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What does smiling alone with own self imply?
Hi Doc A colleague of mine starts smiling all of a sudden while looking on the computer screen , she lose her concentration while doing some work and then start smiling all of a sudden within herself. This phenomenon happens all time when she is working alone and nobody attends her. can you tell me what is this? | DearWe understand your concernsI went through your details. I suggest you not to worry much. Smiling to herself while working and while alone, talking to oneself while alone etc are part of behavior while engrossed in something engrossing. There is nothing to be alarmed of. You should talk to her and appraise her of the situation and advise her to control such behavior. Awareness and some corrective measures can clear these behavior. But there is nothing wrong with such behavior.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. | |
How can pain in the neck, back, etc., treated after intestine removal?
Yes I have a positive hla-b27 test . I experience moving joint pain lower back pain neck pain thoracic outlet issues electrical pain in arms I have had my large intestine removed fevers migraines tendon problems in my right ankle, right knee, psoriasis, nail disorders, loss of left hand control some times, foggy thought process b12 deficiency enzyme deficiency related to protein break down. Yet my blood tests show no inflammation. I am still having explosive bowels since December 10 2013 with the removal of large intestine therefor I am dehydrated . | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Generally, HLA-B27 is associated with a particularly difficult arthritis called Ankylosing Spondylitis.This causes progressive crippling and there are not great treatments but a University based RHEUMATOLOGIST would be the type of doctor to see.Likely, chemotherapy to seriously inhibit the immune system would be tried.Hope I have answered your query. Let me know if I can assist you further. | |
What causes stabbing pain from left nipple to left underarm?
Having stabbing pain radiating from left nipple (male) to left underarm. Not constant but at times unbearable. I am a 56 yo male with no cardiac or medical history. I am 5'9", 180 lbs, vegetarian, do not use drugs , and run 5 miles 3X/wk. Had a physical on Friday with EKG, CBC, Chem 12 which were normal. Pain only began on Saturday. My MD is unable to see me until Thursday. | Hi welcome to HCM. I understand your concern from your question.Cardiac pain is usually dull and vague to be localised and is not stab like. Area is usually the one you are symptomatic at that is left side of chest radiating to left arm. Your lifestyle is good and no obvious risk factors, but this doesn't mean that one won't have a cardiac problem. In my patients with age above 40 and chest pain I do an EKG, if that is normal then I treat them symptomatically, like muscular pain or gastric issue. In your case the symptoms sounds like a non cardiac issue but the cardiac issue can only be excluded by an EKG.I hope that might be of some help.If you have any query feel free to ask.ThanksDr. Taimoor | |
Suffering with OCPD. Is there any specific drug for treating this?
I have OCPD and not OCD . They are completely different from what I have researched and learned. I have done CBT and meds including anti anxiety drugs. Do you know any drugs specific for OCPD? It seems like its really just a need to control the anxiety that comes when things don t go my way. I feel very little if any difference on the drug I have been taking. Thanks | Hello....... Thanks for your query. I am unsure as to whether a psychiatrist assessed you and labelled you as "OCPD" or if it is based on your understanding. As you said rightly both are entirely different and OCPD is a personality disorder. OCPD in mild form can be one's asset as it includes punctuality, cleanliness and dedication to work thought it might be harmful if full blown as a disorder. It is not possible to change one's personality though behavioural interventions might be helpful. There is no need for any psychotropic medication if is indeed OCPD. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist | |
Suggest treatment for introverted personality with mood swings
I am concerned about my mother. Not only does she slur her speech the past year, but she also has a hard time holding a telephone conversation with me for more than four or five minutes without making an excuse to get off. She also has irratic and strange behaviour such as mood swings wherein she will take things extremely personal and cut off certain family members and then a week later it s as if she s forgotten and will act as though she loves that person immensely. She miakes inappropriate comments at times on facebook and has stopped visiting us completely. Her personality has changed and she seems to be much more introverted than usual. | Hi, Thanks for writing to us, Since you say that the problem is present from the past one year, it is unlikely to be a problem with her personality. It is more likely to be a mental illness. The history you have provided is insufficient to diagnose the problem, the possibilities could range from adjustment problems to an affective disorder. But she would require a detailed psychiatric evaluation to confirm the above. Hope this helps,Dr A Rao | |
What causes pain around the maxillary molars on the palatal side?
3 days ago I started to feel pain around the gingival margins of my maxillary molars on the palatal side. The area appears erythematous. In addition, the area behind my right mandibular molar is also reythematous and swollen. Also painful. The interesting thing is that everything is one sided (right side.) Later on, my hard and soft palate on that side started to hurt, then moved down my throat, and now my lymph node is swollen and painful on that side. I also have geographic tongue with pain but only associated to the right side. Taste has changed. I feel pain when I move my mandible around the mandibular border. Since yesterday I ended up with a fever of 101 that kept on coming and going. chills were involved. Now today i woke up with a blister on the inside of my lip (on the right side.) I am currently placed on z-pack. What could I be dealing with? | thanks for your query, the fever and the blister could be secondary to herpes virus infection and swollen gums and erythematous gums could be because of the deposits get your teeth cleaned once..consult your oral physician you can take symptomatic treatment like topical anesthetic and analgesics for blister and mucosal pain for fever take systemic antipyretics.. i hope my answer will help you..take care.. | |
The ultrasound shows grossly distended bladder with bilateral hydronephrosis and significant PVR prostatic volume. Is this a problem?
There are white flakes and foamy substance floating in urine sample for past 5-6 days. Pateint s age is 72 years and in the report of Ultrasound KUBP, remarks are Grossly distended bladder with bilateral hydronephrosis and significant PVR Prostatic volume = 90 cc My e mail id is YYYY@YYYY | Hello,UTI (Urinary Tract Infection) with Benign prostatic hypertrophy.Based on the ultrasound report and the urine analysis you seem to be suffering from urine infection due to an enlarged prostate gland. You should consult your doctor for further evaluation and treatment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Taher Ali | |
What causes fluctuation in the WBC count?
my father suffering from cml reported in march , his wbc count a that time was 1,75000 by chemotherapy it goes down but comes upto 1100 then dr start giving medicine to increase wbc and bring down platelet count but again now it comes to 91,000 is is a regular process in such cancer as dr is giving very costly treatment should we continue dr. | Hi, dearI have gone through your question. I can understand your concern. Your father is suffering from chronic myeloid leukemia. Its quite common to have fluctuations in wbc count with treatment. Treatment depends on stage of disease. Imatinib mercilate is the drug of choice for chronic myeloid leukemia. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Suggest treatment for sweating, breathlessness and palpitation
My mom had a bad night 2 days backwhen she reported sweating/ breathing trouble and palpitation.. .this happened at around 3:30 AM. Later in the morning i took her for an ECG at around 9:30 AM.... and report shows Low Heart Voltage...... and since then she is feeling little low......Once in 2006 she was reported with Angina and Mild cardiac arrest... which was treated and then after she never encountered any such issue..... The reason of the then cardiac issues were stomach gas... and ischemia.....After then something bad like that happened 2days back... Note: 1.) She is Rehmatoid artheritis patient since 25 years almost nowAlso, she is Vit D deficient where the level is 13.2...... and she is already on the treatment for it... can you tell me what should i do at this stage | Hello..Your details are unclear. As i got from your description that Your mother is known case of Angina (Stable/Unstable) since 2006. But you did not mention regarding any regular medicines for that. Also your mother is known case of Rheumatoid arthritis for which she is taking medicines regularly. Now she suffered acute onset palpitation, sweating and breathlessness early in morning and ECG suggestive of almost normal that has been done after 6 hours..So in my opinion your mother is suffering from Unstable angina. And my advise to go for Streess Echocardiography and Angiography to confirm it. Mean while if such episodes occur then give her Tab sorbitrate 5mg sublingual stat.Thank You | |
Suggest medication for white color patches on cheek
Dear sir/Madam, My daughter is suffering with white coloured patches on her chick ( mostly on left hand side). Although it doesn t show any further reaction like blood, itching etc but not look good. Some people says she needs multivitamin syrup as treatment, please can you tell me what is better for her? Thank you Regards VIVEK SHARMA Delhi | Hi...by what you quote I feel that it could be Pityriasis alba - a sort of fungal infection. It will usually respond to mild steroids. But....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)., | |
How can an ear lump with headaches and tingling be treated?
hi there, i have just found a lump behind my ear about 1inch long which has been niggling over last month, i wake with headaches most mornings then it wears off, today though I have pins and needles inthe same right side of face. I will book appt but this is really worrying me. is this bad ? | HI,Dear,Welcome to HCM.Based on the facts and data of your query,you Seem to have chronic right sinusitis with chronic mastoiditis.Would suggest Ent surgeons second opinion soon.CT Scan would fix other possibilities for proper treatment with your doctors.Other causes need to be ruled out by Second opinion from your doctor which would help you to plan treats in future.Hope this would help you to resolve your sever anxiety.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!! Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | |
What should the creatinine level be while undergoing dialysis?
sir My father admit in hospital and he is seffring from dialiysis. He has done 2 time dialiysis. But creatinine level till now 6.5 and BU 72 sir i like to inform you that my father admit in hospital last sunday for only vometting and loss motion and treatment start but after 2 days not make urine. Doctor says some sweling in kidney we have done ultrasound and find both kidney isnormal in size with increased enchogenicity. No calculus or back pressur changes seen.C-M differentiation is present. And prostrate is enlarged weight 25 gms. Doctor suggest us to should be some more dialysis done. No any mediacals history of my father.Sir kindly guide us for this and do the better option in thia case. Sandeep pandey 0000 | Hi Mr. Sandeep Pandey,After going through your father's case there is Acute Renal Failure (ARF)/ Acute Kidney Injury (AKI) (Decreased OR absent urine production and normal size kidneys with increasd echogenicity are indicator of AKI).For AKI to develop there is underlying cause in most of the cases like1) Severe dehydration as in case of loose motions, vomting. (May be cause in your fatther) 2) Infection.3) Persistant low BP which decreases blood supply to kidney. In your father's case I want to know-1) Number of episodes of loose mations and vomiting at the time of presentation.2) Any recent use of pain killer medicines or other nephrotoxic meddicines.3) Habits like smoking and alcohol.Need for Haemodialysis depends on-1) Amount of Urine production daily.2) Serum electrolyte mainly Potassium.3) Serum Creatinine level.4) Arterial Blood Gas (ABG) analysis which denote degree of acid accumaulation in blood.5) Signs of water retention like breathing difficulty, swelling over body, puffiness of face.Anuria (no urine production) requires Haemodialysis as in your father's case.So try to relie on uour doctor.In most of cases of AKI kidney function returns to normal over time till that time there may need for haemodialysis depending upon above mentioned facts.Rarely AKI may progressto CKD (Chronic Kidney Disease) | |
What is the treatment for typhoid fever?
hi Doctor, My daughter is six years and is diagnosed with Typhoid fever. she has low grade fever for the past 2 weeks and is on antiboitics and other medicines namely Ventrolin, Clavam Forte, Azee 200 and polybion. In how much time she will be alright. | Tablet Azee (Azithromycin) 200 mg twice a day for 7 to 10 day is enough..fever is controlled with in 5 days.review the diagnosis.get blood for culture or your doctor would recommend tablet cefixime 200 mg twice a day for 7 to 10 days.feedback.give vaccination against typhoid fever.maintain good hygien.wash her hands several times a day. | |
Is there any way to keep the platelet count normal while being on chemo treatment for breast cancer?
my daughter has breast cancer and is taking chemo treatments. Her white cells are normal this week but her platelets are low. She had 2 pints of blood last Wednesday and was supposed to have her chemo today, but they said no because of the platelets. is there anything she can do or take to help keep her platelets normal. | Hi and thank you so much for this query.I am so sorry to hear about the breast cancer your daughter is battling with. Really, chemotherapy suppresses the production of these cells alongside red blood and white blood cells. This makes it difficult to maintain the numbers. The best way is to transfuse platelets concentrate to increase the numbers. I hope this addresses your query fully. Thank you so much for using our services and please feel free to ask for clarifications if need be. I wish you the best of health.Dr. Ditah, MD. | |
Q. Is there any emergency observed in this head CT scan report?
Hi doctor, The patient met with an accident. She is 47 years old. In the accident, she had a collar bone fracture and a hit in the back of the brain. The back of the head is bulging and some spots are observed in the brain CT scan. I have attached the head CT scan report for your reference. Please help. | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. Revert back with the answer to the above question to a neuro surgeon online --> | |
Is implanon advisable for contraception with hypothyroid?
Hello ! I have hypothyroid problems and planning that the implanon might be my best option for my contraceptive but im not sure if it will affect me in anyways . As of this moment , i am not on medication gor the thyroid problem. Is this the best choice for my contraceptive? | Hi,I understand your concerns.Following is my reply:1) Yes. You can use implanon.Let me know if you need anymore help.Regards, | |
Suggest treatment for pressure in my chest
I have been experiencing left sided chest pressure/pressure in the left armpit area. I have already gone to a hospital and had an EKG, chest x ray, blood test, etc. They all came back negative, I have no heart defects, supposedly, nor do I have anxiety. I am not overweight, I don't have high blood pressure, the only health risk I can think of is that I have a high fat diet. So, what could be the source of this left sided pressure? | Respected user, hi I evaluated your query thoroughly.*As EKG, X-ray , blood tests are normal it is the condition which is not detectable by these means.*Reasons range in vivid directions - low haemoglobin levels - costochondral - neuritic - referred pain - reflux of stomach acid - psychological ( in absence of anxiety ) - left subdiaphragmatic / splenic pathology etc.*Presently should undergo for following steps & should follow up after 15 days about progress for the same.@ Avoid all oily / spicy / nonveg stuffs / fatty / excess ghee / sugars@ Have small quantities of food at regular intervals@ Avoid prolonged fasting / overeating@ Do regular light exercises , Deep breathing exercises with YOGA at home@ Avoid smoking / tobacco / alcohol in any form if consumed@ Avoid weight lifting / over exertions@ Maintain your Haemoglobin levels , BP , Blood sugar, Cholesterol levels@ Have adequate sound sleep of 8 hours@ Avoid stress@ Have diet rich in proteins, iron , vitamins, minerals , multivitamins, anti- oxidants . Hope this clears your query. Thanks for using Health Care magic & keeping trust in our medical services Wishing you a very happy healthy life ahead. Regards dear take care. | |
Lower back pain, have slipped vertebra above sacrum. What should I do?
I had a lumbar/sacral MRI scan(pars view) done 15/06/12 after I eventually got to see a specialist on 11/05/12. He told me I have a slipped vertebra above sacrum and demonstrated on a plastic spine . He also mentioned that nerves were misfiring causing abnormal muscle tension in glute and hamstring and other leg muscles going unused.( I have been doing physio to strengthen thighs. I had arthroscopy , debridement and removal of bone cysts 2008. Cartilage damage in left knee then only stage2, right a little better). I have not got my scan results. The extreme discomfort in lower back stabbing and wrenching pains in hip and odd numbness side of left leg worsening steadily.I cannot find a comfortable position to sleep. Any activities are severely unpleasant. I have an active job in retail and I find I cannot do things at pace anymore as I cannot tolerate sudden movements .I find bending down to access low objects a torture which I have to force myself to do. This makes me urinate too frequently, strangely lifting heavy objects is not any more painful than the bending.( When I first started having back symptoms I thought it was severe cystitis and even had a course of antibiotics.) Walking to and from work is also a torture. I cannot even handle sitting in one position for very long esp on hard chairs. Luckily I do not have the opportunity to sit at work except for on a kickstep (I work 50hrspw ave). I still go to gym about once a week where I was told the leg press is helpful. I choose my activities carefully but still like to push!! My current pain relief daily is up to 400mg tramadol, 240mg cocodamol,2 naproxen(crap) omeprazole and now amytriptiline25mg evening and I still get breakthrough pain( and I am now a cabbage). I need treating as I am getting worse, I dont think resting works particularly either. How do I proceed?? I have only been offered a phone appt with specialist for fri 6/7/12 for 10 mins. I asked diagnostics to send scan to gp but they failed at that too. I cannot concentrate as I can t get comfortable. What should I do???????? How is it acceptable for a working person, who pays ni, to be fobbed off and not given any specific info or advice just some meds. I do feel the slip is not stable and wondering what may happen next...should I obtain my own copy of mri?? | I think you have significant back pain. From your history it looks like you have unstable spine and you are a surgical candidate. This problems can be cured completely with surgical management. Daily dependence on pain medications is not advisable and it has adverse effects. Do you have Lateral flexion and extension xray? MRI? need to see that. You will be back to your work in 2-3 weeks after surgery. Also this is not only about pain, I think you started developing neurogenic symptoms and signs and in that case timely interventions gives the better prognosis. If you can send you xray and mri images I will be able to tell you more about type of surgery you need. hope this helps you. | |
What causes dry heaves abdominal pain with bloody stools?
I am a 50 year old male and recently experience two instances in which I have had the dry heaves, followed a couple of days later with blood in my stool, followed a couple of days later with what seems like abdominal pain. The first time I went to emergency and they took a CTscan. Found nothing and said it could have been a kidney stone. The second time the pain only lasted a short time and I thought if it was a stone, it passed as well. I have not had blood in my urine in either instance. Last Friday I had the dry heaves and today, like clockwork, I have blood in my stool. I'm expecting abdominal pain within the next day or so. Is there an illness that has these symptoms combined? | Hi First of all kidney stones is a wrong diagnosis as it can never cause blood in stools. Blood in stools means either there is some problem in your gut or you have a bleeding disorder. Certain disease in the gut can cause dry heaves for example celiac disease carcinoid tumors . Certain bleeding disease are also associated with dry heaves. So I advise you to get colonoscopy test and the following blood tests. platelet count PT , aPTT , INR . Kindly revert back with the report. | |
Had ERCP scope done before removing Gall bladder. Feel awful and have metallic taste. Suggestions?
I am one week out from having my gallbladder removed. I also had the ERCP scope to remove stones before surgery. I feel awful. Eating just makes me feel worse - everything tastes very metallic or something. I have had a craving for bananas which I never used to eat. Is there something I can do to feel better or am I just being hard on myself and need to give it time. I am 48 and overall am in VERY good health. I eat a very clean diet and exercise. | Hi and welcome to Healthcare magic.Thank you for the query.This is occasioaly experienced and you should be patient for few more months till your digestion adapt. Also, there can be postcholecystectomy syndrome which is rare complication of surgery,but there is no specific treatment necessary at this point. Just watch foryour diet,avoid alcohol,fat food and smoking. Eat more frequently but smaller meals.Wish you good health. Regards | |
Suggest treatment for redness in gums and inner lining of lips
I was chewing food and bit the inside of my bottom lip which after a couple of days turned into a cold/canker sore. After one week I applied Carmex onto the sore and well as lips and inside lips because the sore hurt so bad it was also affecting my lips (making them feel a little chapped). The sore finally went away after about 10+ days but the inside lining of my lips/gums are red and still burning. I used oragel liquid today to see if that will help clear up the problem. Any advice? I am 61 and just recently (about a month ago) had a check up and all blood tests and lab work was good! | hello thanks for the consult at hcm,,since it was after you bit the lip --it could be due to trauma--ulcer,,since carmex has not helped it to heal,,only lip chapping has reduced ,,but burning sensation has still not reduced,,i think you might have had herpes labialis to begin with and then infection must have spread to the gums called herpetic ulcers,,either ways plz refer back to a oral physician for a check up and treatment,, you may need antiviral topical therapy if it viral infection,,you can apply topical anesthetic to reduce the burning sensations,,if it bacterial etiology you might need topical antibiotics like metronidazole ,,for which prescription has to be under the guidance of oral physician,,hope it helps,,take care,,, | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
What causes recurring urine infection in an infant?
My baby 18th months old. She has been suffering urine infection her urine R/E report is Pus Cell 4-6, Albumin (present +), Epith.2-3. This test done 02.04.2010. But 30days ago her urine R/E report is Pus Cell 12-14, Albumin (present ++), Epith.2-3.RBC 4-5 that time she took antibiotic Cefotile for 10 days 1 spoon 2 times per day.After taiking medicine (10 days) we done test urine R/E report is Pus Cell 1-2, Albumin (Trace), Epith.1-2,RBC nil.My qes. is why she suffering repeted urine infection. | Hello. I just read through your problem.Sometimes, recurring urinary tract infections in children of this age can be due to Vesico-ureteral Reflux. this causes urine to be able to travel from the bladder up to the kidney, instead of through the urethra and out. There are screening methods available and treatment options for this.I recommend consulting with your doctor and raising this issue. then the appropriate evaluation and treatment can be done. | |
What causes sleep difficulty along with anxiety and depression?
I am a college student and take 54 concerta during the week and 18 in the weekend. I am having great difficulty in being able to sleep and have anxiety and depression for the last 6 months. I had my wisdom teeth pulled out last week and stopped taking concerta 5 days ago bc I have not attended school bc of my removal of teeth. I feel like I am going crazy. What do I do? | Hi.I understand your concern.Depression ia associated with sleep problem and anxiety features. Insomnia is core symptoms of depression.Treatment of depression can help to improve your sleep also.Depression and anxiety can be treated with anti depressant and anxiolytic.Anti depressant like sertraline / escitalopram / peroxetine /mirtazapine etc can help in depression. It will also help in anxiety with benzodiazapine.Benzodiazapine like lorazepam and clonazepam will help in sleep also.Besides medicines behaviour therapy and psychological councelling can help.Consult psychiatrist and get help.I hope I have answered your question.Thank you. | |
Suggest treatment for testicle pain post masturbation
Hi Doctors, I'm 26 and I feel a mild pain in my left testicle post masturbation for a day or two and then the pain switches to right testicle. The pain completely goes away if don't masturbate for a week or more and again comes back when I masturbate. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Masturbation is an innocent method to erase sexual tension. But in some cases, it may cause severe congestion, which causes pain. So, stop doing masturbation. You may marry and fulfill your sexual life. Hope this helps. | |
How to cure mild narrowing with slight indentation of thecal sac?
c4-c5 mild to moderate disc height loss with a 2mm central disc protrusion the spinal canal is mildly narrowed with slight indentation of thecal sac. the neural foramina are patent c5-c6 there is also mild to moderate disc hright loss with 1-2mm broad base disc protusion but the spinal canl and neural foramina are patent. What does this mean? | Hi, This means that you should start taking care of your neck. Avoid using TV, laptops or mobiles for longer periods avoid reading for long hrs. Start strengthening of the neck and upper back. Do not lift weights. | |
How can infertility be treated?
Good day me and my husband trying to conceive for almost two years now but still we cannot get the result that we wanted, I ve been diagnosed in having a PCOS last year..also my concern is I m taking folic acid 400mcg since then my period becomes very light thought of spotting..just checked pregnancy test twice both turns negative.. can anyone help me on my problem..we really wanted to have a child..hope there s some who can help me here thank you.. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you are suffering from PCOS, it can cause a lot of trouble in getting pregnant.You can use Himalaya’s Evecare Forte capsules. Hope I have answered your query. Let me know if I can assist you further. | |
Is this semen analysis report normal?
hi plz tel me abt my semens report that is it normel n i can having baby my result is as folwo volume 4, appearance turbid, colo mikly viscosity normal,liquefaction time 20,ph alkaline,agglutination negative, R.B. 0-1,W.B.C 3-4 /h.p.f , epithelial cell 0-1/h.p.f round cell 2-3 / h.p.f , sperm concentration 88 mil/ml ,normal 80% ,abnormal 20 % | Hi welcome to healthcaremagic.I have gone through your question.Your semen analysis is absolutely normal , but you didn't mentioned motility as motility is also very important as fertility is concern.Hope i answered your question.Would be happy to help you further.Take care. | |
Can i give nedo milk to my son once in a day?
hello dr.I am from dubai now my son is 4yrs old.can i give nedo milk once in a day?otherwice could u please suggest any other?but iam giving fresh milk also.some persons told do not use fresh milk if he is having cold and cough.Thats y iam asking. | Hi, fresh milk has nothing to do with cough and cold, you can give fresh milk. You can also give nido junior 1+ milk to the child but i think fresh milk will be better. Take care. | |
Is it advisable to travel with normal cold symptoms?
Hi. I am in day 2 of normal cold symptoms. I have an important trip starting tomorrow. I generally just ride these things out but a friend suggested I get a hormone shot to alleviate the symptoms and ensure I am on point for this trip. I ve never done this. Do you suggest it? If not, any tricks that will help me kick this lethargy? | Hiwelcome to HCMNo it is not adviseable to take any shot to reduce your symptoms as it can mask the severity of disease.Take proper rest and good hydration for rapid recovery.Do get examined by a doctor to rule out any complication.You can take paracetamol for pain and tab cetrizine for cold.thanks. | |
Does usage of nicotine spray causes bleeding gums?
Thank you. I have had heavily, regulary bleeding gums, for three weeks now. The gums are not red. I have been using a nicotine spray, having stopped smokinng 5 weeks ago. I use a steroid inhaler twice daily also. My diet is normal. Any possible connection between the nicotine spray and the gum bleedin, in your opinion? | Thanks for your query i have gone through your query. I am glad that you have stopped the habit. The bleeding gums could be because of the gum infection, secondary to deposits. Since you are using the steroid spray chances of infection is more. Consult a oral physician and get your teeth cleaned and maintain oral hygiene. You can use mouthwashes also. I hope my answer will help you. Take care. | |
Would kidney transplant and dialysis affect sexual life?
Dear sir I am a kidney transplant...my both kidney were failed in 2008 and i underwent dialysis for 1 year and than got operated in the year of 2009 august. my both kidneys are in the same place and a kidney was attached just below the right side of the chest. my age is 37 height 6feet 1inch..weight is 88 ... since than i didnt had sex with my wife ...so my querry is can i have sex with my wife ? is there any harm to my health if i perform sex? i am getting errection and facing night fall aswell sometimes,is there any issues ? i am not getting frequent errection,if errects,then it doesnt last for a long time.. can i enjoy foreplay? please guide me regarding the same and help me out to come out of this issues thanks and regards bulluy das | Thanks for query .You are a victim of CKD and had undergone Renal Transplant i5 years back and is facing problem of ED and have some issues regarding sexual activities .I would address your query point to point as detailed below. 1) It is normal for one who has CKD to have low sex drive as compared to normal individual of same age .However you can have sex as and when you have a strong desire and hard erection to have penetrative sex.2) There is no harm to your health if you perform safe sex once or twice a week .3) getting morning erection is a good sign and indicates normal erectile function .4) You can enjoy foreplay .It will help you to boost up your confidence and keep healthy .Dr.Patil. | |
How to treat a palpitations and the related shortness of breath?
My heart as started to feel like its beating faster. This happens maybe a couple of times a day or maybe just the once, and the odd time I can sometimes feel short of breathe. I am 39 years of age and I don't smoke. My health I would say is quite good, please can you help me.Regards Fiona! | Hello. Thank you for your question and welcome to HCM. I understand your concern.As I can realize from your description, you experience what we call an extrasystole (heart skipping a beat), which is fairly common in people that are overweight, drink alcohol, smoke tobacco, or exert strenuous activities. My opinion is that these are benign episodes and usually of no significance. However, if you continue to be concerned, I would recommend you to be put on a 24-hour Holter rhythm monitor, to determine if these episodes are more common that you think and, if so, proper treatment should be instituted and caution should be recommended. Also, I would suggest you to run some blood electrolyte levels. Feel free to ask again.I hope I was helpful with my answer. Regards. Take care. | |
Can I take aleve or advil with hydrocodone for infected tooth pain?
my husband is taking 1- 5mg hydrocodone for an infected tooth and was wondering if he could take either aleve, advil or something else to relieve the pain. he took the hydrocone about 2 hours ago, so what else could he take or can he double up the 1 to 2 | Hello, Thank you for consulting with HCM.Actually Hydrocodone is usually prescribed with a paracetamol or Ibuprofen to give relief in pain for infections. So You can combine it with Advil (ibuprofen) as it will help in pain relief easier .Hope it will help you. | |
Fatigue, weight loss, yellowish eyes and skin due to low hemoglobin. Its adverse effect?
I am 25 year old male from india, I have some health issues like fatigue , weight loss . My eyes and skin seems like yellowish. I have undergone blood test last week, it shows that my haemoglobin is lower than the normal range. Haemoglobin - 12.2 RBC - 4.12 Does it mean anemia? What would be the severity of this measures? | Hello, Hemoglobin of 12.2 does not indicate severe anemia. This is not the cause for your sypmtoms of fatigue and weight loss. I am a little concerned about your skin and eyes being yellowish in color. This might indicate liver problems such as Hepatitis. There are different types of viral hepatitis. Are you consuminng significant amounts of alcohol such as beer or whiskey on a regular basis ? This could also cause liver damage. You need to have a complete blood work to include Hepatitis screen,also liver enzyme determination along with other liver tests. Wish you the best of health. | |
Why does my mom have pain in her lower right ribs?
Hi doctor , my mother has a constant pain on her lower right side below the ribs going down to her pubic bone. She also has a constant dry cough and loss of appetite and is quite fatigued. Any information wold be greatly appreciated .Email: YYYY@YYYY | Thanks for your question on Health Care Magic. I can understand your mother's situation and problem. Right sided lower rib pain with abdominal pain can be due to either lung pathology or abdominal pathology. Constant dry cough, loss of appetite etc suggest lung pathology more. Lung pathology like pleural effusion, pneumonia, tuberculosis can cause similar symptoms. Abdominal pathology like Hepatitis, appendicitis etc can cause similar symptoms. So better to get done chest x ray to rule out lung causes and ultrasound examination of abdomen to rule out abdominal causes. Hope I have solved your query. Wishing good health to your mother. Thanks. | |
Is CT scan harmful at the age of 6?
Hi , My son is 6+ yr. old, he has been adviced to go for CT Scan- PNS. I want to know whether there is any side effect for that on his health. Also he has been adviced for the adenoid surgery as his adenoid level reached grade 3. Kindly suggest me how safe it is. And is there any assurnce that the adenoid problem will occur again. Pls reply me . Thanks Name - unknown. | There is exposure of radiation in CT scan but it should be done if necessary. There is very less chance of recurrence after adenoid surgery. | |
Can MRSA be contracted by a pregnant woman through contact?
How contagious is mersa? My daughter is pregnant. There is a family member who has a rash and a boil and is diagnosed with mersa. Is it safe for the family member to come to the Christmas gatherings. I am very leery of this person being around as my own mother died from mersa. Thank you for your help!! | Hello! I understand your query. Thank you for your question. Yes your daughter may be infected with MRSA, not only you but the whole family as well. She is pregnant and her baby's well being may be affected as well if she is infected. Methicillin-resistant Staphylococcus aureus (MRSA) infection is caused by a type of staph bacteria that's become resistant to many of the antibiotics used to treat ordinary staph infections. MRSA can also spread easily through cuts and abrasions and skin-to-skin contact. It is highly contagious and is very resistant to multiple antibiotics.Hope this helps,Thank You. | |
Should I visit for severe pain on spine after a fall?
My husband fell flat on his back at the beginning stage of diabetic shock and now has an area on his spine that is black and blue. He is in severe pain and it hurts whenever he moves. I want to take him to the doctor but thinks it will get better on its own. What do you think it might be? He also mentioned feeling pain down one leg. Thank you. | HIThank for asking to HCMI really appreciate your concern, if your husband does not have any symptoms related with nervous system then no need to take him to the hospital if I would be his doctor then I would treat him with the "Ibuprofen and Acetaminophen" and this will give good response this could be superficial injuries and will come around soon have nice day. | |
What causes thick substance coming from gums?
My sister has been complaining of a thick substance coming from her gums. She has seen several dentist and specialist who stated nothing was wrong with her gums. She was told to have a saliva test which showed many types of bacteria. No diagnosis at this time. | Thanks for your query, I have gone through your query.The thick substance coming from the gums could be the pus discharge secondary to the gum infection or a tooth infection. The other possibility can be a thick gingivocrevicular fluid, but it is harmless, it wont trouble you. Consult a good oral physician and get it evaluated. Take a radiograph of the teeth to rule out any tooth or gum infection. If there is gum or tooth infection, then it has to be treated with scaling and RCT respectively. Meanwhile do saline gargling.I hope my answer will help you, take care. | |
Can Meftal P be given to bring down high fever in a child?
Sr my daughter 9 years weight 37 kg yesterday start fever and throat infection my family doctor say tab azitromycin 250 mg BD and paracetamol tds but yesterday night she was high fever lam paracetamol given this time fever high so we can use meftal p 250? | Hi, Yes, you can give Meftal in a high-grade fever. When fever is not coming down with Paracetamol, cold sponging can be done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sreekanthababu Polthi, Pediatrician | |
How safe is taking Novarapid and Lantus for diabetes?
My daughter is 10 and a half years old. she was diagonised of juvenile diabetes and was in hospital for 6 days. Now she,s at home, but her sugar level are fluctuating between 80 and 250. She is on novarapid 3 times daily and lantus 1 time in the night. Please advise. | Hello, Usually, low blood sugar is more dangerous than high blood sugar. In kids usually due to their playfulness and activities even value of 250 is acceptable and we should not aim at stringent blood sugar control because that can lead to hypoglycemia or low blood sugar. So based on this concept I suggest you adjust the insulin dosage in consultation with her pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | |
How to treat for the pain in chest followed by a fall?
Hi, my 6 years old son got hit on right side of his back and when he fell his hand hit in the center of his chest. said when he got hit the pain went from his side to his heart and felt his heart stop. can anything cause pain from being hit in the side/back area to radiate to the heart? | Hi,Thanks and welcome to healthcare magic.The pain he is experiencing may be external muscle or bone pain due to injury.No external pain due to fall radiate to the heart.You need not worry about.If the pain does not subside in a couple of days with analgesics better consult your doctor.Hope this reply is OK for you.PLease feel free to ask further queries if any.Dr.M.V.Subrahmanyam. | |
Suggest treatment for chest pain , shortness of breath and stomach pain
I am a 20 year old female and recently I have been having severe pain in my chest accompanied by irregular breathing sometimes also shortness of breath and very few times irregular heart beats. I have also recently experienced pelvic and stomach pains during and after sex and irregular bleeding. I have felt very weak and tired with slight appetite changes too. I am more or less wondering what could be wrong with me? Asthma and cancer both run in my family and my mother recently got rid of the beginning stages of HPV | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you are mostly having asthma as asthma is more common in your age group and you are also having family history of asthma. No need to worry for cancer. Asthma is often associated with GERD (gastroesophageal reflux disease) and this GERD causes stomach pain. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose asthma but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilator and inhaled corticosteroids (ICS). For GERD related stomach pain, take pantoprazole on empty stomach. Avoid hot and spicy food. Avoid stress and tension, be relax and calm. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes burning sensation in the stomach?
I feel hungry after I eat because I have this strong urge to eat immediately. I also have a very burning sensation in my stomach after I eat and I can't seem to focus. At the same time I have been feeling dizzy and losing my balance. I dont normally feel like this but I have been feeling like this for more than a week now. | Hi.Thanks for your query and an elucidate history.You have a typical history. Although seen commonly in acid peptic disease, such symptoms can be seen even in the cases seen rarely such as vascular insufficiency of the bowel due to arterial occlusion and so on. So a battery of investigations is necessary , such as :Investigations of blood, urine and stool,Ultrasonography along with COLOR Doppler examination or a contrast enhanced CT scan is a must.Upper GI Endoscopy is required. A proper diagnosis can alone lead to a proper treatment plan to get you a cure. | |
What is the remedy for abdominal pain?
I am having pain in my lower left abdomen. It has lasted for 2 days. I am 73 and have had colon cancer with part of my colon removed. 20 years ago. I am diabetic and have been on a strict diet with a lot of salads. I have been diagnosed with diverticulosis before and I wonder if that is it. | Hi.Pain in left lower abdomen can be just a colitis or due to diverticulitis or enteritis. A course of an antibiotic may solve your problem .I hope you are on a program of reviews for recurrence of cancer ( which you not have as it is 20 yeas,) | |
Q. My periods are delayed. Am I pregnant?
Hello doctor, I have a couple of questions regarding pregnancy. About two days ago, my partner and I had unprotected oral sex, and I was in a position where my vagina was on his penis, but we did not have sexual intercourse. Although he did finger me, he did not seem to have any body fluid on his fingers. Yesterday, I noticed that I have an urge to urinate more frequently than usual, and I am bloated. I have not missed my period yet because I usually get it in the earlier days of the month but, it was late anyway, and it still has not come. Today around 11 AM, I had some minor blood spotting. If I take a pregnancy test in a week, can I still take birth control to avoid the pregnancy? What are some ways I can prevent this possible pregnancy? Please write back soon. I really need help. I have never been in this situation before, and I have no one to talk to. | Hello. How are you doing? I do not see any reason for you to worry. Let me explain. Hope I have clarified your query. Do write back. All the best. For more information consult an obstetrician and gynaecologist online --> | |
What is the treatment for abnormal glucose levels and fatty infiltration liver?
My Age is 30 Years I am suffering from HTN for last 3 Years. And my liver is fatty infiltration liver. And just few days i came to knw i have obnormal glucose levels. i am working as Computer operator, i dnt have physical work. my parents having history of HTN, Type 2 diabets. i want to reverse this conditions may i | hi,you cant reverse htn or dm but you can reduce the risk of complications of dm and htn.first of all you have to be strict in your diet, you have to exercise regularly with your busy schedule and lastly take your medications prescribed regularly.once you manage the above you will not be at risk of developing the complications.i would suggest get reviewed by your physician, nutritionist. for the fatty infiltration of liver if you will take care of your diet it will disappear.hope to have answered your querythanking you. | |
Is elephantitis a curable disease?
Is there a cure for elefanttis..because I was told if I get a surgery that it will grow again.But that doctor could not do nothing for me. so they send me with a other specialized and they are going to do all the paperwork again.and I m so tired of this because my balls are just growing and growing more day by bay. | HelloThis is a very difficult to say "IS THERE TREATMENT FOR ELEPHANTIASIS OR NOT???"Now a day better treatment option is available and better diagnostic technique e.g. ultrasound , lymphoscitigraphy, circulating filarial antigen assays, PCR .While treatment based on block of lymph nodes , if one or two and very close to each other surgery is an option .While diethylcarbamazine is still drug of choice but albendazole 400 mg twice in day for 21 days is another treatment .In my opinion consult a hospital where treatment for communicable disease available .Hope this will be useful for you. | |
What causes recurrent pain in the calf and thighs despite taking Ibuprofen?
I developed a chest cold starting last Thursday or Friday. I may have a mild fever, but nothing serious. What s really bothering me, is that the muscles in my thighs and calves are super painful since Sunday night. Have taken ibuprofen and acetominophen for some relief, and taken hot baths and showers. Also massagingmy legs, doing some gentle yoga, raising legs with help of some wedges. These offer some relief, but the pain comes back again. | Hello I have studied your case.Fever with thigh pain suggests possibility of viral illness.You may need to investigate in form of complete blood count, ESR, CRP.You may need clinical examination also to confirm diagnosis.MRI may help to diagnose any structural abnormality.Till time you can start medication and antibiotic consulting your treating doctor.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. | |
Can measles cause sore throat and spots?
I had measles over a week ago.. I did not finish my Antibiotics, but the spots and sore throat had gone away.. My boyfriend who I live with broke out with them yesterday... I am as of yesterday getting my sore throat back and getting a few spots this morning.. Is it the same thing again? | thanks for posting you query to HCM . I want to know how did you make diagnosis of measles and what is your age . Measles virus is usually infect achildren .As I understand you are having some other kind of viral infection . for which you need to undergo complete blood count examination to know infection .but no need to worry as even if it is a infection it will be recover by taking approriate care .you can take 1.Aceclophenac 100mg two times a day .for pain and fever 2. Loratidine 10mg once a day for rash .3. maintain good hydration drink plenty of fluid snd juice.s4. Take good nutritious dite .take care . | |
Suggest treatment for pain under ribs along with cough
Hi I have a pain just under the right side of my ribs, sometimes makes me cough. I am asthmatic. And a pain just above my breast bone. 3 years ago I had my gall bladder removed. Four days ago, I felt the pain that stretched from just under my right shoulder blade and ended just under my breast bone, however, I no longer feel this pain. I restarted a keep fit exercise program. For the last couple of months I have been consuming cheese and fried chicken at least twice per week. I also suffer from scolosis and have been diagnosed with a double curvature. From the cervical spine and the other in my lower back. I attend college so I do have to carry quite a few books and they are usually carried on my right shoulder. | Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of musculoskeletal pain due to carrying books, spinal curvature problem and exercise is more. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Sit with proper back and chest support. 5. Take painkiller like ibuprofen. 6. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 1-2 weeks. If not then then consult pulmonologist to rule out worsening of asthma. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What is spinal psychosis?
What is Spinal Psychosis that causes someone to have to use a wheelchair? And l read that it can cause a spinal chord injury & can be caused by severe alcoholism & much failure in ones life. Read that patient gets guilt & depression & the cure is emotional healing. Is this true? | DearWe understand your concernsI went through your details. I suggest you not to worry much. I think you had it wrong. There is not spinal psychoses. Psychoses meaningfully affect mind. Never any body part directly. But indirectly it can affect. A person can perceive illness. That type of psychoses is called somatoform disorder. A somatic symptom disorder, formerly known as a somatoform disorder, is a mental disorder characterized by symptoms that suggest physical illness or injury – symptoms that cannot be explained fully by a general medical condition or by the direct effect of a substance, and are not attributable to another mental disorder. There are effective psychotherapy methods for the condition.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
How to increase sperm volume and count?
Hello doctor... My seemen analysis report is as follows..... Sperm volume.......1ml Sperm count.........32million/ml Motility.......80% Morphology........abnormal forms 10% Is this is ok or not ..... Kindly suggest me how to increase sperm volume and count...... | Hi, Should not worry about volume during one test. If it is always low even after 3 to 4 days of abstinence then you can consult a urologist. Your present report is normal except for volume. Hope I have answered your query. Let me know if I can assist you further. | |
Operated on bladder growth. Dos and donts post operation?
My father who is 86 has just ahd a procedure to remove a bladder growth, it was a non invasive procedure and it went very well My father did have a difficult time in hospital though in that he expereinced a night terror where he thought he was being kidnapped and was upset to the point where i\ was called to the hospital at 2 am to calm him down which wasnt easy.( we discoveredhe had a temperature and infection which had probably causd it) It also took a while for the irrigation and then for his catheter to be removed so he wa sin 5 days in all. Hes now been home 2 days and Im wonderign in medical terms what he should and shouldnt do as he is keen to start pottering and go for short walks and my mother (80) is wanting him to basically sit and do nothing. I know it depends on his general health etc but in medical terms what is the usual advoce (his very first nurse pre op said he should be up and about and back to normal in days but I relaise she didnt know he woudl have that strssful experience? I kust want to advic=se forma a position of knowledge thankyou | HiYou father had night terror because of his condition. I think he can resume basic activities in 7-10 days and normal activities can take another week to resume. It depends on the comfort level of your father.Dr Vaishalee | |
What does broncho-vascular accentuation mean?
No obvious active parenchymal lesion is seen in both lungs.Mild broncho-vascular accentuation is seen.Cardiac and aortic shodows appear normal.No evidence of pleural effusion is seen.Both domes of diaphragm appear normal.No obvious is seen. Pl.correlate clinically,With warm regards, | It means that the Vascular markings due to blood vessels running along with bronchus(wind pipes in lungs) are prominent. They can be an early sign of increased pressure in these vessels, caused due to diseases such as COPD, Pulmonary hypertension etc. | |
What causes lump in neck with chest pain & flu?
hi doc,i have a lump like at my neck below the adam's apple and between the collar bone.It painless. I've been having chesty cough and flu for the past 3weeks. I do have sinus problem too. I would like to know what is that?Is there any investigation should i do? | hi dear thanks for the query on HCMthe swelling below adam apple and which moves with deglutition is a thyroid swelling.you need to get thyroid profile, ultrasound of neck, fnac of the swelling done.for the sinus problem you need to meet a ENT specialist who will examine the sinuses individually and decide the treatment.thank you | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
When should i drink milk of magnesia ?
when is the best time to drink milk of magnesia? before a meal or after? and morning or before going to bed? | Hi,thanks for query.Normally any laxative is advised a bed time with full glass of water.this will give good bowel movements next morning so that your routine does not disturbs.The idea is to mimic nature.bye. | |
What could be the reason for frequent sharp pain in the lower abdomen with soreness?
Hello, for about two hours I have been experiencing a sharp pain in my lower abdomen (about three inches down and one inch left of my navel). It was a strong constant sharp pain, though ever few minutes a huge sharp pain would pulse. I am able to use the restroom just fine with no discoloration as in the urine or feces. It has died down now, except for the small pain ever few minutes, but the area is still very sore to the touch. This has occurred randomly about once a week for a month or two. I keep a balanced diet and drink at least 6 glasses of water daily. (I typically have a water bottle next to me at all times). What could be going on? (not this time was much more severe than the other times) | HIThank for asking to HCMYour age and gender are missing here this are mandatory because of your complain, difficult to say anything without knowing the gender and age, now only option remain is treating your abdominal pain just symptomatically and the best drug would be "Dicyclomine with Acetaminophen" take care next time do not forget to mention age and gender. | |
Do blocked tubes cause implantation problems in IVF?
I have been through 4 IVF cycles. This last one I responded well and produced quality eggs; however, the embryos failed to implant. My Dr. is now advicing that I remove my tubes but I have concerns about this procedure becasue there are no hydros. Do you think the blocked tubes are causing the implantation problems? Should I have them removed? | HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.1] Usually IVF experts advise to remove fallopian tubes if they are swollen and contain infected fluid- condition called Hydrosalpinx.2] if your tubes are blocked from the end near uterus and you do not have hydrosalpinx then I will not suggest you to remove your tubes.3] rather I will suggest you to undergo HYSTEROSCOPY- visualization of uterine cavity, to find out if there is any cause that is troubling with implantation of embryos.4] I will also suggest- to indulge in a healthy diet and regular exercise regime.Please avoid deep fried foods, bakery products and refined sugars.I hope my answer helps you.Thanks.Wish you good health. | |
What causes tightness in neck and numbness on face?
Left side of my neck feels tight as if one of my vein is being stretched then later I feel this weird numbness on the left side of my face. Also I had Bell s Palsey when I was around 14 or 15 and I am 20 now. What should I do? My mom said maybe I stretched a muscle or I slept wrong, but I am not sure. | Hello, I have studied your case.Due to compression of this nerve root there is tingling numbness in your arm and fingers pain associated with it.I will advise you to MRI cervical spine for better diagnosis.It can be due to various causes like sudden jerk to spine, due to facet arthritis, degenerative, due to chronic systemic disease like diabetes or hypothyroidism.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.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 are satisfied with answer do not hesitate to rate this answer at end of discussion. Wishing you good health.Take care. | |
Should I be worried about pain after a knee hit?
Just hit my knee, about one hour ago, head on with another players knee playing basketball. Now my knee (just to the inside of my left knee cap) has a big goose-egg on it and it hurts to put pressure on my leg when I stand up so I'm limping. I have ice on goose-egg now. I did not twist knee .... just a hard hit. | For confirmation of diagnosis u need to go for x-ray..there is less chance of fracture but it may cause internal joint injury.start conservative measure like pain killer and antiinflamatory tablets.if pain and swelling persist go for mri. | |
Q. How to avoid coma while getting anesthesia?
Hi doctor, I am concerned about my upcoming surgery. During past surgery, I woke up and then went into a mild coma after being given more anesthesia. How likely is this kind of complication? How can it be avoided? | Hello. Revert back with a detailed history to an internal medicine physician online --> | |
Suggest cause for semen having booger like texture and consistency
Hi, my boyfriend has been having problems with his semen. When he ejaculates it dries very quickly, and if you wipe it off, it rolls into little balls. The balls have, excuse me, a booger-like texture and consistency. What could this mean? We are trying to conceive, will this prevent/ effect that in any way? | DearWe understand your concernsI went through your details. Sperm consists mostly proteins and starch and therefore naturally the semen do have some texture. The texture pattern depends on many factors like water content etc. The protein content in the sperm makes it to dry faster and roll itself in your finger. Nothing to worry. Enjoy your sex.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | |
What should be the post care given after mini stroke?
My mother recently had a mini stroke. No loss to any movement with her limbs. Her memory is not as sharp as it was prior to stroke. She is very tired and talks less. In time will she return to being more involved with conversations and less short answers. Is there any special care she should be receiving? Thanks | Hi,Thank you for posting your query.Patients with stroke recover slowly, over time, and I am sure your mother would regain her lost functions such as difficulty in communication and speaking.As of now, she should receive speech therapy and physiotherapy.Medications such as aspirin and rosuvastain should be continued for life.Her risk factors for stroke such as diabetes, high BP, cholesterol, etc should be looked into, and if she has any of them, they should be well controlled. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Mouth ulcers on tonsils. Biopsy done, can be flamercell carcinoma or lymphoma. Are these cancers?
My name is XXXXX my son has seen a ENT Doctor today. He has been having mouth ulcers off and on for sometime. There is one on his right tonsil . Biopsy was made from his right tonsil today. ENT Doctor says it looks like ulcer could be possibly be Flamercell Carcinoma or Lymphoma . Wont know until next Tuesday when Biopsy comes back. What are these two types of Cancer? He has never smoked or drinked. He is 39 years old. Please answer. | Hi The 2 types of cancers in tonsil are lymphoma and squamous cell carcinoma. If both are confined to tonsil then it is completely curable. Before starting any treatment we need to get a confirmed biopsy. cancer cannot be diagnosed just by visual inspection of the ulcer. So pls wait for the biopsy before any further proceedings.... Dr. Mohammed Ibrahim Surgical Oncologist mdibrahimdr@yahoo.co.in | |
How can mild cerebral atrophy in an infant be treated?
my 15 month old daugter was realised to have mild cerebral atrophy in the MRI taken at 8 months .she has developmental delay and her muscle power is less.she does not sits unassisted for a long time.compared from her 8 months she has progressed and changed agood deal.she is undergoing physiotherapy also.would like to know any treatment for her present stage?or might she catch up as developing? | HelloMild cerebral atrophy is children may be due to any reasons like infection,hypoxia,metabolic disorder etc.It is expected to catch up if there is no ongoing insult to brain.As symptoms are improving,it is expected that injury to brain is halted.Generally,baby only require symptomatic treatment and it may be in the form of medicines,physiotherapy etc. There are no specific treatment for this condition.Get well soon.Take CareDr.Indu Bhushan | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Suggest treatment for swollen lymph nodes , abdominal pain and fatigue
My 19 year old daughter in the last 2 months has been getting severe abdominal pain with fatigue and generalised back and joint pain. On OC for 18 months- no issues BHCG -ve, normal appendix seen on US. Swollen lymph nodes (cluster in RIF) that did settle a little with AB s. Bloods are okay - when a severe pain attack happens the WCC rises to above normal but marginally. Could this be Crohns? | A chronic inflammatory disease of the intestines, especially the colon and ileum, associated with ulcers and fistulae.Crohn’s disease can affect any part of the GI tract. While symptoms vary from patient to patient and some may be more common than others, the tell-tale symptoms of Crohn’s disease include:Symptoms related to inflammation of the GI tract:Persistent DiarrheaRectal bleedingUrgent need to move bowelsAbdominal cramps and painSensation of incomplete evacuationConstipation (can lead to bowel obstruction)General symptoms that may also be associated with IBD:FeverLoss of appetiteWeight LossFatigueNight sweatsLoss of normal menstrual cycle | |
What causes the spine stick out?
My daughter is 12yrs old & a healthy thin, her spine has always stuck out as well as her shoulder blades. I thought as she got older this would maybe go away, but if anything her spine sticks out more...especially if she s slouched forward, should I be concerned? | Hi,I deeply regard your concern towards your daughter.1) You have mentioned that she is thin, this is the most probable reason why her spine is sticking out. This would go away only if she gains weight. However you should take care that she does not bend forward too much while reading or watching TV, phones, using laptop etc. This will cause posture related back problems.2) If her posture is good and straight, you have not much to worry about. Make sure she gains weight and have a BMI around 21 to 22. Make her do regular exercises for her age. Yoga too is recommended with proven benefits. And you do not worry you are a loving parent.Hope I have answered your query. Let me know if I can assist you further. With best regards,Dr. Suhas Chauhan | |
Suggest treatment for dog bite
In 2004, I received a tiny dog bite that caused a blood infection which led to severe sepsis and amputation of four fingers and all ten toes. I had a hip replacement three years before that, and my right hip deteriorated and almost dislocated within three years of the toe amps. I can walk, but only 30-40 feet before my lower back seizes up and my legs just won t function. The pain is debilitating, but there s no when I sit. Is it likely that the TMAs have affected the muscles or spine in my lower back? | Hi, I had gone through your question and understand your concerns.I am sorry about this incident, this is really rare but serious complication of dog bite. You other issues with hip is probably related to static disorders caused by toes amputation. SO it is not uncommon to see such difficulties. It is treated by several things:1. First you need to do static foot examination and tests to see the position of Hip implant and other mechanical feaures of hip and knee joint2. YOu should consider - re-operation for hip if this is identifed as a cause of your pain3. Back pain may be caused by the same issue and MRI of the spine is required to verifiy is there disc hernia or degenerative causesThen the treatment can be planned.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us.Wishing you good health. | |
How to correct excessive drooling and speech difficulty in child?
have to adoptive grand sons who both are ages 7 and 5 both drool excessively one in kindergarten, some speech diffuculty but not severe. Apraxia? neuorological basis I am sure but what to do ????? What can be done ? to correct it. Was seeing a chiropractor , and seemed to diminish somewhat , has now returned and no longer see chiropractor. | That is normal stammering of speech sir..just make them bold enough to speak and give them speech therapy sir,..The is sufficient sir | |
Does Normet and ORS help to treat loose motions in a baby?
Hello doctor, my 4 months old baby is having loose motions. It had started yesterday I guess because of the orange juice. I got him checked with a local doctor and he had prescribed the Syp Normef and the ORS. Is the syrup the correct medicine to be given? | Hi, It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics (like Normet) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhoea. I suggest you use zinc supplements (Z&D drops) & ORS as hydration is a very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your pediatrician). Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
Cause of abdominal pain after consuming wine?
Hello, Last night, after consuming 3 glasses of wine during the evening, I woke up with an acid like pain in my upper left side of my abdomen. It caused me discomfort for about 2 hours then went away. Do you have any idea of what might have caused this? | Hi.All the alcoholic beverages are known to acidity related problem.I would advise such a patient to stop drinking alcohol containing drinks.Your problem can be a gastritis and I would advise you to take Ranitidine/ Pantoprazole, antacid liquid 3 teaspoonful every three hours , go for a bland diet till the problem settles.If the above measures fail, you may have to undergo upper GI endoscopy. | |
Could twitching in hand, legs and back be due to diagnosed cervical radiculopathy or stress?
Hi Doc, I get twitching of hand, leg & sometimes back at night before going to sleep. I am also diagnoised with cervical radiculopathy for which i am taking medicines. Is this twitching cause of radiculitis or stress. sometimes i do feel my arms are tired too. can you provide help | Hello,twitching is never because of cervical spondylitis. It is mostly due to brain overactivity and it is not a disease. If you want treatment for twitching you need to see a neurologist.They usually prescribe amytryptalin or CPZ tablet for this. | |
Suggest cure for infection in the gum
The gum in front of my mouth recently started to become swollen and bleed. I ve noticed these little pimple looking like bumps on it and I pressed down on them and they pussed first and then started to bleed. What is this? Will my tooth in the front have to be removed? How can I get rid of it & will it go away without having to go to a dentist? | Hello,You describe a definite sign of infection. I suggest rinsing well with warm salt water and taking antiinflammitory medication such as Tylenol or Advil.Schedule a dental visit for an exam an X-ray. You may have an infected tooth, periodontal disease or a fracture. Sometimes a deep cleaning can treat inflamed gums and eliminate unhealthy pockets. Antibiotics may be prescribed to help control an infection. Root canals can often allow you to keep a tooth by treating an infection inside the tooth which damaged the nerve. Bone loss can compromise the support of a tooth and can result in loss of a tooth. Is the tooth loose? Do not put pressure on the tooth. Recent trauma could have caused a fracture of the root. This often can require an extraction. Implants can be planned to replace the root. Your dentist will present a diagnosis and options after a thorough diagnosis. Please Schefule your visit soon.I hope you will feel better soon. Thsnk you for your inquiry. | |
What causes abdominal pain and nausea?
Hello, I have had diarrhea for about 2 weeks now as well as abnormal vaginal bleeding and I just started with upper abdominal pain about 2 days ago. About a week ago I also started having nausea at least once a day for about 2-3 hours and don't vomit, just have diarrhea. What could cause this? | HI.This looks to be gastroenteritis.The disease can cause changes in the internal environment of your body and cause the vaginal bleeding due to changed hormonal levels.Why have not you taken the course of an antibiotic till now? Waiting for more complications to occur? | |
How dialysis is performed in post renal transplant?
Sir, My father is a post renal transplant patient, now his creatinine value is 8 points. so doctor is advising again to go for Dyalysis. is that the only way, if it is so, he has the fistla in his hand. does he need a opeation sepearatly to start dyalysis, or can we use the old fistla itself. Pls give me a reply. Regards Sabari | Dialysis is essentially performed the same way whether it is pretransplant or post transplant.U can use the same AV FISTULA..provided it is working well.My query is that is the transplant kidney function lost in matter of days (that is recent past) or slowly over years.Because recent loss of function can be revived through management including renal biopsy and treating the cause of dysfunction. More slow loss called as CHRONIC ALLOGRAFT NEPHROPATHY can't be reverted and transplant kidney cannot be recovered .In that case hemodialysis is the only option left apart from second transplant option. | |
Suggest treatment for elevated SGPT levels in HCV patient
HELLO DR., I AM AN HCV PATIENT SINCE 4 MONTHS. MY RNA PCR=2000IU., RNA GENOTYPE=4A. NOW THE SGPT HAS ELEVATED A LITTLE(51).I AM NOT TAKING ANY MEDICATION UNTIL NOW. I WAS CONTROLING BY FOOD.NOW I AM WORRIED SIR. KINDLY NEED ADVISE ABOUT IF I NEED A MEDICATION OR DIET. THANK YOU SIR. | Thank you for posting query at HCM. HepC diagnosed.you need NOT worry.HepC can be cured completely now. There are drugs like sofosbuvir/ribavirin combination which may completely aid in curing the disease.you maybe adviced a special diet ( fat free), abstinence from alcohol and smoking.You may visit hepatologist and take your blood reports as soon as possible.if any further questions, feel free to ask.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik | |
Front tooth broke, damaged lip, headaches, blacked out, cheek ache. Taken Ibuprofen and paracetamol. Sounds familiar?
Hi, I suffered a fall 2 weeks ago which resulted in half of my front tooth being broken and also damaging my lip. I didn't black out on the fall but some 2 days later I started to suffer with headaches. By the 6th days caouldnt bear the headache any longer and visited A&E. I was advised to take a few days rest and ibuprofen and paracetamol and advised that should the headache worsen to return.Whilst the headaches have not worsened they have still been debilitating and I am still taking painkillers as advised. It seems to ease when I rest but otherwise no real let up.I am concerned as to whether I should go back to A&E as I hate to waste anybody's time but I have an ache in my left cheek and ear and today an ache in my left arm. I would have thought that concussion would be over by now so just want to feel better! | Hello and welcome to hcm forum,Since your front teeth has broken,i would advice you to visit a dentist to check the tooth clinically as well radiologically.If the fracture involves pulp or periapical region,root canal treatment or pulp capping has to be done.Take complete course of antibiotics too.If the fracture has not involved pulp,please do get the tooth restored using tooth coloured filling materials.If the fracture portion has left untreated,it can lead into dentin sensitivity.Avoid biting on hard objects using the tooth.Hope this helps. | |
Could the red spots on the body be due to chicken pox?
my son has red bumps in different areas, we thought they were chickenpox, however woke up tody with about 10 more and it s been over a week since the first ones. Could it be the chickenpox (he s had the shot) or something more as now he is vomitting more? | Hi, yes this could be chicken pox. In chicken pox fluid filled vesicles appear over body in crops, ie, there is a new crop of vesicles every 1 or 2 days. Chicken Pox lesion usually subsides in 10 day period. I advice you to review back with some good pictures of lesion so that the diagnosis becomes more clear. Take care. | |
Random sharp pains in lower left side of uterus, low back pain. On mirena from a month. Reasons ?
hey im 16 and ive had the mirena put in six weeks after I had my son a year ago. Ive had no problems with it at all buy just recently for the past week or so I ve been having random sharp pains in the lower left side o my uterus and it like the pains in my lower back pretty much to my butt. could this mean that the mirena came out of place? | Hi teegandm11 welcome to HCM, These are not the signs of displacement of mirena IUCD but the pain you have described may occur as e side effect of mirena, it may also be due to pelvic infection and inflammation which needs to be evaluated seriously as it may lead to infertility and other complications.. Random, sharp lower back pains may also occur due to Lumbar spine problems, ureteric stones and some other conditions. So its better get yourself examined once... With regards, Dr. Parthipan | |
Q. Is it possible to get pregnant without penetration?
Hello doctor, I had sex with my partner last month, after the third day of my periods. There was no intercourse and also we used condoms. My period date was 2nd of this month but did not get my period. Then I consumed Primolut N for three days thrice daily. Today is the 8th day after the last dose. I have back pain, cramps, and also abdominal pain. I also ate papaya this week. I also did a home pregnancy test but the results are negative. But I do not understand why periods are not coming. I am very tensed. Is there any chance to get pregnant? Please help. | Hi. If you had sex on the third day of menses then there is no chance of pregnancy. Periods can be delayed due to stress. And even due to taking Primolut N. You need to wait for five more days. I think the period should come in these five days. Do not worry as the pregnancy test is also negative. | |
What causes acute middle back pain?
I ahd a gastric band 4 years ago but recently have been experiencing acute pain in the middle of my back, which is worse at night. I have also developed approx 10 mouth ulcers my jaw keeps clicking and I have pain in the top of my mouth, I also have a ear infection I feel like I am falling apart as very tired all the time. | Before, I answer you for your concern, would like to know if you are under any kind of stress? If yes, then it would be one of the reason, apart from that acidity/ constipation may be the other reasons to have pain the middle area of your back as well for the mouth ulcers. | |
am i losing my mind
my emotions and moods have been all over the place for the past month or so. i am very stressed, can't concentrate on anythihng and have feelings of hopelessness and low self esteem. sometimes i get so upset that i want to hurt myself or others. i become very destructive, cry uncontrollably, and have a hard time getting myself to calm down. i can't seem to have a stable sleep pattern and am very irritable and edgy most of the time. this is affecting my relationships with others in a negative way. i look terrible and i feel like my moods change 100 times in a day. its exhausting. please help me | You need help..from family, friends and psychologists for support and counselling.. what you really need is a evaluation by a psychologist, start some medicine to control your symptoms based on teh evaluation findings, and also support both emotional and mental from family, friends and people generally around you to help you come out of all these along with the treatment and behavioral modification therapies combined with counseling sessions..do not lose hope..there is a way out, there has to be a solution to every problem, otherwise it is not a problem.. | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
What is the treatment for sneezing and sinus infection?
Hi Doctor...I am 28 years woman..I have a problem of sneezing i sneez alot due to little change in weather my right nose is blocked not clear...doctor said its a sinus problem due to which i sneez alot..MY question is we are planning a baby if i got pregnant does it effect my child?? | Hi Dear,Welcome to HCM.Well the symptoms you mention in query are due to sinusitis ( as you also mention ) . Sinusitis is infection in the sinuses in which linning if the sinus become inflamed and produce mucus . As you mention that you are planning for a child . I would suggest you to first of all consult ENT specialist for proper treatment of sinusitis , because it may not effect your baby directly but as infection will lower your immunity hence also lower the immunity of child and baby become disease prone . Some times the infection spread to blood and through blood it may transfer in to your baby and cause problem . So it is better to go for proper treatment . Doctor may prescribe antibiotics (amoxicillin) for at least 10 days , decongestants and anti histamines .Hope your concern has been resolved.Best wishes,Dr. Harry | |
Can blood be seen in urine if we have kidney stones?
I am 32 and have been peeing blood 6 days no pain been to doc no infection. Have kidney stone in left kidney what do you think? I also have a feeling on something down in vaginal area but no urgency to pee sometimes the blood is visibl e and sometimes clear | Yes, a renal stone can cause blood in urine.This is usually due to a Ca-oxalate stone which has spikes on its surface. These spikes are sharp & cause injury to mucosa and bleeding.Amount of blood is usually not too much.In my clinic, I always confirm it by urine routine for presence of RBCs.Also, Renal function tests, blood sugar levels, haemoglobin are done.Size of stone should be determined by Ultrasound, X-ray KUB & plan treatment.Hope this information is useful.Feel free to ask any further query.Thank you. | |
Suggest medication for panic attacks
I have panic attacks that are disabling. I first thought they were heart problems until I went to the hospital and had blood work done as well as a stress test. I need to find a doctor in the state of Indiana who is willing to prescribe appropriate medication. I have been on a variety of agents such as SSRI's, tricyclics, buspar,& others. none helped my anxiety attacks except benzodiazepines - at different times since I was 19 yrs old I have been prescribed valium, Librium, clonopin, tranxene, Xanax, & Ativan. can you help? | HIThanks for using healthcare magicI think, you are a chronic case of panic disorder. In your case, i would suggest combination of antidepressant rather than single drug. You can take paroxetine with propranalol along with benzodiazepine, but better to consult a psychiatrist before taking them. You can also take help of psychologist for relaxation exercise that would help to control anxiety.Thanks | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Suggest treatment for painful lump on chest after treated breast cancer
Hi. I had breast cancer 5 years ago . I now have a bruised feeling on the under edge of my bottom left rib quite near to the centre of chest. I sometimes think it feels like a mass or lump to touch. Last week I noticed a severe pain which made me cry out. It was very localised pain. It only lasted a second like I had pricked myself with something sharp. This happened 3 or 4 times in a space of a couple of days. Now it just feels bruised to touch under the rib just to left of sternum. | Hi,Thanks for writing in.It is important to do a clinical evaluation of the painful lump which has appeared after treatment for breast cancer. This lump might be due to an infection in the region if it is painful. Usually pain is there due to release of chemicals which cause inflammation. These chemicals are indicators of an infection which might be there in the area.A course of antibiotics might be required after clinical evaluation. Please take complete treatment and get any pus culture done to know the infection causing organism. Search other areas for any similar infection and also get it treated with medicines at the earliest. Please do not worry. | |
Suggest remedy for sores in the body
I have had an issue with sores since the birth of my 1st child who is now 17. The doctors would test these sores and say that they were a bacterial infection. I had a doctor biopsy some skin from my breast because he thought the sore was skin cancer. Now finally this past year I was diagnosed with staph infection that had spread all over the place. I have been to numerous doctors because all of a sudden I started getting tingling in my mouth. They thought I was having a stroke and it turns out that within this past year I went from low blood pressure to stage 2 hypertension. I had a bad reading on my EKG that signified extreme fluttering of the atrium. Now I am breaking out more with bumps that are red not raised all over and they stay for quite some time. I also have had staph again and my blood pressure does not stay even It goes really high or really low with the metopolol. I have red lines that have appeared that look like blood is trapped by the skin surface. These lines turn brown and fade until I'm going to break out again then they get darker. Please help.... | Thanks for posting your query to HCM .If you have diagnosed with Stphylococcus infection what medication you have taken to treat it . As you need to take comlete cource of antibiotic as per your culture and sensitivity report .Untreated or incompletely treated infection will recure and posing more problem to treat . So contact to your physician for taking Antibacterial treatment completely .take care . | |
What causes chronic sinus issues after having root canal treatment?
I am suffering from chronic sinus issues have coincided with having a root canal treatment to my upper left 7 tooth. I've never suffered bad sinus issues like this before and wondering if perhaps I was allergic to some part of the filling or other, I googled 'congestion after dental work' and found many posts of similar sinus issues after root canals on upper molars.I haven't spoken with the dentist as yet as he wasn't in today, but what should I do? | hello..read thru ur query...and i must say that nothing to worried in this..its just a usual thing that sinus problem starts after undergoing upper tooth root canal..it is because the upper molar tooth roots are in close proximity with the sinus floor...this might have resulted in filling material going excess into the sinus(in some cases) or just a reaction due to new material coming near the sinus...u can continue with the antibiotic medication by dentist and do steam inhalation(with vicks) for a week..and wait..usually it subsides..if after a week still problem persists meet the dentist and take xray and get it treated based on the clinical presentation...be cool and dont panic...hope ur benefitted something from this reply...have a healthy day!!! | |
Q. I feel run-down all the time. Why?
Hi doctor, I returned from abroad feeling run-down with gastrointestinal issues. I thought that I might have gotten a parasite. Stool tests were performed, but no parasite was found. I then developed flu-like symptoms that lasted several weeks and still feel run-down and tired all of the time. My eyes look a bit discolored as well. | Hi. Revert the reports to a general medicine physician online --> | |
Q. I am feeling uncomfortable with my sports goggles. Please advise.
Hello doctor, Why does everything look different or trippy? I recently got sports goggles for soccer with the same prescription as with my regular glasses. I feel so much more comfortable with my regular glasses that I almost want to keep playing sports with those glasses. I got the sports goggles so they won't break (I have broken pairs of glasses in the past with sports) and so they will not fall off. Now I am scared to use them because it is almost as if I am in an adjustment period again. I know that happens when you have a different prescription but I know this is the same exact one. Will this continue to bother me when I am practicing or playing? Any tips? | Hi. It is very common for everyone to get these kinds of experience when they change glasses even with the same power glasses. This is because our eyes get adjusted to the glasses, even minor changes like the shape of the glasses, frames, interpupillary distance, a gap between glasses and eyes. After you use these glasses for a month your eyes get adjusted to the new one. You can use the sports goggles during sport and normal glass during other times. | |
Suggest treatment for viral tonsillitis
hi my 16mth old son has been diagnosed with viral tonsilitis by my gp. I've been given a script for ab's but I'm to wait to see if it turns bacterial before administration. I'm wondering if there are any simple home remedies I can use to ease his discomfort. I am giving him alternating paracetamol and ibuprofen but it seems inadequate to his discomfort. | Hi, thank you for trusting HealthcareMagic.com!I really understand your concern, and here are my recommandations for your son:- Get enough rest.- Drink warm or very cold fluids to ease throat pain- Eat smooth foods, such as flavored gelatins or applesauce.- Use a cool-mist vaporizer or humidifier in your room.- Gargle with warm salt water- Suck on lozenges containing benzocaine or other anesthetics.- Continue with paracetamol or ibuprofen.I hope my answer was helpful! Thank you again! | |
How safe is taking sodium paracetamol tablet for pain?
my wife gets frequent attack, about 2 per fortnightly for last 20 years. She used to take a tablet of diclowin plus during attack to get relief. But now this diclofenac sodium paracetamol tablet does not give much relief to severity of pain. How safe is this tablet taken on an average of 4 tablets per month and what are its side effects. Pl. suggest a better medicine. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Diclofenac is not recommended for long duration of time. Prolonged use can damage your kidneys and liver and thus it is not generally prescribed as a routine drug. You can take drugs like Tramadol which is very much safe and can be used for longer duration with out any fear. If pain persist despite these, you can consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. | |
What causes feelings of mouth wetness?
The corners of my mouth constantly feel wet, and I feel like I have to wipe them or suck in to dry them. But when I touch them they don t really feel wet. This has happened on and off for the last year or so. It s so weird and annoying. Is it mental or physical? It sure feels real. | HiWelcome to healthcaremagicI have gone through your query and understand your concern.It may be a psychiatrist disease. You should consult physician and psychiatrists for it. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. | |
Is pregnancy possible despite negative pregnancy test results?
good morning sir/mam, i done iui on 9th jan 2017. my last period was on 26th dec'2016. my due for period is 27th jan 2017. but still no period.but i keep gest200 capsule inside the vagina in FN night. i take home preg.test for two times. negative result. my doubt is i am in pregnant or not. and gest 200 capsule may delay the period. please inform me sir | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As your pregnancy test is negative, I would suggest you to go for serum BHCG test. It is more sensitive in terms of detecting pregnancy. If it also turns out to be negative, the chances of pregnancy are unlikely. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health. |
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