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How to treat frequent runny nose,fever and allergy?
i'm 19 years,female,resident of lucknow, 3rd year mbbs student in gsvm medical collega kanpur, suffering regularly with running nose, continuous sneezing and feverish feeling due to this( constant sardi-jukham problem)=- hence unable to concentrate on studies. please advise and suggest a competent doctor at lucknow whom i can consult if need be for further treatment. | Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would suggest you allergy testing for common air-borne allergens like house dust mites, molds, pollens, insect proteins, pet dander (if you have pet). This will help you identifying substances causing allergies to you as well as t know the measures to avoid them.2. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually improves allergy symptoms by working on immune system.3. For symptom relief, I would suggest you montelukast + levocetirizine.4. If you have symptoms like nose obstruction, snoring, headache, facial heaviness, etc, I would think of long-standing rhinosinusitis and you may require evaluation of nose & sinuses, intranasal corticosteroids, etc.5. Regular steam inhalation will be helpful to you in a long run.6. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.7. Regular breathing exercises like Yoga & Pranayama as well as diet rich in vitamins, minerals & antioxidants will also help you in a long run by improving your lung capacity and immunity gradually.Wish you the best of the health ahead.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards,Dr Parin N Parmar | |
Why letrozole 2.5 mg tablet not working on me to conceive?
Hi I am married since 1.5 years and have been trying to concieve. This is the second cycle i have been on tablets for onovalutory cycle. I was given letrozole 2.5 mg for five days twice a day . Today is my 9 th day and as per my ultrasound , there is no follicle seen . i just want to know why am i not ovaluting with letrozole that too with twice a day prescription ... I have been asked to take HMG injections 75 mg now for next three days and ultrasound on day 12... is there anything relly gone wrong that i am not ovaluting with tablets .. does this make my chance of concieving less ?? why is tablet not working on me ?? what are my chance of ovaluting and can it be a success? should i follow any specific diet chart to ovalute .. | Though you have not mentioned your age, you have been married for only 1.5 years, so just chill. You have been put on letrozole as you have anovulatory cycles. Letroz should help. The tablets are to be taken together. Moreover, its just your second cycle. Minimally, 6 cycles are advised. Addition of HMG should help. Follow the gynecologist's advice carefully. Ovulation is necessary for conception. But you need not worry now. Carry on the future cycles to know the response. | |
Suggest treatment for infected pancreatic fluid
MY Dad has severe pancreatitis and has been in the hospital since April 22. He was on the dialysis machine for a short while and is still on the ventilator, but in the process of trying to wean. He is getting a little stronger and better everyday, but there is fluid from the pancreas with some infection in it. They tried on Friday to do an ERCP procedure and was going to attach tail of pancreas to digestive system to drain fluid, but they could not do the visualization because of fluid in the bowel. They are already using drains that run to the outside of his belly and stuff. They seem to be just keeping up with the fluid and not getting rid of it. They do not want to do open surgery because they are afraid he would not live through it. Is there another way to eliminate this fluid? | HelloThank You for contacting HCM.Welcome to Health Care Magic.My name is Dr Muhammad Ahmad & i will look into your problem.I have gone through your query and would try to help you in the best possible way.The situation in which your dad is ,what he suffered and what he is suffering ...reaching this stage i have not seen many patients surviving,He must be a strong man and God must want him to live,still he is in danger and yes it needs a big big surgery to open his belly up make a hole in stomach and then attach that pancreatic cyst or that fluid draining thing with that stomach,,stomach has stronger acid than it is in your battery cells and pancreas has strong fluids which digest your fat and in this condition a person can not survive this, just keep you hopes up doctors must be trying their best, surgery is sometimes more dangerous than medication .........pancreatic surgery is last resort and not many survive this massive thing even if it get successful it's after effects are too many ....we the team of health care magic hope and pray he comes out healthy just stay strong keep every body in your family strong if he has survived such a catastrophic destructive ailment if God wills he will come out alive and healthy out of it ...Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing him ver best of health | |
Q. Is it possible to gain weight because of medicines taken for irregular periods?
Hi doctor, I am 25 years old, with PCOD diagnosed three years back. At the start, I took medicine for six months, then my period started becoming normal, with one week late or early. My weight reduced from 68 to 57 kg. Now, the problem is I got conceived three years back. Then I got an abortion at six weeks of my pregnancy as we both husband and wife were not ready for a baby at that time. It was medical abortion, and the thing is after having the complete dose first time, bleeding was not much. So, I took the medicine again within the second day of the first time. After that, I gradualy started gaining weight, headache, back pain, lower abdominal pain, etc. At present days, I am havng periods once in two months, food craving, lazynes, can lay whole day at bed doning nothing, sudden lower abdominal pain, back pain, head ache, mood swing. And my weight has reached to 72 kg. What can I do? Is it the side effect of the medicine? | Hi. How are you doing? All these effects are due to PCOD. No medicine will cause this, at this young age of 25 years. Your laziness as you mentioned is creating all the problem. PCOD (polycystic ovaries), this is a congenital condition, I mean it is a genetically programmed, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone (if I may simulate, have you seen obese men developing breast and in young obese girls, who develop periods at a younger age? They all have high levels of estrogen hormone or female hormone). In your body too, when fat, which is a store for tomorrow, is more than normal, this is converted to a hormone which tips the balance between FSH (from the brain) and the ovarian hormone. FSH (follicle stimulating hormone) as the name suggests stimulates follicle from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain gets confused and follicle growth stops early at a smaller follicle size and will not rupture. Next scan you will see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for a few months and later heavy periods with clots and fleshy masses, or spotting on and off. Thyroid abnormality and prolactin problem indirectly. You develop that extra-pad of fat around the mid-segment of the body, especially waist, thighs and breast, no fat beyond elbow and knees. Excessive body hair growth, hair fall, a dark shade over lower half of face, acne, oily face skin, the black skin over the back of the neck, inner thighs and under-surface of the breast. May have a family history of diabetes, especially the father or his family. This will not allow ovulation to occur at the time and so you cannot get pregnant, till treated. It also increases your chances of early pregnancy abortions. But this has a solution. Your weight has to be: Weight (in kg) = height (in cm)-100. Your expected weight is 61 to 65 kg. Once you reduce weight to normal range, you will not need any medicine to get periods or to get pregnant and pregnancy will be healthy. To reduce weight, no fasting, no junk food or fast foods or red meat, reduce snacks between meals. Have low calories food, high proteins. Regular exercise (especially for the waist and hip area), aerobics , yoga, brisk walking (swing your hands well), try to | |
What causes itching in the head of a child?
Hi, may I answer your health queries. My daughter aged 5 years has been suffering from itching problem for last four months. She Has itching in her head also. In spite of treatment for last four months there Is not much improvement. Her weight is 20 kegs.2 | OK, if itching is restricted to head area probably you should think about lice , you will probably see it , but if it's too small you won't. so anti-lice shampoos like tic-tac or sprays are available. if itching is allover her body and you didn't notice any skin rashes or redness before the scratch begins , it's advisable to do liver enzymes just to make sure isn't something serious .give her zyrtic to ease her misery. I hope this helps | |
Can Serflo inhaler taken for breathlessness cause death of a person?
My mother died in the last month.It hapenned like this - after having our dinner at 9 pm she felt breathlessness.I bought a serflo 250 inhaler and used 2 puffs .....it didn't work...after 5 mins i again gave 2 puffs...it didn't work...after 5 mins i gave one puff...after some 3 to 4 mins she suddenly became unconcious...when we took her to the nursing home (within 15 mins) they said that she has died...she had a heart surgery 36 years ago...was her death due to heart attack or might be due to extra dose of inhaler ? | Hello,Evidence to support to tell that the death was due to heart attack morelikely- The patient was severely breathless before inhaler.- History of heart surgery in the past, so the heart is already compromised.- Inhaler not responding, so breathlessness was not from the respiratory cause. Still, final wordings are must from the post mortem report only.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel | |
Does Spironolactone cause lower backache?
I am Mtf i have been taking 100 mg spirolactone and 4 mg of Estrodial for 6 weeks now, i noticed recently for about the last 2 weeks that the Spiro which i take in the morning with food i believe is causing me lower back to hurt? Could this be the Spiro or something else. I drink lots of water, no coffee or soda. I also watch my carb intake as i am also a controlled type 2 diabetic. Any idea what could be going on? | hi sir/madam,Thanks for your question on Healthcare Magic.there could be few possible reasons for the backache,it could be the exacerbation of previous problem you have.secondly it could be due to the fact that you are on diuretics like rusemide and spironolactone which can lead to backache secondary to eectrolyte disturbance and dehydration.Basically the muscle of the back produce tis backache.i would suggest that you do inform this to your doctor and have an evaluation in order to find out what exactly is causing the backache and then have appropriate treatment.hope this was helpful.have a healthy day. | |
What is the cause of a lump behind the knee?
hi sir i am Ali from pakistan..i am a senior medical staff in emergency department in a hospital ...i would like to stat that my father is diabetic patient for last 08 years associated with hypertension..according to his saying there is abnormal development of lump behind the knee with no any pain..kindly give me suggestion that how to treat this problem...kindly reply on my email...i am so in tension .... YYYY@YYYY | Hi ! Good evening. I am Dr Shareef answering your query. From the history, it seems that it could be a popliteal cyst , which is a benign cyst behind the knee joint communicating with the joint cavity. However this can not be diagnosed with certainty without a physical examination and some other investigations. Therefore, I would advise you to take appointment with a general surgeon of your area, and get it examined for a proper management of the condition.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | |
Can a asphyxiated infant lead a normal life?
Regarding baby born in birth asphyxia level II . At the time of birth baby had cord tided in her neck four rounds,there was lack of oxygen, so she was unable to breath at the time of birth and was given artificial breath,baby was keptin NICU for 45 days and on oxygen fr 15 days. The baby is now 65 days old ,she still cannot suck the bottle and mother's feeding,the baby has started crying after 30 days after birth,at the time of birth her weight was 2.250 kg, its a prematured delivery of 36 weeks, can this baby can come to normal stage. | Hi, I had gone through your question and understand your concerns.I am afraid to comment but baby with such degree of asphyxia and no sucking after 65 days of life are indicative of severe injury to brain ,which leads to severe development delay.Any damage to brain is permanent so chances of normal development are not there .Best possible can be done for such a child. Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.Take care.• DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination | |
What could the cloud spot on the MRI brain be?
my daughter, age 15, had an mri of the brain done a month ago and there was a cloud spot found on it. What would the possibilites be for such a thing? She saw a neurologist last week and he stated that there was red blood cells in her bone marrow of her skull.Forget it, I don t have the money to pay for this. I ll just wait until we see the doctor. Thank you for your time. | Ok...that's fine...good luck! If you do decide that you'd like more specific information and would like to look me up (I'm a neurologist so "cloud spots" on the brain are kind of what I deal with all day long) you can get me at:bit.ly/drdariushsaghafiBe well and good luck to your daughter with her next appointment AND of course, in school. | |
What causes severe itching in ears with swollen glands in neck?
Hi, may I answer your health queries right now ? Please type your query here...Hi i have had a long problem which started with my ears being ichy and the problem just stayed there even with alot of visits to my doctor with alot of different answers and now i my glands in my neck are up and have been for a long time but not sure if they have been up since the problem started with my ears. It has worried me but im not one of the best people that can explain to a doctor what is going on with me. the other problem i have had with my ears is they make like a thumpping sound in my ear on the left when i hear a high pitch sound like when im making myself a drink and sturring my drink in a mug and the spoon hits the mug making a high pitch chime. I dont feel ill i feel fine but am confussed and worried i am still seeing my doctor about this but they do appear to be at a lost i am yet to ask to see a ear nose and throat specialist. just wont another insight into this.Regards Ian | Hi Dear ,Welcome to HCM,As per your query you have severe itching in ears with swollen glands in neck . Well there can be many reasons for itching like slightest accumulation of debris, even a dead hair, may be felt as an itching sensation ear canal dermatitis , otitis media , lymphadenopathy and wax buildup . Allergic reaction can also be one of the reasons.I would suggest you to consult ENT specialist for proper examination . Doctor may order CT scan and examine with otoscope . Doctor may prescribe antibiotics gentamycin for a week along with corticosteroid ear drops , anti histamine and may remove wax . For now you can put 2 drops of olive oil once a day to prevent dryness and cover your ear while bathing . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Q. My blood test result shows high FT4, high insulin and low vitamin D. What could be the cause?
Hi doctor, I would like some help with my blood test results as my doctor has not been able to help. I have a multinodular goiter with six nodules, the largest is 5 cm x 2 cm. I am particularly concerned about the high FT4 (while FT3 is below optimal level), high PTH, low vitamin D, high CRP and ESR, high insulin, and high IgA. Do you have any suggestions on what could cause these results? My symptoms include chronic diarrhea, occasional constipation, abdominal pain, fluid retention, extremely irregular periods, fatigue with trouble sleeping, frequent headaches, occasional dizziness, bone, joint pains, and weight gain. Most of these only showed up in the last few months after goiter was found. My saliva cortisol results are also on the very low end of range. I have attached my blood test results. I am currently taking Tramadol. | Hello. I just read your query and the results that you have attached. (attachment removed to protect patient identity). It does not seem you have any thyroid disease as of now since your TSH (thyroid-stimulating hormone) is normal and your T3 and T4 are at acceptable levels and nothing to worry about that. Some people do have thyroid nodules which should be assessed yearly by ultrasound to make sure they are not increasing in size or texture. My advice for this aspect would be repeat thyroid function tests yearly and do an FNAC i.e an ultrasound-guided biopsy of the thyroid nodule to be sure it is benign. Yes, you do have vitamin D deficiency and when you have this, you automatically have high parathyroid hormone levels that is called secondary hyperparathyroidism and that occurs usually with vitamin D deficiency and gets better when that is treated. My advice is to have sun exposure 30 minutes daily and take vitamin D and calcium supplements. I do not know what type of hyperparathyroidism your niece is having but I assure you that yours is not to be worried about. Your saliva cortisol I do not think we usually worry about salivary cortisol levels. Try doing a serum cortisol levels if you are worried to be sure in the morning particularly. I know your serum CRP (c-reactive protein) and immunoglobulins are high but they are signs of allergy or immune reaction to any food. They could also be the cause behind your bone and joint pains including vitamin D deficiency. What I am concerned about is your high insulin levels as they suggest that you have insulin resistance. That could be due to polycystic ovaries or sedentary lifestyle or impending diabetes or metabolic syndrome. My advice would be to have a pelvic ultrasound since you also have irregular periods and you might benefit from a consultation with the gynecologist. In the meantime try to exercise 45-60 minutes daily and sleep for eight hours and consume low carbohydrate, low-fat diet, and avoid sweet drinks absolutely. Take the help of a nutritionist to lose weight. You might benefit from tablet Metformin 500 mg thrice a day. It will help you with your PCOS (polycystic ovary syndrome) and the metabolic syndrome as well and help with the high insulin levels and also cause slight weight reduction. I hope this helps. Tablet Metformin 500 mg thrice a day. Lifestyle modification. | |
What causes pain in thigh and groin area?
Hi my name is mike, im a 40 year old male. Last night I got a sharp pain in my thigh and its more toward my groin area. Today the pain has gotten worse and it has speard up toward my groin/lower belly area.. it hurts pretty bad touching it. Should I be worried or get it checked out?? My daily routine hasn t changed at all either.. thanks and I hope that you can help me with this issue. | Thanks for your question on Healthcare Magic. I can understand your concern. Yes, you should definitely consult doctor and get done clinical examination of thighs and groin area. Sudden onset of groin pain is commonly seen with torsion of testes. You are having increasing pain with tenderness on touching, so you should definitely consult doctor and get done clinical examination of lower abdomen, groin and ultrasound examination of abdomen and scrotum to rule out 1. Torsion of testes 2. Stone in urinary system. 3. Infection. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest management for dementia
im alexis, 22 (M) around 5.8" and weigh 54 kgs...im afraid ive had syphilis from birth...i can feel myself slipping into dementia...i was a biology student at college once and could relate to most of the symptoms that i read about...am really scared and dont know what to do...please..somebody help me!! i need to know what the tests for my stage are etc.. | Hi,Thank you for posting your query.I have noted your symptoms and anxiety. I would like to reassure you that you have very little chance of having syphilis.The only way you can get syphilis from birth is if your mother had syphilis, a condition called as congenital syphilis.In adulthood, one can get syphilis after having sexual intercourse with a patient with syphilis.However, to allay your fear, you can get VDRL test done to exclude syphilis. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
What are the causes for chest pain?
I have abdominal or low chest pain on my right side. Seems like when i sit hunched over it hurts more. Sometimes the pain goe through to my back. I have had my gall bladder checked and its not the problem. The feeling is a slight burning sensation, and twinge like pain, best i can describe it. | Hai,As your history seems to musculoskeletal pain.kindly do ECG Electrocardiogram to rule out any problem related with your heart.as chest pain,musculoskeletal pain,epi gastric pain (upper part of stomach) will be hard to differentiate. kindly visit your doctor for further evaluation.RegardsDr.S.Sentilnathan | |
What causes pain in penis during erection?
Hi.I am 24 years old male. I have pain in my penis during and after full erection. Will my habit of masturbating be a problem? Please clarify my doubt.I am very scared since i am not sexually active and planning to marry soon.Also I have a black spot under the foreskin of penis. | Thanks for asking in healthcaremagic forumIn short: Are you using any drug?Explanation: Some drugs can cause pain during erection called priapism. So, I would like to know some details regarding this. If it was only for one time after masturbating many times, leave it and give rest. It will subside by itself. Hope this helps you. Do let me know. | |
Q. What are the side effects of crushing and taking Seroquel XR tablets?
Hello doctor, I have been on 200 mg Quetiapine IR for some time. Finding it after years of medication tweaking to truly keep my bipolar II symptoms in check, with no significant side effects. I ran out while traveling abroad. Though I have no means of obtaining a new prescription, I do have plenty of Seroquel XR (in 50, 150, and 200 mg dosages) with me. For two nights, I have tried taking a 200 mg XR pill in the evening. Unfortunately, I have gotten little to no sleep and am very concerned about sleep cycle disruptions, as they have always led to more severe symptoms in the past. Moreover, I feel the sedative effects throughout the following day, an impairment I simply cannot afford to deal with right now, as well as a more persistent general sense of anxiety and agitation. If I were to simply crush these pills into a powder, would I be able to take them as though they were immediate-release of the same dose? Or would doing so alter the medication's properties? I am aware of the medication guide's instruction against chewing or cutting the sustained-release pills in any way, but I wish to know what the actual effects of doing so would be. Any suggestions on minimizing related risks, like food or water consumption tips, titration from a lower dose, etc.? Thanks. | Hello. Let me enlighten you with the concept of IR and XR medication. IR medications mean immediate release; once you take the drug, its effects come in minutes and lasts few hours only. Most of the drugs are in IR form until we need them for some specific purpose. IR medications have a shorter half-life and need to be taken in multiple dosages in a day. XR medications mean extended release; once taken, the drug will be released slowly over a period so that a plateau state for serum drug level can be achieved for a longer period. XR medications have a gastro-resistant coating over it, which prevents them to get dissolved in gastric juices immediately, hence resulting in delayed release of the drug. XR medications have a longer half-life and can be taken once a day. However, breaking an XR drug into powder state will result in erratic release and erratic blood level. Hence, variable effects along with more side-effects. I can understand your problem, sleep disturbance is considered to be the utmost important early warning sign in bipolar disorders, and it needs to be treated as early as possible. In your case, you can opt a short acting benzodiazepine for sleep induction, as you have difficulty to fall asleep. Once sleep is induced, it can be maintained by Seroquel XR (Quetiapine) as well. Zolpidem 5 mg is a good medication for sleep induction. Besides this, you can try Nitrazepam 10 mg for the same purpose. Though Zolpidem has the least dependence potential, and it is the preferred choice. Besides this, follow sleep hygiene measures, they will be helpful over a long run and will help in maintaining healthy sleep-wake cycle without medications. Thank you. For more information consult a psychiatrist online --> | |
Suggest treatment for persistent dry cough and chest pain
Hello, I have had a persistent dry cough over 2 weeks and for the last 3-4 days have a sharp pain in chest if I try to take a deep breath. Also having sweats on and off during the day when I am up. I have been inhaling vicks inhaler, drinking plenty of fluids, and have menthol cough drops. I thought I was getting better but I still have the cough and pain in chest. | Hello dearThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* This seems to be underlying bronchitis or other lung inflammation rather than simple cough .* Recommended to consult physician for basic work up with laboratory tests and x-ray chest for final management as this requires antibiotics decongestants and bronchodilator therapy for early recovery .Thanks .Regards . | |
What could be the reason for sudden appearance of rashes on hands which is itchy?
Last Saturday when eating brekfast a rash came up on right hand 3last fingers just got a sudden itch&it was there, I don t suffer with skin problems, it s still red & rashey looking but not itchy, I ve not put any shower gel or soaps near it just water. | Hi,From history it seems that you might got some food allergy giving rise this problem.Take antihistamine like Cetrizine or Benadryl for 1-2 days.Try to find out the food caused allergy and avoid to take.Ok and take care. | |
What causes fluid filled lumps with swelling in the lip?
Hi, I had a filling and 2 temporary crowns placed on Tuesday. Since then I have small clear fluid filled bumps inside my upper lip. I have swelling visible on my cheek and pain. The whole procedure took about 4 hours and multiple injections of anesthetic and a topical anesthetic gel. | HiThanks for writing in.You might be having abscess in those teeth in which you have gone for capping.It might require root canal treatment or extraction depending on condition.Meanwhile you may start with a course of analgesic & antibiotic.Visit your dentist as early as possible.RegardsDr. Neha Sumra | |
Suggest treatment for high BP
My BP is high as I have started oberving for past 1 week, it was 140+ fasting and 158+ on 3 alternate days. Feeling drowsiness the entire day for past one month. My cholestrol level is 125, Serum Alkaline Phosphate both in lever and kedney is 377 (range 95-240), ESR is 45, B12 is 128 & Vit D is 10.69. Request suggestion | Hello! Thank you for asking on HCM! Regarding your concerns I would recommend as follows: You should monitor frequently your BP values even for a couple of days and with your measured values to consult your doctor (GP or internist). If high BP values persist, then some secondary reasons of high BP should be sought first.Your cholesterol level is OK. You don't need any therapy for that.Alkaline phosphatase is abnormally high coupled with a high ESR. Some additional blood tests are necessary to define the cause. A possible inflammation should be excluded first.Vit D level is also abnormally low (moderate deficiency). Renal function tests, parathyroid evaluation, and electrolyte levels (including calcium) is necessary for the differential.Vit B12 deficiency is present, so a comprehensive check up should be worked out to identify the reason. Vegetarian diet, malabsorption, hyperthyroidism, megaloblastic anemia, any gastro- intestinal , abdominal or elsewhere masses should be excluded first. For all the above reasons of investigation, I would recommend: (1) First a careful medical check up by an internist (physical examination) an medical history gathering.(2) Several blood tests, like complete blood count, PCR, liver and renal function tests, Thyroid and parathyroid hormone levels, serum electrolytes, ECG, Chext X ray study, abdominal ultrasound, complete urine test, serum proteins evaluation, LDH, gama GGT, Schilling test, eventual fibrogastroscopy and other optical studies (as needed). If suspicions are raised, additional tests may be required. Hope to have been helpful. Greetings! Dr. Iliri | |
Is it safe to consume alcohol when suffering from fibromyalgia?
I have Fibromyalgia and I like to drink socially ..I am going on vacation Friday and was looking forward to letting my hair down and having some drinks. I am on Cymbalta though and it says not to drink..I know I will still drink so this may be a dumb ? but is Merlot safer than like a cocktail? | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you are wondering if one can consume alcohol when suffering from fibromyalgia . Well alcohol does allow people to switch off from their problems, but this can come with a price. Alcohol abuse can lead to many negative consequences like making the symptoms of their fibromyalgia worse , There are much better alternatives than alcohol for managing the symptoms such as relaxation techniques. Even physical therapy is also very beneficial . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Suggest treatment for cold and cough during pregnancy
Hi , Dr. My daughter in-law is in her 34th week of pregnancy. Recently, she had been suffering with lot of cold /cough with some breathing discomforts. Her dr has advised he rto take Cepodem & Deriphylline. I am just worried if that is ok. Is there any other way than taking the antibiotics? Pls suggest. Thanx. | Hi,It is best if she takes the Cepodem and the Deriphylline as prescribed by the doctor.She is already 34 weeks and the Cepodem will not cause any harm to the baby. The Deriphylline will help her breathe more easily. It is very important that she takes the medications as breathing discomfort and chest infection in pregnancy can harm both mother and baby, if not treated promptly.Hope this helps.Regards. | |
Does taking cetrizine for allergy interfere with pregnancy ?
hi i am 23 years old, female and i am experiencing delay of menstruation for about 15 days,i am taking cetirizine for my allergy almost every other day since about 2 months ago until present. does it affect my menstruation? | hello, no cetrizine not a cause of menstrual problems. consult your gynecologist about it. there may be some other cause. take care | |
Is yellow fluid draining from penis skin normal after circumcision?
Hi,my brother had circumcision 3 weeks ago. Thare were some complications like overbleeding and he was stitched again few hours after surgery. Most of his stitches are aout, but not all of them. Yesterday he noticed some yellow fluid draining from penis skin (no foul odor, no swelling). Is that normal? Thank you. | HelloThanks for query .Based on the fact that your brother who has undergone surgery of circumcision 3 weeks back has clear yellowish discharge from the site of suture line .The yellow fluid discharge is a normal serous discharge ( reactionary fluid) that is being secreted due to inflammation of subcutaneous tissue .which gradually stops as the wound heals up .He needs to take he needs to take broad spectrum antibiotic like Cefotaxime along with anti inflammatory drug like Diclofenac twice daily along with topical antibiotic ointment like Neosporin twice daily.Ensure he washes his genitals with warm water twice dailyAsk him to avoid sexual encounters till it heals up completely.Dr.Patil. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
What causes toothache after a root canal treatment?
I had a root canal about 5 years ago, not exactly sure. I've been having a toothache there lately but its not severe like it was when the tooth was infected before the root canal. I can feel a slight gap between my gums and the cap and its been very sensitive. Does this sound like it could be a serious problem? | Thanks for your query, I have gone through your query.The dull aching pain in the root canal treated tooth can be because of the gum infection secondary to the deposits. Since you are telling, there is a gap between the cap and the next tooth, chances of food lodgement is more, so gums gets infected. The sensitivity can be because of the decay in the adjacent tooth.Nothing to be panic, consult a oral physician and get it evaluated. You need to take radiograph to confirm the diagnosis.Once the diagnosis is confirmed, you can get the teeth cleaned for gum infection and get the tooth restored for the sensitivity.I hope my answer will help you, take care. | |
Why having tension in neck when breathing?
Good evening. I have a problem with my neck. It always gets tense when I m standing still at the computer. Breathing only makes it worse. Also, when I am standing up without moving, I feel like I am a piece of wood, and also am very tense. What could it be? Anxiety or something more? Thank you in advance! | Hello, It could be due to conditions like cervical spondylitis. As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persists you can consult a neurologist and get evaluated. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
How to correct the extra finger in fetus?
I'm 26 years old and pregnant for the first time. Just last week I went for a nuchal translucency test at 12 weeks 5 days, and they found an extra digit on my baby's left hand. This has never happened in my family or my husband's family. The ultrasound doctor kept saying it was fine, and they would just remove it at birth, but my gyno doctor is concerned it could be part of a bigger problem. FYI the extra digit is near the pinky and looks like there is no bone in this early ultrasound picture. | HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.First of all do not panic.Good USG scan for anomalies, will be able to detect any other major problem in the baby at 18 weeks. Please get that scan done from expert SONOLOGIST.Just presence of extra digit at 12 weeks scan, should not be a major concern.Also as you are stating, if it has no bone inside it, expert pediatric surgeon or orthopedic doctor will take right action to tackle it, if needed.Lastly, only presence of extra digit and absence of any other major anomaly in USG should relieve your worries.I hope my answer helps you.Thanks.Wish you great health. | |
What is the average recovery period of postpartum seizure and what precautions should be taken to avoid recurrence?
my wife experience postpartum seizure on 7 days after delivery,she got twinsbaby-girls and still she is on treatment with the medicine like mannitol,celetoin,.moldip,encornate.At present,it seems very improvement to pateint condition, my question is:what is the average recovery period of postpartum seizure and what precations will I take if seizure occur nest time | Hello, I would be happy to help you with your question. The most common cause of a seizure postpartum is related to preeclampsia. She was certainly at risk for this related to pregnancy and twins. There should be a workup to determine that there are no other causes of the seizures. If the cause is felt to be clearly related to preeclampsia, then typically there is not treatment beyond following her until the preeclampsia has resolved. Her recovery is otherwise the same as for others who have delivered, perhaps slightly longer given that she had twins and was still having problems 1-2 weeks after delivery. I strongly recommend that she discuss this specifically with her doctor as this is a complicated situation. I hope that this helps and good luck! | |
What causes cyst on the left collar bone?
I have had a lump just below my left collar bone for about 10-15 years. It was xrayed about 14-15 years ago and I was told it was nothing. Last week, I noticed the area around it had swollen up and looked raised (somewhat like a sprained ankle might swell up). The swollen area is about the size of 3 quarters and lump itself feels like it s about 2 in. x 1 in. I showed it to my doctor who sent me for an ultrasound. I didn t hear back from her, but today I received an order for an MRI with contrast. What could this be? She said during the exam it was probably just a cyst, but the swelling is new and I ve been having a low red blood cell count. | Hi, dearI have gone through your question. I can understand your concern. You may have some cyst or enlarged lymphnode due to reactive hyperplasia, tuberulosis, lymphoma or metastasis carcinoma. You should go for mri and biopsy of that lump if needed. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What causes eczema and sleep disorders while on statins?
Tinnitus 5yrs / mild -mod eczema/ sporadic sleep pattern disturbances / dry flaking inflamed nail beds (hands) ....slight memory issues past couple yrs. ....low T (and dropping)....arthritis whole body. I am 59 yr old male, on statins and low dose aspirin and Generic Testosterone gel. 6’1” 230 lb - good physical condition. Possible related dx ??? | 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 do not seem to be related to statins or testosterone adverse effects. It could be an auto-immune or skin disorder. For this reason, I recommend consulting with a dermatologist. The memory problems could be related to statin adverse effects. For this reason, if you have a normal blood lipid profile, I would recommend stopping them for a month and see if your situation improves. Hope I have answered your query. Let me know if I can assist you further. | |
What causes chronic cough despite taking steroid and Acidophilus?
I have had a chronic cough for 3 weeks. My GP put me on a steroid for 10 days. It helped some. My chiropractor told me to take acidophilus to build my immune system. He said it was a virus. It s somewhat better, but I cough constantly, and it keeps me up at night. At what point should I be checked for pneumonia? | Hello,There are cough and fever and breathlessness is present in pneumonia. You should go for the chest x-ray posterior-anterior view and also antibiotics therapy.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar | |
Suggest treatment for heart blockage
Dear sir, My brother-in-law suffering with unknown dieseases. I will tell u the history. 9 months back he was got head-ack and got unconscious for 40 mins. All checkups are done.But nothing rulled out.(but his heart has 40% blocked ) After nine months the same problem he got infront of me. His eyes got red and himself told me go immediately to hospital as he is going to know he will get unconsious. And I himself get him to hospital mean time he got unconsius for 2 mins with pain in chest. EGC, EEG and other reports are normal. Kindly suggest the way to rull out the problem. Thanking you sir, Narendar | Hello, If he has all reports came back normal and everything is fine then finding the cause of unconsciousness is a task. Kindly consult a psychiatrist and a neurologist for proper evaluation and management. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhanu Partap, Cardiologist | |
What causes abdominal pain?
Woke up this morning with my my right thumb, and 2 fingers next to the thumb completely numb and (tingling, pins and needles sensation). Called my PCP but office is closed due to weather. Should I go to ER? I have been having extreme cramping pain in my lower abdomen for the last 4 days with BM's about every 2-3 hours over the past 36 hours. I have had stomach problems for over a year now and doctors can not find out why. I have had every test in the book. Something is keeping me from digesting food properly, I just belch it right back up 15-20 minutes after eating. I go 4-5 days without a BM and then all of a sudden, bam, I will have 6-8 BM's in one day. Something is not right with the stomach. I have seen 2 different gastro. with no luck. The abdomen pain is killing me, very painful the last 4 days. Please reply. I am a 62 year old male in fair health and live in Chattanooga, TN. Thank you. | Hi.Thanks for your query. The classical symptoms of alternating loose motions and constipation along with other symptoms is more suggestive of :Cancer of the intestinal tract. I would advise you the following tests:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen,*Colonoscopy All these investigations should be within normal limits for one to say you have IBSIf colonoscopy shows cancer, get a biopsy, CT scan of the abdomen and proceed further. Treatment:Get a course of an antibiotic, metronidazole, probiotic and see the results , it is possible that you may get a relief. If not, go for further tests . | |
What causes cloudy urine, coughing and rash behind knee?
i have a friend who in last 4-6 weeks has been waking up with night sweats with a cough, also had a fungal type rash appear behind her knee and has popped up on other areas of her body and cloudy urine. She doesnt smoke, rarely drinks and diet is pretty healthy. is it candida? or urinary tract infection? or another bacterial infection? | HI, thanks for using healthcare magicPersistent coughing can be due to different possible causes such as: (1) post nasal drip- this is the most common causeIn some cases the drip is silent and only the cough is present.It would not be responsible for the other symptoms howeverThe other causes of persistent coughing are (2) gerd (reflux) and (3)asthmaThe fungal rash may be treated with antifungal creams. Examples are ketoconazole and econazole. These may be available over the counter.She would need to consider testing of the urine to determine if an infection is present.This would initially involve a urine analysis is the doctor's office. Urine may also need to be sent off to the lab.If there is an infection, oral antibiotics would needed.She needs to see her doctor for an assessment.I hope this helps | |
Severe stomach pain near the belly button. Have severe dizziness. What could be the reason?
Hi, I woke up this morning with sharp stomach pains. The pain was about 2 to the right of my belly button. I started getting dizzy as if I was going to pass out.. I took some Advil and laid down. After a couple of hours, the pain has decreased but has spread all across my stomach and has since moved to my left side as well as my back. It s not hurting as bad as this morning, but is still noticeable. | Hi, Thanks for the query. I understand the pain you are going through. Any pain in abdomen should not be taken lightly. Pain killers may reduce the pain for sometime. But they are also masking the actual problem. You have also mentioned that pain has spread all over the abdomen though reduced in intensity. It shows that the problem still persists. Are you having fever? Is there any problem while passing urine? A lot of questions needs to be answered before finding the exact problem. I would suggest you to consult a gastroenterologist at the earliest. Your condition needs to be examined properly. You might have to undergo ultrasonography of abdomen to pin point the cause of pain. Meanwhile, avoid spicy and oily food. Drink plenty of water. Hope I have been of some help to you. Let me know if I can assist you further. Thank you. Regards | |
Q. I am on Rosuvastatin and Amlodipine. What are my lipid profile and liver test showing?
Hello doctor, I need you to please analyze my lipid profile and liver test where I can see that a few numbers are at a very high end. Currently, I am taking following medicines Rosuvastatin 10 mg one tablet daily, Amlodipine Besylate 5 mg one tablet daily. I am a chain smoker and smoke average 20 to 25 cigarettes daily. | Hi. Your liver enzymes are raised a bit, and lipid profile is deranged a bit, for which you are taking Rosuvastatin. Rosuvastatin may cause the liver function to derange. Since how long are you taking Rosuvastatin or any other lipid-lowering medicine? If the liver function was normal before starting Rosuvastatin and deranged after taking it, I will advise you to continue taking it and re-monitor LFTs (liver function test) after two months. If it rises even more, then stop statin and remeasure levels after two months. If you have muscle pain, fatigue, etc., do creatine kinase levels. Do regular exercise, stop smoking immediately. Follow up after one month. | |
Suffering from kidney infection and stones. Is the white spot on kidney x-ray a cyst?
I had a kidney infection on May as well as kidney stones which I passed. I still have pain in my lower right back and now m seeing like cofee grinds in my urine. I m nauseous and have chills. Chiropractor took xrays and there is a white spot on my kidney. Could it be a cyst or more stones? | Good Day and thank you for being with Healthcare Magic! The white spot on the area of the kidney would be a calcification or a stone in the kidney since cysts in the kidney would not show in a X-ray. To be sure you my need to get a kidney ultrasound or a ct scan of the kidneys since the latter two imaging modalities has a better chance of detecting kidney stones. If you are having chills and fever, I am urging you to go to a medical specialist to get proper treatment because it is fairly dangerous to have an infected kidney that is obstructed by stones. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes.Regards, Manuel C. See IV, M.D. DPBU FPUA | |
Can Doxycycline be taken with Clomiphene if trying to get pregnant?
I have just been prescibed doxycycline, metronidazole as a pre caution, my doctore says. Then prescribed me with clomiphene for helping with falling preg as we have been trying 3 yrs. Can I take them all at the same time at the start of my cycle with the clomiphene? | Hello,Doxycycline and Metronidazole are given to you. A course of antibiotics is given to treat infection if any. Do serum TSH and prolactin. Then do follicular study after Clomiphene with the help of a gynecologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal | |
Have chronic renal kidney failure. Kidney pain, taking Core. Reason for pain?
I have chronic renal kidney failure. I also have IGAN. I was given Diovan which made me very ill. My kidney doctor never did ANY bloodwork on me. Told me I was in need of seeking a oxycontin Dr. I was very upset as the Divan had caused me to Just about lose my mind. After NOT taking the Divan, I noticed I felt lots better. My anxiety was going away. I fired my Dr. Now I am having sharp stabbing pains in my left kidney. I am also taking core. I have never felt such pain. I have been off Divan and on Core for 3 months. Why am I having such pain. | you need proper investigations.u should go for ultrasound KUB,X ray KUB,to rule out kidney stones.also needed is urine routine test to rule out infection in kidney | |
Do I have any kind of depression?
i always feel down and suddenly happy, and sometimes i can go for days without feeling upset. But then little things can suddenly trigger all my anger and i get upset. I start to blame myself for things that i know aren t my fault and i cry endlessly, i get moody and down. I ll take it out on other people and lately it s been getting worse. I feel like i can t do anything right, I m always worried and upset. Once i even wrote letters to my friends saying goodbye as if i was going to commit suicide. It s been betting worse over the past few months, is there something wrong with me? | Dear, It is necessay ro distinguish between depression and distress. Probably You get distressed and become moody often. That is it. Life's little trifles are normal. It is more important not to loose heart over these. Learning to cope with life situation is critical, for which our mind is already tuned. Don't loose self confidence and self esteem over these happenings. You are doing well. Wish you a good future. | |
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. | |
Suggest treatment for anxiety in a hypertensive person
i went to the er for a high bp out of know where went back a few times for the same thing turns out i have anxiety not high bp. i was put on clonodine 01mg with lasarton 50mg im a long history diabetic that has had high sugars for years. these pills i think are making my body hurt chest back neck. can these pills do this and should i stop the clonodine | You may be right about the source of side effects. However, it may be dangerous to stop clonidine suddenly. You should discuss options for a change with your doctor so that a change can be made with a plan. He or she can also recommend a non addictive medicine to blunt anxiety related blood pressure elevation. | |
What causes rash on arms and legs after stopping zeyrtec?
Hi I was on the hcg drop vlcd for 23 days I finished on July 3 about 2 weeks later I got a white itchy bumps (like small hives) all over my legs it lasted for 10 days I was treating it with cortisone cream but it didn't help. Then my face swelled and my throat felt swollen to I went to the hospital and was treated with iv benadryl and prednisone it got better .. I was put on zeyrtec for 1 week and told by my dr to go off so I can come in for allergy testing. One day off the zeyrtec and my rash is back on my arms and legs what can this be | Hi, for any type of allergic reactions, steroid are the best drugs to combat it even compared to antihistamines. Your case may be sudden withdrawal of prednisolone or cetrizine, steroid withdrawal should be gradual as far as skin treatment is concerned.U goto dermatologist again and get appropriate regimen.Nothing serious | |
Is feeding buffalo milk is better than breast milk for a 3month old?
hi doctor,i am jhansi .My baby boy age is 6 months now,and i have no breast feeding from 3rd month onwards.At present feeding for my baby is Buffalo milk,but he has been suffering from motions.can you please give me suggestion about feeding milk(which one is better ) | Breast milk is the best possible feed for a baby upto 6 months of age. Thereafter breast milk should be continued along with other semi solids. Cow milk or buffalo milk are produced for the nutritional requirements of their species. Requirements of human babies is different from theirs and hence human breast milk is the best possible feed for a child upto 6 months of age. Most formula milks are cow milk based and hence difficult for the child to digest. It might be the cause of the loose motions your child is getting. If the child is 6 months, milk is now an optional item of the food intake, provided that the nutrients are adequately procured from other food items. So, in case there is no breast milk and the child is 6 months of age, weaning with semi solids needs to be done and basically transitioned over to a mashed version of adult diet low on spices. I would not suggest giving any forumla milk of buffalo milk although some doctors might recommend a low lactose soy based formula. | |
Suggest treatment for nightfall
Age 15 yrs Male Semen discharge during sleeps . I used to mustrabate a lot when i was 13 . I was not knowing about the fact that it can cause damage to my body. Now, after leaving mustrabation , semen dicharges started . It happens to me twice or thrice a week. Semen dischare is happening to me for three yrs. what should i do now ? | HelloNight fall may be due to inadequate emptying,excessive sexual thoughts etc.You should avoid provocative literature and videos.Try to concentrate in your study.Generally medicines are not helpful in this case.You may need psychological therapy if needed.Masturbation doesn't lead to weakness etc and it doesn't cause damage to body.Get well soon.Take CareDr.Indu Bhushan | |
Why does water come out of the breasts?
Good Evening Sir/Madam, Pls. due to circumstances i took abortion since 3rd November, 2010 i have seen my menstral cycle so i do not if i am pregnant because i have been seeing water coming out from my breast when pressing it, Please doctor i need your help. | Hallow Dear,The water you think coming out of your breasts is most likely raw milk - what is known as colostrum. After abortion, this secretion may continue. Please do not squeeze it out. More you squeeze, more milk will be formed. Give a tight binder to the breasts so that the milk secretion can stop. There are Oestrogen preparations available to stop the breast secretions. Your Gynaecologist will help you for that. The colostrum secretion despite of pregnancy may be due to increased secretion of Prolactin hormone from Pituitary gland. Please get your blood examined for levels of this hormone. Raised levels may require X-ray of the skull to find out any cause present in the Pituitary. Usually, such conditions can successfully be treated with Tab. Bromocryptine. Please report this to your Gynaecologist for investigations and appropriate treatment. I hope this helps you. Dr. Nishikant Shrotri | |
What does WBC count of 14.3 in complete blood test suggest?
WBC COUNT 14.3 H [3.7-11.0] RBC COUNT 4.82 [3.74-4.94] HEMATOCRIT 33.1 L [34.1-44.9] HEMOGLOBIN 9.5 L [11.2-15.7] MCV 68.7 L [79.4-95.3] MCH 19.7 L [25.6-32.2] MCHC 28.7 L [32.2-35.3] RDW-CV 16.9 H [11.6-14.4] RDW-SD 42.2 [36.4-46.3] PLATELET COUNT 393 [150-400] MPV 10.9 [9.4-12.3] AUTO NEUTROPHIL 54 [37-78] AUTO MONOCYTE 6 [4-13] AUTO LYMPH 38 [15-45] AUTO IMMATURE GRANS 0.3 [0.0-0.5] AUTO EOS 1 [0-7] AUTO BASOPHIL 0 [0-2] ABSOLUTE NEUTROPHIL 7.71 H [1.56-6.13] ABSOLUTE MONOCYTES 0.92 H [0.24-0.36] ABSOLUTE IMMATURE GRANS 0.05 H [0.00-0.03] ABSOLUTE EOSINOPHILS 0.19 [0.04-0.36] WBCs are always elevated, but usually only to 12. New onset anemia. Not sick that I know of just tired all the time and have pretty wicked heart palpitations, leg pain and cramps at rest, | Welcome to H.C.M.The WBC count in total CBC count suggest total leukocytes or white blood cells in blood.The WBC count in normal value range in your lab reports is 3.7-11.0 in Adult.High value of total WBC suggest infection. Your Total WBC count is 14.3 suggest that it is higher than normal value so follow your doctor to rule out infection.Thanx for query. | |
What causes a chest pain?
I am 42 relativly healthy..I have been recently having pain in my chest right side ..@ the same time it feels like there is pressur all the way thru 2 below my right shoulder...my cholesterol,blood pressure are good..& all labs I had done a few months back were fine... should I b concerned? | Thanks for your question on Health Care Magic. I can understand your situation and problem. Possibility of musculoskeletal pain is more. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Start painkiller and muscle relaxant drugs. Apply warm water pad on affected areas. Don't worry, you will mostly improve in 1-2 weeks. If not improving then get done chest x ray to rule out internal pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Q. Will smoking once a day with 9 to 10 Nicotex gums cause nicotine overdose?
Hello doctor, I have smoked excessively (a pack a day) for six years now. I feel the need to quit now but nothing will give me the same feeling and hit that a cigarette gives me. So I have decided to gradually reduce the habit. I have bought a pack of Nicotex and instead of quitting cold turkey, I plan to have one smoke a day and have the recommended 9 to 10 Nicotex gums a day. I want to know if it is safe and hoping it will not cause Nicotine overdose. Please advise. | Hi. My recommendations would be not to take Nicotine on regular basis. Instead of that, take it whenever you have craving for it. You may take up to 8 to 10 tablets initially, but you have to reduce that also, as few people get addicted to that also. I would recommend you to discuss with your doctor to put you on a medicine known as Bupropion for short duration as it reduces the cravings of cigarettes. | |
What should be done after a shoulder replacement surgery in which a shoulder is not connected to an arm?
My father had a partial shoulder replacement surgery in Oct 2013, then a full shoulder replacement surgery last week. His doctor tells him that the surgery did not work and that the shoulder is not attached to the arm. His doctor does not know what to do. Looking for a specialist in the FTW Metroplex that can handle the correction of this surgery. Who do you recommend? Any idea why the surgery did not work the first two times? | Your father has gone through two surgeries one hemi and other total joint replacement. The second surgery has probably failed because of shoulder subluxation,and the reason for that can be lack of soft tissue support probably because of repeated surgery. | |
While suffering from bone infection since 11 months is it safe to fly?
Hello. I have had a war/bone infection for about 11 months now without any complete recovery which means it keep coming back as an irritated drum. I m leaving by plane soon and wanted to ask if it s safe for me to fly with a problem like that. Thank you | Hello,Thanks for your question and I can understand your concern.Despite the typo, I can figure out that you are talking about a persistent ear bone infection. It would have been more helpful if you have mentioned your age and sex.Travelling by flight with an active ear infection can be uncomfortable especially if there is fluid accumulated behind your tympanic membranes/ ear drums. The answer to your question would be yes you can fly; however, you must remember that there a chances where you might feel very uncomfortable during take offs and landings. This is because of your body trying to balance out the difference in pressure.You can try a sterile ear plug or a good pair of headphone that can minimize the discomfort. The only time when you must try to avoid air travel is if there is severe fluid accumulation behind your ear drums as there can be chances of rupturing your ear drum and consequently bleeding from your ears. | |
Q. Is there any way to manage my relationship issues with partner?
Hi doctor, I am 23 years old, female. I left my family to work in a different place. I came from a seven years relationship that I do not have voice. All I do is yes and yes to my partner and I am not happy. When I came here, I learned that I made the wrong decision and want to return home but cannot. I keep on thinking, I do not have someone to talk to so even if I am doing some chores, my mind is busy thinking about my situation. Sometimes, I feel okay and sometimes, I feel I want to die or I will do anything to get out from here. I even tried looking online and do bad things expecting someone might help me. I sleep 5 to 6 hours daily. I take a bath at night-time before bed daily. More details about the presenting complaint is that I am experiencing nosebleed. Not much associated with headache. I feel dizzy and sometimes I cannot focus. Current medications are I use nasal drops for my nosebleed. | Hi. I read your query and understand your concerns. First of all, I like to inform you that you are not alone and there are plenty of options available through the online portal on the current date (Icliniq is one among them). Secondly, not having someone to talk does not mean that you do not have a life. I understand there must be someone close enough to pour out your heart but it does not mean that tomorrow will be the same. With the progress of time, we develop new relationships and I hope you will meet a person who suits your need and will take care of your emotions. I must admit here that bad relationships leave a scar on our mind and despite all the odds, sometimes we long for the person who least cared for our emotions. This seems to be case for you since you are regretting your decision to move to a new place despite taking this decision in your best interest. I need to say that since you have moved from a bad relationship (I feel so) there is a need to stick to your decision and develop new friendships. This is important as the healing of emotional scars need emotional support and without new relationships, it is difficult to get it. | |
Have hallucinations in the morning. Taking cymbalta and metoprol. Seeing things in detail which are not real. Need help
Hi, I have morning (upon wakening) hallucinations. I take Cymbalta 90mg. and Metoprol 25,mg BID. I have been taking these medications for quite a while and never had these hallucinations before. They happen everymorning upon wakening and seem to be circular in shape. A circle of bees a round spider or crab. All kinds of random things. And when the object is like a ball of yarn or tennis ball etc. they are always spinning. They are very detailed and realistic. They use to scare me but I have become aware and they don t unless they are really close to my face as they are there the moment I open my eyes. My counselor doesn t feel these have a mentle health base. Can you help me??? Taylor from Idaho | Hi there ~ Cymbalta is not known to commonly have this side effect of hallucinations. Dreams close to waking up is associated with a normal physiological process. We tend to remember these dreams as they occurs during the early morning hours when we are waking up. It is however interesting that you are having the same kind of dream all the time. I would not give it much though however and try to distract yourself. Hope you are practicing relaxation exercises like yoga and pranayama. It is also useful to have good sleep hygiene and night time habits. I hope this helps. Consult a doctor if this problem persists and is causing you to have problems during your daytime. Take care and have a good one. | |
What could cause hardness in fingers?
Hi Sir, This is basant from Noida, I have been my fingers skin getting harder and breaking after that. I took medicine, In which vitamin E has been given to me, also an ointment which heals it for few days. After few days it again comes back. Please advice on this. | Hello, Thanks for the query.possible causes like hyperkeratosis must be ruled out. Consult a dermatologist and get evaluated. Topical salicylate will be effective. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family physician | |
Is IgG positive while being pregnant concerning?
Hello Doc . My wife is 5 weeks pregnant. Few months back A doc told has told us to check Rubella igM and Igg and the reports were as pre 28th dec 2010 IgM Negative and IgG positive 189 so do we need to worry today.. and we came to know about pregnancy today . via home pregnancy test. and what do u sugesst what should we do. | No igg means previous remote infection. So no need to worry but if it would have been igm then definitely risk was there. But it's igg nothing to worry. Go ahead with pregnancy. | |
How to get rid of my depression and panic attack?
i m suffuring from depression and pannic attack, i m taking etizola plus 10 mg and etizola .5 since last 20 days, in one whole day in evening i feel like cuff in throt and difficuilty in breathing as soon as i take .5 etizola i get relaxed please guide me | Hi,I read you query and can understand your distress due to anxiety and depression. The medications that you have mentioned are etizola plus which is a combination of etizolam 0.5 mg and escitalopram 10 mg. Etizola .5 contains only Etizolam .5 mg.Etizolam is a benzodiazepine which helps in reducing anxiety. However, it doesn't reduce the disease process which is causing anxiety and depression. Escitalopram is a selective serotonin reuptake inhibitor which helps in the treatment of anxiety as well as depression.Since it is already 20 days of your treatment, I would suggest you revisit your psychiatrist for a treatment review. Had I been your psychiatrist, I would have increased the dose of escitalopram further and waited for its effect. If still there is no improvement, some other drug like venlafaxine or paroxetine can be tried.I would also be taking care that the dose of etizolam is kept under control and later tapered off to reduce the chances of developing dependency.Hope this information was helpful. Best wishes. | |
What causes swollen lump on back of ear?
My boyfriend had a large swollen lump on the back of his ear for about a week or so. It was so tender, red, & inflamed, and his lymph nodes on his neck were swollen too. The cyst was about 1/2 inch in diameter. Last night we went to the Dr. but only the ER was open, and expensive. Last night, it popped - i wasn t there to see, but he said it oozed green snot-like pus. I took a look this morning and it is still there, just not nearly as large. what should he do? and should we worry? | Hi,From hisytory it seems that he might be having infected sebaceous gland cyst and now burst open.Due to infection lymph nodes over this area are enlarged.Consult surgeon and get examined.If cyst is there, it requires complete excision of cyst with removal of sac.Ok and take care. | |
Tiredness, headache, bitter tongue, dry lips, low concentration, feverish, no relief with medicines, work with chemicals. Chemical poisoning?
lately ,i wake up feeling so tired ,with headache ,bitter tongue ,dry lips , and general weakness with lack of concentration ,feverish condition .....i have gone to my doctor ,but still the drugs giving me for candid overgrowth ,doesn t seems to work ..... I have been working with some chemicals lately and i have inhaled excess of it ,used a mixture of haiter bleach(for white clothes) and the concentreated liquid for cleaning toilet and tiles ,for getting my gemstones cleaned up ...i guess this might be some kind of chemical poisoning .....i kindly will appreciate any help you can provide ,i am 36 years old ,84 kg ,180cm tall . | the symptomps are of allergies you must be having some allergies in the past which get exxagerated by exposure to chemicals and taking of chemicals for other diseases i think you get blood serum specific antibodies for common allergens of environment and foods and then get treatments depending on tests | |
Black spots on the face. Using Mela Glow. Side effects?
Hi i am Abhishek, 22 years old and i am having little black spots on all over my face. I consult with Dermatologist regarding this and he recommend for Mela Glow (skin brightening and lightning cream) and i am using it past 1 month and i can see the good effect on face. But i want to know what will be the side effect of this if i use it for long period..... | Hello,Thanx for writing at HCM,Melaglow is a steroid cream...it should not be used more than 2-3 months...as it can make your skin more sensitive towards sun light and can cause acne,rash,and infection....You have to use proper sunscreen cream regular for 3 times...then only you can protect your skin from harmful uv rays of sunlight...Don't stop melaglow suddenly but stop it gradually and consult with Dermatologist....Hope this will help...Take care... | |
What does HBsAg-reactive and anti HBs-non reactive suggest?
my son has hepa b hbsag-reactive-anti hbs-non reaetive-anti hbc-lgg-reactive- anti hbc lgm-non reactive -Hbeagnon reactive -anti =hbe-reactive -my son 32 years and it was detect 2007 -this profile is last july 5 2014 what is the meaning of this-thank you? | Hi, I had gone through your question and understand your concerns.Let me analyse your reports-1.HBsAg - reactive (HBsAg is a marker of both acute and chronic HepB infection)2.IgM antiHBc - nonreactive , IgG antiHBc - reactive ( IgM antiHbc is a marker of acute infection , IgG is a marker of chronic infection)3.Hbe Ag- nonreactive ( HbeAg is one of the quantitative markers of the viral replication)4.Anti Hbs - nonreactive ( Anti Hbs indicates complete recovery from HepB infection)This actually points towards - HBe nonreactive chronic hepatitis B.There are plenty of medications available like Entecavir , Pegylated Interferon and others. They can be started based on the HBV DNA level and SGOT,SGPT level.Do not worry.It would have been great had I examined him on my own.I would suggest you to take him to a gastro-enterologist . He/she can examine him and correlate clinically.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your son's good health. | |
What are the chances of pregnancy with timed intercourse and HCG shots?
i had hcg shot 5 days ago which was 16th jan 2012 at 9.30am. I was told to have timed intercourse at least 10.30pm the next day and we did have intercourse before 10.30pm the next day. We also had intercourse for the 4 days in a row as told by the doctor. I have been having some mild cramps on left and right below my stomach. Why is it happening? The doctor said i had one matured egg i think around 20mm so thats why she gave me hcg shot and told to have timed intercourse and see how it goes and she told me i do have chances. I hope it happens for me this month as i had 2 previous miscarriage before this and it was normal pregnancy. This time i took clomid day 5 to day 9. Gonal f shots day 5,7 & day 9. Hcg injection was given day 10 of my cycle. Suppose to do IUI this cycle but was cancelled as 3 matured eggs is required for the procedure and i only had one matured egg around 20mm and doctor gave hcg shot said timed intercourse still stand a chance. | Hi, I think you are having ovulation pain, which happens due to rupture of follicles and release egg. You have a chance of pregnancy this time. You can take progesterone for 2 weeks to support the pregnancy. Hope I have answered your question. If you have any other query I will be happy to help.Regards Dr khushboo | |
Suggest treatment for cough,dry throat and choking
Hi, my lungs have felt heavy for a few days. i don't really have a cough. i did have a bit of a cough because my throat had been very dry for a few weeks and i was waking up at night coughing because of dry throat and choking because snot was running down my throat | Hello welcome to the health care magic You are having acute pharyngitis with upper respiratory tract infection. Take decongestant like phenylephrine or levocetrizine for 5 days. Drink lots of water. Take one tsp turmeric powder with milk daily Antibiotic course like Levofloxacin or azithromycin can be prescribed Steam inhalation done three times a day Salt water gargle done with warm water three times a day Take care Hope your concern solved Consult physician or otorhinolaryngologist for examination and discuss your case | |
Does masturbation cause alopecia areata?
this is the frist time iam having this dignosis of alopecia areata iam so worried my doctor said my hair would grow back plus i never had any family history of such sort of disease......so do think does it gonna be of recurrent type? and i mastrubate alot does it effect? | Hi,You said you have alopecia areata. I would like to inform you that alopecia areata is an autoimmune skin disease characterised by sudden appearance of bald patches on scalp,beard or moustache. Other hairy areas may be affected too.exact cause is not known. But, I assure you that masturbation never causes alopecia areata.Local application of irritant like neopsoralen lotion might improve the disease.Intradermal steroid injection is other modality to cure the disease. Immunomodulator like levamisole may be taken. You consult dermatologist and have perfect treatment.Thanks.Dr. Ilyas Patel MD | |
Is sputum test needed for Xray result of nodulohazy density in right upper lungfield?
hi doc. my x-ry result is as correlated with chest PA shows a faint nodulohazy density in the upper lungfield. No other remarkable findings. and the impression: NODULOHAZY DENSITY IN THE RIGHT UPPER LUNGFIELD LIKELY TO PTB OF UNDETERMINED ACTIVITY... should go on a sputum test? | Thanks for your question on Health Care Magic. I can understand your concern. Yes, you should definitely get done sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis). Tuberculosis is commonly seen in lungs and especially in upper lobes. So upper lobe lesions on chest x ray must be evaluated for tuberculosis. And sputum examination is accurate, easily available, rapid and cost effective test for the diagnosis of tuberculosis. So get done sputum examination for AFB. Hope I have solved your query. Wish you good health. Thanks. | |
I have severely peeling and chapped lips.
hi i am a 27 year old female and i have had severley chapped lips for about 7 months. i have tried everything on them - vaseline, carmex, blistex, honey etc and nothing helps. they constantly are peeling and a white coating appears which is quite hard to rub off. it was all on the bottom lip but in last few weeks the centra point of top lip keeps peeling to leave a very red patch underneath, looks scabby which just highlights how off colour my lips are. the gp prescribed daktacort which did nothing and then hydrocortisone cream and still no improvement. they look and feel awful and i have lost all my confidence as everyone stares at them. please help | hi apply venusia cream five times a day. dont remove scab. apply momate cream at night. dont go in windy,dry ,sunny weather without protection | |
What are the travelling risks during 1st trimester ?
Hi. My last period was on 1st April and I missed my next period(I usually have regular periods). I did a home pregnancy test on 2nd May and it showed negative, but another one on 6th May was +ve. We are planning a vacation next week which would involve 4hrs air travel one way. Also, it involves maximum 2-3 hrs car travel on a daily basis. We do not have any rigorous activities planned which can exhaust me. How safe it is to travel in this period(considering I am mostly 5 weeks pregnant)? Also, what are the risks involved in travelling at this stage ? Thanks. | today is 26july2011. and your vacation is over .if not then please go for USG. and the travel can be taken.only in later stage that is 8 month onward travel is not suggested. | |
What causes pain in the navel and groin area?
Hi, I am having constant pain below (about an one and half inches below) the naval and am wondering about this pain as it is uncomfortable. Also I have been waking to seriously severe pain in the right lower groin area, artery area? This pain seems to encompass the hip/buttock and on waking in pain feels like it is being crushed? I think the two areas are separate but am unsure. the pain over the artery area seems to radiate down the inner thigh and is felt in the foot. What do you think ? sorry thought that it was general advice, regards | Hello I have studied your case.There is possibility of kidney stones or crohns ulcerative colitis.You may need to investigate in form of complete blood count, ESR, CRP.Ultrasonography abdomen and pelvis will help.Hip and groin pain can be radiating pain.You may need clinical examination also to confirm diagnosis.Till time you can start medication and antibiotic consulting your treating doctor.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 | |
Suggest treatment for pain in the back side of the head
I had a nasty fall in my kitchen yesterday evening...my head hit the corner of the kitchen wall pretty hard. I first felt pain in the top right part of my head but there was no visible bump, so I treated with an ice pack for about 2 hours. Well, the pain spread to the back of my head and then to the back of my neck. Feels like it's going into my back/spine. I didn't lose consciousness or anything...I've been normal for the most part, just the pain is "travelling" down towards my back. What could this be? | Hi ! Good eveining. I am Dr Shareef answering your query.From the description of increasing intensity and spread of the pain due to the trauma sustained, I would advise you to visit a general surgeon or report to the ER of your nearest hospital so that related investigations along with a thorough physical examination could be done to diagnose the problem, and go for further management. Till then, you could go for an anti inflammatory along with a proton pump inhibitor drug.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef | |
Can darkening / staining of buttocks skin be treated?
Hi, I have a question in regards to having some anal intimacy with my partner. I lately have been embarrassed by my bum because of this dark staining that could never come off. I want to show myself COMPLETELY to my partner but when it comes to my bum, I m just too embarrassed because of the staining. How do I get rid of it without going so far as to seeing a professional? | Hello. Thank you for writing to us at healthcaremagicDarkening in this region is most commonly a consequence of fungal infection/tinea cruris.Tinea or fungal infection is commonly associated with post-inflammatory hyperpigmentation /PIH which presents as darkening.I suggest you to try an OTC topical antifungal e.g clotrimazole 1% cream, twice daily to the affected area.Treating underlying fungal infection would take care of the PIH/ Darkening as well i.e it should resolve gradually once fungal infection is treated.Regards | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Why am I having confusion, memory loss, occassional high BP after accidentally hitting head and are there chances of getting normal?
I m sorry this is so long but thought the details important. In January of 2013, I tripped over my laptop cord and went flying into our dining room table that has a sharp edge and broke my nose. It happened so quickly that I don t know how I also managed to hit the back upper side of my head (maybe on one of the chairs?), nearly broke my left knee and suffered bruising on my right arm, hip and thigh. I didn t go to the ER because when I called them, they said I would be waiting for hours and the waiting room was full of flu patients. The cut across my nose was pretty clean, not gaping. My husband helped get the bleeding stopped. I did look as though I had been beaten severely the next day with major black eyes and bruising in the other areas. I was surprised at how sore the back of my head was since there wasn t even a slight bump. I didn t think much about it as I gradually improved. On July 1 of 2013 my husband and I flew to Wisconsin from Texas and then back again after 6 days. Upon arriving in WI, I started having terrible headaches and confusion. Within 4 days of returning to Texas, my husband had to take me to the ER because the headache pain was unbearable and sudden very high blood pressure. The ER got me stable with BP meds, fluids and 3 doses of morphine. I don t remember any of that. My husband said I kept trying to pull the IV s out. I saw my PCP the next day and he sent me for an MRI which showed I had a subdural hematoma with a thin layer of blood covering my entire brain. I had been taking lots of advil and aspirin for the pain.The neurosurgeon I was referred to said DO NOT take either because of the bleed. He decided not to do surgery but put me on Keppra to reduce the chances of seizures and have follow up CT scans and visits to see him. My PCP put me on Lisinipril for the BP before I saw the NS. I ve had 2 catscans since the MRI and they show improvement. But I m still having periods of confusion, occasional but not constant high BP (I have always had low BP) and mild headaches. I am now off of the Keppra but am taking 1/2 of a 2.5 Lisiniprol when the BP goes up. I am also more depressed than usual (I have fibromylagia, hypothyroidism, and IBS). I am 62, female and concerned that I might never be normal again because of the continuing confusion and memory problems that I didn t have before all of this happe | hi therei am Dr Saumya MittalI have read your detailed query And I need to say the information is quite aptly putI will start by first stating that the symptoms are probably due to the hematoma. understand that the skull is a closed space in which the brain is placed. So any added matter in a closed space will increase the pressure. that is a basic law of physics. As long as the blood remains inside, the pressure will be high. This therefore causes pain and discomfort. headache is due to this.As for improvement, I cannot surely say, because i have not seen the mri. However you may talk to your neurosurgeon about elective surgery and drainage of bloodi am hoping your thyroid and bp is under control. | |
Suggest treatment for psoriasis
i am suffering from psoriasis since 10 years.now it become very dangerous. it cover almost all part in my body. i take 15 mg MTX in every week.I also took PUVA.but nothing can control my psoriasis.I am 25 years old and iam married woman. my mother in law, my husband always torture me mentally. i have no child. my husband now wants a baby. i am an electrical engineer from KUET. but i cant join any job for my illness.so i am financially in secure. i am very helpless. what can i do? | Hello. thanks for writing to us at healthcaremagicI feel very sorry for all that you have been going through for no fault of yours.I must assure you that there are a host of treatment options that effectively clear psoriasis and most people with psoriasis are able to lead a normal life and can extend there families just like others.Though Methotrexate is a well known and tried and tested treatment option for generalized disease, lack of responsiveness to Methotrexate may be due to reduced oral bio-availability/decreased Oral absorption.An alternative is to switch to injectable Methotrexate i.e either I/M Or I/V.Cyclosporin is another option that may be tried in your case; it is an immunosuppressive and usually brings about remarkable improvement even in the most widespread skin involvement with psoriasisOral retinoids are also effective options for generalized plaques psoriasis and can be either used alone or combined with other systemic treatment options like Phototherapy.A word of caution for retinoids is that they can cause fetal defects in pregnant ladies. The recommendation is that females treated with Retinoids should not become pregnant for at least 2 years after completing treatment.Topical treatment is an adjuvant to oral treatment and comprises topical emollients, steroids and Vitamin D analogues.Finally Biologics are the newest category of drugs available to treat psoriasis and produce long remissions. The negative aspect of biologics is that they are expensive.I would suggest that you seek another appointment with a dermatologist in your region for assessment of the severity of your psoriasis and most appropriate treatment for you.Regards | |
What causes bump in genital area?
Hello, I noticed I ve have a relatively small sized flesh colored bump towards the very bottom of my general shaft. It s been there for about 4 months now and has not gone away. All i can remember when It appeared was that I had previously shaved there, I always shave my general area and keep it clean but have had ingrown hairs in that area before, however they just go away. I m scared this might be a wart but I do remember around the time I got it, I was not sexually active. I m wondering if It s a general wart or an ingrown hair infection and how I go about handling this. | HelloWelcome to Health care magic.I went through the history you have provided here. It seems from the history that you are having bumps in the genital area.This is because of inflammation of the hair follicles resulting in furuncle or because of enlargement of the lymph nodes secondary to infection in the area.This can be treated by the use of oral antibiotics and anti-inflammatory drugs.Do consult your doctor for examination for confirmation of diagnosis and prescription of drugs.Do write back to me for further questions.Wishing you a good health.Thank you | |
What causes bluish discoloration of the penile head?
Hi, may I answer your health queries right now ? Please type your query here... Ok so we got our son circumcised two weeks ago and today when changing his diaper we noticed that the head was blueish black looking and it looked pinched by where it was cut...is that normal or should I bring him in? | Penile head or glans penis may appear purplish or bluish purple in some cases. If it is looking blackish with pinched or strangulated near incision then you need to consult your surgeon who performed circumcision. | |
Do dizziness, sensitive breasts and brown vaginal discharge indicate ectopic pregnancy?
Was wondering if I have a ectopic pregnancy. About 4 weeks ago I thought I had a miscarraige ( probably about 6 weeks pregnant) a led and cramped on and off never steady for 2 days and now 4 weeks later my boobs are still sore and getting worse and I feel more pregnant then I did before. I am very dizzy and lightheaded and cramps are on and off over the past 4 weeks I had a lot of brown discard to but the past week has just been lightheaded and very very dizzy lack of energy | Hello, An ectopic pregnancy can’t be ruled out without investigations. I suggest you go for some investigations like Beta HCG levels, USG abdomen and pelvis, Urine examination routine and microscopic, CBC to rule out an ectopic pregnancy or other causes of the symptoms you are experiencing. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Naira Jahangir, OB and GYN Specialist | |
Suggest treatment for caeliac disease in a 4 years old child
Hi i was wondering what help we can get for a very small 4 yr old child with caeliac disease, we have just had him diagnosed. he has been very poorly with pneumonia with complications and various other conditions for the last year. He has further tests to under go. We are not sure what we can do for him now we have changed his diet . Is he entitled to dla ? | Hi, a celiac disease patient can lead a normal life if gluten containing foods are avoided. Celiac disease is a commonly found disease, i think that the only thing you need to do is change his diet to gluten free. Take care. | |
What are the symptoms of Alzheimer s disease?
I think I might be getting Alzheimer s disease. Can do my cashier job OK asked my boss no problems there close front office lock up store set alarm etc. Having problem when talking can not find the right word that I want to use. Mixing by words up calling breakfast supper no as soon as I say it correct myself . No problem driving balance checkbook workout 3 to 4 times a week do things with friends. Husband has a lot of health problems in last 3 years had 4 major surgery. Very stressful 4 me. I am 66 years old work part time. Eat pretty healthy do not drink smoke no coffee pop drink water not on any medications. Do I need to see my doctor? Email address janrob4040&gmail.com | in my opinion symptoms of alzeihmer being memory disturbance which interferes with daily functioning word finding difficulties later on having difficulty understanding speech in some individuals planning , , organising also can be effectedlater on personality changes can be seen difficulty in doing calculationsdifficulties in understanding environment can be seen later on difficulties controlling bladder is common | |
Suggest remedy for dry mouth
I am 61 years old 165 cm weight 61 kg Indian vegetarian , non smoking non drinking alchohal underwent throat cancer surgery Buccal Mucosa in May 2008 , taken chemotherapy + Radiation also suffering from dry mouth can i take Miraqule capsules pls adv any other medicine for dry mouth. at present no medications thanks Hari Lulla | Hi,Thanks for writing in.Miraqule capsule contains Coenzyme Q10 and other supplements which help in general health of the patient. It is recommended for every one and improves the general health by providing micronutrients.The remedy for dry mouth is to suck on lozenges frequently and this will stimulate salivation in the mouth. The cause for reduced salivation is the side effect due to surgery, chemotherapy and radiation therapy. The radiation given to the area affected by cancer has affected the salivary glands and therefore you are experiencing reduced salivation and dry mouth. Please drink adequate amounts of water and fresh fluids regularly and keep your mouth moist. Please do not worry. | |
Can itchy and dry skin on thighs and mons pubis indicate fungal bacteria?
I am 21 year old female not sexually active. I have an itchy mons pubis and itchy skin on my thigh send hips around my groin region. This is accompanied by dryness. This is present since last 2 weeks.There is hard lump on mons pubis which is red and painful only on touch. Please suggest if it's fungal or bacterial and what should I use. | Hello and welcome to HCM, The itching you are experiencing may be due to dryness only. Keep the area well moisturised, but not too humid. The hard lump on pubis though, indicates a bacterial infection, mostly staphylococcus folliculitis. I'd advise you to take oral antibiotics like XXXX for 5 days. Apply warm compresses over the skin.Hope it helped. | |
Suggest treatment for chest pain
Hi I am 43 year man and i suffering from chest pain from last 2 years. I have done cardiography before 6 months but there was no problem reported but i still have chest pain and some time i feel fine. So pls suggest me what can i do Thanking you | Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for heart diseases because your angiography is normal. You are having chronic non cardiac chest pain. Most common cause for this is costochondritis. Another common cause is stress and anxiety related chest pain. So better to follow these steps for symptomatic relief. 1. Avoid stress and tension, be relax and calm. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Avoid heavyweight lifting and strenuous exercise. 5. Apply warm water pad on affected areas. 6. Take painkiller like ibuprofen and anti inflammatory drug. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes constant pain on both the feet and calf?
I have constant pain in both feet and right calf. Sometimes feels like fluid running down inside of leg. No one can tell me what is going on they can t find anything wrong. A chiropractor said it is muscle knots. Sometimes pain is so bad can t walk. Any advice. | Hi Hope this message finds you in good health.I have gone through your query in detail and understand your concern.it may occur due to calcium or vitamin deficiency.take calcium supplements and get your blood checked for any derangements/ deficienciesHope your query has been answeredNothing to worry about, You should eventually get back to normal.Get back to me for any FOLLOW UP QUERIES anytime.Kind Regards,Dr Mahaveer Patil...(MBBS,MS,Mch) | |
Suggest new drugs for hypertension
I am 58 yrs male and having type-2 DM and hypertension. I was taking losacar-a+aten 50 (1 tab each daily) for BP and glimipride-2mg (1 tab only after breakfast) for type-2 dm. Now doctor has changed the medicine to comcor cor 2.5 mg+telma40 once for BP and glycomet gp-1 twice (after break fast and after dinner). Doctors view is that the medicines taken earlier are old and new have come in the market. I am not sure whether the change will be better. Pl. advise is the change o.k. | Hello , There is no scientific data that the newer medication are better as compared to the previous one you are taking . So if your blood pressure is well under control with the previous regime , It's worthwhile to take the same . If uncontrolled concor has a slight edge over atenolol in controlling The BP . Regards Dr. Mody | |
What causes pain in chest and below shoulder?
I have pain in my chest, right hand side and in my back below my shoulder. It is not acute, but uncomfortable. I have had this pain on and off for the last couple of weeks, more when I am resting and getting ready to sleep. Today it has been more constant. Is it anything to worry about? | Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, your discomfort is mostly suggestive of musculoskeletal. But better to get done chest x ray to rule out internal pathology. If chest x ray is normal then no need to worry much. Your discomfort is musculoskeletal only. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting. 2. Avoid strenuous exercise. 3. Avoid bad postures in sleep. 4. Avoid painful movements. 5. Start painkiller and muscle relaxant drug.6. Apply warm water pad on affected site. Don't worry, you will be alright. Wish you good health. Thanks. | |
Had gall bladder removal. Having bad burning sensation going up the chest. What could it be?
hello doctor. a few days after my Gallbladder removal i had some pain from surgery area.. after i had bm it went away. but a few days after that i got some bad burning sensation going up my chest . it wasn t bad in the start but now it comes and goes, it hurts at times and doesnt let me sleep also. what is this pain? and how can i make it go away ? ty | Hello! Thank you for the query. In some cases the gallstones symptoms and peptic ulcer symptoms/acid reflux are very similar. That is why after gallstones removal, sometimes the patient still has abdominal pain. It is because the main reason of his pain was not gallstones but peptic ulcers. This has probably happen at your case. The other possible reason is the stone left inside your biliary tract. Chest burning always should be checked with heart condition. Especially if the pain radiates to the left shoulder or jaw. You should have heart ECG, abdominal ultrasound, liver tests (AST,ALT,GGTP), amylase, bilirubin and if no findings in this tests, upper GI endoscopy should be performed. Hope this will help. Regards. | |
PCOD Syndrome 7years ago, metformin, camfort 0.5 mg, exebid, have 2 years baby, not able to conceive
hi doctor this is Maria from GOa ,my question is i had PCOD Syndrome 7years ago,in the meanwhile i got married and i was on medication metformin for some time, after 3 yrs of marriage a went to a infertility specialist and took treatment he advised me for tab Camfort 0.05mg and Tab Ebexid after that i immediatly conceieved a got a baby girl. she is now 2 years ,now we want to have a second baby , but i think i am not concieving should i again start treatment, iam 27 years and weigh 75 kgs,5.7 feet tall. pls suggest,my husband is a shippy guy, and most of the time away from me. | hello welcome to HCM PCO - is a common condition found in women If you are planning the second child pls go ahead with the treatment as it will help you get pregnant If your husband is away most of the time - you can request the clinic to freeze his sperm which can be used for you when you ovulate - they can do the simple procedure of intra uterine insemination hope to have answered your query wish you all the best Dr Nandita Thakkar | |
Bumps, chronic headaches, flashing lights triggers anxiety. Anxiety and depression. History of lupus in the family. Could it be lupus?
Since I was a kid I've had joint pain that has been getting worse... I get chronic headaches and I'm very sensitive to light. Flashing lights trigger my anxiety but I've never had a seizure. I'm tired all the time sometimes caffeine doesn't even help. I've had anxiety and depression since I was a little girl. when i was a child i would go to theme parks all the time and when I would wear shorts I would get a red blotchy rash type deal all over my legs, but not when I wore pants... The hear makes me vomit and it gets difficult for me to breathe. Yesterday I broke out with bumps all over my neck it has now spread to my chest shoulders upper back and up to my chin. Lupus runs in my family and as more time goes on I am thinking my symptoms may be from lupus. My cousin who has a more severe case of it is convinced I have it. I'm looking for a second opinion. | Hi,Going by your symptoms and the strong family history of Lupus, I would also be highly suspicious of lupus in you. Please get yourself screened for the same. Most useful tests would be the ANA and the anti-dsDNA antibody tests.I wish you good health. | |
What causes rashes on the legs in a diabetic?
My husband was prescribed a antifungal medication for a rash on his legs. He was prescribed this for 15 days, but after 2 days he became ill, within the 3 weeks since getting this medication he has been hospitalized for medical induced hepatitis.. he has been in 3 hospitals. He has severe liver damage & today was told that his pancrease my now be affected and possible onset of diabetes.. this is from a man that has never been sick or had any surgeries.. Do you have any thoughts on this?? We threw away the mess, so I don t have the name, I have a copy of the script but am unable to read the name of the Medes.. | HIWell come to HCMI really appreciate your concern, it could be liver pathology but it may not be due to the medicines given but it could be due to some infection like virus, it could be systemic or metabolic disease. With testing it can be easily diagnosed, what is the underlying cause of liver pathology or cause of damage and without this it can not be said that the anti-fungal is the cause of damage hope this information helps. | |
What to do for the discomfort in the chest?
hi, im 29 and for a few days now, when I eat or drink I start getting this pressure in my chest. no pain or burning just the uncomfortable pressure and the feeling like i need to burp but i have such a hard time doing it. the feeling can last a few hours. if I'm lucky I might get a few little burps out. I tried Eno but it hasn't seemed to of helped. | YOU SEEM TO BE HAVING DYSPEPSIA WHICH IS A VERY COMMON SYMPTOM IN MANY A PATIENTS. TAKE A PPI LIKE RABEPRAZOLE AND A PROKINETIC LIKE LEVOSULPIRIDE DAILY FOR SOME TIME. IT WILL HELP | |
What causes lump on the inner side of thigh just beneath testicles?
I have a lump beneath my stomach,just above the pubic area and now there s a lump developing on the inner side of my left thigh just beneath the testicles.other then that There have been lumps developing on my thighs since years which automatically burst.but now these Lumps create pain | not to worry much as this is benign condition like infected sebaceous cyst or skin tags / fibroepithelial polypif really worries you can go for an FNAC test for confirmationall the best! | |
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 --> | |
Does pinched sciatic nerve syndrome cause vasovagle syncope?
I have near vasovagle syncope. Could there be a connection between the syncope and my pinched sciatic nerve that is causing pain when I walk. Age 63, 116 lbs., 5 4 . I was recently put on blood pressure meds. Outside of that, no other health problems. I had a cat scan, 2 blood workups, wore a cardic monitor for nine days and even with the near fainting recorded, my heart was fine, so was the cat scan and blood work. | You are having postural hypotension.Becouse of medicines for blood peessure.I do not think it is vasovagal syncope as it is having no relation with sciatica nerve.So better to consult a doctor take telmisartan as bp meds.So dont worry. Hope my suggestions helpful and thankful to you. Take care. Don't forget to give ratings. | |
What is the treatment for dandruff and hair fall?
Dear Doctor, I am 32 years old. I am suffering from hair fall problem. Also i have dandruff with grey hair. Since my hair has become thin, almost the scalp is visible. Went to dermatologist and he prescribed biotin tablets for 2months (one table per day), Ketsal shampoo for dandruff and Regaine 5% solution for hair regrowth. Still i have dandruff problem and hair fall problem. Could you please suggest any other treatment for this. Also can i apply Caster oil / Olive oil before shampooing for hair growth? If possible can you please suggest me some veg diet to get healthy hair. | Hello. Thanks for writing to us at healthcaremagicDandruff Or Seborrheic Dermatitis is a common cause of increased hair shedding. Controlling dandruff effectively would control excessive hair fall too.You probably also have androgenetic alopecia, as can be judged from your prescription which contains, Minoxidil.The shampoo which you are using contains 2% ketoconazole, which is a common ingredient of antidandruff shampoos.However, in some cases a ketoconazole based antidandruff shampoo alone may not be totally effective specially if dandruff is excessive.In such cases there are various options available to more effectively control dandruff:-Seborrheic dermatitis is a steroid responsive dermatoses, therefore we have an option of using topical steroids lotionI usually ask my patients to use a topical steroid lotion (Mometasone furoate Or Clobetasol propionate lotion) once daily at night for a short period of 2 weeks-Another factor responsible for resistant dandruff is because the contact time of a shampoo is just 5-7 minutes Or even lesser (recommended is 10-15 minutes for ketoconazole based shampoo) and the active ingredient does'nt remain in contact with the scalp for a sufficient period of time.Therefore using an overnight leave-on antidandruff preparation/lotion would be more effective as compared to a shampoo.-Alternative shampoos can be tried and are usually more effective e.g a coal tar+salicyclic acid based shampoo is an alternative as are other antidandruff shampoos, containing ingredients for which a shorter contact time (3-4 minutes) is good enough like ciclopirox olamine, piroctone olamine, sertaconazole etc.Apart from Minoxidil, I would also like to add Oral Finasteride which is specific for androgenetic alopecia because it reverses and prevents follicular miniaturization.A biotin supplement may also be added. Biotin would be an added advantage as it promotes hair growth. It also promotes utilization of proteins by hair.Oiling before shampoo is fine. Its only purpose is to condition the hair. As such it wont help with your hair fall.I would suggest that you seek another appointment with your dermatologist. Your dermatologist would tell you more about these in detail and advice accordingly.Regards | |
Depression. Inability to get an erection. Taking Venlafaxine. Help?
Hi Dear SamuelI am taking Venlafaxine at dose of 150MG every day, its about 4 months now, my depression is going sooo well now, as if I'm a different person but now I have problem with my sexuality,,, I don't get erection at all,,, is there any medicine to get rid of this problem? I dont want to change Venlafaxine as this med is the only one works on me.RegardsSam | Hi Samuel, Forum I can understand dilemma u must be suffering. Erectile dysfunction(ED) in a patient of on treatment for depression could be either part of depression itself or medication induced. If its part of depression itself that is ur ED problem was there before start of treatment and still continued - can be treated by increasing dose of medicine or adding another medicine to this. If its medication induced that is ur ED problem is newer,developed recently - then it requires gradually lowering dose of ongoing medicine if it permits.If lowering dose will create problem then adding another medicine which counteracts side effect of same i.e. Cyproheptadine,L-methylfolate or adding another antidepressant will help. Remember that there are better and safer alternative drug option also available for change of medicine also.Discuss your problem in person with your psychiatrist - depending on progress of illness he will suggest you best option. Hope it helps.Best Regards. | |
Suggest treatment for lower abdominal cramps and lower back pain
I am 36, weight 120lb, and 5 7 . I have cramping in lower part of tummy, worse at night and now pain is in lower back. I went to Dr and the said my blood count is low.I don t have burning when I go to the bathroom or trouble peeing. No appitite so I have lost 3lbs. | Hi Sir,I understand your query and concern.As per your clinical description of pain,it usually points to renal stone located somewhere in the lower ureter.For this you need to have a CT scan of the abdomen for accurate assessment.Gelusil cannot control this pain.I advise you to have Tab Tramadol and Tab.Pantop 40 mg,a course of antibiotic taken under medical prescription to control this pain.Further expert management depends on the outcome of the CT scan result.If the size of stone is more than 5 cm then depending on the location of stone Extra corporeal lithotropsy can be done.Meanwhile you need to take soft and less spicy foods.Drink 3-4 litres of water everyday.Fruits,fruit juices,vegetable salads,soups should be taken.Post your further queries if any.Thank you. | |
What causes tingling sensation radiating from the left hip towards the right buttock?
I had a pain in my hip suddenly that felt like bursitis. Over a couple of days, that pain subsided and now I am left with a tingling on the skin over my hip. It sometimes radiates to the top of my right buttock. There is no discoloration, but when you run your hand or clothes over it, it feels like a mild sunburn. What could this be? Thank you | Dear patient you may be having meralgia paeresthetica. In this condition there is compression of lateral cutaneous nerve of thigh at groin. this leads to tingling and numbness in anterolateral aspect of upper thigh. Confirmation of diagnosis can be done by nerve conduction studies of lateral cutaneous nerve of thigh. please get it done from physiotherapy centre nearby you. Meanwhile start tab pregalin x 75 mg one at bedtime. You need to consult orthopaedic surgeon with report. | |
What can cause low blood pressure levels while on Telmisartan, Hydrochlorothiazide and Simvastatin?
I take Telmisartin 40mg at bedtime, Hydrochlorothiazide 25mg and Simvastatin 40mg in the morning. I also have Hydralazine 10mg (1/2 tablet) if needed for occasional "spiking" of blood pressure. However, over the weekend, my blood pressure reading dropped to 70/40, for which I drank water, ate some salt, quick recovery. Otherwise my blood pressure stays fairly "normal." Suggestions? | Hi, Telmisartan, Hydrochlorothiazide, and Hydralazine are all blood pressure lowering medications. If you are experiencing a periodic drop in blood pressure the dosage of the medications should be reduced. Please, consult with your doctor to review your medication doses. It is important to monitor blood pressure several times a day once your doctor decides to make adjustments in the dose of the medications. Furthermore, follow lifestyle modifications by eating a healthy diet, decreasing salt intake and doing regular physical exercises. Also, maintain normal weight and limit alcohol intake if you drink. Hope I have answered your query. Let me know if I can assist you further. | |
Q. In an accident, my blood contacts with blood of other person. What is the possibility of HIV?
Hi doctor, I met with an accident before a few days where I happened to have a deep cut and I got in touch with the blood of another guy. Recently, I had a pimple on my penis shaft and when I approached a dermatologist he advised that I get tested for HIV. I had a third generation test using vitros eci post five to six weeks past exposure and tested negative. My doctor advised me to get a test at least after 10 weeks post-exposure for confirmation. I am pretty nervous regarding the same. Can you please advise me what are the chances of contracting HIV and do the symptoms definitely occur in every individual post-HIV contraction? | Hello. Firstly, risk depends upon whether that guy has HIV or not. If not then nothing to worry, but considering the second possibility, then some risk remains of transmission, but not cent percent. Now, if the test is negative after five to six weeks then it is unlikely for you to have HIV as majority of those who are exposed becomes positive within this period. Only a minority of patients develop delayed seroconversion. So considering overall status, I think, there is no need to worry about it and you are unlikely to have HIV. However, get tested after a few weeks to clear out doubt and be sure. So you should not worry now and get back to routine, and get tested at later date. I hope this helps. | |
Persisting tongue numbness at night, no snoring, normal blood sugar, thyroid. Taking multivitamins, vitamin b12. What could be the cause?
i am a 32 year old female and my tongue has been going numb at night, i ve had a diabetes test done,my test result was 5.7, and a thyroid test which came out ok, but still in tongue feels numb when i wake up, i ve been taking multivitamins for over a week and vitamin b12 as well. the tongue numb seems to only happen at night. i dont snore either so i dont think sleep apnea is a problem | hello thnks for cnsulting at hcm,Numbness in the tongue can occur due damage to the nerves supplying that area, interrupted blood circulation, pernicious anemia, vitamin B deficiency any recent tooth extraction??? Do you have accompanying symptoms like dizziness, light headedness, nausea, weakness in hands and legs, headache etc? What is your age? Do you have any other medical conditions for which you are undergoing treatment presently?Since all ur medicines r not giving u any relief .. plz take an opine with a neurologist for physical examination . Complete blood picture, lipid profile and CTscan of brain can help making diagnosis. hope it helps.. |
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