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Q. I am diabetic, and I urinate frequently. Why?
Hi doctor,I have a problem of frequent urination, and I am diabetic. Please check the attached reports and give your valuable advice or opinion. | Hi. The ultrasound report (attachment removed to protect patient identity) shows enlarge prostate. Thanks. For further query consult an andrologist online --> | |
Tailbone injury, lump on leg. Should I be concerned about a blood clot?
I slid off a tailgate of a pickup about a week and a half ago, it hurt and waited a few days for it to turn black and blue or yellow, it never did. Now I was rubbing my leg today and went over that spot which is to the inner side of my knee , and it was sensative to the pressure of rubbing it and it still has a lump about the size of a marble. Should I be concerned of a blood clot? I am leaving on a bus trip the next 2 days and will be sitting for 10 hours on bus. Should I rub the area and hopefully break down the lump or could I send a blood clot through my system by doing this? | Hi,Thank you for posting your query.The swelling most likely is a hematoma, which has not yet completely resolved. The skin color changes may not be so obvious always. I would request you to upload a photograph of the swelling to help us reach a better diagnosis.Also, it is safe to take a 10-hour bus journey and there is no risk of dislodging the clot. This clot is not in the veins but in the soft tissue. Clot in the vein can get dislodged, and cause problems.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My blog: | |
On antidepressant to treat mental illness. Unable to swallow. Should Haldol be given at old age?
Hi , My Father had been on many antidepressant and other meds to treat mental illness over the past six years. He became ill with some form of infection thispast december and could not swallow , he could not take his regular medication, trazadone and seroquel . He was in our local hospital, by the time i got there they had started him on Haldol. I could not believe the shape he was in. Extreme Delirium and had to placed in restraints to prevent him from hurting himself. On the forth day he passed away. The hospital agve him massive amounts of Haldol, large amounts of lorazepam and morphine in order to do a C T scan. My question is about my concern over the drug Haldol. I have had people say that his age and other drugs he had been on, Haldol was not the drug to be used. My Father had just turned seventy three years of age. Kind Regards, Sherry | Hi there ~ What has happened has happened. I regret and am sorry about your father's loss. I think it is a time to grieve rather than think about what could have been done differently. There are varied opinions on how an agitated patient should be treated to get a proper CT scan done. However, I hope that your father's death was a peaceful one. I hope you are at peace and please try not to dwell over the situation. Take care and have a lovely day ! | |
Suggest treatment for pain and sensitiveness of inner skin after circumcision
Hi,I am a 30 year old man and I had to undergo circumcision recently.The problem I am facing is that the inner skin which is exposed after the surgery is very sensitive and it pains a lot as soon as it brushes against my boxer shorts. It has been 10 days now and the sensation hasn't reduced. I need to report to work in a couple of days. Request you to kindly suggest me a cream which will reduce the sensation. | Hi,It will automatically subside with time and no treatment is required nevertheless you can use lignocaine jelly twice daily for increase sensitivity. Hope it helps. If you have any other question please do not hesitate to contact us.Regards,Dr. Atishay Bukharia | |
Suggest treatment for infection caused due to an injury to the shin
I fell and hit my shin 1 year ago. The skin was not broken, The swelling was considerate and I developed an infection. After 4 weeks the swelling had not subsided and the doctor made an incision and suctioned the blood that had accumulated. The swelling has gone down considerably but it is still swollen and discoloured. Also it hurts/burns. It is warm to touch. | Hello, thank you for your contact to health care magic. If I am your doctor I suggesting you one year old wound with such a problem should requires doctor to see it. Usually the wound you described get healed within a 3 to 3 months. As you had it with one year I suspect a blood vessel connection. If you have to ask me anything you can contact me. Dr Arun Tank. Infectious disease specialist. Thank you. | |
Suggest treatment for soft tissue injury
Hi i was on my motorcycle last sat when a car turned in front of me,i braked & almost came to a stop but still ended up in the road going down on my right side,my gp signed me off for 1 week without examining me saying its soft tissue injury should be ok in weeks time but still hurts & at the moment theres a burning sensation & its throbbing thanks | Hello, It is nothing but a minor soft tissue injury. As of now you can use analgesics/anti inflammatory combination like aceclofenac/seratiopeptdase for symptomatic relief. Nothing much to worry and it will settle in couple of days. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes bruises on pubic mons?
I feel as if I bruised the pubic mons- I just googled stuff to find the solution to this pain but found nothing. It feels like it has been bruised and if I try to touch where it is tender it seems there's a little bump in the tissue. The bump is not attached to the bone but its not above the skin. What is this and how do I get it to stop hurting? | Hi,From history it seems that there might be having some soft tissue injury on the part producing bruise and tenderness on the part.Apply ice pack for 2-3 days.Ok and take care. | |
Suggest treatment for pain in the lower back and head along with neck stiffness
I have been surviving with lower back problem since June 2015 causing numbness and pain on my left leg. I have since improved without medication until the beginning of October 2017 that severe pain attacked me again at the back and making my neck stiff with painful headache and fever. Can you help me please! My age is 43 years, weight 71 kgs and 5.7 feet tall | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Neck stiffness, fever and headaches may indicate meningitis, these symptoms seem not connected with low back pain. Get evaluated by your Neurologist even to exclude meningitis. If excluded, then treatment about the pain may include NSAID drugs, physical therapy, etc. Hope I have answered your query. Let me know if I can assist you further. | |
Q. How to conclude Down's syndrome other than ultrasound scan?
Hi doctor, I am 26 weeks pregnant. Yesterday, I went for an ultrasound scan named targeted imaging for fetal anomalies. Other than hypoplasia of nasal bone, everything is normal. I need an expert opinion regarding advanced tests of ultrasound or amniocentesis, karyotyping or any ultrasound scan to conclude markers of Down's syndrome (DS). In case of Down's syndrome, is termination of pregnancy is a must? Is it safe to terminate at this term? What if we keep baby after conclusion of DS? Kindly help us. | Hi. I have gone through your reports (attachment removed to protect patient identity) in toto. At 26 weeks period of gestation, the overall growth of the fetus is fine. But the concern here is hypoplastic nasal bone seen in the second trimester TIFFA (targeted imaging for fetal anomalies) scan. One has to understand that nasal bone hypoplasia (underdevelopment of nasal bone) have been designated as a single marker for Down's syndrome with a likelihood ratio of 81. There are other soft markers for Down's syndrome which indicate towards the likelihood namely:- Also what can be done in second-trimester screening for Down's syndrome is the quadruple screening, which is ideally done between 11-14 weeks of the period of gestation. It involves serological markers MSS2. In your case now there is only one marker present on TIFFA, but a strong marker indeed. So, amniocentesis (amniotic fluid test) is indicated under expert hands. As 26 weeks, the chances of initiating preterm labor are fairly high as the baby is already 900+ g weight. But, considering that the AFI (amniotic fluid index) is high at 20, it can be attempted. Following amniocentesis, the fetal cells so obtained can be subjected to karyotyping studies (to check chromosome count), which would be conclusive if it shows Trisomy 21 pattern on chromosomal studies. Now, presuming that the result is positive for DS, there is a legal hassle where pregnancy cannot be terminated beyond 20 weeks period of gestation as per MTP ACT (Medical Termination of Pregnancy Act). Only under special conditions where the child is either going to be harmful to the mother's health or affecting the mental status of the mother psychologically, with a legal intervention the termination can be undertaken with the opinion of two doctors plus one legal counselor. The termination would be a vaginal route and chances of the post part hemorrhage at this period of gestation are very high and can be dangerous for the mother. So ideally, we do not advise at all. Hence, we prefer regular ANC (antenatal care) visits so that any anomalies are caught early in the antenatal period. If you plan to deliver the child, it will take the course of normal pregnancy. One has to accept the fact that post birth, the child would have delayed milestones and maximum life expectancy is 17-18 years as recorded in literature. The scan undertaken has good resolution indeed, and they have undertaken a 4D scan for TIFFA. However, you may choose any diagnostic cente | |
What could cause fluttering of heart?
I have had fluttering in the heart for 4 weeks. Had an echo and ekg and results were normal. Waiting for results from the holster monitoring. I have a thyroid condition and take synthroid and lexapro for depression. What do you thinkg it might be? | DearWelome to HCMWe understand your concernsI went through your details. I suggest you not to worry much. You have thyoid condition and you are under treatment for that. Your EKG and echo came clear means your heart is healthy. Then th problem you are facing could simply be anxiety disorder. Let me explain. Fear is objective and apprehension an anxiety are subjective. Your re apprehensive of something which makes you fearful an that is anxiety. Anxiety produes all those symptoms which fear produces, like palpitation, goose bumps, sweating, labored breathing etc. But not to worry.You should be treated for anixety with the help of psychotherapy. Please post a direct question to me in this website mentioning ll the details about you. I shall then prescribe some psychotherapy methods which should help you overcoming anxiety and its symptoms.Hope this answers your query. Available for further clarifications.Good luck. | |
Pulled molars at the small age, gums turning white, bleeding, hurts
my daughter has been pulling some teeth lately that arent even loose now she pulled one of her molars and she is only 7 and the gums are turning white and bleeding for a couple days now and she says they hurt...should i take her to emergency or wait it out and call the dentist during the week days | hi if the teeth arent loose, you should stop your child from pulling them , though it is rare that a child can pull her firm teeth herself. now if t is still bleeding, you should hold a ice pack near to her bleeding site or give her a ice cube to keep in her mouth as long as she can. also if possible take her to a dentist soon. dont give her anything hot to eat as it is till bleeding. give her painkiller sos. wishing you speedy recovery With best regards Dr Ankit Aggarwal | |
Can sazo and etoshine be taken for pain in shoulder blade?
Sir i m 18 year old with hlab27 positive. I usually have pain in my shoulder blade s and lower back. I m also very lean my weight is 50 kg with 6 feet height. Is it the effect of hlab27 . please suggest me wt should i do.my doctor have recommended me sulfasalazine delayed release tablets usp (sazo 1000) and etoricoxid fast disintegrating tablets (etoshine 60) and pantoprazole tablets(nupenta). Should i carry on with this....... | Hello, I have studied your case with diligence.Yes this is due to ankylosing spondylitis – HLA B 27.You may need proper exercises and lifestyle modifications.In ankylosing spondylitis there is progressive stiffness so you need vigorous daily exercises and physiotherapy.Epidural steroid injection may help if pain persists.Tab indocap 25mg is good to relive stiffness and pain of ankylosing spondylitis. Yes till time continue medication and physiotherapy.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
What is the recovery time after permanent cast is put for fracturing fibula?
Hi. My son fractured his fibula, just above the ankle bone, last Friday. He had surgery to get a plate put in. He is getting the permanent cast put on next Thursday. What is the typical recovery plan from that point for a return to work? He has a summer intern position at an oil and gas company. Thanks | hiusually the lower limb injury demands anywhere between 6-8 weeks. by that time the fracture heals and the bone becomes strong. post that small exercises will be guided by a physical therapist and then all will be fine. he can go back to work.thank you | |
What causes blue discolouration in the body while on Vimpat for epilepsy?
my son was recently diagnosed with epilepsy. He has been taking 200 mg of vimpat twice a day since January 6th. He had two really bad seizures on Saturday. They lasted a little over 4 minutes and he turned purple the first time and the second time his lips turned blue and he urinated. When someone urinates is this a sign that there body is shutting down? This is still so new to us and we are question ourselves. We were on the verge of calling 911 and he started coming out of it. Should we have called being that he urinated? | Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!You should know that uncontrolled urination is a common feature of epilepsy seizures. It is not a sign that his body is shutting down. But it is related to the release of the urethral sphincter during the seizure, as the patient is not conscientious. If the seizures persist, despite the anti-epileptic therapy, I recommend discussing with his doctor on the possibility of making some changes to his therapy, in order to have a better control of seizures. Hope you will find this answer helpful!Best regards, Dr. Aida | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
What causes stomach ache after having meals?
In the last week, I have been having stomach pains at times after consuming a meal and after a while the pain subsides. I have diverticulitis but I have no pain on the left side. When I first was experiencing the pain, I would take an Advil and that helped. I have no other symptoms such as nausea and my stools are normal. Thank you. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * The stomach ache after meals suggests underlying intestine inflammation, ulcer or other issue. * In our clinic I recommend - Dietary precautions to avoid spices, dairy fat. - More liquids intake. - Keeping stomach empty by 25 % of satiety levels. - Regular walk, deep breathing exercises. - Proton pump inhibitors, anti spasmodic medications as per the need. - Follow up regularly for future need of evaluation with upper GI endoscopy, ultrasound or CT scan. Hope I have answered your query. Let me know if I can assist you further. | |
Diagnosed endometrial cancer, total hysterectomy scheduled. Lost both parents to cancer. Expectation after surgical removal?
Hi...First, thank you for being here. I just learned 4 days ago that I have endometrial cancer, and I will be scheduled for a total hysterectomy. Having lost both parents to cancer, needless to say, I'm quite frightened. I've had a C-section (20 years ago). What can I expect for surgical removal and what may follow? | welcome to HCM!prognosis in endometrial cancer depends upon the type of cancer.second,how deep it is extended in the myometrium.whether peritoneum and lymph nodes invoved.consult your gynaec.wish u all the best! | |
What causes mucoid anal discharge after enema in a child?
my 2yr old waz referred to a gi recently for poor weight gain ( falling off the chart )...x-ray showed poo build up, i waz told to give her a glycerin enema 2x a wk for 4 wkz....seemz pretty harsh! gave her one today...movement waz successful BUT concerned w/ a mucousy discharge following a toot on the potty hourz after i gave her the heartwrenching enema, iz this a normal side effect? | enema causes the gut wall to b smooth and as a effect of this gut contents slide over it and this leads to spotting. this will disappear after stopping the drug. so dont worry. | |
What causes tenderness between chest and stomach?
For several months now I've had a strange feeling in the middle of my torso, sort of between my chest and my stomach. I've always had a slight case of Pectus Excavatum, but this discomfort has only appeared in recent times. It isn't necessarily painful, but gets tender to the touch. It just feels like something is there that shouldn't be there, and this is obviously freaking me out a bit. Sometimes it is more noticeable than others, and I'm keen to find out what it is. I've tried to explain it to various people, including my GP, but they tend to look at me as though they have no idea what I am going on about. Any ideas or suggestions would be greatly received. Many thanks, Scott. | Hello dear Scott , hiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with inflammatory issue of lower end of sternum or costochondral junction involving lower ribs .* Needs precise diagnosis with high resolution x-ray chest and if required MRI of the same .Hope this will help you for sure .Regards . | |
What is the reason for a popping sensation in the upper abdomen?
hi....I have a strange popping sensation in the upper abd/diaphragm area. It does not hurt but feels strange and happens when I move a certain way like bending to shovel or rake...and sometimes for no known reason...after I eat I may feel it. It tends to feel better when I press down on the area with my hands... | this is gastritis or more chances of hiatus hernis as your history suggestsyou may need to diagnose it by endoscopy or barium swallow or ultrasound the exact picture can be diagnosed with this and this can be managed properly after diagnosis | |
Hallucinations, incoherent speech, not aware of surroundings. Taking zolfresh, arip medication. Treatment options?
Hi.. Need answer to my question very very urgently...My father in law (appox age, 67 yrs) was put under medication 10 days back by a psychiatrist in XXXXX. He is having Arip (20 mg) and Zolfresh (10 mg) daily. for the past couple of days, he has been having hallucinations and talks incoherently and I feel that he is not aware of his surroundings. Today while sitting on the sofa, he urinated and passed stool . He is talking in a very abrupt manner. If asked a particular question, he answers something completely different. Please advice as soon as possible. I am really worried... Please help.. | HI neha2000. THANKS FOR YOUR QUESTION. FORTUNATELY I AM DOING MD IN PSYCHIATRY NOWADAYS. FROM THE MEDICATION IT SEEMS THAT YOUR FATHER IS A PSYCHOTIC PATIENT. FOR LAT FEW DAYS HE BECOME VIOLENT,AGITATED,INCOHERENT TALK CONFUSED,INCREASED HALLUCINATION THIS TYPE OF CLINICAL FEATURE IS SEEN IN DELIRIUM AND AGGRAVATION OF HIS PSYCHOTIC SYMPTOMS.AS DELIRIUM ARE MORE COMMON ,LIFE KILLING CONDITION SO WE TAKE THIS CASE AS DELIRIUM UNTIL PROVE OTHERWISE.SO MY OPINION EITHER STOP OR DECREASE THE DOSE OF ARIP TO 2.5-5 MG,STOP ZOLFRESH AS IT HAVE SIDE EFFECT OF DELIRIUM AND ADD SMALL AMOUNT OF LORAZEPAM IM/SOS. BUT FIRST GO TO YOUR PSYCHIATRIST TELL ALL THE THINGS AND ACCORDING TO HIS SUGGESTION YOU PROCEED. THANK YOU DR SOURAV GANGULY | |
What could be the sudden onset of tingling and numbness in limbs and loss of speech?
Yes, over the last 30 days I have been in hospital for 8 days, 2 separate times I have been taken by ambulance. The second time not as bad. It starts with my arm, 1st time left the 2nd time right. begins to tingle and is heavy. swings like dead weight. then my foot begins the same and the tingling feeling goes up my leg and into my arm. I become unable to talk I know what to say but I am unable to translate it. 1st time was the worst of the two lasted for awhile. the 2nd time by the time I arrived at the hospital I was fine, lasted maybe 45 minutes and I was able to talk normal. | According to your symptoms, Some investigations should be done like CBC, fasting blood sugar, brain CT, cervical vertebrae x ray . acetyl salicylic acid 75 mg once daily should be done. Echocardiograpgy on heart should be done. | |
What causes the growth of new tooth in a six year old?
My six year old daughter has a new tooty coming in on the bottom in the front but she has not lost any teeth yet and none of her teeth are loose at all. The new tooth looks very large and is set back a little way from the gum line. She has never been to the dentist and is afraid to go to see a dentist. She has never had any dental problems before. Do you think there is any reason for concern about the way this new tooth is coming in? | Hello, This is absolutely normal. The best thing to do is to wait and watch for another couple of months. Permanent tooth will generally be a lot bigger than the baby tooth. Once her face and jaws start to grow and develop, the tooth size matches her facial proportions. It's absolutely normal for a permanent tooth to erupt behind the baby tooth. In a couple of months, the baby tooth will loosen up and shed. You can wait for a maximum of six months for the baby tooth to loosen up. If this is not happening by then, you can visit a nearby dentist and get the baby tooth safely and painlessly removed.Hope I have answered your question. Let me know if I can assist you further.Regards,Dr. Beryl Fredrick, Dentist | |
Does itchy and smelly belly discharge suggest infection?
I m a 35 yr old female. I weigh 215 lbs, 5 0 . No diagnosed health problems. For the past 3 days, I ve noticed that my belly button has been itchy (no visible redness). I ve cleaned it out with a Qtip and there is a cloudy, smelly discharge. I try to use hydrogen peroxide but it stings. My question is: is this a sign of an infection or a symptom of diabetes? | HelloWelcome to HCMYour history and symptoms are suggestive of fungal infection. The fungal infection are common in this area, as they are the normal comensals which were kept under control by the helpful organisms.Whenever there is imbalance in the environment the fungus gets activated and produce these symptoms. I would suggest you to follow1. Keep the area clean and dry.2. Apply antifungal cream like clotrimazole.3. Take single dose of Tab Diflucan, 150 mg.4. Oral antihistamines will help to reduce itching symptoms. Thank you. | |
How long should I take saaz-ds for joint pains?
i am 25 years(male) and i have joint pains since last 10 years.Doctor told me to use saaz-ds and every two i consult him. he suggested me to use same tablet all time .my question is more many day is have to use the tablet(saaz-ds). please kindly suggest me. | Hello,Thank you for using healthcare magic. This medication that you are taking is for rheumatoid disease . If your doctor that is giving this medication has confirmed this diagnosis with blood test then you should take this medication for the rest of the life. If the diagnosis is not confirmed with blood test then I advise you to do the blood test for rheumatoid disease. I wish you all the best .Dr. Selmani | |
Suggest treatment for polyps in gallbladder
Hi i have two polyps in my gallbladder, one is 4mm and the other is 3mm. these polyps were detected through ultra sonogram of my whole abdomen. i feel some sort of pain in my right abdomen near the gallbladder. the report also revealed mild fatty liver. i would be happy if you tell me what to do now. | Brief Answer:You should establish a follow-up plan with your GI doctor.These polyps should be followed-up using standard abdominal ultrasound or endoscopic ultrasound. Detailed Answer:Hello,Thank you for using HCM.First of all, is a good think that your polyp size is small, because eventhough in 95 % of the cases the polyps are benign , there are rare cases of cancerous polyps. The size of a gallbladder polyp can help predict whether it's cancerous (malignant) or noncancerous (benign). Small gallbladder polyps that are less than 10 millimeters in diameter, as in your case, are unlikely to be cancerous and generally don't require treatment. However, these polyps should be followed-up using standard abdominal ultrasound or endoscopic ultrasound, to look for changes that may be an indication of cancer. In most of the cases they are asymptomatic and are often detected incidentally. However,as in your case, the polyps may cause occasionally pain in the right abdomen, due to intermittent obstructions caused by small fragments of cholesterol that become detached from the gallbladder mucosa.So how to deal with these polyps ?See a gastroenterologist and make a follow-up plan.In case of repeated pain , consider cholecystectomy. In this way you avoid either long term surveillance of the polyps.Hope this is helpful.Let me know if you need more clarifications. Otherwise please close and rate the answer.Kind Regards, Dr. Juarda | |
TTC. Fluttering feeling in pelvic bone area, severe acne, fatigue, mood swings, short periods, increased appetite. HPT negative. Possible pregnancy?
I have a flutering feeling in my pelvic bone area my husband and I have been trying to conceive for about a month I did get a short period but I have severe acne which is not normal for me a lot of fatigue and major mood swings a major increase in appetite and I have to pee a lot more frequently I am wondering if I could be pregnant? I took an at home pregnancy about 2 weeks into trying to conceive and it was negitive then I started a period which was short also not normal for me. Do you think I am pregnant whe.n should I take an at home test? Is it normal to have a period the same month you conceive also the fluttering is happening more often and is more noticeable | Hello,You should either repeat the home pregnancy test 3-7 days after you saw the short period or go for the blood test. The urine test should be done with a fresh early morning sample. Though you may have conceived, it is too early to feel any fluttering in the abdomen. You can also go for the trans-vaginal sonogram a week after your due date, as any gestation sac can be viewed properly by then. Hope your query has been clarified. Good luck. | |
Suggest treatment for pain in my foot due to injury
i got a foot injury in an accident a week ago in which the upper layer of skin got badly damaged.. then i m appling betadine over it from a week.. the wound is healed but i have a little pain in my foot and it has black layer of fllesh over it.. what to do now | Hi, Thanks for writing your query. After reading your post, I would advise that you should get the wound dressed by a medical professional under strict hygienic conditions. You should also take oral antibiotics and anti inflammatory medicines for better healing of wound. It will take some time for complete healing. I hope this is helpful to you. Thanks. | |
Rashes on stomach area post laproscopic appendectomy, not on any medications. Normal symptoms?
Hello, Is it normal to have a rash on you stomach area after an laproscopic appendectomy? My husband had surgery for appendicitis 3 days ago, no perforation or rupture, no complications, recovering well otherwise. P.s He is not on any medications and did not take any pain medication before or after the surgery. Thank you | Hi, It may be due to some topical infection use some topical antibiotics such as Mycitracin that can treat the rash. There is nothing to worry about have good hygiene that will disappear in a day or 02. I hope I am succesful in solving your query If you have more you can ask me. Take care Regards, Dr. Azhar Sattar | |
What causes skin chunk in the stools during pregnancy?
I am 34.5 weeks pregnant and have been taking ratio-cefuroxime 500 mgs for a bladder infection during this time i have had diarreha and tonight while going to the bathroom i passed a meat like chunk in my stool , i am very concered and yet i dont what to be that mom that runs to the hospital over every little thing.... please help | Hi.The diarrhoea is most probably due to the antibiotics, which is commonly associated with antibiotic use. As for the meat like chunk that was passed per anus, this could probably be undigested food which was easily passed in the same form as it was consumed probably due to the poor functioning of the gastrointestinal tract (GIT), mainly because of the antibiotics. Speak to your doctor about initiation of some antacid along with probiotics.Best wishes. | |
Why is baby not eating or drinking anything after medication for fever?
Dear doctor,My baby is nine months old(8 Kg). she had fever for five days since 21/05.After taking calpol(pediatric drops) and as doctor suspect as viral fever, she was given cipla advent for three days, her fever is alright. But she is not taking any food/ milk from yesterday(27/05) morning | This is something common as convalescence after a viral infection with be alright in a another couple of days as long as fever got settled down. | |
What causes numbness on one side when diagnosed with bronchitis?
hi, my grandmother just went to the doctor with numbness on the left side of her body and not being able to move her left leg, when they get there, they diagnose her with bronchitis and just tell her that she didn't have any signs of stroke and let it go at that. Can you explain some type of reasoning for this? | HiNo this is not a sign related to bronchitis. Probably rheumatically problems might be. Monitor the situationRegardsDr.Jolanda | |
Q. Can I give Cyp L drops to baby for better sleep?
Hello doctor, My daughter is 50 days old. Can I give her Cyp L drops to my baby? If yes, what is the dosage? My baby is not sleeping well, so please suggest. | Hello. Cyp L drops (Cyproheptadine, Tricholine Citrate, and Sorbitol) is used to increase appetite and has side-effect of sleepiness. It is not used for putting a child to sleep. And I would not recommend giving this drops to a 50-day old child. Children below the age of 6 months stay awake at night and sleep throughout the day which is why you feel the child is not sleeping well. But, it is normal. So, do not worry. For more information consult a child health specialist online --> | |
Can Boniva shot be retaken for osteoporosis after discontinuation?
I took Boniva injections for osteoporosis for several years and decided not to take them anymore last year. I have no reason for doing this and wished I had not.My question is can I go back to receving Boniva injections. I have had Osteoporosis for a long time. I fell last year and broke my hip and after my surgery I felt a pain in my lumbar spine and found out that I had a fracture in my lumbar. My latest Bone density test shows t-score -3.0 My Doctor told me that healing will take 4-5 months. I have read info on Forteo and Prolia. These are suppose to help the bones. The Forteo Information will cost around $4 to5,000 per year and you have togive your self a shot every day for two years. No thank you. The Prolia information does not empress me either. Thanks for listing Dixie | Hi, You can safely restart Boneva shots without any concerns. Better to consult an orthopedics before starting the shot again. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What are the early signs and symptoms of pregnancy?
I have all signs of pregnancy. I was one week late for my period. Yesterday should have been the end of my period and I started to spot very light red blood. Not enough for a pad. Something happened today. Could I still be pregnant even though I am spotting? | Hi, I understand your concern. Pregnancy test ( home test after 8 days delay in periods ) or USG scan of uterus( after 5 weeks )are the confirmatory tests for pregnancy. You have just spotting after 8 days delay in periods .. This can be a sign in weak pregnancy so you should go for home pregnancy test ( with precaution.. not to mix vaginal blood in urine sample ).. to diagnose / exclude pregnancy. In case it 's +ve.. a hormone supplement ( with a gynecologist's advise ) should be started right away6. Thanks. | |
Suggest treatment for repeated sinus infection
Hi. I've had sinus surgery twice to open up passageways and drain better. Still, I'm plagued with terrible sinus infections that have been with me for over 2 years. Can't breathe, yellow, green smelly discharge. Last round of antibiotics was for 2 months straight, 1 month was Cipro. Infection seemed better, but returned. Tried all kinds of natural methods including irrigation with saline, H2O2 (ouch!!), strengthening immune system, mucinex, now going to try NAC. In the past, did allergy injections with no relief. Other than going on a cleansing fast, I think I've tried everything. I'm tired of this fight and ready to give up. What options are left? I'm really, really, sick of being sick! | Hello,Welcome to HCM,After reading your clinical history it appears that you are most probably having chronic rhino-sinusitis .If I were your treating Doctor for this case , I would advice you to take treatment to get early reliefSteam Inhalation twice daily, Saline nasal spray thrice daily ,Plenty of fluids ,Antihistaminic at night &Antibiotic azithromycin .You will need to see your doctor to get a prescription.Thank you. | |
How can I improve my concentration and understanding?
my brain doesn t seems functioning well .ican t think of anthing deeply. while studying ,reading newspaper it just like reading simply some words and also while reading there doesnot come anyting about the subject or the word iam reading nobetter howfa I try concentrate | DearWelcome to HCMWe understand your concernsI went through your details. You must be able to understand Concentration, attention span, recollection and distraction. If you are able to watch a movie for two hours continuously, if you are able to play a game for an hour, then you do not have any concentration problems. You can't be attentive towards your reading because you may not be interested in it. You are able to watch movie and play game because you are interested in it. Human cannot be attentive towards anything for more than 10 minutes. Then you should read in such a way that your attention is continued and make sure the subjects are interesting to you. Effective reading techniques should help you. Recollection depends on anxiety, stress and other physical and circumstantial factors. Distractions while reading are plentiful. You should be able to overcome distractions or avoid distractions. Please understand the above. In your case, there could not be any issues of concentration. It could just be obsession and related stress. Ignore it.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. | |
What causes an increase in the blood pressure?
i am 54 yoa, 5'8" and in good health. I increased my exercise program to include 3 miles of cardio/day and have lost down to 150 from 185 since last march. My blood pressure was about 140/82 ish when i started the cardio addition. Since then my doctor has checked my bp and we found it to be about 108/62 about two months ago. The last couple of days, i've had friends in the heath care profession to check me and it's back up to 140/82 again. I don't get it. What do you think I should do?!?! | Hello, Rising blood pressure with age occurs due to hardening of blood vessels called as arteriosclerosis. Exercise and healthy lifestyle has a role to play but to certain extent and eventually needs medicine. You should continue to have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 mmHg, then you should be on medicines for it. Avoid smoking and alcohol if any. There shouldn't be abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Hope this helps you and get back if you have any doubts. Take Care Regards Dr. Sagar Makode, Cardiologist | |
What causes lower abdominal pain while periods are regular?
hI, I am not married. my menstruation is regular. Once a month i have a lower abdomen pain on my left side and lower lower i also have a sever pain which i can bearly walk, i have to wait for the pain to subside which takes a few hours. is this something i should have checked? | Hello,The most probable reasons for pain in the left lower abdomen, which takes a few hours to settle and occur every month, in spite of regular menses and you are unmarried are:-Twisted ovarian cyst.-Mittelschmerz syndrome where a female gets mid-menstrual lower abdominal pain due to ruptured ovarian follicle with mild bleeding.-Colitis.-Sigmoid volvulus and so on.Yes, it is something you checked about it. The best investigations would better be done when you have pain:-Ultrasonography-X-ray of the abdomen in standing position. Physical examination by a general surgeon. It will get you diagnosed, and treatment would be an easy task.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. T Chandrakant | |
What causes nausea, vomiting, dehydration, weight loss and depression?
I am a 72 yr old woman with metastatic BCA to lung and spine. Been treated with Faslodex for 3 yrs. I was fine until several mos. ago. I have been nauseous and throwing up for months which has resulted in dehydration and hospitalization. I am depressed and miserable. HAVE LOST 35 LBS! Currently taking Denosumab monthly, as well. what s wrong with me?? | Hi, dearI have gone through your question. I can understand your concern. Your nausea and vomiting are due to your cancer. Cancer produce this kind of substance and ultimately leads to all complications. You should take treatment of your cancer. Ondensatron will help you in nausea and vomiting treatment. Consult your doctor and 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. | |
What causes severe back pain and night sweats?
I have been experiencing horrible back pain at night time and I did go to urgent care yesterday to see if I had a UTI but it came up negative so I m not really sure what it is and it s getting really bad I ve been experiencing also night sweats and I accidentally Peed myself last night and when I woke up I Felt very very weak like someone you had just pushed me down really hard | Dear patient. Thank you for the question.Let me start by saying that the main reason for your night sweats and loss of bladder control with back pain is nerve impingement. While there are a number of causes of nerve impingement the most common is acute spondylosis where the jelly between your vertebrae protrudes/herniates out.Other causes could be1) Cauda equina syndrome2) ankylosis spondylitis3)TB spine if you are from a developing countryMy suggestion is to go to an orthopedic surgeon and get 1 ) local examination of back2) MRI/ct scan3) complete blood count.in the meantime to decrease symptoms I suggest ibuprofen 800mg twice a day | |
Q. Is it possible that it could be a malignancy seen in the MRI?
Hello doctor, I have Li-Fraumeni syndrome; therefore I am in a study. It conducts annual full body MRI to detect anything early if it should arise. I had a 19 mm lesion laterally in the left kidney with signal suppression for three years. However, there is now a new 14 mm heterogeneously T2 hyperintense lesion at its lateral margin, which was not present previously. While this could conceivably represent a de novo cystic lesion, the contiguity with the fatty lesion raises the possibility of contained hemorrhage from an angiomyolipoma. The impression of the MRI was given as a 19 mm fatty lesion in left kidney associated with a 14 mm heterogeneously T2 hyperintense component at its lateral margin, suspicious for a small contained hemorrhage from an angiomyolipoma, though not specific for this. The left renal lesion could be further assessed at a targeted multi-phase contrast enhanced study. I have an allergy to iodine contrast; therefore the CT scan was canceled. A targeted MRI will be scheduled in the coming weeks. My urologist did not see this report when I went to see him and now, he is out of office on a holiday. I am anxious to know whether I am at risk of rupture or if this is a common occurrence with angiomyolipomas. Also, is it possible that it could be a malignancy? Would they write it in the report? | Hi. Relax and do not worry. I have gone through the MRI report (attachment removed to protect patient identity) that you posted. For further information consult a urologist online --> | |
What can cause numbness in arm after angiogram?
im a 47 yr old male. im a left handed tattoo artist. its my life. i ride a motorcycle. i was diagnosed with severe carpal tunnel. but a pain in my elbow would not go away. i had an ultrasound done and they said i had plaque in my radial artery just past my elbow. went in and they did an angiogram then used a balloon to open the artery. sent me home. next morning my arm went numb all the way. they called me back to the hospital and put me on a clot dissolving i.v. next morning sent me to ultrasound. when i returned to the hospital bed they ran in and gave me emergency op on vein . they said it was an older looking clot and rubbery. arm feels better but still numb in the wrist area. had the op two days ago. will i be able to open my business again or ride a bike again? oh and they said i also have arthritis in my left wrist | Hi ThereIts a pleasure to answer your doubts, first you need to stay positive, yes you will be back in your work and that to with a bang but you need to have some patience. your numbness will certainly pass by in matter of few days and for your arthritis you probably are going to need the help of a physiotherapist for some mild exercises.Precautions you need to take are: to stop smoking completely (if you do) and to be very regular with the meds and to follow upwith your treating doc regularly.Good Luck | |
Suffering from throat and chest pain even though my PET test result is normal
hi sir,i am24 i had cough 1 month back i got it cured but after that i am facing problem for breathing lot of congestion in throat and chest . the doctor took PFT TEST as it showed normal.and told me to take odimont-lc tablets . .for 10 days... but nw i still face the same when i stop using the tablets..please tell me the reason why is it so.... | Welcome to Healthcare Magic You seem to be having allergic disease which can cause swelling in the throat like angioedema and swelling over face. Better to keep away from dust, pollen, any specific food which causes these problems like nuts, shellfish. The medicine will prevent allergic attack. Continue taking the medicine. Eat plenty of fresh fruits and green leafy vegetables. Drink plenty of water. Avoid stress. | |
What causes bruising and pain in the lower spine after a fall?
I fell down bottom 2 stairs,lurched forward and then back. I fell on my buttock and the bottom of my spine. This was 2 days ago. I have a nice bruise but no pain when I feel arround the spine but going up staisrs and moving certain ways causes sharp pain. Is this just bruisinfg which will sort itself out I am 72! | Hello, Well, there is really no way to predict without an x-ray what the status of your skeleton is since it sounds as if you took a pretty could clobbering falling to your buttock. You likely have a condition known as COCCIDYNIA (extremely painful bruising of the COCCYX or tailbone). This is usually not treatable, even if fractured because it is such a small and inaccessible bone. Whether or not you may have suffered a bone chip or compression fracture of one of the lumbar vertebrae can only be known if you get an X-ray. You would be making a smart move to call your doctor in the morning to get an order for some testing and maybe even a good physical exam as a follow up to what happened. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist | |
What does this X-ray indicate regarding broncho-pulmonary failure?
Hi, im a woman of 65 years old, I had a bilateral pneumonia two months ago following a cholecystectomy. The x-ray before hospitalization was perfect. I was hospitalized for 1 week and 2 more weeks at home with antibiotics and rest, so i healed. After 3 months I made a new X-ray where it is Marked and common reinforcement design of the broncho-pulmonary failure with interstitial overload. hilar congested, not well decomposable .Clear costophrenic angles. Enlarged cardiac silhouette with ecstasia the aortic button . What does it mean? Should I be worried? (I was told that I have the lungs of a smoker but I have never smoked in my life, but I have lived with a smoker!). Has all of this to do more with pneumonia? or anything? Are my lungs at risk? thanks ps: sorry for my bad english im italian :) | Thanks for your question on HCM. In my opinion you should first consult cardiologist and get done ECG and 2D Echo to rule out cardiac disease.Because your x ray findings like1. Enlarged heart shadow2. Bilateral lowerzone hazziness with hilar prominenceSeen mostly with congestive cardiac failure (CCF).Your age is also more (65) which also favours cardiac problem. So I advice you to rule out CCF first by doing ecg and 2D Echo. If both are normal than get done CT THORAX to rule out pneumonia. | |
Can i get pregnant with HBV carrier state and how it can be curable ?
I have HBe Ag index (1084.46) and P time is Test-14.1sec, control-13.1sec, Index-90.34%, INR-1.1 what is my condition? can i carry child? I take Lamivir HBV 100mg. is it cureable? | Hi Welcome to HealthcareMagic. HBeAg positivity indiactes high infectivity.Though vaccination at birth can prevent the transmission of HBV to you baby , without vaccination you carry a 90 % risk.With altered bleeding times it is not advisable to have a pregnancy as risk of miscarriage could be there.More over , lamivir is not indicated during pregnancy. I advise you to wait till you are done with the antiviral treatment and once your bleeding times and liver function tests come to normal / near normal levels , you can plan your pregnancy. Take care. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
What causes bloating in abdomen of an infant?
I have a 14 month old daughter who has a very hard swollen tummy, she has been sick a couple of times today (just white, like baby sick) although she is still eating and drinking normally. She had her MMR jag 3 weeks agos and a week before that she suffered a viral infection with measle type rash? Nappies seem normal enough, although getting 2 dirty nappies daily, normally only 1. Thank you | Hi, According to information given, what I can understand is that your baby had distension of abdomen and dirty stools. Your baby can have constipation or gas. See that your baby eats proper meals firstly, having adequate fiber. I didn't get from history what feeds she is taking. Diet change is one of the important factors you have to look into. Then we can think of malabsorption disorders. Baby has to have stool routine and few other investigations. Kindly consult your pediatrician as it could be nothing or something important. Regards, Dr. Vrukshal, Pediatric Critical Care Specialist | |
How can low testosterone be treated?
Hi there, I have just had my testosterone tested and the results came back pretty low but just within tolerance. (11.8 nmol/L recommend is 10 -35) would this low testosterone warren me getting some kind of patch or cream? I'm 23 years old and have a perfect diet and train hard with proper rest days. | Thanks for contacting HCM with your health care questionsYou are concerned about a borderline low testosterone levels on recent lab screening. In my practice if I received a level similar to yours I would recommend a repeat fasting testosterone level before starting replacement therapy. Other doctors may proceed with replacement. It all depends on if you have symptoms of low testosterone like, lack or energy, erectile dysfunction or lack of libido. In this case replacement would be warranted.Hope this answers your question. Please contact us again with your health care questions and concerns | |
What causes failed cardiac catheterization and visibility of damage in EKG?
i've had two bad accidents,fell 20 ft. three times, 10 ft onto concrete once. serious injuries from one accident. years ago i had a stress test & failed had a cardiac catheration and everything came beck great. my ekg's show damage. i do have hbp could these test results be from the mishaps? i am 66 yrs old | Sorry not understood whole question..if only ecg showing damage but echo and catheterization is normal. Then no need to worry ...I can help u more if u share Ur reports ...take care | |
What causes cramps in lower abdomen while carrying heavy objects?
My lower left abdomen have cramps. Especially when I carry heavy objects. I am not pregnant. My period is just over. It started right after my period. I don t feel any cramps when I sleep on my left side. It s not a really painful cramp. What do you think this cramp is? Please advice. | Hi.The pain / cramps on carrying heavy objects can be due to :Muscular strains in the lower abdominal wall muscles.Pelvis congestion or Pelvis Inflammatory Disease. Ovarian or tubal pathology like cyst or infection - salpingitis. I would advise you the following:Start taking an anti-inflammatory medicines ; stop lifting heavy objects or avoid body movements causing this problem. Ultrasonography just to rule out any internal problem. Consult a Surgeon to get an actual physical examination done as the Doctor can get more information. Take rest. | |
Suffering from spondylosis in L5 vertebra. Taking etura. Treatment options?
hi doctor, am XXXXXXX. I have been suffering from spondylosis in L5 vertebra fro the past 2 yr. am in treatment so far, but i have not yet felled any relief from pain, doctors have been changing medications in every review, presently i have been taking etura, vl this have more side effects and how can i solve this problem. will this reflect my marraige? | Hello It looks quite strange for you to develop spondylosis at such a young age. I would advise you to consult a good orthopedician and get relevant investigations done like Serum VIT D,serum calcium and uric acid,thyroid panel,MRI of limbo sacral spine and CBC. In the meanwhile take following measures Reduce your weight Go for long brisk walking Avoiding long sittings A proper treatment and managent shall make you all right completely. Thanks | |
Q. Can I replace Fersolate with Orofer XT for low Hb levels?
Hi doctor, I was prescribed with tablet Fersolate, which is not available, for the low HB levels. I am attaching the reports. Can I replace it with Orofer XT? If yes, please tell the dosage. | Hi. Yes, you can replace it with Orofer XT (Folic acid and Ferrous Ascorbate). It is a perfect drug for iron deficiency anemia as it contains Ferrous Ascorbate. Initially, you can take this tablet two times a day. Then after a few days, you can replace it with a once daily dose. Take this tablet after taking food. I suggest you take this drug with orange juice to increase its absorption. I would like to check your iron profile reports as well. Kindly upload it to guide you further. | |
Any suggestion for suffering from erectile dysfunction?
hi doctor. i m aftab (male) From Pakistan.My friend (male 36yrs old) has a sex problem, and very shay to discuss with any one. but i came to know that he has some "erecting problem" since last one month. He has 05 children but now very tense. what r the causes & solutions please.. ? | DearWe understand your concernsI went through your details. There are many reasons for erectile dysfunction. Lack of male hormones, diabetics, hypertension, organic disorders, some drugs, stress, anxiety, depression etc are prominent reasons. Many of the people are not properly educated about sex and therefore, they become anxious about temporary failures in sexual acts. You need to talk to your friend and convince him to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
Q. What causes headaches, shaky hands and nervous tics?
Hello doctor, Please see my symptoms: Headache. Hands slightly shaking. Nervous ticks (meaning I make a flinching motion). Please also note that I feel anxiety daily. | Hello. Since when are you having anxiety? Sweaty and shaky hands are a manifestation of anxiety. Though headaches can be associated with anxiety too, a headache needs more detailed history: Investigations to be done: Revert with more information to a neurologist online --> | |
What causes recurrent tremors in the hands while on BP medication?
My husband is 52 years old. His hands started shaking 2-3 years ago. He has a random twitch which started occurring once a month now it occurs more frequently. We are trying to figure out what is wrong. He is taking blood pressure medication. His blood pressure has stabilized. He is eating a healthier diet and exercising. What causes ones hands to shake and a twitch? Thank you. Dawn Boseman | Hi thereAfter going through your query I understand your concern about your husband.I would like to tell you that causes of muscle twitching varies from minor to major, less serious to serious & from nutritional deficiencies to nervous system disorder that needs further evaluation for proper management accordingly.Diuretics drugs used for hypertension can also cause muscle twitches. Kindly consult your treating physician regarding this for further management.Hope to have been helpful.Kind Regards Dr. Navneet Bansal | |
What is the medication for Bronchitis and cough?
I was on a cruise and got bronchitis and went to a pharmacy in Europe and the druggist gave me Broncoliber for my cough. Is there any place in the US that I can get this without a prescription. If not is there anything like it or can I get some thru the mail. | Hello dear, thanks for your question on HCM. In my opinion you should consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x ray. 3. PFT ( pulmonary function test ). Better to first diagnose yourself and then start appropriate treatment. Chest x ray is needed to rule out lung infection. PFT is needed to diagnose bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and antihistamine drug. So better to first diagnose yourself and then start appropriate treatment. | |
Sharp and painful stabbing in soft areas beneath skull, hollowed areas. What could be this?
Hi, i have been getting brain misfiring which cause a short sharp and painful stabbing of pain which causes painful,soft areas beneath the skull. I have hollowed areas where they have happened. When they happen it is usually caused by stress (like a fright, multi tasking or getting overheated) . The areas that have been effected are left tender. i had one really big one behind the back of the ear and my jaw got locked, making it so tender that i couldn't chew for nearly a week.thanks Rosalyn | Hi, Rosalyn, thanks for calling, as you had locked jaw, probably everything of this pain must be of the locked jaw only, other causes may be hypertension, or cervical spondylosis. I advise you to consult a surgeon for diagnosis and treatment,You may need to have an M.R.I. for confirmation. Thank you. | |
Suggest alternative remedy for oral lichen planus
I am 52 - exercising 5 days a week - wanting to get a protein to drink after exercise to build muscle strength and I have heard that neither soy or whey in these drinks are good for me. Can you recommend a product? Also, I have oral lichen planus - this is an autoimmune disease I understand - is there anything that I can do other than topical products? | thanks for your query, i have gone through your query. you can use egg proteins particularly white portion, riice protein, casein proteins if you are not comfortable with soy or whey. for lichen planus, topical medication is the best choice since it doesnt cause much adverse effects. other treatment modalities includes intralesional injection of steroids, mouth rinses containing steroids or systemic steroids. i advise to take topical only because it wont disturb the systemic status of your body. i hope my answer will help you. take care. | |
What are the precaution to be taken after treated jaundice?
hii sir my name is daljeet and i am from india..in july month i suffered from jaundice and the max level was 4.6.SGOT and SGPT were in thousands.but now i am recovered and perfectly fine wit my lever.i want to know what i should do to strengthen my lever to avoid future problems?and can i be able to drink alcohol again? | Hi thanks for contacting HCM...Noted you had severe jaundice...But to give detailed comment cause of jaundice need to be known....If you have hepatitis then life long or 15 year protection provided by formed antibody...To prevent jaundice in future outside food kept limited as hepatitis A spread by contaminated food and water....To improve immunity green leafy salad and fruits consumed more....Alcohol avoided....if want to take 20 gm per day is safe limit.....To prevent infection from hepatitis b try to avoid contact with secretion from that patients.Take care.Dr.Parth | |
Does HCTZ tablet interfere with asthma medications?
My husband was just put on the HCTZ to help lower his blood pressure and creatine level. I found out there are possible side effects with his asthma medication. He takes Symbicort twice a day, a rescue inhaler (albuterol) and a nebulizer that also uses the albuterol treatment (as needed). The other medication he takes is cyclobenzaprine for his back. I want to find out if there are any major problems that we should look out for? | Hello! Thank you for asking on HCM! Regarding your concern, I would explain that, your statement is true regarding concomitant use of HCTZ and Symbicort and Albuterol. In fact there exists a risk of hypokalemia, as there is a synergistic effect of these drugs. Nevertheless, no dangerous complications are seen usually in clinical practice.It is cautions to monitor periodically potassium blood level.Regarding HCTZ and Cyclobenzaprine no any significant interactions is found.Hope to have been helpful to you. Greetings! Dr. Iliri | |
Is prolonged use of Zyrtec (Cetirizine) safe for my three-year-old child?
Is Zyrtec (Cetirizine) safe to use long term? My child is 3 years old and will often get bouts of cough, usually late at night. A doctor said to give him Zyrtec 5ml once a day. All his symptoms stop or are reduced when he is taking Zyrtec, but when he stops the symptoms return after a few days. | Hi, No need to take cetirizine for a prolonged period. Try to identify the cause for cough. Try to avoid triggers in the home and surrounding. Take cetirizine whenever cough is severe. Try a few drops of honey added in hot water and give her during cough. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rajmohan, Pediatrician | |
Tremor, holding arm close to body, hand in fist. Taking medicine for seizures. Parkinson's disease?
I noticed my mother in law over the holidays holding her arm close to her body at her side and her hand would be in a fist, and always a slight tremor , she is on medication for seizures and in her early 60 s is this something related to her neurological problems or could this be something new like Parkinsons? She does not have seizures on a regular basis | Hi,Thank you for posting your query.I must congratulate you for your keen observation.Tremors along with rigidity (as evidenced by a closed fist and arm held close to body) could be suggestive of Parkinson's disease. However, this needs to be confirmed by a detailed neurological examination by a neurologist.These are unlikely to be due to her seizures or her antiepileptic drugs.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.comMy blog: | |
What causes epididymitis?
I am 18 years old. Three years ago i suffered from epididymitis, and as a result had to have my left testicle amputated. A few months later everything was healed, but i noticed a lump starting to grow on my right testicle. I went to a doctor and had an ultra-sound and he told me it was not cancerous and not to worry. For about 3 years i have had on and off minor pain in that testicle and the lump is still there. It is not growing, but it still concerns me. Is this a natural effect of testicular amputation or should I be worried? | Hello .Thank you for sharing your concern with us and for your trust.I would like to tell you that most of the testicular lumps are benign , noncancerous in nature and not serious at all . And in few cases malignancy is seen as well .As your doctors ruled out any serious issue earlier with diagnostic tests so first of all there is nothing to worry much . As you previously had epididymitis so there are possibility that this lump is epididymal cyst which does not require any treatment until and unless it's painful . Other possibilities includes conditions like hernia , varicocele , hydrocele which also can cause similar manifestations . If it's causing discomfort in form of pain then I would suggest you to consult with your healthcare providers . Painful lumps which causes discomfort can easily be resected with a minor surgery if needed .Best Regards ,DR.S.TOMAR | |
Could yoga be practiced when diagnosed with tachyarrhythmia?
I have been a yoga practitioner for eleven years. In the last two years I developed tachyarrhythmias. I had a failed ablation last year due to the phrenic nerve being too close to the tachycardia. Do you think I should continue to practice yoga, or do you think that the labored breathing of yoga affects the phrenic nerve, which in turn causes the arrhythmias? A reply is much appreciated. | You absolutely should continue your practice of yoga. The breathing exercise does not endanger the phrenic nerve. The location is such that an ablation in very specific location of the left atrium can injure it. That was the concern. The nerve is similarly located in all of us and is not a source of the rhythm disturbance. | |
Can I stop taking Hydroxyzine if symptoms of itchiness and hives are gone?
I started prednisone 20 mg two days ago. And Hydroxyzine Pamdate 50mg..The indigestion is so bad I can t stand it. I am on omeprazole for heart burn and I ve already increased it. They even gave me Rantitine HCL 150 mg. It s not working .. Can I stop the Hydroxyzine??? I don t itch and the hives are gone?? | Hello, Since you are experiencing side effects & discomfort after taking Hydroxyzine, you can inform your treating physician & stop taking the medication. Chronic hives need to be treated with Corticosteroids, do continue to take Prednisone. You can take other histamines like Cetirizine(Zyrtec),etc which suit you better. For indigestion & gastritis, take antacids & PPI's, Pantoprazole-40 or Rabiprazole, one sos when required. In the meantime, avoid scratching, wear loose cotton clothing, apply calamine or aloe vera based moisturizer before going outdoors. Apply cool compress. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nupur K, General & Family Physician | |
What is the painful bruise with a lump at the site of fall?
I fell down a few stairs about a week ago. The first day I had a small grey bruise on my rear end that was tender to touch but otherwise not painful. A couple days later it was a but more sore so I checked it out. The bruise had turned a dark purple color and had grown substantially. Now the center of the bruise is white, pretty sore when I shift on it, and has a lump in the middle. Is this normal? | Hi,Welcome to HealthcareMagic.Bruise changing colour is normal phenomenon. But developing lump indicates that you have developed haematoma. It is collection of blood. For this you need to take drugs like aceclofenac with serratiopeptidase and antibiotics like cefixime till the lump subsides. Hope I have answered your query.Regards Dr Deepika Patil | |
What medication can be taken for pain in the muscles?
My primary care doc did lab work and ruled out any auto-immune disorders last week. My chiropractor says I have 8 to 10 active trigger points that continue after 2 years to cause pain after exercising or gardening. Which makes sleep an issue since I lay on my back where the triggers are in my trap muscles. Baclofen certainly helps relax my muscles but it doesn t feel like it is helping what I feel like might be overactive nerve endings that are angry when I lay down at night. Any ideas on a medication that might help just those areas to relax without a lot of side effects? I continue to do my myofascial release work at least once a month with my chiropractor. thanks tim | Hi, You can take analgesics like Paracetamol or Tramadol for pain relief. If symptoms persist, better to consult a physician rather than chiropractor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain | |
What causes wrist pain and swollen legs?
my hands have been swollen for almost a month now they get tingley n i have wrist pain i heard it was carpel tunnel n have an apt on jan 3rd but for some reasone every morning my feet are also swollen and hard to walk for about 20 mins couls i have a blood clot | Hello,The tingling in the hands is suggestive of carpal tunnel syndrome, which is probably related to the swelling. In my opinion the most important issue in this clinical situation is the swelling which needs further investigation. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests:- A cardiac ultrasound and NT pro BNP levels for heart failure- Kidney and liver function tests- A complete blood count, PCR, ESR for inflammation- HbA1C for diabetes. You should discuss with your doctor on the above tests.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
Suggest remedy for horny behavior
I m a 60 year old women, divorced after 18 years of marriage and that s been 24 years ago. During this time I have never had an orgasm. I have learned to live with this many years ago, the problem is all of a sudden I have become horny and having a hard time with , is there a name for this a how long does this last. | earWe understand your concernsI went through your details. I suggest you not to worry much. I think and I suggest that there is nothing wrong in your present behavior. That is personal. But you should be able to overcome your horny urge within a month or so. Mainly because you should realize the hard facts by then. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
What does the MRI test results indicate?
My father has gyral thickening and t2 and GRE hypointensity noted in the parasagital aspect of Left superior frontal lobewith predominantly t2 hyperintense signal in underlying sub cortical white matter ...blooming noted on GRE images within the gyral and subcortical white matter in the region of signal change venous haemorrhagic infarct to be considered mild t1 hyperintensity noted in the cortical veins overlying the lesion in the left frontal para sagittal region- cortical thrombosis may be considered .thrombosis involving half of the superior sagital sinus..prominent midline retro cerebellar space - mega ciaterna magna to be considered...before taking dis MRI he had seizures and irrelevant speech...plz kindly answer wat treatment he has to undergo | Hi,Thanks for writing in.The MRI scan shows clotting of blood withing passages of blood that is in the venous channels called dural venous sinuses. There is also detail of a venous hemorrhage in the sub cortical white matter as above. He had a condition in which there was thrombosis of blood and this caused reduced blood flow in some parts of the brain. This can cause seizures and irrelevant speech and stroke symptoms. He needs immediate treatment to prevent the thrombosis from spreading and normalize blood flow in the brain. He might need to stay in intensive care for a while and once his condition is stable, he can be treated with oral medication. He must follow up with his doctor after discharge. | |
What is the remedy for sinus headaches with colon cancer?
I cannot seem to get doctors or pharmacists to understand that allergy medicine alone will not alleviate my sinus symptoms. Matter which kind of allergy medicine I take, in a few hours, I get congested and then the sinus headache comes next. I have had a stent put in and the pharmacist tells me that allergy & sinus pills will make my heart beat faster and is not good for me. The best that I have used is Advil Cold and Sinus, but have been told by my doctors that this is not good for me also. I also have colon cancer and my worst pain to-date have been my sinus headaches! What do you suggest? | Hi,Thanks for writing in.It is possible that you have developed a sinus infection due to lowered immunity from taking chemotherapy for colon cancer. At first I recommend that you get a CT scan paranasal air sinuses done and then know if there is any concern in the sinuses. Since people have low immunity after chemotherapy that is why they can catch a number of infections that will not be found in normal people. These can be caused by fungal organisms, bacteria and viruses.Once any problem is identified within the paranasal air sinuses then treatment is targeted after disease confirmation. If a fungal or bacterial infection is found then treatment is with antifungal and antibiotics. Avoid exposure to pollution and dust. Please do not worry. | |
What causes headache with tight chest pain?
I seem to get headaches that are severe but only last a minute and come and go, i also get chest pains that cause me to not want to breathe because of how bad it hurts and how tight it gets, also when I drink beer it somehow causes my chest to hurt as well, what's going on? | Hi thanks for contacting HCM.According to history it seems you can have chest infection....For detail work up it needs to be investigated with chest x ray and spirometry ....Auscultation also done ....If bronchoconstriction present then bronchodilator can be given ....For infection suitable antibiotic given...If chest x ray suspicious and if needed then sputum examination done for further work up...If chest pain constricting with sweating and radiating pain then blood pressure measurement and ECG done for rule out cardiac cause ...Take care .Consult physician for examination... | |
On what consistency the sperm analysis is taken place?
Hi! my name is cris, yesterday i undergo a semen analysis, i still don't have the result, but the nurse who i gave my sperm tell's me that my sperm was not yet liquiefy after 4 hours. I would like to know how will i make my sperm much more thinner, what would i take??? | Hello,Semen gets liquefied within hour by prostatic enzymes in secretions from prostate. So, prostate problem should be checked as semen is not liquefied.Per rectal prostate palpation can be done and Trans rectal USG can be done for that. According to reports, further management plan decided.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami | |
Could history of fracture in C7 cause sensitive area at the nape?
I have a strange sensitive area on the left side of the back of my neck. It is just below the base of the skull. It feels very sensitive to the touch. I have full range of movement in my neck, although when I look upwards, I feel the pain of the sensitive skin. I fractured the C7 vertebrae about 12 years ago, but I was wondering if this could be related | This is unlikely to be due to your old C7 fracture. But there is chance that you might be having problem in the other cervical vertebrae (either undetected at that time or new one). C1 and C2 pathology can produce similar symptom. Hence you should consult someone and undergo the necessary imaging. | |
Q. I have a swollen lymph node since one year. Is it something to worry about?
Hello doctor, I am a 26 year old female. I went to my GP last year for a swollen lymph node, on the right side of the jaw. But, my GP was not concerned. Recently, I have noticed this lymph node is still there. It is movable, hard, sausage shaped and attached from under the ear. It is moveable next to the throat. I have also noticed that my tonsil on that side is very visible but the left side looks sunken and I am unable to see it at all. I do not really have any symptoms of illness. I have a headache now and again behind the eyes and temples. I have also got a single red dot on the roof of the mouth that I never had before. | Hello. You have a unilateral enlargement of the tonsil, namely the right one. Do revert back if you need any further support. For more information consult an ENT otolaryngologist online --> | |
Lump on left groin, swelling on exerting. Blood test, urine test normal. Ultrasound shows inguinal hernia. Causes for lump?
I have a lump in my left groin for few months. I had my ultrasound scan done but the result is uncertain as inguinal hernia . I had blood test , urine and physical check up but no sign of hernia. It s hurting me and causing discomfort. It swells when ever I stand for longer hours and exert pressure when lifting. I am a bit anxious about this lump. Please help. Thank you | HelloThanks for your query,based on the facts that you have posted it appears that you have lump in left groin which increases in size on standing and hurts on lifting weight.This is definitely Lt Inguinal Hernia and the lump that you feel is content of the sac either omentum or intestine .Please note that hernia can not be cured with medicine ,Surgery is the only treatment option for inguinal hernia.Please consult qualified general surgeon for examination and get operated at earliest..Dr.Patil. | |
What are the chances of survival for patients with Intracerebral Hemorrhage?
hi, my boyfriend has Intracerebral Hemorrhage, and his doctors told him its not curable, i need to save him and i want to save him. his doctors told him within ten years three parts of your brain will start to bleed and you will die within two hours, they told him if he doesnt produce amount of some type of cells there is a great chance for death. i need help i really do and i will do anything to help him please give me answers. is this curable what can i do | Hello, I would like to review his blood lab tests and a brain CT scan. What is his age? Does he suffer from hemophilia, which is a blood disorder? Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
What are the side effects of vasograin?
hi i m dr rekha suffering from migrain and take vasograin during attack. Itake this medicine 6 7 times a month . is it safe to take the medicine. Previously i was taking betacap40 mg daily but now i stopped takingb this .Should i continue with the medicine | Hi,The common side effects of vasograin include heartburn, indigestion, increase in blood pressure, digital vasospasm, and arrhythmia. People with heart disease, high blood pressure, or kidney or liver disease should avoid taking vasograin.Continue taking as and when required and if you experience those side effects you need to take an alternate effective but a safer medicine to treat acute attack of migraine.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Suggest remedy for back & shoulder pain
I have constant pain across my back, under my shoulder blades. I have rotating numbness daily from hand to hand and sometimes it feels like a spider is crawling up my back. Now I am having hot/cold flashes throughout the day. At night, I feel like my chest is heavy and I am forgetting to breathe. I am a smoker and have osteoartritous in which I take tramodol. I have had xrays and ct scans of my abdomin with all negative results. I ve take reflux medicine with no resolve. | Hello,I read carefully your query and understand your concern. The most common symptom of arthritis of the shoulder is pain, which is aggravated by activity and progressively worsens.I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using an anti inflammatory cream for local application such as Voltaren gel.Gentle stretching exercises can also be helpful. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
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.---> | |
What is the problem in getting pregnant?
im 21 years old i have 132 pounds and im 150cm in height im trying for the pass four mths to concieve but nothing has happend, i had two abortions when i was an teenager but i dont no if dat can be the cause for me not to conceive. can u tell me wat to do? | you should get a pelvic ultrasound to check for anatomical abnormalities of the cervix and uterus. you should get a hysterosalpingogram to detect any abnormalities of the tubes. you should get a hormonal profile test ( FSH, LH, estrogen and progesterone ) to check your hormonal levels. your husband should get a semen analysis . | |
Is it normal to have headache with cerebellar tonsils?
I have been told that I have mild cerebellar tonsillar ectopia, but the MRI showed my cerebellar tonsils only descend 3mm below my foramen magnum. All my head aches started when I was weight lifting. What is the possibility that what I am experiencing is just exertional headaches? | Hi,Thanks for writing in.The cerebellar tonsils are the most inferior portion of the cerebellum, a part of the hind brain which is important for motor coordination. Normally, these tonsils are wholly inside the skull. A 3 mm low lying tonsil does not clinicall fit into the abnormal category. In the case of Arnold-Chiari, the tonsils are low-lying often more than 4 mm, below their normal level. It can cause severe headaches. The presence of a syrinx in thee cervical cord needs to be ruled out and that will be mentioned on MRI should it be there. Cervical nerve root compression can also cause headache on lifting weights. Please discuss with your doctor. | |
What causes dizziness and balance disorder?
I took a fall on the ice but did not hit my head, I just stretched my back and neck which I felt the next day. But the following day I had dizzieness and loss of ballance. Then it went away for a day and came back worse the next day. I am still experiencing it four days later. what is the problem? | Hello!I understand your concern.In my opinion the dizziness and imbalance you have may be relate to a cervical spine problem.It may be just degenerative changes of the bones or the disc, pressing on your vertebral artery which supplies the brain. I would recommend you a xray of cervical column. Heat procedures and a cervical collar would improve your situation.I would also recommend betahistine twice daily or cinarizine for the dizziness.Hope to have been helpful!Thank you for using HCM!Best wishes Dr. Abaz Quka | |
Diagnosed with hepatitis B. Is there a permanent cure? Can I take Liv 52 HB?
i am recently being diagnosed with Hep B as my wife and a child does not have this desease. I visited doctors in many of the hospitals and was advised that, i don t need any treatment further as it s virus is under control. If i would start having this Liv.52 HB, is there a possibility that, i could be cured completely & if yes, for how long do i need to take it. I shall, indeed thank you for your valuable advise in this regard please. | Hello, Individuals who remain HBsAg positive for at least six months are considered to be hepatitis B carriers.Carriers who have seroconverted to HBeAg negative status, in particular those who acquired the infection as adults, have very little viral multiplication and hence may be at little risk of long-term complications or of transmitting infection to others. However you should keep on monitoring your ALT levels and if they are ever found above 60,then you would require the treatment with interferons and immune modulators. 40% of individuals with hepatitis B having normal ALT have hepatic fibrosis. Treatment with LIV -52 has no role. One can never get rid of HEP B,if he is having this infection for more than 6 months. Keep in regular touch with your gastroenterologist and start the treatment immediately,the moment you find that there is reactivation of the disease. Get your wife and child vaccinated with HEP B vaccine. Thanks | |
What does Osteophytes in the c1/c2 region suggest?
I have a friend who suffers from a unilateral c1 c2 problem; she is in her late 60s, a small boned person; there was a traumatic injury some years back, and gradually this small spot of pain in her upper neck settled in and increased. She has no other neurological symptoms. The radiography to date shows osteophytes in the c1/c2 joint, and I think a swollen capsule. vertebral artery trajectory is normal. It was eventually noted there is a small sliver of bone near the site. I think posterior fusion with rods and screws is the best total treatment, but, if she fears to undergo that (the risks), could that sliver BE the source of her sharp, localized pain and COULD it be removed in a less invasive manner, perhaps solving the pain issue, do you think? | hiif osteophytes are causing only root pains they may be excised alone without need for fusion surgery r any implant.this could be undertaken laproscopically by a trained spine surgeon, or open excision.If pain beearable, then conservative treatment, physical therapy, cervical collar and isometric neck exercise may be done.consult spine surgeonthanks | |
Can a common cold last as long as 13 days?
Hi, I've had a cold. It's now 13 days. Still now I sneeze when it gets cold. At night, my nose is stuffed up especially If the temperature drops. And if I don't clear my nose, in the morning, I have a little yellow mucous but rarely. The mucous is usually clear. Could a cold last that long? Thanks. | Hello,Welcome to HCM,The common cold of viral origin can last for 3-5 days, if it treated properly and proper hygiene is maintained. If the common cold is not tackled properly definitely which will leads to secondary bacterial infection which can last long if it is not treated properly.If the symptoms of the common cold is of allergic origin, if the allergen causing these symptoms are not avoided it may last longer period of time. So the common cold should be treated properly.The symptoms which you are having clearly suggest that your having secondary bacterial infection following the common cold. So you need to take antibiotics, antihistamines and nasal decongestants.Thank you. | |
Thin walled gallbladder, intense shadowing mobile echoes in lumen. Treatment?
Hi I'm 37 y/o. I was examined in upper abdomen. Results was the gallbladder is normal in size and configuration. The wall is not thickened. There are about three intense shadowing mobile echoes in the lumen, the largest measuring is 8mm. The common bile duct and intrahepatic ducts are unremarkable. Is there is medicine intake to dissolve it? | Hi, Thanks for writing in hcm. From the description which you have given the diagnosis seems to be gall stones. You can try dissolution treament provided the stones are soft and do not exhibit post acoustic shadowing which your report does not mention. If this fails then the treatment in symptomatic cases is cholecystectomy. Regards | |
What causes ankle pain?
My ankle for a number of weeks has been hurting when I put weight on it.I am very active.I weight lift and play football.For weight lifting I did not go over board to injur it, but during football with all of the footwork we do, it really bothers me.I dont think it is sprained, or broken, but i am not a doctor. | Hello, As this sounds be instability of the ankle joint. Ligament weakness and muscle imbalances may lead to recurrent ankle pain while in sports. Doing balance board training will help improve the stability of the ankle joint and also improve muscle imbalances. While playing sports please use ankle brace to control the stability of the joint. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Kidney infections, high WBC count and acid levels in urine, black stools. Causes for symptoms?
I have had kidney infections on and off for almost four months... It went from having a high white blood cell count to now having that plus high acid in urine , and the last couple days I ve had black stool and cramping in the right upper part of my stomach, I don t have kidney or gallstones according to the last hospital visit. Any ideas? | Hi, Welcome. As there is no stone in the kidney and gall bladder , there is no need to worry, Black stool and abdominal cramps can be due to bleeding within the bowels. Kindly take medical advice soon. Regards | |
Have irregular period and taking gynaecosid and clomid. Will it help in conceiving?
hello Doctor, Please my friend have irregular period and last month my doctor prescribe gynaecosid tablet 2 for her to insert into her vagina, after 6day she had an aunty flow but it did not flow very well (only 3days) after the period, her doctor prescribe clomid tab to be taken orally for 5days to generate ovulation. she said her period is due since 13th Nov but she haven t seen it and have done 2HPT and 1Blood test all the results are BFN. she went back to the doctor and he prescribe Gynaecosid for the second time. she is so scared and eager to get pregnant, please we need your advice | HelloThank you for your query.Please consult an infertility specialist at the earliest.Gynaecosid will not help in pregnancy.SHe needs complete evaluation for irregular cycles.Stress, anxiety, weight gain, ingestion of hormonal medications, change in sleep or diet - these need to be ruled out first.After that, she would need to be examined for polycystic ovarian disease, hypothyroidism, endometrial hyperplasia etc.She needs total internal examination ( per vaginum and per speculum ) alongwith a pelvic ultrasound.Tests like FSH, LH, TSH, Prolactin, OGTT, DHEAS, free testosterone, Lipid profile, fasting serum insulin should be done.FOllicular monitoring to track ovulation and semen analysis are required.As a last step, laparoscopy to check patency of fallopian tubes is a must.Take care. | |
Suggest treatment for persistent pain for ankle injury
Hi, yesterday I twiested my ankle, the x rai show is nearly broken the Dr. Put plaster and send home to came back Friday he gave co-codamo to take the 4 in 4 hours, the problem is I m taking the medicine but the pain still so strong is normally or I need do something | You probably have either fractured your ankle bones or have torn the ligaments of the ankle., take rest , keep the ankle elevated on the pillow, take analgesics, and see if this settles, if it does you will not need any further treatment,but if it does not than above investigations is must | |
Skin allergy spreading to other body parts on using hair color, taken allegra, used mommate cream. Proper treatment advise?
i am 43 years old , i use hair color, which is causing allergy to my skin and it is spreading in other parts of body like arms and groain area. in am suffering from skin allergy for last 4 years. use mommate cream and taking allegra 120 mg. please suggest me proper treatment. rj singh | Dear RJ, You seem to have a delayed chemical hypersensitivity (Type IV) agaist certain hair coloring chemicals and recommend you have a patch test before using any more hair dyes. For the moment, you need a systemic corticosteroid like prednisolone 1-2mg/kg BW for 15-20 days to control this reaction and also need to continue the Allegra 120mg until all of this is resolved. As for the other 'skin allergy' I am not sure what it is, but a formal testing is recommended. Thanks. | |
Is ganglion also removed while performing arthroscopy?
i am having a wrist arthroscopy in a few weeks time but now my fingers have started to ache as well i also have a ganglion on the back of my wrist will they remove this at the same time and wen can i return to work and wot type of dressing will i have | Hi,Welcome with your query to HCM virtual Clinic.I reviewed all the details of your query,in context of treatment for ganglion removal during wrist arthroscopyBased on the facts of your query,You seems to have answer is YES,as during wrist arthroscopy,Ganglion removal is established and Standard procedure with lease recurrences after its removal,as compared with open surgical removal.You may be discharged same day as its a Day Surgical Procedure,if all things go well.Dressing would be pressure dressing with or without wrist splint for immobilization of the joint for fast wound healing.Hope this reply would help you to plan treatment with your doctors and resolve your worries.Will appreciate writing excellent review and feedback comments to help the needy patient visitors like you at HCM.Welcome any further query and information in this regard.Contact at My HCM Clinic,with direct Premium question for further suggestions if need be.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | |
Can a dns surgery be postponed due to low bp ?
can a dns surgery be postponed due to low b.p?if so bp should fall to what level to postpone it | Welcome to Healthcare Magic Good Day No surgery is done if BP is high or low due to risk of bleeding and hypotension/shock. If BP is maintained less than 140 and more than 100 it is quite safe to attempt surgery. | |
Is ghee advised for effective breast development ?
i want to know how can i take fenugreek by grinding ant i should take about half tea spoon but my mom says its not safe for ur body it may harm u internally means menstrual problems or uteriine problems and clarified ghee is it effective in breast gowth.i want my breast well developed and im of 25 age and hight is 5.5 and weight is 54.please tell me some guideline but i dnt want to use creams or pills .u tell me some home remedies. | Hello Rehana! Good to see your interest!...Well, fenugreek actually regulates menstrual problems and even powder of fenugreek can lower your blood sugar too! Anyways efficacy of the same in breast development is questionable. The best suggestions are taking tomotoes...you know the pulp in the middle of tomatoes are known to increase your breast size! Another thing is bracing exercises. Repetitions with frequent rests are known to be effective in increasing the chest width. Another small tip is wear fittings that would prevent your breasts from sagging and look better...Good luck.. | |
Q. Will root canal treated tooth cause pain in eye and mouth?
Hi doctor, For the last two nights, my right eye and the right side of my mouth have been bothering me a lot and I thought it was because of a headache but it is not. I have had a root canal done over a year ago in the right side in the back of my mouth and one done again behind that tooth. Could the pain from a root canal or failing root canal cause so much pain to my eye? And today on the second day I have felt like I have had water up my nose all day and my eyes burn. I use gadgets a lot. | Hi. I have read through your complaint and the relevant details. The reason for pain in the eye region should be due to any tooth infection in the upper front tooth region precisely the canine tooth. It could be a hidden decay in the tooth which bothers you a lot. I advice you to get it checked with the dentist along with an X-ray for the tooth in suspicion. There are least chances that the failed root canal treatment could cause this. A root canal treated tooth is equivalent to a dead tooth and this might not cause any pain at all. Moreover, you have mentioned that your nose waters and the eyes burn. I find these symptoms are irrelevant to the dental history you have given. Considering your age, I suspect that there are more possibilities for you sitting around with the electronic gadgets for longtime. This is the main reason for the symptoms you have mentioned. I highly recommend you to drink plenty of water and eat food that cools up your body such as watermelon, cucumber, lemon juice, etc. Oiling your head is again another tip which can help you reduce the body heat. | |
Can Nicovit and Exifol be taken for a prolonged period?
can i use tablate nicovit (nicotinamide) and tab exifol for longer time?it was perscribed by my dermatologost previosly for my darken skin and i had very good effect with this medicines.now am in usa and my doctor is in india so am not able to contact him................if u gave me your advise it is great help for me | Hi, Incomplete data like age and gender not mentioned. I can understand your concerns regarding the safety of prescribed medications for a prolonged period. Nicovit (niacinamide) is a form of vitamin B3 that is used for the treatment of its deficiency as well as in a combination with other medicines or supplements to treat hyperpigmentation, and blistering of the skin. Exifol a nutritional supplement which contains various micronutrient and multivitamins is commonly prescribed to treat the deficiency states and also for certain skin disorders. Based on your clinical condition, these medications have to be taken as prescribed by your dermatologist. I recommend you to use over-the-counter hydroquinone or azelaic acid or kojic acid containing creams to help in getting rid off 'darken skin'. I also advise you to: 1. Avoid exposure to sunlight. Use hats, sunglasses, and sunblock with physical blockers. 2. Use 'sun screens' with sun protection factor (SPF) of at least 50 that contains physical blockers, such as zinc oxide and titanium dioxide 3. Keep yourself well hydrated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Dizziness, stress, Kidney stone. PTSD and GAD extremely stressed out. Suggestion?
I been dizzy/off balance now for 2.5years, but I figure its from PTSD & GAD since im extremely beyond stressed out. Im guessing I have high cortisol in my body due to stress. Ive had changes ever since 2010 from a car accident as well. I also had a depressing breakup where im still thinking of this person and its already been 2.5-3yrs since ive seen him/we been apart so yes ive had a broken heart now for 2.5years. I also have a kidney stone which isnt out yet. Im a mess. | Hello.Kidney stone is not now the most important.The most important of all is Ptsd and Gad that causes dizziness,stress..... You have to receive right treatment for Ptsd and Gad.Besides treatment with drugs, I think it's important to go to a psychologist.Do not be discouraged, with the combination of both treatments you will feel better.I treat my patients with Paroxetine 20-30 mg per day+Diazepam 0,5 mg twice a day when Ptsd and Gad is the diagnosis.Please consult your local doctor for a prescription.I wish you good health.(In case the answer would have been useful please indicate this) |
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