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What causes vaginal infection?
I have like hives or red allergy bumps in-between inner upper thigh..had high fevers.elevated. liver enzymes.bladder infection.vaginal infection.I used to take seroquel 300mg,reduced gluthatione500mg,grapeseed extract 200mg,vitamin c 500 mg alpha lopoic acid 100mg..can this affect me. | Thank you very much for contacting healthcare magic. most commonly vaginal infection is candidiasis. Yeast like growth more in vaginal infection case.In Diabetes more chanses of infection is more .Check your blood sugar level. Hormonal imbalance may cause vaginal infection.Poor care during menstruation cycle cause vaginal infection. Low immunity may cause vaginal infection. culture test helpful for diagnosis. Wish you a good health. Take care. Thank you very much. | |
How to get rid of the odour due to pityriasis rosea?
I have been diagnosed with pityriasis rosea. Have had a horrible rash covering most of my body for 2 weeks now. Skin is extremely dry and I have recently noticed a distinct odor originating from my skin. Is the odor common and how can I get rid of the odor? I know I pretty much just need to wait for the rash to go away. | Hi,It is not common to have bad odour in patient having pityriasis rosea. It may be due to poor hygiene or perspiration. I would recommend you to take bath in dettol mixed water. And improve the hygiene and immunity. Take proper treatment for the skin disease you have under the dermatologist care.Hope this helps you.Regards.Dr.Ilyas patel,Dermatologist | |
Can i use natural methods to lower cholesterol?
I am female, aged 58 years, height 159cm, weight about 51kg. my total cholesterol level is 268 mg/dl, triglycerides is 99mg/dl, HDL is 69mg/dl, LDL is 179mg/dl and total chol/HDL is 3.9. I have no other health problems. Do I need to take medication? or can I use natural methods to lower my cholesterol? | Hello madam,Your body mass index is within normal.All your lipid profile shows within limits except total cholesterol (mild increase/considerably ).No need for any medication.I will suggest you diet and lifestyle:Be hydrated.4- 5litres of water.Add more fiber foods like leafy vegetables and fruits.Add more millets in your daily food stuffs. add barley,lentils etc.Avoid fried,junk,fatty foods.Improve the quantity and quality of fats you eat . use oils(unsaturated -like olive oil,sesame oil,corn oil) in small amounts, avoid frying.don't use used oils for further cooking process.Do walk for 3- 4 kilometers.(Brisk walk).'Hope I have answered your query. If you have any further questions I will be happy to help". For Follow up queries, end with "If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health" | |
Abdominal pain, fever, vomiting blood, inability to eat. Cause?
Hey there.I'm a 21 yo white female that has an upper and lower endoscopy yesterday because of symptoms like: Extreme Abdominal PainInability to keep anything downHigh FeverFrequent vomitingVomiting BloodThe scope came back more or less perfectly normal. Though, he did send a sample off to be However, I woke up this morning feeling worse. I've tried to throw up at least a dozen over the course of the day and the only thing that comes up is foam with little steaks of bright red blood. What could possible cause this? I've even tried intentionally purging and nothing happened. I'm worried because I have eaten enough food recently that I should be able to throw up back up. Also, what could cause the foam and blood? Thanks-C | Hithanks for your question.Do not worrybased on my experience , after endoscopy most of my patients have similar feelings. Just take over the counter nausea medication and you will be okey.endoscope tube causes minor trauma to lining of the gastro intestinal tract and that is why you have foam and blood.these nausea should stop in 2 to 3 days ,if it continues then see surgeon for review . Hope I answered your question. | |
What causes tightness in the chest and high blood pressure?
I'm a male, 48 y/o, 5'11" 185 and in really good shape....I have a pretty balanced diet, etc. I have been pretty dizzy off and on for a few days, thought I actually might have been hypotensive based on a past similar experience (not staying hydrated enough here in the Southwest Desert). I've had some mild discomfort on my left side (feels like cotton in my left ear sometimes) no chest pain and my heart is not racing but it feels "different" than my right side - there is a little tightness below my left pec. I stopped at the drug store and checked my blood pressure and it was really high but came down after the third check (165/95) down to (133/83) - I did have a couple of strong coffees at lunch a few hours earlier. Should I be concerned (no recent stress and not trying to be anxious about this but I am concerned - I've been a healthy athlete). | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.I suggest you to control your blood pressure for some days and if the values are high, you might need drugs for high blood pressure.A cardiac sonography, an ECG and some routine blood test including lipidogram might be needed to see your heart health. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Anila Skenderi | |
Q. Eptoin increases GGTP and ALP in cystic granulomatous patient. Is it normal?
Hello doctor, My father is 53-years-old, and he is taking medicine for cystic granulomatous for six years. Eptoin medicine does increase GGTP (140 now) ALP is 134. Kindly advice. | Hello. Eptoin (Phenytoin) causes many things like the slow performance of duties, confusion, and decreasing the intellect of a person. But it is a perfect drug to prevent fits. You are correct. The cause of increased GGT (gamma-glutamyl transferase) and ALP (alkaline phosphatase) is due to Eptoin only. They are liver enzymes, and they get elevated in liver disease. Please do not be alarmed. Eptoin has not injured your father's liver. See, it is difficult to explain. The liver has many functions. The liver produces these enzymes. They elevate when liver cells are damaged. But they also raise when their production is more. Eptoin increases the production of these enzymes. It is entirely harmless, and their levels become normal when we stop Eptoin. But you cannot stop Eptoin. It is an important drug. So my suggestion is to do nothing and not to worry. These enzymes can be elevated by drinking alcohol or if your father already has a liver problem. Kindly clarify those. If he is having any of these problems, please contact me. 1. Liver enzymes increase when the liver is damaged. 2. But your father does not have a liver problem. 3. The elevation of enzymes is due to increased production, stimulated by Eptoin. 4. No need to worry, and no drugs or any other thing are needed. 5. Please do these tests regularly in four-month intervals. | |
What causes left sided chest pain?
I am having pain in the left side of my chest. Its more of a throbbing pain. I had a car accident back in 2001 and was hit with an air bag on the left side. I have always some kind of twinge in my chest. But recently it has seemed to be more frequent. | Thanks for your question on Health Care Magic. I can understand your concern. Chest pain after blunt injury to your chest needs evaluation with a chest x ray.If any old rib fracture if found, then it may be the cause for your pain. Pain killers and physiotherapy will help you. If your chest x ray is normal, then kindly get ECG done just rule out cardiac cause. So better to consult doctor for the same and get clinical examination also done. Hope I have solved your query. Wish you good health. Thanks. | |
Have elevated AST/ALT levels. Have ascites and cysts on liver. Liver disease?
I have had elevated AST / ALT levels (twice the high end of normal), low Alk. Phosphate , low sodium. Ultrasound clear, so was MRI, but trace amounts of ascites and two cysts found on liver. Tested for Hep. A, B, C, all clear. I do not have celiac but I think I have food intolerances to high fiber foods and have bad flatulence when I eat those things. Otherwise, pretty asymptomatic. What could be the problem? I hope I am not in the beginning stages of liver disease. | Hi and welcome to Healthcare magic.Thank you for the query.Well, ascites indicates some significant liver disease and you should try to find the exact cause which can be some autoimmune disorder, congenital liver disease ,certain infections or metabolic diseases. YOu should do liver biopsy to rule this out. Wish you good health. Regards | |
Unable to conceive. Sperm test, prolactin levels, ovulation test normal. Will clomid increase fertility?
hi dr. im 30 years old and my husband and i have been ttc for 1 year.we did all the tests required & everything is so fine , sperm count,quality & quantity, ovulation prolactine ,lh ....etc ,everything was fine.my doctor prescribed me clomid 50mg & progynova 2mg,so i was wondering if this might increase my chance of conceiving and if so how long does it take? | Hello, Welcome to HCM, I am Dr. Das Look, your problem is that you have failed to conceive. But all the reports are within normal limit. So, what will yo do now? 1. first of all, do not worry at all. Do some aerobics to keep your mind fresh. 2. Try for pregnancy within 10 to 18 th days of a menstrual cycle. The first day of the last menstrual period should be taken as day zero. 3. Take the medicines prescribed. They will definitely help. It may take some time like 3 to 4 months. 4. Use ovulation kit to detect the day of ovulation. Then try to have sex on and after that day most importantly. 5. After conceiving, you have to take progesterone group of drugs. So, consult with your gynecologist about the points I have mentioned. Hope this becomes helpful. Regards. | |
Diagnosed vasculitis, nonoeuritis. On morphine. No help from suggested suboxone. History of suicide attempt due to pain. Help
hi, I was diagnosed 15 years ago with vasculitis and mononeuritis. My majior symptom is severe pain in both legs and arms. I was sent home from clevland clinic on 1800mg of morphine a day. Over the years Dr's have passed me around worried about giving me so much med's. I listened to one DR who convinced me to try suboxone . It did not work' due to the severe pain I tried suicide. Now I cannot get anybody to treat my pain. What can I do. I am at the end of my rope! | Hi,Over time, people who have been on opioids for long develop tolerance to the analgesic effects of opioids. Probably this is why you are still in pain in spite of being on such a high dose of opioids. Since such a high dose of opioids can cause respiratory failure, doctors obviously feel uncomfortable in prescribing it. In my opinion, you should try alternative methods of pain relief like nerve blocks, acupuncture etc. Even if these bring only some relief, you will at least be in a better position than now.Best wishes. | |
What is the painless bump on my pilondial cyst?
Hi, I've had a pilonidal cyst about 2 years ago that was so bad it had to be operated on. Less than a year ago, it got inflamed but I was given antibiotics for it and it went away. This past week, I experienced pain and took about 10 days worth of ciprofloxacin. I have a very small painless bump where the cyst should be and am not sure if that means it's going away or the medication isn't working. | Welcome to health care magic. 1.The history and present symptoms suggest possibilities of the recurrence or bad healing of the post operative cyst. Complications can to be ruled out.2.In this case you need to get it examined, and evaluate the healing process of the site and present cyst relation to the operative site.3.An ultrasound will help to evaluate if there is any inflammatory changes in the subcutaneous plane - like oedema and abnormal vascularity.4.Ultrasound also evaluates the nature of the lump and its relation to the adjacent structures and source of lesion.5.Man while in small cyst wit less infective features a course of antibiotics will help.6.Maintain local hygiene and clean area with the antiseptic liquid, avoid disturbing the area, use soft clotting which can touch the area, and get examined. Good luck. Hope i have answered your query,any thing to ask do not hesitate to ask. | |
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. | |
Can the only failing kidney be treated?
hello sir, my brother got kidney transplanted about 5 years back,. And now he is with one kidney donated by my mother. Again the same problem has raised i.e the kidney stopped functioning and doctors suggested to go for dialysis and in a short time to have another transplantation. Could anyone help me out in finding a solution in ayurvedic or in any other way, other than going for transplantation and this hell. Thank You Sir. | HelloThanks for query .Your brother who has undergone Renal Transplant 5 years back is now showing signs and symptoms of CRF due to gradual rejection of transplanted kidney and have been advised to undergo re transplant again ,I can understand your concern for your brother ,Unfortunately there is no treatment available in any faculty of medicine like Ayurveda or Homeopathy that can cure this measurable disease .The only treatment option is either to continue dialysis at frequent intervals as determined by his creatinine levels till he survives or to undergo re renal transplant again .Dr.Patil. | |
How can hepatitis B be treated?
My wife was diagnosised with chronic Hepa. B five years ago, but after many months of being under the care of an Infectious Disease doctor, and taking Entacavir .5 mg the virus seems to have disappeared a few months ago. But she is taking a physical for a clerical job tomorrow, should this effect her to be employed, because the blood work was marked on the paper she signed to check for Hep. B. Note the job is in a hospital admissions position. Your opinion?? | Hello,The problem with a Hepatitis B infection is that patients end up being carriers. And the other problem is that spread is easy.It can spread through cuts and exposure to mucosa and things like that. It is definitely something that the hospital will consider, but if it is an admissions position, it should not be a problem.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Pranav Balakrishnan | |
Suggest treatment for food allergies
I am just above 60. I have been tested and diagnosed allergic to Fish, Beef,Spices, Raw onion, Dairy products. All of these things cause itching rashes all over my body. Sometimes the rashes on the genitals are accompanied by swelling. Eating fish causes swollen tongue. Some doctors tell me that people above 50 do not experience allergy. These allergy symptoms started 3 years back. Now I avoid most of these food items but still I am getting rashes. The rashes last for 10 to 12 hours. | Thank you for writing.Same patient came to my chamber.I usually advice ...1.avoid that food ...which previously causes allergy.2.keep some antihistaminic and steroid drug in home for emergency use.Prevention is better than cure.This is a highly unpredictable whin and which food will cause allergy.Pretreatment with antihistaminic drug like tab levocetrizine 5mg before taking food some time helpful but don't take risk ...as the allergy may endanger life.Thank you. | |
Which medication to be taken for anxiety as i am on methadone therapy for over ten years?
I have been on methadone therapy for over 10yrs for chronic pain, two years ago I had a medical emergency and have been having anxiety and panic attacks ever since. I am 35 yrs old and a Nurse and it's important that I am in good health physically and emotionally. I would like to start taking medication for my anxiety but it seems almost everything interacts in one way or another with the methadone...please help? | HiThanks for using healthcare magicu can take any antidepressants with methadone. Antidepressanr like SSRIs which include Escitalopram, paroxetine, Fluoxetine, Sertraline are safer. U can discuss this with ur psychiatrist and he/she could prescribe any antidepressant of his choice.Thanks | |
How to cure severe stomach pain after eating?
Hi, may I answer your health queries right now ? Please type your query here...Hello. For the past 2 weeks my 6yr old daughter complains about her stomach hurting every time after she eats,it's not severe pain but she just lays down until it subsides. Should I take her to the doctor for testing? | hi, stomach pain could be due to acute gastroenteritis. In my opinion, you can give tablet buscopan 10 mg per oral if pain abdomen occurs. An examination by doctor should also be done to look for signs of intestinal obstruction. Prebiotic like enterogermina ampule should be given once a day to increase intestinal immunity. Curd is a natural prebiotic, it will also help. Kindly do investigation like complete blood count, stool for routine microscopy, ultrasound abdomen. Review with above reports. I hope this helps. Wishing your child good health. Take care. | |
Q. Why have my blemishes not improved even after extended use of Roaccutane?
Hello doctor, I am in my seventh month of taking Roaccutane. My weight is 57 kg and I am taking 40 mg daily. I am still getting acne and blemishes. I have one large blemish that is getting small in some days. I find it getting bigger once I wake up in the morning. I always tell my doctor about this blemish. She is saying it is going to take time to clear. Now she wants to stop the course for two months and start again later as all my blood tests results are good. What do you suggest? What is the solution? I have attached photographs. | Hello. I saw your clinical picture (attachment removed to protect patient identity). It is looking like acne cyst for me. The probable diagnosis is acne grade 4 with scars Is the blemish raised and painful? Can you feel that with your finger or is it just flat red blemish? If it is raised, as I am seeing in that picture, then you will need an intralesional injection of Triamcinolone into to affected area. This will help to clear it faster compared to Roaccutane (Isotretinoin). If it is flat red and blemishes then I would suggest you use Brimonidine gel to the affected area twice a day for one week and massage a little. This clears up the redness. I feel seven months of Isotretinoin is quite long treatment duration, but the treatment regimen varies from country to country. I usually see good results with three months of Roaccutane (Isotretinoin) 20 mg. It also depends on skin type and body response. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. I suggest you also take an intralesional injection of triamcinolone. I am sorry I really cannot comment on Isotretinoin therapy from your dermatologist. But you can discuss with your dermatologist regarding the intralesional injection of triamcinolone. Please attach the clinical picture with good visibility of skin lesion. For more information consult a dermatologist online --> | |
Is orofer Xt and anofer Xt same medicines?
Hi, is orofer Xt and anofer Xt , 2 different kinds of medicine ? My doc has written anofer Xt in my prescription but I get orofer Xt from the chemist shop. And I am taking it from past 2 months. Is it safe to take orofer Xt or should I look for anofer Xt ? Please answer my query. | Hi,Both Orofer xt and Anofer xt contains iron. Any of the two drugs can be taken. Both are iron tablets and can be used in anemia treatment. Only difference is Anofer xt contains iron, folic acid and many other vitamins where as Orofer xt contains only iron and folic acid.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician | |
Q. Is it necessary to have crutches for ankle pain after an injury?
Hello doctor, My ankle started hurting last week, and it has gotten worse, it is very painful and uncomfortable to walk. My question is, do I need crutches? I am a girl. | Hi. Looking into your problem it seems you are badly in pain and looking for things can help you walk so you remember about crutches. As simple protocols use simple formula RICE rest, ice compression and elevation of your feet are key sutra. For severe sprains, you might need a brace for protection and stability its good to use ankle brace having binder together in it. You may need crutches until you can walk without pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help to control pain and swelling. We need to evaluate ankle with Grade II or Grade III sprains. Grade III sprains with complete tears of the ligaments even might need surgery to repair the injured ligaments. One thing to remember is that always in most cases, follow-up rehabilitative exercises are to restore strength and range of motion in the sprained ankle-also help to prevent future ankle injuries. If it is not healed ,think of doing X-ray of ankle, you might not know sometime there can be hairline fracture too (stress fracture). | |
Suggest remedies for pain in my lower back due to kidney stones
Hi, I was diagnosed with a 4mm kidney stone 5 days ago (right side just above the bladder). Since then, I haven't passed the stone. Today, I have pain that is actually worse on the left side - lower beck, radiating up my back and down my left leg. My leg is also quite numb and my abdomen and legs are somewhat swollen. My weight has gone from 123-128 in the past 5 days as well. Should I be concerned? I have a follow up appt in 2 weeks with a urologist. thank you for any advice. | Hello,A 4 mm stone is usually expected to be passed out more than 90% of times. In the absence of fever or severe pain requiring multiple analgesic injections, one can wait up to 3weeks for the stones to pass out.In the meantime, the only treatment would be adequate pain killers and plenty of fluids which would have been advised by your treating urologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Karthik Rajan | |
Is there any treatment for forgetfulness ?
i have a problem of forgetting things in a very short time. whenever i see a new thing or a person, in a few second i forget the face or the thing. my age is around 24.please solve my problem | Welcome to Healthcare Magic You are having short term memory loss. It can be due to number of reasons. Avoid coffee. Get 6-8 hours of sleep daily. Avoid smoking and alcohol. Do Yoga, Pranayam for stress relief. Eat plenty of fresh fruits and vegetables. Drink plenty of water. Take breaks in your work and avoid overworking. Try these tips. It will help you. | |
How does the CT scan indication of chronic ischemic changes in the right cerebral hemisphere mean ?
How does the indiction of the following seen from a CT scan affect the patient Chronic ischemic changes in the right cerebral hemisphere and pons with exvacuo dilatation of the ventricles. Very thin chronic subdural haemorrhages in bilateral frontal region | Hello, Chronic ischemic changes are mostly related to changes in blood pressure (hypertension mainly). Subdural hemorrhage may be caused by minor trauma and follow up is necessary. Discuss with your Doctor for these issues. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
Suggest treatment for Scheuermann s disease
I am 60 yrs old and due to a bone disease in my spine (Schuermanns) and osteoporosis (many fractured ribs and broken bones), doctors have prescribed Soma, Butalbital/Acetamenophin, Fentanyl patches, sleeping pills, and Doxepin. I ve never smoked marijuana, but after the CNN documentary called WEED, I am interested in stopping all of this and switching to high CBD/low THC pot for pain, depression and insomnia. The studies are showing the pot is safer than all these drugs, especially at my age. What do you think? Sorry, I m on SSDI and can t afford those prices....screwed again by the medical establishment. Thanks anyway. | Hello,Welcome, and thanks for sharing your concern I went through your query, and I feel, you need to know that Scheuermann disease (also known as juvenile kyphosis, juvenile discogenic disease or vertebral epiphysitis) is a common condition which results in kyphosis of the thoracic or thoracolumbar spine, meaning thereby that there is bend in the spine.The treatment largely depends on the amount of Kyphosis.Is largely dependent on the degree of kyphosis:50-75˚: brace>75˚: surgeryI hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks. | |
Suggest treatment for poland syndrome
Hi, my right side of my fave is more underdeveloped then my left. My veins look shrivled on the right compared to the left. my hair is less thick on the right and faciail hair. my bone structure is smaeller on the right. my teeth are far more underdeveloped on the right.my eye is smaller on the right and my ear. i also think the right side of my body is smaller then the left. My jaw is less developed on the right too. its affecting my vision and my speech. it always has, but i feel like its getting worse but i have never had no diagnosis. i really want to get diagnosecd with somethinf to find out whether or not its fixable..please help please | you should do genetic testing for poland diseasei can not recommend any specifuc treatment untill you do so i hope i was of help to you Good Luck | |
Could swelling in fingers and itching be allergic reaction to contraceptive pill?
I have a 5 week old baby. Sometimes after I breastfeed, my fingers are very swollen, itch, burn and are red. I stated back on a low dose oral contraceptive about 10 days ago. The swelling has also happened in my feet. Could this be an allergic reaction? Thank you | HI, thanks for using healthcare magicIt does sound like an allergic reaction based on the symptoms that you have mentioned.Breast feeding itself would not cause this reaction, it would have to be some chemical agent that you are coming into contact with at some point.You may want to make note of different possible causes to that you can determine the most likely one.I hope this helps | |
Trying to concieve. No results even after chocolate cyst removal. Advised IUI. Suggestions?
hi i m shaila velip 29 yrs of age. i had completed 3 yrs. of marriage i m trying to conceive nearly one & half year i referred to gynaec after checking we come to know that i had choclate cyst it removed with laproscopy . after three months he started treatment again for conceive but no result found last month he suggested to do X-ray in that report found left tube blockage & now this month he suggested me do IUI .............now wat to do please help me if IUI is done for first time it is really useful or wastage of money please reply as early as possible....... thank you | yes it is definitely helpful .Pregnancy rates are high after Laproscopic removal of chocolate cyst within the period of 6 month - 1 year . | |
Suggest treatment for vomiting in a child
Hi my daughter is 15 month she developed a temperature this morning with no other apparent symptoms, I gave her the recommended dose of paracetamol and she seemed fine now shes very irritable and vomiting the medicine back up, she has had little to eat and drink what should i do please thank you in advance. | HiWelcome to the HCMI completely understand your concerns but don't worry. It seems to be due to mild viral infection of gut. You may take the following measures to help her:1. Give her Syp. Domperidone or ondansetrone for relief of vomiting.2. Keep her well hydrated by regular feeds and oral rehydration therapy such as lemonade, soups, Buttermilk etc.3. Start her on an antacid such as Digene or ranitidine for associated gastritis.4. Continue acetaminophen for relief of fever if present.Hopefully this will help you. In case of any further questions, you may contact me.Take care. | |
Chronic sneezing, runny nose, itchy eyes. Doing breathing exercises. What are the symptoms indicative of?
Hi Doctor, For a last couple of months I have been suffering from chronic sneezing. My day starts with sneezing and the symptoms get better by the evening. Throughout the day I keep sneezing with continuous runny nose and itching eyes. I am tired now even eating anti allergents like avil as it makes me dry mouthed and very drowsy. Ple help as my daily life is now badly affected. Yes sleeping makes it worse. I do breathing exercises but it is not helping. Regards................MeenakshiThanks | Hello Meenakshi,Thanks for posting on HCM,Your symptoms are suggestive of an upper respiratory tract affection and I suspect either one of two most common conditions that cause these kind of symptoms i.e allergic rhinitis and chronic sinusitis. How ever, both conditions require thorough medical evaluation (with ruling out of other conditions too) and both also require different treatments.A specialist doctor such as an ENT will be best suited to run a complete medical exams and therefore provide you with treatment.The management of allergic rhinitis consists of 3 major categories of treatment- environmental control measures and allergen avoidance- Pharmacological management- ImmunotherapyNow, these may seem to be big words, but be rest assured that you can handle the situation at your level. First of all, you will need to identify by yourself if they are any new elements in your life that might be provoking any allergies i.e identifying common allergens. Common allergens include pollens and outdoor molds, indoor allergens such as dust mites, animal allergens, cockroach etc. You will need to see if any are responsible, then you try avoiding them.Immunotherapy is only indicated in case medical therapy fails. There are a wide range of medications available with commonly used classes being antihistamines (1st and 2nd generations) such as cetirizine, loratadine, chlorpheniramine, diphenhydramine etc, corticosteroids such as prednisone, and anticholinergics etc. Chronic sinusitis, on the other hand, requires in addition to some of the above treatments, antimicrobial therapy such as penicillin, cephalosporins, macrolides etc. Your doctor should be able to indicate the right treatment ones a conclusion as to the exact cause of your symptoms is derived.hope this helps | |
Sensitive upper teeth. X-ray shows no decay, some erosion. Tooth ache. Is it normal?
My upper teeth hurt on one side -- cold & heat sensitive - had xrays -endodontist says no decay or absess. do have some erosion. But now for 3 days few minutes it aches randomly and radiates down cheek where muscle is. Is this normal amount of pain for this condition? Have been told to wait a few weeks for the nerve to calm down & over-counter meds are inefftective. | hi due to erosion, protective layers of your teeth i.e. enamel and dentine must have undergone erosion which is leading to sensitvity now. apply sensodyne or sensodent-kf. they are for temporary relief. for permanent relief, go to your dentist again and consult him regarding rct or restoraton if possible. if its in initial stage, restoartion will help in stopping sensitvity but if its advanced then you have to undergo rct. Wishing you speedy recovery with best regards Dr Ankit | |
What does tender to touch, itchy lump on base of skull mean?
My five year old daughter has a nickel size lump on the base of her skull. It is sometimes itchy and is very tender to the touch. I can not move it. It has not changed in size but has been around for about four weeks now. any ideas? wondering if I need to make a trip to ped. | Hi...by what you quote it seems that she is having a posterior cervical lymphadenopathy. Unless she is losing weight rapidly or having long term chronic fever or severe anemia or pallor, you need not worry. This type of innocuous lymphadenopathy can occur even with dandruff in scalp. If the swelling is not bothering her, you need not worry.Regards - Dr. Sumanth | |
What causes bright red blood in a child s stool?
My 3 mo old nephew was born with a heart murmur. He had bright red blood in his stool last week and now has an increase of dirty diapers with a lot of mucus in the stool. He had a fever of 102.3 but is now 98.6 diaper rash, a little irritable. He is exclusively breast milk sometimes from a bottle with a #1 slow nipple still | HiThanks for writing to health care magic.Bright red blood could be bacterial dysentery or intusussception.Urgent ultrasound is required, consult your pediatrician immediately.Wishing your child good healthRegardsDr Arun | |
What causes headache and passing out feeling in hot sun?
Hi My son tends to experience headache and seeing purple when he is exercising or doing work in the hot sun. There was once he cycled in hot weather and when he started seeing purple, he stopped cycling, sat down and felt like passing out but said he could control it. If he drinks some isotonic drinks before cycling, he won t experience this. As for doing work in the hot sun, he would experience seeing purple and a bad headache. I d appreciate your comments and advice. Thank you. | Hi.... bY what you quote I feel that your son is experiencing heat exhaustion very fast. This occurs when the fluid in the body gets evaporated very fast due to high ambient temperature like what you have described. At the same time when he has plenty of fluids and does the same work again he is not experiencing those symptoms, this means that he should hydrate himself very nicely before working out in hot ambient temperature or hot sun. But I suggest an evaluation by a physician. ...regarding this heat exhaustion.Regards - Dr. Sumanth | |
What causes stomach pain after egg rupture?
hi doctor, i have undergone follicular study. i have three follicles. one follicle on right ovary in 2.1*2.0cms and two follicles on left ovary in 2.2*2.1cms and 1.9*1.8cms. and the E.R is 9mm.....on 15thday my doctor put me an injection for ruptureon 17thday when i took scan the eggs were rupturedmy doctor told me that after injection it will take 24 to 36 hours for ruptureso she asked me to have intercourse after 24 hours from the injections for three days as many times as possible.....today is my 19th day..... i have stomach pain from the early morning 3.30ammy doubt is whether there is any reason for my stomach pain..... do i have the chance of getting pregnant..... | hello...thanks for trusting the healthcare magic doctors for ur health related queries.I guess ur concern is about..what causes stomach pain after egg rupture.well...egg rupture doesn't causes stomach pain, but it is mostly due to the acidity.some medication which are given during the process of ovulation induction(drugs r given for follicles development),or the drugs which are given for egg rupture may cause acidity which causes stomach pain. RELAX, IT IS NOT A BIG DEAL. everything will be alright.secondly let us discuss about the method u had go through. ur doctor giving you the treatment for getting pregnant as I told above(ovulation induction with drug for egg rupture). in this method after egg rupture we usually ask the patients to do intercourse as more as possible for better results. the same thing ur treating doctor had told u. DON'T WORRY u r going through the right treatment. there is high chances of getting pregnancy. so RELAX...KEEP PATIENCE.with the above discussion u can try out my suggestions-1. do intercourse as more as possible during this period period as ur treating doctor told you.2. feel free to ask ur treating doctor regarding this matter. he/she can help u.I hope the above information is useful, informative and helpful for u.regards-Dr sudha rani panagar(i can understand ur situation. RELAX..KEEP PATIENCE. I pray the God that u will be blessed with a cute n healthy baby..hopefully TWINS) | |
What causes squeezing feeling in heart?
Hello there, I have been experiencing a "squeezing" feeling in my heart for the last 2 days. The first day it had only occurred three times, hours apart from each time. Yesterday at work, it happened every hour, almost on the hour. What are some symptoms that lead to this? | Hello. Thank you for your question and welcome to HCM. I read your query. Providing your age would help in addressing your problem. However, I will try to address your concern. Pain caused from a blockage/narrowing within a coronary artery, is most common after the age of 45 years old for male population and over 55 years old for the female population. It is called angina, and presents more like tenderness, heaviness or squeezing feeling in the middle of the chest, rather than clear-cut pain. It arises in physical efforts, radiates to both sides of the chest, jaw, left shoulder and left pain. It signifies an important blockage within a certain coronary artery, which is "translated" in angina after the demand of supplying the heart muscle is increased (e.g. physical effort). If this is the case, then a full cardiac check-up is recommended. First, an EKG and an echocardiogram, then, judged by the results, a cardiac stress test may be suggested to you. If the latter comes back positive, a coronary angiogram would be in order, to assess the blockages within coronary arteries. I hope I have been of help. Wish you a good health. Take care, Dr. Meriton | |
Suggest remedy for pain in body and headache
Hi there I ve got slight head pain had it for 2 days now but can t feel any lumps or cuts etc in the area of the pain, my ear on the same side is a bit sore to but once again no signs of anything it may not be connected but I don t know. I had a accident where I fell on my head last Thursday but I ve only noticed the pain last 2 days. I m getting a bit worried but don t wanna go to docs as it means te off work. Also may not be connected but I had a bit of a sharp pain through basically my whole body today it only lasted one second it was like a jolt of pain... | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Regarding your concern, I would explain that your symptoms could be related to the head trauma, but they are not concerning about anything serious. Coming to this point, I would recommend having some rest, avoid straining physical activity in the next days and avoid any possible repeated head trauma. Painkillers (acetaminophen, ibuprofen) can help improve your situation. If your situation does not improve or even gets worse (severe headache, nausea, gait imbalance, confusion), I would recommend going to the ER for a physical exam and a brain CT scan to exclude possible delayed intracranial hemorrhage due to the head trauma. Hope I have answered your query. Let me know if I can assist you further. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Suggest treatment for swollen eye brow bone after injury
I work at a daycare and one of my children swung their head back and hit me right on my brow bone about my left eye. It was swollen all day yesterday and today it is still a little swollen. It is very painful if I move my eyebrow or make any facial movement. There is no visible bruising that I can see, but I was hit pretty hard. Any tips to make a quick recovery? | Hello,I can understand your concern. The injury you have got may take some days to heal. You can do ice application over the area to have relief in swelling. In addition, you can take painkiller like Acetaminophen 500 mg or Ibuprofen 400 mg to have relief in the pain. Unfortunately, there is less that can be done for faster recovery in such cases as the body takes it own time to heal such injuries. However, if the swelling or pain worsen, you should see a physician for physical examination of the area.I hope this answer helps you. Thank you for choosing HCM. I wish you feel better soon.Best,Dr. Viraj Shah | |
What causes twitching in the calf muscle with numbness on the feet?
I m having the following symptoms ; Twitching in the calf muscle primarily of the left leg, tingling , stabbing, electrical like shocking , numbness in feet. Pain subsides during sleep but I have to take sleeping medication. Previous two spinal fusion of the lower spine, L4,L5, S1. Degenerative disc disease throughout spine. Currently on anxiety , sleep and pain medication. Ortho surgeon is at a loss as is my neurologist. Pain getting worse along with systems. Dr suggested Mayo Clinic but I haven t found one for this issue. Any suggestions? | HimThank you for providing the brief history of you.A thorough neuromuscular assessment is advised.As you have undergone the spinal fusion of the lumbar spine levels L4, L5, S1, you need a thorough physical therapy and strengthening of the muscles to stabilize the spine.In my clinical practice post spinal fusion, most patients do not perform physical exercise to stabilize the spinal column and gets the symptoms back. Putting them back on physical therapy helps reduce the symptom and improves the mobility.RegardsJay Indravadan Patel | |
What causes an itchy red skin rash?
I am 20 years old woman. I have a ichy red rash that looks like a hickey. It looked like a bug bite a couple days ago but it looks like a hickey now. I recently started working out, I dont know if thats the reason. I recently got over a cold but I still have a cough but this time the cough hurts my stomach. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have gone through your complaints and would recommend you to apply a topical steroid and antibiotic cream like cortisone cream and Neosporin ointment on the affected areas twice daily. Hope I have answered your query. Let me know if I can assist you further. | |
Nodule below tooth, pain in lower jaw when mouth wide open
hello, I have a nodule below tooth 31 withinthe jaw which my dentist found out in the xray . it doesnot hurt and i cannot feel from outside but from last couple of days when i open my mouth wide it pains in the end of the lower jaw. Apart from this i don't have any other problem because of this nodule and my dentist has confirmed this is not cyst. What could it me. please answer. | Hello and welcome.The nodule could be a bony prominence,a tumor or a supernumerary tooth.It should be properly radio graphed.If the lesion is soft in nature an incisional biopsy can also be taken to confirm the diagnosis.Therefore in my view you must see your oral and maxillofacial surgeon.Hope it helps.Thanks.Take care. | |
What causes fatty liver with a heart rate of 52?
Recently diagnosed with a "fatty liver". I run 3 miles a day and also lift weights. I am 41, 6'3" and weigh 200lbs. All my liver enzymes have tested fine and I have no other health problems. My chloresterol is also not an issue at all. Heart rate is 52. I don't smoke at all. I do drink more than most people (musician)and my diet is not the best. One doc (urologist) says just eat a little better and drink a little less but the nurse practitioner says stop drinking or you may die. | Hello,Fallty liver with normal liver enzymes is not a cause for worry. The heart rate of 52 is not a related to the fatty liver.I would suggest cut down on alcohol to not more than two drinks per day. Even less if possible. Fatty liver might progress to liver damage with on going alcohol intake.But the odds of that happening are low.So my advise would be to cut down on alcohol, exercise and eat healthyHope this helpsDo get back incase you have further queriesRegardsDr Samir Patil | |
Severe back pain, had several back surgeries, having pain blocker in back. Dont prefer taking medication. Suggestions?
i am 50 and have had several back sur. i have been on all sorts of pain relievers nothing is helping the pain i have a pain blocker in back have been told by my doc that continue swapping around meds or sur is my only options don't like taking meds and dont like the side affects they cause have heard that taking thc by pill has little side effects stops pain and little or no buzz dont want buz just pain releaf | Hi,As you are 50 years and having backache indicates that you might be having some degenerative changes in your lumbo-sacral spines.Go for x ray lumbo-sacral region.Take calcium. vitamin A and D supplements.Go for physiotherapy like back extension exercise.consult orthopedic surgeon for expert opinion.Ok and take care. | |
What causes erectile dysfunction?
i have a doubt regarding sexuall intercourse ,i can go for only once and for the second time hardly after that its very hard i get eraction even if i wanted hav and i am not safisfying my wife . pls let me know how make it possible ! and am just 25 years old ! | Hello,Causes of erectile dysfunction are:-1) Psychological2) Stress3) Fatigue4) Diabetes5) Other chronic illness.6) Spinal cord injury.You can tablet sildenafil, one hour before intercourse after consultation. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with sex expert.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Shyam B. Kale | |
What causes episodes of sharp pain in chest?
I have been having a sharp pain in my chest coming and going all day lasting anywhere fron 30 seconds to 3 minutes. I am 43 year old female with PVCs and a mytrol value prolapse. Last week I had a electrical sensation go up my breast bone and down both arms. I also suffer from anxeity | Thanks for your question on Healthcare Magic. I can understand your concern. Since you are having PVCs (premature ventricular contractions) and MVP (mitral valve prolapse), we should definitely rule out heart diseases first for your chest pain. So get done ecg, 2d echo, stress test and Holter monitoring (24 hours continuous recording of ecg). If all these are normal then no need to worry for heart diseases. Sometimes uncontrolled stress and anxiety can also cause similar kind of chest pain. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. First rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Q. I am feeling gassy, and I have not had my periods in a few months. Please help.
Hello doctor, From the past few weeks, I have been feeling really gassy, and I have not had my period in a few months. I think I come from a family with lots of anxiety and stress, which delays your period. I also have a phobia of throwing up and I get anxiety from that. I looked up some stuff on the internet, and I think it is my period that is causing this. I have not been hungry all day, and I have been burping and farting a lot. My stomach has been making noises for no reason, and I cannot poop. I have pain in the upper and lower part of my stomach and a few headaches here and there. I have milk, egg, and peanut allergy. | Hello. It is gastritis and acidity problem. Stress and anxiety can cause both these problems and also periods problem. I suggest you try doing the following: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online --> | |
Q. How long will it take to get cured of lichen planus?
Hi doctor, I am suffering from acute eruptive lichen planus. I consulted a doctor and had some medicines. But still the marks are there and itching too. I am applying Lobate cream. Even now I can see new eruptions especially in my legs which are red in color and itchy. Please suggest some good medicine | Hi. Lichen planus is a chronic and self-limiting disease. It has been seen that skin lesions subside within 9-12 months in about 50 percent of the cases. Since you are still developing fresh lesions you will have to take a course of tablet Prednisolone 20 mg daily for 6 weeks which can be reduced gradually. You seem to have severe itching which is not responding much to Levocetirizine. I would recommend you take tablet Hydroxyzine 25 mg twice daily till the itchy subsides. Along with this apply Clobetasol propionate on the itchy areas. But if large surface area is involved, dilute it in a moisturizing lotion in the ratio of 1:4. This will surely help you. 1. Immune dysfunction. 2. Genetic causes. 3. Dental amalgam. 4. Stress. 5. Anxiety. 6. Depression. Lichenoid drug eruption. Lichen planus. Reduce stress and anxiety. | |
What prognosis is recommended for this GSP test result?
My mom s test for bleeding time is high and she is scheduled for surgury Monday. If number are not better Monday then they will cancel her surgery. We went and bought many foods recommened to build up and also Vitiamjn k 100 mcg. We want to know if she can take 2 a day rather than recommened 1 a day til surgery Monday? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. She may be suffering from liver dysfunction lead to elevation of clotting time or prothrombin time which may recover by vit k supplementation in vitamine k deficiency. But bleeding time used to know only platelet function and von willebrand factor etc. But your not mentioned how much is the platelet count. So vit k supplementation not much useful in elevated bleeding time patients. Dose once a day IM for 3-5 days. No need to give twice. I think I answered to your question if you have more questions feel free to ask. Hope I have answered your query. Let me know if I can assist you further. | |
How to cure a lump in buttocks area after injecting a steroid?
Hi Dr, I would really appreciate if you could help me. I have developed lumb (reddish and swelling) on my butt after injecting a steroid. I think the injecting process dint go correctly and the fluid got stuck in the fatty area. Can you suggest the treatment or antibiotic for it please | Hi,Any steroid or oil base injection is to be given deep intra muscular only.If given superficial then there might be irritation due to injecting material can give this problem.Apply ice pack 2-3 times a day for few days.If there is pain and swelling, go for one antibiotic and anti-inflammatory medicine course for 3-5 days.Apply thrombophob cream locally.Ok and ake care. | |
Is Melas cream 100% herbal?
I read about melas cream. Its ingredients list is purely herbal. But as per reviews it helped a lot to improve their complexion within 2weeks. Some has got redness. Do this really contain only herbal things or any steroids or hydroquinone ? Because i doubt can herbal things peel skin within a day or night | **1. Melas cream is both Ayurveda and Allopathy product so description provided is:. It is a triple drug combination of steroid with hydroquinone and tretinoin and is usually prescribed by skin specialist for Melasma, and due to the presence of steroid one should not use it on face which may lead to side effects like acne, photo sensitivity,thinning of skin,hirsutism in females, as such it should be used under the supervision of dermatologist to prevent steroid abuse.. Ayurveda melas cream is herbal and causes exfoliation of skin and should be used at night and not during day, since due to thinning of skin there might be sun burn. | |
Do decreased heart rate, mild headaches and mild pain in the heart need immediate medical attention?
Hi, I am concerned with my heart rhythm when I am sleeping. My heart rate slows so much I have a hard time getting a pulse. It is definitely erratic and I am afraid it will stop beating altogether. Also, I have a mild headaches in the mornings when I get up and mild pain in my heart. | Hello, I would like to tell you that generally, our heart rate gets slower during sleeping hours but it’s recommended for you to get an ECG and A Holter Analysis done just to monitor minimum heart rate or cardiac block, and consult a physician with reports for further management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | |
How to know if contraceptive pills are working?
Hi doc,.my lmp may 12,2014 and we had sex june 3 around 1am... I took nordette 1st dose 9:15am and 2nd 9:15pm...im 28-30day cycles.. After taking the last dose, i dont experience any side effect..is it working??? It is my first time to take contraceptive pills..is there a chance to be pregnant??? | hello user,dont worry, you wont get pregnant because you have taken contraceptive pills on time..thanks.. | |
Q. How to cure cough that occurs due to a hard laugh?
Hi doctor, How to cure the cough that occurs on a hard laugh? | Hi. The cough that occurs due to a hard laugh is usually due to dryness occurring in the respiratory tract. Normally, you would not need to do anything. At first, you can drink some water and see if it provides any relief. If you are experiencing too much of irritation, you can do warm salt water gargles or have a teaspoon of honey. | |
I am not very happy with the relation I am having with my husband these days? he is prety busy in work ? He does not come home at time and is always is busy with the work. I sit in home whole day with the kid and do nothing. How to make him interested in me again ? | Ok, this is a bit of adjustment issue. I would suggest you to talk to your husband openly about it and also tell him life is not just full of working and their are other aspects as well. Health includes physical, mental, social, sexual, vocational, spiritual health, etc. Everything needs to be considered and one aspect will help the other. Each aspect has to be given due importance. Do tell him about the same. | |
What causes low back pain with lumbar radiation and limping?
my 22 year old grandson has low back pain, lumbar radiation around, and limping. He is active at football and basketball. His doctor mentioned a possibility of ankylo spondylosis and some blood tests to check for a gene which might be involved. Please explain whaat this might mean. thank you | Hello, I have studied your case with diligence.You may need to do MRI spine.Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased you have such stiffness in spine? Clinical examination is also required to diagnose it.You can do blood test for HLA-B27 to confirm it.If all test are normal you may need proper exercises and lifestyle modifications.Till time continue medication and physiotherapy.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | |
What does growing, painful lump on back of head mean?
hi. i am realy worried as i have had a lump on the back of my head (near the top) for a couple of weeks growing all the time and allways painfull, the swelling of this lump has stretched down to the bottom of head at the back of the neck. tonight i found 3 smaller lumps near this large one and they are only tender to touch where as the large one is painfull all the time. i take codine pain killers for hip athritus and back pain but the codine is no good for the head problem. i was reciently diagnosed with mild narcolepsy due to constant tiredness and short term memory problems . i am worried as there is history of cancer in my family | Hi, dearI have gone through your question. I can understand your concern.You may have dermoid cyst, lymphnode or some skin adenexal tumour. You should go for either fine needla aspiration cytology or excision biopsy and take treatment according to diagnosis.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health | |
Suggest treatment for cough and cold in kids
my 2year old son is suffering from severe cough and cold. he was asked by his doctor to take ambrolite-2s and bricanyl both 2.5mg......he has been having this cold and cough for the past 3weeks now and it keeps coming back...should i continue giving him these medicines? in between i also gave him althrocin liquid for 5 days and when i saw some improvement stopped it...now again his cold is back and he is vomiting mucous along with food | Hi,Welcome to Hcm,Recurrent episodes of cough, cold can be suggestive of reactive airway disease. Especially if he is again and again getting exposed to dust, smoke or some allergens which might be triggering his problems. You need to identify those and try to avoid those exposures in him. Few measures like dusting mattresses and drying in sunlight twice in a week. Wet mopping of floors. Avoid smoke inside home. If such measures doesn't help, then it might be necessary to start him on preventer medications. For that a confirmation of the diagnosis needs to be done by a pediatrician . hope these measures helps. Happy to clarify further doubts. Take care. | |
What is the diet chart for patient having Liver abscess?
THE PATIENT HAS LIVER ABCESS SINCE 17 DAYS , PRESENTLY THERE EXISTS 270ML OF PUSS AND HE HAS BEEN DISCHARGED . ALSO SUFFERING FROM DIABETES AND IS CONTROLLED BY INSULIN INJECTION, THE PATIENT S AGE IS 55 , WEIGHT IS ABOUT 60KG . I WANTED TO KNOW IF YOU COULD HELP ME OUT FOR A DIET CHART FOR HIM AS HE STILL HAS LIVER ABCESS EVEN AFTER BEING DISCHARGED , I TRIED FINDING IT ON NET BUT NO SITE IS DISPLAYING A DIET CHART FOR A PERSON WHO HAS LIVER ABCESS AND IS ALSO A DIABITIC PATIENT. PLEASE HELP AND REPLY AS SOON AS POSSIBLE. YOURS FAITHFULLY, HARSHESH CHOPRA | I think then you should continue with the same diet of diabetes that he used to use before. It will be o.k even with that adjoined abscess of liver. The better the control of his diabetes, the prompter his recovery will be. | |
Diagnosed psychotic, was on Sizodon and Risnia, now Arpizole. Is there any cure?
Hi,My concern is regarding my sister as she has been diagnosed as psychotic. We started her medication 3 years back with Sizodon and later moved to Risnia as prescribed. Within this medication she got married and things were all normal. But last year she had a daily argument with her husband and hence we had to bring her back. We took her for check up in a dedicated psychatry dept of a reputed hospital where doc's kept her on observation and changed the medicine to Arpizole 15 mg. They kept her there for 21 days and all this time she showed good signs of recovery. Since the start of her problem she was reluctant to take medicine by her own and once back from hospital again she showed annoyance on being asked to take medicine. Anyhow my mother gave her medicine in juice or food without my sister's knowledge. Recently my sis wants to go to her husband's place and even he is ready to take her but he asked her to commit for medicine. She agreed instantly for that but could not keep her promise even for a day. She hasn't gone there yet, and is showing a real rude and aggressive behavior. Now she even knows that medicine is indirectly given to her so she has stopped taking anything cooked or served by my mom. After spending those 21 days in hospital she was really active and showed numerous improvement in her behavior, but now things are changing drastically. I want to ask you if there is any cure to this disorder and how we can help ourselves to understand her better.Regards. | DearWelcom to HCMWe understand your concerns.Your sister is doing well in hospital situation in itself is heartening and promising. Arpizole 15 mg is good and she is doing well for tht medcation.About the second part, psychosis patients always are reluctant to take medications. They always say that they are normal and there fore why medication. Normally they will be insisted to consume medicine. But latest research shows that if they were convinced that the medicine is for their mental problems, they don't hesitate.Try in that way.Wish your sister speedy recovery. | |
Should i be concerned about the mass on the fornt of neck?
I WENT TO MY ENT DOCTOR AND HE CHECK MY THYROID AND IT WAS NORMAL AND THEN HE NOTICE A BLUG ON THE FRONT OF MY NECK AND TOLD ME IT WAS A MASS AND FOR ME NOT TO WORRY AND I AM TOLD IT NEEDED TO BE REMOVED. WHICH I AM SCHEDULE TO HAVE THE SURGERY THIS MAY. DO I HAVE ANYTHING TO WORRY ABOUT LIKE CANCER OR WHAT? I AM CONFUSED. AND IS IT DANGEROUS? DAWN | Thanks for your question on HCM. Mass in neck have many causes. And it can be due to either benign or malignant causes. Benign lesions are1. Lipoma2. Dermoid3. Infective enlargement of lymph node. 4. Benign thyroid cyst etc. Malignant lesions are1. Malignant lymphnode involvement. 2. Thyroid malignancy etc. So surgical removal and histopathological examination is needed to rule out these causes. So don't worry, get done excision and biopsy of mass. Further treatment is based on etiology of the mass. | |
What causes abdominal cramps with pain in anal region?
Hi, my fiance just got over the flu last night.when I woke up this mOrNing I had really bad stomach cramps like I needed to poop and I can't.my butt hurts and I did thrOw up the ford from the night before so I don't know if its the flu or food poisoning, but my butt hurts and its giving me stomach cramps bad.isit normal | Hi.This may be due to gastroenteritis / food poisoning. Could occur as the body resistance goes down due to preexisting flu. The pain in the anal region can be due to proctitis as part of gastroenteritis. I would advise you the following.Get physically examined and for the vitals from your Doctor as you have to get a prescription for treatment. Antibiotic, metronidazole, domperidone and PPI; also take probiotics, activated charcoal tablets, banana with curds, a spasmolytic. If you do not get results with this , you may need further investigations to rule out any underlying cause like diabetes or so. | |
Recommend treatment for leg injury
my son had road accidant lorry drove his legs he was 3 months hospital he lost righ leg skin an most felsh they use integra then skin graft. afther 2 years, 3 days ago his righ legs swolow hi had fever the doctor don,t know please tel me what u think and what as doctor to do thanks | It cud be cellulitis, al soft grafted going for infection.pls go for a blood culture, or biopsy culture and put him on the sensitive antibiotics, as early as possible, other wise the infection can spread to other parts | |
Suggest treatment for high blood pressure
Hiii my father is suffering from high BP ... we hv consulted many doctors and dey hv recommended to do exrcyz n ol n to eat healthy... bt d thing is dat my fathera exrcys daily fr 2 hrs n alwez eat healthy .. n he is taking amtas frm last few months .. bt still he ia unable to cure dis problem .. kindly advice wat shud we do ... | Hello, Please note that light exercise as walking decrease blood pressure in people who were sedentary already. As your father is already exercising and amlodipine is not working, then I will recommend adding ramipril to amlodipine. I will also suggest decreasing salt, alcohol, coffee , tea, energy drinks. Plenty of sleep advised. Most important is kidney function tests as blood urea, serum creatinine, serum uric acid, etc. Keep his blood pressure below 140 /90 mm Hg. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Varinder Joshi , General & Family Physician | |
What treatments are suggested for flabby wing ?
I am 53 W.F. with electrical sensation upper left arm, behind the bicep ( where us women call it the flabby wing ) it is intermittant and this just happened 3 days ago, it was moderate and now reduced to mild sensation..felt it with extension ( brushing hair ).... | Hi, This problem of electric sensation could be due to multiple reasons. The main cause is pressure on the nerves in the neck. Please consult Orthopedic surgeon, who after examination, will tell you the next step. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon | |
What causes itchy welts on the arms and thigh?
The last 10 days I been fighting poison ivy. I took a shot 9 days ago and took the last of of predniSolone MedPak. I notice few welts 4-5 days ago but got worse 3 days ago. They go away slightly but comes back out and very itchy. They are o arms and thighs. I am still healing from the poison ivy. | Hi..Thanks for the query..As the diagnosis is clear that you have developed poison ivy rash along with hives ad welts...Redness, soreness and itching is an outcome of allergic reaction only..First of all start taking anti histamines like Benadryl or Levocetrizine to reduce redness and itching..Continue with another course of Prednisolone but only after consulting your Physician..Do cool compresses over the rashes..Apply a steroid ointment like Triamcinolone Acetonide to reduce inflammation, swelling and redness..If there is pain anti inflammatory painkillers like Ibuprofen can relieve..Avoid scratching it to avoid infection.If there is still no improvement consult an Emergency room and get evaluated..Hope this helps.Regards. | |
What causes body aches,stomach upset and back pain?
My 11 year old son has been complaining of body aches, upset stomach, back pain, and pain on both sides in the back. The upset stomach and back pain has persisted for 3 1/2 days. The other symptoms appeared two days ago. He is not running a fever but does complain of hot and cold sensations. | Hi....Even though there is no fever, I feel that this is still a viral illness due to the nonspecific systemic symptoms.Usually viral infection behaves similarly. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all.Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Regards - Dr. Sumanth | |
Suggest treatment for allergic cough in a child
doctor,my son is 2and a half yrs old.he is getting allergic cough.what is the cause for it and the preventions.At times when is suffering cold along with cough he gets a mild wheezing.will wheezing be a permanent problem for him or how can it be treated | Thank you for asking querry.See wheezing will occur whenever he gets the allergic episode ad its not permanent.He gets it due to either increased sensitivity or family history of allergies.If he gets recurrent episodes in a year he may need preventive therapy in form of inhalers.Hope you find this helpful.Rate the above answer if you like it.Regards,Dr rushikesh kute | |
What is the red and painful pimple on my butt?
I had what looked like a small pimple on my bottom but not it is hard, red and painful. I was able to squeeze it to relieve some pain. It does not appear to have pus. I have been applyin peroxice and neosporin. Cuould this be a staph infection? I have had one before. Should I get medical attention? | Hi, I had gone through your question and understand your concerns.It may be a staph infection or it could due to worm infestation.Use antibiotic AMOXICILLIN 500 mg twice daily 3 days and ALBENDAZOLE 400 Single dose(for warm infestation).To decrease the inflamation use pain killer like IBUPROFEN.If it get repeated continuously check for BLOOD SUGAR levels, because FURUNCLES are more common in diabetics and malnutrition.Use a multivitamin tablet daily.Maintain hygiene.You can also use alternate cold and warm compresses which will fasten the healing process.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. | |
Q. What causes reddish brown discharge with irregular periods?
Hello doctor, I am concerned about my health, I have not had a regular period in almost three months. I have been having brown, reddish discharge but I am most certain that I am not pregnant because I have not had intercourse since two years ago, my stomach has been hurting and I have gained weight as well, I did go to a gynecologist and they gave me medicine to reset my period which helped but then it stopped again. | Hi. Most of the time, irregular periods are part of the normal changes that can happen when you are a teen. Sometimes, irregular periods can be caused by some medicines, exercising too much, having a very low or high body weight, or not eating enough calories. Hormone imbalances can also cause irregular periods. Included in these, more serious causes are ovarian cysts, thyroid problems, exogenous hormones. In view of you gaining weight and experiencing stomach pains I would suggest that you visit a gynecologist to have blood tests done and a pelvic ultrasound. FBC, thyroid function, hormone profile, B-hCG, pelvic ultrasound. Visit your gynecologist before doing anything. | |
How to treat abdominal pain?
I had ulcerative Colitis many years ago. In june this year i had a tummy bug that was going round, only lasted 1 day. After that i began getting abdominal pain so got Predsol enimas from my doctor, these helped. Now, whenever i spend a penny, i always have leakage from the back passage. What could have happened. I am 64yrs old and otherwise in good health. | HI.Thanks for your query. Read about your history of ulcerative colitis, tummy bug and leakage from back passage. It is possible a secondary infection of the gastrointestinal tract.I would advise you a course of 5-day antibiotic, metronidazole and supportive medicines like probiotic, multivitamins, Activated charcoal tablets.Review after 6 days if no relief. Then to undergo all relevant investigations like blood sugar, thyroid function tests, urine , stool and ultrasonography and colonoscopy . Start on the proper mesalmine and such medicines under the guidance of a Gastroenterologist if there is no relief. | |
Q. My 3-year-old daughter has constipation even after giving Lactulose and Miralax. Why?
Hello doctor, My daughter has constipation since she was 2 weeks old. She is now 3 years old, and constipation is still a huge issue in her life. She has been on Lactulose and now Miralax. The Miralax does not seem to be helping much anymore. We have seen four different GI's and none of them have any answers as to why this is happening to her. My baby girl needs help. She screams and cries when she has to use the bathroom and there is nothing I can do to help her. We massage her belly, give her plenty of apple juices, and prune juices. We have even increased the fiber in her diet and nothing is helping her situation. We have done Celiac thyroid and barium enema x-ray. Please help. | Hello. From your history I would like to improve on the following facts: Increase the intake of water being consumed by the child. I would advise consuming at least one to one and a half liters of water daily. Avoid consumption of any bread or bread products like cake, pizza, burgers as much as possible. You can limit their consumption to once a week to maximum twice if all is well. Reduce the consumption of milk and limit it to 250 ml daily. The diet that you have explained above is fine. Continue the same with the above modifications as mentioned. You may need to give the child lactulose twice on a daily basis for a week or two with the above modifications to see the change. Above all, I would recommend to get the child examined physically to rule out any fissure that may have developed due to the hard stools and which is now preventing the child from passing stools peacefully. I hope this helps. | |
Red pin pricks across chest, tender breast, arm pits itchy, constipation. Bowel cancer?
Hi I have noticed tiny red pin pricks across my chest area? My breasts have gone up a cup size almost over night and feel heavy at times, I get a weird sensation a few times through the day kind of like the feeling of when my breast milk came in ( I am not pregnant and my youngest is 5) my breasts have been tender and my arm pits are very itchy at times which I ve been experiencing on and off for a year or so. I have also had a change in my bowel habbits, used to go every day but now I go constantly for a few days and then not again for 4 days. My dad passed away last year of bowel cancer (actually had mucosal melonoma) does all of this sound normal? | Hi kirstie, Your history points towards some insect bite allergy. It may be even due to other cosmetic or dye allergy. You have to visit a physician and get yourself examined. If there is any suspicion of cancer you may hv to undergo mammogram and an FNAC. Cancer in your dad certainly increses your risk of getting some other cancer. So early diagnosis of cancer is worthy with proper screening. Dr. Mohammed Ibrahim Surgical Oncologist mdibrahimdr@yahoo.co.in | |
What to do if having burning in chest and throat which aggravates when bending and deep breathing?
Last night I thought I had hearburn...I ve never really had it before. Had a pain/burning sensation in my chest and throat, along with a headache. Took an advil and a Zantac. Symptoms are the still the same and it feels worse when I bend down and take a deep breath. | Thanks for your question on HCM. I can understand your situation and problem. In my opinion we should rule out cardiac and pulmonary causes for your symptoms. So get done ecg to rule out cardiac cause. Get done chest x ray to rule out pulmonary causes.If both are normal then no need to worry much for cardiac and pulmonary causes.You are having mostly GERD ( gastroesophageal reflux disease ) mostly. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So better to start Proton pump inhibitors. Avoid stress and tension. Avoid hot and spicy food. Don't worry, you will be alright. | |
Q. I came in contact with dried blood. Am I at the risk of getting HIV?
Hello doctor, I am a lab worker, at the time of the incident I was standing in front of an empty centrifuge and as I held one of the tube inserts upside down to clean it, speks of dried blood fell out of it. I am not sure if any of it went into my eye and I am worried. I wanted to ask if HIV can survive in those dried blood flakes.I am really stressed, it has been 2 weeks since the incident. I am up to date with my hepB vaccinations. At the moment I have a bit of sore throat and 37.1 degree fever and I am really scared. I did see a doctor on the day of the incident who reassured me that I am not in danger, I also wanted your expert opinion. | Hello. Good that you have got hepatitis vacine. In dry bood, HIV virus does not survie. Hence, any contact with dried blood will not transmit HIV. Do not worry, you are safe. | |
What causes discomfort and mood swings while on Keppra and Vimpat?
Why do nuerologist insist on my daily intake of 500mgs Keppra sustained release and 200 mg Vimpat still 5 years after sucessful brain surgery and no seizures. I experience irritabiltiy, mood swings, below avg body temp and am tired in the day. Also have tendency to cold sores and cancer sores. I do well with the vimpat and would like to continue with Vimpat and have doctore ease me off of the Keppra. Any feedback? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would explain that your mood swings could be related to Keppra adverse effects. From the other hand, mood swinging could be also related to brain surgery. Anyway, I would recommend discussing with your doctor on the possibility of stopping gradually Keppra. Hope you will find this answer helpful! Wishing good health, Dr. Iliri | |
What can be done for this bump on the gingiva that is painful ?
hi, my neice is 4 years old and has a strange bump on her gingiva right where her left lateral incisor tooth is and she is complaining it hurts her, it has been there for a solid 5 months now and resembles some what of a canker sore . what could this bump possibly be ? | Hello, The bump may be due to aphthous ulcers resulting from- Vitamin deficiencies. Immunologic abnormalities. Poor oral hygiene. I would suggest you to maintain good oral hygiene. Give fluids and water to keep hydrated. Take vitamin rich diet. Take vaccines at proper time.Maintain good oral hygiene. Brush your baby's teeth using soft-bristled toothbrush. Take care. Hope this helps. | |
What is the right treatment to get rid of kidney stones?
Hi, I have three kidney stones, one in my right kidney and two in my left. Recently, I have been having alot of pain and I have been given Tramacet for the pain. Can you please tell me what are the different ways to get rid of them conseidering the fact that they are still in my kidney??? | Hi, welcome to HCM.Kidney stone can be obstructive to urine passage or it can be non obstructive and silent.Stones which are >6mm or obsructing the urine passage require treatment.Recurrent kidney stones or multiple stones require evaluation for the cause - why they are forming- by 24 hour urine analysis and few blood report.Kidney stone of any type can be simply prevented by adequate water intake, salt restriction, non-veg restriction and prevention of urine infection.So, don't worry. Do above tests.Feel free to communicate further.Best wishes. TC | |
Q. What could be the cause for strong and fast heartbeats with difficulty in breathing?
Hello doctor, I am 31-years-old male and a heavy smoker. I usually have some problems with GERD, but when I take Nexium, I feel I am suffering recently from the following symptoms. During my day, around two times, I got episodes of the following while resting. 1. Strong heartbeats. 2. Accelerated heartbeats. 3. Feeling my stomach blow. 4. Difficulty in breathing. 5. Sweating. The episodes last for might be two minutes. I have visited a cardiologist, and I made the following analysis, 1. Thyroid hormones. 2. CBC. 3. Urine. 4. ECG and stress ECG. 5. Holter for 24 hours. 6. Chest X-ray. 7. Breathing test. All measures are normal except high cholesterol and LDL. Now the episodes come maybe once every couple of days. I do not know what is the reason could be? . | Hello. You should curtail your smoking which is the reason for the increase in cholesterol as well as increasing your heart rate your heart and must be going very high due to stimulation of the heart by the nicotine and hydrocarbons limited by smoke the possibility of infrequent supramental arrhythmias cannot be ruled out by the test you had done. You have to do ECG immediately once you have the episode or will need a loop recorder or event recorder for the diagnosis of arrhythmia if the incidents are recurrent. | |
What causes blood in urine and semen?
My brother has been passing blood in both his urine and semin. His urine passing begins as blood, then urine, then blood clots at the end. The blood is visible all through his semin. He has had problems with hsi kidneys in the past but his doctor has ruled that out on this occasion because he is not feeling any other symptoms or feeling unwell. Could you tell me what the diagnosis could be? | Hi, There are many reasons for your brother's issue. It can be due to urinary tract infection. It can be due to renal pathology. It can be due to malignancy. Doing an ultrasound pelvis can help diagnose the cause. Go to the ER and get it checked as early as possible. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | |
Suggest treatment for severe knee pain
Hi, I was wondering what might be happening to my knees while I m jumping. Below my kneecaps and at the top of bone below that there is a sharp pain and it feels like my legs could pop right out. My parents think that this is a result of not stretching before going jumping but I do not know why it would make my leg feel like it could burst out right below the knee cap. It would be great to know if this can be prevented or cured from the pain. Thanks. | do not just over exert your knee in a single go, learn to take rest and graded activity under a trainer if that feels more comfortable.mean while take Tab Paracetamol 500 mg three times in a day for 2 to 3 days. | |
Tooth abscess, flesh colored lumps, tender gums between teeth. Treatment?
I have an abcess on a tooth but have noticed a lump on either side of my mouth on the top of the inner cheek. the lumps are flesh coloured soft and don t hurt. should I be worried. I only noticed them this evening. there is also a tender part of the gum/cheek at the back between the top and bottom layer of teeth although I m not sure if this is related as it is not near the lumps. | hello and welcome to HCM forum, according to the dental history presented by you it seems that you have a dental abscess which causes pain, swelling and pus discharge in some cases. i would advise you to see your dentist and get the tooth treated to avoid the infection from spreading to the surrounding tissues. also, for the flesh colored painless lumps, it is better to see your dentist as he/she will check clinically and rule out the diagnosis, it may or may not require treatment. i recommend you to maintain proper oral hygiene, use a soft bristle tooth brush with any tooth paste of your choice, use interdental brush or a dental floss to clean areas between the teeth. brush your teeth twice/daily and floss once/day, kindly follow these steps to prevent plaque formation, which in turn will keep your mouth free of oral problems. i hope i answered your query, i wish you good health. | |
Treatment for curved penis, premature ejaculation and erectile dysfunction
hello,,i am 30 yrs unmarried male,going to marry this year,no sexual relation uptill now.Now i am filling hardness pb,& early discharge,,,& i have completely curved penis at left side,,,it may create pb in my sex life?pain in my left thies & all part feeling weak,,,,plz suggest.... | Hello, Normally there is a little curve in penis. However, if this curve is large enough it can cause problems in sexual intercourse. I suggest you visit your urologist for complete checkup and tests as well. I hope you will get cure before marriage. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr SAMEEN BIN NAEEM, General & Family Physician | |
Why does WIDAL test show positive with no fever or any symptoms?
Hi A week back salmonella o typhi count was 1:80 n salmonella h typhi count was -ve Doctor advised to take taxim o 200 mg. (antibiotic) I got the widal test redone. Surprisingly, salmonella o typhi count is the same but salmonella h typhi count has also become positive 1:80.. no fever as of now.. pl advise | Hello, Thnx to contact us. If I am your treating doctor I would like to advice you that Widal results may be high if you are chronic carrier of the salmonella infection. If you had been previously infected and treated, it may be possible that you become a carrier for salmonella so you are having high widal result. If you have anything else to ask please contact me. Thanx. Dr. Arun Tank; Infectious Disease Specialist | |
How to get rid of allergies?
HI I am 33 year old and very prone to allergies. I live in India. I had a bit of sore throat and started on mild doses of antibiotics. The sore throat almost went away. I had some scotch with ice post that and this led to really heavy voice and dry cough. This started getting worse and took another coarse of stronger antibiotics. I am on antibiotics now for 8 days. My throat is better now and dry cough is less but I am still not fully recovered. e.g.If I want to make a shrill sound I cant. My doctor advised me to finish the antibiotics course (10 days in total - so 2 more dosages left) and not to speak too much. Pls advise what it is? | HelloAs you mentioned in your query that you are very prone to allergy .Let me explain about few facts about the allergy as now a days most of patients are prone to allergy . Predisposing factors responsible for allergy are , hay , dust , fine dusting powder, pollen , mold , sudden increase or decrease in temperature , humidity , fodder etc. If possible please avoid these factors. In allergy usually these develops bronchoconstriction , hence cough ( usually dry , if infection together productive cough ) . As you mentioned that there is pain in throat , so this pain may be due to either INFECTION or ALLERGY. When such type of patient visit in my clinic I advise them to take monteleukast+ bambuterole tablet once or twice in day according to severity of infection and allergy & symptoms .Usually patient responds very nice . If infection also present I prescribe them to take "levofloxacin 750 mg " once in a day for 5-7 days.Since this is a prescription medicine so please consult your treating doctor .Hot saline gargles and hot coffee is also very much effective.Hope this information will help you. | |
Tongue cancer survivor. Need good doctor address
I am trying to find a doctor and a support group for my son who is a tongue cancer survivor. Please help us in any way that you can. We are living in Durham, N.C My son is 56 Yrs. of age and due to his problem, he cannot talk clearly. I am the mother and he has asked me to try to find some one to help him. Tele: 919) 358-1298 E-mail YYYY@YYYY | Hi, it appears that the plastic surgeon to reconstruct the tongue , and dentist for creating a false roof type denture at low level than the actual palate and a speech therapist for improving the speech. This is what the information i can give you , rest you can search in these areas. Thank you. | |
What is the cause of red bumps in my nipple and white bubbles in the baby's mouth?
hi I am breastfeeding my 8 month old son and I discovered some small red bumps around my nipples and they are really itchy also my baby has developed some kind of white bubbles which are peeling off in the inside of his lips. Should we look for medical advice?Thanks | Hi...the red bumps which are itchy could be an allergy. But the white bubbles and patches in the baby's mouth could be a fungal infection. I suggest you seek the medical attention of a pediatrician.regards - Dr. Sumanth | |
What causes movable lump in knee?
Hi, I have in the knee area a lump but it moves and doesn't seem to be on my knee but on my skin. At first I thought it was a cyst. It didn't hurt until last week when it got swollen, red and very painful. Now after 1 week it's better but still reddish. I am waiting to get a magnetic renosance to check if it has something to do with my veins. What do you think??? Please helpThanks in advance for any responses | Hi.Thanks for your query and an elucidate history.Yes, MRI is the best investigation but a good clinical examination by a Surgeon is the better way to get a proper diagnosis. Get a course of an antibiotic if it is still red. Most probably this is just a boil... | |
Suggest treatment for recurrent severe stomach ache along with dizziness
last month my son had severe stomach ache from few months doctor sugested diof syrup and milk of magnesia for 15 days.he was fine for a few days but again this month he started complaining again.he also feels dizzyness and headache at school and in bus.plz suggest | Hi, I am sorry for the situation your son is facing. As long as doctors prescribed diof syrup and milk of magnesia, this makes me think that your son was having diarrhea problems. If I was your caring doctor would go deeper and run further tests to determine the right cause: examination of stool for ova/parasites and culture of stool for pathological bacteria/candida and abdominal ultrasound. Meanwhile, I advise to:- consume more fluids (water mixed with ORS) to avoid dehydration- take OTC pain killers to get headache relief- take probiotics (e.g. lactobacillus) to stabilize intestinal floraWish fast recovery!Dr.Albana | |
Q. I consumed food containing toxin. Please help.
Hello doctor, While I was having fast food in a restaurant, I found some material not familiar to me in the food. Two days later, I visited the same restaurant and had the same food. But there was no similar material that I found two days ago. After that event, I have been thinking if that substance is fatal to health. Of course, that seems very unrealistic since I am still alive. I am very confused. If I eat some toxic chemical substances which have toxins, is it possible for that substance to act later or very slowly (maybe two to five months later) ? I know that our body has the function of detoxifying the toxins. Even then I am scared our body might fail to detoxify. If I know what material it was, I do not need to worry. But, since I do not know the toxic material, I am very curious and scared. Please explain to me in detail. Sorry to ask such an odd question. | Hi. I would like to give a scientific explanation of food/chemical toxicity. The ingredients used to prepare fast food may not always be the same. The cook may use different brands, different batch of the same manufacturer, or different item itself. The procedure of cooking is also subjective. Hence the taste what we get once may be different from the second time. A difference in the taste or missing something second time compared to the previous time also happens due to consumer psychology (who eats the food), the level of hunger or mood or the environment. And you are healthy in other words alive after eating that food which means it is not fatal to you. There are many dangerous or toxic foodstuff which we use commonly. It includes vegetables exposed to pesticides, meat exposed to antibiotics/hormones during farming, preservatives, flavors, taste enhancers (including some chemicals which make you addicted to using it again). Our body can detoxify and excrete a few of these toxins. It is possible for a toxin to act in the body or show its bad effect for a maximum of one week. The washout period for any chemical is 14 days. It means after 14 days, any type of toxin gets excreted out of the body. Hence it cannot show its effect after one month. Consuming the same chemical daily through food or exposure to chemical hazards continuously can produce some amount of visible bad effects on the body organs such as liver or kidney. It will not happen with a single dose. If the single dose is high, then the side effects appear immediately and go off gradually after few days. The amount of toxins deposited within the body gets detoxified slowly and will be excreted over a period of time. Thus, the amount/volume of toxin in the body will be definitely lesser than earlier. One-time exposure will never cause late effects in the body. Either it shows its bad effect immediately or as early as possible. No later effect is possible. Long time exposure to chemicals will affect the liver or kidney, and they get altered in their microscopic structure. Because of this structural alteration, the function of that organ gets affected. This can be clinically seen with some symptoms. There are laboratory investigations to check the damage caused to any particular organ. This will tell you if the liver/kidney is affected or not. But, such a damage will never happen with single exposure to toxins in food. | |
Q. How to use Contractubex combining with SPF 30?
Hello doctor,How to use a product called Contractubex? I bought it but for some reason, it does not come with usage instructions. How do I use this product but combining it with SPF 30? I would like to know how to use it for a fresh surgical scar. Can someone please tell me how to use it with SPF 30, that is how to combine SPF 30 for a surgical scar because Contractubex does not come with instructions on how to use it mixing it with SPF 30. I had surgery on right cheek to remove the black birthmark. | Hi. Contractubex (Extractum cepae, Heparin, Allantoin) is a topical medication of scars. Apply this gel to the scar in the morning and night after washing your face and you have to massage the gel over scar with clockwise and anticlockwise wise rotatory movements for 4 to 5 minutes. Once all the gel is absorbed, then you can apply sunscreen SPF 30 on top of it for the full face. Use the sunscreen every four hours, because sunscreen protects skin from UV rays for four hours once applied, you need to apply repeatedly every four hours for maximum benefit. For more information consult a dermatologist online --> | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Suggest treatment for high BP which is causing rapid heart beat
Hi, I have a question about abdominal aortic aneurysms. I was watching Dr. Oz earlier and he touched on the subject, so it got me to wondering about my symptoms. My mother had a abdominal aneurysm repair done in 1999. In 2007 she died when it ruptured at the age of 69. My father passed away last year at the age of 72 from Myeloid leukemia, he also had a abdominal aneurysm his cardiologist was watching. Over the past 4 years I have been experiencing weird symptoms. It really began one night while alseep, I was dreaming I couldn't beath and kept falling down and finally I couldn't stand back up. I woke up and my heart was pounding rapidly and extremely hard and shortness of breath. I could feel it from the top of my head to the ends of my toes. I got up, took a couple aspirin, waited about 30 minutes to an hour and went back to bed. Since then I have had rapid heart rates, fluttering in my heart, elevated pulse rates, shortness of breath, constant nagging chest pains, with numbness and tingling, radiating up into my neck and down my left arm and thru to the center of my back. I also can feel a constant heart beat in my stomach, between my rib cage. There is also a constant heavy feeling with a lot of stomach swellling/ bloating with fatique, not wanting to do much of anything but I have to. I have had a stress test w/o contract, holter monitor and EKG. Nothing, the doctor says its anxiety. During the last 6 to 8 months I have been experiencing swelling. Feet, ankles, legs, my entire body swells. I have also been told by a MD, it is not kidney failure. I don't have high blood pressure. My pressure today was 103/64. The bottom # has been in the 40"s before. The pain and symptoms are getting worse as time goes by and I feel something isn't right. I have had weight gain during the past 6 to 8 months of around 10 pounds. I am 52, 5'5", currently 160 Lbs. | Approx 20% Abdominal aortic aneurysm are hereditary. So if you have a strong family history of AAA you need to have tests to rule out the same. Current symptoms don't seem to be related to AAA and looks more like anxiety. As your stress echo is ok, you are relatively safe from cardiac side. Just relax and do some tests to rule out familial AAA. | |
What causes fatigue and painful swelling in the ankles, elbows and shoulders?
My husband is 52 and very active. He works outside cutting grass and weed eating at work. He has been complaining of his ankles, elbows and shoulders hurting. Now his ankles are swollen to the size of softballs and he is having a hard time walking. He is usually very energetic. The last week he has been exhausted and sleeping a lot. No fever. last night it was 77 in the house and he was cold. | Hello,It sounds like he is developing a form of inflammatory arthritis. He needs to see a doctor for an exam and blood tests to sort this out.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kathy Robinson | |
How long does a spiral fracture take time to recover?
I have a spiral fracture in my 5th metatarsel. Do people normally need surgery for that. It doesnt hurt that bad if I only put weight on my heel. I am thinking I am probably fine to go back to my normal routine and driving. I broke it 4 days ago and was wondering what the likelihood or surgery is and what recovery time usually is. | Spiral fractures usually heal welll....surgery is required only if it is dispaced....otherwise a plaster cast will do good work for you. | |
Several bulged lumbar discs post fall, sciatic nerve pain, leg numbness. Disc problem?
Good evening. I have several bulged lumbar discs post fall. This injury happened 6 months ago. I have sciatic nerve pain on both sides of the buttocks . My lower legs will become numb even if I am walking. I do have pain in the right groin that is most noticeable when I am sitting. I am scheduled for a hip injection next week. Could this still be a disc problem ? | HiThank you for your question.'Disc bulges' described on the MRI are very common in middle aged and elderly individuals and are even seen in healthy people. This means that not all disc bulges are symptomatic. A diagnosis of spinal stenosis is made when your symptoms, clinical examination and MRI picture are matching. Just the disc bulges with no nerve compression won't give you leg pain though degeneration can cause back pain. You need to consult a neurologist or spine surgeon to have your symptoms evaluated in light of the MRI picture.Please let me know if I can be of further help. | |
What to do for the swelling in the knee?
Hello, I was walking down my stairs and I slipped and banged my knee on the side of the door, it was a very hard hit and for a moment I thought my knee went out of place. It s swollen now and I don t know how to relieve the pain? And I don t know how serious it may be? Advise pls | Hi there Thanks for your question at HCM. Rest, ice gel pack application. Tight crepe bandage application, limb elevation and mild analgesics like acetaminophen or diclofenac can relieve your pain and swelling in the initial 48 to 72 hours.The swelling will gradually reduce over 1 to 2 weeks. You should be concerned and visit your physician If. 1. You are not able to stand or walk for few steps without pain.2. You are not able to fully bend or straighten your knee( full range of movements). 3.the swelling and pain increases over time instead of subsiding.4. Your knee hurts on kneeling at the end of 2 weeks. Hope this helps. All the best. Regards. Dr.SBK | |
Developed bumps on the skin of elbows, knees, palms. Suspected virus Vary in size. Looks like rash. Using Aveeno. Treatment?
My 12 yr. old son has recently developed bumps on his skin. They began on his elbows, knees, and palms first. They were very small and his ped. suspected a virus of some sort. In the last week, they have spread and are slightly itchy. They vary in size. The ones on his elbows and knees now look like small warts, however the areas where it has spread look like a rash on his face (without color, just bumps) and his belly. The rash on his belly is red and looks like a heat rash. He does have a problem with dry skin mostly on his legs and feet. He has been using Aveeno body wash for about 2 yrs. This has helped the dryer areas. I have been looking on-line to see if I can find pictures that resemble the bumps, but most of them are too red, purple, or the surrounding skin is affected. In my son's case, the areas are not red, just skin colored, dry feeling bumps. | Hello,Thanks for the query,It might be a viral rash.It is quiet common in chidren.Treatment is usually symptomatic.No antivirals are needed.Keep applying aveeno, This will help in faster cure.Please meet a dermatologist for final diagnosis and treatmentLet me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you a good health.Thank you | |
Q. I am getting intense pelvic pain between 18-24 days of my cycle. Why?
Hello doctor, I am 18 years old. And about five or six times in the past year, I have experienced intense, nauseating pain that I can only guess is ovarian, but I cannot find anything on the internet to really pinpoint it. It alternates sides, lasts for a couple of hours, and is always between days 18-24 of my cycle. This morning it lasted hours, the pain reaching from my left ribs to my pelvis, which felt like a lot of pressure and made it painful to urinate. | Hello. The pain you have been experiencing is most likely the ovulatory pain, typical to occur in the midcycle when one has regular cycles of 28-30 days, or if you have you menstrual periods of varying dates, you can observe that exactly 14 days prior to the menstrual period. It is called Mitterschmerz syndrome or pain. It is a normal phenomenon and usually mild but rarely it can be severe. As your pain has been severe today, it would be better to get an ultrasound done to rule out any other causes of your pain. If you had mentioned the date of your last menstrual periods, it would have been helpful. You can take antispasmodic medications and see if the pain gets relieved, But if it does not, then it would be better to seek emergency medical help. And I am assuming that chances of pregnancy have been ruled out, if not then please evaluate yourself (just in case if sexually active). I hope this helps. | |
Should one continue Diof for treating diarrhea in toddler despite vomiting?
Hello, My 1 years and 9 months old is suffering from loose motion for a day and half. As prescribed by a paediatrician i am giving Diof ds 3.5ml and Entero Plus. But he is vomiting everything at once he consumes diof ds. Out of two doses he vomited one dose of diof ds and managed with 2 doses of enteriplus. I tried mixibg it with water also. But no use. Should i switch to something else, or continue with diof ds. Please advice in this regard. thankyou. | Hi...Thank you for consulting in Health Care magic.Please stop using DIOF.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics (LIKE DIOF OR DIOF-DS) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Regards - Dr. Sumanth | |
Cause for persistent cough?
I am getting a persistent cough that happens mostly after eating, or on an empty stomach. I take tjhe drug lamotrigine,as my only med, for bi polar and depression. I tried delsun, 1200 mil of Guiefisin, cough drops, it goes away. I have been on oproemezol for about 10 years | Hello dear, thanks for your question on HCM. Your cough is after eating, this suggest possibility of GERD ( gastroesophageal reflux disease ) more.GERD can cause micro aspirations and this is the possible cause for your coughing. Bipolar disorder is also a risk factor for GERD. Along with antacids, you need to follow these lifestyle modifications for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in bed to prevent reflux. Don't worry you will be alright. |
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