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How to get rid of lump inside labia minora?
I found a hard, pea sized lump inside my right labia minora. I m not sexually active, and I shower everyday. What could this be? It only hurts when I apply pressure to it. I thought it may have been a Bartholin s abscess, but the lump is close to my clitoris. Is there anything I can do to get rid of it? | hi.based from your description, it could be Bartholin's cyst. it is best if you consult with a physician, preferably a gynecologist for clinical evaluation. management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye | |
Suggest treatment for calf muscle pain
I am suffering by calf muscle right leg pain since last two years specially at night sleep. Please be noted that i am habitue of after lunch sleep but at that time no pain but night sleep i suffer by calf muscle only right leg pain while not left leg pain. I consult general physician, orthopedic doctors & more but no result. Please guide me what I have to do & which side specialty I have to consult & if possible suggest me name & address & contact no. If possible inform me which kind of investigation report I have to bare. Thanking you regard | Hello, Your symptoms seem to be related to myalgia which is an inflammation of the muscle. I suggest using anti-inflammatory medication such as Ibuprofen. I also suggest using warm compresses in the area of pain. If the symptoms continue I suggest consulting a rheumatologist for further evaluation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Suggest treatment for back pain after injury
My son had a back injury when playing rugby about 5 weeks ago, went to a dr and they injected him with 3 syrins, one voltarin I think. Still pain, but my question is, is there any form of pratising he can do over the holidays to maybe make his back stronger for rugby season again? | Dear parent , you need to get a ct scan on his back to exclude the presence of disc prolapse due to injury. if the ct is normal then this is most probably a muscle injury.. this will need application of an anti inflammatory gel as voltaren together with ibuprofen syrup every 8 hours | |
What causes occasional missing of heart beat?
I have been on prednisolone continuously for almost 15 years and apparently my natural 'cortosol' production is reduced. I've had multiple bypasses and it seems there is one artery virtually closed at the junction with the back of my heart. I developed asevere AF after my heart operation 9 years ago, and had RF Ablations because a pacemaker was not optimal (My immune system was/is consequently suppressed). I have finally been able to reduce prednisolone to 3 mg/day after several years of oscilating between 15-5 mg (with occasioinal bursts about 3/yr 50 mg for a period then reduced. For 5 years I have been able to walk 5-8 Km every day. QUESTION: I am getting occasional missing heart beat/palpitations... but find if I gently walk 5 Km, have a cup of coffee, then walk 2 Km to home I start to feel 'good' (heart regular, lungs clearer), but need a sleep later. QUESTION... ought I continue with the gradual reduction of prednisolone? Has the prednisolone been assisting with coping with the remaining blocked artery? | Hi,It looks like you have been coping up well with the gradual reduction of prednisolone.If the prednisolone would not had been enough for you then you would have low blood pressure, or any abnormalities in your electrolytes.The atrial fibrillation can sometimes happen all of a sudden which is known as paroxysmal afib.As long as it does not cause any dizziness,shortness of breath or chest pain its fine. I would advise you to see your cardiologist.1. Do a 48 hours holter monitoring2. Do an ECHO3. Check morning cortisol level at 7 am (would tell you if cortisol is enough)I hope it helps.Regards. | |
What causes pressure in lower back with frequent urination and bloating?
A couple days ago I started feeling pressure in lower abdomen and had to pee every 2 seconds now that has stopped and I feel very bloated and my lower back is killing me plus I am on my period which is abnormal went from very heavy to none to heavy and back to none again what is wrong with me | HelloThanks for query .Severe pain in lower back with frequent urination and bloating is mostly due to presence of stone either in kidney or ureter .Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvisFurther treatment will depend upon result of these tests and final diagnosis.Dr.Patil. | |
Suggest remedy for phn
Going on 6th year with PHN after shingles. Right side of neck. Can not let cloth touch neck for any length of time. Now using 30 mg dubxetine in evening, 10mg amitriptyline morning and evening and 5mg oxycodone if the pain gets out of control generally between 2pm and 4pm. Any ideas for better control. I have already been treated at Brigham and Women s by 2 doctors for 4 years with cortisone nerve blocks. | hi.pregabalin and gabapentin can be used for treatment of PHN. They are very effective drugs.Topical Capsaicin (Dolorac, Capsin, Zostrix) can be used for local applicaton.Lidocaine gel (5%) showed to be very effective.Hope this is helpful.Take care. | |
Q. Is it possible to get irregular periods with ovulation issues due to hormonal problems?
Hello doctor, I am 24 years old woman. My weight is 95 kg and height 165. I have irregular periods, ovulation problem. I consulted a doctor, she says hormonal problem, I have not produced an ovum, so the ovulation has stopped. | Hi. Your condition is known as PCOD (polycystic ovarian disease). It has the following features: Ovarian follicles are not fully functional and they do not produce the adequate hormone. This disease also has insulin resistance (a hormone which decreases glucose by increasing its breakdown) which leads to an increase in weight of the patient. Your doctor might be giving you a course of oral contraceptive pills for irregular menses. You should focus on weight loss by a healthy diet and exercise. Your weight loss will increase insulin sensitivity in your body. Please think about marriage and pregnancy before 30 years because PCOD is commonly associated with infertility. Infertility has better results if diagnosed and treated at an earlier age. | |
Suggest medication for possible concussion after a bang on the head
Hi my 5yr old son had a big bang to his head wed after he went really pale then was sick we took him to hospital but he came back with it so they sent us home. Next day thurs which was his birthday he was really lethargic wasnt bothered about presents hes just sleeping all the time. Today fri hes still very lethargic &sleepy i took him to drs they said its probably Concussion. Hes not eaten since wed either. Do you think it is Concussion thanx x | Hello, First, be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorium or behavior.If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sumanth Amperayani | |
Reddish skin on the face and arms. Worse on exposure to sun. On steroid. Due to mold exposure?
2 years ago we had a massive flood from our washer, homeowners insurance didn't replace all things that were water damaged, contractors lied about doing a mold remediation. In the last 2 months or so my skin on my arms, face and head turns red and burns. The hotter I get or by being in the sun makes it worse. Doctors not sure what it is and recently put me on a steriod which doesn't seem to be helping. Not sure if it is a reaction to our enviornment, meds I take, stress or what. Any suggestions? | Have you been seen by a Dermatologist?This could be a form of Solar dermatitis due to exposure to the sun,chronic fungal skin infections on the exposed sweaty areas,allergy to the medications you are already taking or miliria or heat rash.You need to see your PCP/doctor who can examine you and treat you.It may help if the steroid could be stopped for some time. | |
Suggest treatment for lump on for finger
Hi, I have a lump on my forefinger on my right hand just over 2 years now, and the last few months another 1 is there on the side of the same finger. the older 1 is below the knuckle. I had thought maybe it was an insect bite but cream or tablets are not working. Thank You | Hellolump on the fingers could be a ganglion or cornif you can upload me a photograph i will be able to guide you betterganglion is movable swelling related to the tendon of the small muscles of the hand which van be removed surgically as an OPD procedurewaiting for your replyRegards | |
Is high BP during a pregnancy harmful to the baby?
if pregnant is a bp of 140/90 comsidered high or borderline. Should it be monitored more than once a week? Will it be harmful to my baby it has been in this range for my last 4 weekly antenatal appointment. I am 34 weeks pregnant and had no bp problems belfore | HiYa high blood pressure causes harm to you and your baby .But don't worry you blood pressure 140/90mm hg not very high. Have to monitor blood pressure daily . If it consistently high doctor will start tablets to keep it in normal range.If tablets are taken regularly no harm to baby and mother. | |
Q. What is the treatment for swollen turbinates due to rebound congestion?
Hello doctor, I am on rebound congestion because of misuse of the nasal spray. I have used it seven days not knowing that will cause me rebound effect. My ENT doctor says to continue my spray due to my dry nasal congestion I think. Now I went back to him saying that, I had rebound congestion and my turbinates are swelling, he advised me to stop the spray, and he replaced it with Mometsone Furoate two sprays once a day. He also gave me Methylprednisolone two times a day for seven days and an antihistamine. I am now on my sixth day of withdrawal, the steroid spray works and also the oral he gave me relief. But I do not think that it reduces my turbinates. | Hello. Why do you feel the turbinates are not getting reduced? Is it because you see those big in the mirror? Is there any symptomatic improvement in nose block after the use of Mometasone? Turbinates usually increase and decrease in their size a few times a day. Additionally, the nasal cavities also have congestion decongestion cycles normally. The rebound congestion that occurs due to decongestant nasal sprays is a temporary phenomenon. What might have happened in your case is rhinitis medicamentosa. But that occurs after months of usage of the decongestant spray and not by a week. We do frequently give decongestant drops for a week or ten days as indicated. I suggest you to continue with the steroid sprays. You may use a plain saline nasal douching couple of times a day. Make sure that you do it before using Mometasone and not after using as then it would wash away the Mometasone. Nasal douching helps keep the mucosa clear and supple. It helps to improve the ciliary action of cells lining the mucosa and clear the mucus better. That way you appreciate the better movement of air inside the nasal cavities. Do revert back to me with more details. If possible click a picture of the turbinates and get back to me. For now, if you were to come to me for a second opinion, I would continue with the medications you are on. | |
What should be done for burning sensation in penis while erection?
sir,im 21 i use to mastrubate daily....since from 6 months i feel some burning sensation in my penis while erection and i cant involving mastrubation act daily..im feeling very pain while ejaculating and my penis skin is also not coming i mean read tip is not coming out..pls help me | DearWe understand your concernsI went through your details. I suggest you not to worry much. Masturbation is not sin and there is nothing worry about your health. It is a natural process and even animals masturbate. You are feeling this burning sensation during erection and ejaculation for the lst 6 months nd you did not consider consulting a doctor? I suggest you to visit a physician as early as possible. You might be suffering from some sort of inflammation or infection inside urinal tract which needs medical attention. Nothing to be alarmed though.To get proper retraction of your foreskin, you need to perform circumcision. Talk to your your doctor regarding this.Hope this answers your query. Available for further clarifications.Good luck. | |
What causes watery eyes and fever in a 2 year old?
My 2 yr old has been suffering from watery eyes and fever two weeks ago. Now, the symptoms have started again and the eyes are red with white slimy liquid coming out, and she is again running fever. Doctor thinks it is just a viral infection but, i am worried. Any advice? | Hello. I just read through your question. In the majority of cases, this is a viral illness, as your doctor says. Maintain hydration, do your best to control the fever, and keep the eyes clean. Within a few days this will pass. | |
Having dry skin bubbles on the hands and feet. Using udder cream. Any medication?
I have dry skin air pockets on my hands and feet . They don t itch , they don t hurt. It came on 4 years ago when my washing machine broke and I hand washed my clothes for about a year. the soap was very drying and contained a bleach product in it. Now I have been using udder cream and my hands have become soft but the dry skin bubbles are still there and the whenever I wash dishes for a long period of time they become more pronounced. My feet don t have much of these bubbles and I try to scrub the dry skin pocket off whenever get a pedicure , but they keep coming back in the same place. | Hello Welcome! I would be pleased to answer your question . From the description of the lesions they seem to be either a hand eczema or contact dermatitis. Which has become chronic at the moment . The Allergy can be due to external or internal allergic agent. The response to the agent results in an 'itch scratch cycle'. As in the more one scratches the more the area itches and so on. The first step in treatment is to break this cycle by giving relief from itching and instructing the patient to avoid scratching as much as possible. It can occur localised as in your case. Here is what will help: 1. Clobetasol propionate cream + Mupirocin cream: Mix and apply over the affected area on the right shoulder twice a day for 14 days then switch to Fluticasone propionate cream once at night for 2-4 weeks. In the groin/upper inner thigh use Fluticasone in place of Clobetasol from the beginning. The specialist to see will be a dermatologist and he or she can prescribe these for you. Nothing over the counter will help much, the only product with some benefit is 1% Cortizone cream. 2. Tab Claritin 10 mg twice a day for 14 days, then once a day for 6-8 weeks. Initially the dose can be increased to 2 tablets taken twice a day if there is insufficient relief in itching. 3. Sarna sensitive lotion can be used 2-3 times a day to give further relief from itching. This can be continued even when the above creams have been stopped. 4. Avoid scratching the affected areas as much as possible. This is most important. Whenever it is not bearable soak a towel in ice cold water and keep it on the affected areas or apply the Sarna sensitive lotion. Lastly keep the affected areas as well moisturized as possible with a moisturizer of your choice. NOTE: 1% Cortizone cream, Claritin and Sarna lotion can be bought without a prescription. Please feel free to ask if you have any queries. | |
Will high BP cause brain damage?
My brother,s heart stopped for 15 mins while under high bp and afib. Now he is under heavy sedation and bp is normal. Could he have had a brain damage. Yesterday his body kept shaking twitching and now is better but he is also sedated. He started a fever today. Is this life threating Thanks | Hello,High blood pressure is one of the most important risk factors for stroke and heart attack. Brain damage may have occurred from lack of oxygen due to the heart stoppage. I would need more information in order to assess his condition.However, you should be able to speak with the doctor in charge of his case and get this sort of information just as well since they also have the advantage of being able to physically examine him, look at test results, and call in specialists to help guide treatment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Dariush Saghafi | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Suggest treatment for bilateral varicocele
Hello doctor. ... Sir I am suffering by varicocele for 5 years in left testis .but now before a month .I feel pain in right testis also.before 15 days my scanning report is bilateral varicocele. now I feel pain in my abdominal and right testis veins. Sir main matter now my marriage fixed on 2 November 2014 .so sir kindly advise me .what I do now .......... | Hello,In varicocele blood stays around testes and because of that testes dont get fresh blood supply and this causes pain in testes. Mostly this occurs when a person feels sexual excitement, because at that time blood supply to penis is increased.If varicocele is not treated timely, it can cause damage to testes and sperm production.As u mentioned that you are having bilateral varicocele, i advise you to go for its treatment as soon as possible. Available treatment is varicocelectomy. It is an outpatient surgical treatment and is usually indicated in symptomatic patients and patients having abnormal semen analysis.Hope this helps you.Thanking you. | |
What causes increased eosinophil and B 12 level in blood test reports?
hello doctor, we got my husband blood test done, and his eosinphils count have come 10.1 which our doc says its high..as well his B12 level count is 319.8...my husband does not want to take allopathy medicine...he is sufferrring from sneezing and numbness from 4 years we have gopt all the MRI done and they are normal...can you help me out...right now he is on homeopathy medicines which are not helping him much...we are looking for faster relief as it has started effecting our personal and his professional life....khushi | Hi, dearI have gone through your question. I can understand your concern. He has eosinophilia. His b12 level is normal. Don't worry about that. There are many causes of eosinophilia. Asthma, allergy, hypersensitivity, parasitic infection etc. You should go for allergy test.Svoid the allergic substance. Anti histamininic drugs or steroids can help you.Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Pin prick sensation in body, painful, tremors in legs. Normal?
i have been having sharp pin prick sensations in various parts of my body, on my arm , on my thigh, my toe , beneath my foot , sometimes it s more like a tickle and other times it s quite painful. this has been going on for about four days now. i ve also expereinced tremors, mostly in my legs. for a while i have had pins and needle feeling in my right shoulder blade. It s making me a little worried. are these sensations nornmal? stress related? or could they be more serious? | Hi and thanks for the query, Body tremors could either be essential, meaning no pathologic or pathologic. When pathologic, they could be intention tremors, which set in only when one has to take something or resting tremors. Depending on the particular characteristics of the tremors and the age, the diagnosis becomes very different. The sensation you are feeling like pins is generally called a peripheral neuropathy. This could be due to a neurological disease, or simple due to electrolyte or ionic imbalances in the body. Treatment depends on the particular cause of symptoms. I suggest you consult a neurologist for a complete reevaluation. Thanks and best regards, Luchuo, MD. | |
Teenager. Had unprotected sex followed by intake of plan b. On birth control, took the pill late. Possible pushed ovulation time?
I am 18 years old. I got my period on October 15th and had unprotected sex on October 27th. On October 28th I took plan b. I am on birth control but took it at different times (within a few hours) the few days leading up to October 27th. (8 pm one day, 11:30 pm the next day, and 10 pm the next day) so I was very nervous and took the pill especially because it was around the time I'm supposed to be ovulating. Then, I had unprotected sex on November 1st really late at night and the day before that I took my birth control 3 hours later than I normally do. Does plan b push back ovulation so I would be ovulating on the weekend of Nov 1st? Do you think that I have a chance of becoming pregnant?? | Hi, Thanks for using HCM.Contraceptive pills needs to be taken regularly at fixed time. As you have taken pill daily but at irregular time, still its effective in controlling ovulation. not to worry. If at all you miss your periods get pregnancy test done.Try to take pill at a regular time daily, If you find it difficult to take regularly better to go for other methods of contraception.Hope this helps youRegards | |
Should the formula milk of an infant suffering from cough be changed?
Hi my 7month old doughter has a bad cough at night.it started when she was six months when she had to move to number two..at that time shd was taking infa care formula now we changed her to lactogen and she still have this cough at night and her tempereture is fine.should we change her to another formula?If yes please advise us which one will be best. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is very unlikely that the formula is the cause of the cough. This could, however, be a case of mild reflex. Add a teaspoon of baby cereal to the bottle. This will often solve the problem. If it doesn't, contact your doctor. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for anxiety and giddiness
Dear Doctor, i am 41 years old male unmarried. I have lot of confusions fear and anxiety unnecessary thoughts which is repeatedly coming in mind and make me fear. In the year 2007 when I was in an official meeting I felt giddiness and as if a kind of flying and imbalance in my body and the fear which i had aggravated it, I consulted my Doctor and he advised me to take Clonozepam tabletsI am taking it till now and my doctor says i can take it whenever i feel anxious. Kindly advise me please | DearWe understand your concernsI went through your details. I suggest you not to worry much. Anxiety is a state of mind. It is not a disease but a disorder. Anxiety is fear of a subject or object non existing. Simply said, it is a fear of the fear. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Life style changes, change in thinking pattern, relaxation etc are as essential as medicines. Psychotherapy can help you changing your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information.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. | |
LFT normal, ultrasound showed enlarged liver, have intermittent pinching pain around right upper abdomen. Is it related to liver?
hi.recently i got my abdominal ultrasound done,which shoes enlarge liver ( the doctor who was doing said,it is due to outside food ),then later i consulted gestroentrologist,he examined my abdomin & got LFT test which results in normal.he said everything is normal.now i feel pinching pain which comes & goes around my right upper abdomin.is it related to my liver??my stool colour & urine colour are normal. pls advice me...thanks | Hi, Welcome to HCM, I am Dr. Das As LFT is normal it can be said that you dont have any active liver disease. Enlarged liver may occur in many conditions. Most commonly it is associated with fatty changes. When do you feel the pain? After or before taking meal? It may be due to peptic ulcer disease. Just take Lansoprazole 30 mg once daily before breakfast which will cure this condition. | |
How to know you are getting recovery from anti tuberculosis ?
Dear Sir , My mother age 55 yrs, is suffering from TB of spine and has abscess from L5 to s1 she ie undergoing treatment of antituberculosis from last 2 mths but she has still pain in her lower limbs how can we know that she is recovering as somties she has severe pain somtimes no pain | Hi, Thanks for query, Your mother has cold abscess. After complete treatment she will be alright. Do follow up and blood report and Xray frequently will guide her recovery. ok and bye. | |
Why there is pain in solar plexus area every morning which goes away later?
Hi, for maybe a couple of moths most mornings I wake up with a pain in my solar plexus area, not terrible pain, more like hunger. But when i get up and have a shower or anything it usually goes without the need to eat. Sometimes its accompanied by a feeling in my throat. | Hi...you are having gastritis with reflux...take any ppi with levosulpride combination for a few weeks... you may also get an endoscopy done if it dosent resolves...Dr. Ashish Verma | |
I have white skin inside cheeks, i do not have any pain
hi, i have white skin in straight line inside my left cheeks where upper and lower jaw meets since last 4 weeks,sometimes it goes completely and again in 2/3 days it comes back, i do not have pain,this starts after i finish my dental treatment , my one teeth was removed and fitted with artificial one, i do not have other problem but i wanted to know how this can be cure,? | Hi, A chronic cheek biting has resulted in the condition known as Linea alba buccalis. This is a normal finding where a white line is seen on the buccal mucosa where the upper and lower teeth meets. Dont worry about it. | |
What is the best treatment for restless leg syndrome?
I have sever restless leg syndrome and can not sleep at nights. I am always tired in the morning and it is hard to function. I have been seeing a neourologist but I have seen any improvements. I need help on finding a doctor who can help me to get better on RLS and help me to sleep at nights | Hi, Thanks for the query. Consult a neurologist and get evaluated. You have to start on drugs like ropinirole for symptomatic relief. Hope I have answered your query. Let me know if I can assist you further. | |
What would the sores inside my gums indicate?
hello...i have two sores on the inside of my gums right below my bottom teeth.....they are small, flat and smooth....i do get blisters on my lips and this is nothing like that....it started out on sunday as a little bump when i woke up in the morning ...they did not hurt....i used my finger to feel it then it went away...the next morning i woke up to a very uncomfortable pain in the same spot and it was a sore...i now have two of them...what could it be? | HelloI hv read ur query.it can be apthous ulcers.it can occur due to various reasons like stress, smoking or tobbaco chewing, improper digestion.apply oragel on the affected area. Local anesthetic gel can also be applied for pain relief like mucopain. Mutivitamins can be taken be taken for 15 days.if it occurs regularly then u sud visit a dentist.maintain good oral hygiene.Hope this ans helps.RegardsDr. Shesh | |
What causes low resting heart rate?
I am a 50 yr old male. I have always had a low resting heart rate but since I have been training more recently it has dropped to around 30 bpm. Although I run/swim a few times a week, I am no Lance Armstrong. Should I be concerned that my RHR is too low? Could it be a sign of a potential heart problem? | Hello , physiological heart rate in atheletic population may be in late 40 s and 50 s . However heart rate of 30 may suggest a pathology and hence should be evaluated further. Best test is to get a 24 hour holter monitoring to look for any blocks which may result in low heart rates . Thyroid function and myocardial function should be evaluated as the cause for the same . Regards Dr. Priyank Mody | |
Could Sub Clinical hepatitis c have long term health effects?
Hello, may years ago I was diagnosed with sub clinical hepatitis c. I took medication at the time and never thought of it again until today. Question: could this disease still be affecting me today. I have had fibromyalgia for a long time and also very low adrenal fatigue and am wondering if hep c could have caused these problems. Thanks, Raelene | Well Hepatitis C sometimes "crosses the liver borders" touching other systems and causing other health problems, but is not mentionned for fibromyalgia nor causing adrenal problems, so firstly I'd like to calm you. Secondly thank to the drugs (antivirals) we are in posses Hepatitis C is now considered not only a treateble but a curable disease, so once the sustained viral response documented it has little changes to "turn back again". Anywhere in your next check up (no urgency at all) you will see the liver functional test, transaminases the first. | |
What do the following test results indicate?
My 16.5 year old son has an Alkaline Phosphatase level of 224 and all of his Pneumo Ab test came back low. Types 1,3,4,8,9,12,14,19,23,26,51,56,57, and 68 were performed. He also has a 267 on his EBV Ab VCA,IgG blood test. He recently had mono and was treated for it. Is he going to be alright? Thank you very much, Patrick A. Donnelly | Thanks for your query on health care magic.All these investigation reports are normal, means you should not worry about. everything is OK.regards- dr deepak | |
Suggest treatment for EBV and swollen lymph nodes in neck
hi I am vanessa. I m going to get to the point. I have EBV just concerned for about 2 years now. my wbc is 6.2x10 do I need to be concerned? been to a surgeon, EMT and a Hematologist. Lymph nodes in my neck are swollen and don t seem to get any better. | Thanks for your query at HCMEBV belongs to herpesvirus family. It is often self limiting but virus persists for life.It is associated with cancers and HIV, autoimmune diseases. I suggest you take investigations to rule out these diseases. There is no specific treatment for lymph nodes in such cases. I suggest you get an ultrasound guided FNAC done and get examine for cytology, gram stain and ZN stain to rule out chronic infections like tuberculosis. Your WBC is OK no need to worry. Get EBV PCR repeated. Follow up with investigations.Take care! | |
Does depression and anxiety drugs have an impact on libido?
since 9 years i am suffering with erectile dysfunction(psychological dysfunction).while iam at the age of 18 i use to do masturbation daily.one day i did masturbation by aplaying "zandubam" at forehead of my penis.then immediately i felt pain a lot.at that time i afraid a lot about my penis that here after i cannot get erection forever.(that panic fixed in my mind till today).then day by day my sexual desires decrease gradually.now icannot able to feel that desires.then after i met urologist and he did so many tests on me(such tests are papaverine test,some x rays,ecg,harmones test,colour dopler test).finally he told me that there is no physical problem.problem is only psychological. in sleeping times i am getting erection with out my knowledge and at the time of masturbation i am getting some what hard. but now i am unable to belive that i have no physical problem.these thoughts are killing me daily even in dreams and sleeping times also. i heared that getting treatment to anti depression and anti anxiety makes completely eliminates the libido and sexual desire forever. now you please advice me """""is my problem curable or not?"""" and """is there any alternative treatment to my problem which does not cause any effect to libido,desire,and to rest of my sexual life"""" """"which treatment makes me perfect man""""" will you give treatments this kind of problems | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You definitely need a counselling with clinical psychologist. They don't use any psychotic drugs. With psychotherapy your problem can be easily solved. Hence consult a clinical psychologist. Hope I have answered your query. Let me know if I can assist you further. | |
Could lumbar disc herniations be causing frequent panic attacks?
hi, I need to know if it is possible for lumbar disc herniations/stenosis/degenerative disc disease can cause frequent panic attacks? I had a hemilaminectomy about 8 mnths ago on my right side, and my left side is also herniated really bad, over the these last 8 mnths i have been getting more panic attacks than usual, i have been diagnosed with a panic disorder and am on meds to help control it, but latley nothing seems to help and they keep occuring, so i was curious if disc herniations could be the cause of these more frequent attacks? please help, i am getting a little freaked out :( | HIThanks for using healthcare magicPanic disorder/attack is a psychological disorder and it could not possible due to lumbar disc herniations/stenosis/degenerative disc disease. If you are tense due to any physical condition, in that case, it could lead to panic attacks. That may be the reason in your case. Better to consult a psychiatrist for proper mental status evaluation and get proper treatment. In case, you need further help, you can ask.Thanks | |
What causes pain in lower part of abdomen?
I ve recently had 2 loop excisions within 8 weeks of each other, the most recent was 5 weeks ago. The last week I have noticed my tummy feels quite hard and I feel very bloated but I also have an offed feeling in the lover part of my abdomen, more of a pulled muscle type of pain. Could I have an infection or is this normal | Hi, I cannot say in your particular case, but generally, issues would be whether there is no or decreased stool. If there is pain, if the abdomen is painful and if the pain is made worse with rapidly easing up on the pressure during an exam; these would be bad signs. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | |
what causes central and obstructive sleep apnea?
My husband has central and obstructive sleep apnea and uses a V-Pap machine. He still thrashes around at night (kicks and punches) and gets headaches and has episodes of confusion. He has had his heart checked...no congestive heart failure and his brain CAT scanned....no reason can be found for the apnea (idiopathic). Is there anything else that can help him? | His settings may not yet be optimized. You should communicate with the doctor responsible for ordering the settings so they can be readjusted. He may need another sleep study if it's been a while. Central sleep apnea results from some form of damage to the central control mechanism for sleep following stroke, traumatic brain injury, intracranial brain bleeds, infections, hydrocephalus, etc. Obstructive sleep apnea refers to anything within the physical airway that blocks the natural and unimpeded flow of air into or out of the system. Usually these can be easily found and corrected either by surgery, weight loss or other simple maneuvers. Fixing central controls, however, remains extremely challenging. | |
Suggest remedy for sharp nerve pain in between teeth
Hi I have been in pain with two teeth, shooting pain like nerve pain haven t slept for last couple of days I have took neurofen every 4 hours I find sipping cold water helps when I have the dart of pain is there anything else I can do until I see a dentist kind regards | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain if there is such a severe pain in your teeth that is relieved by sipping cold water it probably explains that there is inflammation in the nerves of the teeth and needs immediate treatment..You should consult a dentist and get an x Ray done and in case of Decayed teeth involving nerves of teeth root canal treatment followed by antibiotics and painkillers will relieve..If the pain is due to any cracks in teeth caused by any traumatic injury or caused by biting on something very hard then the treatment that is root canal treatment or extraction will depend upon the location of fracture where crown fracture are treatable while root fractures mostly needs extraction of tooth..As of now you can take a higher painkiller that can relieve severe pain like TRAMADOL..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
What does a lump in the vagina indicate?
I had a total hysterectomy about 10+ years ago. I am not sexually active, I noticed about a week ago that I had a lump on the right side of the inside of my vagina. I used hot compresses and the lump came to a head and started to bleed just a little. All was fine. Then 4 days ago I started feeling uncomfortable and getting another lump so I bought some monistat cream last night I used it and I noticed a very small amount of blood on the plastic insert. Today I have blood like I am on my period. Not sure what is happening. I have no belly pain, a little burning. When I go to the restroom and I wipe just a trace of blood. Help | Hello,The lump in vagina indicates possible bartholin cyst or other inflammatory boil.In our clinic, after clinical examination according to the need we recommend ultrasound examination or proceed for the treatment on OPD basis itself.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel | |
How can bipolar disorder and anxiety be treated?
I have a friend (20 years old) who suffers from bipolar disorder, anxiety and obsessive compulsive disorder. He takes medications only because his family force him to take it not because he wants to.. he started taking medications for three weeks now, but he stoped two days ago as he noticed that the medication make him gaining weight and sleep much time than he used to. He think that it s okay to have depression and he doesn t want to step out of his comfort zone. His self-confidence is low, telling himself that he can t study can t memorize anything can t concentrate.. etc He thought that happiness is an illusion, that he s helpless. How can I help him?? | Hello there I have read through your question and understand your concern. You said that your friend is suffering from bipolar disorder and OCD. It is very important in his condition that he takes his Medicines to control his symptoms. In people with psychological disorders the first step in the treatment is to make the patient understand that he is suffering from a disease and needs help. Otherwise he won't be willing to take medicine s as in your friends case. Counselling sessions with a psychologist will help him to understand his disease and accept it. Family and peer support is very important for him. So I would advise you to have patience with him . I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing healthcare magic. | |
Abdominal pain, fever, dull senses, no appetite, dark urine
My fiance is 52 and has had pain in his lower right abdomen for the past couple days. The first day he had a fever, but that broke and now the pain is getting worse in the lower right abdomen and it is warm to the touch. He says it feels like a hole??? His senses are dulled. He cant taste, smell, or see as well as before this started. He has no appetite and his urine is dark yellow, though he drinks more water now than he did when he was well. | Hi,There are few possibilities having this problem.1, He might be having Acute Appendicitis,2, There might be having urinary tract infection.Consult surgeon and get examined.Ok and take care. | |
Is the wound infected as getting greenish yellow pus?
I just had surgery two weeks ago and when my mom changed the dressing, there was a greenish, yellowish pus on the part that was inside the wound. It smelled very bad but you could only msell it if you put your nose close to it. I also just took a show, is the wound infected? | Hello,Welcome to HCM,As you are getting discharge from the site of surgery which is greenish, yellowish pus from inside the wound and it is smelling very bad suggest that there is some infection in the site of surgery.The wound should be dressed regularly under all aseptic precautions and it requires the physical examination from your treating doctor.The wound should be observed for signs of healing and proper wound treatment should be done, if there is any infection you should take proper antibiotics for controlling the infection.Thank you. | |
Is it common to have dryness and chapped skin on genitals?
hello, I am a 43 year old female with an active sex life and I was wondering if my lady part can develop dry skin like my hands since I seem to have irretation that feels like dry sink also sometime I have bleeding from small cuts either from tears of the skin or just chapped? | Hello,Thanks for the query,You might have developed fungal infection.The area of groin around labia is very moist and is prone to develop these infections.once infection develops dryness can occur.Treatment can be with oral antifungals as well as with topical antifungals.Various antifungal powders like candid are availabe.These can help reduce the moisture as well as control the infection.Please dont use any steroid, it can worsen your conditionPlease meet a dermatologist for exact diagnosis.Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you good health,Thank you | |
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 --> | |
Suggest treatment for sharp pain in the shoulder
I had my Gallbladder removed tomorrow 2 weeks ago. I have a dark red bruise which started of small and seems to get larger on the scar where my gallbladder was removed and is very tender and sore. My liver is very swollen and a lot of bruising around that area. The last 2 days I have this sharp pain in the middle of my back just under my right shoulder plate nears spine and is very painful when I sit and lay down. I have taken pain killer but it does not help that much. I m a little worried. | Hello,I have studied your case and I think that you are having pain in shoulder because of gall bladder issue. It is called referred pain. I would suggest you to meet your operating surgeon and discussed this case with him. He will suggest you to take some pain killer like Brufen. Also getting a ultrasound is good as it may be some collection in the abdomen , you need to see if there is no infection at operating site.thanks | |
Why is the itching around the penis and a white spot on the penis head?
around my penis area iam suffering from khujli and my penis head area there isa white spot coming I used to masturbate and I don t used to discharge I I used to hold it tight at the climax with some thing can it create any problem I been to to prostitute even | The holding at climax does not cause any harmful effects but going to prostitute could be reason for your white spot and itching (khujli). I am not sure what it is but but it is definite that you got infected with some sexually transmitted diseases. You need to visit nearby doctor for further testing and treatment.Thanks | |
Suggest remedy for pimples
hallo sir, i'm edy from Jakarta - Indonesia... i want to ask you about my sister face.. she is 26 years old. she has so many pimple. sometime it's like a ulcer. she has seen an dermatology in Jakarta, the doctor gave a treatment like face peeling but nihil.. what should she does? thank you for your attention... | Hello. Thanks for writing to us at healthcaremagic.She seems to have inflammatory acne.Active acne particularly if severe can lead on to scaring and pigmentation.In my patients of inflammatory acne I normally put them on one of the Oral antibiotics if they have moderately to severe grade of acne.Various options that I choose from are either Doxycycline or Minocycline Or Azithromycin.Topically I ask my patients to use benzoyl peroxide gel twice daily.Oral retinoids are an option too if acne is severe and not responding as desired to the traditional antiacne medications.These are all prescription products and therefore you must follow up with your dermatologist.Your dermatologist would be able to assess the severity of your acne from time to time, and advice accordingly.Chemical peeling can be combined with topical treatment. Peeling sessions are usually done in the doctors office every 2-3 weeks.Regards | |
How to overcome severe anxiety?
My husband has had numerous doctors visits due to anxiety over health issues. I am at a loss because all of the clinical, blood tests, MRI s all prove he is healthy. This is a second time marriage 8 years in August and I have known him for a total of 12 years. I think he is suffering from an anxiety disorder regarding his health much like I would of the cuff say he was a hypochondriac. I researched the meaning and it fits him. He is scheduled to see a psychiatrist upon my son s recommendation. My son is an ER doctor. I feel I no longer have a husband but a child. Very sad after several good years of marriage. Don t know what our future will hold because I have to think of my well being. It s difficult to handle mental issues, physical I can handle but this is beyond my understanding. Any suggestions? | Dear userWe understand your concernsI went through your details. Anxiety disorder is not a mental disease but is a mental disorder which usually go away its own provided the apt life changes are made. Secondly symptoms associated with anxiety is part of body's defense mechanism and confusing those as scaring symptoms worsens the problems. I suggest counseling and psychotherapy for your husband.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
What causes swelling above the eye lid after a brain tumor operation?
Hi, My sister just had a brain tumor operation couple of days ago and had a non-enhancing lesion measuring 48 x 40 x 36 mm removed from right frontal lobe. This morning we have noticed her right eyelid and the area above is heavily swollen. We asked a doctor and he said it is normal. Can you please advise why this has happened. | Hi, I had gone through your question and understand your concerns. It is true that swelling of surrounding tissue occurs often after brain surgery. That happens because of the blood under the skin around the wound and trauma of the skin and subcutaneous tissue from the procedure. The problem disappears often after 2 to 3 weeks. Hope this answers your question. | |
Suggest treatment for erection problems
I seem to be having a problem with getting it up and keeping it up. Don t smoke, don t drink. Married but haven t had sex with her for years. Just having increased difficulty masturbating. Health is generally good, no strokes, no heart disease, BP is good. Basically just asthma, controlled with Advair. Take nexium and Procardia just to control migraine headaches. Have taken it for probably 15 years... headaches down to 2-3 year. Oh, almost 62 yo. Think dr would prescribe Viagra? | HiI understand your concern.I appreciate that you are quite physically healthy but sexual and erectile problem may have many origins.1st due to age, there is aging changes occur in neuronal mechanism of erectile functions.2nd there may be psychological weakness or desire that affect erection.You have to do is go for penile Doppler to know blood flow and chance of erection with medications etc.Viagra can be taken for erectile function but routine physical health examination is necessary before prescribing it. So consult your doctor and get advise about it.Now a days a new molecule will release soon name udanafil which has minimal side effect and can be given in old age but still proper consultation is necessary.2nd new launched product name tetrafol plus which contain phosphodiaesterase which help in erection ,, results are coming good with daily intake up to 2 monthsBehavior factor like life style modification with free communication with the partner can help to achieve psychological mindedness.Consult physician and psychiatrist for better evaluation and assistance.Happy to help you further.Thank you. | |
What causes rise in creatinine levels during dialysis?
A patient aged 77 years in critical health for kidney failure undergoing hamoe dialysis for Creatinine ( 8.0 to 8.5 ). Last 3 dialysis carried out on 19th Aug , 23rd Aug & 27th Aug. Patient in Amritsar India. Pl guide on sos on Contact Mobile 0000 | Hi, Creatinine level 8.5 is suggestive of severe degree of kidney affection. In symptomatic patient of such chronic kidney disease patient, dialysis is the only treatment. The other mode of permanent treatment is renal transplantation if suitable to your case. Diabetes and hypertension should be under control with medication. Hope I have answered your query. Let me know if I can assist you further. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Red dots on breasts. Itchy, look like blood blisters. Something to be concerned about?
Hi, When I was showering today I noticed 3 mall red dots on my breasts. I watched them get bigger in a matter of a minute they are about dime size and have stopped growing. They look like blood blisters kinda. They are itchy. I had this happen to me a few years ago. They went away in a few days. IS it something to be concerned about? | Hello.i think u are suffering from acute urticaria.use antihistamine and calamine lotion over the lesions.rule out any allergen | |
What causes red cluster of bump above penis in diaper wearing child?
My 3 year old son still wears diapers at night. All the sudden a red cluster of bumps show up around the skin above the penis and in the crease of his leg and hes scratching them. Is this possibly diaper rash or something to be concerned and checked out. | Your child is likely to be suffering from diaper rash which is basically contact dermatitis that occurs when the skin gets inflamed due to constant contact with the moist nappies. Often it gets some secondary fungal infections as well. The solution would be to keep the area dry and open for sometime if feasible. Candid (clotrimazole) powder may be used. With the mentioned steps, things should soon improve and there should be no reason to be concerned. But it can worsen if no steps are taken. | |
Suggest treatment for pain in lower back and hips radiating to legs
I have chronic low back and hip pain down legs into feet after walking I have had a laminectomy last year. But my pain has never gone away. After walking or standing sometimes in as little as an hour pain starts feet also burn and feel very hot I need help | You are having limbo sacral radoculopathy. Start physiotherapy, avoid bending forward and lifting heavy weight. Start tab pregaline once daily and analgesics sos. Do MRI LS spineHope my advice will help you. Take care. Don't forget to rate me. | |
What does a lump on the left shoulder along with chest pain indicate?
I slept all night on my side with my left arm behind my head. I woke up and I had a large knot in the middle of my left shoulder blade. It is hard to look down and turn my head. Also, since I have noticed my back pain, I have noticed a little pain in my chest on the left side. Could the chest pain be from sleeping on my arm as well? | Hello,Knot over shoulder blade seems soft tissue swelling which may be noticed accidentally, not related to sleeping over arm.The chest pain and back pain likely to be positional; which will be covered with analgesic spray and medicines.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel | |
Is a surgery required for hydrocele?
hi sir,my name is ram iam suffering with hydrocele since 10 years with out pain.in between i meat doctors twice they checked and said no need operation just use they prefered medicine. but present one week on words iam geeting pain.what can i do? if iam going to operation. after operation days need sexually rest. please give me suggetation. | Hello, As per your history, it may be due to hydrocoele. For further assessment you may require ultrasound Scrotum after consultation After confirmation you may require surgical intervention after surgeon consultation. Till then you can take tablet acetaminophen for pain. Use scrotum support. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician | |
Any suggestion for having disc protrusion and impingement of sciatic nerve?
I have disc protrusion and impingement of sciatic nerve for 10 months. I have tried lyrica, tramadol 2x anti inflammatory drugs, injection (steroid) and endone with no relief. Pain is so bad I cannot bear to stand and I need some pain relief before i go crazy. | Hi, You are having sciatic nerve radiculopathy which causes pain of burning type along distribution below the level of compression associated with tingling and numbness . You don't get relieved from oral analgesic at these stage you should take fentanyl analgesic patch to control your pain . But if the pain persists despite of treatment then operative decompression should be thought . So in my opinion visit pain clinic to get patch under their guidance for symptomatic management or orthopaedic clinic for definative management . | |
Q. What can be the reason for recurrent boil?
Hi doctor, I have a boil on my inner thigh, which keeps recurring. I have had a boil in the same spot before. When I popped it went away, but now it has come back. It is also very painful. Please help. | Hi. I have read your query. It seems that you are having furunculosis. Boils (also called furuncles) are a deep bacterial infection of hair follicles. The cause of recurrence may be Staphylococcus aureus, which is most commonly carried in the nostrils, armpits, between the legs and in the cleft between the buttocks. It may be transferred to other sites from the nostrils through the finger nails. General measures to avoid the recurrence are as follows. Regarding treatment, I suggest oral antibiotics like tablet Augmentin 625 mg (combination of Amoxicillin and Clavulanate potassium) if you are not allergic to penicillin group. Take one tablet thrice daily for five days. Also, my suggestion is to apply Mupirocin twice daily for five days. Consult your doctor, discuss with him or her and take the medicine with consent. For further information consult a dermatologist online --> | |
How should liver weakness be treated?
i am thing people. i want to look like a healthy people .i am 5fit ,9inch but my weight only 48kg . i think that weak people liver not work as strong people so i decide to take udilive .if you give me any suggestion to improve to this problem . evry people say me thing people. my age 25 year | Hi there,If you are only 48kg and 5'9 it sounds like you are underweight. I'd recommend increasing your caloric intake. You probably need to consume at least 2500 calories per day, and this will help you gain weight. Lifting weights may also help to increase your muscle mass, which will also help to increase weight. Protein supplements such as Ensure or muscle milk will also help to increase both caloric intake and muscle mass. I hope this answers your questions. Please feel free to contact me should you have any further questions. | |
Had strabismus surgery. What are the pressure type pains? Why does stomach get sick?
Hi., I had strabismus surgery on August 20th, approx. 4 weeks ago. I am still having pressure type pains in the right eye (stitches are visible) and I feel very disoriented. I had the procedure done in 05 and had no problem at all, however, this time I was not able to drive for 3 weeks and was extremely sick to my stomach when trying to focus or watch tv or anything that has a moving object. Is this at all normal ? | DEPENDS ON THE AGE AND OMMUNITY AND MEDICINES USED IN SURGERY PREOPERATIVE DURING AND POST OPERATIVELYSOME OLD SALTS GO AND NEW COMES ANDIMMUNITY DECREASES SO DEPENDING ON YOU GET THE POST OPERATIVE RECOVERYTAKE LIQUID ANTACIDS BDTAKE METRONIDAZOLE 3 DAYS BD IF ANY STOMACH INFECTION WILL BE CLEAREDTAKE FEXOFENADINE 120 MG OD TO COUNTER ALLERGY OF ANY MEDICINE DURING AFTER AND BEFORE SURGERY | |
Is it safe to take Addrel for stage 2 CRPS?
Hi , I have been looking for a psychiatrist close to the Pittsburg Kansas are to help me through stage 2 CRPS as well as severe damage to a wrist. I have been told by several others who have this that certain medication can help me to get through the long road ahead. I have become unable to focus on things at work, home, and just about everywhere. It is getting worse. These people I have been working with said small doses of adderal have done wonders for them at getting back on track as well as talking sessions | Hello, I passed carefully through your question and would explain that a low dose of Adderall could help you will concentration. But, first, I would like to know your current therapy in order to see if your symptoms are related to any drugs adverse effects. A psychiatrist consult may be needed in order to discuss regarding antidepressants which can help with chronic pain and thus increase attention. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
What causes fever again after being treated for typhoid fever?
Hi Dr, I was diagonized for typhoid fever was admitted in hospital for 5 days. I got discharged on 04-07-12. I felt I am fine. But from 29-07-12 I am feeling I have fever again. Doc advised me to have normal veg food. I was having veg food all these days | HelloSince such long duration of fever (low grade fever),even after the treatment for typhoid fever may be due to these possibilities ,these include:1 Tuberculosis , diagnosis can be confirmed by blood examination for CBC, ESR & x RAY chest and tuberculin pcr.2 Jaundice is another common cause of such fever . Get in blood examination for HBASG for A B C & E .However, there are so many other reason of such type of fever , as cancer , anemia . I recommend you please consult a physician and get his opinion ( 2nd ) because this is long duration fever.Good luck. | |
What are the symptoms of tethered spinal cord syndrome?
my one week old child was born with a very hairy back, forehead and shoulders. at her first doctor visit the doc found what she called a dimple on her lower back and wants here tested for tethered cord. what other symptoms would there be and if the dimple is closed at the bottom should we be worried | Hello, The symptoms are typical of spine bifida. Consult a neurologist and get evaluated. An MRI is required for further assessment. Surgical correction is required if there is weakness or other neurological deficits. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What is the right dosage of calcirol for a baby?
Hi We are giving our baby dosage of calcirol (cholecalciferol granules) as prescribed by the doctor--once a week and denton (camomilla ferrum phos) every day 1 table 3 times a day. baby is 11 months old and has two teeths coming out but very small. Is this right dosage during teething? She is not eating anything and not sleeping at nights looks like she is having headaches. Do we need to give calcariaphos as well or change it to calcariaphose as is being suggested by some people? | Hi...not eating along disturbed sleep at this age group could be worm infestation. Very unusual to have head aches at this age group. I suggest you continue the same medications but add 2 doses of Albendazole 200mg 10 days apart and see.Regards - Dr. Sumanth | |
What is the pain under my arm?
hi i have been having pains under my arm but it feels like its bruised i think it feels swollen but it moves down. sometimes my whole arm goes numb and tingles only done this few times I have had it for few week now still not going what would it be !? | hi, this type of pain occurs in two or three types of problems 1. Cervical spondylitis involving lower part of the neck bones. 2. pressure on the nerves at the junction of shoulder and neck 3. if you have had an injury to your hand or arm any time before. if there is any change in colour/temperatre around the area where it pains it will come under third option. if you have sort of giddiness or vertigo along with pain and numbness feeling it comes under first heading and if this pain or discomfort along with arm goes to the outer side of your chest or breast, then it is likely the second one. | |
How to treat pricking and pushing, spasmodic pain in lower abdomen?
I have a pricking and pushing, spasmodic pain in my lower abdomen since 2-3 weeks. An ultrasound of the abdomen and pelvis shows a normal study . I have acidity and gastric problem specially early in the morning and subsides after having breakfast. My pain worsens the moment I get stressed. | Hi and welcome to HCM, This can be treated with anti-spasmodic and gastric medicines along with antibiotics. Hope your doctor prescribed the same. Continue the same medicines as prescribed by your doctor. Drink plenty of water. Do you have pain in left lower abdomen? In my opinion you can do barium meal 24 hour picture to rule out diverticulitis. Do you have fever, constipation or diarrhea? May be scope study will give clear picture. Also stool ova and cyst lab study will be useful to rule out amebiasis. Wish you speedy recoveryThanks | |
Q. Is it possible for gingival fibers to regenerate after scaling?
Hello doctor, Is it true that gingival fiber does not regenerate once destroyed? Can they regenerate in certain conditions? I got scaling of teeth done recently and developed gaps. I am wondering whether the gingiva can grow into this space. | Hi. I have gone through your question. I can understand your concern. No, you are not right in this case, gingival tissue regenerates as do others except the nerve fibers, if an injury takes place. Dental scaling is good for the heath of gums and should be employed after every six months. If you have a gingival recession, that cannot be because of oral prophylaxis (scaling). So do not worry. The attachment will happen within days. | |
Suggest treatment for stress and depression
my boyfriend and i have been together for a few years. he recently told me he wakes up every morning not knowing what kind of mood he's going to be in, usually ending up in a bad mood. he is extremely moody, irritable and keeps to himself. he refuses to move in together because he doesnt want me and my little girl to have to deal with this on a daily basis. he has been thinking about seeking help in order to be with us. i would like to do some research but im not sure where to start, could you give me an idea of what we are dealing with? | DearWe understand your concernsI went through your details. I suggest you not to worry much. From the given description, it is very difficult to diagnose your boy friend's problem. You are trying to explain his bad mood in the morning, but not mentioning anything about his life style, behavior, occupation etc. Could be some sort of mood disorders. Need to assess the patient thoroughly. Proper diagnosis and timely treatment can cure the problem. Consult a psychiatrist.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. | |
What causes pin prick pain in middle of chest?
Hi Sir, my age is 53 years old. I think i am suffering from acid reflux since 5 days as i have a slight pin prick-pain in the middle of my chest only when i contract and when i expand my chest . DOCTOR ADVISED TO TAKE VELOZ D capsules for 5 days. What could be the reason. Is it curable. what type of food to avoid. | Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of GERD (gastroesophageal reflux disease) is more. Along with drugs, you need to follow these lifestyle modifications for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. 5. Quit smoking and alcohol if you have these habits. 6. Loose weight if you are obese. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What could have caused sudden pain and heat in the scar?
I had a hernia surgery recently and was cleared to start training again jan 1st. I started yesturday though lightly. I was training tonight and suddently felt really intense heat to the spot were the scar is and then pain right after and instantly stopped. What causes that? | Hai.this scar pain is one sort of neuralgic pain, resulting due to the surgical incision. It is due to thecut nerve endings durimg incision, which regenerate or still have life which fire out spontaneously sometimesDont worry, it is nothing serious. If it is too recurrent please apply local pain relief gels or simple moisturising creams.It usally comes down with time, or continues sometime to alonger periods.Take care .good luck | |
How to treat lack of focus in a child?
Hi, My name is Bahni.I have a five year old son.We live in Hong Kong.The problem i am facing with my son is he is very unattentive in is class and usually does not stay focus when the teacher is explaining something and because of that he can not follow direction properly.Moreover he usually stay hiperactive when he is surrounded by his own group.Can you help me? At this point i have started doing meditation with him. Am i doing the right thing? | Hello, If a similar patient comes to my opd I would suggest that what you have started to do is good for him. Take him for walks, talk to him in between and tell stories and slowly make him tell it back to you. Tell him things of his interest and make him slowly repeat. parenting is an art. You need so much patience for this. After trying this for a month or two if still, he's not improving I would suggest you meet a psychologist because they can asses your kid directly and guide you better. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jilu Joseph, General & Family Physician | |
Suggest treatment for high creatinine level
Had my appendix removed last weekend and have been recovering quite well. I had blood work done two days after and my creatinine was high so the function of my kidneys were in questions so i had ultrasounds and more blood done which came back fine. Now im having some discomfort in my kidney area and what seems to be underneath my oblique muscles but the discomfort/pain comes and goes. Is this serious enough to go to the doctor? even though my ultra sound was fine and im having no problems urinating. | Hello,you haven't provided enough details so that I would have a complete picture of your situation, particularly the values of your lab tests. Creatinine elevations can be attributed to very many potential causes. A common - and reversible - one is dehydration. This is accompanied by high urea levels (more than x20 the value of creatinine). Other common potential cause is the use of drugs. Drugs may cause renal injury. Non-steroidal anti-inflammatory drugs may cause renal injury and are commonly used after surgical operations to relieve pain.Any of these conditions and most of the other potential causes of elevated creatinine do not cause kidney pain.I hope I've helped!If you'd like more information, please let me know. I'll be glad to answer.Kind Regards! | |
What causes inflammation on glans penis?
I have a very red raw looking place on the head of my penis . It has come and gone for the past year and does not cause me much discomfort. I have tried over the counter creams and even a prescription one but it will not go away. could this be an allergic reaction to meds that I am taking? | Hi,From history it seems there might be having fungal infection giving this problem.Apply anti-fungal cream locally.Go for one oral anti-fungal medicine course like Flucanozole 150 mg once in a week for 4 weeks.Keep local hygiene proper.Ok and take care. | |
Do screws and plates in wrist cause elevated alkaline phosphate levels?
i had had an open reduction closed fixation of my right wrist done with titanium plate and screws in Dec 2012 my alkaline phosphatase levels have been elevated since, highest being 147; 3 months ago in Apr 2014 it was 122 which is in normal range. I am diabetic so have labs done every 3-4 months this time in July 2014 it was 131. Could this be caused by the plate and screws in that wrist? I have no other aches or pains. Other blood work is within normal range. My SGOT is in normal range. | Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that it is because of fracture you have received. It will be cured gradually. Some bone cells produce alkaline phosphatase. As your bone is injured you have high alkaline phosphatase.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic. | |
What causes disc and left arm nerve pain?
C4-5: Small central/right paracentral protrusion with annular fissure. No canal or foraminal stenosis. C5-6: Large left paracentral protrusion exerting mass effect on the cord and left C6 root. Smaller right paracentral protrusion does not cause significant mass effect. Age 32,female, height 5 feet 5inches, weight, 55.6. Make up artist by profession, involves long working hours, head in one position whilst doing make up, lifting heavy make up bags n portable studios, suggested bed rest for 10 days. Took myospas and voveran 75 for 5 days twice a day. Left arm nerve painful , c5 and c6 area painful , wearing collar 24/7 | Hi, Your symptoms are due to pinched nerves in the neck region. These nerves travel to arms, forearms and hands. For pain relief, you can take pregabalin capsules. Physiotherapy would also help. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sudhir Kumar, Neurologist | |
What causes a rise in the PSA level?
I just had my blood work done during my physical exam. My PSA level went from a 0.7 in 2015 to 3.6 now. I am 43 years old. The doctor had me come in for another blood test and I m awaiting the results. Just wondering what maybe causing the rise. I m otherwise healthy and workout 4-5 days a week. Can pre-workout supplements cause rise in PSA? | Good day and thank you for being with healthcare magic! Elevated PSA can be caused by prostate cancer, Infection of the prostate, a rectal examination, and ejaculation. Testosterone supplements may also increase serious PSA. I hope I have answered your question satisfactorily and please consider a 5 Star rating for my answer. Thank you very much. | |
Is Maxzoa powder harmful?
hi I am sankar from india,kolkata, I bought maxzoa powder just yesterday , when I goes to take powder i saw the this is not look[maxzoa -5mg] normal powder its form as jel type,,,, I asked my doctor he told me that i have never seen the medicine... so i dont know actually how look like it.....I stopped to eat the maxzoa....plz helpmke what will i do? | HiMaxzoa powder is a nutritional supplement containing vitamins, minerals, fructose and trace elements.It can be taken after ruling out any allergies to any of the ingredients.The drug should not be used for long periods of time.Duration of use may depend on the reason for drug intake.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | |
What are the symptoms of OCD?
I have a roomate that must have everything in order in the dining room and kitchen, if there are papers or anything on the dining table she must remove it, she has to have nothing out of place out of the ordinary, things cannot be left on the kitchen counter, sink etc. is this a form of OCD? | DearWe understand your concernsI went through your details. I suggest you not to worry much. Obsessive compulsive disorer is being compulsive towards something obsessive. Obsessive thinking leads to compulsive behavior. You shall get every symptoms if look up in google. But Don't get carried away. Differential diagnosis is very much important in psychology. Only an experienced psychologist / psychitrist can diagnose correctly and therefore, I request you to consult a psychologist / psychiatrist.If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck. | |
Stomach pain after taking morning after pill & had normal period 3 days later.
stomach pain after taking morning after pill had normal period 3 days later Hey well I m 16, was fooling around with my boyfriend, well lets just say sperm may or come in contact with me, well within 24 hours I took the morning after pill (levonelle) well had my period the next week 3 days late lasted 7 days like normal but now am having stomach pain every now and then like an ache, don t know what it is so if you can help in anyway much thanks | Hello; welcome to HealthcareMagic It is normal to get periods with in a week after taking the morning pill so you had in 3 days.As for the pain in abdomen you have it needs to be examined to see what sort of pain you have like spasmodic pain;cramping in lower abdomen or a dull aching pain and accordingly the causes will be different.I guess since you got periods the pain should not be related to the periods or pills.Please consult a doctor in person for examination and treatment. Thanks | |
Q. What causes blocked nose with hoarse voice?
Hello doctor, My family doctor referred me to an ENT to investigate a persistent sinus discharge problem that seemed to be causing voice hoarseness, likely from mucus building up in my throat. I thought the hoarseness might be a side effect of the Tamsulosin I take each day for BPH, but he did not think so. During the exam by the ENT, he found that my nostrils were almost completely blocked. Although I had not complained of problems breathing through my nose, so air could get through, his scope with the light and camera on the end could only be inserted part way through either nostril. As a result, I am being scheduled for (endoscopic?) surgery to reconstruct the separation between my nostrils and clear the airways through my nose. Apparently, it will take about 30 minutes and will not leave scars or require any packing or lengthy recovery time (just a few days). The ENT thinks that will clear up the nasal discharge and ultimately solve the hoarseness. Does this sound reasonable? | Hi. Have you had any complaints with nose before? Has a CT scan been done to check for sinus inflammation or pathology? How much is the nasal airway compromise? Has he given you any sprays? Has he ruled out allergy? | |
What causes pain in shoulder, neck and upper back?
I have been having shoulder, neck, and upper back pain that has gradually worsened for about 3 months. I m a nursing assistant, so I do some pretty heavy lifting. I m a 23 year old female. I went in to the clinic at the begining of this month and was diagnosed with tendonitis in my shoulder and a muscle strain. I was prescribed Naproxen, a muscle relaxant, and physical therapy. I went to physical therapy and everything seemed to go okay. I mean, it didn t hurt any more than when I wasn t there. About 4 hours afterwards though, I had worse pain than when I first was seen. I was then seen the next day and the physician ordered an MRI of my cervical spine in search of a herniated disc pinching a nerve. From the first time I was seen until now, my pain has increased, but also I have had numbness, weakness, and pins and needles or tingly feeling in my arm and hand. The MRI came back negative for a herniated disc, so I was told I could return to work with a lifting restriction of 10 lbs and also no pulling, pushing, or reaching my arm above my head. Today was my first day back to work and I was placed in a part of the hospital making phone calls all day to accommodate my lifting restriction. The terrible pain is back in my neck shoulder and arm and has been getting worse for the past few hours. Lidocaine patches helped my pain for a while, but I am wondering about a diagnosis. What s wrong with me? I did some research and possibly think Facet Joint Syndrome could be causing my problems, but I am not sure. I m so frustrated! Please help! Thank you for your time. | Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to a pinched nerve in the shoulder. I suggest to use anti inflammatory medications such as Acetaminophen to relieve the symptoms.If this does not help in relieving the pain, I suggest using prescription painkillers such as Gabapentin. I also recommend to maintain the shoulder area immobilized. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | |
How to heal a purple rash after salt and ice challenge?
Hi I did the salt and ice challenge and I did it on my wrist for a minute and after the challenge my wrist turned red and few minutes later it turned purple and it looks like a purple rash it hurts can u give me an advice how to heal it please and Thank You | Hi, Nothing much to worry as it will heal by itself. You can apply low potency steroid-antibiotic combination for faster recovery. Hope I have answered your query. Let me know if I can assist you further. | |
What treatment should one take for carcinoma in the nasal cavity and what is the recovery time ?
dear doctor , my friend has nasal blockage for last 6 months. and he had done endoscopy and the biospy report was malignant tumour . the features are poorly differentiated carcinoma . how long will take to recover from this? what is the treatment? | Hi Sheeba. Your friend has Nasal Carcinoma. He will require a CT scan of the Nasal Sinuses and Facial bones to see the extent of involvement of the underlying structures. The definitive treatment will be surgical excision of the involved structure. Post operatively, chemotherapy and or radiotherapy will be required as indicated. Whether it can be cured or not depends on the stage of the Tumour. If its early stage and not spread to surrounding structures, it can be controlled to a large extent. Hope this answers your query Dr Kiran | |
How can cough along with shortness of breath be treated?
I ve been having problems with coughing for the past 3 months. I have asthma and COPD but it s always been under control with my meds and inhalers, I ve had a great deal of stress recently in my life, I went to my bariatric dr s 2 weeks ago they checked my vitals as they always do and asked if I felt ok I said ye just a bit tired they said my oxygen was low (82) they brought me Oxygen before I left they checked the level again it was at 98 and I felt better. I had an appt. with my pcp right after that appt. I had many things to discuss with her, like my ear was bothering me, my feet has burning-tingling I have diabetes also the coughing and of course my oxygen level being that I just found out about it 1/2 hr prior. she found fluid in left ear, She put my on zythrimicin, zyrtec, samples 50 mg of lyrica and she check my oxygen level it was at 80 so it dropped in about 1/2 hr between dr s offices. Of course I take other meds everyday but I ve had no energy at all I just want to sleep I m still short of breath my mouth, nose eyes are so dried out. I feel worse not sure where to turn next. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Since you are known case of asthma and COPD, cough breathing difficulty, low oxygen saturation etc are more suggestive of worsening of underlying lung diseases. So in my opinion, you should definitely consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment is based on severity only. You may need ultra long acting inhaled bronchodilators (indacaterol and glycopyronium). Sometimes oral steroids are also beneficial. In severe cases home oxygen treatment is also advisable. So consult pulmonologist and discuss all these. Hope I have answered your query. Let me know if I can assist you further. | |
Is morphine recommended for abdominal pain after undergoing gastric bypass?
My 130 lb mother was given 4 mg of morphine at 0630 and another 4 mg at 0930. Unbeknownst to us, LTAC has been giving her 4 mg of morphine as needed. Last night she complained of her stomach being on fire She is being fed through an NG tube that goes into her duodenum (she had a gastric bypass). After they reversed morphine overdose with Narcan and dopamine (BP dropped like a stone), she till complained of abdominal pain. Took her for catscan which revealed blood in abdomen and in pancreas. What could cause this? She is in LTAC recovering from lobectomy (she had a trach and they are weaning her from vent which was going quite well until this episode). | There's no contraindication for giving a gastric bypass patient morphine. However, she might have been given overdose given that-Her BP dropped (morphine can drop BP)-she needed Narcan to reverse Morphine's effectThe BP drop could have been due to Morphine, loss of blood (as blood is seen in and on CT scan)It seems like the Morphine and blood in abdomen are unrelated events.If I were a doctor treating her I'd like to know the following:- when was the bypass surgery- is she currently on any anticoagulantsTake her back to the surgeon who performed her bypass or at least, her lobectomy for evaluation.Hope this helps. | |
Can PCOS make conception difficult?
Im 20 and last year when I was 19 I went to the OBGYN and had an ultrasound done of my ovaries and was diagnosed with PCOS. I just want to know if I can still conceive with this? Or would it just make it 10x harder than it already is? I just want answers that my actual doctor doesn t clarify with me. Thank you. | Hi, you can conceive with pco problem. There are medicines available for that. So, you can take medicines for ovulation and track your follicles growth by repeated ultrasound. Discuss with your doctor whenever you plan to conceive. For now, try to maintain a normal weight. Don't get overweight. Do some exercises and yoga. It will help you. Hope I have answered your question. Regards Dr khushboo | |
Suggest medication for stomach pain & diarrhea
I had diarrhoea 2 weeks ago, for the whole week along with stomach pains indicating that i needed to "go". Last week there was no sign of diarrhoea. My diarrhoea started acting up again yesterday after i ate taco bell. Now (today) i have severe stomach pains and the urge to go, but i am not able to go. I am also very gassy. It seems that about an hour or so after i eat a meal i start to feel sick and feel the need to go. | HI Thanks for posting your query. It seems like you are having Indigestion due to eating of Taco bell. You need to avoid very oily food and non veg food for at least 10 days. Also eat more of Citrus fruits which accelerate the digestion and give relief from your symptoms. If symptoms persists ask your doctor for a prescription of digestive enzymes like Aristozyme and use it , you will be alright. Hope this information was useful to you. Any clarification feel free to ask. | |
Can a healthy life be led with heart at 25% working condition?
I had a heart attack a few months back and had an echogram taken which measures your valves and muscles and other parts of your heart. The results I received was that my heart is funcitoning at 25 percent at this time and my muscles are dead. I had 36 sessions of cardiac rehab also and if I walk a short distance I get shortness of breath also. Can I live a normal life with my heart at 25 percent and am I a high risk of living a short life. Thank you | Hello, This is a serious heart problem and you need to take more care of yourself by taking regularly your treatment regularly consulting with your cardiologist. Should not force yourself with physical activity a special diet with low salt, so you need to be the doctor of yourself too, and there is a hard job, so it is not like a normal life, because you have so many new rules now. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anila Skenderi, General & Family Physician | |
What causes stammering in children?
Sir, My daughter age 2 and half year old stammers just 2 weeks agao but she can sing well .. she sometimes take time to say... She talks fluently earlier but now she talk less. she is very afraid of sound of some vehicles sometimes.. Sir what can i do. | DearWelcome to HCMWe understand your concernsI went through your details. I can understand. If your child can sing well without interruption, earlier was fluent and not now, then the problem should be stress and anxiety related. You must talk to her teachers and fellow students. She must have messed with something at school which caused anxiety and some phobia. You could also talk to a psychologist for diagnosis and cure.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. | |
Q. I have white spots on my face every summer since childhood. How to get rid of it?
Hello doctor, I am 19 and I have white spots on my face. Actually, I have this problem since childhood. The spots occur every year on my face, especially in summer. But this time it has been two months and they are still present in my face although I am applying sunscreen and keep my face moisturized. I have not ventured out in the sun for these two months. But, I really do not like it when everyone asks me what happened to my cheeks. Can you please tell me the way to get rid of it? | Hi. The white spots you describe can be due to various causes. It may be due to a fungal infection called tinea versicolor which usually occurs in the summertime, or it may be an allergic reaction to the sun. I suggest using an antifungal cream like Clotrimazole 1 % cream twice daily. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Follow up with a photo of the rash. Continue sunscreen. For more information consult a dermatologist online --> | |
How to treat blisters caused by boiling water?
I burned my thigh with boiling water. It has grew a very large blister filled with clear liquid. I've been told not to bust it but its making it painful to walk and its heavy so when I stand I feel the weight of the blister shift downwards. What should I do? | Hi,Than ks for writing in.Don't burst the blister. Though they might be unsightly and bothersome, blisters provide a natural barrier to infection. It is best to consult a doctor if the blister is formed and it should be drained only under supervison of a doctor and also antibiotics may need to be taken for few days if there are chances of developing infection. | |
Suffering from acne, dull skin with blackheads. Prescribed glyco 6 cream, result not good. Advice required?
Hello doctor, i m a male from guwahati (India) i m suffering from acne (small size), odd/dull skin tone & Black head. I have consulted a skin specialist (specially for getting glowing skin) & he prescribed me glyco 6 cream for using at night & nucell tablet, daily 1 tab. m using since 1 month but not gt a good result from the same. I mean in-spite of getting glowing skin my sking has become more darker (than b4) , more oily & qauntity of acne has also increased. now i m worried what to do..? shall i continue it or stop it...? as since i desprtly need a clear, brighter & glowing skin. i m waiting 4 ur valuable advice | Hello Thanks for your query. for acne my advice would be -Do not squeeze or scratch the pimples. -Keep your skin clean,Have healthy diet & lots of fluids. -Avoid too much oily foods. -Apply topical Clindamycin gel over the pimples -You can use topical tretinoin over the comedones [ be careful,burning sensation & redness occurs often after applying] - if have you are having too much of nodulocystic acne you can use oral Isotretinoin for 4-6 months [but always under supervision of your dermatologist] Hope this helps you. Stay in touch with your dermatologist. Take care. | |
Suggest treatment for cyst in kidney
i ve a problem of cyst of 11mm in my right kidney n havng pain on right side n on back side bt previously told it was calculus of 7.5 mm 2 yers back i want 2 kno is it serious problem n what is the best tretment 4 it n what precation shud i take . im am 39 yers old wt 73 kg | helloThanks for query .You have been detected to have cyst of a size of 11 mm in your Right kidney with pain in Rt side of back ..The cyst in kidney is a benign cyst and most of the cases it is an accidental findings detected on ultrasound scanning as routine for some other condition Since it is benign It does not require any active treatment.It requires to be operated only in a situation if it increases in size or gets infected Considering previous history of stone in kidney the pain that you have is mostly due to recurrence of stone in kidney and need to consult Urologist for necessary investigations and treatment ..Dr.Patil. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Can a non-functioning gallbladder cause hunger and nausea?
Can a non-functioning gallbladder (ejection fraction 4) cause hunger/nausea? I get this frequently after eating out...full when I leave but feeling as though I'm hungry 20-30 minutes later. Also, what's your opinion on removing my gallbladder with that ejection fraction? | Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Yes these symptoms may be dut to non functioning GB only. The treatment for which is cholecystectomy that is removal of GBI hope I have answered your query and this will help you . Wish you a good health | |
Could small ball like growth on gums indicate cancer?
Hi, I have a small ball like thing on my gums. It s on both sides of my lower jaw. It does not hurt but is hard. The left side is more pointy than the right side. My grandfather had oral cancer, should I be worried? I do not smoke, chew tabacco or drink. | Hello,Thanks for consulting HCMRead your query as you have small growth on both side of gums this can be due to poor periodontal condition , it can be due to formation of periodontal abscess or growth can be due to tooth infection formation of periapical abscess .Dont be worried so much I will suggest you to consult oral surgeon for examination of gum and inmeantime do warm saline gargle two - three times a day .Hope this will help you. | |
What causes fluctuation in GFR?
I am 58yrs old and sufferring from diabetics and high blood pressure. Recently on my own I did a medical test to check my kidneys and the report was as fllows. Serum creatinine - 0. 60 mg/dl estimated GFR - 147 ml/min/1.73 '2 To my knowledge average e-GFR should be 93 . Is this very high and should I consult a physician | Hi, Your high eGFR could be probably from hypertension. In hypertension transmitting pressure into afferent arteriole can be increased. So eGFR can be increased. I suggest you to control your blood pressure and sugar with regular medication. Additionally I suggest urine protein estimation, urine sugar estimation like investigation for you. Hope I have answered your query. Let me know if I can assist you further. | |
How to check if tuberculosis is active?
how would i know if my tuberculosis is active or it s just a scar..i had a recent xray showing i had tuberculosis for the last six mos (as compared to my last xray 10-10-13).. result showed no changes PTB, both lungs.. my doctor did not even told me about it.. i had my annual pe and it showed that i had tuberculosis, they ask me to prompt for a second opinion.. and that s the result.. it showed no changes on my PTB noth lungs.. im just wondering maybe the reason my doctor did not tell me about it, it s just a scar.. please help.. im worried that i might loose my job.. will i? if i have tuberculosis? | Hello,Pulmonary Tuberculosis is active "open" if your sputum contains the Acid Fast Bacilli( AFB) the causative organism. The test is to examine the early morning sample of sputum for AFB for 3 consecutive days. If there is no sputum , then a morning gastric lavage is examined. An AFB smear may be done in conjunction with a molecular test for TB termed nucleic acid amplification test (NAAT). Both Smear and NAAT are negative then probably the lesion is inactive. Certain countries insist on sputum culutr ff the samples are negative . It takes about 6 to 8 weeks to know the result.In addition indirect tests like a high ESR, a stongly postive Mantaux ( PPD) test are indirect evidence for an active disease.Rules vary from country to country. In Kuwait, you would lose your job if found active. If not active you will be allowed to work with periodical surveillance for activity.I am available to answer further queries if any.Dr. Noble ZachariahIf you find the answer helpful, please indicate so to guide others with similar query. Thanks | |
What causes pain in the neck glands?
Hello ~ i have been diagonsed with Fibro around 8 yrs or so. I have pain in my upper neck glands on the sided of my neck anf feel achy and hurt all over along with feeling feverish everyday. In the mornings I take two 50 mg of Ultram and that helps. after lunch I start with all the above feelings alot worse than in the mornings. I will take two more ultrams but it barely takes the edge off. Do you feel as if this is still the Fibro going on or possibly something else? Thank you. | Hello,The swollen glands are not typical for fibromyalgia. For this reason, I would recommend performing further tests in order to investigate for the possible causes:- Complete blood count, PCR, ESR for inflammation- Vitamin D plasma levels- Kidney and liver function tests- RF plasma levels- ASO titer for strep infection- Tests for mononucleosis- ANA and ANCA titer to investigate for a connective tissue disorder.You should discuss with your doctor on the above tests.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist |
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