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Suggest treatment for erectile dysfunction and premature ejaculation
Hi Sir I want to get a suggestion . I am feeling the problem of premature ejaculation alOng with erectile dysfunction. One of dictor gave me conium mac agnus castus and laslty selenium. It was taken before 2 years. I found no good relax. As i was facing same problem with my girl friend. I feel a fear and tension when try to have sex with her. So that erection is nil. I never could make her happy. It creat a tension and i feel myself useless. I am married but i rarely face this problem with my wife. I feel good erection with my wife and in maximum cases i make her satisfied. In my 17 years of married life i never had sex with my wife for 5 to 6 years in different gaps. I at that time forcebily prevented my self from sex . Last 3 month i took musli pak with milk. Now it is finished. Since last ten days i am taking R 41 . But even now i am facing erectile problems. Please help me and suggest me . Also tell me if i can use homeo and ayurveda togather. Please save me from this embarrassed situation. My wife always against my opinion and i feel not happy with her. My girl friend always try to make me happy without any greed . I want to love her properly. So pls suggest me medicine for hard erection. And creat desire when she touch me. I want to rejuvenate my sex life Please reply Regards D.lal | DearWe understand your concernsI went through your details. I can see you are in a complicated situation which is self made. You are having selective performance anxiety. You are not truthful to your wife and thereby you are cheating her. You are feeling guilty as well as anxiety about your sexual performance towards your girl friend. You are having so many medicines for sexual dysfunction. You are worried about sexual performance to the girl friend and whereas you are good with sex with your wife and you still say your sexual life is finished. Is it not contradictory? I sincerely advise you not to cheat your wife and stick to her as far is sex is concerned. She is trying to console you because she loves you. Otherwise, you need to undertake psychotherapy sessions so as to remove this selective performance anxiety. If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck. | |
Cold hands and feet, whith blotches underarm and legs, itchy white patches, fatigue, headshaking. Autoimmune disorder?
HHi my name is Shauna. I have the impression that i have some type of auto immune disorder. I have had several symptoms. Mostly fatigue, weakness in hands, tingling on my head, head shaking. And the newest symptom i stay cold all the time hands and feet. Bit i have started having white blotches on my skin under my Arm and all over my legs. I have also had itchy white patches when i stand for over 5 minutes what do u think about all of this | it is unlikely to be auto immune in nature. autoimmune problems generally are serious disorders starting with fever, weight loss, arthritis. they may involve rashes but rashes are generally photo sensitive, the cold hands and feet may be a feature of autoimmune disorders but they are generally associated with raynauds phenomenon which is a bluish discoloration of hands and feet in response to cold. and last of all it needs to be backed by blood work up which should suggest an autoimmune disorder. | |
How to treat insomnia and mood swings?
SIR, BEEN SUFFERING FROM INSOMNIA & MOOD SWINGS FROM PAST FEW YEARS. IS THERE ANY COUNTER STORE MEDICINES FOR SAME. IVE ALREADY CONSULT THE LOCAL PSYCHIATRIST FOR SAME, BUT HE ENDED UP DIAGNOSING THAT AM UNDER DEPRESSION WITHOUT ANY TEST OR ASKING SINGLE THING. WHICH DRIVE ME NUTS (FELT THAT THE GUY WAS BULLING ME SO I WONT TRUST LOCAL DOCS ANYMORE & CANT AFFORD PSYCHOLOGIST IN NEAR BY BIG CITIES). | DearWe understand your concernsI went through your desciption. I suggest you not to worry too much. You must understand that psychology as well as psychiatry are health siences. Physicians or peofessionals are supposed to assess you properly and diagnose perfectly so as to provide proper treatment. No dotor shall prescribe medicines without assessing you. Online treatment for psychiatry cases are a strict NO. Please consult your psychiatrist nd appraise him. If you cant trust him, you should consult another in your locality. If you need more of my help in this regard, please post a direct query on this portal. I am happy to help you.Hope this answers your query. Available for further clarifications.Good luck. | |
What causes shortness of breath when on BP medications?
Hi, I've started taking bendroflumethiazide blood pressure tablets and i have for some time now over 7 months, in the last month or two i have noticed that i am out of breath picking up my toddler, i never used to be, i can walk very far, go up and down steps fine but when i push her in the pram or lift her up its as if i have lifted something heavy without building up for it or walking out into a heatwave, heart slightly pounding and caught a bit short for breath. I've had x-rays and heart monitor not lnog ago and myheart is fine, i don't get out as much in the week as i used to but never had problems breathing. | Hello!Welcome and thank you for asking on HCM!I understand your concern and would recommend consulting with your attending physician for a careful physical exam and some tests to investigate for the possible causes: - a resting ECG and a cardiac ultrasound- complete blood count for anemia- blood electrolytes- respiratory function tests to exclude a lung disorder- kidney and liver function tests. Hope to have been helpful!Kind regards, Dr. Iliri | |
Are the back pain, chills, headache and high fever related to Malaria?
Hi, I am currently travelling through Bali and the evening before yesterday suddenly and out of the blue became ill. It started with back pain, chills and headache and by morning I had a high fever. I was weak and could barely move all day with the headache and back pain. I managed to sleep last night and woke this morning feeling better but still have the headache (only on one side this time). I am still a little hot and flushed but nothing like when the fever was at its highest. I am concerned because I travelled to a malaria infected area with no medication.Thanks for your help.Jo | Hello,Welcome to HCMThe symptoms you are having may be due to two reasons:Viral fever or malaria.For the confirmation of malaria,you need to do lab investigations like Blood smear examination and QBC (Quantitative buffy coat).After confirmation only, you need to take antimalarial drugs like chloroquine.Till you get tested you can take analgesics like tablet ibuprofen and antipyretic like tab paracetamol -500 mg three times daily for symptomatic relief.Also take adequate bed rest.Drink plenty of fluids.Hope you are satisfied with the answer.Thank you | |
Suggest treatment for cough and wheezing in a child
I am from Darjeeling,I have a six yrs old girl she has been coughing regularly and starts wheezing,at the same time she has been diagoanised as atopic dermatities,when she was three yrs old and she has been using NMF lotion for skin and I have been giving asthalin .She usually used to cough but from 8th January 2012 she started wheezing as the weather here is still very cold,could you suggest me how should I protect her . | HiJus try to avoid direct exposure to cold air and avoid exposure to pollutants like smoke , mosquito coildand cigarrettes. Make sure her bedding are sun dried regulrly. Wash materesses in hot water. Change them frequently. Avoid fur toys and fluffy woollen blankets. Get rid of cocktoaches in the house. If she requires asthalin puffs regularly it better to start her on controllers for her wheezing | |
What is the treatment for erectile dysfunction?
Last month in july my husbands bp was at 155/110. Doctor prescribed CTD-O 6.25MG, ROSEDAY 10mg and clonofit beta. This has given him a side effect of very low libido or erectile dysfunction. This week when his medicine was over ...he was yet to meet doctor. He said that he was feeling very anxious. This time doc prescribed clonofit 0.5mg and added veloz- D. His TC/HDLC ratio was 5.14. can we slowly get off medication to avoid the side effects? Worried wife. | HiI understand your concern.Anxiety can affect sexual function. Stress can cause erectile problems . so treatment of psychological stress and anxiety is must.1st thing you have to do is go for penile Doppler to know blood flow and chance of erection with medications etc.erectile problem has many origins like stress/lifestyle issues/relationship problems/organic or physical problems etc.1st is life stylestress and busy life style make u fatigue and secondary to this it makes less desire in sex and erectile problems.Avoid smoking/alcohol.Take healthy diet.2nd is relationshipfree communicative and mutual understanding will helpsex is mutual act so try to do mutually and tell your problem to partnerthis will reduce your anxiety and able to erect easilySo stress free lifestyle and mutual communication will help3rd is physical healthRoutine check up and fit physical health is necessary to rule out diabetes and hypertension.psychological soundness is must and sun set focus method for erection is very useful .It can be treated with medicines like sildenafil,, tadanafil, tetrafol plus etc,do take advise from doctorsGet well soon Thank youtake care | |
How can pain in the lower back be treated?
I have been taking losartan for a long time and have lower back pain. I was given physical therapy exercises and they did not work. I am always taking tylenol. I wait as long as I can so that I am only taking tylenol twice a day. I just read that losartan can be a side affect. | Thanks for your question,No it is not side effect from losartan,You have to do x ray lumbosacral spine to asses the cause well.You should receive muscle relaxant as tizanidine 4mg once before sleep. | |
What does pain in the lower abdomen, slight chills and general body ache indicate?
I m having gut pains across the front lower part of my abdomen. Hurts to press on it. Even when I move. I don t seem to have a temp. But a little bit of chills. No diarrhea but my stomach hurts when I go to the bathroom. I have had hemorrhoid issues in the past but generally external and I don t notice that right now. No blood or anything. Also generally my body aches. | Hi, Pain in the lower central abdomen that increases on pressure, chills and pains on going to bathroom indicate that there is an inflammatory action going on in the lower part of abdomen and the causes can be as follows: 1) Enteritis meaning inflammation of small intestines and can occur in Typhoid, or so. 2) Lymph node enlargement. 3) Appendicitis 4) Diverticulitis. All these can be diagnosed by the following: 1) Clinical examination by a General Surgeon. 2) Ultrasonography to start with and a CT scan to confirm. 3) Tests of blood, urine and stool help further. Hence, this can help us to get a proper diagnosis and hence an appropriate management. Till then take only liquids orally. Take a PPI like Omeprazole. Pain killers or anti-spasmodic only if the pain is severe to avoid masking of signs and symptoms. Hope I have answered your query. Let me know if I can assist you further. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Suggest treatment for the pain in my stomach area
Hi I am 29 years old 5'4 and around 220 lbs. Had a baby 5 months ago via csection and before that twins 5 years ago naturally. My problem currently is that for the last week or so some days I have this pain around my sternum area or clear across the entire top of my stomach area like rib cage area. and it also causes some nausea. At times it is really strong pains. What could be causing this? | Hello, how is the type of pain, is it like a burning in the stomach or gripping kind of pain.? And is pain radiates? Along with pain what else symptoms do you have, like fever vomiting, lose stools, burning urination etc as per your age little history I can make out this could be your gastritis. But I still need furthur imformation to amswer you. Thank you. | |
What can cause sweating and dizziness?
I am having a great deal of weakness ..sugar was fine..blood pressure was fine and 02 level was 96-98...Very weak for two days Swooshing and very dizzy over the past 2 days and sweats real bad off and on at any time,confusion..I have other smaller symptoms such as very emotional..I am considering going to the care clinic somewhere tonight. | You are having anxiety disorder.It is easily treatable by tab mouth dissolving clonazepam. Tab propranolol.Go for counselling side by side.Go for thyroid assessmentSo dont worry. Hope my suggestions helpful and thankful to you. Take care. Don't forget to give ratings. | |
How to avoid unexpected pregnancy?
hello i am 18 years old and just lost my virginity. my mom still treats me like a child and i am scared to tell her i want to get on birth control to prevent a young pregnancy. how do i tell her i want too be on birth control with out letting her know i had sex. | Hi, At your age group barrier contraception like condom , can be started it ll not only prevent unwanted pregnancy but also STI and any of the partner can start using it and have least side effect compared to other , easily available ( so doesn't require prescription or permission ) Hope this ll help Thanks n regards dr.kishorekunal@gmail.com | |
What causes shortness of breath after recovering from a heart attack?
Had a STEMI rt side artery heart attack 3 weeks ago... then Angioplasty STENT implanted... since recovery began have experienced irratic times of need to catch my breath with a deep inhale especially occurs while horizontal...making sleep problems... when asked... told it could have been a collapsed portion in the lung during Stemi.... any ideas??? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Are you overweight? First possibility in patients with heart attack is of heart failure and accumulation of fluid in the lungs, which lead to shortness of breath on lying down. So get your ejection fraction confirmed and of low then you ll need diuretics. Also, see if any diastolic dysfunction is there or not, as it can also cause similar symptoms. Get this checked or you may attach your echo and other reports here. Hope I have answered your query. Let me know if I can assist you further. | |
What causes tingling sensation in spine, left calf and foot?
I m having a tingling sensation in my left calf and foot especially when I walk or after exercise. I m due to have a colonoscopy in 3 days and didn t know if I should go ahead with it. A nerve test a couple of months ago showed the tingling was coming from my spine and I did physcial therapy for a few treatments and it seemed to help, but the pain and tingling is back more than before. It doesn t bother me when I m sitting or sleeping just when I walk and exercise. | Hi,Thanks for writing in.The nerves of the lower back, calf and foot originate in the spine. The nerves arise from nerve roots which then combine in different permutations and then form a nerve that transmits nerve impulses. Since your nerve conduction studies have shown that the tingling is coming from the spine, it is possible that there is problems involving discs in the lower back at single or multiple levels and this disc displacement is causing pressure over the nerve roots. When a particular nerve supplying an area like calf and foot is compressed at the roots, then the patient experiences tingling and pain which appears to be involving the areas supplied by that nerve. This is what is happening to you. It will help to get a MRI scan of lower back and then discuss the areas of possible nerve root compression with your doctor. Physical therapy helps in most patients with mild tingling and pain. Some patients also require nerve pain relievers for treatment. During sitting or sleeping the nerve roots are not irritated and therefore you do not feel the symptoms. You can go for colonoscopy which is due in 3 days. Please do not worry. | |
What causes extreme lower back pain?
I am a 23 year old female who hasn t had any injuries. My lower back is very very painful and tender to touch in a small fist sized area. The pain has lasted over 4 months now but this month has become increasingly worse and sometimes unbearable. I usually have a high pain threshold but this is very painful. Any ideas what it could be? Pain killers only provide temporary relief. | Hello,I had gone through the case and found that history of symptoms are missed like whole back or only in spine, radiation of pain, other symptoms like numbness .So there might be many cause-Herniated discSciaticaOsteo arthritisVitamin D3 deficiencySlip disc very common.So go for MRI of Vertebrae , blood test of Vitamin D3 and diagnose the cause and take proper treatment by Orthopedic Doctor.Meanwhile apply Hot water bottle massage and muscle relaxant gel. Do not try to bend and take rest until diagnosis is not sure. Do not try any exercise.Hope my answer will be effective for you.Thanks & Take care | |
How safe is taking Methotrexate for ectopic pregnancy?
I am pregnant and have been diagnosed with an assumed optopic pregnancy. My doc wants me to take one very low dose of methotrexate to help move things along. My only problem is that I have a 6 month old that I am nursing. My question is if my height it 5"0 and my weight is 113lbs how long do you think it will take for the one dose to leave my system? Do you think I could pump and dump and resume nursing within a month or so? Please let me know. Thanks you! | Hello, and I hope I can help you today.The recommendation regarding women on Methotrexate for cancer chemotherapy is waiting 1 week after cessation of therapy. However, the low one-time dose used for treatment of ectopic pregnancy is not regarded as being harmful. I personally believe the safest thing would be to discard your milk for one week after the injection.I hope I was able to adequately answer your question today and that my advice was helpful.Best wishes, Dr. Brown | |
What is the treatment for weight loss and back pain?
hi sir, last week my dad admitted in hospital, due to weight loss, and some back pain. doctors said, some tumours created in pancreasys. after biopsy test, they told its related to pacreatic cancer. and another tumour also found beside of the throat by Oncologyst. he said, need to test that tu,our also.. then only they will tell finally wt the stage it is. please please please suggest me for better cure for my dad. | Hi,It seems that there is primary tumor in pancreas and might be having secondary in the throat.For follow up, treatment, remain in touch with oncologist.Stage of cancer and prognosis will his treating doctor can explain.Ok and take care. | |
Q. I have a severe pain in the lower back which is unbearable. Please help.
Hello doctor, I had lower back pain which was not bad at first. After a few weeks, it has gotten worse. I have a pain in the hip, buttocks, and thigh as well now. I recently joined work, and I cannot perform at work as the pain is unbearable. | Hello. You can revert back to me for further assistance. For further queries consult a general medicine physician online --> | |
Could contraceptive implant be the cause of depression?
I am 32, (5ft 6in, 8 stone) with 2 children and have had the contraceptive implant for well over a year. Since having it fitted I have suffered from mood swings, periods of extreme sadness, feelings of worthlessness and most of the time feel completely detached from the world around me. In between these periods I have felt extremely happy and excited about the future. It is probably also worth mentioning that just before I had the implant fitted my youngest son was diagnosed with autism and my husband lost his job this caused a huge amount of stress and could be the cause for my depression. I know my Grandma suffered with depression at the end of her life and my Mum has periods of it. I also suffered from depression as a child (from about age 10 to 15) and then I had post natal depression after my first child. Could the implant be the cause or could I be bi polar? I have read a lot about the condition and seem to tick a lot of boxes. | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Contraceptives can cause hormonal disturbances leading to mood changes and depression. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
Suggest treatment non steroid treatment for wheezing
my mom is 46 and suffering from wheezing so she daily takes the asthalien which has in turn spoiled her food pipe and she is not able to consume a proper food even wit the least spice's in it...pl suggest a remedy to these steriods and is it good for her to consume nutrilite health suppliment daily because she's got sugar and blood pressure | Thanks for your question on Healthcare Magic. I can understand your concern. First of all let me clear your false belief. Asthalin is having salbutamol. It is short acting beta 2 agonist (SABA). It is not corticosteroid. Asthalin is having half life of only 2-3 hours. So it is not ideal for long term control. In my opinion, you should start long acting inhaled bronchodilator like (formoterol or salmeterol or tiotropium). Their action last for 12 hours.. So wheezing can be controlled for long duration. These are ideal drugs for wheezing.. So better to consult pulmonologist and discuss all these. Don't worry, she will be alright after starting these drugs.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What is the best treatment to get pregnant?
Hi im 24 year female married for 6 years and im trying to conceive but for last 6 years i failed. I went to my gp and gymocologist all test was done for me and results were positive. Than my hubbys test was done and his was positive as well. My weight is 35.5kg and im 169 cm tall. I know im underweight but im on dis weight since high school. And also iny family gins are tall and thin.pliz help me um so stressed.also 2-3weeks before my periods i feel nause and have food cravings,food aromas and moody buty periods are normal and regular pliz help thsnx a lot email me my email is YYYY@YYYY | i have read and understood your queryI hope this will be helpfulas you and your husband are completely normal so you should not be worried as it may take time in few cases.but dear you are very under weight and you must gain as it can he very important factor.Also take supplements containing folic acid,proper sleep and a light regular exercise.dont stress yourself.Also count your unsafe period which is the time of ovulation and have maximum unprotected sex during that period.it is 11 to 19 day of a regular 28 days cycle.Ask your husban to avoid sex or madturbation for atleast four days before the 11th day to save up for the days of ur ovulation.Also ask your husband to take any good multi vitamins.I will be very glad to know if you find it usefulThankyouRegards Dr Faeza Sherdil | |
Suggest treatment for staph infection
I went to a dermatologist for this outbreak on my arms and back, they injected steroid into these places I had a small one on my cheek, I was sent home with antibiotic pills, I know see that it is a staphe infection and my cheek is swelling rapidly and it hurts, I put an ice pack on it, but I know heat brings it out right? what should I do, hospital? | Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you that if you have such a swelling in the cheek it is advised to do culture and sensitivity from the wound. It is not advised to take steroid for such a lesion. Take treatment according to the sensitivity report. You can use topical neosporin powder along with antibiotics from sensitivity report to treat infection. I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease. | |
What is the medicine for PTB?
HAZY DENSITIES ARE SEEN IN B0TH UPPER L0BES. HEARTH IS N0T ENLARGED. HEMI DIAPHRAGMS AND SULCI ARE INTACT. B0NY TH0RAX IS UNREMAR KABLE. IMPRESSI0n - PTB. UPPER L0BES UNDETERMINED. Kindly explain this result? And what is the right medicine? Thank you. | Hi,Anti-tuberculosis drugs to be taken for 6-9 months. The given chest X-ray report is suggestive of tuberculosis of the lungs. Your doctor will further evaluate the condition and prescribe the standard treatment for about six to nine months depending upon the severity of the disease.In the initial phase (for first two months) isoniazid, rifampicin, ethambutol, and pyrazinamide along with vitamin pyridoxine are given daily. And this is followed by continuation phase (for remaining four to seven months) isoniazid, rifampicin along with vitamin pyridoxine are given.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
What is the home remedy for fairly large boil?
I have a fairly large boil, about 2 inches wide and 1 inch long, that has gotten this big in only 3 days. I tend to get boils in my bikini area, where this one is too, a few days after I shave. Are there any home remedies, vitamins, supplements I can take to help it reduce in size and eventually heal? | hai,boils is usually caused by bacterial infections. small type boil will burst and drain out without any treatment.vitamin C will help in healing the small boil. but boil in large size will need certain antibiotics to treat the condition.home remedy like turmeric will help in boil. tumeric powder mixed with milk can be applied in the boil. because turmeric got anti inflammatory property.thank youhope i answered your query. | |
What causes chest pain while climbing stairs or lifting heavy weight?
hi i am rajkumar and i am 39. i am suffering from chest pain for the last one month. whenever i have to climb the stairs or lift some heavy weight i feel pain in chest (left side) . one month ago i felt severe pain in my chest doctor checked my bp that was 200 (ecg report was normal). whenever i feel pain i have to take some rest than pain gone . i am suffering from acidity for the last six month also. please guide me | HelloThank you for asking in HCM.First of all it very important for you to do a full cardiac check up.I mean a cardiac ultrasound ,a stress test and a blood test Troponon CK-MB to rule out cardiac diseases.If these are negative you should control your lungs by doing a chest HRCT and a Spirometry for lung diseases.If these are negative too consult a gastrologist for your stomach problems.Thank youDr.Jolanda NikollaPulmonologist | |
Q. I have a foul smell in the vagina. Is it possible that I have left a tampon in?
Hello doctor, I am a 33-year-old female. My last period was one and a half weeks ago. I had sex five days ago. I noticed a smell that made me suspicious. The smell went away in a couple hours but that made me think I left a tampon in. I felt for it but couldn't find anything. Yesterday, I tried to feel for one again and felt something that could be similar. I do not remember feeling that before but I am not very familiar with that area. I could not work my finger around it, so my insides it must be smelling. Today, I cannot even fit my finger in. There is no pain when I press my abdomen. When I drink milk or something, there is no pain, maybe a little bit of bloating, similar to having my period. I have a slight soreness in my middle right back and It does appear like I am seeing more when I look down there. I have made a doctor appointment for tomorrow and I am not sure if it is more serious than waiting. | Hello. I do not see it a reason to worry about. As you mentioned, it could be a forgotten tampon. But chances are low as it would have interfered with your sex. It would have been painful. The other possibility is there may be an infection of vagina and cervix. Cervix can feel as a swelling in the midline and when infected, it can be felt slightly bigger than normal. It may produce a discharge that could be white, yellow, grey, or brownish, which can be foul smelling or fishy smell or with itching, feverish feel, and pain in lower back. In either of these situations, you have to consult a gynecologist who needs to do an internal examination. evaluate and give you a course of antibiotics. Do not keep examining the vagina. You may injure the vaginal wall which can be sore later or infected. For more information consult an obstetrician and gynaecologist online --> | |
Should i meet doctor for heart racing?
my heart hasnt stopped racing for about 4 days now...its very uncomfortable....i feel its anxiety but ive been trying to keep busy and not think about it...and just sleep alot...which i do..but when i wake up its right back to racing...should i go to doctor..or just wait it out( im 25, 135pounds, medical history is i have asthma thats about all) | Hi,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.Incrase heart can be due to many reasons n due to many types like it can be abnormal n can be normal .. if u were my patient I would like ask detail history to about any dimes , syncope or preshn cope which can be seen if abnormal heart beat n will do proper exam like pulse rate , look for anemia feature etc.. then run some tests like cp to rule out anemia cause inc heart rate , ECG to see is it normal or abnormal n if need holter then will attach for 24-48 hrs Bcs some abnormal beat Coke for some tym in a day n that can be missed during simple ECG Bcs that time it might not be there ... after ruling out that cause will treat it n ur beat goes back to normal ... I hope this answered your question, if you have more feel free to ask.Regards.Dr.Asad Riaz.General and Family Physician.. | |
What could reddish boils on labia indicate?
Hello doctor, One of my friend is 27 yrs old. She is having small boil like thing on her labia. They are reddish in colour. She tried Candid-B cream after consultation with doctor. There are no itichings and burning sensations. And her periods are normal. After applying of the cream also no improvements. Any suggestiond from your side | Hello, from what you have describes it seems like your friend has furunculosis which is an infection of the hair follicle due to a bacterial infection. My suggestion is for her to apply mupirocin ointment twice daily for a week. It is important that she washes her labia well and keep it clean. if she develops more red boils or a high fever, she should be seen by a physician.Hope this answers your question ! | |
Lymphadenopathy in the retro peritoneal area. Cancer? History of cholelithiasis
If there has been a 1 yr hx of lymphadenopathy in retroperitoneal area and now there is lymphadenopathy in the mesenteric area, but blood work is "pristine" is the cause still most likely cancer? If it is a mesatisis, and a primary site has not been identified where should one look? There is a history of acute cholecystitis with cholelithiasis and gangrene with lap. chole 6 years ago but bilary colic has persisted. Waiting for biopsy results but the radiologist is totally surprised there is no history of cancer. No night sweats, but chronic nausea and constipation/diarrhea. | Hi and welcome to Healthcare magic. Thank you for your querry. Well, it can be mesenterial lmyphadenitis or any intraabdominal infection which can cause lymph node swelling. I wouldnt say that it is most likely cancer. such metastasis would already have much more serious symptoms. I think that you should do imaging test of abdomen CT or MRI and chest. ALso check your tumour markers and do frequent follow up of this lymphadenopathy. WIsh you good health. | |
Can anyone give feedback for the angiogram surgery?
I was so busy with my father visiting local doctors all day long. Dr. Md. Khaled Mohsin has done my fathers angiogram. The angiogram video and all the other necessary reports I attached with the Dropbox link because of the large file size. I am looking forward for the feedback . It will be great if you just go through all the reports and tell us what should we do like ring or the open heart surgery.thank you very much sir! link: | Hello, After going through your query I understand your concern and I would like to tell you that I can not access your reports here and you need to ask direct query where you can attach your reports and I will be able to guide you properly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | |
Is it safe using regesterone tablet while lactation?
Hi Dr , I have bleeding for last 1 month and on scan found out PCOD.Doctor advised me to take regesterone tab for 3 months .I am brestfeeding baby of 17 months .I had no periods since child birth.Will this tablet affect lactation or it may cause any problem for baby? | HiKindly avoid regesterone.Consider desogesterol instead after consulting your gynaecologist.Do serial beta hcg first if you r not menstruating.If you started with periods then take daily this tab from day 1 of cycle. For 1st 7 days of starting the medicines , use condom as contraception.Hope that was helpful.Let me know if i can assist you further.RegardsDr.Saranya RamadossGeneral and Family Health Physician | |
Can I go through surgery with a swollen knee?
I injured my knee on 2009 tearing the pettal tendon. I injured my knee again teo weeks ago and had an MRI today. I go back to the ortho doctor tomorrow and my main question is becasue the knee is so swollen, willthey post pone operating and make me go to thearapy. | Hello, You have to go for an MRI scan first to look for any possible tendon or ligament injury. If tendon or ligaments are injured, surgical correction might be required. You can opt for arthroscopic repair as it has got best results. Hope I have answered your query. Let me know if I can assist you further. Wishing all the best. Thanks. Regards, Dr. Shinas Hussain General & Family Physician | |
Q. How to cure my fibroadenomas present in breast and PCOD?
Hi doctor, My sonomammography report showed fibroadenomas in the left breast in 2-1 and 3-4 clock positions measuring 8 x 2 mm and 6 x 3 mm. My USG reports showed polycystic ovaries, a cyst adjacent to left ovary, a hypoechoic lesion is seen between the uterus and the right ovary is found with broad ligament fibroid. Recently, I have increased hair fall, and I have gray hairs. Please advise. | Hi. For fibroadenomas, it is better to discuss with a breast specialist. Many things happen due to genetics or due to use of any specific product. Check your family history regarding gray hairs. Use natural products to color hairs like henna (Indian herbal product). For PCOD, have a strict healthy diet with less salt, sugar, oil, and spice. Do a walk daily to have a healthy BMI (body mass index) and weight. Try to have regular menstrual cycles, or you can take a cyclic combined oral contraceptive pill for three months. Please send your scan report to guide you further. If you have any fertility issue, try to remove the fibroid as it is large and then decide for conception. If you have heavy periods due to fibroids, then you can do a myomectomy. Use natural products to the hairs. Avoid using conditioners regularly. If you have irregular cycles, try to consult a gynecologist for a further examination. Try to do serum progesterone, serum testosterone, serum insulin, serum prolactin, follicle stimulating hormone and luteinizing hormone, and thyroid function test. Discuss the laboratory results and the scan reports with your gynecologist. Have a complete checking and complete treatment of the health issues you have. If you are trying for conception, have folic acid daily and have sex in a fertile period of your cycle. | |
Q. I have bipolar disorder, panic attacks and generalized anxiety. What are the treatment options?
Hello doctor, I have bipolar disorder, panic attacks, social and generalized anxiety disorder. I have one to three panic attacks per day, constant anxiety, and fear of leaving the house. No motivation to work, no energy, apathetic, without mood. Right now I am in a depressive episode. I previously tried Valproic acid, Lithium, Carbamazepine, Xanax, Lorazepam, Clonazepam, Rudotel, Lexotanil, Fluoxetine, Sertraline, and Escitalopram. SSRI does not have an effect on me. Right now, I take Lamictal 50 mg daily and Tranxene 5x5 mg daily. Tranxene loses its anxiolytic effects and my anxiety becomes more severe. I am planning to titrate Lamictal 100 mg. However, it should not help with anxiety. What are my treatment options? Benzodiazepines are not an option because I am getting used to them. Two days later I have a consultation with my psychiatrist, but I want to hear possible treatment for my conditions from another option. I have done thyroid, heart function, men hormones, prolactin, kidney and liver function tests. All are normal. | Hello. If your anxiety is not responsive to SSRI's (selective serotonin reuptake inhibitors), then you should consider trying TCA (tricyclic antidepressants) class of antidepressants. They will help with your anxiety and panic attacks. Apart from Tranxene and Benzodiazepines, there are few other options for anxiolysis. If you are specifically looking for something to be added to the TCA such as Propranolol, Buspirone, Tofisopam, Clobazam, Hydroxyzine, and Pregabalin. Also, you can consider Mirtazapine, which will act as an antidepressant and also for anxiolysis. It is a NaSSA (Noradrenergic and specific serotonergic) class of antidepressants. | |
What causes lumps on either side of groin in an infant?
Hi, my 14 month old daughter has a large lump which appeared over a couple of days. She has been to see someone who thought it might be a blocked saliva duct but he wasn t sure. I m really worried about it as it is disfiguring her face. She also has a lump either side of her groin. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Without seeing a picture to learn more specifically where the lump is, its size, and what the overlying skin looks like, my reply to you is limited. The lump on her face(?) or under her jaw(?) might be a lymph node, tumor, or mumps(if she is not up-to-date on her immunizations and has been exposed to someone who has mumps). Children can often get small lymph nodes felt in their groin(both sides) as reaction to scratches or bruises on their legs. which are not worrisome. However, your daughter may have a lymph node in her neck as well as her groin areas. Because of this, she needs to be seen by her primary care physician AS SOON AS POSSIBLE. Hope I have answered your query. Let me know if I can assist you further. | |
Is it concerning if CSF leak occurs again?
I had transsphenoidal pituitary surgery almost 4 weeks ago. The day after surgery I developed CSF leak (leaked through my nose). The put in a lumbar drain and I layed flat for seven days. After the 7 days there were no signs of the leak. I just developed a post nasal drip that taste salty. My Neurosurgeon said it is most likely sinus drain as well as fluid from the surgery since they inserted a sponge. Should I be concerned that the CSF leak has returned? | Hello,There is no need to panic about spinal fluid leaking as long as you have no other symptoms. Besides, it does not taste salty. A possible way to check it, would be analyse this fluid for the presence of glucose. If there is no glucose (0 mg/dl), it is sure that it is nasal fluid or sinus fluid and there is nothing concerning.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
Suggest remedy for lumps in spine
Im a 18 year old male with no history of cancer in the family. Recently, I discovered a bump, or lump, at the base of my spine. It isnt a cyst. It's under the skin and has never had any sort of discharge. The bump has always been there, at least for the past few years. It just has been there. Within the past several days though, it has become painful to sit down. I've had no problems passing excrement.The pain is a sharp jab that quickly declines if I don't move.My first thought was a that my coccyx was chipped somehow.A description of the bump itself is that it is located within the butt crack, roughly 2-3 inches above the anus. I've tried to see if there is any sort of discoloration on the skin but found none. So I'm quite confused. | Hi,Welcome to HCM.That lump is as a result of congenital defect in the fusion, most probably mengiomyocoele.You need to get a ct scan or more preferably an mri of your spine and show it to a neurosurgeon.Regards,Dr. Ashish Verma | |
Suggest home remedies to get rid of scars in forehead
i had applied garlic on my forehead to treat pimples ,i left it over night but next day i found dark burns in those places. The burns are cured now but the marks are embarrassing me !! what can i do to get rid of it ?PLEASE hepl me out with some home remedies !! it has been almost 2 - 3 after dis !! | **1. since there is post inflammatory hyper pigmentation, in best Interest it will be wise to see a Dermatologist for proper evaluation and management.2. stay away from the sun during peak hours [11 AM to 4 PM] or ensure a good sunscreen applied on the area to limit damages.. wash your face with Besan and luke warm water after coming from outside (best natural bleaching agent), removing excess sebum and dead skin cells, and acts as a deep cleanser.3. Potato acts as a very good bleaching agent, this would lighten the marks.4. Take two spoonful of gram flour, add a pinch of turmeric, few drops of lemon juice and make a paste with a spoonful of curd. Apply this pack regularly and you will notice drastic changes.5. Make a mixture of tomato juice and lemon juice, apply this mixture daily with a cotton ball. It lightens the skin tone and marks.6. i. Use fresh vegetables and fruits, stay hydrated (drink 10-15 glasses of water/ day)ii. Avoid: Sugar (in any form), caffeine, cheese, oily-spicy-dry-fried food, chocolates, cakes, iodized salt, soft drinks.iii. Avoid exposure of the skin to severe climatic conditions.PS. . To get proper result, you are suggested to use any cream for 3 to 4 months. You may ask for Prescription Drugs, maily: aloe vera cream, kumkumadi oil, khadira arishta,saariva assav. | |
What do lumps in chest under the nipples indicate?
i am now 23 years,am a male, height 160 cm,weight 66 kg,,,doctor i have two lumps in my chest ,,,,,under the nipples....my nipples look enlarged...i feel the lumps in my chest...there is no pain but i am embarrassed with my nipples being enlarged. i have these lumps from when i was 14 years old..how do i get rid of these lumps in my chest. | Hello and welcome to HCM,The lumps below the nipples could be due to enlarged lobulations of the breast tissue.Enlarged lobulation in breast suggests gynecomastia.Gynecomastia is breast enlargement in males.The etiology of gynecomastia is increased estrogens in males which occurs during adolescence.You need to get ultrasound of the breasts and aspiration cytology.In aspiration cytology of breasts, the cells of the swelling are aspirated using needle.The aspirated cells are spread and stained with appropriate stains.Examination of cells will determine the nature of lesion.In case the lumps/ swellings are due to gynecomastia, surgical measures need to be done to remove the enlarged breast tissue.Thanks and take careDr Shailja P Wahal | |
Is a total knee replacement advisable based on the report?
MARKED GENU ARTHROSIS BILATERALLY WITH SIGNIFICANT REDUCED FEMOROTIBIAL JOINT SPACE ON THE LEFT NEARLY OBLITERATED ON THE RIGHT OSTEOPHYTE FORMATION NOTED ALSO INVOLVING BOTH PATELLA –FEMORAL JOINT SPACE IS PARTIALLY REDUCED MILD GENU LAXUM SEEN R L MODERATE TO SEREVE FEMORO –TIBIAL ARTHROSIS R L THE ABOVE IS THE RADIOLOGIST RECENT REPORT SHOULD SHE HAVE TOTAL KNEE OPERATION AT 75 SHE IS TAKING ADVIL ONE MORNING ONE EVENING | Hi, As the proper guidance can be given only by seeing X-rays and scanogram however according to report total knee replacement is a good option in your case. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon | |
Suggest treatment for primary infertility
Dear sir,I'm under treatment for primary infertility( with unexplained reason).i had a test for fsh,lh and e2 .My fsh level was slightly elevated other things were normal.The elevation of fsh level is as followsIt was 13.20mIU/ml where normal ranges in follicular phase should be within 2.5 to 10.2.Pls suggest | Serum progesterone level on 21st day of cycleIs easy to asses ovulation present or not.Regular cycle is the main indicator of ovulation.After each mens should be sex every alternative day and leave bed minimum one hr after complete sex.I hope within 6 months you become pg if semen quality good. | |
Reoccurring rashes. Treatment?
I have an assortment of rashes that come and go for no apparent reason. One severe rash on my left shin improved after steroid pills and lotions. The other (different) rashes cleared some with the oral steroid until dose was lowered - so dose was increased-with improvement; then decreased with increase of rash again. Right now, as this afternoon has begun, the rash on my face is starting again. Is there no solution to this sort of condition? My hands are really bad and that has been ongoing for over a year. I wear latex gloves over slathers of vasoline to keep the palms of my hands from developing deep, painful gashes. | Hi,Welcome and thanks for posting your query to Healthcare Magic.After reading your query it appears to be due to closest possibility of "Urticaria". This is a condition caused by bursting of allergy producing cells known as "mast cells". As the chemical inside them is released causes the kind of rash which you mentioned.Kindly follow the suggestions below:-Apply over the counter calamine lotion 3-4 times a day.-You can do cold water compresses to reduce the intensity of itching.-Do not scratch or rub the skin as it can lead to further aggravation.-Kindly stop taking oral steroids as self medication as it can lead to side effects. So you can take oral anti histamine like loratadine or levocetrizine under medial advise.Despite above measures if the problem is not getting better then it is better to consult a dermatologist for best guidance.Hope these informations will help."With good health wishes"Dr Sanjay Kumar KanodiaMD (Dermatology & STDs) | |
Suggest a diet which is good for the liver
hi,I am 36 years old recently i am on akt4, because of this my SGOT and SGPT have gone up to 71 and 91 respectively. I just want to know what precaustions i should take to get this down. Some home remidies or some diet change. which diet is good for liver. Kindly suggest | Hello Thanks for writing to HCMIncreased SGPT indicates liver injury.SGOT is non specific finding and it increases in many conditions.Increased SGPT may be due to hepatitis,altered lipid profile,autoimmune causes,medicines etc.You need clinical examination and few other investigations.You need few more investigations like random blood sugar(RBS),renal function test(RFT),complete lipid profile,Liver function test,viral markers,urine RE/ME.You should avoid red meat and high fat milk products.You should avoid fried and junk food and avoid alcohol completely if you take it.Medicines should be prescribed after complete investigations.I suggest my patients to take tablet ursodeoxycholic acid 300 mg twice daily after food for three months.This help in regeneration of liver cells.Get well soon.Hope I have answered your question.Take CareDr.Indu Bhushan | |
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 --> | |
What causes fluttering in my chest?
i have a chest flutter in the center of mychest does not seem to increased during exercise usually when i have to wake up to an alarm or after eating i was frightened because they lasted one day for about 40min i went to the ER and then ran ekg, blood for heart, x ray...and found nothing on all of these tests is there anything else that could be causing this sometimes just once a day sometimes more often they dont hurt persay just very uncomfortable | Thanks for your question on Healthcare Magic.I can understand your concern. First of all, no need to worry for major heart and lung diseases because your all reports are normal. Undiagnosed stress and anxiety can also cause fluttering sensations in chest.So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs (propranolol and flunarizine combination) too.Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What are the symptoms of shingles?
I have been having flu-like symptoms feeling like I have a fever when I don t, no congestion or respiratory problems, bad stomach ache and severe diarrhea for several days plus nausea.I had this a couple of weeks ago and a doctor gave me a three-day supply of Cipro which enabled me to get back to Florida from Indiana where we had evacuated. I was afraid when he only gave me enough for three days that it would come back with a vengeance.Can this be intestinal shingles? I had shingles on my head a few years ago and this feels very much like it only I haven t yet gotten a rash. The diarrhea wasn t this bad, I don t think, when I had shingles before.I got a shingles vaccine but read that it only reduces the risk of getting it again.How can a doctor tell if it is internal shingles? | Hello dear,my name is dr,Dorina Gurabardhi.I understand your concern.Symtpoms of shingles include -Pain or bruised feeling - usually on one side of your face or body - often along with a fever, chills, headache or upset stomach.-Tingling, itching or prickling skin, and an inflamed, red skin rash several days later.-A group or long strip of small, fluid-filled blisters.-Deep burning, searing, aching or stabbing pain, which may occur once in a while or last a long time.Hope my answer was helpful,if you have any other question I will be glad to answer,thanks! | |
Q. Should I start a new pack of Femilon on the first day of every period?
Hi doctor, I am 35 years old and my weight is 56 kg. My daughter is 3 years 3 months old. My doctor advised me to take one Femilon tablet daily from the first day of my period for contraception purpose. Last day of my period was 22nd of last month. At 21st night of this month, I felt that my period has started and took one tablet at bedtime. But, yesterday and today I got only spotting and the period has not started properly. I am continuing the tablet regularly at night for the last two days. Should I continue to take the tablet regularly till completion of the pack of 21? Will protection start from the first month or do we have to use extra protection like a condom? Should I start taking a fresh pack on the first day of every period? | Hello. This is a hormonal contraceptive pill which could reduce the amount of menstrual bleeding. This will occur in this cycle as well as probably in all your next cycles and this is entirely normal. The recommendation is to continue the pills for 21 days throughout and then wait for 7 days. Again, start a fresh pack from the 8th day. From the second pack onward, you need not have to wait for the commencement of the cycle. You can start the next pack after a gap of 7 days irrespective of cycle. Continue the pills as advised. Start the next pack as I have told and yes, you will have a full protection after seven days of commencement of pills. So, for the first week, use barrier contraception like condom and later you need not take an extra precaution as you will be a regular user. For further doubts consult an obstetrician and gynaecologist online --> | |
Suggest treatment for recurring cold and cough in a kid
My son is 5. For the past few months he has had a reacurring cough and it sometimes turns into a cold. The cough just doesnt seem to go away. He says he feels fine and doesnt feel sick when I ask but he is always coughing. He is also congested. Sneezing and a runny nose. I am very worried but have no insurence at the momment and cant afford to go see a doctor | HI, thanks for using healthcare magicHe likely has rhinosinusitis due to allergies (most common cause) with possible intermittent episodes of worsening due to becoming sick with the cold.Rhinosinusitis is inflammation of the nasal passages and sinuses. It would be associated with the symptoms that you are describing.The treatment would be: (1) avoidance of the source of the allergies if known. Different possible sources such as dust, food, pollen, animals(2)using topical steroid nasal sprays such as nasonex, nasocort, flonase(3)use of oral antihistaminesI hope this helps | |
What causes loss of appetite and constant trembling?
Dear Sir, my name is Gaurang Rathod I m from Bhavnagar and working at Vapi , I m suffering from anxiety and depression from 3-4 years , on medication of psychiatrist but no improvement , my main problem is loss of appetite now , cannot eat single roti , no desire to eat and trembling when working against someone , during writing also hand trembling but it is only occured in front of someone , alone I can write and work no issue , once during interview in past trembling occured since than this problem started , please help me , can exercise help me to cure my problems ? Please help I m too much worried , I m friend of Shailesh Andharia and he advised me to talk with u | HelloI would like to know the details of medications which you have been taking in past.Till then you can practice relaxation exercises like deep breathing and meditation. This should help you.All the best. | |
Q. Can you suggest remedies to get rid of chronic sputum production?
Hi doctor, I am a 25 year old man. It is about 4 years that I am experiencing chronic sputum production which I feel is originated from my nasopharyngeal or oropharyngeal region. It does not pain or itch and the quantity too is less. In the first year of its development it was mostly white in color but sometimes yellow and difficult to remove. Many of my doctors did not take it serious and just adviced me to wash regularly with normal saline. It gets a little bothering sometimes especially in morning after waking up or late at night or after eating some special meals or juices like orange juice which are sweet, but I think it should not be an allergy. It does not go inside my stomach by swallowing my mouth secretions and are very difficult to get out. All my other hematology, biochemistry and hormone profiles have been normal during these 5 years. I am having issue only with the sputum. It was cultured once, but no bacteria was grown. Please help to get rid of that. Thanks for your advice in advance. | Hello. This is post nasal drip. It has a multitude reasons for its evolution and for disturbing all over this long period. Nasal septal defects like deviated nasal septum (DNS), stones in nose and polyps in nose are some of the reasons. Long-standing Inflammation of sinus mucosa around nose also causes such issues. Chronic tonsil infection, pharynx infection or stones on tonsils may be other causes. 1. Radiologic investigation for anatomy of nose and paranasal sinuses. 2. CT scan is mandatory. 1. You need to consult an otorhinolaryngologist for thorough evaluation. He may need to go for urgent sputum culture and sensitivity testing and an antibiotic accordingly if bacterial infection is the cause. If fungal infection, antifungals are needed then. Viral does not remain so long usually. 2. If anatomic defect is found he may go for a surgical repair. 3. Medication may be decided according to ENT evaluation because in such chronic cases hit and trial method is not acceptable for treatment. | |
Suggest treatment for back pain after an injury
Was in car accident got ejected from vehical and truck rolled over me stopped breathing and was revived at the scene then takin to hospital had CT scans and other things was discharged from hospital with 3 fractured verdabrae and diagnosed with a contusion and blessing of the brain now two weeks later iam getting sissy when I go to lay down or get up or look up and down to fast they gave me a back brace but I never put it on because I feel fine just allot of back pain but I just deal with it so any advice would be appreciated thank you. .mike | First of all congratulations for great escape. Severe pain is expected in your case considering extent of vertebral injury. Try tab vovearn SR 100 mg od, tab pantoprazole 40 mg OD, Tab tolperisone 150 mg BD. Continue other conservative measures advised by your physician. Don't hesitate in going with surgical intervention if indicated and advised. Hope my advice will help you. Take care. Don't forget to rate me. | |
Suggest remedy for thin mustache
sir am 27 aged man frm kerala. i worrird abt my mustache.Even in this age i have just thin mustache only i am little dippressed abt it. i think to do hair transplantation . sir pls tell me that how much it takes? and which is the best center for do this? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Moustache and fascial hair are genetically determined. It can varies between individuals. Treatment options are unsatisfactory. Hair transplantation is a good option but cost is a problem. In India Visakhapatnam is the best and most recommended centre for hair transplantation. It cost around fifty thousand to one lakh. Hope I have answered your query. Let me know if I can assist you further. | |
Prescribe contraceptive pills
Hi Dr.My wife not got her menstrual this month,she is 5 days delayed,we had protected sex but some time initially unprotected also,but i didn't ejeculated inside, which medicine i should give her,which is easilly available in medical store.Thanks Sir. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Do a urine pregnancy test to confirm whether she is pregnant or not. You cannot terminate pregnancy by simply buying a tablet from a medical store. In fact you won’t get such medicine with out the prescription of a gynecologist. If urine pregnancy test comes positive, please visit a gynecologist and she will explain the possible options. Wishing all the best. Thanks. | |
Suggest treatment for painful swelling in the foot
Thanks very much, I have a pain on the bottom of my foot, it feels like there is a lump or swelling. Had it for two days, it gets better with ice but when I walk on it for a while it gets worse and eventually too painful for walking. I have had these before, I was wondering if it could be gout, as I m lactose intolerant? | hi you have a lump/ swelling on the bottom of your foot for two days and you had these before- recurrent swelling which gets worse on walking on it and pain is relieved by Ice.Gout generally effect the joint of big toe and not the bottom of foot. I think you might be having plantar fascitis. Take Pain killers for few days + Ice and soft heel footwear, if it does not help , then consult your doctor . | |
Experiencing dizziness, mid back pain, weakness. What is wrong?
I am experiencing dizziness and have mid back pain off and on. The Dr. has done a great deal of bloodwork and has found that all is normal. There are times when I totally feel like I am going to pass out and find myself moving my feet to make sure I don t. I have been to my Dr., to the Urgent Care and they sent me to the hospital. They did an EKG and everything was normal. | The mid back pain that you are having is not likely to be related to the dizziness. This is likely to be a muscular pain. However, it is best to rule out cervical spondylosis after an MRI scan of your spine. | |
Does need for anti rabies injection after a dog bite depend on survival of the dog?
hi... i m reading through the item about dog bites =) does it mean that if the dog is ok for 10 days or more... then... the person bitten doesn t have to worry about rabies? my friend got bitten (blood came out of the wound)... he is waiting for the dog to be sick before he would go to the doctor for a anti-rabies shot. it s been more than 7 days now since he was bitten =( hope you could help me give him a solid response. thanks thanks =) | HI, thanks for using healthcare magicHe should not wait for the dog to show symptoms. In humans the symptoms of rabies can occur months after the initial contact.The vaccine would have needed to be started on the day of exposure for maximum effectiveness though it can still be started after this time.The other doses would then be given on day 3 (3 days after 1st dose) and day 7 and 14.He should consider speaking his doctor regarding the vaccine.I hope this helps | |
Why is my foot hurting from past two days?
The inside of my left foot started hurting 2 days ago. I don t remember injuring it. There is a sharp pain when I move it after putting weight on it, as well as when I put pressure on the ball of my foot. It doesn t look like it is very swollen or bruised. | Hi,There are many reasons for the pain in your foot. Like improper footwear, fungal infection, nail bed injury gout. You need to get thoroughly examined by a physician. You can take Ibuprofen for time being, but remember it won't help in treating the condition, will just provide you a temporary pain relief. Till then take care and rest well.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jenis Bhalavat | |
What causes numbness and tingling sensation in the hands and fingers?
Hi, Lately I have been getting, numbness and a tingling sensation in my hands and fingers. Particularly the wrists side of my little finger and my ring finger. I have also now just noted that the sides of some of my fingers are starting to turn a sort of yellow. I don t smoke so I know it has nothing to do with that. What could it be? Thanks for any help in advance :) | Hi,Thanks for your query.Numbness and tingling in hands and fingers indicate that there is some sort of neurological disturbance (impaired conduction of nerve impulse) in the involved nerves. This may result due to compression of the nerve at some level during its course or may also result due to some systemic diseases. A detailed clinical examination and few investigations like EMG & Nerve conduction studies are needed to establish a correct diagnosis of your problem. I suggest you to consult a Neurophysician and follow the advice.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Sinus infection, nausea, vomiting, tiredness. Is it stomach virus?
Yesterday, I took some medicine for a sinus infection and it caused me to have some nausea . Today, I woke up very early in the morning and began to vomit a lot. It even started coming out of my mouth. I haven t vomited in about three hours but I m very achy and tired now. Is that normal? Is it just a reaction from the medicine or a stomach virus? | Hello, kianaj2561, You said that you were treated for a sinus infection. Most common drugs that are used are Azythromycin, Amoxicillin, Cephalosporine or Ciproflaxin . Amoxicillin can cause diarrhea and some nausea. The others can cause nausea, vomiting and stomach pains as well. It is possible that you are experiencing some of the side effects. If you had the stomach flu, usually caused by Noro virus , you can have high fever, chills, nausea, vomiting and diarrhea. You mention being tired and also achy. This might suggest viral infection. Try to take in small amounts of clear liquids evry couple of hours and when you are able to eat solids, stick to a bland diet for 2-3 days. I wish you well. | |
Possibility of having OCD(Obsessive compulsion disorder)
I am 17 years of age, and I think I may have slight ocd, but I am always stressed out over little things, and I feel I need to take care of my little brother and sister when they have 2 very capable parents, what can I do to relieve the stress, and relinquish the control I need for them? | DearWe understand your concernsI went through your details. I suggest you not to worry much. I do not think that you have OCD. Obsessive–compulsive disorder (OCD) is an anxiety disorder characterized by intrusive thoughts that produce uneasiness, apprehension, fear, or worry; by repetitive behaviors aimed at reducing the associated anxiety; or by a combination of such obsessions and compulsions.Do you have it? Not a remote possibility.You are trying to live a irresponsible life. You are not interested to do household works. Why are you stressed in doing little things? Here comes the key. You are aged 17. People of this age have vibrant and very active mind. They want to do so many things and naturally circumstances do not allow. Even if circumstances allow, there shall be no resources. Stagnation occurs, desperation and dissatisfaction occurs. This leads to irritation and then stress. Hope you can understand.Utilize the vibrancy and creativity positively. Set a goal. Plan your future. Make a time table for next 10 years and stick to it. Acquire as much knowledge as possible. You will feel free when you have a task in your hand.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. | |
What causes leg pain, dark toe after surgery to repair bulged T-11 disk?
I had back surgery in September to repair a budged T-11 disk. Mostly my left leg suffered paralysis, as well as my bladder. Now, I had some intense pain in my right leg. The skin around my large & second toe are blacken on the right foot. Could this isuue be associated with additional disk issues? | Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.Blackening of the The skin around large & second toe is a sign of disturbance in blood flow. This need intervention by a Vascular Surgeon. Problems with nerves may not cause blackening. Please consult a vascular Surgeon at the earliest.Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care. | |
Pain in lower abdomen and groin area that increases in early morning
I have pain in my lowr abdomen and groin area this increses during early morning hrs and urination in the night is very frequent, too much of acidity problem, Iam 60 years of age and recently I have developed lower back pain. I have consulted doctor and done sonography, blood test and urin test but every thing is normal, could u please let me know what could be the problem. | HThank for asking to HCMI really appreciate your concern low water input sometime causes such problem so increase the amount of drinking water, you have not stated your gender (This is common mistakes every body doing ) otherwise I would give you right advise, hope this information helps you bye. | |
Suggest treatment for pain and numbness in the arms prior to a neck surgery
I am 3 month from surgery on my neck/spine. It was my 3rd surgery and I now have hardware from C-2 to C 5 installed through the front. I have C 5 to C 7 from the back. Starting with my left arm about a month back and now both arms have severe pain and numbness. It is really bad when I try to sleep or rest I wake up every few minutes in pain and have to get out of bed. My left arm locks up at the elbow. The pain is very severe. My hands go numb throughout the day. My neck does hurt please help any feedback is appreciated | Hi, The pain is due to pinched nerve in the neck. You can take Pregabalin capsules to relieve the pain. Hope I have answered your query. Let me know if I can assist you further. | |
What could be the cause of groin area pain?
I have a terrible pain in my right groin area and it is getting worse. I am a female aged 42. I hurt myself during the night which is what led to the pain. I cannot cough without it hurting and now I cannot stretch properly or workout properly without it hurting. If I sit down I cannot get up without it hurting.What can I do | Hi, dearI have gone through your question. I can understand your concern. You may have some muscle pooled or spasm. You should take analgesic with muscle relaxant. It will help you to releive your symptoms. If it remains persistent then you should go for examination. 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. | |
Loss of interest, trust in everything and everybody, always having low self esteem, given up trying for happiness. How can I resolve this?
Hi. I am a 29 year old female and I notice lately that I can never get excited about anything...I just started a new dream job Oct 2011 and within a few weeks, I moved into a new apt. About a month after that, I got into a new relationship with a guy who I love very much and is perfect for me. But, I have always had low self esteem ever since I was young and I notice as time goes by, these feelings always come back-the result is me feeling like I dont deserve my job,relationship,good friends(I dont have many as there is, that is another story)..its like I cant trust anyone anymore and I gave up on trying to be happy. What can I do about this? | hI allison. THANKS FOR YOUR QUESTION. YOUR ARE SUFFERING BY DEPRESSION AS YOU HAVE SYMPTOMS LIKE-LOW ESTEEM.GUILTY FEELING. FEELING OF WORTHLESSNESS. BUT YOU TOLD YOU YOU CANNOT TRUST ANYONE BUT YOU CANNOT MENTION THE REASON DO YOU THINK THEY ARE CONS PIRATING AGAINST YOU.I AM ASKING THIS QUESTION TO CLARIFY DO U HAVE DELUSION OR NOT.IF YOU HAVE DELUSION THEN YOUR DIAGNOSIS IS DEPRESSION WITH PSYCHOTIC FEATURE AND IN THIS CASE YOU NEED A ANTIDEPRESSANT AND ANTIPSYCHOTIC COMBINATION.IF YOU HAVE PURE DEPRESSION THEN YOU ONLY NEED ANTIDEPRESSANT SO PLEASE GO TO A PSYCHIATRIST AND TELL YOUR DETAILHISTORY HE WILL HELP YOU. REMEMBER IN DEPRESSION COGNITIVE BEHAVIOR WORK VERY WELL SO IF DOCTOR WANT TO DO IT ON YOU PLEASE GIVE HIM CONSENT. THANK YOU DR SOURAV GANGULY | |
Is it normal to feel sharp pain in the chest upon bending?
I have random pain in both the center and lung areas of my chest. I m positive it s not pleurisy I ve had that several times with bronchitis. However if I bend to pick something up or get excited or even just watching tv I will feel a sharp sudden pain in my chest mainly in the center sometimes an inch to three I inches from the center i am a 34 year old female is this normal? Also I have a history of ovarian cysts(u inside if it relates they have been known to show up on my endometrial stripe) | Hello, As you explain the situation this might be from stomach problems no worries gastric reflux probably. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jnikolla, Pulmonologist | |
White particles found in my urine
What are the white particles that I have seen in my urine recently ? | it seems to be casts in urine. get it checked with the doctor with the help of urine examination to know what exactly it is and what needs to be done | |
Does hernia causes high blood pressure and shortness of breath?
Earlier today I felt a ball above my umbilical area and i was going to the restroom and I noticed when I wiped myself, I noticed there was a little drips of blood. Then about 2 hours later I started having shortness of breath. I took my blood pressure and it's 130/100. I went to the bathroom again and there was a little more blood. When i was pregnate with my 3rd child my OB told me that I had a hernia. I'm 26 years old and I have 5 kids, my oldest child is 7 years old. My youngest is 5 months old. What can it be? Is it serious? | Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that yes it is taken seriously. Because if it is diaphragmatic hernia it will obstruct the respiratory process thereby causing rise in blood pressure and many more things related to respiratory problem. In my advice you should visit to the nearby doctor once to examine yourself thoroughly, and take treatment accordingly.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic. | |
What causes lump below armpit that moves when pressure is applied?
Hello,I'm a 44 year old male,in good health,except for a moderate depression,diagnosed a year ago. Lately,I noticed a lump in my ribs, 5 inches below my left armpit, and 3 inches from my left nipple. The lump feels semi-hard, and moves up and down a bit when I apply pressure with my fingers. So far is painless. Recently, I had to take antibiotics because of a laryngitis and coughing. I would appreciate your comments about my lump, as well as any suggestions. | Hi,Dear I am concerned about the lump you have in the left-armpit.Advise-1I would advise you to get the FNAC-biopsy from a nearby Surgeon, who is the right expert to attend to it.2-As its painless-nothing to worry much,3-After the FNAC report-mostly it would be non-malignant tumour.4-It may be tumourous- or may be chronically infected node in the armpit.5-The story told by you ,definitely needs expert advise and followup till it is fixed with relief after proper remedy.Thnks.Wellcome for any more queries in this matter. | |
Suggest treatment for numbness and tingling in feet
Last year I experienced a sudden onset of numbness and tingling in the bottoms of both feet about a month and 1/2 after surgery. I had a bunionechtomy (sp?) and also had an artificial joint put into my big toe, left foot. I was given a medication called Levaquin. I took one pill and immediately started feeling a tingling and numbness in my arms and hands. I called my doctor and he told me to stop the meds which I did, but then it was a few days later that I woke up with the numbness and tingling in my feet. I couldn t figure out what could have caused that so quickly. I was tested for Diabetes, but my A1C is normal. So they have no clue as to what is going on. I went to a Neurosurgeon and he couldn t find anything wrong. He did a test on me using needles, inserting them into certain parts of my legs and then sending an electrical current up through to my spine and back to see if I had a disruption in the nerve conduction. The results were negative. They showed no problems. I then started investigating the drug Levaquin and found out that one of the possiblities as a reaction to that drug is peripheral neuropathy and it can be permanent. It will soon be close to when I had the surgery last June and then got an infection at the end of July beginning of August and was given the drug Levaquin. Also about 2 weeks later I had developed a urinary tract infection and was given Cipro. What I didn t know was that Cipro was from the same family as Levaquin. They are both part of the fluroquinolones family. My question is what are the chances that I really have permanent peripheral neuropathy and that it was from the allergic reaction to the Levaquin and then like adding insult to injury being compounded by the Cipro drug? Still numbing and tingling away.....Thank you | hi,thank you for providing the brief history of you.As you have this tingling and numbrness feeling, according to my understanding you need a thorough clinical examination and MRI of lumbar spine. Since the history mentions you had surgery of the foot I suspect that due to abnormal weight bearing on each feet there will be changes in the spine and some nerve root entrapment. With the thorough and deep understanding of your spine we can draw some conclusion.Also, for your problems you can discuss with your physician about Physical therapy as it will help improve the immune system and also the metabolism. strengthening the muscles will even help to avoid major issues.Regards Jay Indravadan Patel | |
Does semi solid food causes loose motion in a baby?
My son is 8 month old and he has developed loose motion in the last 3-4 days.I have started giving him semi solid food recently. Is this the cause of loose motionThe baby has also developed a tendency of putting everything into his mouth like the plastic cloth, his own hand, cloth etc. | Hi, It seems your kid is having viral diarrhea. 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 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 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician). 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. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology | |
Any idea about constant thirst after recovering from illness?
Hi I suffered from some sort of sick bug at the weekend which came on really suddenly and I only started eating again yesterday evening although I kept my fluids up by drinking lots of water but in the last couple of days I am constantly thirsty any ideas what this could be? | Dear Friend.Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.Usually this happens as a result of dehydration during an illness.Still, if this continues get your Blood sugar tested and Urine for Osmolarity.This is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask usStay Healthy. Dr Anshul Varshney , MD | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Suggest trteatment for tuberculosis
Hi ,My name is sakshi m suffring from tb since 5 month and docter priscribe me1-clarinove 2502-protomid 2503-macox plus 6004- mahaflox 4005- mucaine gel These medice is good for me for my tb and can you elebrate wich medicine use for wich problem.. | Hi ! Thanks for your query at HCM!Firstly I would like to know few questions?Are you a new case of TB and what were your symptoms and how were you diagnosed? Where you Multi-drug resistant case or Extensively drug resistant case?As I see you are on 2nd line drugs for which I do not see any rationale until your history is clear. Normally patients must be started on Isoniazid, Rifampicin, Pyrazinamide and Ethambutol. If pulmonary TB 6 months treatment with follow up and for extra-pulmonary prolonged treatment upto 12-18 months. You are on Clarithromycin, Protionamide, Rifampicin , Isoniazid, moxifloxacin and Mucaine(antacids). Most of above drugs are anti-tubercular and kill or stop the multiplication of TB bacilli in the body and cause sterilization of tissues and blood.These medicines work fine but they are started only if 1st line treatment fails in patient.Kindly provide previous history to comment on the same.Take care! | |
Suggest treatment for lumps in spine & back
I get large lumps on my spine, back of my head, neck which come and go every month. Sore to touch. I suffer with hirsutism and have been seen by an endocrinologist who says my androgens are "in normal levels" the lumps last about a week every month. | Hi.Thanks for your query and an elucidate history. This looks to be due to furunculosis,/ boils. This is due to failure of the skin to adopt to the hormonal changes as you have rightly noticed. Yet you can try this :::Apply liquid povidone iodine twice daily to the area where you get this problem.Take Vitamin A 3 lac units and Vitamin D - 1 sachet daily for 3 days. Also take Doxycyclin daily for weeks - till you get a result. I hope this helps you. No stress is very important... Stress is a cause of many problems. | |
Which one of the following drugs is most suitable for resistant UTI?
I was done for culture for urine i have been having a resistant UTI and my result say i have ESBL and they have said ertapenem ,imipenem,meropenem,amikacin,tigecycline and colistin are the only drugs i can use all others are resistant so please advise me on which drug to use among this ones which one is besy and mark that i have diabetes | hello!I have been through your question.You should know that carbapenems are generally considered the drug of choice for the treatment of ESBL-EC infections so, related your concern I think ertapenem may be a good option due to the fact that it is administered only once daily, in intramuscular or intravenous way unlike the other carbapenems.I hope my answer helps you.I wish you a quick recovery. | |
Suggest remedy for pain in the legs
I was in a auto accident. Both legs hit dash at glove compartment. Didnt break bones but hit just below knees and left extreme raised contusions. Bruised, swelling inflamed and very painful. Have been applying ice packs and taking Ibuprophen. Is there a cream or something else that might help? Thank You! My email address is YYYY@YYYY . | take zerodol and apply dynapar gel after ice pack. do ice therapy for 15 mins twice daily. if there is no open wounds you can get ultrasonic therapy also apart from that put pillow under your knees to avoid swelling | |
Can swelling in the foot caused by a nail prick injury be treated at home?
I stepped on a rusty nail in an old shed i was cleaning out, the nail went through my shoe and punctured the bottom of my foot, i pulled the nail out, my foot seems to be slightly swollen and it is tender to walk on. my last tetness shot was 5 years ago or so. is this something that I can treat at home or do I need urgent medical treatment? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you described the wound, it seems tetanus prone but your doctor may evaluate it better by seeing it. You may need tetanus immunoglobulin even though you may be fully vaccinated. Hope I have answered your query. Let me know if I can assist you further. | |
How to stop pregnancy?
hi, my boyfriend and I had sex last night and the condom slipped inside me. I took it out and we got Plan B. I'm just worried that I won't know if I'm pregnant because my periods are irregular. I don't want to find out too late and have to abort the baby. I will take a pregnancy test in a few weeks, but is there anything I can do now? | Hi, thanks for writing..I understand your concern. You have already taken emergaency contraceptive pill, nothing more can be done. Emergency contraceptive pill reduces the chances of pregnancy by 89%. Get a pregnancy test 4-5 weeks after your last periods.. Hope I have answered your queries.. Good day.. | |
Have right flank pain that extends to posterior. What can be done?
have had right flank pain that extends to my posterior ,had cat scaN ,X RAYS AND SONOGRAM HAVE BEEN PERSCRIBED dicyclomine hcl tab 20 mg with no relief have been told a lot of patients just go on with the pain in other words I don t think the doctors or pain specialist knows what is going on any advise will be appreciated, thanks beforehand, david | Hi and welcome to HCM,thank you for your query.Well I think that the right cause of pain should be established.It sounds like kidney disorder or pancreatic disorder so these 2 should be ruled out first by ct scan and certain blood test. Sonogram is not so sensitive to detect some common pathologies,xrays as well. You should check lipase and amylase levels and your kidney functional tests. Wish you good health. Regards. | |
What is Risperidone dosage for mentally retarded person?
My daughter who is severely mentally retarded has been taking ,25 milligrams of risperidone 2 times daily for impulse control. The nurse practicioner who treats her is now wanting to up that dosage to .5 milligrams 2 times daily. That seem to be a big jump in dosage and I am concerned with giving my ok on this. What is the dosage range for an adult? | Dear Bogdan,,Thanks for using Healthcaremagic.I read your query with keen interest and understand your concerns about high dose of rispiradone.I like to assure you that your nurse practitioner is increasing the dose in recommended dose range only and there must be no reason for concern.The effective dose of risperidone is 0.5 to 16 mg per day and most individuals tolerate well till 8 mg per day. I understand that increasing dose to double of current medication is big high but one mg per day of dose is minimum effective dose for mode adults and only some individuals respond at 0.5 mg per day of risperidone. I hope this helps you.Feel free to write back to me if you have more questions.Thanks again. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Suggest treatment for lung cancer
hello sir, my mother suffering lung cancers, actually we are founding 1 month before, now we are doing chemotheraphy treatment, i dont know the treatment methods. now i am getting informations about adayar hospitals is the best one. i need further treatments i can continue your institute | Hi, dearI have gone through your question. I can understand your concern.Treatment of lung cancer depends on type and stage of cancer. Chemotherapy, radiotherapy or receptor specific treatment can be given. It all depends on whether it is small cell cancer or non small cell cancer. Please send me your reports so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
Could weakness, fever and tiredness be aftereffects of having suffered from typhoid?
HII THIS IS DEEPA HERE FROM INDIAI GOT MARRIED BEFORE 2MONTHS. AFTER GOT MARRY I ALWAYS LIVES ILL.1ST MONTH I GOT TYPHOID& NOW FROM 10 DAYS M SUFFERING FROM FEVER BUT REPORT ARE NORMAL.MEDICINES ARE NOT EFFECTING ON ME. I ALWAYS FEEL TIRED, VERY WEEK INTERNALLY, HEADACH & UNFRESH PLS HELP ME WHAT TO DO? | Hi,It seems that you might be having some infection in your body giving recurrent bouts of fever.Mostly after marriage urinary tract infection is common.Go for,Complete blood test like TC, DC, platelet counts.complete urine routine and microscopic.After reports go for treatment accordingly.Take light diet.Ok and take care. | |
Is HSB virus infection related with swollen feet, blisters and fever?
my 6 yrBS old daughter was amitted into hospital yesterday with swollen feet and hands and then became covered in a rash the rash was red blister type which joined into one, she had fever and sweeling to the face and wrists. the doctor said it is a virus called hsb but no blood tests or antibiotics were given. is it the hsb virus or something else? | Hi, dearI have gone through your question. I can understand your concern.Your daughter may have HSB virus infection. It is a human herpes virus subtype that affect the children and immunosupressent persons. It leads to fever and rash. No any specific treatment is available for it. Treatment is just as other viral disease. So symptomatic treatment and rehydration should be done. Don't worry much about that. Just be relaxed. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health. | |
Suggest treatment for food poisoning
Hi Dr. I ve just recovered from mild food poisoning that started early Sunday morning after reheating some take away food from the night before. I was sick at bout 1am until 5am after which I rested and went into work about 2pm(I work in the middle east and work Sundays) I have not been sick since 5am on Sunday but still feel a bit off however my main worry is every so often my chest starts to flutter for a few minutes (I ve done a bit of internet research and it sounds like these are heart palpitations) Should I worry or is this just a result of the food poisoning (the reheated food was a mutton curry with rice). Many thanks Andrew | Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you to check for your blood pressure. Because of diarrhoea and vomiting associated with it there is probability of dehydration and low blood pressure. Because of it heart beats faster for which you feel palpitation.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic. | |
Suggest treatment for sudden onset of chest pain with excess salivation
Im 27 and a smoker. About twice a year a wake up from chest pain and excess saliva, to the point where I need a trash can to spit in every minute or so. The chest pain feels like someone is squeezing my heart. Sometimes I throw up, like today I did. It usually last for about 2 hours. I cant do anything but lay down and wait for it to pass. | Hi,I understand your concern and would explain that your symptoms could be related to bronchitis or gastro-esophageal reflux. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests: - a chest X ray study and respiratory function tests - a resting ECG- some blood lab tests (complete blood count, PCR, ESR)I would also recommend trying an antiacid. If this helps, a fibrogastroscopy would be needed to exclude esophageal spasms or gastroesophageal reflux. Meanwhile, I would strongly encourage you to quit smoking. It would definitely help improve this situation and prevent possible further episodes. Hope you will find this answer helpful. Let me know if I can assist you further.Wishing all the best!Regards,Dr. Iliri | |
Suggest alternative medicine for Cellcept
Is there any alternative for cellcept, my husband on cellcept for 8yrs post kidney transplant, just has colonoscopy and endoscope with result showing of 2-ucler which is the result of the drug as per pathology .The GI doc recommending cellecpt to change.please help. | **1. since he is a transplant candidate, thus check with your attending doctor regarding the change of medicine suggested by GI doctor [ mycophenolate mofetil-associated injury of the upper GI tract] who is in better position to make amendments in line with his kidney status. | |
Can respiratory difficulty be caused by phrenic nerve impingement and cervical damage?
MRI reveals Severe degeneration at C3/4 & C5/6, together with significant T9/10 damage: hospitalised for 2 weeks iro pain management etc., However, I continue to experience some respiratory difficulty (it feels as though I cannot raise my diaphragm sufficiently on inspiration?). Pulmonary function results are not significant, although some limitations noted. Am wondering if this is likely due to some impingement on Phrenic Nerve as a consequence of cervical damage? | Degenerative changes at C3, C4, C5 can produce phrenic neve damage and you may develop breathing difficulty. This produces reduced diaphragm movement also. If there is some ongoing compression, you may require cervical spine decompression and fixation. | |
What is the treatment for osteochondroma?
I was diagnosed with osteocondroma a 2 years back and my doc said it was that small not to worry about it , it is behind my knee. well yesterday after i had a walk i felt a very big hard lump on the back of my knee noticeable when you touch it but after a while i wasn't as noticeable , why is that and should i get it checked again | Thanks for your question on HCM. Yes, you should consult orthopedic doctor and get done 1. Clinical examination of swelling 2. X ray of knee joint 3. MRI of knee joint if needed. Osteochondroma is benign tumour of bone commonly affecting young males and most common site is upper end of tibia. In most cases it is stable in course and not enlarging. But in some cases, this can enlarge and restrict knee joint movements. It can also cause pain due to friction from the tendons. In rare cases it can turn into malignancy known as osteochondrosarcoma. Since your swelling in enlarging and causing pain, better to consult orthopedic doctor and discuss all these. You may need surgical removal. | |
Which are the safe periods to have intercourse ?
Hello, I ve had my period on the 1st of July so relying on my calculations my ovulation occurred between the 12th and the 16th. My following question is can my partner ejaculate without using any safety, inside of me?in this phase until my next period is scheduled? | Welcome to Healthcare MagicYou have not mentioned the usual length and regularity of your cycles. If it is a regular cycle of 28-30 days you can have unprotected sex from 22nd to end of month and during menses period as well without fear of pregnancy. Best is to use condom because calculation of safe period especially in those with irregular cycles may result in frequent failures in contraception, and it also prevents STDs. | |
What causes sharp pain in the breast?
I am having breast pain in my right breast. I had a mammogram on Wednesday and felt fine before the test. Now it is a dull, sometimes more sharp pain. The mammogram was hurtful more than in the past. The Doctors office has installed a new machine (my first time with this one) and it did hurt more than normal. I could feel the skin pulling tight. I am concerned because it hurts more at night when I am trying to sleep. I ve had many Mammograms in the past, like every year. I am 76 years old. | Hello, I have studied your case with diligence.As per your history there is possibility of breast cancer.If your blood reports are normal I will advise you to do PET scan to look for any lesion in initial stage.Mammography may not be sensitive..Till time drink more water and improve immunity by taking healthy food.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 | |
What causes green anal discharge during pregnancy?
I m 13 weeks prego and Ive been throwing up but its at night around 3 in the morning, I can t sleep, I get huge headaches and today I went to the bathroom today (did a number 2) and wipe myself, green stuff came out. It was gel type and liquid. what should I do, or should I worried? I don t take anything, no diet, no vitamins, nothing green today! | Hallow Dear,This symptom of green stools with mucous discharge is highly suggestive of amoebic dysentery. You may get stools examined from the laboratory; else you may start treatment for amoebiasis. Metronidazole is the medicine of choice for this condition; however, considering 13 weeks pregnancy, you may opt for secnidazole instead of Metronidazole. In addition, please avoid spicy food, have plenty of fresh home made yogurt (curds). Avoid any food from outside, drink boiled and cooled water. hygienic practices of eating are most important. Please report to your Obstetrician before you start any medicine since you are just 13 weeks pregnant. I hope this helps you.Dr. Nishikant | |
Kidney stone removed. Having pain. Took laxative and enemas. Not having proper bowel movement. What to do?
My sister had surgery Thursday to have a kidney stone removed. The dr called her that m!orning to say he was removing it at 1pmu that day. She had already eaten but they said not to worry about it. Well she went &saw they didn t get her in till 4pm. They removed the stone & sent her home with medicine for pain. She is still having alot of pain &I cant go to the bathroom. She returned to the hospital, as the one did the surgery is on vacation now. They told her to try laxative &take enemas. She s done that &I finally been able to go but is now pooping what looks like cotton & has done this 2 times. She is still in alot of pain &I was wondering if they could ve packed her while in surgery &I forgot to take it out. What should she do? | Hi, Your thoughts may be right. My suggestion for you would be: 1. Please take her back to the surgeon who operated her or to his assistant. 2. Get an ultrasound of the abdomen and X-ray of the KUB region done. 3. Anything suspectable can be seen on these 2 investigations. 4. We need to also check if the postoperative wound is healing well or not. 5. Re-check on the antibiotics that she is on. Is it really helping her? Hope this helps you a bit. I wish your sister a speedy recovery. Regards, | |
What causes itching/rashes all over the body after having CT scan?
I had a CT scan done 2 days ago and yesterday I began having itching and rashes all over my body, primarily my arms, legs, and stomach. I believe this is some type of allergic reaction to the IV contrast solution. Is there any way to alleviate the symptoms? | HI, thanks for using healthcare magicIt is possible that it is an allergic reaction to the medication. You should consider the use of an anti histamine to dampen the response. An example would be benadryl.There are also some creams which may soothe the itching,examples include calamine lotion or menthol in aqueous cream.I hope this helps | |
Suggest medication for bad cold & cough
myself an my 22 mont hold have had a bad cough and cold but i have had a headache for 3 days and my hearing is only about half.. i have this constant smell up my nose an very very dark green mucus/snot... my daughter seems the same and quite distressed.. does this sound more serious than a cold??!!... its hit us pretty bad, not been able to sleep properly for about a week now!. | elcome to HCM.Understanding your concern. As per your query you have bad cough and cold along with mucus and impaired hearing which is due to bacterial infection leading to strep throat along with upper respiratory tract infection. Need not to worry about it. I would suggest you to take steam inhalation and do warm saline gargles 3 to 4 times a day. You should avoid cold carbonated beverages. You should take you take nasal decongestant sprays, antihistamines and antibiotic combination as infection is present. Visit ENT specialist/ pediatrician once and get it examined and start treatment after proper diagnosis. Get X-Ray chest done. Take soft foods to avoid irritation to the throat. Throat lozanges one every 4 hours is helpful. Drink luke warm water throughout the day as it can provide relief.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What causes small lumps on the calf muscle?
For the past month or so I have had a few small lumps on my left calf. My calf isn't swollen but the lumps are painfu to the touch and are very tender. There is no red mark or indicaton that they are there, only when touched you can feel them. I am obese. Could these be fat deposits, or cysts? I don't think it is a blood clot because I have had them for a while and they haven't spread or gotten worse. Please tell me what you think it is and if it is serious or if it is harmless | Hello!Thank you for the query.It is hard to tell not being able to see it. It can be varicose veins, puss filled lumps caused by autoimmune disease. Fat deposits do not give pain.As it may be serious please do not ignore it. Consult your doctor. Have an ultrasound of this lesions. General surgeon should be also consulted.Hope this will help.Regards. | |
What is the treatment for umbilical hernia?
I have been dianosed with an umbilical hernia, and two days ago i've felt a faint, intermittent, dull pulse or "tingle" in what feels like the end of my penis. It's not painful- no itch or burn-just a very mild tingle. Could this be related? If not what might be causing this? | Hello and WelcomeI appreciate your concern.Don't worry if its a single episode as nerve supply in this area sensory wise is quite extensive and conduction can fire extensive neuronal discharge resulting in such sensations.If the problem persist, get a Urine R/E done to see for other causes in consult with your doctorwishing you best of healthThanks | |
What causes infection in penis?
Hello I woke up in the morning 2 days ago and it felt like something bit the inside of my penis, I didn't take to much concern but 2 days later there is a red mark with a little bit of puss but the right hand side of the penis is abit swollen what could of caused this , and no it doesn't hurt when I urine? | HelloThanks for query .Based on the symptoms that you have the bump on shaft of the penis filled with pus is due to Staphylococcal infection of hair follicle (Boil) with surrounding edema of the subcutaneous tissue .You need to take broad spectrum antibiotic like Cefotaxime along with anti inflammatory drug like Diclofenac twice daily along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water and Betadine twice daily.Ensure to avoid sexual encounters till it heals up completely.It should get cured within a week failing which you will need to consult qualified General surgeon and get it incised and drained .Dr,Patil. |
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