patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
What causes social anger?
i am 21 years old. um normally getting sick of with people easily.At the moment i`m worry about my girl friend.When i`m talking with her i get fed up quickly .then we ended up with fighting with each other.but i cant live without her .i know i have some problem please any advice um really worrying. | HIThanks for using healthcare magicI think, you have emotional instability. It could be part of your personality or may be due to depression. You should consult a psychiatrist for proper mental status evaluation and that would help to control such mood swings. You should also consult a psychologist for personality assessment to rule out borderline personality traits. if you need further help, you can ask.Thanks | |
What causes acute periodic chest pain?
Possible causes of chest pain - left side , acute periodic pain level 2 (out of 10)....rest, breathing, exertion does not affect either duration or level of pain. No known heart disease in my family history. General health is good, HWP, 60 years old, social smoker, light drinker, mild exerciser, contrlled hypertension for 20 years....lotrel2/20 | Thanks for your question on HCM.In my opinion you should first rule out cardiac cause for your chest pain.Risk factors in your case are1. Smoking2. Blood pressure3. Old ageSo you are at high risk of cardiac disease.Better to get done ECG, 2D ECHO and TMT (Trade Mill Test) to rule out cardiac cause. If any doubt in above test than go for coronary angiography. If everything is normal than you may have bronchitis. As you are smoker, chances of bronchitis are there.So get done chest x ray and PFT (Pulmonary Function Test).Quit smoking and drinking. Start regular exercise. | |
Will dietary supplement indicate methamphetamine in drug test?
Hello I ve been using oxy elite pro, a dietary supplement purchased from GNC. I will soon be scheduled for a pre-employment drug screen. I did research with usp labs and it indicated it will not give a false positive for methamphetamine. I just want to be doubly sure? | Hi,Yes, it may cause false positive test for methamphetamine. Dietary supplement Oxyelite which is promoted for weight loss contains Fluoxetine which is a selective serotonin re-uptake inhibitor commonly prescribed for treating depression, obsessive-compulsive disorder, and premenstrual dysphoric disorder. Taking Fluoxetine may result in false positive tests for amphetamine, methamphetamine or LSD.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Suggest treatment for cirrhosis of liver
My friend is Debasish Kar. He has a drunker. Now he also stop drink alcohol. he suffering from syrosis of liver as local doctors opinion. My question is where i find better advice for said matter and find perfect diagnosis in west Bengal . please advice me. | Hi, dearI have gone through your question. I can understand your concern. He may have cirrhosis of liver or some other cause. He should go for complete liver function test and ultrasound abdomen. This will give you perfect diagnosis. Then we will start treatment accordingly. Avoid alcohol. It is the most common cause of cirrhosis. 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. | |
Q. What causes dry throat and mouth with blocked sinuses at night?
Hello doctor, For two years, I wake up in the night with dry throat and mouth and blocked sinuses. Back of mouth or throat is also coated with unpleasant, pale yellow scum on waking (during the day, I am fine). I saw ENT doctor a month ago, diagnosed inflamed sinuses and prescribed four months of steroid drops. These are not working and now I have blood flecks in mucus when I blow nose first thing on waking. This morning, blood streaks are also in the scum from throat which feels raw. | Hi. I think that you need to perform a CT scan for your nose and sinuses. There may be a surgical cause for your naso-sinal problems as polyps, deviated septum or hypertrophied turbinates. Perform the scan then show it to me. Do you have excessive sneezing or rhinorrhea? Do you have any allergies for any odors? | |
How to treat nerve severed mediated erectile dysfunction?
Hello Doctor, I have a freind who unfortunally had a nerve severed in the back after an intervention. An accident like the doctor would say. I'm not here to blame the doctor since damage is done. He has lost erectile fonctions completly and now wants to terminate his life, he has a beaytifull 10 years old daughter so there for i must save his life true acceptence. So do you think that you could guide me for a medical resolution | helloED after neuropathy of any kind can be resolved with intrapenile injections , VED or a penile prosthesis. One method may succeed in someone and others may not so the doctor has to judge what is best for your friend. People with this kind of a problem can have good sex life so relaxDR SAATIISH JHUNTRRAA | |
What causes severe pain and weakness in left calf?
Two weeks ago I had lathroscopic surgery to remove my gallbladder. The surgery was performed under emg circumstances. My pancreas was inflamed. Since surgery I have pain in my left calf. At times sharp and causing weakness. Mostly constant cramp like feeling. Could this be connected | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Prolonged surgery can cause a condition called deep vein thrombosis (DVT), which may cause calf pain. You can consult a general practitioner and get a venous Doppler done to rule out DVT. Once the DVT is ruled out, you can take analgesics like Ibuprofen or Diclofenac for pain. Wishing you good health. Thanks. | |
Lump beneath chin, not painful, had muscle pull in the area. Enlarged salivary gland?
hi For about 2 days now, i have a small marble sized lump beneath the left side of my chin , like where my teeth end basically, its beneath that. When i directly touch it, it can move a little. It isn t painful but the first day it felt as though i very slightly pulled a muscle there. (I have also had a cold sore right at the back of my mouth for the past 3 days, if there is any connection) Is it just an enlarged salivary gland? | hi... it is extremely rare for salivary gland to get such noticeable swelling in a time frame of 2 or 3 days. More commonly it can be enlarged SUB MENTAL/ SUBMANDIBULAR group of lymph nodes, which are found at the, location as you have described in your case. the incidental swelling of lymph node is common in cold sore or any other oral infection. Keep a good oral hygeine with twice a day gargle with Chlorhexidine mouthwas, it should resolve within a day or two. alternatively you can also take amoxicillin antibiotics- 500 mg twice a day for 3 days. | |
What causes tingling feeling under the head of the penis?
For the past week I've had a constant tingling feeling under the head of my penis. The area has been very sensitive lately. The feeling is most noticeable when the area is touched, or when I urinate or ejaculate.It's not painful but I'm concerned it could be something much worse. | Hello. Above symptoms could be seen in case of excessive sexually active in the last period of time may cause tenderness and discomfort, if it is so give a break and see if the symptoms subside, pain in urination you have said in your question can cause due to less intake of fluids, please keep your hydration properly.this should help to resolve your problems. If symptoms persists you should see a doctor for local examination. Hope it helps you. Thank you. | |
Will there be any withdrawal symptoms or hydrochlorothiazide?
Dear doctor. I have been suffering from hypertension for the last 5 years. I am 45 years of age, 88 kg and 5'11'' tall. I have been taking amlong h for the last one year now i have change my medicine to only amlong 5 mg. Is it ok to stop hydrochlorothiozide. | you need to discuss this issue with your prescribing physician. You also should make a log of your blood pressure's with your medication. The medication you are on is a very good blood pressure medication. I would recommend continuing it until your prescribing physician tells you otherwise. You should have routine bloodwork also. | |
How treat gall bladder stone in a 8 years old child?
sir my child suffering in gall bladder stone since 2 years ,it found in 15 days back after diegonised the size of the stone is 7mmx6mm and 6mmto4mm in gall bladder,so many dr adivace to take a remedies not foe surgery plz advice me he is 8 old son. | Hi,Thank you for asking question on health care magic.Oral Ursodeoxycholicacid for period of 2 years may dissolve the gall stones.But the may recur after stopping the treatment.Obstruction of bile ducts by gall stones may be relieved by ERS following ERCP (endoscopic proceedure) or Lithotrpsy to break stones into small particles so that they will be excreted in feces.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | |
Polio, scoliosis, lipoma growing in legs and hands. Headache. Suggestions?
Hi, I have several physical problem. My age is 26. 1. When I was 2 years old I got polio and still now i am carrying this. I can not walk. I use wheel chair. My full lower portion and left hand is affected by polio. Right hand is okay. for this polio my hips joint is also displaced. My both legs and left hand are thin. But I am used to with this problem and so far managed my life. 2. For last 5/6 years I have huge back pain. I thought as I can not stand out and walk may be for this reason i have this pain but when I x-ray my back then Doctor told me that I got Scoliosis . My upper spine is cured 30 degree and lower portion is curved 35 degree, so I have ahuge back pain. For this back pain I used a brace for 2 years but it was very uncomfortable and sometime it cause breathing problem, so leave it. But still living with this huge back pain and continuing my regular activity. 2. My another problem is Lipoma , Benign tumor . Now I am very much tensed for this. Though I got that first lipoma about 7/8 years ago in my left thigh and few grew up after that in my back but I wasn t concerned for these. But no a day these are growing in my both leg, thigh, hands, most of them are still small but 4/5 are big. I dont have any pain yet but very much tensed for this growing. I heard that there is a fewer chance to turn this lipoma as lipocircoma. I haven t take any medicine for this yet. But for reducing fat I am drinking Aloe Vera Juice 2 times a day and Apple Cider Vinegar once a day. More over frequently I have Headache. My eating habit is as usual. Please be kind to give me the best suggestions specially for the lipoma, I am very much worried for this. If any further information need about me then please be kind to as. I am waiting for the answers. Thank you. Jahid. | Hi Jahid, two things, lipomas in the tummy are prone for cancerous growth. Secondly there is nothing which can prevent them turning malignant. But if your sonogram of tummy shows lipoma, you need to do 3 monthly sonogram to watch on it. Rest other lipomas do not need much attention. Important ting is that you should be bothered of it all the times. Take care. | |
Severe pain and swelling in the lower rib after an accident. Bloated abdomen, burping and discomfort. Liver injury?
I ran into a 2X4 head-on and the impact came at my lower right rib. I lost my breath and was in pain, but the next day I just had soreness in that area. The last 2 days, I have had a bloated abdomen, burping, and more discomfort with movement and when riding in the car. The right side of my rib cage is swollen, but the bloatedness bothers me the most.I have no fever, vomiting, bleeding, or light headedness, but am concerned that I could have hurt my liver or pancreas? Is it safe to just wait and see if I am OK? | Hi, No, it's not advisible to wait & watch.With the blow over your Rt. lower rib,along with swelling,pain & bloating -there is possibility of injury ti liver-an important organ. It can be easily excluded/controlled/ cured/ prevented from a graver damage by earliest expert consultation,sonogrphy/CT scan if indicated &earliest managment. Please take rest,don't massage,& consult. Thank you. | |
Suggest treatment for joints pain, fatigue and chills
Yesterday I developed flue-like symptoms for a 24 hour period, along with joint pain all over, fatigue, chills and fever. The fever broke around 1 am, but today I developed a rash with swelling and pain on my lower right leg. Plus I have pain in my upper right thigh which I experience when I walk (but not sit). I live in MA in a wooded area and unfortunately I have a mouse that occasionally lives in my walls. So Lyme Disease is a real concern. Do my symptoms follow a typical Lyme Disease progression? I intend to call my Dr tomorrow or should I seek help immediately (Urgent Care, etc.)? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I think you may have lyme disease. You should go to hospital and your doctor will perform tests like Western blot test, ELISA,PCR, to verify it. You should be treated with antibiotics. In our clinic we prefer Doxocycline for 14 to 21 days. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for chronic abdominal pain
Hi sir,im 30 yrs old.since 6yrs im suffering with recurrent right side abdominal pain.but by last one year im getting this pain regularly whenever I do physical activity..uring diagnosis found in CT scan that findings are suggestive of mucosal nodularity and hyper enhancement involving terminal ileum with mesentric lymph node enlargment likely infective/inflammatory ,but in colonoscopy no visual pronlem as said by doctor.sir please suggest me tat wat actually happend to me.im very much afraid of cancer. | Hi.Thanks for your query.Since you are suffering from 6 years, the chances of cancer are less, but there is definitely something that matters to be diagnosed and is possible only by Laparoscopy and Biopsy of the lymph nodes to get a perfect diagnosis.CT scan is showing nodularity and hyper enhancement of the terminal ileum indicates a possibility of Tuberculosis or Crohns. Hence the necessity of another colonoscopy with biopsy of the terminal ileum and lymph node biopsy. Wait for the reports to get an exact diagnosis so that further proper treatment can be started . | |
What does brown spots on tongue with burning sensation in lungs suggest?
Hi I just noticed my tonge is swollen on the right side and half of the end of my tounge is splotchy brown, I am post kidney transplant 3 years now the last few days I have noticed a warm almost burning sensaion when i breath in , my lungs, also my throught and ear cannals . I am now starting to feel pressure in my ears... what do I do ? | HelloThis sounds like a gastric acid reflux problem and for now you can try Prilosec or Pepcid AC but even if that takes care of the problem you should let your doctor know about it | |
What causes anal itching while on medication for staphylococcus?
Hi, may I answer your health queries right now ? Please type your query here. Hi am 34yrs 5ft 68kg.my result raed staflocucus,i was gvn 10 days AVECF INCTION WHC I KOMPLET LS SUN,ALSO DACIN-F 300MG.BUT AS I WAS TAKEN THE INJECTN I STARTED PURGEN ON D 7TH DAY.doc aftar stulen my annal(anus) itches me alot.wht do i do?thanks | Hello,Thank you for posting your query to HCM.From what you are describing it might be a thrush infection. It came after the use of an antibiotic (Dacin-F), and the anus is a place where fungal infections tent to grow.If I was your caring doctor, I would suggest to take Canesten 2% cream, to use twice/day for 5 days. If it is used with a thick layer, spread to cover about 2 cm over and outside the borders of the itchy place, it will be enough to clean the infection. Try to keep the area clean and dry. If it doesn't get better, or is getting worse, consider to have it checked by your local doctor. Its very low possibility to be something else, but sometimes is better to have a look.Let me know if you have any further question.Regards,Dr. Klarida Papaqako. | |
What causes red lines around knees and numbness in legs?
My 11 year old has red lines showing up around knees and left leg has edema and now her leg feels numb we have a Dr visit later today is this sound more serious should I take her to er? What do you think could cause this she never had a injury . Pain is in the bone | Hi...by what you quote I feel that your kid might be developing one of the below mentioned possibilities - 1. Septic arthritis left knee joint.2. Cellulitis of left leg.3. Acute angioedema.I suggest you take her to the nearest physician right now or the nearest emergency room.Regards - Dr. Sumanth | |
What should be the normal semen analysis result?
my husband's semen analysis report is color- opaque white total volume- 2ml viscosity- viscous a.motile- 10% s.motile- 10% nonmotile- 80% total count- 02ml pus.cell- 2-3/hpf R.B.C.- 1-2/hpf . I want to know, can he be a father of a child. write the remedies for my problem? | HelloI appreciate your concernAccording to this reports he has more of non motile sperms with less in numberI will definitely help you in best possible way if you can answer my these questionsHis age and presence of any medical or metabolic disease Does he smoke or consuse liquorYes, He can be a father of child first of all it needs to rule out any organic cause for low sperm count and non motile sperms, by treating the underlying cause , healthy sperms can be improvedIf it fails to increase, than artificial insemination and other artificial reproductive techniques can be used.Ask him to have good balanced foodmultivitamin and minerals supplementsoHope this answers your questionBest wishes | |
What causes presence of pus cells in urine and lower back pain?
hi, i have been suffering stomach pain and lower back pain. the doctor took a urine sample and found blood. they sent that off to be tested which found no infection but pus cells so they did a smear but im really worried, what do you think it could be? My stomach pain has nearly got but my lower back still aches. | Hello,Thanks for posting in HCM. As blood and pus cells were found in urine, presence of bacteria or infection will be confirmed on the culture report which will take 3 to 4 days to come. According to me it is still urinary tract infection and that is the reason you are having referred pain to the lower back.I think the doctor you are consulting will be putting you up on the appropriate antibiotic depending on the culture report. Meanwhile try drinking lots of fluids, maintain proper hygiene. Drinking lots of fluid will wash out the pus cells and it will also keep burning urination away.Thank you | |
Night terrors, falling asleep randomly, limb numbness, catatonic attacks, coughing blood, blurred vision
Hi, I have been suffering from random symptoms, my doctor said it was narcolepsy , but they say its genetic , no one on my family has ever had that disorder. and there are other symptoms my symptoms are: -night terrors -to fall asleep randomly -lose feeling in my limbs like they are sleeping -gets those catatonic attacks where I don t move or speak or even blink -to fall asleep its within minutes sometimes seconds, when I finally does get to sleep its very deep or not deep at all but no matter which I wakes up after all my dreams -coughing Blood -fating -can t breath -my vision blur -pressure on my chest | Hi there,Thanks for your query.Firstly, coughing out blood should be investigated at the earliest : it can be due to either a lung infection, such as tuberculosis, lung abscess etc..; recurrent pulmonary embolisms; or, due to heart failure during sleep (called nocturnal dyspnea) as part of impending heart failure. Hence, get a thorough cardiac and lungs' evaluation done AT THE EARLIEST.The possible causes of sudden sleep, night terrors, transient numbness of limbs and catatonic attacks are:- either a type of epilepsy (called Absence seizures in Adults) or; constant anxiety with acute Panic reactions. An MRI of brain + EEG should be done at the earliest. If both : MRI and EEG reports are normal, a regular course of anti-anxiety+ anti-depressant drugs will be of great help. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.In case of any further queries, revert back to me THROUGH DIRECT PREMIUM QUERY (Paid), addressed to me personally. You will receive- almost immediately- my response in great details.If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice dayDr. Rakesh Karanwal | |
Is hematuria a sign of kidney cancer?
Hi, I am extremely worried. I had an episode of gross hematuria. I am 48 yrs. old. 120 lbs. blood pressure 115/81. I went to give a urine sample to the doctor the next day. It came back blood-large but no sign of infection. Doc said don t worry, it could be stones. It s been 10 days and I do not have pain and I don t believe I ve passed a stone or I would know it. She scheduled a CT scan and cystoscope but it s not for 3 more weeks. I m soooo worried. I am a smoker also. I read that kidney cancer that presents with gross hematuria is only in 10% of cases but when it does, the cancer is already advanced. The blood is the only symptom I have. If this where advanced cancer wouldn t I have the other symptoms too? I have had some minor abdominal pain and flank pain but it goes away. Is there anything else it could be besides cancer if it s not stones or infection? Also, I have had frequent urination for about 8 years. I always thought it s because I drink a lot of Dr. Pepper. My PSA was low a few months ago. | HIWell come to HCMI really appreciate your concern, certain condition are there for the hematuria and all that need to be ruled out first then comes the question of malignancy and if this is the malignancy then it could have been detected at very first clinical examination and investigation, so malignancy might have been ruled out, hope this information helps, take care and have a nice day. | |
What antibiotics can be given to treat a fluctuating fever safely?
Dear sir, My son is six month old, having fluctuating fever since two days.blood test done and his hb is 8.5 . Paracetamol syrup was givn and fever subsided. Wbc count is normal but there is slight variation in nuetrophil n eosinophil count. Can you tell me any antibiotics to be given for my child and will it be safe for him. Please reply | Hi...this seems like a viral illness. I don't think thus requires antibiotics so soon as its only 2 and day of fever. If the kid is active when the fever comes down with paracetamol... Its most probably viral. So do not worry. If his is is exceeding more than 5 days without any localizing signs, then see your pediatrician for further evaluation.Regards - Dr. Sumanth | |
Suggest treatment for epilepsy and sleeplessness
Hi, this is going to be a long one but I have a lot of health concerns. I am a 15 year old female and for years I have suffered from chest pains, anxiety, seizures, dizzy spells, and insomnia. I have no idea whether any of it is related. The chest pains start rapidly at anytime of the day or night and could last for hours. Sometimes it it so painful it wakes me up. It mostly hurts from the middle of my chest to my left side. It hurts to breathe or move and feels deep in my chest. I have been to the doctors and they say it isn t my heart but it keeps getting worse. I have always been a worrier but my anxiety is really bad. I randomly feel like I m having panic attacks even when I m just sitting at home. I am an unofficially diagnosed epileptic and they say the stress caused my seizures. I was put on a few medications that had to keep being changed because of bad weight gain, allergic reactions and other problems. Most recently I was on Keppra. Before that was Epilum and Tegritol. The seizures have stopped now but sometimes I still feel like I m going to have one and I ve passed out a few times too. I get dizzy spells quite a bit. Sometimes when I m sitting or lying down it suddenly feels like I can t tell which way is up. Even though I know I m sitting up I feel like I m upside down or on my side. Other times when I stand up everything goes black and I get a bad pain in my head. I have to sit down to avoid falling over and after a couple of seconds it clears. I don t really know what insomnia is but I have always had trouble sleeping. Laying awake for hours and nightmares. I would feel so tired during the day and at night, even though I m still tired, I can t sleep. I m really concerned. I hate constant doctors visits, missing school, and feeling horrible all the time. This is ruining my life and I need some help. Thank you, Charlotte. | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Divalproex sodium, carbamazepine, phenytoin sodium are good drugs for epilepsy. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy Wish you good health,Kind regardsDr. Srikanth Reddy M.D | |
Should i be worried of rash on neck with itching after having pneumonia and flu shots?
I was diagnosed with fibromyalga this past year and had the flu and pneumonia shots 2 days ago. Today I have a rash on my neck with mild itching. The spot on my arm where I got my pneumonia shot is a small red lump. Do I have any reason to be concerned? | Hi,I an understand your concern for rash on neck with itching after having pneumonia and flu shots.This type of effect is generally seen with most of vaccines given. It is our body's normal natural response to have itching or rash or fever or pain at the injectable site in 2-5 days of injection.You do not worry about the same. You can take tablet paracetamol (crocin) two times a day for pain part. Take tablet loratadine (Claritin) one to two times for itching.Do not try to touch, pinch or feedle with the bumps as can get aggravated or an become more painful.Take care | |
What causes hazy area in the lung after a chemo?
I am 48, white female, 61" tall, 150 lb. Lobular carcinoma was found in the left breast which was stage II. I had a bilateral simple mastectomy. I have several spots in the lungs and liver. I completed 16 chemo treatments. I had an EKG which was good, no respiratory problems. I had one area in the lungs shrink after chemo treatments, but another "hazy" area appeared. What could be the possible cause of the hazy areas? | Hi, dearI have gone through your question. I can understand your concern. You have breast cancer. It is of stage 2. So spots in lung and liver are not due to cancer. Because if they ade cancer spots then your cancer become stage 4. You should go for ct scan of chest with contrast. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Back and rib pain. Taking Co-codamol and Colefac. What could it be?
hi there for about a year,off and on i have suffered with terrible pains in my back(eels like labour back ache) and a pain just under the centre of my ribs and i feel winded,i was told this was ibs but no matter what i cut out of my diet it always happens,for example i thought it was lettuce,it wasnt lettuce!i can eat lettuce and feel fine,i take two co-codamol and colefac ibs tablets and the pain goes eventually what else could this be? | Hi Beverlylisa, Please can you tell what kind of job you do? Your pain seems to be muscular pain. If you have sitting job, please maintain correct posture. Pain can be relieved by taking Pain killer along with muscle relaxant(like Tizanidine) under medical supervision. At present you are not taking any muscle relaxant. Medicines you have written are pain killers only. Also get physiotherapy done. It is advisable that first get yourself investigated by having CT/MRI thorax and Chest X-Ray PA view. I hope this is of help to you. Thanks. | |
Suggest treatment for viral infection and ear infection
My son is 17months old just getting over a double ear infection & also fighting a viral infection, but he s legs, arms & torso are cool to the touch temp only 96.3. I tried putting long sleeve onesies under his footie pjs to try to warm him but now sweaty and still cool. | Hi,Welcome to the HCMBrief..History is incomplete,I would appreciate if I would know some answers of my questions.Detailed answer....Since first of all I want to know that how did you get to know that your child has bilateral ear infection and viral infection.As in ear infection there can be discharge from ears,decreased listening,pain in ears etc.I would also like to know wether your child is having runny nose,red eyes,or cough . So your child can be treated accordingly.I would be happy to hear you further.Regards,Dr.Maheshwari | |
Q. A lot of thick white mucus at the back of my throat inhibits swallowing. What is the cause?
For about a year now, I have experienced a lot of thick white mucous in the back of my throat. This inhibits swallowing, forcing me to hack it up and spit it out. I think this can make my voice scratchy but other than that I am not experiencing any other symptoms. I have gone to an ENT previously and I believe i tried a proton pump inhibitor but it did not have an effect. | Hello . Good to hear from you. I understand your situation. There are two reasons for your complaint mostly. One as the doctor who has seen you previously suggest must be because of a reflux from your stomach. Second might be because of something called as a post nasal drip. For dealing with the reflux, just a ppi would not help. You should make certain life style changes such as: 1. Avoid spicy food. 2. Eat on time. Your stomach should not be empty for for than 2 hours. 3. Do not sleep soon after you eat. Give atleast 2-3 hours of time between your meal and sleep. 4. Try to keep your head end elevated by a couple of inches while sleeping. Now regarding your post nasal drip, do have frequent episodes of cold/nasal discharge..? If yes take the necessary medications for it. So I would suggest you with the following medication: 1. Continue your ppi( like pantaprazole 40 mg once daily before breakfast). 2. If u have a cold, take an antibiotic( like amoxicillin 500mg twice daily for 3 days), an anti histamine( like levicetrizine 5mg once daily before sleep), a nasal decongestant( like oxymethazoline thrice daily in both nostrils). Reflux X Ray PNS , Direct laryngoscopy Acute rhino sinusitis GERD Medical, life style changes Follow up in one week after the life style changes n medication suggested. | |
What causes cuts on penis and painful intercourse?
Hi doctor...my age is 36.now a days my penis foreskin cut down while getting errection and pain while doing sex. In normal it is fine but he penning this every time from the same area. A small cut marks visible while checking. Earlier there was no issue it is started since last 20 days only and when effect full, foreskin is so tight that feels tightness while retraction. Pls suggest any solution as suffering sex life because of this. I have applied oil daily but no improvement. | Thanks for asking in haelthcaremagic forumIn short: Apply oint soframycin and wait for a weekExplanation: Cut can occur on foreskin due to dryness or rough handling of the part. So, please give rest till the wound heals. You can apply oint soframycin over there for some days for relief. And also maintain local hygiene for better and early relief. | |
What causes a longstanding purplish spot on left testicle?
I am 58 years of age, 5 feet 10 inches tall, 170 lbs. I had a vesectamy in my mid twenties. I have a purplish spot on my left testicle that is persistant over the last several months. Some days it is less prevelent than others. Could it be skin cancer ? | Hello, It may be due to angiokeratomas. As they are asymptomatic, so no need for active management. Use support. Avoid strenuous activity. In case of bleeding, you may require surgical intervention like laser treatment after surgeon consultation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician | |
Pregnant with bleeding. Cramps. Pregnancy test positive. Still pregnant?
Hi I found out I was pregnant just after Christmas on 1st jan I started bleeding went to my doctor who really wasn t bothered didn t even examine me. I then referred myself to an epu for a scan where baby was seen with strong heartbeat and measured 8 weeks 1 day. Radiographer found no reason for bleeding. I continued to bleed and saw 3 different doctors all as unhelpful as the first. On 14th jan started getting really bad cramps and heavy bleeding went to hospital and was told I had miscarried to let it pass naturally. A week later I feel more pregnant than I did before and am sure I can feel movements as this is my 3rd pregnancy. Pregnancy test is still strong positive could I still be pregnant | Hello,You are suffering from heavy vaginal bleeding with abdominal cramp in 8-10 wks pregnancy.As per USG report, fetal heart beat was good enough. So, there is possibility of threatened type of miscarriage where complete recovery is possible.If bleeding persists constantly, then you may need Micronised Progesterone Tab or Depot injection to prevent future miscarriage and support pregnancy. But it is not always 100% effective. Consult with your gynecologist for suggestive measures.Take folic acid supplements, protein rich diet, avoid long journey/heavy work, maintain personal hygiene, take complete bed rest. Be well and take care.For more consultation, you may visit on Soumen | |
What causes swollen ear with bites in a child?
Hello my two and half year old son ha swollen left ear. It feels warm on touch and seems to be little bit red. He is not in pain. He has runny nose as well. I consider mosquito bite but I cannot see it. He has other bites since yesterday's park visit. Should I bring him to the doctor? It can be related to chicken pox? He could contract chicken pox 14 days ago from friend he was playing with. Thanks | Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
Can I continue with 3rd cycle of IUI?
Hello I am from Pune. We have been trying to have a baby for 2 years now. My wife had conceived, about 3 years ago, but it was dropped due to lack of growth. We have been trying since, and have done 2 cycles of IUI. We wanted to do the 3rd one, when my wife was given medicines and said that she is hyper reacting to medicines and will need to stop all medications and cannot continue with IUI. I feel that they are cheating us and need to change the doctor that we are visiting. Could you advice a good doctor in Pune for IUI procedure | Hello,Welcome to healthcare Magic.I have gone through your query and Would like to reply in detail as follows:1. Yes.2. Please see Dr. Mamatha Dhige in PuneI hope your doubt is clarified. Let me know if you wish any other information.Regards,Dr. Mahesh | |
Is a cold sore contagious?
I was kissed on the cheek by someone with a cold sore. The person with the cold sore says that it is dried up, but it is still clearly visible, and my assumption is that it is still possibly contagious. I washed my face and applied rubbing alcohol 8 hours later. Have I received the virus? Also, if I touch my cheek and then touch another part of my face will I get a cold sore? | Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain in case if someone has a cold sore actively present it means that the person is having high viral count leading to active infection and in this case the person is contagious and can transfer the virus to uninfected person by an intimate contact..Therefore in your case there is a possibility that you are infected with the virus and although you may not get symptoms of the disease immediately and can become symptomatic when the viral count become considerably hogh in your body and skin..I would suggest you to get a blood investigation done atleast after 2 weeks so that it can be ruled out that you are infected or not and treatment can be done accordingly..As of now you need not to worry as t is not necessary that you will get the infection..Hope this information helps..Thanks and regards.Dr. Honey Nandwani Arora. | |
Suggest treatment for shortness of breath,edema and restlessness
yeah I have been on warfrin, 35 years old. anyhoo,I have been feeling my heart fluttering I suppose is the best way to discibe it an d ,I had a siezure about a week ago tha doctors could not explain. I am concerend some is seriously wrong I had stop taking the shot the day before I had the seizure and now because my levals fell back down I am useing the shot again , it almost feels as if I am slowly creeping up to the piont of where I was when I had that seiesure, I do not drink smoke or anything the oonly thing that I am doing different is taking meds for blood clots I have in my lungs. . How worried should I be, my side effects right now are ,having trouble sleeping, feel swallen (gained nearly 10 lbs and my diet has not changed), shortness of breath ,feel super tierd but I am restless ,head ache.lightheaded at times.these are the majoriy of them? | Thanks for your question on Health Care Magic. I can understand your concern. You are having Pulmonary embolism. So possibility of clot dislodgment in brain and heart is more. Clot in brain can cause seizure. Clot in heart can cause shortness of breath, swelling of body, weakness etc. So better to consult doctor and get done 1. Coronary angiography. 2. CT brain with angiography. Both these are needed to rule out clots in heart and brain. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Can stubble provoke cold sore?
I know that my boyfriend's facial stubble cannot directly cause the cold sore I sometimes get on my chin since it is generated by the Herpes 1 virus, however, is it possible that if his stubble penetrates the sensitive skin on my face it could indirectly provoke the cold sore? | Trauma to the area where the cold sore appears could possibly provoke the virus and cause a breakout of the lesion. So it is possible that if his stubble is irritating your face, it might be an indirect activation of the virus. Hope this helps. | |
What is the treatment for constipation, fatty liver and stones in kidney?
i was suffering from the pain in kidney as sonography report found the 4.5 mm stone in the right kidney. and other thing that found fatty liver of first to second stage , my sgpt is 28 , there is no pain at liver area .but i feel fuller ness when take nonvegetarian diet for atleast 24 hours & facing constipation problem .even im not an alcoholic.i m 35 years of age.so pls, gives suggestion regarding the seriousness of this liver problem. and what to do to overcome from fatty liver.Thanking you | Hello, I read your question very carefully and can understand your concern very well. I would like to probe you few things whether you are taking any medications for any chronic illness, what is your weight and height, whether you had done your lipid profile or not. Come back to me with all this information anytime. Meanwhile, i would like to tell you that it seems not to be an urgency or any serious problem, but at the same time you need to have few precautions to prevent further complications of fatty liver, because it can lead to cirrhosis and liver failure. I would suggest you few things...........1. Check your lipid profile with fasting blood including HDL, LDL, Cholesterol and Triglycerides. 2. Start regular brisk walking of at least 40 minutes a day and reduce your body weight...3. Take high fiber diet including green leafy vegetables, fresh fruits,e tc.4. Avoid oily and junk food, rather have protein rich diet...5. Drink plenty of water, as it will also help to remove your 4.5 mm stone...6. Avoid alcohol, smoking and caffeine containing drinks... Follow these for 3 to 4 months and then repeat the lipid profile, liver profile and sonography, they will be much better than before. Continue these for rest of your life and you will have a very health life. Hope this answers your question and let me know directly if you have any further relevant queries. | |
What could mild pain with tenderness near nipple above heart without any other problems indicate?
Sir i have pain in left side above heart ,sometym sever n sometyms dull ach ,i feel uncomfortable n restlessness only ,no sweeting ,ghabrahat,n no blood pressure,bt mild pain with tenderness near nipple or above area ,m vry confuse coz m consult many doctor who said to me intercostal myalgia,some tell me gastargia ,bt no recovery after whos priscribe treatment ,plz gve me advise n treatment | Thanks for your question on Health Care Magic. I can understand your situation and problem. Since your cardiac work up is normal, no need to worry for heart diseases. Sometimes, skin infection of nipple and areola can cause cellulitis and tenderness. Hormonal imbalance is another possibility cause. There are certain changes occur in breast tissue if patient is having hormonal imbalance. So in my opinion, you should consult dermatologist and rule out skin infection. Consult gynecologist and get done hormone levels to rule out hormonal imbalance. If all these come normal than anxiety can be the cause for your symptom. 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. | |
Q. I have ROCD, anxiety, and depression. Can I continue with Paxil for anxiety?
Hello doctor, I have been taking Paxil 40 mg for three weeks now as prescribed by my GP. I have been taking it for ROCD anxiety and depression. Today and yesterday my anxiety has begun to surface more. The first two and a half weeks I was great. I do not know if I should switch medication. Keep going with it or what? Is it possible for my anxiety to get worse around week three? | Hi. I understand you are experiencing a great deal of anxiety in the past two days in spite of being on medications. Has some stressful event taken place at your workplace or at home in these past two to three days? Generally, anxiety gets better with time with medications. If Paxil has helped you, it would not make any sense to switch the medicines abruptly. Instead, you can consider augmenting it. Along with Paxil, you can take tablet Etizolam 0.5 mg SOS as and when you feel very anxious. So Paxil can take care of the long-term anxiety and Etizola will help you in the short term. Along with medications, also look up Jacobson's progressive muscular relaxation exercises. It takes 20 to 30 seconds to do this exercise. If you do these exercises 3 to 4 times a day, it will help you gain significant control over your anxiety. | |
How can allergic skin reaction after taking Clindamycin be treated?
I I am taking three an allergic reaction to clidamcin and now have oen sores elow my breasts what should I do for treatment topically..I have mixed instructions on mupirocin also taking prednisone cetirizine and famotidine after 4 days in hospital what should I use on my breasts | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Best topical cream for allergic skin rashes is Mometasone cream. Mometasone is steroid in nature. It is best drug for local application to treat allergy. You can also take Montelukast (anti allergic) drug along with Levocetirizine for better relief in allergic symptoms. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest remedy for pain and swelling in knuckle
I have painful swelling around my left hand knuckle following a rose thorn scratch 3 weeks ago. All raised lesions are now gone following hot water soaks, and tea tree oil treatment, as I was worried about sporotrichosis. I have taken a course of Keflex which did not help. | hi dearhope this msg finds u in good health. u seem to have some of soft tissue injury that might be causing pain and swelling if its hurting..u shud go for analgesics anti inflammatory tablets and restnothing to worry bout. when needed, feel free to consult me anytime. thanks Take care god bless | |
What causes chest pains with vertigo?
sir sice last 5 months i m having chest pain,but in the ECG AND ECHO,TMT TEST ,,all these tests were found normal,,but still i m having pain.and since last 2 months i am also having vertigo problem and pain in my head at a particular point and i m unable to cocentrate on my work and having twiching in my muscles all over my body.....pls help me | Thanks for your question on Health Care Magic. I can understand your concern. Since your extensive cardiac work up is normal, no need to worry for heart related causes. By your history and description, in my opinion, you are mostly having stress related symptoms. Stress can cause chest tightness, pressure and chest pain due to GERD (gastroesophageal reflux disease). Stress is also a cause for tension headache and vertigo. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Wish you good health. Thanks. | |
What could frequent diarrhea with upper respiratory problems in a toddler indicate?
my two year daughter has loose stools very frequently and peadilyte has to be administered regularly , as frequent as three to five days per week. she also suffers from upper respiritory problems very frequently, we have stopped giving her milk and milk based products and soy milk but to no avail, what could be the problem. | Frequent occurrences of both respiratory and GI infections do point to something unusual. You should get her investigated for an immunological problem. One of the most common among these problems is common variable immunodeficiency (CVID), which can be easily managed with gamma-globulin infections and a few other interventions.If her immune functions are normal, you can still try some things like greater attention to hand-washing, giving her multivitamins and a protein-rich diet, avoiding going to crowded places, avoiding a creche or a day-nursery where she is in constant touch with other, better-abled children, and so on. Dr. Taher | |
What could cause sudden cool sensation inside penis?
Sir, in the last night(about 10 PM) I felt some cool sensation inside my penis(I don t remember exactly whether I have got it after urination or not). After that I put my penis inside the thighs for some time and it got back to normal. I was there n the Air Conditioned room at that time(but came out from the room after this incident for some time and returned when it got back to normal). Sir I could not took my lunch yesterday(took my meal in evening). Sir is the coolness in the penis related to gastritis problem ??? Is there anything serious in my penis or in any other part ??? I don t have any other symptoms or pain now. Should I ignore this ??? As regards my medical history I should mention here that i am also having an epididymal cyst in left and the local urologist adviesd me to ignore that cyst. Is that coolness related to any serious life threatening thing like cancer ??? Please help me. | DearWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely do not think this is related to any serious health problems. This could just be the effect of air conditioner. Don;t worry. Ignore it as there is no other associated symptoms.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | |
Had non-productive cough. Prescribed albuterol, codeine & Desothatate. Suggestions
Yes. I have had a non-productive cough for almost two weeks now. I get a cold at least once a year, and always have to take an antibiotic. I am not very fond of antibiotics in less necessary. I feel they could do more harm than good. At least the N.P. was on the same page with me. I try otc medications & increase fluid intake. Lots of rest. etc.. etc... Anyway, my primary Dr. was not available, so I saw a N.P. who prescribed me an albuterol inhaler due to wheezes, but don't have asthma, and a cough syrup with codeine & Desothatate. May net be spelling it correctly, and if in 5 days I don't get better, I could e-mail her & she will prescribe an antibiotic. What are your thoughts? | Hi Thanks for using HCM.cold at least once a year: Is it the same season or any one and will you wheeze during theses days. 80% of asthma people have allergic rhinites(AR) and 20% of AR will have asthma. So if in same season the chance of AR is more. For dry cough during cold without wheeze / ronchi, albuterol is not required.This may be due to post nasal drip. Cough syrup with codeine will be good as it is a cough supressant but you also have to take anti inflamatory drugs with anti histamine like Tab.Sinarest. Do salt water gargle. Wish you good health.RegardsDr.Lohit | |
What causes numbness and itching sensation in the feet?
I feel feet numbness, itchiness, and swallen i spoke with the nurse to give me an appointment she told me I have a nerve shock ( I suffered a great deal of stress for the past 5 months). Can someone tell me what is it and what is the treatment. Thank you, Kim | Hello Kim!Welcome on Healthcaremagic!Your symptoms could be related to peripheral neuropathy. For this reason, I would recommend consulting with your doctor and performing a nerve conduction study (electroneurography) to exclude this possible cause. Other blood lab tests are necessary too : complete blood count, iron plasma levels, fasting glucose, kidney and liver function tests, blood electrolytes, etc.. If all these tests result normal, you should consider anxiety as a possible cause of your complaints. Hope you will find this answer helpful!Kind regards, Dr. Aida | |
Lower abdominal pain, wrist pain. History of C-section. What could this be?
Hi I am 41 years old women having three children. I gave birth for the last one 4 years before through s-section. I used to have regular manustration by this time my period get late by 20 days. on top of this I have pain around my lower abdomain and wrist . like 6 months before small ance type of solid thing start to grow in my vaginia near to the inner side of body. It is outside but very close to the inner part. It is not growing fast but I see the growth. What could this be and does the delay of my manustration have any thing to do with this? thanks for the answer in advance | hi ! thanks for posting your querry. growth that you observed in your vagina cold possibly be a vaginal cyst (?bartholini cyst ).it is caused by blockage of bartholinis glands in the vaginal wall due to some infection. it has nothing to do with menstrual delay. your delayed periods cold be because of perimenopausl time. thanks | |
What causes dry cough, louder voice and breathlessness?
I HAD DRY CAUGH IN THE NIGHT BETWEEN 2 A.M TO 3 A.M SOME TIMES. AFTER THIS MY BREATHING IS OBSRUCTED. AND MY VOICE BECOMES VERY VERY AND IT MAKES LOUDER NOICE FOR WANT OF BREATH. AFTER HAVING A GLASS OF WATER IT BECOMES NORMAL. DURING THIS TIME I HAD OBSTRUCTION IN BREATHING. WHILE EATING ALSO ESPECIALLY WHEN I AM TAKING FOOD SOME TIMES I GET DRY CAUGH AND VOICE MAKES VERY LOUDER NOICE FOR WANT OF BREATH AND WATER. WHAT IS THE EXACT PROBLEM. I HAVE CLEAN HABITS. NO BREATHING PROBLEM DURING THE DAY OR WALKING RUNNING AT ANY POINT OF TIME. PLEASE PROVIDE YOUR ADVICEMY AGE 47 YEARS,MY HEIGHT 165 CMSNO BLOOD SUGAR,BP 70/110i HAVE BREATHING PROBLEM IN THE NIGHT WITH OBSTRUCTION IN THROAT. | Hello.Thank you for asking at HCM.I went through your history.I would like to ask a few more question here like - What is your weight (Are you overweight)? Do you have any nose symptoms like nasal obstruction, running nose, etc? Do you have any difficulty in swallowing foods or liquids? Do you have regurgitation of food, especially at evening or after spicy meals? However, from your history, I would think first of gastroesopahgeal refulx disease or obstructive sleep apnea. I would not think of allergy/asthma at present.I would like to make following suggestions:1. Were I treating you, I would prescribe antacids like omeprazole or pantoprazole half-an-hour before meals for at least 2 weeks.2. Please avoid hot, spice meals. Please avoid smoking, alcohol and caffeinated beverages.3. Please do not eat to full stomach at dinner. Please do not go to bed immediately after dinner. It would be great if you can go for a brief, relaxing walk after dinner.4. Weight reduction (if you are overweight) will help.5. Sleeping in left lateral position or sleeping with head-end of bed elevated also may help.However, if above measures do not help, I would suggest you to consult a physician who will suggest you further investigations after detailed inquiry and examination.Hope this will be helpful to you.Wish you the best of the health.Should you have any query, please feel free to ask at HCM.Thank you & Regards. | |
Should back bruise caused by injury need looking into?
hi i have an 8 month old daughter and about a week ago she fell from our bed and landed on her back she was frightened and cried for a bit and well since then she has been acting normal but i noticed a spongy spot on the back of her head where i feel she hit when she fell should i be concerned? | HI THANKS FOR YOUR QUERY.SIR/MADAM I WOULD LIKE TO TELL YOU THAT ITS IMPORTANT THAT YOU GET YOUR CHILD INVESTIGATED FURTHER,SINCE ITS VERY USUAL TO MISS HEAD AND SPINE INJURIES IN CHILDREN DUE TO THEIR ELASTIC NATURE AND HIGH INCIDENCE OF "GREENSTICK" FRACTURES (BONES BEND BUT DONT BREAK).IT IS ALSO VERY ESSENTIAL TO RULE OUT UNDERLYING BRAIN OR SPINE INJURY SUBSEQUENT TO FALL BY CT/MRI BRAIN OR SPINE.ITS ALSO ESSENTIAL THAT YOU WATCH OUT FOR THE LEVEL OF CONSCIOUSNESS IN YOUR CHILD ON A PERIODIC BASIS AS ALTERED SENSORIUM COULD BE AN EARLY HARBINGER OF "SUB DURAL HEMATOMAS/BLEEDS" IN BRAIN.I RECOMMEND YOU VISIT YOUR FAMILY NEUROLOGIST/NEUROSURGEON SOONER OR LATER.THANK YOU | |
Done semen analysis. Spermatozoa found with twin heads, sperms found with long tails
my semen analysis was conducted and the result was followingTotal volume : 3/mlReaction : AlkalineViscosity : NormalLiqufication : 60 minTotal Count : 90/mil/mlActive Motile : 85%Slugish Motile : 10%Dead : 05%Microscopic : Dus Cells 1-2/ HPF Foundmany spermatazoa with twin head and numerous sperms with unusually long tails | Hello, Welcome to HCM, I am Dr. Das Look, your semen analysis report indicates normal sperm count (normal is > 15 ml as per WHO 2010). The motility is within normal limit (as per WHO 2010, grade a should be >25% or all total >50%). The Normal sperm count is also within normal limit (as per WHO 2010, normal sperm should be > 04%). The pus cells are seen. ( as per WHO 2010, normal semen should not contain any pus cells or RBCs). So, overall, your report indicates no abnormality except the pus cells. You should consult with your treating doctor for clinical correlation. Regards. | |
Suggest remedy for pressure on chest due to SVT
Hi, may I answer your health queries right now ? Please type your query here... hi my girlfriend is 16 years old, and about 2 weeks ago after a basketball game, she come out of the locker room crying and she said it felt like somebody sitting on her chest. She had troubles with this when she was little, and the doctors diagnosed her with svt and then put her on medicine, but it has now come back. What would be the best thing for her to do? | Thanks for your question on Healthcare Magic.I can understand your concern.SVT (supra ventricular tachycardia) is recurrent.In young patients, Radio Frequency Ablation (RFA) is the treatment of choice. It is safe and permanent cure for SVT.So consult cardiologist and get done Electrophysiology study (EP study) of heart to identify the abnormal impulse pathway.Once abnormal pathway is identified, cardiologist will ablate that pathway.So no recurrence is seen.Hope I have solved your query. I will be happy to help you further. Wishing good health to your girlfriend. Thanks. | |
Why am I not able to conceive ?
i am trying to conceive form three month but i cannot conceive what will i do? | Iam trying to conceive form three month(feb-mar) but icannot conceive.i am 26 years old what will ido now? | |
Why is the color of the stools green and appear smelly?
My daughter is 3.5 old. She is adopted girl since the day 2 she is on lactogen 1. She is passing green and smelly stool twice a day since last 10-12 daya. We have did her stool routin test. Her report say mucus present (+) reducing substance positive (trace). She is on simyl mct since yesterday. But she is not enjoying it. Pls suggest. Mrs. Huda | Hello Is she having loose stools , if stools are formed , she is passing urine every 3-4 hourly , active, accepting feed , you need not worry for colour of stools, if there is no presence of blood.Thanks | |
Will heptral control albumin and sgot levels?
Good morning , yesterday when i checked my liver the albumin levels and sgot were on the borderline and my doctor suggested to take heptral400 thrice in a day and stop after a month. is thisa drug which needs to be taken through the life time. Thanks for your support | Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Tablet heptral is liver protective agent and may improve SGOT and albumin levels. It is to be taken till SGPT and albumin level normalise. I hope I have answered your query and this will help you . Wish you a good health | |
Had tooth ectracted earlier. Had placed an autologous and synthtic bone. Is implantation possible?
10-11 years ago as a teenager I had tooth #8 extracted. I am an adult now living in Italy and was thinking to get a dental implant. Upon the initial x-ray the implantologist here was unsure if the extractionist had left some of the root behind. I contacted the office where the extraction happened and they said that all of the tooth was removed and he placed a an autologous and synthetic bone graft using Osteograf LD300. So I am okay for an implant with this bone graft? | Dear friend. Thanks for sharing your concern. your history posted here requires few more details like the reason why you got your teeth extracted,due to decay or any trauma,etc? Do you have any partial dentures in your mouth or fixed bridges? Does your dentist see any left over root piece in x ray?What does your dentist say about the health of your oral tissues? Do you have any medical history or are you taking any medications presently? Please furnish all these details before i suggest you details on implant tooth. please let me know for further query. Thanks. Take care. | |
What causes testicle pain?
10 year old son comes to me about his testicle pain and that its missing. Checked and found that one feels like its in pieces and its high inside. sore feelin feeling this way for about two months per son. afraid to say something. no injury to area | It seems to be a case of undescended testis. The pain could be related to gubernaculum, a structure that connects the testis to the scrotum. In any case it needs clinical evaluation and management. An undescended testis could develop cancer subsequently and hence needs to be removed surgically if there seems no further chances of descent. | |
Why does my 16 months old vomit after taking Zenflox?
my child is suffering from loosemotion since 3 days. she is 16 months rite now...doctor has prescribed emenest oral suspension , zenflox and enterogermina.....medicines are showing effect but she is not eating anything,,,neither milk...only water and ors solution. moreover green colour motion ...(what is the reason) everytime she takes zenflox ...she vomits it out....what to do....I m really worried. | Thank you for the question.For lose motions ORS and water is definitely needed.These medicine as you said has good effect on motions. Medicines do have other effects too . These medicines are bad to taste , also it leads to metallic taste which obviously the toddler is unable to explain but expressing it in the for of vomiting.Infection will take some time to resolve along the time colour of motions will change.In the mean time you can give the child medicine on empty stomach and offer something immediately after it so he does not continue with after taste of the medicine, stop vomiting.Have patience. | |
Pain in the stomach. Could this be ulcer?
Hello: I am having pain in my stomach mostly on the right side right under my breast and it feels like a fluttering feeling (like bubbles ) and the area is sensitive to touch but when I push it in the pain goes away. Can that be a ulcer and if so it doesn t matter what I eat or drink it is there it only feels better when I am laying down. | Hi Donna, Thanks for writing your query. Your symptoms can be due to increased acidity and gas production. You should get following investigations done :- 1. Liver Function Test. 2. Ultrasound upper abdomen. 3. Test for H.pylori. 4. Endoscopy. You can take antacid like Omeprazole 20 mg along with Domperidone 10 mg once a day for relief from your symptoms. Following precautions will be helpful :- 1. Avoid spicy/oily foods. 2. Donot miss a meal. 3. Avoid mental/emotional stress. 4. Avoid cigarrete/alcohol, if any. 5. Drink atleast 8-10 glasses of water daily. I hope this is helpful to you. Thanks. | |
What causes pain in feet, knees and ankles with swelling?
rheumatoid arthritis for young adults? hello,i'm 16 y/o & i always play sports.. i play softball and my position that i frequently play is catcher.. im always squatting and bending over ect.. when i walk, walk up the stairs my ankles, feet and knees pop & crack! if i walk around for a long time, stand for a long time, my ankles become the size of bowling balls.. i dont have an injury, or anything! ive had multiple mri's, and xrays. NOTHING and it becomes so unbearable that i sometimes cry due to pain. so is this rheumatoid arthritis? or something else? i have no idea! HELP. | Hi,For exact diagnosis to be made get serum uric acid, RA factor, Esr, Crp levels done and send me the report.TILL THEN have any painkiller that your have.Thanks. | |
What are the symptoms of vasovagle syncope?
My mother has had 3 episodes of what a doctor called vasovagal attack while traveling in the car with me (several others on her own in her home). The symptoms included an aura followed by unresponsiveness, spasms/seizures, vomiting then diarrhea, gradual return from lala land with prolonged weakness for the rest of the day. Having witnessed and dealt with these events firsthand, this diagnosis seems a little tame for what s happening to her. I mean this is no simple faint. Do you think vasovagal syncope covers this extreme attack? | Hi,The symptoms that you have described are more consistent with a diagnosis of seizure disorder rather than vasovagal syncope. In my opinion, an electroencephalogram (EEG) and brain imaging must be done for more information.Best wishes. | |
What does soreness in the mouth, gums and lips indicate?
mouth, gums, lips, tongue sore.....have one very sore blister type bump inside bottom lip........4 days now.....tried salt water........mouth wash.......last week had small bump on tip of tongue but it went away.....the got very bad stomach virus on Friday that lasted until Sunday.....just started feeling better on Tuesday then mouth started this burning, raw hurting | Hello,It seems that soreness in mouth, gums, lips and tongue along with ulcer or sore formation seems to be due to Apthous Stomatitis leading to inflammation inside mouth and along with it there seems to be apthous ulcers or canker sores.It can be due to deficiency of iron and vitamin B12, stress, physical trauma to the tongue, allergies, acid reflux et cetera.I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like blood tests can help in diagnosis. Treatment of underlying cause will relieve the symptoms.As of now, you can start gargling with a numbing mouthwash containing Lignocaine to relieve the symptoms. You can also take a multivitamin tablet daily.You can take anti-inflammatory painkiller like Ibuprofen. Suck ice and do cool water rinses and avoid spicy food.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | |
What causes back pains on both sides?
I had a CT scan with contrast today , it shows a small apical nodular density in the left apex, paperwork says it may represent granulomatous change. This spot first showed up in a chest x ray. I am experiencing back pain on both sides, along rib cage, could this be from the contrast? It feels like muscle spasms | Hello, I have studied your case. For nodule you may need PET scan to confirm any metastasis or activity.Nodule may not lead to back pain.According to your symptoms this looks as acute lumbar muscle sprain in your lower back.Most probably due to bad posture or sudden jerk.When such patient comes to our hospital we usually do x ray to rule out any nerve compression.MRI spine will show any disc bulge is there or not.And when muscle sprain is confirmed muscle relaxant, analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion.Wishing you good health.Take care. | |
What causes pain in ribs when touched?
im 23 5'6 200lbs and i just got diagnosed with bronchitis about 1 week ago they put me on augmitin but itts not helping to much i feel a little better though but now my ribs are killing me just to touch them i was just wondering if that could be a sign of anything serious with my lungs or anything else. | i,Dear,Good Morning and Thanks for your query to my virtual Clinic At HCM.I studied your query in depth and understood your concerns .Causes for pain in ribs when touched are as follows-a-Mostly they are -Bronchitis with pleuritis ? or with intercostal rib entrapment ? or could be Shingles-with Herpes zoster post-bronchitis.I would advise Xray Chest to rule out any pneumonia and consultation with Thorasic-Physician and Surgeon .Don't worry of them,as they could be relieved with proper treatment.Hope above reply would help you to relieve of the issue you have.Welcome for any further query to ME and HCM.Write Good review for the benefit of my new patients.Click thanks ASAP after this.Have A Good Day.With RegardsDr.Savaskar | |
Had miscarriage. Rubella positive. When to plan pregnancy?
.... i had a miscarriage at 3 months of gestation......i was rubella igm positive and igg positive when tested 2 months later.... but i had no symptoms of the disease....i repeated the test 3 months later igm and igg are still positive ...... when should i plan my pregnancy? | Hello, Rubella IgM becomes detectable a few days after the infection. The presence of IgM antibodies indicates an acute infection, and will be detectable for approximately 8 weeks or may be 10 weeks.(Rubella IgG will appear almost as early as the IgM, but then persists for life). It looks unlikely that rubella IgM is still positive after 5 months of miscarriage. Because rubella incidence is low, a high proportion of IgM-positive tests will likely be false positive. False-positive serum rubella IgM tests may occur due to the presence of rheumatoid factors or cross-reacting IgM, or infection with other viruses. You must get it repeated again at some different laboratory . Once you find that IgM is negative,which it should be,you may plan your next pregnancy. Thanks | |
What does two lumps in my neck below my tongue imply?
I have two lumps in my neck below my tongue. they move around are extremely painful. when they move it's like my mouth becomes paralyzed and i have to push them back and it is terrible pain. a doctor told me a few years ago that it was a swollen salivary gland, but gave me nothing nor did anything for it...and then the last few months i've noticed that i now have a lump on the other side of my neck. | Hi, dearI have gone through your question. I can understand your concern. You may have swollen sub mandibular salivary gland. It can be due to acute or chronic sialadenitis or sime tumour of submandibular salivary gland. You should go for ultrasound examination. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What does a raised welt on thigh imply?
My 13 y.o. daughter just returned from a two week vacation at the beach on Martha s Vineyard. She has two one inch raised welts on her upper thigh. They appear to have been pus filled although they look somewhat dry. She claims they have been there 5 days. No itching, no spreading, no swelling, no fever. Any ideas what this could be? | The possibilities are huge. The way you describe however sounds like the touch of a jelly fish. They are however quite painful and to a large extent toxic.The other possibility is contact with an allergic vine. There may have been itching initially which has now subsided.The mark could also be post traumatic. | |
How to get rid of hypertension?
I am 56 years old, about 5 3 and weigh 176. I have hypertension, high cholesterol, CAD, mild asthma which is brought on by irritants, Hashimoto s Thyroiditis, and Diverticulosis (I had a colon resection 4 1/2 years ago). I often get terrible muscle cramps in my lower legs, but I have also been experiencing this feeling of pulsating (it almost feels like something is crawling inside my lower legs) and you can actually see it puckering. I ve also had a few episodes of extreme dizziness, immediately followed by swooning (feeling like I was going to pass out), and simultaneous tingling & numbness in my lips, fingers & toes. These may be two completely different problems, but for all I know, they could be related. Any insight you could give me would be much appreciated! | Hello!Welcome and thank you for asking on HCM!I passed carefully through your question and would explain as follows: 1- The muscle cramps and pulsating feeling in your legs could be related to pripheral arteriopathy or neuropathy. For this reason, I would recommend performing a Doppler ultrasound of the leg vessels and a nerve conduction study to examine the nerves in the lower limbs. 2- The episodes of fainting and numbness in your lips could be related to blood pressure fluctuations or orthostatic hypotension. That is why, it is necessary to closely monitor your blood pressure values and performing a Head Up Tilt test to investigate for orthostatic hypotension. You should discuss with your doctor on the above tests. Hope to have been helpful!Kind regards, Dr. Iliri | |
What causes lower back pain, fatigue in legs and constipation?
For almost 5 weeks now I have had lower back pain -- where the spine ends at the pelvis. I went to see a GP and he tested my urine (normal) and had lumbar spine xray (results not in yet). I have been taking 850mg ibuprofen 2x a day, which helps but one day when I stopped (because I felt better), the back ache returned. I'm now feeling some kind of fatigue sensation down both legs. I also had constipation problem recently -- more often than normal. I'm 63 but otherwise healthy -- no health problems until now. Should I see a specialist -- what kind? | Hi welcome to HcmYour symptoms are suggestive of lumbar spondylolisthesis.Get MRI total spine and review with reports.Drugs like pregabalin well help.thankyou | |
How to control masturbating addiction?
Hii..doctor I m 19 years old. I dont able to sleep without masturbating. .I had this habit from 3 yrs early. I enjoy masturbating. ..and feel excited by releasing sperm. .too quickly. .I use to masturbate 3 times a day..not even a single day I live without masturbating. .plz tell me if it will affect my future sexual life... | Hello,,Based on the facts that you have posted it appears that You have been indulged in masturbation since many years and fear yourself to get into problem of infertility in future.First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems.But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. So do not worry at all.However it is advisable to get addicted to it. Thank you | |
What causes blood to come out of navel?
I am scheduled to have my gallbladder removed next week due to gallstones. I recently have had what I think was a GI bug, I felt better the last couple of days and now my upper right stomach is hurting and I noticed today that I have blood coming from my belly button. Is this something that I should notify my surgeon's office about, or just wait it out until the surgery next week? | Hello,Yes, you should definitely tell your surgeon about this. Blood from anywhere in the body is not a usual thing. Do it as early as possible.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. B.dinesh | |
Red pimples on face, dry skin, used Proactive. Should I use Facelin A again?
hi sir..i m 23 years old..and m using proactive solution for ma pimples since 4 years...and 3weeks ago after facial there was allergy on my face(small red pimples)..and very dry skin (like black skin was removing )then my doc. suggest me to use facelin A..it helps me alot...nw m again using proactive ..due to this solution ma skin becomes dry like black skin is removing from my face..to remove this blackskin completely or dryness shud i use faceclin-A again? | IN SKIN PIMPLES THE PROBLEM IS LIKE THAT YOUR SKIN IS OILY IN PIMPLES IF YOU TRY TO DRY IT WITH ANTI PIMPLE CREAM IT BECOMES SOMETIME DRY AND CAUSES ALLERGIES SO THERE IS DOUBLE TEXTURE IF THE OINTMENTS ARE SUITING YOU CAN MIX THE BOTH MIX MORE OF OINTMENT IF YOUR SKIN IS DRY YOU CAN HAVE MORE OF OINTMENT WHICH CAUSES SKIN OILY AND ALLERGIC IF YOUR SKIN IS MORE OILY AS PIMPLES APPEAR YOU CAN ADD MORE OF OINTMENT WHICH REDUCE OIL | |
Experienced panic during driving. Feeling shaky after two days. Any herbal medicine?
when driving i had a panic attack and my legs and arms turned to jelly and there was no turn off on the highway then I panic even more cause i needed to be in control of the car and feared I wouldnt be. The drivers behind me got angry cause i slowed down and they couldnt over take . Im still shaking two days after the event. Is there any herbal medicine I can take? to help and prevent this from happening again? | Hi,The most common cause for panic attacks is due to stressful living and always being in a hurry. I will recommend the following treatment if a patient with similar complaints had been at my clinic:1. Ashwagandha and Brahmi 1 tablet twice a day for 2 – 3 months (organic herbs).2. Decreased intake of tea, coffee, cold drinks and chocolates. 3. Deep breathing exercise for 5 -10 minutes twice a day. Best time after waking up and before going to bed.4. Short meditation for 10 minutes per day. Close your eyes, sit in a comfortable chair and start taking slow deep breaths, while exhaling mentally repeat ‘Relax’, ‘Peaceful’, ‘Healthy’.Hope this answers your question. | |
How long can a person live with end stage cirrhosis of liver?
Hi my brother has end stage cirosses of the liver, he is to sick for a transplant. With just that diagnosis the doctors just told him to enjoy what life he has left. Now he is diagnosed with Esophageal varices. He is not bleeding or throwing up blood yet, however, he has a very bad infection in his stomach the doctors can not resolve. My question is how long can a person live with these illnesses combined? | Hi thanks for asking question.According to history he has end stage liver cirrhosis and transplant not possible.Stomach infection can be treated with antibiotic...For Your esophageal varices esophageal banding can be done....if need by doctor.Take low salt diet for avoiding edema.For portal hypertension if needed beta blocker can be taken.Take low fat diet.Give him more fruits.Avoid alcohol.One tsp cumin seed with milk can be taken.If tremor , slurred speech or bleeding occur immediately consult doctor.Five year survival rate poor for cirrhosis patient...Take care. | |
Can any online doctor explain me about my lumbar spodilitis ?
Dear doctor , my brother s wife, aged 38 yrs, presently suffering from LUMBAR SPONDILITIS, in her lower limbs . she recently visited 1 very good hospital in Bangalore, India, but found no result for any cure. She is now getting difficulty for any work by her both feet, though it is little better till now, for her right leg. Medical History: Gait difficulty, Lower limb weakness, suspect more gap betn L1 - L5 Loss of Lumbar Lordosis Vertabrae shows Ostrophytic change Several disc shows loss of signal on T2 L1 - L2 disc shows postero-central disc bulge with thecal sac indentation and compromise of both exit formina Haemoglobin - 10.9 gm/bl Total Erothrocyte count - 3.77 m/cu.mm Total Leucocyte count - 6800 cu.mm Erothrocyte sedimentation rate - 12 mm Neutrophil - 61%, Lymphocyte - 36%, Eosonophil - 2%, Basophil - 0.0% Urine culture: colour - watery, App. - clear, Sediment - Nil, Sp. Grvty - 1.005 Is this disease curable? Pls help. | Hi, Your brother's wife has lumber spondiltis with few complications in the vertebral canal resulting compression of vertebrae and protrusion.there is also degenerative changes in the spinal canal and osteophytes formation causing more problems. This can not be cured but further damage can be prevented by following . Sleep on hard bed, Do not bend forward Avoid weight lifting Do physiotherapy regularly, do back extension exercise. Take more calcium and multivitamin supplements. Xray and MRI should be done to evaluate the case. consult orthopedic surgeon,surgical intervention may require. ok and bye. | |
What is the life expectancy of a person with mitochondrial disease?
I am a 38 year old female with a history of migraine headaches, frequent UTIs, IBS, unexplained lesions on the brain (tested for MS, but not diagnosed), exercise intolerance, sometimes severe fatigue that leads to problems completing daily activities, heat/cold intolerance without hypo/hyperthyroid and 3 strokes at the age of 31. All of these symptoms come and go. Despite this history I am very healthy. Last week I began having heart palpitations with moderate chest pain that radiated to my back between my shoulder blades and down the back of both of my arms. An EKG was performed, chem-8, TSH levels, troponins checked and all tests came back normal. I was released and 3 days later returned with the complaint of dizziness, weakness, and severe fatigue. All tests were repeated with the addition of a hematocrit to check for anemia as I am a vegetarian. All tests results were again normal. I have an appt with a cardiologist later this week. I took to some research and discovered that my symptoms seem to point to MELAS or mitochondrial disease (many of my family members complain of similar symptoms). My question is that I have been able to live a fairly normal life up to this point and would like to know the life expectancy of someone with MELAS. | Hi, Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) is a multisystem disorder. The typical age of death ranges from 10 to 35 years, but some individuals live into their sixth decade. Intercurrent infections or intestinal obstructions are often terminal events. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist | |
Dull soreness after drinking vodka, smoking inhales post wisdom teeth removal. Beginning of dry socket?
On tues i had 4 wisdom teeth taken out and by sat night i was feeling pretty good and drank a good amount of vodka and smoked about two inhales. Then sunday night i smoked a water pipe but was slow and careful and rinsed with salt water right afterwards. Its now monday night and i only feel a small amount of dull soreness which should be normal but im concerned it could be the beginning of dry socket. Would i know if my clot was dislodged as it happened? Thanks | Hello Welcome to HCM I would like to tell you that after tooth extraction, a blood clot slowly forms in the hole left in the bone by the removed tooth. This blood cloth is the initial phase of the healing process. The blood clot’s formation can be slowed down when a person smokes, either from the suction done during the smoking action, or from the chemical toxins that come from a cigarette. This can lead to complications such as a dry socket, which is a temporary and very painful condition that occurs when the blood clot forms slowly. It is therefore recommended to wait at least 48 to 72 hours before smoking after a dental extraction. Smoking is very bad for someone’s health and stopping completely is mostly recommended.Continue your medicines as prescribed by your dentist.Along with that do betadine gargles 3-4 times a day.Get a check-up done after a week. Take Care Regards Dr.Neha | |
What causes sharp pain and numbness in the thigh?
I am experiencing pins and needles sensation and numbness on my right thigh (outer side). I have started going to a gym since a week. I am also taking injections of arachitol and vitcofol on the thighs. What could be the cause of this pain and can I continue going to the gym and taking my injections. I am 30 years old female and my height is 5 6 and weight is 82 kg. | Hi,Thanks for your query.pins and needles sensation and numbness,tingling in the thigh can be referred from the spine, the hip joint or from the bone and muscle in the thigh itself. A physical examination would indicate to a physician the likely site of the pain which could be further investigated with X-rays of your spine, hip and femur.The nature of your pain suggests to me that this is more likely a hip joint or thigh muscle problem. If the pain is coming from your hip joint the most common diagnosis at your age would be osteoarthritis of the hip joint. A strain of the quadriceps muscle can also cause such pain, which will likely improve over a period of 2-3 weeks. Antiinflammatory medciation, physiotherapy, massage may help your symptoms in the interim.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Suggest remedy to get rid of chest pain after smoking hookah
I just started smoking hookah about a month or 2 ago, and I don t smoke all the time, maybe once a week when I m with friends, and now I m having chest pains, the pain started 24 hours ago, and I thought it was something I ate but now I m not sure bc the pain hasn t gone away. The area of the pain is inside and in the middle of my chest? How can I get rid of the pain? | Hello dear, thanks for your question on HCM. In my opinion you are having mostly GERD ( gastroesophageal reflux disease ). Hookah smoking aggravates and worsens GERD. It is due to laxity of gastroesophageal sphincter.Because of this the acid of the stomach tends to come up in the esophagus and cause the Central chest pain. So better to avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start Proton pump inhibitors. Quit hookah smoking as soon as possible as it is not good habit. | |
Is BP of 130/100, high?
Hi, I; play tennis for at least one hour per week, weigh about 90kg and am 1.58 meters tall. i saw a little stain in the mucous I blew from my nose and took my blood pressure after my routine weekly exercise of one hour on the tennis court it was 130/100. Am i hypertensive? | HiThis blood stained mucous can be due to nadal congestion and infection.Your blood pressure is high,the diastolic reading is quite high.Please consult your physician to start on antihypertensive medications it the readings are persistently high.avoid salty,spicy foods and stress.All the best | |
Can underlying allergies before septorhinoplasty cause breathing difficulty?
hi.. i had septorhinoplasty some time ago but still expeience breathing difficulty thru my left nostril. i can do heavy weights as a result of this. at night i need to sleep on my left side so that i can breath better.. the GP said it could be a result of underlying allergies before surgery that are causing a proplase? | Hi and welcome to HCM, This is not due to septorhinoplasty. This may be due to underlying allergies. Take Otrivin nasal drops. Avoid allergents. If condition persists contact your ENT specialist. Wish you speedy recoveryThanks | |
What is the cause for a 44 year old to be anaemic inspite of having a healthy diet and not losing blood anywhere?
I am a 44 year old female. I eat a healthy diet and I exercise regularly. I recently spend two night in hospital with pneumonia. During my stay at the hospital, I had a visit from an internist who told me that I was severely anemic with a hemoglobin level of 77. He also said that it did not appear to be diet related or a deficiency. Nor did he think that I was losing blood somewhere. He thinks it has something to do with production of red blood cells in the bone marrow. I am currently taking 600mg of iron and am waiting to see my family physician at the end of this week. I was wondering if you had any thoughts. Thank you | Thanks for query. To comment on the cause and type of anemia you have got I need to know other values like MCV,MCHC etc.for time being as you intern said it is something related to decreased blood production .it may be folate or B12 or iron deficiency .as you are being treated with iron alone I assume it to be iron deficiency.if it is the case you need to undergo bone marrow biopsy to know the cause and treat accordingly.regards | |
Hoe to reduce blood pressure?
high blood pressure upon waking in the morning then immediately goes back to normal age 66 female, never taken bp pills, always had lower bp all my life tried cutting out salt but that did not help at all. had bad sinus infection when this first started back in the winter but the sinus infection is long gone . I tooke ciprofoxicine for 21 days then had exrays of sinus no problems | Hi,Slight elevation of blood pressure in the morning is a natural phenomenon. Above our kidney lies adrenal gland. Adrenal gland secrete hormones called cortisol adrenaline and other catecholamines. These hormones are responsible for maintaining blood pressure to normal, as the level of cortisol is higher in morning, so blood pressure is higher in morning.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rishu Saxena | |
What causes lumps on the head while suffering from tooth infection?
My daughter had her wisdom teeth come in. We ended up moving her surgery date up three weeks due to a severe chronic headache, nausea and vomiting. Dr. Said the teeth were inflamed and one tooth in particular was infected. He removed a cist in the surgery as well and gave her an iv antibiotics. My question is that in addition to the headache which isn't gone, she has this strange hard lumps all over her head and neck. Will this go away as she continues to heal or is this a different thing? | Hello,Bumps on head and neck if they are present under the skin. Then they can be swollen lymph nodes and they can be very much secondary to tooth related infection. But still, a clinical examination is a must to rule out the exact nature of the bumps.If it is due to infection then yes, it will get better with antibiotics and as the healing will proceed. So it is better to get checked and in case if it is due to infection causing swelling of lymph nodes. A course of antibiotics will be advised along with painkillers so that healing takes places faster.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | |
What causes extreme body muscle pain and dizziness?
i have been sick for about 9months, im a 16 year old girl who was healthy until the day i donated blood...my symptoms consist of :very extreme tired, weak, dizzy, pale, or short of breath,Easy bleeding or bruising, fever, very bad joint and bone pain, bad lower back and neck, dazing out, throwing up, trouble breathing, headache, my eyes and head get very heavy ad pressured where it hurts to open them, and the doctors i went to said my red blood count is low. do you think it could be leukemia ? | Hi, dearI have gone through your question. I can understand your concern. Low red blood cell count means anemia. Its not leukemia. Your symptoms are of some viral infection and anemia. No need to worry about leukemia. Consult your doctor and take treatment of your anemia. 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 treatment for hepatitis-C and burning in abdomen
my name is ali nawaz and lives in pakistan.my medical report shows i have hepatitc c i feel burning in abdomenonly but i am using a herble treatment now my hand colour is changed into red and my urine is clear my elza test value is 1.78 what will i do | Hi Mr Nawaz,I am so sorry to hear about your diagnosis. In the present day there are various treatment options available for a patient with active hepatitis C. But since these treatments have potential side effects, it should be taken only by those who would potentially respond to it. This would require getting a Hepatits C viral load and Genotyping done to decide on the course of treatment.Even in India lots of patients do take herbal medications, but barring some self limiting conditions (hepatitis A, E and such), it is rarely of any benefit in hepatitis B and C and only leads to a delay in the patient seeking active medical intervention. Regarding burning in your abdomen, the most common reason for this kind of pain is acid peptic disease. I would suggest taking a course of antacid tablets and see if you get any relief from it.Hope this helped and do not hesitate to write back with any more questions. | |
Suggest treatment for lump behind left ear
My daughter is 4 years old and I noticed a lump behind her left ear. I also noticed small lumps in various spots on her scalp. I took her to the doctor yesterday and the doctor precribed an antibotic. Her doctor didn t really act like it was anything serious...Should I be concerned? | Hi, this could be pyoderma or lymphadenitis due to infection. In both conditions, antibiotics for 5 to 6 days is given. Its nothing serious. Take care. | |
Suggest treatment for white bumps on inner lips in kids
My one year old daughter is teething, over the weekend she had a fever and was in pain. We gave her tylenol for her fever and Oragel for her gums. My question is what can cause white bumps on her inner lips? We first observed them on Sunday and they were small, today the seem to have gotten larger. | Hello,I can understand your concern. Teething is a difficult time period for some kids if the gums are thick. However, it is not a phenomenon that should be normally associated with fever or while raised lesions on the inner lip.It seems that your daughter is suffering from viral infection like chickenpox or herpes. You should go to a pediatrician for physical examination of the kid and to check for lesions that may be present elsewhere on the body but you may not have noticed yet. You can continue with the Tylenol for the supportive therapy in fever and pain, but it is necessary to visit a pediatrician. I hope this information helps you. Thank you for choosing HCM. I wish your daughter feels better soon.Best,Dr. Viraj Shah | |
What causes brown ring on the tooth?
Once in a very great while, out of boredom, I will stick a mirror in my mouth to check out my maxillary teeth. Today, I noticed that my #6 appears to have been slightly chipped and now has a thin a brown ring around the edge of the chip, with a white center. The chip/ring are both visible and above the gumline. I have no idea when the chip occurred as I haven't had any discomfort at all. My best guess is that it happened sometime within the past two years as my dentist didn't mention anything during my last visit. I'm currently unemployed and without dental insurance so I was wondering how urgent this matter is- could it possibly wait until I find a job/insurance, or do I need to see a dentist ASAP? | Hello,Possibilities include stain, decalcification or decay. It is wise to schedule an exam. Uf decay is present, a simple filling is possible if it is small. Left untreated, it will get larger and risk developing an abscess.Call your dentist to inquire if there are any notes in your chart concerning discoloration on this tooth. I often make notes to monitor changes. Clean the area well. Check the texture. Does it appear soft or rougher than the smooth enamel? Discuus thus with your dentist and this may help you decide if you need to address thus area right away. Preventon is always best!Thank you for your inquiry. | |
My mother is suffering from severe dysplasia
Hi Doctor Iam from sudan my mother has abig colonic mass the doctors in my country said she has acancer but the result of biopsy was taken is (severe dysplasia ) and i can send to you all diagnosis and report on your e.mail | Hi, Welcome to healthcare magic As you have given the picture, there is a very high probability of cancer of colon. Severe dysplasia is a possible biopsy near the tumor and she requires a radical resection with intraoperative frozen section. Discuss with your doctors. They shall guide you further. Regards. | |
18 year old suffering from asthma and allergies. What would be triggering it?
Hi there. I am an 18 year female who has asthma . The thing is, I can t point my finger on what causes my asthma attacks. I get them in weather changes, when I am being physically active, and sometimes just randomly in the middle of the night. I also have severe allergies. I don t smoke . But I was wondering what you think might be triggering them.. ( I get about 4 a week, and almost every morning around 2) | With my experience it may be food allergy either milk,chana,potato,which exagerates on changing season and temperature variations you can get blood serum specific antibodies test for these food items | |
What causes hard coughs with breathing difficulty?
So for about 3 days now ive been having the same issues. I have a really hard cough, its hard to breathe and when i do, i wheeze, and my nose is really stuffy do you know what it is? I have a doctors appointment but i would like to know if its serious | These symptoms might be due to upper respiratory tract infection, which are caused most commonly due to viral infections. You may feel better with the medicines doctor is gonna prescribe, but you may also find it soothening, if you do steam inhalation, drink plenty of fluids and take proper rest | |
Reason for pain in the lower part of the back?
Hi my name is barbara and I am having some pain in the lower part of my back and when I take a deep breath it hurt worst I started taking Advil on yesterday I took three at on time I was hurting so bad but today I just went online and ask the question about Advil v aleve and most of the sights sad aleve was better for mussel pain so I took two aleve can you give me any advise | Hello,Thank you for contact us,Now a days its mostly the common problems in humans.Mainly its due to inactivity of muscles it.Today every one having totally sitting life as no work at all that could be count as a body exercise due to that problem occurs.For lower back Pain you should follow instructions described below -Best medicine for Lower back pain is Rest.Resting for some days will heal the muscles which could be damage because of jerk. Muscles need some time to heal so give them time for the same.Another way is to take massage with hot or cold water, Some people take cold water and some take hot for massage.If pain is because of any accident or something big issue than you have to concern good doctor for the same.Other exercise should be done as doctors suggest after checking you physically.Hope it will work for your back pain.Good luck, Take care.Thanks & regards,Dr. Gaurav Prajapati | |
Q. After getting braces, I developed a high pitch sound in my right year. Why?
Hi doctor, I have been wearing braces for teeth alignment. I am towards the end of my treatment and have developed a high pitched sound in my right ear. I consulted with my orthodontist and temporarily removed the wires on two occasions. Both times, the ringing went down after some weeks. When I put on again, the sound started. One ENT I consulted said it could be an allergy to dust in the area I live in. Based on the information I received and the symptoms, I am not sure how to proceed. What is the cause of this issue? | Hi. Tinnitus due to braces is not possible. Tinnitus can be due to many reasons like hearing loss, or nerve loss, or any loud noise exposure, or trauma to the ear, or even nasal infection, or some medicines. Please tell me do you have any relevant history? Dental procedures that involve the use of dental burs can cause tinnitus but not just the braces. You should get pure tone audiometry done and follow up with the required information so that I can suggest you better. | |
Suggest whitening cream to increase the complexion
hello dr, i am a physiotherapist reciding in mumbai, have to travel a lot for my job, my problem is, when i stay at home for 15 days or so i bcome nicely fair, but now as m doing job i have lost my complexion & i desire to b some shades fairer, i use ranbaxy suncross lotion, n revlon day cream, please help m really down at confidence due to the thot of getting darker, my age is 23, plz suggest some night whitening crm also, plz rply asap, thnx. | ok sir you can go with a cream called banatan of curatio company it is best to apply when you are not out door . | |
What causes lower backache and leg pain after lumbar spinal fusion surgery?
I had l4 l5 fushion last May.I was doing very well walking two miles a day after two miles I would have pain and would stop. Lower back pain and leg pain has developed along with a foul smelling urine.Does urine problems have anything to do with the surgery. | Hello, In my opinion, you should get tested with urine analysis and ultrasound of the abdomen to rule out a urinary tract infection followed by an x-ray. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Fahim Sheik | |
What causes lower abdominal pain during pregnancy?
I m 18 weeks pregnant. My scan reports are normal but i have lower abdomen pain sometimes. My doc advised me to take susten 100 mg twice daily for 10 days. Is it safe for me and my baby to take this medicine. I am worried because i m reading the side effects of this medicine on the internet. Please advice. | Hello,As your scan is normal, there is no need for worry.You should continue using susten as prescribed by your doctor.Susten reduces chances of miscarriage and helps in maintaing pregnancy, which might be the reason your doctor prescribed it.Due to the growing fetus it is normal to have some lower abdominal pain and discomfort. Discomfort will keep on increasing as pregnancy progresses.I would also suggest you to get your urine analysis done. UTI is very common during pregnancy which will also cause lower abdominal pain.Hope I have answered your query. Wish you good health.Dr. Narasimha G L | |
Is this semen analysis report normal?
hi Doctor, i have did the semen analysis,the report shows: Volume:1.0ML, Color: Creamish, Gel: Normal, Liquification Time:25Mins, Reaction: Alkaline, Motily:40%, Moderate:30%, Sulggish: 10%, Dead: 20%, PUS Cell: 6-6/.HPF, Total Count 84Millions/ML, Normal Form: 80%, abnormal forms:20% this report will be consider normal or i need to improve more. | Good day and thank you for being with healthcare magic!!yes your semen analysis showed normal and acceptable results according to the latest WHO reference values. | |
Suggest medication for dizziness followed by heart palpitations and fatigue
Hi, I had h.pylori 3 months ago. I took the antibiotics for 3 weeks. I have been sick since then although over the past month I get dizziness, heart palpitations, tiredness, sour taste in mouth. I am eating mostly vegetables with a little chicken, no sugsr or alcohol. This is not getting better. | Hello, I would like to tell you that in H. pylori you should take some anti acidic meds with dietary modification. It’s recommended for you to consult a gastroenterologist personally with all reports for further treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | |
What causes pain in lower and middle part of the body?
Four. Hours ago I started to have right lower to mid quad pain. I feel it most when I walk . No vomiting , nausea, fever, and no problems going to the bathroom. I had my appendix out in 2009. I m not due for my period...so I m a bit unsure. I have had kidney stones in the past but the doesn t feel the same. Any ideas? | Hello, Welcome at HCM.I have read your query.Can you please answer some questions so that i can help you-1.Is there any history of injury?2.Have you done any hard work like standing or walking for long time?3.Is there any radiation of pain to lower limbs?Please reply. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.