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Does frequent sperm release weaken the body?
sir,i am of 20yrs... even am controlling its not posible fr me... relesing sperm 4 times in a week.... actual problem is here:- am concentrating on my physical growth(body development) and i guess this sperm release is wekening my body.... is this true sir...?! -waiting fr ur full pledge reply | Hi. That is true partially. If you continue masturbation more than once a day or more than 4 to 5 times a week it may affect your energy levels as well as affect your sexual potency and libido in future. My advice would be to reduce it to every alternate day and you will feel better and more full of energy. Also you will be preserving yourself for your life partner of future. Take care. Dr Rishi, New Delhi, India. | |
Suggest remedy for severe lower abdominal pain
hi, I am a 50 yd female with 10 year hx of cholitis. I have severe lower abdominal pain today (felt painful like childbirth). radiating across pelvic area to posterior lower lumbar area. similar episode 2 years ago with full work up and iv pain control. pelvic Ultrasound and lab work unconlusive. at onset 10 hours ago pain was 10 range 1to 10. muscle relaxers, Tramadol, Alprazolam, Cyclobenzaprine and over counter naproxen have decreesed pain to a 2. No bleeding or discharge. Irregular bowel pattern for years with no constipation.Please help me figure this out. I almost went to the ER today for the pain, but decided to just wait and see how this progresses.Thank you for your time. | hi,thanks you for providing the brief history of you.A thorough clinical examination is advised.As this might be either the pathology of the lumbar spine leading to pain in the lumbar region and muscular pain in the lower abdomen and pelvic floor area.Having an ultrasonography of the abdomen should help understand the possible pathology of the abdominal area.treatment.Physical therapy for strengthening the muscles along With Therapeutic ultrasound therapy and TENS therapy should help you feel better again.Regards Jay Indravadan Patel | |
What could low hb levels with brain bleeding in infants suggest?
my daughter just gave birth to an 8lb 4oz little boy. they are moving the baby to another hospital because the hemoglobin levels are low and they are worried about bleeding in the brain. I don t have much more than that but I m searching for some additional information. Please help | Hello ! I read your question and I understand your concern. Intracranial hemorrhage in infants is a very common problem in premature or low weight infants. The low hemoglobin levels predispose him for low oxygen flow to the brain with further aggravation of the situation . Vitamin K injection is done in all infants after birth to prevent hemorrhage, but when hemorrhage happens there is not much to do, besides symptomatic treatment. The baby should be held in the intensive care unit , with oxygen support, and symptomatic treatment to avoid seizures and respiratory insufficiency. Blood transfusions may be helpful to increase the blood cell count. The diagnosis of the intracranial hemorrhage is made with repeated ultrasounds. Hope to have been helpful!Best wishes!Dr. Abaz Quka | |
Suggest treatment for pneumonia
My son is 3.5 yrs n had walking pneumonia. Given 5 days azithromycin but again after 7 day shows cough n xray now shows left lingual pneumonia and given augmenting for 10. Days twice a day. Worried for recurrence n antibiotic resistance as overall he catches cold n cough almost every month or alternatively. | Hello. Thanks for sharing with us your health issues. Hope this answer will help! First of all there is nothing to worry about a child with cough, runny nose and fever which lasts for at least 2-3 days-especially if he is energetic and a good eater. This is because at this age he meets many virus infections and "fights" against them. Related with pneumonia, it can be caused by viruses, and usually if he is doing well, if he is energetic and active is left untreated(normal vitals, fever for 2-3 days, normal appetite). If it's bacterial, with fever which lasts more than 3 days, loss of appetite and the child is not active is treated with antibiotics.If fever lowers after 24-48 h it means that AB has been effective and there is no resistance. The sounds in lungs and the X Ray changes will last for at least 6 weeks after treating it. So for being sure that pneumonia is treated I would see the child and his symptoms (no fever, no cough, normal appetite and energetic) and not the X Ray after treatment.So overall this is the view of a 3.5 yo child in winter! | |
What causes painful swelling with lumps in neck?
my son has some swelling in his neck on the left side it started about 3weeks ago when you feel it it feels like there's several small lumps in it it doesn't really hurt unless you mess with it it's located about an inch above the clavicle and it lines up straight with the earlobe | welcome to Health care magic.1.They are enlarged lymph nodes.2.Lymph nodal enlargement will be seen in case of the any underlying medical conditions, recent infections / inflammations.3.It would have been helpful if you have mentioned your sons age.4.Other causes could be brachial cleft cyst, vascular causes, glandular enlargement. An ultrasound neck will help to evaluate the nature of the lump, origin and extensions.5.So get an appointment and do the needful tests and treatment done.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
What are the symptoms of malaria?
After 3-4 weeks of child birth, my wife had abdominal pain which led to diarhea and later to fever. Now she is complaining of frequent diziness. She was taken to clinic and diagnosed of malaria. Among the drugs administered was quinine and she reacted badly. Now two weeks after the diziness is stil there. she will feel warm inside her and a kind of feeling of insensivity of the left part of her body. please what could be the cause? | HiI appreciate your concernI would like to know about type of malaria her age and full treatment she was givenin my opinion if it was a falciparum malaria than there was a probability of cerebral malaria and such complications could have developedplease take her to a neurologist for detailed examination and further evaluationmeanwhile give her multivitamin supplements to fasten recoveryHope this helps youThanks for using our sitetake care | |
Is drinking a cause for hepatitis?
Hi thereI have been feeling incredibly nauseous for 3 weeks now. I have no appetite, and I have always had a very healthy appetite. I am tired and particularly so after even mild physical exertion.I saw a B.E.S.T. practitioner who detected Hepatitis virus in my liver and also told me that my gall bladder is also stressed.After that, went to see my doc who put my symptoms down to Giardiasis and prescribed Fasigyn. My nausea has improved a lot over the last 3 days since taking the Fasigyn but it now come and goes and is not constant or so intense.What concerns me about the 'suspected' hepatitis is that thinking back over the last few months, I have always suffered terrible hangovers after even just 1 glass of wine. I was reminded of this last night when after about a week of no wine at all I had a glass... And woke up (and spent the entire day) feeling awfully 'hungover'.Any advice or suggestions would be helpful.Ps. I am awaiting an appointment with a gastroenterologist.Thanks :) | Hello, Yes alcohol consumption is one of the cause for hepatitis, if it is taken daily,in high quantities , and if you are taking only wine and that too not regularly or daily, the chances are lesser for you to have Hepatitis because of alcohol, please consult your Gastroenterologist and please get evaluated for other causes of hepatitis, I.e if you still have hepatitis. Hope I could help you THANK YOU. | |
Would traveling affect chances of conception?
hello doctor, my self Damini. I m 26. I had a miscarriage in september I was 1 & half months pregnant at that time. Now i m trying to conceive again.This i got my periods on 8 th. I m trying from 15th to till date. but i have a dout. If i travell will that affect my chances of conception ? | Hi,I read your query and I understand your concerns.Following is my reply:1) Travelling will not affect pregnancy2) It is better to travel in trainLet me know if you have anymore questions.Regards,Dr. Mahesh Koregol | |
What causes salt taste in mouth after heart failure?
My father has heart failure, since june 2012, he takes warfarin amongst other things. The warfarin has been quite stable (as you know it is monitored), but of late he has had to go almost every week and has started to complain that everything tastes salty. Is this something to be concerned about? | Change in taste is a known side effect of wayfaring and it's not related to the dose or normal/abnormal level of INR, however I would assure it's not a serious or notable side effect of the drug and in most pt it weans away, however because if the pt is on it since 2012, why now had it come. Do send other medication lost to review drug interaction Regards Dr. Priyank Mody | |
What could cause sore muscle?
My dad has been bed ridden for 4 days now. Not eating at all only really thirsty. Weak and fatigued with very sore muscles. No temp, no nausea or diaharea ... went to GP and they gave him anti inflammotary tablets only. His face is drawn in and he is not himself. What do you think? Shall i take him to the hospital? | Hello, The sore muscles can happen due to dehydration, electrolyte imbalance, too much exercise or due to myalgia. You need to start with plenty of electrolyte-rich fluids and see if it helps. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon | |
Suggest narcotics for pain inspite of having opiate tolerance
I have just been told I have Reverse-Hill Sachs lesion and a chronic reverse Bankart lesion with denuded cystic degeneration of the posterior glenoid rim, both of the labrum and the osseous glenoid with mild posterior glenohumeral subluxation and patulous ventral aspect to the glenohumeral space(all in keeping with prior dislocation). Subscapularis strain and partial tearing. I was originally referred to our local orthopedic surgeon because of progressing bone spurs in my lower back along with chondrosis in my hips and knees. I started lifting weights when I was 12 . I have been on hydrocodone 10 mg with 325 mg of Tylenol for almost a decade. What would you suggest for a narcotic pain medication that might work for me because of my opiate tolerance. My normal Dr. put me on oxycodone 10 mg every 4-6 hour. That was before they knew all of the damage. I have to take two of these at once to get the main edge off the pain. I have had 3 children without any help from drugs so my idea of a 1 - 10 pain scale equals how many centimeters my cervix would be during labor. | Hi,Good scale for pain. the location and movement of a pain gives clues as to what is going on. But the key point here, is that the pain often has some either inflammatory or nerve components. These are better treated by non-narcotic medications. Tolerance can be overcome by time off from narcotics and/or on a narcotic blocker. Otherwise you're just stuck going with just higher doses. As these things go, 50 mg a day is the border between doses that are not going to cause problems to doses that might get progressively more of a problem.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | |
What causes abdomen pain, soft bowel movements and fever?
I am having pain in my upper abdomen that had been getting worse for 3 days. I had my gull bladder out in May of last year, so I know this is not the issue. The pain is located right below my right ribcage and to the right and it feels like it is deep not just under the skin like a bruise. I have PVC's and they are acting up today a lot. I have had a lot of soft bowel movements over the last couple of days. More than normal for someone who does not have their gull bladder. I don't think I am running a fever. The pain seems to get better if I lay down in the fetal position or if I lean foward while sitting up. I have had elevated AST levels during my last 2 blood screenings. I think they were 57 or 67. What do you think | Hi.Thanks for your query.Thanks again for a good history of the pain, the relieving factors and explanation of the loose motions - the bowel movements. The most probable cause looks to be enteritis without fever and this can occur in many incidences that the infection is not severe enough to cause fever or the gram negative - a type of bacteria do not cause fever. The pain explains this.I would advise you the following:Get the blood tests : CBC, Widal for typhoid, Blood culture and sensitivity if you have not been started on antibiotic. Tests of urineTests of stool, culture and sensitivityUltrasonographyThis will give us an idea.Get started with the most proper antibiotics and metronidazole, probiotic and so on I hope you will get the results in 3 days, continue the treatment till you are cured. Avoid all foods and beverages which cause such problems.use boiled and cooled water . | |
Can silodal cause excess salivation and stomach burning?
I have been prescribed the following medicines Ace Proxovon twice a day and Myoril 8mg at bedtime which I am taking since last 2 montths for l.ow back pain and stilnoct 6.25 and Lifodep 7.5 at night for sleep problem.i am also taking Silodal *mg at night for Bph. Recently i am have developed unpleasant taste in mouth with saiva formation and burning in stomach. My question is drug reaction and side effects | Hello, The symptoms seem to be related to side effects of Ace Proxovon. Some of the common side effects of this medication are stomach ache and excess salivation. If the symptoms continue, I suggest to consult your doctor for an alternative medication. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
What causes low platelets count?
Hi. My sister has been taking HCG diet drops for about 3 months now. She has been told by her MD that she now has a low platlet ct and has to see an endocrinologist. She has lost 30 lbs and would like to loose more. I do't know her weight. She is 5'7". 57 yo. I have heard of lo platlets related to pregnancy. Just searching for info. Sorry, Hemotologist. | Hi, dear. I have gone through your question. I can understand your concern. There are many causes of low platelet. Even viral infection can leads to low platelet count. ITP or some malignancy can also leads to low platelet count. You should go for bone marrow examination once. It is the investigation of choice. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Q. Can we opt growth hormone to increase the height?
Hello doctor, My son is 5'6 in height. He is 17 years old and wants to be taller. We want to try growth hormone. Is this possible? Kindly suggest the treatment. | Hello. I read your query, and from what information you have given me, it appears that your son has short constitutional stature and not growth hormone deficiency. Well, but it depends on many factors such as the mid-parental height, ethnicity, nutritional status, etc. Since he is below the third percentile for age for boys for height, I would suggest a proper work-up to rule out hormonal deficiencies such as, 1. Thyroid function test. 2. IGF-1 (insluin-growth fractor) and IGFBP-3 (insulin-like growth fractor binding protein). 3. LH (leutinizing hormone) and FSH (follicle stimulating hormone) routine tests like CBC (complete blood count), ESR (erythrocyte sedimentation arte). 4. Liver function test. 5. Renal function test.6. Urinalysis, and X-ray of left hand and wrist. If the hormone analysis comes out abnormal or in other words, there is a deficiency of any of the above hormones, and then I would suggest MRI pituitary gland. Because short constitutional stature is not a disorder but a variation in normal growth, therefore, medical treatment is not usually necessary.So I would not suggest any hormonal treatment as it will not benefit him at this age as his bones have matured by now. Although some studies do suggest the use of testosterone injections or patches to achieve growth and sexual maturation if necessary. Growth hormone is not recommended if any of the above tests turn out to be normal as it is associated with a lot of adverse effects. I hope my advice is of some benefit to you. | |
Medication to stop rashes and itching in scalp, ears, chest, breast, neck and face?
Hi there please help, about 2 days ago I developed an itchy scalp got my husband to check for lice but no trace and seemed to be in a particular area. Then I noticed the second day rash behind my ears and scalp and ears itchy, it s now on my chest and starting on breasts, a bit on the neck and top of back, and now it s on my face, started from top gone down now stopped at cheeks, it s so itchy, I have not done anything different, and I feel healthy. I think it s in my ears too as its so itchy there too! Please help, and I shall be starting ivf soon so don t want to take anything that can mess up my chances. Please help! Sorry didn t know u had to pay for this. Can t afford it. | Hi...dear bonny.., Thanks for choosing HCM.., Severe Itching on scalp with involvement of ears, chest and breasts.., could be due to ....SEBHORRHIC DERMATITIS.., So use.....NOSKURF...lotion night times on scalp.., keep through out night .., Apply Betmethasone and gentamycin cream.., on scalp area..., Tab Levocetrizine 10 mg daily for 10 days.., thanQ | |
What is the prognosis for bone cancer?
Hi, My father who is 67 had bllader cancer, last year he had operation and removed bllader. in january he was having pain in his back low side in his spine, doctor couldn't say what was it, now they found he got bone cancer and in spread on his bones, just two weeks ago he had his fisrt chemo. Does chemo help ? How long he has left to live ? | Hi,Thanks for writing in.The longevity for people having bladder cancer that has spread to bones is about 2 years. Since his first chemotherapy was a month back, it is important to discuss the medicines with his doctor. He might require more aggressive treatment for longer survival.With better care and treatment some patients might live longer even with cancer spread to bones. Please try and maintain his general condition such that he is able to withstand the chemotherapy and delay progress of the condition. He should also be given pain relief. Please do not worry. | |
Have swollen stomach gas and pain in belly. Has taken Adderall. Is it normal?
I just started taking my adderall again. This timeiit s only 15 or 20 mg and is generic. This is the second day I have taken it. My pill qore off hrs ago but my stomach is swollen and feels like trappwd gas and lots of pain in the belly. Will this subside after my body gets used to it or should I not have this problem? | Hi, swollen stomach and gas are symptoms that are managed based on whether they are of acute onset of chronic in nature. When accompanied by constipation, the age also matters. However management always starts with diet modifications with increase intake of vegetables, fibre, drinking much water and fluids and exercise. Avoiding gas producing foods and late meals could also be very helpful. A stool exam and culture to exclude any parasites or bacteria at times is useful. Failure of these measures shall demand a more critical evaluation by the gastroenterologist to exclude Irritable bowel syndrome, polyps or tumours of the intestines. If its persistent, consulting a gastroenterologist is my suggestion. Thanks and best regards, Luchuo, MD. | |
Does HIDA scan require the tracer to show gallbladder and drink ensure to take pictures ?
I had a hida scan yesterday and they injected me with a tracer but after an hour my gallbladder didn't show, I had to wait 30 minutes for my gallbladder to show, after it showed I had to drink ensure and them take pictures for another hour. They said it went through but was slow. Is this normal? | Hi and welcome to HCM. Thanks for the query.Did they mention something about percentages? it is evaluated dependsing on how fast gallbaldder excrete tracer. slow means that there is some gallbladder motility but not perfect and it may cause gallbladder symptoms. but if there is no stone or polyp in it then indication for surgery is doubtful. WIsh you good health. Regards | |
What causes pain in chest while walking or standing?
Hi, I just started taking aderall about a month and a half ago and i worked out yesterday and tried doing a normal intence work out but after I got done I couldn't fetch my breath or breath normally for about 20 minutes after. And now it's a day later and i'm still having pain from walking up steps or even standing up. | Thanks for your question on Healthcare Magic. I can understand your concern. Chest pain, breathlessness on exertion (walking) is commonly seen with heart diseases. So first get done ecg, 2d echo and stress test (trade mill test). If all these are normal then no need to worry for heart diseases. Sometimes simple musculoskeletal pain can also cause similar symptoms. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen. Don't worry, you will be alright with all these but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Is it possible for children to have ovarian cyst or diabetes?
My daughter is 2 months away from being 12. She has a dark ring around her neck. It is not dirt. The doctor said it could be she has cyst on her ovaries or diabetes. Could she really have cyst on her ovaries at such a young age. And yes she has periods. | Hi there! Thank you for contacting us. If she has frequent need for drinking water or is thirsty all the time and frequent urination, I would suspect diabetes. However, there is a good chance she has a cyst on her ovaries. These cysts get larger to expell an egg. Once an egg is expelled, there shouldn't be any other side effects. If you wanted to know for sure, ask for an ultrasound or imaging of her ovaries. I hope this helps. I've have been riddled with ovarian cysts for many years. Many ruptured and are extremely painful. This all can be managed. | |
What causes pain on ridge behind upper front teeth?
hello, my husband is having bad pain on the ridge behind his upper front teeth. The pain gets worse when eating. He says it almost feels as if his teeth were had shifted, or that the bone behind his front teeth is broken. He's had the pain for about a week now. Any ideas on what could be causing the pain? Thanks! | Hi,Thanks for posting the query, Is there any history of trauma? i would suggest you to take your husband to an Oral Surgeon and get a checkup done take an x-ray of the region to give the correct picture of the region and to plan the treatment accordingly.Take a course of antibiotics and analgesics.Take care! | |
What causes suspicious nature?
My husband doubts my character and doesnt trust me indeed for a matter of fact he doesnt trust anyone. He is a miser and very conservative. he thinks there is a deep motive behind every word and action.I told him to see a Psychiatrist but he clearly denies it. so what to do?? | HiThanks for using healthcare magicI think, your husband may have some underline personality issue due to which he has infidelity thoughts and he is miser. In that case, you can take help of a psychologist. If he does not want to go to a psychologist or psychiatrist, you can try online consultation, where you can discuss with psychiatrist face to face.Thanks | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
What does lump on right collarbone indicate?
I have a pea-sized lump on my right collarbone about halfway between my neck and the tip of my shoulder. I just noticed it today. There is no pain and it seems to move from the notch of my collarbone about a quarter inch over my collarbone. What could it be. | It could be a simple swelling containing fat tissue... or sebaceous cyst or enlargedlymph node....Enlargement of lymphnode usually occurs follwing infection or fever of its nearby region or due to hidden cancer in the body....But to confirm the swelling that u have mentioned we should go for sonographic examination first and along with routine blood investigation. ... to decide further treatment plan | |
What causes pulse rate to be always high?
I am a 58 yr old woman.....my blood pressure is always good...but my pulse rate is always high....I do drink...like right now had a couple and pulse rate 125.....this morning was 100...i only have a few drinks in the evening every other night but pulse always 100 or more | it can be a normal increased heart rate (sinus tachycardia) or abnormal heart beat called arrythmiai would advice you get a ecg doneif ecg reveals it to be a sinus tachycardia then taketab propranolol 10mg twice daily for a monthin case ecg shows arrytmia then you have to undrgo multiple tests !!! | |
What are the symptoms of the last stages of pancreatic cancer?
Hi my mother in !as has pancreatic cancer in the later stages. She has begun to have a low grade fever that last only a few hours and subsides. Is this a normal effect of the cancer? Do I need to have blood work or urinalysis done to check for other infection? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Symptoms of last stage of pancreatic cancer are pain abdomen, vomiting, diarrhea, anorexia and severe weight loss. Hope I have answered your query. Let me know if I can assist you further. | |
Trying to conceive. Tubes how no signs of blockage. Taking clomid. Is semen analysis advised?
hi doctor...i gt married on march 2013. Since thn bn trying for pregnancy. Last cycle i tried on clomide...yet my period came on the dot (27 days cycle). M taking clomide nw..bt on lesser dosage. Cn recommend any supplements for me n my hubby. 1st level test on my tubes shows no sign of blockage. My hubby may want to do semen anysis soon. tq | Clomid should not be taken unless semen analysis test is perfomed, go ahead with semen analysis. Dont take clomid without supervison and prescreption of gyne. Folic acid,iron and vit B12 suppliment is recomended before you concive, afterwards conception continue with folic acid only | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Exposed to hepatitis B but tested negative. Got jaundice, then tested positive for hepatitis B. How could it happen ?
Hi, I was exposed to hepatitis B back in March through sexual contact, my test came back negative across the board. Then on June 6 I was admitted to the hospital due to being jaundice, I was tested again for Hepatitis B and I tested positive. I was wondering how that could be since I didn't have any further contact once I found out what the guy had. Could you please tell me how this could happen? No one else has been able to including all of my Drs I see. Thank you | Hello Good Evening,Answer of your query is quite simple as follows:Hepatitis B infection is detected on screening by HBsAg (Hepatitis Virus Surface Antigen), which detected in an infected person’s blood an average of 4 weeks (range: 1–9 weeks) after exposure to the virus.So you might be tested prior to that period.The incubation period (time gap between entry of pathogen to the body and first appearance of signs and symptoms) of the hepatitis B virus is 90 days on average, but can vary from 30 to 180 days.So you became symptomatic after around 3 months of being infected.So you should be agree that you are positive for Hepatitis B and be in regular follow up of your GP to control your disease.Regards. | |
What is the treatment for bad odor urine in a child?
my 7 year old has very offensive smelling urine, a fish like smell you can even smell it when she has been in the bathroom, she is also frequently passing urine and has also wet herself which is unusual for her,could you give me any advise on what it could be please? | Dear parent,by your description it seems that your daughter is suffering from lack of water intake or some urine infection. In both cases it seems to me, proper to get her urine tested for any infection. keep a watch on what she is eating, how much water she is drinking daily and also check for any local problem. | |
Could you suggest any strong medication for anxiety and depresssion?
Hi, I'm going overseas (to South Korea) for plastic surgery. I have a history of anxiety/ panick attacks/ depression but due to my job can't go to regular doctor. I'm very stressed about going over there/ being in pain/ flying as the doctors there don't give strong medication for stress/ pain readily. please can you help me? | HelloAlthough it is not practical and advisable to prescribe medicine without checking you physically, you should first screen yourself on Hamilton's Anxiety Rating scale and Yale Brown Obsessive Compulsive Scale. Let me know how do you fare and send the results. I can suggest some medicines.DR SAATIISH JHUNTRRAA | |
What causes hallucinations and increased appetite?
I have a neighbor who is 85. She suddenly start seeing cats once in a while she was on excitation for 3 weeks but it didn t t help. Now she sees dogs cats children in her home and outside. She gets upset because we can t see them she has hallucinations constantly. Her appetite has also increased. And she puts things in the wrong place | in my opinion it is necessary to check her memory whether she has frequent falls . so as to rule out symptoms of lewy body dementia it is necessary to do blood tests, imaging of the brain to rule out any other causes | |
Why am i gaining weight after gall bladder removal?
Hi, I am 30 years old, had my gall bladder removed 2 years ago prior to that lost 26kg eating right and exercising. (My weight was 100kg)Since removal I cant lose a thing, have gained 4kg in 3 months still eating right and exercising. I was prescribed duromine by my doctor twice which took off 2-3 kgs but it always came right back on. I am wondering if my liver could be the cause of my problem, I gain weight around the stomach. I am really depressed over the gain and nothing I do works | Hi, Welcome to Health care magic forum. It appears that that there is change in the lipid metabolism,after the surgery. Now you may have to give some more activity in burning the fats . Minimize the sleeping time, and avoid sleeping day time. Avoid taking fats,calories,and oily foods. Take more of green leafy vegetables,pulses, sprouts,and protein rich foods. Wishing for a quick and complete recovery. Thank you. | |
What causes rash on both sides of the nose?
I have a weird rash on both sides of my nose...red, flakey, and won't go away. I've been keeping it very clean. I started using tea tree oil and that seems to help. I've NEVER had skin problems or acne so this is unusal. I am wondering could it be a sign of something else wrong? | Hello. Thanks for writing to us at healthcaremagicI will keep a possibility of seborrheic dermatitis. Seborrheic dermatitis is an itchy, scaly condition and can present as patches on the scalp as well as on face. The areas affected on the face are classically sides of nose, glabella, eyebrows, chin and moustache area.Seborrheic dermatitis is a steroids responsive condition. I usually ask my patients to use a moderately potent topical steroid e.g fluticasone propionate 0.05%cream, twice daily.Topical steroids usually bring about remarkable improvement in seborrheic dermatitis in about 2 weeks when they can be substituted with topical immunomodulator e.g tacrolimus Or Pimecrolimus.Topical immmunomodulators may be used as maintenance therapy in seborrheic dermatitis since it is a recurrent condition.I would suggest that you visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate prescription.Regards | |
What is the alternative medication for cyclobenzaprine for back pain?
My doctor prescribed my cyclobenzaprine 10 mg for night time back pain relief and they make me so tired all the next day till like 2pm is there a different pill that still kills my back pain at night and doesnt make me so sleepy the next day? I have a torn trap muscle and he also prescribed me hydrocodone and diclofenac sodium for day use. | Most of the muscle relaxing drugs causes sleepiness . I would recommend you Myoril. This drug has 8 mg thioquest salt . It is least sleepy as compared to other drugs but very effective. You can also apply diclofenec gel, take warm shower and avoid bending forward. | |
What causes lower abdominal cramping?
Hi I ve been.having.an issue for a few months now. I have a sour tasting discharge. No smell but its very watery and white sometimes clear. It occurs almost 24 hours of the day. Recently Ive been having some lower abdominal cramps not like menstrual cramps. Its a slight almost pinching feeling. i do not have a yeast infection . I am wondering if this could be a serious problem or easily fixed with diet changes? | HI.This can be fixed by diet changes. Needs an active treatment with an antibiotic and metronidazole intravaginal tablets and probiotic. You are most probably suffering from vaginitis of some sort which has complicated to PID meaning pelvic inflammatory disease. Get a gynecologist's opinion for a physical examination and to get a prescription. and reviews till you are cured . | |
Is this common for kids to get large indentation in shin?
i have a 9 year old boy and he was hit by his surfboard and it indented his upper shin and left a large indent mark for the first hour that was indented at about 1/4 inch at least, after some time the large indentation that was the size of a golf ball started to dissapear up to 65%, is this common for kids to get a larg indentation in the shin?...I was quite shocked at first because i though his bone was actually broken! | Dear parent, this indentation is caused by the force of the hit and yes it is possible to happen without any physical illness. but to make sure that it is normal you should exclude the presence of oedema . you should press your finger against the bony part at the lower end of his leg for 5 seconds. remove your finger. if there was an indentation mark then you boy is suffering from edema. if there was no indentation then no need to worry. | |
When will i get pregnant while on Siphene?
i am 24 years old its more then one year i got married past six month i am trying for conceving i am also taking madecine once i get preiod from the 2nd day i take siphene 100 mg then 14 th day i took ovulum injection then after a week i take maintain tablet but till now no result how log this procedure take to get pregnent. my husbend also gone through spam count test and its normal. | Hello,Do serum TSH and serum prolactin then do HSG on day 8th then do follicular study after taking Clomiphene from day 2 until follicle size grows till 18 mm then rupture and then IUI for early results.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal | |
Suggest treatment for abdominal pain
I have been dealing with abnormal paps for almost 5 years now. I ll have an abnormal pap and be sent for a colpo that comes back fine. Then I ll have another abnormal pap and be sent for a colpo. Are all these colpos necessary? How long will this go on? | Hi.I can understand the confusion you go through once you have the abnormal pap and then normal colpo.Yes, it is necessary every time as timely detection of the cancer is lifesaving. Second option is to discuss with your Gynecologist whether to go for hysteroscopy or laparoscopy and role of hysterectomy. Also discuss about the possible role of CT or MRI in detecting.This may help to further clear the matter for ever. | |
Any suggestion for back discs L4, L5, LS1 bulging causing chronic pain?
I have back discs L4, L5, LS1 bulging causing chronic daily pain. On pain management regime. Mild to severe on a daily basis even with 24mgs. daily hydromorphone. With walking the last few months, pain in the right calf has developed causing limping. Extreme fatigue and pain in both legs climbing stairs. Sciatica is also present. Is there any minimally invasive procedure that could take pressure off the sciatic nerve array and help with the disc problems? Are there options aside from fusion, such as disc replacement that work well, to regain some abilities to function? | Hello, I have studied your case.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.Some exercises which can be done after pain has reduced include- Spine extension exercises, lying on your stomach flat lift leg 6 inches from ground, do it for other leg.Now lift both hand and leg simultaneously, 6 inch off the ground and stayPosition for around 10 breathes. Core stabilizing spine exercises will help.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.I will advise to check your vit B12 and vit D3 level.If MRI shows disc compressing on nerve root then surgical decompression laminectomy is permanent solution.Disc replacement is more beneficial if single disc bulge is prominent.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. Take care. | |
Suggest remedies for itchy red spots on toes
Hello I had a couple of pinprick red spots on the side of my left big toe and no where else. They were quite itchy and now there is a cluster of them on the same toe and they are really itchy also they have spread to my right big toe but there s not as many as there is on the left toe. Cheryl Scully | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It could be an insect bite hypersensitivity reaction. You can apply an antibiotic cream and take antihistamine tablet for a week. If you do not get any improvement, do consult your Dermatologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian | |
Will the pain in wrist be due to fracture?
Hi, My 8-year-old fractured her elbow and the cast was removed a week ago. She started complaining about wrist pain 2-3 days prior to the cast removal. Ever since she has pain and she can t put pressure on her wrist which had not been an issue before. Is it possible she also fractured the wrist and had no symptoms until now? Thank you. | Hello, I have studied your case. Yes there can be wrist fracture associated.Due to compression of nerve root there can be pain in wrist, Wrist pain can be due to tenosynovitis, clinical examination can help in diagnosis and further investigation can be advised.For these symptoms analgesic and neurotropic medication can be started.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.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 causes lumps all over the body?
My husband has "knots" all over his torso, back and upper legs. He has had them for years. The one on his stomach has grown and is the size of a baseball. He has new knots that grow everyday it seems like? What could be wrong with him? He is so scared to go to doctor. | Hi, dearI have gone through your question. I can understand your concern. He has multiple lumps all over the body. It can be multiple lipomatosis or neurofibromatosis. He should go for fine needle aspiration cytology or biopsy of one lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice if you have problem with any lump. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Suggest medication for red bumpy rashes
Hello, My doctor advised me to apply Deriva BPO gel for two hours at night for treating some mild acne. However after using for one day, my entire face is covered with red bumpy rashes and is very itchy. What shall I do to reduce the rashes immediately? | Hello,Thank you for posting on HCM.The condition you have developed is called contact dermatitis due to use of Deriva BPO gel.Nothing to worry. Avoid use of the gel for 1-2 weeks.Apply a mild steroid like desowen cream twice a day.Apply a good moisturiser like Cetaphil DAM twice a day.Avoid any harsh soap on face and use gentle cleanser like Cetaphil cleansing lotion for routine facewash.Take antihistaminics for itching as required.Hope your queries are resolved and wish you best of health.Kindly spare some time to rate my answer and drop your valuable review at the following link: you require any further assistance in future, you can reach me directly through the above mentioned link.Thank youDr Hardik Pitroda | |
What is the lump on the cut I have caused by grill created spatula?
about 3 weeks to a month ago I dropped an outdoor grill cerated spatula directly onto the top of my foot. I had a very deep cut which bled for 2 days off and on and then healed. However, now I have a lump on the top of my foot where the spatula fell. What could this be? The lump is semi-movabel and mostly painless. | Hi, dear. I have gone through your question. I can understand your concern. You have history of the injury. So you may have some haematoma formation due to extravasation of blood. No need to worry. It will be absorbed within few days. If you have any pain or fever then 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 care should be taken for bronchitis and sinus infection?
I have been diagnosed with bronchitis and sinus infection about a week ago. I have been taking 2000 (yes 2,000) mg of Amoxicillin and a taper down cycle of Prednisone for five days now. I still am coughing, wheezing, and go back and forth between being totally stuffed up and blowing my nose for five minutes. I have coughing fits so hard that I have thrown up, pulled stomach muscles, urinated, and have whole body twitches. In addition, my legs and feet are very swollen and it is difficult to walk. I haven t been able to sleep lying down in a week and am developing a stiff neck. I tried taking Mucinex and even my rescue inhaler. Nothing is working. Any ideas? | Hello, Your symptoms are indicative of the fact that you have neglected your health & not taken proper treatment in the right time. 1. You have a history of chronic bronchitis associated with sinus infection complicated with swelling of the distal extremities. You are suggested to visit ER, get physically examined. Get Swab & sputum test, CBC, Urinalysis, X-Ray chest, X-Ray PNS done. 2. You need intravenous antibiotics, fluids for severe chronic bronchitis & sinus infection. Oral medications will help after your infection is under control. 3. Swelling of distal extremities is due to peripheral blood eosinophilia. Get treated for eosinophilia. Neglect will lead to the development of Asthma or any other COPD. Stay away from addictions (Smoking, alcohol, drug abuse, etc) if any. Limit the amount of salt intake to avoid further retention of water in your body causing swelling. For allergy control, you can take antihistamines, Levocetirizine. Take nutritious diet rich in iron, calcium & protein. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician | |
Diagnosed with anemia. Have inflammation in body, diarrhea, fatigue, abdomen pain, done CT scan, fever with night sweats
I am 32, 340, 5"7. I have been diagnosed with anemia and my sed rate is high, the dr says that shows inflammation in my hody but they don't know where it is. I have allot of diarreah and fatigue and now I am getting a ct scan of my lower abdomen and pelvis because I have been having pain in my lower right abdomen. I also get fevers and night sweats. This has been going on for almost 3 years. And my back and thighs are itchy, a real deep itch. Do you have any ideas? | Hi, thanks for using healthcare magicESR or erythrocyte sedimentation rate checks for non specific inflammation.An increased ESR is indicative of inflammation/infection but it does not specify where the problem is located.Fever and night sweats can occur in infections such as TB but can also occur in other conditions such as leukemia and lymphoma, among others.The CT scan would determine if there are any lesions in the abdomen or pelvis that may be contributing to your symptoms.I hope this helps | |
I have head- banging while sleeping
21 years old and tired of it. it is ruiening my life and body. apparently only occurs in infants and kids till 11years. while i sleep, i bang my head on my pillow, wheter im on by back, stomach or side. started at 2 months and never stopped. i cant sleep at someone's house, or let them sleep over, im embarressed about it, my neck are sore and my back, i just cant anymore. no doctor i have seen understands it or believes me. please help | Thanks for your query on HealthCareMagic. It seems that you are very distressed and suffering a lot because of the problem. Your description could be due to several reasons- namely epileptic fit, REM sleep disorder or psychological problem. The good news is that, it appears to be a treatable condition. You may need some investigations to find out the cause such as EEG, sleep study, video telemetry. Consult your local neurologist, psychiatrist or sleep medicine specialist. Best wishes, Dr. Amardeep | |
What causes pain even after the treatment of shingles?
I had shingles in my head right side of of face right eye the rash is gone I m still suffering with pain it is almost 8 weeks now tryed every medicine ow I m getting a cream from my doctor I hope this works wish I could color my hair the greys are awfull what do you suggest Q | Hello, It is quite common after an attack of shingles. It is due to neuropraxia after the shingle attack. As first line management, you can take drugs like Gabapentin for pain relief. If symptoms persist better to consult a neurologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Child cries when in contact with hot water, rubs legs in pain due to rash on legs. Cause?
My 23 month old recently started screaming that the water was too hot when she got into the bath. She would rub her legs from the knees down and cry. We thought it was just an all the sudden aversion to water like some toddlers get, but she is fine with cold water. The second we add any warm water too it, shs cries that its too hot and rubs her legs like its hurting her. Yesterday I pulled her out of the tub and examined her legs. It looked as though she has a slight rash (no too noticable) on her legs from the knees down. Could she be having a new allergic reaction? I can t figure out what would cause this, especially in such an isolated area. Maybe the Dog? | Hello.it can be icthyotic rash only due to dry skin.apply thin film of olive oil all over the body before going to bath | |
Should I get injection for knee effusion?
I got knee effusion after a car accident , should i do injection? I am just afraid off pain of the injection ! My knee really hurt me everytime i move my leg! 12 days already but it s not better at all ! MRI from UCI hospital says it s not break or anything just Effusion! Thanks !! | HiAfter going through query,please don't worry and visit a facility where the collected fluid can be removed.It's safe and pain is just the prick of needle,that's it.Take care and wish you good health.I shall be glad to answer any further query. | |
What causes leg pain after walking?
Hello. I am hypertensive, and on Ramipril, and Spronolactone. Because of oedema and high potassium level, I am also now on a diuretic. I do a lot of walking, and am finding my legs and calves ache after a very short walk. I cut back on the Spironolactone and my potassium dropped to normal levels, but my legs continue to ache when walking. My last blood test showed high urea (10.6) and my fingers and wrists ache most of the time. Is this urea related? I have had gout before, but in my big toe or ankle, due to high urea. Are these symptoms of it? Thanks | dear friendyour calf and leg pain does not seem to be related to any of your medication, per say, high uric acid may be contributing to your wrist and finger ache, we need some more information regarding your calf ache like1 how far does it take to start aching2 how severe is the ache does it make you sit down3 does it relieve once you sit down for some time,5 if you keep walking in spite of pain does it reduce after some time.arterial supply insufficiency needs to be ruled out in your case.please share the desired information for a better diagnosis and suggestion | |
Suggest treatment for breast cancer spread to brain
good afternoon doc , my aunt is suffering with breast cancer from 15 yrs.now admitted in YASHODA HOSPITAL HYD. the doctors told that tumour cells have spread to entire body including brain. plz will u tell us how to get admitted in this instute.is there any treatment avalable ? patient age :48 | Hi, dearI have gone through your question. I can understand your concern.She has breast cancer with brain metastasis and metastasis in other part of body. It is stage 4 cancer. Surgery is not useful in this stage. So treatment options are chemotherapy and radiotherapy. But it will not cure the disease. It just works as palliative therapy. Despite of all treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact.Consult your oncologist and plan accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
What causes persistent pain and inflammation in the abdomen?
I have stopped taking Phentermine around last July I was having real bad steady stomach pain i had an upper GI done the inside of my stomach is really red the GI Dr asked what have i been taking i said Phentermine that is it he said no aspirin or anything with aspirin i said no he prescribed me Prilosec it really didnt help i went to the Emergency room several times they gave me a Rx for carafate since then i went to another Dr (family Dr) he told me first thing to try is take more carafate and prilosec it has helped since then i havent had any pain and i have been able to eat the foods that would normally irritate my stomach and make it hurt when the pain happened it would go for hrs and on a scale from 1-10 it was a 20 | Hi,Looking to the history it seems that you are having severe gastritis giving this problem and having red inflamed stomach mucosa.Take pentaprazole daily for some time.Change your food habit.Take light diet like milk, rice, buttermilk etc.Avoid fried, chillies and junk food.Avoid stress.Avoid taking any pain reliever medicines.Ok and take care. | |
What causes slight burning sensation in lung?
I started having a slight burning sensation in my left lung when I wake up. I sleep on my left side due to back problems & quit smoking 6 months ago. I have an appt with resp Dr. next week but am scared to think what this might be. It seems to have worsen a little. Any suggestions what it might be? | Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely because of sleeping on that side. But since you were a smoker, we should definitely rule out lung pathology like bronchitis for your burning. So when you consult your pulmonologist, ask him to check for 1. Clinical examination of respiratory system 2. PFT (pulmonary function test). PFT will tell you if you are having bronchitis or not. If PFT is normal then no need to worry for bronchitis. Musculoskeletal pain is more likely in your case. So avoid bad postures in sleep. Take painkiller like ibuprofen. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest treatment for bipolar disorder
My mother in law is suffering from Bipolar Disorder. She has been under a prolonged medication of heavy dosage drugs,and was not able keep up with normal good health. Since there was no re consideration of the course she was undertaking by any specialists, we had her checked by a psychiatrist at NIMHANS in Bangalore. Here there was a dramatic reducton in the medicinal course and she was doing good,but suddenly in the follow up check ,medicines were increased in contents and she started geeting into regular series of Depression. At present she cannot recollect the basic activities related to dressin and even brush her teeth. We are confused with her state now. | Hello,Bipolar disorder is of such nature. It becomes difficult to deal with mood swings in chronic cases if dose of drugs is not mantained or adjusted properly. Please talk to your psychiatrist about her illness and mood swings if she has any, even on medications.The dose of mood stabilisers would have to be adjusted.Thanks. | |
Can right sided pain in the chest and back be a sign of pleurisy?
I was diagnosed with Pleurisi and have been taking antibiotics. My pain started underneath my right arm last weekend. It has now moved to the front of the right side of my chest and I can feel the pain on the right side of my back as well. It hurts when I take a deep breath. It feels better when I lean forward. I have been taking antibiotics for 7 days now. It seems to be getting worse. Does this sound like Pleurisi? Thank you, | Hello, Yes, it might be from pleurisy however talk with your doctor to do a chest x-ray first. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist | |
Q. BP has not come under control after taking Telma and Cilacar. Why?
Hello doctor, My dad is having a persistent BP of 150/95 even after taking Telma 40 in the morning and Cilacar 20 in the evening. What should be done and how much risky is this BP? | Hi. Telama is Telmisartan and your dad is talking 40 mg once a day. If he has been on it for over two weeks and the kidney function is stable, then it can be increased to 80 mg in one dose or divided dosage, that is either 80 mg in the morning or 40 mg morning and 40 mg evening and he is to continue in Cilacar 20. Ideal BP should be less than 130 for the systolic (top number) and less than 85 for the diastolic (low number). If the BP is not controlled to the above recommendations then other medicines are to be added. | |
Need information about Bertillotis syndrome
I would like to know what all you know about Bertillotis syndronm. I was diagnosed in 2010 after suffering with severe back pain and nerve pain down my leg. It took me years to get anyone to believe me about how much pain I was in until I found the right doctor who gave me another MRI and X-rays. He, himself told me that at first he didn't even know what he was looking at and had to look it up. | You may submit the report of MRI X ray. If your doc. has told you so,then probably he might suggest further treatment. If indeed it is bertilottis, then you may require some spinal fusion surgery ( will depend on MRI report for level of transistional vertebra) | |
Q. Why am I hearing metallic scratching sound for the past one month?
Hello doctor, I am continuously hearing a metallic scratching sound for the past one month. Best described as like the sound of cricket insects as heard in the dead of night. I am taking medication, namely, Syndopa plus, Rasalect, Pramipex ER3, Rozucor, and Amantrel for Parkinson for last seven years. | Hello. I understand that you have tinnitus. Has it been there only for a month? Is it associated with any decreased hearing? Is it there in both ears? Is the tinnitus accompanied by vertigo or vomiting sensation or fullness in ears? Have you done any testing for the same? When a patient comes to us with symptoms like yours we ask for all these details in history to rule out any neuroma in the nerve or age-related hearing loss or Meniere's disease. A basic investigation that we ask is pure tone audiogram. Additionally, I would suggest you get a SISI (short increment sensitivity index) test done. These two should give us a fair idea and help us rule out the above conditions and check for the cause of tinnitus. If the tinnitus does not have any cause we can help you tolerate it using tinnitus matching and masking. Some centers also provide tinnitus retraining therapy. These are useful. Certain medications like Caroverine and Nicotinic acid also are helpful in improving the condition. For more information consult an ENT otolaryngologist online --> | |
Q. What is the recommended diet for jaundice?
Hi doctor, I have been suffering from jaundice for the past three months. I am feeling fatigued. I have been drinking about 150 mL whisky every day for the past 9 years. But, I did not drink anything in the last three months. I tested for bilirubin, serum, hemoglobin. My liver shrank in size and the spleen is enlarged. My bilirubin 4.20, albumin 2.81, AST 49, ALT 12 and hemoglobin 9.30. Both hepatitis B and C are non-reactive. Kidney and pancreas are normal in size. The doctor suggested for endoscopy. Please suggest the diet and precautions. Is the liver condition reversible? | Hi. Alcoholism. LFT and upper GI endoscopy. Alcohol induced chronic liver disease with portal hypertension. Continue medical treatment as suggested by doctor. For further information consult a medical gastroenterologist online.---> | |
Q. How to get treated for cough associated with chest pain?
Hello doctor, I have five weeks of cough, with mild yellow phlegm, malaised, chest pain, type one diabetic, and on Azathioprine for ulcerative colitis. Get exposure to Tb daily. Also finished rotation in peads. Tb test is negative, wcc and crp normal, mild hypoxia on blood gas, macrocytosis, and mild lymphopenia. Gastro doctor advised stopping Aza temporarily. 5/7 of Clarithromycin helped, still coughing and chest pain ct after antibiotics suggested atypical pneumonia vs. mycobacterium infection. Pulmonologist here not available for some days and I would like to go back to work. What would be the next step in terms of management? | Hello. If your investigations are regular, why are we suspecting any infection? I would consider this allergic bronchitis. I would recommend you to go for anti-allergic like a combination of Levocetirizine and Montelukast once a day for two weeks. You may add up any bronchodilator like Doxophylline. I hope it helps you. If you have any further query, please ask me. | |
Suggest treatment for ear pain
my 11 year old son has had problems with his ears for most of his life, he has a tube in his right ear that will not come out and when the doctor tried to remove it hurts him. In the left ear his ear drum has been perferated for years now and will not heal. He has allergies and is resently complaining again out a sore throught and ear pain. The doctor has perscribed oflaxin ear drops for his left ear , is it safe to put drops in an ear that is perferated for he is supposed to do 5 drops in his left ear once a day but after 2 drops he screams in pain. | Yes you should use these drops to control infection in the ear.You should go for tympanoplasty for cure of perforated eardrum. | |
Suggest remedy for severe pain in the middle of back
2 days ago my latissimus dorsi (both sides of the middle of my back), sides, and abdominal muscles would contract every minute for about 5-10 seconds. After the first day the contractions stopped, but I have severe pain in the middle of my back. I tried to do stretches, but the pain is severe so I stopped. What could cause this, and should I be seen by my doctor because it could be something bad? | HiThank you for asking HCMI have gone through your query.Your problem can be due to injury to spine or muscle strain.A physical examination by an orthopedician will give clue for this and a X ray followed by MRI if needed will rule out this problem.In case of any fracture to spine immobilization by using corsets is necessary.If that is clear then i usually advise muscle relaxants like cyclobenzaprine, NSAIDs like Aceclofenac and neurotropic drugs in my patients with such cases.I advise a short period of rest followed by physiotherapy and muscle strengthening exercise also.Hope this may help you.Let me know if you have any further query.Thanks. | |
What is the treatment for high blood pressure?
today i went to an employee health screening for new hires. i am starting a new job in 2 weeks. my blood pressure was 156/78. i work out 3 times per week, eat healthy, normal weight, and my bp is normally 120/80 to 130/80. should I be concerned about todays elevated bp reading? | One reading doesn't make you hypertensive... White cost hypertension if coming on doctor visit .. Your doctor will take your repeat reading.. And correlate all your history and physical examination... And then only lebel hypertensive... Your diastolic blood pressure is normal... Still good chance that you are not hypertensive . But definitely need to confirm .. another test called ambulatory blood pressure monitoring will give more reliable answer when in doubt .. | |
I am suffering from back pain, how to get rid of it ?
I hurt my back when I bent down to pick something up on Sunday and I felt great pain and now it's Friday and it has gotten better and it only really hurts after I shower to the point I have to lay down immediately. I use Ban Lang Muscle rub and doesn't seem to help. What can I do and why is this happening? This has never happened to me before. I am a female who is not pregnant and am 28 years old. | Hi,Michlle, Thanks for query, You might have muscle catch or stretching of back muscles. This may be due to lack of exercise. Take analgesic and muscle relaxant medicine. Take rest. After you become alright, start doing some physical exercise like running,swimming etc. Ok and bye. | |
What causes a red lump at the extraction site of a bottom molar?
I have had a bottom molar extracted a week ago, due to a large abscess. The extraction site was healing well but now has a red lump in the hole attached to one sid. It also feels like the gum at the same side is bulging out a little. Is there still an infection? What would the red lump be. When i press on it, it goes redder and bleeds. Im not sure if there is any pus as i do not want to press hard on it. What can the lump be? | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have symptoms of red lump at the extraction site of a bottom molar which seems to be due to ulceration and gingival laceration due to large force required for extraction and slippage of instrument.Need not to worry. I would suggest you to - Mainatin complte oral hygiene and avoid sharp and spicy food intake.- You should maintain complete oral hygiene and take antiseptic mouthwash. - Prevent food lodgement in that area.- Take proper course of antibiotics. If it is causing pain take Ibuprofen.I would suggest you to visit oral and maxillofacial surgeon once and get it examined completely. You should go for its removal if it is really troubling you. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Can Candida recurrence stop after pregnancy?
I have a recurrent Candida problem and have tried everything - maintenance therapy with Diflucan, the progesterone only contraceptive pill, estrogen treatments. One doctor said that this problem is usually resolved with pregnancy. Is this true? What can I do? | Thanks for posting you query to health care magic.pregnancy do not cure Candida infection .There are many species of Candida and all are not pathogenic. some Candida spp. can be present in genitalia of some woman without causing any harm in a commensal form . what problem you are having with this organism as it is yeast like fungus and require long treatment and some precaution for complete cure .Hormonal pill only maintain vagianal Ph normal but dont have any effect on Candida.Diflucan is a oral tablet but it is better if you treat infection locally.you can use Mycostatin vaginal tablet 2 tab daily in vagina for 2 weeks .Maintain hygine of genitalia.usually such type of infections are mixed infection so go for microbiological examination for vaginal discharge and review me so that i can suggest you further treatment .hope you are satisfied with my answer . feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist | |
What could cause sleepy,restless & nauseous after menstrual cycle?
For two months now, after I finish my menstruation, the next day I am severely sleepy, achy, and nauseous/upset stomach/diarrhea (even vomiting). Is there such a thing as post-menstrual syndrome, as apposed to pre-menstrual syndrome? I take a BC pill regularly and my cycles have been normal. | Hi,Thanks for posting the query,This is normally associated with the menstural cycle, if the symptoms are adverse i would suggest you to consult to your OBGYN and get the checkup done.Take care! | |
Chronic tonsillitis. Swelling and pain in the throat, white spots in the mouth. Ulcer?
I am a girl of 25 and often suffer from chronic toncilitis since last year summer.this happens in summer.a juice is secreted which is visible in lyrx and phyarengitis I have too..i can c it in troat pain too..and since two days I m having swelling in my right side jaws end portion...and also in the adjoining skin surface next to it in the mouth walls..looks like mouth ulcer ..whitish thing..kindly help me out...i think it has happened due to intake of advent which I took ladt week its reaction perhaps..but I am worried due to the swelling.pls help me out some medicines..pls..is it ulcer or something major?? | Hello there , Thanks for writing your query, Appearance of recurrent ulcers on the oral mucosa indicates inflammation . It may be caused due to several reasons like deficiency or certain vitamins especially vitamin B12 and vitamin C. Maintain good oral hygiene by practicing regular mouth rinsing with lukewarm saline water or antiseptic mouthwash like betadine or chlorhexidine. start with multivitamin supplements for 7 to 10 days and vitamin C lozenges will help in resolving the problem. avoid alcohol , carbonated drinks , tobacco chewing and smoking as these may worsen the area affected. For tonsillitis , you may need to get the examination and clinical evaluation done approaching an ENT specialist. i hope this helps , take care. | |
What causes a baseball size bruise on the inside of my left thigh?
I am 23 yr old male 170 lbs. about 5 hrs ago I noticed a baseball size bruise on the inside of my left thigh with a pea size lump in the middle... There is no pain like a normal bruise and I didn t hit it on anything. Do I need to be worried about a bite or would the area be worse by now if it were dangerous? | Hi,Dear,Good afternoon.Thanks for the query to my HCM online- clinic .I studied your query in-depth.-In my opinion the painless bruise of baseball size- is mostly due to the groin fungal infection with mild-secondary infection causing lump on inside of your groin.--Cause of lump-Possibility of insect bite needs to be ruled out due to the central pea-size lump.-Hope this would resolve your worry-some query.Wellcome again to HCM .Have a good day. | |
Will maxoza powder work on iui ?
we have done iui 2 times but there is no result doctor has suggested maxoza powder for 2 months will it work my husband sperm count is 5 million | Hello Welcome to health care magic IUI should be done for minimum of 4-6 months regularly .Sperm count of 5 million is quite less ,so medicine must be taken to improve semen quality ,i.e. sperm count ,there motility,morphology.only then you can expect result of IUI.Success rate of IUI is 15-20 % only. Wish you speedy recovery Disclaimer | |
What causes pain on the arms and legs with lyme disease?
I am experiencing burning and aching in my arms and legs, not the torso. The pain is not alleviated by advil or aleve. During the day I can compartmentalize the pain but during the night it is extremely difficult to handle. One day the pain will disappear and then reappear months later. I have had Lyme Disease at least twice and I used to think this was related but now I am not sure. | residual effects from lyme disease is neuropathy also the peak of pain is at night which indicates arthritis and neuropathy check for lyme disease recurrence if not then you need to stay on vit b 12 supplement you should be okay withen 2 month also try to stay warm at nightother possibilities include multiple levels of vertebra spondylosis Hope i was helpfull enoughGood luck | |
Red spots on legs, arms, feet, severe itching. Taken steroids, recurring condition. Allergic reaction?
I suddenly developed red dots that start on my legs and a little on my arms. mostly on my legs/ they itched like crazy. I went to urgent care and was gven a steroid which helped a little and once thru with the medicine they are back and now on an antibiotic because i have them infected from scratcing. some are raised some flat and tiny tiny red freckle like dots on my feet . what could this be . am i allergic to something all of a sudden . the doctor at urgent care said its not any kid of bug or ringworm thank goodness i was freaking and still kind of am. please help | From your description indeed seems like an allergic reaction, since the steroid cream reduces the effect you should keep using it, but most importantly is to identify the allergen, there's a lot of things that can trigger an allergic reaction but try.... changing sheets, switching laundry detergents, hypoallergenic body lotion and soap, also be aware of any new food products and try narrowing down any possible triggers for the allergy....if after some time you still can't identify anything consult an allergy specialist so he can perform specific tests. | |
Suggest treatment for infertility
Hi, may I answer your health queries right now ? Please type your query here... I am smt. Swagata Manna, age 31, all types of blood test done and found oK. IUI failed 2 times. Husband seman analysis found 25 million/ml. Next step what to do?.Please suggest. email ID: YYYY@YYYY | Hi welcome to healthcaremagic.I have gone through you query.Your husband has normal semen analysis.Aa you had done 2 cycles of iui intrauterine insemination. Continue this cycle for 1/2 time.If can't get success then take break for 2/3 cycles and consult gynecologist for next stage of treatment. As icsi intra cytoplasmic sperm injection and inf invitro fertilization is good options.Hope i answered your question.Would be happy to help you further.Take care. | |
Can a pinched nerve in the back cause numbness in the toes?
I complained about numbness in my feet beginning in the smaller toes and moving to the big toe. I was diagnosed with a pinched nerve in my lower back. I had a series of injections in Nov of 2016. After the injections, the was no change. Because I did not want to consider surgery, I am not under the care of a doctor. However, I am still having the numbness to the point that I have to be particular about which shoes I can wear. It only improves when I rest my back with my feet up. | Hello,What I can neer from your complaints is that you are suffering from a pinched nerve root in the back with radiculopathy.If you have not got an MRI scan done then I would suggest you to get one, as it will show the amount of nerve pinched in the back.Till then, I would suggest you to undergo physiotherapy and stretching excercises. I would also suggest you to take gabapentin tablets after consulting your physician. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Santosh S Jeevannavar | |
What causes chest pain in children?
hi my son is 6 year old.he is always complaning of pain in chest and hence he himself hit in that particular area.it is just one finger point area.i can see rash over there.we consult dr.we did xray..and is fine..but he is complaning everytime..we have given advil pain killer ...but it has not work..and also my son is very anxious..he cannot sit or stay alone for few minutes too ..even for pee and pooh he want me to take upto bathroom...but he can be in bathroom alone but again will call me after few minutes... | Pain in this area may b due to Vitamin D deficiency or scurvy. So u should go for tests regarding that. You should rule out any trauma. If there is no identifiable cause than it may b growing pain. | |
What causes swelling in the feet while on dialysis?
My father is having problem with both the kidneys. On regular basis he is doing peritoneal dialysis as his kidneys are functioning 15-20% total said by doctors. The treatment was in continuation since last 3 years but now suddenly he got extreme weakness, swollen up on feet, hands and eyes like a liquid is filled up. He is a diabetic, BP, thyroid patient too. Can you suggest | Hello,Swelling in feet in case of your father is related to Chronic Kidney disease and its complications. For treatment, the following steps are required:1. Avoid excessive salt and water consumption2. Compliance to scheduled dialysis3. Diuretics can be considered.4. Avoid medication like NSAIDs5. Good control of BP is needed.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Wajahat Baig, Internal Medicine Specialist | |
How to remove sore and itchy lump from anus?
I m a 14 year old female and in the past 2 days my anus(this is so embarrassing)has been sore and itchy/uncomfortable and earlier on I noticed a lump just on the outside of my anus the colour of my skin, my mom suffers with piles and I m wondering if it is possible I could have it? Please help because it s really uncomfortable and I m pretty worried. | Hi,It seems that you might be having some local infection in anal region, dermatitis or yeast infection.Many a time worm infestation can give rise to this problem.Go for stool test for ova and cyst.Apply triple action cream locally.Avoid constipation.Take plenty of water.Ok and take care. | |
How to cure fatigue caused after gall bladder surgery?
I have this strange fatigue after my gall bladder surgery, out of nowhere in the middle of the day its as if someone reaches in me and pulls all my energy from me all at once and i suddenly feel completley wiped out!! Its been a week and 2 days, is this something that will pass or is there vitamins and supplements i should be considering to combat it?? | Hi and welcome to HCM.you should not take anything at this pint. you need ot rest for 2 more weeks, eat easier food and thats it. this is common after gb surgery and you dont have to be worried. Thanks for the query. Regards | |
What causes body aches,pain in jaw and extreme sleepiness after facial trauma?
About 2 & 1/2 weeks ago I was treated for a facial trauma I had sustained tripping on a brick and landing on a gas main. I was given antibiotic and pain reliever, and a follow up in three days. At the follow up visit, I had a fever, elevated blood pressure ( which I have never had; I m only 34) , and elevated heart rate. I was given an injection of antibiotics, as well as an additional antibiotic to start along with the original. I finished the course last week, swelling went down, and was only left with some slight bruising under the eye, bridge of nose, and upper lip. I felt almost back to normal. My question is: I now have SEVERE body aches, pain in my jaw and my eyes, and extreme sleepiness. I wake up with a headache every morning. Could this be a sign that the infection is still present, and possibly getting worse? I can barely stand to touch my arms or legs. Additionally, I am also on long term Prednisone treatment (well over a year now) and I also take Cellcept; both for Behcet s disease. These symptoms are nothing like I ve ever experienced with Behcet s, but I thought the immunosuppressants might be playing a role as well. Thank you in advance for any advice you can provide me with. | Hi,Noted that your are taking long term course with steroid for Behcet's disease, suffered facial trauma and now have headache and other symptoms as you have mentioned.Since you have facial trauma head injury that is brain and its covering injury has to be seen for by clinical evaluation, MRI of the head and other necessary investigations.If there is any finding then you will need a guided management for the headache.If infection is still present then you will need a proper antibiotic cover along with proper anti-inflammatory medication.Other reasons also should be looked for, investigated and treated if found.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. T. Chandrakant, General Surgeon | |
What could cause unilateral hydronephrosis?
A recent u/s showed that I have unilateral hydronephrosis. When compared to a previous u/s done 7 yrs ago, they noted that it appeared then that I had mild pelviectasis. Could this be due to improper formation of the ureter even though I did not have symptoms until recently (I am 45 yrs old)? | Hi There are multiple causes of unilateral hydronephrosis. These include blockage by birth(congenital- called PUJ obstruction), stones, reflux of urine, cancers of urinary tract etc.I would recommend CT scan of the abdomen without and with contrast, renal function test, urine analysis and possibly might need a renogram and further tests to evaluate the cause. The so called congenital obstruction can even present itself at 100 years of age for the first time without having any symptoms until that time. Hence please get evaluated by an urologist. | |
Severe left milder right foraminal stenosis with asymmetric mass effect on left L5 dorsal ganglion. Indications?
I just got found out that my l5 S1 had a small central caudal extrusion superimposed on mild retrolisthesis of L5 S1 no mass effect on the s1 roots, Severe left milder right foraminal stenosis with asymmetric mass effect on left L5 dorsal ganglion... what does all this mean? Do you think spinal injections will help? | Hi,Thank you for posting your query.I have noted your MRI findings. These suggest mild compression of nerves in the lumbar region (lower back), which may produce back pain, pain in the legs, and numbness of feet.Treatment would depend on the severity of symptoms.Initial treatment would consist of medications such as pregabalin or gabapentin capsules, along with physiotherapy.If the pain relief is inadequate, then, epidural injections would be helpful.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Is surgery needed for arthritis in knee with lump under knee cap?
Hi, I have been diagnosed as having arthritis in my right knee. I have had a movable soft lump slightly off centre and a little under the knee cap of my left knee, im concerned this will result in needing to have this one operated on...can you advise? | Hello, Consult an orthopaedician and plan for an MRI scan. If required you can go for an arthroscopic repair. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Q. Do I need to wear glasses when my eyes are 6/6?
Hi doctor,As per last week eye checkup my eyes are 6/6, but doctor advised me to use 0.5 power glass for far distance while working on a computer or watching television. I am an IT professional. He told that sometimes my right eye did not match with the left so it is creating eyestrain. But, for second thought I went for another doctor he told to use 1.5 glasses for the same. So, what should I do now? As I went to first doctor in morning and second in evening so my eyes are very tired in the evening. Can tiredness be the reason for this difference. I do not want to make any wrong decision in this matter as I know if Istart using 1.5 then eyes will be in habit of that and then I have to use it for every time. If I do not use any, then power will increase. Currently, I am using Hyfresh eyedrop. Please help. | Hi. I have gone through the pictures of your old prescription (attachment removed to protect patient identity). For further information consult an eye care ophthalmologist online --> | |
What causes abdomen pain with bloats in patients with endometriosis?
Hi. I have endometriosis and have had diverticulitis before. Since this morning I have pain in the lower left part of my abdomen and the pain is increasing as is my nausea. The pain sometimes radiates to the right and rectum. When I turn on my side it generates a different pain and I am bloated - my lower belly is tender but hard. Any ideas? | Endometriosis itself Is Very painful at times.If this pain is new then there may be associated urinary tract infection or irritable bowel syndrome constipation type. As you may be already taking some medicine s for your existing disease that may cause constipation as well. Give urine sample for testing. Mean while take pantoprazol with domperidon empty stomach. Add urine alkaliser for time being. If constipated add mild laxative.mild analgesic like acetaminophen may be used as nausea might be aggravated. See your doctor if required. | |
Had intercourse. Non raised but flat rash on lower abdomen and 2 red spots on shaft appeared, no pain. Reason?
Hey, I recently starting have sex with my boyfriend he hasnt have sex for over 9months and the first night we has sex the next day he wake up with non raised but flat rash on his lower abdomen and 2 red spots on his shaft, he isnt feeling any pain for having and discharge and I have no rash on my lower bottom although I do have my period right now and we were just wondering what this might be | It can be a fungal infection or trichomonial infection. Usually sexually transmitted. Visit a dermatologist or medicine doctor near by for treatment even if its not painful. | |
Strange obsessive compulsions to touch objects repeatedly for good thoughts, unpleasant intrusive thoughts hindering productivity. Treatment?
Hello Dr. I have been having strange obsessive compulsions to repeatedly touch objects until I feel I am having a good thought, unpleasant intrusive & involuntary thoughts and images of having sex with close relatives, goddesses. These are making me weak and and are hindering my productivity. Please suggest treatment. Thank You. | Hello, from your description it is evident that you are suffering from Obsessive Compulsive disorder (OCD) which is impairing your functioning.As you yourself have described, the symptoms point to sexual obsessions and neutralizing compulsive behaviors in the form of repetitive touching. OCD is also known as a silent disease as the sufferer usually suffer silently because of the ego dystonic and embarrassing nature of the thoughts.But do understand that there are effective therapies available. You will need to consult a Psychiatrist immediately, who will first evaluate you thoroughly to determine the extent and severity of your OC symptoms .You will then be prescribed medications and adjunctive Cognitive Behavioral Therapy which is a non pharmacological approach to dealing with your symptoms.Current day therapies will surely help you overcome the otherwise disabling OCD. Wishing you the best in health and life | |
Q. My M2-PK level is 150. Does it mean that I have cancer?
Hello doctor, My M2-PK is 150. Does it mean that I have cancer? There was no pain, just a regular checkup. Kindly help. | Hello, Welcome to iclinic.com. No, it does not imply cancer alone. Many healthy people, as well as patients with other non-cancerous diseases like rheumatic diseases, diabetic nephropathy, chronic heart diseases, inflammatory bowel disease, pancreatitis, sepsis, may have elevated levels. So there is high false positivity rate as well. But, since it is elevated and also you being asymptomatic for other diseases I mentioned that it is better to undergo an evaluation to rule out cancer. Also, the blood test is not a very good test for screening of colorectal cancer (attachment removed to protect patient identity), and it is not recommended due to high false positivity rate, and fecal test M2-PK is a better option. So, I think you should have a fecal test as well. If positive then we will get a colonoscopy done otherwise you should undergo screening CECT (contrast-enhanced computed tomography) chest and abdomen to look for any cancerous change. For more information consult an internal medicine physician online --> | |
Suggest treatment for regular semen discharge
My problem is When I sit on stool and put pressure to excrete waste material ...few drops of semen leak out from my penis....when I touch it, It doesn't feel like semen and it is not sticky but its white in colour...I am doubtful whether it is drops of semen and my body has soo week during this so tell me the best solution without site effect.thanks | HiI Understand your concern.No need to worry.That fluid is prostatic fluid and it comes from prostate gland.It is normal.It does not cause any type of weakness.Constant thinking lead to psychological disturbances and it will lead to all other problem.please ignore that.Relax.Best solution is not to think about that.Still have a query then feel free to ask.Thank you. | |
What causes a piercing pain in the left side on the chest?
Hi I had a piercing pain in the left side of my chest. Like a needle piercing my heart. I went all light headed and needed to sit down. I then experienced a hot flush where i actually had sweat beads on my forehead. I have had an ECG, all clear plus a heart scan and that was clear | Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for heart diseases because your ecg and heart scan reports are normal. Sometimes, stress and anxiety can also cause similar kind of symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Q. What can be done to manage depression due to break-up?
Hello doctor, I am a broken heart. I am not eating or sleeping. I cannot live without him. What should I do? | Hello. A heartbreak or a fall out of a relationship is a saddening experience. There is a feeling of loss coupled with damage to self-esteem. But lots of people experience it at least once in life. Here are a few tips to cope with it. Sitting or lying down all day at home will not help and in fact, worsen depression. It is time to interact with friends as much as possible. Treat yourself to a movie with friends, a dinner, a visit to nearby holiday spot. If these sound difficult, at least interact on phone. Indulge in your hobby which you enjoy. Share your thoughts with a close family member or friend. Get active physically. Join a gym, start cycling, or maybe dancing if you like. Realize that it is better that it happened now rather than farther late in the relationship when you would have been more emotionally invested. It has been a while that you are used to being in a relationship. Do not be scared of being single for some time. It is worth enjoying too. Do not rush into your next relationship right away. Remember that time heals all heart trauma in a way that you emerge stronger and emotionally healthier out of it. If you feel that it is difficult to begin these activities, see a psychologist or psychiatrist. Sometimes an initial help is needed to get out of this cycle. Take care. | |
What is the treatment for painful tachycardia?
hello im 22 years old,weigh 68kg and im 1.58m,experience painful sudden accelaration of heart beat and i started experiencing this burning sensation when urinating and even after that i always felt like i needed to urinate but i started using 'gyna guard' and i didnt feel anything until i stopped using it,i am sexually active so it might be an infection because the intimate wash product could have just been suppressing it and i sometimes have thir dry brown discharge which looks like the things after a menstrual cycle but im usually not on my periods at that time...so any ideas? | Hi,This is Dr Sameer, cardiologist.Increased heart rate & palpitations can have a lot of causes.It can be normal sinus tachycardia due to anxiety or stress or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holter Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any.Infection & fever can also increase the heart rate.Thanks | |
Q. I am worried about my breast lump. Please help.
Hi doctor, I am a 30 year old mother of a 11 months old. Today, I found a red, inflammation on the surface of left breast on the lower side. It is a lump kind of stuff. I am doubtful whether it is cancer. I did not see any other symptoms of breast cancer as other things look normal. I am so worried. Please help. Thanks in advance. | Hi. An inflamed lump is unlikely to be a cancer. This is an often occurrence in women with babies being breastfed. It occurs due to an infection. However, any lump must be examined by a breast surgeon and if required a sample of the tissue taken in order to ascertain the cause and nature of the lesions. For safety sake, you need to visit a breast surgeon. However, the chance of cancer is relatively low given your age, etc. Please have it checked out. It is not something that anyone can diagnose without examination. For further information consult an obstetrician and gynaecologist online --> | |
Does vyvanse or acutane have a connection to psoriasis?
does vyvanse or acutane have a connection to psoriasis. I have this theory that acutane caused my psoriasis and vyvanse keeps it under control but when i stop that anxiety is worse and could cause the stress level to go up. Also, I drink alcohol and love spicy foods | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Anxiety and stress may trigger worsening of psoriasis. Alcohol also cause acute exacerbation of symptoms. Lithium and anti malarial drugs can worsen the symptoms. Vyavanese and acutane doesn’t has got any relation with flaring up of psoriasis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain | |
Suggest treatment for Lump on left Shoulder
Hi my name is Anna, my concern is for my son he is 20 years old and has injured his left shoulder at football he was sent to hospital and was told it was a ac injury since then he has gone to a phisio and was told there was nothing to do, he has a lump on his left shoulder what should we do now ,can he still play football I have bought him a shoulder band, I don t know what to do. He is an apprentice ana is anable to take time off work, thanks Anna. | Hi! Good afternoon. I am Dr Shareef answering your query. Once he was taken to the hospital, I hope they must have excluded a fracture in the area. The swelling could be just a hematoma (collection of blood) due to the injury caused while playing. He should give proper rest to the part which would be taken care by the shoulder band. If I were his doctor, I would have advised him for an anti inflammatory drug along with a proton pump inhibitor, and also would advise him against going for any active activity in games till this heals up which might take some time.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
What is the cause of jaundice and abdominal pain?
My 12 yr old daughter has had three bouts of jaundice which lasted about 2 months each. When she is jaundiced, She also has leg pain and upper abdominal pain. During an episode, She sometimes vomits when she eats fat foods, but she can eat whatever she likes when she is not jaundiced. I have taken her to hospital bc at one point, she was rolling on the floor in pain. The docs talk about Gilbert s disease, but I have a very large extended family and nobody has this genetic condition. Since There is no specific test for Gilbert s disease, I want to know if there could be another condition causing these specific symptoms. My daughter was well for the past 4 months, but the symptoms are appearing again. | jaundice can be infective & obstructive in nature usually infective jaundice will not reccur (unless infected with HEP C) obstructive jaundice has to be ruledout with abdominal MRI & LFT .gilberts can also be considerd as one of the diagnosis | |
Suggest treatment for IBS
i have a prblm related to my stomach. doctors diagnosed it as IBS. I have un formed stools. i can see un digested vegetables in my stool. i feel tireness and lack of enthusiasm. doctors are of the opinion that it is because of tension. i refuse to believe that i have tension of that sort. of course i get tensed and that happens even from my school days. i am now 38 years old and this started suddently on one day before 8-9 years. i am afraid to take medicines because of side effects and fear of habit forming. at last now i decided to get treated and the doctor prescribed the following medcines: Happi D (morning), enterogermina (2wice daily) and deanxit. can i get a permanant cure for this and live without medcines? i dont have any stomach pains,vomiting etc. i dont feel like going to toilet every now and then. in the morning i need to go 2-3 times. thats all. | Hi.Thanks for your query and an elucidate history.If it is just going to toilet 3 times in the morning , nothing much to worry. But you say there are undigested vegetables and tiredness , lack of enthusiasm, you need a treatment. The present treatment you mentioned is one of the best regimens, you can slowly withdraw then in doses and duration. Well, if your Doctors have diagnosed this as a case of an IBS , there is no specific treatment. Yet to add ::You can add creon or pancreatic supplements with food / avoid strictly all the foods and beverages that these cause or enhance such problems. Instant decision as to have an absolutely stress-free life is a must and changing the lifestyle can alone help you better than the medicines, | |
High creatinine level, not diabetic, BP problem. Should we start dialysis?
Hi, My father is aged 70 yrs and has a creatinine level of 8. It spiked from 5 to 8 in last 3-4 months.. The problem was first detected 12 yrs back and the rate of increase of creatinine level was very slow until last 3-4 months.. He has some BP but he is NOT diabetic.. Potassium level is also not high.. Health is also good compared to his age.. I wanted to know if we shold start his dialysis or should we do a kidney transplantation? | Your father seems to have CRF chronic renal failure its natural history is like this that is renal function gradually deteriorates once creatinine level starts rising it may be fast, You should se a Nephrologist and find out any reversible cause for rising creatinine. For example dehydration Infection etc if no then check other parameter and be ready for Haemodialysis may start with formation of AV fistula which helps in hemodylisis. |
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