for you..Revert back in case you need anymore clarification. . | |
I am suffering from hypertension since i was 13. My BP is 200/110, is it OK ?
i am 49 year old male ,,ever since i was 13 years old ,i discover i am hypertension . been on medication ever since,,my blood pressure has always been from 200/110 , when ever it gets lower 180/113. i have no energy and have the feeling of being drunk with fatigue feelings in my left elbow. and i am unable to to do any thing .i am concern because i am fine and can move the moutain when my blood pressure is 200/110 ..can this be normal? | bp of this grade cannot be said to be normal .....since its longstanding..ur body has acimatized to this grade of bp which is certainly harmful ...all u need is gradual decrease of bp so to let ur body adapt.....u get your renal function tests and lipid profile ecg done .and then further management can be guided properly | |
Q. Do these symptoms of mine look like herpes?
Hi doctor, I need to find out about something that I am very nervous about. I made out with a woman and realized that there was a bump on the side of her mouth. She also perform oral on me. The bump looked yellowish with brown edges. I have no idea whether it was oral herpes. But, I am freaking out. Last week, I was itching near my thigh, pelvis and below the belly. I do not know whether it was because I recently shaved down there. But, the itching was on and off. I did not notice anything unusual until I saw two pimples near my pelvic area. I popped it and pus came out and got cleared. A few days later, I saw something looked like healing razor bumps. The bumps were not crusty, but they were itchy. It has been a few days and the bump have not left. I did a herpes vinegar test and the lesions become white after I applied the vinegar. Today, the bumps have a black scab. Do all these symptoms sound like herpes? I also took a photo of the bumps. Please explain. | Hi. I have read your query in detail and do understand your concern. Also, viewed the attached pictures (attachment removed to protect patient identity). A lesion on the side of her mouth may or may not be herpes. Lesions on your pubic area are not herpes or any STD (sexually transmitted disease). They seem to be those of folliculitis due to bacterial infection or razor bumps. Moreover, herpetic lesions do not cause itching, but pain and inflammation are the predominant symptom. So, your lesions and symptoms do not sound like herpes. For further information consult a venereologist online --> | |
Suggest treatment for fever, vomiting and loose motion
my daughter 10 yrs of age .. is having 100 degree fever since last evening. she vomitted once and had loose motion once yesterday. since this morning she is having shivering.. and i can see that fever is there. i did take her to doc yesterday. i gave her 500 kmg paracetamol last nite and this morning. what to do. pls advice | Hi,From history it seems that there might behaving stomach virus giving rise these symptoms.Give paracetamol or Meftal spas for pain and fever.Give her light food like curd, rice, buttermilk and plenty of water.Within a day or two she will be alright.Ok and take care. | |
What causes cracks on top joint of shaft of penis?
right on the top joint of shaft to head bottom of penis showing some cracks and with white dry discharge accumulated. No inflamation but mild pain while it get enlarged or if I have sex. Usually it takes 5 - 6 days to get healed and it happens in this seasons only. Please guide | Hi, It can be due to phimosis and imbalance in blood glucose level. Rule out for diabetes. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | |
What contraceptive medicine can be used to avoid pregnancy?
Hi!Im ramya.My last period was on 20th aug 2012.Last 10days back me and my hubby having unprotected sex.Always my period came within 25days in every month.But this month period isnt coming.Im having 1son.I dont want 2 conceive now.Could u plz help me and i want to use premolut n tablet is it help to stop the pregnancy? | Hallow Dear, Contraceptive medicines are hormones containing Oestrogen and/or Progesterone. These pills can prevent the pregnancy if taken regularly throughout the cycle. Some high dosage emergency contraceptive pills may help preventing the pregnancy if taken within 72 hours of the unprotected intercourse. However, these sorts of pills cannot terminate the pregnancy once the conception has occurred. Primolut N is Progestational medicine and will not be useful to avoid pregnancy if conception has already occurred. If you have missed your period, please get pregnancy test done on the overnight morning first urine sample after about a week of the missed period. Alternatively, you may opt for Beta hCG test on the blood to detect the pregnancy. If you are not pregnant, some progestational medicine like Promult N or Deveri for 5 days will help you get the withdrawal bleeding. However, if you are pregnant, Medical termination of pregnancy will help you terminate the pregnancy safely and effectively and within legal frame upto 7 weeks of pregnancy (if you are in India). After the results of the pregnancy test(s), please report to your Gynaecologist without wasting time. I hope this helps you. Dr. Nishikant Shrotri | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
What causes a child not perform his daily tasks?
Hello i need a psychologist : for my son who is 14 advice me y is he so 1.Doesnt like to brush his teeth,take bath or wash his bowl after passing stool very unhygenic he doesnt like religious talks too. 2.While studying tells the answers rightly but writes them wrongly always. | this may b due to wrong toilet training. some baby may have antisocial behaviour due to genetic defects. difficulty in writing may b due to dyslexia which also has genetic predisposition. you should consult development pediatric neurologist first. | |
What is Dental night guards ? Is it useful ?
My husband used to grind his teeth in the nights. We went to a dentis and told regrding this. He said this can cause his teeth to be crooked if left like this. He prescribed some thing called Dental night guards. What are thse ? Is this useful for teeth grinding ? | Hello and thank you for your questions. Crooked teeth that don't close together like puzzle pieces may result in the body wanted to get a more balanced bite. This normally occurs in your sleep where you brain says, this doesn't feel just right, I need to make things better. So your teeth start to grind to try and smooth down the bite to a more balanced fit. This does not necessarily help your teeth, this can cause teeth to loosen if combined with poor oral hygiene, tooth sensitivity, sore jaw muscles, neck muscles and lower back muscles, pressure headaches, pain in the jaw joints, clicking of the jaw etc. A night guard is a device that is like a hard or soft retainer that seats on your teeth and has a nice balanced surface for your opposing teeth to rest on. It's like a smooth ice skating rink for your teeth. This device helps improve the grinding but may not stop it completely. The good news is that your teeth will be grinding on a plastic device rather than your teeth and it will reduce the risk of losing tooth structure. These devices are great for grinding. I prefer hard night guards because the firmness helps prevent them from breaking down and they don't flex like soft night guards which in your sleep may be perceived as food and induce more grinding. I personally use a night guard and found that it has improved my bruxism condition greatly. They are well worth the money. Best Regards and good health Dr. Ward | |
What causes pain and soreness in knee?
I have been having intermittent medial knee pain over the past few months. It is accompanied by burning and stiffness in the area. Bending the knee causes aching around the medial quad insertion. The mechanism of injury I think was originally working out on a stair stepper. How would I know if I tore cartilage? | Hello, I have studied your case.As per your history there is possibility of soft tissue injury in knee.Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect.As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion.Rest and ice fomentation along with supportive brace will help to reduce swelling and pain.Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS.Meniscus injury can be managed by arthroscopic repair.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
What ointments can clear marks of stitches from a spinal surgery?
Hi, & hello me showkat ahmad physio. I have a patient she had done back surgery now a days she is coming for physiotherapy . She had operated few mnts. Before , now she have stiches marks she needs any ointment which clear those marks , can u precribe any ointment plz. Thank you | Hello, After months is difficult to improve scar from stitches. Anyway, if there is no infection, creams containing collagen such as Altergen, Ialuset, Cicatrix, etc. may help in some degree. The opinion of a Dermatologist also may be of help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
Is sharp pain in chest a cause for concern?
Hello, I'm having sharp pain in my chest right by my top rib right side. Should I worry ? I just had a blood test a few months ago and everything was perfectly fine and all 4 blood tests in 4 years have been perfectly fine. heart desease runs in the family and I smoke. | Hi and thank you for choosing HCM to post your question.In my opinion sharp chest pain can be a cause of concern since it can be the presentation of a seriously heart or lung disease.Your family history of heart disease should not be neglected and neither smoking history.If I was your treating doctor i would suggest to do this examinations: 1.ECG,graded excercise stress testing to exclude coronary artery disease or other cardiac cause.2.Chest X ray to exclude a lung problem such as pneumothorax or other lung causes.Normal results of blood test can not exclude serious causes of chest pain.I hope my opinion can be helpful.Wish you good health.Kind regardsDr.Dushi | |
Is NecMonto-L safe for allergenic asthma?
Allergetic asthamaMy son. aged 13 years is suffering from allergetic asthama for the past 08 years. He is having symptoms of wheezing, running nose with itching, eye itching, nose itching. Now the doctor adviced to take NecMONTO-L for 06 months. Whether it is safe to take such long period. kindly advice suitablly. | hello, thanks for ur query, it used in prevention of allergy n asthma. 6 months course followed by tapering should be done while stopping. all d best. take care | |
Suggest remedy for fever and possible allergies
Hi, My 10-month old daughter either has flea bites or allergies on the front of her neck, right ear, upper arms and around the front diaper area. They ve also turned red and has gotten swollen. She s also running a 100 fever which she s had on and off for the past 2 days, which we think is from teething, or possibly from the flea bites? Please advise what kind of care will be best for her. Thank you! | HiI understand your concerns but don't worry. Start her on an antihistamine such as Chlorpheniramine or fexofenadine. Apply lactocalamine for skin lesions. If the symptoms persist the consult your pediatrician for use of steroids and adrenaline as per clinical evaluation. They àre used for severe forms of allergies. Clinical evaluation will rule out any viral or bacterial cause for the condition.I would be happy to help you in any further questions.Take care | |
What causes numbness in my legs and butt?
I am a female age 15 and I have numbness in my legs and my butt. There is also a bubbly pain in the upper middle part of my stomach. I have no energy and also I have been having burps that smell like rotten eggs. Can you please tell me what s going on? | Take Tablet Pantoprazole 40mg +Domparidone 30mg OD AC (empty stomch)and avoid tea coffee nd spicy foodelevate your head end of bed about 30degreeand don't sleep just after having meal | |
How can short term memory loss and headaches be treated?
Hi I have a 21 year old daughter who is experiencing moderate short term memory loss with no recent head injury, but has been experiencing headaches for the past few weeks. She wants to see a doctor but her primary care doctor the last time we were there says there is nothing wrong. Any suggestions? | Hi, Memory loss and headaches are not normal in a 21-year old. Therefore, do not believe her primary care doctor who says there is nothing wrong. You should see a neurologist and sort out her diagnosis. A brain scan would help. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Sudhir Kumar, Neurologist | |
Can Microgynon affect future fertility?
hi i am 22 year old and i m married. my period was stop seen 6 month so i went to gp ang doctor told me to use microgynon 30. this is my first time to using microgynon . it will be any problem to having baby in futue, i don t wanna take any risk about a having baby in future, beceuse i love having baby very much. and i planning to having baby after 2-3 years, so give me some suggetion | Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1. First of all do not panic. 2. Please fully trust in your treating doctor. Please continue with the pills as suggested by your doctor. 3. The pills prescribed now a days are having very low dose of the hormones. And usually do nit have any major side effects and or after effects. Please start on Folic acid, Vitamin B 12 and Omega 3 supplements along with the pills. Opt for a healthy diet and regular exercise regimen .4. With these adaptations you should not have any problems later on in getting pregnant. I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar . | |
Suggest Hydrocodone alternate for migraine with history of depression
I have depression and anxiety, and severe stress/tension which brings on migraines. I am currently on Lorazepam 1mg, but it is not effective for the migraines. My Dr. used to prescribe Hydrocodone for them, which actually worked, but he now refuses to prescribe due to the potential abuse of the medication. Is there a comparable medication that will help with the migraines? | Hi, i will suggest u u will take tab.amitryptiline(25 mg) 0-0-1 with tab. propranolol(40) 1/2-0-1/2 for atleast 10 days which will improve your migraine headache and for depression u will take tab.sertraline(50 mg) 1-0-0 for similar day. | |
What could be done to increase the sexual stamina?
Hi, I want to share that i am unable to do sex more than 20-30 seconds due to some mistakes i made in my childhood, i want to extend this in 15-30 minutes (with great Stamina, Strength, Erection power, Hardness of penis) so that me and my wife could enjoy our sex life and i satisfy her for sex. My age is 26 and living in India. Please help | Thanks for asking in healthcaremagic forumIn short: Kegel exercise can help youExplanation: Please send the details what happened in your child hood. Kegel exercise can help you. It is with holding urine while urinating many times, so as to strengthen the perineal muscles. Hope this helps you. | |
Is 'metaspray' helpful in controlling adenoids in a child?
My son 5.5 yrs having adenoid, consulted doctor found he is having little bit of hearing loss at mild sound. Doctor gave metaspray for 3 months period. I am afraid he should not end up in operation. Please suggest doctor whether metaspray can control. | Hi, I had gone through your question and understand your concerns.Adenoids are lymph nodes which are enlarged in infections of ear nose and throat,which is a protective mechanism by body.Enlarged size leads to obstruction of airway and nose cause breathing and swallowing problem.Your meta spray is a type of steroid which decreases inflammation and decreases the size.This is temporary only.Whenever you get infection it will again increase in size.Surgery is the only permanent treatment.If your baby got relieved with spray and doing fine you can ignore all the medication now.Just take care of any running nose and ear infections immediately.Concentrate on child nutrition and follow high protein diet.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.Thank you. | |
What causes tailbone pain after a slight fall?
I have some tailbone pain after a slight fall on Tuesday but I also have some pain in the rectum and itchiness. I had a colonoscopy last year and was told I had 2 internal hemorrhoids .I had the the symptoms of pain in the rectum and itchiness before I fell on my tailbone. I had a very small amount of blood on my bathroom tissue but only one time 3 days ago. Are these hemorrhoids acting up and what s the best way to proceed. | Hello, It could be a contusion. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If symptoms persists better to consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Is it okay to fly while taking bronchitis medicine?
I was diagnosed with bronchitis today and started a 5 day round of predinosine. I'm supposed to fly to Italy (from memphis TN) on Sunday. Will it be okay for me to fly? I also have a fever I cannot seem to break. I'm assuming because of the infection with the bronchitis. | HI, thanks for using healthcare magicThe fever could definitely be as a result of your infection. You can consider the use of antipyretics such as aspirin, paracetamol or ibuprofen to help reduce your temperature.In terms of flying, you should be able to fly. If you are experiencing any symptoms of shortness of breath due to the infection, you may want to speak to your doctor prior to your trip.I hope this helps |
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