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What causes heart squeeze and high heart beats?
I've been having the sensation like someone is squeezing my heart in their hand and letting go and doing it again. Also my heart races up too 140. My chest xray and ekg were normal. Any other tests I should be requesting? My Dr doesn't feel like this is a big deal. | Hi,Increased heart rate & palpitations can have a lot of causes.It can be normal sinus tachycardia due to anxiety or stress or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holter Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any. | |
Suggest remedy for spasms in the toes and fingers
I have been having spasms in my toes and fingers really bad. I thought it might be needing water, but that doesn t seem to be the answer. My left arm has been really bad, but not rotator cup. I start therapy next week. I don t know if this could be related someway. Also diarria for over a month. Taking Activia daily but hasn t changed! Help I had a ruptured brain aneurysm 2 years ago, so thought I better check if something could be going wrong. | Hello, Cannot say in your particular case, but generally, diarrhea for over a month causes the loss of salts and the tone of muscle changes with that since this includes heart muscle, it can be quite serious and needs attention both for the salts and the underlying cause of diarrhea. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist | |
How can pain in stomach due to diarrhea be treated?
Hello, for the last couple of weeks I have been having digestive problems that are wanting me to find out more about. I have been having a feeling of pins and needles in my stomach during mid day and would get sudden urges to go to the bathroom. I also have feelings of lots of gas that feels like punching on my sides and upper stomach but cannot always let out gas because my stool has been loose and watery. Mostly it seems like diarrhea with pain until it is let out but does not always clear in one sitting and I might find myself in the bathroom shortly after my first visit. If I only let out some stool I often find gas is easier to pass but still feel a punching feeling until it is gone. This has effected my eating at times and have found myself only eating about a half a meal most lunches. I drink tea during the day and do drink vodka at night. Drinks at night seem to ease the pain in my stomach and I don t know why. Please advise the best choice of action. Thanks | U might be having some gastrointestinal absorbtion defect or disintegration in the normal cell lining if ur gastrointestinal tract. U said of having fatty stools -steatorrhea. Try avoiding meat n oily food. Get consult with a gastroenterologist. He might examine u and suggest a USG of abdomen or a barium swallow Xray scan. Some metabolic abnormalities can also lead to excess gas formation and fatty stool. Avoid tea and coffee. Have rabeprazol n domperidone combination once a day for 3days. Have fiber rich food. Regular spacing of meal is essential. | |
What is a normal ALT range?
My AST is 53 and my ALT is 84 after taking a generic form of Lipitor for two months. I was taken off to stop drinking due to my history and retest in two months. My AST and ALT was on the high side before taking the statin drug. One test showed an AST of 36 and ALT of 56. Two questions.....Is this level concerning? How long, in your opinion, would it take to return to normal levels given an excellent diet (thanks to my wife), exercise 2 to 3 days of cardio, no drinking, and not a smoker? My BMI is 29. | Welcome at HCM I have gone through your query and being your physician I completely understand your health concerns.... Based upon your history it is difficult to pinpoint the diagnosis....what is your age? Are you diabetic? Have you been tested for HCV or HBV infection? Have you done your liver ultrasound? Do u have fatty liver? ALT should not be over 40 some labs take its upper value as 44 for males....LFTs should be repeated after two weeks... You should get fresh LFTs and continue with your lifestyle and meet Hepatologist ....he will examine and will investigate you accordingly... Have a nice timeRegardsDr saad sultan | |
Suggest treatment for Pseudobulbar palsy
Hi, I have a friend 27 years, 5,6 feet tall who is suffering from pseudobulbar palsy, it has affected him alot that he has problem in eating or evn swallowing his saliva, his tongue cannot move and his right arm is very weak, the neurologist we went to prescribed riluzole(rilutek) drug which has not been of any help, please help what can we do since the doctors say that nothing can be done to help him, thank you | Thanks for using Health Care Magic.Read your query.Management of this pseudobulbar palsy is basically directed towards the underlying cause.If the person is having major progressive obstacle in swallowing and eating,Please visit an emergency or to the neurologist and get him admitted and reviewed under the surgeons eye.Continue with medication prescribed by the neurosurgeon and get him checked periodically. Postural changes can help with drooling of saliva .Get him checked up with a dietician to advice him food which will be easy for him to swallow.Hope this was helpful.Thanks and regards. | |
What causes enlarged epididymis?
Hi.I am male, 18, no previous medical history in genital area.My right testicle feels normal. Testicle normal, with smaller epididymis on the back.However my left may not be quite right. The testicle seems to be fine, but the epididymis seems to be too large. I can feel the tubes and they are quite more bundled on the back of the testicle. As i stand, my left testicle hangs lower, and the lowest part is epididymis. Also, when I ejaculated, my right testicle seems active while the left remains "motionless." No pain or swelling has occurred. Is there any concern? | Hi,I have gone through your query.Symptoms you have mentioned are usually seen in Varicocele. Varicocele is abnormal enlargement of venous plexus in scrotum. Tubes you can feel must be enlarged vein.I advise you to go for investigations like ultrasound and semen analysis. Varicocele doesn't require any treatment unless there is lower sperm count.Do consider a positive feedback as a credit to my work. Let me know if you have any further questions.You can contact me on my page | |
What causes the gall bladder to function at 24%?
I am 40 years old and had a heart attack in Nov 2010 in which I went into cardiac arrest and flatlined over 5 mins. Since then they have found that I haved gastritus, ulcers and gallbladder functioning @ 24%. I previously been diagnosed with antibody difenciency and IBS. The surgeons won't touch the gallbladder or do a colonoscopy due to I have had polyps removed in the past and if they found them could not remove them now. I have 10 stints and on blood thinners. Still having chest pains and abdominal pain. Can't eat without pain. Don't know what is going on or where to go next. | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.There is no specific reason for something like this and gallbladder which is evaluated with HIDA scan may show such results even if there are no stones or polyps. The best solution would be to perform cholecystectomy and it may relieve your pain and difficulties permanently.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.DR. Ivan Rommstein | |
What causes a pea sized movable lump on the clavicle area?
I have pea sized movable lump in my clavicle area right size it has been there for over six months and is still the same size. Recently it is causing pain in my right neck and ear and makes the area where it is puffy. Did an ultra sound and it came clean. Sometimes it disappears and I hard to find and other times it comes up I am worried | Welcome dearThanks for using Healthcaremagic.comi have evaluated your query in depth .* This seems to be sebaceous cyst or minor lymph node enlargement .Hope this clears your query .Welcome for further assistance .Regards dear take care . | |
Spread out sores on legs, little pus, redness, leaving scars
hello, i have been getting relatively spread out little sores on the back on my legs that start out as a small blister/ pimple sort of thing. not very much pus at all, and they are not overly sore, but they will not go away. I have been getting them sporadically over the year. They are very red and leave nasty scarring, even though i do not pick at them! | Hi i thunk u are suffering from prurigo nodularis.it is intensely itchy condition mainly present in lower extremites .firsr a papule appears then on repeated itching a nodular lesion occurs.on itching u get bloodBut only little bit pus.it can be treated with atarax 25 mg at night.a antibiotic. short couse of steriods starting with 30 mg tapering to 10 mg.application of venusia max cream and dipsalic ointment over the lesions can cure.then afterwards spots are treated with intralesional steriods | |
Using lomela cream for a fair skin. Side effects?
Dark skin. Using lomela cream to increase fairness. Will stopping its usage have side effects? hi Doctor...I used Lomela cream at night and sunban lotion during day time for clearing darkness from face and it is working perfectly.....but i am affraiding because my friend told me whenever I will stop usingLomela cream all the skin will affected by spots, as well as skin get spoil. Again i.. | Hi,You are using Lomela cream for getting fairness.Lomela cream contains hydroquinone.Hydroquinone is an irritant chemical.It also causes confetti like depigmentation which is irrversible..Hydroquinone cream may cause minor and temporary skin irritations including mild itching or stinging and reddening of the skin (irritant contact dermatitis).Side effects that should warrant stopping the cream and seeking medical advice immediately include severe burning, itching, crusting, or swelling of treated areas (possible allergic contact dermatitis) and any unusual skin discolouration.Prolonged use of hydroquinone has been associated with the development of exogenous ochronosis (a persistent blue-black pigmentation), So, i would like to advise to avoid the use of hyroquinone containing cream..You may use kojic acid and vitamin C containing cream.I hope you got answer.regards.Dr.Ilyas Patel MD | |
What causes redness in gums with sore throat in a 2 year old?
I have a 2 year old who recently had a viral infection with fever for about 7 days. He is now better with no fever but has swollen gums. He did have a severe sore throat and am wondering if the infection has spread. Do you have any idea what has caused the redness of his gums? | Hi. Welcome to HCM..As per your complain redness of gums which was preceded with fever and sore throat seems to be most probably due to viral infection leading to the following symptoms..The swelling and inflammation of gums can be more severe or inflamed in case if there is already infection in gums due to deposits over the gums and poor oral hygiene..I would suggest you to give him Ibuprofen to relieve inflammation and soreness of gums..You should use a very soft toothbrush to brush his teeth..You should do cool compresses over the gums and give him soft bland diet..Make him do warm saline gargles..Maintain proper hydration..Hope this helps..Regards.. | |
Can a bacteriocidal drug be used for bacterial infection?
Which time can use bacteriocidal drug or bacteriostatic drug ? If we give a patient who has negative bacteria infection a bacteriosidal drug --> bacteria death --> more endotoxin will be released --> the bacteria will harm the patient more so can we only use bacteriocidal for positive bacteria to avoid endotoxin affect thanks | Brief Answer:A patient who does not a have bacterial infection, does not have to take antibiotics at all.Detailed Answer:Hello,Thank you for using HCM.The phenomena you have mentioned above, is named Jarisch–Herxheimer reaction. It is classically associated with penicillin treatment of syphilis, but also may happen in cases of treatment an bacterial infection with tetracycline .A patient who does not have a bacterial infection, does not have to take antibiotics at all.Choosing between a bacteriostatic or bactericidal antibiotic , depends on the sensitivity of the bacteria towards different antibiotics, which is tested by the antibiogram. Hope this is helpful.Let me know if you need more clarifications. Otherwise please close and rate the answer.Kind Regards, Dr. Juarda | |
What does borderline hepatomegaly mean?
The liver is at the upper limits of normal 16.3cm. No discrete focal masses or abnormal echotexture is seen. The gallbladder,spleen,pancreas, and aorta are normal. Common bile duct measures 3mm. no free fluid is seen. Impression: Borderline hepatomegaly. | Hello Report suggests borderline increased size of liver.It may be due to many reasons like infection,medications etc.It is important to know about alcohol intake,obesity.You need few other investigations like routine hemogram,random blood sugar,complete liver function,lipid profile etc.It is good that echotexture of liver is normal.Treatment for an enlarged liver depends upon the cause.Other organs like gall bladder,pancreas,spleen and aorta are normal.Take CareDr.Indu Bhushan | |
Suggest remedy for bump on head after injury
hello I hit my forehead against a glass door 5 hours ago. it developed a large bump on my forehead. no cuts, bleeding, no vomiting or nausea, it is a bit sore , I had an ice pack on it for an hour and that seems to have reduced the pain a bit.is it safe to go to sleep ?any help appreciated | Hi welcome to HCMI gone thru your query asking remedy for bump on head after injury . Dear there is nothing to worry about . apply hot pack 2-3 times a day It should be only hot that can be tolerable .Feeling a hard lump under a recent bad bruise can be concerning. The good news is that in most cases of bruising, these lumps are not a cause for concern .Bruises are an injury to the soft tissues under the skin. Blood collects at the location of the injury, and initially causes the distinctive red and blue coloring under the skin. As the bruise heals, it may turn yellow, until it finally resolves after a few weeks.applying heat after that helps the body absorb the old blood quicker, which speeds up the healing process .Take turmeric powder a spoon with a cup of hot milk at bed time and in BF Ror instant relief Take Homeopathic Ledum 30 /2 drops / thrice / in gap of 1/2 hour . Apply 2-3 drops on the lump .Hope this helps solve your uery Take care All the best Dont hesitate to get back if have any further query | |
What causes breathing difficulty and inability to speak?
I m a 72 year old woman who is in reasonably good health, Except for the last few months I have been experiencing difficulty in breathing. I cannot walk short distances without getting out of breath. Longer distances make me completely out of breath and unable to speak, Several months ago my doctor sent me to a pulmonary specialist and the results were unremarkable as he put it. However I think the results were somewhat tainted. The technician tried one breathing exercise 6 times, Because he could not get any results, he stopped. I asked him to give me his best guess as to what my problem might be he said it might be a blockage in my lungs. Nothing further was done or said, | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The most common possibility for extensive breathing difficulty at age of 72 years is compromised cardiac function giving secondary manifestations. In our clinic, I recommend an X-ray chest with a 2D echo of the heart for best evaluation and further management. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Bhagyesh V. Patel | |
What is a normal torch test to get pregnant?
hi,Last year i had miscarriage i was 8 week pregnant.Doc suggested me to go for TORCH TEST.Result was Rubella Igg 55.57 & IGm 0.12 and CMV IGG IS 10.24 Where as CMV IGm was 0.19.Are these results normal?I have not take any medicines.Now i am trying to conceive.Should i go head?kindly suggest. | Hello and welcome, You seem to have a torch test showing high titres of rubella and CMV. They are both viruses and are responsible for causing abortions and birth defects if the mother is infected with them during pregnancy. These infections are common and only active infections during pregnancy harm the baby. You are having high titres of the IgG antibody. This antibody comes after recovering from the infection and indicates that there was an infection in the past. The normal levels are less than 1. However your rubella and CMV IgG is a bit on the higher side even now. So please get it tested after a month or so and see if levels are decreasing.If they are decreasing you may attempt pregnancy. Also start taking folic acid tablets to help prevent brain defects in the baby. Hope this was helpful.Best of luck for your quest for pregnancy.Dr Madhuri Bagde Consultant Ob gy | |
Q. I am having UTI. Will it damage my kidneys if I delay to see the doctor?
Hello doctor,I have a UTI and cannot see my doctor until next week. And it hurts so much. Will I get kidney damage before my doctor can see me? | Hello. Simple cystitis is common in young, sexually active female. Take tablet Nitrofurantoin 100 mg at bedtime, tablet Tamsulosin 0.2 mg at bedtime. Syrup Potassium Citrate two tablespoon three times a day. Have all these for three days. Develop good voiding habits like not holding urine for long, passing urine after having sexual intercourse. Wash genital area before and after sexual activity, and passing urine. | |
Does high levels of ALT and GGPT indicates serious liver disease?
I have just read results of a blood examination and my ALT is 80. My bilirubin was 44 and AST was 25. I currently take blood pressure medicine (atenolol) and (lysinopril). I also have a total cholesterol level of 202 which I know isnt good. But, I'm kinda freakin out about the ALT and the GGTP Serum being at 101. I will definately consult my doctor, but can I somewhat relax until then or am I at serious risk of some sort of liver disease? | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have read your lab reports and understand your concerns. First I would say to not worry so much. Having these levels of ALT, GGT doesn't always mean a bad or a serious condition. The normal range of values for ALT (SGPT) is from 7 to 56 units depending from the kits that laboratories use and the range for GGT is 0-45 U/LALT/GGT can be slightly elevated in a lot of healthy patients and here are some of the main reasons:- use of alcohol- fatty liver (since your cholesterol level is 202 it might cause the changes in the liver enzymes)- excessive amount of exercise- stress- use of medication that can damage cells of the liver like ibuprofen, paracetamol, and some types of antibioticsRight now, don't worry too much. Wait to talk with your doctor and if needed he will do other tests. I would recommend an ultrasound of your abdomen to see if you have gallstones and put you on a healthy low fat diet to help your liver heal itself and it's enzymes to get back at normal range. The low fat diet, will help with your cholesterol also. Have plenty of water, don't use alcohol, and have fresh fruits and vegetables. For liver enzymes to get back at normal range, we need to wait usually from 30 to 60 days or even more. Hope I have answered your query. If you have any other questions, feel free to ask me.Regards,Dr. Endri Katro | |
Suggest remedy for malignant lesion on left breast
I done mammography test on left breast. Result was - features are most likely suggestive of malignant leison left breast birads v.( size 11 x 7 mm.) Then FNAC test at RML Hospital. Result: FNA smears from left breast lump shows scant cellularity, mainly adipose tissue and blood with occasional small sheet of benign fductal cells. I am cghs card holder. Where should I go for further treatment? Can I delay the excision of the tissue(lump) for a month or 15 days or I should go for treatment immediately. | hi.based from your clinical presentation, i would suggest a repeat core needle biopsy of your left breast lesion (possibly mammography-guided, to not miss on the lesion). if available, you could also opt for a mammotome biopsy if there is in your area. i am suggesting this since your FNA smears and your BIRADS categorization does not coincide together. if the results turned out to be positive, a formal mastectomy should be done. this, you have to discuss with your surgeon for different surgical options.prior to the procedure you'll undergo different ancillary tests for clearance.consultation and treatment should be done accordingly and as soon as possible. the earlier we catch breast cancer/problems now, the better prognosis/outcome you'll have.hope this helps.~dr. kaye | |
What is the remedy for the recurrent scab with pus formation after an injury?
I have a leg injury due to grass burn on AstroTurf, it forms a scab but has pus, I remove the scab, clean the wound and dry it out natural air or mecurochrome but it just reacurres that when them wound forms a scab again that theres pus under it. Help please, I went to the Doctor 3 weeks back and he just said to let it dry out | HIThank for asking to HCMI really appreciate your concern the given history is suggestive of some infection part is there and this need to be eradicate the infection then and this would healed, and best antibiotic is Amoxicillin 500 mg three times in day, for the local application you can use Povidone ointment hope this information helps you, have nice day. | |
What does this liver function test report indicate?
Hi, my age is 24,female..yesterday i experienced low bp and has wommited 4 times since..my blood test shows sgpt : 47 and sgot : 41, bilirubin direct: 0.3 mg/%..is this an initial stage of jaundice? M also experiencing right side abdominal pain..Please suggest.. | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein and I will try to help you as much as I can.This is not initial stage of jaundice of liver disease. These are only slightly elevated liver markers and may be found in healthy people or sign of gallbladder stones. Also,some medications and diet may cause such chages in liver markers as well. So I dont think you should be concerned. You should do liver ultrasound and just check these findings in 1-2 months and see will it improve.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health. | |
How to increase the duration of intercourse when having premature ejaculation problem?
Hiiiiiiiii My question to you Dr. How to make long time intercourse, I have the problem of early discharge, as soon as starts intercourse with in 5-10 seconds i will release the same, before intercourse I am doing foreplay for about 5-10 minutes & when about to start intercourse Am unable to do more than 10 seconds , needs your advise. | DearWe understand your concernsI went through your description. I suggest you not to worry much. Most of the cases, premature ejaculation is psychological. For treatment, the psychologist should talk to you and take so many vital details. From those interrogation, psychologists conclude why and how the problem came. Then they advise therapies which are suitable for the problems.You might need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.healthcaremagic.com for a telephonic consultation session. Hope this answers your query. Available for further clarifications.Good luck. Happy new year. | |
Lichen planus, around back molar, canker sores. Switched to soft toothbrush. What else must be done?
I was told by a dentist that I may have lichen planus. It is located near and around the back molar and goes a bit up the jaw line behind the molar. My understanding is that it is just something I will have to deal with. I have switched to a soft tooth brush for that area. It comes and goes. I can also get rather large canker sores in that same area. Other that treating the symptoms do I just need to plan on dealing with this from now on? | Hello,Thanks for writing to us.Cause of occurrence of canker sores has to be evaluated initially and treated accordingly.Avoid spicy ,allergic foods.Maintain oral hygiene well.Discontinue smoking ,tobacco or pan chewing if you practice any.Antibiotics causing allergy has to be avoided.Apply topical steroid on the affected area.Take care. | |
What causes left-sided chest pain during the night?
I have been having a sharp pain on my chest for some time now. It happens usually at night while sleeping and I can t sleep on a left side when it is paining. Sometimes it becomes difficult for me to breath when it comes. I went for an x-ray but my chest is clear, I also did an ECG, but all seem normal. What could be my problem. I am a 36 year old man. | Hello dearWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with psychosomatic manifestation of underlying stress or anxiety disorder .Hope this will clear your doubt .Welcome to ask any further questions .Regards . | |
What does white bump behind knee indicate?
I have this bump behind my knee. I am an 18 year old woman and i have never had one of these before. I noticed it after i came home from a hotel about three weeks ago. It hasnt grown in size but it just sits there. It is whitish colored when not irritated and it sits below the skin. when irritated, it puffs up and looks like a little mole but white. | Hello!Thank you for the query.Lump behind the knee can be a Beckers cyst. Its a kind of benign lesion filled with clear fluid. It is connected with the knee joint. Can give pain especially after physical activity. I suggest you to consult your doctor. Ultrasound of this are should be done. If Beckers cyst will be confirmed, you should consult orthopedist. If it will be diagnosed as other type of lump, you should visit general surgeon.Hope this will help.Regards. | |
What could be causing MVP, inoperable benign tumors in the spine, migraines, sleep apnea, narcolepsy, restless legs, insomnia, asthma or COPD, irritable bowel syndrome, low blood sugar and low blood pressure?
I have MVP, inoperable benign tumors in the spine, migraines, sleep apnea, narcolepsy, restless legs, insomnia, asthma or COPD, irritable bowel syndrome, low blood sugar and low blood pressure. I had to have an EKG, chemical stress test, and echo of my heart the other day. At night, I struggle to breathe, usually sleeping little to none, required to sit up right in order to breathe, and struggle with fatigue such as I have never known. Recently I was in the hospital with fatigue, fever, full body pain, high urine protein count, and low white blood cell count. What is happening to me? I m almost 40, but breathing difficulties every day and especially at night is scaring me! I m also a single mom. Help? | Hi,Thank you for posting your query.It is unfortunate that you are suffering from a number of medical problems, however, there is no need to worry, as they can be all treated.Your current symptoms of difficulty in breathing at night, lack of sleep and feeling tired the next day, are all related to obstructive sleep apnea (OSA). The diagnosis can be confirmed by doing sleep studies (Polysomnography).You would benefit from using CPAP machine at nights.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: My blog: | |
Geting cold in every changes of season
hi I have got cold in every changes of seasons .. i have taken care every thing but still I have get effected. Please suggest me regarding that. Thanks Joy | Talk to ENT specialist you seem to have perennial rhinitis, it is something like allergy. You will need special care. | |
What causes difficulty in urination after sex?
Hi my boy friend and I had unprotected sex for the first time two days ago and now he can't pee like he usualy does..and he drinks lots of water?? wondering if its a bacterial infectin..we are engaged and in a monogamous relationship..he is not buring...but doesn't know why his pee flow has weakened. any advice? He will be calling his doctor to be safe. thank you angie | HiI understand your concern it can be a urinary infection, to diagnose it you need to get a urine routine examination done. I would suggest you also get your urine examination done as well.Meanwhile ask him to drink lots of water and use condoms while having sex.Thanks | |
Q. What is causing breathing problem with tightness in lungs?
Hello doctor, I am having a breathing problem. I feel like something has tightened my lungs. Please advice what should I do. | Hello. I just read your query. See if you do not have any other symptoms like fever, cough with sputum and pain in the chest, etc. Then you can take steam of plain water and can add two to three drops of eucalyptus oil in it. It will help you. But if you feel some serious problem, then visit a nearby physician immediately because it could be due to some serious problem which is excluded with the help of clinical examination. | |
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.---> | |
Can whey protein cause allergy in a child?
Is yeast similar to whey? I just found out that my 5 year old has a yeast allergy. I read that yeast can contribute to eczema which he had severely for his first 2 years. I read the ingredients on the formula he used and whey protein was one of the first ingredients. Just wondering if that contributed to his allergy? | Hello.Thank you for asking at HCM.Yeast is not similar to whey.Whey proteins are a group of proteins mainly found in milk and milk products. Yeasts are micro-organisms (fungi) which participates in processes like fermentation. Yeasts which are added in nutritional formulas are usually deactivated yeasts which are a good source of some nutrients for vegetarian people.So both are not same.Both yeasts and whey protein can cause allergies but they are entirely different. As far as eczema is concerned, milk proteins are more likely to cause eczema as compared to yeast in children.Hope this will solve your query.Feel free to ask to HCM if you have any further queries.Thank you & Regards. | |
Does ibuprofen & ice packing cure lumps on forehead?
I am a 72 yr. old woman in good health, except some arthritis and osteoporosis . This afternoon I tripped on a sidewalk crack and fell hard on my forehead. Immediately I had a golf ball sized bloody lump. It got hard (more like taut). I was close to home so I got an ice pack on it shortly. It is now about 5 hours later and it is still quite taut and the rawness hurts to the touch (ice too). I am getting a headache in the front of my head (forehead area). Will periodic ice pack treatment and ibuprofen be sufficient? It just hurts and looks awful. Thanks, Mary | Hello mam...you are going exactly right...cold sponging will help to resovle lump... but give some time to lump to resolve...It will resolve in 2-3 days... | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Q. I have multiple sclerosis with shortness of breathe. Could paint spray fumes be the cause?
Hello doctor, I have been diagnosed with multiple sclerosis. I never traveled to a foreign country. I have been unprotected from paint chemicals for over a year. I use a mask that was not NIOSH approved. The spray that I have been using is 341g. A test shows that 36 pounds of chemicals have been inhaled (like I was inhaler on drugs). That is from the paint spray itself. I would see things which were not there. I experience numbness and tingliness in the right side of the face, bottom of the right hand, and right bottom foot. I also have shortness of breath. I highly belive this a case of multiple sclerosis symptom. I know it is uncommon, but can certain spray chemical give this symptom? I do not want to be misdiagnosed, I have got kids my health and life is depended on. | Hello. Multiple sclerosis (MS) is an autoimmune disease in which an abnormal response of body’s immune system is directed against the nervous system (brain, spinal cord and optic nerves). The immune system of the body mistakenly attacks the myelin sheath the protective coating around the nerves. The cause of MS is still not known, it is believed that several different factors may be involved. Mainly immune-mediated but genetic and some environmental factors have a role. Although some studies have claimed to have a relation between MS and some substances used in paints, etc. But not as spray substance. Otherwise also these studies are not giving a strong scientific basis. These are simple reports that need to be confirmed further before reaching on conclusion. The long contact with some paints can cause neurological symptoms and numbness. But mostly it is reversible. Coming to your problem, you have written I have been diagnosed with multiple sclerosis. If it is by a competent specialist then I will not comment anything on the diagnosis. What is MRI and CSF results? Anyway, it can only be judged along with physical examination and signs and symptoms. But some of the symptoms are fatigue progressively leading activity limitation, numbness, weakness, walking difficulty, vision problem, urinary problem, bowel problem, cognitive emotional and depressive changes, and respiratory problem if chest muscle gets weakened. As you have apprehension about painting work so the best option for you is to search for some other job even if it is not proved that inhalation of painting is a cause of MS. | |
Q. Can hitting behind molar a bunch of times cause any medical issues?
Hello doctor,Today after a meal I had some food particles stuck in my top molar all the way in the back. I took my toothbrush and tried to scrub it out real well to get it. While brushing, I put the toothbrush real far back into my mouth to really try and clean that last molar. In the process, I jabbed the back of my mouth behind the molar a few times. A few times while brushing the underside of my tooth and going straight back and a few times brushing the outside of the tooth and accidentally pushing it further past the teeth. What is back there? And can hitting it a bunch of times cause any medical issues? I am a little worried. | Hello. I have been through your query and as far as I understood I came to a conclusion that if you go far behind your teeth bearing area there is hard and soft tissue which you may injure yourself. The region behind your third molar is: In case you push your toothbrush far behind, you may injure your soft tissue that may result in some feeble pain and a white spot appearance. In that case get a Dologel (Choline salicylate) ointment if it hurts. If it does not hurt, let it be as it is and it will heal within five days without any medication. For more information consult a dentist online --> | |
Suggest treatment for burning and itching on thumb in a child
Hi. My great-nephew who is 5 is in the hospital for asthma and strep (I think). Since he s been in the hospital (24 hours), he has been experiencing severe burning and itching in his left thumb and sometimes the left index finger. It started since being in the hospital and occurs hourly. Rubbing/scratching the area helps, but appears to be very painful to him. There is no rash or visible effects. His thumb feels hot to the touch and is a little red. | AS your great nephew suffers from Asthma there is increased chance of other allergy related problems for him. We call them Atopic individuals. The itching in thumb could be due allergic dermatitis. But i cant be sure. Contracting Scabies from hospital could also happen. So i would not prescribe any medicines and want you to take him to a Dermatologist or Post a picture of the fingers to see. | |
What could metallic taste in tongue, post quitting smoking suggest?
hi, you are doing a great job. Actually, i have quitted my smoking after 7 years, one month after quitting, i am feeling mettallic or a little bit bitter taste in my mouth and now my toungh is very red from back. please answer me i am very worried. | This is not related with smoking. You meet one dentist nearby for examination of your tounge. This may be a inflammatory disease or fungal disease. | |
Trying to get pregnant. Have vaginal infection. Using vaginal candid CL. Will it hinder the chances of conceiving?
hi, doctor said egg ruptured on 14th day by doing follicular study this time you may have chances of getting pregnency, on 16th day i got vagine infection, i used CANDID CL (inserting vagine) on 17th day, is it safe of using this, by using this tablet dont i loose the chance of getting pregnency. Please help me in this, i am getting tention that i unnecessary used candid Cl | Hello, History noted. The vaginal preparation you have used is the one which is prescribed for the candida infection in pregnancy. Hence nothing to worry regarding miscarriage because of this medication.Next time if you happened to use the same medication, use applicator which is safe than using hand. The medicine is safe in pregnancy,so dont get tensed. Decrease your tension and stay cool. All the best. Good day. | |
What causes my kid become unconsciousness
MY DAUGHTER,15 YEARS OLD WAS TREATED BY DR. A PANEER IN OCTOBER,2009 . SHE WAS SUFFERING FROM SYRCOPE. FOUR MONTHS MEDICINE OF DR PANEER CURED HER. BUT YESTERDAY SHE AGAIN BECAME UNCONSIOUS LIKE BEFORE WITH SAME SYMPTOMS. IWANT TO GET HER ADVICE THROU E-MAIL. HOW CAN I DO THAT?D P MUKHERJEE,ASANSOL,WB( YYYY@YYYY ) | hi, this seems to be episode of seizure. Seizure occurs as a loss of consciousness episode in which there may be movements of limbs or hands, and uski staring gaze can also be present. Child should be taken immediately to hospital whenever this kind of episode occur. A CT scan or MRI brain needs to be done to look for cause of seizure. Investigation like complete blood count, calcium levels should be done. Take care. | |
What causes dizziness and right sided headache?
Hello sir, I have a headache that is on the right side of my head and it seems to be in the back of my head. My right eye also feels really weird adn I feel spaced out and dizzy. i went ot the eye Dr5. and regular Dr. and I have a MRI next week. what do you think could be causing it? | Hello and Welcome to ‘Ask A Doctor’ service. I have gone through your question and understand your concern. Unilateral headache and visual symptoms may be due to migraine. Brain imaging is usually normal. Prophylaxis drugs like flunarizine, divalproate, topiramate, propranolol can be initiated. For acute attacks, pain killer may be taken. Regards Dr N Kumar Neurologist | |
Is it possible to out grow epilepsy?
My daughter was diganosed with eplipesy at the age of three and now she is ten years of age we were recently told by her neurologist after a sleep study at the hospital after seeing no activity what so ever he stated she had outgronw her seizures but sys that if the seizures start again to bring her back to the hospital and to contact him they did not say that she no longer had eplipsey. Is this possible? thanks | Hello. I just read through your question.Outgrowing seizures is possible and common. Your neurologists advice was correct. It is unlikely seizure activity will resume. But if it does, contact your neurologist. | |
Is there a cream to reverse sun damage to scrotum?
Hey, I started to notice that my scrotum is becoming a shade of darker brown and a reddish hue. It also has become way more wrinkly and takes longer to go back to original shape (just less attractive looking overall) . The tip of my penis is also much redder than it use to be, almost like I m forever sun burned. A few years ago I use to go in a tanning bed (like 10 times total) and I was going in naked. Now, I understand that over exposure to heat and UV rays can cause wrinkling and more likely than not be irreversible. Though,I would like to get rid of the wrinkles, or at least alleviate some of it; I really just want to get my normal color back. Is there a cream or a way for me to reverse the sun damage I did? Or at least just bring back my my normal color? My penis tip and scrotum just look inflamed, please can you help me just get a normal color back. | .Get examined by dermatologist first to rule out redness at the tip of penis.It might be due to fungal infection,otherwise it looks to be hyper pigmentation after over exposure to heat.Yes,it is irreversible to the some extent.Take proper local care,avoid tight under garment. You can apply calamine/aloevera gel locally regularly.Be watchful locally for any further development.Start steroid containing cream if required under guidance of your dermatologist.Keep in touch with your doctor. | |
Prescribed cerazette, periods not due. How long will it take to protect if taken now?
I ve been prescribed cerazette today, I m not due a period for at least another week, but being impatient I want to start taking it today. I m aware that I won t be protected straight away, unless I start taking it on the first day of my period, but roughly how long will it be untill im protected if I started taking it today? | Hello, You may take the medication now if you want to, but it must be accompanied by the use of additional contraception like the condom for the first two days. If started on day one of the menstrual cycle, immediate safety is ensured. It may be safe as far as the 5th day of the cycle to initiate the treatment, provided the duration of the cycle is longer than 25 days. You may consult your doctor for further suggestions. Take care. | |
What causes a decrease in the BP level despite taking Verapamil and Cilazapril?
Time 10.45am omron BP unit registered 86/47 pulse 79 feeling a bit shaky and light headed,taking 120mg Verpamil plus Cilazapril+Hydrocholorothiazide 5mg+12.5mg 1/2 tab; with breakfast. wgt 58kg, male, age 76yrs hgt 160cm. avg reading 144/61 62 pulse. BP has been dropping over last 3 days 132/56 69, 101/47 77: 121/48 75: 110/49 77. Sleeping OK. Stop taking Prednisone 40mg in morning 7days 20mg 7days. last tablet 4 days ago. Your comments would be appreciated. Thanks Kevin | Hello,It's normal that blood pressure changes during hours. Stopping prednisone may cause a decrease in acute blood pressure. Hope you stopped it based on doctor advise, because it would be stopped gradually, lowering the dose. You should see your acute blood pressure before taking medications.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Anila Skenderi | |
Q. What care do we need while having sex during pregnancy?
Hi doctor, My wife is entering her fourth month of pregnancy. Is it safe to have intercourse now? Is there anything that needs to take care of? We have not had intercourse in the last three months as we were not together. Kindly advise. | Hi. After the 12 weeks of pregnancy, the placenta has formed, and the bond between mother and baby is strong enough to prevent any problem to the baby. The only issue is the infection in semen. It is valid throughout pregnancy. Semen is a body secretion and will have some bacteria. When you have penetrative sex, sperm can reach up to the cervical canal. It may make the uterus slightly irritable. So, there is a risk of mild bleeding from the uterus and also a risk of abortion. The physical movements and jerky effects on the body and uterus are fine, even the presence of penis inside the vagina is fine, but semen can cause problems sometimes. But, many years ago, having sex during pregnancy was used as a method to induce labor pains. You can have sex using condoms; it is safe. After sex, advise your wife to pass urine and wash well, just to avoid any infection in bladder and vagina. She has to be well hydrated, so let her have a lot of water. For further doubts consult an obstetrician and gynaecologist online --> | |
Suggest remedy for jaw pain extending upto neck and chest
i have a severe pain starting in my jaw that spreads down my neck into my chest. it then travells into the muscles of my arms down into my fingers. the pain is so bad i can t sit stand lay down or walk and it hurts bad. it makes my arms want to curl and it makes me want to bend over . it started about 3 weeks ago a couple of times a day. now it won t go away and i m in agony. | This looks like it can be related with your heart, cervical spine or jaw joint weak ness. For heart just check do you have pain and breathing difficulty on walking up hills or walking for long distance ? If yes then do your electrocardiogram with tredmile test and visit cardiologist. If no then follow the next.Check do you have regular pain from your neck to radiating to your hand as well to head? As well do you have any numbness or tingling or pulling feeling in hand? If yes then it can be related to your cervical spine. You need to do a MRI of cervical spine and check with ortho doctor.If no then check next,Do you feel pain starting only from jaw joint and radiating down, as well chewing difficulty if yes then again need to visit ortho here based on assessment he will suggest you either surgical or medical conservative treatment.In any case you need to visit doctor and get it evaluated so visit doctor and take proper treatment.You can also use hot pack for temporary relief at home frequently with soothing and relaxing effect on soft tissues.Take care. | |
Suggest treatment for boil below scrotum
i have a boil the size of a cricket ball below my scrotum along the ridge. What do i do? The head isn't showing yet for me to pop, is there a quick home recipe that i can whip up to bring the head out faster so itsready to pop? I'm so busy i need it GONE like two hours ago | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It seems that probably you may be having scrotal abscesses. Consult the surgeon immediately.After thorough examination and investigations, he might do incision and drainage in local anesthesia. And strong antibiotic and anti inflammatory drugs will be given by him. You might recover in few days. Hope I have answered your query. Let me know if I can assist you further. | |
Q. I get dizziness when I look up or get up. What is causing this?
Hello doctor,I have been getting bouts of confusion, dizziness (when looking up and sometimes when getting up), headaches, pulses, and pressure in my head and what I can only explain as brain fog (during these episodes, I find that my problem solving and my cognitive function is diminished). The episodes have been happening on and off for the last year in which I have had three MRIs, a full cognitive function test, full set of blood tests, count, liver, kidney, cardiac panel, arthritis, and sleep apnea test. I have also had a cardiac stress test, 24-hour Holter monitor, 5-day event monitor, echocardiogram and these were all negative (no abnormalities were picked up). Of late, I have found that these episodes have been getting more frequent. Could you advise if this could be intracranial pressure, a tumor, seizures, epilepsy or some sort of neurodegenerative disease? | Hello. I passed carefully through your question and would explain that your symptoms do not seem to be related to intracranial hypertension or any of the other disorders. An inner ear disorder, vertigo, or epilepsy may lead to such clinical situation. For this reason, I recommend consulting with an ENT specialist and performing labyrinthine tests to exclude an inner ear disorder. If these tests result normal, I would recommend performing an EEG. It is necessary to check also thyroid hormone levels for possible thyroid gland dysfunction. Hope you will find this answer helpful. For more informationconsult a neurologist online --> | |
Q. Why does my period occur only with medicine?
Hello doctor, I am a 25 year old married girl. I am 5 feet tall and weigh 68.7 kg. I am having the problem of irregular periods for the last two years. Medical investigations done several times such as ultrasound and hormone levels. No abnormality was found. Periods occurs with medication. With discontinuation of the medicine, problem reoccurs. Now my periods is normal with medication, but still this time my periods is delayed for 28 days. Please help. | Hi. You are suffering from a condition called polycystic ovarian syndrome (PCOS). It is normally found in 5-10% of girls and is probably of genetic origin. The treatment is lifestyle modification such as healthy diet and regular exercise (at least 45 minutes of sweat inducing exercise daily). You need to reduce weight to achieve healthy BMI (body mass index). With obesity and PCOS, there is increased risk of diabetes, hypertension and endometrial cancer. Ideal weight for your height should be less than 55 kg. For regularization of menses, you need to take combined oral contraceptive (OCP) like Ovral L (combination of estrogen and progestin) regularly or Progesterone tablets regularly (Medroxyprogesterone acetate 10 mg twice daily for five days, every 30 days) before marriage. After marriage, when you plan for pregnancy, you will need medicines to induce egg formation and ovulation (which is lacking in PCOS women). You need to take these medicines regularly to induce period to avoid endometrial cancer in future. If period does not resume spontaneously after weight reduction, there is no alternative to medicines and you have to take them almost lifelong. For further clarifications consult an obstetrician and gynaecologist online --> | |
What causes red rashes on shoulders and pricking sensations all over the body?
I have a rash on my shoulders and down my back somewhat. Read an pimply. I have had it for about 5 days. I used cortisone and bendryl but it is still present. Now, I feel like Prickly sensations all over my body, not just on the rash. I have very sensitive skin and I am allergic to soaps, detergents, etc. I am also allergic to plants and stuff. I was camping last weekend. Did I brush up against something? WHAT IS THIS? HELP! Thanks! | Hi Dear,Understanding your concern. As per your query you have symptoms of red rashes on shoulders and pricking sensations all over the body which is known as dermatographic urticaria which could be due to increased skin sensitivity and compromised immunity of body. Need not to worry. I would suggest you to apply cold compresses to the affected area. Avoid sun exposure. Apply broad spectrum sunscreen with SPF 15 even if you are not under sun exposure. Take over the counter anti allergic drug like benadryl or zyrtec. If symptoms doesn't get better in 3-4 days consult dermatologist for proper examination and treatment . Doctor may prescribe steroids.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What are the symptoms of malignancy?
I have multiple pulmonary embolisms in right upper and lower lobes, only symptom prior to diagnosis SOB. Hemoglobin 10.5, eosinophils low, otherwise CBC within normal ranges. 53 years old. No DVT's, no history of PE's, facotr V leiden negative. I'm trying to figure out cause. Some physicial changes point towards Cushings. Have history of parathyroid adenoma. Worried about malignancy. | Thanks for your question on HCM. Pulmonary embolism with out DVT (Deep venous thrombosis) is less likely due to malignancy. So no need to worry much for malignancy as a cause. There are other causes like1. Connective tissue diseases2. Storage diseases3. Primary pulmonary hypertension. 4. Protien C deficiency. 5. Protien S deficiency. 6. Hypervitaminosis k.7. HIV infection etc.So better to rule out these causes first. | |
Suggest treatment for systemic hypertension
my mother is 76 yrs old . she is a known case of systemic hypertension. she has no other cormobidites. she was taking concor AM 2.5 . amlodipine 5 mg and bisoprolol 2.5. during that time her bp was 100/ 60, 110/60. she was taking this medications as per the direction of a cardiologist . She has 1/6 ASM no calcifications or clot and have good ejection fraction. since she was on concor AM 2.5 she will drowsy and sleepy after 1/2 an hour intake of concor. her pulse rate will be 60 to 65 . now she is on amlodipine 5 mg . after taking amlodipine her BP is 120/ 80, 130/ 80. should she take concor AM 2.5 mg instead of amlodipine 5 mg. thanks god bless | Hi welcome to himI understand your query and concern.High blood pressure should be treated immediately to avoid complications like ischaemic stroke.I advice you to start Tab.Telma once daily.Monitor your blood pressure regularly for every one week.I advise you to get serum.electrolyte s,complete blood picture,ECG'2D Echo,lipid profile as a part of routine screening to look for any heart disease.I advise you to also start take Clopilet,Ecosprin,atorvas once abnormality is detected.Restrict salt intake to less than 6 gm per day.Fruits and fruit juices are preferable.Take plenty of fluids.Avoid smoking and alcohol. Avoid fatty foods. Also take low protein high fiber diet.Exercise regularly for 30 min.Consult your cardiologist for expert management.Post your further queries if any,Thank you. | |
Suggest treatment for leaky valve in heart
I was told 2 years ago that I might have what they call a leaky valve in my heart. Sometimes at night while I am lying down it feels like my heart stops beating and then a shock and it starts again, also it feels like I have air bubbles in my heart. Is that something to have checked out? | Hello, Get a 2D echocardiography done, this test is a simple non invasive test to know which valve is actually leaking and the extent of leak. Based on these finding one can decide on the treatment if ever it's needs to be given. Based on clinical examination where your doctor must have heard a heart murmur, suggesting a leaky valve. Regards Dr.Priyank Mody | |
I noticed that a very few drops of bleeding, plese give your advise
My gynicologist prescribed me to take deviry 10mg twice a day for 10 days what is that use Dear doctor , what is the use of to take deviry 10mg tablet.I am taking that tablet 20 th day after my period . my gynocologist advised to take it for 10 days and also told that 30th day only comes perod.but my 26 th day (That is today)i noticed that a very few drops of bleeding.. not a continous flow..Every month i have met a regular period on 26th to 29th day from my previous cycle..So plese give your advise.. | Hi, Deviry is a hormone that has many uses.The reason for your prescription is important.Its does help in reducing bleeding but on stopping the drug you will get your period again.It depends why you are taking it. | |
Any suggestion for suffering from nightfall?
I am suffering from nightfall it occurs 2 to 3 times a week . ... hello sir m raj i have night fall problem 2-3 year rite now m age of 24 pls help me . .... It start from last month and it is continue going on every week, i am woried and scared from that matter .please help | HelloThanks for your query,based on the facts that you have posted it appears that you have problem of night emission.Please note that night emission is very common at the age of adolescence and nothing to be worried about.It usually gets resolved itself without any treatment.Following measure will help you to improve your general heath and get rid of this issue.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil. | |
Lost sexual feeling, confidence. Suggestions?
I am 31 year old, unmarried .All of sudden I lost any kind of sexual feeling. It is fact that I am going through bit stress. Pls let me know how long can take to regain libido. I am so scared to be get married. I lost my confidence, feel that I have already died. I am also scarring that I am going to be an impotent person.I dont have enough money to check up the doctor. Pls help me by giving suggestion and prescribed some medicine which dont have any side effect. thank all of youGod bless you Sorry sir I can not pay you.......... | Hi, Thanks for using healthcare magic. Stress is known to reduce the libido of individual. You can regain your libido by getting out of stress by stress management. You can do breathing exercise, time management, yoga or meditation to reduce stress. If that does not work, you should consult psychiatrist for detailed evaluation and treatment. I do not think you will be impotent person. Be confident. Thanks | |
Abdominal pain after eating food outside. Periods delayed. Possible reason?
My bf fingered my vagina.... On 16 oct.. I was not havving any problem.. Then on 22 oct i had outside food and in evening my left abdomenal region was aching very badly.. ?? I went to the d dr.. And she said tht dnt intake outside food.. Last month i got my periods on 3sept.. Wht would be the reason of paining the left abdominal side.. ?? Please help I will get periodss this month ?? | Hi,Thanks for writing in.Left sided abdominal pain after having outside food can be due to bowel infection. This pain usually responds to taking antibiotics. You have not mentioned about any episode of loose motions. However, mild bowel infection can occur without loose motions.Coming to your concern about periods, you should have had your periods much earlier if you have a regular 28 days cycle. Not having periods can have many reasons like hormonal imbalance, thyroid disorder, anxiety, PCOS, anemia. Please get yourself clinically evaluated for any medical condition that you may have.Be sure that you did not have unprotected sex since your last menstrual period or there was no deposition of semen close to your vagina by fingering or any other means.Hope this helps | |
White, mussy over gums after back teeth were pulled out. Gums still sore. Normal?
I had 2 Back teeth pulled a week and a half ago. Over one, where it was pulled, the is something that is white and mussy. Half of it seems to be comming loose like it will come off.. There is nothing over the other. What is this? What do I do if it comes off? How long will it be there? My gums are still really sore, is this normal? How long will my gums be this sore? Thank you | Hi!Welcome to health care magic. you have mentioned that there is something white and mussy over the area of extraction of one tooth. you need not worry about this as could be the debris accumulated as a result of poor oral hygiene. Take precautions so that your mouth is clean and use a warm salt water gargle daily after every meal. With regard to the healing it usually takes 3 to 4 weeks to heal completely. But I think by 2weeks at least you should be relieved of your soreness. From the two complaints you have given that is a white mussy area over the wound and soreness. It could be due to poor oral hygiene so take care and rinse. If the pain persists you can visit your doctor. Wishing for a quick and complete recovery. Thank you. | |
What causes dry coughing with history of pleurisy?
I have a dry cough, seem to cough more than others around me, but it's not constant, also have chest pain on left side which seems to be isolated, sometimes feels better when pressure is applied or if I'm laying on my right side. Have had these symptoms for several weeks - no fever. In the past have had bouts with pleurisy. Am not a smoker, but grew up with smoking parents. 50 yrs/female. | Hello,A pleural thickening leads to this type of pain and dry Cough, do a spirometry followed by DLCO (Diffusing capacity of lungs for carbon monoxide). We will definitely get a clue.Compare previous chest x-ray with a fresh one for any new lesion something.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Vishal More | |
Q. Why does blood pressure change inspite of having drugs?
Hello doctor, For three years, I have been taking 12.5 mg of Atenolol and 80 mg of Diovan to control blood pressure. Readings over the years have been good and average. 120/60 was the blood pressure 55 to 60 was the pulse rate. I have a good blood pressure monitor, and I take readings three to four times a day. Last month while taking a regular reading, we noticed a reading of 136/60 blood pressure and pulse 32. A few minutes later, the bp was 141/68 and pulse 32. We went to the emergency room at the local hospital during a trip that took about 25 minutes. The readings had gone up to 60 bpm, and the blood pressure readings were satisfactory. I was in the emergency room for about 12 hours, where they did several blood tests an ECG and a chest X-ray. I was discharged the next day because they said my condition was fine and they recommended dropping the 12.5 mg of Atenolol completely. (I am attaching a 24 hour Holter monitor report that was done two or three days later). I took 0.4 mg of Flomax for 18 days for BPH. The readings were normal from the last month till the mid of this month. Then suddenly on a fine day, the readings of pulse rate and blood pressure were high, so the family doctor recommended resuming the Atenolol at 12.5 mg. After four days, we then found that the pulse rate was going down into the 30 bpm again, so the family doctor recommended cutting the Atenolol in half to 6.25 mg after which the readings of the pulse rate were high 30’s and blood pressure going up to 191/85. So the family doctor recommended taking 6.25 Atenolol in needed basis if the pulse rate and blood pressure started to spike. So we monitor blood pressure and pulse rate each morning before we go out to see if it is necessary to take the Atenolol and it is very stressful. | Hello. So the problem you mentioned are two 1. High blood pressure and 2. Heart rate 1. For BP, continue Diovan (Valsartan) 80 mg. Regarding Atenolol, it does not has many effects on BP, but has an effect of lowering heart rate. If your BP remains elevated, you may increase the dose of Diovan to 120 mg. 2. Take Atenolol 6.25 mg, if heart rate without it remains more than 80 to 90. If the heart rate is below 90, no need to take Atenolol. Moreover, count heart rate manually by counting beats or pulse. Do not rely on what the BP measuring device tells. Remember one thing, sudden stopping of Atenolol increases heart rate beyond normal for a few days, but later it settles to normal. So, be patient. | |
Is there a possibility of blood clot from the extended car trip?
I drove several hours today (6 hour Road trip) and my left foot ( not used for driving ) suddenly became very painful and hard to move (also cannot walk on it). The veins are pronounced and bluish and I had no injury to it. Is it possibly a blood clot from the extended car trip? I drove the 6 hour trip Saturday with no problems but now can barely walk - | hiIt may be due to overstrain, just do hot fomentation and take tylenol or advil tabs, raise and rest foot on a chair while sitting and do gentle toe movements.Apply local anti-inflammatory crem or gel after fomentation.It will settle soonbest wishes | |
What causes loose motion with blood in child?
My five yr old son had very thin strings of poo last evening. He used the restroom 2-3 times-poo. Then tonight he pooped two small green colored poos, I saw evidence of blood. Then he pooped two more times mucus and blood. He has abdomin tenderness. What should I do. | Hi You need to do for him stool analysis as there may be an infection. You can also give him Buscpan syrup to relieve this pain. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
How to overcome the symptoms like: raised liver enzymes, blurry vision, digestive problems, itchy skin ?
I have raised liver enzymes, blurry vision, digestive problems, itchy skin, and im exhausted. No jaundice. Could the problem be my liver or possibly celiac. I don t ever drink but do take prescription medication. I also worked daily with cleaning products for six months. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to history your liver enzymes are elevated. It can be due to liver problem or it can be from Celiac disease. To rule out Celiac disease investigate with anti tissue transglutaminase antibody estimation. To check liver problem I need to know your Liver enzyme values and kindly attach your report for giving further comment regarding that. USB abdomen scan is also advisable. According to course for the management can be decided. Consult physician for examination. Hope I have answered your query. Let me know if I can assist you further. | |
What does discomfort on the tongue along with sore throat indicate?
hi i have this very weird feeling on the back right side of my tongue, it feels like something is stuck there and its very uncomfortable. i also have a sore throat. That weird feeling happened on tuesday and is still occurring. The sore throat showed up today. I'm freaked out, and don't know what to do. I am an 18 year old girl and pretty much healthy. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You have a sore throat along with discomfort at the back of the tongue with a feeling of something struck at the back of the tongue. This can be due to swollen tongue papillae, sore throat, throat infection and inflammation. So my suggestion is to consult an Oral Physician and get checked. For now, you can do warm saline gargles and antiseptic mouthwash gargles. You can drink lemon tea with honey for relief and suck Cepacol lozenges. If needed doctor can advise you throat swab culture and a course of antibiotics for relief. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora | |
What causes pain in mid back, nausea and strong odor for urine?
Sudden onset of pain in midback, nausea, no vomiting yet but probably will. Urine strong odor but not burning upon urination as in a UTI. Symptoms occurring intermittently for several months. Bought medical insurance but awaiting probationary period before seeing a dr. Symptoms usually last several hours. | Hi, thank you for posting.I have gone through your query and I understand your concerns.All of your symptoms might be caused by a gallbladder pathology. I think it might be gallbladder stone.To determine the diagnosis you need a fibrogastroendoscopy, abdominal ultrasound, liver function test, complete blood count and urine test.Contact your gastroenterologist to discuss about the diagnosis and treatment.Wish you good health.Dr. Behar. | |
Q. My results are normal except lymphocytes. Can you have a look?
Hello doctor, I have done CBC. My results are normal except lymphocytes 49 % also lymph are normal. | Hello. There seems to be a slight increase in the percentage of peripheral blood lymphocytes. However, if the total count of white blood cells is within the normal range and if all other findings including ESR are normal, then this is nothing to worry about. If you have any other symptoms of inflammation or infection like fever, weight loss, night sweats, fatigue or loss of appetite, you may want to repeat the CBC test. An isolated abnormality in the count of blood cells is negligible if you do not have any remarkable symptoms. Hope this helps. For more information consult a general practitioner online --> | |
What is the remedy for the stinging sensation on the arm near the elbow?
Every now and then I get a stinging sensation on my right arm near the inside elbow. It only last a few seconds and then goes away. Every now and then it moves to the outside of the elbow. It stings more to the outer skin and not the joint itself. Don t know if it is in the muscle or tendens | Hello,This sounds like a nerve or muscle issue. Evaluation and treatment by a physical therapist may be able to help you with some exercises to avoid this becoming a more serious problemRegards | |
Taking Ovapure, Oosure and Adova. Should I continue or go for IUI?
I am taking a treatment to conceive but sevral time the same treatment taken but there is no result . from day 3 tablet adova 1mg : oosure :obimet SR:ovaflo . An injection ovapure HP 0000 on 11th day i second for HP 5000 13 th day if required . suggest me to continue for this time or go for IUI ovulation study day 8th right ovaary 6.5 left ovary 19 endomaterial thickness 4.5 | Depending on your age, duration of infertility, semen analysis report, tubal status, any other major factor(eg. endometriosis), you can go for treatment which will give you increased chance of pregnancy like superovulation with IUI OR IVF. | |
Suggest treatment to overcome fear of men
I am a female age 32 due some reasons I am not able to face people especially male ....I am scared of male ... i have cultivated a strange behavouir of looking at their private parts that I dont do intentionally.... i cannot resist.... I hve gone 2 or 3 molestations in my childhood may b that is the reason.... I am not able to Live peacefully now | DearWe understand your concernsI went through your details. I suggest you not to worry much. From the given symptoms, this is just a case of obsessive thinking or a compulsive behavior. In short OCD, but not clinically manifested. If you try to resist it, the behavior pattern will try to over whelm you. Therefore, the best treatment method is ignorance. That can be easily achieved by busying yourself for a period of around 30 days. Make yourself so engaged that you have no spare time to think about this. Ignorance sometimes is a bliss.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
Q. Can latent TB scaring be misdiagnosed as interstitial lung disease with RA?
Hello doctor, I am a 67-year-old female. I have a significant past medical history of TB and a lifetime history of bronchitis. My arthritis is currently being treated with Remicade. Last month, while in a temporary job I developed severe altitude sickness (SOB, fatigue, and confusion) followed by bronchitis (stuffy nose and productive cough). While there I needed to schedule a Remicade infusion and the doctor there said she heard crackles in my lungs and sent me for an immediate chest x-ray, high-resolution CT scan and a multitude of labs. To my surprise, I was diagnosed with RA, not PSA as my rheumatologist had diagnosed me before itself. Anyway, the radiology results state honeycomb lung damage amongst other ominous findings. At my follow up I was told I have RA-ILD. I am now back to my place and have no symptoms to alert me of any lung problems. I followed up with my PCP last week and she did not hear crackles in my lungs. My peak flow rate is 400 and my O2 sat is 100% at rest and 98% with fast walking. I will send my radiology report and lab results. My question is, can the latent TB lung scaring be misdiagnosed as RA-ILD or IPF? I would appreciate your opinion. | Hello. I can understand your concern. According to your statement, you have been suffering from chronic bronchitis with rheumatoid arthritis with recently diagnosed with RA related interstitial lung disease or idiopathic pulmonary fibrosis. You had a history of PTB and taking anti-tubercular drugs. You are concerned about your recent diagnosis based on HRCT chest whether it is RA-ILD/IPF or latent TB related complications for your past sufferings and now you feel a lot better. Your HRCT of chest reveals (attachment removed to protect patient identity), interstitial fibrosis characterized by peripheral traction bronchiectasis, irregular reticulation in all lobes, microtubules with calcification in mid and lower lungs, lower lobe predominant microcystic changes without significant ground glass opacifications, hilar calcified lymph nodes consistent with chronic granulomatous disease, and bronchial wall thickening bilaterally. Similar type of radiological findings can be found in post TB fibrosis, chronic obstructive pulmonary disease which includes two key components chronic bronchitis and emphysema, RA-ILD or IPF, etc. You may not tell your doctor about your previous history of Latent TB. For that reason his diagnosis was RA-ILD or IPF as you are suffering from RA. So he was not wrong as your radiological reports suggest the above mentioned differential diagnosis. Again, on high altitude, your doctor found crackles as you are suffering from COPD and it may be associated with infections that time and now it not heard as your infection was subsided. | |
Swelling in parotid gland. Done MRI. Worried
Mu husband has a swelling in his left parotid gland . Our GP sent him for an MRI scan as he suspected stones. The results came back last week and my husband had to visit the GP for them. Our GP said there were no stones but that he wanted to refer him to a specialist. He asked my husband if he had dry eyes (which he does not). The GP said that there is inflammation there (although we can feel a small lump) and he also wants my husband to have a Chest Xray . I am a bit worried as my husband never asked any questions. What do you think - thanks | Hello and welcome to HCM,Parotid gland swelling and formation of lump, indicates inflammation of parotid gland which is the major salivary gland and is called as Acute Parotitis or Infectious parotitis. it is viral or bacterial infection of salivary gland which causes blockage of salivary ducts may be due to presence of salivary stones or calculi. It may be caused due to poor oral hygiene or severe dehydration.you can start with antibiotic Augmentin 625 mg along with aceclofenac serratiopeptidase tablet 2 times daily for 5 days, it works against bacterial infection.If there is abscess formation , Aspiration or drainage is needed so i suggest you to consult a ENT specialist.Maintain good oral hygiene, mouth rinsing with lukewarm saline gives soothing effect and keeps the mouth moist. drink 8 to 10 glasses of water and keep yourself hydrated.Chewing of lozenges or chewing gums improves salivation and reduces swelling .i hope you follow this, take care. | |
Breast tenderness, sore throat, vaginal discharge. Trying to conceive. Pregnancy symptoms?
hi, I have been experiencing tenderness to my breast area 12 day after i had my period, and started having sore throat issues, along with a white creamy discharge . My tenderness to my breast is still their and I m 6 days away from my cycle, and I haven t been able to concieve since 2007, What do you think these symptoms mean? Might I be pregnant? I had I.U.D. placed in after my last pregnancy but it was difficult to have them remove the I.U.D. after 2 years on being implanted inside me. I had to be put to sleep to get it taking out because it hurt so much it made me cry. After that I have been unable to get pregnant this far. | Hi, Breast tenderness could be due to the water logging post-ovulation. Sore throat could be seasonal. You can get a blood test done to be sure about any chance of getting pregnant as HPTs at this stage may not always give a positive result as they are not so sensitive. Ideally, you should wait for your period before taking the next step. If you have failed to conceive after removal of IUD, and that too with difficulty, you should get investigated for secondary infertility, including uterine condition, patency of the tubes and so on. Please get further advice from your doctor. Good luck. | |
Why can't bypass surgery be performed if having low platelet count?
My mom is a renal failure patient she has three coronary arteries that are blocked and the one that is working is leaking they first wanted to do a bypass however her platelet count dropped and now they want to put three stents in why have they changed the plan | Hello and welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Low platelet count is a contraindication for any surgery especially a major surgery like bypass. Low platelet count can cause massive bleeding and thus a threat to life. This is why they have advised you against bypass. But still angioplasty also needs giving blood thinner and in low platelet count it can also cause significant bleeding. We generally perform it when platelet count is more than 1 lakh. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sameer Maheshwari | |
How to get rid of the white lump in the corner of the eye?
in the corner of my eye(that is inside in the pink bit) I have a white/creamy lump I have tried poking it with a tissue corner and it feels hard and sort of trapped ,it moves but the pink bit moves with it I do not want it there any ideas on what it is and how to get rid of it? | Hi, dearI have gone through your question. I can understand your concern. You may have angular dermoid. You need examination. Treatment of choice is excision. 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. | |
Q. Do fluctuating bpm with chest discomfort reveal autonomic dysfunction?
Hello doctor, I am a 25-year-old male. My bpm is 31 during physical and mental exhaustion but my bpm is high of about 178 during hyperventilation and has pointless frustration. My bpm from rest to stand increases by at least 30 points but averages a 50 point increase. My resting bpm is 40, and upon standing it increases to 90 and peaks up to 110. I had done an echo cardiogram and EKG. I feel light-headed upon standing, along with sudden pulsation, headache and muscle spasms. I feel blackout, syncope, and fainting. I had spontaneous jolt, breathless, palpitations, flutters, fatigue, chills and skin rash on the back of hands. My mental disturbances include confusion, inability to maintain thoughts. I also feel pointless random irritability, ankle pain, random lapse of balance, throbbing extremities, vibrating vision, burning sensation, social anxiety, depression, irritating bowl movements, no appetite and chest discomfort. I wast told to mention the possibility of autonomic dysfunction as its often times overlooked. | Hello. The symptoms you have been suffering from seem to point to a number of possibilities. One would initially suspect a cardiac abnormality given the drastic fluctuations in your pulse rate, but that would show up on an ECG or echo tests. Since your ECG and echo tests are normal, I would advise you to get some blood work done like, a serum electrolytes test to see if there is any hyponatremia or hyperkalemia. Also a urine test for 24 hours urinary collection of catecholamines. Both of these tests would indicate a disorder of the adrenal gland, Addison's disease with the electrolyte abnormalities or Phaeochromocytoma, diagnosed by the 24 hours urinary catecholamines. Please get these tests done as both these probable conditions, if present, need to be treated sooner rather than later. I hope this helps. 24 hours urinary catecholamines, Serum electrolytes. Addison's disease. Adrenal insufficiency. Phaeochromocytoma. | |
Any suggestion for having extensive bouts of dry cough at night?
Hi, I have been having extensive bouts of dry cough- particularly only in the night and in the morning after I wake up. I was advised Tab.Montek-LC 1 per day for 3 days. I took one last night. But it has compltely knocked me out!. Do I cntinue with this,Doc.? | hello, thanks for ur query, dry cough bouts commannly occurs due to allergy. in my opinion u continue with montek-la for 15days, syp.linctus codiene 2tsp at bed time for 5 days. tab.azithromycin 500mg one tab at bed time for 3 days.all d best.take care. | |
Does gallbladder polyps have chance to be cancerous?
I am a 45yr. woman with 2 gallbladder polyps that were diagnosed in a ultrasound checkup accidentally for over a year and a half now.one is in the anterior wall and the other on the posterior wall.largest measure is 8X6mm.Do I need surgery?How can I be sure it is not cancer ? | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.Yes, but this is rare. Some features of possible malignancy may be seen on ultrasound but Ct scan should be done for more accurate diagnosis. Also, for any polyps it is recommended to do cholecystectomy.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.DR. Ivan Rommstein | |
Cause and cure for itchy pus filled pimples on ankle
My 15 year old daughter, 165 height, 65kg weight; on and off for the past 3 years has white puss like pimples with red surrounding, from her ankles to just above her knees. They start off really itching then begin to feel like bruises. They have been treated by doctors with acne pills but never seem to fully go away, and seem to flare up every few months. Could you help us on what these may be, what could be causing them and how to treat this. | Hi,It seems that she might be having some local skin infection like dermatitis or fungal infection on the part.Due to itching there might be having super added bacterial infection producing pus filled pimples.Clean local part with plane water and apply triple action cream for few days.If infection is more, she require one course of antibiotic medicine.As this is since long, consult dermatologist and get examined to rule out eczematous dermatitis or other chronic skin condition.Give her Benadryl or cetrizine to relieve itching which will help for healing.Ok and take care. | |
What causes bleeding after insertion of copper IUD?
hai iam 23 i inserted a copper iud last weak.After 2 days started bleeding my doctor suggested to take Regestrone 5 mg after taking this stopped my bleeding i took this tablet for 2 days ,but after stopping this tablet its again bleeding(my last period was on 18th nov and i inserted iud on 27th) | Hi,Spotting and irregular menstrual bleeding is often seen in the initial days after insertion of any IUD. Regestrone is a hormone and withdrawal bleeding is seen after completion of treatment. As such, the right thing for you to do now is to switch over to simple styptics after consulting your doctor. If there is no response, then you may have to continue with the hormone treatment, but please do not stop using it in a day or two. else. you'll start bleeding again; the treatment should be continued for at least 2-3 weeks. Hope this helps. | |
Suggest remedy for back pain in cancer patients
Hi Sir,I am loghanathan.My mother is suffering from cancer in the pancreas & she has a severe back pain.For that pain she is taking Hifenac tablet & the pain reduces for 6 to 7 hours & again it continues.She is taking ayurvedic medicine.How to cure this back pain? | Hellofirst of all get a MRI OF SPINE to rule out any other cause of this pain..you can give TABLET TRAMADOL SOS untill then | |
How to treat burning sensation that is caused on the left side of body?
I have been experiencing a burning sensation on the left side of my body. it started in he lower left leg , then the thigh and now has moved into the upper body and back down again. I have been working out using a stepper. Do you think it may be the cause. | Hello, As there is an abnormal sensation in the one side of the body which is radiating in nature with the history it appears to direct towards the nerve entrapment. Doing spinal stabilization and strengthening exercises before any kind of gym equipment to be considered is ideal. Most gym Injuries are reported when there is no proper physical fitness test to all enrolment and later the individual has injuries due to lack of fitness centers proper advice. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest remedy for lumps
A week ago I noticed a lump about the size of a small marble under the right ear lobe. I went to the doctor last Tuesday and he performed a biopsy. Due to the holidays the results are not back yet. I have not been sick and I feel fine.It seems the lump appeared over night. I know I will get the results in 2-3 days but I am a little anxious. When the doctor saw it on the ultrasound he thought it is a cyst. I asked him how could he tell , he said by the density of it but of course he was not sure. I glad he did the right thing with the biopsy right away. I am healthy no illnesses and had a routine blood test done when I did my routine stress test and the reults were normal. | Hi.Thanks for your query and an elucidate history.The most probable diagnosis of a lump at an area you explained which has grown overnight is either an infected lymph node or an infected sebaceous cyst. Wait for FNAC report and till then take an antibiotic and anti-inflammatory medicines as suggested by your Doctor. | |
What causes swelling in right feet after knee replacement surgery?
My left knee was replaced nov 11, 2014- had intensive rehab -however i stop going to rehab 2 months later, my knee stayed hot -like i had an infection ? But now not hot after over 7 months? About 7 / 8 weeks ago we drove 7 hrs to a social event - & drove back next day- my back -began hurting so severe plus my right foot was swollen - with operated left leg foot swollen now but not as swollen -took 3 dsys to go down with ice & raised over my heart , & 3 weeks ago both ankles r swollen & non operated leg - that ankle is larger or more swollen - i am esting alot of sugar - the medication i am taking is for blood pressure, thyroid contion, vitamin d deficiency. & severe R. Artherisis -non back from another trip flying. 2 hrs Non stop-put ice on ankld in hotel & at home 4 th day -ankles both swollen- sleeping with ice bag& feet elevated -went to rehab & if u push in on side of swollen right foot - it hurts & the dent stays -doesnt bounce bk? I was born with born with heart murmur-plus every 8 yrs im to take a test to see if ? Has moved around my heart -had heart test in 2013 all was ok & i stay tired all the time -WHAT HAS CAUSED MY ANKLES TO SWELL ON BOTH LEGS? Do have bunyon on right big toe - this ankle is largest. & sore Help please-phone is 302-218-0334-dorothy snow-w- i am 69 years old & own my own business 20 years & im depressed Meds -duloxetine 60 mg- armour thyroid 60 mg-losartan 50 mg for blood presure-oxicodond 20 mg twice a day Vitamin d 50 k -volteran gel for pain Restisin for dry eyes - had eye caterate surgery may 10-2014 | Hi,Thank you for providing the brief history of you.A thorough clinical examination is advised. As your age is 69 years and also the TKR was done, now facing with back pain and also swelling of the leg, it is totally related to the overall body non-conditioning.As body is a single unit the conditioning of the body is of importance to balance the systemic requirements.Now coming to TKR - you should have continued your TKR rehabilitation program as by which you must have been helped more than even thought. The exercises post TKR are helpful to make the muscle stronger not only of the knee but also of the over body when we talk about rehab.If you were only performing TKR operated leg than the rest of the body needs an attention.Since you have a back ache, again, physical therapy is of the choice to help you out. Core stability is what needed.Also, for swollen ankle, you need to have a check for your heart and your vascular system. As due to weakness of both the swelling can occur frequently.In my clinical practice, patients post TKR undergo 16 weeks to 24 weeks of rehabilitation program for not only the TKR procedure but also for the overall body conditioning. And majority of them recover to the maximum.RegardsJay Indravadan Patel | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
When should i get pregnant again?
I had a CS in the 33rd week of pregnancy in June 2010. The baby died. In your opinion when is the first time when I could concider another pregnancy. I am 39 years old. I do not want to wait for a long time. Thank you very much for your answer. Regards, Anja (Slovenia) | Dear Anja,You have waited for more than sufficient time. Usually the uterine scar of the caesarean section gets healed firmly by 6 weeks after surgery. Still we advise to have at least 3 years gap between the two pregnancies if one is by caesarean section. It is now 5 years that have passed after your previous caesarean section. Now you can safely go for pregnancy. Hope this helps you.Dr. Nishikant Shrotri | |
Suggest treatment for hair fall
Hi i am sathesh, i apply oil for every 2 days on 3rd day i ll clean with shampoo. But for past 3 months while applying oil more number of hair started falling same while applying shampoo also. my hair was thick and dark before but now i feel only 50% of hair is there and it got thin too. Please help to control my hair fall and make it grow again. | Hello, Androgenetic alopecia is the most common cause of hair fall and thinning in males. I suggest you use minoxidil 5% solution and take Finasteride tablet once a day for your androgenetic alopecia. Both of these are approved remedies for androgenetic alopecia in males. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kakkar S., Dermatologist | |
Semen analysis done. Coagulation present. Few pus cells found. Need to continue medicines?
quantity 2 ml, liquefaction up to 30 min,viscosity thick, color opaque grey,reaction(ph) 7.5, coagulation present,microscopic exam. 20%,sluggish 20% dead 60, pus cells 4-6, epith cells nil,r.b.c nil total spermatozoa count 45 million.please suggest me Is it normal report ? presently i am taking the medicine Endro Gardian,c-c 50 and lyco capsul Is their any need to continue it ? | yes i would continue to help your semen parameters further.Please rate 5 stars. I strive to provide you with the best answer possible to your question! | |
What causes breathlessness after small walks?
Hi, I have come across a strange case. My father in law had a stent out in a couple of months back. Now since then he has been fine and in fact even going fr regular afternoon walks. Now he switched to evening walk (just after nap) and he started getting a little bit of breathlessness -after which he rested after a little bit of walking.its not always but then he noticed that if he goes for a walk in evening rather than just before lunch - he sees a little bit of breathlessness. He has had a cough and te medication changed recently too. Any idea on why this may be happening and if it norm? Thanks. | Hello. Thank you for your question and welcome to HCM. I carefully read your query. Some times, there is a good possibility that coronary artery disease can be presented in an "atypical" pattern - meaning, without chest pain - with shortness of breath, palpitations, epigastric pain, malaise etc. Since he also is a stent patient, I would recommend him to do a cardiac stress test, to see if there is any evidence or coronary artery disease or problem with the implanted stent. I assume that the curing doctor explained to him that there is a probability of within stent narrowing, after successful implantation. In case of bare metal stents, this probability is 16-25%, and in case of drug-eluting stents, this probability is 4-8%, depending on the stent coating. Hence, my recommendation for a control, so, even if this is nothing to worry about and the stent is fine, at least we can exclude the cardiac and coronary origin with higher probability. If the cardiac stress test results come back positive, then another coronary angiography to check the native arteries and the stent, would be appropriate. Also, if this stent was implanted in a scenario of acute myocardial infarction, the infarcted muscle itself can damage one wall of the heart and, therefore, drop the function of the heart. If this is the case, then the shortness of breath may come from the raised pressures in an insufficient heart, which causes high pressures in "upper floors" - the lungs, hence the shortness of breath. If this is the case, I recommend him to discuss with his doctor about the possibility of adding furosemide and spironolactone (depending on the heart function) on the therapy. The shortness of breath can primarily come also from the lungs or any change in the airways. I would also recommend a plain postero-anterior and lateral chest X-ray. I hope I was helpful with my answer. Wish you a good health. Best regards, Dr. Meriton | |
Q. 16 year old with no breast development. Please help.
Hello doctor, My sister is 16 years old and extremely worried about her breasts. There is no development in them at all, what so ever. There is no breast bump, they are the same size as they were when she was 5. She has had her period for two years and has pubic hair. What is wrong with her breasts? Could estrogen help in any way? It gets her down so much and it is all she can think about when she wakes up and when she goes to sleep. It makes her cry herself to sleep every single night and wake up wishing she had breasts. She feels horrible like this. She feels like a boy. Please help her. She is desperate. She went to a doctor but they were absolutely no help. | Hello. I just read your query and I can empathize with you. Sometimes, a girl's breast can develop a bit later than most of the other girls her age. You said that she is 16 and got her periods two years ago. That means at the age of 14 years. So, it was later than most girls her age. So, naturally, her breast can grow later too. There is nothing to worry about. There are many options. Firstly, we have to know whether all her hormones are normal or not and treat accordingly. Secondly, we can always have a breast implant surgery if nothing works on the medical side. Ask her to eat a well-balanced diet. Stop worrying. For more information consult an endocrinologist online --> | |
Can histatussin help with my allergy?
Good Day,I went to a friend's house for Christmas dinner and I ate something that caused me to have an allergic reactions. Small bumps became visible on my lips. I'm not sure what I ate that caused it but I'm thinking it could have been the mash potatoes as I suspect the mayonnaise used might have been expired. Can Histatussin be used to assist with this problem or will the bumps go on their own its been 2 days now | Hello,It seems that probably you may be having urticaria. Consult the dermatologist for the perfect diagnosis and proper treatment. You may take fexofenadine daily for a long time. And avoid suspected dietary allergens in diet.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Ilyas Patel | |
Q. How can pacemaker affect arrythmia?
Hello doctor, I am 63 years old male. I am a known case of atrial fibrillation 20 years. I had a brain hemorrhage 23 years back. I have a paroxysmal type of afib. Recently its frequency has markedly increased. I am taking Sotalol 80 mg and 80 mg. But now Sotalol increase is required which causes bradycardia when the rhythm is sinus. My cardiologist wants to implant a pacemaker to pace the heart in bradycardia. Please let me know about the role of PM in arrhythmia. My cardiologist says during abnormal rythm PM is inactive. | Hi. The rate in AF is controlled with beta blockers, calcium channel blocker or Digoxin. You are taking Sotalol which is a beta blocker as well as the anti-arrhythmic drug. The permanent pacemaker is implanted when there is tachy-brady syndrome. It means sometimes there is tachycardia episode and sometimes bradycardia episode. If we control tachycardia, during bradycardia episode there will be even more severe bradycardia and if we control bradycardia, tachycardia episode will be severe. So, in this situation, a pacemaker is implanted to avoid bradycardia, and for the tachycardia, medicine is continued. The pacemaker is programmed to pace the heart when the rate drops to a certain threshold such as 60 bpm. Paroxysmal AF is one in which rhythm is restored to sinus within seven days, persistent is seven days to 12 months, long-standing persistent is more than 12 months. Cryoablation technique is used to revert rhythm back to normal sinus. It is done in paroxysmal AF, but some trials exist even for persistent and long-standing persistent AF as successful ablation can be done. Please consult your cardiac electrophysiologist about the possibility of this procedure in your case. | |
Fatty liver, pain in abdomen. Hypertension and diabetic. Is tab udiliv tab safe?
I have ben prescribed udiliv 300 twice due to fatty liver . I am medication for hypertenion/diabetics II/ anti cogulant with asprin. I have paid in abdomen . Ultra sound has confirmed fatty lever. i am non-alcoholic, tetotteler on low fat diet for eight months. is udiliv 300 safe to add with so many medicine already in the list. thanks | Udiliv (ursodesoxycholic acid) is a very safe medication, and should not have any interactions the types of medication you are taking. As the other doctor mentioned this medication won't solve your problem, and generally the benefits of this medication are very mild. It is not routinely used to treat fatty liver disease, since the benefits are marginal. It is most commonly used in other types of liver disease such as "Primary biliary cirrhosis" or "primary sclerosing cholangitis". Your goal should be to lose weight, control your sugars very well, and lower you cholesterol / lipids. Hope that helped. | |
Suggest homeopathic remedies for grade-2 astrocytoma
I was diagnosed with Astrocytoma grade 2 in January 2014 via biopsy, then had 98% removed April 2014. Since then I have had two seizures while not on any medication, I am now on Keppra 500 mg twice a day. I have had several doctors (3 here in Tennessee and 2 in Illinois) tell me my life expectancy is 4 years and pneumonia would be the cause of my death. I guess my question is, how true is that? January will be 4 years, should I start planning my funeral? Any homeopathic approach to my condition would be greatly appreciated. Also, I have had a lot of people ask If I smoke Marijuana or use CBD. I do not smoke Marijuana and know nothing about CBD. | Thanks for contacting with your health concern1. grade II astrocytoma [diffuse astrocytoma] are slow growing brain tumor but recurrence is possible even after treatment and since they are diffuse which means it does not have well-defined edges which make it difficult to remove completely [consult a Neurosurgeon for the second opinion]2. The average survival time after surgery is 6-8 years. More than 40% of people live more than 10 years.3. Cannabidiol [CBD] oil is a natural, non-psychotropic concentrate extracted from hemp and although is used in the treatment of astrocytoma since it is not an approved/accepted treatment thus if you want to use it your attending Physician must be told about the same. [you may also look for CBD liquid/capsules/tincture/Gum]4. As these type of tumor can change quickly from grade II to grade III [malignant form] thus remain under constant supervision, observation and guidance of Neurosurgeon and for any alternative approach kindly let him know to prevent any drug drug interaction | |
Suggest treatment for cough while breastfeeding a child
I just had a baby a few days ago and now I have developed a severe cough that can make it hard to breath and talk. It kinda feels like mucus in my throat. I am wondering if this could be from the epidural? Also what could I do to help this cough? Also I am breastfeeding so I don't know what kind of medicine I can take. | Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of bronchitis is more likely. Bronchitis is common after delivery and epidural injection. It causes cough, mucus expectoration and breathing difficulty. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, inhaled drugs are safe for baby. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes a blotchy red look on cheeks & swelling of the ankles?
My husband is on warfarin and has a blotchy red look to his cheeks off and on, I have noticed this on his chest, neck and back also. His ankles also are a bit swollen today. He had a dvt that embolized to his left lower lung in November (2013) after ankle surgery. He is a healthy 51 years otherwise. | HiThere should be a periodical checking of prothrombin time or PT and INR in plasma with warfarin therapy.consult your treating doctor and get this test done, if normal range then nothing needs to be done.Ankle swelling should be ruled out for any bleeding into joints after prolong warfarin treatment.if range of INR lowered, then warfarin may be tapered..Best wishes | |
Q. I have high WBC count. Do I have to worry about it?
Hello doctor, I have a high white blood cell count. It is more than usual. I got my blood tested. And the result is I have 12000 white blood count. In the report, it is written that normal count is up to 11000. Do I have to worry about anything? Please help. | Hello. I have gone through your query. White blood cells are a type of blood cells which are majorly involved in fighting infection in the body and are usually increased in amounts when the body is fighting against an infection and occasionally in certain other conditions. Though 12,000 count is a definitely increased number, it need not be considered very high if there are no associated symptoms or any other medical history. But before that, we need to look into the differential count of white blood cells which means the percentage of various different kinds of white blood cells which are elevated in different kinds of infections and other values in your blood picture report. I need you to answer me questions regarding certain symptoms. Though white blood cells are increased in certain types of blood cancers, the numbers are usually higher than your value. Please get back to me with the detailed differential count of white blood cells, hemoglobin, platelets and peripheral smear reports and also details regarding the above mentioned symptoms. This way we can exclude all the possible causes of your elevated white blood cells. For more information consult an internal medicine physician online --> | |
Are short naps during daytime in a newborn a concern?
Hello. My baby is 9 weeks old, she sleeps very well during the night(7:30 pm - 2 am, after she eats at 2 pm she falls asleep right away until 5-5:30 am, again she falls asleep until 7-7:30 am). The problem is during the day time, her 4 naps are between 15-30 min. If she falls asleep with the pacifier after that one is falling she will wake up. Sometimes she wakes up crying. And iput her in the crib sleeping and if she is waking up she is moving a lot and she is woth her hands all over her face and head moving non stop her hands and body. Are all these normal things? Thanks a lot! | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your daughter is going by the book as far as amount of sleep at night plus 2 to 4 hours of nap time. A healthy infant ought to be able to self-soothe as she goes from awake to sleep onset and following normal awakenings through the night. Sleep onset associations are those conditions present at the time that she falls asleep and include being rocked, held, bottle fed or breast fed. These conditions may be required again during normal night-time arousal. Babies who soothe themselves back to sleep have brief arousals rather than prolonged nightwakings. To self-soothe, the infant is put to bed drowsy but still awake. You should help your daughter develop appropriate sleep onset associations that are readily available during the night without the need for parental intervention( falling asleep independently in crib, thumb sucking, use of transitional object). Transitional objects can be a pacifier, blanket, or mother's well-worn, knotted T-shirt with her scant. The same object should be used during the night and naptime. TV is not a transitional object. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for osteoporosis
I just found out I have osteoporosis- is there any natural way to reverse this? I heard that Chinese people have less osteo than americans, and they don t eat dairy, per se- so I am hesitant to take calcium magnesium since it may be the other part of the bone making collegen that may need to be boosted. ?? Luce | HiWelcome to healthcaremagicI have gone through your query and understand your concern. Natural way to fight osteoporosis is regular physical excercises as stress given to bone is main deriving force to get physical strength. So you need to do regular physical excercises and need sufficient calcium and vitamin D3 to strengthen your bones. So regular physical excercises such as walking along with balanced diet is useful. You can discuss with your treating Doctor about it.Hope I have answered your query.If you have any further questions then don't hesitate to writing to us . I will be happy to help you.Wishing you good health.Take care. | |
What is the treatment for a small lump in the ear?
My daughter doesn t appear to if banged her head, is happy alert feeding fine but has a massive palm size lump spreading from above er left ear to top of head She has been seen by the er and they said she is fine.. It feels full of fluid an I thought it would of gone by now of she had bumped if an we hadn t noticed, and there is no mark on her head | Hi! thanks for writing to us and I must say that this is common and you are right in this case! This does not need a skin stamp to certify it as a subcutaneous collection of blood or lymph or even pus! Children cannot describe their conditions properly but as you guess, this boggy thing should not be there...Therefore, a fine needle aspiration or needle biopsy is urgent in this case to confirm the diagnosis and possibly can cure also!Therefore a neurosurgeon or at least a surgical opinion is necessary in your daughter's case.Also, write to us with feedback; regards, | |
What causes blood in urine and cold?
My 3 year old had a cold for a few days then started getting blood in her urine, they cultured it and found no bacteria just blood. Now after 3 days on antibiotics she has developed other cold symptoms with her ear hurting into her jaw and the eye on that side is swollen with greenish yellow discharge. What's going on? | Blood in urine could be a sign or urinary tract infection or certain other conditions like acute glomerulonephritis. Routine microscopy should give some clues to what it is about. The mere details that you have mentioned, is not enough to make it out. The antibiotics need to be given for 5-7 days at least.Her ear hurting could be due to an independent episode of cough and cold due . Greenish yellow discharge could indicate pus and the cause needs to be evaluated. It needs clinical assessment. In any case, it should respond to the antibiotics that are being given. |
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