patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
Suggest treatment for intense back pain
Hi I have been suffering from intense back pain for 3 days, the pain is situated on the left side around the middle of the back, spreading around my tummy, I have not suffered from any urinary infection, however other limbs are aching& I feel off colour. | intense left side pain in the middle of back could be due to renal or ureteric calculus. I would suggest you get a USG whole abdomen done. Meanwhile you can Injection spasmoproxyvon im with Tab Buscopan plus twice or thrice a day, which will relieve your pain. Just get a physician's opinion. | |
What causes tiredness, muscle pain and headache with positive c defficill?
I was diagnosed with c defficill after 14 days of treatment waiting for my test results but I am positive that it is negative. My question is that fisicaly I don t feel the same. Feel tired, sleepy, mussel pain, headache. Tried to research but can t find an answer. Are these effect that I have are they ever go away, coincendenly a hight dosage of antibiotics coused c defficill. | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Yes, it can go away.C.difficile is infection caused by the clostridium bacteria present in the system. It occurs because of the prolong antibiotic therapy. Clarithromycin antibiotics should be taken under your doctors guidance to clear the infection.All other symptoms like fatigue, headache etc are because of the diarrhea caused by this infection.Please maintain good hygiene as it is helpful to cure infection. Good handwashing is also a good tool to combat the infection. Please eat probiotics, lactobacillus can help replenish the normal gut flora that has washed out because of the prolong antibiotic therapy and can help recover the infection.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
Undergoing banding due to oesophageal varices. Have nonalcoholic cirrhosis. Sluggish, fever. Reason?
Hello Doctor, My father has Non alcoholic cirrhosis ..resulting in Oesophageal Varices, He is undergoing banding as a preventive measure. He has fluctuated between stage 2 and 3 for the last year and a half. Recently his physician did his banding and wanted to see him back in a month as he says he is back to stage 3. yesterday he did not eat anything was very sluggish and had fever rising from 101 to 104. He is 82 yrs old.What would this fever be due to and what should be done to bring it down? Will you advise a liver transplant at this age ? | Welcome to HCMGreetings of the dayAs he is running high temperature he requires thorough workup and investigations to know the cause of the fever. Consult your doctor at earliest. From the information you have given one cannot come to conclusion if he requires Liver transplantation. Consult a doctor at earliest and get back with all the reports in detail, and will be able to guide you further.Take CareRegards | |
Q. What is the treatment for arm fracture and rib injury?
Hi doctor, My friend is a 40 year old female. She met with an accident before 10 days. Her arms and shoulders got fractured. Her ribs too got injured. She is having chest pain, breathing problem and clot in blood vein. I have attached all her CT scan and x-ray reports with this. Please advise what treatment is required. | HiAs per the reports (attachment removed to protect patient identity) submitted, I understand that it was a major accident. She has multiple injuries to various parts. Usually, with such injuries, it is difficult to isolate each problem and provide a solution without seeing the patient as multiple organs are involved. As it has been 10 days since her accident, I assume that she is clinically stable by which I mean that her pulse rate and blood pressure are normal or near normal. Both the bones are fractured in her arm. So, an internal fixation (installing plate) done by operation would be ideal. For the shoulder, I cannot make out any fracture which needs surgery. Anything minor can be managed by support and strapping for clavicle. Chest pain and breathing problem will be there due to multiple rib fractures. CT suggests minimal blood in the thorax. She will require chest tubes (which might already have been put) on both sides, but the decision is clinically based. High dose analgesics (painkillers) will be required for the pain, to help her breathe. Also, she may require ventilatory support for the sometime as she may not be able to breathe well due to the pain. I could not see any report suggesting blood clot in the veins whether it is in the upper limbs or lower limb. If it is associated with the fracture in the upper limb, then the best treatment is surgical removal during fracture fixation. Lower limb clot also may need surgery based on the extent of involvement, and it is a clinical decision. It is usually done at the earliest. As it has already been 10 days since the accident, I do not understand which clot they are talking about. Remaining supportive care is going on as required as you have written. Her last hemoglobin was 8.3. I believe she was given blood transfusions after that. If not, she needs blood transfusion too. | |
What treatment should I undergo to get pregnant after three failed IUI ?
i am 31 year old female trying for pregnancy since last 3 years but all in vain. i had irregular periods on and off since menarche. i have undergone all hormonal tests TSH=2.45 with thyronorm 25 mcg (since 3 years) prolactin, FSH,LH are considered normal. i have gone through HSG which shows left FT patent and rt FT partially blocked. i have done a lot of ovulation studies and was put on Tab. letoval or fertyl every time, even done with IUI 3 times but not successful. sometimes during ovulation study their was a failure of ovulation which was induced by an injection planterex. i am confused with my treatment and its results. kindly suggest. | Hi Welcome to HealthcareMagic. Pregnancy with hypothyroidism is very difficult.Initially you should achieve normal levels of all hormones and then try for pregnancy.If needed you would be prescribed ovarian stimulating drugs. Please continue the same regimen . Take care | |
Is Tegrital right medication for epilepsy and headache?
My Son is suffering from epilepsy since 7-years old , Now he is 18-years old. Some time he is having headache . Now he is taking 200mg tablet of tegrital morning and evening. Another doctor advised Volprin Chrono 500mg daily mornining and evening . Plz guide me. Tegrital or Volprin which is OK ? Is there any way to prevent /stop this medicine? Regards P.Bhardwaj 0000 | I read your question and I understand your concern about your son.Both Carbamazepine (Tegretol) and Valproic acid (Volprin Chrono)are widely used drugs in the treatment of many types of seizures. The choice depends on seizure type and side effects. If I had to blindly pick one of them then I would pick Valproic acid as it is effective in almost all types of seizures, you could rarely go wrong with it. However whether one of those two or another drug (there are many other anti-epileptics) as I said depends on the seizure type. Also it depends on how well controlled your son's seizures currently are with Tegretol, if it's preventing seizures then no reason to switch, otherwise another drug should be tried.As to your last question of whether there is a way to stop taking medicine, epilepsy at times is a lifelong condition. There are cases when people become free of seizures in adulthood and treatment is interrupted but that is considered only when one is free of seizures for at least 2-5 years and weaning is done gradually.I hope to have been of help. | |
What causes red spots in bladder?
what does flaky appearance in the urine suggest........I also have hematuria and urinary frequency with large amount of sugar in my urine. I am diabetic. The urologist says I have red spots in my bladder that do not look like cancer but he is not sure. NO kidney stones were found. I have upcoming bladder biopsy scheduled. I am worried. what are the possible causes..........could my kidneys be failing | Hi, dearI have gone through your question. I can understand your concern. You have hazy urine with blood in urine. You also have some red spots on bladder. You should go for bladder biopsy. It can be due to bladder infection, cystitis cystica, papilloma or rarely bladder carcinoma. Biopsy will give you exact diagnosis. Then you should take treatment accordingly. You should control your sugar level also. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What causes pain in shoulder blades, indigestion and dry cough post recovery of flu?
Hi, I am 56 yrs old, female and slightly overweight.. I have developed pain between my shoulder blades, indigestion and a slight tickle like dry cough. Could it be my gallbladder? It doesn t seem to be associated with food. I am just getting over a 4 week flu like illness. Deb | hi.noted history of pain in shoulder area, indigestion and flu-like symptoms. to rule-out any gallbladder pathology, an abdominal ultrasound is suggested. yes, shoulder pain and indigestion is possible if you have this problem. it may also be a systemic viral illness. it is best to consult with your doctor for physical examination and clinical evaluation. dignostics and management will be directed accordingly, depending on the clinical findings.hope this helps.good day!!~dr.kaye | |
Q. I still have pain in my knees after a surgery. Should I go for knee replacement?
Hi doctor, I had surgery on my knee. During coughing or yawning, I get a sharp pain on the knee. I am unable to stand for a long time. It hurts a lot. My MRI doctor suggests me to have a replacement on the knee. Please advise. | Hi. Your knee seems to be arthritic, and hence the doctor advises for replacement. I need to see the X-ray of your knee so that I can take a decision. It hurts because of the weakened muscles. So you need to strengthen your quadriceps muscle by doing daily exercise under a physiotherapist. Also, do core strengthening exercise for your back. Please send your X-rays. You need to take Calcium and Vitamin D medications. Wear a hanged knee brace while standing or walking. It will give a lot of support to your knee. | |
Is there any side effects for hypertension medicines?
Hello Doctor. I m a 34 years old male, suffering from hypertension. I m taking Telma 40 (morning) and Atenolol 25 (Evening) every day, for a month. Over the past few days, I feel a little dizzy, lightheaded. Is this one of the side effects of the medication I am taking? Thank you for your help. | Hello, So Atenolol has a property to reduce heart rate and if it goes below 60 then it can cause dizziness. Please visit your doctor for a clinical examination. Dose of atenolol may require reduction. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Loveleen Sharma, General & Family Physician | |
White causes whitish mucus in stool?
my 4 year old had vomitting and diahorrea this morning i gave him 1 tsp sulfatrim ,1 tsp gravinate and 4 ounces pedialyte. he went to bed vomitted once after, passed a whitish colour mucus in his stool. otherwise he said he feels better and is now watching tv. i`m concerned about the stool. he often coughs sometimes. what should i do? | Hello,Mucus in stool shows he is passing mucus through throat into digestive tract. You did not mention his age.ORS (Oral rehydration solution) is good. Continue syrup Zincat 1 teaspoonful (tsf) once a day for 10 days. Syrup Domel is better than Gravinate.Improve hygienic condition, hand washing frequently, add yogurt and banana in his diet and see in throat for tonsils.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Hina Javed | |
What is the best treatment for signet ring cell carcinoma?
Hi..My mother has been diagnosed with signet ring cell cartinoma (Stage unknown ). It's spread to part of liver. We have been told that she has to get 6 weeks of Chemo done first before Surgery. We are worried that will delay the surgery. Any advice please? | You havent mentioned the site from where the tumor is starting. I assume it is probably the colon or rectum. If it has spread to the liver then it is stage 4 disease. However even in stage 4 colorectal cancer, there is 25% chance of cure. The standard treatment is chemotherapy followed by surgery and you shouldnt worry about the delay since the tumor is not unchecked in this period. However if the tumor is bleeding or causing obstruction then the surgery has to be done before the chemotherapy. | |
Pain below the right ribs, burning sensation in liver area. Suffering from Gilbert Syndrome, recent bilurubin normal. Reasons ?
Hi Dr. Poorna, myself is Kishore from West Bengal. I am suffering from Gilbert Syndrome from last one year. My recent bilurubin level is 1.8 mg/dl. I have undergone through USG and the doctro said every thing is OK if still feel ur condition is not good u can do Endoscopy . The test reports and USG saying that my liver and bilurubin levels are under normal in case u have gilbert syndrome. But I have always pain or irritating sense at below the right ribs and the pain will continue to spread back side means my entire liver area giving me a very painful and burning sensation. From last couple of weeks I have some problem with my entire right portion of the body. I have pain in my right leg, right arm and even some time I have some kind of nerve stretching sense of my right cheek and lips . What all these indicates I really scared that something is happenig to my liver. What should I do. | Hi,Most likely your symptoms are because of Gatro esophageal reflux disease (GERD),It is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe . The backwash irritates the lining of your esophagus and causes, heart burn,chest pain and intense burning sensation in throat.Both acid reflux and heart burn are a part of GERD.The presence of gastritis has proved additive to your symptoms.AdviceAsk your gastroenterologist to increase the dose of pantroprazole or esomeprazole,Pantoprazole | |
Suggest remedy for lower back pain
hi, i have pain over my lower back for 7months, consulted many doctors. many medicines, lot of physio thereapy. but no full solution, for time being the pain is some released, but after full pain, now doctor recommeneded for surgery, it that correct or not, because my family members are saying not for surgery, but now the pain is heavy | Hello, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. Rest in position of relief, Cartisafe D once daily, NUROKIND GOLD ONCE DAILY and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is low than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to done MRI TO RULE OUT other causes. You can discuss with your treating Doctor about it. I do hope that you have found something helpful and I will be glad to answer any further query. Take care. | |
Does a cut from rusted nail need anti tetanus injection?
Hi there,I have just cut myself with a sharp nail which was slightly rusty under a table in a coffee shop!After it happened, there was a streak of blood but soon after that it looked a bit red and inflamed. I simply licked the wound and put a band Aids on it until I reached home.What kinds of risks are there? HIV? Tetanus? Please help | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand..As per your complain getting injured with a rusted nail can have a risk of developing tetanus, not always necessary but there can be chances while chances of having HIV are very rare and almost nill until someone is unfortunate enough that the nail is contaminated with the blood of a HIV positive or AIDS patient..You need not to worry and get a Tetanus Toxoid Vaccine injected for safety and prevention..Clean the area of the cut with antiseptic solution and apply triple antibiotic ointment and a steroid ointment over it and then you can bandage..Limit water exposure to injury site for faster healing..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
What causes lagging and irritation in the chest and left hand?
Please help me my problem - My chest and lest hand are lagging and irretatioing for the past two years, But I met few doctors in (Apollo & Cherian Hart foundation) even though the problem is not sloved. Kindly advice whom I need to contact for this problem | Thanks for your question on Healthcare Magic.I can understand your concern. First of all no need to worry for cardiac cause for your symptoms because your cardiologist consultation was normal. Sometimes, calcium and vitamin d 3 deficiency can also cause similar symptoms. So get done calcium and vitamin d 3 levels and if Deficiency than you will need supplements. Also avoid stress and tension, be relax and calm. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest remedy for tightness and heaviness in the chest
Upon taking a pre-workout supplement that had 1,3 Dimethyl in it, I have had what feels like tightness, heaviness, and what I call full in my chest; this was a supplement that was taken 48 hrs ago. I had taken something similar in March; had the same problem and then went to the cardiologist, had a stress echo, and ecg, and etc. Everything looked fine but: it took 2 weeks to return to normal. So why did I try something 48 hrs ago? I didn t know it had 1,3 Dimethyl in it. It almost appears as if I have some costochondritis, aortitis or some sort of inflamation upon taking this product. Yes, I will not ever try/take another supplement period: but what is your knee-jerk reaction ? My heart rate does not fluctuate by the way. No tachycardia. | Respected user, hi I evaluated your query thoroughly.* Dimethyltryptamine (DMT) is a neurotransmitter , tryptamine molecule Psychedelic drug giving LSD effects in much lesser time period .* Chest sensations mentioned here are due to elevated blood concentrations of corticotropin , prolactin , beta endorphin , cortisol , growth hormones Hope this clears your query .Welcome for any further assistance .Thanks for using Healthcaremagic.com & giving us an opportunity to assist you in your medical needs .Regards dear take care . | |
Q. My skin became horrible after pulling the hairs grown in neck. How to get rid of it?
Hello doctor, I started growing hair on my neck when I was about 12, and since then I have pulled the hairs out with my finger, dug the skin with my nails to get the hairs out of the bumps, used razors and also tweezers. Now my skin looks horrible is scarred up pretty mad. I am embarrassed at how my neck seems to be a woman. The hairs grow so much, and I get hair bumps as well. I want to clear my skin up, so it does not look all bump and scard. | Hello. You have a case of pseudofolliculitis barbae, although a term reserved for male beard condition, you got it because of tampering and ill hair removing practices. Treatment includes manual correction of ingrown hair (visit your dermatologist) under magnification. Your hairs have changed their direction due to pulling. Once pulled out, they will grow normally and will not cause redness and bumps within the skin. Go for laser hair removal, which will take care of both hair growth as well as ingrown hair. Make sure it is a laser and not an IPL (intense pulse light) device. Things can be normal if you start following the right path. I hope this answers your query. | |
What does severe pain on foot after an injury indicate?
In anger I kicked a metal filing cabinet with my right foot. I cannot walk on that foot, though I do not see any bruising or major swelling. It is exceedingly painful and hard to bend on either side. It is especially painful on the left side of my foot. Is my foot broken? | Hello, As mentioned that in anger you have hit are your foot to the hard object, you forgot to mention which foot actually it is; the right or the left? As you mentioned on the left side of the foot it still makes unclear that which left the side of which foot right or the left? But to make it simple if you are getting pain at the ankle level then there will be a ligament sprain. Which will heal in 2-3 weeks of time provided you use a foot brace which is something like a hard socks. In case if the pain is in the phalanges then also you need to take the brace as with just hitting the foot on the hard object we never develop a fracture. As the intensity of the hit from outside is actually far less because we control the movements. In case if it was a non controlled movement than we could have expected a fracture. Use hot water fermentation and use the foot brace for 2-3 weeks. Later slowly follow ankle toe moments and try walking on the toes - forward and backwards. You should perform well. On a safety note, I would advise you to take up a quick x-ray to make sure you haven't made any big injury. In case you have any other questions please feel free to contact me. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest treatment for a painful movable lump on the stomach
I have a moveable lump on the lower right side of my abdomen. When I sit it feels like I am six months pregnant like something is taking up all the space in the right side of me. Sometimes,only when I lay on my side I can see lump move when I breathe. I have had this for a couple of years now and it is getting bigger. And in the last couple of months my feet have started to turn purple/ black when I sit and stand. | hi.it is best if you consult with a physician with regards to your clinical condition for a complete physical and diagnostic examination. if i am on your case, i'd probably request for an abdominal CT-scan initially, to know the possible origin of the mass. this could be from anywhere in your gastrointestinal tract or from your pelvic organs. you could also request for a doppler evaluation of your lower extremities for the possibility of a peripheral vascular disease. and/or evaluation for the possibility of an underlying systemic cause of your extremity discoloration which could be due to a poor tissue perfusion in the area. if there is indeed a mass on your right side of the abdomen, and this is compressing the major vascular structures, this might also be a possible cause that symptom.hope this helps. | |
Does we need to go for angioplasty after mild attack?
my husband drove to the hospital this morning because he had severe chest pain whole of yesterday. We are told after angiography that its a mild heart attack with artery blockage. Does he need angioplasty right away? Can he take a flight to his home city (2 hrs)? | hi thereafter reading the scenario I would honestly suggest you to stop asking for opinions online because it's a matter of a life and no one can give you the right advise without going through an angiogram CO or report. so its better to stick with the opinion that your treating doctor has given you and have faith.Whether or not taking a flight will again depend on that who critical is the blocked artery.Good luck | |
What causes numbness on hand, leg and head after masturbation?
Hi I am 30yrs male. My problem is that after masturbation , I feel a dull numbing burnt out kind of sensation on the left side of my body..all the way from my toes, left leg , left hand , left side of mouth, eyes and head. It is extremely severe especially when I am trying to wake up in the morning, I feel dead and exhausted and its now affecting my daily life as I am not able to wake up on time.please advise are these burn out symptoms of masturbation or something else? Thanks | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Masturbation never causes such a symptoms.It has nothing to do with numbness and other nervous system related information.There are many misinformation for the masturbation in peoples mind. Actually masturbation has no deleterious health effect on body.But you should be examined by the good doctor, for the cause of the numbness and other symptoms.Masturbation actually clears ones mind from the stress. After masturbation one can be light from the mind and can work with very good concentration.You should do daily good exercise half hour daily. This will remove all your weak ness. Initially when you start exercise it will be boring for you. But on long a go there is good health effect of exercise.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
What causes bump on scrotum and shaft?
Hello my name is john, I'm 170 lbs, 6'2, and I'm 21 years old. Ive been having what looks like a simple on my scrotum but it disappeared already I had it for a week before hand. A month earlier I had the same simple like bump on the lower shaft of my pens, I shave with a razor, both shaft and scrotum. Normally in the shower. What could this simple thing be ? | This bumb could be due to skin infection following your shaving abrasions. So next time use a trimmer to avoid this. | |
Is heart defect common in teens?
Can heart defect in a child be found as a teen? How common is this. My 16 year old had an EKG that shows PVC's and has frequent attacks of being light headed and nearly blacking out. They did the EKG cause of chest pain that happened at school along with pain in both arms. | hi your child had heart bear rhythm disturbance based on your query.ITs problem is not in structural but electrical signals /circuits being carried from one part of heart to other.AS he had light headedness, it is must to be evaluated properly by a ped.cardiologist for further treatment.Hope it answers your query | |
Suggest treatment for myasthenia gravis and osteoporosis
I have myasthenia Gravis and also osteoporosis ( have been on Prednisone for 2 years ) and probably had the osteoporosis prior to starting it.. I am also treated for A Fib, and High BP ( due to some of my medications ?? ) I have been taking Fosamax( generic ) for the osteoporosis for the past 2+years. .. I am wondering if Reclast would be an appropriate treatment for me, or is there a reason it is contraindicated due to the Myasthenia Gravis.. I have heard of very good results from Reclast including my husband who had severe osteoporosis... but no info about it from anyone who has MG.. Thank you for any input.. | HiWelcome to healthcaremagicI have gone through your query and understand your concern.You can very well take reclast in myasthenia graves. It has no contradiction of it in myasthenia graves. It is taken once a year. It inhibits osteoclasts. So only bone deposition take place. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. | |
Suggest treatment for severe joint pain
My husband has been taking Rumafan (sp.?) Plus for 4 years for joint pain. He has gained a lot of weight, is grumpy all the time and has very little sexual interest and has difficulty keeping an erection. Are these side affects of using these pills, which are now illegal. | These can be side effect of drugs or can be disease related if he is suffering from arthritis. First get all investigation done for confirm diagnosis and consult at the forum for further treatment. These effects can be reversed if taken care of properly.Thanks | |
Suggest treatment for child having lump on bone above eye
Hi my 2 year old ran into the corner of a drawer this evening at 6pm he immediately (within seconds) had a large lump (size of peach stone). I put a cold ice compress on and he seemed fine after a few minutes. The swelling was down (not completely) by his bedtime at 7pm. Should I be looking for any signs of concussion over next day or so? Lump is at front, on the bony part above his left eye. | Hello,I can understand the concern. The bump or swelling over the bony area after hurting it hard is usual. As the swelling is reducing along with pain, you should not worry about adverse consequences. It seems that the injury and swelling will heal by body's natural healing mechanism. You can keep applying cold compresses. If the child is in pain, you can give him Paracetamol (Crocin) syrup 2.5 ml twice a day if needed.However, if he develops symptoms like dizziness, confusion, fever, tremors, problems with vision, then you should seek emergency care.I hope this information helps you. Thank you for choosing HealthcareMagic. I wish your son recovers soon. Best,Dr. Viraj Shah | |
What causes itching in chest?
I have this itching feeing inside my chest. I can t physically scratch it because it s inside my chest. I feel it the most when I cough it s located under the muscle in my breast/ in rib cage/ inside my lungs. I don t understand where this coming from because I never had asthma but I was diagnosed with bronchitis in high school about 8 years ago. But I haven t been bothered with bronchitis since 2009. So can you please help so I do have to many an expensive dr bill? Thanks | Hello dear, thanks for your question on HCM. I can understand your situation and problem. Itchy feeling in chest is mostly due to1. Retained secretions2. Inflammed and edematous bronchi (seen in bronchitis).Since you had bronchitis in the past, chances of recurrence are high.So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x ray3. PFT ( pulmonary function test ). Chest x ray is needed to rule out retained secretions. PFT is needed to rule out bronchitis. So consult pulmonologist and discuss all these. Don't worry, you will be alright. | |
How to treat severe pain in the back and the leg?
I had back surgery in 2009 on my L3 L4 for a herniated disk. I am now experiencing the same pain again only slightly lower. I have had an MRI and xrays, done PT, gone to a Chiropractor and most recently was put on a 2 week dosage of Prednisone. The pain in the back is tolerable but not the severe pain down the whole right leg. It takes my breath away. It is at it s worse as soon as I get up in the morning and again in the evening. I have a prescription for hydrocodone but do not like taking this for any length of time. This has been going on for almost a year now and is getting worse. I have been taking steroids for many years (approx 20 mg per day) for Addisons Disease. I also have the start of Osteprosis (sp?). Any advise would be greatly appreciated. | Your MRI will give me a clue about what has to be done. If there is recurrence of same problem or disc bulge at other level or pain due to facet arthropathy, do consult a pain physician for some interventional treatment like nucleoplasty, annuloplasty, Radiofrequency ablation etc . It is nonsurgical, day care and cost effective procedures. As you need to take steroids for addisons, osteoporosis is their side effect. You can prevent it by using calcium, Vit D3 along with bisphosphoates like ibendronate. Meet your pain physician for detailed advice and treatment | |
Suggest remedies for cramps in leg while on cast
I have a full cast on from my knee down to my and covering my foot, my toes are the only part showing, i have been getting really bad cramp all day and even when i try to move it like i have been told by the doctor this just is not helping, is there anything I can do to stop this from happening? | Hello, As you are in full cast down the knee then for cramp I will advise you to manage your sodium intake. Also I will advice you to do some simple exercises for the core. As while in cast the resting phase will be long in the bed and weakness of the spinal muscles leading to nerve entrapment and cramps kind feeling. Using hot water fermentation for the back will be good to reduce muscle spasm. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Is there any side effect for zetalo 10 mg?
dear sir, i am using s zetalo 10 mg since 4 years i want to know is it is used continuously there any chance of side effect. i tries so many times to stop to medecine but after 4 days of non usage my body will shiver, so again started to take the medecine. please suggest me | Hi,Zetalo is a selective serotonin re-uptake inhibitor commonly prescribed to treat depression, obsessive compulsive disorder, anxiety and other conditions. Its common side effects include sleep disturbances, sexual dysfunction, dry mouth, and diarrhea.If you stop taking it suddenly it may cause anxiety, irritability, headache, vertigo, and abnormal movements. If at all you wish to stop it the dose of this medicine should be gradually reduced under the supervision of your doctor then an alternate effective but a safer drug can be prescribed.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Need advice on administration of gnorms and sporlac powder
My 3 year old son has got loose motions, so the recommended treatment was to take gnorms and sporlac powder together in the propotion of gnorms - 1 sachet and sporlac -1/2 sachet, please suggest whether this is a good option and how many times in the day this can be given. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Both are probiotic and you can use anyone. It does not require mixing and all. Give ORS after every loose stools. The condition will improve within 3 days.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Hardik Shah | |
Why having sharp pain below belly button and unable to eat or drink?
I'm having sharp pain on my lower right side started in the middle of stomach below my belly button now the pain is on the right can't eat or drink very much or it starts hurting more it feels like I need to let some gas out but I can't what do you think it is its going on like this for 2days. | Hi. Your history is suggestive of the most probable diagnosis of appendicitis. Stop solid foods , you can take water orally. Visit a Doctor / Surgeon preferably ASAP, who on clinical examination would advise you for ultrasonography or a CT scan of the abdomen. | |
What causes foot pain post a hip revision surgery?
I had a hip revision 9 months ago and when I woke up my foot was hurting the doctor said it was a pinched nerve it would go away in a couple of weeks they released me was back in the er had 3 blood clots and foot swoolen I was treated a released iwent back to the surgen and he desided to run more test 43 days later they found out I had a stress frature from surgery .they put me in a boot to heal the frature and now I have a pinched nerve ihave had shots in my back it took the burning and most of the electrical shocks away now my foot is real tight from big toe all the way to my heel . | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Seems like the symptoms this time are actually caused by a pinched nerve, since there is no swelling, pallor of the leg. The nerve may be pinched anywhere during its pathway, so, a lumbosacral spine MRI and a nerve conduction study are necessary to achieve a correct diagnosis.Discuss with your Doctor about these issues. Hope I have answered your query. Let me know if I can assist you further. | |
Does taking testosterone booster causes pain in the mid scortum and anal area ?
hi, a few days ago i was doing some wide stance squats. everything was fine until later that night when i began to feel a dull pain, or a numbing sensation between my scrotum and anus. i want to think that i pulled something during the workout but i cant help to think that it could possibly be a prostate problem. however, i do not experience any problems urinating nor do i see anything unusual down there ( lumps or swelling). i dont have any trouble with erections or ejaculating. pain is not present when i wake up and starts back up about an hour or two into my day. i am 21 year old male who is very active and overall healthy. also, i was taking a testosterone booster for about 18 days prior to this happening and have since stopped taking it. i have never felt a pain or had any problems with this area of my body and am very concerned. any help would be highly appreciated. thanks.. | HIThank for asking to HCMThis is absolutely normal phenomenon does not seems any thing wrong such nonspecific pain and numbness does not indicate any disease, and this will go away soon stop paying attention, this is nothing to worry, every thing is fine, have nice day. | |
What treatment is suggested for swelling and bruise on the right side of body?
Hi, I fell hard on my right side 4 days ago. It hardly hurt at all. Today I went back to work. At my job I sit for hours on end. After work I noticed that it was swelling and black and blue. As time is going by it is becoming very painful. What could this be about? Thank you! | Hi, It could be a hematoma. sometimes, hematomas can grow in size during resorption and may pain also. change in colour is due to clearing of blood products. all you need is some pain killers. if you see further increase in size and pain, consult a surgeon.Hope this helped. | |
What is the side effects of rebamipid?
i am a physician in india .. i want to know weather using rebamipide a mucosal protectant and an antioxidant indicated in presbyacusis safe and what are its possible adverse effects especially on cardiovascular system and any interaction with glaucoma medication ? Thank you. | Hello, Prescribed in the treatment of gastritis and stomach ulcers, rebamipide works by promoting prostaglandin production in the stomach; thereby protecting the lining of the stomach and scavenging free radicals in the body by virtue of it anti-oxidant property. It is not indicated in the treatment of presbycusis. Generally, it is well tolerated by most of the patients. However, its common side effects include allergic rash, abdominal cramps, diarrhea, altered taste sensation, and uterine contractions. There are no documented adverse effects involving the cardiovascular system or any interactions with glaucoma medications. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Reddish spots in the pubic area. On antibiotics. Spots turning black. Why?
I have went to the doctor to check about these reds spots that I have in my pubic area. He said he thinks it's just fliclitous which is just an infection. He gave me some antibotics for 20 days twice say. But it seems to me they are not going away. They do not hurt or itch. Nor does it hurt when I pee. But it seems to me I think two of them are turning a darker color. I am not for sure what it is. But my doctor seems to think it is what he told me. But I have a check up next Tuesday to see. | Hello,Thanks for the query.There are various conditions which can present as red patches in pubic area.Mostly it is fungal in nature,Other conditions like angiokeratomas should also be considered.Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you | |
What causes elevated creatinine levels after kidney transplant?
Just had 2nd kidney transplant..first one lasted 34 years. The surgeon attached my donated kidney ureter to my existing ureter of my native born kidney and not the ureter is scarred and narrowed. they put in nephrostomy tube and creatinine is rising. I don't understand why they didn't attach the transplanted ureter directly to my bladder. What do you think? | Hello and welcome to HCM.As an Urologist and transplant surgeon,i can understand your anxiety.Your doubt is very genuine. That corrective surgery can be done even now.The main reason for nephrostomy,is to relieve obstruction to the kidney.The cause for the obstruction,is the narrowing in the ureter below.Creatinine starts rising,when the obstruction and failure becomes severe.This could be avoided,by placing ureter to bladder,as is done routinely.As to why it was not done,only the surgeon can answer.Discuss with him.Dr.Matthew J. Mangat. | |
What causes bleeding whenever you come out of the toilet?
i went to the toilet earlier and it hurt a bit but not as much as it has done before but there was some blood on the paper after(quite a bit really) and its now been 3 hours since and there is still some blood. this does happen but comes and goes but this is more blood than any other time. i have just had a operation and some of the tablets i have been taking for the pain may cause some issues. i also went to the doctors for this in october but its been fine since and i done nothing once i had been to him | as per your symptoms it points towards internal hemorrhoids and if you are experiencing constipation then definitely it points towards hemorrhoids or to anal fissure but thats bit more painful condition ,after reading your case scenario i would suggest you to use laxatives available in tablet and syrups forms.Lactulose is quite a good treatment for constipation and use more liquid in your routine and avoid meet and oily food along with daily exercise this will help you in improving your bowel movements and last but not the least avoid straining while defecation.Do remember your case scenario is deficient in not mentioning the type of surgery you had so the above mentioned treatment only implies if you are experiencing this thing. | |
What causes anxiety after falling off of dental implant?
My implant crown fell out. I have a terrible time brushing my teeth because I am a survivor of sex abuse. When I put a brush in my mouth I feel intense anxiety. Psychologists say that most of the time they can't fix this. Do you have any ideas.? | Thanks for your query, I have gone through your query.There is no need to get anxious or panic about a fallen off crown.Consult a goog implantologist and take a radiograph to see the status of the implant. If it is stable and firm, you can get the crown replaced. If the implant is failing, then you have to get the implant replaced. Till then you can use a temporary crown or denture.I hope my answer will help you, take care. | |
What causes moving lump on back?
I have just discovered a small lump on a dimple on the small of my back. It moves around easily and causes me a little pain but not too much. I'm just beginning to get over a bout with severe constipation and have been having digestive problems lately along with back pain. Could I have cancer? | Hi,Dear,thanks for the query to my HMC- virtual Clinic.I studied your query in depth.IN My opinion -it is mostly-a naevus or wart with a peduncle. I would advise You not to worry as an indication of Cancer by any means.Still if you have obsession for cancer-excision biopsy from a Surgeon would resolve your issue.Hope this would resolve your query.I would love to help you for more queries.Good day. | |
Done kidney transplant. Taken Cefixime for E.coli infection. Now pus cells in urine and pain in old kidney
Hi sir, my mom had a Kidney transplant an year ago. now a few days ago she got an infection ( E.coli ) due to which she suffered from fever . infection was sensitive to cefixime so zinacef 1.5G every 8 hours was injected for three days (still continued). now the fever n other physical conditions are fine except 80 puss cells in urine and pain in right old Kidney. Can it b that th right e puss is coming from the old failed kidney? | Hi. If there are pus cells in the urine the test to confirm infection would be urine culture and sensitivity. It is possible that the infection is in the old kidney. A review of previous records and an ultrasound or CT scan may help. Good luck. | |
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.---> | |
Suggest treatment for severe bronchitis
Never had breathing problems befor., I am 58 yrs young, Started a new job a new job just be for the holidays last December.Im a truck driver and the truck I was assigned is an old 96 with a condo sleeper in it. Sence I January Ive been to the ER three seprate times for breathing issues. Ten days of antibiotics and steroids than the problem returns all this time Im driving and Living in this truck 24/5 weekends off..Dr took me off work for three days which totaled 5 with weekend, got back in to truck yesterday and by the end of the dayweezing, coughing and so on . Got to thinking about it ,,Pulled the top bunk down and I found what may be foam mattress stained black..possible mold..If so coan it cause the same problems that my Dr is calling sevier broncitis / emphazema.. | Hi, According to the history you should do a spirometry test for detecting if there is a narrowing of the airways. Discuss with your doctor regarding this. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist | |
Q. Will taking Ursodeoxycholic acid, Evion and Metadoxine help in preventing side-effects of drinking?
Hello doctor,I am 32 years old. I have been drinking for the last five years. LFT before six months showed normal and CT scan whole abdomen did 10 months back showed the liver is normal. Pancreas normal no gallstones but I have been drinking heavily these six months due to stress. Now I have stopped. For protection prevention, can I take Ursodeoxycholic acid 300 and Evion 400 and Metadoxine 500 for a month or two? Will it be of help to regenerate or eliminate toxins from the liver? UDCA, vitamin E, Metadoxine, will it help? Please suggest the dose and before after meal. | Hi. You need to stop drinking as first which will lead to recovery. The body will naturally heal itself since your LFT and CT was normal. Regarding medicines, they have a limited role in such situations. Although there is no harm in the above medication for a couple of months under medical supervision. Please consult a nearby doctor who can examine you also. | |
What causes mottled bluish skin in arms and legs after standing for minutes?
Hi, my 12 year old daughter has been getting mottled & bluish tinted skin in her arms & legs after standing for a few minutes. She says there is no discomfort or pain or coldness. I have never seen this happen to her before this spring. The color will slowly grow deeper especially around the lower legs & hands. She also has a very high pain thresholds, so she would not ever notice any pain unless it was very bad, I think. Is this something I should have checked out by a doctor? | Hi,Thanks and welcome to healthcare magic.Exposure to cold climate may cause bluish mottling of the skin.Keeping in warm surroundings and prevent exposure to cold may reduce these symptoms.If this is not fruitful. better consult your doctor.Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam. | |
Frequent urination, nausea, increased appetite, sore nipples. On comid for fertility help. Pregesterone levels 31. Possible pregnancy?
Hi, I am taking comid for fertility help. This is my 4th cycle. I had my progesterone levels checked 8 days after I ovulated it was a 31 which I feel is much better than my previous 11. I normally sleep through the whole night with out having to pee but I noticed I've been needing to go before I wake up. Then I noticed nausea. I feel nauseous and hungry, ill eat the 45 to an hour later I'm ravenously hungry again. I have sore nipples, however they aren't horribly sore. I took a hcg test 3 days before missed period, it was negative. I am supposed to start my period tomorrow. Could I be pregnant? | HelloThanks for your query.With a negative HCG test, chances of pregnancy are quite low.The symptoms that you describe are quite non specific and could be indicative of an approaching period ( pre menstrual symptoms ) rather than an ongoing pregnancy.It is best to wait it out till you miss a period, and THEN take a pregnancy test, thus avoiding unnecessary stress.All the best. | |
Any suggestion for cold, runny nose, cough and mild chest pain?
hello doctor. i'm suffering from cold for a past few weeks. it affects me now and then. sometimes i'd have running nose and then i'll be alright and the back to running nose and cough. so, now i'm feeling a mild chest pain on the right side. i'm concerned. | Hello, Thanks to contact us. If I am your treating doctor, first thing I suspect is a allergy from your symptoms, second is a viral infection. But mostly allergy is your problem. I advice you to find out what is the causative agent behind the allergy? It may be possibly dust from house hold, some plant product, some chemicals recently have it in the house. I advice you to find out and stay away from the source. I advice you some drugs but it is only supportive untill and unless you do not remove allergen the problem remains as it is. You should take the drugs like steroids like prednisolone, B agonist like salbutamol, Anti histaminics like chlorpheniramine maleate. Please note this are only the brand names and actual drugs available in the store have different brand names. thanks contact me if in further querry Dr. Arun Tank | |
Q. I am diagnosed with BPH and cannot empty my bladder even after taking medications. Why?
Hello doctor, I am a 60-year-old male diagnosed with BPH for three years now. I have been taking Tamsulosin .4 mg and Dutasteride .5 mg once a day for the entire three years under the supervision of my GP. For the past three months, my symptoms have gotten progressively worse. My bladder does not empty completely and I have to urinate every hour. The longest I have gone without urinating in the last three months is three hours and it is very rare that I can wait that long. I have done some research and see that there are several surgical options. I am looking for a recommendation for the least invasive but effective procedure. On a side note, the only time I can go for hours without having to urinate is if I am drinking alcohol (beer). After three or four beers, I urinate with a very strong stream and for a long time. I then do not have the urge to go again for almost three hours. I realize that drinking beer is not an effective treatment but thought I would mention it in case it is helpful. | Hi. You will need to see your urologist and get a uroflow test done. If the flow is fair with current medications, and you do not hold much residual urine on sonography, you may consider continuing the same medications and add an anticholinergic to reduce the frequency of urination. If the flow is poor and/or if there is large residual urine or if you are tired of taking medications, you can consider surgery. Prostate surgery is minimally invasive, done through urine tube and usually requires one to two day stay in hospital. The gold standard is TURP (transurethral resection of the prostate) or HoLEP (Holmium laser enucleation of the prostate). HoLEP is basically prostate surgery done endoscopically with Holmium laser. This reduces bleeding and gives faster recovery compared to the older TURP method. Thulium laser is equally good. Other less invasive options are green light laser, TUMT (transurethral microwave thermotherapy), prostate lift, etc., which are day care but success rates are lower and generally indicated for smaller prostates or unfit patients. Alcohol increases urine formation and so temporarily you feel better flow but it only puts more strain on your bladder. So avoid binge drinking or holding urine for a long. Consult your doctor for the best decision. I hope this helps. | |
Suggest medication for fever and chills
My son has very high fever. He is 4 years old and has been having fever for the past two days..last night was bad as his fever went upto 103.6f . I gave P125 which didnt work. so gave a towel bath and gave ibugesic plus 8 ml(he weighs 13.4kgs). Now he is fine. but not sure how long and frequently i can give ibugesic. He also had shaking chills last night . We have been giving him an antibiotic that the doctor prescribed for the past 2 days...to be given for 3 more days.. Why did he get shivering chills..why is the fever not responding to normal paracetemal. how much more should i give this ibugesic, is it safe for a 4 year old kid? | Hello,Your baby is probably suffering with viral fever; it is associated with shivering when fever is high. High grade fever does not respond to paracetamol syrup alone; it requires combination medication.Syrup Ibugesic plus can be given 6 to 8 hourly, minimum 4 hour intervals between 2 doses.High grade fever will probably persist for 1 to 2 more days. Then you may shift to Paracetamol syrup. All medication discussed here are safe for children.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sachin Kumar Agarwal | |
what is neuropathy ?
What kind of neuropathy is it and what is neuropathy and what can a dr. give me to make all this pain stop!!! I had a nerve conduction study done by a Neurologist ,When I went back for the results, I was told I had sensory Neuropathy , when I aked him what that was he said to look it up on the net when I get home. I have applied for Disability because I also have ADHD and herniated disc s in my neck. I requested a diagnosis for Social Security but I do not understand what it means, could someone tell me please? Here it is: IMPRESSION: Sensory neuropathy involving bilateral ulnar and median nerves. Clinical correlation indicated. | neuropathy is degenerative changes in the nerves in your case the most probably the herniated disc is causing root pressure and responsible for the changes it is better you consult orthopaedic surgeon and get treatment for the herniated disc and that may result in improvement in your case earler the treatment better the result so please do not delay getting definitive treatment hoping early recovery | |
What is Colitis and what type of diet or medication is used to treat it ?
sir my name is hemant 30 yrs old i ask a question to u last month, i want to ask a question about my diseases named Colitis gr1 .plz tel me what time is required to get rid from this disease.which type precautions i want to have for this and suggest me some medicine. | hi hemant Colitis is infection in colons, so avoid outside food, water should be always boild and warm while drinking.You can control this disease by doing above simple measures. You can consult a ayurvedic doctor which has very good result in this case, by which this is very easily curable. Start Takrarista 2 tsf bd will available in ayurvedic pharmacy. | |
Sore throat after getting the wisdom tooth removed. Painful burning sensation in the middle of the chest. Taking Pen VK. What is causing these symtoms?
Hello, I just had my wisdom teeth removed (all 4 of them) 4 days ago. I am having a strange sore& painful throat and right tonsil only, hurts as well. I also have this painful burning sensation in the middle of my chest , feels like my lungs are on fire. I ve been taking Pen VK after the surgery in order to avoid an infection, also took motrin for about a week 2x per day to help with the pain I was having BEFORE the surgery (cavity in wisdom tooth ). What is this burning in my chest and painful tonsil?? Thank you.. | Hi, Thanks for posting your query, Fever , sore throat , dizziness , tiredness , nausea , feeling of tiredness are common side effects after extraction of wisdom tooth , as this procedure is traumatic and time consuming. Burning sensation in your chest is due to the antibiotics taken . Dont panic consult the doctor and change the antibiotic . You can take tab rantac TDS for hyperacidity. Take complete course of antibiotic and analgesic . Use saline water gargles 3-4 times a day for soothing effect . Maintain good oral hygiene , use chlorhexidine mouthwash gargles twice daily. Take complete rest , avoid stressful jobs. Hope this helps out. Regards..... | |
Can wearing calf high socks at work cause red blotchy rashes ?
I work in a spice mill, and I wear long pants with calf-high socks while I am working. Now that it is getting hotter, when I take my socks off at the end of the day, after sweating all day, both of my legs where the socks were, are very red and blotchy. They stay that way for a few hours to sometimes until the next day. Am I allergic to my own sweat? This is something which never used to happen. Is there anything I can do? maybe corn startch? | HiThanks for writing to us.These red rashes could be due to contact dermatitis which is occuring due to your socks. Right now to treat the same, use a good moisturiser over affected area along with steroid cream like mometasone cream. Also change your socks and wear cotton socks. Make it a point to wash your socks in a mild detergent. The socks that you wear shouldnt be too tight as that can also irritate the skin.Hope this helpedTake care | |
Q. Do red spots on penis and white foreskin discharge signifies STD?
Hello doctor, I am a 30-year-old male. A few days ago, I had safe sex with a condom. Now, I have two red dots on my penis. It also hurts when I urinate. When I pull down the foreskin, there is a whitish discharge. I am pretty sure I have caught some type of STD. I am freaking out and do not know what to do. Can anyone help me? I want to know what this is? I have attached the pictures. | Hello. I understand that you are worried. This looks like herpes but to be sure I will need a few more details. After how many days of the event did you notice these spots? Do you have any burning sensation? Are there any spots on the scrotum, lips, etc? Are you allergic to any medicine? Is there any swelling in the groin area? Have you used any medication? Till you send these answers apply T-bact (Mupirocin) cream twice a day. Once you send the details we can prescribe you oral medication. | |
Is there any natural treatment for myocardial bridge?
My husband is 45 healthy in good shape very athletic. He just found out he has a myocardial bridge, he had no symptoms. It was discovered due to low heart rate during a yearly physical. Cardiologist said there was no clogging everything looked good he just had a myocardial bridge. Recommended a aspirin a day and Pravastatin 20mg for prevention only Dr says that this medication helps with inflammation. Is there anything natural that can be taken, he does not want to take a statin drug.Is this medication needed? Thanks Rose | HelloThanks for posting here. Usually the arteries of the heart are located on its surface. Sometimes they may pierce the heart muscle and pass through it. Because if this, when the heart contracts, the artery also gets compressed. This is called myocardial bridge. It implies that there is no clot or blockage in the artery but it gets compressed by muscle contractions. So they do not cause any harm to the patient. Since he is 45, your doctor has started him on aspirin and statin. If the lipid profile is normal, Ldl less than 100, and his other arteries show no blocksthen he can be kept off statins. But statins are very beneficial drugs with low side effect profile. So i suggest to continue taking them. regards. | |
Is 375g of Effexor the right medicine for depression?
Ive been on 375g of efexor for about years while it stabilized my mood I've always still felt being on the edge of falling into depression. In the last year I have started having episodes of uncontrolled crying and sadness lasting a day or two. This is ruining my life I'm never quite happy and now have to deal with the added embrassment of these episodes, I become nonfunctional and have had to leave work on these occasions. What can I do???? | Hello thanks for choosing HCM for your health related queriesI can understand your concern. Effexor is Venlafaxine and the drug is a SNRI drug. The drug is used in doses of 37.5-150 mg per day depending upon the symptoms and clinicians decision. The drug is a useful drug for moderate to severe depression. If even on this drug your symptoms are persisting then in my opinion there is need to change the doses of the drug. The symptoms like crying spells, sadness etc are due to persistent depression only. Please visit your psychiatrist and ask for proper dose adjustments. In my opinion dose increase should help to control these symptoms. Thanks, Hope this helps you. Take care | |
Do silent reflux and underdeveloped lungs cause swallowing difficulty?
I have a 2yr old that has refused to swallow for several days now. I took her to her PCP and they just did a standard run through. They sent me home saying probably the weather change. Today I told her to stick her tongue out so I could see how her throat looked. I was extremely panicked to see her epiglottis. Is this normal? Ive never seen it before , also I have 3 other children and Ive never seen anything like this appear out of no where. Im quite certain it wasnt there before as she has had a swallow study and camera run through her nose by an ENT and they didnt say anything about this. Only diagnosis she had at that time was underdeveloped rings which improved with age and silent reflux which also imporved. Is this normal and could this be the reason she wont eat ? | Hello and Welcome to "Ask A Doctor" service. I have reviewed your query and here is my advice. Yes, her epiglottis has always been just below her throat and above her vocal cords in the same position as the epiglottis in your other children. In my experience as a pediatrician when peering into the open mouth of a child, I have often seen their epiglottis. For the most part these have been young, healthy children and I was looking into their mouth and throat as part the routine physical exam. The children had opened their mouths very wide. In each of these patients the epiglottis was normal. Has she ever refused to swallow before? Does she have fast, labored breathing? Is she able to swallow her saliva? My suspicion as to why your infant won't swallow is that it is probably due to silent reflux. A patient who has silent reflux has a backup of stomach acid into their throat, esophagus, and larynx. Also, area below the vocal cords may be narrowed. Somewhere in this part of her upper respiratory or gastrointestinal tract there may be irritation or blockage. If she is not eating, is she drinking? It is vital that she not become dehydrated. I urge you to take her back to the ENT doctor as soon as possible. Hope I have answered your query. Let me know if I can assist you further. Arnold Zedd, MD, FAAP | |
What causes severe pain in foot with numbness in arms?
I am currently 2 years and 4 months free of breast cancer(lumpectomy) and had a hysterectomy in January at which time they changed my Tamoxifen to Arimidex. I have over the past few months been experiencing severe foot (heel) pain when standing and walking along with numbess in my arms and fingers which my fingers are very difficult to move in the morning. Most recently I noticed my ankes are very swollen and appear to be bruised looking. | Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, you need screening for arthritis, a battery of blood tests will help ascertain your diagnosis. moreover the numbness in hands and feet could stem from the fact that you would be developing peripheral neuropathy, both things can be sort out, so do not panic and relax, talk to your physician about this and let him investigate you.I hope that answers your query. If you want any more clarification, contact me back. | |
How can excessive phlegm and chronic cough after having meals be managed in a heart patient?
My husband gets full of phlegm after almostevery heavy meals and violently coughs, gags, and spits up mucous within 10 minutes of eating . This happens almost after every meal and not just with one type of food. With all types of foods. He’s been placed on antibiotics nasal sprays etc but nothing helps. This has been going on for several years. He does have cardiovascular disease. Has had a bypass and is overweight by 30 pounds or so | Hi, Your husband should go and get an upper GIT endoscopy to show us if there is possible inflammation in his stomach. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
How to manage health when having beta thalassemia?
Sir, I'm 30 yrs,5'height and 55kg, thyroid patient from 1996 after operation of Thyroglossal ceasts in my throat and beta thalassemia carrier from 2008 after ceaser. How can I manage my good health and is there any risk involved? If any, what can I do? My only son aged 3 yrs also beta thalassemia carrier. What can I do for him? Please detail inform me. I shall gratefull to you forever. My problems are 1. My leg and hand fingers are quite swelling very often, 2. My hb is at present 11.8, 3. Monthly periodical flow and quantity is too much heavy, I can't stand up from my bed. | Hi, dear. I have gone through your question. I can understand your concern. No need to big worry. Person with beta thalassemia trait can leads to normal healthy life. You should regularly check your hemoglobin level. Because any inter current illness leads to fall in your hemoglobin. You can take blood transfusion as and when required. And your son should not marry the girl with beta thalassemia trait. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
How to treat mediastinal lymphadenopathy?
my father has been diagnosed with mediastinal lymphadenopathy. He has a history of prostate cancer - but the specialists are treating him for multiple myeloma. Is this routine? I am getting mixed literature. If mediastinal lymphadenopathy something serious, or are we looking at something sinister? | Hi, dearI have gone through your question. I can understand your concern. First of all he should investigate properly. Whether he has multiple myeloma or not. He should go for protein electrophoresis and bone marrow examination. It will give you exact diagnosis. Mediastinal lymphadenopathy may be due to metastatic lesion or some other cause. You should go for excision biopsy and take treatment according to cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
How to cure UTI in kids?
Hi, may I answer your health queries right now ? Please type your query here... sir i have a 4.5 year daughter and she is having uti for the last 3 months and she is not recovering she is getting pus cells from 15-20 plz suggest me what should i do | Hello,It may be due to urinary tract infection. For that he may require complete hemogram, urine analysis, ultrasound abdomen after pediatrician consultation. He may require antibiotics after consultation. You may give syp cital. Keep him well hydrated.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician | |
Could the lumps at the tip of the penis are due to glands?
Hello. I about a year ago I got a small pimple on the tip of my penis, I popped it and it went away, a month ago in the exact same spot I got it again, I popped it and went away. Today I noticed it again I popped it and went away. It don t itch or burn . I m thinking it s a gland . Please help | HelloIt's a small cyst--nothing too serious. If it bothers you it can be removed with a cold CO2 laser by a dermatologist | |
What could cause chest pain in physical active males?
yesterday when out walking i developed seriouse chest pain, which made speaking and breathing incredibly dificult. the pain as of today has been reduced but i feel like the internals of the left hand side of my chest are loose. i can hear a grinding gurgling sound if i bounce on my toes (not jumping) which also makes me very breathless, and causes me to cough, i am 29 year old male, who is active in running and cycling. | Thanks for your question on Health Care Magic. I can understand your concern. Possibility of musculoskeletal pain is more because you are young, active, so heart related diseases are unlikely in your case. But to stay at safer side, better to get done ecg to rule out heart diseases. If ecg is normal then no need to worry for heart diseases. Musculoskeletal pain is more likely. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Take painkiller and muscle relaxant drugs. Apply warm water pad on affected areas. Don't worry, you will be alright with all these things. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
How serious is it for a 2 days old child, if the has a hole in his heart and has breathing problems?
hello Doc.I have a two day old nephew (3.5 kg birth wt.), who is diagnosed with 3mm hole in heart.(they did echocardiogram). He had difficulty in breathing after feed (for which he was monitored and tested). All his other functions are very normal. How serious is this? We all are worried. | Hi,It depends on the hole location.If he has difficulties of breathing he may need an operation, for the correction of hole.Usually the results of operation are good and children do well after it.Hope I could help youWishing a good health to your nephewIn case of further questions don't hesitate to askRegards, | |
What is the solution for a bump on the side of my shaft?
I've had a bump on the side of my shaft for over a year now. Last month I had a blood and pee std test and everything came back negative, though I do not believe those tests include hpv. It hasn't spread, but is on a cycle of growing (and then shrinking), and I pop it and a little pus comes out which shrinks it down but even after popping the bump doesn't feel empty. What could this be? Thank you in advance for your help. | HIWell come to HCMI really appreciate your concern, if the pus is coming out of this lesion then this could be infection some time this may need surgical intervention for to drain the pus and antibiotic may be necessary, else this is nothing to worry, hope this information helps, take care and have a nice day. | |
Why do I have a feeling of urinating frequently and pricking pain in penis?
I feel like urinating every five minutes and get a pricking pain in my penis i was suffering from kidney stone pain 3 weeks before but doctor did not find any stones and there was little swelling in my kidney doctor gave some medicine and felt ok but again this pain started what could be the reason | HelloYour symptoms may be due to urinary tract infection(UTI).You need clinical correlation and investigations like routine hemogram,renal function test,Urine RE/ME and Ultrasound of abdomen.Leukocyte esterase test and nitrite test can be done for confirmation of UTI.Proper antibiotics should be prescribed after culture and sensitivity report.You should drink plenty of water.Get well soon.Take CareDr.Indu Bhushan | |
Are HCG levels normal for a 6 week pregnancy?
Hi I m 6weeks pregnant but dont feel pregnant (have no symptoms), is it normal? Also, how many times should I check my HCG? Checked 3 times and got 720, 2500 and 7400 on days 12, 16 and 19 post embryo transfer (ivf). Are these levels ok? Does it look like a twin pregnancy? Thanks! Lynn | Hi,Your HCG levels seem to be increasing as expected. You do not need to repeat them. Some women have no symptoms of pregnancy. It is perfectly normal not to have any. You should get an ultrasound scan done to know about the location, size and number of pregnancies.Hope this helps.Regards. | |
Q. Does vitamin deficiency cause twitching and tingling?
Hi doctor, Before a week, I began having twitches and tingling in both legs from the knee down. For some time now, probably 6 months or more, I also began feeling that my legs were heavy and just general weakness all over, not really muscle weakness. I am also a gastric bypass patient and have a history of low B12, iron saturation and low vitamin D. To complicate matters even more, I went to an orthopedic spine specialist about a month ago, due to the stiffness in my neck. I was unable to turn side to side and this has been going on for several years, like 5 or more. Also, I have a sharp pain between my shoulder blades. My cervical MRI shows moderate facet joint arthritis, small central spur on C5-C6 and some compression of the spinal cord. Even more complicated is that the MRI showed thyroid nodules and the ultrasound reported as typical of a multinodular goiter. My TSH was 4.18. I visited my family doctor and he said that the twitches were probably from low vitamin B12. He gave me an injection yesterday and took blood to measure B12 and vitamin D. My vitamin B12 is more than 2000 and vitamin D is 9. I am going insane thinking that I have some horrible neurological disorder with the twitches and tingling in my calves, general fatigue and heavy feeling of my legs when I walk. My primary care physician did a strength test on arms and legs and said it was normal. Can low vitamin B12 and vitamin D cause these symptoms? I just feel weird and scared. | Hi. Vitamin B12 deficiency can cause subacute combined degeneration of the cord. So, the treatment is daily Vitamin B12 or Vitamin B complex supplementation for 12 weeks. Your vitamin D levels are also low. The treatment is Vitamin D capsules 60000 IU every Sunday for 12 weeks. In your present scenario, for twitching, the first line of management is vitamin B12 supplementation and vitamin D supplementation. Consult your specialist doctor, discuss with him or her and take the medicines with consent for 12 weeks and you will have a dramatic improvement in the next three months. Revert back after three months to a neurologist online --> | |
What is the remedy for painful cracks on the penis?
Hello, my boyfriend found small cracks on his penis head a few months ago. We ignored them. They are getting much worse and very painful especially after intercourse. We have used a special lotion which helped to heal the cuts but right after sex it would only get worse and worse. He is worried he may have caught something, although I know he has not. We have no idea what this could be. Now the pain is so bad he can hardly handle any touch to it. | Hi,I have gone through your query.Cracks on penis is usually suggestive of fungal infection(Picture of the lesion is necessary for actual diagnosis). These can be painful and spread if ignored. He was using ointment for healing cuts. These ointments contain antibacterial, so there is no response.I advise him to use ointment containing antifungal like clotrimazole, maintain proper hygiene of the area and keep the cracks dry. Ibuprofen can be taken to reduce pain.Do consider a positive feedback as a credit to my work. Let me know if you have any further questions.You can contact me on my page | |
Suffering from non hodgkins lymphoma, preventive chemo finished. yellow glue like liquid coming from ears. Any medication?
I have a niece that has non hodgkins lymphoma , she has been in remission for a year, she just finished her preventive chemo in Dec of 2011. She now has yellow glue like liquid coming from her ears, she has tubes in her ears, she can hardly hear. She also is coughing up yellow and green she calls chunks. Her ENT says that there is nothing they can do. Can you help me get her started on getting better? | She is very prone to infections due to the lymphoma.She definitely needs a good antibiotic for at least a week.Since you have not mentioned her age,Icannot tell you the actual dose required.Moxclav or Augmentin would be a good choice,along with a cough syrup like Zyrcold.she needs nasal drops for 5 days followed by steam inhalation.she will be better,the ear discharge and catarrhal cough wil resolve. | |
Should i be concerned as i am having a tightening feeling in my chest?
I keep having a tightening feeling in my chest that also moves it's a way into the back of my throat. I am an asthmatic but I took some puffs from an inhaler and it stills it doing it. I have had a cold the past few days but it felt like it was getting better. This has been happening on and off the past couple days but only lasts in 20 minute increments. Should I be concerned? Any OTC that will help? | Thanks for your question on Health Care Magic. I can understand your situation and problem. In my opinion, your all symptoms are mostly due to uncontrolled asthma. Asthma is chronic allergic inflammatory disease of airways. It needs regular long course treatment to achieve proper control of symptoms. So instead of taking irregular inhalers and OTC (over the counter) drugs, better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (Pulmonary Function Test). PFT will tell you about severity of the disease. And treatment of asthma is based on severity only. You should start inhaled bronchodilators and inhaled corticosteroid regularly. Oral combination of antihistamine and anti allergic drugs is also helpful. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Lumps on the left side of neck, headaches. History of cancer in the same location. Is it cancer?
HI THERE, IM 29 YEARS OLD AND HAVE NOTICED OVER THE PAST FEW WEEKS LUMPS ON THE LEFT SIDE OF MY NECKS..NOT VISIBLE BUT BY TOUCH...IT IS UNCOMFORTABLE...IM HAVING HEADACHES ..IM REALLY FREAKING OUT BECAUSE I JUST LOST MY MOM TO CANCER IN THE SAME LOCATION AS THESE LUMPS? WHAT COULD IT POSSIBLY BE? BESIDES THE HEADACHES AND DISCOMFORT MY BODY IS DEFFINITLY TRYING TO TELL ME SOMETHING IS GOING ON??? PLEASE HELP!! I AM SO SCARED!!! | Hi stacy, It is very unfortunate that u lost ur mom to cancer. The bumps which u feel may be the prominent bone in the neck spine bones. But it is always advisable to consult a physician or surgeon to get ur neck examined. If there is any suspicion a simple FNAC or biopsy will rule out cancer. Dr. Mohammed Ibrahim Surgical Oncologist mdibrahimdr@yahoo.co.in | |
Suggest treatment for peripheral neuropathy numbness
Had a bout of periphial Neuropathy in both legs 3 years ago Pain stopped after 2 weeks but left with numb bottoms of feet and numb toes Now finger tips as well as nose and lips are numb No diabetes diagnosis Have been losing leg and arm strength and have fallen quite frequently as of late My Doctor just treats each concern as neurotic symptoms Should I be concerned or am I truly just neurotic ? | hiThanks for using HCM.Th reasons for your problems can be due to many reasons, not only diabetes.please check out with your calcium,electrolyte,vitamin b12 & d3 levels & thyroid levels. You can start with vitamin b12 supplements (methylcobalamine) added with calcium and pregablin.please consult the neurologist.all the best.take care. | |
Suggest treatment for liver damage
i have just read read about the 1o signs of liver damage and i have about 5 of them and now begin to worry. the biggest sign is that after being slim all my life and after my 3rd child i am now 44 and have looked 6 months pregnant now for about 2 years, regards reta. | Hi, dearI have gone through your question. I can understand your concern.You may have liver damage. You should go for complete liver function test and ultrasound abdomen. Increase in AST & ALT level is suggestive of liver damage. There are many causes of liver damage. Viral hepatitis, alcohol, toxin, drugs all can leads to liver damage. You should investigate first. Search the cause and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
Suggest treatment for severe BPH symptoms
I am a 63 year old man with severe BPH. For 20 + years I have had TURP numerous procedures. I have been taking Avodart and Uroxitral for many years with no noticeable results. In 2009 I was diagnosed with Squamous (sp) cell Colorectal Cancer. I underwent chemo and radiation in the late spring of 2009. After going in for follow ups for a little over a year it was discovered that the treatment protocol in 2009 had not worked. I underwent Colorectal Surgery in the fall of 2010. At the time of surgery I was told that they had good margins and felt very confident that the cancer had been eliminated. HOWEVER; I was then told that the cancer had eroded through the colon wall and attached itself to my ureter. They felt a little less confident in that area and I have been doing 90 day follow ups to check me out since the surgery in 2010. During this time I have had 3-4 additional TURPS that work for about a month and then I am back to severe BPH symptoms. TUPRS and medications are not working. What are my other options? | Hi, dearI have gone through your question. I can understand your concern. You have history of colon cancer and it may spread to ureter. You should check for cancer spread first. You should take drugs like prazocin or terazocin for your benign prostatic hyperplasia. If drugs are not working then surgery is the treatment of choice. Go for surgery to remove the obstruction. It will releive your symptoms. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What causes pain in left arm while bending?
I am having a shocking pain in my left arm, almost as if it were being electrocuted. It mostly happens whenever I bend my arm up, and the shock travels from my elbow to my hand and sometimes also to my shoulder. After it happens, it is still slightly painful. It does not happen every time I bend my arm. This used to happen to me a few years back, but after a while it went away. Today is the first day for it to happen since then. | Hi,Thanks for your query.Shocking pain in left arm seems to be due to nerve compression during bending.To exactly diagnose this problem, you need a MRI scan. For these symptoms analgesic and neurotropic like pregabalin and methylcobalamin medication can be started consulting your doctor.Till time, avoid lifting weights. You can consult physiotherapist for help.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Why is there no sperm released after masturbation?
hello doctor , i used to mastebate and i am doing it since the age of 14 , about 3 to 4 times a day , and i am 18 now doctor and suddenly today when i was masterbating the sperm did'nt come out and it is still not comming out i am very worried doctor i dunno waht to do | Hi, I had gone through your question and understand your concerns.If this happened just once then there is no reason to be worried but if this hapens again then it may be sign of certain disorders, in first case retrograde ejaculation. Other causes include prostate issues or STDs. At this point you should just wait and see if this will happen again and if yes, you should do prostate ultrasound and spermiogram to see what is going on. Also, if there is burning pain during urination then this may be indicating urinary stone which is possible cause of missed ejaculation and in that case you ll need urologic consultation.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
What causes lumps under the armpit?
I have about five lumps under the skin in my right armpit, the first one that came is the biggest and around the middle then I have two at the top that are very small and the others range about the same size and are on the sides and bottom! I have always had very sensitive skin. But they are very sore, and I can only feel them not see them. | Hi, dearI have gone through your question. I can understand your concern.You may have enlarged lymphnode. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
What causes persistent painful facial swelling?
Hello, my husband has been experiencing for the first time in his life an allergic reaction or so we think this is an allergic reaction. It s primarily in his face and it s always random. It s been happening in the last couple of months and seems to happen only on the weekends, but again random, not all the time and it vasilates between the left side and the right side and usually his mouth area where he experiences swelling to the point of it hurting. We think either a food allergy or maybe spider bite, but we ve tried to narrow down the food items, laundry items, soaps, etc. and it s still happening. Could this be another way of his body telling him something else is wrong? When administering an allergy medicine to him, it will usually go away by the late afternoon or the next day and he always wakes up with it. Help! | HI, thanks for using healthcare magicThe symptoms are possibly due to : (1) allergies (2) sinus congestion (3) infection with herpes simplex 1 (cold sores)Sinus congestion can cause one sided pain and swelling as could the other conditions mentioned.It would be best to consider visiting a doctor for an assessment which would include physical examination and possibly bloods.Blood tests can be done to check for allergies though if it is an allergy ,it would have to be something coming into contact with this area specificallyI hope this helps | |
Will i be able to conceive while suffering from PCOD?
hi i am 30 years old my weight is 60 and my height is 5"2 i am married since 4 yers no kids i am having irregular period mean once i get registrone cycles become regular for 1 year and again irregular and having no other signs of pcod i am worried whether it is actually pcod or can i conceive | Hi,Have you had other test for infertility done? Some couples have more than one problem and all need to be looked into. We would need to do a sperm count, your tubal function,and pelvic ultrasound. If some specific factor is identified it can be treated. If you do have PCOS, it can be seen on the ultrasound and /or hormonal tests, we can give you egg forming medications like clomiphene. If known cause is found and you have been trying for 4 years now, you could consider IVF, after analyzing all factors.Hope this helps.Regards. | |
Q. What could the lump on my tarsal foot bone be?
Hello doctor, I am concerned about a bone lump on my right foot in the tarsal area, probably talus, or calcaneus. I am not really sure. It is located on the right side of my right foot below the ankle joint. I am attaching pictures of me pointing at the spot. There is a small ganglion near it but I am not concerned about that. The bone lump is what that is troubling me. There is no pain at all almost. It is there mainly when I drive and use the gas pedal a lot. I know about it for more than half a year, but it was there probably longer. It is smooth when I press on it and kind of round and hard as a bone. I have had some x-rays done on my feet, it was some time ago but the lump was there back then. My biggest concern is that this could be some kind of bone cancer. I am also sending the x-ray files of both of my feet. Could you have a look at them? | Hello. I have gone through the attachments (attachment removed to protect patient identity) I understand that you are concerned about a lump in your right midfoot on the outer side. The probable cause is a benign bony prominence. However, differential diagnoses include a calcified ganglion, accessory ossicle, a subluxed peroneal tendon, ankle ligament sprain, and tarsal coalition. You described the lump as a hard lump with a smooth surface. The pictures you sent suggest that it is around 2 cm long and 1cm wide. Investigations that need to be done include anteroposterior and lateral and oblique radiographs of the right foot. The fact that it has been there for a long time and that there is no pain is reassuring and goes against cancer. However, it is important to know if there have been any recent changes. Prevention measures include wide comfortable shoes with good padding. The attached files only contain clinical photographs.There are no radiographs to comment on. Kindly upload the reports. You need to contact a doctor if the lump changes or becomes painful. For more information consult an orthopaedician and traumatologist online --> | |
What causes a lump between the neck and shoulder blades?
I've had this lump or ball in between my neck and my shoulder..... i don't know if it is just a stress ball or what it might be...but i am starting to worry...ive tryied massaging it but i still have it i don't know if i have to put lots of pressure or anything....it does not hurt when i touch but i still want to know what it might be and what i should do | Welcome to Health care magic.1.The history suggest most possible cause could be enlarged lymph nodes at first place followed by glandular lesions and finally vascular cause.2.If you are my patient i would have examine the lump / lesions and ask for a ultrasound examination.3.Ultrasound will help to evaluate the nature of the lesion, its source and where all it is extended.4.If necessary needle sample might be needed. Never press or scratch the lesion - it will only increase the lump and possible infections.5.Lymph nodal enlargement is seen in case of localised / systemic infection / inflammation. If you are aware of any - treat the cause.6.So get an appointment and get needful investigations and treatment done. Good luck.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
Back pain, have bump. What might it be?
I ve had this pain in my back on the left side near the bottom of my rib cage. I started out, I thought , as a pulled muscle from work lifting heavy boxes while I was straddling some bins on 2 x 4 s up about 8 ft high while some one lifted them up to me. This was 5-6 days ago. after 3 days it seemed to get better however my friend rubbed it for me 2 nights ago very aggressively ( hurt like hell but I thought it would help ) and the next day it seemed a little better. However, today there is a defined lump that hurts alot when pressed but the lump is a bit farther away from the original pain site which was closer to the spine ( paraspinal muscles ). The lump is approx. 1 1/2 in diameter and raised just a little bit. Help, what might it be? Brenda | Magnetic therapy-;--- youmay put a strong south pole magnet on left back ,paining place and med.north pole in between heap and knee,again strong south pole in between knee and toe forabout half an hour twice in a day for five days and report. | |
What causes chest pain and pain in the jaw line?
i had severe chest pain yesterday that felt like someone was standing on my chest, it hurt so bad my jawbone hurt on the right side. I broke out into a sweat, my hair was even wet, my body was cold and clammy. It hurt for a long time, then eased up as the day went on. The next day I started having pains again but nothing quiet as severe. | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You should immediately see a cardiologist. This is very much suggestive of minor heart attack and you can have major attack any time. Get your bp checked, also ECG, trop I, lipid profile and sugars done. You should have low fat diet and needs to start medicine. You have tab sorbitrate whenever it recurs but my advice is to immediately seek medical help.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode | |
What causes fatigue along with backache?
hi. my wife who is in her early forty gets fatigue almost every morning when she wakes up, but feel better in the evening or at night. it has become more frequent last few days. before it would happen once every so often. last time we thought it might be heat exhaustion but she gets it on days that are cool. she drinks a lot of fluids but she stills get these frequent episodes, almost as if her body wants to shut down on her, and now she is feeling scare because she doesn t know what is the cause and how serious is her condition. we did blood tests at the hospital and did an mri...results seem fine, but not sure if the tests are conclusive. the other thing she complains about is her constant back pain and sore neck when she wakes up. she has been having back pain for quite some time but never felt overwhelmed with fatigue and listlessness. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Can be due to low levels of vitamin D3. Hope I have answered your query. Let me know if I can assist you further. | |
Is there any alternate medicine other than epsolin for proper ECG and MRI?
i am taking epsolin er 300 on doctor advise. on completin of three years of of medice and after proper eeg and mri tests the doctor has adjusted the medice as 100 mg of epsolin plain 12 hourly . should i go fo the adjusted medice or there is any other alternate | Hi, You may continue with the adjusted dose. As long as you do not have any issue with Epsolin-ER you may continue using it after its adjusted dose. Otherwise carbamazepine or levetiracetam can be useful alternatives to control the seizures. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali | |
Groin pain during period, done MRI. Could it be arthritis?
Hello Ive had this pain in my groin area ( where my thigh meets my hip) a few days before my period and during and a couple days after. This has been going on for a couple years now. The pain is very sharp and painful. Sometimes the pain is so severe that when i walk i feel like my hip moves out of place. Years ago i seen an ortho and had an mri done and all i was told is that it was arthritis . I have arthritis in other areas of my body and it doesnt compare to the groin pain. I was researching symptoms and found that it could be related to gyn. Please give me some insight on this matter. Thanks Kristina | Hi, From the symptoms it is likely your pain is due to conditions related to uterus, tubes,ovaries . Some pelvic inflammation most probably is the reason Since you are having arthritic pain also may be the simultaneous menstrual pain is aggravating the arthritic pain . Best will be to get a gynecological check up and investigations done as suggested after clinical examination . Hope you get relief from your pain | |
What precautions needs to be taken before liver biopsy?
I have been scheduled for a CT Guided Liver Biopsy. My history is: diabetic, high blood pressure, angina, vascular disease. I am taking several blood thinners, Ranexa, Asprin, Isosorbide Mono, Prinivil, Zocor. I have not been advised to discontinue use of any of these meds prior to the procedure. Also have not been advised to take any antibiotics/diabetic, prior to procedure. What do you think? | Hi welcome to HCM...You have hypertension , diabetis and taking drug for preventing further attack of ischemic heart disease also ....Let me know you yes these drugs you have described should be taken ...and biopsy can be done as it might indicated ......But I would like to suggest you to check your coagulation profile by doing following investigations.......1.PT 2.APTT3.Platelet count 4.BT If they are normal biopsy can be done ....Hope I have solved your concern ...Take care .... | |
Tenderness in lower back, history of spine injury
I have lower left back tenderness to touch for 3-4 days now, same place where several years ago I injured spine in motorcycle accident. not sure if related. back still goes out every once in a while if I sit or stand wrong. haven t had back go out for several months. the tenderness on my lower left back doesn t hurt, just tender to touch. | Hello, Thanks for posting your query. Your back pain might be due to lumbar spondylois. You need an xray to see any arthritic changes. You have to visit an orthopaedic surgeon for examination , xray and treatment plan according to that. Regards. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
What causes recurring abdominal pain and gas formation sensation?
Hi, Murali Here, I am suffering from abdominal pain from last 4 months. Occurs once twice in months and stays for 3 to 4 days. When its there it makes me wake up at night. Currently from last 10 days I am taking Pataprazol 40mg daily. Still the pain and gas formation sensation is there. | Hi, The pain you are having might be related to too much gas accumulating inside your bowels. I suggest to start taking simethicone for gas and probiotics to optimize intestinal flora. If your abdominal pain is also associated with changes in bowel movements, I suggest to get your stool examined for ova/parasites and cultured too. Abdominal ultrasound is necessary to rule out abdominal pathologies. It will take few days to get the symptoms relieved. If within a month after starting the medications, you will still have the pain, then, abdominal Ct-scan might be needed for further evaluation. Dr.Sejdini | |
Q. Baby's neck muscle got damaged during delivery. How long will it take to recover?
Hello doctor, We are a bit concerned about our 6-week daughter. The labor was a very traumatic experience with having to be induced and trying natural labor which failed due to her turning on her back at the last minute so we had to go to the theatre to have a forceps delivery which also failed and we ended up having an emergency C section. We know due to the birth trauma she has suffered damage to her neck muscles and can only look to her right and finds it very difficult and painful to turn her head. We are currently visiting the physiotherapist to help her neck, which we have been told it can take a long time to repair. But the other things we are concerned about are the way she looks at objects i.e. curtains and light fittings and bursts out screaming also. She will be sleeping peacefully and all of a sudden jump out of her arms and legs in the air and screams and cries until she is blue in the face. Also, while she is sleeping or napping she grunts and makes very strange noises. Could there be anything in the hospital doctors or midwives have missed as it is very stressful watching her like this? | Hello, Welcome to icliniq.com. I got your concern. Well, based on your history, I can say that due to birth trauma and subsequent consequences she may have airway obstruction. Due to secretions, reflux or abnormal neck position can cause these symptoms. I advise you to monitor her pulse-oximeter saturation 24 hours and not how many times it goes less than 90%. Due to abnormal neck position and pain, she may find it difficult to see around. Please continue physiotherapy and follow her and if the pain is more you can give Paracetamol for pain relief. Make symptoms diary and take videos of the event which may help the pediatrician to look for any problem. The way she is screaming suddenly it is possible that it is startle reflex. But please take video and show it to the pediatrician. | |
Any suggestion for suffering from chiari malformation?
I was diagnosed 3 years ago with a Chiari 1 malformation. No action was taken. I believe it may have occurred from swelling in my brain after taking Cymbalta or Lexapro. Have you ever heard of this? Should I have another MRI done to check the Chiari? I have had fibromyalgia all my life, and many other symptoms, but I do not have headaches or pain in my neck orshoulders. | Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.Chiara Malformation is congenitaldrugs don't usually cause themplease consult a Neurosurgeon at once Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care. | |
Can Nurofen be used to reduce fever in chicken pox for a child?
My 3 and a 1/2 year old daughter has chicken pox. She already started having red spots / blisters all over her body. Her doctor adviced to give her panadol to reduce the fever. Panadol is not working well to bring her fever down from over 40 degrees. Is it safe to use Nurofen as well? Thanks | thank you for using healthcare magic.yes you can use nurofen for fever > 38.5 celcius every 6 hours. Make sure you give the nurofen with meals because it can cause upset stomach.sincerely,Mark RosarioGeneral pediatrics/pediatric pulmonology | |
What causes breathlessness and itchy scalp while having high BP?
Hi my partner is almost 50 & drinks quite heavily and has been smoking since age of 15. He also has had high blood pressure most of his life but doesn t take any medication. After a 3 course meal and wine last night he had shortness of breath, itchy scalp and feet and face and neck went blotchy red. Any idea what this could be? | Hello There After going through your medical query I understand your concern and I would like to tell you that most likely he had an allergic reaction with the food which is why he had rashes with breathlessness , kindly take him to ER for immediate care.Hopefully this information will guide you properly Kind Regards Dr Bhanu Partap | |
What does missed heartbeat of fetus suggest?
Can a babys heartbeat stop and start again? My babys heaetbeat cant be detected, is it because im to early or am i mis carrying.. at first doctors calculated i was 11 weeks, i got my first ultrasound yesterday and i was told i was 9 weeks. No heartbeat was detected i was told i was having a missed miscarriage.. but just to be safe the doctor scheduled me for a second ultrasound january 26th. help me please | heart beat is first detected on 12 th week by a tvs but still you need to Confirm it on 20 th week, so repeat USG is necessary | |
Suggest treatment for anal pain and bleeding
My 10 yr old daughter has been complaining of pain around her anus for quite a while, describes an itching sensation. Pain has become more frequent and does not occur merely at times she is passing a stool (always soft and ususally goes at least twice a day) Now she says she has blood on the toilet tissue when she wipes herself. How can I help her? | Hi...by what you say I feel that your kid maybe having hemorrhoids. I suggest you consult a paediatric surgeon regarding this.As hemorrhoids are very unusual in such a young age group we need to work up for portal hypertension also.Regards - Dr. Sumanth Amperayani |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.