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What causes pain in knee and leg?
Hello my 4 yr old daughter wakes up crying and also crys during the day due to knee/leg pain.she has had no injuries or fractures,ithis has been going on for at least 6 months.i thought it might have been growning pains but now its chronic.i need advice?? thankyou | HiWelcome to the HCMI completely understand your concerns but don't worry. This type of pains can be due to vitamin D and calcium deficiency or due to arthritis such as juvenile rheumatoid arthritis. I would recommend you to go for a proper clinical examination by orthopedic surgeon. He may advice for X Ray of involved joints, complete blood count, ESR, CRP, ANA, RA factor, 25OH D3, and calcium levels. You may upload the reports for my reference as well. This will help me to guide you in the best possible way.Take care | |
What causes vomiting in an infant?
Hi, may I answer your health queries right now ? Please type your query here... MY SON KEPT VOMITING AT NIGHT DUE TO SOME UNKNOWN REASOSN. HE HAD ALREADY SUFFERED WHEN HE WAS JUST SEVEN MONTHS OLD. NOW HE IS A YEAR AND FOUR MONTH OLD. HE IS SLIM BUT ACTIVE. DURUNG SLEEP HE KEEPS ROLLING IN BED AND FREQUENTLY FOR MILK. HO SHITS NEARLY THREE TIMES ON AN AVERAGE DAILY AND HIS STOOL IS RARELY HARD, BUT SEMI SOLID. HE IS TEETHING NOW. | Hi, If the weight gain is adequate, you can wait and watch. If you are not gaining weight, you can get ultrasound scan done to rule out some upper bowel pathology. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rajmohan, Pediatrician | |
What is the pain in my back and shoulder?
I have had two cervical fusions. Now I seem to have pain in my back under my shoulder blade (right side), pain in my shoulder (I have also had rotator cuff surgery - it was totally severed and repaired) and under my arm ..the pit area and arm are painful and seem to burn. Should I be worried? | Hello, I have studied your case.It can be rotator cuff injury relapse which may need MRI for confirmation.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor.You may consult physiotherapist for further guidance. He may start TENS ,or ultrasound which is helpful in your case.You may need to take rest for early healing.Also check your vit B12 and vit D3 in your blood.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take careRegards Dr Vaibhav | |
How can severe pain in the upper abdomen be treated?
doc, I was just at an E-room for possible issues with my gallblatter. severe pain upper abs throwing up at past two weeks, they did all the test and said I have gastritis. pain is still severe what can I take to make it through the day...thank you | Hello and Welcome to ' Ask a doctor ' service . I have read your query and here is my suggestion. You should take antacid drug such as tablet Pentprazole . For pain, you should take antispasmodics such as tablet Drotoverine . Both of these are prescription drugs . Avoid tea , coffee , fast and fried foods . I hope I have solved your query. Let me know if I can assist you further in this query . With Regards , DR Varinder Joshi | |
What causes fungus on tongue with dryness in throat?
I am 80 yrs man in East Delhi.Height 154 cms,Weight 60 kg.I have fungus on front portion of my tongue for last about 15 days.I feel very bad. I sip water every time but no relief. At night my throat goes dry and very frequently I have to get up and drink water. A chemist suggested to take Fluka-150 (Cipla) to take with water one tablet after every 3 days for 7 deays. Is it safe or please suggest me proper medication in Delhi East. Thanks. My ID is YYYY@YYYY | Hi,From history it seems that there might be having oral thrush giving this problem.Take Fluka 150 mg once in a week for 4 weeks.Take probiotic like Lactobacillus or B.complex, folic acid medicine for few days.Avoid constipation.Apply Gention violet lotion on the tongue.Keep oral hygiene proper.Ok and take care. | |
Suggest treatment for severe back pain
I ve been having pain in my back. Just below the shoulder blades, on the left side, radiating from the left side of my body. I m wondering if it is just muscle pain, or if there could be something going on internally. The pain is kind of nagging, and has been pretty constant for several weeks. | HiIf you have localized back pain with- no neurological symptoms like numbness, paresthesia, weakness in limbs etc, my advice is: - intensive physical therapy initially under supervision of a physiotherapist and then at home.- avoid forward bending, lifting heavy weights etc- take an analgesic like diclofenac or something which suits your body for 5-7 days- take muscle relaxant for same time as analgesic to relieve muscle spasm- ice packs at the site of pain, muscle spasm- local analgesic spray can be used but no massage is required let me know in a week time how you are feeling. I will actually ask you to get x ray of involved region of spine ( ap & lateral)and send reports across to me so that I can advise further in a better manner. Do not hesitate to contact me if you need any further assistance | |
Suggest cause and chances of relapse on mental ailment?
Dear Doctor my relative had a psychiatric attack in March 2008.She did not sleep at night and developed a sense of fear that someone might herm her.She was 29.then.The doctor applied clozapine and trifluoperazine for 1 month.Then Amisulpride for 2 months.Then She was on thyrodazine-25 for 3 years.Then for last 6 months she was on FRANXIT(flupentixol + melitracen).Recently she developed same feeling.From the prescription I suspect it as Delusion disorder of persecutory type.She was as normal as other during last 3 years.Doctor had again prescribed clozapine and trifluoperazine for 1 month.She is geeting well.Recently she reports no problem except drowziness.My question is how severe is this disease and what is the reason and chance of relapse? | Your diagnosis is in right direction. IT is delusion of persecution. However delusion of persecution is one of the symptoms of schizophrenia if other symptoms present. Or it may be diagnosis of delusional disorder type persecutory.If it is delusional disorder , difficult to cure almost 10 to 20 % cure rate. However it can be controlled very well with medicines.If medicines stopped, recurrence is there.If diagnosis is schizophrenia, probably life long medicines needed to keep pathology under control.Continue one doctor if possible and whichever the medicines effective continue them for long time without changes. | |
What is the treatment for stomach pain , nausea and constipation?
I have stomach pains from time to time, nothing severe. I can t really use the bathroom normally, I may go, but I still feel like I have to. I constantly feel full, so I don t get hungry. I may get a tad of nausea but never too much. I thought it was constipation, but I m not sure. I also haven t received my menstral cycle this month. | HI.Thanks for your query.Read the history and understood your problem. The not -so -severe pain in abdomen, feeling of incomplete evacuation and the need to go for bathroom again and again indicates that you are suffering from a sort of Entero-colitis.This may also give rise to nausea and should be investigated properly. I would advise blood, urine and stool tests, Ultrasonography and Colonoscopy. This will help in a diagnosis. CT scan of the abdomen may be done to confirm the clinical and pathological examinations. A course of antibiotic and metronidazole should help in a normal way. | |
What does indentation on foot behind ankle indicate?
I have a significant indentation on the interior left foot just behind my ankle. I just noticed this but it must have been like that for awhile as I can see that there is a smaller indentation starting on the interior right foot in the same location as the left. It is not at all painful. I am 62 years old and am very active. Play racquet sports 3 times per week. There is no redness and my ankle looks the same as always and is not sore. I am 5ft 5 and weigh 160 pounds. Any thoughts? | Hi,It is actually common for athletics to have such skin fibrosis due to wearing shoes or sketchers tight or that makes friction on this particular areas. From your history it is not painful so I think some skin care by topical ointments for fibrosed skin and glycerin containing creams are helpful. If they increases in size or became painful you may ask your dermatologist for proper evaluation. Please consider a 5 star rating with some positive feedback if the information was helpful.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Ahmed Aly Hassan | |
Suggest treatment for connective tissue disorder
I ve been diagnosed with connective tissue disorder and continue to hassle with extreme chapped lips & staph infection in my mouth. Am on medications of Evoxac, & Hydroxychlor and Clotrimazole, as well as Vitamin D-3. Is there anything else I can do? | THERE ARE MANY TYPE OF CONNECTIVE DISORDER. FIND OUT WHICH TYPE OF DISORDER YOU HAVEANYWAY, YOU NEED TO TREAT INFECTION FIRST, BECAUSE IF INFECTION FLARES.. IT MAY CAUSE GREAT PROBLEMTAKE CARE.. | |
Itchy spreading red spots on hands, arms, legs, knees. Black, blue marks in rash area. Thoughts?
Hi I have had a rash for over a week -- began as a single very itchy small spot on my wrist/hand that seemed like a bug bite -- spread to arms and then legs - from mid-forearm to mid upper arm and corresponding area around knees -- itchy red little bumps, splotchy red spots, and now multiple small black and blue marks in rash area on legs. Thoughts?? | Hi,It seems that you are having lichen urticatus,also known as papular urticaria.It is hypersensitive reaction to insects.There appears erythematous papular lesions with mild to severe itching.Take short course of steroids in tappering dose.Take antihistaminics till itch is relieved.Take antibiotics , if there is secondary infection.Avoid soap bath.Try to protect from insects.I hope you would be benefitted.Best health wishes.Dr. Ilyas Patel MD | |
What causes stinging sensation during ejaculation?
Hello. Would you be able to inform me as to if i may possibly have an std?I had unprotected oral sex about a month ago. And now i have a slight stinging sensation when i ejaculate. I don't have any burning when i urinate, no discharge or soreness anywhere. She only performed oral sex one time. Do you think this could be an std? I only have one regular partner and the only other encounter i had with anyone else was the oral sex i received on this one occasion from the other female. | HelloThanks for query.One never gets STD with oral sex ,STD is acquired only through intra vaginal sexual intercourse with infected female .This could be due to Urethritis due to oral sex and will get cured with antibiotics like Cefixime and anti inflammatory drugs like Diclofenac twice daily.Ensure to drink more water.Dr.Patil. | |
Suggest treatment for hair loss after recovery from chiken pox
dear doctor kindly help me with my concern , few months back I had chicken pox , I have recovered fully from it apart from scares , iam noticed that I am having hair lose very drastically , I am very much concerned as iam 38 years old woman and still signal ? if my hair lose continues I will be shattered . thank you . | Hi.As per your case history of hairfall.My treatment advice is – 1. Take good nutritious diet full of green leafy vegetables and milk.2. Use a good herbal shampoo and coconut hair oil for regular use.3. Take an iron supplement once daily and vitamin b12 supplement once daily for 3 months.4. Other treatment options are topical minoxidil, oral finasteride and mesotherpy done by a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL. | |
Suggest treatment for tonsillitis and swollen gum
My 2 year old son was teething and had swollen red gums and then he got tonsillitis and middle ear infection he is on penicillin and am wondering does penicillin cause gums to swell and bleed because it has only been happening since taking penicillin he is allergic to amoxcillin | thanks for your query, i have gone through your query, the swollen gums could be because of the erupting tooth causing gingival abscess or pericoronal abscess. the tonsillitis could be because of the bacterial infection. if i am your treating doctor i would have suggested you to take a course of antibiotics(penicillin, if you are allergic to penicillin then you can take erythromycin) and analgesics. do saline gargling and maintain oral hygiene. i hope my answer will help you take care. | |
Is chest pain after an injury a matter of concern?
I was cycling and lost balance. my right breast hit the corner of a metal frence hard. it took the wind out of me. it wa about 4 days ago and it is painful through to the middle of my chest o the right side. also hurts when I breath. I hit it on the side od the breast. should I be concerned or just bruised? | This is traumatic muscle inflammation and this simple cured case which cause pain on muscle when move especially on breathing.Take tablets of muscle relaxant and non steroidal antiinflammatory drugs 3 ،times daily for one week. | |
What causes pain between leg and pubic area?
I have pain in between my leg and pubic area, right in the crease only when coughing or sneezing. The doc checked me out and I couldn t get the pain to happen, but as I was driving home I coughed and it was there, stabbing then burning, then gone. He said it might be a pulled muscle, but I was looking at hernias and it s right where they could be... what gives. | Hello, It could be pulled muscle or ligament tear.As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If symptoms persist you can consult an orthopedic and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes blister on tongue with bleeding gum?
Hi My 11 month old boy had a fever last week for 2-3 days, then got a blister looking ulcer on his tongue and gum under his two bottom teeth and now he has swollen and bleeding gums where his teeth are (He has 6 teeth and the gums and roof of his mouth seem to be swollen and bleeding around the area where his teeth are only) | Thanks for your query, I have gone through your query.The blister, ulcers and bleeding gums could be because of the herpes virus infection.You can take topical anesthetic and analgesics like anabel gel. apply 3-4 times daily before food. Consume lot of water.The other possible cause of ulcer could be aphthous stomatitis. If it is aphthous ulcer you can take topical anesthetic and analgesics like anabel gel. apply 3-4 times daily before food and topical steroid like triamcinolone acetonide 0.1% 4-5times daily after food.Do saline gargling. If the lesion does not heal in 5-7 days then consult a oral physician and get it examined.I hope my answer will help you, take care. | |
Suggest remedy for difficulty in penetration during intercourse
I have tried 3-4 time in a day to penetrate my wife vegina but she feel too much pain . I tried 6days . One night she fainted when penis slightly entered vegina.we have tried long time foreplay still we are not success in our sex life. Plz suggest me. | Hi, I understand your concern. Difficulty in penetration can be due to- - Lack of knowledge causing scare, fear,anxiety, depression leading to noncooperation. - in sufficient lubrication, - infection or injury to the part - vaginismus- involuntory contraction of vaginal muscles - Physical malformation. Try with excess lubrication. Or- Take her to a gynecologist to find the cause & specific treatment. she may need psychological counseling . Thanks. | |
What causes herpes?
Hello :) I had Rubella as a kid(3 yrs old) I've never had any signs or symtoms and have had protected sex except when married (Over 10 yrs ago). Now I go to the Doc for My First Yeast Infection in My Life and they want to tell me that I have trichomonas and herpes??? Can rubella make you pop positive for a herpes culture done in Your Docs office? | Good day and thanks for your question. Rubella can not make you positive for herpes, they are 2 different viral infection and not related. The herpes could be as a result of a sexually transmitted infection. Hope it helps. Thank you. | |
Can MX3 herbal capsule and tea prevent recurrence of kidney Staghorn calculus?
My husband had an open surgery last sept 07 due to a staghorn calculus in his left kidney.He is also diagnosed as having a very small stone in his right kidney but we're not sure if it is still there.Can he safely take MX3 herbal capsule and tea to prevent the recurrence of stones? | **1. To be sure of recurrence of stone, apart from management one should have a check on common points which can/may lead to stone formation, like:. monitoring of blood and urine calcium levels [including calcium/vitamin D rich diet/ hyperparathyroidism]. use of calcium based antacids, being overweight.. under hydration [lack of water]. serum uric acid level, use of diuretics, any bowel disorder.2. although MX3 [mangosteen xanthone] capsule has anti oxidant and anti inflammatory properties, but since there are no APPROVED THERAPEUTIC CLAIMS, it will be best to consult with your Doctor prior to start the same, also since tea contains oxalate and 80% of kidney stones are made of calcium oxalate, thus you should limit tea consumption, but drinking 1-2 cups of herbal/green [not black tea] is safe since they contain only a small amount of oxalate.3. Drinking enough fluids [hydration] each day is the best way to help prevent most types of kidney stones. A study found that a daily glass of orange juice can help prevent the recurrence of kidney stones better than other citrus fruit juices.Diet: Avoid : brinjal, tomato, turnip,sedentary lifestyle,alcohol,potato,onion,raisins, citrus fruits,cashew nutTake: old brown rice,horse gram, green gram,ginger,leafy vegetables,boiled water, oil massage.you may ask for prescription medicines like: chandra prabha vati, gokshuradi guggulu, shweta parpati,yav kshar, tablet calcury, tablet/syrup neeri.. drink 1 cup of radish leaves for 14 days.. chew sugarcane pieces and keep swallowing the juice | |
What causes pins and needles sensation in left calf,right knee and buttock?
Just had lumbar microdiscectomy L5-S1. 6 days post op I had an erection and ejaculated and shortly thereafter I noticed pins and needles in my foot and slight pain in my left calf, right knee and buttock. Could this be related and cause a problem?Thank you.Joey | Hello,I have studied your case. Some amount of tingling and numbness is common after such surgery and this is because of either irritation of nerve during surgery or some time it can be due to collection of blood over nerve root. I would suggest you to follow these .1.Rest2.Tablet Gabapin NT one daily at night time.3.Tablet Pregabalin one daily. I hope your symptoms will improve in a week or two. Otherwise you can go and discuss this with your doctor.Let me know if there is any other followup questions.thanks | |
Suggest treatment for soreness in the rectal area and tailbone pain
Fell off ladder and fell backwards on tailbone. It happened at work 12 days ago and I still feel a lot of pain. Rectum area sore also. No bleeding. Does it take a long time to heal? I am still working and on my feet all day. Could that be delaying the healing process? Standing up and laying down is not as painful as when I am sitting and compressing the area. | You should get an xray of coccyx get done.Might be coccyx fracture. You need to lie prone and on sides. Not to sit direct on tailbone. Use soft sitting pad or ringpillow. Use sitz hot bath to alleviate pain. You may use analgesics as an when Required. | |
Recommend medicines for costochondritis
My 18 year old niece is suffering with this pain they think is from costrochondritis and has been for about two weeks. It doesn't seem to be letting up. How long does this last and are there any other options for her to try besides Aleeves & pain meds? | Thanks for your question on Healthcare Magic. I can understand your concern. Only painkiller drugs are not always beneficial in costochondritis for symptomatic relief. You need to worry follow certain lifestyle modifications for this. With drugs and lifestyle changes, usually recovery is seen in 2-3 weeks. So better to start these lifestyle changes. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Apply warm water pad on affected areas. 5. Wear rib belt or chest belt to prevent minimal mobilization of affected areas. 6. Sit with proper back and chest support. She will be alright with all these in 2 weeks. Hope I have solved your. I will be happy to help you further. Wishing good health to your niece. Thanks. | |
Can CPAP machine with humidifier cause dry cough and chest pain?
Started using a CPAP machine with humidifier last Friday.. woke up Saturday with a constant dry cough and chest pain that is constant. Each night I have increased the humidity level and that helps when I have on the CPAP, but take it off and the coughing is constant and painful | Ya CPAP machine usually causes dry mucosa and throat because it delivers air at high pressure throuh mask into lungs but humidifier usually combat this problem. Dryness is due to delivery of that pressurised ventilation | |
What should I eat while recovering from bad stomach pain? Took tums to relieve pain
I had a really bad stomach pain early this morning. I took Tums and place warm wet cloth to relieve the pain. It worked. What you recommend today to eat since I am recovering from this pain? I had toast with water. Is this ok? What foods? Please let me know. I need help. | Hi...you can eat light food...milk and curds...rice, bread, jam...avoid spices, tea, coffee and soda drinks...Dr. Ashish Verma | |
What could cause pain in uterus after vaginal contact with penis without intercourse?
Hi! Last friday my friend s boyfriend rubbed his penis on the opening of her vagina. 60 hours later she took the emergency contraception pill. Today she felt pain on her uterus area that only lasted for about 3 seconds but hasn t had her period yet. Could she be pregnant? | Chances of prg nancy is less. How ever preg nancy test only can rule out preg nancy. In future be careful. | |
Panic attacks, avoids social situations, irritable and anxious of visiting doctors, shaking feet, vigourous rubbing of hands. Histroy of admission in mental hospital. Curable?
Hi, My dad is 60 years old and his "Nerves are Bad", or at least thats what he calls it. When he was a teenager he was put into a mental hospital because of his panic attacks. They treated him poorly and gave him a very powerful medication that had unwelcome side effects and did not help. Because of this he refuses to see a doctor. He has been on social security/disability ever since and has not been able to hold a job my entire life. My father avoids most social situations and any situation where he may have to speak to someone and answer questions, in fact, I must be careful speaking with him, because even discussing the possibility of a job interview or a doctors visit can trigger a panic attack. He even gets incredibly irritable, nervous, anxious and angry if a stranger like a tax consultant or insurance broker or someone will be coming to the house later. I have noticed that when forced to be social, a few beers is all it takes for him to act pretty much normal. He is still a bit shy, but no panic attacks, and he will even tell jokes and perhaps even make friends. This tells me that the condition must be treatable (although obviously not with alcohol). Other symptoms include shaking his feet a lot and vigorously rubbing his hands together. He also would spend a lot of time pacing around the house drinking coffee. Now that he is getting older I am extra worried about his health since he is afraid to see a doctor so I am looking for somewhere to turn. Do you have any advice? | Hi friend, Welcome to Health Care Magic There is no alternative to Psychiatric consultation... family and friends must convince him... A bad experience, once, is no excuse to avoid it. If one is hit by an auto-mobile, it is no excuse to avoid auto-mobile for ever - as a matter of fact, he should look for and catch one (say, an ambulance), to go the hospital for treatment. Psychiatry is well advanced and he has an excellent chance of improvement. Discuss with local social organisation or his friends methods to convince him / if necessary compel him? Wishing speedy recovery God bless Good luck | |
What causes an elbow bruise with a lump on it?
I have had two dvt s in the past and have a bruise on my elbow with a white lump in it. I noticed the bruise about a week ago but only noticed the lump in the last couple of days. I don t remember hitting my elbow on anything and my last inr was 2.9 on 9/25/14. Is this something I should be concerned about? | Hi,Dear,Welcome with your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts, You mostly seem to suffer from-Hematoma from un-noticed hit/trauma is the possible cause in your case,as you have blood thinners for the 2 DVTs.Other causes need to be ruled out by Second Opinion from a Surgeon.Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical Specialist | |
Can i masturbate during rehab after a Robotic Prostecotamy?
Hello, I'm a 50 year old male. I underwent a Robotic Prostecotamy one month ago for Prostate Cancer. My Doctor has me taking Cialis at this time. I had a great sex life and hard erection before surgery, no problems at all. The cancer was detected at a very early stage. I'm wondering if masterbation will aid in my rehab at this time or is it detramental at this point after surgery?? Thank you for your time. | Thanks for your question on HCM. I can understand your situation and problem. Ideally intercourse and masturbation is not allowed atleast 1 month after prostatic surgery.Since you are having early cancer, I advice to avoid it for 2 months.The reason for this is to promot good healing in operated part.So better to avoid masturbation atleast 2 months post surgery. | |
Is mucus or e coli significant here?
Good day doctor Samuel ---- my ua came back normal, but it said mucus/hpf, few ; and wnl range it also showed e. coli at 100,000/ml. I am post menopausal and my ua has never shown these 2 readings before. so is there any significance to the mucus or e. coli ? thanks much, Karen staggs | Hello dear, thanks for your question on HCM.I have gone through your reports.E.coli is gram negative bacteria and it is the most common cause for urinary tract infection (UTI).If it is present in lower numbers than no need to worry much about this.But in your report e.coli count is very high. Almost 1 lakh per ml. This suggest significant UTI.So I advice you to get done urine culture and sensitivity to guide antibiotic therapy.You may need antibiotics for atleast 10-15 days Hygiene of private part is must. Drink plenty of water. Consult your doctor and discuss all these and start treatment accordingly. | |
How to increase the motility of the sperm?
dear sir how can posible to improve my active motile? i have now active motile 1st hr 10 & 2nd hr 05 my sperm count is 3.4 million i use madicine levocarnitine tablet 330 mg. mecobalamin 0.5 mg. levothyroxine sodium. choriomon 5000 i.u.inj. & gonal fsh 75 i u inj evry week 1 by 1 4 month after use all madicine & i test semen this result before use madicine my result is sperm count 38.2 million active motile 1st hr 30 2nd hr 25 my age 46 i dnt have any child | HelloThanks for query.You have asthanospermia and have been taking medications advised by your family Physician.I would like to state that there are no medications proved scientifically to be effective in increasing the sperm motility.However Following measure will help you to improve sperm motility to some extent.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.. | |
Reddish rashes on the legs and feet. Occasional itching. Any blood disorder?
I have a lot of concern I have red rash on the insides of both legs above the ankles I have also bluish skin around the feet and i know I have to have blood pooling I probably need to see someone The rash I have had for years Now I have afunny spot that looks like a spot or bite and it almost looks like it drew a small red line about and inch or so and ichy sometimes My skin never really gets rid of any redness when i injure it Help | Hi,Thank you for posting your question here, I will try to answer it to the best of my ability.It seems that you suffer from some kind of blood clotting disorder, as such your doesnt clot on time which means you bleed longer. Now the question is to find out which particular disorder you have.I recommend you see a hematologist as soon as possible, he will take a sample of your blood, run some tests and identify the exact disorder. Once the diagnosis has been established, treatment can start accordingly.I hope this answered your question. | |
Suggest diet plan for tuberculosis patients
Hi,i have a patient who just got diagnosed with tuberculosis and also happens to have had type 2 diabetes for the past 10+ years...Can you kindly assist with a diet plan....and also any recommendations on what we can do to help with her healing process | Hello,Diabetes and tuberculosis together needs more aggressive diet management for faster healing.First of all, strict control of diabetes is needed. So in diet, take no sugar, potato, rice, sweets et cetera. Regularly, get sugar levels check done and try to keep it near normal.High protein diet like pulses, vegetables and eggs are recommended. Protein powder, multivitamin tablets are also beneficial. Special mention for vitamin D3 supplements. It should be done for faster recovery.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar | |
Suggest remedy for lump on chin
Hi there i have had a little lump, what i thought was a spot/zit on my chin for the last month. whenever i try to squeeze it, it just secreetes oil but never any white puss. i can squish it flat but it will come back quite quickly. it has scabbed over a few times but now just remains as a lump. | Welcome to health care magic. 1.The symptoms suggest possible cause could be salivary gland dilatation which could be seen as a lump / lesion in the chin area.2.Next possible cause will be infective aetiology with a collection with in.3.It needs to be examine to evaluate the sours of the lump and followed by treatment.4.In first case you need simple massage in the region to facilitate the flow. 5.In second case a course of antibiotic would help.6.Suggest do not squeeze, scratch - that will complicate and delay healing. Good luck.Hope i have answered your query.Any thing to ask do not hesitate. Thank you. | |
What causes swelling in the vagina when I am pregnant?
37weeks pregnant baby heat beat was at 190 doctor sent me to hospital,they put me on the machine for 40mins baby was moving heaps but heart beat was still at 190 when they sent me home,just got out of the bath and i have a swollen Virgina is that normal | Hi, Thanks for the query. You had swollen vagina..without itching/ redness & pain.. after a sleepng posture for 40 minutes in hospital & in tub bath at home.. I feel the swelling of vagina was nothing but dependent edema in sleeping posture . When you are on your legs, the edema must be shifting to your feet. * Such edema at 38 weeks of pregnancy is normal & is due to body weight being loaded on feet while standing. BUT it becomes essential to exclude problematic edema by checking- Urine albumin not present/ Blood pressure within normal limits 120/80 mm of hg./ Hb% within normal range ( 12-14 gms%). Thanks. | |
Are MCU test and DMSA scan important for UTI infections in babies?
Hi my baby is 10 months old. He had uti with psuedomonas aeruginosa bacteria growth heavy, greater than 1lakh. He was treated with piperacillin and amikacin antibiotics. After 21days Dr advised to take urine culture. Now bacteria growth is seen with moderate growth 40000. What treatment should be done for this? Dr suggested for mcu test and dmsa scan. Are those test mandatory for uti infection? Is this bacteria growth common in less than 1 yr baby? Thank you. | HI...the initial infection you are quoting is UTI (Urinary tract infection) definitely. It was treated appropriately. But the repeat culture is not suggestive of UTI. NO treatment needs to be given right now.Your doctor is right. MCU and DMSA tests are definitely indicated. Based on these tests your doctor will decide whether your baby needs regular preventive antibiotics till 2 years of age or not.Please go ahead with your doctor's advice. You are in safe hands.Regards - Dr. Sumanth | |
Suggest medication for recurring fever in a child
Hello,My daughter is 2 yrs 10 months old. She is suffering from fever 101 after giving her polio dose on 17th june 2012. First dose of fevago Ds i gave here at 4pm on 17th continued after each 4hrs till yesterday night 12 am. Now this morning again she is having fever 99 F. Should i continue giving same medicine? | Hello dear, I had gone through your question and understand your concerns. You should be worried but not too much. You may continue antipyretic-fevago till 3-5 days. In addition , antihistamine Cetirizine should be used for 3 days. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and baby good health. | |
Q. Does high serum creatinine indicate abnormal kidney function?
Hello doctor, I am 36 years old male. Weight 67 kg, height 5'5". My serum creatinine is 1.2 mg/dl and urea is 20 mg/dl. My hemoglobin is 14.5 gm/dl. Vitamin D is 20.2 ng/ml. HbA1c is 6 %. I want to know whether my kidney function is normal on the basis of my blood reports. Please suggest. | Hi. To help you better, I need to know your blood pressure, any ultrasound report, if done. Revert back with the asked details for better help. | |
Q. Why is the opening of my penis not at the tip?
Hi doctor, I am 27 years old, and I have an embarrassing problem with my penis. The opening of my penis, from where the urine comes out is not at the tip, and it is slightly lower. I am still a virgin. Will it be a problem for my sex life? Is it a major problem? | Hello. Good that you have come out with your issue. If there is a cosmetic concern, then you may get it corrected. But I can comment on the overall scenario only after looking at the picture. Revert with more information to a urologist online --> | |
What causes red rash inside the forearm with burning sensation?
Hello -- I awoke two days ago with a red rash on the inside of my forearm. It is about two inches in length and resembles a burn. There is a burning sensation at times, but no blisters. It is slightly raised above the skin. Any idea what this might be? | Hi,It may be insect bite dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. Antihistaminics like cetirizine 10 mg daily,oral steroid in tapering dose and steroid plus antibiotic cream application may be considered.Hope this helps.Dr.Ilyas Patel,Dermatologist | |
What causes black bumps below the knee?
hi i'm 18 i'm 5 feet 142 lb and since i was a kid about 2 years old, i've had some black bumps just below my knee on my right foot through out the years it made some huge veins in my legs and it made like five other black bumps ..... do u have any idea what this is and can u help? | Hi,Dear thanks for the query to HCM.Causes for Your black bumps on your right leg--In my opinion its mostly a-Short Saphenous Varicosity with Venous lumps-which has grown over years-adding more venous lumps to your leg.You need to consult a Surgeon who would help you for its treatment in the right line.Hope this would help your worry to take proper steps for health.Wishing you fast recovery.Wellcome again if you have any more query in this regard.Have a Good Day. | |
What are the symptoms of potential cancer?
I have been post-menopausal for 12 years. Suddenly, last January, I started some spotting. Sometimes it was light, and sometimes it was dark. I saw my GYN. She did a vaginal ultrasound, a hysteroscopy, and eventually a D&C to be safe. The results were normal with everything. However, whenever she would do the vaginal ultrasound, there was one area that always looked like it had thickened. The bleeding continued off and on. We changed HRT. We changed progesterone. Finally, five months later, I got a second opinion. Same routine. Same tests, except this time I was sent to Dr. Platt, ultrasound guru, and he saw that same area that looked thick and had extra blood flow and said, "You need to get a D&C now." I had another one. Same result. Nothing. Bleeding continues to start and stop. This last week, I started bleeding more than ever before. Sort of like a small period, with red blood some and light blood at other times. I use the Vivelle patch, but only use the smallest dosage, cut it in half, and replace only one time per week. I've done that for 10 years. I use bioidentical progesterone that my GYN had mixed for me. So my estrogen is very little. Last week, I went back to my original GYN, and she did another ultrasound, saw that same area that looks thick, and this time we decided to send me to an oncologist. Last point: I am leaving on Sunday for an international vacation, and I cannot see the oncologist until I return. How to control my fears about cancer? Oh, and my mother had breast and cervical cancer (still alive), my grandmother had breast cancer, and my daughter died eight years ago from sinus cancer. I've always been super healthy. Whew! I know that's a lot. I'm thinking that perhaps the recent change of progesterone has stimulated this bleeding? I'm also wondering what the heck that thickened area is that they keep seeing even after a D&C? Thanks. | Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you should not worry much about cervical cancer. You had D&C (dilatation and curetteg) twice and both were negative for malignancy. So possibility of malignancy is very low in your case. So no need to worry and enjoy your vacation. Yes, your bleeding is mostly due to hormonal imbalance and for this you need to consult gynecologist after your tour. Also consult oncologist after tour to remove your fear. Thickened area is mostly due to fibrosis. So at present, no need to worry for cancer. Hope I have solved your query. Wish you good health. Thanks. | |
Can leaky heart valve cause iron deficiency in blood?
A year ago my husband's bladder was removed due to cancer. At the time he had iron deficiency so for the past year he has been on iron Supplements. He is 69, 5' 9" and weights 175 pounds. He was removed from this regimen in January as his iron was maintaining itself. Now in April, he is deficient again. Now he also was diagnosed with a leaky heart valve but they don't plan on doing anything with this right now. Could the leaky heart valve be causing the iron deficiency. His ferritin count is 7 right now. | Hello ,I understand your concern. I am Dr. Arun Tank, infectious disease specialist, answering your concern.Leaky heart valve never causes anemia.Causes of anemia in your father is cancer induced neoplastic syndrome. Anemia is one of the part of this syndrome. Cancer cells produce some substances which causes such type of anemia. This is very large syndrome and anemia is part of it.Your father should continue the iron replacement to combat with the anemia.Kindly take close look at hemoglobin, if hemoglobin is much low than you can start the other option for treatment.I will be happy to answer your further concern you can contact me here or you can contact me on bit.ly/DrArunWe wish you a best health at healthcare magic. Thank you,Dr. Arun Tank | |
Suggest natural cure for cold in a child
Neogadine mikros syrup and mkid tablets was given to my 2yrs old child and asked to use for 2 months .I can see the change like in case of cold if i use thz syrup only he can cure from cold otherwise it is lasting for 3 to 4 weeks and i want the food that are helpful alternative to thz syrups and tablets | Hi...by what you quote this seems to be a moderate to severe persistent allergic rhinitis. I suggest you to use Monteleukast and oral Levocetrizine for 8 weeks and not symptomatically we can go ahead with inhaled nasal steroids.There are no specific foods to be avoided or specifically given.Regards _ Dr. Sumanth | |
What causes a baby s heart not to beat anymore?
Hi, i was 20wks pregnant, went for an ultrasound, they said they had seen a dark spot on the babys heart, so i went for another ultrasound after 3 weeks, within those 3 weeks i had very bad cold, coughing with flu like symptoms. so when i went finally for the ultrasound they said that the heart was not beating anymore. pliz help | Dear Madam, It is indeed a very sad event that has happened in your pregnancy. The fact that there are no foetal heart beats observed during ultrasonography indicate that the baby is no more viable and nothing can be done to bring it to life now. The only option left for you is to get the pregnancy terminated ASAP. Delaying termination or continuing such pregnancy has a risk of developing clotting disorder (DIC), infection, kidney failure, etc. It is very difficult to pin point the cause for the foetal wastage at this stage. It is likely to be due to the viral infection you had or chromosomal abnormality in the baby. You may think of getting genetic work up done for both of you. Please do not loose your heart. Next time you have opportunity and chance of having a normal baby. | |
How can vomiting and bowel incontinence while suffering from jaundice be treated?
My daughter has liver disease. At this time, she is vomiting bile, has jaundice, extended belly and just recently has no control of her bowel movement. She has not been able to get any doctor s treatment. I think it is very serious and she needs to go the hospital. Please advise. | Hello, Give her a tab.stemetil bd and advised to admit in a hospital, you can't treat at home. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gangasan2012, General & Family Physician | |
Pain and lump in lower abdomen. Related to Spigelian hernia?
hi my is dean I live in Australia & need an answer for a medical issue. I've been suffering from a pain in my lower abdomen for about the last twelve months now at first the pain and the lump would only come if I was only bending over kneeling down on the floor doing something active after a few minutes of standing and applying pressure or rubbing it the pain and the lump would settle down. Then just recently it has started to get more pain full when i'm doing things even just standing up or just sitting down sometimes aggravates it. I've just had the last 4 months off work with the first two months being in pain and feeling a lump constantly laying down and applying pressure or rubbing it was the only relief I could get. I've had 4 ultra-sounds and 2 c-t scans and they can't find anything, I've had some people say that they have had the similar pain and lump in the same area and were told they had a spiegeilian hernia and had it fixed. I'm getting frustrated as i've seen plenty of gp's and one general surgeon and he keeps telling me it's just a pinched nerve and just take pain relief, but they don't work I need an answer so I can get it fixed and get back to work | Hi, thank you for posting at Health Care Magic Forum.I think that your problem is related to Spigelian Hernia. The treatment is surgicalintervention. I also think that your treatment is emergent because of complication of the disease. The surgery is straightforward and simple, and it consist in putting of Mesh prosthesis. You should contact an abdominal surgeon as soon as possible.Take Care. | |
What causes erectile dysfunction during intercourse?
hi i m 26 years old man and i have problem with sex the problem is in normal time my penis stand properly but when i want to do sex with girls it does not stand and some water comes in my penis and it is difficult to stand ...because of this my sex activity is become weak..so can u tell me a solution and treatment please. | It is all in one's mind to perform the act with confidence. You are anxious and nervous during sex with girls about your performance and worried about weather you will satisfy them or not. Stop worrying and start performing. Spend more time in foreplay and then go for the act when you are fully confident. It will come out well for sure. | |
What is the procedure for sperm count test?
Hello I have been taking Test for about 3 months then I got off for about 4 months then I did two cycles of test and Deca for 3-4 months, I have never taken any sperm count test but my wife and I want to have a kid now I am really worried about all this stuff I had read about test shutting down your sperm? | Hello, there is nothing to worry because it is a simple procedure which involves only masturbation and nothing invasiveIn case you have any questions in future you can contact me directly on | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
How to control the thoughts running continuously?
I'm a university student, i have a big assigment that was due 18 May but ever since i submitted it i can not turn my brain off, i lye in bead try to sleep and i just keep thinking. it's like somehow i have set my brain to overload and it wont shutdown. i have had this for a few days now. anyideas. i tried milk, ice cream, panadol, codeen and intence gym workout nothing seems to work | Hello,Looks like either prodrome of mania or just anxiety. Whatever amongst the two you must sleep well as this itself will cure you more than 50%. The diagnosis only gets clear with time in most cases.I find zolpidem 12.5mg gives good sleep at night. If not, then patinets usually sleep with lorazepam 2-4mg. Take whatever suits you- for a week and maintain a regular sleep pattern.Avoid alcohol or smoking completely as they will increase the problem many folds If in between you develop increased anger, desire to command or over confidence, want to spend more money unnecesarity pr pick more fights- then.it is mania disorder and you must see a psychiatrist near you and get through eveluation.It is common problem which usually develops after a stressful event and can be handled nicely if intervention is done in time.Wish you good health.Dr. Manisha GopalMD Neuropsychiatry | |
Have brain lesions. Slurring words, memory loss, twitching hands, dizziness, headache, nausea, vomiting. Your opinion?
Hello, Symptoms- slurring words, memory loss, twitching hands and legs, dizziness, headaches every day, migraines, sore neck, nausea, vomiting, feel cold water dripping on my arm and get burning sensations on my skin on my leg. I have 3 lesions on my brain. 6 years ago I had a stroke or virus in the lining of my brain was never given a definite answer. What is your opinion I am at the end of my rope. With never getting a answer for all my symptoms that have been getting worse and worse. I am a 37 year old female I have had left ventricle surgery and my gallbladder removed. I have had 2 unexplained viruses as a youth. I also have been diagnosed with Ellers Danlose syndrome. That is me in a nutshell. Thank you for any suggestions. | Hello,First of all I would advice that never feel you are at the end of rope. You have few diagnosed and a few undiagnosed problems. For your symptoms you may need a nerve conduction study to find out whether the abnormal sensations on your limbs are due to nerve involvement. Secondly the location of the lesions in your brain will also explain some of the symptoms. In certain situations it may be better to aim for the solution (treatment) rather then chasing the diagnosis. Neurologists can definitely prescribe you medications to relieve you of these symptoms.Good luck. | |
Could severe hair loss be related to migraine?
Hi, I am a 20 years old female and in the past months my hair has been thinning/falling out/ and not growing. I also recently been getting migraines in which I get so ill like never before. I was wondering if these could be related in anyway? Also, I haven't changed medications and I take vitamins as well. | HIWell come to HCMBecause of the migraine hair falling is not possible this could be due to hormonal imbalance (Reproductive and thyroid ) or may be due to fungal infection of hair, and this need to be ruled out, till then condition can be treated with Minoxidil 5 % lotion to be applied on scalp three times in day, hope this information helps, take care. | |
Is a severe episode of vertigo that lasts for several hours a cause of concern?
I have a family member that claims she has vertigo so severe that at times she cannot get out of bed. These bouts will last sometimes hours, sometimes days. She has been known to be taken to the emergency room for vertigo. She takes advantage of being waited on and pampered. Can you fake vertigo? Or can it be as severe as she claims? | Hi, Vertigo can be as severe as keeping someone in bed, however, there are ways to determine the likelihood of such a symptom by performing neurological and neuro-ophthalmological testing. If you take her to an Otoneurologist or Neuro-ophthalmologist they will be able to properly evaluate her to tell whether there is an organic substrate to her complaints vs. psychogenic causes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist | |
What causes pain in spleen after a glandular fever?
Hi, i have had glandular fever for the past 3weeks, today iv noticed what seems to be a slight pain in my spleen, not a major pain by any means but it is uncomfortable. I now have my left shoulder tingling and slightly numb. Is this something I should be concerned about? | Hi, glandular fever, also known as Infectious Mononucleosis or kissing disease, is caused by a virus and can affect the liver and spleen too. It can cause swelling of the spleen, and there have been cases of splenic rupture. I suggest you see a doctor who can do an ultra-sound or CT scan to see if your spleen is not at risk. | |
Extreme stomach cramps lead to diarrhea, sweating, blood in ears. Why is it?
On way home from work tonight I started experiencing extreme stomach cramps which lead to feelings of diarrhea . By the time I found a place to stop I also experienced sweating and extreme blood rushing in the ears along with dry mouth. The blood rushing in my ears lasted maybe 15-20 minutes after I was able to relieve myself but now seems to come and go at times even hour or so laterDiarrhea is almost gone to amodium for that | Hi ! Possibly you have had a food poisoning which can give rise to cramps in the stomach followed by diarrhoea and vomiting. The sweating and extreme blood rushing in the ears may be due to over stimulation of the autonomic nervous system. Simply taking imodium will not cure your infective pathology in the stomach. You have to take appropriate antiobiotics on consultation with your family physician, and also take care to hydrate yourself prperly with an adequate urinaty output. Good luck. | |
How to get rid of crystal meth smoking mediated breath shortness?
Okay. So I smoked crystal meth for the first time Friday and after smoking it I had problems like not being able to catch my breath and get a full breath of oxygen in my lungs and I was wondering how long is it going to take to go away or if it will be like this permanently. Thanks. | Thanks for your question on HCM. I can understand your situation and problem. In my opinion you are having inhalation smoke induced bronchitis. Any form of smoke when inhaled can cause irritation, inflammation and this can cause bronchitis and breathing difficulty. So I advice you to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. PFT (Pulmonary Function Test). PFT is needed to rule out bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and antihistamines drugs. You will mostly improved in 7 - 8 days. | |
Does excessive masturbation cause infertility?
Hi doctor..i am a 22 year old female. I masturbate excessively throughout the day. I started masturbating at age 13. I use my finger to stimulate my clitoris and see vaginal discharge every time i urinate. I want to know if this excessive masturbation will be harmful for my fertility. Will there be any problems in becoming pregnant in future? Pls help. | Hi, I think there is no problem in that. But you may suffer from loss of libido. Otherwise there is no problem in getting pregnant if your periods are regular. Hope it helps. | |
Do I have heart murmur or is it stress ?
I m 12, and yesterday i couldn t go to sleep because my heart was beating too fast, but i was tired, so i didn t know why it was doing that. Do I have heart murmur ? is it stress ? does it has something to do with my asthma ? or was it too hot ? Is it Tachycardia ? Tachycardia means your heart is beating too fast. | Global warming, if it's too hot, drink lot of water, ORS, if perspiring too much. In hot weather this is a natural phenomena, but if symptom/s persists, check with your doctor. OK. | |
Is AKT-4 advised in patients with bone TB?
We have a patient who is suffering from bone TB , had a spinal operation and was advised to take AKT-4 . the patient cannot even stand. How long should be AKT-4 Continued and what are the chances of the patient walking again. Age of patient is 74 years | Hello,The AKT-4 is one of anti tubercular medicine.Your patient should take AKT 4 as advised in spite of any age if he is having bone tuberculosis.This should be continued for at least 12-18 months with gradual adjustment of doses and type of medicines. You should not worry there are good chances of recovery even in old patient if treatment is taken and supervision and in right manner. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | |
What else needs to be done to get pregnant for a person having pcos?
I am on oosure, tryin to conceive since 4 months. I was diagnosed with mild pcos few years ago and was on chromet for 6 months before starting oosure as Scan showed no cysts. Today is first day of missed period and home pregnancy test is negative. What do i do? | Hello dearI understand your concernPregnancy test will give not positive result one after missed period.So wait for the period to come.It will give positive result once your period will delay by 8-10 days.You can also go for blood HCG as it detect the pregnancy 10 days after the unprotected sex.Your missed period could be due to hormonal imbalance.To become pregnant you can also use progesterone pill in second half of period, clomiphene citrate after consulting the gynecologist.Avoid stress, take healthy diet, avoid excessive sweet, do regular exercise and reduce 10-12% body weightHope this may help youContact HCM for further health queryBest regardsDr. Sagar | |
What to do for getting pregnant?
I have PCOS i was told this Jan 2010. My fiance and I are trying to conceive. I get my period faithfully every month but I get it sometimes the 5th or the 10th. I also lost 10 pounds. Wondering if I continue to have sex every other day will it be likely i get pregnant?. Please help me. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.See if you are PCOD then your ovulation occurs late than usual. You should go for follicular study with clomiphene so that you can know the exact time when to keep relationship with fiancee.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal | |
Is taking azithral recommended while trying to conceive?
I am a 30 year old man. I had Azithral 500mg tablet for throat pain, back pain and fever. We are planning to have a baby. Is there safe to have sex when I am taking this medicine and shortly after this. Is there is traces of antibiotics present in semen.Thanks | Hi,Don't worry.Azithromycin is a FDA category B drug. It means that it is not known to cause any adverse effects on pregnancy in animal studies. You can have sex while on treatment and shortly after.The drug gets washed off from the body in 16-17 days time. This is for your information in case you still wish to avoid sex because of this medicine.I hope this helps. | |
Suggest home remedies to treat enlarged prostate
hi;doc. my father is 82 yrs old. his prostrate is enlarged to first & second grade. he is taking niftran but feels very weak,drowsy,headache which is severe in morning.he has high bp & arthritis.kindly suggest some home remedy to lessen his this condition | hai,There is no home remedy for enlarged prostate.As your father's prostate become larger and it will lead to discomfort in passing urine on and off. as your father wants to drain the urine, external pressure from enlarged prostate will compress the urethral passage and stop the urination in the mid.so he will be walking to toilet on and off to void urine frequently that leads to disturbed sleep.disturbed sleep will lead to drowsy and headache etc. as he is already got high blood pressure and arthritis. this condition will even make him bad physically as well as mentally.consult a urologist to fix this issue regarding the prostate enlargement.thank youhope i answered your query. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Suggest medication for a bulging disc
Dear Sir, my MRI says I have posterior disc bulge at L2-L3,L3-L4,and L4-L5 and L5-S1 causing thecal sac indentation. Mild extradural cut off at these levels, Bilateral neural foramina narrowing at L3-L4 level causinfg impingement on exiting nerve roots, mild disc dessication at few lumbar levels, Bilateral lateral recess stenosis with neural foramina narrowing at L4-L5 level and compressing the descending and exiting nerve roots, Mild narrowing at bilateral neural foramina at L2-L3 and L5-S1 levels. Dear Doctor Please help. I m a medical rep I need to drive bike atleast 60 km s a day. | Hi,Thanks for your query.It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation &spinal canal stenosis.The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic.You can get the appropriate drugs prescribed from your Orthopedician after examination.Meanwhile you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. - Improvise your posture while sitting.- Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.Also, maintain a proper posture while working, sitting and standing. Keep your back straight. Physiotherapy plays a major role in treating such conditions.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Is pregnancy possible despite taking Postinor 2 after intercourse?
i have sex right after my period ended , but he did not ejaculate inside me and only an inch of his penis inside my vagina but i m afraid of pre-cum. so i take the Postinor-2 pills after 38hours having sex and another pills after 12hours as intructed. Today is the fifth day since I’ve taken Postinor-2 pill, I experience a stomach pain especially when I press down into the part of my reproductive system and sometimes it also hurts when I don’t even touch it, I also experience lower back pain and I try checking my cervical mucus and it appears to look like paste+unstretchable+white with transparent fluid, I also experience headache sometime but I don’t experience nausea, breast tenderness ,fatigue etc. am I in risk of pregnancy? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. No chance of pregnancy. Your symptoms are side effects of I pill and may be having infection. You can get a gynaec check up to rule out any infection. Hope I have answered your query. Let me know if I can assist you further. | |
What does lump which is increasing in size below knee joint indicate?
Hi, For the past week a lump has formed just below my knee joint and has incresingly grown in size. It doesnt hurt to touch but I am becoming immobile and finding it difficult to stand and it feels numb and hurts when I do. The area around has started to go green as if bruised also. Please help! | Hi,Dear,Thanks for your query.1-Though exact location and side of the lump below knee joint is not told by you,on the given facts-it appears to be a benign ? cystic lump-as it is changing its colour lately.2-More info needs to be given-3- I would advise you to mail the photograph of the lump below knee-or would advise you to go to nearby surgeon in your area to fix the casue of it and the remedy for it.4-It would be wrong to predict what it indicate in the absence of more information in the matter -5-Hence a surgeons help is urgently advised to reduce the worry had.Hoep I had given the lead to your query.Wellcome for any more query in this matter.Thnks. | |
Suggest remedies for healthy pregnancy without affecting with down syndrome
Dr.I have got a child of 3 yrs with down syndrome and now got a pregnancy with down syndrome baby again which got aborted, now guide me how can I get a normal baby as there is no history of any genetic disorder in neither mine nor my husband s family | you and your husband make an appointment with a genetic counseller for the advice. He or she will be able to explain and give you the risk factors. | |
Suggest treatment for diabetics and hypertension
This is about my father. Age = 65 Medical History: Diabetes, leprosy ( treatment going. started 6 months before), hypertension(taken alphrazolam for 3 months as per medication) Description: my fathers age is 68 and he is very abusive to my mom who is 58 He does not understand that his impulsive angry behavior is pain for my mom and the family. he only tries to make his point and does not follow any logical discussions. he may agree with certain logical discussions but later will forget that start with his own saying. he was really abusive to my mom 5 yrs before physical and mental. Also he was very irresponsible in his duties towards his family. when everything wat he wants is there, he is the perfect guy who talks intellectually spritiually but as soon as something happens which is not as per his wish he turns violent if he has a weak opponet or becomes a nagging dog if he has a strong opponent. he dont want to see a psychiatric. We have taken him to psychiatric 2 yrs before and he was prescribed with alprazholam. he took them multiple times a day and his health detoriated. We somehow made him stop taking that. His health went back, but the mental health remains the same. He is very extreme in nature. his anger has no control, and he jst goes restless if something does not happen according to him(specially when people do not behave the way he wants them to behave with him). he also has the fear of dying if he does not eat well or travel fast. he gets very anxious about his health for a moment if he thinks he will not get food in time. he has a mania of playing with water and applying it on his forehead. even in extreme winter he feels like he need a fan running in front of his head. He does not understand a reason which does not align with what he want to do. Even when he understand and says he will apply, during the implementation he goes his way. he has taken the family in many absurd situations. now i am getting married and my mom is near a breakdown due to this behavior. Now he can only magnify his behvior in front of my mom as we have grown up. he remains calm and quite as we are around and as we leave he starts everything with my mom. how to tackle this. i am from pune, india. does any institution handle these kind of cases. he do not want to go to a doc for this | dear friend don't worry.after studying your case homeopathic line of treatment is most benificial to your father. in allopathy they only give medicines that induces sleep.homeopathy treats 'person as a whole', not a single disease that means all details of your life style will be asked by homeopath doctor and according to that medicine will be given which will be most suitable to you.so plz consult a homeopath nearer to you.in circumstances if you can't consult a homeopath doctor, take following medicines.syphilinum 6 or syphilinum 30 5-6 pills twice per day for 4-5 days.aconite napellus 6 5 drops in a glass of warm water twice per day for one month.continue your medicines for diabetes and hypertension.after one month inform me again.hope this answer will be helpful to you.for more queries plz don't hassitate to ask.get well soon dear frienddr.manu khimani | |
Q. Why am I having bleeding even after two weeks of using Unwanted kit?
Hi doctor,I used unwanted kit two weeks back and still, light bleeding is going on and blood color has changed. There is a bad smell. Next, what should I do? Please suggest me. | Hello. The emergency pill contains a high dose of Progesterone and so you can still have bleeding because of intake of the pill. You can be prescribed Tranexamic acid tablet to reduce bleeding. If bleeding does not stop in three to five days then I suggest you consult a gynecologist for a pelvic examination. If needed, then USG pelvis scan can be done for further work up. For more information consult a family physician online --> | |
What causes headache and lower abdomen pain?
I am 34 years old, diagnosed with intramural fibroid in 2009 and the biggest is about 12cm now. I do not want surgery now because I want children. I feel bloated now and being having headaches and usually have lower abdominal pains at night. What do I do and what are the chances of taking in? Thank you! | HI.You have great expectations. and hopes. You have to consult a Gynecologist trained in removal of the fibroids by open approach or by Laparoscopy. This may give you a chance to have a baby. The headache and the pelvis pain can be due to some form of enteritis such as Typhoid or so. Get all the relevant blood, urine and stool tests as well as repeat and review ultrasonography to get the diagnosis of headache and pain in abdomen and to plan for a surgery. To get fitness for surgery. | |
MRI shows diffuse disc bulge, anterior thecal sac indentation and soft tissue edema. What is the treatment?
Got an MRI with the ff impression: Diffuse disc bulges at the level of L3/L4 down to L5/S1, resulting to anterior thecal sac indentation and varying degrees of bilateral neural foraminal narrowing Right paracentral annular tear L5/S1 Minimal soft tissue edema , right gluteal region Any idea what the next steps are? My aunt is in the Philippines and I really don t trust a lot of people there...thank you! | Hello, Thanks for the query, i will tell you that the MRI findings need to be correlated with clinical data. Further one must note the clinical context in which the MRI was done. I feel that it was done for back and/or leg pain in your case. If you have clinical signs of nerve compression, then the options will be to go for surgical treatment. If there are no clinical signs of nerve damage, then conservative management with either Gabapentine, pragabaline and physiotherapy will suffice. Please donot worry about the MRI findings. I suggest you to get clinically evaluated by a neurologist. Hope this clarifies your query Best wishes | |
Diagnosed with Polyps & diverticulitis
I have just been diagnosed with polyps & Diverticulitis . The Polyps were removed during the Colonoscopy & Gastroscopy . I have fears the Polyp s will return &eventually develop in to Cancer . I take Pariet for Reflux , which I would really like to eliminate . Not sure why , just something keeps telling me they are not ideal to take long term . I have been taking them for 4 1/2 years . I am 60 years old ! Regards , Paula . | Hi, dearI have gone through your question. I can understand your concern. You have polyp in your colon. Chance of recurrence and turning in to cancer depends on type of polyp. Please send me histopathological report of polyp. For diverticulitis you should go for permanent surgical treatment. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
82 years. Have alzheimers. On peg feeding tube. Probable survival time?
my mom has had alzheimers for 5 years... has been bedridden, and on a peg feeding tube in my care for 1 year.... how long can she survive.... no bedsores as of yet... has a an air mattress that inflates and deflates. She only weighs 98 lbs so i can easily transfer her to wheelchair and take her outside to enjoy the beautiful garden. The hospital told me that the peg tube would not prolong her life... but she couldnt swallow and i was not going to let her starve....i still know i did the right thing...her birthday is in one week and she will be 82 | HIThank for choosing HCM,It is very difficult to interpret like this even with clinical examination no one can say the exact time period of survival, unless the vital organs are involved and the patient is on the life support equipment and drugs, so the we can only roughly say something but not exactly, it is better to have company of our parents, so enjoy it, why to ask such question, prey for her good health, take care of your mother, bye | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
What causes heavy bleeding with mirena coil?
i had a mirena coil inserted 2weeks ago, i started off with really bad abdominal pain and lite bleeding and evenutally the pain settled, the bleeding has now got heavier passing clots and my pain has returned and im concerned as im now bleeding 2weeks is this normal | Hello,I can understand your concern. Prolonged bleeding cycles and heavy bleeding, spotting between two cycles, painful mesntruation etc are common side effects of Mirena insertion. They will fade away in a few weeks to few months. So if the bleeding is getting lighter and pain is not debilitating, you can wait for some days for it to stop and the body will get adjusted to Mirena.However, if the bleeding gets heavier day-by-day, the pain worsens, you develop fever or foul smelling discharge, you should consult a doctor immediately as it indicates presence of bacterial infection. I hope this information helps. Thank you for choosing HCM. Let me know if I can be of further help.Best,Dr. Viraj Shah | |
I have had hives. I use calamine lotion but they go away for a few hours after then usually come back.
I have had hives for 3 days straight, im only 14, ive been taking benadryl gell caps since i got them and i use calamine lotion on the hives, they go away for a few hours after then usually come back, i had a shower and they spread EVERYWHERE!!! help me please I have no Idea whats causing this please help me | Hi. Welcome To HealthcarMagic Regards, Dr. Jagdish Hives called Urticaria are mostly from autoimmune process. Many of the times they have no reasons. Heat, cold, stress, fever, and some kind of allergic material and foods aggravate the hives. Identify the risk factors and avoid exposure them. But when they come the treatment is Oral steroids, antihistamines like Ceterizine/ Benadryl and local application of calamine is enough. Also get the ANA , RF,TSH, CBC and Differential count to look for Eosinophils in the blood which indicates allergic process. | |
Can I use tramadol hcl instead of oxycodone for back pain?
hi my mother has been taken oxycodone for back pain for the last 4 weeks...one to two tablets for pain as needed... she has consume 60 tablets in the last 4 weeks.. the back pain is better but she still has some discomfort,,My question is we have in the house tramadol hcl .50 mg from an older condition also for pain,, CAN WE SUBSTITUTE | welcome to healthcare magic. after getting through your query I concluded that you can very well substitute tramadol for oxycodon because both are opiate ANALGESICS. I think my answer will be useful to you . | |
For how long are strep and Flu A and B contagious?
My 11 year old daughter was diagnosed with strep and Flu A&B on Thursday. She has been taking her medicine since then. She really perked up yesterday and seems fine, at what point can we send her back out into the public again, without putting other people at risk or herself? She wants to go today. | Hi thanks for asking question.She is suffering from influenza.Usually first 7 to 10 days can be infective for other people through airborne transmission.So for approx week it is better not to go outside and taking rest.Whenever sneezing , use handkerchief for sneezing.Drink more water.eat more fruits and fruits juice.Maintain immunity to counteract influenza infection.I hope I have solved your query.thanks. | |
Suggest remedy for greenish lump on arm
Hi. I have this black greenish thing that looks like a stone in my arm. I ve had it as long as I can remember. For years ot stayed under my skin but lately part of it is starting to come out. Im scared if you could help me I would appreciate it so much thank u | Hi.IT is very difficult to say why has this occurred. Black greenish lump in the arm looking like a stone can in fact be something like Myositis Ossificance , or a calcified guinea worm. The best way is to consult a General Surgeon and get this excised, Send it for histopathological examination. The old dictum is get anything out of the body which is not a normal part of the and get it examined. | |
What causes abdominal pain and nausea?
Hello,I have Brent having mild abdominal pain for the last 4 days. The pain is on the right side, at times below rib cage, at times closer to hip. Now I have a mild nausea. Pain seems better if I apply pressure on side. No temperature I think. I had similar pain months ago but it got better on its own. | HI. The pain in abdomen here and there and nausea can be due to colitis, fibromualgia and so on. Just to rule out the internal problems get a clinical examination done by a General Surgeon and get an X-ray chest and Ultrasonography of the abdomen to rule out any serious problem like gastrointestinal cancer, gall bladder stones with cholecystitis or so | |
What could a pimple in the armpit with blood and pus be ?
I am a male, 20 years old. I have a pimple under my left armpit, that I recently popped. However, now, there is a soft, red, fleshy little growth coming out from the center of the pimple. It is like a small red bump. If I squeeze it, blood and a little bit of pus come out of the small, red, fleshy lump, but the lump remains there. What could this be? | welcome to healthcaremagic it may be a infected sebaceous gland consult surgeon and get treatment you may start on antibiotics by that time keep the area clean and dry you may aplly betadine ointment may take omnicef o cv 1 tab 2 times daily take a consultation | |
Having lower abdominal pain. Feeling sick, tired and loss of appetite. What should be done?
Hi I am a 19 year old girl , about a week ago i experienced lower abdominal pain . The pain subsided for a while but last night I had gotten sick several times and the pain returned. Now I feel sick and my apetite is gone. I m very tired and moody as well. Please help me get answers... | Hi,dr.kumud hear,you should take lite food in lunch.early morning you should take warm water with pinch of jinjer juice,warm the paining abdominal partwith hot bag .Take one glass luke warm water after lunch.ISUBGOL POWDER -take one spoon with plane water at bed time.take care ,thanks | |
Should I change Finasteride medicine if it has side effects like shrinking penis and fatigue?
My father is 92 yrs. old and takes Finasteride 5mg. every day for enlarged prostate. He is experiencing extreme shrinking of his penis and complains of chronic fatigue. if not downright exhaustion. Should he have a lower dosage or another medication altogether? | HI, thanks for using healthcare magicFinasteride is indicated for the use in men with enlarged prostate.It can be associated with fatigue and genital urinary side effects. There are alternative medications that can be used for prostatic enlargement such as flomax.You can consider consulting his doctor for an assessment and possible change of medication.I hope this helps | |
What causes frequent dizzy spells during pregnancy?
I’m hoping you can help me. I’m 37 weeks pregnant. I have a hiBut I was in the hospital 2 weeks ago because I was dehydrated I had a stomach bug and they gave me 4 bags of fluid I still wasn’t hydrated but it was safe to send me home so they did then I went back a day later and they gave me 3 more bags of iv fluids cause I was still dehydrated after that I was okay they told me to keep drinking water and I am still doing that the week after that I had an appointment on Tuesday the doctor cleared me to do as I wanted I’m okay now I went to Disney for not even 30 min I walked into the safari I got nauseous and I passed outstory of passing out due to being anemic since I was 11/12 i was anemic with my first daughter and this is my second pregnancy and the doctors say I’m not anemic that my iron is great with this one. I was in the shade I was welI was rushed to the er they ran test on me cardio and blood flow to make sure everything was okay everything was normall hydrated. I just passed out again a few hours ago at home I haven’t been pushing myself to do much of anything really but staying active enough to not get weak during these last few weeks of my pregnancy and I went to the kitchen came back and got dizzy so I sat on the floor and I passed out my 1 year old daughter was shaking me telling to wake up. Is here anyway that I can get my baby taken out of me. Is that even an option for me I’m not comfortable being home alone and passing out while being pregnant. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Please take rest, and hydrate yourself. Drink plenty of water, fruit juices, coconut water etcetera. Have small frequent meals and get GTT- glucose tolerance test done with 75-gram glucose load.As you have 37 weeks completed pregnancy, please consult with your treating gynecologist about planning to deliver the baby.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Purushottam Neurgaonkar | |
What causes pain on arms and sore to touch?
I have pain down the front of both arms, sometimes very slight and sometimes aching enough to keep me awake at night. Movements like cleaning a counter hurt especially. This ache carries down to the bone on the outside of my elbow. Often very sore to touch at and near this point have had this enough to trouble me for about two to three months. Any ideas as to what would be causing this. | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have pain on arms and sore to touch. Well there can be many reasons for symptoms you mention in query like angina , brachial plexus injury , bursitis , carpal tunnel syndrome , fibromyalgia , herniated disk or rheumatoid arthritis . I would suggest you to consult orthopedic surgeon for proper examination . Doctor may order certain test to confirm the diagnosis . Doctor may order blood test , physical examination , CT scan or MRI for disc problem . Doctor may order muscle relaxant , anti inflammatory , methotrexate , surgery in case of disc problem , physical therapy along with light stretching exercises . For now take ibuprofen or acetaminophen . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Q. I have a problem with my bowel movement. Kindly explain it.
Hi doctor, I am practicing as a karma yogi. I have a problem with the bowel movement. I am taking up to 30 minutes to out the dross. After practicing yoga and exercise, I am again in need to go to restroom again. I wonder how the dross is segregated without having food in the morning. I wake up at 4 AM completely out my dross and bath. I will do the prayer and exercise after the sip of a cup of tea and without having any food. I am in a situation to out my dross for freeness of the stomach. This is the only problem I have with my stomach for more than two years. My bowels are polluted I guess. I have been a tobacco user for eight years. Now, I have left that habit, but I still have some temptation to smoke. How to improve my bowel movements? | Hi. Chronic habits. Motion routine and scan. Irritable bowel syndrome (IBS). 1. GCR. 2. IBS. Conservative. Avoid smoking and coffee For further doubts consult a surgical gastroenterologist online.---> | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
What is causing black dots with blood in the scalp?
i have black dots that leave a pencil lead size crater in my skin, and bleed more than it should. they are in my scalp? but cant see them. i bathe in bleach an hot hot water, and have seen the sores turn purple and feel crawling in my scalp. im not a drug addict . so please help | Hi,There may be multiple small blood vessel tumours called cherry angiomas. Due to cleansing and rubbing of skin of scalp,the angimas would be injured leading to bleeding.So, consult the dermatologist for the perfect diagnosis and proper treatment. Hope this helps.Dr.Ilyas Patel,Dermatologist | |
How long does broken humerus bone take time to heal?
hi , metal bar fell on my upper arm, broke my humerus bone, I some scratches on my skin under arm, my doctor said there was a blow inside, so my veins, nerves, muscles, soft tissue was damaged. he claims my skin died as it is black right now, and I need skin graft. I believe skin can heal, what do you think? | Pitch black dark skin patch with no sensations is definitely a dead patch of skin.So it needs to go.the resultant raw area after taking out tge dead patch needs to be covered for sure.whethe a skin graft or something else your treating doctor would be able to advice depending upon the bone and other soft tissues extent of exposure. | |
Suggest remedy for swollen & tender kuncle
Hello. I was at karate training last night and I punched my oponent. My left, index knuckle (the big one that joins the finger to the palm) made contact with my oponent s elbow. It was immediately painful. Within a few minutes it was swollen and tender to touch. This morning, it has developed bruising, is still swollen, tender to the touch and is slightly numb. I can make a fist, but it is painful to do so. Is it just a bruise from making contact, or could I have done some more serious damage? | with such presentations in my clinic, if i were your treating doctor i would first rule the possibility of fracture by taking the x ray hand AP and oblique view and based on that treatment varies. if fracture was not there it should be either ligament injury or soft tissue injury. in both of these ill prescribe a combination of paracetmol and ibuprofen tablets for seven days twice a day and along with that crepe bandage 4 inch one to be tied . Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
What causes loss of interest in studies and carrier?
Sir, My son age 19 yrs, a bright 12 th class student in Jan 2009, faced a bike accident, fell on forehead, no external injury but forehead swelled. Loss memory for a few days. Consulted a neurologist at that time, he examined CT scan. He did not tell of any serious problem. My son wanted to take Pre Medical Test but the doctor advised to opt for easier courses. My son insisted on taking PMT. He passed 12th with good marks. Now seems very sad, orientation and motivation to studies and career has been lost. Forgets whatever he studies. Is it depression or the accident is showing up its effect after several months. What should I do. | Hi,I read your query and can understand your concern regarding your son. Head injury with concussion can cause symptoms even after a few months. However, in your son's case, it is very difficult to delineate the cause of depressive symptoms to be as an after effect of head injury from an independent depressive episode. I would also recommend getting a fresh MRI-brain done, to rule out ant brain injury. If the MRI comes out to be normal, it is very less likely that the symptoms are due to head injury.In any case, you son would need treatment with anti-depressants like escitalopram.You should seek a psychiatric consultation for your son for initiating proper treatment.Hope this information was helpful. Best wishes. | |
Lower abdominal pain after falling from stairs. Matter of concern?
I was walking downstairs with a bunch of empty water bottles to put in a recycling bin and being my clumsy self, i slipped and fell. I landed on my lower back and whats strange is that my back didn't hurt. It seemed as though all the shock had been transferred to my lower abdomen. What I'm worried about is that after an hour or so, it still hurts. Should i be worried? | HIThank for asking to HCMWait for some time at least 8 to 10 hours if your pain becomes more severe then it need to be examined, if it start declining gradually then nothing to worry about it but you will have to treat the pain too, Ibuprofen 400 mg is the best drug and try this, and I am sure this will come around soon take care and have nice day. | |
What can be done for these pimples on my back which get dried up and leaves spot behind ?
hi, i m 21 yrs old, female here. i have little pimple on my whole back, after some day they become dry & make spots. i m suffering from a long time. I felt embarrassed for these spots. what can i do? please help.(height, 5 feet, weight-45kj, ) | Hi Bella Welcome to HealthcareMagic. How recurrent do you these pimples.If they are always on your back there are few things that you should take care of like Dandruff.Dandruff can cause these lesions in some.Second the type of skin.Third your immunity levels.I advise you to visit your Dematologist and get them examined.Depending on the severity , antibiotics can be prescribed if needed.I also advise you to take Syrup Septilin to enhance your immunity . Any questions , feel free to ask us or mail me. Take care. | |
Suggest treatment for swollen and painful ankle
Hi I m a 35 year old female with problematic ankles. I always get swelling when I am near the ocean and my doctor told me this was normal and explained the reason why. I am in Florida on vaca right now and only my left ankle is swelling up really bad. This has never happened before. Could it still be due to being near the ocean? Why would just one ankle swell? What can I do to treat it? | Hello,I have studied your case and It is not common to have swelling when you go near to sea. I would recommend you to get MRI of the ankle joint to see if there is any synovitis or loose body in the ankle.Also I would recommend you to wear anklet or crape bandage in night time. Take Dicerin tablet one daily.I hope this will take care of your ankle swelling. Let me know if there is any other followup questions.thanks | |
Q. Is Mometasone dangerous to use on Face to clear my acne pimples?
Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? | Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> | |
Have L5, S1, protrusion, advised MRI, taken vicodin, tramadol, lyrica. Pain killer?
Aloha from Hawaii:I just heard back from my doctor who ordered an MRI the other night. His diagnosis is L5, S1 disc protrusion. I am wondering if there is a medicine of choice for this pain until I can get more physical therapy, etc. I tried vicodin, tramadol and now he put me on Lyrica. Someone also spoke of Cymbalta (sp?) | Hi,You are diagnosed to have L5 S1 disc prolapse and you have severe neuralgic pain because of it.Lyrica dose to be increased for relief from neuralgia.Cymbalta contains duloxetine which is a selective serotonin and norepinephrine reuptake inhibitor which when used reduces neuralgic pain, dose range from 20 mg to maximum 60 mg daily.If symptoms still persists you should consult neurosurgeon ,for epidural steroids.Hope this will help youRegardsDr Sandhya ManorenjNeurologistHi Tech city Hyderabad | |
Can PCOS cause scoliosis?
Hi, I was wondering if there could be a link between PCOS and Scoliosis? Seeing as PCOS messes with all the hormone levels, I thought that it could possibly be a cause of Scoliosis too?? Or am I clutching at straws? I'm 33, 5'7", about 14 stone and was diagnosed with Scoliosis at age 14 and PCOS at age 31 (approx) | Hi wel come to health care magic.I have gone through your question.As far as pcod and scoliosis is concern both have not any relations.Scoliosis is spinal problem and pcod ( polycystic ovarian disease) is ovarian problem.Pcod cause problem in conceiving. As follicles are small dont get increase in size, androgen level increased, insulin resistance develops.So conault gynecologist for pcod and orthopedic for scoliosis.Take care. | |
Suggest whether walking boot can cause spraining and hairline fracture
Hello! I ve been wearing a walking boot for 3 weeks after spraining my ankle and later found out (after more X-rays) that I have a hairline fracture in the talus. I ve also had some leg pain and I ve noticed an indention above the ankle on lower leg. My husband thinks it s caused from wearing the boot, but I m wondering if I could have damaged this area also? I only had X-rays of my ankle and foot. Should I be concerned? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Walking boot as such does not cause spraining and fracture. Prolonged running as in marathon and marching can cause sprains and fracture.You can go for an MRI scan to look for any sprained ligaments or fractures. You can also consider boots made of canvas which will be more comfortable and cause less strain on foot. Hope I have answered your query. Let me know if I can assist you further. |
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