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Why am i feeling heartbeats in surgery area in lower lumbar spine?
Every once in a while, when I to something like hanging laundry on a hot day or something like that I can almost feel my heartbeat in my lower lumbar spine where I had surgery. It evens hurts and makes my body bounce to my heartbeat. Could this be serious? | HIThis could be from an abdominal aortic aneurysm and I suggest you let your doctor know about it and I would get a ct scan of your abdomen to check for that | |
Suggest treatment for dementia and COPD
My mother is 95 1/2 and has dementia. She is frail and has copd. The pa now put her on .25 of morphine for pain which we, her children, haven t noticed her having pain. PA says she is having pain so needs the morphine rather than Ativan and Tylenol. She seems to be sleeping more and responding less since on morphine. We are very concerned. thank you | Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, her current symptoms are mostly due to morphine. Morphine is opioid analgesic. It acts directly on brain. Along with analgesic effect, it causes sedation and respiratory depression. So her more sleeping and responding less is mostly due to sedation of morphine. Another reason is high carbon dioxide (hypercarbia). COPD patients are known to develop hypercarbia if respiratory center in brain is suppressed. High carbon dioxide can cause lethargy, sleepiness etc. So better to stop morphine and consult pulmonologist to rule out hypercarbia. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. | |
Suggest treatment for dry itchy patches on body
My wife has a symmetrical rash that started about 6 wks ago with dry, itchy, puffy eyelids. It has migrated / spread to several parts of her body. It gets excrutiatingly itchy and painful and inflamed. It waxes and wanes throughout the day. It does not seem to respond much to antihistamines. She is 55 yrs old and has started early stages of menopause, we believe. She has seen 2 dermatologists and 2 walk-in clinicians as well as her obgyn. She is scheduled with an immunologist tomorrow. We haven t totally ruled out lupus as the symptoms don t really match that disease. Any ideas? | Hi, The rash could be an urticaria (hives) or an allergic contact dermatitis. Allergic contact dermatitis could be due to any chemical, commonly hair dye. I request you to think for any particular causative agent and to avoid the causative agent. You could take an antihistamine tablet for reducing the symptom. But, the final diagnosis could only be made after co-relating your history with clinical examination. So, I request you to consult your Dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist | |
How can scrotum darkening with hardening and cracking skin be treated?
Had bladder surgery a week ago, i.e., biopsies after chemo/BCG treatments for cancer. This is the fourth time for the procedure. Unlike the prior three times, I have just developed a darkening of the scrotum, and a hardening and cracking of the skin which is progressing rapidly Not itchy or painful other than when it cracks. Suggestions? | Hi,Thanks for writing in.The scrotum skin is sensitive and probably the changes are due to side effects from treatment or any condition which is causing the skin to get dried and form flakes. Please consult a dermatologist and get a quick clinical examination done to make sure there is no inflammation going on in the scrotal skin.Please wash the area twice daily with warm water and keep it dry to avoid any infection from occurring. Avoid scratching the region and wear loose cotton inner wear to prevent sweat from accumulating. In most likelihood the color will return to normal in few weeks. Please do not worry. | |
Q. I took Mensovit plus after unprotected intercourse. What is the chance of pregnancy?
Hello doctor, I am a married woman with two kids and a regular cycle. My first day of last period was on the 7th of last month. On 26th I had intercourse and took Mensovit plus on 30th and 1st and yet to get periods. Please advise. I have not done any family planning post my second delivery, but we are having our intercourse safely. This time I am a little worried as I have no plan for a kid now. | Hello. This seems you have sex on the 19th day of your cycle. This could turn you pregnant and as such why don't you opt for a pregnancy testing now? Mensovit plus is a hormonal nonspecific medicine but not protective of pregnancy. So, do a test first and let me know the result. | |
Is swelling on nose and headache serious concerns after an injury?
My daughter head butted my nose yesterday and I still have a headache. My nose is slightly swollen. I do not have any problems breathing and I have not had any nose bleeds. I have pain on the bridge of my nose and a headache that won t go away even with pain medicine. Should I be concerned? | Hello, I don't think there is anything serious happening with the injury. The headache will come down slowly. As the head got hit to the nose, there will be Inflammation of the sinus and may lead to a headache. But as time passes there will be a relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
What causes swelling of feet during pregnancy?
hi i was wondering if i should call my doctor about swelling in my right foot is more swollen than my left and i could not spread my toes apart because of the swelling. i also had blurry vision the night before last. should i be concerned i am almost completed with my 37 week of pregnancy. | Hello dear,I understand your concern.In my opinion the presence of swelling in right foot more than left foot is a normal finding.Because the uterus slightly rotates to right side this causes compression over the veins over the right side leading to swelling on right side.The swelling of feet is due to various reasons:-1)Physiological edema -This is normally seen due to compression of uterus over blood vessels.This will subside after 12 hours of bed rest.This is seen more in later months of pregnancy.2)Anaemia with low proteins.3)Hypertension in pregnancy.4)Excess liquor.I suggest you to rule out anaemia by getting done HB.And as there is blurring of vision along with swelling I suggest you to rule out high BP.Nothing to worry.It will subside.Preferably lie on left side and observe your fetal movements.Hope this helps.Best regards... | |
Does medication for a procedure during pregnancy cause fetal harm?
Hi, I had an upper gi endoscopy on 01/03/2011 and night before the procedure, I had pregnancy test which came back negative.(My mensturation takes place on 3rd of every month) and on 01/05/2011, I found out that I was pregnant. Could the drugs administered before endoscopy have adverse effect on the embryo? I have a doctor s appointment on thursday but I m so anxious. I d appreciate any advise you could give. Thanks so much | Hi dear, I have gone through your question and understand your concerns.Drugs given prior to endoscopy are usually laxatives, and these are not harmful for pregnancy, if do not cause diarrhoea.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma | |
What could be the pink spot on scrotum?
I have a question about a pink/red spot on my scrotum. its not raised and there's no discharge from it. It's only in one spot and I've noticed it for a week and a half. iv been sexually active with my girlfriend for about a year. She has had tests done and everything came up negative for her a few months ago. Any ideas what it could be? | hii.welcome to health care magic.these are called fordyce spots.they are the enlarged sebaceous glands.no active treatment will be needed for this problem.thank you. | |
What could cause swelling in right lower leg?
a little over a year ago I started having swelling in my right lower leg.i have been put on Lasix which has not helped.. I started having back pain about 3 months later. I wet to back Dr. and had an MRI to find I have a bulging disc. I had a steroid shot in my back which has helped the bak pain, but recently the swelling in my lower right leg has gotten worse, in the last 3 weeks my big toe and 2nd toe have been asleep and now in the last week my whole right foot falls asleep when im walking. I am diabetic, but it has been under control. I am afraid of falling while im walking,and am tired of hearing that its neuropathy. it is getting worse and I have not been tested to make sure it is not something else..any ideas? if something not done ,as quick as this is getting worse I am afraid I will be disabled soon or worse. | Hi It seems that your back problem ( Slipped disc) is back and is now causing pressure on the nerves.I would recommend examination by an orthopedic / spinal surgeon to assess and Repeat MRI if reqd. | |
Severe abdominal pain on left side, difficulty in standing and breathing, dizziness, weakness. Suggestions?
Hi I have very severe abdominal pain on my left side. It came on suddenly eight or nine hours ago and is concentrated in that area. I can not stand up properly or it hurts and it hurts to breathe. Ive assesed and compared both sides of my abdomin and they both are the same apart from the left is painfully sensitive and is hurting. (Basically ruling out hernia etc.) Theres a possibilty i am pregnant but is unconfirmed by my dr until next week. I have been very dizzy throughout the room moves up and down and i am very weak. I do not know what to do. Email back to YYYY@YYYY | thank you. you not mention the duration of suspected pregnancy. it may be pregnancy related complication like threatened abortion or ectopic pregnancy. diverticulitis or urinary infection are other possibility. confirm your pregnancy & go for a USG of abdomen. | |
Suggest treatment for rheumatoid arthritis, anemia, diabetes and high BP
Hi, may Dear Sir Sir my father is a patient of Dr Syamasis Bandyopadhyay since 3 years but uhfortunately the deases of my father is on control but not cured like my father is suffering from rheumatoid arthritis,anemia,diabetes and high blood pressure since 5 years.Before 1 year when my father was at assam suddenly he fainted in the morning and next day also he fainted like that it goes for some days while he was fainted his eyes were wide open and his lips were pale.We checked the random sugar level and it was normal nearly 120.After that we went to chennai apollo for checkup where he was done a lots of tests including MRI ,colour dopler, ct scan,etc but failed to find the actual reason of faintaing.After that we came back to kolkata and after few months he again fall ill and was admitted to Apollo Gleneagles kolkata and was diagnosed pneumonia and staphylococcal septicaemia.Dr Syamasis Bandyopadhyay saaid that my Dad had a minor attack of stroke and also he was talking like a mad,non meningful talks constently. Dr Syamasis Bandyopadhyay stopped all the medicine prescribed by chennai Apollo hospital.Now for long 6 months he is taking the medicines prescribed by Dr Syamasis Bandyopadhyay the medicine are tablet Pantocid it,Minipres-xl 5mg ,wysolone 2.5mg tablet cetapin xr 500 ,amaryl 2mg,nexito 5mg ,stamlo 2.5mg, tablet folvite,p650,lonazep 0.5mg.He also has a eye problem on right eye cataract,and glaucoma and the medicine for eye is gatilox eye drop, homarin forte eye drop, prednisolone acetate eye drop ,combigan eye drop.Now my Dad cant stand without the help of Walker nor he can stand by his own without our help even he has to do toilet on the bed. Now the matter of concern is that today on 11/02/2010 at nearly 2pm while he was sitting in a chair near the dining table he was feeling sleepy and ill.He asked my mom to give him lunch and immediately asked for water but before she could give it he fainted.His eyes became wide open and lips pale.We sprinkled lots of water gave him water to drink and after trying for 2 minutes or so he regained his senses.As he was hungry we gave him buiscuits and water.After almost 20 minutes of that we gave him his lunch but after swallowing it once he vomited.After that we again gave him his lunch about 45 minutes later and he could consume it then. So Sir Please do help us by providing the best treatment to make our father move and make him healthy a | welcome to hcm,your question refers to multiple problems faced by your father. but , the most important problem ,it seems, are the fainting spells ,what he is facing. the most common problem faced with diabetic patients is definitely hypoglycemic episodes.another causative factor , what comes to my mind ,is some sort of arrhythmia. i would suggest you to go for continuous blood glucose monitoring as well as holter monitoring. both can be done at home .hope this helps to find a cause for his problem. | |
What does a fatty tissue under the collar bone indicate?
I have fatty tissue under my collar bone and between. It hurts when cold and when I bend down. I am to have thyroid surgery this Wednesday because they found Hurthle cells, which they said may be cancerous, but don t think they understand that I am having difficulty by my collar bone. I have told them, but they seem more concerned about my tyroid. I don t want to have to be opened up and not have it checked also. | Hello, I have studied your case. There is possibility of enlarged lymph node or lipomaAs per your symptoms and history it can be lymph node enlargement may be due to infection or chronic disease.As swelling is not reducing I will advise you to further investigate for the cause of swelling.You may need blood investigationLymphangiography may help.local sonography will help.Till time you can take anti-inflammatory and antibiotic if infection is suspected.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
Does the acute pancreatitis affect the other organs?
Dear Dr. Kalyan Bose,I am a 53 year old mother of two. I had a pancreatitic attack on 10thMay 2010, the first time since my gallbladder was removed in July2003. Although I was in a clinic from 10 â?? 31 May 2010 ( where theygave me Pathidine 100 mg, Omenix 40 mg, Inj. Rolac 30 mg, Inj.Fidaplex, Inj. Emixtal, etc.) I was not given any water or food bymouth till the 15 May. From the 16 May, I gradually started takingwater, coconut water, chicken soup, and soft rice.The following day the pain returned with temperature (101.8 Fo) andoccasional vomit. Water and food was stopped by mouth and antibioticand anti vomit, was started by i.v. again. As the temperature kept onreturning ( 99.4 F) every evening my antibiotic was changed to Inj.Meropenam 500 mg i.v. at 8 hourly. On 31 May when the last of the 21 injection of Meropenam 500 mg was completed I was released from the hospital with â??stable Haemodynamic condition.â??Since then I am slowly regaining my appetite and is on a â??no fatâ?? &â??no oil dietâ??. I have no pain in my abdomen or any discomfort exceptfeeling weak and exhausted. As I was diagnosed a case of Mild / Acute Pancreatitis I feel that an expert opinion of the present state of my pancreas and the condition of my other organs are, in view of the recent Pancreatitis attack.I will be in Kolkata in the evening of Sunday 11th July 2010 and shallbe very thankful if you could kindly give me an appointment to see youon Monday 12 July at a time convenient to you.Thanking you. Mrs. Farhana J. Haque. | there are many cause for acute pancreatitis the top most are Gallstone , alcohol intake , Pancreatic abnormality , Hyper calcemia , Hyper triglyceridemia , Drugs , Toxins etc upto 25 to 30 % of case cause is not known and is called idiopathic .u have has moderate attack of pancreatitis and the good thing is u have recovered well . there is better prognosis in mild to moderate Panc compare to sever where Prognosis is not good . and Multiple organs dysfunction can occurs in severe case .in short u shoud not be worried as u have been discharged safe and sound; | |
Suggest natural remedies for vomiting and diarrhea during pregnancy
I am approx. 6 months pregnant (26 weeks) and recently had a major toilet clog in my home as well as mold everywhere. I have removed myself from the home until the problem can be fixed and/or evaluated by a professional. I was sick vomiting for 2 days and now have yellow diarrhea and my stomach is extremely upset, making loud gurgling noises. Is this something I should be concerned about? What are some home remedies to soothe my stomach? I have a prenatal appointment with my regular doctor this coming Tuesday. | This could possibly point towards stomach infection. Since, you are pregnant, you must take great care not to stay in unhygienic surroundings. You did a good thing by moving out. If you are having vomiting then it must be brought under control first through medications prescribed by your doctor. Avoid strongly flavoured foods like cabbage, onions etc. which may make you feel nauseous. Have a glass of lemon water with sugar or suck on lemon slices when you feel uneasy due to vomiting sensation. For diarrhoea, make sure you do not get dehydrated. Prepare home made ORS or Oral Rehydration Solution by adding a teaspoon of sugar and a pinch of salt to a glass (200 ml) of boiled and cooled water. Take this solution every 2 hours if you have persistent diarrhoea. Have dry toast, cooked rice, ripe bananas and applesauce for controlling diarrhoea. Do not drink milk as it can worsen diarrhoea. Instead go for curd or buttermilk which is helpful in treating diarrhoea. Drink plenty of fluids like glucose water, lemon water with sugar, freshly squeezed fruit juices prepared at home in a hygienic manner. Avoid any fried or spicy food, harsh fibrous fruits and vegetables. You can have potatoes but do not have any raw foods till diarrhoea is well in control. Take care and get yourself treated by a physician as soon as possible. | |
Is it tinnitus to hear a mild sound in my head?
Dear Doctor, In my head I hear a mild sound for one year (without a few moths) which actually creates nothing to my head except the disturbance, in day and night. I consulted a Ear Nose and Throat specialist doctor. He doubted that it may result in brain tumor. What is your answer? Will it result in brain tumor? I heard about tinnitus. But I cannot conclude it. I don't know whether it is tinnitus. Can it be cured?Thank you. | Good day! Tinnitus is a buzzing sound and it has association with inner ear involvement or labyrinth. Tumor is a long shot but a complete vestibular functional assessment is recommended. Seek otorhinolaryngologist and a neurologist consult. And yes it can be cured easily. No worriestake care | |
Is follicular study required in my case?
I am Archana from Mumbai, I had a missed abortion three months back. Thyroid level was high - 9.6. Now I want to plan. My gynec has advised me to do follicular study and take fertomid 50mg (2 tab daily for 5 days). My periods are regular. thyroid is also within range. Is follicle study required in my case? | Hi Mrs Archana, Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I will be answering your concerns.Since you had a pregnancy recently, it is clear that you do not have any problem in getting pregnant. Happy to know that your thyroid hormones are in the normal range. I am of the opinion that there is no need to take fertomid or have follicular study now. Give yourself time. You will conceive.To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three to four times in a week. Do take a tablet of folic acid daily.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic.Best wishesDr Rama | |
Hole in kidney filter, protein in urine. Taking cencett, wysolone. Will this affect fertility?
Hello Dr.Good Day,I want to ask one question. One of my relatives suffering from some kidney problem. Her actual problem is Protein is going out in Urine. So she is taking medicine for last 5 years.Doctors say, there is hole in her kidney filter. due to this Proteins are going out.Now she is taking some tablet name Cencett , Wysolone etc.Can you tell me pls. Will it affect her Child fertility ? Can she eligible to give a birth ? | Hi, I need to give few more clinical details to get a clear answer. However, As the patient ahs a condition called nephrotic syndrome, she has to be given steroids along with few other drugs. You have mentioned a drug which may be " cyclophosphamide" which is known to produce infertility. So, one should be careful in taking that as far as the dose and duration of therapy are concerned | |
Should I be concerned for kidney infection, urine strips showing leukocytes, ketones and urobilinogen?
I have had a series of UTI s over the past 3 months including a kidney infection. Currently, no real symptoms aside from mild lower back pain. But urine strips continue to show Leukocytes , Ketones and Urobilinogen present in my urine. Should I be concerned? (Also, treated for Entamoeba Hystolytica parasite before the start of all the UTI s). | Hello!Thank you for the query.Lower back pain is a real symptom of UTI. You can not ignore it. Leukocytes indicate infection as well. Strip tests are not the best way to diagnose an infection. Real urine analysis and urine culture test should be done to determine which bacteria is causing the infection and what is the best antibiotic to treat it.Ketones in the urine indicate that you have not been eating much before urine test.Urobilinogen appears in case of liver problem, so you should have it checked as well.Hope this will help.Regards. | |
What causes diarrhea with low grade fever and sweating?
Hello. At 4pm today, my 7.5 year old daughter had a major, very loose bowel movement so bad she soiled herself. We hadn't seen anything like it since she was in diapers. At 3pm, she had a low-grade fever. At 5:30pm, she broke into a terrible sweat that soaked through her shirt, though she had not been any more (not higher) feverish since before 4pm. She was fully coherent, yet tired, and went to sleep, but had stomach cramps. It is now just after midnight, and she awoke hungry, but with terrible leg and arm aches now added to the stomach cramps. Before she ate her soup, she went to urinate, and called me to look at her red pee! Now I am scared. She is otherwise very healthy. We don't do processed or fast food or soda, but she does love candy. There was nothing unusual in her diet today. She did have turkey lunchmeat, which is unusual for her actually. She is in good humor and alert, but clearly has discomfort. What are you thinking upon hearing of this? Thank you for your time and care. | Ur daughter is suffering from Viral diarrhoea with low grade fever with severe dehydration.her abdominal cramps,pain in the arms and legs and high coloured urine is due to dehydration followed by electrolyte imbalance.need not panic, u can give her plenty of oral fluids like fruit juices,ORS juice,and the following medicines-Ibugesic plus syrup 5ml thrice a day for 3days after food for the fever,Normet suspension 5ml twice a day after food for 5days and sporlac powder-one sacchet twice a day mixed with pre boiled cooled water for 5days with a very bland diet | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Can the partial fusing of the 5th vertebrae cause lower back pain?
I was recently in a car accident that totaled out my vehicle. I was able to walk away from it but did not feel the need for medical attention at that time. Hours later, my lower back was is terrible pain. I was x rayed and determined nothing was broken, but the x ray shows that I have a partial fusing on the left side of my 5th vertebrae. Could this be a cause for my pain? | I read your question and I understand your concern.Generally speaking vertebral fusion is a predisposing factor for back pain because the limited mobility between the fused vertebrae means more strain to other vertebral levels which do suffer degenerative changes in time.However it would be a gradual process due to vertebral change with the passing of the years, so if it started acutely only after the accident then it is not the only cause. Although no visible fracture, other supportive components of the spine such joints, ligaments, muscles have been affected by the accident but don't need specific treatment apart from painkillers and muscle relaxants and hopefully will gradually heal in time.I hope to have been of help. | |
What causes body rashes in infants?
my 1 year old has a rash all over his face, chest, back, legs, and arms. I am not sure what this is from. About 1 week ago I started him on cow's milk, switched from formula. And his diet otherwise is very wide spread, so it would be hard to determine if it was a certain food that is causing is. | Hellothese rashes may be due to viral fever if they are associated with fever , they subsides by itself.if uyou are suspecting cow milk allergy then go for allergen test | |
What is the cause and treatment for severe food allergy
hello please help me. my name is lisa..I am 23 years old, and ever since i can remember i have always had stomach problems, constipation always, lactose intolarante, gas, abdominal pain, I got diagnosed with IBS at age 20 . now that im 23, 6 months ago i went to subway and ate chiken and dumplings, witch i had never had before, as soon as I got home i started itching later that day my whole body was covered in big red welts. then my foot became swollen, I took benaeryl and the next day my other foot was swollen my hands and my eyes i coulnt even walk.. i went to the emergency room and they game me shots that made the swelling a little better.. it took about 2 weeks for all the marks on my body to go away.. NOW i have this uncontrolable iching with little bumps all over my arms legs thighs... I went to a allergist specialist and after preforming about 40 diffrent foods pricks on my back right away ALL OF THEM TURNED RED ,BIG RED MARKS. I have been searching and searching on the web and CANNOT find anything about the tests coming out ALL positive... The doctor game me 2 sheets showing the numbers and most of them are 5.5 some 6.5 some 7.5.. and he said I have DERMAOGRAPHIC ... I really dont understand.. I cant stop itching. am I allergic to all foods... ??? please someone help me.. | Hello Lisa,Thank you for asking at HCM.There are two types of allergy tests - skin prick test (which you have been undergone) and serum tests (ImmunoCAP or RAST).I suggest you not to be worried by test results. These tests are not 100%. They only complement a clinician's decision about diagnosis of your food allergy. If you are dermographic, skin testing will give you what we call false positives (means even if test is positive you are not allergic to it). So in a dermographic person, skin testing is not a reliable test. So forget the results of skin test if you are dermographic!!Diagnosis of food allergy requires a very detailed history about your symptoms & your diet, right from very beginning when you had your first allergy symptoms. This requires a detailed consultation. After suspecting the foods you may be allergic to, you may be advised serum allergy tests to support the diagnosis. The best diagnosis of food allergy is by food challenge which is done at specialized allergy centers.I would suggest you to keep a food diary in which you can keep note of food taken (including ingredients) and every symptoms you developed, with time & date. This will help you and your doctor to suspect what is it that may be causing symptoms.Common food allergies are milk, wheat, peanut, tree nuts, soy, eggs, fish & shellfish. But one can be allergic to any other food substances from routine diet.Also, I should tell you that there are other gastrointestinal disorders which may mimic food allergy and there is food intolerance (in simple words it means one cannot tolerate some foods) also. A gastroenterologist consultation would be helpful to you if you don't have food allergy.So I would suggest you not to think that you are allergic to all foods! Also I would suggest you to take an antihistamine (levocetirizine or cetirizine or fexofenadine) and montelukast daily to control your symptoms.Wish you best of the health.Regards. | |
Will elevated ALT level result in cirrhosis?
I am a 45 y/o female in good health with an ALT that has gone from 36 in 2009 to 47 in 2011. I understand it is due to a fatty liver. What does having an elevated ALT mean to my overall health and likelihood of it developing into cirrhosis? Thanks. | Hi, dearI have gone through your question. I can understand your concern.You have slightly high alanine transaminase level. It is a liver enzymes in its level increase in liver damage. Your level is changed slightly which is not significant clinically. It is common in fatty liver. Risk of cirrhosis depends on alcohol consumption and many other factor. You should avoid high fat diet and go for regular exercise. Avoid smoking and alcohol. Nothing to worry much about fatty changes in liver. It is very common condition. Just be relaxed. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health. | |
My husband is emotionally abusive. What can I do?
I have recently become aware that my husband has been mentally abusing my kids and I for 12 years. I have been a stay at home mom during this time making it almost, next to impossible to get out quickly or at all for that matter. My 11 year old son has been displaying unusual behavior and has been feeling like, as he states, a ghost and the behavior began two months ago after I had to cave and let his dad move back in. He just told me about 4 days ago about the ghost like feeling. I know I need to get out but if Im not careful it could end up back firing on me in a form of mental retaliation. Should I take the kids to a shelter or would this only cause for irreversable damage? I have absolutely no means to support myself or my children if I leave and am unable to work due to Chronic Graft verses Host disease from a stem cell transplant for recurring hodgkins disease. I only make 600 a month on disabilty. I kicked my husband out for 11 months but let him back in because we couldnt survive. My other concern is my kids are active in sports at school and the nearest shelter is 45 minutes away. I would not be able to get them back and forth to school. I considered waiting until school gets out but with the recent discovery about my sons feelings it has me me deeply concerned. My children are already emotionally traumatized and unstable due to the fact I have had so many life threatening illneses and I am so afraid one wrong move could be catastophic. Please help I am so confused about making the best decision. | Hi there ~ I suggest that you report this to your closest child protective services since there is cause for doing so and your resources seem to be limited. You will be able to get these services if you contact teh nearest shelter. I hope you do this as soon as you can. I hope this helped. Take care. | |
Get sexual thoughts, bad things in mind on memory flashback, recently started acne medicines. Help?
this is pria i am facing problem from last one month .Never Ever felt this kind of problem before. Initially sexual thoughts started to come in my mind that i m doing with that person and all. Old memories came in my mind. all bad things come in mind. Story started to make automatically in mind when ever i see anything. If old memories ,person come in mind so sexual thoughts or linking of that person with other person come in mind . Only bad things come in thoughts i unable to understand what is going on with me. I took medicine of acne for harmone balance i feel these kind of things after that please help | Hi there ~ It depends on the kind of acne medication you are taking. Some emotional dysregulation may occur with certain kinds of acne medication. However you would have to give more information regarding how the problems started and what kind of acne medication you are on. I would give this deeper thought once you pass on more information. However, you need to see a doctor to find the right solution for having these kinds of feeling after taking acne medication. Hope this helped, take care. | |
Does eating lot of pound cake raise triglyceride?
Will eating lots of pound cake and angel food cake with crushed strawberries sweeten with stevia and sugar and being medicated with Ativan ,rednisone, and Lipitor and three glasses of wine while preparing and eating dinner raise my alt and triglyceride .? | For sure not just a lot, but even' little 'of all what you prepared will increase your triglycerides because it contains simple sugars and fats (cream) which is easily absorbed . Lastly the reason why your ALT went up might be lipitor and the wine (if taken on Daily basis) . Now according to guidelines if your alt is substantially high you would need to decrease the lipitor dose for time being till it resolves. Regards Dr Priyank Mody | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Is it to be concern about the pain in the back after the fall?
Earlier this evening I took a fall. I fell forward and I crunch when I hit the concrete. I am now experiencing some swelling and internal pain in the area as well as pain in my lower back, just a couple of inches above the tail bone on the same side. Should I consider going to the ER for an x-ray? | HelloI think you must go to ER to rule out back injury. It would be better to go for MRI scan rather than xray. Also go for ultrasound abdomen to rule out abdominal injury.Take tablet tylenol for pain.Thanks | |
Suggest treatment for tooth decay
hi i have a tooth deacy on my upper left teeth i drink milkshake everyday is it harmful and also when i chew or eat food some part of the food enters from the tooth decay gap in to my gums i use my tounge to get that part of food back from my gums and tooth today i noticed that my upper left gums are sowlen is it sing of mouth cancer i never smoke and never drink alcohol i just eat too uch sweet in the past but now i do not eat too much sweet but i regularly drink milkshake every two days my age is just 25 is this situation of my gums are serious | Hi..Thanks for the query..First of all i would like to tell you that swollen gums are due to tooth decay and food lodgement in gums and not at all mouth cancer.. So dont worry at all..Now moving to your complain..As u told you have tooth decay and food gets lodged in your gums ..The swollen gums can be due to two reasons..1.If you have tooth decay which have extended to the pulp chamber( a central inner part of tooth where there are nerves and blood vessels), then it causes inflammation and can lead to pain and when this infection reaches below root tips of infected tooth it can cause pus formation and swelling appears in the gums..2.Other reason is swelling in gums can also be due to infection in gums due to food impaction leading to bacterial growth which causes swelling and pus filled blister in gums...I would suggest you to visit a dentist and get an IOPAR ( x-ray ) done and will find out whether the swollen gums are due to tooth or gums..If it is due to tooth ROOT CANAL TREATMENT and antibiotics n painkillers will solve your problem..If it is due to infected gums scaling and filling of the decayed tooth along with antibiotics and gum paint will help you get cured..Hope you get well soon...Thanks and regards..Dr.Honey Nandwani Arora.. | |
What does this ultrasound report indicate?
Had labs done for kidneys and they are all abnormal had them redone due to numbers being high and they still came back high for creatine and potassium and a couple others. I am diabetic and now the ultrasound said they found some Mild cortical thinning and Small 1.3 cm subcortical cyst in the left upper pole. Sounds pretty serious no??? is this something that can be managed or is this ultimately leading to kidney failure??? | Hi, You have a renal cyst but it is not serious till your other kidney is working properly. But if your creatinine level is very high then it is serious. Please send me your creatinine level and potassium level so that I can help you further. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Hardik Sanghvi, Hematologist | |
Suffer from bulging and torn discs. Extruded disc causing the sciatic pain. reddish blotches on hips and thighs
I have 3 bulging discs, a torn disc & an extruded disc in my back. The extruded disc is at L5-S1 and is the root of my sciatic pain - Last night, my husband noticed that my upper leg around my hips & thighs was marbled like red & white circle blotches. Is this something typical with my back condition or something different? | Hi,Thank you for posting your query.Skin changes are not usual with disc bulging at L5-S1 and compression of the nerve.Pain is a common feature, which can radiate upto the foot and toes, along with tingling and numbness.So, if you can upload a picture of the affected area, it would help in making a diagnosis.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.com | |
How can gums and teeth pain with glands swelling be treated?
Hi, may I answer your health queries right now ? Please type your query here... The right side of my gums and teeth hurts, right side of my glands is swollen, I cant swollow properly because of the pain im in. I have ear ache, and head ache on ride side of my head. | helloo...read thru ur query and accordingly i must say that it can be due to viral infection since all symptoms are confined to a particular side(in ur case right side)nothing to be worried be cool...i suggest you to meet an ent surgeon or physician and get it treated..(after going to a dentist and rule out infection in the teeth or oral cavity)meantime you do salt water gargle as many times as possible...be cool and calm...viral infection(if at all present)can be treated symptomatically...happy and cool mind can combat any infection and disease in life...hope u r benefitted something from this reply..have a healthy day!!! | |
Q. My friend abused cocaine and became sick. What to do now?
Hi doctor, My friend abused weed, alcohol and cocaine in a span of 20 days. Last two days he had cocaine twice, even though that was the first time and did not sleep. Then, he travelled and became sick with 104 degree fever, cough, swollen tonsils and right knee numbness. His blood test result showed RBC count 13.4 g and WBC 11300 with leukocyte 16%. This happened before a month and he is still coughing. He just had medicine to reduce body temperature. Please help. | Hello. 1. HIV RNA by PCR (not the antibody testing) 2. Monospot test. 3. Throat swab and culture. 4. Hepatitis C RNA by PCR. It would depend upon the results. If you can get the results to me then it would be great. I suggest tablet Ibuprofen or Diclofenac sodium every 8 hours for fever. Consult his specialist doctor, discuss with him or her and take the medicine with consent. If he is unable to eat or drink, jittery, confused, having a high heart rate and low blood pressure then he should be seen in the emergency room. Revert back with the report to an internal medicine physician online.---> | |
Q. 2. 5 year old suffering from stomach ache. Which medicine has to be given?
Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. | Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. | |
Suggest an alternative of Ceftin for the treatment of sinusitis
I need an antibiotic for a sinus infection. I went to Dr today, he prescribed Ceftin. I have trouble swallowing pills and this one looked too big. Is their another antibiotic that is smaller, I took doxycycline for a finger infection. Would it work for a sinus infection? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If you find the tablet too big in size then, you can break it into two pieces and can take half a piece at once and then the other half piece. Also yes, you can take Doxycycline to reduce infection in your sinuses. But as antibiotics are prescription drugs, you should get the medication prescribed by a physician. Along with antibiotics, you should also take an anti-inflammatory painkiller like Ibuprofen, decongestants like Pseudoephedrine, do saline nasal irrigation, steam inhalation and use a humidifier in your room. You can also be advised decongestant nasal sprays containing Xylometazoline or Oxymetazoline. Avoid spicy and chilled foods. Do warm compresses around nostrils. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora | |
Suggest remedies for swollen penis pain while urinating in baby
My baby (he'll be 2 in April) has a very swollen penis. I brought him to emergency and they pulled back the foreskin so he wouldn't have trouble peeing. Today all day he wouldn't pee, and when he finally did (in Emergency..again) he screamed and cried. He went about 6 - 8 hours without peeing, how long should I wait before it's unsafe? | HiI would strongly advice you to see a urologist as your child is having repeated problem in passing urine due to phimosis (tight foreskin) and it is painful.Urologist would suggest appropriate treatment plan after assessing your child. | |
I am 20 And i have gall stone. Is operation needed?
I have Gall Stones that are 10mm big (several) with a 3mm lining around the gallbladder thats swelled up. Every night I am in pain, I can t eat..or even sleep. Iv e taken panadol, 4 Tramadol, hot showers, hot water bottles ect... It s 1am so i can;t access any pharmacies...and I have no car so I can not get down to emergency. Can somebody please give me any tips to get out of pain. Oh and I am 20 years old to!!! Iv;e had the gallstones since 2007..and i am now on a wating list to get them out. PLEASE PLEASE PLEASE SOMEBODY HELP ME!!! Kind regards, Laura | Oh and I am 20 years old to!!! Iv;e had the gallstones since 2007..and i am now on a wating list to get them out. | |
What does a lump in the neck indicate?
Hi for the past 5 days, i feel a lump on my neck just under the jaw (right side) and i also get constant ear aches. Before I noticed the lump i got a sore throat for a week. I worried that it may be something serious. I went to a general physician and told her about my ear aches and told me my left ear is just inflammed but that wa sbefore i noticed the lump.17, male, 68kg | Hi there,A lump in your neck during an ear infection is most commonly an enlarged lymph node. A number of things can cause lymph nodes to become enlarged, but in the vast majority of the time, the cause is an infection. Other causes can be malignancy, but this is much more rare. if the lymph node is tender, it makes malignancy much more unlikely. I'd take ibuprofen and use warm compresses on the affected area. If the lymph node gets smaller, I wouldn't worry about it at all. If it continues to be enlarged, hardened and painless, then I would seek out an ultrasound. Again, I'd give it a week after your other symptoms resolve before I'd start to worry.I hope this answers your question. Feel free to contact me if you have any other questions. | |
What is the hard lump on tib-fib joint?
I had intense tib-fib joint pain and went to ortho. MRI showed mild tib fib degenerative change and soft tissue swelling. Pain went away after numbing shot at ortho. Yesterday, two months later...hard lump about 1/2 inch side to side appeared above tib-fib. Tender, but not intense pain. | Hello, As you had the pain in the past taking to tibiofibular joint and took a steroid shot to reduce pain, with the medicine shot only the pain has subsided but the degeneration is still present. Every pain killers shot given it is advised to do some proper exercise for strengthening the muscle groups so that the degenerated joint do not take more stress and strain so the inflammation can be avoided as well. To make it simple that this lump is a kind of protective mechanism of the body to let you know that the joint is still in degenerative state and not healed. So kindly go slow. I will advise you to get an x-ray or MRI whatever is possible to see if you have at least not allowed the joint to damage. Once done, use crepe bandage or knee brace for now. This will help stabilize the joint. Post this do not water fermentation so that the muscles of the below knee get relaxed and any spasm there will come down by loosening the muscle fibres with a hot fermentation. Once done wait for 2 weeks to start the exercise. In the meantime don't allow more weight bearing. Once 2 weeks are over start simple static Quadriceps and static hamstring. Along with this do ankle toe movements. Continue the above exercise for at least 2-3 weeks for both the legs and wait for the strength to come. Once you find the strength is sufficient to take to next level of exercise I will say go with the balance board training. This will help to improve the imbalance correction in the muscles of the leg and less pressure will be applied to the tibiofibular joint. Continue this and follow this every alternate days even after the pain subsides. This will allow your degeneration to not proceed more. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest remedy for severe allergy to cold air
My son who is 21 has sever reactions to cold air that goes up his nose from air conditioners or even outside air in the winter. He doesn't know what to do about this. Natural air is fine in the summer, but air conditioning in his own words is like Kryptonite. What should he do? | HelloSudden increase or decrease in temperature ,humidity , dust , mite pollen ,fumes are certain predisposing factors responsible for allergy in few persons , your son may have this problems .One option is remain away form direct contact with air conditioner air . But outside , he can't remain away.This is usually due to allergens in air .When such patient visit I prescribe them to take montelukast+fexofenadine ,combination ( tablet ) once or twice in day depending on severity of symptoms ( however, the normal dose is once in the night ).But this is a prescription medicine ,so take a prescription from your doctor.Hot coffee and steam inhalation provide instant relief.Avoidance also help. Get in blood examination for allergy test.Hope this will be useful for you son. | |
Suggest remedy for pain in stomach
i had a surgery 2 years ago , it s called fatty hernia , and now i feel some pain in my stomach smiliar to the one i was feeling before my surgery , so how can make sure that this surgery not open again and the hernia is not back ? please help , thank you | HiHernia can reoccur, usually if not meshed,or due to the lifestyle Post operatively.This pain can also be due to some infection .Kindly follow up with your treating doctor for urine routine and, complete haemogram,and ultrasound abdomen and pelvis.By these tests you can know the specific cause of your pain.All the best.Take care. | |
What could stinging bumps on the base of penis indicate?
I have the little bumps on my penis(@ the base) I ve had sex with my fiance lastnight and masturbated today due to my very high sex drive. The bumps are not all the same size and I have to stretch the skin to see them well can you tell me what it is? They are also right under the head of the penis and them ones sting when touched | HelloThanks for query .The bumps on penis and glans penis after having sex are mostly due to allergic reaction to vaginal secretions of female partner ,You need to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac twice daily .along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.It will get cured within a week.Dr.Patil. | |
Suffering from severe abdominal pain. What might be causing it?
Hi I am suffering from very strong and uncontrollable pain and swelling in the left side of my abdomen . , this area is just below the left chest , this pain from past 4 years. I have shown a general mbbs doctor he asked me to go for CBP and cheat x ray, abdomen scan ultrasound . The report says everything is normal, to which said t might be muscular pain and insisted me to take few tablets and ointment for ten days, I have tried it for 10. Days but no changes what might be the cause of this pain ans swelling. ..? To which specialist doctor should I visit please let me know. Thank u. | Hi. Thanks for your question. Pain in the left hypochondrium may be due to various pathologies.But before coming to a definite diagnosis I will like to ask certain question's: What is your age? How is the pain? Is onset sudden gradual?How does pain aggravate and decrease? Is there associated Fever,Decreased appetite,vomiting,weakness,jaundice? How is your bladder and bowel habit? Does the pain aggravates with fatty food? What is the size of lump? Are you alcoholic? Any history of trauma to the area? I will advice you to have some investigations done: Complete blood count Serum Amylase and Lipase. For now I will advice you to continue the medications given by your doctor and inform me about the reports as soon as possible. Wish you best of health Best regards. | |
How to treat a sore penis with a tingling sensation?
I had protected sex with a female, and the next day my penis was sore on one side. The pain went away but I have a slight tingling sensation on one side of my penis head, on one spot only. There is no visible rash, but the slight tingling is there. I am very stressed out. Please help | Hello welcome to Health Care magic.1.Does not look like any thing serious.2.It could be due to excessive physical stress.3.As you said most of the symptoms subsided, nothing to worry.4.If symptoms prolong and causing discomfort - let doctor examine.Like to ask ? Do not hesitate. Thank you. | |
Is allergic reaction to semen causing welts on my body?
Hello. i recently began taking sprintec birth control rounghly 2 weeks ago ive been on it for 15 days i started on a sunday start. As of yesterday I woke up with welts all over my body, huge one one that covers my side and my hip, my arms, my eye, hands, knees, underarms, thighs, calves behind my ears. it itches but they hurt also.. unfortunatly after being the pill for 15 days my boyfriend and i were having intercourse and i let him cum inside me this is the first time ive ever let any one ejaculate inside me, then only a few houres later im covered in welts!!. Could I be allergic to semen, or is it my birth control. please help | HI, thanks for using healthcare magicIt is, as you say, definitely an allergic reaction.It is unlikely that you are allergic to semen because is not common.If you did not use any different foods or drinks yesterday that may have caused the reaction then it is possible that it is a delayed allergic reaction to the contraceptive.You can speak to your doctor about a possible change.I hope this helps | |
Irregular periods, PCOS. Taking asmita, glycomet. High LH, AMH levels. How to reduce levels?
Hiii,I am 24 year old nd married last year.i was having irregular period after marriage...thn i went to docter she told me about PCOS .at that time level of my LH-13.23 and AMH-6.67.after regular taking of ASMITA and GLYCOMET for 5 month i got the test again LH-6.31 and AMh-0.40.so kindly suggest that this reduced AMH level what would be the reason.Is there anything to worry or any complication in concieve? | Hi,AMH level seems to be wrong second time. Since you are suffering from PCOS, it has to be high and not low. Please get it tested again after one month in a better lab. These tests indicate levels in body and cannot be reduced.Regards | |
Suggest treatment for persistent nausea in a child
hi my 4 year old daughter went to her babysitter this morning feeling perfectly fine and after breakfast started vomiting and has been non stop vomiting all day and still vomiting up liquids this evening. We have given her pedialyte, about 1/2 cup over the last hour and has not had food since 12pm. Is this type of vomiting normal for a toddler? She has had viruses before but nothing ever to this extent. At what point is too much? | Hi...by what you quote I feel that the kid is having prodrome of watery diarrhea (Starting stage). If there is vomiting you can use Syrup Ondansetron as prescribed by your pediatrician.If diarrhea starts - it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. Regards - Dr. Sumanth | |
Can oral anti fungal medication treat toenail infection?
hello sir...my mother is suffering from toe nail infection.drs diagnosed it as an onchomycosis.she has been treated by local antifungal plus oral antifungal.i.e.fluconazole.but got no relief.it has been almost 1 year.her other nails also got stating same yellowish,powdery look...plz help. | HI, thanks for using healthcare magicToe nail infections can be difficult to treat and the medication has to be taken for a prolonged period of time.Terbinafine (lamisil) and itraconazole (sporanox) are the drugs of choice for this type of infection.Terbinafine is used 250mg once daily for 12 weeks.Itraconazole is also used daily for 12 weeks for toe nail infections.She may want to visit her doctor for a review and a prescription for one of these medications.I hope this helps | |
Is it safe and effective to take envas for Lupus?
My wife has been suffering Lupus Nephrities. Her Sr. creatine is 1.5 and protein urea is normal , Potassium is also normal. she is taking micophenolete(Mycept-500) since 21-12-13 and envas 7.5 mg twice daily. Now her BP is very low . Her BP is 80/60. In this stage would she take envas one time or not please comments. | Dear Sir,i will advise you to reduce the dose of Envas but after due consultation with your treating physician .Dr. Shruti | |
What is the cause for lower back pain, shivering and fever?
I believe I may have a urinary tract infection. Lower back pain and shivering, temperature is now 101 F. I had some difficulties earlier this week with urinating, but it passed within a day or two and I seemed to be okay. Should I head to urgent care? | Hello,Welcome to HCM,The history and symptoms are suggestive of urinary tract infection. High grade fever along with painful micturation are a classical sign of UTI.As the symptoms are coming down with the medications it will improve your condition. I would suggest you to follow1. Drink plenty of fluids2. Citralka will improve the condition.3. Avoid dehydrationThank you. | |
What treatment should I take for the black and itchy skin on my face and back ?
dr, my skin becomes so black speciallly face and my back side becomes so itchy and it has lots of small red points (not know exact word) which are so itchy for that i cant sleep or wake at midnight. my age 21, male i have take the medicine for that but for the certain period it runs healthy as well as in winter the problem not occurs but in winter it happen. my skin becomes so itchy but on my leg i have not this problem just on the body only | Hi,Sag, Thanks for query, It seems that you have dermatitis, It may be due to some cloth allergy. Take some anti histamines and apply Vaseline on the body or good branded moisturizing skin lotion. prevent itching by anti histamines so automatically skin will become smooth. Take Vitamin A,D. and vitamin C.ok and bye. | |
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 --> | |
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.---> | |
Q. Are my dad's TB medicines the reason for a change in his behavior?
Hello doctor, My father has been a diabetic patient for the past 20 years. Six months ago, he got affected by pulmonary tuberculosis and got administered with anti-TB drugs and insulin was administered in basal bolus regimen. Now both TB and diabetes are well under control. For the past one week, he takes only two drugs for TB, namely Isokin 300 and Pyzina 750 for TB, apart from Glyciphage 500, Cardivas CR 40, Tazloc AM 80, and Minipress XL 5 mg tablets as advised by the doctor. But, for the past one month, I notice a change in his behavior. He has developed a sort of restlessness. He laughs childishly without caring about anything. He is developing an adamant attitude like for example, he took a huge quantity of food at one go, without heeding to our advice to eat slow and thereby a vomiting sensation developed. He is indifferent to everything now and seems to have no feeling of happiness, sadness, affection, or pain. He never listens to us and lives in his own world. This is more severe in the evenings and at night. His doctor mainly attributes this to stress and says he will be alright in due course when he entirely stops the TB drugs. Is this a side effect of the drugs or related to some other problem? Please advise. | Hello. I read your query and understand your concerns. I hope this helps you. Feel free to write back to me if you have more questions. Thanks and regards. For more information consult a psychologist counsellor online --> | |
What causes tremors and quick heart beating when taking inhaler for asthma?
sir,im a 17 year old girl. im asthmatic and using seroflo 250 for one year. sometimes after taking the inhaler i feel tremors in my body and a quick heart beating.and my hands used 2 swell when doing something hardly with a different pain.sir,i would like to know the reason | hello, seroflo cantain salmeterol and fluticasone, salmeterol is a beta agonistic dug having receptors on heart which is stimulated after its intake and causes increased heart rate, salmeterol causes shifting of potassium ion from outside to inside of cells leading to hypokalaemia which causes tremor. if your inhaler is causing this problem then you should try to avoid it as much as possible at least when the condition is not acute, you should try to avoid expoxure to all those condition which aggravate the symptoms, you can take tiotropium bromide inhaler, you can also use montelukast or sodium chromoglycate in maintenance phase ,in the mean time you should withdraw seroflo. you should meet an chest specialist for the dosing of these mentioned drugs and for further follow up to prevent any acute attack. wish you all the best. | |
Will dead colon heal by itself?
My 81 year old mother had a aortic embalisum (sp) bleed out. She had emergency surgery where she went with out blood for a long time. They got it fixed and blood going again. This was on Feb 10th. Since then she has lost 15 lbs, has cronic diarrea, feels full all the time, fatuge, now she has jandace (yellow skin). They just gave her a blood transfusion yesterday and now her bilirubins are high and so is her liver enzimes.l am watching her go down hill rapidly. They said part of her colon is dead. She will not allow them to operate again. Will her colon heal itself or are we watching the end? | hi.a "dead" colon or a necrotic colon will not heal by itself. it might cause complications such as infection, perforation and leak of gastrointestinal contents in her abdomen. this might eventually lead to sepsis, shock and eventual failure of her organs.hope this helps.good day!~dr.kaye | |
How to get rid of rashes and itching all over the body?
Hi i am vicky 23yrs old from jind. my whole body is itching from last 4 months it also get worst at night and small red rashes becomes if i scratch it and i have tried many types of medicines also ayurvedic but i still get no relief from this. but due to this my family also got effected please help me how to cure it. | Hello Vicky,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. As you have itching with rashes for last for months, I would first think of "chronic urticaria", which can be due to many possible causes.2. I usually suggest my such patients investigations like complete blood counts, blood sugar, serum SGPT, serum proteins, serum total IgE levels, thyroid testing, ESR, CRP, urine examination & stool investigations as basic investigations. These investigations may give clue towards cause of your problem.3. It is important to know more details about you like - any allergies, any digestive complaints, any use of medicines, nature of skin, factors aggravating and relieving itching, etc. These details would help better to identify possible cause and therefore to make suggestions more specifically.4. At present, I would suggest you antihistamine like cetirizine or levoceitirizine in morning and hydroxyzine (may cause sedation) in evening to control itching.5. I would also suggest you to regularly apply moisturizing lotion or cream, especially immediately after bathing to improve moisture content of the skin and reduce itching.6. Please avoid skin irritants like tight-fitting clothes, woolen clothes, extremes of temperatures, particular soaps/deodorants/cosmetics that may be aggravating itching.7. Usually loose-fitting cotton clothes are best for patients with itching in my opinion.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you a very quick recovery and the best of the health ahead.Thank you & Regards. | |
Q. What causes shocking sensation in arms in an IV drug user?
Hello doctor, I am an IV drug user, street-level Fentanyl and Carfentanyl specifically and I am getting big deep scabby like sores all over my arms where I am using IV. Now I am noticing electrical currents shocking my arms both at exactly the same time, especially when I take deeper breaths I have noticed. | Hello. I am really sorry to know that you are an IV drug user. I hope you will start quitting the drug, life is a beautiful gift, so do not throw it away like this. Get helped by family or friends or even by a specialist to be drug-free. You deserve a better life, but not like this. The problems with deep breathing electrical currents when injecting drug is due to drugs injected. Perhaps the dose was higher than normal or not injected inside the vein. Or injection speed was fast, in other words, is due to the drug injected. Plus, sores all over your arms are infected, need to keep well clean, wash with warm water and soap, rinse well, dry well. Then, apply alcoholic swab, plus Betadine on the sores followed by triple antibiotic ointment. If no improvement, you should consult further with your physician. | |
Does epsom salts help relieve stress & mood swings?
i have been taking a large glass of warm water with a quarter teaspoon of epsom salts diluted in the water for over six weeks now because i read that epsom salts helps releive stress and mood swings. I have to say i do definitely feel a marked improvement in my overal mental and physical health. is it safe to continue with this treatment indefinitely? | DearWe understand your concernsI went through your details. I suggest you not to worry much. Epsom salt is considered to be useful against depression, anxiety and mood swings. But considering the other health problems if Epsom salt is consumed daily, the usage is largely discouraged. Occasional intake may only be suitable for depression and anxiety. Therefore, please do not indulge in self diagnosis and self medication. Much better ways like meditation, psychotherapy are also good.Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck. | |
Suggest treatment for abdominal pain ispite of taking medicines
due to abdonimal pain i was advised ct scan and the ct findings are: mild free fluid in perihepatic, inter bowel region and pelvis a few subcentimeter and enlarged mesenteric lymph nodes in small bowel mesentery and right iliac fossaI was advised to take ceftum 500 mg twice a day. now its almost 5 days still there is no change in pain can you advise what to do | HIThank for asking to HCMI really appreciate your concern, if I would be your doctor then I would treat you with the following medicines 1) Tab Dicyclomine with Acetaminophen three times in day2) Tab Ciprofloxacin 500 mg three times in day3) Tab Chlorodiazepoxide three times in dayif this fails to response then other differential diagnosis need to be considered hope this information helps you, have good day. | |
How to treat symptoms of viral meningitis?
good day.me and my wife was diagnosed with pneumonia earlier the week,and the doctor said,my son has a light infection,but she is gona treat him for viral meningitis,just to be safe.he didnt then show any of the symptomes,but the last few days,he is showing more and more of those symptomes.what do i do | Hello Thank you for trusting HCM Hello your wife need confirmation by investigations like spinal fluid analysis and mri brain. Some times minigism may present meningitis like features but supportive care is sufficient for that. Usually meningitis patients present fever, head ache, vomiting, blurring of vision and rarely seizures etc.. So please consult your doctor he will examine and treat you accordingly. | |
Does whey protein drinks cause high cholesterol?
Hello, I would like to know if taking whey protien drinks will contribute to high cholesterol levels. I am now down to a healthy level and need to gain muscle mass because I have lost all of my muscles. Do you know if Whey protein will help me aor harm me. | Hello,In fact it may reduce triglycerides cholesterol levels. You can use it no problem.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
What causes a sharp pain in the heart?
PLEASE READ!!! I have been taking pain medicine and somas for years. I ve never had any problems. I am currently taking 30ml oxycodone and somas. I ve been taking these particular medications for a little over a year with no problems. But recently, I ve had heart pain for the past 11 days. From the second I wake up, until the moment I go to bed, my heart hurts bad. Its a sore/sharp pain. The pain has not gone away for even a minute for these past 11 days. Could this be caused by taking somas and the oxycodone s, or just by taking the somas alone? And if so, what could be the problem specifically? Or could this constant, consistant heart pain be caused by something else? If so, any ideas of what could be causing it? i take around 6 somas a day. And I take them for pain, not to get high. because of my tolerance, I barely feel anything anyways. So im not all messed up when I ve been having this heart pain. Its just constant pain for 11 days now. Someone please let me know if this can be caused by my meds, and why.......coz im FREAKING OUT!!!!!!! | Hello! Your symptoms are probably related to tolerance from somas and Oxycodone. You should know that these drugs can lead to addiction and tolerance if taken for a long time (such as in your case). For this reason, I would recommend consulting with your attending physician and discussing about the possibility of switching to Pregabaline or Amitriptyline to help control chronic pain. It is also important to stop gradually some and Oxycodone. Another treatment option could be Duloxetine. You should discuss with your doctor on the above treatment options. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
Suggest treatment for swelling in ankles while sitting for long periods
i have creatinine 1.5 mg persisting for some years . bp is controlled for last 10 years for one pils a day. I am aged 48 and FBS is 105 last time. Now I feel some swelling in ankle while sitting in long periods. I am enged in office works. Pls advise if any further investigations are required, | hello, swelling in feet on prolonged sitting is seen commonly in people. it occurs due to long time of feet at lower level than other body and it becomes dependent part and causes swelling due to also fluid accumulation due to gravitation. I would suggest you to take frequent breaks for few minutes every half hour to stretch and walk around. You can also use some foot rest so as to keep feet at same level of that of your thigh and hip. See if that helps. If it still doesn't get your serum protein, albumin checked along with s. creatinine. i Hope i have helped your query. Thank you | |
Q. Is it necessary to undergo biopsy for an UTI?
Hi doctor, My aunt is suffering from urine infection. Doctor advised her to go for a biopsy to find out the cause. My concern is, is it safe to get a biopsy? | Hi. I understood your concern. But, biopsy is not recommended for any form urinary tract infection (UTI). Biopsy is a test of a small amount of mass which is usually done when cancer is suspected. For further assistance consult an obstetrician and gynaecologist online --> | |
Why am i not able to take deep breaths?
for about 2 I haven t been able to take a deep breathe. i want to yawn all the time. sometimes it help me get a deep breathe. a inhaler does not help. went to the er and had ekg, chest xray and lab. everything was fine but my sugar it was 300. i am a type 2 diabetic. dr said it was allergies. | Hi. I can understand your concern. Asthma is most common allergic disease which is not a curable disease but definitely controllable, by controlling the same you can lead a symptom free life. Usually presents with cough, wheezing, difficulty breathing and chest tightness. If not treated appropriately can be life threatening.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis. It will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
What are the side effects of impacted canine tooth?
i have an impacted canine tooth that has been exposed and a chain placed on it to help pull the tooth into place using my braces. I now occasionally get pain behind my eye on the same side. I went to he ophthalmologist and she said my eyes are great and there is no strain on the ye to cause any pain, visually she says there is no reason from her perspective I have pain. Can the pain I am experiencing come from the slow movement and pulling of the impacted canine tooth? | Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have pain in eyes no it is not due to orthodontic treatment it can be due to Stress you are taking . Dont take stress , take proper sleep of 8 hours , proper diet . Hope this will help you. | |
What causes delay in periods despite having negative UPT?
Hi. I am trying to conceive from past 2 months now. currently i have missed my period from 8days now. I had a home test today but the result was negative. there are some symptoms which make me feel i m pregnant. can the home test be wrong as well or is it 100% correct all the time? | delayed period may b due to stress,overweight,hormonal imbalance,pregnancy...as ur upt is negative ...it cant b pregnancy...u can wait for 7 days...or take meprate thrice daily 5mg...and stop...fr getting your period | |
What causes high blood pressure?
I am a para T7 complete 48 year old white male, 18 years post injury. I am very active, 6 ft 220lbs. My BP is always 115 / 74. This week it is suddenly 134 / 95! It has been that way the past 3 days, is it a concern? The VA told me to monitor it and that was all.... Shouldl I go to a civilian doctor? | If your technique of measuring blood pressure is right ... Then need to start some medication ...one reading of high blood pressure not sufficient took start medication | |
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 are the symptoms of potential appendicitis?
I had my appendix out in march, beacuse i had pain in my right hand side they wernt sure if it was my appendix or not so they had a look inside but could not find anything else so they took my appendix out now since having the operation i still get pain in my right hand side the doctor told me it will just be scaring but the last few weeks the pain has got alot worse, i feel sick, pain in the right hand side, pain up the side of my right side of my back, high temperature, hurts when i go for a wee just at that side of tummy, going for a wee more than noraml. I have been signed of sick now for three weeks! I have had lots of tests done, eg blood tests, urine samples, ultra soundscans, internal examination but found nothing! any ideas???? I have seen a gynecologist at the hospital and they did an internal and found nothing but now the doctors are sending me back to them | Hi.Thanks for your query.I can understand the plight you must be going through as you are having pains in spite of the surgery for looking inside, which was normal and they removed the appendix.The symptoms of potential appendicitis are : Pain starts in the upper abdomen and shifts to the right power quadrant, with or without other symptoms of nausea, vomiting, fever , loose motions or constipation; the pain can be mild or very much severe. Your problem looks to be related to IBS: Get remaining tests of CT scan of the abdomen and Colonoscopy to rule out other diseases. If all the investigations are normal , this is a case of IBS- Irritable Bowel Syndrome and you will be fine. | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Experiencing pain under the right arm pit and underarm
i have been feeling pain under my right arm pit and under arm - its a burning sensation and if i touch it seems to feel more sensitive it also feels like pins and needles. the pain has been constant some days its worse then others it does not really go away | HelloThanks for the queryIf the pain is associated with burning then it is most likely due to cellulitis. It is common if you have shaved or waxed the under arms recently. Please meet a dermatologist for a local examinationTab Aceclofenac is a good drug for the pain and also calamine lotion can be applied over the painful area for a soothing effect. I hope I was of helpRegards | |
What causes a hole after draining the abscess?
So I have a bump that appeared last week maybe? at first it looked like a bite, and i shrugged it off. But now it has gotten really painful and that area had swelled and gone hard.This morning i noticed a white substance on the top. I compressed it with a hot towel etc and gently squeezed the area around it and I noticed puss and blood start to come out and then the hardness startedto go down. After getting as much out as I could, It has left like a hole? Im not sure what it is. Or how to help it heal. | Hi,It seems that there might be having ingrown hair follicle infection leading to abscess formation.Now it burst open and pus drained leaving hole on the part.Clean the part with antiseptic lotion and dress it with antibiotic cream.Do daily dressing after removing of pus if collected.Ok and take care. | |
How to get rid of pregaster side effects?
My mother in law has nerve pains and her physician advised to take pregastar m od 75, But she is having the side effects without much improvement in health. She has stopped consumiung the medicine, Could you pls advice to get rid off the side effects like Blured Vision now. | Hi, If it isn't helping then I really don't see the point of continuing a medicine. If they are to work, nearly all medicines have an effect within 1-2 days of taking them. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | |
Suggest treatment for respiratory distress
hi.........m a doc from west bengal, india. my father is suffering from severe respiratory distress 4m last 5 months....he was a chronic smoker bt not for last 3 yrs before he developed resp distress limiting his daily activities. he was primarily diagnosed to have PAH along with COPD nd was prescribed sildenafil when he developed hemoptysis 5 months ago...not relived nd was added bosentan...again it failed to correct hemoptysis,nd the dyspnoea aggravates. he was admitted here under at burdwan medical college.west bengal india..where i m persuing MD. treated wid various antibiotics bt all went in vain.Rather he developed new onset lower lobe consolidation (lt)along with the pre-existing rt lower lobe. his spo2 goes beyond 71% nd is on LTOT for last 3 months. he was given ANTI TUBERCULAR DRUGS empirically for his B/L consolidation. at present neither his saturation nor his dyspnoea at rest is improving rather it detoriates time to time....WHAT SHOULD I DO NOW? | Hello Thank you for trusting HCM Dear friend sorry to hear about your father health status. What about echo findings?? Pulmonary hypertension mild, moderate or severe? What about Ra, Rv? How much ef??? Weather he is intubated??? What is platelet count and pt/in??What about leukocyte count?? Possible causes for heaemoptysis?? 1.infection (it may be pneumonia, pulmonary tb, or aspergillosis or paragonimus) 2.bronchetasis???3.pulmonary embolism?? 4.pht with dilapidated ra and Rv with TR with invective endocartitis?? With septic thrombus?? Advice :HRCT, D-dimer, sputum culture, blood culture pt /inr, platelet count, usg chest. Treatment :1.If blood pressure normal you can add amlodipine. 2.You can add prostaglandin analog epoprostenol and treprostinil(use nor adrenaline if systemic blood pressure low) 3.increase antibiotic reach to area by reducing pulmonary artery resistance 4.add metrogyl or clindamycine if you think he developed aspirated pneumonia. Use linezolid with meropenam. Thank you | |
Suggest treatment for masturbation addiction
mastubration is becoming a part of my routine life.......and i generally mastubrate 10 times a day.....generally when i am alone...and this habit is spoiling my studies......it makes me restless and i think is becoming an addiction....what should i do???? | Hi, The 10 times per day frequency of masturbation is not good for your mental and physical health. I suggest you try yoga and meditation in morning. Early morning exercise beneficial for you. Don't watch porn videos or don't read porn articles. Make short and long term goals for study and try to achieve it. Don't be alone in room and meet friends and relatives. If still you cannot reduce frequency than consult psychiatrist or sexologist for detailed evaluation. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
My lips are progressively rednening and they are itchy
Am 27 years, 1.75m tall,past medical history uneventful,done possible blood tests and they are negative including HIV-screening,I consume alcohol moderately,non smoker. My query is ..my lips are progressively rednening and they are itchy since 1 year.What disease is that and whats the optimum medication? | Welcome to Healthcare Magic You could be having allergic reaction or eczema, if Herpes simplex has been ruled out by your Doctor. You should avoid sun exposure. Apply moisturising lip balm. Eat plenty of fresh fruits and green leafy vegetables. Drink plenty of water. Your problem needs to be evaluated by your Dermatologist for proper diagnosis and management. | |
What to do for panic attack?
My friend keeps having what seems to be panic attacks but it keeps getting longer in time and closer together in days/time as well. She becomes dazed and won t really speak and her eyes will cross and roll to the back of her head and she will cough and convulse and sweat and tense up and so much more, any ideas? | HiThanks for using healthcare magicThe way, you have explained the symptoms, it is more likely dissociative disorder. It happens due to underline stress or conflict. In her case, you should take help of a psychologist for proper mental evaluation. Treatment includes the resolve of stress or conflict. In case, you need further help, you can ask.Thanks | |
What causes lack of appetite after taking Dexmethylphenidate?
Hi I have a 17 year old son that is taking dexamethylphenidate 30mg xr and has been for quite a few years. He doesn t want to take it anymore because he says he doesn t have an appetite after he takes it. Is there any other medication he could take for his ADD that would not cause the depressed appetite? | Dear parent,your concern is right. But in this case I will prefer to take the child to the treating physician, who will evaluate and prescribe what ever is needed. These medicines shall always be taken on prescription. | |
How to reduce water level during pregnancy?
Iam on the 8th month I feel my stomatch always fully tight & when we had a scan doctor told that the water level is high than the normal, kindly suggest what to do to reduce the water level & be normal, what are the reason for increase in water level & how should I take care | HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] I will suggest you to do blood sugar levels- fasting and 2 hours after food.2] The main concern is to rule out diabetes during pregnancy.3] I am sure your previous USG reports have shown normal growth of the baby, please request USG doctor to look for stomach bubble.4] Usually if all reports are ok, please do not worry. Only thing that you should be concerned is starting labour pains before dates. SO take rest, report to medical center if pains start before 37 weeks.I hope my answer helps you.Thanks. | |
Q. Please suggest a diet to take care of diabetes and creatinine level.
Hello doctor, I am 60 years female, diabetic for past 10 years. I am taking medication for diabetes, hypertension, cholesterol, and Ecosprin 75 daily. Last week after a bout of fever and cough, I have been tested for high creatinine (2). I am still very weak and suffering from loss of appetite, nausea, biliousness. Please suggest a diet to take care of diabetes and creatinine level. I am vegetarian. Currently, I am taking Flexiglim 0.5 1-0-1, Aztor 10 0-0-1, and Ecosprin 75 0-1-0, Cilacar 10 mg 1-0-0, and Starpress XL 25 0-0-1. | Hi doctor. Need not worry. Due to fever and medication changes have happened. You need to meet your endocrinologist and monitor your medication and ask any fluid restriction follow-up till creatinine settel down, usually, they will recommend a good amount of fluids. Get KFT (kidney function test) done wherein we can monitor sodium and potassium levels. Till then you need to follow a strict diabetic diet. It is important to have a very good control of diabetes. Since you ate losing protein in urine you have tierdness. Have a small frequent meal, avoid excess greens, take moderate protein in diet fluids as per consultant. Take a supplement to manage protein loss. For more information consult a dietician online --> | |
Suggest treatment for numbness on the leg after falling down
I fell on the front of my right leg/knee on some hard rough concrete a few days ago. i have a small wound 4 inches below the knee cap. I felt sick to my stomach for about an hour but was able to walk on it. It never turned black and blue. The next day it felt great. Now the front of my leg is simi numb and tingling but my calf is fine. | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have numbness on the leg after falling down. Well there can be many reasons for symptoms you mention in query like nerve injury , hematoma , inflammation or fracture . I would suggest you to consult orthopedic surgeon for proper examination . Doctor may order CT scan , or X-ray along with physical examination . Doctor may give plaster , prescribe muscle relaxant , anti inflammatory . Doctor may also drain the hematoma or prescribed anticoagulant . For now apply cold compresses and keep your leg elevated. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What is the medication for high blood pressure?
I have just started taking ramipril and i would like to know how much 2.5 mg of ramipril will change my blood pressure i did have a very hig reading of 260/130 and now have a reading of 145/90 is this due to the tablet? i have only taken the pills for 3 days | Hi,Usually for lowering blood pressure of 260/130 2.5 mg ramipril is not enough.But it is quite individual. If you reach 145/90 with 2.5 mg, it is a very good result. Wishing you good healthIn case of further questions don't hesitate to askRegards, | |
What is the cause of chest tightness with numbness and back pain?
I have been having chest tightness with numbness in left arm, back pain, and lots of other symptoms that something is going on with my heart, circulatino, etc. Doctors ran blood test, did an EKG, but nothing showed up. Doctor put me on betablocker, which is helping, but still having pain/tightness and other symptoms. Doctors are dismissing me because of age (33) and normal blood tests. They say it is stress. The tightness I feel usually comes on with activity or stimulation (smoking, caffeine) and is more like angina. My doctor hasn't given me a stress test yet, is making me wait two months, and gave me a prescription for anxiety meds. Two months ago I was healthy. I was able to run four miles a few times a week. Now I can barely walk across the room without chest pain and other pains. I'm worries there is something more to my pain, possible heart problem, circulation problem. And I'm frustrtated my doctor won't take me seriously. | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This amount of agony of symptoms does not sound to be stress related there must be underlying organic cause which has to be evaluated thoroughly as possible - valvular issue of heart chambers - respiratory insufficiency - low hemoglobin - deficiency of certain vitamins , trace elements - others .Hope this clears your doubt .Wishing you fine recovery .Welcome for any further assistance .Regards take care . | |
What causes itchy rashes on face with swollen eyes?
I BROKE OUT IN A RASH, SWALLOWING OF BOTH MY EYES, ITCHLY REAL BADI MEAN MY WHOLE FACE WAS JACK UP MY ARMS NECK THEN STARTED BRAKING OUT IN BROILS HERE AND THERE WENT TO SEE DOCTOR NO ANSWER GOT WORST WENT TO ER. STILL NO ANSWER JUST WANT TO KNOW WHAT BROKE ME OUT? I TAKE LISINOPRIL/HYDROCHLORO,PLAVIX; NOW MY NEW MEDS ARE METOPROLOL TARTE HALF TABLEMETFORMIN , ER GAVE ME PREDNISONE,HYDROXY-ZINE FOR ITCH, CEPHALEXIN, BACTRIM. JUST WANT TO KNOW WHAT CAUSE ME TO HAVE A REACTION | Hi, The rash could most probably due to allergic contact dermatitis. Certain drugs could also cause similar rash. I request you to confirm that the rash is not due to any chemicals such as hair dye or any drug. I request you to visit your dermatologist to find out the cause of the rash as finding and avoiding the cause of rash is the ideal line of management of allergic conditions. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist | |
Is birth control harmful after unprotected sex?
hello, i'm jem. 21 yrs old. I have an unsafe sex with my boyfriend 4 days ago without ejaculation, then he had ejaculated last 3 & 2 days.Last night I took one pill (Lady oral contraceptive pill manufactured by Pond's Chemical Thailand R.O.P.) and this morning another pill. Would this be effective to prevent pregnancy? Will I be harmed taking this pill i'm using? | Lady oral contraceptive pill are regular contraceptive pills. They have to be started ideally from second day of the menses and taken through out the menses regularly. Random consumption of these pills does not give you protection against pregnancy. To use them as post coital contraception pill, the dose would be much higher, which you have not taken. Now the best option for you is to wait for your menses. If you do not get them, then wait for further 8-10 days to get urine pregnancy test and/or ultrasonography to detect the pregnancy. These tests done earlier may not give reliable results.Beta-hCG tests are highly specific and sensitive. Their results are reliable even 2-3 days after missed period.If you are pregnant and you do not want pregnancy, you may terminate your pregnancy by medicines also. They terminate pregnancy safely up to 9 weeks of gestation.Please remember these medicines have to be taken by Obstetrician's advice and under his/her observation lest the risk of incomplete abortion and/or infection. Please do not take these medicines over the counter. I hope I have guided you fully. | |
Suffered aneurysm in my groin, operated and got a stent placed. Now showing a fusiform aneurysm in the mid and distal abdominal aorta. Do I require an immediate operation ?
A few years ago I had an aneurism in my groin . The size about 5 inches. The doctor operated and placed it in a stent . The operation took 3 1/2 hours. Now I was checked out and they found a fusiform aneurysm in the mid and distal abdominal aorta , close to 4 cm in diameter (3.7 cm) and with anterior thrombus resulting in true lumen of approx. 1 cm in distal abdominal aorta. Would you know if this is dangerous. Would I have to have an immediate operation or could I let it go, and not worry about it rupturing. Also can this also be fixed with a stent. I would appreciate some advice regarding this state that I am in. Thank you so much. Sincerely, Marika Vandewater. | in my opinion dont leave these things as there can be sudden blockage can lead to rupture and other blood abnormalities hemetoma and organ failure need to consult vascular surgeon who can asses the condition on examination and tests and may be angiography to find and if possible can put stunt but you must not wait and ignore the condition for complications to occur in my opinion | |
Suggest treatment for depression, anxiety and ADHD
My son was given many diagnoses around the age of 8. Is is almost 15 now. I recently was able to his medical records for review since his original psychiatrist was fired and the place shut down. I am shocked to see he his first DX is BP along with major depression, anxiety and ADHD. I am uphauled that I didn't know about these diagnoses to begin with. I was let to believe that he was being treated for anxiety only. He has never exhibited any ADHD behaviors except when the doctor started him on meds. Is it possible to get the Dx reversed for BP and ADHD? I understand the depression DX even though he didn't discuss it with us. My son wants to be a pilot but was told he could not with this combination. | hi there, there is no condition or medicines which can stop your son being a pilot. There are certain conditions in psychiatry which requires life long treatment but most of the patients maintain well with medicines. First of all your son requires details evaluation for the confirmation of his diagnosis and accordingly he can be started on medicines. For this you need to consult psychiatrist once again. All the best | |
Does cigarette smoking increase cancer risk in case of open wound in mouth?
I'm 26 yrs old and I have been smoking cigarettes for 2 yrs now. Today I underwent a dental procedure ( ceramic composite filled in the gaps) in the afternoon and there was a minor wound (puncture) due to the local anaesthesia given behind my incisors and on top of it at the gums. I smoked one cigarette this evening. My question is does me smoking a cigarette when I have this open wound increase my risk of cancer any more than already smoking can ? Anyway am planning to quit soon. Kindly help me. | Dear user,Thanks using for healthcaremagic, Don't worry it isn't increase the risk of cancer,But as you know long time smoking increase the risk of cancer,You should stop smoking for your good health,I think I answered your query, if you have more question write back to me,Thanks and regard | |
Q. Will I get any relief at all from this constant heartburn and all the other symptoms?
A couple of weeks before I got severe heartburn, I often felt really bloated and nauseous especially after meals but I kept ignoring it as the symptoms would go away. A month back, I had a faint heartburn throughout the day, and woke up in the middle of the night with severe heartburn all over my chest . Mid week it was so bad that it went in my throat and everything. I went to the hospital and was immediately prescribed ranitidine 150mg for 14days. As it came to week 2, I got only worse, with no sleep whatsoever, lump in my throat, extreme fatigue where my leg was involuntarily fluttering and my lip was voluntarily twitching. By third week I started omeprazole 40mg with the ranitidine and the heartburn intensity reduced but I experienced lots of other symptoms like bloatedness, stomach making noises all the time, nausea, breathlessness was the main one, heart palpitations which were never ending and this constant pressure on my nose and head. I’m now in week 5 and unfortunately the heartburn is still very much there, it comes and goes. The lump in My throat has improved from the second week but it still feels very heavy, I can almost press it and feel something clicking. Doc has said to double my dose of omeprazole so to take 80mg plus ranitidine. Will I get any relief at all from this constant heartburn and all the other symptoms? Am I in some sort of serious trouble? I’ve lost quite a bit of weight, I’m on bland food, elevated at night and all the lot but yet my quality of life is so heavily impacted as I can’t do anything throughout the day because of the constant palpitations, heartburn or pressure in my nose and head or the bloatedness and nausea. The heartburn gets worse after i eat. Please help! I’m only 28 and don’t understand why this happened to me as i was never obese or had any health conditions except hypothyroidism. Last thing to mention, my stools since having acid reflux issue has been a pale yellow and has only recently started to be brown again, what could this mean as well? Any help would be appreciated, as docs are just putting it down to anxiety and stress all the time. | Hello. I welcome you to icliniq. I can understand that must very much frustrated for your ongoing non resolving symptoms. I want you to understand why this symptoms of heartburn occurs in reality. Hear burn is a common symptoms, that can occur in normal subjects as well but does remain long. In some people heart burn occur secondary to acid reflux in food pipe (esophagus)- which usually settles with one dose acid suppressant medication or twice daily capsule. However, there is a third group of individuals where by the maximum does acid suppressant does not effect very much-as in your case. We call this condition as refractory Gastroesophageal reflux disease (GERD). So why I started emphasizing on all this, because management is different. The work up of refractory GERD start with an endoscopy-a procedure where by a gastroenterologist puts a tube with camera in to your esophagus and see what is inside. Also there are other battery of test which could confirm what is exactly a problem- may be straightforward i..e. reflux, but it can be some thing which is mimicking GERD. The GERD mimickers are many. The one of most common are esophageal motility disorders-which are another set of disorders in itself. So to cut the story short, I want you to first of all optimize the acid suppressant treatment. I know you taking omeprazole 40 mg twice daily, but it is important you take these medication 30 minutes or sometime 45 min. before meal. It is very important, since at times it is timing which is important than the drug itself. But, if you are doing it already in that manner, I would recommend you to think about endoscopy now. But it would help us to determine some other more information not necessarily the acid reflux. Keep taking gaviscon, but increase the dose. Take 15 to 20 ml at one time, 4 to 5 times daily and half hour after meals. The rest of your symptoms such as feeling lump in throat is common if someone has reflux. It is called as globus sensation. Dont worry about that. It will go away once your acid controlled adequately. The stress and anxiety sometime create a vicious cycles, where the disorder is perpetuated and influenced by it. But I think this is not the only explanation of your problem. The stress is obvious thing in one with non resolving symptoms. For example if do not reach to a particular diagnosis by endoscopy, I would consider testing for esophageal motility disorders, and some more allergic and hyperalgesic problems of esophagus. But for no | |
Suggest treatment for sore head and sore eyes
I have a 2 y/o who has been unwell for 3 days! Started with a bad cough, then got runny nose, high temps, has been refusing food but has been drinking water! Deteriorated today crying all morning complaining of sore head, sore back and sore ears, so I took her to doctor who said she had a double ear infection and a throat infection and prescribed antibiotics. She also sent to to get a nose swab to rule out influenza and just said if she gets worse to take her to the hospital. now she keeps crying again saying her eyes are really hurting. Do I need to be concerned about the sore eyes, teamed with the other symptoms? | Thank you for consulting in HealthCareMagic. I understand your concern. Your daughter is suffering from an infection which is very similar to common cold. Since the problem is in her throat, the internal connection between the throat and middle ear got disturbed thus affecting her ear. The throat is also connected to the sinuses and due to sinusitis pain behind the eyes is noting unusual and hence she is complaining about eye pain. But ultimately all these are manifestations of the same single infection.You need not get concerned at the moment. Follow the advice of the doctor. It would be preferrable to make your child gurgle with lukewarm water. You may add disprin dispersible tablet in order to reduce her pain. Some antialleric like levocetirizine should also be helpful.Hope my answer is helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. Wish your kid good health. | |
Q. My right eye is smaller and looking down after exotropia surgery. Why?
Hello doctor, I had an exotropia surgery before. It was a strabismus kind of thing. But my eye, the one with the condition, is small and the pupil is like looking down. When I take pictures is very noticeable. I need to flip them to make them look normal. Is it normal that my eye is smaller and is looking down? Is my right eye fine? The left one is fine. This is really bringing me down. Please help. | Hello. I understand your concerns. From the image you sent (attachment removed to protect patient identity), I can see that your right eye is a bit red. Has your right eye always been a little red? How long back did you get the squint surgery? If you have had surgery long ago, then I can tell you that your images show a hypotropia in the right. This is once again treatable with surgery. I do not feel that flipping the images has made the defect any less apparent. Nonetheless, such a condition is not an emergency unless you feel that the vision in your eyes has dropped. If it helps you, some people can get their eyes straighter for photos by first closing the normal eye, then looking at an object with the squinting eye then opening to see with the normal eye. In case you need any further information, kindly send me a scanned copy of your surgery report. I will do my best to help you. | |
Will I be able to conceive at this time?
Hi, I m javeria 30yrs. I m married since 2 and half yrs.after one year of marriage it has been discovered that i ve retroperitonieal fibrosis. due to which my kidney became non functioning. so nephratomy done.and i ve stend in my left kidney.after teatment that fibrosis faded away.My RFTs are normal.My question is this can i concieve in this condition. | You can conceive, there's no contra indication of pregnancy in RPF. But make sure, you keep checking your kidney functions regularly since nephrectomy Is done and you have stent other side. And there's no cure for RPF | |
What does "residual fibrosis and effusion" on chest x-ray suggest?
MY MOTHER INLAW WAS X RAYED AND THE IMPRESSION WRITTEN IS ...ADHESION WHERE NOTED ON BOTH APICES LEFT COSTROPHIC SULCUS ISOBLITERATED AORTA IS CALCIFIED .CONCLUSSION ATHERMATOUS AORTA RESIDUAL FIBROSIS. EFFUSION VS. ADHESION LEFT SULCUS.I would like to know what it means in laymans term thank you | Thanks for your question on Healthcare Magic. I can understand your concern. Your mother law is most having either tuberculosis or pneumonia in the past. Her current x ray is showing old, healed, fibrotic lesions due to previous lung infection. Actually, almost all lung infections (tuberculosis or pneumonia) heal after treatment with following mechanism. 1. Fibrosis (most common). 2. Calcification 3. Rarely Complete resolution. Since tb lesions are common in lung apices (upper lobes), there is fibrosis and adhesions seen in lung apices in current chest x ray. Better to get done ultrasound examination of thorax for confirmation of pleural effusion because on chest x ray fresh effusion and old healed effusion look similar. So get done ultrasound examination. Overall her chest x ray is suggestive of old, fibrotic lesions. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother in law. Thanks. | |
Q. Can I take extra Metoprolol to control my increased heart rate?
Hello doctor,I am on Metoprolol for CHF. I have got a usual heart rate of 60 to 65 BPM, but tonight my HR is at 90 to 95 BPM. May I take extra Metoprolol to control my HR. | Hello. At first, sit for 5 to 10 minutes comfortably, calm yourself, and recheck your pulse rate. It is not immediately life-threatening to have a heart rate in the range of 90 to 95 with no symptoms. However, if you take an extra dose of Metoprolol, BP may go down as well. So, if your BP is on the higher side and pulse rate continues to stay in that range, then you can have it. But since it is not an emergency, it is better to wait and get yourself checked and then hike up the dose. I hope this helps you and get back if you have any doubts. | |
What will happen if osteoblastoma tumor is not removed ?
Hello, my sister has an osteoblastoma in her jaw. She has had it for about 5 years now and it has never given her any problems. She went to the dentist to get her teeth cleaned and she asked the dentist if he knew why her jaw bone was sticking out. The dentist that she went to shaved the bone down in her jaw to run some test, and the tests came back as it being osteoblastoma. She went back today and the dentist told her that if they remove the tumor she will lose 3 teeth on both side of her jaw. So my question is, if she does not get the tumor removed right away what will happen? Considering she has been living with it for years and it did not cause her any pain nor discomfort. | hello, osteoblastomas are commonly associated with pain but you have mentioned no pain. and osteosarcoma also looks similar to osteoblastoma which is worse. get a clear picture of the tumour by consulting a MDS (ORAL PATHOLOGIST). an early diagnosed tumour should be removed before it causes any problem is my sugesstion. the loss of teeth can be replaced by prosthesis (artificial teeth). in very rare cases benign osteoblastoma can turn malignant (difficult to treat) so please visit an oral pathologist as soon as possibile and get a clear idea of what to do next. if it is an osteoblastoma my advice will be to take up the surgery. wish you a healthy happy life. take care |
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