patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
What causes lump in front of tibia after AVN diagnosis?
Hi, I am 29, 1.67 and 63kg. One year ago a was diagnosed with AVN in my left hip and had core decompresion. I used crutches for 5 months (until january this year). During the last week I noticed a small lump in front of the tibia (the same leg) just above the ankle joint. It hurts when I walk or press on it. What can it be? Thank you, Laura | Hi,AVN in left hip iwth lump above ankle lt side-is your issue.mail the photo to my account--Till the time-Adv-1-get the x-ray of the part-with small bump and mail its report and scaned film-photo,2-Act fast-if pain is there-as it may be serious matter in the lt ankle.Thnks Wellcome ,for more queries....What could it be is our anxiety, but what we r worried how its diagnosis could be fixed and treated at the earliest-if it is causing wory to you. | |
Q. Is there any possibilities to acquire sexually transmitted disease after three years of unprotected intercourse?
Hello doctor, I had unprotected anal sex with the neighbor lady before three years, and after a week I got jaundice, and it suffered around one month, and I got treatment with some ayurvedic medicines and got relief. Then around three months later I tested for hepatitis B and C both, but the result was negative, but in LFT test my bilirubin was a little high, and I got a fatty liver grade one by the doctor. So I have the following questions that, 1. Can I get infected with hepatitis B and C in the future? 2. How can I overcome with high bilirubin? 3. My digestive system is also not as good as previous. 4. Will I suffer from any sexual infection in the future. | Hello doctor, A negative test for hepatitis B and C, three months after that unprotected anal sex rules these out as a cause for your hepatitis. Perhaps it was another cause for hepatitis, may be hepatitis A which is transmitted through contaminated food rather than by sex. Hepatitis B and C are transmitted through unprotected sex or blood, e.g. transfusion or sharing needles. So, these scenarios can pose a risk of hepatitis. For raised bilirubin, I suggest you consult a physician kindly. I also suggest you screen for hepatitis A. STDs can happen if you indulge in unprotected sex or sex with partners with high-risk behavior. | |
Q. Is it normal to have 11 % blast cells in bone marrow aspiration cytology?
Hello doctor, Bone marrow aspiration cytology was done for my father who is 77 years old and the report shows the presence of 11 percent of blast cells (about two months ago). Kindly advice the next line of management. His ninth chemotherapy was completed three months back. Now lab report is showing that his Hb is 6.5 gm percent and platelet 20,000. No chemotherapy was used after that but six units of blood were transfused till a week back. Rest of the parameters are within normal limits. Waiting for your kind response at the earliest for the second opinion. What to do? Whether we should restart Azacytidine and continue or take only supportive measures to increase the quality of life? Lab tests showed severe anemia with thrombocytopenia due to AML-M2. | Hello. You have not achieved complete remission from chemotherapy. Usually. complete remission can be considered only when blast cells in bone marrow are less than 5 % and platelet count more than one lakh. So, you can go for combination chemotherapy to achieve that target. After you achieve remission, consolidation chemotherapy also can be given. No doubt, chemotherapy has its own side effects but chemotherapy under observation can be given to achieve remission. Usually, the prognosis is good in AML M2. I suggest you consult hematooncologist for your detailed examination and treatment. | |
What could be the reason for having semen leakage, night falls, frequent urination and excess mouth watering?
hello...i am facing problems like semen leakage frequent and premature nightfalls and ejaculations plus along frequent urination whole day,and i have to wakeup from sleep during night for urination,plus i am execcive mouth watering,sliva of sour tastes and i am also facing diet issue wtih this ..please giude me what are problems with me... | Hi, dearI have gone through your question. I can understand your concern.Semen leakage and night discharge is common problem. No need to worry about that. When you don't have sex then semen leakage occurs by sleep erection and sleep discharge. Please tell me your age. Because in older age frequent urination is commonly seen in benign prostatic hyperplasia. You may have benign prostatic hyperplasia or urinary tract infection. You should go for urine examination and ultrasound abdomen. It will give you exact diagnosis then you should take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
Swollen lymph node, have weight loss, light sweating. Biopsy recommended? What is it?
My wife is having swollen lymph node in her right side neck for past 20 days. The GP gave her antibiotics for 1 week and it is not get reduced, so the GP referred ENT . We went to ENT surgeon he also advised to take antibiotics for 2 more weeks. Still it is not getting down and he advised for further investigation like CT scan and biopsy . Also he told us that the biopsy will be done by minor surgery in neck. We are wondering now for that and not sure what kind of disease will it be. But the ENT suspect TB or cancer. She don t have any other symptom like weight loss , night sweating, etc. Also now she is very much scaring to come close with my child and other people also since she feel it is contiguous. I am looking for second consultation in Chennai (India) to discuss about it before biopsy. Please help us to find very good experienced doctor to deal this problem in Chennai. Also please advice what kind of problem it will be. Manoj | Hi, If a lymph node does not reduced in size even after 2 weeks of antibiotics then definite diagnosis has to be made. Excision biopsy is the best option in this case. At which portion of neck the lymph node was detected is an important issue, if it is more lateralised then excision biopsy will be a simple procedure and can be done under local anaesthesia. If you are worried too much then at least a FNAC can be performed but this will not be the gold standard. Please try to consult your doctor about excision biopsy as soon as possible. Otherwise valuable time will be wasted. Whatever may be the disease it is wise to pick it up quickly. Then only it will be easier to treat it otherwise unnecessary problem will be invited by you. Take care of your wife. | |
Have rashes in the groin area and back
Hi Doctor, I have rashes on my groin area and on my back(bumps/ass). It has turned red, and has a irresistible burning sensation. I have used zimig, lobate & dermatoid but it coms back now and then. Please suggest a permanent solution. Burning sensation doesn t allow to sleep and its getting worse with time!! | Hi,.The rash on back and buttock may be sunburn most probably. You have reddish patches with burning sensation. The cause would be sun exposure. You avoid sun exposure and avoid contact with hot surfaces. Do cold water compresses. Take antihistaminics like levocetirizine. If needed, steroids in tappering dose may be taken. Apply mild steroid with antibiotic cream twice a day. Avoid soap bath. You may use dettol liquid during bath. I think, you may be alright in few weeks. However, you consult dermatologist. I hope you got my answer.Thanks.Dr. Ilyas Patel MD | |
Suggest medication for liver problem
SIR my dad is 73 yrs old. he is on haemodiyalysis since 7 yrs he is diabetic,hypertensive,and angioplasty since 14 yrs. he had liver problem HCV since 4 yrs. Now SGPT IS 83 and SGOT is 69 . he uses tyronorm 50 mg and velose .let me know what medication to follow for the liver problem? | Hello,Thanks for your query on HCM"As"per your clinical history is concerned your SGPT and SGOT level is little high, so please check if you have signs like -Bruising easily, Itchy skin, Fluid accumulation in your abdomen, Swelling in your legs, Weight loss, Confusion, drowsiness and slurred speech and Spider-like blood vessels on your skin.If anyone is present then it is a clinical sign of liver damage. So discuss with your [hepatologists] and he may also recommend a procedure to remove a small sample of liver tissue for laboratory testing. A liver biopsy can help determine the severity of the disease and guide treatment decisions. So talk with your doctor for antiviral medication combinations like [sofosbuvir 400mg/velpatasvir 100 mg]for upto 12 weeks to clear virus from blood.Hope that helps | |
Why wasn't there any blood even after removal of half of the lung?
A surgeon removed three adjacent bronchopulmonary segments from the left lung of a patient with TB. Almost half of the lung was removed, yet there was no severe bleeding, and relatively few blood veseels had to be cauterized (closed off). Why was the surgery so easy to perform? | Respected user, hi I evaluated your query thoroughly.*Amount of per-operative bleeding is related to - existing blood supply of the organ at the time of surgery - expertise of operator - instruments used - underlying pathology / inflammation - type of anaestheia - BP during surgery*Any of these factors say operated segments had very tiny blood supply due to blocked veins or non-functioning or use of harmonic scalpels by experts many factors contribute to relatively blood less surgery. Hope this clears your query. Thanks for using Health Care Magic & keeping trust in our services. Wishing your patient fine speedy recovery. Regards. Bye dear take care. | |
Is there any relation of Primolut treatment to infertility?
Hello, im 40 yrs old I was diagnosed of having cervical polyps. Last feb. 25 I got my period when ivicited my ob gyne dr last march 2 she adviced me to take primolut10mg bd for 21 days because she will post me for polypectomy & hesteroscopy and it was done last march 9. Now im still taking primolut as what she adviced. I dont know why im taking this pill for this long period. All I know is to stop the bleeding. Please help me understand the treatment of primolut to my case. By the way im married for 10yrs still trying to to have a baby. We tried infertility treatment before. Is there any relation of primolut treatment to infertility? Thank you very much &more power!!! | Dear patient! I understand your concern. Primolut is basically meant to regulate your cycles and to thin out the endometrium (so as to facilitate the procedure) and so that you dont get spotting or bleeding following the procedure. And you should stop it after 21 days.As far as infertility is concerned, primolut regulates cycles (which facilitates pregnancy). Hope that answers your question. Awaiting your precious feedback. | |
Suggest treatment for cold in 11 month baby
Hi, my 11 month old baby has had this same cold for a little over a month now, still having problem sleeping through the night fom having to constantly cough back to back that leads to chocking then vomiting sometimes, not eating like he was but he will eat something, runny nose bad after I aspirated out, you can hear it in his chest it sounds so horrible. I have taking him to the ER but they say it s not so bad that they have to give him antibiotics, so is it a home remedy that I can follow to help him get better? | Hi, I understand your concern and cough and cold are 95% of the time viral in origin in children. They need not be treated with antibiotics at all. Usually, in this age group syrup levocetirizine can be given but this is a prescription drug and you will require a prescription for it. Paracetamol can be given at the appropriate dose if the fever is more than a hundred degrees Fahrenheit. I am glad that you are not in favour of giving antibiotics unnecessarily. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
What causes swelling of gum at the site of tooth extraction?
Ok I have a dental question hopefully someone can help answer me.. oksi a qeek ago I had 2 teeth extracted one on each side my left side is perfectly fine its my right side I was concerned about .. my question is , is it normal for swelling on my gum to occur at the extraction site a week after extraction? Or should I be concerned it may be infected | Thank you for your quiery..Swelling on extraction site is normal for a week.take priscribed medicine properly and do salt water gargle for 2-3 Times a day.then go for a check up.hope you are satisfied with the answer | |
Lipoma under the arm increasing in size. Any alternative other than surgery?
Hi Doctor.. my son id 1yr old now..we noticed one lump under his arms whn he was 7 month old..now its increasing in size and we consulted doctor tehy said its lipoma ....they also advised us to do surgery ...am totally confused since my son is too young to go for surgery...One of our good friend suggested HOMEOPATHY treatment fr the same...today i satrted with homepathy medicine fr my 1 yr kid... pls guide me whtehr am giving right treatment fr my son ..he s our life...plsplspls give me a soution...thanks in advance... | Hello, I'm sorry but I have no idea regrading homeopathic treatment and its resultant effects on a lipoma. However, I can tell you that it is extremely safe to perform surgery on a 7 month old with current anesthetic techniques and the optimal management for a lipoma which is increasing in size is surgical excision. It now depends on you whether you would like to continue with the homeopathic treatment and see the effects or contemplate surgery as has been advised. | |
Are loose motions a recurrence of typhoid?
Hi, may I answer your health queries right now ? Please type your query here... My daughter is 14 months old and was suffering form typhoid since last two weeks.I have just finished with he medication course.SHe does not have fever now,also she is not irritated nad cranky as she was for last two weeks. But she is having loosemotions for last 2-3 days. Is it a reason to worry or a symptom of reoccurence of typhoid | Hi, thank you for the question. you need not worry for the loose stools as it is not due to recurrence of typhoid it may be antibiotic induced diarrhoea which can be treated with probiotics. | |
Should I take more Furosemide and elevate the legs to manage severe swelling in the ankles?
I take 20mg of furosemide daily. I went to Florida Universal Studio and use an electric wheel chair because of the heat. I took 40mg all week. However my ankles are very swollen. I have a pace maker and an artificial mitral valve. Should I take more of the furosemide and raise my legs and if this doesn t help see my doc on Monday? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion the ankles sweelling is caused by the heart failure.You can increase the dosage of furosemid up to 60 mg or 80 mg daily.You have to measure the blood pressure and you should consult your doctor on monday for further managment.Hope I have answered your query. Let me know if I can assist you further. | |
What causes episodes of fainting and dizziness?
Hi, this morning ( 7am) I collapsed onto the bed while getting dressed......just seemed to pass out briefly. The day passed pretty normal. About 20 minutes ago (9.15) I had just gone to bed , lying on my back.....the whole room started to spin and I became quite clammy....pins & needles and numbness in right foot. I don t feel right and feel if I do much I will fall over. I am a 66yr male, 6 ft and 83 kg, reasonably fit and well. Should I be concerned right now? thanks Max Gawler | Hello! Numbness in half body or a limb can be caused by a vascular brain disease. If it lasted for less than an hour it can be a transient schemic attack, but it laats longer it can be a stroke. Anyway you have to see a neurologist to see objectively for any neuroligic sign and you have to some examination such as doppler sonography of cervical arteries, CT scan and also a cardiac check up to rule out or find out a heart condition or high blood pressure. I hope to have been of help. | |
Why the baby is crying while breast feeding?
hi my baby is 2 months and 3 weeks old she only breastfeeds, but when i try to feed her she won t latch on and cries like crazy.I keep trying but she just cries everytime. I know it s not my milk cuz when i pump she drinks it from the bottle. can you please help me. Also she has no allergies and is a healthy baby. | dear parent, some babies have a hard time getting used from suckling from the breast. you need to offer her breast feeding before she even starts to cry. you should squeeze your breast so that the nipple will be covered with milk and then offer her to suckle. you need to calm Down and be very patient. babies can feel if the mother is anxious and this makes them more irritable. the babies suckling from the breast is very important for the milk production to continue | |
Does low grade fever in children need medical attention?
My 1 year old son is running 38.9 celsius fever since yesterday evening no other symptoms at all except farting with bad smell. Panadol is not taking the fever down except after 2 hours, I tried neurofen this morning and it helped the fever go down in half an hour. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If your child is not lethargic, feeding or drinking well, having normal urine output then you may give Paracetamol or Ibuprofen for fever.However, if child is lethargic, drowsy, not feeding, decreased urine output you may need to consult a doctor.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad | |
Q. I have a history of recurrent miscarriages. Is my estradiol good enough?
Hello doctor, I am a 29 year old woman with a history of recurrent miscarriages (3 losses, all in 5-6 weeks). I was recently diagnosed with Grave's disease (I had overt hyperthyroidism with my last miscarriage). Now my levels are in check. I had APS, ANA and thrombophilia panels, all perfect except for heterozygous MTHFR A1298C. I have added more folate to my diet (2mg instead of 0.4mg). I am now 4 weeks and 1 day with my 4th pregnancy. I am taking PTU 75mg, Progesterone 400mg (300 orally, 100 vaginally), Prednisone 10mg and Folate 2mg. Yesterday at 4 weeks (2 weeks since conception) I measured my estradiol since I had never measured it with my other pregnancies. It came out at 186 pg/ml. Is my estradiol good enough? I have read studies that say estradiol levels are prognostic for a viable pregnancy but did not specify the numbers. With my last pregnancies, I lost them by bleeding and I have read that estradiol prevents that. Should I supplement with 1-2mg/day? Is there anything else I should be doing? | Hi. Your estradiol level appears to be fine if pregnancy happened naturally (that is not through treatment like ovarian stimulation). Though studies associate low estradiol levels with viability, the association is indirect (indirectly indicating defective egg formation/folliculogenesis, with resultant defective corpus luteum). Estrogen supplementation to improve viability in natural pregnancy is not studied well. In fact, it is only the health of embryo, which determines viability (and it cannot be altered through medicines), second hypothesized intervention being progesterone support (which you are already taking). As other causes like APA, thrombophilia is already ruled out, you do not need medicines for that. Regarding MTHFR mutation, if your homocysteine levels were high, it is better to take Vitamin B6 and B12 supplements along with Folate. If levels were normal, those supplements are not normally needed. If levels were not checked, you can get it checked or start supplements, as there is no harm in taking water-soluble vitamins. So, in summary, estrogen supplementation is not known to improve viability/prolong pregnancy, and is not needed. Vitamin B6 and B12 supplementation may be helpful if you had elevated homocysteine levels. Wish you good luck. | |
Could congestion and wheezing be signs of bronchiolitis?
I have a 21 month old who is constantly teething and congested. Ped says he's normal. Tonight I heard a slight wheeze when he woke up. He's been waking overnight at least 4-5 times crying. I have a humidifier in his room on now. Does this seem to be allergy symptoms or pneumonia/bronchiolitis? | Hi, If you got him checked by the ped recently, and if he did not mention pneumonia/bronchioliti, then, this is excluded. However, I highly suggest to get him physically examined by the ped for further evaluation. Usually, when having common cold/viral infection, the upper airways are congested and become narrowing. This is associated with difficulty in breathing. I advise to: - do aerosol-therapy with saline - keep his nose/airways cleared/opened - give him plenty of water/fluids to avoid dehydration - keep monitoring his body temperature All the best! Dr.Bardha | |
Q. I cannot smell anything even after 12 weeks of getting COVID-19. What should I do?
I lost my smell and taste 12 weeks ago after getting Covid 19. I got my taste back two weeks later however I still cannot smell anything at all. I have tried steam inhalation, steroid nasal spray, smell training, saline nasal spray and it has not improved. What should I do? | Hi! Covid has been somewhat a new entity and thereby we have been seeing its effects in detail on the human system. Loss of smell or anosmia has been one of the peculiar atypical features of covid and there have been lots of theories and explanations behind it. In all circumstances, loss of smell and taste are always associated together irrespective of the cause. This is attributed to the close approximaty of both the processing centres in the brain. It usually takes around 1 to 6 months to regain the perception of smell in covid patients. There are a lot of aspects that we need to study on regarding ethnicity and its relation to the covid, prognosis etc which will take time as its not an easy process. There is nothing that you need to worry about, make sure you dont have any underlying allergic issues in addition. For now you can enrich your diet with loads od fruits and vegetables. I dont recommend any drug without any scientific evidence of it being useful for the condition mentioned above. I hope i have answered your query. If there is any thing more you want to know or enquire, please do let us know and will revert back ASAP Warm Regards | |
Undergone nephrectomy surgery. Suffering from frequent urination. Sonography reported mild hydronephrosis. Reason?
My son underwent nephrectomy(left) in June 2010 ((he was 6 yrs) due to congenital obstruction between his blader and ureter detected late. After the surgery, now after 2 years he is again found frequently urinating and sonography says mild hydronephrosis and upper hydroureter in the right kidney. what may be the possible reasons. In 2010 his renal scan said functioning of right kidney to be 92%. | Hello,Thanks for posting your query.Hydronephrosis means swelling/distension of kidney, due to retention of urine or inflammation. It can be due to lower urinary tract infection which may ascend to kidneys causing frequency of urine and distension of kidney/ureter. stone in ureter can also cause distension of ureter and kidney but would have been detected on sonography. As your child has had surgery for congenital abnormality, he is at higher risk of UTI and obstruction by post-surgical strictures. Give him cranberry juice which may cure and prevent UTIs. Get his labs done, urinalysis, urine culture and dye scan.UTI can be treated effectively with antibiotics after urine culture results.Hope it helps.Take Care! | |
Q. Is my breathlessness really due to anxiety?
Hello doctor, Three years ago, on Christmas Eve, I was traveling to my sister's home about 45 minutes from my home. My grandmother gave me a peppermint and as I swallowed it felt as if a piece got stuck in my throat. I got a strong sensation that I could not breathe. When I reached my sister's home, I took a walk outside and within 10 minutes the sensation went away. I had this issue on and off for the next couple of years, yet it was manageable. Fast forwarding to this year, the symptoms have worsened. I have severe shortness of breath all day long with no relief, sharp pain on the left side of the chest, arm and sometimes jaw pain, headaches, lightheadedness, weakness, insomnia, out of touch with reality and nervousness. I feel like I am going to die at any minute. In the last two months, I have been to the ER about six times. Whenever I go, the doctor will say it as GERD and panic attacks. Once, I visited a hospital for chest pain and they admitted me for observation as one of my enzyme tests came back minimally high. The doctor stated that she wanted to keep me on observation, because of my family history of heart disease and I am a smoker. All my tests were normal, but my symptoms are still present. My PCP prescribed me 5 mg Buspar twice daily and Zoloft 100 mg once daily. I have been on these for a month with absolutely no results. He set me up in order to see a pulmonary physician; however, stated that it was extremely unlikely that I had any breathing restrictions due to the several tests I have had. Also, stated that he was fairly confident that my heart was fine. I have lost count of the EKGs, ECGs, CT scans, chest x-rays, and blood work, which is all negative. He did mention that my physical symptoms could potentially be coming from sleep apnea. I know that I have caused some of this on myself, because I am obese and I do smoke. I have no quality of life and at this point I am beginning to feel depressed. I barely can get through a shift at work. When I stay at home, I am afraid to be alone. Also, driving is a nightmare. I am at my wits end; I just feel a sense of hopelessness and also feel as if the doctors do not believe that my symptoms exist. I am just a 29 year old female. Is this really due to anxiety? What step should I take next in order to get better? Please help me. I have a 3 year old daughter and I want to enjoy my life with her. I think about my death daily because of the chest pain an | Hi. I have the following recommendations to you. If you really want to help yourself, then start immediately. Quit smoking immediately. Follow a healthy diet and start losing weight. Initially, start with a 10 minute physical exercise and increase it gradually. By that, I mean a very simple walking to start with. Please you follow these steps and sleep apnea will eventually go away. Have a stress ECG to identify if your blood vessels of heart spasm on exertion. If things did not improve, then visit a psychiatrist to alleviate your anxiety. For further information consult an internal medicine physician online --> | |
What causes hard lump near knee cap?
On my left leg, a little bit above and to the left side of my knee cap is a large hard sphere. It causes no pain and is most prominent when my leg is half bent and half straight. I have had it for a very long time and always forget to ask my doctor what it is. | HI,Dear,Welcome to HCM.Based on the facts and data of your query,You seems to have Chronic painless synovial thicknening.Other cause could be-suprapatellar bursa.Hope this reply would help you to resolve your sever anxiety.Welcome for any further query in this regard.Will appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | |
Q. Are night sweats and chills symptoms of PMS?
Hello doctor, My period typically lasts for 6-7 days and comes on time according to my period calculation for the past two years. It starts out with two to three days of somewhat heavy period then the rest of it is light spotting with no pain throughout the entire period. Maybe the first day might have minimal pain, but that rarely happens. I have never had irregular period or any odd menstruation issues. Three months back I got night sweat or chills for the first two nights of my period and it went away. Last month, during my periods again I had night sweats and chills for the first two nights. Before three months, I felt like my PMS body heat was increasingly hot. Three months ago my period was two days late and last month it was two days early. About myself: I am a single 27 year old, goes to the gym two to three times per week. I eat relatively healthy with minimal sugar intake and no soda or fast food. I get 6-7 hours of sleep per night. The only issue I have is mild lactose intolerance and acne where I have been using topical acne treatment (Aczone and Onexton gel). I used to take sleep aids over-the-counter for nights where I went to gym late. I normally have warm temperature. I was wondering if there is any concern for my night sweats and chills at night for the first two nights of my period for the past three months and increased PMS body heat. Please help. | Hello. Chills and night sweats are actually unusual symptoms of PMS (premenstrual syndrome). They have been seen in some women who experience a sudden Progesterone withdrawal as compared to a gradual one, leading to heavier first two days of menses possibly with clots. Some element is contributed by the heaviness of blood flow as well due to sudden decrease in blood volume which gets controlled over next few days. So, the best treatment shall be to keep yourself well hydrated during these days. For further information consult an obstetrician and gynaecologist online --> | |
Q. My anxiety disorder relapsed after I drank beer. What should I do?
Hello doctor, I have anxiety and panic since five years. My GP had given Nexito forte and Veniz XR 37.5. And, I felt better and asked him to reduce the dosage two years ago. He stopped both and gave Nextio plus from then till date. I felt better. I did not smoke or drink while on treatment. 10 days back, I stopped taking the tablet. I drank half a beer at a party, and the anxiety disorder relapsed. I will not drink any longer. Now, my questions are as follows. I am on Nexito plus. Suppose there is a relapse, should I take Veniz XR 37.5? When I completely stop all the medications, and there is a future relapse, should I take Nexito forte, Nexito plus or Veniz XR? | Hello. It seems to be an anxiety disorder. You need to avoid the triggering factors that cause the relapse. Be it alcohol or something like smoking, family issues or financial problems. It is better to be on Nexito forte (Escitalopram and Clonazepam) during the episode of anxiety. If your symptoms were not controlled then, add on Veniz (Venlafaxine) to your medications. Meditation and yoga will help control the problem. For more information consult an internal medicine physician online --> | |
What is the life expectancy of an elderly female with CHF?
85 yr old female w end stage chf in hospice with 24 hr, IV drip morphine, ativan, lexapro. Upon admission life expectancy was less than week. It has been over one month, patient has stablized but still needs all. Any idea about life expectancy? Family trying to time manage. | Thanks for your question on Health Care Magic. I can understand your concern. It's very difficult to tell exact life expectancy. But one thing is sure that she is alive with help of medicines only. Some patients with end stage LVF can live fir 1 year in hospice Care. Some die withing 1 week. But in general life expectancy will be less than 3-4 months. Since you are saying that this female is stabilized with drugs, she may live longer for atleast 5-6 months. Hope I have solved your query. I will be happy to help you further. Wishing good health to her. Thanks. | |
Rash, occasional itching, recurring blister like spots, dry, hard skin after using antiseptics, creams. Advise?
I have a persistent problem with a rash that itches sometimes - and it just partly covers three fingers - from my index finger to my ring finger and a small area below my index finger too on my left hand only. This rash dosent reach the finger ends. there are tiny 'blister like spots that seem to break out now and again. But is underlying most of the time and is quite uncomfortable. I have tried various creams and antiseptics which help the initially - but the area goes very very dry and the skin is quite hard . | HiThanks for your queryFrom your description of the skin rash that you are having, it looks like you have developed cheiropompholyx lesions over your hand.Now this skin disease is a kind of skin eczema which is characterized by development of deep seated fluid filled vesicular lesions over the hands.These are very itchy in nature and sometimes there is fluid discharge from the lesions on scratching.You need to apply a topical potent steroid cream over the affected area atleast twice a day.Keep the area moisturized by applying enough cold creams to reduce the associated itching.Avoid the use of oils over the hands.You may take oral antihistamines the itching is very severe in nature.Sometimes short courses of oral steroids have to be given in sever cases, so that you might need proper assessment by a dermatologist.Hope it helpsDr Geetika Paul | |
Would Coxsackie virus lead to stomach upset and headache?
My son, who is now 13, had the coxsackie virus when he was in the second grade. I am inquiring about the long term effects of this disease. He is active, healthy and exceeds academically. However, he often experiences stomach upset and headaches. His doctor claims he is healthy. There is little to no research on the after-effects of this virus, and I would greatly appreciate some direction. | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Coxackie virus infection is self limited. It will be cured with in a short time.Antibiotic therapy can be taken to prevent secondary infection.It will never causes any stomach upset and other things.I think other things will be having different origin.I request you to kindly get your child's examination done for other causes if stomach upsets. The most common causes of the stomach upset in the child is the worm infestation.Please maintain hygiene in your living as it is also important as taking the treatment.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
What does this semen analysis indicate?
Liquifaction with in 1hrcolour -opague greyvolume-1.0mlviscosity -normaldroping test -freely dropingsperm count -52 millions/mlactive motile-40%sluggish motile -25%non motile-35%normal forms-89%pin head-03%round head -04%giant head-00%swollen neck-03%pus cells -3-5/hpfRBC-0-1/hpfsir this is my semen analysis test, is it ok for the fathering of child..i very feel about it..becouse i already finish 4 year of my marriage life ,please advice | Thanks for contacting HCMYour sperm analysis shows that you are fertile and can conceive. Your overall motility count is a little low but enough to still allow for fertilization. To help improve your sperm motility I recommend that if you drink that you completely stop alcohol. Also if you are over weight losing weight will also help fertility.Hope this answers your question. Please contact us again with your health care concerns and questions | |
Does high ALT level in blood cause constant cough?
My mother is having cough for the last 3 months.She constantly coughs all day.Its hardly when I find her not coughing.ANd every afternoon she has fever.Can you kindly suggest the probable causes? Just now in her blood report I saw that her ALT level in blood is also very high than the normal range.Her's is 127.So is it anyhow linked with her cough and fever? please reply soon.. | Hi, dearI have gone through your question. I can understand your concern. Constant coughing and fever are the symptoms of tuberculosis. ALT level is high, so it suggest some liver disease also. You should go for complete liver function test, ultrasound abdomen and x ray chest. It will give you exact diagnosis. Then you should take treatment 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. | |
Q. I experience blurred vision in one eye when I close my other. Is it normal?
Hello doctor, I recently have noticed a slight blurriness in my right eye. It is only noticeable when I close my left eye, and so I am not sure how long it has taken for this to develop. I am going to see an optometrist and doctor early next week but am currently on the road for work. My main question is that when I look out of the corner of my right eye the blurriness seems to subside and I can see usually. I am wondering if this is a good sign. I have been dealing with severe anxiety the past couple months, and I am worried that might have raised my blood pressure enough to hurt my eyesight. Eyesight when looking with both eyes seems to be normal. I have also noticed floaters in my eyes. Kindly help. | Hello. This kind of a picture of eyesight becoming better on looking at specific directions are related to astigmatism. It is a very prevalent and correctable condition. There is no need to be anxious about it. Different reasons cause floaters. A dilated retinal examination will be able to help us get to the cause. Most of the conditions causing floaters are benign (not severe), but a few are dangerous, but all are treatable. So, I recommend that you visit your optometrist and in case you need any further information or help with refractive surgery, please schedule a consultation. I hope this helps you. | |
Suggest remedy for blood clots in lungs
My husband, age 72, just had rotator cuff surgery. Since then he has been very lethargic and has had shortness of breath. He has an X-ray which showed nodules on both upper are of his lungs and the doctor thinks it might be blood clots. He has an appointment for a CATscan on Friday. Should I be concerned about cancer? If it is blood clots, anything he should do between now and his appointment? | Thanks for your question on Health Care Magic. I can understand your concern. Nodules on both upper lobes are mostly seen in infection like tuberculosis, blood clots, Pulmonary infarction and lung cancer.. So better to get done CT thorax with Contrast. This will give you the correct diagnosis. If he is smoker than possibility of lung cancer and infection is more. And no treatment is required at present. First diagnose himself and than start appropriate treatment because all these conditions require different treatment. Hope I have solved your query. Wishing good health to your husband. Thanks. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Suggest treatment for constipation in a child
Hi doctor, My son is 2 yrs old suffering from severe constipation problems. Earlier he had an fistula in ano operation. After that he is withholding his poop. Doctor has suggested muout for 15 days. Tried dulcolex suppository. But very often he gets this problem. His has got severe rashes in his bumbs.plsbhelp on this | Hello Welcome to heath care magic after surgical operation for fistula you have to avoid constipation until lesion is not heal properly. Homeopathy has best medicine with good response without any side effect to cure all gastric derangement.I am suggesting some medicine you can start with following 1 Nux Vom 6 10 drops with half cup of water 2 Cuprem Met 30 6 pills twice in a day Take this medicine for 1 month.all the rashes and problem are due to repeated constipation. Once that is cure and lesion is healed he will be alright Hope this is clear to you Have a good health Thanks Dr Ratnesh | |
Suggest treatment for low grade fever and sharp tooth pain
Been having a toothache that goes from a sharp pain to feeling like I've been punched in the jaw. The pain is or has been on my neck and ear area and I have a huge knot on my neck almost behind my ear that looked like a big bump if you will aND I have messed with it bc I didn't think it was related at the time. I can't pinpoint one tooth that hurts and I go from being in extreme pain to just feeling like crap with a low grade fever. I have a appointment with the dentist tomorrow but I don't know if there's anything she can do? I've been taking some high antibiotics and it's not getting better? | Hi Dear,Welcome to HCM.Understanding your concern.Thanks for your query.I have gone through your query .The symptoms you mention in your query indicates towards condition called BRUXISM or grinding of teeth.Stress and anxiety are the most common factors responsible for it.It can lead to certain problems if left untreated like pain in ear ,reduce in length of your teeth which further cause TMJ problem ,headache and tenderness in muscles .I would suggest you to consult dentist for proper evaluation and rule out other causes like dental infection or ear infection .Your dentist may fit you with a night guard ,which will protect your teeth during night ,he/she may also prescribe you muscle relaxant .for now what you can do is avoid food and drinks containing caffeine,avoid alcohol and try to relax yourself.The knot in your neck occur may be due to peritonsilar abscess,strep throat and pharyngitis ,consult ENT specialist (ear,nose ,throat) for this.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Is abdominal swelling related to eating?
There seems to be swelling in my lower abdomen/ an area diagonal-right, above my penis. My stomach seems to be cramped/hurting as well. I ate an orange, a banana, an apple, a cup of oatmeal, two poptarts, a couple of carrots, and two leaves of lettuce all at once. Is this abnormal swelling somehow related to how much I ate? It s also strange because it s only swelling diagonal-right above my penis, not diagonal-left or above it in general. | Hi ! Good afternoon. I am Dr Shareef answering your query.From your history, the most likely diagnosis which could be thought of is an Inguinal hernia which causes such swelling. It might not be related to the food you ate. For a definitive diagnosis, you have to take an appointment with a general surgeon, and get your self examined for further management. Till that I would suggest you not to lift any heavy weight, or go for any heavy work which increases your intra abdominal pressure, and try to reduce your weight if overweight or obese.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | |
What is causing the pain in my right rear?
Pain from my right rear from what I was told is my sciatic area.I have degenretive disk, desease as well stenosis of the spine. I don t believe the pain is from the the spine alone, I have so much pain trying to get out of bed or up from a chair, and puting any weight on my right leg. help! | Welcome to health care magic. Going through your query you are unable to put weight on your rt leg so one should exclude rt hip fracture . so get xay rt hip joint AP and LATERAL VIEW to exclude it. Another cause can be compressive neuropathy due to stenosis leading to weakness of limb and unable to put weight. This is confirmed by MRI OF SPINE.Hope it will be helpful. | |
Severe itching and swelling in the labia minora due to allergic reaction to solar caine and sulfa drugs. What to do?
Had an allergic reaction to sulfa. One sided labia minora swelling , severe itching, initially resolved with stopping Sulfa and benadryl . Not before I sprayed down with SolarCaine due to intolerant itching. Now clitoral area is peeling and itching like mad. Have had several peelings in the last 4 days. Anything to do? | take allegra 120 mgm bd syp pirito 1/2 tsf night apply mometasone bd use calamine and mycoderm powder in dat keep dry clean after every piss it takes 3 week time tocome to normal | |
Hole between lip and lower gum, paining. Doctor visit required or it will heal overtime?
hello doctor. Between my lip and lower gum, i have a tiny grey hole in the crevice of the bottom of my gums. I first felt pain on cristmas eve when i was eating food. Since then it still hurts, but is managable. Its gotten a little better since then. After doing some research i cant find anything about tiny grey holes anywhere. should I be worried? will this heal over time or should i see a dentist? | Hello there... it seems to me like an ulcer....the ulcer could be due to trauma while brushing or from any food particle or could be because of stress levels within you (called apthous ulcers)...the normal healing time is 5-7 days....in case of pain you can use a topical anesthetic gel such as mucopain or dentogel when ever required , especially before consuming hot foods and beverages.... If it subsides there is no need to visit your doctor...in case of carious tooth the infection spreads apically and would result in the same clinical picture..that is when you have to consult your doctor...if the pain persists for more than 5 days...consult your dental surgeon for clinical evaluation and management... | |
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 --> | |
Q. My QTc was 470 in the EKG taken for shortness of breath. Is that normal?
Hello doctor,I went to the ER for shortness of breath. I suffer from panic disorder and hypochondria. My doctor did an EKG and released me and told me it was benign. I saw my QTc was 470. Is this correct? She told me there was a benign ST elevation. I am so nervous. Please help me. Is this EKG normal? Do I have a prolonged QT? | Hello. No, it is not a long QT (attachment removed to protect patient identity). Manually, QTc fine. There are S waves in lateral leads suggestive of some conduction delay and early stages of RBBB (right bundle branch block), which can also be seen normally in some individuals and more common in athletes. So, at present, there are minor changes in ECG which are fine to have and does not suggest any particular abnormalities. However, you may need echo if clinically indicated like having consistent shortness of breath on exertion rather than panic attack, or any other symptoms suggestive of heart disease. So, overall should be considered as benign. | |
Suggest treatment for low hemoglobin and iron levels
In December 0f 2013, I fractured my collar bone. I did not seek medical treatment for it. the following may, I was diagnosed with pinched nerves, low hemoglobin and iron levels. With the help of vitamins and iron pills, my hemoglobin and iron levels have been brought back up. But I am experiencing a lot of fluid build up in my knees, and have to awaken about four times nightly to urinate. I have been for a cat scan and an MRI, xrays and blood test have all come back negative for any sign of disease. My doctor cannot explain the fluid retention on my knees, and I cannot get any form of relief as the fluid buildup is causing me discomfort at night. I am a 52 year old male, in good health, who went from a healthy and active 130 lb man, to a thin and frail man with a weight of 111 lbs, within six months. I cannot gain any weight. overall, I feel great, but have no muscle mass left which leaves me sore and stiff by the end of the day. I have been to numerous specialists who cant find a cause. The pinched nerve was in my neck and does not bother me anymore. what I would like to know is what is causing the fluid retention in my knees, and how can I alleviate the discomfort? | Hi, dearI have gone through your question. I can understand your concern. You have effusion in your knee. There are many causes. You may have reactive arthritis, rheumatoid arthritis, gouty arthritis, bacterial infection or some thing else. You should go for aspiration of that synovial fluid and go for routine and microscopic examination of synovial fluid. It gives clear idea regarding cause. Then start treatment 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. | |
Suggest remedy for ulcerative colitis
Dear Doctor dilip raja. i am 50 years old,married.i am suffering from alcerative colitis.knee pain.and aniexty. from now 3 years before all was ok but i have no feeling for inter course now and my penis can not errect perfectly and takes 45 minutes to discharge if sometimes my penis errects | Hello Thank you for trusting HCM Have you taking any medication for ulcerative colitis??? It is low grade disease treated with sulfasalizine, mesalazine drugs. If remission accure then daily od course is sufficient along with that cyclosporin, azathioprim, infliximab can be used. If you suffering from serious diseases not respond to medication require surgical cholectomy. People with IBD may feel nervous about having sex. Given the nature of the illness, they often worry that their situation will make them unattractive to a sexual partner. Men with IBD may have trouble with erections and ejaculation. This may be the result of the disease itself, medications, or surgery.Please consult your doctor he will examine and treat you accordingly. | |
What could cause hard ball-shaped stools in a three-year-old?
Hi my 3 year old son is passing hard ball shape stools and it s foul smell and slight sticky mucus stick to it. He doesn t complain any pain .. when he feels poop is coming just tell me and pushes himself to do poop. It s been 3-4 days he is passing this type there is no blood | Hello, Include more fiber-rich foods to his diet. Simple laxatives like lactulose can also be given. If symptoms persist better to consult a pediatrician and get evaluated. Conditions like worm infestation have to be ruled out. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Is conception possible after an abortion?
good day,i had and abortion 3 years ago at a hospital and trying to conceive. Does the fact that i had an abortion making it difficult for me to conceive? Should i be taking conception supplements to help and increase the chances of getting pregnant? | ya,conception is possible after an abortion...u can take folic acid...which prevent neural defects in ur baby...dont wory..u can get pregnant.. | |
KUB ultrasound shows bilateral diffuse renal parenchymal disease, mild pelvocaliectasis in right kidney. Explanation
FEMALE ; 21 YEARS OLDneed interpretation of my KUB ultrasound the right kidney measures 9.98cm X 3.91cm with a cortical thickness of 1.54cm the left kidney measures 9.21cm X 5.45cm with a cortical thickness of 1.67cm renal cortices are hyperechoic & coarsened.right kidney again shows mild pelvocalyceal dilatation.left kidney again shows the smooth walled renal cyst in the upper pole measuring 2.10 x 1.80cm.the urinary bladder is distended with smooth outline & anechonic lumen. no shadowing echo is noted. IMPRESSION : BILATERAL DIFFUSE RENAL PARENCHYMAL DISEASEMILD PELVOCALIECTASIS IN THE RIGHT KIDNEYRENAL CYST IN THE LEFT KIDNEYNEGATIVE ULTRASOUND OF THE URINARY BLADDER | Hi,The good news is that your kidney sizes are preserved but just near the lower limit of normal. The increased echogenicity explains that your kidneys are experiencing some form of insult either acute or chronic. A single cortical cyst is of no significance unless there is underlying infection or malignancy. At this stage you must do all of your necessary work up to investigate and treat the cause of your kidney insult.Regards | |
Suggest treatment for panic attacks post Caffeine withdrawal
Quit drinkink beer and caffeine 12 days ago cold turkey 6 mountain dews in am and 6 beers to fall asleep Been having panic attacks taking .25-.5 xanax at night to sleep, also take certrazine in morning and 100 sertraline, getting a cold now, if i take nyquil for cold, what could I use for panic attack? Having trouble with insomnia and nighttime panic attacks, started with withdrawal symptoms, gotten better but insomnia is bad | Hello,A panic attack a sudden overwhelming feeling of acute and disabling anxiety. Panic disorder is different from the normal fear and anxiety reactions to stressful events. Panic disorder is a serious condition that strikes without reason or warning. Symptoms of panic disorder include sudden attacks of fear and nervousness, as well as physical symptoms such as sweating and a racing heart. Panic attack always happens due to an underlying anxiety disorder. So you need to treat anxiety disorder. Anxiety disorder treated with the help of counseling and psychotherapy. You should consult a psychologist.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. K. V. Anand | |
What causes swelling in ankles and kidney stone?
I keep getting severe pain and swellings in my ankles..Both...so bad that i cant walk and cant bend my foot. red hot skin around ankle..swells to feel like it will burst, Pain killers hardly touch the pain...paramol and ..Indometacin...have been tested for gout and Gp reckonds its not..But cant say what it is..desperate for help. I'm 46.Quite healthy..not taking tablets for anything (except painkillers)..try to eat a reasonable diet. have had sever kidny stone probs in past twice and am having probs with my Kidneys and liver according to latest test results..saying my Liver function isnt right.. | Hello,Kidney stones along with ankle pain may be due to hyperuricemia. Get the synovial fluid analysis done from the ankle, and look for crystals. If not responded to pain killers, then colchicine may be tried.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Tanmay Mukherjee | |
What causes left side abdominal pain and swollen tonsil?
Hi, I have been having severe abdominal pain on the left side of my stomach and into my back. for the last six months, For the past month my left tonsil has been very swollen and anti biotics have not helped. In the past week the vision in my left eye has become very blurred and painful. Could these symptoms be related? | it could me related if there is some systemic disorders such as we see in some autoimmune diseases. but in most cases these things are notrelated and each should be evaluated separately. i suggest autoimmune testing. wish you good health. Regards | |
Is it normal for the foreskin to not retract over the glans penis?
I am 22 yrs old. My foreskin doesnt retract over glans. If i do it forcefully, i am able to stretch it till half of the glans, when i leave it, returns back to the tip of glans. Is it normal? Will this affect me later in life during intercourse? Please help me. My friend had tje same things. He did circumcision. Is there any need need to do it? Dont we have any non surgical methods? Should i forcefully stretch it? | Hi, You have to apply significant force to retract foreskin over glans. Hence it is suggestive of phimosis condition. For that topical steroid can be prescribed which is helpful in relieving mild phimosis. But if problem not solved then you have to undergo circumcision operation. Circumcision is the minor surgical procedure and doesn't worry about that. I suggest you consult the urologist for an examination. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Parth Goswami, General & Family Physician | |
Suggest possible treatments for esophageal stricture
Sir, 1& 1/2 yr ago My 3 1/2 Yrs old child has accidently intake of 80 % concentrated KOH drops.We consulted nearby hospital and confirmed nothing has gone inside.My child started to take liquid foods and gradually light solid foods like bread & noodles.After 6 months he started to reject the foods and started to vomit and ended in drop feeding.We consulted Pediatrics surgeon in All India Institute of India . The y confirmed he is suffering from esophageal stricture and he is admitted in hospital for RG dilatation .The following operations have done a)esophageo scopy-tight stricture-only 12# AG dilatation done b)Laparotomy -Gastrostomy done c)RG dilatation-up to 18# d)RG threading.He has under gone 08 dilatations after the first one. After every dilatations we used to get 15 to 20 days as normal.After that he starts to vomit solids along with some fluids like saliva. Sir,I would be very thankful to u if u suggest any alternative treatment for early recovery with regards Shamsudheen | Hi, I am sorry for your son's symptoms and I would like to assure you that the treatment going on at AIIMS is the best possible one as of now please. But if he is failing to thrive you may discuss the option of Gastrostomy please. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
Fell with back and head, eyes blinked fast, stopped, pain in lower back area, frequently using restrooms, taken ibuprofen.
Hi, Hi, I fell accidentally while standing on a chair, I fell with my back and head, immediately after the fall, and head impact, my eyes blinked very fast, for some seconds,before it stopped, now I feel pains in my lower back area, I feel dizzy, I use the restroom more frequently, if I turn my head too quickly I feel pains,I had pains behind my head, now in front of my chest,a little at d waist region, I had taken ibuprofen capsules, but after I take d drug it feels ok, after a while d pain returns, d capsule has Ibuprofen 200mg, paracetamol 325mg, caffeine 20mg....what do I do?I feel restless | Hi,Thanks for writing in.What you had is most probably a mild head injury known as concussion syndrome. This is seen in the slightest of brain injuries and may not be serious. This can take few days to weeks to disappear. Ultimately, the brain will recover at its own pace. While 80% to 90% of concussion patients will recover within 7 to 10 days, some patients will experience symptoms for weeks or months. The length of recovery is not necessarily related to the initial injury.If you have vomiting, persistent severe headache, loss of balance, intermittent loss of consciousness, blurring of vision, you need to consult a neurosurgeon and get a CT scan brain done.Hope this helps | |
What causes the pain in the left flank?
I have been having left lower quadrant and left flank pain for 3 weeks. Had a CT of my abdomen and pelvis that only showed an adrenal cyst on my right kidney. I have taken multiple laxatives, mirulax and milk of mag since last Tuesday. Have had diarrhea since Sunday but continue to have the pain. It does not get any better after I have a BM. Any other ideas or do you think it is still from constipation? I have the constipation-dominant IBS and take Amitza twice a day. Thanks | hi thank you asking HCM yes your symptoms are typical to IBS and constipation. If you have done colonoscopy and it is negative you can use butifar to treat IBS. wishing you all the best | |
What could whitish, cheesy, sticky staff on penis after having sex suggest?
I have whitish "cheesy" sticky staff on penis after having sex with my wife which never use to happen before. The staff does not smell nor she has not complained of any pain in her vagina. Does this mean that she has been sleeping around and this is the result of dried sperm from someone else? | HelloNo, it can't beAs sperms doesn't stay in vaginas for any longer after the sexit's not a store house for semen eitherYou need not to doubt in your wife, this could be due infection of urogenital tract like candida or other fungal or bacterial infectionApart from infection , it can be physiological secretion of vagina are timesSo you need not to worry In my opinion you should consult your doctor preferably a gynaecologist for per vaginal examination and a battery of tests like vaginal swab culture and urine cultureMeanwhile Use condom during sex and maintain good hygieneThanks and regards | |
What causes chest pain and arm soreness with laryngitis?
Last night I had a very tight pain in the middle of my chest and some sorness in my right arm this lasted quite a while so i know it wasn't a heart attack, the next day after a couple of hours after waking up I have started to loose my voice, any ideas what may cause this? | Hello dear , hiWelcome to Healthcaremagic.comI have gone through your concern in depth .* The possible reason of laryngitis is bacterial or viral infection of the larynx .Hope this will help you .Wishing you fine recovery .Regards . | |
Does mx3 help with Hep b and what is its nutrient constituents?
i am 22 yrs of age who has hep b. can it help taking mx3my family history has hep and i think i got it from my mom. i have hep b and the doctor said it is acute. what should i do? do i need to continue taking mx3? and what good things or nutrients that you can get form taking mx3? | Hi thanks for asking question.No specific need here for using mx3.I need to know duration of hepatitis b....Mostly if you acquire from mother you are having chronic hepatitis and now in active stage.In chronic hepatitis active stage determine by liver enzymes estimation, HBV DNA and HBeag estimation....If you are in chronic active stage antiviral specific medication started.Meanwhile take low fat diet.Fruits taken more.Green leafy veg useful...Avoid alcohol.If jaundice occur immediately consult doc.Close clinical follow up necessary.Dr.Parth | |
Suggest treatment for painful bumps on buttocks
I have a small bump right near my butt , like the hole... , I am a boy. its embarrassing and really painful and it hurts me really bad to walk or move for the past 3 days. The size is about half an inch height and width so its not that big. It is pinkish and reddish and hurts to touch. Can I send u a pic please?? Any thoughts on what it could be? Thank you so much for reading! | Hi,It seems that you might be having forming abscess due to ingrown hair follicle infection.Apply antibiotic cream after proper cleaning the wound.Go for one antibiotic medicine course for 3 days.Ok and take care. | |
Could burning sensation around auxiliary lymph nodes of chest be related to doing of excess aerobics?
yes. i recently began having a burning sensation in and around my axillary lymph nodes on both sides of my chest. they hurt when i run and when i bend forward and reach with either arm. i recently began doing more aerobics but i was wondering if it has anything to do with my water intake. i try to stay hydrated daily. | Hello,Since your symptoms are associated with running and movements, the possibility of musculoskeletal pain is more likely, and it is because of overexertion (aerobics). So better to follow these steps for better symptomatic relief in musculoskeletal pain.1. Avoid movements causing pain. Avoid sudden jerky movements of chest and back.2. Apply warm water pad on affected areas.3. Take simple painkiller like paracetamol or ibuprofen.4. Avoid heavy weight lifting and strenuous exercise like excessive aerobics for a few days.Don't worry you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kaushal Bhavsar | |
What causes recurring fever after treatment for heart attack?
Hi Doc,My father in law had two heart attacks 3 months ago. Two of his arteries were blocked (100% and 80%). One stent has been fixed in the completely blocked artery. He had two attacks of bronchitis in the last two months. Today he is having 102 fever and he always complains of exhaustion. All his tests are now normal and there is no fluid accumulation also in the lungs. Today he just has fever and exhaustion and nothing else. Why does he get frequent fevers? | After any invasive surgery or procedure the inside of our bodies are exposed to infetious organisms like bacteria viruses and fungi.depending upon the immunity status of the individual he or she might get infected aftr surgeries .....in your farhers case he went through angioplasty after which a long term prophylaxis is required against bacteria. My sugfestion get a detailed blood tests screen from a good doctor and he will guide u what organism is causing the repeated infections | |
What causes chest pains, exhaustion, fatigue, nausea and swelling?
My husband went to er with chest pains on Wednesday , it was not his heart. Blood work indicated something about liver? Number was too high, he is still exhausted/fatigued nearly all day, nauseous, swollen and salty taste in mouth ????? What could be wrong? | Hello dear , hiWelcome to Healthcaremagic.comI have gone through your concern in depth .* There are differential diagnosis possible with this presentation as - Liver disorders ( cyst , inflammation or others ) - low hemoglobin with anemia development - heavy infection with some bacteria or virus - others .* Better guidelines require details of the report herewith as an attachment .Hope this will help you for sure .Regards . | |
Suggest treatment for rash and bumps on the buttocks of a child
Hi,i havs atwo year old son.who has some type of rash which I thought was diaper rash so I took him to see a dr.the doctor prescribed nystatin.it has cleared up buf not really and its been almost a week.now I have noticed that he has two painful fingertip sized red bumps one on each side of his outer butt cheek.he screams everytime I touch it but it is nlt pus filled or bright colored.also his rash that I took him to the doctor for itches but hurts with diaper changes and showers.help please! | Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.Regards - Dr. Sumanth | |
WHAT ARE THE SYMPTOMS & TREATMENT OF HEPATITIS A ?
what is hepatitis A? what are the symptoms?what is the treatment of hepatitis A infection ? | Hepatitis A is a virus which causes an infection of the liver: commonly referred to as jaundice.It is extremely common in the developing countries but most people are immune to it here-because of the habit of eating form roadside eateries . SYMPTOMS symptoms are :loss of appetite Nausea abdominal pain vomiting: passing high colored urine yellow discoloration of the skin and white part of the eyes these symptoms are common to all liver disease in some cases fever also TREARMENT .it is usually self limiting- that is it resolves without any medication an: only a strict diet restriction has to be followed to give the time for the liver to recover. | |
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 --> | |
Suggest medication for hydrocephalus
I have hydrocephalus and have had countless ct and mris I m the last 20 years the last ct showed a fluid increas e so they sent me for anmri of my spine and it showed shadpwing aroubd my 4th and 5th vertebrae...is that something to be concerned about? | Hi, I am Dr.Bruno and I am happy to help you But I need a bit of clarification from you as I am not able to comprehend << shadpwing aroubd my 4th and 5th vertebrae.>> Can you please share the full report so that We can find out the exact problem and advice accordingly | |
Can Adderall intake lead to heart murmur?
My Daughter's doctor thought he heard a heart murmur today on a follow up appointment for her taking adderall. She has had ADD her whole life and is dyslexic. She is 21 and in college and thought the adderall would help her concentrate.The doctor didn't detect one when he prescribed Adderall to her. She has only been taking it for 2 months. We have an appt for a ultra sound tomorrow at a hospital. Can she have developed a heart murmur from Adderall? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.There are a few reported cases of Cardiomyopathy from chronic use of Adderall. In this situation, heart mummers may be heard. A cardiac Sonography is necessary to see how is the heart function and if the Adderall have cause any damage, or its just a normal heart murmur heard in a young patient in a normal heart. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Anila Skenderi | |
Prescribed microgyon oral contraceptive pill. Any side effects? Suggest better pill?
Hi I am 21 years old and i just started having sex a last month. I have used post pill five times and now a Dr. has given me MICROGYNON oral contraceptives 4 cylce to help with my period(which is a bit unstable(timing)) but i am worried about its side effects and i am willing to pay more if there is a better pill for girl my age. i am worried about its level of protection because i don't want to get pregnant since i am in college and also i am worried about its side effects......please help | Microgynon is a low dose oral contraceptive with minimum possible side effects. In my opinion, these should not be more than those of any other low dose oral contraceptive. Pregnancy rate with all low dose oral contraceptives is only 0.1% which is lowest possible rate.So, in my opinion, it can be a good choice. | |
Is GERD a part of the mitral valve problem and will it subside after surgery?
i am having mitral valve repair surgery in a few days but i also seem to have gerd at lease i was diagnosed with gerd when i started having swalloiwing problems er though and treated allergic reactions with prednisone and enadryl but i went back next day same symptoms and then next week with chest symptoms and had ekg and monitor etc no one came up with any heart problem although my complaint was coudnt breath right chest tight is gerd a part of mitral valve problem> will it subside after surgery | Your GERD problems are not due to MVP. Unless you have a severe mitral prolapse and should have a severe mitral regurgitation and you should have a stage at three or four congestive heart failure before you go for heart surgery. Surgery for the mitral valve is not to help your GERD. Treatment for GERD is not to eat 3 to 4 dollars before sleep and also not to eat a large means but to eat small frequent mealsIf it is very severe of you may take some proton inhibitors like Pilosec (OC) or Nexium thank you | |
How to treat fibromatosis of the lung?
A family member is experiencing fibro matosis of the lung. The left lung is collapsed. The next organ that could be affected it the heart. The patient is not strong enough for chemotherapy or surgery. Is there another therapy that could slow the growth of this substance? | Yes radiotherapy can be tried however chemotherapy will be the best thing to do. Speak to your oncologist for a better individualized treatment | |
Suggest treatment for indigestion and stomach aches
hi My 5 year old doctor is having stomach ache and she is going to toilet frequently. Motions are not loose and it is normal but whatever she ate today afternoon, we can see those items like carrot etc. Please let us know what we can do to get her relief | Your child might have got a simple stomach bug or a simple poisoning. Give your child an Antacid in form of tablet Junior Lanzol 15 mg single tablet once daily empty stomach for 3-5 days.Also give a course of antibiotic like tablet Oflox-Ornidazole for 5 days that will take care of any intestinal bug. Rehydrate her well and give her fresh juice and ORS at regular intervals. | |
What causes shortness of breath and cramps above stomach?
good evening, i have been experiencing quite cramp like pain at the very top of my stomach no real about an inch down from in between my breast bone, it causes shortness of breath. It has been over a week now. I have taken gaviscon but impact. Any thoughts | Hello!Welcome on HCM!Regarding your concern, I would explain that your symptoms could be related to different causes: - gastritis or an ulcer- pancreatitis- indigestion- musculo-skeletal pain or inflammation. Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests to investigate for the possible underlying causes: - a resting ECG- a chest X ray study- an abdominal ultrasound- some blood lab tests (complete blood count, PCR, ESR, kidney and liver function tests, amylase and lipase levels, fasting glucose). If gaviscon help improve your situation and all the above tests result normal, I would recommend performing a fibrogastroscopy to investigate for gastritis or ulcer. Hope to have been helpful!Best wishes, Dr. Iliri | |
Q. I have severe pain in the lower back region. Please suggest a remedy.
Hi doctor, I have severe pain in the lower back region. I have this problem for a few days. The pain is present only on the lower back just above the hips. I feel stiffness and pain in the lower back in the mornings. I have the pain radiating towards my upper spine when I squeeze the upper back muscles. After a few hours, my pain goes away and comes back again after a night sleep. I always do weightlifting at home. Please suggest a remedy. | Hi. You have a muscle spasm. Evaluate your sleeping conditions and ensure that you are sleeping on a supportive mattress that is not over seven years old. When sleeping on your back, place small support under the lower back and knees. You can use a small pillow or rolled towel. When resting on the side, keep a medium size pillow between your knees to keep your pelvis straight. Try sleeping on a heating pad. Do light lower back stretches every morning and every night in every direction. | |
Can new mattress cause stomach pain and back pain?
I have been having stomach pain for about a week and half. Feels alot like muscle pain like working out but I don t work out. I got a new mattress a little over a month ago and have been having aching back ever since wondered if mattress could be causeing stomach pain also | Hi Stomach pain is different from back pain. Change of mattress may give rise to back pain but is unlikely to give rise to stomach pain, Try taking pain killers for a few days and if there is no improvement , then go for ultrasound of the whole abdomen. | |
Q. I have small wound in anus with rashes over my body. Could this be syphilis?
Hello doctor, I have been having rashes on my hands, forearms, trunk, and feet for four weeks now. The rashes on my hands and feet have lesions. The rashes are not itchy, except for those with lesions. I also have a small wound (or sore) on my anus, which has been there for three weeks now. I believe this is syphilis. I have taken Loratadine for seven days, as prescribed by a doctor here. However, nothing happened. I cannot have it checked due to the quarantine in my area. Does my condition need immediate medical care? Or can I take medicine to treat this while waiting for the ECQ to be lifted? I did not have a fever or flu when this started. I would also like to add that I have been having dandruff on my beard and mustache, and an itchy scalp. There are also dry patches on the area near my chin and they are flakey. They do not flake sometimes, though. I have been applying moisturizer on my face since they started to appear. Another thing, the folded skin on my underarm and area behind my knee can sometimes have a burning sensation. I did not know what is happening. I hope you can help me with this. | Hello. Prior to the onset of rashes did you observe any lesion or wound on your penis? Or sexual encounter with someone who had such? May I ask questions about your sexual history? How many sexual partners have you had? Male or female? Are you aware of your partner's promiscuity? What do you do? Any other diseases? Is this the first time this has happened? Besides Loratadine have you tried taking any other medications? Any allergies? Based on the given health data, it is likely you may have secondary syphilis. Can you send photos of the rashes on your trunk or arms? Where did it start and how did it spread? Any throat pain or gun lesions? If you're having difficulty of breathing, fever, changes in sensorium, numbness or weakness please proceed to the ER. Otherwise, we could start treatment for now but will require laboratory results to confirm the diagnosis. Please do VDRL or RPR (whichever is available) and FTA-ABS or TPPA (whichever is available). I suggest to start Doxycycline 100 mg twice daily for 14 days (Please do lab works before starting your medication. The results may turn out negative if you have taken your dose and if it is negative we will have to stop the treatment). Regarding dandruff, I suggest to shave your beard. Use anti-dandruff shampoos. May continue the application of moisturizer on the affected area. Regarding the burning sensation, it maybe related to syphilis. Are there any rashes present? Is it often damp? Is the area reddish? Continue to take baths and maintain good proper hygiene. Please send your CBC (complete blood count) results. VDRL (venereal disease research laboratory) or RPR (rapid plasma reagin) and FTA-ABS (fluorescent treponemal antibody absorption) or TPPA (treponema palladium particle agglutination assay). Abstain from sex for now. Proper hygiene. | |
Does the scan indicate presence of a dominant follicle?
I had a follicle scan today cd11 on 50mg clomid nurse said there were a few small folicles on both ovaries my lining was 5.9 does this mean i have not reacted to the clomid i have to go back for a scan on monday is it possible a dominant follicle will b present ? | as d follicles size r small on 11 th day u go for scan on monday n soo on ...if follicle doesn't seem to increase den next cycle do serum tsh and serum prolactin den do hsg on day 8 th den do follicular study after taking clomiphene from day two den follicle size increase to 18 mm den rupture den iui | |
Suggest treatment for itching and dry scaly patches on the breast
So on my right breast my areola turned darker it itches it has patches like dry patches I went to a clinic and the Dr said it was milk but I ve had it over a year now it just itches real bad and it s super annoying I put hydrocortisone and seems to get a bit better but if I stop putting it , it start again the itchiness the dry scalpy patches what is it and how can I cure it ? | Hello,Thank you for posting on HCM.It seems you are suffering from Tinea corporis, a kind of fungal infection.I would suggest you to consult your dermatologist for proper management of the condition.I usually recommend proper course of oral anti-fungal drugs like Fluconazole or Itraconazole along with anti-fungal cream like luliconazole for local application at bedtime. You can additionally use antifungal dusting powder containing sertaconazole during day time and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistaminics for itching as required.Maintain hygiene over those areas and avoid wearing tight undergarments.Hope your queries are resolved and wish you best of health.Kindly spare some time to rate my answer and drop your valuable review at the following link: you require any further assistance in future, you can reach me directly through the above mentioned link.Thank youDr Hardik Pitroda | |
What causes muscle cramps and joint pain in a hypertensive person?
I have pitting edema in both ankles. I just finished a four month regimen of a chemo med for basal cell skin cancer called Erivedge. My worst symptoms are muscle cramps and joint pain. I assumed the swelling was another side affect. I am also on meds for high blood pressure but I monitor it and it s fine. I have a friend that is worried that the swelling might indicate a heart problem. | based on symptoms I suggest you to take Ayurvedic medicine which are safetab yogaraj gugglu 2bd for paintab punarnavadi mandoora 1tds for swelling and anaemia. swelling is seen not only in cardiac problem it may be due to kidney thyroid steroids NSAID etccramps may be due to calcium deficiency, dehydration, muscle strain., inadequate blood supply etc. | |
Asthma patient suffering from short of breath, cough, wheezing, sleep apnea, oxygen saturation dipped to 94%. Any suggestion?
Ive been short of breath, coughing, slight wheezing for the past month. I had a short course of prednisone about 2 and a half weeks ago. I keep feeling like im improving then start coughing and wheezing the next day. I have had a long history with asthma with only one exaherbation a year. They are usually cold induced. I had a slight head cold just about a month ago. I also have severe sleep apnea and use a cpap set at 9. I have back pain located between my shoulder blades. It always hurts but is worse when taking a deep breath. My oxygen saturation has been mostly 97%- 98% (im usually 99-100%.)i have been dipping down as low as 94%. I' m afraid to go back to the doctor for fear they will think im a hypochondriac. Night time and first thing in the morning are worst. What are our thoughts. | hi welcome to HCMi have read your qusetion and concerned about your problemas you r saying that you r an asthmatic and sleep apneic pt on cpap therapy and as you r having your asthmatic attack now it is normal to have a dip in o2 saturation( when you r wheezing) now you have to optimise your treatment for asthma with use of inhaled corticosteroiods and bronchodilators and if necessary oral steroids.other possibility for dip in saturation is inadequate cpap thearapy so consult your pulmonologist and first optimise your thearpy for asthma and if the problem persists you have to optimise your cpap therapythank u | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
When should mala D be taken?
Suppose any couple is having the sex on these dates of april 3, 4, 5, 7,8,10. After the date 10 april they do not intercourse for atleast a weak. The next intercourse date is 18th april , after that 19th after that 21 april. Now please inform me on which dates of the april should that woman should start taking mala D and how should she continue and also inform me whether she should stop taking the pills when they are not having the sex. | Hello dearUnderstand your concernMala D is the birth control pill and should be started from the first day of the menstrual cycle. It should be taken regularly on the same time for successful preventing the pregnancy.It should not be used after sex. As a emergency contraception: 4 pills should be used with in 72 hours after sex and another 4 tablet after 12 hour to prevent the pregnancy.So you can not use mala D according to sexual intercourse.It should be taken even you have not having sex.Hope this may help youContact HCM for further health problemBest regardsDr. Sagar | |
What causes lumps on breast?
hi im 16 and i have two lumps on my breast . my boobs arnt soar but when i press in it hurts abit wondering if this is just natrual because of my age and got to do with growing. im not experiencing any other things. could you please help because im really scared about it. | HIThanks for posting your query to HCM . Most of the breast lumps at your age is harmless . But still it needs to be evaluated . Does it feel hard to feel or firm or soft ? If you can make it out it's better you get a breast examination by your doctor . Only if he feels it need further evaluation then you can go for Mammogram test . But there is no need to be scared as I told earlier that most of the lumps at young age is harmless . | |
Severe rib pain, lower back stiffness, pulsating sensation in eyes. History of headaches. Ankylosing Spondylitis?
Hi, I am an 18 year old women with sever rib pain sever lower back pain/stiffness A fluctuating/pulsating eye(which has cause a slight blur of vision (all three of which have been going on sense january for no obvious reason like injury) mild deformities of the fingers and toes Headaches around the temple which i have had for years. I have taken anxiety meds and cut down on coffee which helped nothing I have one an MRI for my head and seen an ophthalmologist who is stumped by the sensation in my eye and no orthopedic doctor will see me because they Don t think that can help, I am being sent to a Rhumatologist but that s a month away. I think I may have Ankylosing Spondyitis but I can t get into any doctor right now to get a test for it. Does anyone have anything they can tell me that may be of use or even conformation of my theory? I am starting to feel like a lost cause. | do u have family history of rhematoid arthritis?? get X-Ray lumbao-sacral region PA and LATeral view, get blood tests like Rh factor, ESR, TLC, DLC, blood sugar, X-ray chest, take some pain killer with muscle spasmolytic ..like meftal forte..and get examined by physician..sometimes u don'nt have pain in that region ..but clinical correlation..by physician should be there..get yr eye fundus examined.. | |
Suggest treatment for kidney stone
I have a kidney stone that is 5mm since wednesday. I havent had a lot if pain today but i have blood in urine and a pressure feeling in abdomen still. Also i have been pooping mucus with blood in it. Is this normal with kidney stones or is it caused by the medicines? I am on toredol, oxycodine, flomax and ibprofine | Hi, Let me start my answer with a small description of the kidneys, ureter and urinary bladder. The collecting system of the kidney is made of renal calyces and pelvis. This collects the urine formed in the kidney and transports it through the ureter (tubes connecting kidneys and urinary bladder) to the urinary bladder. I guess that you have got an ultrasound scan done and it shows hydroureteronephrosis, that is a term applied to increase in diameter of the ureter which carries urine from the kidneys to urinary bladder due to a stone from the kidney getting stuck in the mid or lower part of the ureter. Since you have a 3 mm stone in the ureter, it is possible that the stone is now in the lower part of the ureter. This is causing an obstruction and please drink adequate water to allow the stone to come out of the lower ureter and into the urinary bladder. You might have pain at this time which will disappear once the stone reaches the urinary bladder. When this happens you might experience severe sharp pain for few days and require pain killers for sometime. It is best to consult the urologist and take prescription of medications like alpha blocker which will cause contraction of smooth muscles in the ureter and cause the stone to travel down in to the urinary bladder. Doing kidney function blood tests and repeat ultrasound might also be required. Neeri syrup and Pathrina tablets are recommended by Ayurvedic doctors for kidney stones and work best as long the stones are in the kidneys. However, if the stone is stuck in the ureter as in your case then these medications will not be of much help because urinary obstruction is there. Continuous obstruction in ureters for more than a month can cause kidney damage. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon | |
What causes severe cramps in the legs while treating lymphoma?
I have terrible muscle cramps in my legs every night that keep me awake. I was told I needed magnesium, and dehydrated....I drink extra. I had stage 4 lymphoma 2 years ago with very aggressive chemo. Is that some of the reason? My legs are getting weaker. Thanks!!! | it's is a short term side effect of chemo..need supportive treatmentdo serum electrolyte test..do CBC after chemo...start calcium supplements | |
Can cortisone cause impotence?
Can a cortisone shot in the shoulder cause impotence? I am 41letting and have never had erectile issues until a week and a half ago when I got this shot. I am athletic. 6'3"" and 210a lbs. I lift weights and do 30 minutes of cardiovascular a day. My blood pressure is usually 90/70. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Cortisone shot does not cause impotence. In fact, it can help to produce more testosterone. So do not worry unnecessarily about the cortisone shot you have received and relate it to erectile issues what you are having. It appears to be more of psychological than a physical one. Gradually, you should be able to overcome the problem. Hope I have answered your query. Let me know if I can assist you further. | |
What causes improper growth of wisdom tooth?
My wisdom teeth is growing in however there is no room for it to grow in the rate in which it is supposed to grow, and what is happening is the tooth came out a little but the rest is still in the gum and the gum is overlaying the tooth that has not come out..it is similar to a flap of loose gum like an hole underneath it | Hello,Thanks for consulting HCMRead your query as you have partialy erupted wisdom tooth condition termed as Pericoronitis. This happend when this is less space in arch leads to impaction of tooth . Impaction can be Mesioangular in your condition dont be worried so much for this I will suggest you to consult oral surgeon and go for investigations Iopa Xray of tooth and discuss treatment if there is impaction there is no space for eruption of wisdom tooth then go for EXTRACTION of tooth . In meantime maintain proper oral hygiene , Do warm saline gargle two - three times a day. Hope this will help you. Regards, Dr. Priyanka tiwari | |
Had sperm count checked, motility, morphology and spermatozoa. What are the ways to improve condition?
my husband's sperm count is 6 millions with 50% motility 50% immotile and 0% rapid linear 50% slow linear and 0% normal spermatozoa also morphology (normal forms%) is 0%. please tell any natural ways to increase the linear and motility level. he does not have any bad habits. at present he takes tazzle 10 mg and popson suggested by a doctor. | Thanks for query on HCM.You have low sperm count and also poor motility and morphology.Go for usg abdomen and testis,urine test to rule out any local abnormality.Maintain local temperature by avoid tight under garment,exposure to heat,excessive cycling.You have to start certain medicines which contains b12,folic acod,vit.e,vit.c and minerals like copper,zinc,selenium.Complete course of intra muscular b12,folic acid will be helpful.Start treatment for any local condition if is there.Avoid stress,anxiety.You will definitely get normal count within 2 to 3 months treatment.Keep in touch with your doctor. | |
Is it safe to do exercise with bell's palsy?
hi, i have bell's palsy, im 16, male.i wanted to know if it is ok for me to exercise. i asked a doctor but he was not a specialist in this area and just said no because the virus may attack the heart.so my question is wether it is safe for me to exercise or not.i play Football (soccer). thankyou | Hello,I understand your concern and disagree with your doctor on the physical exercise.There is no risk while exercising. So, you should not limit yourself in your daily physical activity. I would also recommend face massage to help recover from Bell's palsy.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Aida Quka | |
Suggest treatment for severe upper back pain
I have experienced DAILY pain, throbbing, and spasms in both my lower lumbar area as well as the thoracic upper back pain. This all started 33 years ago after the long labor of my first child, my son. Just before I was able to conceive, I was told that I had endometreosis. I took male hormone pills for nine months, and upon stopping this treatment, I became pregnant. I ve had seven laporoscopies performed during a 20 year period of time, and each time, the growth came back. I was able to conceive a 2nd child seven years in between all of the above. I also suffer from bowel spasms and have for years. Finally. my insurance has approved for an MRI for both my thoracic and lumbar area of back. My immediate issue is the fact that I have been on narcotics for most of these years, and they have essentially taken my short and some long term memories away. I am in a serious situation here. I have tried alternative methods such as acupunture, Chiropractor , deep muscle massage, injections, I have found that the muscles massages can and will bring some relief for a short period of time. I having ALWAYS said that I would never have back surgery - however, I want OFF of these narcotics for the pain issues...I believe that I can do this. Please advise! | Dear Madam,first of all thank you for your consultation.I have read your problems carefully.it seems that you have this chronic pain for a long time. it is good to know that you dont want to take narcotics anymore.for endometriosis which often causes back pain there are some classical drug regimens that should taken under the suggestion of a gynaecologist.apart from that you should do some exercise in the back region like back muscle strenthening exercise in home on regular basis.I sincerely believe it will help you to feel less pain and decrease the need for taking narcotics.I hope your health will improve a lot in near future.thank you. | |
Suggest treatment for premature ejaculation and erection problems
Hi i am 32 year old male i am haveing problem with my sex doing with my wife as it falls in seconds when i try doing sex & my penie is very small also so what can be done & if i want to meet a doctor where can i get the contact details of it........... | hiii.for premature ejaculation ,there are many ways to control it.take deep expiration and inspiration while doing sex.do foreplay before doing sex for more time.you can use distraction techniques,which means talking about other things while doing sex.you can masturbate 1 hour before sex to control premature ejaculation.you can also lignocaine spray 15 minutes before intercourse.but do not spray it on the glans(red part).thank you.hope my answer would have helped you. | |
Can Apo-clarithromycin 500mg tablet be taken for toothache?
I have a broken root canal and my cheek is begining to swell. I imagine it will only be a couple of hours before I'm in severe pain and the infection becomes worse. All I have on hand is apo-clarithromycin 500mg for bacterial drugs. If I take this will it help me? | Thanks for your query, I have gone through your query.The apo clarithromycin is a macrolide antibiotic that is usually given in skin and respiratory tract infections. If i am your treating doctor, i would have suggested you to take a combination of penicillin 500mg tid and metronidazole 400mg bid for 3 days. After taking this, if possible we can get the tooth removed.I hope my answer will help you, take care. | |
Suggest treatment for kidney failure with hypertension and diabetes
Hi, may I answer your health queries right now ? Please type your query here... My father Mr. Paresh nath Pal, 69 years old having major kidney failure, wanted to know about what are the ways or alternatives. I am providing details about him till now. He has Hyper Tension , Diabetes for near about last 20 years. Pacemaker have been implanted on 2006 because of low pulse rate. According to his recent report on 8th april: Blood pressure- 124\75 Blood sugar- fasting92\pp141 Blood urea-104 Blood creatinine-3.90 potassium 4.8 hemoglobin-9 | Hi, The urea and creatinine are on the higher side. Consult a nephrologist and get evaluated. If the urea and creatinine are persistently high, he might require dialysis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
How can sores on the roof of the mouth be treated ?
The roof of my mouth is sore for last one week. I have been applyiing Daktrin oral gel withiout any relieve. I am male aged 52. | Hello and Welcome to HCM, Thanks for writing to us. Cold Sores and Canker Sores are the most common causes of sores on roof of mouth. Warm salt water works well and is soothing. The ulcers normally take about 2 weeks to go away whether you use something or not to treat them. The roof of the mouth is involved in speaking, eating and just swallowing, so it can be very tender. There is a medicine called Debacterol that will take the sting out of it. have a healthy and well balanced diet with special emphasis on citrus fruits and green vegetable to boost immunity and facilitate the process of healing. Hope this helps you. Wishing you good health... Regards. | |
Should i do pregnancy test as i have stomach pain and increased appetite?
Hi. Actually i had sex with my bf on the last day of my period and he did it inside, but to be on a safer side i took the pill. And got my periods again after 4 days but don t knw i feel hungry a lot and a lil bit tummy pain and it s almost 15 days now. So should i get my tests done? | Hello, and I hope I can help you today.First of all, it is extremely uncommon to be fertile during your menstrual cycle. The hormonal drop the causes you to get your monthly period is inconsistent with ovulation, so unless you have very short menstrual cycles (less than 23 days) it is unlikely the you would actually have ovulated during your period.The morning after pill is extremely effective in preventing pregnancy if taken within the first 72 hours after an unprotected encounter. The morning-after pill works by thickening the mucus of the cervix and uterus to help to prevent fertilization. If the medication works, it usually triggers a small amount of bleeding like a period 3-7 days later. Therefore, the fact that you already have bleeding is a sign that the medication worked and that you did not conceive.Pregnancy symptoms vary widely between women, and many of the symptoms we commonly associate with pregnancy such as nausea, appetite changes, bloating, abdominal pain, mood changes and breast tenderness can occur as side effects of taking hormones or of an irregular menstrual cycle as well as pregnancy.Therefore, there really is no reason to worry at this point that you are pregnant. Is normal to have your period be late after you've taken the morning-after pill, as you already had some bleeding this cycle, however taking a pregnancy test at that time (when you are late) would not be unreasonable. If that test is negative, then you can be re-sure that you are not pregnant and do not need to retest even if that menstrual cycle comes late.I hope I was able to adequately answer your question today, and that this information was reassuring.Best wishes,Dr. Brown | |
Q. Why is there contionuous fever in 5-year-old even after giving medicines?
Hi doctor, My daughter is 5 years old suffering from fever from last two days. We are giving Calpol 250 mg 8 ml dose for every four hours. After giving Calpol, temperature comes down. But immediately temperature is increasing. Today our doctor suggested having Monocef antibiotic. We have given two dosages til now. Is there anything to worry because fever is coming continuously. Please suggest. | Hello. Generally, fever lasts for 2 to 3 days. If it is viral and more if it is bacterial, since you have started antibiotic it takes 24 to 48 hours for the antibiotic to control infection. So, fever may be there but the intensity will decrease gradually over 2 to 3 days. If the fever does not subside in 2 to 3 days of starting antibiotic I suggest you go for further evaluation like blood tests. Nothing to be worried about. For more information consult a pediatric allergy asthma specialist --> | |
Can eye operation in babies make proper vision?
my age is 33,my eye is twins from by birth,i check up in past days in shankara netryalaya chennai,ganpati hospital jalna,but dr says atfer operation we could not say the effect was good,i want to make my eyes normal view,so guide me,in life i face of many problem | It is not clear whether the problem relates to you or your child.It seems that you have double vision which could be due to a condition called strabismus. In such a case, a simple surgery to match the length of the muscles of the eyes on both sides (strabismus surgery) should help in correction of your problems.To comment on the exact nature of intervention, I would need to know about the problem in details. An image would be helpful. | |
What causes a tightness feeling between rectum and testicles?
Hi. Im 19 years old. i ve been having a feeling of tightness or pressure between my testicle and my rectum ( pretty much below my bag). I have almost 4 weeks with this feeling. What can it be? i had sex a month ago ( my parnert and i were virgin) could it be some infection? | Thanks for asking in healthcaremagic forum Please provide details regarding protection used and the type of intercourse (anal/vaginal) for further advise. It may simple muscular spasms due to irritation. Possible infection/boil/abscess need to be ruled out. All the best. | |
What causes bowel movement immediately after having food?
Hi my daughter is one year old whenever she eats anything she passeson stools she is doing even now when she is old enough and it s been five six months since I have started giving her food other than milk does she suffer from some illness or is it natural what should I do to control this | Hello, The passage of stools after meals is normal at this age as long as the consistency is not loose or watery. You need not worry about it. As your child grows older the frequency of stools will decrease. Hope that helps.Regards,Preeti | |
Suggest treatment for shortness of breath
Hi,For the past year I have been experiencing shortness of breath when sports drinks such as Gatorade and powerade and also from multi vitamins. The shortness of breath isn't severe, but is very uncomfortable and will remain this way 2 or 3 days. Please help. | Thanks for your question on Healthcare Magic.I can understand your concern. You are having shortness of breath on drinking and eating specific things. So possibility of allergy to these things and related asthma is more likely. So get done clinical examination of respiratory system, PFT (Pulmonary Function Test) and food allergy test.If PFT is showing obstructive defect and allergy test identifies foods which are causing allergy then you have to stop taking those foods. You can take inhaled bronchodilators (levosalbutamol or formoterol) for breathing difficulty.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest remedy for allergic reaction to Levaquin
My husband is having an allergic reaction to Levaquin. He took 40 mg of Pred at 1:15 pm and 25 mg. of Hydroxyzine HCL at the same time. No relief from the itching. Can take the Hydroxyzine again at 9 pm. Can we bump the dosage up to 50Mg. He weighs 172# Also had an inj. of cortisone and an antihistamine inj at 9:30 am at the Dr. office. | Hi, I had gone through your question and understand your concerns. Hydroxyzine is usually given at dose of 25mg a day. So if i am your treating i will not advise you to exceed 25 mg dose. He can use 2nd generation anti-histamines or mast cell stabilizers that can help his allergy. You can discuss this with his treating physician.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. | |
How to treat cough in a 5 years old child?
Hi, My 5 year old daughter is suffering from sever cough since last two days. Since she is 8 months old, she is using levolin and relent syrup as and when required. Now she is ashtmatic and her cough is not reducing with Levolin & relent. Doctor suggested to use duolin twice daily & budecort daily one for 6 months. Will there be any side effects with the above? can we budecort for so long? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, the use of Budecort, an inhaled steroid, is all right if given even up to a few years, so don't worry. Remember to make her gargle her mouth and brush her teeth and gums after every use of Budecort. Stop using Relent. Continue Levolin also as an inhaler - you can use up to 7 to 8 times in 24 hours to stop the cough. Duolin nebulisation can be used initially, but will have no benefit once her symptoms are better. Switch over to Levolin inhaler after a few days of duolin.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Taher Kagalwala |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.