patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
What could be done for bad taste in mouth while having food of a lung cancer patient?
hello, My father has lung cancer. One of the major problems for him is that when he tries to eat anything he gets a bad taste in his mouth. And with that he no longer wants to eat. What can he do to take care of the bad taste in his mouth when start eating. | Hi. This is the common problem seen in patients with cancer. This bad taste is caused by effect of medicines and even by the disease itself. He should be encouraged to take small meals but more frequently. for example instead of taking a whole piece of bread three times a day, ask him to have two or three bites and repeat this after every hour or so. Making meals which he like and changing type of meals frequently also help. Nutritional supplements like ensure powder also help meet nutritional requirements if he is not diabetic (sugar). Drinking plenty of fluids also help. Hope I have answered your query. If you have any further questions I will be happy to help | |
How can gallbladder adenomyomatosis be treated?
I had a scan as I have pain around the 12th right rib. The scan showed adenomyomatosis of the gall bladder. and also 2 subcentimeter echogenic foci of the left kidney in keeping with angiomyolipomas. I really don t know what these two things mean. do I have kidney stones. What treatment do I need. | Hi, To help you understand better, gallbladder adenomyomatosis is a term used when the inflamed gallbladder wall thickens. Usually, it is asymptomatic, but as in your condition, you have right upper quadrant pain so it might be due to gallbladder stones associated with it due to trapping of cholesterol crystals. In view of the 2 cm echogenic foci in the left kidney, it could be a lipoma (aggregation of fat), hemorrhagic cyst or benign tumor. A CT scan of the abdomen will help you a lot in understanding the extension of the contrast of the lesions and also relate to the lymph node status. Be strong and it can be treated by surgery or medications. Visiting a nearby physician as soon as possible to do the needful would be of great help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Vignan Rachabattuni, General & Family Physician | |
Q. How can I confirm that whether I am at risk of getting HIV?
Hi doctor, I and my partner went through an HIV 1 and 2 test five months back. Both of us tested negative. This month we had unprotected sex. I did not have sex in between and upon asking my partner, he too said that he had no sex with anyone else. He does not do any drugs and stays with parents. However, I panicked and went to the doctor and insisted upon PEP. Four days back, my partner went through a CMIA test and was negative (0.27). I think he is clean. However, I am still scared. In this situation, do you think I might be in HIV risk? Please guide. | Hello. I have reviewed your query and here is my advise. Your partner is HIV negative with CMIA (chemiluminescent microparticle immunoassay) test. But this test can effectively exclude HIV after six weeks of exposure. Mostly your partner might be right and if you believe him then do not worry about HIV. But if you have a doubt regarding any form of exposure, then again after six weeks, a repeat test is needed. As per my opinion, although a chance of HIV is less, you should get investigated with HIV after six weeks of exposure to effectively rule out HIV. (By CMIA or fourth generation ELISA test). | |
What causes a hard lump at the back of the ear?
my baby has a hard lump at the back of her ear and it seems to be getting bigger iv been to hospital with her and they said its not a lingth nod and they will do an ultra sound scan it is hard and moves and it dosent seem to be bothering her but its worrieing me can you tell me what it might be to reasure me | most common swelling is a lymph node which resolves gradually if there is no local infection. but as you ve mentioned it's not a lymph node and that it's hard and painless, its more likely a cyst, which is fluid filled balloon like sac. other possibilities are fat or soft tissue. this can be differentiated with an ultrasound scan. either of these is benign condition and needs conservative measures. scan is to confirm the nature of the swelling and hence to manage appropriately | |
Can a detached rib bone cause internal damage to the organs around it?
If someone has broken their lower ribs and can feel the detatched rib moving around their body and is now having bloody stools, could it be that tje detatched rib is doing damage to their internal organs and should they seek medical attention asap. Is it possible they will need to be operated on? | Hi, There is nothing called detached rib and tin happen only after trauma. What you feeling might be normal rib only. You can consult a physician and get evaluated for reassurance. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
What causes burning chest pain?
I am 45 and I have severe pain then passout. It starts with burning pain in right ch3st then up to neck down my right arm. After about 10 minutes of agony i start feeling like I am going to pass out. I did pass out on christmas eve twice and the permadics took to hospital they admitted me, but my heatt is fine lungs and neck arteries are fine. I am home and the I need this awful pain to go away and stop passing out. I see a neurogolist on Tues. Any suggurestions | Thanks for your question on Health Care Magic. I can understand your concern. No need to worry if your heart and lung reports are normal. In my opinion, your symptoms are mostly due to stress and anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Can echo show correct results of heart after passing out?
My son had a ekg after passing out and the doctor said it showed something minor on the results.She suggested he see a cardiologist,however the appointments are months away. Will an echo show if he has anything wrong with his heart that needs to be treated sooner than later? He is 14 years old, 134 lbs, and 5'7. His blood pressure and suger levelwere both normal. | hello thereEkG has normal variants all the timeWhat appears abnormal is actually a variant.. for instance incomplete right bundle branch block or an inverted T wave.An echo will be helpful but an EKG itself is deductive enoughHope for the best | |
What causes fever and vomiting with redness in the torso?
I had a stomach virus, throwing up on Saturday, fever of 102 on Sunday, today I noticed my upper torso and lower torso (around gential area) are red. No itching, just bright red. Took advil and fever reduced last night, but have fever again today. Stomach is fine now, but afraid to take more advil (although did not have this reaction when taking previously). What to do. | Hello Thank you for trusting HCM It may be due to viral fever with rash or possibly possibly allergic reaction to ibuprofen. Just stop and see. Use Paracetamol if you have fever. Use moisturizing cream at area if redness. If consult your doctor if symptoms not improved. | |
What causes exhaustion when under stress?
So I have a lot to deal with at the moment. I m currently in training at work to be a supervisor and it s taken a toll on me. I m also dealing with trying to find answers about my biological father. I feel exhausted and emotional and I snap at the littlest things. I feel down alot and feel like theres alot of pressure on me. Could this be signs of stress? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The given symptoms do resembles the stress symptoms. You already know the reasons too. Lack of physical activity, relaxation etc adds to the stress. I suggest physical exercise for one hour daily and relaxation exercises like yoga or pranayama for 10 minutes twice per day.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Suggest remedy for severe pain in top layer of skin due to allergy
Most of my adult life I have had sensitivity to environmental allergies, and food allergies, Recently I have had three reactions.. that may deal with food and latex allergies ... I feel the redness and burning are causing more and more intense pain. I take Benadryl immediately after exposure. Is there anything else besides an epi pin I can use to decrease the pain level. The intensity of pain to the top layer of skin is very off the chart pains. Do I need to take a precaution ...often I do not know if food eaten or environment is the culprit. I firmly believe it is due to latex. I want to keep from anaphylaxis... what preventative measures do I need to have in place? | Hello,I can understand your concern. It seems that you have allergies to more than one substance and you do not exactly know what substances are acting as allergens for you. Thus, firstly, I would recommend you to go for a blood test for allergy. It will show in results what food and environmental substances are acting as allergen for you and so you can be alert in your day to day routine regarding exposure to these substances and avoid yourself from exposure. This is the best precaution you can take.In addition, you can also keep antihistamine such as Loratidine 10 mg (Lorfast) or Cetrizine 5 mg (Levocet) all the time with you so that as soon as the reaction starts, you can take the medicine immediately and control the reaction.Also, if you are allergic to more than one substances that you can be exposed to routinely, you can talk with your physician about taking an antihistamine regularly as hypertension patients take antihypertensives. Always take care to try new medicines and food items.I hope this information helps. Thank you for choosing HealthcareMagic. Take care.Best,Dr. Viraj Shah | |
Will Spasmo Proxyn have any side effects on pregnancy?
doctor,i had an abortion before 6 yrs,i had to abort it twice because the first result was not successful.i was 17 years old and then i could completely abort my baby when it was 5 months old. And then i had a molar pregnency aftar that,3yrs before when i was ready for a baby.i had to even go through chemotherapy because the evacuation was done 3 times and i had bleeding everyday.Now am fine but after that evacuation i could never get pregnent,i dont know why and then recently before 6 months i started taking spasmo proxyn 10-12 tabs per day.Will this have any side affect on pregency? | Hi.First of all, please undergo an ultrasound of your abdomen and pelvis along with a TVS scan to check on your reproductive system and how viable it is. Next, stop taking 12 tablets of spasmoproxyvon a day! If you have a source of pain, then please visit a doctor to help sort your problem out. Because even if you do end up getting pregnant, you cannot take even one of these tablets during your pregnancy. Please speak to a doctor as there are numerous points that require medical attention, and conception should wait for a while in my opinion.Best wishes. | |
Could disorientation and irritability for noise with family history of alzeimers indicate early stages of disease?
Hi I am 45 years old and my mother is 82 and has Alzeimers. I recognize that I have the same habits of disorganization in certain areas that my mother had as well as irritability with noise . I feel I'm in the early stages of this disease possibly because I am so similar in personality and habits as she was. Are there any precautions I can take to diminish the development of this disease, or are there other suggestions you have? | Ok Alzheimer's is most commonly found in females paints but there is a small ratio of male patients who develops this disease if you are 45 and started with forget the things the you should have consult with neurophysician and have MRI brain plain to see whether you are in this or not | |
Suggest treatment for vertigo and flu virus
hello doctor, i went to turkey last year (sept) and 4 weeks later i took really sick i was told it was a virus i had no energy then i took inflamation in the stomach and couldnt walk properly. i was then tld i had vertigo i felt everythime i was walking i was walking backward i then went and seen a a differnt doctor he told me the more tablets i was talking the worse i was getting to stop all tablets i finally managed but nearly a year later i still feel really off sometimes 2 weeks ago i was at collage and i took the fit off shakes i was told it was a fluie virus. i dont know what is wrong with me please help | Hi thanks for asking question.According to your doctor mostly you have viral generalised infection with stomach involvement.So vertigo can be because of that.But other causes also has to be ruled out like labirynthitis.ear examination can be helpful.Head injury , hypertension, history of stroke , few medication can lead to vertigo.If you have reccurent bouts of vertigo vestibular rehabilitation can be done to strengthen this system.In infectious labyrinthitis antibiotic needed.while in inflammation cause steroid needed.If vertigo appear in particular position benign positional vertigo is the diagnosis.I hope my suggestion will help you | |
Q. Am I taking the right dosage of Eltroxin as per my reports?
Hello doctor, I am 33 years of age. Since four years, I am taking Eltroxin thyroid medicine. For one week I stopped taking medicine. Then I did a thyroid test. At that time, my TSH levels came above the normal levels. I then took a dose of 100 mcg for a month. I again checked my TSH levels. It came to 1.01 mu/L (reference range 0.45 to 4.65). Please suggest me what dose of Eltroxin I should take. I am attaching my report for further reference. | Hello. I just read your query and went through the reports (attachment removed to protect patient identity). Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> | |
Can lumps under the skin be cancerous?
I have skin growths on the top of my head -they crumble and fall off-However I have bumps on arms that have recently appeared - my doctor says seen a dermatoligist and I have one-but to get an appointment is a six month wait (always has). The bumps seem to be coming all the time. Is it cancer? I'm 65.YYYY@YYYY | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per my clinical experience, there are various types of skin lesions which are benign, certain are precancerous which can predispose to cancer and others are cancerous. Kindly consult in follow up with a photo picture of the same for better evaluation and further guidelines of management. Awaiting for your response. Take care. | |
Suggest treatment for elevated liver enzymes and fatty liver
my liver function test all parameter normal except pt -79 ,ot-120 , usg says mild fatty liver ... taken atorva -5mg for last 3 years .. drinks very less... sugar recently little higher , started med and now for last 15 days under control.... age -48 height 177 cm wt. 77kg | Hi thanks for contacting HCM...Noted you have fatty liver that is steatosis in which fat accumulate in hepatocytes.It is reversible condition..It will take few month for complete clearance....For that follow below advise.....Take low fat diet.Use very less oil in cooking and use only sunflower like good oil.Regular exercise need.Refine food avoided....Fruits more...In lunch and dinner take salad of carrot , spinach , cucumber etc....Avoid alcohol...Non veg , pizza , meat, cheese etc like trans fat food avoided....Udiliv tablet can be taken....Take care...Dr.Parth | |
Does any bleeding occur after having unwanted 72?
Hii. I had unprotected sex with my bf yesterday. He thought he had ejacuated he was not sure. So i took an unwanted72 pill approx. 7hrs after sex. I want to know if any bleeding will occur after taking the pill? Any sideffects? Plz help me coz this is the frst time i'm using this stuff. Plz reply as soon as possible.. | Hello,Thanks for trusting us with your health concern. I have gone through your query and here are the answers. Firstly, any unprotected intercourse during the safe period does not cause conception. Ovulation occurs two weeks prior to the onset of the next period and this is the fertile period in the cycle. So, if you happened to have the intercourse during the safe period, you are naturally protected. The intake of the emergency pill occurred during the stipulated time after the intercourse, so the protection offered is in the range of 98%. The pill can cause side effects like nausea, headaches, vomiting, breast tenderness and withdrawal bleeding owing to its high hormone content. The next natural period also may get delayed by a week or two. Please restrict the use of the pill to one or two occasions per year and get further help if you become overdue by ten days for your next period. Hope this helps. | |
Q. What could be the reason for nose drainage after FESS?
Hello doctor, I had a FESS done before five months. Shortly after I noticed clear drainage from my nose. I had a pledget study done that confirm a bilateral CSF leak. Five weeks ago, I had sx to repair it, however in sx under intrathecal fluorescein, and the surgeon could not locate the leak. Nose still leaking and Beta 2 transferrin test came back negative. On Atrovent, for two days nose still drips, especially when bending over. Do I get a second opinion or assume it is caused by chronic rhinitis and start on a nasal spray that combines a steroid or antihistamine in it as my surgeon suggests? I never had any problems with a runny or drippy nose like this until after I had my sinus surgery. | Hello. CSF rhinorrhea is a known complication of extensive FESS (functional endoscopic sinus surgery). If a pledget had shown confirmed CSK leak, it sure needs to be investigated. Small leaks heal and recover by themselves however, if the leak persists longer, then it needs to be sealed by endoscopic surgery. In your case, any watery discharge from the nose should not be ignored. Especially if the release is more during bending, coughing, straining lifting weight etc. You may need an MRI, but I suggest meet an ENT endoscopic surgeon for further treatment. Sometimes this can get serious, so it is essential to meet your doctor. | |
Am i having MS as i have tingling numbness and movement disorder?
My doc says I may have MS. I was on 5 different mess for seizures and movement disorder and got permenent movement disorder called a word with t u r e t t e s I am on disability. Been 22 years or so. When 13 had severe horse accident, coma 3 was then to relearn read write etc yes I have lots tingling numbness, most the stuff listed on and off. I do have a caregiver live in . Just wonder, neurologists are last I want to see but here I am. Does any of this make sense 4 ms ...if I get on treadmill or still bike my body can shut down fast can not move no ability at times . A gym did call once 911 amb. Came and not allowed to be any gym | I read your question carefully and I understand your concern.The diagnosis of MS is made by symptoms and signs coupled with MRI. Since you don't mention to have had any MRI lately we are left only with the tingling and movement disorder (which is a little unclear). Tingling can be a manifestation of MS but so can it be a manifestation of many brain lesions. In your case given your history with the accident, the coma and subsequent seizures it is to be assumed that a brain lesion has happened due to the accident and it has left a damaged area which could well justify the symptoms.So to conclude I would consider it far more likely the symptoms to be due to the brain injury rather than you having a whole new neurological condition (frankly what are the chances of that on top of what you already have). In order to completely exclude MS an MRI can be scheduled.I hope to have been of help. | |
What causes sores on gums post placement of partial dentures?
I just got my partial denture redone with better teeth and am now getting sores. I got the first partial at age 46 because I never got my lower 2nd molars and the first ones basically wore out. Where the 2nd molars would have been is where there is bone structure under the skin that causes sores under the dentures. With the first experience of getting a brand new partial the "teeth" had to be adjusted down substantially to make them comfortable, but then they didn't grind well. May I not be a good candidate for these partials? | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain in case if you are told that you have a bone condition that is causing sores can be due to bony spicule that is leading to sharp elevations over the ridges leading to rubbing of mucosa between the denture and the bony spicule leading to Ulceration..Other reason can be some sharp elevations on the tissue surface of dentures..I would suggest you to consult your dentist and in case if there are bony spicule getting them smoothened by a small surgical procedure known as Alveoloplasty can help..In case if there are sharp elevations on the denture trimming the same can help..As of now apply numbing gel over the ulcers for pain relief..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
What causes leakage of the sperm while spending with a girl?
hi doc, I am now 21.. I am suffering from leakage of sperm in drops in my penis when I talk with a girl often.. it doesn't Look like fluid... I am so afraid of this about my future wen with my wife.. pls help me what I want to do for this.....? thanks in advance.... | HelloSemen leakage may be due to overexcited state or excessive fantasy.You should avoid provocative literature and videos.You should try to be calm and try to engage yourself in your job.You may also need psychological counselling.It will not affect your future married life.You should take healthy and nutritious diet.Get well soon.Take CareDr.Indu Bhushan | |
What causes short term memory loss?
I was in a car accident and the air bag did not deploy. I hit my head on the steering wheel (I believe, I dont know for sure what I hit my head on because I was unconsious) my forehead swelled up huge then eventually I got black eyes and the swelling and black eyes went away. I stopped getting dizzy. I still forget some words... but I have an indentation on my forehead. Is this interfering with the function of my brain? my short term memory and my inability to recall information? | Hello dear Your narration seems to be related to post concussional memory impairment. Usually this problem presents with anterograde or retrograde amnesia. Problems in learning and retaining new information occurs. But good part is that it last for short duration and improvement in memory occurs in few days. You should be under follow up of a neurosurgeon for proper treatment. Hope you found the answer helpful. Wishing you good health. Dr Neeraj Kumar Neurologist | |
What is the cyst like hard bleeding lump?
I went to my OBGYN this morning and she tried to drain, what she thought was a cyst. When she stuck it, twice, with a needle, it was a hard mass and then told me it had to be removed my sergery. But it would not stop bleeding and she stichted me up right there in the office. Could this be cancer? the bump on the outside of the labia. And I have not history of anything like this before. | hi dear thank for the query on HCMTHE BLEEDING SWEELING could be an hemangioma which is common in this area.it could also be a lipoma.get a ultrasound of the swelling to see whether solid or fluid content.you can get a FNAC OF THE SWEELING IF HARD UNDER the guidance of ultrasound to get a pathological report. based on it you can go for the surgery under anaesthesia.thank you hope your query is adressed | |
Q. I often get a mouth ulcer. What is the reason for this?
Hello doctor,I often get a mouth ulcer which is in the form of oval shape and white in color. When I get this, I apply Mucopain gel and take Riboflavin tablet 10 mg. Can you please let me know the reason for this? | Hi. As per your complaint, you are suffering from recurrent aphthous ulcers which is causing you the eruption of ulcers on the tongue. It can be caused due to a number of reasons like: You need to consult an oral physician or a general dentist in this regard to get evaluated and treated. For more information consult a dentist online --> | |
Q. Is it advisable to take Modafinil to enhance cognitive performance?
Hello doctor, I have been diagnosed with chronic tension headache. Next, to the headache, I have observed a decline in my cognitive skills (learning, concentration). I can take care of the headache using meditation techniques, however, I am not able to deal with the decline, which is causing degradation of my private and work-related performance. Apparently, there is a medicine available that can enhance cognitive performance- Modafinil. I wanted to ask you for an opinion, how to take the medicine, what should I pay attention to (dosage, cycles). | Hello. I understand your concern and would explain that Modafinil is a drug used in other medical conditions, but I do not think that this drug is appropriate in your clinical condition. This drug is usually indicated in persons suffering from increased daily sleepiness or sleep apnea. I do not think that this is the case. You should know that chronic tension headache does not lead to cognitive decline, especially at your age. The cognitive decline in your case could be attributed to the lack of concentration due to accumulated psychological stress. When you cannot concentrate, you cannot learn, and this makes you think that you suffer from a cognitive decline, which is not true. The good news is that this is quite a reversible situation, with the proper therapy. That is also the main cause underlying tension-type headache. Coming to this point, I would recommend starting SSRI (Fluoxetine, Paroxetine, Sertraline, etc.), which can help reduce the tension-type headache and also improve your concentration and your cognitive skills. Yoga can also help improve your situation. Psychological stress. Troubles with concentration. Tension-type headache and troubles with concentration. SSRI. | |
What causes purple color gums in a child?
My 2.5 year olds gums on the top are purple at the base and down about a center meter and the inside of her upper lip is purple. The philtrum area is also purple from her nose to her lip. She hasn t fallen on anything or ran into anything, so what could this be? We went swimming in buckeye lake and she was complaining of severe ear pain and she has tubes, i figured she got water in her ear and it was putting pressure on her tube. About 4 hours later her ear started leaking and she has been good since then. That is the only thing she has had recently, so what could this be | Hi Dear,Welcome to HCM.Understanding your concern. As per your query your child have symptoms of purple color gums which can be a bruise caused by some injury to the gums and toothbrush bristles or it can be due to some hard food like chips that can cause injury to the gums and rupture of small blood vessels can cause blood accumulation below the soft tissues leading to formations of red to purple bruises. Need not to worry much if it is painless as it will resolve on its own and in case if it spreads or there is pain in the area you should consult a dentist to get ruled out for infection in the gums or teeth. Maintain complete oral hygiene.Hope your concern has been resolved.Get Well Soon.Best wishes,Dr. Harry Maheshwari | |
What causes breathlessness and chest tightness?
I had a heart cath 5 days ago, which was negative. Today, I am having unexplained short of breath both at rest and when moving about. I also feel a tightness in my chest, not too severe but like it is hard to move my chest to breath. What might be going on? | Hi,Breathlessness & chest discomfort can be because of heart or lung condition. As your heart cath has already been done which rules out heart disease. I'll recommend getting a Chest X Ray done & see a pulmonologist for further evaluation & treatment.Thanks | |
What causes moving sensation on upper right side of abdomen?
I have a moving sensation on the upper right side of my abdomen, just below my ribs. It feels as if a baby s foot is moving across my stomach. I have a partial hysterectomy last year, only have my right ovary. It is not painful. I cannot see the movement or feel it when I put my hand on the area, but can feel it inside. | Hello,Welcome to HCM.I am Dr Rakesh Sharma answering your query.The way you are describing your feeling, it could be gas, or acidity.I do not think there is any connection between partial hysterectomy and present feeling.Take Pantoprazole and domperidone combination.Drink lot of water. If constipated , add mild laxative.Good luck. | |
How to cope up with marital problems along with child s failure at school?
I have severe marital problems and my daughter (12 years) is failing at school and believes that I hate her. I am so stressed, depressed, can not sleep at all for days. max time I sleep in a day is 1-1/2 hours. I am so frustrated, can not find a job, feel like a failure and hate it when a new day starts. Miserable woman | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Well it is quite clear that you are having a depressive episode. Depression can occur with regular stress and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the drug therapies then there is also an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.Marital problems can be taken care of by marital therapy.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
Gum swelling, painful lower molar. Neoclav taken, ospamox, suprazole, ibuprofen prescribed. Advise?
Hi. Im Stephen from Kuwait. i just started taking Neoclav 625mg tablets about a 3rd time since yesterday to treat mg swelling gum and painful lower molar. Today i just came from the Ministry of Health, after the check up from the dentist. They prescribe me 3 different tablets one including Ospamox (Sandoz) 500mg. Suprazole 200mg and Iprofen 400mg. Ospamox was prescribe to me the same as Neoclav, 1tablet every 8hrs 5days duration and the other 2 medicines Suprazole and Iprofen 1 tablet 3xday for 5days. my question is do i have to continue taking Neoclav instead of Ospamox? Thank you | Hi,Thanks for asking the query,Tooth pain along with swelling indicates infection of tooth that had spread to the surrounding periapical tissues.I would like to tell you that antibiotics and analgesics will provide you temporary relief, i would suggest you to get an x-ray done and start with root canal treatment of the tooth.Unless the tooth is devitalised, disinfected and sealed to the apex you will face pain , and swelling.Maintain a good oral hygiene, use lukewarm saline and antiseptic mouthwash rinses.Hope this helps out.Regards.. | |
Could decreased lymphocytes be the cause for colon cancer?
From 2005 to 2008my husband Lymphocyocytes were low,no blood was tested in 2009.From 2010 to 2012 his lymphocytes were low ,His Granulocytes were hight from 2005 to 2012. his mono was low from 2005 t0 2012. .HE had tumor markers that was 1.0 to1.5 from 2005 to 2012. He now has stage four colon cancer. Should his abdominal labs been a concern , T0 order more studies? THANK YOU..... MYRTLE KING. | Hello dear. Well, a low lymphocyte counts can not cause colon cancer. But it can be seen after treatment for colon cancer by drugs. regards | |
Q. Does excessive masturbation damage the tissues of the penis?
Hi doctor, I am 26 years old bodybuilder, who weighs 220 lbs and 5.9 feet tall. I masturbate from the past 14 years, and recently I was doing it excessively, up to eight times a day. I never had sex before, and I am afraid of failing in my future relation due to this amount of masturbation. Sometimes, I have a weak erection, but when I stop for one or two days, it becomes stronger. I have some drops of urine come out after I finish urinating. I feel I will have a weak erection or premature ejaculation during sex. What do I have to do to avoid that? Do I have to stop masturbation completely? What test or examination can I do to evaluate my sexual performance before I have sex? | Hi. Masturbation is the most harmless of all sexual acts. No fear of STDs (sexually transmitted disease) or pregnancy. For more information consult a sexologist online --> | |
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 --> | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
How to get rid of pain in upper left side of back?
My pain began in upper left side of back about 3 weeks ago and has settled in side hip (like a hip pointer). Pain is acute and feels like a strain but is a thudding pain. I had shingles a couple years ago and feel like it is related. I am taking neuronton 300 mg 3xdaily and it helps some. However, I am in a lot of pain. | Hi, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. It is unlikely to be related to shingles you had a couple years ago.You need to done MRI to rule out other causes.Back exercises, neurotropics such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is low than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily.You can discuss with your treating Doctor about it. I do hope that you have found something helpful and I will be glad to answer any further query. Take care. | |
Suggest treatment for seizures in child
my son is 3 years old and he got sezures once and couple of times he will be like not in concious. we have taken CT Scan etc. and the reports were normal. Dr. suggested to use Frisium syrup and malcal vit and calshine syrup etc. and when fever occurs valparin tablet... pl suggest. | Thanks for posting on HealthCareMagic. Frisium contains Clobazam and is given to reduce the occurrence of seizures. The cause of seizures need to be looked into as is being done in your child's case. Macalvit and calshine are supposed to supply the calcium and vitamin D he requires as low calcium levels may also cause seizure. Valparin contains valproate which is an effective anticonvulsant. The medicines are ok and you do not need to worry. Just continue the medicines as directed by your doctor.Hope that helps. Feel free to revert back in case of further queries if any. | |
What are the reasons for having stomach pain, lower back pain, metallic taste in mouth, frequent urination and loss of appetite?
Hello,i have pain in my stomach which lingers into my ribs pain in my lower back also my mouth tastes like metal i have asore throat and a cough...im urinating quite often ive lost my appetite ive been on antibiotics for aweek but the symptoms havn't disappeared.could you advice me Regards | Hi. It a course of an antibiotic has not helped to solve your problem , obviously you have to go for some tests. I would advise ultrasound of abdomen to know the condition of liver , pancreas, kidneys, gall bladder and other organs. A routine blood/ urine/ stool tests to rule out any general problems like diabetes. There can be a problem with the liver, some sort of hepatitis leading to these problems or related to urinary system. I would advise to go for the tests as per advise of your treating Doctor. | |
Suggest treatment for parasthesias in legs
My husband is experiencing strange symptoms. His MRI, CT scan and LP are normal. He has weakness bilaterally but left side is more weak. His arms are weak but not as bad as his legs. He is experiencing parasthesias in his legs that he describes as feeling like he is walking on sand. He is experiencing let pain mainly in his thighs. All lab work is normal. He seems to be choking a lot lately. Any thoughts...... EMG is in 2 days.............. | Hello dear,I can understand your concerns about your husband.Asymmetric weakness in legs(more on left) with paresthesias and pain needs to be examined for reflexes,sensations and other clinically significant neurogical signs.It is just not possible without dedicated neurological examination to establish the diagnosis.So,Please visit a neurologist.It may be radiculopathy, proximal neuropathy, or myeloradiculopathy. Without physical examination,it's not worth to make a definite comment.I hope it helps. | |
What causes lethargic feel and sleeplessness?
I feel tired all the time, have naps during the day and can't sleep at night. I also feel mentally unalert most of the time and my eyes are often foggy or sore. I don't know why though because I get enough execise and have a reasonably balanced diet. I am 14 years old, weigh 114 pounds and am 5 foot 2/3. | Hello and welcome to HCM, Feeling tired during the day is due to reduced sleep during night. Reduced sleep during night can cause tiredness, decreased alertness, foggy and sore eyes etc. Adequate sleep during night is required. Night sleep can be improved by avoiding beverages before sleep, doing regular exercise, sleeping well in time and avoiding late sleeping. If insomnia remains even after these measures, you will need to consult your primary health care provider. Thanks and take care Dr Shailja P Wahal | |
Q. Male donor is kell positive. What are the associated risks to the surrogate?
Hello doctor, My husband and I will be using a surrogate to have kids. My husband is kell positive (heterozygous). What are the risks to this that the surrogate would need to be aware of? | Hello. Few points include: 1. As per medical facts, the first pregnancy remains silent. In your case surrogate is kell negative it means her body is still not exposed to kell antigens which are good, so this pregnancy will be safe. 2. As the husband is heterozygous, it means he has only a 50 % chance of having baby kell positive. In the rest 50 %, there is no risk of complications. So, theoretically, this pregnancy should go silent without complications. But then surrogate will be exposed to kell antigen from your husband, she should be aware of this risk which can create trouble in future pregnancies if the male is kell positive. | |
Q. Is there any risk of radiation if HSG test is done twice?
Hi doctor, Three years back, I conceived for the first time without any medicine but unfortunately the pregnancy ended up in miscarriage. Since 8 months I am trying to conceive now. The following year I got a HSG test and was informed that both my fallopian tubes were blocked. Doctor said laparoscopy is needed. We planned to HSG test done again now. Is there any risk, if I do HSG test for the second time? Or any risk of radiation exposure? Please suggest. Thank you. | Hi. I can understand your problem. Hope this information answers your questions. All the best. For further information consult an obstetrician and gynaecologist online --> | |
Suggest treatment for red swollen eyes in a child
Today we took our 4 month into our family pool for the first time. We did not let the water go directly on her face but later on she began rubbing her eyes and by the evening her eyes have become very red swollen and also have tiny red bumps around the top and bottom lids. Please help! | Hi,It seems that there might be entering swim water or few drops in eyes resulting irritation of eyes.Swim water contains chlorine which might have produced this irritation.Wash her eyes with plane water and put some antibiotic eye drops for 2-3 days.Ok and take care. | |
What causes frequent loose bowel movement and excessive gas after feeding?
My Baby is 70days old, he is passing stool more frequently in little quantities. when i approached the doctor he suggested a stool examination and resulted that the baby have injection to mothers milk so he asked me to avoid feeding him for 3days and he gave prosoyal. he fine then. Later he advised me to feed the baby. But the same situaiton is repeating quite frequently. Now he is passing motion very frequently twice in large quantity and very loose and the rest in small quantities. He is also relelasing too much gas while passing motion. please advice us. we are very mcuh scared. | hi.. most of the babies have lactose intolerance.. do a stool test, for reducing substance.. if it is positive,, you're baby might be having lactose intolerance..generally.. new borns will pass stool up to 10 times per day. make sure that you feed the baby after each stool.if you are using formula feeding then try zerolac, which help in reducing your kids problem with lactose intolerance | |
Does doubled size of bone lesion indicate cancer?
I have a bone lesion that has doubled I size in two weeks. cancer? I was told to use a mouth wash to use and swallow. It numbs the mouth. The area where the lesion is very painful. I am to wait two weeks and go back to the gum doctor. Should I worry about cancer? Irene | Hello,I can understand your concern. Painful lesion is usually not cancer and cancer growth is usually not that fast that it can double in size in two weeks. Cancerous lesions are very slow to grow and they are noticed accidentally not causing any pain.What you have may be Acute Necrotizing Ulcerative Gingivitis (ANUG) which is a bacterial infection of gum and is spread very fast. It is usually self limiting and decreases and disappears on its own. Using mouthwash can give relief in pain for a while and prevents from further acquiring infections.As you are going to a gum doctor (Periodontist) in two weeks, you will be examined for any lesions in mouth and will be treated. However, from the symptoms you have described, cancer is not a likely condition you are suffering from.I hope this information solves your doubts. Thank you for choosing HealthcareMagic. I wish you feel better soon.Best,Dr. Viraj Shah | |
Can Harpic toilet cleaner use cause cancer?
Hi doctor, I am a 21-yr-old male, not allergic to anything. I accidentally replaced my dishwashing cleaner with Harpic toilet cleaner for one week. I heard that the toilet cleaner is extremely acidic and may left harmful residue in my body. Is it possible that I may get cancer? What should I do? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You had exposed to the toilet cleaner for only one week, that too after cleaning with clear water. It won’t cause any cancer in future. No need to worry and no treatment is required as of now. Avoid unwanted anxiety and concentrate on your works. Hope I have answered your query. Let me know if I can assist you further. | |
Is there any side effects of levlen ed after stopping the pills?
I Have recently stopped taking levlen Ed pill to try conceive. Before starting the pill approx 9 years ago, I had irregular periods. I had my period at the end of finishing my pill. 2 weeks later I now have bad headaches, back pain itchy skin A bit of dizziness and hot flushes. Could I be pregnant or are these symptoms of stopping the pill? | HiYou need to take an urine pregnancy test by 10 days of missed period to detect pregnancy.You have not mentioned your age which would hav been useful for further assessment.After stopping the drug,your body will adapt to hormonal changes and the symptoms are likely to subside in subsequent cycles.Hope that was helpful.Let me know if i can assist you further.RegardsDr.Saranya RamadossGeneral and Family Health Physician | |
What causes pain in lungs?
Hi Dr, Before 1 and half yr back I had taken dots for right lung plural effusion. After completed 6 month course dr did xray that was fine according to dr. But now I am feeling pain at right lungs at the time of long breathing and some time feeling ok. As I had met with same dr he told me that this pain will be continue for 1 to 2 yr or long period this is because the skin of lung became hard or thick. Please Dr suggest to us as I am very depressed due to that. Thanks in advance Laxman | it is common fact and there is nothing to worry that much!due to old infection and the fluid collection, the normal pleural membrane has been scarred, disturbed, fibrosed and thus restricting normal lung movements causing these symptoms.however, as there is no evidence of tuberculosis, fungus or malignancy it will heal itself in course of time.all the best! | |
Q. Can I use Kojivit gel to get fair skin?
Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. | Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> | |
What do i do about niece hating me?
I am searching for an answer for a long time. I live with my sibling sister since our mom died last year. I also live with my son and my 20 year old niece and her son and daughter. I love my great nephew and great niece very much. So does my sister and my son. The issue is and it is a very big issue that my niece doesn t get along with us especially me. I have no idea why but its like she hatesme. What can I do about it? Oh on my moms death bed she wanted me to help the babies mom to take care of them. I told my mom I will take care of the babies as if they were mine. Please help give me some advice! Thank- you Ps. Is there any way you can answer now on this computer? I have no credit and I am at my wits in!! I am sorry to bother you but now I know I wont get the answer here. Good-bye . A has issues within herself and she takes it out on my sister my son and me- verbally and it had been but not in a long time physically. We really try to g.! et with her but most of the time she doesn t get along with u S .what | HIThanks for using healthcare magicIn that case, you can take help you a psychologist. It is important in you case, why she has so much grudges against you. May be there are some miss-communication between you and her. Without getting this, it would be difficult to solve the situation. For psychologist, you have to convince her, that may be a tough job for you. Best of luck.Thanks | |
What causes swelling in body and abnormality in urine?
My Mother-in-law (78 Years old) is a diabetes patient since 25 years. She is taking insulin. But in april2015 from the pathological test I found all the tests are ok within limit but urine micral is 100 & ablomin is positive (+). Now in previos week, her body is totally swelling and urine is not normal.My questiion is that is this a condition of kidney damage and what will be the treatments. | Hi, dearI have gone through your question. I can understand your concern. She has long standing diabetes. Diabetes is known to cause kidney damage. It causes diabetic nephropathy. Body swelling is common in kidney disease. She should go for complete kidney function test. Then she needs to 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. | |
Is it safe to take second dosage of steroids for carpel tunnel in hands?
Hi, my 18 y.o. old son has moderate carpal tunnel in both hands which he has had for about 18 mths - had both wrists injected with steroids last week. The left hand hurt during needle and felt like his hand was having an electric shock and the right hand he felt nothing - now both hands are annoying him quite badly and he regrets even having the needles. Will the cortisone take a while to have any effect? He is very reluctant to have surgery as there as so many side effects but his surgeon won t give him more than one set of steroid injections where I have heard some people have to have a second round.... I would very much appreciate any feedback.... thanking you kindly | hi,thank you for providing the brief history of your son.As mentioned, a thorough neuromuscular assessment is advised.As for carpal tunnel syndrome, you need to have a brief understanding about the mechanics. During this condition there is a tightness and the flexor retinaculum which leads to compression in the underlying structures leading to pain, numbness and hand dysfunction.Since your Surgeon provided the cortisone over the flexor retinaculum, it is to relax the tissues there. which may depend upon the physiology to accept or reject. That is where you have heard or on net that people had to undergo the next dose of cortisone or may be surgery in future. But there is a non invasive way of dealing With carpal tunnel syndrome - that is the physical therapy. Physical therapy is non invasive and no side effects. also, research supports that in carpal tunnel syndrome physical therapy helps to release the tightness of the flexor retinaculum and also relaxed the pressure beneath the structures.In my clinical practice , I see carpal tunnel syndrome. with the help of neuromuscular assessment , MRI ,NCV and EMG a plan for physical therapy is designed to rehabilitate the hand. Most cases recover with 4-6 weeks of time and then a gradual improved rehabilitation protocol is designed again after reassessing the Hand. I wish your son a good health. He is too young to undergo surgery.RegardsJay Indravadan Patel | |
What causes lump black spots on my big toe?
I have a lump on my big toe and it has lots of little black spots on it. I have had it for well over a year now. Whenever I try to get rid of it, it always seems to bleed. It is a very embarrassing problem. It hurts often and gives me lots of pain. I am just wondering what it is. | HiThanks for your query.Based on your query, my opinion is 1. Pigmented lumps/ swelling needs to be evaluated for lesions like tumors of melanocytes. ( melanoma)2. Other possible cause could be fungal infection of foot like madura mycosis which discharges black granules from the lump.3. If there has been an increase in the size of the lump/ painful/ increased pigmentation, then a fine needle aspiration/ biopsy examination is needed immediately.Hope this helps.Regards | |
What causes severe left sided groin pain?
My 84 year old mom has terrible left side groin pain. The Dr. Did an X-ray & said it was probably referred pain from Arthritis in the left hip. She did PT, Accupunture & nothing has helped. She is also taking Celebrex but it doesn t take the pain away just dulls it a little. Now she is talking about hip replacement surgery but I feel that should be as a last resort. Any other suggestions? | Dear patient if Xray is showing arthritis in the hip definitive treatment is total hip replacement. Because once joint surfaces are damaged due to arthritis pain will be there and if pain relief is needed that arthritic surfaces has to be replaced. Total hip replacement is rewarding procedure and with good results. please consult hip surgeon nearby your area. Meanwhile start tab ultracet twice a day for pain relief. | |
What are the reasons of tooth ache and pain and swelling i neck?
Dear Dr. Grief,My name is Kim, I'm living in San Diego, CA.I have toothache and my left neck is also swollen and so painful.I just have ultrasound this afternoon.Ultrasound technician said that: "lymph node look normal". I wonder, do I have thyroid? | Thanks for your query,the swelling in the neck could be because of cellulitis that is spread of infection to the tissue spaces secondary to tooth infection....kindly consult a dentist as erly as possible to prevent further spread of infection..you need to take some radiiograph of the involved tooth to rule out the infection arising from it...take a course of antibiotic like amoxicillin 500mg TID, flagyl 4oomg TID (unless you are not allergic to these drugs)....wish you speedy recovery... | |
Does having Tdap shot cause lump in back side of head?
I've had a lump deep in the right back side of my head for maybe 3-6 months. my blood cell count was normal. i read somewhere vaccines could cause this...i had a tdap around january. would this cause it? i had no other reactions to it. the node is about a half in. in diameter or so. | Hi,Dear,Thanks for the query to My HCM Clinic.I studied your query in details and understood your health concerns.-Cause of your lump on the back of head after TDAP vaccin shot-a- Yes this appears and mostly is -post-TDAP shot lump with -reactive hyperplasia in the lymphnodes -in back of your head.The cause is -reactive hyperplasia in lymphnode post vaccination.This advise would help you to plan treatment with your doctor.Hope this resolves your query.Wellcome for further query in this regard. Have a Good Day...!!With Regards | |
What does a lump in the groin area indicate?
My daughter suddenly felt small size bulge (size of a quarter) near groin area/pelvis area on both side, that just appeared. No pain, no fever, no chills, no vomiting, no diarrhea. She did not know it bothered her until her water bottle rubbed against it. | Hello,These are possibly non-specific lymph nodes you have noticed accidentally. Your daughter should once be examined by the pediatrician to rule out any underlying issue.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel | |
Suggest treatment for low WBC and platelet counts
CLL Patient 6 Treatments of Rituxan in 20ll Worked well for 1 year. 2012 2 Treatments Rituxan Followed with 3 Treatments of Rituxan and Treanda Mix. Worked well for 2yrs. Oct 8th 2014. WBC 16.9 Platelet Count 48. Searching options for Treatment Now. YYYY@YYYY | Hi, dearI have gone through your question.I can understand your concern. Patients has CLL with platelet count 48,000. So it becomes stage IV in Rai staging sysytemTreatment is chemotherapy like chorambucil or fludarabine. Combination of above therapy with rituximab can be helpful.Consult your doctor and take treatment accordingly.Hope I have answered your question. If you have any doubts then feel free to ask me. Thanks for using health care magic.Wish you a very good health. | |
Suggest treatment for severe muscle weakness and dizziness
My 14 year old daughter ( who was diagnosed with fibromyalgia last year) is experiencing muscle weakness in her legs, dizziness, extreme fatigue and problems with cognitive function. MRI s of the brain and spine are normal. Hypoglycemia has been ruled out. She is taking physical therapy twice a week. She walks most of the time with a cane or walker. At times she seems to be improving physically but then has a crash and gets worse again. We re having problems getting appointments with specialists because tests are normal. I m researching everything I can; can you suggest any possible causes or specific tests to run? | her history is very suggestive of myopathy. whether it is isolated or associated with other CNS feature will need detail examination. i would have asked for muscle biopsy and CSF examination as well. these tests need specialist doctors. try to get early visit. | |
Q. I have postmenopausal vaginal discharge. Should I opt for a hysterectomy?
Hi doctor, I am a 52 year old female, who weighs 75 kg and I am 152 cm tall. I want to know whether we should opt for hysterectomy or not. I do not want to do a hysterectomy, as it may interfere with hormonal balance later. I have postmenopausal vaginal discharge, with a fair amount of red spots. What could be the cause? I went through menopause 1.5 years back. I have type 2 diabetes, for which I take Glimepiride 1 mg, once daily. And I have hypothyroidism, for which I take Eltroxin, once daily. I was diagnosed with asymptomatic cholelithiasis, 15 years back. I have attached my ultrasound of the lower abdomen, transvaginal ultrasound, pap smear, and MRI pelvis reports. | Hi. I have reviewed the reports (attachment removed to protect patient identity). According to the reports, there is an increased thickening of the endometrium, which is the inner lining of the uterus. A thickness of more than 5 mm is considered abnormal and often considered as a predictor of cancer. Those women who are diabetic, are more prone to spotting. Your doctor had rightly directed for a hysterectomy. I assure you, at 52 years, there is no chance of hormonal imbalance following hysterectomy. For more information consult an obstetrician and gynaecologist online --> | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What does a swollen lump on the neck indicate?
I am experiencing a large swelling over my clavicle at the base of my neck on the left side. It is very soft & completely fills the size of my hand. Even my throat is feeling a little full as well. It is tender to the touch. It came on very suddenly with no previous trauma or symptoms of a virus. ??? Thank you for any input. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Since how long you are having the lump in the neck? Is it growing rapidly? Lump filling the size of hand means 5*5 cm approx. (is it correct?)If you are having night sweats and fever, then Tuberculosis has to be considered.I have understood that there is small error in the query, why because sudden appearance of hand size lump is unlikely.My suggestion is, please consult general surgeon and have his opinion.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Siddartha | |
Suggest home remedy for scabies
I have scabies. ive been told a cream called permetharin or something like that is the sure way but its not helping me it just bothers it more. PLEASE, PLEASE. im on the verge of crying and breaking down. is there anything i can use at home to get rid of this now. PLEASE, PLEASE. i cant take this anymore. | Thanks for contacting HCMI am sorry to hear about your infestation with scabies. From your description it appears that you have already treated yourself with permetharin once. In my practice when a patient has scabies I counsel them that the itch from scabies can last up to 3-4 weeks after treatment. I also recommend retreating again with permetharin 2 weeks after initial treatment. To help reduce the itch a good anti-itch medication like certirizine may help or soaking in an Aveno bath.Hope this answers your question. Please contact us again if you have questions or need help. | |
Q. What is the diet plan for a 55-year-old diabetic male patient?
Hello doctor, My father is 55 years old and weigh 70 kg. He is suffering from sugar disease. Please inform the precautions to be taken to maintain the correct sugar levels and please inform the complete diet chart including fruits which are to be avoided or preferred. His normal food is tiffin in the morning, rice with dal curry in the afternoon and roti or bread at night. | Hi. Diet prescription is as follows: Food to be avoided: Banana, custard apple, chiku, sugar and sugar products, jaggery, bakery products, cheese, rice, spicy and oily food, egg yolk, chicken, and mutton. Food to be included: Green leafy vegetables, sprouts , dals and legumes, flax seeds, methi seeds, paneer, toffu, egg white, etc. If non-vegetarian, non-vegetarian food item should be included only lunch time with lots of salads. For more information consult a dietician online --> | |
How to eliminate Marijuana toxins from the body when pregnant?
Hello I Am A Concerned Mother, I Am Currently 33 Weeks Pregnant & I Have Been Using Marijuana Up Until A Few Days Ago To Help With My Anxiety And Lack Of Eating Also To Ease Up My Morning Sickness ..... I Am Extremely Worried That CPS Will Take My Daughter Away From Having Marijuana In My Sysytem When I Go To Deliver Her .... I Am Trying To Find The Best Most Safest & Effective Way To Rid My Body Of These Toxins As Fast And As Accurately As I Can Considering I Delivered My 1st Child At 37weeks ...So I m Worried I Won t Have Enough Time To Clean Out My System !! I Would Love To Hear Some Advice & Recommendations On What I Should Do | Hello,Thank you for trusting HCMThe only thing that can you now is to avoid further use of Marijuana. But that does not guarantee that marijuana will be eliminated from your system completely by the time for delivery as Marijuana can stay in your system for several weeks in chronic users.Hope this answers your questionPlease let me know if you need further clarificationsRegardsDr.Lekshmi | |
Suggest treatment for bilateral ear infection,wheezing and coughing
my daughter was treated for bronchitus with wheezing 2 wks ago with amoxicillin and albuterol treatments. She now has a double ear infection and is wheezing and coughing again. Her dr gave her check up 1 wk ago and said wheezing was gone. I took her to The Little Clinic because her doctor is out of town. They said she has bilateral ear infection and is wheezing. Prescribed her cefdinir and albuterol and pulmicort neubilizor treatments. Does this sound like a proper treatment? The nurse there said she may have asthma triggered by colds/infections. Looking for some advice. | Hi thanks for contacting HCM...Noted here your daughter having ear infections with wheezing...So yes bronchoconstriction is present...It might be from bronchiolitis or asthma..It can be allergic infection....CBC done .it might show eosinophilia.So nebulization given is correct treatment for bronchodilation and relieve inflammation.If condition severe steroid shot might needed.After recovery pulmonary function test done to rule out asthma.If present then she might needed maintainance inhaler with steroid.Try to avoid exposure to cold , dust , pollen etc...You can discuss this with your doc.Take care.Dr.Parth | |
Is pregnancy possible while having unruptured egg follicle?
Hii I took fertigyn injection on 23dec 10000 and 24dec 5000 IE my 14 & 15 day respectively and today is my day 17 I.e 26 Dec still the egg is not ruptured..Now what should I do and when to have intercourse. And is it not possible now to conceive even if the egg gets ruptured? | Dear Ms, you should wait until the egg ruptures and then start intercourse in the following 2-3days following the rupture of the egg. yes there is a possibility that you get pregnant once the egg ruptures ( ovulates) | |
Suggest remedy for severe hair loss
Hello Dr., I m facing hairloss since the time of delivery and its been 2 years, its still not controllable. now there is no hair growth as such and patches of baldness has arrived in the front of the head, got my hair coloured in between, which created excess of roughness and fizziness ...I m fed up of my hair now..i don t know what has to be done...as tried all multi vitamins and other therapies too. also wamted to know that taking protienex would also work? Waiting for the urgent reply | hi there.1. you concern is chronic telogen effluvium leading to pattern hair loss.2. you can try neutriderm anti hairloss lotion,apply enough quantity weekly twice into the roots atleast 3 hours before head bath.3. rinse off with anaphase anti hair loss shampoo with soft drinking water.4. have BTN ultra hair supplements daily one after breakfast.this will help you in controlling visible hair loss, and then you can plan for making the remaining hair thick.use them for minimum of 40 days for visible results. | |
Is nose broken if it is painful to touch swollen area?
Yesterday I got punched in the face and now it's swollen on one side and is a little tender when I touch it and the side that is swollen I can still breath out of my nostril but it feels a little blocked. Everything else is fine my nose looks normal besides the swelling I have no pain unless u push on the swelling I don't have bruieses. Is it broken or just swollen | Hi i am Dr Ahmed Aly thanks for using healthcaremagic site ,I had gone through your question and understand your concerns .. unless it is swollen and painful i dont think it is broken but sometimes minor fissures happen to nasal bone do i suggest Xray , CT to exclude any possible fissures for the risk of commplications which i dont think you will have in your case . Please click THANK YOU and consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you,Any further clarifications feel free to ask. | |
What causes baby to vomit milk after drinking it?
My 1 year old was throwing up milk. The Dr. said it was a virus and lay off for a few days and replace with pedialyte. It s been 4 days and he got his first 6oz of cow milk. He threw up the whole bottle about 30 minutes later. Is it still the virus or is it that he can t drink milk? What do I give him? | first you must keep your child on sitting position after feeding for about 30minutes and may give him antiemetic befor feeding by half hours as motillium | |
I am getting anxiety attacks due to nervousness
Hello. I never though I would do this, to post a question online, but I m concerned about something. From about some time I have anxiety attacks soemtimes.I m not sure if they are or if I have anxiety disorder , but the sympthoms led me to anxiety. Now I m concerned about one thing. I feel unconforable if I don t touch my two legs together I don t know why...some nervous movements or soemthing, or push my fingertips a little bit harder to satisfy that feeling. I m scared of whats going on | welcome to healthcaremagic please consult with psychiatrist and you need counselling once you are examined and a diagnosis reached proper treatment will take care of your problems do not worry | |
How can systemic lupus with joint pains be treated?
Is Systemic Lupus treated in Malar, if so who is the doctor to be consulted. The joint pains associated with lupus will be continuous and in a particular portion of a body or the pain come and goes every few days and move around all joints. Is there a permanent cure for this and will RA factor reflect high on this. | Good evening.. Joint pains are a part of lupus but they normally do not cause deformity.ra factor can also be falsely positive in lupus. But you need to consult a rheumatologist in your place for proper management of the disease. Don't ignore. | |
How to get relief from severe neuropathic pain in lower right side of the spine causing tremors?
neuropathic pain to the lower right side of the spine , causing tremors some easy to small others are very painful and stabbing and burning and stining to right lower side and like a volcano erupting and nerves fire continuously through out your body , like being eletricuated the you can't walk and have to learn to walk and taking mixture of medications and had a Ketamine infusion , but didn't even last three months,depressing umiliating demoralization , in the end of a heavy tremor your body feels shattered and worn out , then told you can never be a chef again ? | Hi,Thank you for posting your query.I have noted your complaints and it is unfortunate that you are suffering from severe neuropathic pain and that is interfering with your daily life and job.It is important to find out the cause of pain. In that regard, MRI of spine would be useful.For the relief of neuropathic pain, you could take pregabalin or gabapentin or duloxetine capsules.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: | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Why am I having pain in my right testicle?
I have a mild pain in my right testicle when slight pressure is applied and the stems up to my right lower abdominal cavity. This is only when light pressure is applied to, or when light pulling of my testicle. What could this be? I haven't found and lumps, nor is there any other pain associated with it. | Hello and .As an Urologist, let me assure you, that treatment is possible after knowing the cause of the pain.You need to find out the cause of the pain, by doing an ultrasound doppler scan of the scrotum. Mention your age and if you're on any other medication.Send your reports, as a direct question in my name, for an expert answer.Dr.Matthew J. Mangat. | |
Suggest treatment for chronic foot pain along with excessive soreness
What could be causing chronic foot pain? For at least 8 months I ve experienced soreness in left heel similar to what you might feel after standing on concrete all day. This pain is often worse after suiting or when first getting up in the morning. Another pain in the same foot is a burning sensation in my toes like you d get from a rug burn, but with no apparent cause. Both these pains have been getting progressively worse | Hi, The possibilities are plantar fasciitis. Consult an orthopedics and start on drugs like Diclofenac or Tramadol for pain relief. In severe cases steroid injection to the sole is required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Is a cardiologist consultation advisable for breathlessness and anxiety in a cancer survivor?
I get very weak and short of breath after showering I suuffer from Angina I get short of breath walking a short distance I suffer from Anxiety IBS Breast Cancer Survivor I also have Fibromyalgia Do You suggest I see a Cardiologist or a Lung Dr? Gail Miller Floral City, Fl | Hello There After going through your medical query I understand your concern and I would like to tell you that some of anti cancer drugs do effect your cardiac health . It’s recommended for you to get a CBC, echocardiography and a chest X-Ray done and consult with a physician for further guidance.Hopefully this information will guide you properly.Kind Regards Dr Bhanu Partap | |
Q. Kindly advice on the red bumps I got on the penis after several times of masturbation?
Hello doctor,I recently noticed a red bump on my penis shaft. This occurred after my girlfriend left the country, and I started masturbating several times a day. The bump occurred in an area. Several hairs grow on my shaft. I assumed at first it was an ingrown hair, but I am not sure. | Hello. If possible forward few clear pictures of the bump to help you through precisely. | |
What causes leg cramps with bruising?
hi my partner is suffering frequently from leg cramps, many times throughout the day. she is now noticing bruising that is appearing on her legs. she is 22 years old. what could be causing this? The cramps last for around a minute or so and in the space of 3 hours sje has had 4 leg cramps, mainly in her right leg although she does get them in her left occasionally. hope this information helps. many thanks | Hello,Welcome, and thanks for sharing your concern I went through your query, and I feel, you need to know that cramps have multiple reasons, but bruising is usually not seen with cramps, in this case evaluation for the reason of cramps is must, The cramps can occur due to1 deficency of potassium, calcium, phosphates, 2 vit D and E deficiency,3 excessive sweating, and unaccustomed work...the bruising is usually sign of microbleed and for that you need a platelet count and CBC examination.For all this seeing your physician before proceeding for tests will be a better ideaI hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks. | |
Is Avil 25 safe for rashes?
hi doctor,I am 32 years old very sensitive woman. I usually get rashes from certain trees / insects or even from few food too. My doctor advised to take AVIL 25 whenever rashes happen. I am conveniently taking it without any side effects (5 tables in last 9 months). I always keep a tablet with me as I dont know for what I am allergic to.Now I am travelling to Europe for few weeks (Greece, Italy & Switzerland). Is it safe to carry AVIL 25 without any prescription. | Hi, Avil 25 is an antihistamine used to treat allergic symptoms. Since you are travelling to Europe you can also use other antihistamines such Benadryl or Citerizine. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka | |
What causes lower abdominal discomfort every morning?
I have lower abominal discomfort every morning around the same time between 6 am and 7am.Sometimes it is relieved if I get up and go to the toilet. I have recently had a colonoscopy and all is good there. After I get up in the morning I m as good as gold. Doctors and the surgeon can only relate it to IBS but not sure. It started about 18mths ago, mildly at first but has gradually become more intense.Because of the pattern could this be a form of IBS.......Thank you. | The description seems to be suggestive of IBS . you should be taking lots of fluid And food containing lots of fiber like leafy vegitables ; fruits with skin; whole grains.If it does not improve you can take lactulose syp before going to bed at night.It will surely improve. | |
What causes constant lower back pain when I bend down lower spine?
I have had scoliosis surgery when I was 14 years old I am now 31 had 3 children and worked at jobs that require heavy lifting long standing for 8 to 10 hours now I have been having constant lower back pain when I bend down my lower spine sticks out and the side of my lower back sits higher than the other. Could this be a flat back syndrome? | hiIn my opinion back pain is due to heavy weight lifting due to abnormal pressure in a curvature of low back region.Seeing that you had scoliosis surgery, your doctor may have asked you to change the nature of work and prevent your back from excessive strains, like weighty objects lifting or lifting while bending.Change to lighter work is a solution.Take physical therapist help for graded and limited back muscle strengthening exercises only and refrain from back loading worksRegards, | |
Suggested Duoluton as birth control. Any side effects? Had abortion
i am a married woman.I got pregnant within 4 months of my marriage.I am 20 years old.so i do not want a baby now.so i took medicine within the first month of pregnancy and then after some days i had my periods.After a month i went to a doctor and told him that i dont want a baby within 1 or 2 years.So he suggested me Duoluton L tablets.He told me to have this tablet from the day 5 of period and continue it. So i want to ask u is it ok for me?Is there any side affects of this tablet?I need a help.I will be very thankful to you if you kindly help me. | Hello,I can understand your concern. Duoluton L contains syntheic hormones that prevents pregnancy even if unprotected sexual course is practised. They are usually pretty to take and women are known to continue it foramy years as birth control pains. In addition to birth control, they also balance hormones making your ovulation and menstrual cycles regular.Some minor side effects may include minor gastric discomfort and weight changes. If you feel major effects or discomfort while on it, you shoukd contact the gynecologist.I hope this information helps you. Thank you for choosing HealthcareMagic. Take care.Best,Dr. Viraj Shah | |
Q. How can red spots on the head of my penis be treated?
Hello doctor, The head of my penis is itchy and there are few red spots in certain areas on the head. This has been happening for the past week or so. I have stopped applying soap to the area and I wash it with lukewarm water twice a day and apply Candid-B thereafter. The itchiness went away after three to four days but as I stopped doing that, the itching has been back. Initially, I had some pain while retracting my foreskin and my foreskin was kind of swollen but there was no pain and swelling. At times, I find a white substance around the foreskin when I try to retract it. Should I continue applying Candid-B for few more days? And what other precautions should I take so that it does not happen in the future? | Hello. With your description, I feel you are suffering from a fungal infection of your genitalia. Kindly stop Candid-B cream (Beclometasone Topical and Clotrimazole Topical). It has steroids in it. This gives you temporary relief from itching but promotes fungal growth. However, I cannot precisely diagnose your condition without having seen your clinical picture. I would suggest you attach a clinical picture along with your query. I would suggest you use For more information consult a dermatologist online --> | |
Itchy rashes in the armpit spreading. No relief after using azithromycin and fucidin. Need alternate medication
I have skin infection on my shaving area that is now spread to my armpits. They also itch a little . Small reddish bumps all over my neck below the jaw. My dermatologist gave me azythromycin and fucidin h but it is not clearing. Today he told me to change the cream to PAnderm topical cream. Can you tell me how to clear this fast. He thinks it is folluclitis. | Hello,Thanks for the query.Itchy rash in armpit may be fungal.Azithromycin or fucidin wont be helpful.Try some antifungal cream.This may provide her some relief.Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. there is no relief please meet a dermatologist for final diagnosisThank you | |
What causes bleeding gum?
I am breastfeeding and to be honest I am not taking my prenatal and iron pills regular. Twice my gums bleed. Once last month and once today. Is breastfeeding likely causing my gum to bleed? Also it's only in one area of my mouth...top right. No pain and no swelling | Greetings madam,Bleeding gums can be the effect of breast feeding. The first reason being the hormonal effects which causes increased blood circulation to your gums. Bleeding gums can also be because of inflammation caused by impacted food particles between the gum n the tooth. According to the history you've given(bleeding on the top right side) it could be the effect of calculus(hardened food particles). You might require a scaling(teeth cleaning)Please consult your dentist and he'll help you out with this.. | |
Will fasting reduce the chances of getting pregnant?
I'm in my late 30's, have 3 children and am ttc. I am muslim and have fasting to do every year and am curious if absence of food and water from sunrise to sunset would affect my chances of ttc? Will slight dehydration associated with this kind of fasting lower the chances of conception? | Hi.Fasting will not reduce your chances of conception, but it can interfere with pregnancy itself. As you know, in Islam pregnant and breast feeding women are forgiven from fasting.Just make sure you take your prenatal vitamins as soon as you open your fast or before sehri.Best wishes. | |
What causes sudden loss of vision in children?
7yrs old mch with c/o sudden loss of vision 7 days back and vitiligo since 5 yrs.Child had olso recieved 5 unit of blood .my question is whether any ass 7 yrs male child with c/c uveitis and sudden loss of vision 7 days back. .vitiligo since 5yrs.child had recieved 5 unit of blood.my question is there any relation between uveitis and vitiligo | Hi, I have gone through your question and I understand your concerns but uveitis and vitiligo are unlikely to be related but I would recommend an urgent CT scan on his brain to exclude optic nerve compression. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
How can periventricular leukomalacia be understood while having short term memory loss and the inability to use the right words?
I had two MRI s, diagnosis- periventricular leukomalacia. I did not understand what my neurologist was trying to explain to me. I have short term memory loss and sometimes say the wrong word or can not find the right word. Would you please explain this to me in words I can understand ? Thank you XXXX | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I thin they want to explain that sometimes you may have excess stress or intention result is appear as not proper commanding in your speech. Or speech you say may be pronounced without thinking about it. Please take some memory enhancer like saraswatarista or tab Mentat. Both are Ayurveda product can felt you better. Hope I have answered your query. Let me know if I can assist you further. | |
How to clear blockage on superior mesentric artery?
I have had type 1 diabetes for 46 years and been on an insulin pump for 29 years. I had a CT which showed I have a blockage in my Superior Mesentric Artery that is stopping blood flow to my upper stomach and pancreas. I do not have high chlorestal and have always eaten a healthy diet. A1C is 6.3. am having a ultrasound next week and probably a stent put in. When the radiologist did the CT I had a reaction to it and he said I would be better off not to have that or an MRI done as each time the reaction is worse. Don't they have to use the dye to put the stent in and what do I expect for my future health concerning this? | Hello , Stenting the Mesenteric artery is the best way forward to establish blood flow to your pancreas and stomach . The other alternative is surgery which is far more morbid . Also the she used during stenting is similar to what they used previously in CT. So do discuss it with your doctor , so he may take precautions before the procedure and preferably use alternative dye . Yes follow up MRI would be better in your case for Evaluation. Regards Dr. Mody | |
Suggest remedy for tingling sensation in neck
could the tingling I have in back of neck (over many months) cause me to shun light, not want to watch tv or walking exercise ( all these things make my eyes tight and I just want to close them. I have had neurological tests etc and the only thing they have found is low cortisol. thank you Pamela | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have tingling sensation in neck . Well there can be many reasons for symptoms you mention in query like cervical spondylosis , radiculopathy or disc problem . Sometimes trapezius muscle also create such problems . I would suggest you to consult orthopedic surgeon for proper examination . Doctor may order CT scan ,MRI or physical examination . Doctor may prescribe nerve supplement along with anti inflammatory and recommend physical therapy and stretching exercises . You can also visit endocrinologist for cortisol problem as it indicates adrenal or pituitary gland problem .Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Will contraceptive pills cause dizziness and nausea?
hi! im 28 y/o female..lately i am experiensing dizziness that i almost like fainting then i got nauseus, also i feel stong pulse in my abdomen and sometines its moving that something is inside of my tummy. i am not pregnant coz i am taking contraeptive pills. pls. help | Hi,Dizziness or fatigue can occur with contraceptive pills. Your body may need to adjust to the hormonal levels. Watch the pattern for the next few days and if the dizziness continues, it could be because of the drug.Side effects may reduce in the subsequent cycles and hence continue the drug for few more days. Anti-emetics can be taken for a few days half an hour before taking the drug.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician | |
Does anti rabies vaccine lower the sperm count?
My husband had a dog bite yesterday. We have already started anti rabies injection day 0 yesterday. 4 more to go on day3;5 10 n 21. We will try to coneive after 2months. Does this vaccine lower sperm count or has any alteration in chromosomal pattern of sperms. Do v carry any risk in developing birth defect in baby in future. If yes. For how many months should we take a break. | HelloThanks for query .Anti Rabies vaccine has no side effects on production of sperms hence will not lower down the sperm count.Neither it will have any adverse effect on chromosomal pattern of sperms and will not have any birth defects of the baby as feared by you .Please go ahead and complete the course of anti rabies vaccine .as it is more important for him to get immunized .Dr.Patil. | |
Suggest treatment for high BP, tiredness and headache
My BP has been up for a few weeks consistently and my head has been hurting really bad. It s been around 138/93 and it s. Normally 102/64. I have been feeling extremely tired my heart has been beating fast and slow and I feel like my blood is thick running through my body and my head hurting has been making me feel like I m confused or in a dream it s kinda starting to scare me | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Considering this change in your blood pressure values, I would recommend consulting with your attending physician and performing some tests to investigate for the possible underlying causes: -a resting ECG and cardiac ultrasound - a chest X ray study - complete blood count for anemia - thyroid hormone levels for thyroid gland dysfunction - blood electrolytes for any possible imbalance - fasting glucose - kidney and liver function tests - blood electrolytes. Starting anti-hypertensive therapy may be needed. Hope you will find this answer helpful! Wishing good health, Dr. Iliri | |
Suggest treatment for low blood pressure
I just had my bp taken and it was 150 over 90. I am a 42 year old male who is dieting at the moment and dropped 15 lbs over the past month and now weigh approx. 210 lbs. (I am 5 ft. 7 in. tall). I am nervous with that reading. I had to go down two flights of stairs to get to the test, could that have had an affect on the reading?? | Hello, After going through your medical query I understand your concern and I would like to tell you that your blood pressure can fluctuate depending on your physical activity, emotional state and physiological changes. If you are on diet and reducing Weight that will help you to maintain a healthy BP which is less than 140/90. Next time you check your blood pressure make sure you are sitting peacefully for around 15 min. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhanu Partap, Cardiologist | |
What does the following follicular study report suggest?
Hello, My periods are regular ( 27-30 days cycle usually) and i have PCOS/2nd cycle with clomiphene- In last month my first cycle follicle got ruptured after 2.0X1.1cm (right ovary: day 17th). But didn t concieved after that this month s cycle again with clomiphene 50mg and follicle size is 1.3×1.1 & 1.6×1.4cm (RO: day 12th) and on 2nd scan 1.4X1.5 & 1.4X1.6cm (right ovary: day 15th) but my gynecologist told me it s not growing significantly this time and suggest me to see a infirtility specialist. Please suggest what might be the reason for advicing this? And why my Dr. Suggested me directly to visit infirtility specialist instead of further treatment ?? Also is it so ovaries function in alternations? Because in my case it is Right ovary since last 3 months which is showing maturing follicle!! | Hello,thanks for choosing healthcare magic for your query...first of all I want to tell you that generally ovulation happens on alternate side but it's not a rule so for now relax about that.This is your second cycle with clomephene 50 mg. We can wait until 20-22 days of cycle for ovum to get fully mature. Your egg is not growing enough but we can wait.As your Gynaecologist has advised you to visit infertologist, so there are many factors which needs to be considered in Patients trying to conceive. If your doctor is advising you for more expert opinion then that doesn't always mean that there is something which is worrisome.You may need to take some injections ideally which should be given in particular facilities.So relax and take infertologist's opinion.I hope this helps. Feel free to contact if any further queries.Regards,DR TEJASHREE BHORGYNAECOLOGIST, DHANORI, PUNE | |
What can cause an asthma attack?
My father (age 61) has been rushed to the hospital twice within the past 6 months due to under going a severe asthma attack. They have checked his lungs, heart, and chest and continue to say that everything looks perfectly fine. Though this may be the case, it is unsettling not knowing exactly what can cause an attack and then his inhaler alone cannot fix this problem. Any advice or suggestions? | pulmonary function test can be doneavoid allergens like dust ,food etcinhaler can be usedif it is not sufficient consult the pulmonologist change the inhalerCT CHEST is also advisable | |
Suggest treatment for chest discomfort and SOB
Hello, I am a 38 year old female that recently started experiencing some chest discomfort and SOB, I went for a stress test today but haven't gotten the results yet. During the test, I became short of breath and some chest discomfort and my BP was 118/48? Is the Diastolic supposed to fall during the test? | Hi thanks for contacting HCM...Your diastolic blood pressure was 48 ...The test doesn't lead decrease in blood pressure ...So here cardiac cause can be there like ventricular failure. ..Cardiac causes should be ruled out by ....-EKG -Echo cardiography etc...By your investigations cause will be cleared and treatment done accordingly....Take care ...Advise : consult cardiologist for that .... | |
Breathlessness, anxiety, high pulse rate. Taking steroids in inhalers. Asthma symptoms?
Hi, I am 25 year old Female. I have shortness of breathe. I feel anxious and my breathing becomes even worse. Now a days i am feeling more anxious with no reason. My heart is beating fast. I have no other health concern. My insuarnce got expired. I will take new one but after 2 weeks since my finanacial situation is not at all good right now. I experienced this problem in last December...went to doctor...she gave steroid in inhaler (albuterol)...i felt better...doctor said that might be asthma ... So can u plz tell me is there anything serious...i know i should take insurance as soon as possible...but jst want to know if there is anything emergency | Hi prashanti thanks for coming to HCM Asthma is graded into controlled , partially controlled and uncontrolled based on the frequency of thre symptoms.. As per your symptomatology it seems to be uncontrolled or partially controlled so it needs to step up your therapy... you have to change your inhaler....you may opt for formoterol and budesonide combination which will be your controller as well as reliever medication since its onset of action is within 3-4 minutes... Asthma except for your acute severe asthma is not a medical emergency... Your symptoms of anxiety and palpitaion can be due to excessive intake of albuterol...so needs changing of inhaled medication.. meet your doctor and best wishes | |
What causes lower levels of hemoglobin during pregnancy?
My wife is six months pregnant. Her Haemglobin level 5 months ago was 9.6 after which she was put on Orofer XT twice a day. Haemoglobin has only reduced since then to current of 8.6 ( 2 days ago). Today she was put on Orofer S intravenous injection. Should more tests be conducted to test root cause of low haemoglobin now or to wait and check if Orofer S helps. Also, Will low haemoglobin cause any issues during pregnancy/ to baby? | Hello dear,I understand your concern.In my opinion there will be hemodilution in pregnancy which makes the HB lower.Low HB might cause growth restriction of baby,low liquor etc.The persistence of low HB till the last months of pregnancy causes the complications.As she is in 6th month there is enough time for increasing the HB level.If the HB doesn't increase even after iron injections it might need work up.So dont worry low HB is routinely found.It gets corrected with iron treatment mostly.Take iron rich diet.Best regards.... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.