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What can I do for foul odor and white discharge under foreskin after masturbation?
Hi, Mastrubating after a week the smell of semen was awfull almost like rotten meat and there were some kind of whitish and smelly layer of material under the foreskin I am not a regular mastrubator so please help me in this matter I am grateful to you !! | Hi,White material under prepuce is Smegma. It should be cleaned daily at bath. It is a whitish secretion produced by gland in skin of prepuce. It should not be kept uncleared for long time. As, it may lead to secondary bacterial or fungal infection.I usually recommend to have Sitz bath in dettol containing water at bath. Short course of antibiotics and antifungal tablets may be taken. Smell of semen you told is totally normal, so do not worry. I hope you got my answer. Thanks.Dr.Ilyas Patel MD | |
What causes lower back pain on the right side?
Yes, please. I have had a pain in my lower back right side. I know I have back issues but this is different. I had a severe blood infection in 2014 and it was eating up two bones in my back I had IV infusions every day (in hospital) for six weeks. This feels like a kidney thing?! | in my opinion you need an x ray on first instance followed by opinion of orthopaedic surgeon to see your spine bones along with clinical examination as any spinal nerve compression has to be ruled out | |
Q. Please suggest something to grow my hair.
Hello doctor, Hair loss. I want to increase my hair. In some areas, hair is not coming. Please suggest something. | Hi. How are you? I hope your health condition is good. I have read your problem and have seen attached picture carefully (attachment removed to protect patient identity) and you mentioned that you have tried 2 % Minoxidil. Now you want to know how to improve or grow more hair in some area (shown in picture). There are some options: PRP therapy, oral Finasteride, increase the strength. Your hair fall pattern seems to be like Androgenic pattern or male baldness. The strength of tropical Minoxidil should be increased. Besides this, you can take oral Finasteride. But there is some side effect such as deterioration of sexual function but this problem is reversible, that means when you stop the drug, the problem will be reversed. You can use tropical PRP therapy which is safe and no adverse event occurs. But the result may not be up to your satisfaction. The other and final option is a hair transplant. This option is expensive but the result is quite good. I hope the above-mentioned information may help you to solve your problem. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
What causes a small lump inside the scrotum?
Hi, I have a small pea-sized lump which is inside the tube-like upper part of the scrotum. I have been evaluated by my local GP who said it is likely a varicocele, but after some research I think it is an epididymal cyst. This is only because a varicocele looks like it is a swelling of the whole vein itself, whereas in my case, it is a small hard, concentrated lump, within a tube . I am not one to go against my doctor as he is much more knowledgeable in the field than I am, but am just looking for a quick second opinion. Also, I have regularly checked my testicles following the discovery of the lump, and have found no problems and they feel normal. However I am feeling some discomfort around the abdomen and groin area which I read can be a symptom of TC. The discomfort isn t really painful or an ache, it is simply a feeling of discomfort. Could this be linked to the lump in the tube . Any help is appreciated as I do not think it is TC, but I can never be too careful. Thank you in advance. | HelloThanks for query.The hard pea sized lump in scrotum above the Testis is mostly a Spermatocele (Epididymal Cyst) as rightly suspected by you.However this needs to be confirmed by Ultrasound Scanning of Scrotum This is a benign cyst and does not need any treatment and you do not have TC .Discomfort that you have does not need any active intervention or treatment.Dr.Patil. | |
Suggest medication for dizziness and fatigue due to low heart rate
A little over 3 weeks ago I went to the hospital due to a flurry of symptoms that I could not explain. I had not been feeling right for some time. I was experiencing extreme fatigue, dizziness and just feeling as if something was wrong. After running tests they told me my calcium level was too high and something about enzymes in my blood. The doctor was convinced that there was a blockage in my heart so he did a heart catheterization, but found no blockage. He said that there was minor heart damage probably caused by stress but was treatable with medication. He decided not to give me the meds due to the fact that my heart rate was so low. I was in the hospital for 2 days. I was told to take an aspirin a day and to see a Dr.in 2 weeks. Since that time I have been experiencing a feeling of warmth spreading down the left side of my body, mainly in chest and arm. This only seems to occur when I lie down and get relaxed at night. I did not see a doctor because I moved out of town the following week. I usually feel fine during the day when I am up and moving around. I often feel an uncomfortable pressure right in the middle of my chest that feels like I need to burp. | Hi,You mentioned regarding slow pulse rate, have you been monitoring it, you should monitor it regular at rest and at activities, have you been on any medicine for rate control, doctor might have given you thinking blockages. Secondly, your other complaints looks like gastritis and reflux disease so you should avoid spicy and fatty foods. Avoid smoking and alcohol if any. Also maintain sleep habits regular and also do regular exercises. Have some walk after meals instead of taking rest immediately. You can take acid suppressant like tab pantoprazole.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode | |
What is the prognosis of esophageal cancer?
My brother has oesophageal cancer and is having morphia for his pain he has a stent now to help with his eating why has he got so much pain i went through this with my own husband he had very little pain ...how long can my brother go on like this its now 7 mths | Hi,Thanks for writing in.Your brother is a strong person and has been fighting cancer of esophagus for 7 months now. Pain is a subjective sensation and no two people can experience the same degree of pain. In your brother, it is possible that the cancer in the esophagus is irritating surrounding sensory nerves that carry pain sensation. This pain is being transmitted to the higher center in brain and that is why he needs morphine to suppress it.A fight with cancer is allowed to go on as long possible. Your husband might have had a cancer that was less infiltrating the nerves and his pain tolerance was good.In my opinion, cancer patients with stents can live up to over a year on semi solid and liquid diet and if the cancer does not infiltrate fast inside the stent lumen. Please allow as much pain relief possible after discussing with his doctor, | |
What might be the small red lines around C7 and along the spine for my 6 year son ?
I have a 6-year-old son. This evening I noticed small red dots/lines around the C7 and branching out from the spine. The dots/line appear again along the spine in the lower thoracic and lumbar area. These seen to be under the skin as they do not blanch, and are not raised. Any idea what this might be and should I be concerned? | It could be herpes zoster consult a skin vd specialist | |
What causes low thyroid activity and low body temperature?
Hi, may I answer your health queries right now ? Please type your query here...I have a 4 mo/old granddaughter in Romania. Dad called said that she had blood work yesterday and her blood is thick, she has low thyroid activity and her temperature drops to 96.1 rectally at night. Is there anything I can suggest to my son as to cause or what he should do. They are missionaries. She had been sick 2 weeks ago and was put on low dose antibiotics. | Most common reason for acquired hypothyroidism is either autoimmune destruction to thyroid gland or post viral damage. You need to give synthetic thyroid supplement T4. | |
Cheeks inside mouth, tongue peeling off and skin is inflamed. Why does body also itch?
I have for a year now , my cheeks inside the mouth like peeling off skin also feels a litle inflamated and vains are now noticesable on both sides were the vains are visable i have a small lump of meat that i can feel,wich I never had before this year period .my tounge also gets red on the tip and grows, like geografic toung then gets to normal al this going on for a year straight . the roof of my mouth feels scratchy also. my head doctor gave me amoxycilin 500s once but nothing . i also get a bad allergy (red)all over my body itchy, dont know if its related to this but it doesnt go away neither. | Hi, Thanks for asking the query, Swollen inflammed cheek can be because of allergic reactions, vitamin deficiencies, inflammation of the lymph nodes, parotid gland, underlying dental infections, presence of cysts and tumors. Geographic tongue occurs due to immunological causes or nutritional deficiencies. I would suggest you to visit to an Oral and Maxillofacial Surgeon and get the checkup done. Take an x-ray if needed. Take multivitamin tablets. Avoid eating of hot and spicy foodstuffs. Maintain a good oral hygiene and use antiseptic mouthwash gargles twice daily. Hope this helps out. Regards... | |
How to treat suicidal feeling and BPD?
Yes, I am 22 years old. And I deal a lot with feelings of suicide. Along with that I also deal with BPD. I just started seeing the Mental Health Clinic. The Dr. there said that their is no specific medication to help with that. But is there something that I can take to help me have more ups than downs. Something that will calm me on certain occasions than having really really bad days? | helloMedicines effective for BPD are good for suicidal feelings as well. it is important to feel well each day , not only some days. Doctor will give you medicine for regular use as well as when you feel very bad. Psychotherapy and counseling are other important modes of treatment. DR SAATIISH | |
Suggest treatment for pounding heart
I'm 31, white male, 145lbs, 5'10" - this has happened a few other times this year - but today I scarfed down a decent amount of some supposedly MSG-free Orange Beef with brown rice, and about twenty minutes later I stood up and could feel my heart pounding in my head, so I took my pulse and it was up to 120bpm's. I got my pulse to go down fairly quickly (2 or 3 minutes), but then stood up about ten minutes later and my heart started racing once again. I sat down on my bed and shortly after I fell asleep for about twenty minutes. When I woke up I had a BM (already had one earlier today), wasn't diarrhea but it wasn't solid either and it was a good amount (not sure if it matters, but I've been trying to eat more fiber lately as well). I should also note I've suffered from panic attacks/anxiety/depression this year, but honestly have been feeling like I'm beating all of that as of late (haven't had a panic attack in months and feel more optimistic now than ever). Also have had some bouts of indigestion throughout the year, was burping a lot for awhile, but all of that seemed to go away as of late (I've been trying hard to eat better when I can). I recently had blood work done and everything was perfectly fine. I also drink lots of water regularly. Just wondered if any of this is cause for alarm or if this is normal? And if it is normal, what exactly happened to me? Was my body just not agreeing with what I ate? | Thanks for your question on Health Care Magic. I can understand your concern. No, it is not related to the food you are taking. Possibility of stress and anxiety related symptoms is more because you are already having panic attacks, anxiety and depression. But better to rule arrhythmia (rhythm disturbances in heart) first because pulse rate of 120 is very high. So get done ecg, 2d echo and Holter monitoring (24 hour continuous monitoring of ecg). If all these these are normal then no need to worry for arrhythmia or other heart diseases. You should consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need additional anxiolytic and anti depressant drugs. Your indigestion and increased Bowel motions are also due to stress and anxiety. So consult psychiatrist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Does Betnovate-n reduce penile pain during intercourse?
Iam 32 yrs.hindu is my religion.i have face a problem pl.provide a better solution.when iam going to be intercourse in that time i feel pain at my penis.local gp doctor suggest me to done surgery.when i told him to not interested about surgery doctor suggest me another option which is topical steroid Betnovate-N cream(which preparetion is betamethason and neomycin).dear doctor,my question is 1.is the medication is proper?2.how to apply it (with picture).3.have any side effect when i applied.?4.treatment duraton,and last one is,during this time may i going to be sex with my wife?as early as possible pl.give me a answer.thanks. | Hi,Looking to the history it seems that you might be having tight foreskin over glans penis giving trouble while penetration.Only option is to go for circumcision procedure.Cream you have prescribed has no other value than lubrication only.Having steroid in cream might give some relief form your problem due to its effect on foreskin, but long term use is not advisable.Instead using this cream, use some lubricant cream for easy penetration.Meanwhile make a habit of averting your foreskin gently gradually.In future this habit might give rise some loose foreskin.Ok and take care. | |
What causes low WBC in a child?
My 9 year old son has been ill with various bugs, infections since October 2010, including d&v, coughs, bad cold, flu and then probably swine flu over Christmas. The doctor did various blood tests to see if there was an underlying reason and they came back today with low white blood cells. She's said she'll retest in 3 weeks. Should we be concerned? Thanks | Hello,Cause of many infections includes white cells and many causes dec white cells. If it is less than 4 then it's the matter of concern.But the primary infection will be treated sooner. They will get normal in case platelets and HB is also normal. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Hina Javed | |
Is root canal procedure required for adjacently placed teeth?
Hi, I have two teeth beside each other need route canal. I would like to know what is best to do. Extract the teeth and put a bridge or just do the route canal and put a crown. I am badly in pain and don't know what to tell my doctor. Please response ASAP, thank you for your time and support | Thanks for your query, I have gone through your query.If i am your treating doctor i would advise to go for root canal treatment and get the crown done. Because once you get the tooth removed, whatever we replace it with, it will not give the natural tooth strength. The other reason is, once we remove the tooth, to relace it we have to trim the adjacent teeth for taking support. So I suggest you to go for Root canal treatment and crown.I hope my answer will help you, take care. | |
Suggest treatment for severe depression
What am I supposed to do if I suffer from all these symptoms of depression and experiencing poor job performance because of it? How am I supposed to pay bills and pay child support? Everyone says to get help, but you know what? There really is none. The help is to take medicine that makes people feel worse or produces other problems. Nothing erases history and being screwed over by a wife, divorce and greedy, despicable lawyers. The system is bullshit. It s one big lie.. | hi and thanks for question. i think u will very much regarding system and family. u have face lots of problem but u still negative side of your problem. i will suggest u that u shall start antidepressant like desvenlafaxine or escitalopram for 2 to 3 month at least than start psychotherapy for change pf thinking pattern. otherwise consult some psychiatrist.thanks | |
The FNAC investigation reported the presence of mature sperms and spermatoza. Further, very recently (just around 22 days back) I had undergone testicular biopsy procedure, the embryologist reported nil sperm in tissues extracted from left and right testis and sent the sample for histopathology in the same hospita where the pathologist reported mature spermatozoa in more than 90% tubules. Why the embryologist could not find sperms in the same tissues she investigated and whay Pathologist succeeded? Can testicular biopsy be repeated for freeze of sperm to use ICSI? Exactly after how many days gap, the testicular biopsy be repeated for extraction of sperm? | hiIf your testicular biopsy showed mature sperms you will be likely to get it again but most of the andrologist will wait for 6 months after the first biopsy.Your pathologist would have found the sperm because both the ways of looking for sperm is different.Pathologist can make multiple biopsies of your testis sample which may not be possible with the embryologist .you can discuss with an ivf consultant and if sperm freezing is available can undergo tesa and freeze your sperm and stimulae wife"s ovulation for ivf .But preferably after 6 months of first biopsy | |
What causes elevated liver enzymes while on medication for ischemic colitis and gerd?
I have been getting treatment lately for ischemic colitis, GERD and barrets esophagus and most recently IBS. On top of this, I have had slightly elevated Liver enzymes for the last 9 months. Recently, I started taking Nexium (40MG) and amitriptyline(5MG), for last 6 weeks, and my blood results came back with very increased AST of 109, ALT of 292, Albumin of 4.0, DBILI of .40 and ALK PHOS of 136. Would you be very concerned and should I stop theses two meds? They are the only thing I take other than 5 MG melatonin at bed. | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.I don’t think this is related to your pregnancy. AST (SGOT) and ALT (SGPT) are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common casue is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis,cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, ultrasound, bilirubin levels and tumor markers should be additionaly done Then appropriate treatment can be started.I hope I have answered you query. If you have any further questions you can contact us in every time. | |
Need medication for Supra ventricular tachycardia
Hello my name is Wanda I have had SVT for about 9 years..i have been on 4 different meds and had exams out the @%%..i have lost 3 great jobs and i have had episodes while at work.. medicaid wont cover me nor disability.. Im scared of the ablution nor can i afford it.. im tired all the time.. what can i do? | Thanks for your question on Health Care Magic. I can understand your concern. You are an ideal candidate for for electrophysiological study (EPS) and radio frequency ablation (RFA) study. Your SVT is not controlled by drugs. And so this problem will not cure and it will definitely recur in future if you don't get RFA done. RFA is permanent solution for SVT. Recurrence rate after RFA is very less. So better to get done RFA to prevent future SVT attacks and related complications. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest remedies to get good erection and prevent premature ejaculation
Hi, my name is XXXX i m from YYYY . well i think i have an eractile dysfunction during sex i cannot maintain my erection and release my sperm on very early stage and from few days i m not feeling proper erection..i need a treatment where i can see u | Hello,It may be due to performance anxiety. For that you can take tablet sildenafil and dapoxatin one hour before sexual act. Along with that you may require complete hemogram, lipid profile and electrocardiogram after physician consultation. Take balanced diet. Take proper rest and avoid stress.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician | |
What is the reason for itching near mouth, nasal congestion and septum?
I am suffering from unknown allergy (symptoms: heavy itching in mouth near upper pallette and ears) leading to periodic nasal congestion, septum infection and if untreated results into fever and respiratory symptoms like chest tightness, twitching, irregular chest pain. I am tired of drugs like Allerid-D 10 mg and drugs by a family physician. I need to sort this out, as it has lead to poor immunity and unhealthy lifestyle. | Welcome to HCM,You should take medicine when there is problem. Mean while you can identify which is source of allergy for you. Find out from your routine, diet, environment, clothes, color, any special condition, timing of allergy any particular day or night time, weather related. So identify source it will help you to prevent future attack. You can also do allergic test and find out source. Regards,Dr.Jigar | |
What causes pain in the right eye and right side of the head?
I woke last night with a pain in the right side of the crown of my head. It has continued off and on today. Also vague pain around my right eye and right side of my head up to my crown. It s not severe pain but enough to irritate me and worry a little. Could it be stress, a stroke (I have family history) or anything to worry about? I am 61 years old. I hate to bother my doctor and sound like a hypochondriac | Hello, As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, better to consult a neurologist and plan for an MRI brain to rule out possible intracranial (inside the brain) causes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes reduced BP levels?
i am a 30 yr. old female. i smoke ciggarettes and drink about 4 cups of coffee daily.. My BP has been b/w 88/48 and 90/50, My doctor said that this is normal, but I feel as though something is not right. I am quitting smoking and I am scared that my BP will drop more.. what can cause this? | Hello,Blood pressure won't go down while you taking all this coffee and smoking, what should you be worried about is your blood pressure going up. So please decrease your consumption of coffee to be once daily and you are smoking as wellHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Dalia Nayel | |
Does lump on left ankle caused by accident a week ago require attention?
Hit the inside of my left ankle with a hammer a little over a week ago. The bruising is almost gone but the lump that was there after the accident is still there, it hurts when pressed on and I am wondering if I have just insulted my tendon and it will heal with time or is this something more serious and I need medical attention | Welcome to healthcare magic. If it hurts only when you press it, then you need not worry. Avoid prolonged standing and physical exertion. Use crepe bandage. Generally soft tissues take 6 weeks to heal. | |
What are the symptoms of mini stroke?
hello, I am 30 years old, 5 6 and about 208 lbs. Earlier tonight I was driving and smoking a cigarette. As soon as I started smoking the cigarette i felt a bit edgy kind of shakey . after a few minutes I felt an anxiety attack coming on. Ive had these before but not like today. My vision was very blurry, It was hard for me to focus on what was infront of me. My hands got cold and and started to tingle reallly bad like if they were numb. I began to sweat and had the feeling I was about to black out. I felt like I couldnt breath. could this have been a mini stroke and not a severe anxiety attack? | Hello!Thank you for asking on HCM!Your symptoms seem to be related to pure anxiety or a panic attack. You should know that during panic attack can mimic a lot of symptoms that include the central nervous system disorder or a heart disorder. But, you have nothing to worry about. Besides, strokes (even when they are small) usually have a different symptomatology that lasts for at least some days. So, just relax and don't think about it. I recommend taking some alprazolam 0.5mg if these episodes occur again. Consulting with a psychiatrist can help you manage and prevent these episodes. Hope to have been helpful!Kind regards, Dr. Iliri | |
Lump in throat, weight loss, healthy appetite. Blood test shows low haemoglobin. Cancer?
Husband has a lump in throat ,non-palpable, and lab results today came back w/low hemoglobin . In the last year he has lost about 10 lbs. he s very thin, eats healthy, and is . He s never lost weight in the about 20 yrs. we ve been together. He s 46 yrs. old. Exercises about 1 hr/day. Former triathlete. Doesn t sit right w/my gut. Many neighbors around 50 yrs. old have had cancer in this area. Live in an active, median income $100,000+ community. Am I overly concerned? | No, I think you are not overly concerned. Your husband is a young patient (46 years old) with a recent history of significant weight loss (without a diet to loose weight), with anemia and a lump in the throat. He should have a complete evaluation: He should be observed urgently by a physician, with a complete blood analysis (CBC and chemistry) and probably he should do a CT scan to detect possible lesions, which can explain these symptoms. Hope this answer was helpful. | |
What can cause thoracic spinal stenosis and moderate disc protrusion?
I ve been diagnosed with mild thoracic spinal stenosis.Moderate disc protrusion that compresses the ventral spinal cord. This was due to an accident at work.I fell on my back while trying to get over a 4.5 ft. fence. I m currently trying to receive compensation for the injury. My employers want me to prove that this was the cause of my condition. Is there anything that you could offer that would help me prove that this indeed was the causes of my condition. | Hi, I understand your concern and would explain that there is nothing to prove that your condition was due to the accident, besides a previous spine CT scan or MRI in order to compare them. Anyway, usually traumas are associated to other fractures in the vertebral bones. You should discuss with your doctor on the above issues. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
Suggest treatment for a bad heartburn
Hi, Im 23 and i had the mirena coil fitted 10 months ago, up until 4 months ago i have had no problems with it, however recently ive been having a lot of pregnancy type symptoms, weight gain, feelin sick, tired, spots and very hormonal but recently ive been getting really bad heartburn. Please help, its driving me crazy. | Hi and thank you for asking !I would recommend to use PPI otc (prilosec) and antacids (to relieve the heart burns.Wish you health | |
Q. My mother is suffering from chronic kidney disease. Can she avoid dialysis?
Hi doctor, My mother is suffering from chronic kidney disease, and her creatinine level is 9.8 mg/dL. She has a history of diabetes for the past 25 years. She is taking Insulin from the beginning. She has hypertension for the past 35 years. Her hemoglobin is about 11.0 gm/dL. Her eyesight has been damaged before four years now. Her urine output is seven to eight times (volume is 1 to 1.5 liters within 24 hours). Can she avoid dialysis and reduced creatinine level? Please help. | Hello. I have reviewed your query. There are specific indications for dialysis in patients with chronic kidney disease. They include low creatinine clearance, high potassium, patient becoming acidotic, symptoms of uremia (increased urea in the blood), loss of appetite, uremic heart problems and accumulation of fluid in body parts like feet causing edema and lungs causing shortness of breath. Even if your mother is not experiencing any of the above symptoms, depending on her history of chronic diabetes and levels of creatinine clearance, (I could not calculate exact creatinine clearance for your mother as you have not mentioned her weight, but taking an average female weight of 60 kilograms, your mother's creatinine clearance is very low), she might be considered for dialysis, which can be confirmed by a few other tests and examination done by your physician. Postponing the dialysis when she needs, it will make her worse. Though she is producing a decent amount of urine per day, she might still be at risk of various uremic complications based on her creatinine values. Get checked with your physician, and it is better to go on for dialysis if your physician advice to do it. For more information consult an internal medicine physician online --> | |
Have irregular periods. Had history of pcod and taking myp ionisitol and gestofit. Want to get pregnant. What to do?
hello sir i am 28 year old and planning to conceive in coming cycles.i had a history of pcod and taking tab.myo ionisitol .iam having irregular periods also.i took t gestofit sr 300 for inducing menstruation (5 days od) i didn't get my periods 9 after taking the tab.did i wait or take the tab again.please give me an appropriate answer sir. thank you. | Hello,Thanks for your query. Gestofit is micronised progesterone, ideally you should get periods by 2 to 7 days after the last dose. I strongly suggest you to get a urine pregnancy test. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.Wish you good health.Regards, Dr ArifYou can consult me again directly through my profile | |
Need to change birth control due to headaches and blurry sights. Could there be weight gain and acne if I use micronor?
Hi my doctor is having me change birth control because of headaches with blurry sights at times. They are changing me to micronor. I have been researching online about it and everyone says they gained weight and have lots of acne now, does it happen that people lose weight or there is no change and that it helps with acne or there is no change. | Hi, Thanks for using HCM.Micrinor is a hormonal pill, weight gain to some extent is a common side effect of these pill, which is due to hormonal effect. Sever weight gain and acne are seen in few women taking these pill, not in all. as your doctor has prescribed you can start these pill, if you get any problem with these pill, you can stop them and go for other methods of contraception.Intrauterine implants or sub dermal implants are available. as implants act locally on uterus and have less effect on other systems in body.hope this helps you.Regards | |
Why do I have low sperm discharge followed by weakness?
Hi,I am bino, 27 years old, i have a problem of losing my sperm, every time when i am urenating the sperm is going outside and my pressure of sperm discharge become low and also it;s effect my body, i am become week.after 3 months i am going to get marry. so please if there is any solution.Thanks. | DearWe understand your concernsI went through your details. Human being do not loose sperm. Understand your sperm is a waste product. Whenever you are sexually aroused, sperm is produced and stored in your body. Sperm is a waste product. If you do not masturbate or engage in sexual activities, your body finds another way to throw the sperm out. The usual procedure is through nocturnal emission (night fall ) or through urine. Secondly you cannot become weak because of this reason and this has got no effect on your marriage. do not be anxious.If you require more of my help in this aspect, please use this URL. sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
What are the symptoms of lupus?
I recently started steet bike riding and training for a 70 mile ride. I am new to street biking and love it! I did get my doctors permission to start riding. I have been riding for two months, four times a week with no real problems.My only issue Is that I get extremely out of breath when going uphill, even a small incline, and definite chest pain...doesn t really happen on flat surfaces though.I am on Toprol for tachycardia, which is totally controlled with meds, and a channel blocker for angina from lupus, and have had Pericarditis and pleurisy in the last year.This year I was very determined to fight back against my Lupus. .within reason, of course, and get healthy!I am up to about fifteen miles on flat, regular surfaces, with just some minor chest pain, which I am used to and unconcerned about. I figure something somewhere in my chest area is inflamed from Lupus and just causing annoying pain.Tonight, however, seemed different. I tried a new route with small hills and inclines. I was extremely out of breath almost immediately and had crushing chest pain, I think due to the incline. When I would stop to rest, the pain would slow down alot. Do u think I just have to increase my tolerance for riding up inclines, and this is normal to be out of breath with angina like pain until I build up my tolerance or something I should get checked out? I kind of feel like anyone who is not in great cardio shape would have also been out of breath with chest pain riding up those hills. Do you agree this is normal? I don t want to overreact. My cardiologist has recently suggested a stress test. With all my other tests from Lupus, I m trying to be healthy and not over test. What do you think? T | Hi ! Thanks for your query on HMC. I have gone through your query. I suggest you to see pulmunologist for pulmonary function test, it is non invasive test. There are so many studies favour that yoga & physioexercises improves lung function. However you should have in touch with your cardiologist. Take care... | |
Dizziness, breathlessness, discomfort
I ve been having incredible dizzy spells for over a week now and they keep getting worse. It s very different from a head rush and goes through my whole body and leaves me a bit breathless and uneasy, though it happens very quickly. It s a similar feeling to one I ve felt directly before passing out, a very intense dizziness , and it s been concerning me. | HelloThe symptoms you are describing are of pre-syncope , and than you had complete black out , that is syncope , regaining of consciousness is fastYou need echocardiography of heart , tilt test , and a ct scan brain , to complete the diagnosis .Need more infoHope this helps | |
Q. What causes thinning of crown hair in males?
Hello doctor, I am 19 years old, male, recently I have discovered that my crown hair is slightly thinning, however I think it is a cowlick, because the middle part of the crown where the swirl is thick but away from the swirl it is thinner. You can actually see my scalp lines or hairlines. You can see my top back hairline and side of the crown hairline. | Hi. I can see thinning of hair in the picture you have attached, but I cannot see the hair line (attachment removed to protect patient identity). It could be telogen effluvium (stress induced) or early androgenetic alopecia or visibility of scalp could be because of your short hair. Androgenetic alopecia or male pattern baldness starts with receding hair line on the temporal and frontal area of scalp then there will be thinning in the crown of scalp. I will have to see pictures taken from the front to visualize hair line receding to confirm androgenetic alopecia. Are you actively losing hairs everyday? Do you see more hairs while taking shower? Do you have family history of baldness? Any history of illness in the recent past? Any surgeries? Hospitalization? Hair needs protein for growth, diet rich in protein say 40 to 60 g of protein per day is very helpful. It depends on the body weight. Avoid hot water, use lukewarm water to wash scalp. | |
Q. What is the real cause behind white heads and pimples?
Hello doctor, I have an oily skin. For the past eight to nine years, I am having white heads and pimples. I used to get pimples on my back also. I have not taken any medication till now, but I am fed up with this. I used to think that it happens when you enter adolescence, but now I do not think that is the only cause. Now, I am 24. I have marks on my face because of this. Now, I am also getting pimples under my hairs. How should I get it cured completely? What is the real cause behind it? Please help me. | Hi. I will suggest some medications. Please consult a specialist doctor and use the medications with consent. 1) Shadowz sunscreen for application to the whole face, daily in the morning. 2) Peroduo gel (combination of Adapalene and Benzoyl peroxide) for application to the whole face, only in a peanut volume, at 6 PM in the evening and to be washed at 10 PM. This has to be applied for five days per week. 1. Do not prick your acne. 2. Avoid junk foods and oily stuff. 3. Avoid sweets and high-calorie foods. Revert back with an image of the current skin condition to a dermatologist online.---> | |
Could white ring around mouth be lupus related?
I have a white ring around my mouth. Im currently being tested for lupus because I have all the symptoms , its not showing on my DNA though. Could this be lupus related?why do I have a white ring ? By the way I m naturally fair skinned but the ring around my mouth is really noticeable. | Dear Sir,I dont think any white ring is related to lupus as a skin lesion . You have to send me the details accordingly .Dr. Shruti | |
Suffering from brain fog, stress, numbness, dream like feeling. Used mood stabilizers, vitamins. Cure?
Hello, for about 8 months now, I have been suffering from brain fog . I have tried almost everything to cure it, from vitamins to counselling to mood stabilizers, but nothing works. I m not exactly sure what caused my brain fog, but I remember I got it during the winter, and I was very stressed because I had a lot of things going on at the time. All of these events have passed now, but I still have the brain fog. Everything in my brain is numb and I feel like I m in a dream. What chemically causes brain fog, and what can I take to help reduce it? Thank you | I understand that you seem to be worried brain fog. However it would be better if you could elaborate more about what exactly has been happening to you and what are the practical difficulties faced by you in past 8 months. A clear account of your symptoms and treatment details can help us to guide you to take correct treatment | |
What causes spikes in heart rate while exercising?
Hello...my wife is 36 years old, 5 6 , 125 lbs., fit and athletic...while jogging/running on our treadmill, her heartrate will jump from 175/180 BPM to 210/215 BPM for a short period of time (maybe a minute or so) without changing her output (i.e. running pace)...I m confident the heartrate monitor is correct because it works fine on me. The BPM when I m using the treadmill monitor are consistent with a different heartrate monotor I use on a street bike. In addition to her heartrate spikes, I personally think her jogging BPM rate is not consistent (too high) relative to output. Do you see any of this to be a problem? | Hello, Best way to resolve this issue is to undergo Treadmill test (Bruce protocol) where heart rate, BP and ECG are monitored with different MET level exercises. As a rule of thumb, if BP drops during exercise, he/she needs further investigation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist | |
What should I do for pain in the lower back and abdomen after lifting a heavy object?
I was lifting a very heavy object and felt a loud pop in my back which caused me to see stars, feel like I was going to through up and pass out. Made it to a chair and sat for a while until pain eased some. Was able to get up and walk but with pain in my lower back. Now my abdomen feels sore and abnormal. What do you think has happened and what should I do? | Hello, The pain in the lower back you have is likely to be a muscle spasm. You need to have rest and do a hot compress. Local analgesic gel and oral muscle relaxants will also help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | |
Is severe pain in the elbow sign for gout in the joint or bursitis?
I have had gout before in my big toe twice before--but it has been two years and I am better about drinking water etc. I awoke about a week ago with severe pain in my elbow. I thought I had gout in the joint. I have been taking indomethacin at night--50mg-- as from my Doctor from my last gout attack but it does not seem to reduce the pain or swelling which seems to be worse at night. I have been taking Aleve during the day. It has been a week and it just not seem to be getting better. The bursa sack is swollen and the area of pain restricts my movements. The swelling goes up and down but returns each night. There are days when it seems better but not much and it has been a week and overall it is a small improvement and the pain at night is destroying my sleep. I then wondered if this was bursitis in the elbow? It there a way that I can tell the difference. Should I be doing something different to deal with the gout--if it is that. Your thoughts Thanks, Waddy Rowe | hi Waddy. You have gout and have been better with treatment ,in your big toe and now you have a bursa in your elbow. I think that your bursa may or may not be related to Gout directly , since in presence of a large bursa , serum uric acid levels may come out as normal. In my practice , i would remove this bursa by operation and send the excised part for both biopsy and test for presence of uric acid. | |
Suggest treatment for stiffness and numbness all over body
Hi, doctor. Yesturday I way too angry for some reason which caused my body to get stiff and numb, I couldn't feel it.(And I often get siucidal thoughts, I can't concentrate on my studies, and I don't find any reason to live, I long to have a good friend or partner as well.)Thankyou. | DearWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely think that you are preoccupied with your thoughts and have so many hours to do the thinking. You cannot concentrate on your studies because you are not interested in it. You are not interested because you do not have an aim / purpose of life. You do not have aim in life because you are not thinking right. You are not thinking right because you do not have faith in you. You will need a personality development counseling and that I shall provide you.Psychotherapy techniques should suit your requirement. Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
Pain in right kidney, nausea, vomiting. Surgery?
I have been having right upper quadrant pain, pain over my kidney on the right side and nausea, vomiting, and diarrhea for the past 2 months. I went to the ER, and they did an ultrasound of my gall bladder/kidney and it showed "slight gall bladder disease and fluid over my kidney on the right side" i was told that i was being referred to a surgeon, who i see wednesday and i was being scheduled for a hida scan, and to come back to the er if the pain was still there after taking tylenol. i went to my hida scan, where the rn doing the injection, of the tracer, had me stop 3/4 of the way through the procedure, and get out of the bed of the scanner, because nothing was happening. then they just had me get back in the machine, and did the other injection of the stuff that makes your gall bladder empty, my gall bladder didnt move much, and then they sent me home. well the pain got worse about 48 hours later and i went back to the er. the NP i saw said my ultrasound and hida scan were both normal, gave me pain meds and sent me home. I'm still vomiting everything i try to eat, and i still have diarrhea, not to mention the pain is just as bad. im just wondering what the probability is that i will need surgery... | Welcome to HCM.It would help if you got your urine examined for infection as nephritis can cause acute vomiting and nausea along with pain .Pancreatitis also needs to be evaluated.Other causes which can cause similar symptoms include acute Gasteroenteritis,Food allergy and gluten intolerance.It would be best to discuss this with your doctor. | |
Q. I had sinus surgery 15 days back. When will the pain go away?
Hello doctor,I had my sinus surgery 15 days back. After four days nasal cleaning was done. After it, I got severe pain for five to seven days. But after that it reduced. But still, it persists. Please let me know how much time it will fully go away. I am clearing that I had all type of sinuses and my surgery time was three to four hours. Currently, I am taking nasal cleaning, spray, and antiallergic tablet. I also took antibiotics for 15 days. | Hi. Are you not taking any anti-inflammatory medication? You should take paracetamol one gram twice daily. it will reduce swelling as well as pain. For more information consult an ENT otolaryngologist online --> | |
What causes right low back pain especially when laying on stomach making back arched?
Hi i continuously get right low back pain(by love handles) esp when I lay on my stomach making my back arched, I also get a sharp needle pain(like an epidural) in my spine lower middle area even when I stand! But this all occurs most when I have my back arched! was wondering what this could be, I did have an epidural 5 years ago and one 11 months ago with my twins! Pretty healthy!!! | Hi. The pointed pain at a particular are you mentioned looks to a muscular where the low back muscles are anchored at the hip bones. This does not look to be related to the epidural . I Hope you have taken an opinion of an Orthopedic Surgeon and / or Physiotherapist. | |
Q. Is there a possibility to cure cloacal anomaly before birth?
Hello doctor, I have been blessed with a baby girl last year. However, she is suffering from cloacal disease and has only one opening. Doctor has operated her and did way to pass the stools. She is not having her anal opening. During pregnancy, it has been observed that she does not have one kidney, she was not having properly developed back, etc. But it all recovered in 8th-month sonography. Is this a sign of the disease? Is it curable during pregnancy? Is it possible to avoid it before the birth of a child? I wanted to know. | Hello. I have read your question in detail, and I know that you are very concerned about your child. The absent anal opening is due to a congenital anomaly. Usually, when one congenital anomaly is present, there are chances that other congenital anomalies like absent kidney or cardiac defects are present. It is possible to detect these anomalies during level two scan done during 20 weeks of pregnancy. However, it is unfortunate that it cannot be treated during pregnancy. Medical science is still not that advance to cure these defects while the mother is pregnant. It is also not possible to avoid these kinds of anomalies before birth because these are rare defects and are not related to disease or environment. It is related to genes of mother and father. I hope this will help you. | |
Palpitation and anxiety, high blood pressure. Asked to reduce the dosage of vyvanse. Will I have withdrawal symptoms?
Hi I am 39 year old woman and started vyvanse 30mg about six weeks ago. first week was good but then started feeling spacy, anxious and started anxious eating habits In the afternoon and increased heart rate. Two weeks ago doctor increased dosage to 30 mg twice daily. Went to PCP today and blood pressure was 150/80. He told me to cut back to one dose daily. Will I experience withdrawal symptoms? Would it help to take Vyvanse later in the morning so it doesn't wear off around noon? | Hi, Thanks for using healthcare magic. I have gone through your available history. You have not mentioned for what reason, you are taking vyvanse. whether it is for depressed feelings or for concentration or what?? It contains (lisdexamfetamine dimesylate, can be responsible for your symptoms. there might be some withdrawal features lasting for few days after reducing it to one dose daily. Dose and time of the drug should be done after consulting your doctor. Thanks | |
Why is my liver enzymes and Inflamed bowel tests elevated?
Hi. My blood glucose has been very low, infact I was diagnosed with insulin resistance and polycystic ovarian syndrom and prescribed metformin 1000mg twice a day. My blood sugar continues to be low, frequently in the 30s -50s. Now my liver enzymes are elevateded and also Inflammed bowel tests were elevated? any thoughts? | Hi and welcome to HCM. Thanks for the query. There are man ypossible causes and additional tests are required to define the ilness. It may be caused by viral hepatitis, cirrhosis or biliary stone and first step should be ultrasound and viram markers check. Also, fatty liver may go with diabetes and this is treated with dietary changes and lipid and sugar regulation. So lipid profile should be checked as well. I hope I have answered your question. Wish you good health. Regards | |
Can sperm viscosity and motility be improved after a varicocelectomy with medication?
I had undergone surgery for varicoceletomy 6months back.I was prescribed with Maxoza L&Fourts-B earlier.now I have been prescribed with Lycored softgels&Siphene-M.my count is only 25lakhs with low viscocity&low active motility.which medicine is the best one? Is there any chances of getting back the problem of varicoceletomy even after microscopic surgery? | Hey thanks for your faith in the health care magic.i have gone through your question and understood your problem.The majority of men with varicoceles remain fertile and asymptomatic. varicocelectomy results in significantly improved semen parameters in 60% to 80% of men and pregnancy rates of 20% to 60%.it improves sperm motility and viscosity.Hope I have answered your query. If you like my answers and wish me to answer in future, bring it to my attention | |
What causes radiating pain from lower ribs to heart and arm?
hi am a female 52 years old and i have been experiencing pain which starts from the lower rips and it radiates to the heart and sometimes to the left arm and this pain is a burnig pain.... i did ct scan ,x ray but nothing was seen. I weigh 160lbs. what might be the problem. | Hello,I read carefully your query and understand your concern. The symptoms seem to be related to a pinched nerve in the shoulder. I suggest using anti inflammatory medications such as Ibuprofen to relieve the pain. I also suggest to avoid movements of the shoulder that can trigger the symptoms. If the symptoms continue you should follow up with a neurologist. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
Stomach pain due to inflamed bladder, high count of white blood cells. How to normalize?
i am having stomach pain and i can not stand up straight without it hurting. i went to the er room on monday 12/24/12 and i was diagnose with immflamate bladder and they also said i have count of white blood cells, this has been going on for about a month. and also my stomach is big as well but i am not pregnant nor do i have tumor .. can you please help me out | Dear madam, uroinfection can cause symptoms u re describing but if it is prolonged and antibiotica arent helpful then you should try to find another causes. You need to do US or CT scan of abdomen and pelvis to rule out some intraabdominal disorder. Also you should do urinoculture and repeat blood tests. Inflamed bladder usually doesnt go with such kind of pain. After u do tests i ve mentioned everything should be clear. Wish you good health | |
Cause of light headedness, dizziness, chest heaviness, low BP?
My BP dropped to 95/67 and heart rate went up to 112bpm. I felt light headed & dizzy and heavy in the chest bit hard to breath. Very uncomfortable feeling. Goes back to normal in about 20-60 mins. Heart rate sometimes much higher & has gone as high as 170-180bpm. Felt faint. That was scary. What is causing this? All blood work & Drs tests turn out fine, including ECG& heart ultrasound. Holter monitor showed heart does skip beats sometimes but never caught an episode. I'm otherwise healthy female 35 yrs old. Not overweight. Don't drink excessive, use any kind of drugs or smoke. Please help! | Hello!Welcome and thank you for asking on HCM!I read your question carefully and understand your concern. Your symptoms seem to be related to orthostatic hypotension or a postural tachycardia syndrome. Your performed tests can exclude any cardiac related disorders. Are your symptoms triggered by standing up from laying down or sitting position?A decrease in your blood pressure more than 20mm Hg, when standing up, compared to sitting position would indicate orthostatic hypotension. But a head up tilt test is necessary to rule in / out the above mentioned disorders. Further blood lab tests (thyroid hormone levels, cortisol plasma levels, PCR, sedimentation rate, immunological tests,etc) are needed to establish the cause. Hope to have been helpful!Best regards, Dr. Iliri | |
How can nervousness causing social behavior problems be treated?
i have a really unusual nervous problem where i cant walk properly,talk propaly,look normal etc.and it only happens when i get nervous,which is 90% of the time,even when im alone it happens.what can i do to be able 2 live a normal life and how did i get so bad off? | DearWe understand your concernsI went through your details. I suggest you not to worry much. Most of the times nervous problems are just feelings. Those are just creations of your mind. You should talk to your friends, colleagues. They are supposed to be the best judges of those situations. Ask them to monitor your behavior.Ask them to watch you. Take those opinions into consideration. If they say, there is nothing wrong with you, just accept it. If they too say there is something wrong, consult a psychologist.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
Suggest reasons for coloured discharge
Hi, My daughter is six months old and I've noticed an orange/peach coloured discharge around her upper vaginal area now and then. Its very little and looks like a light orange balm around the area. I'm concerned as to what it is .. even though my baby is perfectly normal. I look forward to your response.Thanks. | Hello,Welcome to HCM,As your six months old daughter is having discharge around her upper vaginal area now and then and it is very little and the area around that looks like a light orange colored. This is a normal phenomenon in female child due to the influence of the hormone and it is a physiological process, nothing to worry about this symptoms.It will reduce by itself it is mainly due to the influence of hormone estrogen which will leads to this problem in your daughter. I would suggest not worry about this and just ignore this. Thank you. | |
What to do for swelling in the gums along with tenderness?
I am a 53 year old healthy woman and just a few days now have one side swollen gland and upper gum tenderness, now the inside sides of mouth are a bit swollen/red and the sides of my tongue feel as if they have been rubbed against my teeth little choppy abrasions. Under my tongue there is small white pimples.I have noticed last week my mouth was dry. I just recently had some stress with my 90 yr old mom, I am presently her caretaker. It is seasonal change now here in Connecticut so possibly this is due to allergies. I have used hydrogen peroxide as a mouth rinse for years. I also used some salt water rinses that I think it made this problem worse. I would like to use something natural. Maybe aloe vera juice ? Thank you, Donna | Hello, Thank you for consulting with HCM.It can be possible that you might be having a gum infection or tooth infection, which is causing this pain and swelling of gum and gland.Better that you should stop using this mouthwash, and visit a good dentist and get complete examination of your oral cavity done.Hope it will help you. | |
What casues pain under buttocks after an injury?
Hi I am 21 now but when i was 13 I fractured my pelvis doing the splits in ballet. I had been feeling pain under my butt for about 3 weeks but I kept going into my splits anyway. Finally I went down and it fractured. Doctor says that my hamstring tore off a piece of my growth plate when I went down. Now I am doing pole fitness and I want to get my splits again and I am feeling pain again in the same place like I did before I broke it. But ever since the injury I have been feeling the pain when ive been walking around a lot or its cold outside. Is it likely that I will never be able to do the splits again? I am seeing my doctor in a week and hopefully he will order an MRI. But what do you think? | Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, the healing at the previous site would not have been complete or may be you would have been causing repeated trauma at that place and never letting it to heal, you should consult your doctor and probably doing an MRI after examination may be required.I hope that answers your query. If your want any more clarification, contact me back.Dr Narender Saini | |
Q. In my recent X-ray, my hip implants look like they have moved. Why?
Hello doctor,I have been suffering from bilateral AVN. I had a hip replacement surgery done on the right side one and a half months ago. I am attaching the X-ray reports of those taken immediately after the surgery and also a more recent one taken last week. I have a doubt regarding the screw movement. While in the one taken post-surgery, the screws are inside the bone, in the X-ray taken later, it has moved outside. They used a DePuy Synthes implant. | Hello. I have gone through both the reports (attachment removed to protect patient identity). For further queries consult an orthopaedician and traumatologist online --> | |
What causes indentation in my calf muscles?
Hello, I just noticed that I have what looks and feels like an indentation to the outer side of my right leg. The indent is just above the ankle, but below the calf muscle. By comparing it to the other ankle, it is an area which is mainly bone. What would cause this pitting? | Hello, Most probably such indent can be due to soft tissue swelling.This can be due to excessive walking or heavy exercise or after long journeys. If there is associated fever,pain or if there are other annoying symptoms then it is of concern.If it continue to enlarge then you should consult to your doctor and have a x ray. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mukesh Tiwari | |
Why does one get a feeling of collapse while walking?
Every now and then I feel lightheaded and really weak always around 5-6 pm. It usally goes away if I eat something but sometimes I have to just lie down and wait till I feel better. If I try to stand or walk I feel as if im going to collapse but never have. | Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you that it is either a postural hypotension or hypoglycemia. You can check your BP and blood sugar at 5-6 PM. There after the measures can be taken accordingly. I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease. | |
Suggest treatment for elephant leg disease
hi! Good morning sir my dad has elephant leg disease and he is in problem can u give some suggestion to us. yours faithfully chandan kuamr | Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you that it is caused by W. bancrofti, treatment for it is DEC & Ivermectin. But if you have a big leg than it requires surgical intervention along with medical treatment.I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you. | |
What is causing stomach pain, tiredness and vomitings after viral fever?
Hi My 11 yr old son had got viral fever for a week. For last 2 days he didnt have fever, but he complains stomach pain and tiredness. Today he had couple of vomittings and motions. He doesnt have fever, and is eating well. Its just that he is feeling very tired and stomach pain and feeling of vomitting. pls advice! | Hi.Thank you for your question.Let me assur you that your child is fine and you need not panic.Your Child is suffering from Viral fever which explains all the symptoms like bodyache,tiredness,vomiting,Stomach ache.Dehydration caused by the illness can in turn increase the symptoms like tiredness.I generally advice to my patients the following:1)Take Rest2)The illness will subside on its own.No need to go for unnecessary Antibiotics.3)Oral Rehydration Salt4)Proper Diet with Vitamin supplementation.5)Antipyretics if necessay.Hope i answered your questions.Wish you and your family a healthy life.Regards,Dr.Arun Prasad | |
What causes lumps between the anus and the testicle?
Hello, I ve just noticed 2 lumps side by side between my anus and testicles, closer to the anus. They are probably both about half the size of a pea. They aren t external it seems so it probably rules out a pimple,wart, exc.... i noticed them from wiping after I had a bad day of using the restroom multiple times, i also lift quite a bit at my job. They aren t very painful although they Are kind of tender. Could this be 2 small hemorrhoids? ...or could it be something I need to be very worried about?...this is day 2 of noticing and they are still the same size. | Thanks for asking in healthcaremagic forum Boils are very common in perineal region associated with pain. If you have bleeding from anus then it is piles. So, do not get confused, visit a doctor without hesitation for examination and further management. All the best. | |
Why does my ankle hurt on last 2 or 3 steps?
Several days ago I turned my right ankle when I stepped in a hole. It rolled to the outside. Some pain but not really bad. No swelling, no discoloration. I have had a sprained ankle and it is not like that. It does not hurt at all when I am sitting or laying down. When I walk more than 15-20 steps it hurts. The first few steps don't hurt but the last 2 or three are really bad. What is this? | Hello, Thanks for writing to us, I have studied your case with diligence.As per your history and injury pattern there can be tear in ankle ligament leading to pain and swelling.Instability may increase due to laxity of ligament.I will advise to repeat MRI ankle for soft tissue involvement.Till time you can continue use supportive splint or brace.Physiotherapy like ultrasound and TENS will help in early healing.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. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Should I see a neurologist to help me walk easily?
hi im a 23 year old girl..i hav had scoliosis and kyphosis since i was a child..i had a 120 degree curve..i walked normally had no lung problems.. i had a surgery 6 months ago and woke up to find i can feel or move my both legs...by time my left leg recovered its activity but i can t sense heat or cold as to my right leg it took almost 2 months for me to be able to move it slightly..that s when it became spastic almost inhibiting any movement..nowafter 6 months i am walking on canadian cannes with a anti drop foot equipment for my right ankle cz i cant bend it..also i cant bend my knee the dr 1st said something about compression of nerves and brown sequard but was almost sure i was going to get back normal i seriously regret this surgery especialy because i was able to walk and hav a normal life more or less but had it mainly bcz of very bad appearance and now i cant walk or move easily i just want to get an opinion from you if i see a neurologist can he help me in any way.. or is there any second surgery that i need to hav that can make me better thanks | With your history, your doctor seems to be right. the recovery depends on the severity of nerve damage. i think your doctor must have done MRI once you had complained of mentioned symptoms. its basically an expectant management. Any sort of intervention can do little. though you can always go for second opinion anytime as i can't see your MRI. BUT NO MATTER WHAT, A POSITIVE ATTITUDE DOES A LOT GOOD IN TURNING AWAY THESE TIMES. TC.:) | |
Suggest treatment for uncontrolled hypertension
My mother has problem of high blood pressure. It used to be very high in the range of 200/120, now it has reduced to 170/90, but its not reducing any further even after increasing medicine. The medicine being taken are as per the following at present: Stamlo 10 mg - 1 per day CTD 12.5 mg - 1 per day Telma 80 mg - 1 per day Arkamin - 0.1 mg - 3 per day (since 15 days) Please advise. | Hello, That further changes are needed to your therapy. In this regard, I would suggest increasing the dose of CTD to 25mg daily and add moxonidine 0.4 one tab in the evening. I would also recommend performing some blood lab tests in order to investigate the possible causes underlying high blood pressure values: -complete blood count, PCR, ESR for inflammation - thyroid hormone levels for thyroid gland dysfunction - blood electrolytes for possible imbalance - kidney and liver function tests. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | |
What causes pain between shoulder blade and spine?
For the past year and a half my left shoulder blade has hurt between the shoulder blade and spine , feels like it is bruised inside. I have had an EKG,Echocardiogram, lots of blood work, nerve test in left arm, EDG, gallbladder removed last January, Cat scans and x-rays and have been through physical therapy. I have had an MRI on my cervical spine and right shoulder for a bump on my right ac joint (right joint hypertrophy) My left arm tingles and pinky and ring finger goes numb. I am seeing a Rheumatologist and bone doctor, but no one seems to know what is going on, do you have any suggestions.. | Hi I am Dr Gopal Goel , Orthopedic Surgeon. It seems that you are suffering from pressure on one of the nerves in neck and fibrofascitis in scapular region. Start painkillers ,muscle relaxants and pregabalin. Let us know the report of MRI for further information. | |
Should I be concerned about the breathing difficulty after using cleaning agents?
Hi this morning I cleaned my shower with bleach and CLR I was in there for 5 mins before I fell to the ground coughing for at least 20 mins I felt like I couldn't breathe , anyway I went to lie down in bed , 4 hrs later I'm awake still can't breathe properly if I breathe to deep I end up coughing a lot , should I go to emergency or try to see a doctor ? | HiAfter going through your query,it's better to be seen by a doctor.If it is not possible immediately then take steam inhalation along with anti allergic drugs.I am hopeful it will help.Take care and do reply for further query. | |
Why do I have severe abdominal pain?
Hi I had severe abdominal pain (15) for about two hours...late at 12 am...I finally was able to take two aleve which helped me relax a little wqith some pain and after going to the bathroom.. My pain was as if I took a strong laxative. I still feel week and tired | HI. Such pains come when there is food poisoning or intestinal infection as the body wants to expel something which it feels is dangerous to it. Weakness and tiredness is due to loss of potassium and other electrolytes into the intestines. You may need an antibiotic and supportive medicines as per further progress, you should visit ER to avoid further complications and to take proper treatment | |
An old patient having low blood pressure. Benazepril and norvasc given to control BP. What is the guideline for withholding BP medicines?
Hi, I m a Nursing and from New Jersey. I m in my second semester and we had our clinical at a hospital yesterday. My patient , a 92 year old woman with a repaired hip fracture had a blood pressure of 130/45 and was due for Benazipril and Norvasc . I checked her last reading from her med. record and it was 139/43 2 1/2 hours earlier. My patient (who was awake, alert, and oriented) said she was concerned about receiving her blood pressure medication because her diastolic pressure was so low. I agreed it was low and said I would talk to my Nursing professor before I came back with the meds in case the dose needs to be withheld or reduced. my Nursing instructor then told me to talk her into getting the medication. She said my job is to sell it to her. I then went to the patient s primary nurse and explained the situation to her. She contacted the Dr. who withheld the meds for the day and had us monitor her BP more frequently. My question is what is the guideline for withholding BP meds? I feel that if I had listened to my Nursing instructor the patient may have been in trouble. | Hello. Thanks for writing to us. An abnormally low blood pressure readings- specially the diastolic blood pressure lower than 60mm of hg needs the anti hypertensive medicines to be withheld. Lowered blood pressure can affect the blood circulation of the vital organs. You did take a right decision in the favor of patient. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com | |
Suggest treatment for constipation and mild jaundice in newborn
My baby is just 10 days old. My wife breastfeeds her and add formula as supplement since she s doesn t seem to be full. The problem is, she has not been passing motion for the past 2 days. She s also having mild jaundice (SB reading 195 on her 7th day) and sleeps a lot. I ve scheduled to take her to see the pediatrician on Saturday. In the mean time, what can I do? | Good evening..!!Infants may not pass stools for even 2 weeks also sometimes. Its absolutely normal. Nothing to worry.Continue breast feeding and keep your baby warm.Regarding jaundice, consult your doctor for proper evaluation and management.Thank you have a nice day...!! | |
What causes persistent pain below the rib cage on the left side?
My husband is 87 and about 4 days ago noticed a pain in his left side, just below the rib cage, s persistent dull ache. There is no bruise or other symptom and no event he can link it to, though he thought it might have been from sleeping on a balled up towel. I fear pancreatic cancer. We have an appointment Feb 26 with his primary care doctor. Should we seek more immediate examination? | Hi, It could be minor contusion secondary to trivial trauma or could be due to a condition called costochondritis. You can try analgesics like Acetaminophen or Tramadol for pain relief. If pain persists, better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
How to treat liver dysfunction?
Hi Dr. My brother has chemo in early April and his liver function is still not normal. He is getting medicine for Liver recover, but there is no improvement. He felt cold all the time, even everyone is wearing short sleves. He is tired all the time of course. I am afraid that he is having liver dysfunction. Could you help? | HiI had gone through your query & find it really difficult to give a helping solution due to lack of relevant information. Please elaborate the following - - give detailed information about the reason of chemo-therapy- details of deranged liver function like bilirubin, SGOT, SGPT etc.Many patients with deranged liver function (due to various reasons) get satisfactory relief in my clinic so you should not worry about.Hope I have answered your query. If you furnish the required information, I will be happy to help you. | |
Is it normal to feel sudden chills?
I am a 49 yr old, relatively healthy, Asian female who started walking for exercise about 3 weeks ago. However, every day for the past week, right around the same time (about 130 or 230 pm) I start getting the chills. When I take my temperature, it is usually around 99.5 to 99.9. I don't have any aches or pains or infections that I know of. I have been taking Tylenol for the fever, but the next day this happens all over again. I have lost about 6 lbs since I started walking. | Hi,Thank you for your query. I can understand your concerns.Rise of temperature with chills almost at the same time regularly for 1 week points towards underlying infection.However lack of other constitutional symptoms like aches or pains suggest indolent nature of illness. In Asian countries,one need to rule out TB. Other possibility is lymphoma. You need physical examination and baseline investigation like complete blood count,peripheral smear for malaria parasites ,Urine for routine analysis and ESR (fasting).Regards Dr. T.K. Biswas M.D.Mumbai | |
Can an ovarian cyst prevent me from getting pregnant ? I am 29 years old and had miscarriage 6 months back
hi i am 29 years old my weight is 60kg, i had miscarriage 6month ago..i went for ultra sound last mth...i they discover that i have a right ovarian cyst that measure 23mm by 21mm in diameter is it normal | Hi shaddy; welcome to HealthcareMagic The ovarian cyst is not normal but please understand that in females it occurs and mostly if it is a simple cyst it resolves on its own after menstrual cycle.In some females it becomes a poly cystic ovary disease(PCOD) which can give rise to irregularity in menses .It requires treatment after which the cyst go away and menses become regular .Only in a very small percentage of females extensive treatment may be required.Please consult a Gynaecologist if required and also if you feel it necessary and can do it please repeat the Ultra sound after periods. Thanks | |
What can cause spasms and twitching sensation in the foot?
Hi Looking for some insight on this before I see my doctor. I ve been experiencing a muscle spasm/twitch in my right toe/foot for over two years now. It looks like it s the muscle on the side/bottom (left side of the right foot) and that s possibly making it seem as if my toe is twitching. The odd thing is, I notice it happen more when I m not focussed on it or looking at it. I ll be working on the computer or watching tv and will notice it, but when I look at it and focus on it, it tends to act up less. Almost as if when my mind is focussing on a different task, it will be worse. It also seems to twitch when I extend/stretch the toe out sideways and then rest it again. The muscle will have a spasm and then lessen. Sometimes when I do that, it actual sends a horrible muscle cramp down the side of my foot and it freezes up until it relaxes again, but thats rare. I tend to get anxiety because of it due to me worrying it s something serious. I ve also had somewhat general anxiety for most of my adult life. I understand anxiety can exasperate the symptoms and because of that, I sometimes feel spasms in other places such as my legs. Recently, there has been a spasm just above my elbow on my left arm that has been there for over a week. It started out pretty intense, but has since calmed down, but is still there. I don t seem to have any weakness anywhere. I do get achey muscles from time to time, but that could simply be from biking back and forth to work every day. I try to stay pretty hydrated and I ve been making sure I get proper nutrients, including magnesium. I ve had lower back pain (right in the middle of the lower back just above the buttocks) for most of my life. I remember as a kid, I used to get a crippling, shooting pain that would pretty much cause me to not move (or else it would happen again) until it subsided and then a slight numbness feeling would be there for a few seconds. Maybe that was just a pinched nerve? I will also mentioned, although it could be unrelated, about 6 months ago, my index finger and thumb started to cramp up while typing. The only way I can explain it is that when I go to type, my thumb and index finger want to stick together. Its almost as if my wrist gets tight and cramped. If I mimic the action of typing in the air, it does not do this. Now, I have been using a keyboard and mouse almost daily for over 20 years and I m doubtful I have been moving my wrist prop | Hi, Consult a neurologist and get evaluated, detailed work up is required to make a diagnosis. Hope I have answered your query. Let me know if I can assist you further. | |
What cause heavy feeling in chest and deep breathes after child birth?
Well, I just had my second baby over 7 months ago. About 5 months ago I noticed a heavy feeling in my chest. more so in the morning when I get up, I have no energy and sometimes I have to take deep breathes just to breathe. It kind of goes into my throat as well. | Hi thanks for asking question.Do you had heavy bleeding during delivery?If anemia present then also dyspnea can occur.So if low HB is there correct it according to cause like by iron tablet or vitamin tablets.Second if you have pregnancy induced hypertension and if your heart is in failure grade 1 then also it can occur.ECG useful for it.If above causes not present rule out respiratory causes by pulmonary function test like asthma or chronic bronchitis etc.X ray and PFT will able to differentiate between restrictive and obstructive causes.If it comes normal then No need for worry.Wish you good health.Take care.Dr.parth | |
Q. How to stop my fear of getting HIV?
Hi doctor, I have done many tests for HIV. On day 4, I took neem leaves, on day 50, I took Acyclovir tablet, and on day 56, I did a PCR HIV test, which was negative. On day 90, I did an HIV antibody test. It was also negative. After six months, I did a fourth generation ELISA test. It was negative. After eight months, I did a western blot test. It was also negative. After 14 months, again I did the fourth generation ELISA test. It was also negative again. Even after seeing many negative results, still, I am afraid of HIV. Still, few people say, it will take more than one year to respond. Whether the neem leaves or acyclovir will affect my test results? How to stop my fear? | Hi. There is no role for Acyclovir. There is no need for doing any others tests as a fourth generation test is 99.9 % correct. Though all the tests are negative, still your fear is there. There is no problem except your fear, stress, anxiety, and depression. You can take the tablet Relax 0.25 mg (Alprazolam) at night for seven days. Stop taking it and take again after four days. Consult a psychiatrist soon. For more information consult an HIV AIDS specialist online --> | |
What is the cause of rash on the leg?
My 5 month old has a slight rash under her skin on the front of her left leg, it's been there for 4 days now, she has been fine in her self but has woke up today with a cold. The rash hasn't got any worse but I'm worried that it could be something wrong now that she has a cold | For rash on the leg you can give your daughter some antibiotics like syrup cefadroxyl or syrup cefalexin along with syrup cetrizine or pheniramine as it will take care of rash as well as cold. You can use colp-g or betnovate cream for local application. Don't worry she will be fine soon. | |
What causes soreness above the belly button?
I am extremely sore to touch to the left side of belly button and above . Is there a test besides a MRI of the stomach that could show if there has been something left inside of my stomach during a surgery, or if there is a sore/ect there? Thank You | The soreness to the touch alone in a particular part of the abdomen after the surgery is suggestive of nerve entrapment. IT is possible to have something left in the abdomen although this is very rare. The best is a CT scan of the abdomen / the other option is to go for diagnostic laparoscopy . | |
How to get rid of agoraphobia along with panic disorder?
I have agoraphobia with panic disorder. So that means I am pretty much stuck in my house unless I take xanax. I have had a really bad cold, and now I am coughing green mucus. I tried to call my doctor, but he is not in. The doctor in office now will not even talk to me on the phone, unless I can come in for an appointment. I know I need an antibiotic, but I took Mucinex-D. Can I take xanax with cold medicine to go to the doctors office? | yeah you can take. you can also take antibiotics like amoxiclav for 5 days. so don't worry. hope my answer is helpful and thankful to you. take care. | |
Natural treatment for skin whitening
how i can white my whole body...my body is going to black toe ..i dont like it ..plz tell me some natural thing to white my skin plzz | Hi welcome to H.C.M.Forum. there is no medicine to whiten the naturally black skin. you reliegh upon beauty clinics or homeopathy.best of luck. | |
What causes severe pain in back of skull, neck and shoulders?
Hello, I m constantly suffering from severe pain in the back of my skull, neck and shoulders. I occasionally tale dizzy turns and feel floaty. My neck is always making watery noises when I move it. Also simple tasks like moving my head up and down cause sever muscle tremors. I m worried that something bad is wrong with me. Please help me and advise what this may be :( Much Appreciated | HiYour symptoms mimic cervical problems most probably spondylosis added with neuropathic changes.I suggest you to meet the neurophysician and go ahead with MRI cervical spine for the specific treat ment.All the best.Take care | |
What causes nausea when one is pregnant?
i have a friend that is 6 months pregnant and her due date is april.she suffers with hypermethesis gra(HG) and the still to this day she vomit alot.they put her on Zofran for the ssickness but it doesnt work.and i hate to say the only thing that works for her is smoking marijuana.what can she do if thats the only thing that works | Hi dear, I have gone through your question and understand your concerns.Marijuana should not be smoked in pregnancy as it can lead to adverse effects on the fetus.She should get admitted in the hospital and get injections to stop her vomiting as excessive vomiting can harm her as well as the pregnancy.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma | |
I am 14 years old. Is it normal to have pimples on head ?
I am a 14 year old female, I was wandering if it is normal to have pimples on your head(where the hair is) and on the arm | Hello Thanks for your query. There is nothing to worry pimple or pimple like problem can occur at any where in the body except palm of hand and sole of foot. So get proper treatment from your primary Doctor. ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and trouble free speedy recovery” | |
What causes semen like fluid leakage during bowel movement?
today while i was doing number 2 i noticed that i dribbled about a spoonful of what seemed like ejaculate. I did strain to empty my bowels and felt like it was taking more stress than usual to completely feel emptied. I do take adderall almost daily 10mg. Im concerned and any and all help will be appreciated. thanks. | DearWe understand your concernsI went through your details. Dribbling of semen during evacuation procedure is quite normal process and there is nothing to worry about it. Your ADD problem is not to be linked with this dribbling.Your body produces semen whenever it is sexually excited. The produced semen is then stored within your body. The stored semen is a waste product. Your body will try to throw the waste product when it becomes excess. If you do not masturbate or engage in sexual intercourse, the body tries to throw the stored semen through other means. The frequently used other means are through nocturnal ejaculation or throw bowel movement. Over and above this process is automatic and you do not have any control over it. So please do not worry. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. | |
Need medication for aggressiveness and violent behaviour
I have had a surreal year with my 14-yr old daughter. Ever since I attempted to confiscate her iphone about 6 months ago, she has seemingly turned into a someone I don't recognize. That first day when I attempted to take the phone away, she physically attacked me to try to get it back. I called the police. Since then she has been physically violent with me on several occasions. All of them have been when I have attempted to take something away from her as punishment (her phone, her makeup which she is obsessed with, trying to look in her book bag for missing progress reports, etc). On top of her being physically aggressive with me, she turned the tables and has made false claims that I physically hurt her. Three child protective cases have been brought and dismissed because they have been found to be baseless. She has threatened to commit suicide when she didn't get things that she wants. She stole my mother's credit card and charged over $2000 in products on amazon (perfume, makeup, coutour dog products for a dog she doesn't have). She has been hospitalized three times for suicide attempts. The last time she claimed it the hospital wouldn't even admit her because they too could see she was manipulating. The ER psychiatrist even told her so. This weekend when I confiscated items from her room she had stolen, she proceeded to destroy her room and then told her caseworker that I did it. She is currently in intensive home therapy and on medication but nothing seems to be helping. Her case worker and the ER things it is all behaviorial. But is that possible? Certainly there is some mental or psychiatric problem causing all of this. She was normal before a year ago. In her head she seems to be equating my touching or taking her things with me doing her physical harm. Is there such an illness/phobia that would explain that? Please help! No one seems to be able to help me/us. | DearWe understand your concernsI went through your details. I suggest you not to worry much. From the description, it seems that your daughter is suffering from Paranoid Personality Disorder with Obsessive Compulsive Disorder, Both of these are considered to be mental disorders and not diseases. Normally disorders are treated with psychotherapy and life style changes. Diseases are treated with medicines.I think you were acting rather rude to your daughter from the beginning itself. I don't see any reason for you to call the police. She is your daughter and you don't need the help of police to pacify her. I think that was your first mistake. Then onwards she lost trust in you, and she could not find any other person to trust and the condition became worst. You have to regain her trust and that is the only way you can do anything to cure her. Please do it anyhow.Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck. | |
AST, GPT, GGT levels elevated. Have taken many supplements, weight loss, energy pills, vitamin E, done light exercise. Reason?
Dear Doctor , Appreciate your feedback on this medical tests I got, I did the test twice already on a two week interval, but the results seem to be consistently elevated. AST - 49 and 42 respectively GPT - 102 and 104 respectively GGT - 310 and 324 respectively - I am not an alcohol drinker, but maybe twice or trice only in a year when there are occassions - 6 monhts ago my HBsAG is .27 - Hepatitis AIgG (HNIgG) is 10.35 - Hepatitis A HBS Antibodies is 124.54 - though I have a history of taking too many supplements in the last 5-7 years e.g. weight loss and energy pills, some grapeseed supplement and vitamin E, and takes some pain reliver medicines also. - My height is 172 cm and weigh is 88 Kilos. a normal active lifestyle and i normally go to gym to do some light exercises and jogging Thanks for your help | HIThank for asking to HCMThe over all report is suggestive of liver damage not bad or may not be damage such investigation always need to be correlate with clinical conditions, without any specific reason if you done test then there could be some changes which may not show any clinical sign and symptoms, and does not required any medicine, have nice day. | |
Need treatment for itchy sore lump on the biceps after bitten by an ant.
Hi there, my husband was bitten on fri 18th april by an inch ant, in Birdwood S.A. The bite is on his right, inner bicep. It has slowly developed into a very itchy, sore to touch, deep red lump aprox 2 inches in diameter. It is continuing to spread around the bicep to aprox 6 inches in diameter not as red in color but can be seen clearly. The area is tight, swollen and hot to touch. He used savlon to start with then has tried Cortic- DS 1% ointment a couple of times. We are wondering what to try next. I have some Phenergan 25mg tablets which he hasn t tried yet. I am concerned it may spread into the glands under his arm pit. Is that a possibility? Thanks for taking the time. Regards Kris | hi dear thanks for the query on HCMhe needs anti histamine tablets.it it has white or yellow spots may suggests abscess and may need a surgeon intervention.you can give hot fomentation with applying betadine ointment if you have..or elsebetter to meet a doctor in ER for antibiotics and ointmentsthank you | |
Itching and rashes on the nose.White patches after applying tribunal plus. Any suggestions ?
Past 8 days my daughter 7 years old is having a iching problem and tome rashes had come on her nose . she said it is scrating her. i showed her to the doctor and he said it is daad. and he gave me tribunal plus ( skin infection ) ointment to apply . now the boils are gone but still i there is a slightly white patch on her nose. kindly suggest me. | hi.........Thanks for the posting your Query on HCM,In your cash the boils are gone but there is a white patch. so there will be nothing to apply as so early just wait and watch the condition till next 10 or 15 days . most probably white patches will be removed itself. Becouse in Iching or any skin disorders dead cells take some time to be out.so don't worry abut this.If there will be no recovery then after 10 or 15 days consult you dermatologist for the same.thanks.... | |
Is it asthma when I have difficulty breathing during exercises? Why an effort to breath?
I have difficulty breathing when sitting down. My doctor seems to think it s asthma but i m absolutely fine whilst doing exercise etc. I do not smoke , never have and i m in good shape. It makes sitting in classrooms extremely difficult as i am constantly conscious of my breathing and teachers always think i m sighing as i have to make a significante effort to get a full breath through my mouth | YOU ARE NOT ASTHMATIC YOUR SYMPTOMPS ARE OF ALLERGIES WHEN YOU EXERCISE YOUR DEMAND FOR OXYGEN INCREASES AND THERE IS DIFFICULITY YOU GET YOUR BLOOD SERUM TESTED FOR SPECIFIC ANTIBODIES OF COMMON FOODS TILL THEN YOU TAKE ALLEGRA 120 MGM DAILY SUP TOSSEX 1/2 TSF AT NIGHT TAB RHINITIDINE 150 MGM IN MORNING POST AFTER RESULTS | |
Suggest remedy for sinus infections
Hi, may I answer your health queries right now ? Please type your query here..i 23 yrs and my weight is 56 kg,i am suffering with sinus since 5 yrs.i feel pain im my forehead,below eyes and also in my nose .skin below my eyes become very soft and dark and wrinkle around my eyes. | Hello ,Thanks for consulting hcm Read your query as you had sinus infection I will suggest you to consult ent specialist for examination and treatment . Inmeantime do warm saline rinses 2 -3 times a day and you can medication like Paracetamol and Allegra by consulting with local doctor .Hope this will help you . | |
Can shock causing body tingling, shoulder and chest area pain be treated?
I got shocked by 440 volts yesterday have tingling just on right side of upper body and pain in elbow sholder and chest area lie arthritis or tore musal but today was driving and I ran 2 red lights it bothered me but couldn't get my foot to press petal like my mind wouldn't let p[lease help | I hope you are normal now without any symptoms but any way I want you to be examined by a physician. All your symptoms will get disappear within days. Thank if you find this information useful | |
What causes cough,fever and disorientation?
For the past week I have been having random fevers, from low to high, that would break and then come back a few hours later. I then developed a cough. I thought I was on the mend for a few days but then the cough got worse. I called the doctor and they said it was just the end of a bad case of flu. But today it is the worst it's been with me being weak, dizzy and disoriented. Should I be more assertive for them to take a look at me or is this still just the common flu? | Hi thanks for contacting health care magic.In viral flu associated with viral bronchitis there can be fever and cough .....But here you are having disorientation also .Suggestive there might be neurological involvement....There can be meningitidis like infection......Consult physician for health check up....Your neck rigidity and kernig sign checked for it....Symptomatic management done along with use of antibiotic.......If congestion more antihistaminic given...If needed CT scan might done or CSF examination done....Hope your concern solved.Take care.Dr.Parth | |
Is Clonidine the right medicine to control high BP?
I have have severe problems with spasticity due to a stroke. I was not a good candidate for Baclofen. My Blood pressure has been very difficult to control. After many trials of different medications, I am now on Edarbi 80 mg in the AM and Amlodipine 2.5 mg in PM and Clonodine 0.1 mg when my systolic goes over 150 and or diastolic goes over 100. The clonodine has always been successful in bringing it down. For reasons not explained to me, my doctor does not want me to take it often. Only when I can t control my pressure. The Clonidine hasn t caused me any side affects. I read that Clonidine has been used to lessen spasticity. Could I use this medication safely and ask my MD to switch me to Clonidine? | Hi, Although Clonidine is a medication for hypertension, which can also help in spasticity, it has several side effects which can be experienced with doses for the above purpose. First-line medications for hypertension are those that you are taking right now - Edarbi and Amlodipine, which can be titrated for more optimal blood pressure control. Taking Clonidine at higher doses can cause hypotension which is not beneficial and may be harmful as you already had a stroke before. I recommend a consult with your doctor since there are other medications that relieve spasticity aside from clonidine, which has lesser side effects. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Daryl Derick B. Dizon, General & Family Physician | |
Q. I get pain and bleeding after sex and pap smear shows CIN3. Kindly help.
Hello doctor, I have a history of back pain and pain during intercourse as well as bleeding after. My pap smear came back CIN3. What can I expect? | Hi. It depends on practices prevalent in your country and the prevalence of cervical cancer in your locality. Normally we would do colposcopic directed cervical biopsies to rule out cervical cancer and act according to the report of biopsy. Some doctors may prefer removing uterus after cancer is ruled out, especially if your age is more than or equal to 45 to 50 and if childbearing is complete. If there is a chance of cancer, extended surgery (for removal of the uterus) may be required. Kindly do not get frightened by the answer, as I have just mentioned possible treatment options we consider in our setup. All options may not be applicable in your case. | |
Q. I am ejaculating while sleeping. Kindly suggest a medicine?
Hi doctor, I am a 28 year old male. I am frequently ejaculating semen unknowingly while sleeping. It occurs at least twice in a month. I had siddha medicine a year before and it showed some improvement too. But, I discontinued. Now, I am not getting proper sleep. My left hand is trembling some time. Kindly suggest a medicine. | Hi. Revert back with the answers for the above questions to a sexologist online --> | |
Is cut inside the lips of tobacco chewing person sign of oral cancer?
hi sir,this is priyesh here from kolkata,age 28 height 5 feet 5 inches,weight 78 kgs, i have been chewing tobacco since last 8 years and today since i had huge quantity i had cut my right cheek and suddenly i have found that my right part of the lips have swollen and there is a cut in the inner part of the lips???is this oral cancer??? | Hi, dearI have gone through your question. I can understand your concern. You have history of tobacco chewing. So there is high chance of cancer. You have ulcer it may be leukoplakia, simple hyperkeratosis or squamous cell carcinoma. You should go for punch biopsy of that ulcer. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Is Levetiracetam the right medicine for seizures?
Hi, I am Ranjit, 37 yrs old. I am diagnosed with Neurocysticercosis. Left frontal lesion on CT. I got partial sezures on right side 4 times in may be 2 hrs. After medication they stopped and didn t occur. I am taking levetiracetam( Keppra ) 500mg since a week, 2 times/Day. I was discharged and told only 1 lesion is there and anti parasite tratments are controversial. So only this tablet is enough? doctor told me to go for approx 2 years. I see in internet that 1. Steriods 2. albendazole and then anticonvulsants. I am in Auckland, NZ. | I read your question and I understand your concern.The management depends upon the parasite cyst status. If the parasite is dead then the treatment is directed mainly at seizure prevention. Otherwise, if the parasyte is active as you have read steroids and albendazole treatment is used.As for Levetiracetam being the right medicine, there are many drugs for epilepsy out there, some are effective in some patients other more effective in others, it depends also on type of seizure. Levetiracetam seems like a pretty good first choice, both for its wide range of efficacy in many type of seizures as well as for its fewer side effects compared to some other drugs.I hope to have been of help. | |
Can I ask a doctor to check the blood report of the 3 month old and suggest treatment ?
Hi, Feamle child age 3 months, Blood report Hemoglbin 5.5gm, PCV 17.6, RBC 2.85 *10^uL, MCV 61.80, MCH 19.30, RDW-CV 27 fL, Neutrophils 23, Lymphocytes 72, Platelet count 0000. Biochemical Test Bilrubin(Total) serum 5 mg/dl, Billribin(Direct) serum 1.9 mg/dl, Billribin(indirect) 3.10 mg/dl, SGPT/ALT 27.84 U/L Reticulocyte count 6.5% Kindly guide what the actual problem is, how serious it is and the mode of treatment. | Hello, Welcome to HCM, I am Dr. Das Look, the hemoglobin is very low with low MCV and MCH value indicating a microcytic hypochromic anemia. Now, this type of features are seen in many abnormal hemoglobin patterns. So, HPLC study of hemoglobin should be done after 6 months of age. Apart from this, there is jaundice. For this, you have to consult with a pediatrician for clinical correlation. |
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