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What treatment is suggested for jaundice?
hi , i am a jaundice patient and am recovering now... my last bilurubin level was 1.9 , SGPT 117 about an week earlier... i was wondering when can i start eating normal food.. its been about 4 weeks since i was diagnosed with jaundice and am still eating boiled food.. | HiPractically speaking, there is no specific treatment of jaundice except the supportive treatment. The most important thing is to diagnose the cause of jaundice whether it is viral, protozoal, secondary to disease or toxicity. The capacity to emulsify the fat is reduced so fatty diet ought to be reduced. However, on the recovery phase, gradual intake of fat in diet may be started. | |
Suggest remedies for recurrent pain in the abdomen and chest with heartburn
Hi! My name is XXXX and I used to take an insane amount of ibuprofen to get rid of menstrual cramps. I m talking like 3600mg a day for three days. Then one day, I had the most uncomfortable feeling in my stomach and chest and I assumed it was from taking too much. I knew I took much more than was healthily wise but nothing had happened to my body yet so I thought I could continue since it was the only was to relieve my pain. After doing some research I concluded it was probably an ulcer but since the discomfort more or less was gone the next day, I never saw a doctor. Since then, I take much less in order to relieve my pain but it s been increasing somewhat since the minimum isn t doing anything. Now I have the same discomfort. Almost like heartburn but I never get heartburn. It feels like almost an internal burp that releases in my chest and burns and makes me feel almost ravenous. This discomfort is making me eat far more than I need to and makes me feel fatigued. I haven t vomited and my stool isn t discolored. Does this sound like it will go away like last time? I m on day 3 | Hello,Some females get more gastritis during menstrual days for which you can take antacids in those days with Digene syrup after meals. NSAIDs will also add on more gastritis and if you experience very painful periods then kindly take tab Meftal Spas or Dysmen to get relief from period pain.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | |
Q. Can increased platelet count be due to heavy periods?
Hello doctor,I am female 43 years old weighing 209 lbs and height 4'11". Medicines I am taking Metformin, Pravastatin, Omeprazole, Xanax, Sertraline, and Zantac. I have diabetes, feet ankle issues, arthritis, heavy periods, GAD, and clinical depression. My doctor performed CBC and everything was normal except platelet count 492, then months later 504. Any idea what could cause this? My doctor thinks it is because of my heavy periods. | Hi. Due to heavy period and bleeding, you can have a reactive increase in platelet count. Your count is increased mildly and do not worry about that. Even mild variation of 10 to 20 thousand can occur in two subsequent reports from the same sample. So no need to worry. For depression, consult a psychiatrist and take regular treatment with antidepressant medication like Fluoxetine. For more information consult a hematologist online --> | |
How to stop transparent discharge from penis while on medication for urethritis?
Hi,I have been diagnosed with urethritis by a local urologist on tuesday (Sept 21, 2010). I have been taking Vibramycin 100mg 2x a day for 6 days now. The burning sensation and the itchy sensation are all gone but i still see some transparent discharge from my penis. Is this normal? | Hi I had gone through the question and understand your concern.See , if the discharge from penis is transparent and clear ,that means there is no infection left (also the burning sensation and itching are gone).The discharge is quite normal and it will subside within few days. So there is nothing to worry about.I hope this information helps.Thank you. | |
Q. I am 68 years old and had experienced tachycardia 12 times. Should I meet a cardiologist?
Hello doctor, I am a relatively healthy 68-year-old female who has been having episodes of tachycardia while at rest. This started three months ago. I also have dizziness while reclining mostly at night. I do have medicated high blood pressure, osteoporosis, and GERD. I do seem to tire easier also. I play tennis three days a week and walk over 10,000 steps every day. My watch indicated 12 times I have had tachycardia. Should I go to a cardiologist about this? | Hello, Welcome to the icliniq.com. You have dizziness problem while lying down if you have frequent episodes of dizziness in lying down position than positional vertigo can be possible. For which physiotherapy can be beneficial. You need to check your blood sugar and hemoglobin level as well. You have mentioned that you have a high blood pressure problem. So persistent hypertension can cause a light headache and dizziness. If blood pressure not controlled by exercise, then medicine needs to be given for that.For tachycardia, you need to investigate with 12 lead standard ECG testing. You can consult nearby internal medicine specialist for your detailed evaluation as discussed above. I hope I have answered your question. Let me know if I can assist you further. | |
Is a painful bruise on the calf a matter of concern?
I have a mysterious large bruise covering my calf that I hadn’t noticed until I went for a run today (I’m assuming it’s running related since I haven’t done anything that would have caused it) it wasn’t painful until now, it’s just a mild throbbing. Should I be concerned? | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It could be due to over stretching of your ligaments and muscles. It can happen after a prolong physical exertion as in marathon running and jumping. In most cases it will resolve by it own even with out treatment.As of now you can apply ice packs for symptomatic relief and faster recovery.If symptoms persist, you have to consult an orthopaedic and get an MRI scan done. Hope I have answered your query. Let me know if I can assist you further. | |
What causes black patches on the scalp while on cancer treatment?
My mother has breast and lung cancer ...stage 4. She is currently on hospice . We’ve noticed her head is covered in black patches . Her hair is thin so we would’ve noticed them before. They’ve come about over the last two weeks. Any idea what it could be ? | Hello,That is because of hyperpigmentation following use of Anthracycline as a part of chemotherapy is one possible explanation, and the other thing is because of dying hair follicles we usually see patients losing hair and get those black patches. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Avanti Sathineedi | |
Diagnosed with vertigo. Having intermittent dizziness. Hands and feet cold, tingling. Suggestions?
Hi - I was diagnosed with vertigo in December. It seemed to getting better with time, but still bothers me when I tilt my head from sided to side or try to look up. However, tonight, I have been getting dizzy again, it s coming and going. Just sitting at table and all of a sudden feel a quick spinning that thankfully isn t lasting long, but still scary. Also, my hands and feet seem to be cold and a bit tingly. Any ideas? | Hi,Your symptoms of dizziness and quick spinning with turning of head is consistent with peripheral vertigo( vertigo related to ear) .I treat my patients with vestibular rehabilitation exercises and short course of betahistine (antivertigo drugs).Consult neurologist for clinical confirmation of sameHand and feet symptoms are consistent with small fibre neuropathy need to be confirmed by examination and further evalaution | |
Why there is more pain after torn cartilage operation?
I had a torn cartlidge operation last year and have more pain had mri scan revealed chronih arthritis also swelling clicking pain is worse at night in bed going up and down stairs knee keeps giving way ended up in a and etold sprained on morphine for pain had steroid injections and non steroid injections consultant said will knee replacement in but wont do it yet as im only 54 cant take the pain no longer | hi you are suffering fro chronic arthritis knee with instability and severe pain which is worse at night. You also had steroid injections but pain is persisting. In my opinion and with these symptoms and since you are not even to sleep properly I would recommend you should undergo knee replacement as early as possible to continue living your life normally .You can try taking PRP injections in the knee joints which may give you some relief. | |
Q. I had sex five days after finishing Norfloxacin. Will I get pregnant?
Hello doctor, I had sex five days after finishing my antibiotic Norfloxacin. Is there a chance of getting pregnant? I am on the pill for more than a year and I take it religiously. | Hi. How are you doing? If you have been taking the contraceptive pills or birth control pills, then you are absolutely safe and no chance of pregnancy. When you have been taking the pills regularly, the hormone pills will completely suppress the hormones causing the follicles to grow and ovulation will not occur. So there would be no eggs released during the cycles. This change is not affected by the antibiotics. So rest assured, you will not get pregnant if your hormonal pills have not been missed. | |
Pigmentation problems. Remains same in all seasons. Remedy?
HEllo Dr. my name is Muneer. I consulted so many dermatologists but in vain. Some say my pigmentation is due to excessive exposure to sun. Some say they are ephilids. I have read about the freckles and ephilids. there in duration increases in summer and decreases in winter, but i feel no change in summer as well as winter. please provide me the proper advice and remedy. | Hello, Thanks for writing your query to us. Freckles are clusters of concentrated melanin which are often visible in fair skin people. It is genetic in origin. Formation of freckles is triggered by sunlight. So it is not related to weather . It is basically the exposure to sunlight that means exposure to UV B light that activates the melanocytes to increase melanin production which makes freckles darker & make them more visible. Take care. | |
Does Dexorange intake cause any side effects?
I have been suffering from tiredness and weakness since last 10-12 months. My doctor gave me dexorange capsules 1 each day for approximately 4 months. Does it have any side effects? My husband and I are planning for a child in 2-3 months. Will it be ok to take these capsules for 4 months? | HiIron syrup can be taken while planning for pregnancy.There is no contraindications for the use.Constipation or diarrhoea, abdominal pain or cramps are the main side effects of the drug.The symptoms will reduce with continued use.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | |
Back pain and swelling on sides of back. Scanning showed fatty liver and gallbladder replaced by soft tissue. Treatment?
hai i am 30 year old man. recently i found backpain and sometimes swelling on the both sides of back. so i consult a doctor and he recommended a US scanning of abdomen.i felt acute pain during night.the result is mildly enlarged fatty liver and gallbladder is replaced by soft tissue masses.and i felt blurred vision in my left eye.so i want to know what is my disease ? and what is the better treatment? | Hi and welcome to HCM. Thanks for the query.You should find the exact cause of liver changes. this can be confirmed only by liver biopsy and then right treatment can be planned. also you should check your heaptitis markers to rule out hepatitis infections. till y ou do these tests you should avoid alcohol completely,eat hepatoprotective diet and regulate blood sugar and lipids. Wish you good health. Regards | |
Unable to conceive, bleed after sex. Reasons ?
Hello I am a 40 year old woman, who has never been pregnant, and we are no trying but have not been able to. I did a pap smear recently and it came clean. so nothing to worry about there. but recently for the past month or 2, I have experience that after sex, I bleed . Now I have not had a period since June 3, 2012. What can be happening is my partner hitting my cervix? I mean, his penis is probably the size of a thumb . I know it grows about 2 to 3 inches. help. | Just go to doctor & get yourseklf examined. It might be cervical lesion (Polyp/erosion/infection). At age of 40 & with prolongr duration of infertility, chances of spontaneous (Natural) conception are low (Due to ovarian aging). So better to go ahead with some kind of infertility treatment. | |
Urine test for lower back pain, slight burning while urinating, test result. What care needed and treatment?
hello doctor, i am a woman and 50 years old. recently i have done my urine test for lower back pain,slight burning while urination, tired some(feeling weakness and for frequent urination. when i got the test the result was - albumin nil, sugar nil and rbc is 10-20. what does it mean how to take care of my health? please answer me. than you. | How about bacterial and leucocyte count? sugar nil and albumin(microalbuminuria) nil rules you out of diabetic glomerulonephritis. Presence of RBCs indicate bleeding somewhere in the urinary tract (hematuria).There are a number of causes like acute glomerulonephritis (Rbcs have spikes on their surfaces on microscopy),renal stones,trauma due to instrumentation,urethritis,cystitis,renal TB,renal cell carcinoma,bleeding disorders,etc. Need to be investigated. Most commonly can be due to stones.Drink lot of water,take green leafy vegetables,banana stem preparations,papaya,etc.U can take citralka syrup in case you have burning sensation.And brief course of antibiotics to prevent infection. | |
MRI shows degenerative change in lower lumbar spine. Have Harrington rod in spine for scoliosis
My name is Susan Wachtel, I am 53 with a Harrington Rod the full length of my spine to L4 due to scoliosis since I was 14. I just picked up my MRI report. I have had AVN in my left hip diangosed since April 2012. I had 7 cortisone injections in left hip Oct./Nov. 2011. By June 40 % of hip was involved and as of today 70 % is involved. Findings are as follows-hips: Examination demonstrates moderate bilateral effusion . Labrum-tear & detachment of the acetabular labrum anterosuperiorly. No high grade chondral loss or delamination along acetabular margin, mild chondral thinning. Alpha angle is 55%. Musles & tendons-mild distal gluteal tendinosis & peritendinous edema bilaterally. Bone marrow-no abnormalities. Degenerative change in lower lumbar spine. Opposite left hip shows a lesion of AVN without collapse, deformity or secondary prominent alterations of degenerative arthritis. Comparison to the prior examination reveals a similar pattern of AVN in the left hip involving 70% of the articular surface with no obvious collapse. | As per ur reports u requirebilaterl total hip replacement surgery one after another with agap of few months in between.This will be done under general anesthesia due to ur spine because of ur previous spine surgery regional anesthesia is difficult n proves impossilble most of the time. | |
Suggest remedies for degenerative brain disease in a child
My little cousin has a very serious disease (in doctors opinion he has degenerative brain disease). He is just 4 and half years old and we are too much worry about him. We already have been consulted with some neuro physician doctors in Pakistan but they said that a big part of his brain has been damaged and it can’t be recover after seeing MRI report which I’ve been uploaded here: WWW.WWWW.WW Some doctors say it is happened because of his late cry during his birth (he cried approx. 8 to 10 mins late after delivery) and then after 20 days of his birth he got meningitis issue and he stayed in hospital for few months but after this he had been recovered very well, he talked well, he walked well even he was a very clever and sharp baby than others but since 5 months before he again got attack and doctors say now that he has degenerative brain disease. Doctors also have been taken few other tests like EEG, Anti Measels antibody CSF, Blood, Liver function etc etc and I’ve upload images of those tests here: 1. 2. 3. in doctors opinion there is no such medicine for degenerative brain disease but as he is getting fits (like when we just got a shock sometime and we scared) and he continuously getting fits in each 2,3 seconds. So neuro physician doctor has recommended some medicine for him to control his fits i.e. 1. Apival Syrup. 2. Frizium Tab. 3. Lerace Syrup 4. Debritone Syrup 5. Zinkate Syrup In doctor’s opinion this medicine is as good as maximum to control his fits (I don’t know how to spell it but I have explained term fits above). 1. So my question is that there is no proper treatment of degenerative brain disease in this latest time of technology? 2. His situation is going bad to worse day by day with using these medicines which about doctors say this is as good as max so I just think sometime that may be doctors just couldn’t have figured out the actual issue of his disease because otherwise his situation should be little positive with using these medicines? 3. So, after watching out his medical case history is there any place in the world who could deal this dangerous disease? He can’t speak now, can’t walk now, can’t eat now therefore he is taking all his feeds with NG tube. So, this is deeply request from the bottom of my heart, if there is any doctor in this world who could deal with this disease, please contact me as soon as possible. | Hi, Most of the neuro-degenerative disorders have very poor prognosis & treatments are limited to symptomatic treatment . for example the control of seizures, physiotherapy for spasticity. Certain neuro-degenerative disorders have targeted therapies however the diagnosis needs to be spot on for these. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nathaniel John Pinto, Pediatrician | |
Q. Why is there a cut on the foreskin of my penis?
Hello doctor, I had sex with my wife for the first time day before yesterday. The foreskin of my penis got cut from inside, or there was something on the left side which started hurting. So, I applied Savlon last night and slept. Today morning, I saw a white substance at the tip, and so I cleaned it with cotton and Savlon again. But, I think it is a cut, and it still hurts there. My penis is thick, and my wife's vagina is tight. Is this the cause of the cut? Or will it happen after one has had sex for the first time? What should I do? Please help. I am attaching the picture of my penis before and after cleaning. | Hello. I have seen the images sent by you (attachment removed to protect patient identity). Regards. For more information consult a urologist online --> | |
Is it safe to have fish while having high uric acid level?
My uric acid level is 7. Small pinching pain has been felt for last about two and a half month. Till date no medicine has been used. Only checken meat of two to three pieces used to be eaten once or twice a week. No other meat is eaten since then, but river fishes are a regular habit. Is fish is harmful? Also tell me that can the acid level be lowered without using medicine? | HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC.AS PER YOUR CLINICAL HISTORY I WOULD LIKE TO TELL YOU THAT YOU HAVE 'HYPERURICEMIA' WHICH CAN CAN RESULT IN COMPLICATIONS LIKE,KIDNEY FAILURE,A METABOLIC DISORDER KNOWN AS "GOUT",WHICH CAN PRESENT WITH SEVERE PAIN IN THE JOINTS OF LOWER LIMB,PARTICULARLY THE BIG TOE".HIGH LEVELS OF URIC ACID CAN ALSO PRECIPITATE TO FORM KIDNEY STONES.I STRONGLY RECOMMEND YOU TO AVOID ALL FOODS RICH IN PURINE LIKE RED MEAT,FISH,TOMATOS,CABBAGE,ETC.INSTITUTE DRUGS LIKE NSAIDS,ALLOPURINOL,COLCHICINE TO LOWER BLOODURIC ACID LEVELS.GET AN ULTRASOUND OF KIDNEYS,COMPLETE URINE EXAMINATION.CONSULT YOUR DOCTOR FOR FURTHER QUERIES.THANK YOU.TAKE CARE. | |
What causes headache,congestion,problem in breathing and blood while coughing?
this is very strange I am 46 years old and weigh 150 lbsat 5'4 and I believe I am healthy. 2 years ago I had gastric bypass but have had no problems. Today I had a headache and took 2 aleve my husband and i made love and afterwardsw I felt conjested and my breathing is raspy. I have coughed up blood a couple of times this is the first time in my life . this is very strange to me. I feel fine | Hi thanks for contacting HCM..As you have expectorated blood in cough, your respi examination should be done with auscultation and physical examination....You could have bronchitis infection or pneumonia ....Although fever not present investigate with chest x ray and spirometry.....For congestion relief antihistaminic drug can be taken ....Steam inhalation useful ....Avoid excess spicy food and smoking exposure avoided....Antibiotic like levofloxacin can be taken for five days...If consolidation seen in x ray sputum examination conducted....Hope your concern solved.Take care You can consult pulmonologist for it ... | |
What causes pain in chest/arm/stomach with vomiting sensation?
I am regualary feeling pains in the chest and and the left arm joins and stomach pain. When i checked with doctor and the cardio reports are saying im perfectly alright. But, im now and then feeling i may get heart attack. Some times during tension, i may feel bad and get vomitting, motion symtoms. Please help me in this | Hello!Welcome and thank you for asking on HCM!I passed carefully through your question and would explain that your symptoms could be related to anxiety. Have you performed a cardiac stress test? It would help investigate for coronary artery disease and reassure you that you are not going to get any heart attack. If you already have performed this tests and it is normal, I would recommend considering other possible causes that may mimic this clinical scenario: gastritis or gastro-esophageal reflux, a cervical column radicular nerve pain or anxiety. For this reason, I would advice performing a cervical spine X ray study and making some trials: a- try taking an antiacid or omeprazole. If it helps improve your situation it would indicate possible gastro-esophageal reflux or gastritis. In such case a fibrogastroscopy would be needed. b- try taking alprazolam 0.25 or 0.5 during those episodes. If this helps improve your situation, it would indicate anxiety as the main cause of your complaints. You should discuss with your doctor on the above issues. Wishing good health, Dr. Iliri | |
What causes thickening of cortex?
lm a breast cancer patient . invasive lobular carcinoma , three years ago l was told ;l had ostoeblastic metatstatic disease in skull , then told it was thickening of the cortex just recently , they couldn t see breast cacer deposits , I have just been put on Fosamax for severe osteoporosis | Hello!Thank you for your question on HCM!I understand your concern. I would like to explain that thickening of the cortex can occur in different situations : -idiopathic ( without any known cause)-chronic ventricular shunting 1-Paget's disease-anaemias-osteopetrosis 2-hyperparathyroidism-antiepileptic drugs-intracranial bone metastasis-other rare disordersIn this case I think a bone scintigraphy and a biopsy may be helpful to determine the cause. Hope to have been helpful!Greetings! Dr. Aida | |
Are there pregnancy chances with non penetrative sex?
i normally have periods for 4-5 days, it was my 4th day on 22nd feb ,me and my boyfriend were just playing around,he touched his penis on my vaginal external parts FOR AROUND 15-20 SECONDS, HE DIDNT HAD AN ERECTION ,he didn t penetrated,i am jus 18+ and from a reserved family, can it leadto pregnancy please help me ...... | Hello dear,i understand your concern.In my opinion there is chance of pregnancy when semen is ejaculated inside or around the vagina during the fertile or unsafe period.The 4 th day comes under safe period so there is no chance of pregnancy even with ejaculation.Just touching the private parts without ejaculation does not result in pregnancy even in unsafe period.So relax.Avoid stress.Practice safe sex with condom.Hope this helps.Best regards... | |
Diagnosed ITP during pregnancy, platelets low. Bone marrow biopsy normal. Treated with dexamethasone, prednisone, IVIG treatment. Suggestion?
I was diagnosed with ITP In January 2009. I was told it was pregnancy related and my platelets would go back to normal after delivery. When I went to the er in January 2009 my platelet count was 1100. I had my child August 2 2009 and my platelets remained low. In November 2009 I had a bone marrow biopsy and it came back fine. In Dwcember 2009 I had my spleen removed. I still have low platelets to this day. I have been treated with dexamethasone, prednisone and IVIG treatment. Any suggestions? | Hello madam!youtalked alot about yourself but nothing about the baby. how is he. has the baby got itp? any complication of itp? i havnt seen any mother die from itp during pregnancy so far but i have seen every 5th baby of itp mother die of intracranial helorrhages and bleeding. so i request you please no more babies. you will pose a threat to you and them both. plus avoid activities which result in trauma.if you plan further deliveries at least do it where level III NICU are available. steroids wont be enough for you.(prednisone)you need platelet transfusions right after the dosages of Intravenous immune globulin (Gammagard S/D, Gammar-P, Gamunex, Carimune, Polygam S/D) this will help reduce the lysis.Intravenous anti-D (WinRho, WinRho SD) have showed some promisingresults.add some thrombopoetic agents to your diet( platelets producing stimulators) like promacta(eltrombopag) and Nplate (Romiplostim) .i would strongle recommend to see the hematologist in case thrombocytopenia persisted.RegardsDr Khan | |
Does follihair tablet increase the hair fall?
ok...doctor i am suffering from hairfall problem from last 2 yrs....i have nvr taken any medicine till date but now the problem is very serious , i have lost half of my hairs and now i am taking follihair tablet . 1 tablet daily....will it be useful and is there any side effects of this tablet | Hi. I guess you have not consulted a dermatologist and the cause of hair fall has not been established yet. There are many reasons for hair fall and the cause needs to be established for a proper treatment. Follihair is a biotin supplement and is modestly effective in controlling hair loss due to telogen effluvium. It has limited role in hair fall due to other causes. Follihair, being a supplement, has fewer side effects unless you use it for a pretty long time. Hope your queries are answered. | |
Diagnosed with polycystic kidney disease. Blood pressure under control. Can it be cured by kidney transplant?
My husband was diagnosed with polysistic kidney disease 3 yrs ago...I hear there is no cure for this...just control blood pressure which he does with medication.....his kidney function is 30..he is 49 yrs. old why cant they offer him a transplant. I understand this disease causes all sorts of other problems...what can you suggest | Hello.When polycystic kidney causes problems in blood pressure and renal function (elevation of blood levels urea and creatinine) the solution is transplantation.The transplant cured but is necessary to get a compatible kidney to her husband, all kidneys are not useful for any patient.I wish you good health.(if the answer has helped you,please indicate this) | |
Sharp pain in lower abdomen, unexplained flatulence. Taken otc gas pills. Suggest quick relief medication?
Hi. I am Susan. I am experiencing sharp pain in the lower right side of my abdomen. It comes in waves, never going away, but sometimes less discomfort, then turning into stabbing pain. I notice I had a lot of unexplained flatulence last night and didn't feel very well. The sharp pain started late this morning. I am not eating anything different in my diet. I took otc gas pills at 5:00 pm this evening to no relief. I also had a large bm at 5:30 this evening and thought that may help, but to no avail. I am in extreme discomfort. Anything I can do to give me quick relief? I do not think this is appendix related as I can jump without making the pain worse. | HI Susan,It is not necessary that you have to have pain while jumping to be diagnosed as appendicitis. Appendicitis is more a clinical diagnosis, and investigations can only be corroborated with the physical findings.As you had a large bowel motion, you have to exclude any kind of food poisoning if you eat from outside. Apart from it a ureteric calculi may also give rise to similar symptoms of pain which comes in waves. I would also like to know date of your LMP(Last menstrual period) if you are in your reproductive age, and are sexually active. If you have a missed period, then you should go for a urine pregnancy test and a serum HCG test on consultation with your family physician. If still nothing is clear, then your physician may advise you for an ultrasound to exclude any other intra abdominal pathology,which might have been missed clinically. Wishing you an early recovery. | |
Trying to conceive. Had diagnostic laparoscopy. Having abdominal pain. Taking injection for the follicle development
i going for treatment past 4 months to conceive i had diagnostic laperascopy for 2 nd month after laperoscopy my dr told me nothing problem. i always very little very lower abdomen pain i always feel it. she is giving me injection for the follicle development and for the rupture and duphoston tablet. am i moving in right path. could i conceive | hi, in case of irregular periods and anovulatory cycles, -tablets or injection will help in follicular development and release of ovum, so if you plan intercourse at that time there will be more chance for pregnancy. duphaston which is a synthetic progesterone, will help in case of progesterone deficiency in implantation of zygote and in maintenance of pregnancy. take care. | |
What causes swelling of wrist after biting by a guinea pig?
Hi. About half an hour ago my guinea pig bit my wrist. It has swollen to about the size of a small potato. Upon looking at my other wrist I've noticed quite a thick vein and was wondering if this is serious or if I just wait it will get better? When I was initially bitten it bled quite a lot so I ran it under a cold water tap until it stopped. There isn't any discolouring as yet but it is fairly painful. Thank you. | 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.There is only one thing you have to maintained in your case that is prevention of infection. If the infection is prevented your wound will be healed as such without doing anything else.I suggest you to do regular dressing with good cleaning and applying dettol, betadine and antibiotic ointment.The appearing vein is not a abnormal thing it is the reaction of the surrounding tissue because of the bite injury you have received.Please take the medication like cefixime, paracetamol, aceclofenac and serratopeptidase under your doctors guidance.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Suggest natural remedy for flesh coming off anus
hi doc, may i know what is the effect of putting toothpaste on the anus/anal, coz i noticed a have a little bit of flesh that came out from it i just noticed it yesterday,is it dangerous? may i know what is the thing came out..may i know the natural remedy or medicine for this? thank you. godbless. | From your history possibly it an internal piles.its likely to be 1st degree internal piles.kindly have bowel habits very clear. every morning you should clean your bowel.should not get constipated.take more fibre foods like spinach and fruits.(raddish,banana,etc)your mode of work- should not sit for prolonged time.have some break and go for a walk .Things like persistent cough,Constipation will increase your problem.you can take handful of dried grapes in the night to get clear bowel movements. thank youif need Ayurveda medication. kindly inform more details about you and symptoms | |
How to treat throat infection in a 1.4 years old child?
hi sirmy kid is of 1.4 yrs as per our doctor he his suffering from throt infection from last two days we are giving him ANTIBOITIC NIKOMOX CV. 4ML TWICE A DAY TODAY we have given him last dose at 1.pm. but from last 2 hours he his having motion nearly four time ALong with NIKOMOX CV he his also ADVISED for nutrolin d ,zyrcold, syp ibuqesicp | Thanks for putting up your query at HealthCareMagic. I am sorry that your small kid has a throat infection. When antibiotics are taken the beneficial bacteria that remain normally within our bowels, also die. This is the cause of the diarrhea. Please continue giving him the antibiotics for the full duration of 5 days as prescribed. Alongside, give him curd/yogurt which is rich in lactobacilli which form some of the beneficial bacterial of our bowels. You may also give Enterogermina - 1 sachet twice daily for 3 days. Continue giving him the other medicines as well. I hope that helps. Feel free to revert back with further queries if any. | |
Suggest treatment for renal failure
My mother suffer from Chronic renal failure. her age is 72. Hemo Dialysis in weakly thrice. She has taken amlodipien 5mg b.d., Flavedon MR o.d., Livogen b.d., cap.Rocatrol 0.25mg o.d., calcium 500mg, b.d., Tab, sorbitrate 5mg, ing. Eithropoietin 2000i.u weakly twice,These are all useful doses. Now she has swelling the both leg, Doctor prescribed Moxclav 625mg and Acetaminophen 625mg both b.d. dose, To day taken the uric acid test . the present of uric acid is 5.2. Doctor told to me if the uric acid present is more than 7 , you may get tab. Febuget 40mg. may i give the drug Febuget 40mg to my mother? | No we don't generally treat uric acid level if the patient doesn't have any symptoms, below level of 8...in your mother's case she is CKD stage 5 on maintainance hemodialysis patients and pedal swelling most likely because of fluid overload, not because of increased uric acid... So restrict her fluid intake 1-1.2 litre daily and at this point of time febuget is not required.. | |
Can I impregnate my wife after taking coq forte?
Hi IM 28yrs old male we re trying to have baby frm past 2yrs, but we re not able to, n went for complete blood check where my FSH results were 1.91 Miu/mln doctor suggested me too take COQ FORTE for 3 mnths to boost my sperm count. How much time it ll take time to boost the sperm count and suggest me i would take or not??? Or tell me how its worth for me??? | THANKS FOR YOUR QUERYyes you can take COQ FORTE for 3 months. there are studies which suggest that, the contents of COQ FORTE increases sperm count. please take it and give a try. all the bestthank you | |
What causes burning sensation in the penis post oral intercourse?
hello I had orel sex with strange girl now have burning in oenis my family dr.gave me antibiotic and I still have burning and neasua little light headed I took almost all the pills and shows no sign of relief can you tell me what can be going on they took test for 3 kinds of stds and was cleard | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If you would have came to me i would have advised you to get your complete urine examination done as i would be suspecting urinary tract infection as the oral cavity has naturally occurring bacteria which might be shifted to the penis. As I await for the test I would have started you on cranberry extract and if urine exam comes positive then i would have started you on appropriate antibiotics. Hope I have answered your query. Let me know if I can assist you further. | |
Does Gabapentin interact with Percocet?
I take 100 mg gabapentin and was given a 3 days dose of 10/325 percocet after my recent hip surgery. Are there any significant interactions since the gabapentin is such a low dose? I take 100 mg gwba 3 times a day and was give just one percocet a day for the next three days. Just curious. My pain management drs are of the greatest and ignored my hip problem along I ll they said..we will out your mind at ease. Your hip pain is from uir back! Wrong! Within 3 days of MRI I was having hip surgery to shave my femur and now my leg is in the best position finally roe the first time in 45 years. I ask cause they just said oops sorry. So I have little faith in them. | Hello, Not really. First, Gabapentin has a very high safety threshold and does not lower respiratory function. second, it is an anti-epileptic without interaction with addiction. Third 100 three times a day is a low dose. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist | |
Is surgery and biopsy needed for hard, painful lump on big toe pad?
I have a hard lump under the top of my big toe pad. You cant see it, but can feel it and manipulate. It is painful to touch. My doctor wants to remove it with outpatient surgery and biopsy it. Does this sound correct? Shouldnt I get a steroid shot or see if it aspirates | Hi, dearI have gone through your question. I can understand your concern. You may have some benign mass or cyst. You should go for excision biopsy. It will give you exact diagnosis. Aspiration or steroids will not help much. So go for surgery. 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. | |
Suffering from acute exacerbration of intersstial lung disease
my wife admitted in icu with acute exacerbration of interstial lung disease.now she requries 15 lit o2 /she is tachypneic,having tachycardia,no pul hypertension.having secondry bacterial infeion with fungul infection..doc r not sure about gud prognosis,can homeopathy help this condition now. | Hello dear, thanks for your question on HCM.I can understand your situation and problem. interstitial lung disease (ILD) is very bad disease to have. No cure is available till date.And it is progressive disease.No drugs are available to halt the progression of the disease.So better not to start homeopathy medicine.It may even more harm you, because of the side effects.So better to avoid such homeopathy medicines.Better to discuss end of life issue with her. | |
What causes pus filled blister on the abdomen?
Hello, my wife has type II diabetes, is on insulin, and lantus (at night) as well as metformin after meal (2xday). she is an amputee and overweight (not enough exercise as well as hereditary). developed a "small'grayish looking blister on one of the folds of her abdomen, about a week ago. It opened and has grown to sice of about a dime, does not seem to "puss", She takes showers every day, so it's not a cleanliness problem. I have treated so far by cleaning, applying Desitin, and keep it covered with large size bandaid. She is 82 and i would like advise. Thank you. H.Neyenhuis | Hi,One of the complications of diabetes is that there is increased tendencies for infections due to decreased immunity.Please visit a General surgeon. The blister has to be cleaned with hydrogen peroxide and betadine and dressed regularly.Also , a course of broad spectrum antibiotics like Ciprofloxacin and tinidazole combination to be taken twice a day for 7 days.Along with this multivitamin tablets and serratiopeptidase tablets twice a day is helpful.Regards,Dr.Riyanka | |
Suggest remedy for bruised foot
i stuck my foot in a shoe and it felt like I was walking on a stone. SO, I took the shoe off. It hurt on the ball of my foot near my outer side. I could feel a hard knot on the ball. I sat don and my third toe hurt extremely bad when I touched it. The next morning, the bottom and top of my foot was bruised. The bruising is spreading across the top of my foot. There is still a hard knot on the ball. | Hello, A bruise is a kind of soft tissue injury and will settle by itself. No definite treatment is required. You can apply icepacks for faster recovery. If symptoms persist better to consult an orthopedic and plan for an X-ray to rule out bone involvement. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Will ovarian cysts cause problems in getting pregnant and suggest treatment?
infertility problemsI been trying to concieve for two years nothing never happens...I once had a cyst removed off one of my ovaries..is there any fertility pills I can buy over the counter that will help me concieve??..do you think ovarian cyst is stoping me from getting pregnant...can somebody please help me????...it hurts to see other womens having kids with no problem | Hi.The cyst does indicate a possibility for or has led to a hormonal imbalance. Please understand that such issues cannot be treated with over the counter medication. Pregnancy and conception is no joke and so although your problem is minor, with proper guidance and treatment you will surely be able to conceive soon. A thorough work up followed by control of cycles along with the initiation of medication like clomiphene can help your conceive soon.Best wishes. | |
Q. I get depressive phase and normal mood alternatively. What is the possible diagnosis?
Hi doctor, I get in a depressive phase for a while and I cannot seem to get out of it and then I feel completely fine like nothing happened. So I did not tend to take any actions. But it is recently been affecting my personal and work life. I tend to not feel like myself. Currently, I am on Lamez 25, Zapil and Zotral. My doctor just prescribed these medications when I told him about my anxiety issues and extreme mood swings. I am still unaware of the diagnosis as it is still affecting my day to day life. | Hello. What are your symptoms exactly? If they are of depression, then the treatment with SSRI (selective serotonin reuptake inhibitors) is ideally given for six months or so. The Lamez 25 (Lamotrigine) is just a mood stabilizer, if the psychiatrist is suspecting bipolar disorder. Zapiz is a benzodiazepine and I would not advise you to take it for longer periods. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do not wish to eat, have difficulty sleep, anxiety, tiredness, headaches, etc. In bipolar illness, there will be a period of these depressive symptoms and then after a period of normalcy, the reverse happens. That is, you feel unusually happy for no reason, there are episodes of spending money excessively on things which you do not need, or maybe episodes of excessive use of alcohol, other illicit drugs, sex, irritable behavior, decreased need for sleep and still feeling fresh, grandiose talks and ideas, many non-goal directed activities, etc. So if you have not had the manic/hypomanic phase, then probably you might suffer from a major depressive disorder or generalized anxiety disorder. | |
Q. I feel numbness in penis. Is it due to nerve impingement?
Hello doctor, I am a 26 year old male. My height is 190 cm and weight is 85 kg. I do exercise with weights regularly. I have noticed that I have reduced feeling in the skin on my shaft. I cannot feel normal touch, but I can feel the pain if I pinch it with my nails. To best describe it; it feels like my penis is not there when the head was covered by foreskin. I just noticed it two weeks ago. Is this due to nerve impingement? I do not have any back pain or radiating pain down the legs. There is no trouble or pain with defecation or urinating. There is no tingling or pins and needles on the shaft. Rarely, I feel some burning or numbness feeling. I do not notice any discoloration or anatomical abnormalities. Is this a sign of diabetes? But, there are no symptoms such as polydipsia, polyuria, etc. I do not remember any trauma to the penis. I do not ride bicycles at all. I have been to a urologist and done an ultrasound of the penis and testicles along with a Doppler. But, there is no finding to be worried.My libido is very low. I get erections during the night or if I really concentrate on erotic thoughts. I have not tested testosterone levels, but I suspect them to be normal. I do not really mind the reduced feeling in the shaft. But, it would be nice to get it back. I am worried by thinking that it may spread or this is a start of a more serious disease. What is your opinion? Thanks in advance. | Hi. This is a localized numbness that we are bothered with. Disease starting from this region without any other associated symptoms is quite rare and without them we may not think of a systemic pathology right away. Have you tried nerve tonics? I suggest back strengthening exercises and Pregabalin 75 mg once a day for two weeks. Vitamin B12 levels and HbA1c should be helpful. Consult a specialist doctor, discuss with him or her and take the medicine with consent. Lack of erections may suggest a more systemic disease, but we need to have more a detailed talk before we can attribute symptoms. For further information consult a urologist online --> | |
Is inability to focus on more than one thing at a given moment normal?
I m really unable to do more than one thing at a moment. I stop paying attention to absolutly everything around me when i m occupied. I m not able to drive and talk to somebody. I often don t see people juste in front of me when i m thinking or talking on the phone. Is it normal? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you mentioned that you will stop paying attention to absolutely everything around you when you are occupied it means that you are able to fully concentrate on the work that you are doing. I think it's a very good sign that you are able to concentrate on the hope that you are doing so that results will be definitely better as per your concentration levels. And it's always tries to focus on a single task each time then to dilute your focus on multiple tasks. Unable to do more than one thing at the moment is really not a disease. If you are not able to focus on even one task then that should be evaluated further. As you are not suffering from a particular disease there is no need of any medications or investigations. Going for a morning walk daily, exercising for 2 to 3 days in a week, listening to music, spending time with your friends and family members definitely improve your concentration further. So no need to worry about your condition. Hope I have answered your query. Let me know if I can assist you further. | |
Abnormal reading of sgpt, sgot and tg. Can online doctor help me?
I am 56 year old . my sgpt (alt ) 140 U/l . sgot (ast) 60 U/l tryglyceride 210 what is the remeady for reducing high level of the above . is it udilive 300 is enough to reduce the liver enzymes . please reply , | Hi Welcome to HCM Read your prob, you have slightly high liver enzyme n high leval of TG. you should start cholesterol lowering drug after advising your doc as soon as possible as it is cause of cardiac diease. for slightly high liver enzyme you can start any liver tonic 10 ml three times a day for 5 to 7 month. | |
What causes back pain?
What is causing the back pain with my food poisoning? I'm on day two. Felt nauseous all night the night before last. Had diarrhea at 5:30 am, 11 am, and again at 4 pm. Sipped 7UP and water through the day and it stayed down and went through me. No fever, but intense chills (oversensitized nerves), and a crampy tight stomach. Finally threw up at 8 pm and saw my lunch from the day before (as suspected - the salad I think was the culprit) but not the dinner I ate after it (which seemed to pass through). Now it's day two and the chills are gone, no more diarrhea or vomiting but my mid-to-low back really feels tight and painful in certain positions. Stomach is still sore/tight but no nausea. Still sipping clear liquids. !The back pain is the worst part now! It feels muscular, not internal, and goes away in certain positions with deep breathing. Any idea what's causing it or what to do about it? Thanks. | hibackache needs some attention with proper massage,hot fomentation and application with muscle relaxant gels and lying comfortably in favorable posture and position.Usually with bous of vomit,stomach cramps the back muscles go into contraction/spasms and it will subside with above measuresRegards | |
What causes cough with greenish stool in an infant?
My 9 month old has been sick lately - coughing,runny/stuffy nose and just seems to be getting well. She is still drinking her formula but barely any solids. For the past 2 days her poop has been greeny/yellowish colour, slimy and has been smelling a strong vinegar smell. What could be causing this? | In my experience, the poop can be variable once a child is recovering from an illness. I usually don't get too concerned. The most important thing is that she is drinking and acting okay. The appetite for solids will come back in time. Just make sure she continues to drink and is urinating and acting okay. If you have more concerns, you can take a sample and have her doctor take a look. But most likely it is not really significant.Wishing that she continues to get well! | |
What causes soreness in the breast and nipple?
Its possible I could have gotten pregnant on January 8th and today I noticed my breast and nipples are sore. I woke up this morning with horrible pains like a pressure type pain as if I had to use the bathroom real bad down there around my bladder and my butt. Could that be a early pregnancy sign? | Soreness in the breast and nipple can be due to multiple causes like,Inflammation in breast tissue, breast cancer, hormonal imbalance, pregnancy, fibrocysctic breast changes, cervical radiculopathy, inflammation of the cartilage connecting breast bone and the ribs, inflammation of the superficial breast veins due to clot, any injury to breast.In your explanation you have doubt can it be due to pregnancy?. I suggest to do a pregnancy home test and check if its positive yes it can be due to pregnancy. But if its negative then I suggest to meet your gynec doctor for proper check up and treatment.Now next is about your pressure pain in morning, it could be because of stomach upset or gastritis also. I suggest to check with doctor on this too if pregnancy test is negative.I suggest to follow above steps and do some changes in life style like have good healthy different fruits and vegetables, do regular exercise and take proper sleep for better health.Take care. | |
During puberty scratched boobs, nipples. Areola has healed and nipples haven't. Pus formation in nipples. Chances of recovery?
Three months ago I started scratching my boobs and nipple a lot because of puberty, and the after affects we're horrendous. My aerola has healed but my nipples haven't. It gets dry, flaky and when those flakes peel off because of the friction against my bra, my nipple gets pus oozing out and it sticks to my bra, causing it to peel off more dried skin. What has happened and how can I heal it? | Its probably infected and eczematous. Use saline soaks and dont pick the scabs.take oral antibiotics for a week. I think Amoxycillin or Amoxycillin/clavulanic acid combination would do.Appy Mupirocin ointment twice daily | |
Can any online doctor help in reading semen analysis result?
hi , dr , i am 24 year old , i feel Rt testicular pain , i sought medical advice . i was asked to do semenal analysis and scrotal doplex. doppler was normal semenal analysis:-ph : alkalin concentration94mllion per ml liquifaction time more than2 h rapid active motility30% slugish progresiv35% volum:3.5ml WBC1-2per HPF Can i father achild? many thanks, | HI, thanks for using healthcare magicSemen analysis provides a general idea of fertility. Your concentration or count of 94 mill/ml is normal, it is considered good if it is above 20 mill/ml.The motility is normal if more than 50% are moving. In your result a total of 65% were moving though only 30% were rapid.The volume of semen is also normal. The low white cell count shows that no infection is present.Semen analysis also generally looks at the morphology (shape of sperm, does it appear to look normal). This is not mentioned.Based on the results given, there should not be any major fertility issues.I hope this helps | |
Is it normal to have pain on left side of head in a fibromyalgia patient?
Hi, I have been diagnosed with fibromyalgia for 2 years now but feel that there is something else and that this is a quick fix diagnosis. Today my cousin told me that she has been diagnosed with Hashimotos. We have lots of family members with thyroid issues (but I don t know who my dad is) but all the test came back normal for mine and hers. Is there a chance that this is what it could be? I am also vitamin D deficient and need to take 8,000 IU a day. When I have a flare up I get a headache down the left side of my head from the top to below the chin, teeth, ears and all. Is this normal for Fybro? I also have muscle weekness, low heart rate, exhaustion and many more symptoms. I was told today my dr. that if I had Hashimotos that I would have a severe sore throat and my heart rate would be fast. Is this true? Just want to be diagnosed instead of always pushed under the rug if possible. Any suggestions are helpful. Is Gluton free diet the way to go? Thanks for your help in advance. | HiGood to know your tests are negative so you don't have to worry. Many people suffer with fibromyalgia, there is definite help to tackle it.Fibromyalgia is treatable, a Physical therapist or a sport massage person can help you in relieving your pain and put you back to normal lifestyle.thank you | |
What causes sore, swollen bruise on outer thighs?
Hi,I have unexplained bruising on both my thighs (outer). It started with an itch that turned into bruises on both legs. I'm not taking any medication and I'm not still itchy, just swollen and sore. Is there any explaination for this? Should I be concerned? | Hello,You should see a doctor and get some blood tests done. Unexplained bruising may mean that you have low platelets or other bleeding issues.Regards | |
Delayed period, weight gain, pregnancy symptoms. Pregnancy test positive after taking cytotec. Still pregnant?
Hi. My last period was february 28 but i din't have my period last march 28 so I just waited. On April 8 I took a pregnancy test and it was positive so I took 5 cytotec, 3inserted and I took 2 tabs orally. I had a bleeding for 3 days. it's now May 9 and my pregnancy test is still positive. I also feel the signs of pregnancy and i keep on gaining weight. Am I still pregnant? | Hello,You would undergo one TVS scan & blood test for beta-HCG to check pregnancy status along with gestational age. After that you need to consult with gynecologist for next line of management.You may need to undergo D & C to complete the abortion. Otherwise if all reports are within normal range and there is no sign of miscarriage, you can continue your pregnancy if you want.Good luck. | |
What could cause severe lower back pain,abdominal pain and thigh pain more towards left?
hello doctor, actually for the past one and half years i have severe low back pain, lower abdominal pain, and thigh pain right more than left. i have got mri done of lumbar spine. it reports grade 1 anterolisthesis of L5 over S1. Diffuse disc bugle causing mild indentation of anterior thecal sac, bilateral neural foraminal narrowing with mild impingement of bilateral transversing nerve roots. L1-L2 19 mm, L2-L3 19 mm, L3-L4 20 mm, L4-L5 18 mm and L5-S1 17 mm. Please tell me what that means in simple words and would i have to undergo surgery for it or what to do now? | It means you have multiple narrowing of disc spaces No surgery is needed yet , physical therapy can fix all your problems i suggest you start with out further delay | |
How many minutes should I apply the ointment for psoriasis treatment ?
iam using halobetesol propionate creaam with combinaton of moyzen for psoriasis treatment.for how many minutes i have to apply to my body iam using halobetasol propionate &salicyclic acid ointmment with combination of moyzen for psoriasis .for how many minutes i have to apply dis creams to my body.my age was 24. | Hi!Chandrakumar, Welcome to HealthacerMagic forum, these are good creams for psoriasis ..you can use it twice daily on the affected area...and leave it..don't wash it off... take care, Dr.chawda | |
What is the treatment for wheezing problems?
Hello Doctor I am suffering from a wheezing sound that is coming from my windpipe and when I cough a small amount of blood comes up. This only occurs when I get this wheezing sort of gurgling sound in my chest. And most time I feel there is something stuck in my chest. Recently I was in the hospital and they performed a bronchoscopy and gastroscopy however the results came up clean. They also did a tests for TB and bronchitis and these also came up clean. Can you please help me I am really worried. | Thanks for your question on Healthcare Magic.I can understand your concern. You are having hemoptysis (blood in sputum) and wheezing (whistling sound). Both these are commonly seen bronchospasm. And most common cause for bronchospasm is bronchitis. So I insist you to get done PFT (Pulmonary Function Test) despite of normal chest x ray and bronchoscopy.PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).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 cough with sputum
Sir my age is 42 years and weight is 83 kgs. I have no specific disease. I have productive cough for the last 3 months. x-ray of chest showed no active pathology in the lungs. sputum comes out often after getting meal or taking tea. wha the cause may and remedy please | Thanks for your question on Healthcare Magic. I can understand your concern. You are having chronic cough (cough for more than 2 weeks) and phlegm (sputum). Common causes for these are lung infection and bronchitis. Since your chest x ray is normal, no need to worry for lung infection. So we should rule out bronchitis in your case. So Consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids. Don't worry, you will be alright with all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What are the small hard lumps arising on the vagina?
Hi. Please help! I have suddenly noticed lots of small hard lumps on the entrance of my vagina. There is also a lump on my left labia and near my anus. They seem to have come out of nowhere! They are not sore, they do not itch and there is no nasty smell. I am sexually active. Please help as I'm terrified! | Hi. The painless lumps on the area you have specified are mostly due to a rash or furunculosis. Apply liquid Povidone iodine locally, may get alright. If not consult a Gynecologist as visual impression is very important in diagnosis of such problems. | |
What could bloated stomach, hard and big stools in a child mean?
My daughter is 4 yrs old. her stomach seems to be bloated everday, sometimes it goes off after her bowels but comes back the next day,her stools are hard and big, almost same size as an adult. She does eat as normal and no complains on any discomfort on her stomach, should it be a concern? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The symptoms that you have mentioned are suggestive of stomach infection. You should get the child examined by your doctor. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Deepak Patel | |
What causes bleeding of the gums when the bottom plate is worn?
Hi, My name is Billy and iam on desibility and i Make `175 month and my wife dont work she needs to be on desibility she has sugar. Her teeth needs fixed and i have false teeth. My top plate i droped and i lost 1 tooth diwn the bathroom sink and the other tooth i found. The bottom plate i havnt wore since they were made. The dentist didnt gidnt grind the 2 bones that are in your bottom gums and when i wear them my gum bleed. | hi billy... i would suggest you to visit dentist . if he has made your denture(plate) and you are having problem with that then you should contact him. one of the reason of gum bleed on wearing denture is some sharp edges which is irritating your gum.. there are some oral gels ,you should do gental massage over gums with that. if in case of loose plate some adhesives are available for its retention. so contact your dentist for correct treatment. | |
What causes slow actions and concentration deviation?
I am 26 I have been doing research and I believe I have low cognitive ability I have tried guided meditation and it has not helped. I believe I am slower than most people and cannot make connections and have a hard time it's focusing studying completing tasks having goals . I have read of modafinil and I believe I fall under the symptoms | DearWe understand your concernsI went through your details. You are already 26. How will you rate your educational and allied performances all those prior years. I think you are already aware about this or you were just ognoring the symptoms. You may not have memory problems. You may be having some learning disabilities or cognitive disabilities. I suggest you to consult a clinical psychologist for a psychometric assessment in those areas. You will exactly know what is troubling you. If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck. | |
Why my blood pressure is low?
Good Morning,, I went to the ENT yesterday due to ringing in my ear for over 9 mos. Though my blood pressure is always on the low side it read 105/39....My Diastolic pressure usually is low but not this low. What can be causing this? Yes, I'm light headed often and very fatiqued....Any ideas? | Hi Sir,Welcome to HCM,I understand your query and concern.Low blood pressure in your case could be related to Congestive heart failure.I advise you to get a 2 dimensional echo cardiography of heart.Drugs like diuretics,ionotropes can be useful once confirmed.Drink plenty of fluids and fruit juices.Consult your cardiologist for expert management.Post your further queries if any,Thank you. | |
What causes an increase in the platelet count?
Dear Doctors, Good afternoon, My daughter (age 14) having AMl is now under aurveda treatment, and her platelate have increased quiet a lot (i.e 240000) but her Hb is falling and I had to give her pack cell almost every month. Also her WBC is increasing with a increament of Blast cell. Can you you please advise: Regards Mukherjee | Hi, dearI have gone through your question. I can understand your concern.Her platelet count is normal. Hercwbc count and blast are increasing. It means she is not responding to the treatment. You should consult oncologist and start chemotherapy according to the type of AML. 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. | |
Suggest possible treatment for extensive small cell lung cancer
66 yr. old female. Dx: extensive small lung ca, 74lbs, enteral feedings started recently. Was diagnosed in May 2014 with limited small cell lung Ca, d/t lack of insurance tx did not begin, now it is extensive, paraneoplastic syndrome from time of dx. Plan is to get her stronger and begin chemo. What do you think chance of any quality of life at this point, tx vs hospice? | Thanks for your question on HCM. Small cell lung carcinoma is very notorious in spread as well as behavior. It secrets hormones and cause paraneoplastic syndromes. So we need to treat it as soon as diagnosed otherwise it will be rapidly spreading. Same happened with her case.In my opinion you should give her palliative chemotherapy trial after nutritional stability. Life expectancy will be very low. Less than 8-9 months. So nutritional support is must with multivitamins,proteins and hematinics.Palliative chemotherapy should be given if tolerated well. | |
Q. I found an odd mass in the x-ray of the lower bottom gums. What it is?
Hello doctor, I took an x-ray a few days ago and there is an odd gray mass about the size of a tooth in my gums on the left bottom side. I do not believe. I have been getting discomforts and as a result of that because I am currently getting some pain from my wisdom tooth which is colliding into its neighboring tooth in a slant position. So my dentist wants to send me to a specialist and I am really worried as there is no appointment for a while. | Hello. I believe you are seeing the gray mass in the x-ray and as such you do not have any swelling over the gums which you can visually see. There can be any of the following conditions according to your symptoms: It can be a benign cyst, which usually occurs below the lower wisdom tooth and can be removed by the specialist through a small surgical procedure which will not cause much discomfort to you in the near future. It can sometimes even be after prolonged infection of any teeth like if the wisdom teeth are slightly tilted, it can cause an inter-dental infection resulting in encystment of the infection causing a radiopaque mass seen in the x-ray. It will heal in the long term after using antibiotics for five days at least, else the same above said procedure would be done by the specialist. It can be also a hard tooth-like odontome which is usually benign and should be removed by a specialist as it can in the future sometimes turn malignant too. I hope this helps. | |
What causes abdominal pain after gall bladder removal?
My father was admiited to Fortis Hospital Fardiabad on 24 Jul 2010 after he complained of having severe Abdomen Pain, after doing various tests doctor advised to ERCP to remove stones in CBD as he got his gall bladder removed in 2002 so some stones were left. After the operation he complained of severe pain, his amylase level raised to 2200, doctor said he suffered from pancreatis and it will take 2-3 days for pain to subside, but it's been 4 days he is still having mild pain which raises at peak sometime during the day.....kindly tell how much time it will take, or do we need more follow ups....His age is 56 years, he got CABG in 1998, having hypertension and is diabetic too.... Thanks in Advance........... | hi.thanks for posting queryERCP may lead to pancreatitis.resolution of symptoms may take few weeks.follow doctor advice and be compliant with medication.wish your father good n sound health.regardsDR Tayyab Malik | |
Is OCID D capsule effective for abdomen pain with loss of appetite?
Age- 64, Ht- 5ft 7in I have slight burning sensation and feeling of fullness in my upper abdomen. This has resulted in loss of appetite. Will taking OCID D capsule help? Should it be taken before meals? How long can it be safely taken? I also have IBS. | HelloOcid-D i.e. omeprazole-domeperidone is very much effective in gastritis or hyperacidity . As you mentioned that you are having burning sensation , feeling of fullness in upper abdominal area ( epigastrium ) and loss of appetite. Naturally hyper acidity or fullness in abdomen causes loss of appetite. Do following measures , you will get some relief.Try raising the head of your bed about 4 inches with blocks. It also might help to avoid eating or drinking for 2 hours before you lie down. To help control stomach acid one should not drink alcohol or drinks with caffeine in them or excessive tea or eat chocolates or spicy or greasy foods. As you mentioned that you are taking ocid - d , its a very good drug. If symptoms are severe them you may need some antacid syrup which contains oxetacaine ( for instant relief).2 Over eating is one of the most important reason of such symptoms , so please avoid .For loss of appetite you can take "buclizine hydrochloride " syrup 2-3 TSF before each meal. Ocid - d be taken on empty stomach.Take these drugs till complete relief.For IBS consult your treating physician.Good luck. | |
Paralyzed left side. Can walk with little support. Doctors left hope of recovery. Guidance
hi sirmy father is 57 years old..on 4th dec 2012 he gone through a brain surgery because of an attack on his right side of scoll.the surgery was critical.then he got a paralysis pn left side..now he is on physiotherapy..now he can walk with little support .but his left hand is working like 20 to 30 %..some of doctors saying that as 5 months already gone so the recovery chances are very low..he may be cure 100% or may not be.. we r very much worried about it.pls advice something. | Hi,Thank you for posting your query.Paralysis due to brain injury/damage would gradually improve with exercises and physiotherapy. This can continue to occur for upto two years. Since only five months have passed, we can expect more improvement in the coming one and half years.Be positive and continue the physiotherapy.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.com | |
What causes rapid heart rate, dizziness and coldness before air travel?
Hi. I'm a 27 year old male, 6'4, 185 lbs, with occasional atrial fibrillation and have recently been experiencing panic attacks the last few months. I flew for the first time nice having been diagnosed with these problems. Couple of days ago and during the decent into the airport, my heart rate increased a great deal, my hands and feet went cold and began to tingle, and I felt very dizzy and out of breath. Was this just a panic attack,or something more? I know that some sufferers of arrhythmia should not fly, am I one of them? My resting heart rate is between 55-60, I'm athletic and in good shape, exercising 5-6 times a week, quite intensely. Unfortunately, I have to fly regularly for my career, this could be bad! Thank you so much for any light you could shed on this subject! | Hi,There is no contraindication for fight in your case, and your complaints just were a panic attack, so don't worry, keep calm. Just remember do not use alcohol, much caffeine and cigarettes for a day before flight.Take careCome back if you have any further questions | |
Suggest treatment for less sperm volume while having diabetes
problem discuessMessage i am mohd abdul nisar i was marriage since 3 years back i have sugar since 21 years back now my age is 31 problem is spume is not coming but we have all feeling we have discuses so many Doctor but no solution i am trying to come out spume its only one drop but its jail type | HelloThanks for query .Based on the facts you are getting climax of sexual satisfaction (Orgasm ) but there no ejaculation of semen (Anejaculation) This is due to either of the two reasons 1) Either your semen is going backwards in bladder what is called as Retrograde Ejaculation .2) Blockage of the ejaculatory duct Retrograde ejaculation can be confirmed by doing urine test immediately after sex which will detect presence of sperms in urine. If this is ruled out consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Trans Rectal Ultrasound Scanning (TRUS)2) MRI of pelvis .Further treatment (If possible)will depend upon the result of these test and final diagnosis .Dr.Patil. | |
What causes brown discoloration in semen?
I just recently noticed that my semen was like a tannish brown color and there were dark brown little chunks in it. I don't know what it is, but I was sick recently and I'm still getting over what I'm sure is just a sore throat. I felt some weakness and nausea for one day, but the rest feels mild. I was wondering what this semen problem is and if it's related to my recent sickness. | Dear userWe understand your concernsI went through your details. Don’t panic. According to Harvard Medical School, most cases of BLOOD IN THE SEMEN are not serious and can be attributed to six causes: inflammation/infection, obstruction, tumors, vascular abnormalities, systemic factors, or trauma/medical procedures. Therefore please consult a doctor in person at the earliest for physical investigation. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
Can gastric problem raise BP?
Can gastric problems raise the blood pressure? i had gastric problem in 2007, now its back again and my blood preasure shootup 160/100, now on my preasure pills (Avevasc 5mg) and my colestrol is 6.8 and i am on liptor 20mg for the colestrol, after takeing the pills i offten have blood preasure my heart beat is fast about 85-90 after i eat or some times on empty stomach, is this because of gastrict? | Hello, thanks for posting a question on our site. Gastritis can not increase blood pressure. A normal heart rate is between 60-100 bpm, your heartbeat is normal.Your cholesterol level is slight high. A high cholesterol value increases the risk of cardiovascular disease. I advise you continue the Lipitor and Avevasc as prescribed by your physician. Best regards | |
Suggest treatment for chest infection and bronchitis ?
i am age 49 female had chest infection then bronchitis 6 weeks ago .Itook 2bdoses of antibiotics and 1 week off work.However i am now suffering from excessive thirst all the time,Istill have thick mucos in my throat Ia.lso feel sick occasionally.Can you advise | HelloAccording to you , you are having bronchitis and took , two courses of antibiotics within a period of 6 weeks .Still you are having THICK mucus , excessive thirst and feeling sickness, all these symptoms may be due to these reasons , these include.1 Asthmatic allergic bronchitis , as you stated that , you feel thick mucus in throat . This is a characteristic feature of asthmatic allergic bronchitis that patient feel post nasal type discharge in throat.2 Throat infection ( either pharyngitis or tonsillitis ) , diagnosis can be confirmed by physical examination by an ENT .3 Bronchiectais , may be responsible for such symptoms.In my opinion consult a PULMONOLOGIST and get his opinion because almost 6 weeks passed for these symptoms.Good luck. | |
What causes sharp pain in the buttocks?
I went to the park with my 10 year old nephew and and 4 year old niece and will I was playing with them going down the slide and swinging I got a weird sharp pain in my butt like the still between my thigh and ass it s like a rash and I just need to know what it Is and if it s serious and how to treat it | Hi, Its probably a friction burn due to the slides. Keep the area clean and dry. If it is worsening please consult your local dermatologist. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest medication for constipation
My daughter likes to hold her poop in for days for one then when she does go her poop is very light color . and when she pushes hard to strain a little blood appears with it. Now her bottom between the two cheeks close by the hole of the but is really red and raw. what can I do or is it more serious to see her doctor. | Thank you for asking querry.Your child is suffering from constipation.consult your physician.First stool disimpaction is important,give either glycerine suppository per rectal or she may need enema.Change diet,include more fibre in deit like fruits ,green vegetables.15 days or 1 month course of lactulose 5-10 ml dialy.Hope you find this helpful.Rate the above answer if you like it.Regards,Dr rushikesh kute | |
Does papillary carcinoma treatment have a non surgical option?
My mother had a thyroid swelling on right side for 1 year. Tec99 scan showed cols spot and FNAC showed follicular neoplasm. She had gone through Rt hemithyroidectomy and Lt partial thyroidectomy. Biopsy report showed Follicular variant of Papillary carcinoma. What's the next step of treament? Is there any option to treat this without surgery? Please suggest a very good doctor who deals with Thyroid cancers in Hyderabad,India. | Hi, dearI have gone through your question. I can understand your concern.Treatment of papillary carcinoma is surgery and radiotherapy. She have already gone through surgery.SO now radiotherapy is given according to need.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 recurring fungal growth on penis?
I had a previous bout of suspected fungal growth on my penis about 2 months ago and I am uncircumcised. This is not the first time in my previous years and the solution every time had been a course of anti fungal cream and if its persistent my gp would also prescribe some pills to clear it up. The itch and fungus would go away normally in a week. While its not advisable on my earlier bouts I have also used hand cleaners or gels to clean the area during shower as a an added measure which fortunately have never sparked Any form of skin allergy. However I noticed this year on my first bout , happened in April and I saw the same doctor my penile skin started peeling in thin layers ( white in nature ) that would seem to roll off the surface as you rub and clean it to expose a shinier new skin under. This happens on the forehead as well as the foreskin adjoining it. Tis has never happened. I was thinking if the very strong anti bad hand wash which I used to clean during shower has taken a toll on the skin. In any case the gp prescribed me some diflucan for a 4 week single dose per week course and everything cleared in 2 weeks including the skin peel. Fast forward 3 months in July I had a reoccurence for some reason but this time with the same symptoms I can t get rid of the skin peel. The gp and also a dermatologist I saw mentioned I no longer have a fungal infection looking at the condition of the penis. There is no itch no discharge and looks clear except for some redness at times when it does peel after every 3 to 4 days. She prescribed daktacort that I think made things worse, more reddening, I tried konzert with not much effect for I think the earlier bouts of canestan has cleared all fungal infection. I am beginning to think i have a dermal condition on the skin for it seems to be really really delicate. I tried just applying a little papaya ointment to moisturizer the area that looked fine for a while but the symptoms would always be the same, over time the skin would just start to peel all over again. please help. | Hi,Recurring fungal infection can be as a result of underlying immunosuppression as in cases of diabetes and HIV Itraconazol pulse therapy is usually required for long duration in cases of resistant infection. Hope it helps. If you have any other question please do not hesitate to contact us.Regards,Dr. Atishay Bukharia | |
Abdominal pain with orange discharge, tiredness, nausea, irritability and pinching sensation in pelvis. Any ideas ?
I have abdominal pain , discharge that recently became orange, but was originally clear or white with no odor but thick, tiredness, nausea, irritability , and a pinching sensation in my pelvis . On top of this I have discomfort during sex sometimes, other times I am not in any pain at all. Any ideas what this could be? I ve had several STD tests which have come up negative, negative pregnancy tests , this has been an ongoing issue for a couple of years but the colored discharge is something new. At one point I was told at the ER that I had a cyst rupture around the time of my period, however when I followed up with my OBGYN they told me I did not have any cyst issues. Originally I was treated frequently for UTI s (once per month minimum) even when I was doing all I could to prevent them, and it seems things have gotten worse from there. I just need some idea of what I could suggest when I speak to my doctor at my next visit. | Hi welcome to Health care magic forum. Thanks for calling H.C.M.F. As you describe You have clear discharge, sticky with no smell. Recently it became orange colored and had lower abdominal pain, Discomfert in sex,Many S.T.D.tests were negetive, You had treatment with antibiotics once in a month , no ovarian cysts found. Due to treatment with antibiotics several times,there could be yeast infection, which might be causing all these symptoms.Other causes might be harmones imbalance due to any reason. I advise you to consult an endocrinologist for diagnosis and treatment, You may have to undergo harmones essay besides other routine tests for confirmation . Wishing for a quick and complete recovery. Best regards. | |
What causes vomiting of blood during a pregnancy?
I am 31 weeks pregnant and haven t had any problems with nausea or vomiting for atleast a month now, well I just threw up and noticed it had a little bit of a pinkish tint to it and thought it might just be from some candy I ate earlier. But at the very end I threw up something dark red, I think it might be blood. But twice today I had pieces of cake and there was a little bit of dark red in the cakes. So I wonder if it could just be from that. I feel okay and the baby has moved a little since then so I feel like there s nothing wrong with her. What do you think? | Hello,I have gone through the query and understood your concern. Your description suggests fresh bleeding. This is likely to have originated either in the esophagus or the oro-pharynx as the mucus membrane may have got eroded due to retching. If the blood is from the stomach, it will have altered color. Please inform your consultant and get properly managed. If you have any indigestion, you need to attend to it. Any gastritis also should be treated simultaneously. Please do not worry and continue taking adequate rest and monitoring fetal movements. Wish you safe motherhood. | |
What causes cracks and dryness on the shaft of the penis?
Hi, I had unprotected oral sex. I am a male. I notice three weeks ago, when I get hard and my penis stretches, it has a cracked look that will dry up to be scabby looking. Also, I notice that the head of my penis also becomes rough and start to look rinkly | Hello,,The cuts or cracks are usually due to tight foreskin. The tight foreskin causes smegma to form a dry layer at tip of penis.This may irritate the glans and lead to inflammation of the glans (Balanitis).You need a course of antibiotic and corticoid cream to treat this inflammation.It is important to prevent the recurrences and the best way is to keep a good hygiene of your genital area.To prevent this inflammation you should wash the end of the penis (the glans) each day. Pull the foreskin back gently then gently clean the glans using just water, or water and a bland soap.Apply some liquid parafine (vaseline) in the foreskin to prevent cracks.If the inflammation doesn't improve with antibiotic cream and steroid cream, then it might be an fungal infection and you need to use an anti-fungal cream (Clotrimazole twice a day).Thank you. | |
What can be done for the bad smell coming out of my mouth ?
from last 2 years bad smell coming from my mouth ,sir i had consult with physion as well as dental but till now i suffer with this bad odour sundeep ,male 26 year old | Hi Welcome to Health care Magic forum. Start doing paste twice daily ,once before going to bed.Chlorhexide mouth wash gargle is advisable.Avoid sweets before going to bed.Disclaimer | |
What causes tingling sensation in the fingers?
I was using a drill and then drill slipped the drill bit went into my thumb and cut it really bad now my hand is cold and my index finger stays cold and numbness do I need to go to the doctor. Also I have tingling in my fingers. I cleaned it with peroxide and alcohol and bandage it with Gauze and Dr tape what should I do. | Hi. There are two issues with you. Your thumb injury and the numbness could be due to carpal tunnel syndrome. I feel to get rid of all this its best to see a hand surgeon. | |
What causes electric shock sensation in hip joints while having systemic lupus?
Hello, I m female, 43yoa, 5 4 , 150 lbs, muscular build. Exercise 3-6 X per week (cardio/weights-resistance training.) I have Systemic Lupus. Lately, I have experienced electrical-shock type feelings in both hip joints. It feels just like being shocked by something small, like an home electrical outlet. It almost tickles, but really hurts the joints & surrounding muscles and wakes me from sleep. It feels like the shock pain after you hit your funny bone. I do notice it is worse when it is about to rain. There is no pain/shock feeling down my legs. It is very different from the other arthritic/arthralgic achy-type joint pain I have experienced. I haven t had any injuries to this area. I do have a copper IUD. I ve never had this before, but I ve had it intermittently for a month now. What do you think? | It could be due to neuropathy plus in case you are taking steroids for lupus there is a possibility that AVN of hip may be giving rise to pain . You need to send the complete reports for the same. | |
Will i be able to conceive normally?
hi,I am married women of 22yrs old...i had irregular period but i tried to get conceive my doctor suggested me ovacare tablet dis month i got regular period now my doctor suggested ovaa shield for 5 days , after that fol fort,duphaston tablets...whether i get normal conceive now... | Hi dear and thanks for your query.Ovva shield can help you to conceive because it increase chances to ovulate .Use other therapy recommended by your doctor and be calm.All the best | |
How can prolonged chest pain be treated in a TB patient?
Hello Dr. Rynne! Good afternoon. I was diagnosed with TB last 2004 and treated but since I am applying for work I have to have chest PA. The problem is I always get into trouble with the results because of the scar left. The City Health Office compared my x-ray result before and after the treatment and undergone sputum exam and declared me treated and cured. I also got fat after that till now, but everytime I have chest PA exam I always got this trouble.. I am not even hiding my history and i also aware them of my history and even showing them the x-rays and certificate. I even share it to others so if ever they will suffer TB they should tell and go for treatment and never be afraid because it can be treated. This gives depression to everyone who felt the same way as I do. Others don t get good jobs, others got deported and so on.. Others say Chest PA exams is ruining lives and sometimes might be asking themselves on what way do they want us to live? No wonder other good people gone bad. Is there anyway I can clear lungs from scar or anyway to treat it? It s been 13 years I still got in trouble with that even in getting a renewal for Sanitary Permit for a tiny business. Please and thank you. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.First of all, let me congratulate on all your efforts for other people's support who are suffering from tuberculosis. Sorry to say, but the scar tissue of the treated and healed tuberculosis remains as such for the rest of the life, there is no cure of that. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Bhagyesh V. Patel | |
How to come off from taking the dihydrocodeine?
Hi name is Derek i am 50yrs old and have been taking dihydrocodiene for approx 12yrs up to 600mg per day my questiston is what is the best way to come off them.i am 5ft 10 inches in height and weigh just under 8 stone. your help in this matter would be most appreciated. | This is going to need close supervision. at 100-150 mg/day. a program with Suboxone, meetings, family involvement will work the vast majority of the time. And at much higher doses it is hard to get onto the suboxone because it would precipitate withdrawal.Gradual lowering of dose with other medications to handle side effects as they arise.There can be individual issues that I couldn't be aware of that would even further complcate the situation. I cannot say in your particular case, but his is some general information. | |
Suggest treatment for bruise and sore on shin
I hit my shin very hard on a pot outside it bruised slightly and was sore but 3 weeks later the bruise has gone but I have a squashy lump where I hit it and aches in my leg. It s not hot or red just aching and I keep having muscle twitching on this leg. The lump is sore could I have chipped the bone? Or is it a blood clot? | Hello,Welcome to the magical world of health care, I went through your query, and you should have got an X Ray done to see the status of the bone, assumptions can delay the right treatment at right time approach.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks. | |
How should PCOS and irregular periods be treated for a successful pregnancy?
ello Doctor, I am a 32 years old woman married for 3 1\2 years. two years back i was diagnosed with ectopic pregnancy and since the left tube ruptured, it had to be removed through laproscopy.one year ago i was dignosed with PCOD where the follicle size is not growing more than 9 mm.( even on 24 th day since mensus).. I have irreular periods and many times get them after 2 to 3 months.. though i have taken levotal course once, could'nt keep contact with the husband on the crucial days.after the course i have not taken allopathic medicines. but instead opted for panch karma and ayurvedic treatment , but to no avail. eight years ago I was diagnosed with acute nephrotic syndrome , but now its fine, no traces of protein thru urine.No drugs hard on kidney allowed. rest thyroid reports are normal. Now I am very desperate and frustrated. Please help. | HiNoted your history. I can give you advise on allopathy medicines. Levotal is a antibiotic. I did not understand why you took this or may be you wrote the name of the medication wrong.If your BMI is more than 25kg/M2 you must reduce weight. This is extremely important to improve your chances of ovulation and pregnancy.You need to confirm that your right tube is functioning normally. So you need to get a tubal patancy test done. Since you have irregular cycles it is clear that you are not ovulating regularly. You need help of induction of ovulation medications.When you are taking these medications ovulation should be confirmed with folliculometry studies( ultrasound examination to monitor the growth of follicles in the ovary). Discuss with your doctor regarding this treatment. It is good to do a semen analysis for your husband if not done yet as the last pregnancy was two years ago.Take folic acid 5mg dailyIf your husband smokes cigarettes he should cut down on smoking. All this is level one of treatment. Wish you conceive with this induction of ovulation. Keep me updated about your treatmentSo that I can be of help to you if need be | |
Does chromosomal abnormality and hyperthyroidism prevent the chances of conceiving?
hi im jerynah i would like to ask if when will i get pregnant again? i had a miscarriage last july 23, the OB said the miscarriage was cause by chromosomal abnormality, i also had a hyperthyroidism since i was 21 now im 27, please advise if it is possible for me to conceive. | Hi, Hyperthyroidism may cause difficulties in conceiving but if your thyroid profile is normal now, it will not affect much. Regarding chromosomal abnormality, how did you come to know about that. Was the fetus sent for examination. Even if the previous baby had chromosomal abnormality it is by chance. What you can do is to go for a karyotype of yourself and your husband. If reports are normal you can try naturally to conceive.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya | |
What is the cause and treatment for sudden pain in the lower spine?
back pain Recently ive been having sudden pain in my lower spine. it feels like my spine is bending inwards and i.want to bend my spine outwards because that feels like the only thing that will help. I'm only 18 and i've never had an injury to my lower back. I was wondering what is going on? | Hi..The pain in the back seems to be a back spasm..which can be cased due to various reasons...a sudden over activity..suden twisting can land you to that issue... Dont worry...keep icing your spine frequently say once for every 2 hours for 15 mins..don't force any activity on your spine..take rest...As your muscle allows slowly stretch your lowback by bending your bent knees towards your chest..while you are lying on your back..Hope this is helpful to youKindly revert back incase you need anymore clarification... | |
Do i need a surgery to correct bent lower spine?
I already had surgery (2008-2009) of my cervical and lumber spine. The pain has returned. The doctor tells me, after studying my MRI, that I need to go under the knife again, to correct my bent lower spine with irons. I do not know what to do. I cannot go under the knife again, and the pain is unbearable. Do you have any help? | 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.Please share the X Ray and MRI ImagesHope 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. | |
Q. Should I take bath if I am down with chicken pox?
Hello doctor, I am 18 years old. I am down with chicken pox from yesterday, I wanted to know if I can have a normal bath. And also, I have a rash that is probably something fungal near my genitals and I have noticed that the pox is very crowded in that patch. Any advice? Please reply soon. | Hello. Yes, you can take bath with lukewarm water, avoid hot water. Do not use harsh soap or scrub. You can use dove soap. Since it is winter, normal soap will make your skin drier and will irritate the chickenpox blisters. But the best thing will be to have luke warm sponge bath, take clean cotton cloth, dip in luke warm water, use that cloth to wipe your skin gently. This will be helpful during initial days of chicken pox rash, once there is scab formation, you can resume your normal bathing. I am sorry I am not able to view the picture you have attached along with your query. I cannot comment on crowed blisters near your genitals which you have mentioned above as I am not able to see the picture. I would suggest you apply Dermadew caloe lotion. It is a combination of calamine and aloe vera. It keeps the skin moisturized and reduces irritation. Hope you have consulted a dermatologist in person and taken prescription medication (Valacyclovir) for your chicken pox. I wish you a speedy recovery. Take care. Try to attach your clinical picture in the feedback so that I can have a look and guide you. For more information consult a dermatologist online --> | |
Q. Though my husband pulled out of me in time are there chances of pregnancy?
Hello doctor,I had sex on the 1st and my period due date is 5th. Though my husband did not cum in me and he pulled out in time still are there chances of pregnancy? My cycle is a regular one otherwise. I am just getting tensed. Please advice. | Hello. It is your safe period. So, the chance of pregnancy is very remote. For more information consult an obstetrician and gynaecologist online --> | |
Can Tylenol be used instead of Hydrocodone for pain relief?
I have AVM (gastric bleeders with low hgb) and anemic. Am having dental surgery and need a pain reliever. I get very nauseous with hydrocodone. Can t take aspirin. Would Tylenol #3 be a good choice or is there something else that I can recommend to the periodontist. Tramadol makes me nauseous too. | Hello,NSAID's are commonly avoided in case of gastric bleeding. This is because NSAID's are believed to increase gastric bleeding however paracetamol in lower doses is not considered to cause such problem of gastric bleeding.But to be on a safer side you should consult your physician and get evaluated and a thorough clinical examination can be done and if he permits you should take paracetamol otherwise not.As far as hydrocodone or tramadol is concerned you can take anti-nausea medicine like zofran to avoid nausea.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | |
Hypertension, high sugar level, thyroid and cholesterol after gall bladder surgery. How can I improve?
i had sudden gall bladder removal surgery 2 years back after suffering from it for a month and having jaundice . I had to go for surgery with good faith and thought trouble might be over. But i think unusual real troubles started afterwards . i suddenly developed hyper tension , higher sugar , thyroid and higher cholesterol . I am 29 years old and i did not have these troubles and i was completely healthy before gall bladder removal. i have asked numerous doctors and no one have any clue. they said you need to be treated for metabolic syndrome . Any Doctor in forum can comment that would be great. I think if i get on thyroid treatment all these other symptoms might go away. I was on statin and i had terrible side effects. After having bad experience i had started natural remedies like no sugar diet/less salt , omega 3 acids, olive oil, oats , flex seeds, an hour of gym . after doing all these although my blood pressure is 130/86 and not coming down. I am going for further checkup and i dont have any hopes after not having any results. Any one know how i can improve on this I am taking all steps but no results so really hart broken. | Hello & welcome to HCM,I had gone through the case, I want to know your family history of diabetes, hypertension , thyroid problem. Do you have any symptoms and sign of these problem right now like headache , obesity, rising of blood sugar etc. I will advice you to do pranayam( ANULOM-BELOM) exercise for 15 minute daily for 1 week and then major your blood pressure, definitely your problem will resolve. If not then you have to consult the doctor for hypertension, who can advice you medicine, correct diet pattern and more exercise for it. Hope so your problem will resolve.Thanks & RegardsDr Soni VermaHomoeopathic Physician & Life style counselor. | |
Suggest remedy for high fever with runny nose
my 14 month old started running a fever today it hit 102 but now is 101.2. he has been having a runny nose for the past couple of days and i figure it is his sinus because mine is messed up to. what should i do check his temp and if it persists with his runny nose call his doctor or what | Thanks for your query, I have gone through your query.The fever can be secondary to the sinus infection. Nothing to be panic, consult an ENT surgeon and get it evaluated. Mean while you can take a course of antibiotics like amoxicillin(if you are not allergic), antihistamine like cetrizine and antipyretic like paracetamol for the fever. Take steam inhalation.I hope I have answered your query, take care. | |
What could be causing a lymphadenitis, a cold sore and a lump below the neck?
Hi. I was diagnosed with Lymphadentitis yesterday because I have a large lump under my chin. The doctor asked had I had any break outs any where else and I replayed quickly No. Thinking back though, I realized about a week ago I had a lump on the out side of my vagina close to the cress of my leg. It had no head like a pimple. It was under the surface of the skin. It was not painful. I get them once every three or four months. When it goes away it shrinks until I can t feel it anymore. The usual size is about the size of the first space of my index finger. It has since shrunk to about a centimeter. It s seems that that lump went down and the one in my neck swelled. I don t know if there could be a connection. Also, I noticed the lump under my neck on Friday and it was small. Saturday I woke up with a cold sore. I can t remember a time when I have ever had a coldsore. Are these signs thats there is something bad that could be happening inside my body? Please advise. | Hello, * The reactive lymph node enlargement with inflammation is usually secondary to bacterial infection in the surrounding territory of lymph drainage. * The basic treatment of bacterial or viral infection with a due course of antibiotics and anti-inflammatory drugs help to resolve the lymph issue over a period of time. * Simultaneous intake of multivitamin, antioxidants and balanced nutritious diet help to control the infection as early as possible. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon | |
What causes pus filled blister at the site of nail piercing?
my boyfriend fell the other day and a nail punctured his back. He said the nail was not rusty and the incident happened in an attic while repairing someone's air conditioning, so according to him less risky insofar it wouldn't have been exposed to much soil, dirt and moisture--places where bacteria thrive and tend to be more of a risk factor. However I don't share the same logic as him in that respect, and even if considering his situation "less risky" than if it had happened on a construction site (for instance), I hardly find his assessment convincing given the strangeness of the symptoms I've witnessed since. The incident occured approx. two days ago and here is what Ive noticed from what I can see. He tells me has not experienced any internal symptoms like nausea, fever etc.*The primary location of what appears to me as an obvious infection of some sort localized at the site of the nail puncture. You cant see a deep puncture wound at all. I may not even have noticed it if he didn't tell me how his skin got so irritated. In the center the color is mostly a pale whitish color, perhaps slightly yellowish in tone, and is a bit swollen and bumpy--the bumps look like clogged oil glands or the start of a zit if zits were more translucent rather than red and as well were filled with a yellow-tinted clear substance rather than the more dense/solid type consistency of a zit. Its almost like puss that would come from a blister or a boil if one tried to sweeze it out but of course fails and instead just breaks open the skin (not realizing of course that boils are beyond surface deep and so can't be "popped" just like zits). At any rate there is some blotchiness in the center that spreads into a red loosely shaped-rashy looking thing with more bumps, a couple of which are much larger than the rest. The largest bump, which was where the puncture wound occurred has already started to drain on its own, and seems to be pretty constant for the past 8 hrs. I noticed after a few hrs since he had me look at the first bump that had started to drain that there are multiple, much smaller bumps that seem to be getting a bit larger and producing puss, but none of them have broken in order to drain and I do not want to irritate the area more by doing anything aggressive to it, even though it would be nice to prevent this from escalating. Lastly the skin in that area is a bit drier looking and rough. What concerns me m | Hi, thanks for using healthcare magicThere is a risk of infection with puncture of any area of the body. The presence of a pus filled blister indicates that there is an infection present.This would need treatment with topical and possibly oral antibiotics.Though the nail may not have been dirty he still needs to assess whether he needs a tetanus vaccine.If he received a tetanus shot within the last 5 yrs, it is not necessary but if this is not the case then he needs to find out if a booster is required.I hope this helps | |
Itchy red rash on lower legs below the knee. Reasons ?
I have an itchy rash on my lower legs below the knee . Also small red spot on both lower legs that appear to be where all the hair growth is. They are pin prick size over both lower legs and some areas do not itch.wolflaey Some are a little raised. I have not shaved my legs for three days because I thought was the cause, but still have them. Itch worse at night. | Welcome to HealthcareMagicForum Hi.. wolflady.. the above symptoms are suggestive of follicultits.., need to clinically examined and confirmed.. need to be treated with antibiotics.. do not shave the leg until the infection is healed.. this will lead to increase the infection.. Take care.. | |
What causes white spot on gum?
Hi I have a white spit on my gum which I've had for a long time but I'm also extremely tired but I haven't been well since October I was in intensive care with pneumonia H inflewenser and an asthma attack this year about 4 weeks ago I had a stroke so out the tiredness down to that but I am worried about this spot in my mouth don't want mouth cancer kind regards Kay | Hi Dear,Welcome to HCM.Understanding your concern.As per your query you have symptoms of white spot on gum since a long time which is mainly because of chronic irritation of mucous membrane of mouth which could be because of excessive smoking, ill fitting appliances. Leukoplakia is the major reason for white spots on your gums which is because of poor oral hygiene of oral cavity. Food particles keeps on accumulating which are causing continued irritation.I would suggest you need not to worry about anything. Its not symptoms of oral cancer. Still you should visit oral pathologist once and get scrapings from gum and get it examined properly to rule out any malignant pathology. Maintain proper oral hygiene by antimicrobial mouth wash. Do gum massage on daily basis. Brush and floss twice daily. Leukoplakia is harmless as such, you should visit dentist once and get it surgically removed if its troubling you. Take Nystatin suspensions as well to prevent fungal infection.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari |
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